Blog

  • Chest Pain

    Heart & Circulation Problems

    Heart Attack

    Signs & Symptoms

    *  Chest pressure, squeezing, burning, tightness, or pain (may spread to the arm, neck, back, tooth, or jaw).

    *  Chest discomfort with: Shortness of breath; sweating; nausea; fast or uneven pulse; lightheadedness; fainting.

    *  Chest pain that does not respond to medicine for a person with angina or heart problems.

    What To Do

    Call 9-1-1!

    Dissecting Aortic Aneurysm

    This is a tear in the main artery from the heart.

    Signs & Symptoms

    *  Severe chest pain with extreme pain felt across the upper back (not just on one side) that came on within 15 minutes without an injury, back strain, etc. The pain can spread to the abdomen.

    *  A knife-like sensation from front to back.

    *  Dizziness and fainting.

    What To Do

    Call 9-1-1 or go to the emergency department of a hospital! Do not take aspirin.

    Blood clot(s) to the lungs

    Signs & Symptoms

    Chest pain that gets worse when taking deep breaths and occurs with any of these conditions:

    *  Sudden shortness of breath and severe problems breathing.

    *  Rapid heartbeat.

    *  Cough with bloody sputum.

    *  Sudden onset of chest pain with calf pain.

    *  Long periods of being immobile from bed rest, recent surgery, or prolonged travel.

    What To Do

    Call 9-1-1 or go to the emergency department of a hospital!

    Collapsed Lung

    Trauma to the chest is the main cause.

    Signs & Symptoms

    *  Sudden and sharp chest pain or tightness with breathing.

    *  Increasing shortness of breath.

    What To Do

    Call 9-1-1 or go to the emergency department of a hospital!

    Angina

    Signs & Symptoms

    Squeezing, pressure, indigestion feeling, or pain (often dull) in the chest. The pain may spread to the arm, neck, jaw, or back. Symptoms come on or are made worse by stress or physical exertion. They ease with rest.

    What To Do

    SeeAngina.

    Shingles

    Signs & Symptoms

    The pain is on only one side of the chest and is not affected by breathing. A burning feeling and a skin rash are at the site of the pain.

    What To Do

    SeeShingles.

    Tuberculosis (TB)

    Chronic lung infection with a certain bacteria.

    Signs & Symptoms

    Vague pain in the chest (if any). Shortness of breath; chronic fatigue; cough with phlegm or blood; night sweats; appetite and weight loss; and fever.

    What To Do

    See doctor.

    Heartburn or Hiatal Hernia

    {Note: This could also signal a heart attack.}

    Signs & Symptoms

    Burning feeling in the chest or just above the stomach that comes and goes before, during, or after eating. It gets worse when you bend over or lie down.

    What To Do

    SeeHeart Attack,Heartburn & Indigestion,Hiatal Hernia, andPeptic Ulcers

    Pleurisy

    The membrane that surrounds the lungs is inflamed. Muscle strain or rib injury.

    Signs & Symptoms

    Chest pain that worsens with deep breaths, coughing, or touching the chest or ribs.

    What To Do

    See doctor for diagnosis.

    Flu, Pneumonia, Bronchitis, or Other Upper Respiratory Infection

    Signs & Symptoms

    Chest pain with fever and coughing up green, yellow, or gray mucus.

    What To Do

    See doctor.

    Precordial Catch Syndrome

    This harmless, recurrent problem usually occurs in young adults.

    Signs & Symptoms

    Sudden, sharp pain below the left nipple that lasts less than a minute or so.

    What To Do

    See doctor for diagnosis. Try daily stretching exercises to reduce getting these pains.

    Costochondritis

    This is inflammation where the ribs attach to the breastbone.

    Signs & Symptoms

    Pain and tender feeling in the upper part of the chest. The pain gets worse when pressure is applied to the area. It can get worse with deep breaths, too.

    What To Do

    See doctor for diagnosis. Take an OTC medicine for pain and swelling. Apply a heating pad set on low or a hot water bottle to the area of pain.

    Healthier at Home book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Chest Pain & Heart Disease

    Women’s Health

    Women making heart shape with hands and wearing a wear dress.

    Chest pain can be a warning sign for many things. It is often linked to a heart attack, especially in men. Women should be just as concerned. Heart disease is the number one cause of death for women in the U.S.

    Signs & Symptoms

    Angina

    With this, the heart does not get as much blood and oxygen as it needs for a given level of work. This causes pain, discomfort, or a squeezing pressure in the chest. Aching in a tooth, jaw or neck can also occur. Symptoms usually go away with rest and/or nitroglycerin. Angina attacks may occur with anger, excitement, or exertion, such as walking up a hill.

    Heart Attack

    *  Chest pressure or pain (may spread to the arm, neck, back, tooth or jaw).

    *  Feelings of chest tightness, squeezing, or heaviness that last more than a few minutes or go away and come back.

    *  Chest discomfort with: shortness of breath, nausea, sweating, fast or uneven pulse, or fainting.

    *  An uneasy feeling in the chest with: fluttering or rapid heartbeats, extreme fatigue or weakness, unexplained or extreme anxiety, or severe indigestion that doesn’t go away with an antacid.

    *  Unusual chest, abdominal or stomach pain.

    *  Dizziness, nausea, trouble breathing, jaw or arm pain without chest pain.

    {Note: For any of these signs, don’t delay. Call 911 right away!} After your call:

    *  Chew 162-325 mg uncoated aspirin (up to 4 baby aspirins), unless you are allergic to aspirin.

    *  Be sure to tell the EMS driver that you are having chest pain.

    Heart Failure

    With this, the heart “fails” to supply the body with enough blood and oxygen for its needs. This develops slowly. It becomes chronic. Symptoms are: shortness of breath, feeling very tired or weak, swelling in the lower legs, ankles, and feet, dry cough or one with pink, frothy mucus, rapid weight gain, and a fast heartbeat.

    Causes

    Heart disease is caused by atherosclerosis. This is the buildup of plaque in the inner walls of the arteries. The plaque is made up of blood, platelets, cholesterol, fibrous tissue, and sometimes, calcium. Blood flow to the heart is slowed or blocked. Besides heart disease, chest pain can also be a symptom of:

    *  Mitral valve prolapse (MVP), a heart-valve problem.

    *  Bronchitis, pneumonia, lung injuries, etc.

    *  Heartburn or a hiatal hernia.

    *  Shingles.

    *  A pulled muscle or even swallowing too much air.

    Treatment

    Heart disease needs medical treatment. It is not always easy to know whether or not to seek medical care for chest pain. When in doubt, check it out. Prompt medical treatment for a heart attack or severe lung injury could be life-saving.

    Questions to Ask

    Self-Care / Prevention

    Reduce the Risk of Heart Disease

    *  Have regular medical checkups. Get your blood pressure and blood cholesterol checked as often as advised by your doctor.

    *  Don’t smoke or use tobacco. If you do, quit.

    *  Be at a healthy weight.

    *  Take all medications, as prescribed.

    *  If you have diabetes, high blood pressure or high cholesterol, follow your treatment plan.

    *  Follow a diet low in saturated fats, trans fats, and cholesterol. Limit sodium to 1500 mg to 2,400 mg per day. Eat plenty of vegetables and fruit, fiber-rich whole grains, fatty fish, nuts, seeds, beans, lentils, and olive or canola oil. Limit processed meats and sugary foods and beverages.

    *  Do regular exercise.

    *  Avoid or limit alcohol to one drink per day.

    *  Manage stress. Practice relaxation techniques.

    Pulled Muscle or Minor Injury to the Rib Cage

    *  Do not strain the muscle or ribs while pain is felt.

    *  Rest.

    *  Take an over-the-counter medicine for pain.

    Heartburn or a Diagnosed Hiatal Hernia

    *  Lose weight, if you are overweight.

    *  Eat 5 to 6 small meals a day and chew thoroughly.

    *  Avoid tobacco and alcohol. Avoid “trigger” foods, such as caffeine, spicy foods, citrus juices, chocolate, and  carbonated drinks.

    *  Don’t bend over or lie down after eating.

    *  For heartburn, take antacids after meals and before going to sleep.

    *  Don’t have food 2 hours before bedtime.

    *  Do not wear tight clothes, tight belts or girdles.

    *  Sleep on a bed with the head raised about 6 inches.

    Anxiety and Hyperventilating

    *  Talk about your anxiety with someone you trust.

    *  When you hyperventilate: Open up a small paper bag. Loosely cover your nose and mouth with it. Breathe slowly into the bag. Rebreathe the air in the bag. Do this about 10 times. Set the bag aside. Breathe normally for a couple of minutes.

    *  Try to breathe slowly. Focus on taking one breath every 5 seconds.

    Inflammation of the Cartilage Where the Ribs Attach to the Breastbone (Costochondritis)

    *  Take aspirin, ibuprofen, or naproxen sodium for pain.

    Mitral Valve Prolapse (MVP)

    *  Follow your doctor’s guidelines for self-care.

    *  Eat healthy foods. Limit caffeine and alcohol.  Don’t smoke.

    *  After checking with your doctor, exercise regularly to improve cardiovascular fitness.

    *  Deal with and control stress and anxiety.

    Resources

    American Heart Association & Go Red For Women

    888.MY.HEART (694.3278)

    www.heart.org

    www.GoRedForWomen.org

    National Heart, Lung, and Blood Institute (NHLBI)

    www.nhlbi.nih.gov

    Women's Self-Care book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Cervical Health

    Women’s Health

    Smiling women with laptop.

    Pap tests, pelvic exams, and a test for human papillomavirus (HPV) check for early signs of cervical cancer.

    If you are a female, start getting Pap tests at age 21 or within 3 years of the onset of sexual activity, whichever comes first. After that, get a Pap test at least every 3 years or as often as your doctor advises.

    If you are a female 30 to 65 years old, you may have an HPV test along with the Pap test. Talk to your doctor about which testing option, including how often, is right for you.

    Learn about cervical cancer from the Cancer Information Service at 800.4.CANCER (422.6237) andcancer.gov/types/cervical.

    Health at Home Lifetime book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Cervical Cancer

    Women’s Health

    Paper cut-out of cervix with white and pink pills.

    The cervix is the lower, narrow part of the uterus. Cancer of the cervix can occur at any age. It occurs most often in women who are over 30 years old. It is rare in women under the age of 20, but is also common in women in their 20s.

    Signs & Symptoms

    Screening tests, such as Pap tests and HPV (human papillomavirus) tests, are important because signs and symptoms are not often present in the early stages of the disease.

    Late Stage Symptoms

    *  Vaginal bleeding or spotting blood between menstrual periods or after menopause.

    *  Vaginal bleeding after sex, douching, or a pelvic exam.

    *  Vaginal bleeding that is not normal for you.

    *  Increased vaginal discharge.

    *  Pain in the pelvic area.

    *  Pain during sex.

    *  Blood in the urine.

    *  Signs of anemia (fatigue and dizziness).

    *  Poor appetite and weight loss.

    Causes, Risk Factors & Care

    The main risk factor is being infected with human papillomavirus (HPV). This is passed from one person to another during sex. There are many types of HPV. Certain high risk types cause most cervical cancers. Other types increase the risk for genital warts or other conditions that are not cancer. Not all women who are infected with HPV get cervical cancer and HPV is not present in all women who have cervical cancer either.

    The risk increases for persons who:

    *  Started having sex at an early age.

    *  Had or have sex with multiple sex partners. The more partners, the greater the risk.

    *  Had unprotected sex.

    *  Had or have sex with a partner who: has HPV, began having sex at a young age, and/or has or had many sexual partners.

    *  Not having routine Pap tests. These screen for abnormal cells that can turn into cancer. It can take several years for this to occur, but could happen in a short period of time, too. These changing cells can be treated so they don’t turn into cancer.

    *  Having a current or past sexually transmitted infection (STI), such as chlamydia. Having one kind of STI increases the risk of having another kind.

    *  Smoking.

    *  Long-term use of oral contraceptives.

    *  Being the daughter of a mother who took a drug known as DES during her pregnancy. (This drug was used from 1940 to 1970 to prevent miscarriages.)

    *  Taking drugs or having HIV/AIDS or any other condition that lowers the immune system.

    Prevention

    Two or three doses of HPV vaccine can help prevent the most common types of HPV that can cause cervical cancer and genital warts. The vaccines are advised for girls ages 11 to 12 years old, but can be given from age 9 years to age 26 years. Find out more about HPV vaccine fromcdc.gov/hpv.

    Treatment

    If found early, the cancer can be cured in most women. To find it early, have regular cervical cancer screenings. Get tested for human papillomavirus (HPV), chlamydia, and other sexually transmitted infections (STIs), as advised by your doctor.

    Treatment depends on what is found. The precancerous form of cervical cancer is called dysplasia. Mild cases of this can be monitored with more frequent Pap tests. Medical treatment can also be given. This includes laser therapy and removing part of the cervix. Surgery, radiation therapy, targeted therapy, immunotherapy, and/or chemotherapy also treat cervical cancer.

    If the cervical cancer has not spread and a woman wants to get pregnant in the future, just part of the cervix may be removed. If a woman does not want a future pregnancy, a hysterectomy may be chosen.

    Questions to Ask

    Self-Care / Prevention

    *  Have Pap tests and pelvic exams as often as your doctor advises.

    *  Use “Safer Sex” to help prevent HPV and other STIs.

    *  Get tested for HPV, as your doctor advises. Tell your partner(s) to get tested, too.

    *  Ask your doctor about getting the HPV vaccine.

    *  Don’t douche. If you do, don’t do this more than once a month.

    *  Don’t smoke or use tobacco. If you do, quit!

    If you have a low income, or do not have health insurance, you may be able to get a free or low-cost Pap test through the National Breast and Cervical Cancer Early Detection Program. To find out if you qualify, call 1-800-CDC-INFO (232-4636).

    Resources

    National Cancer Institute

    800.4.CANCER (422.6237)

    www.cancer.gov

    www.clinicaltrials.gov

    National Breast and Cervical Cancer Early Detection Program (NBCCEDP)

    www.cdc.gov/cancer/nbccedp

    National Cervical Cancer Coalition

    800.685.5531

    www.nccc-online.org

    Women's Self-Care book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Cellulitis

    Skin Conditions

    Cellulitis is an infection of the skin and tissues below it. Most often, cellulitis occurs on the arms and legs or on the face.

    Signs & Symptoms

    *  Red, swollen, painful, tender, and warm skin.

    *  Red lines that spread from the wound.

    *  Swollen lymph nodes near the wound.

    *  Chills and fever.

    Causes

    Cellulitis is caused by several types of bacteria. These usually enter the body through minor skin breaks (cuts, burns, other wounds). One cause for cellulitis that recurs is community-acquired MRSA (Methicillin- resistant Staphylococcus aureus.)

    Treatment

    Oral, topical, and/or IV antibiotics are given. The type(s) used depend on how serious the infection is. Medicine to relieve pain may be needed.

    Questions to Ask

    Self-Care / Prevention

    To Prevent Cellulitis

    *  Keep your skin clean and protect it from injury.

    *  Clean cuts, scrapes, and other skin wounds and injuries, thoroughly, with soap and water. Keep wounds and sores clean, dry, and covered until healed.

    *  To help prevent community-acquired MRSA, avoid contact with other people’s wounds or bandages in schools, health care settings and sports. Do not share towels, washcloths, razors, clothing, or uniforms that may have had contact with an infected wound or bandage. Shower right after sporting events, workouts, etc.

    To Treat Cellulitis

    *  Follow your treatment plan. Take all of your prescribed antibiotic(s).

    *  Take pain relievers as directed.

    *  Rest the affected area. Elevate it to reduce swelling.

    Healthier at Home book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Cataract 2

    Eye Conditions

    A cataract is a cloudy area in the lens or lens capsule of the eye. A cataract blocks or distorts light entering the eye. Vision gradually becomes dull and fuzzy, even in daylight. Most of the time, cataracts occur in both eyes, but only one eye may be affected. If they form in both eyes, one eye can be worse than the other, because each cataract develops at a different rate.

    Signs & Symptoms

    *  Cloudy, fuzzy, foggy, or filmy vision.

    *  Pupils (normally black) appear milky white.

    *  Frequent changes in eyeglass prescriptions. Better near vision for a while, but only in far-sighted people.

    *  Sensitivity to light and glazed nighttime vision. This can cause problems when driving at night.

    *  Blurred or double vision. Changes in the way you see colors.

    *  Seeing glare from lamps or the sun. Halos may appear around lights.

    Causes

    *  The most common form of cataracts come with aging due to changes in the chemical state of lens proteins. More than half of Americans age 65 and older have a cataract.

    *  Cataracts can also result from damage to the lens capsule due to trauma; from ionizing radiation or infrared rays; from taking corticosteroid medicines for a long time; and from chemical toxins. Smokers have an increased risk for cataracts. So do persons with diabetes and glaucoma.

    Treatment

    Treatment includes eye exams, corrective lenses, cataract glasses, and cataract surgery, when needed.

    A person who has cataract surgery usually gets an artificial lens at the same time. A plastic disc called an intraocular lens (IOL) is placed in the lens capsule inside the eye.

    It takes a couple of months for an eye to heal after cataract surgery. Experts say it is best to wait until your first eye heals before you have surgery on the second eye if it, too, has a cataract.

    Questions to Ask

    Self-Care / Prevention

    To Help Prevent Cataracts

    *  Limit exposing your eyes to X-rays, microwaves, and infrared radiation.

    *  Avoid overexposure to sunlight. While outdoors, wear sunglasses with UV block and wear a hat with a brim.

    *  Wear glasses or goggles that protect your eyes whenever you use strong chemicals, power tools, or other instruments that could result in eye injury.

    *  Don’t smoke. Avoid heavy drinking.

    *  Keep other illnesses, such as diabetes, under control.

    *  Eat foods high in beta-carotene and/or vitamin C, which may help to prevent or delay cataracts. Examples are carrots, cantaloupes, oranges, and broccoli.

    To Treat Cataracts

    *  Be careful about driving at night. Let someone else drive if you can’t see well.

    *  Wear sunglasses with UV block.

    *  When indoors, don’t have lighting too bright or pointed directly at you. Install dimmer switches so you can lower the light level. Use table lamps, not ceiling fixtures.

    *  Use soft, white (not clear) light bulbs.

    *  Arrange to have light reflect off walls and ceilings.

    *  Read large print items. Use magnifying glasses, if needed.

    *  Schedule eye exams as advised by your doctor.

    *  Wear your prescribed glasses.

    Resources

    National Eye Institute (NEI)

    www.nei.nih.gov

    Healthier at Home book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Cataract

    Eye Conditions

    Older man with glasses trying to read a piece of paper.

    A cataract is a cloudy area in the lens of the eye.

    Get regular eye and physical exams to help detect when cataracts are forming.

    Imagine a thick cloud covering the lens of one or both eyes. This is what it is like to have cataracts. You may see glare from lamps or the sun and halos around lights. It is also harder to see at night. Let your doctor know if you have these problems.

    Cataracts are the leading cause of blindness around the world. Vision can be restored, in most cases, with cataract surgery, one of the safest and most common surgeries done.

    Consider cataract surgery when a cataract keeps you from doing the things you want to do. Find out more from the American Academy of Ophthalmology ataao.org.

    Health at Home Lifetime book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Caregiver’S Guide

    Mature Health: Over Age 50

    Caregiving may be stressful. A caregiver’s job is not easy, but it does not always have to be a burden. If you are thinking about being a caregiver or when you are a caregiver, you will need to know the following things:

    *  The kind of care the person needs. This includes medical care, custodial care, home care, etc. Find this out from the person and from his or her doctor, health care team, family, and friends.

    *  How the person’s health care and living care expenses will be paid. Find out what assets and health insurance the person has and if these will cover the costs of his or her care.

    *  What support services are available. Call Eldercare Locator at 1-800-677-1116 or accesswww.eldercare.gov.

    *  If there are any caregivers’ support groups that you can join

    *  Good books about caregiving that you can read. Contact the National Institute on Aging for a list. Accesswww.nih.gov/niaor call 1-301-496-1752.

    *  How to get respite care for the person. Locate persons and/or places that provide this in your area.

    *  How much you can truly handle on your own and when the person you are caring for needs residential care.

    *  That it is necessary that you take care of your own health and needs, too. Eat well. Exercise regularly. Get enough sleep. Get regular health exams and tests. Tell your doctor you are a caregiver. Follow his or her advice to take care of your health needs.

    *  VA offers a number of services, as well as support for caregivers of Veterans. Services include:

    – Everyday tips and checklists

    – Caregiver Toolbox

    – How to find out about Adult Day Health Care (ADHC) Centers near you

    – Homemaker and Home Health Aide Program and Respite Care

    Resources

    The Alzheimer’s Association

    1-800-272-3900

    www.alz.org

    VA Caregiver Support

    1-855-260-3274

    www.caregiver.va.gov

    Health at Home Lifetime book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • How To Care For Mature Skin

    Mature Health: Over Age 50

    Image of a caregiver placing cream on a mature women's face.

    As your skin ages, the sebaceous glands produce less oil, and the skin loses elasticity. The result is dry, wrinkled skin-unless you take steps to prevent (or minimize) those effects. Here’s what to do to stay one step ahead of Mother Nature.

    *  Shower or bathe with a mild soap or transparent glycerin soaps to prevent dry, flaky skin. Don’t use deodorant soaps on your face-they’re too harsh for sensitive facial skin.

    *  Avoid alcohol-based astringents, toners, or after-shave lotions, which dry the skin.

    *  Apply a moisturizing lotion immediately after showering or bathing. (Dry skin makes wrinkles more noticeable, so using a moisturizer makes wrinkles less noticeable.)

    *  Use a room or furnace humidifier during the winter months, to further prevent dry skin.

    *  When washing dishes or working with strong detergents, protect your hands with rubber gloves.

    *  Apply sunscreen lotion with a sun protection factor (SPF) of 15 or higher whenever you go outdoors.

    If you’re thinking about having a face lift, chemical peel, or collagen injection for wrinkles, contact your local medical society for the names of board-certified surgeons or dermatologists with experience in the procedure you’re considering.

    A Year of Health Hints book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Cardiac Rehab

    Heart & Circulation Problems

    Smiling women with laptop.

    Ask your doctor if taking baby aspirin is a good heart health decision for you.

    Cardiac rehab benefits persons who have had a heart attack, heart surgery, or who have heart disorders, such as angina.

    If you or a family member needs cardiac rehab, follow your doctor’s advice. Rehab includes exercise therapy, counseling, and learning ways to reduce the risk for further problems.

    To help prevent heart disease: Get to and stay at a healthy weight; do regular exercise; don’t smoke and avoid secondhand smoke; and keep your blood cholesterol, blood pressure, and blood sugar levels under control.

    Regular physical activity lowers the risk of heart attacks, but people who are normally inactive who shovel snow, run to catch a bus, etc. are at a greater risk of having a heart attack. Try not to overexert yourself, especially if you are out of shape.

    Health at Home Lifetime book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine