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How can I make interactions with coworkers more normal after returning from an organ transplant?
Your co-workers may seem to have left you behind, Punch cautions. Going back to work after a long absence can make you feel like the new kid in school all over again. You're craving to feel normal, but can't because everyone is treating you so strangely. They think that a transplant recipient must still be gravely ill. Or they treat you like a fragile medical marvel. So it may be up to you to tell them otherwise.
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Can people who get an organ transplant go back to work?
Settling back into your old job can help you feel like yourself again -- and it pays the bills, too. But readjusting can be a challenge. You may not slide back into your job as smoothly as you like. Though you may be sitting in the same chair behind the same desk, things may not feel quite the same. People working in very competitive fields may feel out of the loop after an organ transplant.
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What should I do if I am being treated unfairly at work after an organ transplant?
Unfortunately, some of these common misconceptions about organ transplants can be more than annoyances. Many corporations, if they find out that you have a transplant, are afraid to take you on," says Friedman. " If you feel that you're being treated unfairly at work, don't accept it. Talk to people on your health care team. Many transplant centers have social workers who will help you transition back into life. Get some advice from folks in a support group.
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What is sperm quantity?
This measures how many sperm you have in your semen when you ejaculate. Remember, you need at least 15 million sperm per milliliter of semen to have a “normal” sperm count.
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Does exercise help with sperm count?
Researchers found that men who exercise at least three times per week for 1 hour showed increases in their sperm count and the number of moving sperm, as well.
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What causes low sperm count?
Any number of things can lead to low sperm count, including previous medical problems, age, and your environment. Your lifestyle factors in, too, so if you smoke or use recreational drugs, they can affect your fertility.
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Does what you eat affect sperm quality?
Choosing a diet of fresh fruits and vegetables may boost your semen quality. Eating fewer fatty foods and a little less protein could also help.
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Does a sperm's shape matter for fertility?
Even if you have a normal sperm count, they still have to be healthy enough to make the journey from your partner's vagina to the cervix and uterus to the fallopian tubes. The more normal-shaped sperm you have, the easier it will be for them to reach your partner's egg.
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Does smoking affect sperm quality?
Your lifestyle factors in, too, so if you smoke or use recreational drugs, they can affect your fertility. Men who smoke are more likely to have lower sperm count, density, and motility. They also produce less semen than men who don't smoke.
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How can polysomnography help in the diagnosis of rapid eye movement (REM) sleep behavior disorder?
Polysomnography Polysomnographic video recording is the single most important diagnostic test in persons with RBD. This test is usually conducted in a sleep study center. The person undergoing testing is required to sleep at the center while the following parameters are monitored: Electrical activity of the brain (electroencephalogram, or EEG) Electrical activity of the heart (electrocardiogram, or ECG) Movements of the muscles (electromyogram) Eye movements (electrooculogram) Respiratory movements These parameters are monitored as the person passes through the various sleep stages. Characteristic patterns from the electrodes are recorded while the person is awake and during sleep. Continuous video recording is done to observe behaviors during sleep.
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Why do you get a neurologic exam to help diagnose REM sleep behavior disorder?
Neurologic exam When trying to diagnose REM sleep behavior disorder, or RBD, the neurologic exam is often normal. However, symptoms and signs of Parkinson's disease, such as hand tremor at rest, slowness in movement, and muscle stiffness (rigidity) that may suggest an underlying neurologic cause of RBD, should be considered.
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How long does perimenopause last?
Perimenopause lasts up until menopause, the point when the ovaries stop releasing eggs. In the last 1 to 2 years of perimenopause, this drop in estrogen speeds up. At this stage, many women have menopause symptoms. The average length of perimenopause is 4 years, but for some women this stage may last only a few months or continue for 10 years. Perimenopause ends when a woman has gone 12 months without having her period.
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How much water should I drink to avoid when working out?
A good general rule is to then drink this amount of water: 8 ounces about 20 to 30 minutes before working out 8 ounces every 10 to 20 minutes during your workout 8 ounces within a half hour of when your workout is done Eat a small meal or snack every 2 to 3 hours to keep a steady source of fuel for your body.
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What medications can ease pain from a workout injury?
Check with your doctor. You can still be active as long as you don't stress the injury.
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How quickly do workout injuries usually heal?
If you are a biker, always wear a helmet. If you're concerned about the injury, it's best to seek medical advice.
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How can I prevent tooth discoloration?
By making a few simple lifestyle changes, you may be able to prevent teeth discoloration. For example, if you are a coffee drinker and/or smoker, consider cutting back or quitting all together. Also, improve your dental hygiene by brushing, flossing, and using a mouthwash daily, and getting your teeth cleaned by a dental hygienist every 6 months. If your teeth appear to be an abnormal color without ready explanation and, if other symptoms are also present, make an appointment to see your dentist.
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What treatment options are available to whiten teeth?
Treatment options to whiten teeth can vary depending on the cause of the discoloration and may include: Using proper tooth brushing and flossing techniques Avoidance of the foods and beverages that cause stains Bondings Veneers Using over-the-counter whitening agents In-home whitening agents purchased from your dentist In-office whitening procedures
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What is dystonia?
Dystonia is a movement disorder in which a person's muscles contract uncontrollably. The contraction causes the affected body part to twist involuntarily, resulting in repetitive movements or abnormal postures. Dystonia can affect one muscle, a muscle group, or the entire body. Dystonia affects about 1% of the population, and women are more prone to it than men.
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What types of therapies treat dystonia?
Speech therapy, physical therapy, and stress management may also be used to treat the symptoms of dystonia.
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How is dystonia treated?
The doctor will determine the course of treatment based on the type of dystonia and its severity. A recently introduced treatment is botulinum toxin, also called Botox or Xeomin. The toxin is injected into the affected muscle. There it blocks the effect of the chemical acetylcholine that produces muscle contractions. The injection needs to be repeated about every three months. When dystonia causes someone to become disabled, deep brain stimulation is an option. With deep brain stimulation, an electrode is implanted into a particular area in the brain. It is then connected to a battery powered stimulator implanted in the chest. The electrode transmits electrical pulses created by the stimulator to the brain region to reduce the muscular contractions. The person's doctor regulates the frequency and intensity of the electrical pulses.
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How are dystonias classified?
Dystonias are classified by the body part they affect: Generalized dystonia affects most of or all of the body. Focal dystonia affects just a specific body part. Multifocal dystonia affects more than one unrelated body part. Segmental dystonia involves adjacent body parts. Hemidystonia affects the arm and leg on the same side of the body.
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What is cervical dystonia?
At first, typically, it affects just one eye. Cervical dystonia, or torticollis, is the most common type. Cervical dystonia affects the neck muscles, causing the head to twist and turn or be pulled backward or forward.
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What is high cholesterol?
Cholesterol is a waxy, fat-like substance made in the liver and other cells. It's also found in certain foods, such as dairy products, eggs, and meat. Your body needs some cholesterol to produce hormones, vitamin D, and the bile acids that help you digest fat. But the body only needs a limited amount of cholesterol. When there's too much, health problems, such as heart disease, may develop.
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What kind of cholesterol is bad for you?
The cholesterol that blocks arteries is called low-density lipoprotein, or LDL. Another kind of cholesterol called high-density lipoprotein or HDL is known as good cholesterol because it helps remove LDL from the blood and eventually from the body. For good health, you ideally want to keep the LDL levels down and the HDL levels up. If this balance isn't maintained, especially if it's reversed, you are said to have high cholesterol.
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Can exercise help prevent high cholesterol?
Your risk of having high cholesterol increases if: Your diet is high in saturated fat. These fats, found in meat and full-fat dairy products, raise LDL cholesterol. Dietary cholesterol, found in eggs and organ meats, can also raise blood cholesterol levels, but not as much as saturated fat does.
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How does high cholesterol affect men?
For many men, the risk from high cholesterol starts in their 20s and increases with age.
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What affects cholesterol levels?
Everyone over 20 should get a cholesterol test at least once every 5 years. If your numbers are high, your doctor may recommend the test more often. But the body only needs a limited amount of cholesterol. How does the doctor know I have high cholesterol?
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What foods increase my risk for high cholesterol?
It's also found in certain foods, such as dairy products, eggs, and meat. Dietary cholesterol, found in eggs and organ meats, can also raise blood cholesterol levels, but not as much as saturated fat does. You eat foods containing trans fats. These are artificially made fats found in partially hydrogenated oils. They raise LDL cholesterol and lower HDL cholesterol -- exactly the wrong combination. You eat processed foods or foods high in carbohydrates. These types of foods have also been shown to increase LDL cholesterol. To reduce your cholesterol, one of the most important change to make is to cut back on the amount of saturated fat and trans fats in your diet.
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How can losing weight prevent high cholesterol?
You are overweight or obese. The average American now gets more than 20% of calories from beverages. Switching to water is painless and can make a big difference in total calories.
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What diet changes can prevent high cholesterol?
Your risk of having high cholesterol increases if: Your diet is high in saturated fat. It also means eating less fried food, processed food, and foods high in sugar. It is also important to increase the amount of soluble fiber you eat. This form of fiber, found in oatmeal, kidney beans, and apples, for example, helps remove LDL from the body.
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How can you get tennis elbow?
You can get it from other racquet sports, such as squash or racquetball. You can also get it from jobs or activities that involve repetitive arm motion, such as: Tree-cutting (repetitive use of a chain saw) Painting Carpentry Playing some types of musical instruments Butchers, cooks, and assembly-line workers are among the groups that get it often.
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How does tennis elbow differ from golfer's elbow?
Golfer's elbow differs from tennis elbow in that the pain is focused on the inside of the elbow. But the causes are similar: tendon tears caused by repetitive movement, whether it's a golf swing, lifting weights, or simply shaking hands.
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What is tennis elbow?
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What causes tennis elbow?
Any activity that strains the muscles around the elbow over and over again can cause it. There's also a version golfers get called “golfer's elbow.” In tennis, hitting a backhand puts some stress on your forearm muscles, which repeatedly contract when you hit the ball. If you have poor technique or grip the racquet too tightly, that stress may increase in the tendons that connect the forearm muscles to the elbow. The tendons may get small tears. The more you do it -- and tennis is a game of repeated strokes -- the greater the chance for tennis elbow. But the causes are similar: tendon tears caused by repetitive movement, whether it's a golf swing, lifting weights, or simply shaking hands.
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How is tennis elbow treated?
Tennis elbow is a pain focused on the outside of the arm, where your forearm meets your elbow. Tennis elbow can usually be treated with exercise, physical therapy, and medications such as ibuprofen ( Advil, Motrin), naproxen ( Aleve), and aspirin. Talk to your doctor if you have ongoing pain and think you may need to take pain relievers for an extended time.
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What does it feel like to have tennis elbow?
It's related to a muscle and tendons in your forearm. Tendons connect your muscles to your bones. When you constantly use your arm in a repetitive motion, the tendons at the elbow end of a certain muscle -- the extensor carpi radialis brevis ( ECRB) muscle --- may develop small tears. The tears lead to inflammation and may put stress on the rest of your arm, making it painful to lift and grip things. Left untreated, it can become chronic (that's medical-speak for “ongoing”). Tennis elbow affects up to 3% of the population, particularly adults between 30 and 50 years of age. Golfer's elbow differs from tennis elbow in that the pain is focused on the inside of the elbow.
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What are the symptoms of myositis?
The main symptom of myositis is muscle weakness. The weakness may be noticeable or may only be found with testing. Muscle pain (myalgias) may or may not be present. Dermatomyositis, polymyositis, and other inflammatory myositis conditions tend to cause weakness that gets worse slowly over weeks or months. The weakness affects large muscle groups, including the neck, shoulders, hips, and back. Muscles on both sides are usually affected.
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How is a muscle biopsy used to diagnose myositis?
This is the most accurate test for diagnosing myositis. A doctor identifies a weak muscle, makes a small incision, and removes a small sample of muscle tissue for testing. Muscle biopsy leads to a final diagnosis in most people with myositis.
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How is an MRI scan used to diagnose myositis?
An MRI scan can help identify areas of myositis and changes in the muscles over time.
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How is myositis caused by inflammatory conditions treated?
Myositis treatment varies according to the cause. Inflammatory conditions causing myositis may require treatment with drugs that suppress the immune system, including: Prednisone Azathioprine ( Imuran) Methotrexate Myositis caused by infection is usually due to a virus, and no specific treatment is necessary.
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How is myositis caused by infection treated?
Inflammatory conditions causing myositis may require treatment with drugs that suppress the immune system, including: Prednisone Azathioprine ( Imuran) Methotrexate Myositis caused by infection is usually due to a virus, and no specific treatment is necessary. Myositis caused by bacteria is uncommon and usually requires antibiotics to prevent life-threatening spread of the infection.
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How can rhabdomyolysis cause myositis?
Rhabdomyolysis occurs when muscles break down quickly. Muscle pain, weakness, and swelling are symptoms of rhabdomyolysis. Urine may also turn a dark brown or red color.
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How is myositis caused by drugs treated?
Myositis related to a drug is treated by stopping the medication. In cases of myositis caused by statin drugs, muscle inflammation usually subsides within a few weeks after stopping the medicine.
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How is an electromyography (EMG) used to diagnose myositis?
By inserting needle electrodes into muscles, a doctor can test the response of muscles to electrical nerve signals. EMG can identify muscles that are weak or damaged by myositis.
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What causes myositis?
Myositis is caused by any condition that leads to inflammation in the muscles.
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What are the symptoms of muscle pain related to myositis?
Some people with myositis have muscle pain, but many do not. These and other ordinary muscle pains are called myalgias. There are many causes of muscle weakness and pain more common than myositis, and testing for myositis is not a straightforward process.
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Which medicines commonly cause allergies?
The most common one is to penicillin. Other antibiotics can also cause allergic reactions. Other possible culprits include: Sulfa drugs Barbiturates Anticonvulsants Iodine, which is found in many X-ray contrast dyes Your doctor will start by reviewing your medical history and symptoms.
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What are symptoms of a drug allergy?
In an allergic reaction, your body's release of histamine can cause symptoms like: Hives Skin rash Itchy skin or eyes Congestion Swelling in the mouth and throat A more severe reaction may include: Trouble breathing Blueness of the skin Dizziness Fainting Anxiety Confusion Rapid pulse Nausea Gut problems like diarrhea The most severe reaction is one that includes anaphylaxis, a serious, life-threatening response marked by swelling, hives, and lowered blood pressure. In some cases, a person goes into shock. If you think you're having anaphylaxis symptoms, give yourself a shot of epinephrine immediately and call 911.
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How are drug allergies treated?
In some cases, a person goes into shock. Your doctor would give you tiny amounts of the drug by mouth, by IV, or with a shot in increasing amounts until your immune system learns to tolerate the medicine. If you're severely allergic to certain antibiotics, your doctor can usually find an unrelated antibiotic that is safe for you.
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Can I be allergic to a drug?
In an allergic reaction, your immune system mistakenly creates a response against the drug. It makes chemicals -- like histamine, and lots of it -- to get the medicine out of your body. Other antibiotics can also cause allergic reactions.
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When should I tell my doctor about my drug allergies?
If you've had a life-threatening reaction to a medication, your doctor will just rule out that drug as a treatment option. These items could save your life in an emergency.
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What changes in my sleeping schedule show I'm headed for menopause?
Waking up during the night or having trouble going to sleep can happen for lots of reasons, but if you don't typically have problems sleeping, it may be a sign you're approaching menopause. Sometimes it's caused by other menopausal symptoms like night sweats. If sleep problems hang on for a while, and you can't pinpoint why, it may be time to tell your doctor.
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How can changes in my sex drive be a sign of menopause?
Some women say they are less interested in sex or have trouble getting aroused when they are in menopause. Other women say they enjoy sex more and feel freer because they don't have to worry about things like getting pregnant. During menopause, the skin around your vagina may become drier. This can make sex hurt. Gels called "personal lubricants" can help.
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How can memory lapses be a sign of menopause?
Both men and women can have some minor memory lapses during middle age: not being able to think of a word or losing the car keys. Usually it's no big deal. Forgetfulness can stem from not only menopause but also from stress. If you're worried that you're forgetting too much, let your doctor know.
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How do you know if I'm headed for menopause?
You may start to notice changes months or years before you are in menopause. You may have hot flashes and irregular periods. This time is called perimenopause. You won't know exactly when your menopause will hit. All you can do is pay attention to how you're feeling and notice changes. Keep in mind that symptoms vary greatly from woman to woman. Some women have no symptoms at all.
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What changes in my body temperature show I'm headed for menopause?
Hot flashes can make you feel warm or hot suddenly for no apparent reason. Your skin may flush red and your heart may beat faster. Then you may feel suddenly cold. Night sweats are hot flashes that happen during sleep. They can be so intense they wake you up. Like so many symptoms of menopause, hot flashes and night sweats can vary a lot from woman to woman. They can last 1 minute or 5 minutes. They can be mild or severe. You can have several an hour, one a week, or never have them. For some women, these symptoms go on for years or decades after they've stopped their periods -- into the time called postmenopause. If you have hot flashes but aren't sure it's related to menopause, talk to your doctor. There are medical conditions and even medications that can bring them on, too.
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What changes in my moods show I'm headed for menopause?
Some women may go through “the change” earlier if they've had surgery to remove their uterus or ovaries or are having certain treatments for cancer. Whatever the reason, you deserve to feel good. If you've been down for more than a few weeks, tell your doctor. Together, you can decide on a treatment to help you feel better. Your body also might change so that you have more fat around the waist and more fat and less muscle in general.
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What changes in my period show I'm headed for menopause?
You may have hot flashes and irregular periods. This time is called perimenopause. Your periods may come more often or less often, be heavier or lighter, or last longer or shorter than before. When you're in perimenopause, it can be hard to predict when, or if, your next period may come. It's also harder to gauge how long your period will last or if your flow will be heavy or light. It's harder to get pregnant during this phase, but it's still possible as long as you have periods. Some chemotherapy drugs used to treat cancer can also make your periods irregular. Any bleeding, even just spotting, after menopause isn't normal. You need to talk to your doctor.
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How do I know if I'm in menopause?
Most women go through menopause in their 40s or 50s. One study found that half of the women in the U. S. reach menopause before about age 52. Some women may go through “the change” earlier if they've had surgery to remove their uterus or ovaries or are having certain treatments for cancer. Your periods may come more often or less often, be heavier or lighter, or last longer or shorter than before. When you're in perimenopause, it can be hard to predict when, or if, your next period may come. It's harder to get pregnant during this phase, but it's still possible as long as you have periods. Any bleeding, even just spotting, after menopause isn't normal.
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What physical changes show I'm headed for menopause?
Some women have no symptoms at all. During menopause, the skin around your vagina may become drier. Your body also might change so that you have more fat around the waist and more fat and less muscle in general. You may also find it a little harder to move, with stiff joints or joints that hurt. It's important to stay active. You may need to work harder to keep your strength and stay in shape.
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What are the side effects of taking phenylalanine?
Phenylalanine is found in many foods, including: Meat Eggs Fish Cheese Products containing aspartame Phenylalanine can trigger allergic reactions, with symptoms such as: Itching Swelling of the face or hands Trouble breathing Tingling feeling in the mouth Side effects may include: Heartburn Fatigue Nausea Constipation Dizziness Headache Anxiety and hypomania (a milder form of mania) Sedation Jitteriness and trouble sleeping Doses higher than 5,000 milligrams a day can cause nerve damage.
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What are the risks of taking phenylalanine?
People with certain conditions should avoid using this supplement, including those with Schizophrenia ( Tardive dyskinesia, a movement disorder, may develop.) You also should avoid the supplement if you have a sensitivity to phenylalanine or a condition in which your body can't break down phenylalanine. And use caution in taking phenylalanine if you have: High blood pressure Trouble sleeping Anxiety or other psychiatric problems Also, it is unknown whether this supplement is safe in women who are pregnant or breastfeeding.
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How much phenylalanine should you take?
Optimal doses of phenylalanine have not been set for any condition. Quality and active ingredients in supplements may vary widely from maker to maker. This makes it difficult to set a standard dose. However, commonly used dosages, depending on the condition, range from 150 mg to 5,000 mg daily.
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What are possible interactions when taking phenylalanine?
People with certain conditions should avoid using this supplement, including those with Schizophrenia ( Tardive dyskinesia, a movement disorder, may develop.) You also should avoid the supplement if you have a sensitivity to phenylalanine or a condition in which your body can't break down phenylalanine. And use caution in taking phenylalanine if you have: High blood pressure Trouble sleeping Anxiety or other psychiatric problems Also, it is unknown whether this supplement is safe in women who are pregnant or breastfeeding. If taken with certain antidepressants, this supplement could lead to: Hypomania Constipation Insomnia Higher blood pressure Phenylalanine might also: Keep drugs for high blood pressure from working properly Increase the effect of sedatives It may also affect how your body breaks down other drugs and supplements.
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How can I prevent cellulitis?
Practice good personal hygiene and keep your skin clean. Wear sturdy, well-fitting shoes or slippers with loose-fitting cotton socks. Avoid walking barefoot outdoors. Wash injured skin with soap and water. Make sure it heals over the next few days.
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What are the symptoms of cellulitis?
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What are common symptoms of cellulitis?
Cellulitis can appear on almost any part of the body. It usually shows up on damaged skin such as inflamed wounds, dirty cuts, and areas with poor circulation. It needs to be treated by a doctor. Common symptoms include: Redness Red streaking Swelling Warmth Pain or tenderness Leaking of yellow, clear fluid or pus Go to the emergency room if you have any of the following: High fever or chills Nausea and vomiting Enlarging or hardening of the reddened area Increased pain Numbness of the area when touched Other medical problems that may be affected by even a minor infection Your doctor will do a medical history and physical exam.
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When should I contact my doctor about cellulitis?
Some injuries are at greater risk for cellulitis than others. Be sure to contact your doctor if you have: Animal or human bites Puncture wounds deeper than a half-inch, such as from stepping on a nail Crushed tissue that bleeds Burns that blister Frostbite Deep injuries with dirt in them Injuries that touch sea water (making them more prone to infection), especially if you have liver disease Diabetes or other significant medical conditions, such as liver or kidney disease Swelling in your arms and legs that does not go away Most people with cellulitis respond to the antibiotics in 2 to 3 days and begin to improve.
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What exams and tests do doctors use to treat cellulitis?
Common symptoms include: Redness Red streaking Swelling Warmth Pain or tenderness Leaking of yellow, clear fluid or pus Go to the emergency room if you have any of the following: High fever or chills Nausea and vomiting Enlarging or hardening of the reddened area Increased pain Numbness of the area when touched Other medical problems that may be affected by even a minor infection Your doctor will do a medical history and physical exam. Additional procedures include: A blood test if the infection is suspected to have spread to your blood An X-ray if there's a foreign object in the skin or the bone underneath is possibly infected A culture. Your doctor will use a needle to draw fluid from the affected area and send it to the lab.
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Who's at risk for cellulitis?
!s_sensitive, chron ID: $('article embeded_module[type=video][align=top]:eq(0)').attr('chronic_id'), continuous Play: true, cp Options: { flyout: true }, display Ads: true, mode: 'in-article', sticky: true }) }); }); } else { $(function(){ $('.responsive-video-container').remove(); }); } You're at risk if you have: Trauma to the skin Diabetes Circulatory problems, such as not enough blood flow to your arms and legs, poor drainage of your veins or lymphatic system, or varicose veins -- twisted, enlarged veins near the surface of the skin Liver disease such as chronic hepatitis or cirrhosis Skin disorders such as eczema, psoriasis, or infectious diseases that cause sores, such as chickenpox Injuries that tear the skin Infections after surgery Long-term skin conditions such as eczema or psoriasis Foreign objects in the skin Bone infections underneath the skin.
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What is a brain scan for ADHD and is it safe for children?
Also, the FDA has approved the use of the Neuropsychiatric EEG- Based Assessment Aid ( NEBA) System, a noninvasive scan that measures theta and beta brain waves. The theta/beta ratio has been shown to be higher in children and adolescents with ADHD than in children without it. The scan, approved for use in those aged 6 to 17 years, is meant to be used as a part of a complete medical and psychological exam. It's possible that your child's behavior isn't related to a condition.
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Can I go to my child's pediatrician if I think he or she has ADHD?
Although some pediatricians with special training in the disorder will diagnose ADHD in children, most will refer you and your child to a mental health professional such as a psychologist, psychiatrist, counselor, or social worker trained in diagnosing and treating the disorder. You can also find a professional who specializes in ADHD diagnosis through your health plan, your child's teacher or school counselor, other parents of children with ADHD, or nonprofit organizations such as Children and Adults with Attention- Deficit/ Hyperactivity Disorder ( CHADD).
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Why would my child need to take tests and provide records for a ADHD diagnosis?
The evaluator will check on other possible causes of your child's behavior. To do this, they will check your child's medical and school records, and ask about what else is going on in your child's life. They may also give your child tests to determine if there might be a learning disorder or some other mental or emotional problem that may be causing the behaviors.
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What might be asked of parents, teachers, or friends during my child's ADHD evaluation?
The evaluation may also include interviewing you, your child's teachers, and any other adults who are a big part of your child's life. The evaluator may also ask each of you to complete standardized forms, known as “behavior rating scales,” to rate different aspects of your child's behavior. These scales may also be used later to track progress with treatment.
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What are the first steps toward diagnosing ADHD?
The first step toward diagnosing ADHD should be a full physical exam by your child's pediatrician or family practitioner to rule out other medical causes for his or her behaviors. The physician, psychologist, or other mental health professional evaluating your child for ADHD will probably then set up an interview with you and two or more sessions with your child before making a final diagnosis.
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How do I know if hyperactive, impulsive, or inattentive symptoms are normal or if my child has ADHD?
Although many children display some of the behaviors for ADHD, they do not necessarily have the disorder. An ADHD diagnosis requires that these behaviors have been persistent for at least 6 months, that some symptoms began before age 12, that symptoms are present in two or more settings (such as school and home), and that they significantly impair the child in at least two places (social life, school, etc.).
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What are the signs of hyperactive and impulsive ADHD?
The person who evaluates your child will check on symptoms for each type: Hyperactive and Impulsive Often fidgets with or taps hands or feet, or squirms in seat. Often leaves seat in situations when remaining seated is expected. Often runs about or climbs in situations where it is not appropriate (adolescents or adults may be limited to feeling restless). Often blurts out an answer before a question has been completed. Often has trouble waiting his/her turn. Often interrupts or intrudes on others (e.g., butts into conversations or games) Inattentive Often fails to give close attention to details or makes careless mistakes in schoolwork, at work, or with other activities.
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What causes ADHD symptoms if not a medical condition?
The evaluator will check on other possible causes of your child's behavior. If they've been through a major life change (such as a move or a divorce, for example), that might also be affecting their behavior. Figuring out what's going on is all part of the evaluation process.
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Is there a test to show me that my Crohn's disease is in remission?
The Crohn's disease activity index ( CDAI) is one way to check. It measures 18 symptoms, including pain and diarrhea, and gives you a score. But this test isn't always accurate. Even though symptoms go away and you feel fine, you might still have inflammation that can cause a flare.
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Will my diet change when putting my Crohn's disease into remission?
You may need to get foods in liquid form through a feeding tube or injected into your vein to help your bowels rest and heal. Your doctor will probably suggest a low-fiber diet to help you pass smaller stools and avoid a bowel blockage.
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What level of medications will I be prescribed for my Crohn's disease to go into remission?
These include: Steroids like prednisone ( Deltasone) Drugs to slow down your immune system, like azathioprine ( Azasan and Imuran), cyclosporine ( Gengraf, Neoral, Restasis, and Sandimmune), mercaptopurine ( Purinethol and Purixan), or methotrexate ( Rasuvo and Trexall) TNF inhibitors like adalimumab ( Humira), certolizumab pegol ( Cimzia), or infliximab ( Remicade) and it's biosimilars, infliximab-abda ( Renflexis), Infliximab-dyyb ( Inflectra) Newer biologics like natalizumab ( Tysabri), ustekinumab ( Stelara), or vedolizumab ( Entyvio) Antibiotics like ciprofloxacin ( Cipro, Cetraxal, Ciloxan, and Proquin) or metronidazole ( Flagyl) You may start with mild drugs, then step up to stronger ones if you need them to get to remission. Or if your disease is severe, you could try strong drugs first, then move down to milder ones.
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Will I need surgery in order to have my Crohn's disease go into remission?
Surgery. In addition to meds, up to half the people with Crohn's also need surgery. Your doctor will take out parts of your intestines where there's damage and reconnect the healthy areas.
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What side effects can steroids cause while treating my Crohn's disease?
Your doctor will probably slowly cut down and stop them as you start other treatments.
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When will I be able to see that the treatment for my Crohn's disease is working?
That means inflammation stops causing painful damage to your bowel and colon because your immune system is working like it should. But it could take up to 4 months to really get results.
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Will my Crohn's disease symptoms go away?
It measures 18 symptoms, including pain and diarrhea, and gives you a score. This is called maintenance therapy.
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What steps can help lower my risk for a Crohn's disease flare-up?
You can be in: Clinical remission: You have no symptoms. Eat healthy foods: Add these to your diet: Dairy products Fish Fruit Healthy fats (olive oil, non-hydrogenated nut/seed butters) Insoluble fiber (brown rice, whole wheat bread and pasta) Nuts and seeds Oats Poultry Soluble fiber (oats, psyllium, pulses) Whole foods Take these steps to help lower your risk of a Crohn's flare-up: Don't smoke, or get help to quit. Don't take nonsteroidal anti-inflammatory drugs ( NSAIDs) like ibuprofen or aspirin for minor aches and pains. They can cause bleeding or ulcers in your gut. Don't take an antibiotic for an infection unless your gastroenterologist says it's OK. Keep up with doctor's appointments to make sure you have no signs of Crohn's coming back. Stay up to date with vaccinations or health screenings that your doctor suggests. If your insurance changes and you can't afford your maintenance drugs, let your doctor know right away.
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What signs will I notice if my Crohn's disease is in remission?
Blood tests will show normal inflammation levels. Your Crohn's disease activity index ( CDAI) score may be below 150 -- more on this below. Lesions in your bowel or colon start to heal. You feel normal and have a good quality of life. Treatment makes it more likely that you'll go into remission and stay there.
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What will my physical therapist ask me during my first visit for multiple sclerosis?
If your MS symptoms make it hard to do your job, your therapist can take you through some tests and document the kind of trouble you're having.
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Can physical therapy help ease symptoms of multiple sclerosis?
If your MS symptoms make it hard to do your job, your therapist can take you through some tests and document the kind of trouble you're having.
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When will I start working with a physical therapist to treat my multiple sclerosis?
You may start working with a physical therapist right after you get a diagnosis. You can schedule follow-up appointments with her when you need them. Some hospitals have physical therapists on staff who specialize in MS treatment. You will need to ask your doctor for a formal referral, but check with other people who have MS for suggestions on where to go in your area.
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What ingredients are in dandruff shampoo?
Not all dandruff shampoos are alike. Some have different active ingredients, such as: Coal tar preparations ( Denorex Therapeutic Protection, Neutrogena T/ Gel, Scytera) Pyrithione zinc ( Selsun Blue for Itchy Dry Scalp, Neutrogena T/ Gel Daily Control Dandruff Shampoo, Head & Shoulders) Salicylic acid and sulfur ( Sebex, Sebulex) Salicylic acid ( Neutrogena T/ Sal ) Selenium sulfide ( Dandrex, Head & Shoulders Clinical Strength, Selsun) Ketoconazole ( Extina, Nizoral A- D, Xolegel) You may need to switch between types of shampoos if one type controls the dandruff at first but later loses its effectiveness.
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When should I see a doctor about dandruff?
If you're still scratching and shedding after trying over-the-counter preparations, see your doctor. For really stubborn dandruff cases, you may need to use a prescription shampoo or topical medication.
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How should I use dandruff shampoos?
When shampooing your hair, rub the shampoo into your scalp well. Leave the shampoo on your head for 5 minutes, or as directed, before you rinse. Rinse thoroughly. Any leftover shampoo may irritate your skin. Once your dandruff is under control, you may be able to use the dandruff shampoo less frequently.
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How is dandruff treated?
Two of the quickest ways to get started are to brush your hair and try a dandruff shampoo. Brush your hair from your scalp down with steady, firm strokes. This will carry the oil from your scalp, where the buildup of oil and skin cells can cause dandruff, along the hair strands, where it will keep your hair shiny and healthy.
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When should you call a doctor after a spinal tap?
Call your local doctor immediately if after a spinal tap: You notice any unusual drainage, including bloody discharge, at the puncture site You develop a fever Your headache persists Your pain symptoms worsen
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What are side effects and risks of a spinal tap?
One test for epilepsy is a spinal tap (also called a lumbar puncture). Occasionally, a small blood vessel is pierced, causing bloody discharge. No treatment is needed. The procedure is usually not painful, but momentary twinges of pain may be felt if the needle brushes against nerve tissue. If you have a headache, lie down as much as possible and drink plenty of fluids.
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How can radionuclide scanning help diagnose diseases of the digestive system?
In addition to showing the structure of an organ, radionuclide scanning allows the doctor to see how the organ is functioning. A diseased or poorly working organ will appear differently on the scan than will a healthy organ. The information from this test is valuable in diagnosing many diseases, including cancer. Because this test shows internal areas that are not visible on standard X-rays, radionuclide scanning can also help identify problems very early in the progression of a disease.
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What do upper GI tests diagnose?
This upper GI test is used to diagnose: Hiatal hernias Ulcers Tumors Esophageal varices Obstruction or narrowing of the upper GI tract Lower GI tests or barium enemas are used to examine the large intestine and the rectum.
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What does an upper GI test do, and how does it work?
Upper and Lower GI Tests Upper GI tests use X-rays to examine the esophagus, stomach, and first part of the small intestine (the duodenum). For these tests, you need to drink a chalky liquid called barium. As the barium passes through the digestive tract, it fills and coats the esophagus, stomach, and first part of the small intestine making them more visible with X-ray. Then a fluoroscope machine is held over the part of the body being examined and transmits continuous images to a video monitor.
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How safe is radionuclide scanning?
Although radiation is used in this scanning technique, the test is very safe. The actual dose of radiation you receive is quite low and stays in your body only for a short time. Drinking plenty of fluids after your scan will help to eliminate any radioactive material from your system.