Menstrual Disorders in Adolescent Girls

Adolescence is the time when there is sudden transformation in the body and many questions arises in the minds of the adolescents. Firstly they are not able to cope with the changes and secondly the changes bring along problems with them. The most challenging problems are related to menses, in girls. Menstrual conditions are many that may require physicians attention or any other healthcare professionals attention. The most common of the menstrual disorders are premenstrual syndrome, dysmenorrheal and amenorrhea.

Before the onset of the menses, females face many uncomfortable symptoms which last for a short period, stretching from few hours to few days. But some of them can be very intense and can disturb the normal functioning of the person. These symptoms are grouped as premenstrual syndrome. In usual cases, the symptoms come to a halt when the menses begin, but for some they may last even after the menstrual periods are over. Eighty five percent of the females experience some of the symptoms of premenstrual syndrome at one time or the other. Nearly forty percent experience the symptoms so intensely that their daily chores are affected by it and ten percent are disabled by it.

There are many premenstrual syndrome symptoms which can be broadly classified as neurologic & vascular symptoms, psychological symptoms, gastrointestinal symptoms, fluid retention, eye problems and respiratory problems. The cause of premenstrual syndrome are fluctuations in the levels of progesterone & estrogen, hypoglycemia, hyperprolactinemia, psychogenic factors, changes in carbohydrate metabolism, excessive aldosterone, progesterone allergy and water retention by kidneys. The good thing is that premenstrual syndrome can be prevented by exercising regularly, eating balanced diet and sleeping adequately.

Dysmenorrhea is feeling intense menstrual pain and cramps. Depending on the severity, dysmenorrhea is stated as primary dysmenorrhea or secondary dysmenorrhea. Primary dysmenorrhea symptoms are felt from the onset of the menstrual periods and are felt life-long. Because of abnormal uterine contractions due to chemical imbalance, severe menstrual cramping is experienced. Secondary dysmenorrhea starts in the later stages. The causes are different for primary and secondary dysmenorrhea. Secondary dysmenorrhea can be blamed on medical conditions such as endometriosis, uterine fibroids, pelvic inflammatory disease, tumors, infections, and abnormal pregnancy.

Dysmenorrhea symptoms are lower abdomen cramping & pain, lower back pain, nausea, diarrhea, vomiting, fatigue, fainting, weakness and headaches. Females who are overweight, smoke, and have started to menstruate before turning eleven are at a higher risk of developing dysmenorrheal. Females who drink alcohol during menstrual period experience prolonged pain. After studying the health conditions, age, cause of dysmenorrhea, and extent of condition of the individual, corresponding treatment will be recommended. Regular exercise, abdominal massage, hot bath, vitamin supplements, and dietary modifications can help overcome dysmenorrhea.

Amenorrhea is the condition in which the female skips her menses for more than three consecutive menstrual cycles. Amenorrhea is also classified as primary amenorrhea and secondary amenorrhea. Primary amenorrhea develops from the onset of menstrual periods. In this condition, the adolescent might not get periods when she enters puberty. Secondary amenorrhea is a condition where periods become irregular after a period of time and not from the start.

There are many causes of amenorrhea such as ovulation abnormality, eating disorders, birth defects, anatomical abnormalities, malnourishment, anorexia, bulimia, pregnancy, over exercising, thyroid disorder, obesity and other medical conditions. Out of these ovulation abnormalities are a common cause for absent or irregular periods. It is a must that an adolescent start getting menses at least by the age of sixteen. If not, anatomical abnormality, birth defect and other medical conditions are the cause. Adolescents who participate in sports actively and are athletic have a lower body fat content because of which they have absent menses. Even because of malnourishment, the body is incapable of sustaining pregnancy. So in turn the body itself shuts down the reproductive system and menses. Extra fat cells in the body interfere with ovulation and that is the reason why obese female have irregular menses. Amenorrhea is treated by dietary modifications, ovulation inhibitors and hormone treatment.

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All about Blood Pressure

What is blood pressure? Blood pressure is the force of your blood against your artery walls. When you have your blood pressure checked the reading has two numbers; one on top and one on bottom.

The top number is your systolic pressure. This is the force of your blood in your arteries when your heart beats. The bottom number is your diastolic pressure. This is the force of your blood in your arteries when your heart relaxes in-between beats.

Normal blood pressure would be a reading of 120/80 or lower. High blood pressure would be a reading of 140/90 or higher. If you have high blood pressure you are at a greater risk of a stroke or heart and kidney disease.

Many things can cause high blood pressure including physical inactivity, tobacco and alcohol use, stress and your diet. These are only a few things. Certain medical conditions and medications can also cause high blood pressure.

High blood pressure can cause your body to have certain effects. For instance it can cause a stroke. The high pressure can cause a weakened blood vessel to break causing it to bleed into the brain; thus leaving you with a stroke.

High blood pressure can also sometimes cause your blood vessels in your eyes to bleed or burst. If this happens your vision will be blurred or impaired and might even result in blindness. Another reason it is best to keep control on your blood pressure.

Along with a stroke or kidney disease high blood pressure can also cause a heart attack. Your arteries are what bring blood carrying oxygen to your heart muscle. If your heart is not getting enough oxygen you will experience chest pain. If the blood flow is blocked as well you will experience a heart attack.

Congestive Heart Failure is very common among people with high blood pressure. This is a very serious condition where your heart cannot pump enough blood to supply the needs of your body. It is never too late to start taking control of your health starting with your blood pressure.

Anyone can develop high blood pressure, even children. It is more common for African Americans to develop it. Many Americans will develop high blood pressure as they age but that doesn’t mean it is healthy.

Obesity plays a role in high blood pressure. If you are over weight you are at a higher risk of having high blood pressure as well as a stroke or heart disease. Try to lose at least ten pounds and this will help lower your blood pressure significantly.

Eating a healthy diet is a great way to lower or control your blood pressure. Limit your intake of salt and sodium and introduce more fresh fruits and vegetables into your diet. Once you establish your healthy diet you will have less worry of developing high blood pressure.

You should always have your blood pressure checked at your regular doctor visits. If you have high blood pressure and are concerned you can easily monitor from home. If you do this you want to have your doctor look at your home monitoring device to help ensure it is effective and you are operating it correctly.

Keep track of your blood pressure readings so you can see what is helping and what isn’t. Sometimes regular lifestyle changes alone won’t help as much as they would combined with blood pressure medication. Your doctor will be able to tell you what the best option for your needs would be.

Your Child’s Blood Pressure

You may not realize that your child can develop high blood pressure. While it may not always be the case, it isn’t uncommon by any means. You can take control of your child’s blood pressure while they are young and help them live a healthier life.

Obesity is the main cause for children to have high blood pressure. Researchers say that obesity is increasing every year in children. This might be due to video games and other activities that require no physical activity. You can easily prevent this luckily.

Start by getting your child active. You can exercise with them everyday for thirty minutes. Take a walk, ride your bikes, go swimming. Whatever physical activity you choose will benefit you both.

By involving your child in physical activities at a young age, you are increasing their chance of staying active as they get older. Limit their video game time, etc. You don’t want to banish all ‘fun’ things but they should know that sports, etc, can be fun as well.

Also watching your child’s diet and eating habits can be beneficial in controlling their blood pressure as well as your own. By starting a diet for the entire family, your child will not feel ‘cornered’ or ‘picked-on’. The entire family will be doing it so it will not be just for them.

When starting a new diet for controlling your blood pressure there are many things you will want to do.

Limit your sodium and salt intake. Substitute salt for other seasonings.

Introduce more fresh fruits and vegetables. By early introduction of fruits and vegetables in your child’s diet, you can ensure they will continue to eat these as they age.

Monitor Fiber Intake – For children one to three they should have 19 grams of fiber a day. For children four to eight they should have 25 grams of fiber daily. For female children nine to thirteen they should have 26 grams of fiber and for males 31 grams. For females fourteen to eighteen they should have 29 grams and for males 38 grams of fiber.

You as an adult also want to consume 14 grams of fiber per thousand calories consumed. You can easily read the nutrition labels to make sure you are getting the recommended amount.

You also want to watch the amount of fat intake. This of course will cause obesity along with physical inactivity. Which both of these will raise blood pressure. Try to have balanced healthy meals and send your child to school with a balanced lunch. You can find things they will like that has the appropriate nutrition.

Children should have the opportunity to be children and eat some junk food as well. Choose a day or time that your child can eat something like this. After all, this is probably the only time they’ll be able to enjoy eating something like that. Let them be a kid but also have a healthier lifestyle. You will both be thankful and grateful further down the road.

High Blood Pressure in Adolescents

High blood pressure is a condition where the blood pressure is more than normal. It is also known as hypertension. Heart pumps out blood, so that oxygen can reach to different parts of the body via blood. The pressure with which heart pumps blood is known as blood pressure. The blood pressure comprises of two measures, the systolic pressure and diastolic pressure. Systolic pressure is the larger figure and represents the pressure within the artery of the heart, when contractions take place which pump blood to different parts of the body. Diastolic pressure is the pressure within the artery of the heart, when the blood is filling in the heart and it is at rest. Both the pressures are measured in millimeters of mercury or mmHg. High blood pressure is abnormal increase in systolic pressure or diastole pressure.

Blood pressure is measured by putting a blood pressure cuff on the arm and placing a stethoscope on the chest. There can be very little variation in blood pressure depending upon the time, emotional moods, age, gender, weight, height, physical activity, stress and other illness such as heart disease and kidney disease. Children and adolescents become anxious when they visit the doctor. This is also an important factor which affects the blood pressure and the readings taken get tampered because of it. That is the reason why many blood pressure readings are taken in order to determine whether the adolescent has high blood pressure or not. The nurse may even ask the adolescent to calm down while taken the readings. Time gap is given between each reading, so as to give time to the adolescent to calm down. Emotions can also affect the blood pressure reading.

An infant will have a normal blood pressure reading of 80/45, where as an adolescent will have a normal blood pressure reading of 110/70. Therefore, age, gender, and height are important factor when determining the normal blood pressure level. Adults will have a higher blood pressure than the infants and teenagers. Also, boys have a higher blood pressure when compared to girls and tall people have a higher blood pressure than short people. An adolescent is said to have high blood pressure when the blood pressure is more than the blood pressure of ninety percent people of his/her age, gender and height.

There are many risks associated with hypertension or high blood pressure. The risk of developing coronary heart disease increases proportionally. The arteries will develop greater resistance towards the blood flow, because of which the heart will pump blood harder. Stroke is also another risk. Adolescents who have had high blood pressure as a child, develop harmful effects on the blood vessels and heart till the time they turn twenty.

The causes of high blood pressure can be classified as primary and secondary. If the causes are definite, they are primary and if the cause is linked to some illness, it is secondary. Primary causes are high blood cholesterol levels, smoking, stagnant lifestyle and overweight. Secondary causes are obesity, immobility due to chronic illness, prescription drugs, intense pain due to burns or cancer and illegal drugs. High blood pressure can develop due to hereditary reasons.

Hypertension is diagnosed by blood test and urinalysis. The kidney function will also be checked, along with blood cholesterol levels. Family history check is another important factor. Adolescents eating habits, exercise levels, activities in school and home will also be studied thoroughly. High blood pressure is dealt with by weight reduction, healthy diet, and increase in physical activity. If hypertension is due to illness, the illness is treated first. These treatment measures will decrease the systolic blood pressure and diastolic blood pressure. It will also strengthen the heart and decrease the level of cholesterol in blood. This also helps to keep heart diseases at bay. The good thing is that only one percent of the adolescents, who have high blood pressure, need medication to bring back the blood pressure to normal.

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