Health Chasinglions

Archive for July, 2010

Gout, What Do You Know About It?

Sun ,25/07/2010

The Egyptians were the first to identify gout over 4,000 years ago, and the Greek physician Hippocrates, “the father of medicine,” wrote bout it. Hippocrates even noted the connection between the intense and temporary joint pain of gout and the consumption of alcohol and rich foods.

Understanding gout has changed in more recent times and once considered a condition of the wealthy, it was known as the “disease of kings,” gout is now known to affect everyone in all walks of life. Food and drink do play a role in gout, but there are also several other risk factors including genes. And according to the American College of Rheumatology, gout affects up to 3 million Americans, making it one of the most common types of arthritis.

If you have high uric acid levels in your blood then the stage is set for gout. Uric acid is the byproduct of the body’s breakdown of substances called purines. Purines are found naturally in the body and are also present in high levels in certain foods. When the purines are broken down, the results are uric acid and then that is carried through the bloodstream to the kidneys and then flushed out of the body through your urine.

There are some people who have high levels of uric acid that builds up in the bloodstream, a condition that’s called hyperuricemia, that may be the result of an excess of purines in the body, caused by a purine rich diet or because the body produces too many purines. More commonly, it is the result of the kidneys’ inability to remove enough uric acid from the blood. There are times when it’s a combination of the two causes. Also, there are some people, not all, with hyperuricemia, that have the uric acid in the blood form into sharp, needle-like crystals that can collect in a joint and this sets off an inflammatory reaction, that causes pain, swelling, and redness, this is gout.

Gout usually follows a pattern of “attacks” followed by periods with few or no symptoms. Gout attacks usually come on suddenly, often at night, with intense pain and inflammation in a joint or joints. Without treatment, the pain usually lasts 5 to 10 days and then subsides and you may not have another attack for several years. After several attacks, the episodes of gout will often become more frequent and longer lasting.

The big toe joint is the most common place for gout and is usually the first joint affected, while other joints can also be affected, like other joints in the foot and the ankle, knee, elbow and with more advanced gout the hands and writs may be involved. Gout can affect more than the joints, crystals can collect in the urinary tract and kidney stones can form.

The diagnosis of gout can usually be made with a high degree of accuracy using a needle to take a fluid sample from an affected joint and then examine the fluid sample under a microscope for uric acid crystals. If this test isn’t available, the doctor will consider the symptoms such as hyperuricemia (blood test can establish this) and sudden and intense pain, especially in the joint of the big toe. Some people with gout will have a lump of uric acid crystals called a tophus that may form near the affected joint and is usually associated with advanced gout.

Gout is more common in men, in the age group between 40 and 60, but women will develop gout at increasing rates after menopause.

An increase in uric acid levels in the blood can be found in foods high in purines and raise the risk of a gout attack. Seafood like shellfish, sardines, herring, and anchovies are high in purines and so are red meats and organ meats like liver, kidney, and sweetbread. All alcohol causes the kidneys to excrete less uric acid, thereby raising uric acid levels in the blood, but beer, having this affect also is high in purines.

Diet isn’t the only factor that influences whether or not you develop gout or have another attack. There are people who eat foods that are high in purines and never get gout, while others can eat these foods and still get gout.

Type 2 diabetes, high cholesterol levels, and high blood pressure have all been found to raise the risk of gout, although, it’s not clear why they do. While rheumatoid arthritis and other types of arthritis don’t have the same effect. Also, diuretics, or “water pills,” as well as other medicines, including cyclosporine, Neoral, Sandimmune, and moderate doses of aspirin, can increase the risk of gout, while low dose aspirin that is taken to reduce heart attacks and strokes, are safe for people with gout.

For those people who have gout attacks, it’s important to have treatments to reduce the blood levels of uric acid because as the uric acid levels go down in the blood, the uric acid crystals in the joints and tophi are reabsorbed back into the body and the symptoms of gout decrease or go away completely. But, if you leave your gout untreated, it can cause serious problems in the joints and after a time of intermittent attacks, gout can become chronic, causing pain even between attacks and it can damage the structure of the joint. Chronic gout can damage the kidneys as well.

Treating a gout attack already in progress involves the doctors prescribing drugs that will immediately relieve the symptoms. Some of those drugs include nonsterodial anti-inflammatory durgs or what is called NSAID’s such as ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), and indomethacin (Indocin). Other possibilities may include powerful anti-inflammatories like corticosteroids. They can be taken by mouth or they can be injected directly into a painful joint. Colchicine is yet another drug that can be used during a gout attack to reduce the symptoms, but it has to be given in high doses in order to be effective during the attack and that can cause nausea and diarrhea.

Hoarding, a Mental Disorder

Mon ,05/07/2010

Hoarding is a disorder that affects approximately 2 million people in the United States alone. It consumes their life affecting every part of it, including family and friends. Because it is mostly associated with Obsessive-Compulsive Disorder (OCD), it is one of the least studied subtypes. There is still a lot to learn about this mental disorder often associated with obsessive compulsive disorder. Hoarding has only recently become a focus in the psychological world and so much of it is still unknown.

Hoarding or disposophobia is a mental disorder in which one will obsessively collect items and will not discard anything. These items can be books, clothing, antiques, collectables, animals and in drastic cases, food. Their apartments, homes and land become cluttered and unsanitary with items they have collected over a long period of time. Mobility is greatly impaired by the excessive clutter leading to serious hazards. Bugs and rodents may infest the home, the structure of the home may become compromised and the utilities may be disconnected. A hoarder can be from a child to an elderly person. It can be genetic or caused by a traumatic situation. Hoarding affects not only the hoarder themselves but also family and friends. It is also a very costly condition due to the fact that hoarders continuously purchase items unnecessarily.

A hoarder dislikes discarding anything that may have potential value whether it be to them or someone else. Whenever someone else throws something away it is like treasure to a hoarder. They may drive down the road and see a discarded item someone has left by the curb and pick it up. Some hoarders will even dumpster dive to find anything of value. Hoarders can vary in what they collect. Most though will collect books, clothing, knick knacks or pets in excess. There are some who “collect” food and refuse to discard it even when it is old and moldy. Books line shelves, are stacked on the floors, on books, tables and chairs. Clothing is scattered everywhere and you may find clothing from most of a hoarder’s life in their closet. Hoarders who have children whether young or grown may have their clothing from prior years refusing to discard of it. Knick Knacks may be scattered all over a home collecting dust and cobwebs. Items in basements have the potential of being exposed to moisture and causing mold to grow. In some cases toxic molds. Otherwise healthy people become sick when residing in the home of a hoarder.

Some hoarders recognize they have a serious problem yet they are scared, have a sense of hopelessness and/or fall into a severe depression. They don’t know where to turn when it comes to cleaning up their home. It’s too embarrassing to reach out for help. This doesn’t mean they don’t want help because a hoarder can easily become overwhelmed and shut down. Hoarders can have anxiety or panic attacks when confronted with stressful situations, which is another way they cope besides their typical hoarding. There are times when everyone from family to friends will turn their backs on the hoarder. Children of hoarders move on with their lives and sever ties out of frustration. Spouses or significant others may separate or file for divorce. Financially, a hoarder may be cut off from help because of excessive spending. This can be due to the misinformation or misunderstanding about hoarding. Family and friends may be tired of dealing with hoarder having attempted to help them in the past. Everything is a mess and to them it feels as if it will never get done. Unfortunately this is reality unless they are able to reach out and find the appropriate help.

Treatment of hoarding is life long although in some cases it is successful. It takes a combination of things to help the hoarder attempt to live as normal a life as possible. There is no cure for hoarding, just treatment. Medication is one main component of treatment. Many hoarders also have Obsessive Compulsive Disorder (OCD). Compulsive hoarding affects an estimated two-thirds of the approximate 7 to 8 million OCD suffers in the United States. The frontal lobe of the brain is affected by this and the only way to help get it under control is with medication. Therapy in combination with medication can help the hoarder improve their life as long as they continue to maintain it. However, it also takes a support system to encourage the hoarder for long term success. The hoarder will need life long encouragement to continue keeping the disorder under control.

Hip and Knee Joint Pains

Sun ,04/07/2010

The occurrence of hip and knee pain together can be excessively inconvenient, which can badly affect the usual activities of the body; such as standing, running and walking. The knee and the hip joint are two of the most important joints of the body. Both joints are situated at the ends of the thigh bone. These joints work together to give support to the whole body weight. At the same time, these joints are responsible for sustaining the movement of our body. Any kind of pressure on the hip joint will definitely affect the knee joint. Also, if the knee joint experiences any kind of disorder, the hip joint will be affected. Hip and knee pain ranges from mild, moderate to severe. It may last for a short period of time or may be chronic lasting for days, weeks or months.

CAUSES OF HIP AND KNEE PAIN.

The following are some common causes of hip and knee pain.
1. Bone fracture: Sharp pains usually occur when the bones in the hip and knee are broken. Broken bones in these joints can occur due to shock, such as bad fall. This problem is common with elderly people because they are more fragile due to age.
2. Muscle strain: Both the knee and hip areas include many muscles, and when these muscles are overworked they get strained causing sharp pain in the affected regions. This problem often occurs when one engages in a strenuous physical activity without adequate warming of the muscles.
3. Osteoarthritis: The hip and knee joints consist of a tender tissue known as cartilage which promotes smooth mobility of the joint. When this tissue gets worn out as a result of osteoarthritis, the bones of the joints will start rubbing against each other. This situation causes the joints to be stiff and very painful.
4. Bursitis: this condition causes pain around the knee cap and hip bone. It usually occur as a result inflammation of bursa; a fluid in the sac that provides protection to the joints and bones of hip and knee. The common symptom of this problem is hip and knee pain with a particular sleeping position.
5. Pregnancy: pregnancy can also cause hip and knee pain due to a change in body structure. The increase in the size and weight of the uterus puts more pressure on the knee. And as the abdominal muscles are excessively stretched, the hip muscles get strained. Due to these reasons, pregnant women often experience more hip and knee pain.

TREATMENT OF HIP AND KNEE PAIN.

The cause of the pain will best determine the nature of the treatment to be taken. Therefore, it is very essential that you first seek professional advice from a physical therapist, a gym instructor or a fitness trainer before indulging in any treatment for hip and knee pain. Proper rest will be of a great advantage in easing of muscle pain. Limiting physical activities can as well help to stop pain from getting bad. Ice can also be applied to reduce the swelling effect on the joints. Pregnant women should apply heat or seek for therapeutic massage to relax the muscle.

Once the pain is reduced, muscle strengthening exercises should be applied to completely get rid of the problem. Some of the exercises you can opt for are hamstring stretching, hip flexors stretch, swimming, water aerobics, Pilates, cycling, weight machines, walking etc.

With strict adherence to the some of these exercises recommended to you by your physical therapist or fitness trainer you can effectively get rid of hip and knee pain and at the same time protect your joint from further injury.

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