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Children's Health

Menstrual Disorders in Adolescent Girls

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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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Mental Health

Drugs to Fight Alzheimer’s

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Although there is no known cure yet for Alzheimer’s disease, there are already a number of drugs available worldwide that can help slow down a patient’s cognitive deterioration. The main aim of these Alzheimer’s medications is to try and improve cognitive ability or the person’s capability to think, perceive, judge and recognize.

There are currently five drugs approved by the Food and Drug Administration (FDA) that can be used to treat Alzheimer’s. There is ongoing research done all the time to test the effectiveness of such medications since they do not serve as a cure-all for the disease.
These medications may not have the same effects on all patients that are suffering from Alzheimer’s. But such prescription drugs can have significant effects on some of the patients with Alzheimer’s disease and should be given consideration as a possible treatment.

The 5 FDA Approved Medications are:
Aricept
Cognex
Exelon
Razadyne
Namenda

The first four drugs listed above belong to a group of drugs known as Cholinesterase Inhibitors. They work by trying to delay the break down of a substance known as acetylcholine in the brain which helps in bridging communication between nerve cells and has an important role in a person’s memory.

Nameda on the other hand acts on another neurotransmitter called glutamate and shields the brain from then said substance which contributes to the death of brain cells in people with Alzheimer’s disease. This drug is more effective in treating moderate to severe forms of Alzheimer’s disease, improving the day to day life of the person with Alzheimer’s disease.

The most common side effects associated with the drug Nameda include dizziness, confusion, constipation, headache and skin rashes. Some patients may experience less common side effects such as tiredness, back pain, high blood pressure, insomnia, hallucinations, vomiting and occasional shortness of breath.

The drugs Aricept, Exelon and Razadyne are seen to be most effective in treating the early stages of Alzheimer’s disease. This group of prescription drugs has been shown to have some modest effect in slowing down the degeneration of a patient’s cognitive abilities.

These drugs can also help in trying to reduce certain behavioral problems usually exhibited by people suffering from Alzheimer’s. When these drugs are administered effectively on an Alzheimer’s patient, they can significantly improve one’s quality of life and more able to cope up with the disease.

Alzheimer’s patients taking these medications may experience some side effects which may not be the same for all patients. Common side effects observed in patients using the drug Aricept include nausea, vomiting, excessive tiredness, sleeping troubles and muscle cramps.

Less frequent observed side effects of the drug are headaches and dizziness with rare cases of patients suffering from anorexia, gastric or duodenal ulcers, gastro-intestinal hemorrhage, bladder overflow obstruction, liver damage, convulsions, heart problems and psychiatric disturbances while using Aricept as medication.

The usual side effects seen in using Exelon as treatment for Alzheimer’s are nausea, vomiting, weight loss, stomach upset and fatigue. Less usual side effects observed with the use of the said drug are abdominal pain, sweating, diarrhea, headaches, tremor, and psychiatric disturbances such as anxiety or depression with rare cases of patients experiencing gastro-intestinal bleeding.

The drug Cognex is used less frequently for Alzheimer’s treatment as it can cause serious liver damage to most patients. Other side effects of the drug include nausea and vomiting. Some patients may also experience some abdominal pain, sore muscles, headache, dizziness, rapid breathing, increased urination, insomnia, runny nose or mouth, swelling in legs and feet when taking Cognex. Some of the most severe side effects associated with using Cornex are liver damage, heart problems and seizures.

The common side effects often reported with the use of Razadyne are nausea, vomiting, appetite loss and weight loss. Less common are fatigue, dizziness, tremor, headaches, abdominal pain, urinary tract infection, blood in urine, runny nose. There are no serious side effects with this drug.

Women's Health

Caffeine and Pregnancy: How much is too much

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One of the first things most of us women prepare to say goodbye to once we see those two pink lines on our pregnancy tests is caffeine. Many women will stop their caffeine habit cold turkey out of the sheer fear of doing some sort of damage to the new life growing inside of them. These women will swear off anything that has caffeine in it from coffee, and soda to even chocolate. Then there are some of us who will still drink caffeine but cut back. Instead of drinking five cups of coffee a day, we might cut back to at least one cup of coffee to get us through the day.

Our mothers and grandmothers will probably tell us that they drank the same amount of caffeine pregnant as they did when they were not pregnant and their children turned out fine. However a lot more research has been done since their time and studies are showing that too much caffeine can cause some complications such as preterm labor and/or low birth weight.

So how much caffeine is too much caffeine? Doctors are telling their patients that a moderate amount of caffeine will not harm their babies. Even though caffeine does cross the placenta, anything less than 300 milligrams a day (an 8 ounce cup of strong coffee) will not do any harm. Anything over 300 milligrams puts your baby at risk and studies have also shown that women who drink more than 300 milligrams of caffeine a day during their first trimester have a slightly higher risk of a miscarriage.

Studies have also shown that women who had over 500 milligrams of caffeine a day had babies who had faster heart rates and faster breathing rates. These babies also spent more time awake in their first few days of life rather than peacefully sleeping after their long journey.

There are a number of other reasons why we women might want to cut back on the amount of caffeine we drink during pregnancy. For starters, it has no nutritional value. If there is ever a time for us to be aware of our nutritional needs it is when we are pregnant. Second, caffeine is a stimulant which will increase your heart rate and can cause insomnia and headaches which can put some stress on your growing little one. Third, caffeine can cause heartburn. If you have been pregnant before you know that heartburn can be a burden to begin with, and caffeine just makes it worse. Lastly it is a diuretic which means it can cause you to lose fluids which can put you at a risk of becoming dehydrated.

While it is not necessary for you to give up all caffeine through out the duration of your pregnancy, you should learn how to drink it in moderation or don’t drink it at all. If you can not handle having only one cup of coffee a day, then you might be better off drinking no coffee at all. Stick with caffeine free sodas and even decaf coffee. Remember though that decaf coffee still contains small traces of caffeine so make sure you take that into consideration.

Alternative Health

Stress, High Blood Pressure, and Acupuncture

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When a person is under stress, their body starts what is known as a stress response. A number of chemicals are released into the bloodstream, the heart beats faster, breathing becomes more rapid, and muscles tense up. If the person is planning on running away from a large animal, these are all very good responses. For the businessman at his desk taking a phone call, these are not good reactions. The body easily takes care of an occasional response like this, the chemicals are cleaned out, and the body becomes relaxed once again. However, when this reaction occurs a number of times a week, the stress starts to affect the resting state of the body. Muscles no longer entirely relax, and the frequent release of these chemicals create other problems. Chronic stress can cause such problems as sleeplessness, stomach and digestion problems, panic attacks, and pain of some sort (such as frequent headaches). Long term problems related to stress include strokes, high blood pressure, and colitis or other bowel problems.

A person may try to handle stress on his or her own, by finding something to mask it. Alcohol, caffeine, cigarettes, and even lots of sugar can make the person feel better. One of the most common “pills” after a stressful moment is a cup of coffee and a doughnut, or possibly a cigarette. Physicians can also prescribe medications to combat some of these symptoms, both psychological and physical. Antidepressants, one of the more common medications for this, only offer short-term relief at best.

The obvious answer is to remove the source of stress. However, many times that simply is not possible. Is there another solution? One of the most successful results from acupuncture is the relaxation of the patient, followed by the removal of tension from the body. This relaxation response produces a decreased heart rate, lowered blood pressure, and increased energy and possible tissue regeneration. There is frequently a feeling of well being and self-confidence. As the acupuncture treatment stimulates and redirects the vital energy of the body, each muscle and organ system begins to function the way that it should. Acupuncture is not only used to relieve the stress response of a patient, but also in a number of cases it has made the doctor prescribed antidepressant unnecessary. With wider use of acupuncture, there could be a substantial reduction in the consumption of drugs such as Prozac.

Standard acupuncture techniques using needles are very effective to combat chronic stress. If this were more widely accepted by Americans under routine stress, we would have a much healthier population. In addition, acupuncture treatments that use low levels of electricity have been found to be even more successful in lowering blood pressure. Several researchers that use electric stimulation have been able to regrow tissue in animals, and this without any scars. The combination of using acupuncture therapy for blood pressure management and possible healthy tissue regrowth is a very exciting topic for people with heart and circulatory problems

Acupuncture is one of the most successful treatments for this American problem. Not only do the symptoms decrease, but the acupuncture treatment results in a healthier body as well.