The following questions have came into Mark's mailbox at some point in time.
Research was conducted with reliable sources and the content have been included
for your reading. This should not be taken as a substitute for a trip to
your doctor should your medical condition call for it.
IS REUSING WATER BOTTLES SAFE?
DOES A SHAMPOO ADDITIVE (SODIUM LAURYL SULFATE) CAUSE CANCER?
IS CELLULAR PHONE RADIATION HARMFUL?
ILL EFFECTS OF COMPUTER RADIATION?
LOUD MUSIC AND EAR RINGING?
MERCURY IN DENTAL FILLINGS
BONE DENSITY TESTS
WHAT DO BLOOD PRESSURE/PULSE NUMBERS MEAN?
CT SCAN AND MRI
POSITIVE TB TEST
WILL A HEALTHY DOG'S BITE MAKE ME SICK?
TREATMENT FOR GOUT
HOW DO WOUNDS, CUTS, SCRAPES, LACERATIONS HEAL?
WHAT IS TOURETTE'S SYNDROME?
NO TASTE WHEN I HAVE A COLD
RELIEF FOR BURNT AND INJURED TONGUES?
"CURE" FOR CELLULITE?
MEN'S LEGS AND SHAVING
FALL ASLEEP FASTER
STOMACH STAPLING: A LAST RESORT FOR WEIGHT LOSS
I WAS DIAGNOSED WITH THALASSEMIA, BUT I DON'T KNOW WHAT IT IS
YEARNING FOR SAFE URINE
CAN DRINKING MILK PREVENT OSTEOPOROSIS?
DO "FAT BURNERS" REALLY WORK?
WILL SKIPPING BREAKFAST AND LUNCH LEAD TO WEIGHT LOSS?
GOURMET COFFEE TALK: WHAT'S THEIR CALORIE AND FAT CONTENT?
HEAD PAIN WHEN I BEND OVER
"WET HEAD": CAN GOING OUT WITH ONE MAKE YOU SICK?
IS SORENESS A GOOD INDICATOR OF A GOOD WORKOUT?
PERSISTENT COUGH AT NIGHT
I started buying bottled water because it seemed to taste better. As an
experiment, I tried refilling the empty bottles with tap water and refrigerating
them. And I discovered that what I really liked was drinking chilled water
out of the bottle. If no one else is using the bottles, how often do I
need to wash the bottles out with soap as opposed to just re-filling them?
Hmmm... these days it seems that many people are very thirsty, habitually
re-filling water bottles and carrying them around town, to the gym, and
to work. Your question offers an opportunity to learn a bit more about
the safety issues involved.
A little research has turned up two opinion groups:
the refillers the non-refillers (represented, in particular, by the International
Bottled Water Association, an organization that represents the interest
of companies that sell bottled water). The Refillers say that washing
and re-using water bottles is safe, particularly if they are washed regularly
with hot, soapy water. Many advocate for an occasional swish with a diluted
bleach solution to kill any stubborn bacteria and eliminate that "old
water" smell that sometimes develops. In terms of frequency, you'd
want to assess your own comfort while also keeping hygiene in mind. For
example, cups, glasses, and other tableware are usually washed after each
use — with good reason. Also, if you've had a cold, cold sore, or
any other condition, washing your bottle daily can help eliminate re-infecting
yourself. If you're a lip gloss or lipstick wearer, you may have also
noticed that your bottle has been marked with your signature color. A
little scrub around the neck might not be a bad idea once in a while!
In addition, refillers are often advocates for the environment. Washing
and re-using those bottles might help to cut down on waste and landfill.
The jury's still out, however, about which is worse: contributing to landfill,
or using natural resources for the washing and adding detergents to our
water supply. In many places, plastic bottles are recyclable.
Those in the non-refilling camp state that only bottles specifically made
to be reused should be. For starters, they say that all kinds of bacteria
can thrive in made-to-be-disposed bottles, even after washing. An additional
concern is that harmful chemicals can leach out of single-use plastic
bottles and into your drinking water. Chemically speaking, the plastics
used to make single-use bottles are not designed to stand up to washing.
Therefore, the heat from wash water — either from hand washing or
machine washing (and possibly also from the detergents used) — can
degrade the plastic of the bottles, increasing the likelihood of chemical
As an alternative, you might want to try purchasing a bottle made especially
for multiple uses. Many popular plastic-ware brands now market water bottle
designs, some with handy foldable straws, attached insulation, belt clips,
and the like. Additionally, check out your local camping store for bottles
designed with daily wear-and-tear (and certainly years of re-use) in mind.
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I was wondering about the chemical Sodium Laureth Sulfate. I have received
several forwarded e-mails about this causing cancer by a lawyer looking
into the matter. This chemical was said to be in many shampoos to create
a nice lather, but it's actually a garage cleaner and is a cheap substance
for the manufacturer, and in the past, only 1 in 2000 would get cancer
from this, and now it's about 1 in 10. I was just curious if it really
causes cancer, or is it just a prank? And if it really does cause cancer,
what kind of cancer is it? Thank you. I would appreciate an honest answer.
Wash those e-mails right out of your hair; they are hoaxes being perpetrated
on innocent cyber-surfers in various forms and attributed to several different
"experts," all spouting claims that commonly used health or
beauty items are actually cancerous. Other products that have been the
target of Internet smear campaigns include tampons and antiperspirants.
According to the American Cancer Society, neither Sodium Lauryl Sulfate,
nor its more potent cousin Sodium Laureth Sulfate, causes cancer. Both
of these additives are cleansers (a.k.a. detergents) that remove oil and
dirt from hair and skin. Sodium Laureth Sulfate is also used as an ingredient
in household cleaners, so it could be in detergents that you use to clean
your garage, your bathroom, or your car. This does not necessarily mean
that it is toxic — only that it does a pretty good job of removing
grime and grease from everyday surfaces. The concentrations of these two
additives that are used in cosmetic cleaners are much lower than the concentrations
used in household cleaners (because, hopefully, your face has less ground-in
grime than your garage floor).
Sodium Laureth Sulfate has been shown to cause skin or eye irritation
in some people, so the more mild Sodium Lauryl Sulfate is typically used
in baby shampoos and other products advertised as being "more gentle"
on skin and/or eyes. As with any product, if you experience discomfort
or irritation when using a cleanser containing either detergent ingredient,
you need to find an alternative that's free of these substances. But if
your favorite, most trusted shampoo contains these cleaners, there is
no reason to start having bad hair days in the name of health.
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I regularly use a mobile phone. I read that there is a possibility that
you can get cancer, because of the "radiation" of a mobile phone.
Is this true?
Greetings from The Netherlands
Dear Greetings from The Netherlands,
As cellular phone usage becomes more and more commonplace around the world,
so have concerns about their effects on health. Cell phones are powered
by electricity, and, as a result, they give off electric and magnetic
fields (EMF), also known as electromagnetic radiation. Cellular phone
EMF is a non-ionizing form of radiation, which means that it does not
have enough energy to break apart atoms and molecules and turn them into
ions, which are electrically charged particles. Cell phones emit this
type of radiation in low doses and at low levels. FYI, microwave ovens,
electric clocks, computers, and many other appliances also put off this
same kind of radiation — the amount of one's exposure is dependent
on the amount of time these devices are used, as well as one's distance
from them. X-rays and gamma rays, on the other hand, are forms of ionizing
radiation that, particularly at high doses, can increase one's risk of
cancer, birth defects, and genetic defects through chromosomal (DNA) mutations
resulting from atom and molecule ionization.
According to studies published in the Journal of the American Medical
Association (December 20, 2000), the New England Journal of Medicine (January
11, 2001), and the Journal of the National Cancer Institute (February
7, 2001), there is not a smidgen of evidence that use of cell phones is
related to the development of either brain cancer or benign (non-cancerous)
tumors. A summary of the findings is as follows:
Cell phone users do not have a higher risk of getting brain cancer or
non-malignant tumors than non-cell phone users;
People who use cellular phones frequently are not more likely to get brain
cancer or benign tumors than those who use cellular phones rarely; and,
Brain cancer or non-cancerous tumors did not develop more often on the
side of the head on which a cell phone was usually used than on the side
that was cell phone-free.
So, if you have minutes available on your calling plan, you can ring your
friends and family with the news. Considering the relative newness of
cellular phones, though, the potential for negative effects from chronic
use of cell phones over the long-term have yet to be determined. Results
from a more comprehensive and longer-term international study are expected
to be released in 2004. In the meantime, if possible risk from mobile
phone use is still a concern to you, limiting the time you spend on your
cell, opting for a plugged-in phone whenever possible, turning off your
handheld whenever it's not in use, and using an ear piece/headset or speakerphone
instead will help limit your EMF exposure.
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We were wondering what the effects of "computer CRT radiation"
would be if you sat behind or to the side of someone's computer. We work
in a small office of a large company abroad and people here are very concerned
about what long-term effects they might suffer. Conventional wisdom here
is that there IS something, so when you walk into our offices, you will
see all kinds of poster and papers covering the vents that are supposed
to cool the insides of the monitor.
Our office mates normally ask each other to turn off their computers when
they are not using them, out of fear of this radiation.
Is this an old wives' tale, or is there some truth to it?
Signed us,Really paranoid about computers
Dear Really paranoid about computers,
It can't be too old of a wives' tale -- computers have only been a common
feature of the workplace for the past decade or so. This certainly is
not enough time to determine whether any health risks are associated with
exposure to the radiation emitted from computers. On the other hand, we
have learned about the effects of computer use on our eyes, muscles, and
Naturally, we want to know if being around computers 8 to 10 hours a day
will jeopardize our future health -- will it cause cancer somewhere down
the road? No one can say with certainty if the radiation from computers
could or could not harm us. Research on the health effects of electromagnetic
radiation from other sources shows that there may be some impact at the
cellular level. However, much of this research has failed to produce definitive
results that could subsequently be reproduced in other laboratories.
One study done a few years ago sought to determine if radiation from computers
raised the incidence of miscarriage among employees at a large company.
In the end, they didn't find any deviation from the norm in terms of number
of spontaneous miscarriages in the general population. The American Physics
Association issued a statement within the past year to the effect that
no conclusive evidence exists to support the idea that the low levels
of radiation emitted by computers poses a health risk.
It sounds like you and your co-workers might benefit from trying to rearrange
your cramped quarters. Perhaps you can find a way to situate the computers
so that the majority of them have their backs to a wall. You might want
to consider removing the posters and papers from your computers, too.
For one, paper is not going to shield you from electromagnetic radiation
waves, which easily and naturally pass through paper. And, you may be
creating more of a risk by covering the vents of your computers, which
could overheat if not allowed to cool properly.
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I went to a club one night and the music was really loud. I've been going
to clubs for a while now and the loud music usually makes my ears ring,
but the ringing usually disappears in the morning. Well, this time, the
ringing has lasted for several days. Is this a problem I should be worried
The ringing you hear could be tinnitus. Tinnitus, often associated with
hearing loss, causes a ringing, buzzing, or other noise heard in the ear
in the absence of any outside noises that can be annoying, irritating,
bothersome, and/or infuriating to the person affected. Tinnitus can also
be a symptom of other hearing and ear disorders.
Listening to loud music at concerts and clubs, or at home with headphones,
can lead to temporary or permanent loss of hearing, sometimes referred
to as "rock-and-roll deafness."
Perhaps the music one night was particularly loud, you stayed longer than
usual, you were near the amplifiers, or there's already some ear damage,
and that's why the ringing in your ears lasted longer than it normally
does. See your health care provider since you've noticed a change.
Decibel (dB) Data
Normal conversation: 65 dB Live concert: 120 dB Pain threshold for average
human ear: 130 dB If you have tinnitus, your ears would benefit from not
listening to loud music and noises. However, if music and the club scene
are a significant part of your life, you may find it difficult to go to
clubs less often. In that case, use disposable earplugs, which come in
a variety of shapes, sizes, textures, and colors. To reduce the risk of
an ear infection, replace your earplugs with a new pair after a few wears.
Also, position yourself away from the amplifiers.
Finally, consider the usually smoky atmosphere at clubs and concerts.
Some medical literature supports the association between smoking and hearing
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We have a five month old baby, and we are concerned we have been using
the microwave too much to warm his milk bottles and baby food. Is there
any danger in this?
The radiation emitted from a microwave, radio frequency (RF), is set and
monitored by the U.S. Food and Drug Administration (FDA) for a standard
that is said to be acceptable and safe in the home. The radiation itself
is "non-ionizing" -- less harmful than the radiation of X-rays.
RF exposure from a home microwave does not pose any risks as long as the
safety mechanisms are in good working condition and that the microwave
has a switch that automatically turns it off when the door is opened.
There is the potential of leakage if the seal is cracked or caked with
food, if the oven has been dropped, or if a fire has occurred inside.
In any of these cases, you should bring your microwave in for repair,
or purchase a new one. If your microwave is in good working order and
you want to be extra safe, standing four feet away from the oven dramatically
reduces radiation exposure -- to just 1/100th of the maximum amount considered
However, there is a very real danger of serious burns from hot containers,
overheated foods, and injury from exploding foods. The main precaution
to take after heating milk in the microwave for babies is to be sure that
there are no "hot spots." "Hot spots" are developed
because microwaves heat foods unevenly, where some sections are much hotter
than others. When the milk is checked for heat level, it may feel fine,
although there may be some portions that are burning hot. It is recommended
that you shake the milk bottle, or liquid container, and let it stand
for thirty seconds before checking the temperature. Other sources (the
journal Environmental Nutrition) suggest not using the microwave to heat
infant foods -- either bottles of formula or baby food -- because the
uneven heat can cause a baby's mouth to be seriously burned.
According to the FDA, there is no additional damage to milk proteins or
sugars when heated with a microwave rather than conventional oven or stove.
In general, microwaves cook food faster and destroy fewer vitamins than
conventional cooking methods. Here are a few microwave cooking tips:
Prick cooking pouches and foods that have tight skins (e.g., tomatoes,
hot dogs) to release steam as they cook. Never cook eggs in the shell.
If you crack an egg open to cook in the microwave, be sure to prick the
yolk before cooking. Remove lids or caps from containers, and cover with
microwaveable plastic wrap (don't let it touch food), waxed paper, or
parchment paper for cooking. Never turn on an empty microwave. Try keeping
a glass of water or a box of baking soda in the oven just in case. Regularly
clean the inside, the door, and the seal with a mild detergent and water.
Never operate the oven when something is caught in the door. Remove metal
twist ties from bags. They act as antennae and can cause a fire. Never
use brown paper bags for popping popcorn. They can catch fire, too.
(Tips excerpted from Environmental Nutrition, May 1994)
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My friends tell me it's dangerous to use amalgam ("silver")
fillings because the mercury binder can leach out over time and be absorbed
by the body. My dentist tells me they're perfectly safe. What's the deal?
Amalgam is a hard-wearing mixture of silver, mercury, and other metals
which is generally used for filling cavities in back teeth. They have
a limited longevity and may need to be replaced after about ten years.
Dental amalgam is backed by 150 years of safety and effectiveness. Based
on the results of extensive scientific research, the American Dental Association
(ADA), the U.S. Food and Drug Administration (FDA), the U.S. Public Health
Service (PHS), the Environmental Protection Agency (EPA), the National
Institutes of Health (NIH), the World Health Organization (WHO), the National
Institutes of Dental Research, and the FDI World Dental Federation continue
to support the safety of amalgam as a dental restorative material, except
in the very rare case of allergic reaction to something in the amalgam
mixture. According to the American Dental Association, "for the vast
majority of dental patients, mercury containing amalgams present no health
hazards." Furthermore, the ADA states that "people are exposed
to more total mercury from food, water, and air than from the minuscule
amounts of mercury vapor generated from amalgam fillings."
There's no evidence to support the claim that the mercury used as a hardener
in silver dental amalgams can leach into your bloodstream in significant
amounts and thus, supposedly, cause a variety of conditions, ranging from
insomnia to multiple sclerosis. Researchers conducting tests on 1100 people
with amalgams found levels of mercury in their urine of less than twenty
micrograms per liter. According to the American Conference of Governmental
Industrial Hygienists, there is no need to be concerned unless levels
exceed 150 micrograms. There also has been no convincing evidence that
it's dangerous to breathe in the vapor when fillings are being ground
down in a dental procedure.
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What is an unhealthy amount of time to spend in front of a computer terminal?
It seems like everything I do, from workstudy work to classwork to play,
entails sitting in front of a computer terminal for hours on end. Any
feedback on this would be much appreciated.
Going blind, sterile, or otherwise?
Dear Going blind, sterile, or otherwise?
Since you're still going to work and class, and presumably eating and
seeing your friends, these are good signs that you are not spending all
of your time in front of a computer terminal. Eye care specialists have
noticed problems related to extensive use of video display terminals (VDTs).
If you are farsighted, you may experience blurred vision and discomfort
while using a VDT. If you have astigmatism, working at a VDT can cause
aching eyes, headache, and fatigue.
Another common problem associated with computer work is repetitive stress
injury (RSI), such as carpal tunnel syndrome. RSIs occur when a certain
muscle or tendon is repeatedly overused or kept in an awkward position.
If you spend long hours at a computer, you might want to take some of
the following steps to prevent RSIs:
Use a firm, adjustable, and comfortable chair. Adjust chair height so
that your thighs are horizontal, your feet are flat on the floor, and
the backs of your knees are slightly higher than the seat of your chair.
The back of the chair should support your lower back. Stretch your lower
back by standing up and pulling each knee to your chest, holding that
position for a few seconds.
Relax your shoulders. Your upper arms and forearm should form a right
angle, with your wrist and hand in roughly a straight line.
Use the computer as you would play the piano, with fingers up and down.
Don't rest your wrists and move your fingers sideways to type.
Position the mouse at the same height as your keyboard. When you slide
the mouse around, move your entire arm and not just your wrist.
Take breaks of at least five to ten minutes every hour or so. Lastly,
people have expressed concern about the exposure to electromagnetic radiation
from their VDTs. This is the same concern expressed about microwave ovens,
cellular phones, and even high voltage power lines. It is known that these
forms of radiation do have effects on health, but current research is
contradictory and inconclusive about the health effects of "household"
"Playing" can happen off-line, too, so make sure your social
life is balanced with real friends and activities -- not just virtual
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What makes the "popping" sound when your knuckles are cracked?
When you "crack" your knuckles, you are actually pushing the
joint either back into or out of its normal position. In either case,
when you do this, gas(es), primarily nitrogen, is displaced and escapes
from the joint space. This displacement of gas causes the characteristic
"popping" and "cracking" sound of knuckles, and a
few other joints. Not all joint "popping" sounds are caused
by escaping gases. In some joints, most notably the hip, the sound is
made by ligaments moving over the bone.
On the other hand, escaping gas seems pretty innocuous, right? Wrong.
Mom wasn't too far off when she told you that cracking your knuckles would
make them big. By cracking your knuckles, what you are doing is pushing
the joint beyond its physiological stop sign, or further than its range
of motion would normally allow for. This puts undue stress on the ligaments
and tendons that hold the joint together and in place. Ligaments behave
a little like rubber bands---you can pull and stretch them a lot; but,
eventually they won't return to their original shape and length.
After years of pushing your joint past its normal range of motion, it
may become "hypermobile." If the joint is very mobile (as in
the hand), the joint surfaces might wear out. If this happens, the body
responds by laying down more bone. Although this sounds like the body
healing itself, in reality, matters are made worse. Usually, the bone
is not laid down smoothly and the joint surfaces become rough. Worst case
scenario - spurring or sharp spots will develop in the bone of the joint
in question. Eventually, you may have rough surfaces moving against each
other, to which the body might respond by swelling, increasing the amount
of fluid and blood in the area. Talk about unpleasant friction! In the
end, you could have a joint ("arthro") that is inflamed ("-itis").
Of course, little research has been carried out in this area, so it's
difficult to say with a high degree of certainty that knuckle and other
joint cracking will lead to arthritis or other joint diseases. But it's
fairly safe to say that repeatedly pushing a joint beyond its normal physical
range is not a good thing to do. And years down the road, you could possibly
end up with big problems, not just big knuckles like mom said!
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How does a doctor take a bone density test?
Bone density measurements, which are used by health care professionals
to evaluate an individual's risk for fracture or osteoporosis, are generally
taken in one of two ways. The most accurate gauge of bone density is the
DEXA (dual energy X-ray absorptiometry) scan that uses two different low-dose
X-rays to determine the density of bone in the spine and the hip. The
test exposes the patient to significantly less radiation than a standard
X-ray and can discern as little as a 1 percent loss of bone density.
Ultrasound can also be used to measure bone density. Sound waves are transmitted
through bone (usually at the heel, shin, or knee). The time it takes the
sound to pass through the bone is measured (the longer the time, the denser
bone) and used to calculate overall bone density. Both tests are painless
and can be done in minutes.
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I recently gave blood and I found out my pulse and blood pressure. Is
there a chart that I can follow that tells me what this all means? 120/84,
Blood pressure is measured in millimeters of mercury (just like weather
pressure systems!). The higher number indicates systolic pressure, which
is the amount of force exerted on the walls of the arteries within and
leading from the heart when it contracts (i.e., during systole). The lower
number is the diastolic pressure, which is the force existing between
contractions (i.e., during diastole).
Your pulse rate tells you how many times your heart beats, or contracts,
in one minute. Pulse rate indicates how hard your heart needs to work
in order to meet your body's metabolic needs.
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What is the difference between CT and MRI? And what does with or without
CT scans and MRIs are both diagnostic tests that provide us with high-resolution
pictures of the structure of any organ or area of the body which requires
a thorough examination. Both tests take place in big, somewhat intimidating
machines. They each us e computers to construct pictures of the inside
of the body. There are, however, inherent differences in these tests'
mechanisms, as well as sophistication and applications. Since CT scans
were developed and used before MRIs (in 1972), let's discuss them first.
CT, or CAT, stands for "computerized axial tomography." Basically,
CT scans consist of a highly sensitive x-ray beam that is focused on a
specific plane of the body. As this beam passes through the body, it is
picked up by a detector, which feeds the information it receives into
a computer. The computer then analyzes the information on the basis of
tissue density. This analyzed data is then fed into a cathode ray tube
(the device responsible for producing pictures on your TV screen), and
a picture of the x-rayed, cross-section of the body is produced. Bone
shows up as white; gases and liquids as black; and, tissue as varying
shades of gray, depending on its densi ty.
Magnetic resonance imaging (MRI) was developed later than CT scanning,
first being used in the late 1980s. An MRI machine uses computer-controlled
radio waves and very big magnets, which create a magnetic field roughly
25,000 times stronger than the eart h's magnetic field. After the machine
creates a magnetic field, it sends radio waves into the body and then
measures the response of its cells (how much energy they release) with
a computer. From these responses, the computer is able to create a three-d
imensional picture of the inside of the body. MRI makes use of the fact
that all living cells have a certain magnetic quality to them; because
of this, MRI can provide a look at the biochemistry of living cells.
Both tests provide detailed pictures of areas of the body that used to
be inaccessible by conventional x-rays. Therefore, 20 - 25 years ago,
exploratory or invasive surgery may have been required. CT scans give
us excellent information on anatomical fea tures and tissue density (this
allows for the detection of tumors, and sometimes the ability to distinguish
between malignant and benign tumors). CT scans can also detect calcium
deposits, cysts, and abscesses. They are often used in place of ultrasound
for obese patients because fat deposits often hinder ultrasonic waves.
CT scanning does carry with it the risks associated with x-ray exposure,
although it is significantly less than that from ordinary x-rays.
On the other hand, MRI has no known associated health risks. However,
people with pacemakers, aneurysm clips, or other implants that contain
magnetic materials are generally advised not to undergo MRI testing. What
can be learned from MRIs is, generally , more sophisticated and detailed
than from CT scanning. MRI is best put to use in examining the central
nervous system (the brain and spinal cord). It can also be used to identify
tumors, strokes, degenerative diseases, inflammation, infection, and oth
er abnormalities in organs and other soft tissue of the body. One last
major difference is cost -- MRIs cost a lot more than CT scans.
"With or without dye" simply refers to a contrasting agent that
is sometimes used with these tests. It is either injected into or ingested
by the patient. When the test is performed, the contrast allows the radiologist
to see more clearly the image of a certain area or organ of the body.
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What does a positive result of a TB test mean? Once a person is positive,
is that going to be positive for the rest of his/her life?
Dear Air-borne, Tuberculosis is a disease that is spread from person to
person through the air. The germs are put into the air when a person with
TB of the lung coughs, sneezes, laughs or sings. To get TB, you usually
need to have very close, daily contact with someone who has the disease.
Most people get it from a family member, friend, partner, or co-worker.
You're not likely to get TB from someone coughing on the subway or at
a restaurant. It is not spread by dishes, drinking glasses, sheets or
A positive result for tuberculosis means that sometime in your life, you
breathed TB germs into your lungs. The germs make some people sick soon
after they enter the body, causing TB disease. In most cases, the body's
immune system controls the disease by building a wall around the germs
the way a scab forms over a cut. The germs stay alive inside your body,
but are inactive. This is a TB infection. People with TB disease usually
have one or more symptoms of TB, including feeling weak or sick, weight
loss, fever and/or night sweats. Symptoms of TB of the lungs may include
cough, chest pain, and/or coughing up blood. These people are infectious,
and the disease can cause permanent body damage and even death. Medicine
is available for many forms of TB.
People with TB infection cannot spread the disease to others. The germ
is inactive in their bodies. However, these people may develop TB disease
in the future. Medicine may be prescribed as a preventative against developing
A positive result to a TB test means that you've been infected with the
germ. Other tests would be performed by your provider to determine whether
or not you have TB disease. Once you've had a positive TB result, your
results will always be positive. You should not need to take the skin
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are dog bites severe if u know the dog had all of its shots and is healthy?
if i wash the cut properly and put some rubbing alcohol on it and keep
it clean and dry, will i be ok?
signed, dog bitten
Dear dog bitten,
So sorry to hear about your too-close encounter with a dog.
The answer to your question is: it depends. Some studies show that people
who have been bitten often underestimate the severity of the wound. Even
though a bite may appear small, an animal's pointy teeth can cause a surprisingly
deep wound, and it may be difficult to clean such a wound thoroughly in
order to avoid infection (this is particularly true of cat bites).
You'll definitely want to seek medical care immediately if:
you've been bitten by a wild animal. you've been bitten by a cat. you
don't know whether the animal that bit you is up-to-date on its shots.
you've been bitten on your hands, face, head, or feet. Bites on the face
or head may pose cosmetic issues; bites to the hands or feet have a higher
risk of injuring the important nerves, tendons, or ligaments that can
affect functioning. you have a medical condition that might weaken your
immune system (such as diabetes, cancer, HIV, liver or lung disease).
it's been over five years since your last tetanus shot. Tetanus shots
should always be kept up-to-date, and should be given within twenty-four
hours of any skin puncture. It's reasonable to call your health care provider
for advice on whether or not to treat the injury yourself. S/he may listen
to your description of the wound and tell you that it is fine to treat
this yourself. Wash it thoroughly with mild soap and comfortably warm
water, allowing the warm running water to wash over the cut for about
five minutes. You may be advised to apply antibiotic ointment to the area
2 - 3 times each day.
If the wound seems particularly deep, it may require irrigation (large
amounts of warm water carefully squirted into the wound to clean it out
extremely thoroughly) by your health care provider. Some animal bites
are better left unstitched, even if they are quite deep, in order to lessen
the chance of closing in an infection. Other wounds (tearing injuries
or very deep punctures) may need stitches to bring the edges together.
If you haven't had a tetanus shot within the last five years, you'll need
Keep a close eye on the bite. Try to keep it elevated above the level
of your heart for several days to prevent or decrease swelling. Watch
for redness, swelling, or pus (these are signs of infection). Also be
on the lookout for headache, fever, or muscle aches, which may indicate
a serious infection. If any of these symptoms develop, call your health
care provider back immediately, or go straight to an emergency care facility.
You mentioned that the dog that bit you had had all of its shots. That's
very important. Animals that haven't had all of their shots have to be
observed for ten days for signs of rabies developing. If an animal had
rabies, or if you had gotten bitten by a wild animal that couldn't be
examined for rabies, you would need to get a series of five or six rabies
shots. In that case, your health care provider decides where it will be
best to administer these shots. Rabies shots used to be given in the stomach,
and were considered to be particularly painful. To date, they have been
vastly improved. Often, the first is given in the area of the animal bite,
and the others can be given in the arms or buttocks. Most people find
them to be about as painful as any other type of immunization. Unpleasant,
but necessary; that's why it's so important for pet owners to be sure
their dog's shots are up-to-date.
Hope you heal quickly and completely.
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WHAT IS GANGERINE? I KNOW IT'S SOME SORT OF INFECTION, AND HOW FAST CAN
You're right — gangrene is caused by an infection. Gangrene can
happen when a cut or surgical wound becomes infected with bacteria (usually
Strep, Staph, or Clostridia). The bacteria can spread under the skin to
neighboring areas or through the bloodstream to cause a total body infection.
Some of these bacteria make poisons (toxins) that flow into the body,
destroying tissues and causing severe illness. These surrounding tissues
or infected organs can actually die as a result of the infection.
Sometimes gangrene occurs when the blood supply to a particular part of
the body is cut off. This means that part of the body (maybe a loop of
the intestine or a finger or toe) can't get any oxygen. When the body's
tissues go without oxygen for too long, they die as a result of the infection.
You asked how fast gangrene can spread. Unfortunately, it can spread amazingly
quickly. You may have read the sensational headlines about "flesh-eating
bacteria!" that splashed onto the news scene a few years ago. This
is a form of gangrene caused by the same strep bacteria that causes strep
throat. These bacteria can infect a seemingly minor cut or scrape and
spread extremely rapidly. Within a day or so, large areas of tissue need
to be surgically removed to prevent the infection from becoming fatal.
Luckily, these galloping infections are pretty rare.
People who get gangrene often have other medical conditions that keep
them from fighting off infection or that block blood circulation, such
diabetes blocked blood vessels burst appendix crush injuries burns frostbite
hernia IV drug use If someone has gangrene, s/he'll notice some severe
an area of redness and swelling around a wound that grows rapidly larger
skin flaking off over the affected area shiny, tight skin over the affected
area severe pain at first (although once the tissues have died, s/he'll
just notice numbness in the area) frothy or clear fluid leaking from the
area; fluid- or blood-filled blisters beet red or chalky white skin at
first; the color sometimes progresses to a deep black when the tissues
are completely dead and are decomposing a terribly sickening, putrid smell
a crackly, puffy sensation of gas gathering underneath the skin in the
infected area If the infection has spread throughout the person's body,
s/he might have:
fever and chills nausea and vomiting severe weakness dizziness rapid heart
rate confusion Gangrene is often treated by an operation to remove the
dead tissue. If it's an area of tissue that can be removed, the operation
is called "debridements." If it's an arm, leg, hand, foot, finger,
or toe, it's called an "amputation."
Other treatments include antibiotics (usually intravenously, through a
needle in a vein), hyperbaric oxygen therapy (in which very high pressures
of pure oxygen are used to treat the gangrenous area), and blood thinners
(to make sure that blood clots don't form).
All-in-all, gangrene is a serious, life-threatening condition. Whenever
you have a cut or scrape, make sure that you clean it carefully and use
whatever kind of antibiotic ointment your health care provider recommends.
If you've had surgery, be certain to follow instructions about how to
care for/bandage your incision(s). And, any time you notice an injury
or surgical wound that seems to be getting redder, more swollen, and/or
more painful rather than improving, see your health care provider immediately.
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Could you please tell me the latest treatment for Gout, including medicines?
In the past, gout was thought to be the burden of kings and other wealthy
men who could afford to live lives of gastric indulgence — stuffing
themselves with fatty foods until they had swollen bellies and swollen,
aching joints. Now we know that gout is a type of arthritis, and that
diet plays only a partial role in its development.
Gout typically affects men between the ages of 40 and 50 years. Women
are less likely to get it and, if they do develop gout, it's more common
among menopausal women. Gout attacks almost always come about abruptly,
with no advanced notice. A person's joints (most often in the big toes,
but can also be those in ankles, knees, feet, heels, hands, wrists, or
elbows) suddenly become swollen, red, and incredibly tender. The pain
and inflammation usually last for 5 to 10 days, and then slowly diminish,
until the joints look and feel normal.
Painful gout attacks are caused by high amounts of uric acid that is made
from the breakdown of purines (substances found in particular foods and
in our bodies). Uric acid is usually filtered from the blood by the kidneys,
then excreted in urine. When uric acid accumulates in the body (from taking
in either too many foods containing purines or foods highly concentrated
in it, not passing enough of it into the urine, or producing too much
of it in the body as a result of a particular medical condition), it forms
tiny, jagged crystals that are deposited into joint spaces. The result
— imagine walking with glass fragments in your joints — is
Gout is often confused with other forms of arthritis but has two key differences:
Gout usually attacks suddenly and severely (often overnight) instead of
gradually worsening. Gout typically affects only one joint (e.g., the
big toe) instead of multiple joints (such as all of the knuckles of both
hands). Health care providers, such as rheumatologists, can diagnose gout
by a variety of ways, including blood tests, urine tests, and, occasionally,
by removing a small amount of fluid from the affected joint with a needle
and examining the sample under a microscope for the presence of uric acid
Gout is most often treated with high doses of nonsteroidal anti-inflammatory
drugs (NSAIDS), such as indomethacin or naproxen sodium, or with corticosteroid
injections in the affected joints. When these drugs are not effective,
colchicine (another gout medicine) can be used — it usually isn't
a first choice because it can cause nausea, vomiting, and diarrhea. Drugs
that increase the amount of uric acid excreted by the kidneys may also
be prescribed. Whatever the regimen, treatment is essential in preventing
further pain and damage to the affected joint(s).
The National Institute of Arthritis and Musculosketal and Skin Diseases
recommends that people with gout who want to prevent and/or lessen the
severity of future attacks should take their prescribed medicine, and:
People who are overweight are more likely to have difficulty getting rid
of uric acid from the body than slimmer, fitter folks.
Avoid certain supplements and over-the-counter (OTC) medicines
Even simple, seemingly harmless OTC drugs, such as aspirin and the vitamin
niacin, can make it harder for the body to excrete uric acid. Before taking
any supplement or drug (prescription or OTC), make sure it's been given
a thumbs-up by the gout specialists.
Up the intake of H20 and cut out the EtOH
Drinking plenty of fluids (water is the best) helps the kidneys do their
job at "peek" efficiency. Alcohol, on the other hand, while
it may send you to the bathroom more often, decreases the excretion of
uric acid and can worsen a bout of gout.
Take a pass on sweetbreads, kidney pie, and other "delicacies"
Be more finicky and steer clear of foods that are high in purines, including
organ meats (e.g. liver, kidney, and brain or sweetbreads), dried legumes,
herring, mackerel, and anchovies.
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I fell on my roller blades yesterday and skinned my knee. Now I'm watching
my knee change and I am fascinated by the healing process. Could you explain
to me just what is happening?
Fascinating is a good word for healing — before you finished picking
yourself up and brushing the gravel out of your knee, your body had already
begun a complex process that will soon have you ready to blade again (perhaps
with knee pads this time?).
The moment you cut or tear a blood vessel, the body's Superheros of Healing
spring into action. Here's how healing works:
First comes vasoconstriction — blood vessels leading to the wound
tighten to reduce the flow of blood to the injured area. Platelets (triggered
by enzymes leaked from the torn blood vessel) rush to the scene. These
sticky blood cells clump to each other and then adhere to the sides of
the torn blood vessel, making a plug. Clotting proteins in the blood join
forces to form a fibrin net that holds the platelet plug in place over
the tear, and in just a few seconds or minutes (depending on how bad the
scrape is), BLEEDING STOPS, thanks to coagulation! The fibrin plug becomes
a scab that will eventually fall off or be reabsorbed into the body once
healing is complete.
Once bleeding has been controlled, the next step is stopping infection:
The blood vessels that were constricted now dilate to bring white blood
cells rushing to the scene. White blood cells engulf and destroy any germs
that may have gotten into the body through the open wound.
When the enemies of blood loss and infection have been vanquished, the
body turns its attention to healing and rebuilding:
Fibroblasts (cells that are capable of forming skin and other tissue)
gather at the site of injury and begin to produce collagen, which will
eventually fill in the wound under the scab and create new capillaries
to bring oxygen-rich blood to the recovering wound. Skin along the edges
of the wound becomes thicker and then gradually migrates (or stretches)
under the scab to the center of the wound, where it meets skin from the
other side and forms a scar (about three weeks after the initial injury).
Scar tissue will become stronger and fade gradually over the next several
years as more collagen is added, but will only have about 80 percent of
the strength of the original skin.
Not all wounds heal equally. Generally speaking, more serious wounds take
longer to heal. Individual factors also influence how quickly your body
is able to recover from a wound, including:
Age — young'uns usually heal faster than older folks Nutrition
— the body needs a good supply of vitamin C to make collagen Smoking
— non-smokers, on average, heal more quickly than smokers Stress
— large amounts of stress can delay the healing process Moisture
— keeping wounds covered helps them heal more quickly because moisture
allows skin to migrate across the wound surface with greater ease Other
infections or illnesses — diabetes, thyroid disease, high blood
pressure, and poor circulation, for example, can decrease the body's ability
If you have wounds that are slow to heal, check with your health care
provider. It could be a sign of an underlying illness.
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When I fly, I get earaches. How can I avoid this on an upcoming flight?
What you're experiencing during air travel is called barotrauma, which
occurs when the air pressure in your middle ear chamber and in the environment
are not equal. In addition to flying, pressure changes also occur during
scuba diving and driving in the mountains. The symptoms of barotrauma
temporarily impaired hearing ringing in the ears dizziness pain (such
as your earaches) The pressure in the airplane cabin changes during take-off
and landing (cabins are not pressurized to preserve the air pressure that
existed on the ground). When the air pressure changes in the surrounding
environment, the Eustachian tube, which connects the middle ear to the
back of your nasal cavity, will allow air to leave or enter the middle
ear to even out the pressure difference. But if your Eustachian tube is
blocked due to congestion or some other problem, the pressure difference
is not corrected and barotrauma results.
During take-off and landing, you can try:
swallowing yawning chewing gum sucking on hard candy exhaling while holding
your nostrils shut and closing your mouth All of these might help open
up the Eustachian tube and allow air to flow in or out. If you must fly
with a cold, try taking a decongestant an hour before take-off and, if
it's a long flight, again an hour before landing.
If symptoms of barotrauma, such as impaired hearing or pain, persist after
a few hours of landing, see your health care provider. Treatment may involve
the above-mentioned exercises or decongestants to help open the Eustachian
tube. For severe barotrauma, sometimes antibiotics might need to be taken
to avoid an ear infection; only very rarely is a surgical opening of the
eardrum needed to treat this.
While your earaches during flying are annoying, they probably aren't an
indication of severe barotrauma if they go away within a few hours of
landing. So the next time you travel, try the yawning or breathing tips
mentioned above for a more comfortable flight.
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What do doctors call this illness when people just blurt out foul language
for no reason?
Sounds as though you're talking about Tourette's syndrome (TS), a genetic,
neurological condition that was named after the French neuropsychiatrist,
Dr. Georges Gilles de la Tourette, who evaluated a number of cases of
TS in 1885. Affecting around 1 in 600 people, folks with TS usually begin
having what seem to be involuntary movements and vocalizations during
childhood that are called tics. These symptoms are classified into two
Simple tics are sudden, brief movements that only involve a few muscle
groups. They're often repetitive (done over and over again), and include:
blinking of the eyes shrugging of the shoulders making faces yelping or
other sounds sniffing jerking of the head stretching the neck Complex
tics are more involved activities that require the coordinated effort
of several muscle groups. They include:
jumping contacting the nose or other folks or objects smelling things
echolalia — repeating what other people say coprolalia — use
of foul language, curses, or ethnic slurs. Although this is the most widely
known symptom, coprolalia occurs in less than fifteen percent of people
with TS. self-injurious behaviors, such as lip and cheek biting, head
banging, or hitting oneself. These are extremely rare and associated with
the most severe forms of TS. Tics are not completely uncontrollable. Some
people with TS are able to suppress tics for a short time (similar to
holding back a cough), but eventually, the tension mounts and the tic
is expressed. Stressful situations tend to make tics occur more often,
while states of relaxation or deep concentration have the opposite effect.
As folks with TS reach adulthood, tics tend to decrease in frequency;
some adults even experience complete remission of symptoms.
TS is believed to be inherited through a dominant gene or genes. This
means that a person with TS has a 50-50 chance of passing on the trait
to any children s/he has. People with the gene(s) for TS may display various
ranges of severity of symptoms. Some experience only mild tics or obsessive
compulsive behaviors; others are carriers of the gene(s), meaning they
experience no symptoms at all. Men with the TS gene(s) are three to four
times more likely than women with the TS gene(s) to exhibit signs.
Although no specific treatments for TS are available, most people with
TS are able to function well and lead productive lives without medication.
Those who have severe tics that are disruptive or dangerous can benefit
from medicine to help control their symptoms. Currently, researchers are
trying to identify the gene(s) linked to TS to better understand how the
syndrome is inherited and expressed, and to find more effective therapies.
According to the National Institutes of Health's National Institute of
Neurological Disorders and Stroke, the cause of TS is unknown, but research
points to a problem in the brain's metabolism of dopamine and other neurotransmitters
(chemicals that relay messages between nerve cells in the brain). Because
the exact cause is still a mystery, there's no test for TS. Instead, diagnosis
is made when a person has experienced both motor and verbal tics for at
least a year. Children with TS are often misdiagnosed with behavioral
or psychological problems because of the disruptive nature of the tics
and a lack of general knowledge about TS. Incorrect diagnosis and public
misunderstanding of the syndrome often cause people with TS to feel ashamed
and socially isolated. The Tourette Syndrome Association offers support
groups and other resources for people with TS and their families.
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Why is your favorite food very tasteless when you have a cold?
As if a runny nose, coughing, and a sore throat weren't bad enough, you
and millions of others coping with a cold can't even savor the flavor
of homemade chicken soup. Your inability to taste anything when you have
a cold is closely related to all the sniffling that keeps you inside and
under the blankets.
While our tongues have thousands of taste buds to measure the four primary
tastes — salty, sour, sweet, and bitter — the olfactory receptor
cells at the top of our nasal cavity measure the odors that provide us
with the sumptuous (or not so sumptuous) flavors we associate with certain
foods. Our sense of smell is actually responsible for about 75 percent
of what we typically think of as our sense of taste. So, if your nasal
passage is blocked by all the mucus that keeps you sniffling and sneezing,
your olfactory receptor cells aren't being visited by those odors. Which
leaves everything tasting pretty much the same.
But you can try to look on the bright side: you can't really taste those
unpleasant cold medicines, either.
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Last week I had a cup of morning coffee and, silly me, I ended up burning
my tongue. Now I have small white spots and redness all around the end
of my tongue and it hurts. Is there any medication I can put on it to
relieve the pain and redness? Thank you.
The medical term for tongue irritation and swelling is glossitis. This
covers all tongue trouble ranging from encounters with hot coffee and
bacterial infections, to clumsy dates with sharp braces. Unfortunately,
while your condition is easily named, it's less easily fixed. Applying
ice right after the burn will make the injury less severe and painful
(NEVER apply ice directly to burns that result in charred, blackened tissue
— seek immediate medical attention for those).
You can put an over-the-counter cold sore medication or an anesthetic
mouthwash on your tongue to numb it until it heals. Many of these medications
are also antiseptic, keeping your burn from getting infected. Avoid using
any numbing medicine before meals — chomping on a numb tongue will
have you slurring your words and slurping applesauce for a while. Be patient,
stock up on ice pops, and, within a week, your tongue will be untied from
its burn symptoms. Although annoying and painful, tongue injuries tend
to heal quickly, probably because they can interfere with eating and drinking
— just one more way that our bodies can take care of us automatically.
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My wife has terrible migraine headaches. She has tried caffeine, vitamins,
and Motrin. Motrin works occasionally. Any suggestions?
Dear Low tolerance,
There are three major types of headaches: tension (most common), vascular,
and organic (rarest of the three that's associated with an underlying
medical condition, such as a tumor, infection, disease, or hemorrhage).
Migraines fall into the vascular headache category, which are due to a
constriction and then dilation of blood vessels in the head. Migraines
are severe headaches, lasting from several minutes to several days, often
accompanied by light and noise sensitivity, nausea and possible vomiting,
and sometimes disturbances of vision (known as auras, which include flashing
lights and blind spots). According to the Journal of the American Medical
Association (JAMA) Migraine Information Center, migraines affect approximately
twenty-six million Americans, nearly 75 percent of whom are women. Occasionally,
these individuals experience only a single attack, but, more typically,
they have recurrent attacks at varying intervals.
A majority of migraines run in families. It is believed that migraines
can be caused by biochemical changes in the brain, particularly a low
level of the neurotransmitter, serotonin. This leaves people with migraines
without enough serotonin to quiet the body's response to various triggers,
certain foods strong smells excessive hunger changes in altitude, weather,
or temperature bright lights rising or dropping stress levels sleep difficulties
depression extreme noise in some women, hormonal fluctuations, particularly
estrogen, that accompany menstruation, birth control pills, pregnancy,
and estrogen replacement therapy
There are two types of migraine: common and classic. In common migraines,
which affect about 80 percent of people with migraines, the pain of the
headache develops slowly, sometimes mounting to a throbbing pain that
is made worse by the slightest movement or noise. The pain is often, but
not always, on one side of the head only, and usually occurs with nausea
and sometimes vomiting (many recover after they have vomited). The difference
between common and classic migraines is that classic ones are accompanied
by auras. Most people find that they recover more quickly from a migraine
if they can sleep in a darkened, quiet room and use an ice pack.
The best known prevention of migraine headaches is to avoid any known
triggers, keeping in mind that what may bring about one migraine attack
may not necessarily give rise to other attacks, which could be the result
of other trigger(s). Keeping a careful diary can help pinpoint them. Triggers
include certain foods or ingredients, such as:
alcoholic beverages (often those containing sulfites, such as red wine)
aged cheeses (because they have tyramine) chocolate citrus fruits fermented
products monosodium glutamate (MSG) preserved meats (due to nitrates and
nitrites) possibly aspartame
These may need to be limited or cut out of the diet as they have been
implicated in setting off migraines in many people. Managing your stress
levels, treating any underlying depression, quitting smoking (if you already
smoke), limiting your salt and caffeine intake, and following regular
eating, exercise, and sleep schedules can also help. Not having enough
sleep or oversleeping is a common cause of migraines. Try getting up at
the same time each day. If it's the weekend, regardless of when you go
to bed, arise at the usual time anyway, have something to eat, wash up,
and then go back to bed or take a nap later on in the day. Relaxation,
physical therapy, and massage can help the migraine affected as well.
If making lifestyle changes is not enough in managing your migraine attacks,
then you'll need to see your health care provider to discuss more powerful
treatment options and what'll work best for you, including trying different
medications to see what's effective for you or alternating between two
or more meds depending on the type of migraine you have. Follow directions
carefully and avoid overmedicating and overusing (i.e., chronic or daily
use) pain relievers, which could lead to rebound headaches as the last
dose leaves your system:
As a first step in treating mild migraine pain, you can try an over-the-counter
(OTC) analgesic, such as acetaminophen, aspirin, ibuprofen, naproxen sodium,
and ketoprofen, at the first signs of a migraine attack. An aspirin, acetaminophen,
and caffeine combination, such as Excedrin Migraine, is also available,
which is the first OTC product approved by the Food and Drug Administration
(FDA) for treating mild to moderate migraines. Aspirin helps relieve pain,
lessen inflammation, and decrease platelet aggregation. Caffeine enhances
the effectiveness of the other two drugs.
For more moderate migraine pain, a combination of a narcotic pain reliever
and aspirin or acetaminophen could be taken as long as attacks are not
recurrent since you can develop a dependency to these drugs. Another option
is aspirin or acetaminophen plus a sedative, which is relaxing but also
may be habit-forming.
For moderate to severe migraines, ergot alkaloids (e.g., ergotamine, dihydroergotamine),
an alternative to analgesics that constricts the dilated blood vessels
surrounding the brain, can be considered. Also available for the treatment
of acute attacks are the triptans, which are serotonin agonists (see below
for more information), and isometheptene-acetaminophen-sedative mixtures
for pain relief, relaxation, and blood vessel narrowing.
For migraine prevention, there are beta blockers, calcium channel blockers,
antidepressants, serotonin antagonists (e.g., methysergide), and anti-seizure
meds (e.g., divalproex sodium), all of which can help decrease the number,
duration, and severity of migraines. These drugs are recommended for people
who have at least two incapacitating attacks a month or who have such
severe attacks that daily life routines are disrupted.
Some people have been able to treat their migraines without drugs through
a method known as biofeedback. With biofeedback, a person learns how to
manage both muscle tension and blood vessel constriction and dilation
that are often involved in the development of a migraine.
Anti-nausea, or anti-emetic, meds could also be considered to help relieve
the nausea and possible vomiting symptoms that can accompany migraine
Much progress has been made recently in the field of migraine therapy,
including powerful new drug offerings that have made a dramatic difference
in improving the quality of life of many people who have acute or chronic
migraines, in particular, and who have not had much success, or who had
too many intolerable side effects, with past treatment options. One such
medication is the triptans (e.g., sumatriptan, naratriptan, rizatriptan,
and zolmitriptan), which are available in several forms depending on how
quickly you want the drug to act on your migraine. From slowest to fastest
acting, there are pills taken by mouth, nasal sprays, and self-injectable
forms. A 5-HT agonist, sumatriptan, has received a lot of attention and
is the most commonly taken triptan. Sumatriptan is a migraine abortive
medication that binds to 5-HT receptors on the trigeminal nerve for serotonin,
which then stops the migraine from progressing. Side effects, such as
chest tightness, warmth, and dizziness, are mild and fleeting in most
people. Depending on your medical history and what drugs and supplements
you are currently taking, your health care provider will determine whether
or not you can take sumatriptan. Unfortunately, sumatriptan doesn't come
cheap: pills are priced at around fourteen dollars each and injectable
forms can cost about forty-two bucks. And, it doesn't work for everyone.
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My sister has cellulite, especially in her legs. She went to one of these
health clubs to look for a treatment and they put her on something like
"lymphatic draining," and gave her some type of algae (Asiatic
star or something like that), which is in a spray form that she has to
apply to her legs once a week, and in pills once a day. The lymphatic
draining worked as follows: they put a gel on her legs and then they covered
them with a pair of "air trousers" which was inflating and deflating
periodically, like massaging her legs.
Do you have any idea what this is about? Do these treatments really work?
I mean, do they eliminate the fat accumulated on local spots, or do they
merely "redistribute" it? Where can I read about treatments
for cellulite -- not those in popular magazines, but something more scientific?
Cellulite is fat -- plain ol' ordinary fat. What is termed "cellulite"
is actually a dimpling effect of fat caused by the way fat cells lie in
or between connective tissue in the body, primarily in the hips-thighs-buttocks
region. Connective tissue extends from the skin to the muscle below. Fat
cells, especially when they get bigger, "push up" against the
tissue to create the dimpling.
Regardless of whether or not it is deemed unsightly and abnormal, cellulite
is normal for many adult women, and some men. The dimpling effect is less
obvious in people who have thicker skin, like men and some women. The
thickness of skin is determined by our genes. Skin tends to become thinner
with age, and we cannot do anything to change it.
Another factor which influences who will show more cellulite is where
the body tends to store fat. Women who deposit fat in their hips and thighs
tend to have more cellulite than women who store fat around their waists
-- again, this falls under the control of your genes.
Your sister's treatment probably tightens the skin briefly to reduce the
appearance of cellulite; that is what all the creams and lotions you can
buy over-the-counter will do. Lymphatic draining sounds very medical and
technical -- the truth is that the body does its own lymphatic draining
without the help of air trousers, and this has nothing to do with the
dimpling effect of fat cells in a person's thighs. Cellulite is fat, and
it seems to be harder to lose than other areas of fat on the body; this
may stem from the way fat cells are embedded in connective tissues. To
reduce the amount of fat that is absorbed and stored or burned by the
body, eat less fat, consume fewer calories, and exercise.
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I'm an 18 year old guy, and I'm thinking about shaving my legs this summer.
Basically my legs seem too hairy for my liking and it makes them feel
less clean to me. Is it strange to feel this way? I've wanted to try this
for a while but have been worried about what others' reaction will be.
Would people think I am totally strange or would they even take notice?
I've heard that cyclists and swimmers often shave their legs in preparation
for competitions -- what kind of reaction does that draw? Thanks for any
advice you can give.
To shave or not to shave...this is the question. When it comes to removing
body hair, whether it's on top of your head, under your arms, or on or
between your legs, I feel that there's no incorrect decision because the
act is naturally reversible. If you shave your hairy legs today, and it
doesn't make you feel any "cleaner" tomorrow, rest assured,
the hair will return. Similarly, let's say you shave your chest hair and
discover, that without it, you look like a plucked chicken. Squawk not,
your feathers will eventually grow back. It is true that bikers, swimmers,
runners, and other athletes have been shaving for years as a tactic for
improving their speed; but more and more, pop culture has jumped into
the game as well. Take a look at some male-oriented sports and fashion
magazines: there's plenty of beef, but where's the hair? So, since hairless
supermodels are in vogue, I doubt that you will become a shaved-legged
laughing stock at this summer's beach parties and barbecues. And yes,
you may even discover that few notice your nakedness, as many guys have
very little hair on their legs, arms, chests, etc. from the get go.
Short of waxing (a painful...a very painful...did I say painful, procedure
where your hair is professionally removed above and below the skin surface
as a method for delaying re-growth), be aware that everyday shaving may
leave you with a prickly, bumpy surface, rather than the silky, smooth
skin you see on TV. This can be a hair-raising experience for some, but
again, stay tuned because your hair will be right back. You might also
consider trimming your body hair, instead of going for the Uncle Fester
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Do you have any hints to stop snoring?
Snoring is noisy breathing through the open mouth during sleep. It is
produced by vibrations of the soft palate. Snoring is usually caused by
conditions that interfere with breathing through the nose, such as a common
cold, allergies, or enlarged adenoids. It is more common while sleeping
on your back, when the lower jaw tends to drop open. As long as your doctor
determines that your snoring is not stemming from apnea (a disorder where
the snorer stops breathing for seconds, or even minutes) or any other
serious condition, here are some tips for alleviating your predicament:
Sew an object (i.e., a tennis ball) into the pajama top near the small
of your back in order to make it uncomfortable to sleep on your back.
For at least two to three hours before bedtime, don't drink alcohol or
take sleeping pills, antihistamines, or tranquilizers. They depress the
central nervous system and make your tongue floppy and throat muscles
loose. Add some humidity to your bedroom. A dry throat tends to vibrate
more than one that's moist. Try putting a container of water near your
radiator. Use extra pillows to raise your head and align your airway.
Try not to eat dairy products before bedtime because some people notice
a build-up of mucus that can interfere with breathing. Try taking honey
(chew honeycomb or swallow a couple of spoonfuls of liquid) daily for
a few weeks. Have someone you sleep with, or your roommate, roll you over
onto your side when you start to snore.
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How can I get some information on stomach staples?
Stomach stapling is a major surgical procedure for severely and/or morbidly
obese individuals who have made numerous, unsuccessful attempts with traditional
methods of losing weight (e.g., changing eating patterns, working with
nutritionists on eating plans, dieting, regular physical activity), all
with the knowledge and supervision of their primary care provider. This
surgery is getting a lot of notice lately due to celebrities such as Carnie
Wilson, who has gotten the procedure done as a last resort treatment for
her morbid obesity.
For the procedure itself, a trained and experienced surgeon creates a
small pouch at the top of the stomach, where it meets the esophagus, using
staples and most often a band that is filled with saline that can enlarge
and contract. The pouch will generally be large enough to hold only 1
to 3 ounces of food at a time. At the lower end of the "new"
stomach, an opening of about 3/4 inches is made. This slows the movement
of food, allowing the person to feel full more quickly. As a result, the
person will be able to eat only a small amount of food — generally
about one cup or less — at one time.
Sometimes the procedure is coupled with another one, called a malabsorptive
operation, which diverts food from the stomach past much of the small
intestine. This severely limits the body's ability to absorb nutrients
and calories from the food, thus resulting in rapid weight loss.
Following the operation, the patient will have to consciously learn to
change her or his eating patterns — to eat smaller amounts of food
and to chew slowly and thoroughly. S/he won't be able to eat foods high
in sugar or fat content, because they empty from the stomach more quickly
than foods high in protein or complex carbs such as fiber, and can cause
uncomfortable side effects. The patient will begin a lifelong dependency
on nutritional supplements, since s/he will not be able to get enough
vitamins and minerals from the food s/he eats. The individual will need
to engage in regular physical activity as well, even if it's never been
part of her or his routine.
Usually, maximum weight loss takes anywhere from 10 to 24 months after
the surgery. Some people will not be successful. More than just the physical
differences in the stomach, success also depends on the person's motivation
to change her or his eating and exercise routines, continuing to use the
traditional means of weight loss and maintenance that are most often successful
and had been tried before having the surgery. These factors remain key
to successful weight loss and maintenance, whether or not one has the
Stomach stapling is major surgery and is not a cosmetic procedure. To
qualify for gastrointestinal surgery (stomach stapling is one kind), the
person needs to have a body mass index (BMI) of over 40. For a man, this
means being at least 100 pounds overweight for his height; a woman must
be over 80 pounds the healthy weight range for her height.
While stomach stapling is a fairly simple procedure, it is not without
risk. Nausea and vomiting are more prevalent, since eating larger amounts
of food or not properly chewing will result in throwing up. Sugar and
fat can cause "dumping syndrome," in which food moves through
the stomach opening too quickly, causing nausea, vomiting, weakness, and
even fainting. About 10 to 20 percent of people who undergo the surgery
will need to have at least one follow-up operation due to complications.
The band can slip, or even break, releasing saline into the abdomen; the
staples can deteriorate and will need to be replaced. In a small number
of cases, juices from the stomach can leak out into the abdomen, necessitating
immediate emergency surgery. And in less than 1 percent of cases, infection
can lead to death.
In addition, about 1/3 of the people who undergo the procedure will have
gallstone problems and another 1/3 will have nutritional deficiencies.
Some may also experience pulmonary embolisms (blockages of an artery)
or respiratory failure. In short, the procedure should be considered as
a last resort only.
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I was discovered to have Thalassemia. Tried to check up on some health
book but could not find complete description of what it is and the possible
effects it may cause to my health. My doctor I consulted was not very
clear either... please educate me more on this.
Thalassemia is a series of related genetic (inherited) disorders of the
blood that decrease the body's ability to produce hemoglobin — a
part of red blood cells that carries oxygen and other vital nutrients
throughout the body. The severity and effects of thalassemia depend in
part on whether a person gets the thalassemia gene from one or both parents.
People who receive the gene from only one parent have thalassemia minor
and are also know as trait carriers. Minor thalassemia often goes undetected
because it poses no significant health problems. It can cause a mild form
of anemia (a condition involving a decreased number of red blood cells
that can cause fatigue) that does not respond to iron supplements, a common
treatment for anemia. Because this gene can be passed onto children, genetic
counseling is recommended for people with minor thalassemia who are thinking
about starting a family. The March of Dimes Resource Center has additional
information about genetic counseling, including how to find a site close
People who receive a thalassemia gene from both parents have major thalassemia,
which is also known as Cooley's anemia or Mediterranean anemia. Major
thalassemia is most often treated by blood transfusions to keep hemoglobin
levels high enough to transport oxygen. Without treatment, major thalassemia
can have serious health consequences, including:
severe anemia growth problems, including fragile and enlarged bones, facial
malformations, and delayed growth organ damage from iron deposits in the
heart, liver, and pancreas spleen enlargement increased susceptibility
to infection Within the major thalassemia category are several different
types of thalassemia that vary depending on which proteins a person's
hemoglobin lacks. Each type of thalassemia can have specific complications.
Because it sounds like your condition was identified in adulthood rather
than in infancy or early childhood, it is likely that your form of thalassemia
is minor rather than major. Regardless, you need to consult with your
health care provider or be referred to a specialist in thalassemia, someone
who can be more clear and can explain things more carefully to you. S/he
will recommend what courses of action and/or treatment are appropriate
for you. Sometimes your insurance company or your primary care provider
can help you find these specialists, including a genetic counselor.
Currently, there is no cure for thalassemia, but the Cooley's Anemia Foundation
is working to help people with thalassemia get more education and better
access to treatment. The organization has a patient's advocacy group and
discussion forum that can help people address some of their questions
and perhaps identify a specialist in their area.
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I have always been curious about crying and tears. It seems so strange
that when you are sad about something, salty water starts pouring out
of your eyes! Do you know why this happens? Is it because our body needs
some kind of release from the pain and has to let something go?
Now don't cry... People have been asking for a long time now why we get
teary-eyed and cry, but as of yet, there is no conclusive answer. Evolutionary
biologist Charles Darwin himself made one of the earliest serious inquiries
into the reason behind crying in The Expression of Emotions in Man and
Animal (1872); in his book, he concluded that sobbing served no purpose
at all, that it is "an incidental result" of the pressure we
put on our eyes when we contort our faces. Shedding tears when upset or
angry is, for Darwin, the same as when we weep after we've been hit in
the face — it's all about muscle contractions.
Darwin doesn't have the last word on this one, however, and theories —
biological, chemical, social, and psychological — about crying abound.
Some researchers believe that it actually releases chemicals that our
bodies produce when we're stressed or upset. Researchers have analyzed
the chemical difference between tears shed by people who were moved emotionally
by a Hollywood tearjerker and tears brought about from cutting onions.
They found a difference in the proteins between the two types of tears,
and concluded that those produced by the weepy film were from hormones
released by the body. So "crying it all out" could literally
mean crying those hormones out of your body.
Another chemical theory is that crying helps to release endorphins into
the bloodstream. Endorphins are chemicals that act as mood-elevators and
pain relievers. Both this and the above theory give chemical credence
to the assertion that most people feel physically better after having
a good sob.
Then there are the socio-psychological theories of crying. The most obvious
one stems from what we know of newborns. Infants cry to resolve a negative
situation: hunger, pain, a lack of attention. Perhaps we have held on
to this tactic as we age, and we weep in order to receive social support,
which in turn makes us feel better about whatever is bothering us.
Some researchers argue that crying is a form of emotional communication
— it shows that our emotions are honest. It's notoriously difficult
to fake sobbing, as many actors can tell you. Tears also help to convey
emotions that we may find difficult to verbalize. In addition, tears emphasize
that our facial expressions are trying to convey sadness or grief. In
one Vassar study, researchers showed participants photographs of people
weeping, some with the tears removed by a computer. Participants had difficulty
identifying the emotion being expressed by faces that had been computer-dried
While not everyone agrees on the biological, chemical, social, or psychological
factors that make us cry, most agree that crying is healthy for you and
your sympathetic nervous system.
Crying is uniquely human. No other animal expresses its emotions by releasing
tears, not even our closest relatives (Darwin again!), the apes. They
cry vocally, much like screaming newborns, but they remain dry-eyed. Their
tear ducts only kick into action when they've been physically injured.
So while you may never get the definitive answer on why you cry, you can
still enjoy this uniquely human and overall emotionally healthy and cathartic
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I have a two-part question about urine. When I pee in public bathrooms,
I sometimes feel splashes on my legs from it bouncing out of the urinal.
I am curious if anything bad can come from this. Also, how bad is it to
pee in a shower? I have to use a public shower (military) and I know guys
pee in there. Thank you for your time.
Bob in NC
Dear Bob in NC,
Urine luck! Even though pee is liquid that carries water and waste from
the body, it's normally sterile (bacteria free), whether it comes out
of you, or someone else. It's made up of everything from sulfate and sodium
to potassium and chloride, but it won't hurt you if you splash, drip,
or step into a puddle of pee left behind by a multi-tasking seaman, or
soldier, or whoever. The smell of standing urine, caused by bacteria that
produce ammonia, would be more bothersome than getting some on you, so
rinsing yourself and the shower area before you step into it aren't bad
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Why do people have to wear underwear?
They don't. Well, maybe there are some places, cultures, and religions
that require wearing some sort of undergarments, but chances are that
you're talking about the expectation that we all don briefs, bras, boxers,
panties, jocks, thongs, and what have you.
Underwear does provide the breasts, buttocks, and penis with support,
chafing protection, and perspiration absorption, and helps keep outerwear
free of smells and stains from stray excretions. It's possible that breasts,
buttocks, and genitalia free to frolic and feel around inside shirts and
pants can cause some excitement for you and those in your vicinity. An
additional underwear barrier between our "private parts" and
the outside world may satisfy some who'd rather not be reminded of, or
get anywhere near, that stuff. Indeed, according to Elaine Benson and
John Esten's book, Unmentionables: A Brief History of Underwear, undies
— especially for women — were developed, in part, as a Victorian
attempt to control and hide genitalia and physique. All the baby talk
nicknames that are still substituted for underwear — scanties, snuggles,
skivvies, and smalls, to name a few more — are another indication
of our ongoing discomfort with the contents of our underclothes.
So, will you do time if nothing comes between you and your Calvins? Ironically,
Mr. Klein may not want you to know this, but going without his or anyone
else's when out and about is healthy (barring some of the "side effects"
mentioned before), liberating, and yes, sexy. Because there's this widely
held belief that underwear should be worn at all times — even when
sleeping — not conforming can feel daring, "dangerous,"
empowering, and thus, a turn-on. Now, if you start rubbing up against
people in the post office, or proudly pitching tents at the train station,
your newfound freedom has derailed and may land your bare ass in jail.
It's your choice to wear or not to wear; and not everyone wants, or has,
to know about it.
If you're contemplating keeping that underwear drawer closed tomorrow
morning, or trying to convince someone else to take a walk on the wild
side, this is another one of those life experiments that need not lead
to permanent change. If you get caught in your zipper, or you just get
second thoughts about your choice, your underwear ain't goin' anywhere.
You can even carry a pair around with you in case you suddenly want to
slip into something more comfortable.
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Here's a question I have been debating with a friend for a while, and
seeing as how I'm not scheduled to go to the dentist again for a while,
I thought you could shed some light on the issue: when brushing one's
teeth, should one also brush one's tongue? I would think yes, because
what's the point of brushing germs off teeth if the tongue still has them
there, and will transfer them to the teeth as soon as you're done brushing.
My friend thinks it makes absolutely no difference. So does it matter?
We have an ice cream wagered on this one! I hope I'm right!
Tongue brushing, in contrast to tooth brushing, is really more of an option
than a necessity. The main reason why brushing our teeth is so important
is to break up the plaque that forms, not to remove germs. Plaque forms
in everyone's mouth. During the day, bacteria, which are always present,
colonize in the food particles which remain in one's mouth after eating.
It takes approximately twenty-four hours for plaque to form. Thorough
brushing at least once a day keeps the bacteria from sticking and organizing.
That's the key to healthy teeth.
The main purpose for tongue brushing is to remove these same stuck food
particles before they cause odor. Some people need to do this often, and
others, not at all. Generally, the tongue tends to be self-cleaning: it
has a movable surface and is constantly bathed in saliva, so remnants
of meals don't hang around for too long. Your teeth are also covered in
saliva, but since they're hard and immovable, the food has a chance to
latch on and stay put.
For people who feel they have a problem with bad breath, tongue brushing
may help. Special tongue scrapers are available at many grocery or health
and beauty aide stores; they are usually handled, tear-drop shaped devices
with ridges. The only benefit to these tongue scrapers is that they are
less likely to hit the back of one's throat and cause the gag reflex.
They are by no means necessary, though, since the same results can be
accomplished with a popsicle stick or regular old toothbrush.
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Does drinking milk prevent osteoporosis? Then what are the best ways to
Osteoporosis doesn't happen overnight. Many interrelated factors cause
this serious loss of bone mass. It begins with osteopenia, a demineralization
of bone, and progressively gets worse. But prevention is possible, with
Diet and other health practices influence our lifetime bone strength.
Getting enough calcium, vitamin D, and weight-bearing exercise are part
of the prevention picture. According to the new DRI (Daily Reference Intake),
Calcium (No differences for women who are pregnant or lactating) 9 - 18
years: 1300 mg/day 19 - 50 years: 1000 mg/day older than 50 years: 1200
Vitamin D 9 - 50 years: 5 micrograms [200 International Units (I.U.)]
over age 50 years: 10 micrograms (400 I.U.)
Weight Bearing Exercise This part confuses many people. The National Osteoporosis
Foundation defines it as "exercise in which bones and muscles work
against gravity as the feet and legs bear the body's weight." Examples
include walking, jogging, stairclimbing, dancing, and racquet sports,
along with weight training. Overexercising, however, can actually decrease
bone density. For women, loss of menses may be a signal of too much physical
activity. Other nutrients involved in building strong bones include:
Nutrient Role(s) Good Sources Vitamin C a vital nutrient in forming collagen,
which helps support minerals in the bone structure and plays a crucial
role in holding bones together most fruits and vegetables, particularly
citrus fruits, papaya, bell peppers, cantaloupe, strawberries, and broccoli.
Vitamin K activates a protein needed to keep bones strong leafy green
vegetables are the best source Potassium may help retain calcium in bone
tissue fruits and vegetables, including potatoes, spinach, bananas, orange
juice, and various legumes Magnesium needed for bone formation green vegetables,
whole grains, wheat germ, nuts, and legumes.
The following weaken bones:
Salt Sodium is one of the most harmful substances to bone — especially
in a low calcium diet. Keep sodium intake below 2400 mg per day. Caffeine
In the absence of sufficient calcium, even moderate amounts of coffee
(16 oz./day) are associated with decreased bone density. Heavy caffeine
consumption is known to leach calcium from bones.
Soft drinks High in phosphoric acid, diets high in soda consumption and
low in calcium lead to reduced bone density. Many teens (and adults) substitute
sodas for milk — a double whammy against strong bone development
Alcohol Heavy drinking contributes to bone loss and fractures.
Protein Excess animal protein increases calcium loss in urine. This is
a significant danger in the "high protein diets" popular today.
The claim that dairy products increase calcium excretion is simply not
accurate. As a matter of fact, calcium from dairy products is associated
with stronger bones than calcium from other sources, according to an article
published in the American Journal of Clinical Nutrition (1999, vol. 69,
pp.727 - 36).
Vitamin A An excess (in the form of retinol) is dangerous. If you take
a supplement or multivitamin, be sure it has no more than 100 percent
of the Daily Value (DV) — 1,000 retinol equivalents for men, 800
for women. A good portion of that should be in the form of beta-carotene,
which is converted to vitamin A only as the body needs it.
Smoking Smoking decreases levels of vitamin C and estrogen, both of which
are crucial for strong bones. It may also decrease body mass and increase
rate of fractures.
Amenorrhea Amenorrhea means missing your period for three months or more
(if you're not pregnant), which may signify a problem that greatly affects
your bones. In this case, your body may not be producing adequate estrogen,
which is crucial for assimilating calcium into bone. Exercise induced
amenorrhea (overexercising to the point of losing one's period) can increase
the chance of bone fracture.
Calorie restriction Chronic dieting, especially when accompanied by amenorrhea,
is particularly harmful to bones. Hormonal changes occur, negatively affecting
bone formation, in those who severely restrict calories and have poor
Low body weight Yes, you can be too thin! Low body weight provides little
to no resistance against your movements. This prevents bones from becoming
Medications For instance, one of the most well known medications, prednisone,
can increase calcium loss. Whenever medication is prescribed to you, check
with your health care provider and/or a pharmacist about its effect on
Now that you've boned up on osteoporosis, you can see that eating a well-rounded
diet is really the best defense. Although calcium is in the forefront,
many nutrients play supporting roles. In addition, regular but not excessive
exercise, along with other healthy lifestyle choices, can help you build
strong, long-lasting bones.
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Do "fat burners" really work? If so, why? If not, why not?
Burning to know
Dear Burning to know,
As you probably know, if you walk into any pharmacy or supplement shop,
you will see dozens of products promising to make excess body fat melt
away. Although manufacturers are not permitted to make these claims on
the bottle, they run alluring ads in magazines and on TV. So, how are
you to know whether or not the ingredients are safe and effective?
Weight loss supplements may work in three ways: one is by helping the
body to break down body fat. This involves releasing it from fat cells,
where it enters the bloodstream as free fatty acids that are then transported
to muscle cells where they may be burned. The second action of weight
loss supplements is to suppress appetite, which is a complex process.
Many hormones and neurotransmitters are involved. We don't have all the
answers in this area, but research continues. The human body's instinct
is to survive, and once appetite suppressants are stopped, people become
hungry. The third way weight loss supplements may work is by inhibiting
the body from absorbing fat during digestion. Fat blockers don't work
if a person isn't eating fat in his or her diet. They also won't prevent
weight gain if a person is overeating protein or carbohydrates. The negative
side effects of these supplements include stomach discomfort, diarrhea,
and inability to absorb many important fat-soluble vitamins and other
nutrients. In addition, they may interfere with the effectiveness of certain
medications, especially birth control pills and estrogen.
Often, weight loss supplements contain more than one substance to generate
weight loss from more than one angle. The ingredients are available alone,
or with other substances. The following is a partial listing of some of
the weight loss supplements you may see:
Carnitine Promoted as a fat burner, carnitine naturally occurs in the
body, and people can obtain it through eating meat, fish, poultry, and
some dairy foods. Carnitine helps transport fatty acids to the muscle.
In theory, it makes sense that more of it would help people get more fatty
acids into the muscles, burning additional fat. Unfortunately, it doesn't
live up to expectations, because taking its supplemental form doesn't
result in increased fat burning.
Chromium Picolinate Although this mineral helps metabolize carbohydrates
and fats, it has not lived up to claims of increasing lean body mass and
decreasing fat. As a matter of fact, the majority of the research done
on this supplement shows it is not effective as a weight loss supplement.
Some research showed damage to DNA with excess chromium picolinate that
is exacerbated with Vitamin C. Taking in more than the body requires can
actually reduce the binding capacity of iron in the blood, potentially
resulting in iron deficiency and decreased ability to carry oxygen in
the blood. This could negatively impact one's ability to exercise and
Ephedrine This is probably the most popular substance in fat-burners on
the market today. It acts like a hormone the body makes — norepinephrine.
The action of this substance is associated with increased fat release
from adipose (or fat) tissue, increasing free fatty acids in the bloodstream.
Also increased are heart rate, heart contractility, body heat production,
and metabolic rate. Ephedrine may also be able to suppress hunger. Studies
have demonstrated that dieters were able to lose slightly more weight
when taking ephedrine vs. placebos — but not nearly the amounts
referenced in TV and magazine ads. It has been shown that ephedrine is
even more effective when combined with caffeine — but so are the
side effects, including tremors, dizziness, insomnia, heart arrhythmias,
headaches, and increased blood pressure. The U.S. Food and Drug Administration
(FDA) has reported numerous adverse incidents and a number of deaths from
taking supplements containing ephedrine or its precursors, ephedra or
ma huang. Anyone with high blood pressure, heart disease, or diabetes,
and pregnant women need to avoid this supplement. The National Football
League (NFL) has listed it as a banned substance, and Canada prohibits
its sale. Although ephedrine may help some people lose an extra few pounds,
it doesn't seem worth the risk.
When a supplement touts "proven in clinical trials," you need
to dig deeper. If the manufacturers are citing animal studies, it may
have no merit in terms of human outcomes. For one reason, fat metabolism
in rats is different than in people. Often, preliminary research is done
on these animals, but the same results often don't pan out in humans.
We are learning that fat burning and some hormonal responses are not the
same between the two species. Some supplement manufacturers jump the gun
before substances can be proven in humans, often in the name of big bucks.
Another caveat is that when research is done, sometimes amounts of the
ingredients or the ingredients themselves that the scientists use are
not available to the public. Scientists may use substances in large amounts
when studying them — not what is generally available at your local
health food store. The supplement you find may contain additional components
that alter the effect of the main ingredient. In addition, there is no
guarantee that the supplement you buy has exactly what the label indicates.
Once again, there is really no safe short cut or quick fix to losing
weight, no matter how slick the ads! And fat burners, despite the hype,
do not work as advertised.
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I have a friend who wants to lose weight. She thinks that if she skips breakfast and lunch, she will lose weight. Can this harm her or not? I know it's bad for her, but she doesn't understand.
Trying to be a good friend
Dear Trying to be a good friend,
Not eating throughout the day can certainly be harmful. Depriving one's body of the nutrients it needs for good health is an ineffective and potentially destructive way to lose weight. It makes your body think it's starving.
Going for hours without eating deprives the brain of glucose... the all-important fuel for thinking. Missing out on glucose also makes assessing one's hunger and fullness difficult. Many people have a tough time connecting to their body signals when they ignore them for so many hours. This can make controlling portion sizes even more challenging when one starts eating. For some people, the vicious cycle continues if they starve all day and stuff themselves at night. If this is the case for your friend, she may feel she has to compensate for her evening binges by fasting during the day.
Eating at regular intervals is important because it helps keep one's metabolic rate up. If a person goes all day without eating, the body conserves energy and expends fewer calories. If someone is fasting all day, and eating only dinner, that's not enough food and energy for this person. It's virtually impossible to get all the nutrients the body needs in one meal, even if it is balanced. Whatsmore the body could go into 'starvation mode' and feeds itself with the fats present in the body. Metabolism drops as far as possible, and any subsequent intake of food is turned into fat by the body. Not quite something she is after is it.
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Her attitudes about food, eating, and weight loss appear to be unhealthy. She may have an eating disorder, and be in need of professional help. Perhaps you can persuade her to discuss her body weight issues with a parent or health care provider.
How many calories and % fat are in these Starbucks items (considering they're all "Venti" sizes)?:
- White Chocolate Mocha
- Iced Caramel Machiato
- Coffee Frappaccino
- Caramel Frappaccino
If you're feeling a little wacko, or verklempt, from all the extras in today's coffee beverages and other specialty hot drinks, you're not the only one. Besides the caffeine, you may feel a lift from the added sugar, which may be up to 12 teaspoons worth. Some of these not-so-innocent drinks have two to three times the amount of calories and fat of a candy bar. If you add a scone or other pastry... watch out, you could be sipping over 1,000 calories in that "little" snack set!
Where are these calories coming from? Many coffee drinks — both hot and cold — contain whole milk, sugar, flavoring syrups, and sometimes whipped cream. The drinks you mention above contain anywhere from 250 - 600 calories — for the grande size. Make it a venti or the largest size available, and the numbers rise even more.
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Your best bet when frequenting your favorite coffee bar: request skim milk, rather than whole. Also skip the whipped cream (it adds at least 100 calories, and most of its fat is the unhealthy saturated kind). Instead of the flavored syrups, try sprinkling cinnamon or vanilla flavoring (which may have some sugar, but you'll add less of it than with the syrup). For people who can't give up the sweet taste, you can add the sugar yourself (each packet contains 16 calories), or you can use a low-calorie or non-caloric sugar substitute, such as aspartame or saccharin. Of course, if you can't bring yourself to drink the bare-bones coffee, and feel you've got to have the fully-loaded deluxe model, go for the smallest size... and skip the pastry. After all, the beverage really doubles as dessert.
When I bend down, or bend over, my head starts to pulse and sometimes it feels like it is going to explode. It can be unbearable. Once I sit down or stand up, the headache goes away. If I bend down extremely slowly, then I am usually OK.
I had this problem periodically in the past, it cleared up, but is a problem again. Any advice?
Dear Balloon Head,
When someone develops a new kind of headache, or has repeated headaches that haven't been explained, it's always wise to see a health care provider, who can help pinpoint a cause and hopefully provide reassurance that the headache doesn't represent some serious condition.
About 90 percent of people have at least one headache every year, often with no apparent cause. Headaches can also occur as a chronic condition; migraine headaches are an example of this. Some headaches are symptomatic of some other medical condition, such as a sinus infection or high blood pressure. Least frequently, headaches can signal more serious conditions, such as brain tumors or abnormalities of the blood vessels in the brain or the brain structure.
The sudden, but painful, headache that you describe has some characteristics of a sinus headache (the description of onset while bending over, and the pressure sensation you seem to be describing), and some characteristics of a positional, exertional, or cough headache (which can also be brought on by crying, singing, having a bowel movement, or other bouts of exertion). They can be quite painful, even though they usually only last 30 seconds to two minutes. Some people experience severe headaches following orgasm.
Your health care provider will ask you questions to try to figure out what's causing your headaches. For example:
- How old are you?
- Do you have any other known medical conditions?
- Do you take any medications?
- Do you have any other symptoms? Fever? Nasal drainage? Dizziness? Ringing in your ears? Face pain? Vision changes? Nausea? Sensitivity to light?
- Exactly where is your headache located? On one side of your head or on both sides?
- Exactly what activities prompt headache for you?
- You mention having had this same kind of headache in the past; when? How long did that go on?
Your health care provider may recommend some testing to make sure that there isn't a serious cause for your headaches. Magnetic resonance imaging (MRI) provides detailed pictures of your brain that reveal the presence of most serious abnormalities.
Once you and your health care provider are reassured that there isn't a serious underlying condition causing your headaches, there may be some helpful treatments available. If you do have a sinus infection, antibiotics can clear it up. If you're diagnosed with exertional headaches, you might be given some medicine to help prevent them. Some medications that are used for exertional headaches include indomethacin (an anti-inflammatory medication), ergotamine (a medication that is also helpful against migraines), or propanolol (a beta-blocker that is also used for high blood pressure and for migraine headaches).
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