Love Your Heart
February is filled with heart-
clad images celebrating
Valentine's Day. Although the
history and evolution of
Valentine's Day are
attributed to a number of
different legends, what is
certain is that February 14
is associated with love,
care, and the heart.
Further cementing the ever-
present symbol of the heart
in February was the
establishment of American
Heart Month nearly 50 years
ago, the intent of which was
to raise awareness about the
nationwide problem of heart
disease and the importance of
supporting research to solve
the problem.
Given that February is
recognized as a time to
celebrate love, caring, and
heart health, what better
time to improve your own
heart health or help loved
ones improve theirs by
quitting smoking? As
indicated in the 2010 Surgeon
General's Report, How Tobacco
Smoke Causes Disease: The
Biology and Behavioral Basis
for Smoking-Attributable
Disease, cigarette smoking
greatly increases one's risk
for heart disease. Being
smoke-free and eliminating
exposure to secondhand smoke
are important to heart
health.
Should Blood Pressure Be Taken in Both Arms? Differences in Blood Pressure Between Arms May Signal Blood Vessel Problems
Differences in blood pressure
readings taken from the left
and right arms may be a sign
of heart and blood vessel
disease and death risk,
according to a new review of
recent research.
Researchers found that a
difference of 15 points or
more in the readings between
the left and right arms
raised the risk of peripheral
vascular disease, a narrowing
or blockage of the arteries,
by two-and-a-half times.
That same 15 point-difference
in systolic readings (the top
number in a blood pressure
reading) also increased the
risk of cerebrovascular
disease by 60%.
Cerebrovascular disease is
associated with thinking
problems, such as dementia,
and an increased risk of
stroke.
Researchers say the results
suggest that doctors should
routinely compare blood
pressure readings from both
arms to prevent unnecessary
deaths.
Although the practice of
taking blood pressure from
both arms as a part of heart
disease screening has been
adopted in Europe, and some
guidelines in the U.S.
recommend it, American Heart
Association spokesman Richard
Stein, MD, says its not
routinely done in the U.S.
Why Your Lips Are Chapped
Has winter chapped your lips?
Find out why it happens and
what to do about it.
When it comes to battling the
elements, your skin serves as
your front line of defense.
But it's your lips that
really bear the brunt of the
attack from sun, wind, cold,
and dry air. It's a wonder
our mouths don't suffer more
in the line of duty-we bundle
up in extra layers during the
winter months, leaving our
lips exposed.
"Lips are mucous membranes,
so they have very thin
surface layers of skin," says
Los Angeles dermatologist
Jessica Wu, MD, a clinical
instructor of dermatology at
the University of Southern
California (USC) Medical
Center. When compared to the
skin on the rest of your
face, Wu says, lips are the
most vulnerable to drying
out. In fact, research shows
you lose up to 10 times more
moisture through your lips
than you do elsewhere on the
face or body.
Arid winter air, arctic
blasts of wind, and the low
humidity indoors all lead to
a crisis for your lips in the
form of dehydration. Once
moisture is sapped from skin
cells, they become fragile so
your lips develop tiny splits
and cracks. These tiny tears
are what make chapped lips so
painful -- heat, acidic food,
even toothpaste can aggravate
raw skin, Wu says.
Licking Your Lips: The
Problem
We can be our own worst
enemy, says Scottsdale,
Ariz., dermatologist Jennifer
Linder, MD, clinical
instructor at the University
of California San Francisco.
The instinct to lick your
lips makes the chapping
worse, Linder says.
"As saliva evaporates, it
dehydrates skin further,"
Linder tells WebMD. Saliva
also contains acids that help
break down food. Those acids
only cause irritation when
sitting on compromised lip
skin, Linder says.
Another mistake people make
in the effort to treat
chapped lips: scrubbing,
peeling or biting off skin
flakes. "Picking at the
already thin skin of the lips
can lead to bleeding and
severe discomfort," Linder
says. "This slows the healing
process and irritates the
skin further."
Worst case: You can develop
an infection from dirt and
bacteria entering the cracks
and splits on your mouth. A
common complication is
cheilitis, Wu says, which can
be related to a yeast
infection in the corners of
the mouth. It's treatable
with topical antifungal
cream.
In addition, stressing or
irritating the skin around
the mouth can awaken a
dormant herpes virus, and
potentially trigger a cold
sore, Wu says. Chapped lips
also expose nerve endings,
where the herpes virus lives.
This exposure can stimulate
the virus as well.
Keep Balm and Carry On
Your lips need a shield to
stay in shape. A balm acts
like a winterizing layer --
like a hat or scarf -- to
provide a buffer between
delicate skin and brutal
weather, Linder says. Not to
mention you have hot, dry
indoor air to contend with,
so never let your lips go
nude
"Skin heals better when it's
kept moist," Wu says. "So I
suggest wearing an emollient
balm or ointment rather than
a waxy stick treatment." The
goal is to form an occlusive
barrier that seals in
moisture while providing
additional hydration with
beneficial oils, Linder says.
Plus, an occlusive agent will
help seal deep cracks and
splits from infection and
irritation. For a non-waxy
stick, the experts
interviewed for this story
like Avene Cold Cream Lip
Balm, Fresh Sugar Lip
Treatment, and Softlips Pure
Pomegranate Organic Lip
Conditioner.
Petrolatum is one of the most
common occlusive agents, but
also look for castor seed
oil, shea butter, sunflower
seed oil, or squalane to
nourish cracked lips. Linder
suggests ingredients such as
hyaluronic acid, sodium PCA,
and glycerin to ensure your
lips stay moist. Wu suggests
Kiehl's Lip Balm #1
containing squalane and
natural oils. The experts
interviewed for this story
also like the petrolatum-
based Aquaphor Healing
Ointment and Vaseline Lip
Therapy.
Another ingredient to look
for: SPF, even if you're
closer to a Pole than the
Equator. The sun's rays can
cause damage even in sub-
Arctic temperatures. If your
lip skin has been compromised
by UV rays, you're more
susceptible to dry lips. So a
sun shield is crucial in the
fight against lip flakes.
Aveeno Lip Conditioner
Essential Moisture SPF 15 and
Blistex Lip Infusion SPF 15
won praise from the experts
interviewed for this story.
Balms Away
There are some lip treatments
that do more harm than good,
says Steven K. Grekin, DO,
clinical associate professor
of dermatology at Des Moines
University College of
Osteopathic Medicine and
Surgery in Iowa.
"Many ingredients can cause
dryness and irritation,
including eucalyptus,
menthol, and camphor," Grekin
tells WebMD.
Acne-prone people may want to
look for a petrolatum-free
product, Wu says. Some people
may find the ingredient clogs
pores and causes blackheads
or acne.
And avoid the products that
come in little pots. "Dipping
your finger in a jar just
isn't as sanitary as a tube
applicator," Linder says.
Sealing Your Lips
The key to avoiding cracked,
flaky lips is to balm early
and often. Wu advises wearing
a thick layer of ointment to
bed. "Many of us sleep with
our mouths open, causing our
lips to dry out." Applying a
treatment at bedtime means
you'll be less likely to wake
up with chapping. One expert
favorite: Neosporin Lip
Health Overnight Renewal
Therapy.
Buy a few tubes at the
drugstore and keep them
within arm's reach at all
times -- stash one in the
car, near the bed, at your
desk. That way you don't have
to hunt down a tube to
reapply.
Grekin also suggests using a
humidifier in your home,
especially at night, to keep
your skin's moisture levels
replenished. Drinking plenty
of water will also help fight
dehydration, another cause of
chapped lips, Wu says.
Lip Balm Addiction?
For some reason, the
word "addiction" is on
everyone's lips when it comes
to lip balm. But that word is
widely misused in many
situations -- including this
one.
"You may be addicted' to the
feel of balm on your lips,"
Wu says, "but there's nothing
addicting in nonmedicated
balms."
Some ingredients like camphor
and menthol may also cause a
vicious cycle, but not
addiction, Linder
says. "Drying ingredients in
a balm may leave lips feeling
less moisturized than before
application, making a person
feel as though she needs to
apply more." The reality is
that her lips are not
dependent on the balm,"
Linder says.
By Liesa Goins
WebMD Feature
Reviewed by Louise Chang, MD
Why Am I So Tired? 7 Causes of Fatigue
Getting plenty of sleep but
still exhausted? Before you
blame your multi-tasking,
super-woman lifestyle, learn
more about what might be at
the root of your unexplained
fatigue.
Fatigue Cause # 1: Anemia
"If you are in your
reproductive years, and
particularly if you
experience heavy menstrual
cycles, have fibroid tumors
or uterine polyps, or if
you've recently given birth,
the blood loss may have
caused you to develop anemia -
- a leading cause of fatigue
in women," says Amaru.
Problems occur, she says,
when the bleeding leads to a
deficiency of hemoglobin, the
iron-rich protein in red
blood cells that carries
oxygen from the lungs to
other parts of your body.
When your tissues and organs
don't get enough oxygen, she
says, the result is
fatigue.
Other causes of anemia
include internal bleeding, or
a deficiency of iron, folic
acid, or vitamin B12. Anemia
may also be caused by chronic
diseases like kidney disease,
for example. Symptoms can
include dizziness, feeling
cold, and irritability.
To confirm a diagnosis of
anemia, your physician will
give you a blood test.
Treatment, she says, usually
consists of iron supplements
if iron deficiency is the
cause, and adding iron-rich
foods -- such as spinach,
broccoli, and red meat -- to
your diet.The good news: With
effective treatment, your
fatigue should begin to lift
in thirty days or less.
Fatigue Cause # 2:
Underactive thyroid
(hypothyroidism)
If you are generally
sluggish, run down, and even
a little depressed, Goldberg
says the problem may be a
slow thyroid, also known as
hypothyroidism. The thyroid
is a small, butterfly shaped
gland that sits at the base
of your neck and controls
your metabolism, the speed at
which your body operates.
"I believe that undiagnosed
thyroid disorder is one of
the major female health
problems in this country. I
think it is even more
widespread than anyone
realizes," says Goldberg.
According to the American
Thyroid Foundation, by age 60
approximately 17% of all
women will have a thyroid
disorder and most won't know
it. The most common cause,
they say, is an autoimmune
disorder known as Hashimoto's
thyroiditis. This condition
causes the body to destroy
the cells responsible for
producing thyroxin and other
hormones secreted by the
thyroid gland. The result is
hypothyroidism, or a slow
metabolism.
Blood tests known as TSH, T3,
and T4 will detect thyroid
hormones. If these tests
indicate that your thyroid is
underactive, Goldberg says
synthetic hormones can bring
you up to speed and you
should begin to feel better
fairly rapidly.
Fatigue Cause # 3:
Undiagnosed Urinary Tract
Infection (UTI)
Although most women associate
a urinary tract infection
with symptoms such as burning
or urgency, Goldberg says in
some instances fatigue may be
your only clue.
"Not every woman has obvious
symptoms of a UTI. Some have
no symptoms or mild symptoms
that go unnoticed, except for
the fatigue," she says.
In most instances, a UTI is
caused by bacteria in the
urinary tract, often the
result of improper bathroom
hygiene (wiping back to
front, for example). Sexual
intercourse can increase the
risk because it can push
bacteria from the vagina into
the urethra.
If your physician suspects
that you have a UTI, your
urine will be tested.
Treatment is quick and easy,
and usually involves an oral
antibiotic medication.
Goldberg says the fatigue
will lift within a week or
less.
If your symptoms return, get
tested again, she says,
because in some women, UTI's
are chronic. If this is the
case, talk to your doctor
about preventive care,
including low dose
antibiotics.
Fatigue Cause # 4: Caffeine
Overload
Many of us grab a coffee or
cola for a quick burst of
energy, but for some women,
caffeine can have the
opposite effect.
In an article published in
the journal US Pharmacist,
author W. Stephen Pray, PhD,
RPh, reports that caffeine is
a stimulant, but if you take
too much, the tables can
turn.
"In some patients, continued
abuse results in fatigue,"
according to Pray. And if you
think this means you simply
require more caffeine to get
the kick, this isn't the
case. "Any attempts to solve
the problem by increasing
caffeine intake causes the
fatigue to worsen," he
says.
The solution: Eliminate as
much caffeine from your diet
as possible. This means not
only cutting out coffee.
Chocolate, tea, soda and even
some medications also contain
caffeine and could be causing
unexplained fatigue.
Fatigue Cause # 5: Food
Intolerances
While food is supposed to
give us energy, some doctors
believe hidden food
intolerances can do the
opposite. According to Rudy
Rivera, MD, author of Your
Hidden Food Allergies Are
Making You Fat, even mild
food intolerance can leave
you feeling sleepy. Eat the
offending food long enough
and you could find yourself
feeling continually
exhausted.
"Evidence indicates food
intolerance as a cause of
fatigue, and even suggests
that fatigue may be an early
warning sign of food
intolerance," he says.
If you suspect that food may
be behind all that yawning,
Rivera says to start with an
elimination diet, cutting out
foods that cause you to feel
sleepy within 10 to 30
minutes of eating them.
Fatigue Cause # 6: Sleep
Apnea
If you're not getting enough
sleep, it stands to reason
you'll be tired. But what if
you don't know that you
aren't getting sufficient
sleep? This is often the case
with a condition called sleep
apnea -- a sleep disorder
that causes you to
momentarily stop breathing,
often many times during the
night. Each time you stop
breathing, you awaken just
long enough to disrupt your
sleep cycle, usually without
being aware of it. Your only
clue, says Goldberg, is that
you experience constant
fatigue no matter how many
hours you sleep each night.
According to Goldberg, sleep
apnea, which is caused by an
upper airway obstruction,
often occurs in women who are
overweight or obese. Snoring
is often a sign of sleep
apnea. Diagnosis requires a
visit to a sleep lab, or to a
doctor specializing in sleep
apnea.
If you have sleep apnea, your
physician will recommend
lifestyle changes, including
losing weight and quitting
smoking. Medical treatment
includes devices that keep
airway passages open while
you sleep. In extreme cases,
surgery may be necessary to
ensure proper airway flow.
Left untreated, sleep apnea
can increase your risk of
stroke or heart attack.
Fatigue Cause # 7:
Undiagnosed Heart Disease
If you find yourself becoming
exhausted after activity that
used to be easy, it may be
time to talk to your doctor
about the possibility of
heart disease.
According to Goldberg, when
overwhelming fatigue sets in
after ordinary tasks -- such
as vacuuming the house, doing
yard work, or commuting from
work each day -- your heart
may be sending out an SOS
that it needs medical
attention.
"This doesn't mean that you
should panic every time you
yawn," says Goldberg. "Most
of the time, fatigue is not
the first sign of heart
disease, and it's usually
linked to something far less
serious."
At the same time, Goldberg
points out that heart disease
is the leading cause of death
in women. "If fatigue
following activity is
significant, and no other
possible reason comes to
mind, see your doctor for a
check-up," she advises. If
your fatigue is related to
your heart, medication or
treatment procedures can
usually help correct the
problem, reduce the fatigue,
and restore your energy.
Nonallergic Rhinitis
Nonallergic rhinitis is a
medical term that describes
a set of symptoms that
resemble an allergy but that
occur without a known cause.
It produces symptoms such
as:
Postnasal drip
Runny nose
Sneezing
Stuffy nose
Usually, it develops in
adulthood, and symptoms last
year-round.
Recommended Related to
Allergies
3 Questions About Fragrance
Allergies
If you find yourself
developing a killer headache
when riding an elevator with
someone who was a bit
generous dabbing on the
perfume, you have company.
More than 2 million
Americans have fragrance
allergies or sensitivities --
and the number is on the
rise. Although that person's
perfume may have been all
too obvious a culprit, there
are many hidden sources of
fragrances, says Clifford W.
Bassett, MD, medical
director of Allergy &
Asthma Care of New York.
Bassett helped WebMD sniff
out...
Unlike allergic rhinitis,
nonallergic rhinitis does
not involve the immune
system. About 58 million
Americans have allergic
rhinitis. By comparison, 19
million have nonallergic
rhinitis.
Nonallergic rhinitis can
cause just as much misery as
allergic rhinitis. It can
also be associated with the
same complications, such
as:
Sinusitis, which is
inflammation or swelling of
the tissue that lines the
sinuses.
Eustachian tube
dysfunction. Eustachian
tubes connect the middle
ears to the back of the
throat.
Chronic ear infection, known
as otitis media.
Loss of smell or anosmia.
Asthma.
Obstructive sleep apnea.
Both types of rhinitis are
associated with:
Decreased production at
work.
Increased doctor visits.
Side effects from treatment,
such as drowsiness,
nosebleed, and nasal
dryness.
Because the two are so
similar, it's often
necessary to perform allergy
tests and blood tests to
tell them apart.
Causes of Nonallergic
Rhinitis
Often, what causes
nonallergic rhinitis is
unknown. And the condition
is often confirmed only
after other conditions such
as allergic rhinitis or
infection are ruled out.
"Environmental" irritants
are common triggers of
nonallergic rhinitis. Some
are found in the home and
others are more common in
the workplace.
Examples of what can trigger
symptoms include:
Car exhaust
Chlorine
Cigarette smoke
Cleaning solutions
Glues
Hair spray
Latex
Laundry detergents
Metal salts
Perfume
Smog
Wood dust
When such triggers cause
nonallergic rhinitis, they
also often cause asthma.
Some medications can trigger
non-allergic rhinitis.
Examples include:
NSAIDs -- nonsteroidal anti-
inflammatory drugs such as
aspirin and ibuprofen
Oral contraceptives
Blood pressure medicines
such as ACE inhibitors and
beta-blockers
Antidepressants
Tranquilizers
Drugs used to treat erectile
dysfunction
Foods and beverages may also
sometimes be triggers.
Examples include:
Hot foods, such as soup
Spicy foods
Alcoholic beverages,
especially beer and wine
Other triggers include:
Illegal drugs. Cocaine and
other snorted street drugs
often cause chronic
nonallergic rhinitis.
Weather changes. Sudden
changes in weather or
temperature can trigger
nonallergic rhinitis.
Skiers, for instance, often
develop a runny nose. And
some people are affected by
any cold exposure. In some
cases, people even start
sneezing after leaving a
cold, air-conditioned room.
Hormone changes. Nonallergic
rhinitis often occurs during
periods of hormonal
imbalance. For instance, it
may occur during puberty,
menstruation, or pregnancy.
It usually starts during the
second month of pregnancy
and lasts until childbirth.
Hormonal conditions such as
hypothyroidism can also
trigger symptoms.
Treatment of Nonallergic
Rhinitis
Nonallergic rhinitis can't
be cured. But it can be
controlled by:
Avoiding rhinitis
triggers.
Using home remedies such as
nasal irrigation.
Taking over-the-counter and
prescription medications.
Allergy shots --
immunotherapy -- are not
used to treat nonallergic
rhinitis.
If you have nonallergic
rhinitis, it's important
that you not smoke and not
allow smoking in your
home.
Other strategies to reduce
exposure to triggers
include:
Avoid wood-burning stoves
and fireplaces if they cause
symptoms.
Avoid cleaning agents,
household sprays, perfumes,
and scented products if they
cause symptoms.
Ask family, friends, and co-
workers not to use scented
products that cause
symptoms.
Avoid any chemical or
material that tends to make
you sneeze or have a runny
nose.
Talk to your doctor about
the medications you now
take.If your nonallergic
rhinitis is triggered by a
medicine you need, your
doctor may suggest a
substitute.
Many people with nonallergic
rhinitis benefit from
performing nasal irrigation.
This refers to rinsing of
the nostrils with a salt
water -- saline -- solution
one or more times a day.
Over-the-counter products
for doing this include bulb
syringes, neti pots, and
bottle sprayers.
During each irrigation,
rinse each nostril with at
least 200 mL (about 3/4 cup)
of commercially or home-
prepared solution.
When performed once or twice
a day, nasal irrigation may
especially help treat
postnasal drip. It's also a
helpful technique to clear
the sinuses before using
medicated nasal sprays.
Medications for nonallergic
rhinitis include:
Nasal antihistamines.
Prescription products such
as azelastine (Astelin) and
olopatadine (Patanase) can
relieve symptoms of
postnasal drip, congestion,
and sneezing within minutes.
They are most effective when
used on a regular basis.
Nasal glucocorticoids. Daily
use of products such as
fluticasone (Flonase) or
mometasone (Nasonex) may
help relieve symptoms. But
it may take days or weeks to
notice the full effects.
Sometimes, people benefit
from using a combination of
nasal antihistamines and
nasal glucocorticoids.
Nasal ipratropium.
Ipratropium bromide
(Atrovent) is considered the
best treatment for the
watery nasal discharge that
comes from eating and
drinking certain foods and
beverages.
Decongestants. Oral
decongestant medications --
such as pseudoephedrine --
may help relieve congestion.
But these are not generally
recommended unless nasal
antihistamines and nasal
glucocorticoids do not help
symptoms. Decongestant nasal
sprays containing
oxymetazoline (Afrin) and
phenylephrine (Neo-
synephrine) should not be
used for more than two to
three days at a time. Doing
so can cause overuse
(rebound) congestion.
In some cases, surgery to
remove nasal polyps or
correct a deviated septum
can improve the way
medications for nonallergic
rhinitis work. Surgery is
only considered as a
treatment by itself, though,
when other treatments have
failed to reduce symptoms.
Acute Bronchitis
This topic is about acute
bronchitis in people who
don't have other health
problems. Acute bronchitis
may be treated differently
if you have a long-term lung
disease, such as chronic
obstructive pulmonary
disease (COPD). For more
information, see the topics
Chronic Obstructive
Pulmonary Disease (COPD) and
Pneumonia.
What is bronchitis?
Bronchitis means that the
tubes that carry air to the
lungs (the bronchial tubes)
are inflamed and irritated.
When this happens, the tubes
swell and produce mucus.
This makes you cough.
There are two types of
bronchitis:
Acute bronchitis usually
comes on quickly and gets
better after 2 to 3 weeks.
Most healthy people who get
acute bronchitis get better
without any problems. See a
picture of acute bronchitis .
Chronic bronchitis keeps
coming back and can last a
long time, especially in
people who smoke. Chronic
bronchitis means you have a
cough with mucus most days
of the month for 3 months of
the year for at least 2
years in a row.
This topic focuses on acute
bronchitis. Both children
and adults can get acute
bronchitis.
What causes acute bronchitis?
Acute bronchitis is usually
caused by a virus. Often a
person gets acute bronchitis
after having an upper
respiratory tract infection
such as a cold or the flu.
In rare cases, acute
bronchitis is caused by
bacteria.
Acute bronchitis also can be
caused by breathing in
things that irritate the
bronchial tubes, such as
smoke. It also can happen if
a person inhales food or
vomit into the lungs.
What are the symptoms?
The most common symptom of
acute bronchitis is a cough
that is dry and hacking at
first. After a few days, the
cough may bring up mucus.
You may have a low fever and
feel tired.
Acute bronchitis symptoms
usually start 3 or 4 days
after an upper respiratory
tract infection. Most people
get better in 2 to 3 weeks.
But some people continue to
have a cough for more than 4
weeks.
Pneumonia can have symptoms
like acute bronchitis.
Because pneumonia can be
serious, it is important to
know the differences between
the two illnesses. Symptoms
of pneumonia can include a
high fever, shaking chills,
and shortness of breath.
How is acute bronchitis
diagnosed?
Your doctor will ask you
about your symptoms and
examine you. This usually
gives the doctor enough
information to find out if
you have acute bronchitis.
In some cases, the doctor
may take a chest X-ray to
make sure that you don't
have pneumonia or another
lung problem.
How is it treated?
Most people can treat
symptoms of acute bronchitis
at home. Drink plenty of
fluids. Use an over-the-
counter cough medicine with
an expectorant if your
doctor recommends it. This
can help you bring up mucus
when you cough. Suck on
cough drops or hard candies
to soothe a dry or sore
throat. Cough drops won't
stop your cough, but they
may make your throat feel
better.
What Is Dupuytren's Contracture?
Dupuytren's (du-pwe-TRANZ)
contracture is a condition
that gradually causes
connective tissue (fascia)
under the skin of your palm
to thicken and become scar-
like. Although Dupuytren's
isn't painful, it does
restrict movement. The
thickened tissue forces
several fingers -- usually
your ring and pinky fingers -
- to curl in toward your
palm. The bending caused by
the thick tissue is called
contracture.
Life With Dupuytren's
As Dupuytren's permanently
bends fingers into a fixed
position, it can become
difficult to grasp large
objects and make simple
movements like washing your
face or putting on gloves.
The condition shouldn't
affect your ability to write
and grasp small objects,
though, because the thumb
and index finger usually
aren't affected.
What Causes Dupuytren's
Contracture?
Although reports of
Dupuytren's contracture
first appeared in medical
literature in the 1600s,
doctors still dont know
what causes the scar tissue
to form. The condition tends
to run in families, so genes
may be involved. Dupuytren's
is more common in middle
age, especially in men of
Northern European descent.
Alcohol and tobacco use,
diabetes, and epilepsy also
increase the risk.
Early Signs of Dupuytren's
Contracture
First, the skin on the palm
of the hand starts to
thicken. The skin might
appear puckered as knots
(nodules) of hard tissue
begin to form on your palm.
These nodules might feel
tender to the touch, but
theyre usually not painful.
The skin thickening happens
very slowly, and may take
many years. You don't need
treatment unless your
symptoms bother you.
Later Symptoms of
Dupuytren's Contracture
The nodules of tissue on the
palm gradually stretch into
thin bands of collagen.
These collagen bands
progressively extend up,
usually into the ring and
pinky fingers. As the bands
tighten, they pull the
fingers in toward the palm
and make it difficult to
straighten out your fingers.
Although fingers on both
hands can be affected, one
hand is usually worse than
the other.
Diagnosing Dupuytren's
Your doctor usually can
determine if you have
Dupuytren's by feeling for
thickened scar tissue and
seeing whether your fingers
pull inward. You may also
have a "table top" test, in
which you put your hand,
palm down, on a table to see
if it lies flat. If it
doesn't, you may have a
contracture that may require
surgery. Your doctor also
can test your grip and the
range of motion in your
fingers.
Nonsurgical Treatments
Corticosteroid injections
can help pain and
inflammation and may slow
the disease. Doctors can
also inject enzymes into the
palm to weaken the collagen
bands. Then your hand is
moved by your doctor until
the bands are broken and
your fingers can be
straightened. Other
treatments may include
needle aponeurotomy, where
the contracted bands are
divided with small
hypodermic needles.
Surgery for Dupuytren's
Contracture
If contracture symptoms are
bad enough to interfere with
your daily life, surgery may
help. During the procedure,
your surgeon removes the
thickened tissue in your
palm, which allows your
fingers to move again.
Surgery usually can give you
normal movement back, but
risks may include infection
and nerve damage.
After Dupuytren's Surgery
Once your wound has healed,
you will likely need to have
physical therapy for a few
months. Your physical
therapist will teach you
exercises to help you regain
strength and movement in
your fingers. Even with a
successful surgery,
Dupuytren's contracture can
return. If it does, you may
need to have another
procedure.
What causes warts?
Viruses in the human
papillomavirus (HPV) family
are responsible for skin
warts -- non-cancerous,
harmless growths that can
take on a variety of forms.
Certain forms of HPV may be
more likely to cause
particular types of warts,
such as common warts, flat
warts, plantar warts, on the
soles of the feet and
genital warts.
How do you get warts?
Warts occur when the virus
comes in contact with your
skin and causes an
infection. Warts are more
likely to develop on broken
skin, such as picked
hangnails or areas nicked by
shaving, because the virus
is able to enter the top
layer of skin through
scratches or cuts.
While dermatologists still
dont know why, certain
people are more likely to
get warts than others.
Additionally, children get
warts much more often than
adults, because their immune
systems have not yet built
up their defenses against
the numerous types of human
papillomavirus that exist.
Are warts contagious?
Unfortunately, yes. You can
get warts from touching a
wart on someone elses body,
or by coming in contact with
surfaces that touched
someones warts, such as
towels or bathmats.
Can I spread warts from one
part of my body to another?
Yes, you can. For this
reason, it is important not
to pick at your warts and to
wash your hands promptly and
thoroughly any time you
touch one of your warts. If
you have warts in an area
where you shave, keep in
mind that shaving over the
wart could transfer the
virus to the razor and then
spread it to other areas of
your body.
Why do some warts have black
dots in them?
If you look closely, many
skin warts contain a number
of black dots that resemble
little seeds. These specks
are visible blood vessels
that are supplying the wart
with nutrients and oxygen.
Can warts be prevented?
Though skin warts cant be
prevented, there are a
number of precautionary
measures you can take to
minimize your risk of
acquiring warts. One of the
most important things you
can do is to wash your hands
regularly. Also, try to keep
your skin healthy,
moisturized, and free of
cuts. If you bite your
fingernails or cuticles, do
your best to stop. Biting
nails creates an opening for
virus to enter your skin. Be
careful to use clean, fresh
towels at the gym or in
other public locations, and
always wear rubber-soled
flip-flops or sandals in
public locker rooms and
showers. Will warts go
away on their own?
Some warts will go away
without treatment, others
will not. Even those warts
that eventually go away can
take months, or even years,
to disappear. Also, keep in
mind that any wart can be
a mother wart that spreads
to other parts of your body.
Most dermatologists say it
is best to treat warts,
either at home or in the
doctors office, as soon as
they appear.
When do you need to see a
doctor about warts?
For common skin warts, many
dermatologists agree that
its perfectly fine to try
over-the-counter wart
treatments for a couple of
months. If your warts dont
go away during that time, or
if they get worse, it may be
wise to seek medical
attention. Dermatologists
have a variety of wart
treatment and removal
techniques that are stronger
and work faster than
commercially available
products.
Also, remember that all
warts can be mother warts
that give rise to additional
warts in your skin. So, the
faster you remove the wart,
the less likely it will
spread.
What are some of the most
effective at-home wart
treatments?
While at-home wart
treatments can take weeks or
months to work, salicylic
acid plasters or solutions
that freeze away the wart
can be very effective when
used correctly. Be sure to
follow directions carefully.
Use a dedicated pumice
stone, Emery board, or nail
file to remove dead skin
from the wart after each
application of wart remover.
Dont use the file for any
other purpose; it could
spread the virus to another
part of your body. And throw
it away when the wart is
gone.
People also use duct tape or
clear nail polish to
suffocate the virus, thereby
removing the wart. Use duct
tape like you would a wart
remover patch. Put a small
strip over the wart and
leave it in place for about
six days. At the end of the
sixth day, remove the tape,
soak the wart in water and
then gently debride it with
a pumice stone, Emery board,
or nail file. Repeat the
process as often as it takes
to remove the wart.
How will a doctor treat my
warts?
It depends. Two quick
options that do not cause
too much discomfort are
freezing the skin wart with
liquid nitrogen or burning
it off. In some instances,
dermatologist wills use
laser to treat especially
stubborn warts.
Doctors may also use a
chemical called cantharidin
on the wart, which causes a
blister to form beneath the
growth. When the skin on the
top of the blister dies, it
contains part of the wart
and can be removed.
Other options include
surgical removal of the wart
and the injection of certain
drugs that strengthen your
immune systems response to
the wart.
What is Dyslexia
Dyslexia is a learning
problem that makes it hard
to read, write, and spell.
It occurs because the brain
jumbles or mixes up letters
and words. Children with
dyslexia often have a poor
memory of spoken and written
words.
Having dyslexia does not
mean that your or your
childs ability to learn is
below average. In fact, many
people with dyslexia are
very bright. But not being
able to read well can make
many areas of learning
difficult.
Dyslexia is also called
specific reading disability,
reading disorder, and
reading disability.
What causes dyslexia?
Experts don't know for sure
what causes dyslexia. But it
often runs in families. So
it may be passed from
parents to children (genetic
disorder). Also, some
studies have found problems
with how the brain links
letters and words with the
sounds they make.
Dyslexia is not caused by
poor vision, and people with
dyslexia do not see letters
and words backward.
What are the symptoms?
Signs of dyslexia in
children who are too young
for school include:
Talking later than expected.
Being slow to learn new
words.
Problems rhyming.
Problems following
directions that have many
steps.
After a child begins school,
the signs of dyslexia
include:
Problems reading single
words, such as a word on a
flash card.
Problems linking letters
with sounds.
Confusing small words, such
as "at" and "to."
Reversing the shapes of
written letters such as "d"
for "b." For example, the
child may write "dat"
instead of "bat."
Writing words backward,
such as "tip" for "pit."
If your child has one of
these signs, it does not
mean that he or she has
dyslexia. Many children
reverse letters before age
7. But if your child has
several signs and reading
problems, or if you have a
family history of dyslexia,
you may want to have your
child checked for the
problem.
How is dyslexia diagnosed?
A doctor or a school
professional (such as a
reading specialist) will ask
you what signs of dyslexia
you and your childs
teachers have seen. He or
she will ask your child
questions too. Your child
may be offered to take
reading and skill tests.
Tests may include those that
look at your child's
personality and how he or
she learns, solves problems,
and uses words. Your child
may also have an IQ test.
These tests can help find
out if your child has
dyslexia or another learning
problem.
How is it treated?
Treatment uses a number of
teaching methods to help
your child read better.
These methods include:
Teaching how letters are
linked to sounds to make
words.
Having the child read aloud
with a teachers help.
Teaching the child to
listen to and repeat
instructions.
United States law requires
schools to set up a learning
plan to meet the needs of a
child with dyslexia. This
plan is called an
Individualized Education
Program (IEP). You, your
child's teachers, and other
school personnel will have a
say in designing the plan.
The plan is updated each
year based on how well your
child is doing and what your
child's needs are.
Medicines and counseling
usually are not a part of
treatment for dyslexia.
Dyslexia is a lifelong
problem, but early treatment
during childhood can help.
Support from family,
teachers, and friends is
also important.
Cold Comfort 10 Natural Ways to Ease the Common Cold
Cold Remedy 1:
Have Some Soup or Tea
Chicken soup and tea are
traditional common cold
remedies that have some good
sense behind them.
Why?
"When you swallow a hot
drink, some of the heat will
get transferred from the
esophagus to the windpipe,"
says Norman Edelman, MD,
chief medical officer at the
American Lung
Association. "That heat can
help loosen up the mucus and
make it easier to cough
out."
Since the heat is what
matters, what you drink
doesn't matter all that
much. "Some people like
chicken soup when they have
a cold," he says. "My
grandmother liked hot water
with lemon, and some go with
hot tea. But they probably
all have the same effect."
Cold Remedy 2:
Drink Fluids
"There's absolutely no
evidence that anybody really
needs to go through life
drinking eight glasses of
water a day," says Edelman.
But when you're sick, he
says, you should make a
special effort to stay
hydrated.
Why?
Getting enough fluid will
help keep the mucus thinner
and less sticky. Edelman
also points out that when
you have cold symptoms,
you're losing moisture --
every time you sneeze or
blow your nose. Any kind of
drink is OK, but limit
caffeinated or alcoholic
drinks, which may not
hydrate you as well as other
beverages.
Cold Remedy 3:
Moisturize the Air
Since dry air is bad for
cold symptoms, using a
vaporizer or humidifier will
probably make you a little
more comfortable. Edelman
suggests that you aim to
keep the humidity in your
house between 50% to 60%.
Which is better, a steam
vaporizer or a cool mist
humidifier?
"Whichever one you choose,
the moisture will be room
temperature almost
immediately," says
Edelman. "So it doesn't make
a difference." That said,
since steam vaporizers can
cause burns if mishandled,
don't put one where a child
could get at it.
Using a vaporizer or
humidifier for cold symptoms
does require some commitment
on your part.
"You have to keep it clean
and change the water
regularly," Edelman
says. "Mold and bacteria
grow very readily in those
things."
If you're not up to the
grave responsibility of
humidifier cleaning, you can
also moisturize your nasal
passages directly -- just
use a saline spray. It will
also help thin out the
mucus.
Cold Remedy 4:
Breathe in Some Steam
Sitting in the bathroom and
running the shower can help.
The warm moisture can get
into the airways and loosen
up mucus. Applying a warm
compress over your nose and
mouth might achieve the same
effect.
Cold Remedy 5:
Soothe Your Nose
With a bad cold often comes
a miserable chapped nose.
What can you do? First, make
sure that you have some
reasonably soft tissues, so
you're not using anything
too abrasive against your
skin.
Second, dab some petroleum
jelly on and under your
nose. It will help both
soothe irritated skin and
prevent it from getting
worse.
Cold Remedy 6: Gargle
If one of your cold symptoms
is a sore throat, try
gargling with salt water. A
salt water gargle can help
relieve your pain and that
uncomfortable scratchy
throat feeling -- for a
little while at least.
Cold Remedy 7: Get Some
Rest
A lot of people have trouble
slowing down when they get
sick. They feel self-
indulgent if they opt out of
work and spend the day lying
on the couch watching movies
while under a blanket. But
really, it's what you ought
to do.
"When you have a really bad
cold that's causing a fever
and making you feel really
crummy, rest is really
important," says
Edelman. "It will help you
heal."
With a more run-of-the-mill
cold that causes minor cold
symptoms, rest is less of a
medical necessity, Edelman
says. But you're still
perfectly justified in
taking it easy.
"In that case, the most
important reason to stay
home from work is to prevent
you from spreading the cold
to your co-workers," he
says. "That's a nice thing
to do."
Cold Remedy 8: Get Some
Help
If you're usually the one
running the household, now
is the time to give yourself
a break and call in some
favors. Ask a friend to
bring over dinner. See if
your spouse can pack the
kids' lunch boxes for a few
days. When you're sick with
cold symptoms, trying to do
everything you normally do
will just run you ragged --
and that could just prolong
your illness.
Cold Remedy 9: Consider
Medicine
Again, no medicine will
speed your recovery from a
cold. But some over-the-
counter drugs, like
decongestants, could ease
your cold symptoms a bit and
make you more comfortable,
Edelman says. Painkillers
like acetaminophen, aspirin,
and ibuprofen can help with
fever and body ache. Always
follow the dosing
instructions on the
bottle.
Avoid taking medicines for
symptoms you dont have.
Look at the label on the
bottle to match your
symptoms to the medicine
that makes sense for you.
When your kids are suffering
a cold, over-the-counter
medicines can help relieve
the symptoms. Remember to
read and follow the labels
carefully. Make sure to give
your child no more than the
recommended dose. And make
sure not to use more than
one cold and flu medicine
with the same ingredient. If
your child is under 4, do
not use cold medicine. You
should talk to your doctor
to find out how best to
relieve symptoms.
Cold Remedy 10:
Ask Your Doctor About
Supplements
Cold supplements are another
option for adults, but the
evidence that supplements
like vitamin C, echinacea,
or zinc is mixed at best,
Edelman says. If you want to
try one, talk to your doctor
first -- and make sure it
won't interact with any
medicines that you take.
Cold Symptoms:
Protecting Others
The best way to fight the
common cold is to prevent
it. When you're sick with
cold symptoms, you need to
think a little about the
comfort of the people around
you. That means protecting
them from your germs.
When you have a cold, wash
your hands regularly. Cover
your mouth when you cough or
sneeze. If you've got young
kids, piling used tissues on
the floor by the living room
couch isn't a good idea. If
you do have to go to work --
or in public -- despite your
cold symptoms, try to
protect other people. Bring
along some hand sanitizer
and apply it regularly.
100 Things to Make Your Home Safer
Safety doesn't take a lot of
time, but it does take
thought and planning. Not
sure how to Commit a Minute
to Safety? Pick one, 10 or
100 of the things below and
get started today. You'll
see that sometimes it just
takes a minute to avoid what
could be a lifetime of
regret.
1.Test each smoke alarm in
your home
2.Replace the batteries in
each smoke alarm
3.Count how many smoke
alarms you have in your
house. If you do not have
one on every level and near
sleeping areas, purchase
additional smoke alarms
4.Designate an outside
meeting place for your
family (for example: the
mailbox) in case of a fire
or emergency
5.Blow out candles before
leaving the room or going to
sleep
6.Use a sturdy candle holder
or hurricane lamp
7.Turn down your hot water
heater to 120 degrees or
less to prevent burns
8.Roll up your sleeves
before you start cooking
9.Have oven mitts nearby
when cooking
10.Turn pot handles toward
the back of the stove
11.Store all matches and
lighters out of reach of
children
12.Put hot food and drinks
near the center of the table
only
13.Put down your hot drink
when carrying your baby
14.Test hot water with an
elbow before allowing a
child to touch
15.Post your fire escape
plan on your refrigerator
16.Put water on cigarette
butts before throwing them
away
17.Unplug small appliances
such as hair dryers and
toasters after using them
18.Use flameless candles
19.Move anything that can
burn, such as dish towels,
at least three feet away
from the stove
20.Practice Stop, Drop and
Roll with your kids
21.Schedule an appointment
to have your furnace cleaned
and inspected
22.Look for the UL Mark when
you buy appliances
23.Tell kids to stay away
from the stove/oven
24.Turn space heaters off
before going to bed
25.Remove any gasoline from
your home
26.Put non-slip strips in
your tub and shower
27.Install night lights in
the hallway
28.Put a flashlight in each
bedroom
29.Wipe up spills as soon as
they happen to prevent slips
and falls
30.Use a sturdy Christmas
tree stand
31.Water your Christmas tree
every day
32.Keep your Christmas tree
at least three feet away
from any heat source
33.Inspect your Christmas
lights for signs of damage
34.Flip over large buckets
so water cannot accumulate
and become a drowning danger
35.Store cleaners and other
poisons away from food
36.Post the Poison Control
hotline number (1-800-222-
1222) next to your phone
37.If you have young
children, use cabinet locks
on cabinets that have
poisons such as antifreeze,
cleaners, detergents, etc.
38.Keep medicine in its
original containers
39.Purchase a carbon
monoxide detector for your
home
40.Test your carbon monoxide
(CO) alarm
41.Put your infant to sleep
on his/her back
42.Remove any soft bedding,
stuffed animals and pillows
from your infant's crib
43.Cut your toddler's food
into small bites
44.Use safety straps on high
chairs and changing tables
45.Check www.recalls.gov to
see if any items in your
home (including cribs) have
been recalled
46.Move cribs away from
windows
47.Use safety covers on
unused electrical outlets
48.Test small toys for
choking hazards - if it fits
in a toilet paper roll, it's
too small
49.Remove all plastic bags
from the nursery
50.Pick up any small items,
such as coins or buttons,
that can be choking hazards
for infants and toddlers
51.Write down emergency
contact information for your
family and make sure
everyone has these numbers
52.If young children live in
or visit your home, move
furniture away from windows
so they don't climb up to
look out and accidentally
fall
53.Tie window cords out of a
child's reach
54.Check your child's bath
water temperature (use your
wrist or elbow) to make sure
it is not too hot
55.Remove drawstrings from
your baby's clothing
56.Keep the toilet lid shut
to prevent little fingers
from getting slammed by a
falling lid
57.If you have toddlers,
install a toilet seat lock
58.If you have young
children, install door knob
covers on bathroom doors
59.Use a fireplace screen
60.Put toys away after
playing
61.Don't refer to medicine
or vitamins as candy
62.Put on safety glasses
before any DIY project
63.Put tools away after your
DIY project is complete
64.Post emergency numbers
near your phone
65.Pick up one new thing for
your family's emergency
preparedness kit
66.Use a ladder, not a
chair, when climbing to
reach something
67.Use plastic instead of
glass near the pool
68.Cover any spa or hot tub
when it is not in use
69.Purchase a first aid kit
70.Drain the bath tub
immediately after bathing
71.Remove clutter from the
stairs
72.Use the handrail when you
are walking up or down the
stairs
73.If the power goes out,
use flashlights instead of
candles
74.Ask smokers to smoke
outside
75.Wear proper shoes when
climbing a ladder
76.Check your home for too
many plugs in one socket and
fix the problem
77.Install baby gates at the
top and bottom of stairs if
you have young children
78.Never leave food cooking
unattended
79.Make sure pools or spas
are properly fenced to keep
out small children
80.Teach kids to tell you
when they see matches or
lighters
81.Turn out the lights when
you leave the room
82.Unplug appliances that
aren't in use (especially in
the kitchen)
83.Take your hair dryer off
of the bathroom counter and
store it safely
84.Check your electronics
for the UL Mark
85.Identify two exits from
every room with your kids in
case of fire
86.Check your holiday
decorations - keep breakable
decorations out of reach of
young children
87.Replace an old light bulb
with a new energy-efficient
option
88.Check the walls for loose
paint chips and re-paint
with low-VOC or VOC-free
paint
89.Check all the outlets in
your home for overloaded
sockets or extension cords
90.Remove any extension
cords that are pulled under
rugs or tacked up
91.Place fire extinguishers
in key areas of your home
92.Place an escape ladder in
an upstairs room that might
not have an easy exit
93.Remove any painted
furniture that is pre-1978
to avoid possible lead
exposure
94.Lock medications safely
in a cabinet
95.Consider low-flow toilets
96.Check that all major
appliances are grounded and
test your GFCIs
97.Clean the lint trap and
hose on your dryer
98.Check your swing set for
sharp edges or dangerous S-
hooks
99.Take a tour of your home
from your childs
perspective looking for
hazards
100.Hold a family fire drill
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