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What are the symptoms of dissociative identity disorder?
Dissociative identity disorder is characterized by the presence of two or more distinct or split identities or personality states that continually have power over the person's behavior. With dissociative identity disorder, there's also an inability to recall key personal information that is too far-reaching to be explained as mere forgetfulness. With dissociative identity disorder, there are also highly distinct memory variations, which fluctuate with the person's split personality. The "alters" or different identities have their own age, sex, or race. Each has his or her own postures, gestures, and distinct way of talking. Sometimes the alters are imaginary people; sometimes they are animals. As each personality reveals itself and controls the individuals' behavior and thoughts, it's called "switching." Switching can take seconds to minutes to days. When under hypnosis, the person's different "alters" or identities may be very responsive to the therapist's requests.
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How can amnesia happen in dissociative identity disorder?
This is the failure to recall significant personal information that is so extensive it cannot be blamed on ordinary forgetfulness. There can also be micro-amnesias where the discussion engaged in is not remembered, or the content of a meaningful conversation is forgotten from one second to the next.
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What's the treatment plan for dissociative identity disorder?
Effective treatment includes: Psychotherapy: Also called talk therapy, the therapy is designed to work through whatever triggered and triggers the DID. The goal is to help “fuse” the separate personality traits into one consolidated personality that can control the triggers. This therapy often includes involving family members in the therapy. Hypnotherapy. Used in conjunction with psychotherapy, clinical hypnosis can be used to help access repressed memories, control some of the problematic behaviors which accompany DID as well as help integrate the personalities into one. Adjunctive therapy . Therapies such as art or movement therapy have been shown to help people connect with parts of their mind that they have shut off to cope with trauma. There are no established medication treatments for dissociative identity disorder, making psychologically-based approaches the mainstay of therapy. Treatment of co-occurring disorders, such as depression or substance use disorders, is fundamental to overall improvement. Because the symptoms of dissociative disorders often occur with other disorders, such as anxiety and depression, medicines to treat those co-occurring problems, if present, are sometimes used in addition to psychotherapy.
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What is the criteria used to diagnose dissociative identity disorder?
The DSM-5 provides the following criteria to diagnose dissociative identity disorder: Two or more distinct identities or personality states are present, each with its own relatively enduring pattern of perceiving, relating to, and thinking about the environment and self. Amnesia must occur, defined as gaps in the recall of everyday events, important personal information, and/or traumatic events. The person must be distressed by the disorder or have trouble functioning in one or more major life areas because of the disorder. The disturbance is not part of normal cultural or religious practices. The symptoms cannot be due to the direct physiological effects of a substance (such as blackouts or chaotic behavior during alcohol intoxication) or a general medical condition (such as complex partial seizures).
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How common is dissociative identity disorder?
Studies indicate DID affects about 1% of the population. As an example, someone with dissociative identity disorder may find themselves doing things they wouldn't normally do, such as speeding, reckless driving, or stealing money from their employer or friend, yet they feel they are being compelled to do it.
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What's the difference between dissociative identity disorder and schizophrenia?
Dissociative identity disorder is characterized by the presence of two or more distinct or split identities or personality states that continually have power over the person's behavior. With dissociative identity disorder, there are also highly distinct memory variations, which fluctuate with the person's split personality. Sometimes the alters are imaginary people; sometimes they are animals. While unusual, there have been instances of dissociative identity disorder with more than 100 personalities.
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Is dissociative identity disorder real?
Dissociative identity disorder is thought to stem from a combination of factors that may include trauma experienced by the person with the disorder. Amnesia. It's estimated that individuals with dissociative disorders have spent seven years in the mental health system prior to accurate diagnosis.
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What is temporal arteritis?
It can start with a severe headache, pain when you chew, and tenderness in your temple. A few weeks later, you might have a sudden vision loss in one eye, followed quickly by the second. Other symptoms include joint pain, weight loss, and a low-grade fever. Doctors think a damaged immune system causes it. Early diagnosis and treatment with medication can help prevent vision loss. If you suddenly can't see, get to the doctor as soon as you can. It's an emergency.
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How do you develop dry eyes?
It's rare, but if you don't take care of it, you could lose some vision. Your eye doctor may suggest a humidifier in your home or special eye drops that simulate tears. Doctors treat severe cases with tear duct plugs, prescription eye drops, or surgery. Tearing, when your eyes make too many tears, can happen if you're sensitive to light, wind, or temperature changes. It can make your eye burn and itch, tear up, look red, or feel like there's something in it.
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Will my eyes change as I age?
Some problems become more common as you get older, although they can affect anyone at any age. If you notice a sudden change in the type or number of spots or flashes you see, visit your eye doctor as soon as you can.
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How can medications lead to depression?
Certain medications prescribed for various medical conditions do cause such feelings as sadness, despair, and discouragement. And those are feelings that are often associated with depression. So have oral contraceptives, high blood pressure drugs, and even statins that treat high cholesterol. The best way to know if a drug could be affecting your mood in a negative way is to know which medicines commonly cause depression or mania.
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What should I do if I think my medicine causes depression or mania?
Certain medications prescribed for various medical conditions do cause such feelings as sadness, despair, and discouragement. So have oral contraceptives, high blood pressure drugs, and even statins that treat high cholesterol. Then talk to your doctor to see if any of the medicines you are taking are likely causing or contributing to mood symptoms, and if so, discuss whether a different medication may be a better choice. When a medicine does produce symptoms of mania or depression, your doctor may recommend discontinuing the drug or reducing the dosage (if possible). If this is not possible, your doctor may treat the manic or depressive symptoms with other drugs. If you do experience depression or mania while taking one of these medications or any other, call your doctor immediately.
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What are the goals of palliative care?
The goals are: Relieve pain and other symptoms Address your emotional and spiritual concerns, and those of your caregivers Coordinate your care Improve your quality of life during your illness For example, a palliative care doctor may prescribe medications and other therapies to treat pain, constipation, shortness of breath, and other symptoms.
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What services can a palliative care team provide?
Your palliative care team can provide the following services: Expert treatment of pain and other symptoms Open discussion about treatment choices for your illness (including difficult and complex choices) and management of your symptoms Coordination of your care with all of your health care providers Help with navigating the health care system Help with making a smooth transition from the hospital to home care or a nursing home Emotional, spiritual, and practical support for you and your family Here are questions to ask your palliative care team, according to the Center to Advance Palliative Care: What can I expect from palliative care?
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What are some questions to ask your palliative care team?
Your palliative care team can provide the following services: Expert treatment of pain and other symptoms Open discussion about treatment choices for your illness (including difficult and complex choices) and management of your symptoms Coordination of your care with all of your health care providers Help with navigating the health care system Help with making a smooth transition from the hospital to home care or a nursing home Emotional, spiritual, and practical support for you and your family Here are questions to ask your palliative care team, according to the Center to Advance Palliative Care: What can I expect from palliative care? Where will I receive my care (for example, in the hospital, home, nursing home, or hospice?) Who will be part of my palliative care team? What are your recommendations for my care? What will you do if I experience severe pain or uncomfortable symptoms? How will you communicate with my other doctors? What decisions will my family or I need to make? Will you be able to help explain the issues involved in making these decisions? Will you communicate candidly about my illness with me and my family?
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Who is on a palliative care team?
In general, the interdisciplinary palliative care team includes a doctor, a nurse, and a social worker. But other experts often fill out the team, according to a patient's needs. These include chaplains, counselors, pharmacists, dietitians, rehabilitation specialists, physical therapists, music and art therapists, and home health aides.
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What are examples of what a palliative care team might do?
The goals are: Relieve pain and other symptoms Address your emotional and spiritual concerns, and those of your caregivers Coordinate your care Improve your quality of life during your illness For example, a palliative care doctor may prescribe medications and other therapies to treat pain, constipation, shortness of breath, and other symptoms. A social worker may coordinate your care and serve as an advocate on behalf of you and your family. A chaplain may offer spiritual support and help you to explore your beliefs and values. The palliative care team can also help your family by offering medical information, emotional support, and home care assistance.
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What over-the-counter medicines help for a cough?
You have two main choices in the cold-and-flu aisle: Cough suppressants , like dextromethorphan, can provide relief for a short time. They work on the part of your brain that controls the process. Expectorants, like guaifenesin, can break up congestion in your chest by thinning the mucus in your airways. This way, when you do cough, you can get rid of phlegm more easily. Drink plenty of water if you take this medicine.
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Can over-the-counter medicines cure a cold?
Over-the-counter medicines won't cure your cold, but they might make you feel better, so you can rest as it runs its course.
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Can I take over-the-counter medicines for fever, aches, and a sore throat?
These symptoms are usually mild with a cold compared to a more serious illness, like the flu. Still, if you feel bad and can't rest, most experts agree it's OK to take something to ease pain and lower a fever, like acetaminophen or ibuprofen. Always check drug labels for side effects, and follow the instructions for taking the medicine. Make sure it won't mix poorly with any other medications you're taking or health problems you have -- ask your doctor or pharmacist if you're not sure.
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What kind of over-the-counter medicine helps with congestion?
Decongestants can curb swelling inside your nose and sinuses, and help you breathe more easily. If you see the letter " D" at the end of a medicine's name, it means it includes a decongestant. Look for products with phenylephrine or pseudoephedrine. ( You may have to ask for these. They're still considered over-the-counter but are often stored behind the counter.) Nasal sprays. Products with oxymetazoline and phenylephrine may work faster than pills or syrups. But if you use them for more than 2-3 days in a row, your congestion could get worse. Don't take both types of decongestant at the same time. Start with a nasal spray for the first couple of days, and switch to a pill or syrup if you still need it.
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What do over-the-counter antihistamines do?
They're still considered over-the-counter but are often stored behind the counter.) When you have a cold, your body makes chemicals called histamines. They can also make you sleepy and dry out your eyes, nose, and mouth.
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What does sexual orientation mean?
Sexual orientation is usually divided into three categories: Heterosexual: attracted to individuals of the opposite sex Bisexual: attracted to members of either sex Homosexual: attracted to individuals of one's own sex Sexual orientation involves a person's feelings and sense of identity; it may or may not be evident in the person's appearance or behavior. People may have attractions to people of the same or opposite sex, but may elect not to act on these feelings.
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How can a person's sexual orientation be changed?
Most experts agree that sexual orientation is not a choice and, therefore, cannot be changed. Some people who are homosexual or bisexual may hide their sexual orientation and live as heterosexuals to avoid prejudice against people who are homosexual and bisexual.
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What are the categories of sexual orientation?
Sexual orientation is usually divided into three categories: Heterosexual: attracted to individuals of the opposite sex Bisexual: attracted to members of either sex Homosexual: attracted to individuals of one's own sex Sexual orientation involves a person's feelings and sense of identity; it may or may not be evident in the person's appearance or behavior.
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Why are some people homosexual or bisexual?
Most scientists today agree that sexual orientation (including homosexuality and bisexuality) is the result of a combination of environmental, emotional, hormonal, and biological factors. In other words, there are many factors that contribute to a person's sexual orientation, and the factors may be different for different people. However, homosexuality and bisexuality are not caused by the way a child was reared by his or her parents, or by having a sexual experience with someone of the same sex when the person was young. Also, being homosexual or bisexual does not mean the person is mentally ill or abnormal in some way, although there may be social problems that result from prejudicial attitudes or misinformation.
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How do people know their sexual orientation?
In other words, there are many factors that contribute to a person's sexual orientation, and the factors may be different for different people. For example, homosexuals become aware that their sexual thoughts and activities focus on people of the same sex. It is possible, however, to have fantasies or to be curious about people of the same sex without being homosexual or bisexual, or choosing to act on these impulses/attractions.
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How can zinc be used as a treatment?
In addition, zinc has also been studied as a treatment for herpes, high cholesterol, rheumatoid arthritis, HIV, and more. However, the evidence of zinc's benefit for these conditions is inconclusive. Zinc may be part of an effective treatment for age-related macular degeneration, but more proof is needed.
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What are the goals of treatment for juvenile rheumatoid arthritis?
Treatment usually includes medications along with exercise. The goals are to: Stop inflammation Ease pain and swelling Strengthen joints and help them move better Prevent joint damage and other complications Medications for juvenile rheumatoid arthritis include: NSAIDS ( Nonsteroidal Anti- Inflammatory Drugs) The medicines can curb pain, fever, and inflammation.
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What medications can stop juvenile rheumatoid arthritis from getting worse?
Meds That Stop the Condition From Getting Worse Your doctor may prescribe “ DMARDs,” which stands for Disease- Modifying Antirheumatic Drugs. They also help with joint stiffness, pain, and swelling. Examples include hydroxychloroquine ( Plaquenil), methotrexate, and sulfasalazine ( Azulfidine). It may take about 3 to 6 months for these medicines to work.
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Do hot and cold treatments help treat juvenile arthritis?
It can help to use hot and cold treatments. For instance, a warm compress can loosen up a stiff muscle and an ice pack often reduces swelling and inflammation.
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How are nonsteroidal anti-inflammatory drugs taken to treat juvenile rheumatoid arthritis?
They come as a liquid or a pill. People usually take them from one to 4 times a day. Some common NSAIDs are aspirin, ibuprofen, naproxen, and tolmetin.
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Do children with juvenile rheumatoid arthritis recover?
Adults who have it usually have symptoms all their lives. But studies show that by adulthood, children with juvenile rheumatoid arthritis don't have symptoms anymore. They simply outgrow it.
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What biologic drugs are used to treat juvenile rheumatoid arthritis?
“ Biologic” Drugs for Your Immune System These drugs are genetically engineered to work on the immune system. They include adalimumab ( Humira), adalimumab-atto ( Amjevita), a biosimilar to Humira, anakinra ( Kineret), etanercept ( Enbrel), etanercept-szzs ( Ereizi), a biosimilar to Enbrel, infliximab ( Remicade), and infliximab-dyyb ( Inflectra), a biosimilar to Remicade.
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Are eye problems linked to juvenile arthritis?
Eye problems are linked to some forms of juvenile rheumatoid arthritis, so keep up with your child's eye tests.
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What are corticosteroids and how do they treat juvenile arthritis?
If You Need Corticosteroids These are strong, anti-inflammatory drugs. Doctors usually prescribe them only if other treatments don't work, or if the condition is severe. This type of steroid isn't the kind that bulks up your muscles.
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How do nonsteroidal anti-inflammatory drugs treat juvenile rheumatoid arthritis?
The goals are to: Stop inflammation Ease pain and swelling Strengthen joints and help them move better Prevent joint damage and other complications Medications for juvenile rheumatoid arthritis include: NSAIDS ( Nonsteroidal Anti- Inflammatory Drugs) The medicines can curb pain, fever, and inflammation.
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What are the symptoms of flare-ups of juvenile rheumatoid arthritis?
Flare-ups, times when it gets worse, can last for several weeks. Later on, symptoms may lessen. They include: Fevers of 103 F or higher Pink rash that comes and goes Eye inflammation Joint pain or stiffness Limping Swelling in joints Being less active Trouble with movements of hands or fingers, affecting things like handwriting or coloring Problems with bone development and growth There are three kinds.
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What is systemic juvenile rheumatoid arthritis?
It affects much of the body. Doctors may call this form “systemic.” Signs of this include joint swelling, fever, and a light pink rash. It may involve the heart, liver, spleen, and lymph nodes. A small percentage of children who have it develop arthritis in their joints. They may have severe arthritis that lasts into adulthood.
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What medications are used for juvenile rheumatoid arthritis?
The goals are to: Stop inflammation Ease pain and swelling Strengthen joints and help them move better Prevent joint damage and other complications Medications for juvenile rheumatoid arthritis include: NSAIDS ( Nonsteroidal Anti- Inflammatory Drugs) The medicines can curb pain, fever, and inflammation. They come as a liquid or a pill. People usually take them from one to 4 times a day. Some common NSAIDs are aspirin, ibuprofen, naproxen, and tolmetin.
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How is juvenile rheumatoid arthritis different from adult rheumatoid arthritis?
Adults who have it usually have symptoms all their lives. But studies show that by adulthood, children with juvenile rheumatoid arthritis don't have symptoms anymore. They simply outgrow it.
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Should children with juvenile arthritis be active?
If your child has juvenile rheumatoid arthritis, encourage her to get out there and be active. Avoid contact sports and instead go for things that are not stressful on the joints, like swimming.
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What are the treatment goals of juvenile rheumatoid arthritis?
Treatment usually includes medications along with exercise. The goals are to: Stop inflammation Ease pain and swelling Strengthen joints and help them move better Prevent joint damage and other complications Medications for juvenile rheumatoid arthritis include: NSAIDS ( Nonsteroidal Anti- Inflammatory Drugs) The medicines can curb pain, fever, and inflammation.
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What are the side effects of disease-modifying antirheumatic drugs used to treat juvenile arthritis?
Because these are strong drugs, your child will need frequent tests to check for side effects. They can include anemia, low blood count, and kidney and liver problems. Other possible problems could be stomach aches, diarrhea, vomiting, nausea, headaches, rashes, loss of appetite, and weakness.
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What are the side effects of nonsteroidal anti-inflammatory drugs for juvenile rheumatoid arthritis?
While NSAIDs ease pain and inflammation, they also have side effects. These include stomach pain, nausea, vomiting, headache, and anemia. Sometimes your doctor will give you another stomach-protecting medication to take with the NSAIDs. This will make stomach bleeding less likely.
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What other drugs can be used for juvenile rheumatoid arthritis?
If you child does not respond well to NSAIDS, the doctor may prescribe a new drug called Xatmep. Xatmep is the first ready-to-use oral solution formulation of methotrexate to be approved for use in children with polyarticular juvenile idiopathic arthritis. An aggressive therapy, this medicine helps reduce further joint damage and helps preserve joint function. Side effects can include dizziness, fatigue, chills and fever.
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How will a doctor diagnose symptoms of juvenile rheumatoid arthritis?
If a doctor thinks a child may have juvenile rheumatoid arthritis, she will ask about symptoms and the family's medical history. She will give the child a physical exam to look for joint swelling, rashes, signs of internal organ inflammation, and eye problems. She may also take samples of the child's blood and joint fluid, and use X-rays or other tests.
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What are the signs of systemic juvenile arthritis?
Doctors may call this form “systemic.” Signs of this include joint swelling, fever, and a light pink rash. It may involve the heart, liver, spleen, and lymph nodes. A small percentage of children who have it develop arthritis in their joints. They may have severe arthritis that lasts into adulthood.
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Are biologic drugs used to treat juvenile arthritis?
“ Biologic” Drugs for Your Immune System These drugs are genetically engineered to work on the immune system. They include adalimumab ( Humira), adalimumab-atto ( Amjevita), a biosimilar to Humira, anakinra ( Kineret), etanercept ( Enbrel), etanercept-szzs ( Ereizi), a biosimilar to Enbrel, infliximab ( Remicade), and infliximab-dyyb ( Inflectra), a biosimilar to Remicade.
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How is juvenile rheumatoid arthritis diagnosed?
Juvenile rheumatoid arthritis is often hard to diagnose. Sometimes children who have it do not complain of pain. In fact, parents may not be aware of symptoms.
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Is polyarticular juvenile rheumatoid arthritis symmetrical?
This type of juvenile rheumatoid arthritis is usually symmetrical. That means it affects the same joints on both sides of the body.
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Are there various medications for juvenile rheumatoid arthritis?
If You Need Corticosteroids These are strong, anti-inflammatory drugs.
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What is the treatment for juvenile arthritis if my child doesn't respond to nonsteroidal anti-inflammatory drugs?
If you child does not respond well to NSAIDS, the doctor may prescribe a new drug called Xatmep. Xatmep is the first ready-to-use oral solution formulation of methotrexate to be approved for use in children with polyarticular juvenile idiopathic arthritis. An aggressive therapy, this medicine helps reduce further joint damage and helps preserve joint function. Side effects can include dizziness, fatigue, chills and fever.
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How is juvenile rheumatoid arthritis different than adult rheumatoid arthritis?
Adults who have it usually have symptoms all their lives. But studies show that by adulthood, children with juvenile rheumatoid arthritis don't have symptoms anymore. They simply outgrow it.
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Are there side effects of nonsteroidal anti-inflammatory drugs used to treat juvenile rheumatoid arthritis?
While NSAIDs ease pain and inflammation, they also have side effects. These include stomach pain, nausea, vomiting, headache, and anemia. Sometimes your doctor will give you another stomach-protecting medication to take with the NSAIDs. This will make stomach bleeding less likely.
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What percentage of children with juvenile rheumatoid arthritis have polyarticular JRA?
About 30% of all children with juvenile rheumatoid arthritis have this type. It usually affects the small joints, like those in the hands and feet, but it can sometimes involve the large joints.
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How are corticosteroids used to treat juvenile rheumatoid arthritis?
They include: Fevers of 103 F or higher Pink rash that comes and goes Eye inflammation Joint pain or stiffness Limping Swelling in joints Being less active Trouble with movements of hands or fingers, affecting things like handwriting or coloring Problems with bone development and growth There are three kinds. Side effects can include dizziness, fatigue, chills and fever. If You Need Corticosteroids These are strong, anti-inflammatory drugs. Doctors usually prescribe them only if other treatments don't work, or if the condition is severe. Examples of steroids include dexamethasone, hydrocortisone, methylprednisolone, prednisolone, and prednisone.
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Do children with rheumatoid arthritis fully recover?
About 30% of all children with juvenile rheumatoid arthritis have this type. Treatment usually includes medications along with exercise.
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What is pauciarticular juvenile rheumatoid arthritis?
Four or fewer joints are involved. About half of all children with juvenile rheumatoid arthritis have this type. It usually affects large joints like the knees. Girls under age 8 are most likely to get it. Lots of children with this condition will outgrow it by adulthood.
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What is the cause of juvenile rheumatoid arthritis?
The inflammation can cause redness, swelling, warmth, and soreness in the joints. Researchers don't know exactly why it happens. But they think it's a two-step process. First, something in a child's genes makes them more likely to get it. Then something else, like a virus, triggers the arthritis itself. This type of juvenile rheumatoid arthritis is usually symmetrical. “ Biologic” Drugs for Your Immune System These drugs are genetically engineered to work on the immune system.
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Is weight related to juvenile arthritis?
They often have a more severe form of the condition. Check with your doctor about which ones are appropriate for children. Others gain too much weight because they have problems being active, or because of side effects from medication. Extra weight is hard on the joints.
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Are oral health problems related to juvenile arthritis?
Dentists can recommend special toothbrushes and floss to help children take care of their mouths. If the lower jaw doesn't develop correctly, it can cause an overbite.
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Are there different types of juvenile rheumatoid arthritis?
Doctors call this pauciarticular JRA. Some children with this type have special proteins in the blood called antinuclear antibodies. If your child has juvenile rheumatoid arthritis, encourage her to get out there and be active.
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To help prevent heart disease, what type of exercise should I do?
Anything that makes your heart beat a bit faster counts. Think about what you need. For instance, if you're looking for something easy on your joints, consider walking and swimming. Don't forget to think about what would be fun, too. Maybe you could do something you used to do or something you've always wanted to try. What's convenient for you is important, too.
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To help prevent heart disease, how hard should I work out?
A cardio workout is moderate if you can talk but not sing. You're exercising vigorously if you can't say more than a few words without taking a breath. Ask your doctor if you should limit the intensity of your exercise. It's much better to start out taking it easier and work up to more challenging workouts. That'll help prevent injury.
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To help prevent heart disease, how often and how long should I exercise?
Regular exercise, especially aerobic exercise, is one of the best things you can do for yourself. If you're not active now, check in with your doctor before you start.
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Why should I exercise to help prevent heart disease?
If you're not active now, check in with your doctor before you start. She'll let you know what you can do safely. If you take any prescription medicines, ask her if you need to adjust them when you start exercising. While the more exercise you can do, the better, any amount is good for you. What's convenient for you is important, too.
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I’m exercising to prevent heart disease. How can I stick with it?
Ban boredom. Pick a variety of activities that you like. Use music to keep you entertained. Commit. You won't always feel like it, and you'll find all sorts of excuses not to do it. You'll need to make a decision ahead of time and ignore that impulse and exercise anyway. Socialize. Working out is more fun if you have a friend with you. Stay within your budget. Don't buy expensive equipment or health club memberships unless you know you'll use them.
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How long will an elimination diet take?
This method takes several weeks. Don't do it if you've had a severe allergic reaction (called anaphylaxis). If you have, you need to know your trigger food as soon as possible so you can avoid it. Talk with your doctor about that.
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What is the goal of an elimination diet?
Instead, the goal of an elimination diet is to pinpoint food that you might be sensitive to or allergic to.
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What are the behaviors of people who engage in self-injury?
Self injury, also called self-harm, self-mutilation, or simply cutting, is defined as any intentional injury to one's own body. Usually, self-injury leaves marks or causes tissue damage. Self-injury can involve any of the following behaviors: Cutting Burning (or "branding" with hot objects) Excessive body piercing or tattooing Picking at skin or re-opening wounds Hair-pulling (trichotillomania) Head-banging Hitting (with hammer or other object) Bone-breaking Most who engage in self-injury act alone rather than in groups.
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What are the signs that a person may be engaging in self-injury?
The symptoms of self-injury include: Frequent cuts and burns that cannot be explained Self-punching or scratching Needle sticking Head banging Eye pressing Finger or arm biting Pulling out one's hair Picking at one's skin Signs that an individual may be engaging in self-injury include: Wearing of pants and long sleeves in warm weather The appearance of lighters, razors, or sharp objects that one would not expect among a person's belongings Low self-esteem Difficulty handling feelings Relationship problems Poor functioning at work, school, or home If an individual shows signs of self-injury, a mental health professional with self-injury expertise should be consulted.
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When should you see your doctor about heartburn while pregnant?
Or place pillows under your shoulders to help prevent stomach acids from rising into your esophagus. Ask your doctor about using over-the-counter medications such as Tums or Maalox, which are generally safe to use during pregnancy.
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How are heartburn and pregnancy linked?
More than half of all pregnant women report symptoms of severe heartburn, particularly during their second and third trimesters. Heartburn, also called acid indigestion, is an irritation or burning sensation of the esophagus caused by stomach contents that reflux (comes back up) from the stomach.
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How can you reduce heartburn during pregnancy?
To reduce heartburn during pregnancy without hurting your baby, you should try the following: Eat several small meals each day instead of three large ones. Eat slowly. Avoid fried, spicy, or rich (fatty) foods or any foods that seem to cause relaxation of the lower esophageal sphincter and increase the risk of heartburn. Drink less while eating. Drinking large amounts while eating may increase the risk of acid reflux and heartburn. Don't lie down directly after eating. Keep the head of your bed higher than the foot of your bed. Or place pillows under your shoulders to help prevent stomach acids from rising into your esophagus. Ask your doctor about using over-the-counter medications such as Tums or Maalox, which are generally safe to use during pregnancy. You may find that liquid heartburn relievers are more effective in treating heartburn, because they coat the esophagus. Wear loose-fitting clothing. Tight-fitting clothes can increase the pressure on your stomach and abdomen. Avoid constipation.
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What causes heartburn in pregnancy?
Pregnancy hormones can cause the lower esophageal sphincter (the muscular valve between the stomach and esophagus) to relax, allowing stomach acids to flow back up into the esophagus. In addition, the enlarged uterus can crowd the abdomen, pushing stomach acids upward. Although it's rare, gallstones can also cause heartburn during pregnancy. Avoid fried, spicy, or rich (fatty) foods or any foods that seem to cause relaxation of the lower esophageal sphincter and increase the risk of heartburn.
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What do the side effects of chemotherapy for colorectal cancer depend on?
Several new chemotherapy drugs also are used for the treatment of colorectal cancer that has spread. Because the mechanism of chemotherapy is to kill rapidly dividing cancer cells, it also kills other rapidly dividing healthy cells in our bodies, such as the membranes lining the mouth, the lining of the gastrointestinal tract, the hair follicles, and the bone marrow. Although it may take some time, side effects related to chemotherapy will resolve when chemotherapy is stopped.
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What chemotherapy drugs are used for colorectal cancer?
Chemotherapy can be given in a variety of situations: Palliative chemotherapy is used when colorectal cancer is advanced and has already spread to different parts of the body. It is used in combination with leucovorin (a vitamin), which makes 5- FU more effective. 5- FU is given intravenously. A pill form of capecitabine ( Xeloda) is changed to 5- FU when it reaches the tumor. Xeloda is also being used as adjuvant therapy or neoadjuvant therapy with radiation in patients with rectal cancers to heighten the effect of radiation. Other drugs include irinotecan ( Camptosar) and oxaliplatin ( Eloxatin). These drugs are usually combined with 5- FU or Xeloda after surgery or in the advanced setting. Several new chemotherapy drugs also are used for the treatment of colorectal cancer that has spread. These include panitumumab ( Vectibix), cetuximab ( Erbitux), bevacizumab ( Avastin), ramucirumab ( Cyramza), and aflibercept ( Zaltrap), and are usually given along with 5- FU, plus irinotecan or oxaliplatin, for metastatic colorectal cancer. Regorafenib ( Stivarga) is another new drug that can be taken orally as a single agent after the other drugs have stopped working.
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What is chemotherapy for colorectal cancer?
Each drug works against a specific cancer, and each drug has specific doses and schedules for taking it. Chemotherapy can be given in a variety of situations: Palliative chemotherapy is used when colorectal cancer is advanced and has already spread to different parts of the body. The surgery may not eliminate all the cancer cells, so the adjuvant chemotherapy treatment is used to kill any that may have been missed, such as cells that may have metastasized or spread to the liver. 5- FU is given intravenously.
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When is adjuvant chemotherapy used for colorectal cancer?
The surgery may not eliminate all the cancer cells, so the adjuvant chemotherapy treatment is used to kill any that may have been missed, such as cells that may have metastasized or spread to the liver. 5- FU is given intravenously.
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What are concerns regarding the use of ephedrine for the treatment of diabetes?
In 2003, ephedrine-- also known as ma huang -- became the first herbal stimulant ever banned by the FDA. A popular component of anti-obesity over-the-counter drugs, ephedrine was found to have some benefits. However, the evidence of its ability to cause harm was far more compelling. In high doses, it has been known to cause insomnia (difficulty falling and staying asleep), high blood pressure, glaucoma, and urinary retention. This herbal supplement has also been associated with numerous cases of stroke.
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Are herbs helpful for diabetes?
There are few or no clinical trials with promising results for many of the other herbs being proposed for diabetes, such as garlic, ginger, ginseng, hawthorn, or nettle. If you have diabetes and are considering taking any of these herbal substances, talk to your doctor first.
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What should you do before using herbal products for diabetes?
When considering treating diabetes with an herbal product, you should: Discuss any drugs you are thinking of using, including herbal products, with your doctor before taking them. If you experience side effects such as nausea, vomiting, rapid heartbeat, anxiety, insomnia, diarrhea, or skin rashes, stop taking the herbal product and notify your doctor immediately. Avoid preparations made with more than one herb. Beware of commercial claims of what herbal products can do. Look for scientific-based sources of information. Select brands carefully. Only purchase brands that list the herb's common and scientific name, the name and address of the manufacturer, a batch and lot number, expiration date, dosage guidelines, along with potential side effects.
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What supplements are suggested for treating diabetes?
Supplements Chromium has been widely publicized as therapy to improve diabetes control. Although there are several studies that support a role for chromium as beneficial in diabetes, other studies do not confirm this. Currently there are no recommendations for its use in diabetes management. Magnesium has been studied for years as a form of therapy to improve blood sugar control in people with diabetes. A lack of magnesium has been associated with insulin secretion abnormalities and has been associated with diabetes complications. Vanadium is derived from plant sources and has been shown in a few studies to increase a person's sensitivity to insulin. Thus far, no recommendations exist for supplementation to be given to people with diabetes.
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What are concerns regarding the use of chitosan for the treatment of diabetes?
Chitosan is derived from seashells and has the ability to bind to fat and prevent its absorption. Although it is purported to facilitate weight loss, available studies have not been encouraging.
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What alternative treatments for diabetes have been associated with liver disease, pulmonary disease, and kidney disease?
Germander, momordica charanta, sauropus androgynus, and aristolochic acid have been associated with liver disease, pulmonary disease, and kidney disease.
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Can alternative weight loss therapies help with diabetes?
Since weight and diabetes are linked, many people with diabetes turn to alternative therapies that claim to help with weight loss, including: Chitosan Camsogia Garcinia (hydroxycitric acid) Chromium Pyruvate Germander Momordica charanta Sauropus androgynus Aristolochic acid In addition, transdermal (skin patch) systems as well as oral sprays have been developed to purportedly reduce appetite and facilitate weight loss. One patch system uses homeopathic amounts of 29 different compounds to reduce appetite, but no published literature on its efficacy is available.
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What should you consider when using plant-based foods as an alternative treatment to diabetics?
There are few or no clinical trials with promising results for many of the other herbs being proposed for diabetes, such as garlic, ginger, ginseng, hawthorn, or nettle. If you have diabetes and are considering taking any of these herbal substances, talk to your doctor first.
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What plant-based foods can help diabetics?
Brewer's yeast Buckwheat Broccoli and other related greens Okra Peas Fenugreek seeds Sage Most plant foods are rich in fiber, which is beneficial for helping control blood sugar levels.
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What should I consider before taking an herbal product for diabetes?
If you experience side effects such as nausea, vomiting, rapid heartbeat, anxiety, insomnia, diarrhea, or skin rashes, stop taking the herbal product and notify your doctor immediately. Look for scientific-based sources of information.
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What is an arthroscopic technique for hip impingement surgery?
Often, surgery for hip impingement can be performed arthroscopically. This technique involves inserting a lighted scope and thin tools through small incisions over your hip instead of making a large incision. Arthroscopy is usually an outpatient surgery.
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What tests are used to diagnose hip impingement?
If you have symptoms of hip impingement, your doctor can diagnose the problem based on your description of your symptoms, a physical exam, and the findings of imaging tests.
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How can I find out if my new workplace is safe?
A counselor can watch to see if it's safe for you to do certain tasks. He might recommend a change in your duties or your work site to improve safety. Your rights are protected by a law called the Americans with Disabilities Act. In general, it means employers need to make "reasonable accommodations" for any disabilities you have because of your MS. " Accommodations" means that your employer makes changes to the way a job is done or to the equipment you need to do it.
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What do you need to do daily to lower your blood sugar if you have diabetes?
There are four things you need to do every day to lower high blood sugar: Eat healthy food.
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What should I keep in mind daily about meals if I use insulin?
If You Use Insulin Give yourself an insulin shot. Eat about the same amount of food each day at about the same time. Don't skip meals, especially if you've already given yourself an insulin shot. Your blood sugar may go too low.
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What are some factors for healthy food for people with diabetes?
The foods on your diabetes eating plan are the same ones that are good for everyone. Try to stick to things that are low in fat, salt, and sugar and high in fiber, like beans, fruits, vegetables, and grains.
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What are urine tests for diabetes?
Urine Tests: You may need to test your urine or blood for ketones when you are sick or if your blood sugar is over 240 before eating a meal. Your body makes ketones when there is not enough insulin in your blood. They can make you very sick. You can buy strips for testing urine ketones at a drugstore. Also, some blood glucose meters can detect ketones with specialized strips. Your doctor or diabetes educator will show you how to use testing monitors correctly. Call your doctor right away if you find ketones when you test. You may have something called ketoacidosis. If not treated, it can cause death.
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What are four things someone with diabetes should do every day?
There are four things you need to do every day to lower high blood sugar: Eat healthy food.
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Where are some good places on the body for an insulin shot?
Good places on your body for a shot are: The outside part of your upper arms Around your waist and hips The outside part of your upper legs Avoid areas with scars and stretch marks. Ask your doctor or nurse to check your skin where you give your shots.
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How does exercise affect someone who does not use insulin?
If You Don't Use Insulin See your doctor before starting an exercise program. Test your blood sugar before and after exercising if you take diabetes pills. You want it no lower than 70 or no higher than 240.