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Monthly Archives: June 2016

Headaches that Need Attention

In spite of the fact that an awful headache may make you wish for the end of everything, migraines are not for the most part life debilitating. Notwithstanding, an extreme migraine can flag something a great deal more genuine, requiring crisis consideration, for example, stroke, aneurysm, and meningitis. These are not horribly regular, but rather it merits looking for a migraine that feels uniquely not the same as would be expected—regardless of the possibility that ordinary is anguishing. Here are three signs to look for.

# The worst headache ever

“The thing we’re taught to look for is someone claiming to have ‘the worst headache of their life,'” says Adam Wilkes, MD, an ER specialist at Lankenau Hospital in Wynnewood, Pa. “It may mean that they have an aneurysm in the brain that has begun to leak a little blood, but could turn into a catastrophic full bleed. And that can be life threatening.”

# Neck pain and fever

A stiff neck and fever could be a sign of meningitis, an inflammation of the membranes surrounding the central nervous system, which can quickly become critical.

# Nausea

Severe nausea or vomiting and any neuro-deficit (such as difficulty speaking or walking), which could be signs of a hemorrhagic stroke.

 

Dealing with Anger Tips

# Irritability and depression

Anger happens, it’s just part of life. But if you have depression you can add anger to the list (along with sadness, fearfulness, trouble sleeping, and changes in appetite) of common depression symptoms.

Depression treatment may lessen anger. But there are things you can do to blunt the effects of this intense and sometimes dangerous feeling.

# Do count to 10 (or 100)

Thomas Jefferson famously said, “When angry, count 10, before you speak; if very angry, 100.”

“Angry people are highly aroused and when people get aroused, they do and say things they later regret,” says Brad Bushman, PhD, professor of communication and psychology at The Ohio State University in Columbus.

Counting (slowly) to whatever number seems appropriate gives your blood pressure and heart rate a chance to return to normal. “As time passes, arousal diminishes,” says Bushman.

# Do forgive

Even if you don’t ultimately forget the incident, forgiving a person who has provoked you is an excellent way to subdue anger, says Bushman. Forgiveness can help you stop ruminating, which is when negative thoughts play over and over in your head like some horrible movie scene.

# Do distract yourself

Another way to dial it down is with distraction. Katherine Kueny, PhD, director of behavioral medicine in the department of internal medicine at the University of Nebraska Medical Center in Omaha, tells people to place themselves on an emotional scale of 1-to-10 with 10 being the most angry.
This could be drawing, cooking, taking a walk or finishing a Sudoku puzzle or crossword puzzle.

# Do take a deep breath

Taking deep breaths is one good way to calm yourself when you’re in the throes of anger. “Slow breaths will slow the heart rate down,” says Kueny.

# Don’t deny that you’re angry

People who are able to see their anger as anger are less likely to resort to aggression or violence, according to a study published in 2011 in the journal Emotion. “People who are better at categorizing their emotions into specific categories are more in tune with their emotions,” says Ricky Pond, lead author of the study and a PhD student at the University of Kentucky.

# Do write about it

“Writing or journaling allows you to slow down and think through how you want to respond so you’re responding rather than reacting,” says Kueny.

# Don’t stomp or storm

Instead of storming into a room and screaming that your partner isn’t paying enough attention to you, write about it or employ some other anger-dissipating trick. After you’re feeling calmer, walk into the room and say you’ve missed him or her and suggest an activity you can do together.

# Do exercise

Aerobic exercise, including brisk walking or jogging, can be a great way to handle anger.

# Do practice compassion

Doing something compassionate for someone else is incompatible with anger and aggression.

“It’s hard to feel angry and compassionate at the same time,” Bushman says. So it’s OK to do something nice for someone who’s making you mad. Research indicates that compassion may also dissipate the other person’s anger.

# Do try to be grateful

A body of research is emerging to show that the simple act of being grateful can make us happy and happy, of course, is about as far as you can get from angry.

# Do talk, but not right away

Gauge how intense your anger is on a scale of 1-to-10 before making a decision to open your mouth about it. If you talk when you’re still red hot, you’re more likely to get into an argument.

# Do consider prayer

It’s not for everyone, but a set of three experiments found that people who prayed for another person, be it a stranger, someone who had angered them, or a friend in need, had less anger.

The Difference between Cold and Sinus Infection

At any rate once per year, Anna Lord, a 32-year-old from Seattle, has “practically unendurable torment” behind her eyes, cheeks, and temple. Here and there she has sinus waste, and once in a while the distress touches base with a second rate fever. Her side effects regularly happen after she has had a chilly or hypersensitivity manifestations. She infrequently takes anti-microbials, wanting to rest and trooper through her infection.

Master is inclined to intense bacterial sinusitis, a type of sinus contamination. Every year, around 31 million individuals experience sinus contaminations, which are normally brought on by microorganisms developing in the sinuses, the hard holes found behind the nose, eyes, temples, and cheekbones. Regularly, an icy or sensitivity assault causes mucous layers in the sinuses to swell and square the minor openings into the sinuses, which meddles with their capacity to deplete. The caught bodily fluid permits microbes to breed, bringing about agony and weight in the head and face.

All told, sinus infections cause 73 million days of “restricted activity” in the United States each year, according to a 1997 report from the Centers for Disease Control and Prevention. People with colds, which are caused by viruses, often mistakenly believe they have a sinus infection. While antibiotics can be helpful for those with sinus infections, they are useless when it comes to fighting cold viruses.

“The distinction can be difficult and no one rule applies to everybody,” says Neil Bhattacharyya, MD, an associate professor of otology and laryngology at Harvard Medical School, in Boston. “Only about 2% to 6% of common colds progress to become a true bacterial sinus infection that could benefit from antibiotics.”

Sinus infection or cold?
While the symptoms may be similar, there are some differences between the two conditions that can help you determine which one you have.

The main difference between the symptoms of a cold and sinus infection is how long they linger. Dr. Bhattacharyya says cold sufferers typically have a runny nose for two to three days, followed by a stuffy nose for two to three days. After that, most people begin to feel better. A sinus infection will hang around for seven days or more.

A fever may also signal a bacterial infection. As Lord can attest, sinus infections are sometimes accompanied by a low-grade fever, while colds typically are not. Other viruses (such as the flu) do cause fevers, however.

Another potentially helpful sign is the color of your nasal discharge. Unlike colds, which generally produce clear mucus, bacterial infections can produce greenish or yellow mucus. However, viruses sometimes produce colorful discharge as well, so this isnt considered a fail-safe test.

Dr. Bhattacharyya says there is no rhyme or reason as to why some people tend to develop sinus infections and others dont. But some people have nasal polyps or other problems, including allergies, which can increase their risk of chronic sinus infections.

How to treat a sinus infection
For most people, there are some preventive measures that can help stave off a sinus infection, or, if one occurs, to help relieve symptoms, says William Marshall, MD, an infectious disease specialist at the Mayo Clinic in Rochester, Minn. He recommends the same things “mothers recommend for a cold,” like rest, drinking lots of fluids, breathing steam, and irrigating the sinuses with saline spray or a neti pot, a container used to rinse the sinuses with saline solution.

Over-the-counter decongestants can also be helpful, but Dr. Marshall says they should not be used for more than three days because some products can exacerbate congestion and raise patients blood pressure and heart rate.

Bacterial sinus infections typically last for about 14 days, but the use of antibiotics speeds up the recovery process by up to five days. Still, according to Dr. Bhattacharyya, about 70% of sinus infections resolve on their own, and many patients, like Lord, prefer to let them run their course.

“Antibiotics mainly help to speed up the healing process,” Dr. Bhattacharyya says. “But before antibiotics were around, people werent dropping dead of sinus infections and they still arent.”

If left untreated, however, sinusitis can cause permanent damage to the sinuses and, in very rare cases, can lead to meningitis, Dr. Marshall says. If patients miss work or other activities due to sinus infections, or if their symptoms recur frequently, they should see a doctor for evaluation.