Infectious Mononucleosis

Also known as mononucleosis or mono Pfeiffer’s disease or glandular fever, infectious mononucleosis can be identified by inflamed lymph glands and constant fatigue. The disease is named so as the amount of mononuclear leukocytes which belong to white cells increase in number. The cause of the disease is EBV (Epstein – Barr virus) or in some cases cytomegalovirus. Both these viruses belong to the family of herpes simplex. According to statistic majority of the adults in the United States are exposed to the virus Epstein Barr, a very widespread virus. Although the virus does not show any visible affects in children but it does in adolescents which can lead to infectious mononucleosis in nearly fifty percent of cases of exposure to the virus.

The other virus called cytomegalovirus which also belongs to the family of herpes simplex causes the cells to become enlarged. According to statistics, about eighty percent of adolescents infected with this virus generally dont see any further symptoms. Although EBV has potential to develop infectious mononucleosis in adolescents the virus could make throat and blood cells its home for the lifetime. The virus has the capability to bounce back and reactive from time to time but the consolation is that it would reactivate without symptoms.

The condition usually lasts for 1-2 months. The symptoms may vary from one adolescent to other but may include inflamed lymph glands in areas such as groin, neck and armpits, fever, continuous fatigue, enlarged spleen, sore throat as a result of tonsillitis that can make things difficult to swallow and last but not the least minor liver damage that can lead to short-term jaundice. Some adolescents may also experience symptoms such as abdominal pain, petechial hemorrhage, muscle ache, headache, depression, loss of appetite, skin rash, weakness, dizziness, enlarged prostrate, dry cough, swelled genitals and puffy and swollen eyes. Some parents are puzzled by the symptoms of mononucleosis as it may be similar to other medical conditions. It is safe to consult a doctor in such cases.

The viruses are usually transmitted to other people through saliva (the reason why it is also called kissing disease), blood, sharing drinks and sharing utensils. The symptoms usually lasts for 4-6 weeks and do not cross 4 months. The disease is diagnosable but requires a though medical history of the adolescent. The diagnosis also involves physical examination of the adolescent and is based on symptoms reported to the physician. The diagnosis is further supported by laboratory test like blood test, antibody test and test to count white blood cells.

A rest of about a month is generally advised and normal activities can be resumed after acute symptoms disappear. Also care should be taken to avoid physical activities which are heavy in nature and also activities or sports involving physical contacts should also be avoided. Care must also be taken to avoid eating sweet things in excess for few months.

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Sore Throat Set off by Acid Reflux

Acid reflux refers to the condition in which the partially digested food containing digestive juices travels back into the esophagus from the mouth.

To describe the mechanical layout of this disease, our digestive system has a circular band of muscle called lower esophageal sphincter. This muscle splits the stomach from the esophagus. When the food enters the stomach, this muscle closes so as to prevent the partially digested materials from traveling back into the esophagus. But when the lower esophageal sphincter is rendered incompetent, the stomach contents are allowed to regurgitate or spit up.

The stomach contents that moves back to the esophagus contains digestive acids since they have undergone digestion in the stomach where digestive liquids are released to facilitate the digestion. Because of the acidic nature of the refluxed materials, inflammation develops in the lining of the throat; thus a sore throat is one of the most common symptoms of this condition.

Sore throat is usually associated with other symptoms, though sometimes it is uncommon, such as the occurrence of pus on the tonsil surface and drooling or frequent spitting. Moreover, a patient with sore throat may also experience difficulty in breathing caused by the narrowing of the air passage through the larynx or pharynx.

The pain or other difficulties caused by sore throat can be abated, if not treated, with simple self-treatments that can be done at home. Gargling is a recommended practice. You may try gargling with warm water mixed with table salt. Drinking a lot of water is also very important. Get extra sleep, for this encourages faster recovery. Popsicles or cold drinks are good for sore throats. Humidifiers or vaporizers can be used to sooth the pain in the throat. And also, sucking on solid candies, which help promote saliva production, works as an alternative remedy. It is known that saliva contains bicarbonates that help neutralize the acids that might have remained in the throat due to the reflux.

But if home-treatments are not enough to ease your condition with the sore throat, medical treatments are available. The intake of medicine is particularly advised for those who experience associated symptoms like difficulty in breathing, dehydration or body water loss, and severe pains. Take antibiotics if you feel that viral or bacterial infections have further developed in the throat. Also, rheumatic fever can be prevented from arising, though this condition is very much uncommon. Corticosteroids, which have an anti-inflammatory effect, can help in case of critical sore throat conditions.

Preventive measures and remedies, of course, are available to minimize the incidence of acid reflux, and sore throat, as well. One practical and immediate treatment is the application of gravity; that is, the person is kept in upright position at most times so to hold the digested materials down. Gravity can help prevent regurgitation, or the traveling of the stomach contents back up to the esophagus.

Eating habits should also be changed to facilitate in the treatment of acid reflux. Usual cases of acid reflux usually take place after a meal. It is recommended that evening meals should be taken earlier and in smaller quantities. This is so that the stomach can get emptied in a shorter period of time as compared to when heavy meals are eaten. Moreover, patients with acid reflux have less chances of regurgitating when they lie down.

Medications are also available. Some drugs act to neutralize the acids in the stomach and some work by blocking the production of acids by controlling the actions of histamine.

Acid Reflux Disease Symptoms: Knowing your Body

Acid reflux disease is a condition in which the stomach acids abnormally reflux into the esophagus. This phenomenon is irregularly experienced by most people, most especially after eating.

Our body uses gastric and stomach acids to break down the food that we eat. Normally, after the digestion in the stomach, the food is delivered by the digestive muscles to the intestines for extra digestion. But in patients who have acid reflux disease, the acidic stomach contents are moved back to the esophagus, which then causes inflammation. Cigarettes, alcohol, caffeine, pregnancy, and fatty foods are some factors which worsens acid reflux conditions.

Our present knowledge about acid reflux based on medical researches tells us that this disease is common in men as it is in women. There is no sexual preference. Moreover, the prevalence of acid reflux is more frequent in people of 40 years of age or more.

Symptoms of acid reflux may be typical or atypical. But based on the diagnosis of acid reflux patients, only 70% of those who have this disease manifest typical symptoms.

Typical or esophageal symptoms concern indicators which are related with the esophagus. Such symptoms include the following:

Heartburn. This is a condition in which the patient feels a painful burning feeling in the esophagus. The pain often develops in the chest and may swell to the neck or throat. This is most probable to occur in relation with these activities: after a heavy meal, lifting, bending over, and lying down. Based on one study, about 75% of acid reflux patients experience this symptom at night. These nigh-time patients also tend to experience more harsh pain than those whose symptom occurs at other times.

Dyspepsia. Researches show that about half of acid reflux patients have dyspepsia. This is a syndrome which consists of pain and distress in the upper abdomen, nausea after a meal, and stomach fullness. It is not a rule however, that those who have dyspepsia have acid reflux.

Regurgitation. This is when the gastric contents back up into the pharynx and sometimes as far as the mouth. In cases where the acids have spilled into the tracheobronchial tree, respiratory complications can be stimulated.

There are many instances, though, that acid reflux patients do not manifest symptoms such as regurgitation and heartburn. Instead, they experience atypical or extraesophageal symptoms which include the following:

Throat Symptoms. Although it does not commonly happen, acid reflux patients suffer from symptoms that occur in the throat. Hoarseness, the feeling of having a lump in the throat, dry cough are undergone by those who have acid laryngitis, a throat symptom. Patients can also have difficulty in swallowing, a condition known as dysphagia. In critical cases, the food may get trapped in the throat or even choke, which can result to a severe chest pain. Other throat symptoms are chronic sore throat and persistent hiccups.

Vomiting and Nausea. When a patient suffers from nausea which persists for weeks, he may have acid reflux. There are few instances where vomiting can occur as often as once a day.

Respiratory Symptoms. Coughing and wheezing are counted as respiratory symptoms. These result from the overrunning of the stomach acids into the tracheobronchial tree creating bronchoconstriction.

Acid reflux disease can last for several months if not given proper medical attention. Drug treatment may only be required for a short time. But when the symptoms tend to repetitively occur, the drug treatment may have to be reapplied.