Tag: x-ray

Pains during Growth in Children

Growing pain is part and parcel of the growing phase in a childs life. When the child stops growing so will the growing pain and when adolescence is reached, they disappear completely. Growing pain can occur between three to five years or eight to twelve years of age. Growing pains are usually experienced in the legs usually in the calves, in the area in front of thighs and behind the knees. The pain starts either in the afternoon or night, just before bedtime. The child can go to bed pain free, but can wake up in the middle of the night complaining of throbbing pain in the legs. But the good part is that these pains vanish by morning. About twenty five to forty percent of the children are known to experience growing pain.

Growing pains are experienced in the muscle region and not around the bones or joints. One of the major reasons of getting growing pains is because of the strenuous activities of the kids during the day. All the jumping around, running and climbing make the muscles tired. But no evidence has been collected which can prove that the growing pain is caused by bone growth. Growing pains are also known to be caused by spurt of growth. This happens because the tendons or the muscles are too tight and do not synchronize with the growing of the bones. As a results muscle spasms are caused which last for less than fifteen minutes. The child usually gets pain in both the legs and not just one. And usually, growing pains do not get accompanied with redness, swelling or fever. The pain should be over by morning and if it is still persisting after the awakening of the kid, the problem could be related to something else and more serious.

If the pain is unbearable, the parent or caretaker should administer pain relieving medications which are available over the counter such as ibuprofen or acetaminophen. Aspirin should not be given to children as they have a tendency to develop a very serious illness known as Reye Syndrome. Heating pads can be placed on the region that is hurting to ease the pain. Massage can also be given by the parent or the child can do stretching exercise to help the muscles relax. If the child develops fever, redness, swelling, tenderness, limitation in movement, or if the child limps while walking, the doctor should be approached. Before that the parent can do a little diagnosis of the intensity of the pain by feeling around the area and observing the pain experienced by the child. The pain shouldnt be so intense that the child is abstained from normal routine such as walking, running or playing.

The doctor conducts the diagnosis of exclusion to understand the problem. According to this diagnosis, it is not made until all the conditions are checked before considering growing pains. The doctor studies the childs medical history and conducts a physical examination. In some serious cases, the doctor advices to go for X-ray or blood test before the final decision is made.

Children can prevent the growing pains by doing stretching exercises on a daily basis. The exercise need not be complex. Even if the pain subsides, the exercise should be continued so as to keep the tendons and muscles relaxed and to adjust with the growth spurt. Fluids, when taken in good quantity, decrease the cramping. For this reason, the child should be given tonic water or quinine before going to bed.

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Osteoarthritis: Causes and Symptoms

Osteoarthritis: Causes and Symptoms
John Robben

Osteoarthritis: Cause and Symptoms

In our last article, we briefly discussed Osteoarthritis and
Rheumatoid Arthritis. This article will take a close look at the
cause, symptoms, and current treatment used for Osteoarthritis.
So let’s take a second look at what Osteoarthritis is.

Osteoarthritis is known by many as “wear and tear” Arthritis. It
is one of the most common forms of Arthritis and is the result
of cartilage wearing away from the joints. This cartilage is
responsible for the smooth gliding of joints, and once it begins
to deteriorate, the patient is left with pain, joint swelling
and inflammation, and even deformity.

Osteoarthritis patients usually state that their pain is
greatest during times of movement, and then lessens
significantly during periods of rest. Osteoarthritis affects
many more women than men. There is an estimated 24 million
Osteoarthritis sufferers in the United States and roughly 74%
are women.

The cause of Osteoarthritis is not known, yet doctors have many
suspicions. Some of the symptoms of Osteoarthritis boggle the
minds of scientists and more research needs to take place to
determine the actual root of the disease. For instance, X-rays
can tell that Arthritis is present, yet the amount of pain
reported by Osteoarthritis sufferers differs from the results of
the X-ray. Though many people refer to Osteoarthritis as the
“wear and tear” disease, evidence shows that this disease and
its mysterious cause are not as simple as that definition. In
fact, “wear and tear” does not take place in just one joint, but
affects joints simultaneously throughout the body. An example of
this, is that sufferers with Osteoarthritis of the knee, offer
suffer Osteoarthritis in the hand. Also, doctors have noted that
patients don’t suffer with Osteoarthritis on just one side of
the body (as would be expected due to wear and tear) but because
it seems to affect the body concurrently, it appears that
Osteoarthritis is a systematic disease affecting all of the
cartilage at once.

One suggestion is that Osteoarthritis is a result of cartilage
that has stopped functioning at optimum level. Cartilage is
continuously undergoing a process where it is broken down, then
rebuilt. Some theories state that this process becomes
unbalanced and out of hand. This is referred to as “End Stage
Osteoarthritis.” It is at this stage that joint pain and
impairment begin to manifest. There are many natural remedies
that show promise in the management of Osteoarthritis pain and
symptoms. Look for future articles in our Arthritis Series that
will offer natural remedies that may prevent enzymes from
damaging cartilage.

Some other ideas that point to the cause of Osteoarthritis
include:

Previous Sports related or Joint Injuries Genetically
Inherited (it appears that Osteoarthritis runs in families)
Repeated Occurrences of Bleeding into a Joint (as occurs with
Hemophilia and other diseases) Repeated Occurrences of Gout
and Gout like Diseases Avascular Necrosis- this is a condition
where blood near a bone is cut off, this leads to bone death as
well as joint damage. Avascular Necrosis typically afflicts the
hip joint. Previous Rheumatoid Related Illness- such as
Rheumatoid Arthritis can lead to chronic inflammation of the
joints. Osteoporosis-due to the high risk of bone fractures
and injury, Osteoarthritis may develop in joints. Metabolic
Disorders- for example, Hemochromatosis can result in high
levels of Iron being deposited in the joints Joint
Infection-It is believed that cartilage may deteriorate in
people who have defects in their cartilage and joints.

We’ve discussed the potential causes of Osteoarthritis, now it
is time to look at the various symptoms of Osteoarthritis.
The symptoms of Osteoarthritis include:

Joint Pain- this tends to be worse when rising in the morning
Joint Swelling and Inflammation- this occurs during periods of
activity Feeling a “Grinding” Sensation when a Joint is moved
Loss of Mobility and Flexibility

There is no sure way to prevent Arthritis in any of its forms.
There are however some things that you can do to help lower your
risk of developing Osteoarthritis or any other type of
Arthritis. Some of the preventative methods that you may add
to your lifestyle today include:

Maintain an Ideal Body Weight Take steps to prevent the
development of Osteoporosis. Some of these include taking
adequate Vitamin D and Calcium, exercising, and taking
medication if needed. Do your best to prevent injuring your
bones and joints -try to avoid accidents such as sports related,
implementing joint protection by using splints and braces.

About the author:
Written by John
Robben of Ultimate Water Massage, Inc. Providing Massage
Services and Pain Relief products. Visit our Arthritis Information
Center

What Evidence of Congestive Heart Failure is a Diagnosis Based

What Evidence of Congestive Heart Failure is a Diagnosis Based on?

While all cardiac conditions carry similar symptoms of chest pain and difficulty breathing, congestive heart failure generally presents with a very specific set of symptoms and lab results, giving doctors a very firm set of clues upon which to base a definite diagnosis.

Dyspnea, or difficulty breathing, coupled with severe pitting edema (when the body retains fluid to the point of holding the imprint of an object that is pressed into the skin for several minutes) are generally the first pieces of evidence pointing to congestive heart failure. Heart failure results in the heart not being able to efficiently pump blood throughout the body; as a result, fluid accumulates rather than being excreted and causes the body to swell as if it were a water balloon. Non-pitting edema, or fluid retention that does not hold an imprint, is not caused by heart failure and indicates that another diagnosis needs to be made. The patient may produce a frothy pink sputum when they cough.

In addition to the symptoms related to the fluid accumulation general weakness and malaise, particularly during times of physical exertion are frequent complaints of patients suffering from congestive heart failure, and should not be ignored. This is caused by a lack of nutrients and oxygen from the blood to the body tissues, and may result in permanent damage to the organs if they are left without these vital elements for a prolonged period of time. Anuria, or a lack of urination, is also evidential of heart failure as fluid accumulates in the tissues rather than being properly excreted. Patients may suffer from a changed mental status due to toxins accumulating in the body.

Once the physician suspects heart failure based on the physical evidence, blood samples will be sent to the laboratory. Beta-natriuretic peptide, or BNP, is an excellent screening tool in suspected cases of heart failure. This hormone is produced in greater quantities by the failing heart muscle as fluid levels rise, with a level between one hundred and five hundred pg/mg suggesting congestive heart failure and greater than five hundred being fairly diagnostic; however, an elevated BNP should not be considered to be sufficient evidence upon which to base a positive diagnosis, as conditions such as renal failure, ventricular strain, tumors or hypoxia can also cause BNP levels to rise. Arterial blood gases may be tested to determine the degree of hypoxemia. A decreased erythrocyte sedimentation rate, proteinuria (protein in the urine), and a mild azotemia (elevated blood urea level) can be seen in early to moderate disease. An increased serum creatinine, hyperbilirubinemia (increased bilirubin in the blood) and dilutional hyponatremia (decreased serum sodium levels) are evidence the patient is suffering from a more advanced case of heart failure.

Radiology will also wish to perform imaging studies to evaluate the condition of the heart. A chest x-ray will generally reveal cardiomegaly (enlargement of the heart) and pleural effusion (fluid around the heart). An echocardiogram may be performed to evaluate the internal structures of the heart to evaluate for any structural abnormalities, as in the case of mitral stenosis. This provides evidence to determine the underlying cause of congestive heart failure, particularly in suspected cases of valvular heart disease.

Physicians are like detectives, if you will. Once these tests have all been run they will gather these pieces of evidence together and put them together to form a fairly accurate picture of the patient’s condition, allowing for an accurate diagnosis leading to proper treatment.

Appendicitis in Kids

Many children have their appendix removed even before turning the age of fourteen. And the risk starts to peak as they age. Majority of children who get an abdominal surgery is because of appendicitis. Appendicitis is actually appendix inflammation and as a result, a fingerlike tube grows on the lower right part of large intestine. Appendix is located at the closed end of the larger intestine, known as the cecum, and measures up to many inches. Although, doctors say that the appendix isnt of much help to the body, but appendixs inner wall releases antibodies, which are produced by the lymphatic tissues.

Appendicitis can be detected by the onset of pain in the middle portion of the abdomen, the portion above the belly button. After a few hours the area will swell and there will be intense pain when touching the abdomens right side. The patient will begin to vomit and will have nausea. There will low fever and there will be problems will gas and stool passage. Some people, after the onset of these symptoms, will take laxatives or enemas mistaking appendicitis for constipation. But this is extremely dangerous, as these medicines will in turn increase the risk of the appendix bursting. So it is recommended to consult the doctor before going for any kind of medication, even any pain relievers. Besides increasing the risk, they even mask the symptoms and makes diagnosis even more hard. If the childs symptoms are very much similar to that of the appendicitis symptoms, he should be immediately taken to the doctor for further diagnosis. The doctor will first study the childs digestive illnesses history. He should also be divulged information about the symptoms, timing, bowel movements and its frequency. The stool should also be checked for mucus or blood. Children, who can communicate, can be asked to point out the location of pain in the abdomen. Toddlers who havent started talking or who hesitate to do talk will raise their knees close to the chest, hips will be flexed and the abdomen becomes tender.

Although, the actual cause of this abnormal growth of the appendix is not known, but it can result because of some kind of obstruction or infection in the intestines. The obstruction can be created due to thick mucus build-up inside the appendix. Some part of the stool can also enter inside. There will be mucus formation and the stool will harden within resulting in the swelling up of the appendix. If it is an infection, it should be treated immediately, as it can burst and there is a danger of the infection spreading to other parts of the body via bloodstream. That is the reason why even blood test is done, so as to determine whether the infection has spread or not. The urine test is done to check for problems in the urinary tract. The problem is then confirmed with the help of computed tomography or an ultrasound. Sometimes children with pneumonia have the similar symptoms, so to make matters clear even X-ray of the chest is done. Medical attention must be sought within forty eight hours of the start of the abdominal pain. Sometimes, abdomen develops mild inflammation, many weeks before the diagnosis is done.

After the diagnosis is done and appendicitis is determined, appendectomy is performed on the patient. The doctor will immediately order the intake of antibiotics before the surgery is performed. In case of confined appendicitis, it can be treated solely by antibiotics and no surgery is required. This is because the inflammation is very mild and the body itself fights with the infection. But, still as a precautionary measure, such kinds of patients must be kept in observation until their condition becomes stabilized. If the appendix ruptured then appendicle perforation is done. In this procedure, a drain is inserted inside the skin, through the abscess with the help of CT scan or ultrasound which gives the exact location. Some people develop complications later such as wound infection and accumulation of puss inside the appendix.

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