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How does bipolar I disorder differ from other types of bipolar I disorder?
People with bipolar I disorder experience full episodes of mania -- the often severe abnormally elevated mood and behavior described above. These manic symptoms can lead to serious disruptions in life (for example, spending the family fortune, or having an unintended pregnancy). In bipolar II disorder, the symptoms of elevated mood never reach full-blown mania. They often pass for extreme cheerfulness, even making someone a lot of fun to be around -- the "life of the party." Not so bad, you might think -- except bipolar II disorder usually involves extensive and disabling periods of significant depression, which can often be harder to treat than if episodes of hypomania had never occurred.
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Which antipsychotic medications are used to treat bipolar I disorder?
Antipsychotics For severe manic episodes, traditional antipsychotics (such as Haldol, Loxapine, or Thorazine) as well as newer antipsychotic drugs -- also called atypical antipsychotics -- may be necessary. Cariprazine ( Vraylar) is a newly approved antipsychotic to treat manic or mixed episodes. Aripiprazole ( Abilify), asenapine ( Saphris), clozapine ( Clozaril), olanzapine ( Zyprexa), quetiapine ( Seroquel), risperidone ( Risperdal), and ziprasidone ( Geodon) are often used, and many other drugs are available. The antipsychotic lurasidone ( Latuda)is approved for use -- either alone or with lithium or valproate ( Depakote) -- in cases of bipolar I depression. Antipsychotic medicines are also sometimes used for preventive treatment.
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How are manic bipolar I disorder episodes treated?
Manic episodes in bipolar I disorder require treatment with drugs, such as mood stabilizers and antipsychotics, and sometimes sedative-hypnotics which include benzodiazepines such as clonazepam ( Klonopin) or lorazepam ( Ativan).
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How is lithium used to treat bipolar I disorder?
Mood Stabilizers Lithium: This simple metal in pill form is especially effective at controlling mania that involves classical euphoria rather than mixtures of mania and depression simultaneously. Lithium has been used for more than 60 years to treat bipolar disorder. Lithium can take weeks to work fully, making it better for maintenance treatment than for sudden manic episodes. Blood levels of lithium as well as tests to measure kidney and thyroid functioning must be monitored to avoid side effects.
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What can cause lice treatments not to work?
Second, female adult lice lay up to eight eggs a day. Over-the-counter lice treatments and prescription ones kill live lice and their eggs (nits), but they might not catch all of them. Because of the life cycle of lice, over-the-counter and prescription treatments may require two treatments, 7-9 days apart. If you don't reapply the product within the correct number of days, lice eggs can lurk behind and hatch later.
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When and how can you remove a fishhook after an injury?
If the hook is not near the eye or has not penetrated into a joint, bone, or muscle: Cut any fishing line, fish, bait, or lure from the fishhook. Use ice or cold water for 2 to 3 minutes to numb the area. If the barb of the fishhook has not entered the skin, pull the tip of the hook back out. If the barb is embedded in the skin, first try the string-pull method. If medical help is not available and the fishhook is deeply embedded in the skin, try the advance-and-cut method. Push the hook the rest of the way through the skin, snip off the barb with wire cutters, and remove the rest of the fishhook from where it entered the skin.
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How are genital herpes diagnosed?
Most people with genital herpes don't know they have it.
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Can symptoms be treated at home?
Symptom triggers can include: Fatigue Illness Sexual intercourse Menstruation Stress Surgery Trauma There are things you can do to relieve the discomfort and severity of the symptoms during an outbreak. Home treatments include: Take painkillers such as aspirin, acetaminophen, or ibuprofen. Bathe sore areas with a warm salt-water solution twice a day (1/2 teaspoon salt with 1/2 pint warm water). Let air circulate around the sores by wearing loose-fitting clothes. Put an ice pack on the affected area. Wrap the ice pack in a towel or piece of cloth. Get plenty of rest.
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Can pregnant women pass genital herpes to their child?
Although it's rare, pregnant women can pass on the herpes infection to their child. This can result in a serious and sometimes deadly infection in the baby. That's why taking steps to prevent an outbreak at time of delivery is recommended starting at 34 weeks into the pregnancy. If you have signs of an active viral infection when it's time to deliver, your doctor will likely recommend a cesarean section for delivery.
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What is a risk associated with genital herpes?
People with genital herpes have a higher risk of an HIV infection. One reason is that cracks and breaks in the skin that result from an outbreak create openings through which HIV can enter the body.
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What causes genital herpes?
Most cases of genital herpes are caused by infection by the herpes simplex virus type 2 ( HSV-2). Herpes simplex virus type 1 ( HSV-1) is more often the cause of cold sores or fever blisters. But it can also be a cause of genital herpes.
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Can symptoms of genital herpes come back?
People who have an initial outbreak following a genital HSV infection can expect to have four to five outbreaks within a year. As time goes on, your body builds up more immunity to the virus, and the outbreaks may become less frequent, even stopping altogether in some people.
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What are the symptoms of a genital HSV infection?
Any of the following symptoms of a genital HSV infection can occur in a man or a woman: Cracked, raw, or red areas around your genitals without pain, itching, or tingling Itching or tingling around your genitals or your anal region Small blisters that break open and cause painful sores. These may be on or around your genitals (penis or vagina) or on your buttocks, thighs, or rectal area. More rarely, blisters may occur inside the urethra -- the tube urine passes through on its way out of your body. Pain from urine passing over the sores -- this is especially a problem in women. Headaches Backaches Flu-like symptoms, including fever, swollen lymph nodes, and fatigue Genital herpes is not the only condition that can produce these symptoms.
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How serious of a health problem are the symptoms of genital herpes?
For most people, genital herpes is not a serious threat to their health. Aside from the discomfort, an HSV infection is more of a psychological stressor. It can: Create anxiety Affect a person's self-esteem Interfere with a person's sense of security and intimacy In some cases, though, complications from genital herpes can be serious, even life-threatening.
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What happens in an HSV infection?
Genital herpes virus is passed from one person to another through sexual contact. This happens even if the person with the virus doesn't have symptoms or signs of infection. Once the virus enters through the skin, it travels along nerve paths. It may become dormant (inactive) in the nerves and remain there indefinitely. From time to time, the virus may become active. When that happens, the virus travels back along the nerve path to the surface of the skin, where additional virus is shed. At this point the virus may cause an outbreak of symptoms. Or it may remain undetected. In either case, the active virus is easily passed from one partner to another through sexual contact. Even wearing a condom may not protect the uninfected partner. The virus can be present on skin that remains uncovered. The number of recurrences or outbreaks a person can have may vary.
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What should you do if you think you may have genital herpes?
If you have any reason to believe you may have an HSV infection as the result of a sexual encounter -- either genital or oral -- contact your health care provider.
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How can non-steroidal anti-inflammatory drugs (NSAIDs) help control ankylosing spondylitis pain?
These include medications like ibuprofen and naproxen. NSAIDs, which lower inflammation, may be a part of your regular daily treatment plan. If they are, don't take more than prescribed without talking with your doctor. If NSAIDs aren't a part of your treatment plan, talk with your doctor about them.
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How can working with a physical therapist help you manage ankylosing spondylitis?
When you strengthen the muscles that support your spine, you can boost your flexibility and lower pain. It's best to work with a qualified therapist. She can make sure your form is right. When some exercises are done the wrong way, they can make you feel worse. A trainer can keep you on the right track and motivated. In addition to strength training and stretching, your program might include exercising in water (hydrotherapy), posture training, and deep-breathing exercises.
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How can taking frequent breaks help you manage ankylosing spondylitis pain?
If you don��t move around a lot, your symptoms may be worse. If you have to sit for a long time at work, try to get up every hour or so to stretch or walk around. ( Your doctor can write a note so that you can take regular breaks.)
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If you smoke, how can quitting help you manage your ankylosing spondylitis?
Lighting up makes AS more damaging and hard to treat. Ask your doctor about things that can help you ditch the habit.
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How can corticosteroids help control ankylosing spondylitis pain?
If NSAIDs don't do enough for your joint pain, your doctor may use these drugs. You might get shots into stiff, painful joints to help with swelling and give you temporary relief. But your doctor won't recommend this too often because they can damage soft tissues and bone. About 40% of people with ankylosing spondylitis have inflammation in their eyes (uveitis). If you have this, corticosteroid eye drops can lower swelling and ease irritation. Steroid pills are also sometimes used to help with eye or joint flares.
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How can muscle relaxants help control ankylosing spondylitis pain?
Your doctor may prescribe these to help with painful muscle spasms, ease stiffness, and make it easier to exercise. You'll probably only take them for short times.
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What problems can peanuts cause if you have an allergy?
Symptoms of an allergic response to peanuts will usually start within minutes of exposure, and they can include: Tightening in the throat Shortness of breath or wheezing Skin reaction such as hives or redness Tingling or itching in the mouth or throat Diarrhea, nausea, stomach cramps or vomiting A runny nose This is a life-threatening allergic reaction and needs emergency treatment.
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What causes ingrown nails?
Ingrown nails are most frequently caused by cutting your toenails too short or rounding the nail edges or by wearing ill-fitting shoes or tight hosiery that press the nail into your toe. You can also develop an ingrown nail after an injury, such as stubbing or jamming your toe. If the condition causing the ingrown toenail continues, overgrowth of the tissue over the nail can lead to permanent changes in the tissue that can cause infection, more pain, and more swelling.
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What is an ingrown nail?
People with curved or thick nails are most susceptible, although anyone can suffer from ingrown nails as a result of an injury, poorly fitting shoes, or improper grooming of the feet. People with diabetes, vascular problems, or numbness in the toes need to be aggressive in treating and preventing ingrown toenails because they can lead to serious complications, including the risk of losing a limb. A damaged or improperly trimmed nail can become ingrown, burrowing into the skin at the side of the nail. The site can become painful and infected, and may not heal until the nail is removed. To avoid ingrown nails, always trim nails straight across.
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How does counseling help with vision loss?
While vision loss can occur at any age, it occurs most often among mature adults. Like any other major life event, vision loss can bring feelings of loneliness, helplessness, anxiety, and depression. Doctors, state agencies, and non-profit organizations offer counseling services for those with vision loss and can provide referrals to other professionals based on individual needs. People with severe vision loss especially should be encouraged to consider these resources.
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What non-optical aids help with vision loss?
Non-optical aids are also helpful in daily activities. These devices "talk" to you, or offer enlarged print or Braille. Many also have special features, such as high contrast, that make them easier to see. Some popular non-optical devices include: Text reading software Braille readers Check guides High contrast clocks and watches Talking watches and clocks Large-print publications Clocks, phones, and watches with enlarged numbers Low vision clinics and agencies are available in many locations which can help people choose the most helpful vision aids and services for their personal visual problem.
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How does understanding the process of grief help with vision loss?
The loss of vision is initially devastating. Understanding the process of grief associated with vision loss can help you and your loved ones cope with these physiological and emotional challenges.
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How do classes and vision devices help with vision loss?
Tasks as simple as dressing in the morning or as complex as cooking a meal become new challenges after vision loss. In adjustment classes, individuals can learn new or alternative techniques to help maintain independence. While building mobility and motor skills, these classes and aids also teach the patience and confidence required to live with low vision on a daily basis.
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How can I seek therapeutic counseling for vision loss?
While vision loss can occur at any age, it occurs most often among mature adults. Like any other major life event, vision loss can bring feelings of loneliness, helplessness, anxiety, and depression. Doctors, state agencies, and non-profit organizations offer counseling services for those with vision loss and can provide referrals to other professionals based on individual needs.
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How can grieving the loss of vision help?
The loss of vision is initially devastating. Understanding the process of grief associated with vision loss can help you and your loved ones cope with these physiological and emotional challenges.
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What low vision aids can be helpful for daily activities?
Non-optical aids are also helpful in daily activities. These devices "talk" to you, or offer enlarged print or Braille. Many also have special features, such as high contrast, that make them easier to see. Some popular non-optical devices include: Text reading software Braille readers Check guides High contrast clocks and watches Talking watches and clocks Large-print publications Clocks, phones, and watches with enlarged numbers Low vision clinics and agencies are available in many locations which can help people choose the most helpful vision aids and services for their personal visual problem.
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How can I learn more about vision loss?
There are steps you can take to better cope with the condition, including: You can order written or taped materials on vision loss through state agencies and non-profit organizations. You may also find it helpful to discuss vision loss with your doctor, as well as other people who have lost vision.
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How can I help the challenge of vision loss?
Tasks as simple as dressing in the morning or as complex as cooking a meal become new challenges after vision loss. In adjustment classes, individuals can learn new or alternative techniques to help maintain independence. While building mobility and motor skills, these classes and aids also teach the patience and confidence required to live with low vision on a daily basis.
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Is vision loss treatable?
Unfortunately, some eye conditions cannot be treated, resulting in low vision or blindness.
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What can help ease the symptoms of night sweats?
Late in the day, and especially just before bedtime, don't: Drink alcohol or hot beverages Exercise Try to sleep in a hot room Eat spicy, hot foods None of these things will prevent night sweats, but they should help ease your symptoms.
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When should you call a doctor about night sweats?
Other things that can bring on night sweats include: Medications like prescription painkillers, steroids, and antidepressants Menopause HIV Some bacterial infections Low blood sugar An overactive thyroid, or hyperthyroidism Anxiety You might notice: Waking up soaking wet -- from your hair to your clothing to your sheets Chills A mild fever that leads to heavy sweating Drenching sweats without a fever A sudden, brief feeling of warmth accompanied by flushing or sweating If you have a cancer diagnosis, call your treatment team or your doctor if you have: Tremors or chills that cause you to shake A fever of 100.5 F or higher (when you take your temperature by mouth) for over 24 hours Take these simple steps to ease the discomfort: If you have a fever, take medicine like acetaminophen -- so long as your doctor says it's OK. Change out of your wet clothes ASAP.
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What causes night sweats?
Medications and other health problems may also be to blame. It's no fun to wake up with your clothes and bedding soaked, but there are ways to make living with them easier. Night sweats can be linked to cancer and certain cancer treatments: Lymphoma Leukemia Carcinoid tumors (usually in your digestive tract) Adrenal system tumors Hormone therapy for breast, gynecologic, and prostate cancers If cancer is to blame, you'll have other symptoms, like a constant fever and unexplained weight loss.
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How is CBT (cognitive behvioral therapy) used to treat back pain?
CBT: If you consult a psychotherapist for cognitive behavioral therapy ( CBT), your treatment may include stress management, behavioral adaptation, education, and relaxation techniques. CBT can lessen the intensity of back pain, change perceptions about levels of pain and disability, and even lift depression. The NIH considers CBT useful for relieving low back pain, citing studies that show CBT to be superior to routine care and placebo.
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Is long-term bed rest used to treat back pain?
Long-term bed rest is not only no longer considered necessary for most cases of back pain, it is actually potentially harmful, making recovery slower and potentially causing new problems. In most cases, you will be expected to start normal, nonstrenuous activity (such as walking) within 24 to 72 hours. After that ask your doctor about controlled exercise or physical therapy. Physical therapy treatments may employ massage, ultrasound, whirlpool baths, controlled application of heat, and individually tailored exercise programs to help you regain full use of the back. Strengthening both the abdominal and back muscles helps stabilize the spine. You can help prevent further back injury by learning - and doing - gentle stretching exercises and proper lifting techniques, and maintaining good posture.
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What specialists can help with back pain?
Often, a pain specialist or back specialist will also employ rehabilitation and counseling by non-physician personnel such as therapists, counselors, and patient educators.
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How is biofeedback used to treat back pain?
Biofeedback: If lower back pain is related to muscle tension or spasm, biofeedback can be effective for lessening pain intensity, decreasing drug use, and improving quality of life. Biofeedback may help you train your muscles to respond better to stress or movement.
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What kind of exercises can help with my back pain?
Exercise methods: The Alexander Technique, Pilates, and the Feldendkrais Method are all specialized forms of body work that help you learn to move in a more coordinated, flexible, and graceful manner. They may help you become more aware of your movements and may help relieve stress. Some of the postures of yoga may help diminish low back pain, improve flexibility, strength, and sense of balance. Yoga is also good for stress reduction and can help with the psychological aspects of pain. Core exercises strengthen the muscles that support the back and help reduce pain.
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How is spinal manipulation used to treat back pain?
Spinal manipulation: The U. S. Agency for Healthcare Research and Quality recognizes spinal manipulation by chiropractors and osteopaths as effective for acute low-back pain. Its effectiveness for treating chronic back pain is less well established. Some researchers suggest that early manipulative treatment for acute back pain may prevent chronic problems from developing. Other doctors warn against some chiropractic manipulations, particularly those that involve rapid twisting of the neck. Spinal manipulation can be considered a form of conservative care for the treatment of acute and chronic back pain as it is not invasive and does not employ prescription medications.
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How is acupuncture used to treat back pain?
Acupuncture: Both the American Pain Society and the American College of Physicians released guidelines stating that acupuncture may help patients with chronic low-back pain when other treatments have failed. It can be used alone or as part of a comprehensive treatment plan that includes medications and other therapies. However, there is not enough evidence yet to recommend it for acute back pain.
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How is TENS used to treat back pain?
TENS: Some physicians advocate using a transcutaneous electrical nerve stimulator ( TENS). Electrodes taped to the body carry a mild electric current that helps relieve pain. After appropriate training, patients can use a TENS on their own to help reduce pain while they recover from strained or moderately injured backs.
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When should you call your doctor about your vision if you have diabetes?
These symptoms can signal an emergency: Black spots in your vision Flashes of light " Holes" in your vision Blurred vision
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What causes stuttering?
Experts point to four factors that contribute to stuttering: A family history of stuttering. There is disagreement as to whether stuttering is genetic, because specific genes have not been identified. But close to 60% of all stutterers have someone in the family who also stutters or stuttered. Child development. Children who have other language and speech problems are more likely to stutter than children who don't. Neurophysiology. In some children who stutter, language is processed in different parts of the brain than it is for children who don't stutter. This may also interfere with the interaction between the brain and the muscles that control speech. Family dynamics. Some children's stuttering has been attributed to high family expectations and a fast-paced lifestyle.
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What is stuttering?
Stuttering, sometimes called stammering or dysfluency, is a disruption in the normal patterns of speech. It can take many forms. For example, someone who stutters might repeat a sound or a syllable, especially at the beginning of the word, such as "li- li- like." It can also manifest as a prolongation of a sound such as "ssssssee." Sometimes stuttering involves the complete stoppage of speech or the omission of a sound. Or it can be the repeated interruption of speech with sounds such as "uh" or "um."
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When should I seek professional help for my child's stuttering?
For children who have a severe problem with stuttering, early evaluation and intervention is very helpful. Signs to look for that suggest you should have your child evaluated include: Stuttering that becomes more frequent and gets worse with time Stuttering that is accompanied by body or facial movements Speech that is especially difficult or strained Avoiding situations that require talking Vocal tension that results in rising pitch while talking Stuttering that continues after a child has turned 5 years old There are a lot of things you and other family members can do to help a child who stutters get beyond his or her problems with speaking: Create opportunities for talking that are relaxed, fun, and enjoyable.
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How is stuttering treated?
Talk with your doctor if you are concerned about your child's development, including stuttering. Your doctor may refer you to a specialist known as a speech-language pathologist ( SLP) who can evaluate your child and determine whether or not there is a risk of a long-term problem. In most cases involving children, treatment primarily focuses on training and working with the parents to develop techniques to help the child cope with and get beyond his or her stuttering. There is no "cure" for stuttering, and no drug has been approved to treat stuttering. Sometimes the SLP will work directly with the child to develop individual behavioral techniques that can help the child learn not to stutter. The actual therapy may vary from child to child depending on the child's particular circumstances.
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Is there a difference between normal stuttering and stuttering that is a problem?
It isn't always possible to tell when a child's stuttering will develop into a more serious problem that continues into the school years. But there are signs to look for that indicate stuttering may be a problem: You may notice tension and a struggle with facial muscles. You may also notice the voice rising in pitch with repetitions. In more severe cases of stuttering, a child may demonstrate considerable effort and tension in trying to speak. More severe cases are often marked by attempts to avoid stuttering by changing words or using extra sounds to start talking. Sometimes, a child will try to avoid situations where he or she needs to talk.
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What are symptoms of bread dough poisoning in dogs?
If your dog has eaten bread dough, he may have these symptoms: Swollen belly Abdominal pain You'll know your dog has abdominal pain if he has symptoms such as: Doesn't want to lie down Stretches front legs out with chest down and rear up Yelps when abdomen is touched Doesn't want to eat While caffeine may give you a sense of wakefulness and energy, it's toxic to your dog.
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What are symptoms of avocado poisoning in dogs?
Avocado poisoning in dogs can cause symptoms such as: Vomiting Diarrhea Keep bones from chicken, roasts, and other meats away from your dog.
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Why shouldn't dogs have xylitol?
The symptoms of macadamia nut poisoning often begin with: Weakness Vomiting Stumbling Shaking Fever This is used as a sweetener in gum, candy, many other foods and drinks, and toothpaste. Fruits, vegetables, and mushrooms also contain small amounts of xylitol. In dogs, this ingredient can cause insulin, a hormone, to soar. This causes their blood sugar to drop steeply. Xylitol can also cause liver damage. Dogs often vomit after they eat or drink xylitol. Other symptoms include: Weakness Clumsiness Seizures
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What are symptoms of alcohol poisoning in dogs?
Symptoms of alcohol poisoning in dogs include: Vomiting Excited behavior Clumsy movements Lack of energy Avocados and their seed and leaves contain a toxin called persin.
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What are symptoms of chocolate poisoning in dogs?
Symptoms from eating a small amount of chocolate include: Vomiting Diarrhea If your dog eats larger amounts it can also lead to: Hyperactivity Tremors and seizures Irregular heartbeat Garlic and onions contain a chemical that breaks down into a substance that damages the red blood cells of dogs.
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Why shouldn't dogs eat bones?
Avocado poisoning in dogs can cause symptoms such as: Vomiting Diarrhea Keep bones from chicken, roasts, and other meats away from your dog. He can choke while eating bones. Also, bones can break into sharp pieces that may cause bleeding and infection inside your dog.
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Why shouldn't dogs eat grapes and raisins?
Symptoms after eating these foods can include: Vomiting Diarrhea Drooling More symptoms may begin days later, such as: Stumbling Lack of interest in eating Dark urine Grapes, and the raisins made from them, can cause kidney failure in dogs. This doesn't affect every dog that eats grapes or raisins. Experts still aren't sure which ingredient in the fruit may cause this problem.
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Can dogs have caffeine?
If your dog has eaten bread dough, he may have these symptoms: Swollen belly Abdominal pain You'll know your dog has abdominal pain if he has symptoms such as: Doesn't want to lie down Stretches front legs out with chest down and rear up Yelps when abdomen is touched Doesn't want to eat While caffeine may give you a sense of wakefulness and energy, it's toxic to your dog. Keep these items away from him: Coffee or coffee grounds Tea Soda Energy drinks Tablets containing caffeine If your dog has caffeine poisoning he may have these symptoms: Hyperactive behavior Panting Clumsiness Muscle quivers Chocolate contains caffeine and a related chemical called theobromine that is also harmful to dogs.
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What non-drug interventions can help adults with ADHD?
Adult ADHD may be treated with one or more of the following: Individual cognitive and behavioral therapy to change negative thought patterns and enhance self-esteem Relaxation training and stress management to reduce anxiety and stress Behavioral coaching to teach strategies for organizing home and work activities Job coaching or mentoring to support better working relationships and improve on-the-job performance Family education and therapy
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What are non-drug interventions for treating attention deficit hyperactivity disorder?
Non-drug interventions for ADHD include making adjustments in the environment to promote more successful social interactions. Such adjustments include creating more structure and encouraging routines.
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What are treatments for adult attention deficit hyperactivity disorder?
Adult ADHD may be treated with one or more of the following: Individual cognitive and behavioral therapy to change negative thought patterns and enhance self-esteem Relaxation training and stress management to reduce anxiety and stress Behavioral coaching to teach strategies for organizing home and work activities Job coaching or mentoring to support better working relationships and improve on-the-job performance Family education and therapy
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Are there non-drug interventions for ADHD?
Such adjustments include creating more structure and encouraging routines. Children with ADHD may need help in organizing their lives. Therefore, some simple interventions to try for childhood ADHD include: Create a schedule.
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How can you create routines for children with attention deficit hyperactivity disorder?
Children with ADHD may need help in organizing their lives. Therefore, some simple interventions to try for childhood ADHD include: Create a schedule. Make sure your child has the same routine every day. The schedule should include homework time and playtime. Post this schedule in a prominent place in the home. Help your child organize everyday items. Work with your child to have a place for everything. This includes clothing, backpacks, and school supplies. Note that children with ADHD need consistent rules that they can easily follow. When your child follows rules, he or she should be rewarded.
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How can Epworth Sleepiness Scale test help diagnose narcolepsy?
During the Epworth Sleepiness Scale test, you will be asked to answer eight questions using a scale from zero (not at all likely to fall asleep) to three (very likely to fall asleep). The resulting total score is between 0 and 24. Scores of 0 to 10 are normal. Total scores 10 or above generally warrant further investigation.
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How can multiple sleep latency test help diagnose narcolepsy?
Performed the morning after the overnight polysomnogram, also in a sleep lab, this test measures how long it takes a person to fall asleep (sleep latency) during the day. During this test, you will be asked to take four or five scheduled naps every two hours. The first nap starts two hours after awakening that morning. People with normal sleep and alertness take about 10-20 minutes to fall asleep. People with narcolepsy (and other causes of abnormal sleepiness) take a much shorter time (less than five minutes) to fall asleep.
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How can polysomnogram (PSG) help in the diagnosis of narcolepsy?
A sleep study, or polysomnogram ( PSG), is a test performed in a sleep lab. It electronically transmits and records specific physical actions of the body while you sleep, such as muscle movement, breathing patterns, and brain activity. The recordings are analyzed by a qualified sleep specialist to determine whether or not you have a particular sleep disorder.
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What can you expect during a polysomnogram (PSG) for narcolepsy?
It electronically transmits and records specific physical actions of the body while you sleep, such as muscle movement, breathing patterns, and brain activity. The recordings are analyzed by a qualified sleep specialist to determine whether or not you have a particular sleep disorder. What to Expect During a PSG If you're scheduled for a PSG, you will arrive at the sleep lab about two hours prior to bedtime without making any changes in your daily habits. You will be assigned to a private bedroom in a sleep center or hospital.
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Does everyone who gets sudden drops in blood pressure have heart failure?
This doesn't mean that everyone who gets sudden drops in blood pressure has -- or will have -- heart failure. Scientists need to do more research before they understand the connection and if it can predict the problem later on.
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Why might your blood pressure drop when you stand up?
Some people who have it won't notice it, but most commonly, you'll have symptoms for a few seconds after you stand, including: Feeling lightheaded or dizzy Blurry vision Weakness Fainting Confusion Nausea Your legs buckle Headaches Chest, head, or neck pain A fast, irregular heartbeat There are many reasons this shift can happen. You might be dehydrated, have low blood sugar, or be taking medication that changes your blood pressure. But some research suggests it could be an early sign that your heart isn't pumping blood as well as it should.
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What are some side effects of beta-blockers?
When you're taking a beta-blocker, you may: Feel drained of energy Have cold hands and feet Be dizzy Gain weight You could also have: Trouble sleeping or vivid dreams Swelling in your hands, feet, and ankles Shortness of breath, wheezing, or other breathing problems Depression Let your doctor know if any of these bother you a lot. He may change your dose or switch you to a different medicine. A beta-blocker might raise your triglycerides and lower your "good" HDL cholesterol a bit for a little while. Don't stop taking your beta-blocker unless your doctor says it's OK. That could raise your chance of a heart attack or other heart problems.
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When can I stop taking beta-blockers to help high blood pressure?
This slows your heart rate and eases up on the force your heart squeezes with.
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Who shouldn't take beta-blockers to help high blood pressure?
Beta-blockers may not work as well for older people and for African- Americans. Doctors don't usually prescribe them for people with asthma, COPD, or breathing trouble or for those with very low blood pressure (hypotension), a type of heart rhythm problem called a heart block, or a slow pulse (bradycardia). Beta-blockers can make symptoms of these conditions worse. These drugs can hide signs of low blood sugar. You'll have to check your blood sugar more often when you have diabetes. They may not be safe for women who are planning a pregnancy, pregnant, or breastfeeding. Tell your doctor right away if you get pregnant while you're taking a beta-blocker.
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What should I be aware of when taking beta-blockers?
You might have to check your pulse daily. When it's slower than it should be, find out from your doctor if you should take your medication that day. Take your medicine regularly with meals to keep the level steady so it works consistently.
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What should I avoid while taking beta-blockers to help high blood pressure?
To avoid problems, let your doctor know about any medications -- prescription or over-the-counter -- or supplements that you're taking, especially: Other blood pressure and heart medicines Allergy shots Antidepressants Diabetes medicines and insulin Street drugs, such as cocaine Avoid products with caffeine and alcohol. Don't take cold medicines, antihistamines, or antacids that have aluminum in them. If you're going to have surgery of any kind (including dental procedures), make sure the doctor knows you're taking a beta-blocker.
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What are the drug names for beta-blockers?
Beta-blockers include: Acebutolol ( Sectral) Atenolol ( Tenormin) Betaxolol ( Kerlone) Bisoprolol ( Zebeta, Ziac) Carteolol ( Cartrol) Carvedilol ( Coreg) Labetalol ( Normodyne, Trandate) Metoprolol ( Lopressor, Toprol- XL) Nadolol ( Corgard) Nebivolol ( Bystolic) Penbutolol ( Levatol) Pindolol ( Visken) Propanolol ( Inderal) Sotalol ( Betapace) Timolol ( Blocadren) Your doctor will probably want you to try another medicine to control your blood pressure before he prescribes a beta-blocker. You may need to take other kinds of medicine for your high blood pressure, too.
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What are the economic costs of the flu in America?
Roughly $10.4 billion in direct costs for hospitalizations and outpatient visits for adults. Both the flu shot and the nasal flu vaccine work really well to keep you from getting ill.
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Can compression stockings affect how you perform?
Studies show the gear has little to no effect on athletic performance, but some people swear by it. Maybe thinking they have an edge gives them one. The evidence for faster recovery is better, but not enough to make a difference for weekend warriors.
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What do compression stockings do?
People with or at risk for circulation problems, like DVT, varicose veins, or diabetes People who've just gotten surgery Those who can't leave their bed or have a hard time moving their legs People who stand all day at work Athletes Pregnant women People who spend long stretches of time on airplanes, like pilots The pressure these stockings put on your legs helps your blood vessels work better. The arteries that take oxygen-rich blood to your muscles can relax, so blood flows freely. The veins get a boost pushing blood back to your heart. Compression stockings can keep your legs from getting tired and achy. They can also ease swelling in your feet and ankles as well as help prevent and treat spider and varicose veins. They may even stop you from feeling light-headed or dizzy when you stand up. Because the blood keeps moving, it's harder for it to pool in your veins and make a clot. If one forms and breaks free, it can travel with your blood and get stuck somewhere dangerous, like your lungs. Clots also make it harder for blood to flow around them, and that can cause swelling, discolored skin, and other problems.
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What are compression stockings?
Graduated compression or pressure stockings are tighter around your ankle and get looser as they move up your leg. Compression sleeves are just the tube part, without the foot.
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How can you decide which compression stocking works best for you?
They come in different sizes and strengths, so you or your doctor will need to decide which option will work best.
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Who uses compression stockings?
People with or at risk for circulation problems, like DVT, varicose veins, or diabetes People who've just gotten surgery Those who can't leave their bed or have a hard time moving their legs People who stand all day at work Athletes Pregnant women People who spend long stretches of time on airplanes, like pilots The pressure these stockings put on your legs helps your blood vessels work better.
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Where can you buy compression stockings?
You can buy them over the counter, but if your doctor prescribes them, your insurance may cover the cost. You can buy them at medical supply companies, online, and in many drug stores. They can cost from around $10 to as much as $100 per pair, depending on what kind you get.
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How does fibromyalgia affect sleep?
You may be able to fall asleep, but your sleep is light and easily disturbed. When you get up in the morning, you're exhausted and not refreshed. It doesn't help the fatigue. Tests done in sleep labs show that people with fibro are constantly interrupted by bursts of brain activity similar to what happens in the brain when they're awake. These interruptions limit how much time you spend in deep sleep, when your body restores itself, and you feel run down as a result. Up to half of all people with fibromyalgia have depression or an anxiety disorder when they're diagnosed with fibro.
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What does the pain and tenderness associated with fibromyalgia feel like?
Since there are no lab or imaging tests for it, when you go to get a diagnosis, your doctor will ask about your symptoms to decide if you have fibromyalgia Many people with fibro -- also called fibromyalgia syndrome or FMS -- may have: Pain and tender points Fatigue Sleep problems Concentration and memory problems, known as "fibro fog" Anxiety or depression Morning stiffness Numbness, and tingling in hands, arms, feet, and legs Headaches Irritable bowel syndrome Problems with urinating Painful menstrual cramps Almost all people with fibromyalgia ache all over. It can feel similar to osteoarthritis, bursitis, and tendinitis, but it's over your entire body. This is usually what makes you go see your doctor. The pain can be deep, sharp, dull, throbbing, or aching. You feel it in your muscles, tendons, and ligaments around the joints. For some people, the pain comes and goes. It could travel throughout your body. You may also have tender points -- specific spots around your joints that hurt when you press them with a finger. If you press a tender point on a person without fibromyalgia, they'll just feel pressure. But that same pressure would be very painful for someone with fibro. These tender points are in predictable places on the body. They're often under the surface of the skin, not in areas of deep pain. It's the tissue around the muscles and joints that hurts rather than the joints themselves.
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How does fibromyalgia affect mood?
Up to half of all people with fibromyalgia have depression or an anxiety disorder when they're diagnosed with fibro. Dealing with being fatigued and in pain all the time can be stressful. You probably worry about keeping up with life and what you can do to feel better. You may become less active and more withdrawn, which can lead to depression. It's also possible that anxiety and depression may actually be a part of fibromyalgia, like the pain. People diagnosed with fibromyalgia and depression have a hard time with concentration and short-term memory, which make it hard to remember day-to-day things, like where they've put their keys or plans they've made for lunch tomorrow.
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How can problems peeing happen to people with fibromyalgia?
Feeling the urge to go a lot, hurting when you do, or a leaky bladder can happen when you have fibromyalgia. These symptoms could also be caused by bladder and kidney diseases, such as an infection.
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How do headaches affect people with fibromyalgia?
Up to 2 out of 5 people with fibro also get migraine or tension headaches regularly. They may be a result of pain in your neck and upper back. They're often caused by tight neck muscles. They may also be caused by tender points over the back of your head and neck. Headaches can make it much harder for you to live with fibro and manage the disease.
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What should you know about the symptoms of fibromyalgia?
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How does swelling and tingling in hands and feet affect people with fibromyalgia?
While the cause of numbness, tingling, and burning is unclear, many people with fibro feel them. These sensations, called paresthesia, tend to happen randomly. They may last a few minutes, or they may be constant. The feelings can be especially bothersome in the mornings along with morning stiffness.
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How does fibromyalgia affect menstrual cramps?
You may not have all of the symptoms, and you may have other medical problems, too.
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What does fatigue feel like in people with fibromyalgia?
A lingering tiredness and feeling drained is another big complaint. People often feel tired even when they should feel rested, such as after a good night's sleep. Some say it's like having the flu. Some compare it to working long hours and missing a lot of sleep. You may feel too tired to exercise or more tired after a workout. Simple things such as grocery shopping or cooking dinner could wipe you out. Starting a project such as folding clothes or ironing could seem like too much effort. You might even be too tired for sex.
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How common is irritable bowel syndrome in people with fibromyalgia?
About two-thirds of people with fibromyalgia often have belly pain, gas, and bloating and feel like throwing up. They can also have constipation and diarrhea. Many have acid reflux or gastroesophageal reflux disease ( GERD), too.
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What are common symptoms of and related conditions associated with fibromyalgia?
Since there are no lab or imaging tests for it, when you go to get a diagnosis, your doctor will ask about your symptoms to decide if you have fibromyalgia Many people with fibro -- also called fibromyalgia syndrome or FMS -- may have: Pain and tender points Fatigue Sleep problems Concentration and memory problems, known as "fibro fog" Anxiety or depression Morning stiffness Numbness, and tingling in hands, arms, feet, and legs Headaches Irritable bowel syndrome Problems with urinating Painful menstrual cramps Almost all people with fibromyalgia ache all over.
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What is morning stiffness like in people with fibromyalgia?
Most people with fibromyalgia feel like they need to "loosen up" after getting out of bed before they can start their day. The muscles and joints of their back, arms, and legs feel stiff. It's not typical creakiness. It's more like the stiffness someone with rheumatoid arthritis feels. Although some people say it lasts only a few minutes, the stiffness usually sticks around for more than 15 to 20 minutes each day. Sometimes it lasts for hours, and it could linger all day.
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When should I call 911 about cyanide poisoning?
You are sure the person was exposed to cyanide. If you are not sure it is cyanide, call Poison Control at 800-222-1222.
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What should I do if someone has cyanide poisoning?
Treat the person as follows, depending on whether cyanide was inhaled, ingested, or absorbed through the skin: Get the person to fresh air immediately. If you can't get away from the area where cyanide gas is, stay low to the ground. If the person has difficulty breathing or has stopped breathing, do hands-only CPR: For a child, start CPR for children. For an adult, start adult CPR. Do not do mouth-to-mouth resuscitation.
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Can I touch someone who's had cyanide poisoning?
Avoid touching a person whose skin has been exposed to cyanide; only emergency personnel with special protective clothing should have direct contact with the victim, as secondary contamination is possible.
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What can happen if I don't treat an abscessed tooth?
Most often that results from: ­ A deep cavity or tooth decay Gum disease, also known as periodontal disease A cracked tooth If you don't treat the infection, it can kill the pulp and lead to an abscess. There are two common types: A periapical abscess forms at the tip of your tooth's root. A periodontal abscess affects the bone next to your tooth. You can get more than one abscess. Or one abscess can travel through the bone and show up in several spots.