Category Archives: Health

Choosing a good medicine and doctor

Hallo readers, how are you today? I hope you are healthy always. This time I will discuss about the various drugs that circulate around us. In 1 disease alone there are many kinds of medicine for its healing, then we as consumers must be good at choosing a good medicine for our consumption and fit with the condition of our body, because if we do not pay attention to it, could have an impact on illness we do not immediately recover and maybe will other diseases appear.

There are a few tips you can use to choose a drug:
1. Make sure first the drug brand and the manufacturer of the drug
2. Notice the production code, expiry date, packaging features, drug logos and other information
3. Note also for the side effects of the drug, do not let something happen that is not desired

And of course choose a doctor for your health consultation that suits you, like Florida Medical Marijuana Doctor, who cares for your health and your family. Doctors are able to provide quick and accurate response in helping patients get healed.

Doctors at Florida Medical Marijuana have an active medical license issued by the Florida Medical Association, so patients will feel safe and comfortable if they seek treatment there. And it’s best that the doctor you consult always offers a health solution with All Natural Medical Solutions. Natural ingredients have few side effects, so it is very safe for patients to take in their health.

Do not easily believe online diagnostic results

Health consultations online, it is easy and flexible for all of us. But we must be careful – careful not to blindly believe and confirming the diagnosis the doctor says online. Seek a second opinion to a doctor you trust, if it does not allow you to come to the doctor. Below is taken from the web site about the need to be careful – careful with medical consultation online.

We called her the “White Bread Lady,” a moniker she earned for one particularly inane call in which she panicked to my father after consuming white bread.

She wasn’t breaking out in hives or having any adverse effects to the bread. No, she was just concerned that some future illness could befall her given that one particular dietary decision.

Although we all laughed at the time, it was with a bit of shifty-eyed shame. Because most of us (including if not particularly the illustrious Ehrlich family) have lurking within us our very own “White Bread Lady,” ready to convince us that each cough, sniffle and less-than-nutritious meal might be a detriment to our health.

And, naturally, that White Bread Lady looms even larger when we can type our worries into a search bar and unlock a bevy of potentially distressing information. Yup, so quoth Google, we all have cancer.

According to a recent report from the Pew Research Center, 80% of Internet users have looked up health information online. While that practice can be beneficial in some respects, the abundance of (variably valid) information online can turn us into e-hypochondriacs. (Or, worse, can lead us to neglect getting the care we need.)

Read on for five mistakes — courtesy of a selection of health-care professionals — that people make when diagnosing themselves online.

Searching blind

Your eye is twitching like an overly caffeinated college student sitting behind a pretty girl in lecture hall, twirling his pencil and hoping to catch a whiff of her lovely shining hair.

You type “eye twitch” into Google and come up with a really rad website that explains that this newfound spasm is actually an indication that your third eye is fixing to open, revealing to you wonders untold. You are the chosen one. Too bad that this trove of “medical information” is actually some dude’s fan-fiction site.

Long wait at the doctor’s office? Blame the patients

Sure, the above is an extreme example, but, as Dr. Kevin Pho of KevinMD.com pointed out, “There’s a lot of bad information on the Web and information that can be dangerous.” Especially if you’re not considering who put up that information in the first place.

Pho urges users to favor Web addresses ending in .org and .edu when looking for reputable health-care info, and to check who is funding the collection of that information. “There’s so much information from organizations trying to sell products or push their agenda on the Web,” he said.

He suggests turning to sites like Mayo Clinic as well as troves of information curated by doctors (like Pho’s own website) when trolling the Web for info. And, of course, if a site mentions trolls and third eyes, one should definitely press on.

Flailing in forums

If there’s one thing people like to do online, it’s talk about their problems — especially mundane things like coughs and headaches and their babies’ various and sundry discharges. And, it seems, we’re pretty interested in reading about the health issues of others, too.

According to that Pew study, 23% of social-network users have followed a friend’s health experiences online, and 34% of Internet users have read about someone else’s medical issues on newsgroups, websites or blogs.

That’s all well and good; sharing experiences with others is enriching! Unless the people you’re sharing with are idiots.

Case in point: Here’s a Yahoo Answers thread in which folks are discussing whether you can make a pregnancy test out of bleach and Pine-Sol. (Spoiler alert: You can’t.)

“You can easily fall into that rabbit hole and find some forum that really isn’t relevant but maybe sounds kind of close,” warned Craig Monsen, co-founder of symptom-checker app SymCat and fourth-year medical student at Johns Hopkins University.

On the other hand, “sometimes you’ll stumble on exactly the right forum where someone has your same exact problem, and their solution does help.”

Doctor-turned-kayaker fights malaria in Uganda

“Health-care forums are definitely another tool that individuals can use in order to crowdsource a diagnosis based on their symptoms,” added Dr. Natasha Burgert of KC Kids Doc. “I think that these can be a really powerful tool not only for discussing potential diagnosis or symptom relief but also finding a forum of individuals in which you can discuss emotional and psychological parts of an illness and develop a wonderful online support community.”

The trick is to be wary about the issues being discussed in forums and how germane they are to you. And, you know, if people start talking about homemade remedies fashioned from bleach, maybe click off and see a doc.

Getting emotional

You know that game “6 Degrees of Kevin Bacon”? There should seriously be a version of that called “6 Degrees of Cancer” — as in, when looking up your symptoms online, how long does it take to deduce that you have a life-threatening disease instead of, say, a simple cold?

According to Burgert, the root of this whole “worst-case scenario” thing is getting too emotional.

“For most intents and purposes, when you’re looking for online health information, it’s about yourself or a family member,” she said. “When you’re looking through that lens, it’s very hard to keep emotional distance. So you can read about a diagnosis that either makes you very scared or calms your fears — and that’s the path you’ll continue down, whether it’s correct or not.”

Burgert suggested using online symptom checkers simply to “understand possible diagnoses, find some initial steps for relieving the symptoms and determine if this is something that needs further evaluation or that can be managed at home.”

SymCat and Mayo Clinic’s symptom checker let you type in what you’re experiencing and unearth a spectrum of diagnoses and suggestions for when to seek a doctor’s aid. Your doctor’s website might also have such a tool.

Voila, you just increased your separation from cancer by at least a couple of degrees.

Keeping mum around MDs

“I think, traditionally, many physicians are a little apprehensive when that stereotypical patient comes to their office with big stacks of printouts from the Internet,” Pho said. “But I think more and more doctors are accepting it. Personally, I think that transparency of information is helpful in a way.”

Translation: Help your doctor help you. If you’re worried about a particular medical situation and did some research to help narrow down what’s ailing you, share that info with your physician.

“I really appreciate when patients bring in information that they found online, because it allows me to guide my instruction and plan based on their true concerns,” Burgert said. “People get scared when they get sick and hurt, and they want to use multiple sources of information to help themselves. The Internet adds to that physician’s expertise in order to do that.”

Study: Fainting may have genetic link

Pho suggests using tracking apps (Bloodnote and Tap & Track are a few examples) to keep tabs on blood pressure, weight, heart rate and other areas that are of particular concern to you and your MD.

“These apps and sites give patients so much data about themselves that they never had before,” he said.

And a log is useful to your doctor, who can scan for abnormalities and patterns that you may have missed.

Remember, though, knowing how to use the Internet doesn’t make you a doctor. Google doesn’t count as a second opinion. If you’re unhappy with your doc’s diagnosis, go get one the traditional way.

Putting off the inevitable

If your ailment isn’t going away, all the symptom-checking and Mayo Clinic-ing in the world isn’t going to help you.

Make a doctor’s appointment. Like, right now.

Sites like ZocDoc make it super easy (and free; doctors pay to be listed) to set up an appointment ASAP, so no whining that you’ll have to wait two weeks to see a doc and maybe by then “it” will have gone away.

Unless, of course, “it” is that white bread you just ate. In that case, please stop calling my dad.

source : http://edition.cnn.com

Should to know about acid reflux : Causes, Symptoms, and Treatments #2

Tests and diagnosis

The first port of call for someone experiencing frequent acid reflux symptoms is the family doctor, who may refer on to a specialist in gut medicine, a gastroenterologist.

Gastroesophageal reflux disease is often diagnosed simply by finding no improvement in heartburn symptoms in response to lifestyle changes and acid reflux medication.

Gastroenterologists may also arrange the following investigations:

  1. Endoscopy (camera imaging)
  2. Biopsy (taking a tissue sample for laboratory analysis)
  3. Barium X-ray (imaging the esophagus, stomach and upper duodenum after swallowing a chalky liquid that helps provide contrast on images)
  4. Esophageal manometry (pressure measurement of the esophagus)
  5. Impedance monitoring (measuring rate of fluid movement along the esophagus)
  6. pH monitoring (acidity testing).

Treatment and prevention of acid reflux

The main treatment option for people who repeatedly experience acid reflux in gastroesophageal reflux disease is a class of drugs known as proton-pump inhibitors (PPIs for short).
Zantac – for heartburn relief
Zantac, a medication for heartburn relief, was one of the first blockbuster drugs.

The mode of action of proton-pump inhibitors is to decrease acid production and thereby reduce the potential for damage caused by acid reflux.

Here is the full list of proton-pump inhibitors available on prescription in the US (brand names given followed by generic names, 2014):

– Aciphex (rabeprazole)
– Dexilant (dexlansoprazole)
– Nexium (esomeprazole)
– Prevacid (lansoprazole)
– Prilosec (omeprazole; also available in pharmacies without prescription)
– Protonix (pantoprazole)
– Zegerid (immediate-release omeprazole with sodium bicarbonate).

Proton-pump inhibitors are generally safe and effective, but like any prescription drug, they are not appropriate for all people with reflux disease and can cause side-effects, such as malabsorption issues leading to nutrient deficiencies.

PPIs are blockbuster drugs – prescribed to millions and earning huge sums for pharmaceutical firms because of their common use.

Proton-pump inhibitors have superseded earlier drug therapies that were used for gastroesophageal reflux disease – H2 blockers (also known as H2-receptor antagonists). These were the first blockbuster drugs of modern medicine – Zantac (ranitidine), for example, was the drug that caused GlaxoSmithKline to become a key pharmaceutical giant.
Over-the-counter remedies for acid reflux

For people who experience heartburn or indigestion infrequently, perhaps in association with occasional food and drink triggers, treatments to reduce the acidity of the stomach contents are available without prescription from pharmacies (over-the-counter products).

These liquid and tablet formulations are called antacids and there are dozens of brands available, all with similar effectiveness. They may not work for everyone, and any need for regular use should be discussed with a doctor.

Antacids provide rapid but short-term relief by buffering the acidity through simple chemical reaction with the stomach contents (they do not act on acid-producing cells of the stomach lining).

They contain chemical compounds such as calcium carbonate, sodium bicarbonate, aluminum, and magnesium hydroxide, and can also inhibit nutrient absorption, leading to deficiencies over time.
Alginate drugs such as Gaviscon
Box of Gaviscon
Gaviscon is a well known over-the-counter heartburn medication

Gaviscon is probably the best known heartburn therapy, available over the counter at pharmacies. It has a different mode of action than antacid drugs, containing alginic acid. Alginate drugs such as this brand vary slightly in composition, but they usually also contain an antacid.

The alginic acid works by creating a mechanical barrier against the stomach acid, forming a foamy gel that sits at the top of the gastric pool itself. Any reflux is then relatively harmless as it consists of alginic acid and not damaging stomach acid

The active ingredient alginate is found naturally in brown algae.

Other options

The main options for the management of gastroesophageal reflux disease have been covered above. A long list of other therapies is available, however, with one pharmacological review listing the following additional options: sucralfate acid suppressants, potassium-competitive acid blockers, transient lower esophageal sphincter relaxation (TLESR) reducers, GABA(B) receptor agonist, mGluR5 antagonist, prokinetic agents, pain modulators, tricyclic antidepressants, selective serotonin reuptake inhibitors (SSRIs), and the serotonin-norepinephrine reuptake inhibitor theophylline.

Surgery

In rare cases, gastroesophageal reflux disease that is severe and unresponsive to medical treatment may warrant surgical intervention in the form of a procedure called fundoplication – the National Institutes of Health has detailed information about this operation at Medline.

Prevention of acid reflux through lifestyle control

As discussed above, lifestyle can play a large part in the development of acid reflux-related problems, and changes to lifestyle or behavior can prevent or improve symptoms.

One summary of the actions patients might take has been compiled by the American Gastroenterological Association. This includes advice for patients with troublesome irritation to keep a diary, so that they may find any links to lifestyle factors.

The American Gastroenterological Association also offers the following list of things to try to see if symptoms resolve:

  • Avoid food, drinks and medicines that you find to be associated with heartburn irritation
  • Eat smaller meals
  • Do not lie down for two to three hours after a meal
  • Lose weight if overweight or obese
  • Avoid increased pressure on your abdomen, such as from tight belts or doing sit-up exercises
  • Stop smoking.

There is also some suggestion that eradication of infection with Helicobacter pylori can lead to the development of gastroesophageal reflux disease, although this has only been seen so far in Asian countries where the prevalence of H. pylori infection is higher than in western countries.

Risks from long-term GERD

It is important to address persistent problems with gastroesophageal reflux disease as long-term untreated acid reflux can lead to serious complications including an increased risk of cancer.

Long-term, continual exposure to stomach acid can damage the esophagus, leading to:

  • Esophagitis – where the lining of the esophagus is inflamed, causing irritation, bleeding and ulceration in some cases
  • Strictures – where the damage caused by stomach acid leads to scar development and difficulties swallowing, with food getting stuck as it travels down the esophagus
  • Barrett’s esophagus – a serious complication where repeated exposure to stomach acid causes changes in the cells and tissue lining the esophagus replacing normal cells with those that resemble cells in the lower gastrointestinal tract. This is considered a premalignant condition.

Both esophagitis and Barrett’s esophagus are associated with a higher risk of cancer.

Esophagitis may lead to precancerous changes in the pipe, and Barrett’s esophagus carries a clear risk of lethal cancer for a small number of patients.

There was a landmark study published in the New England Journal of Medicine in 1999 that found a link between untreated acid reflux and cancer. Its conclusion reads as a stark warning against leaving acid reflux untreated for a long time:

 

    “There is a strong and probably causal relation between gastroesophageal reflux and esophageal adenocarcinoma.”

 

 

 

 

 

 

 

Source : http://www.medicalnewstoday.com

Should to know about acid reflux : Causes, Symptoms, and Treatments #1

Many are looking for health problems of acid reflux. Symptoms that occur when exposed to acid reflux and how to handle. A very common symptom of burning pain felt internally around the lower chest area, caused by stomach acid flowing back up into the food pipe.

Gastroesophageal reflux disease (GERD, or GORD for gastro-oesophageal reflux disease) is acid reflux more than twice a week.

Use this page to learn what causes acid reflux and gastroesophageal reflux disease. Also get an overview of symptoms, and how the condition is diagnosed. We outline the treatment options available for the management of the condition, and how lifestyle measures may have preventive benefit.

You will also see introductions at the end of some sections to any recent developments that have been covered by MNT’s news stories. Also, look out for links to information about related conditions.

Fast facts on acid reflux

Here are some key points about acid reflux. More detail and supporting information is in the main article.

  • Acid reflux is also known as heartburn, acid indigestion, or pyrosis.
  • It happens when some of the acidic stomach contents go back up into the esophagus.
  • Acid reflux creates a burning pain in the lower chest area, often after eating.
  • Gastroesophageal reflux disease (GERD) is acid reflux that persists more often than twice a week.
  • GERD is very common in the US and other western populations.
  • Lifestyle risk factors include obesity and smoking.
  • Drug treatments are the mainstay of therapy and are available on prescription and over the counter.
  • Left untreated, gastroesophageal reflux disease can have serious complications, including an increased risk of cancer.

What is acid reflux?

Acid reflux is when some of the acid content of the stomach flows up into the esophagus – into the gullet, which moves food down from the mouth.
Diagram of esophagus, stomach and digestive system

The stomach contains a strong acid, hydrochloric acid, to help with the efficient digestion of food and to protect against undesirable microbes such as bacteria.

The lining of the stomach is specially adapted to produce this acid, and also to protect the digestive organ against its own corrosive secretion, but the higher gut is not protected from this acid.

A ring of muscle – the gastroesophageal sphincter – normally protects the esophagus from the contents of the stomach by acting as a valve that lets food into the stomach but not back up into the esophagus. When this valve fails and stomach contents are regurgitated into the esophagus, the symptoms of acid reflex are felt, such as heartburn. This is also known as pyrosis or acid indigestion.

Exact figures vary but acid reflux is considered very common, and diseases resulting from acid reflux are the most common gut complaint seen by US hospital departments.

The American College of Gastroenterology says that over 60 million Americans experience heartburn at least once a month, and at least 15 million as often as daily.

Gastroesophageal reflux disease has the highest burden in western countries, affecting an estimated 20-30% of the population. Americans are especially prone to GERD, likely due to a higher prevalence of several lifestyle risk factors, which are explored below.

What causes acid reflux?

We all may experience acid reflux occasionally, often associated with certain food and drink. Recurrent acid reflux that leads to disease has other causes and risk factors, and is termed gastroesophageal reflux disease (GERD or GORD).

Gastroesophageal reflux disease is seen in people of all ages, sometimes for unknown reasons (idiopathic).7 Often the cause is attributable to a lifestyle factor, but it can also be due to causes that cannot always be prevented.

One such cause of GERD is a hiatal (or hiatus) hernia. This is an anatomical abnormality where a hole in the diaphragm allows the upper part of the stomach to enter the chest cavity, sometimes leading to GERD.

Pregnancy is also sometimes a cause of acid reflux due to extra pressure being placed on the internal organs.

Other risk factors are more easily controlled and often directly linked to modifiable lifestyle or dietary issues, including:

  • Obesity
  • Smoking (active or passive)
  • High intake of table salt
  • Low dietary fibre intake
  • Low levels of hysical exercise
  • Medications, including drugs for asthma, calcium-channel blockers, antihistamines, painkillers, sedatives, and antidepressants.

Individuals may report an association with certain food and drinks but research suggests there is not any link between gastroesophageal reflux disease and intake of alcohol, coffee or tea.

The animation from YouTube below, produced by the Mayo Clinic, shows how stomach acid looks in the digestive system, and the action of the gastroesophageal sphincter (valve) as it allows reflux into the esophagus.


Signs and symptoms of acid reflux

Acid reflux, whether it is a harmless, isolated episode of the sort we all experience at some point, or the persistent problem of gastroesophageal reflux disease, usually produces the same main symptom:

  • Heartburn

Heartburn is a discomfort – happening in the esophagus and felt behind the breastbone area – that takes the form of a burning sensation and which tends to worsen when the person lies down or bends over. It can last for several hours and also tends to worsen after eating food.

The burning pain may move up toward the neck and throat as stomach fluid can reach the back of the throat in some cases, producing a bitter or sour taste.

We all experience heartburn occasionally, due to simple acid reflux, but if this occurs regularly – two or more times a week – it is termed gastroesophageal reflux disease, or GERD for short. GERD can also be signalled by other symptoms, including:

  • Dry, persistent cough
  • Wheezing
  • Asthma and recurrent pneumonia
  • Nausea
  • Vomiting
  • Throat problems – soreness, hoarseness, or laryngitis (voice box inflammation)
  • Difficulty or pain when swallowing
  • Chest or upper abdominal pain
  • Dental erosion
  • Bad breath.

Source : http://www.medicalnewstoday.com/