Tag: General Health

  • You May Need To Get Tested For Hepatitis C

    MEDICAL NEWS

    Image of doctor talking to a patient.

    An estimated 3.2 million Americans are infected with chronic hepatitis C, a viral infection of the liver. Among those are larger numbers of Veterans and baby boomers.

    The CDC recently recommended that all baby boomers in the U.S. (those born between 1945 and 1965) get a simple one-time blood test for hepatitis C. They estimate that this testing could identify more than 800,000 additional people with the disease.

    Here’s what we know:

    *  Chronic hepatitis C won’t go away on its own.

    *  Many people living with hepatitis C are not aware they have the condition and may go years without showing symptoms. Hepatitis C is treated with a combination of medications.

    *  The rate of hepatitis C among people born in 1945 through 1965 is about 4%, compared to about 1% among other Americans. That difference is likely due to risky behaviors among this group.

    *  You can get hepatitis C from infected blood or body fluids. Today, the most common way people get infected is by needle-sharing during intravenous drug use. Most new infections occur among drug users. In addition, an infected pregnant woman can infect her unborn baby.

    *  Since 1992, when reliable blood screening procedures became available, the risk of transmission of hepatitis C by blood transfusion has fallen to less than one per million units of transfused blood, according to the CDC. Rarely, the virus can be transmitted through sexual intercourse.

    *  Hepatitis C is not transmitted through shaking hands, coughing, sneezing, breastfeeding, or sharing cups and utensils.

    *  Hepatitis C can cause serious liver problems.

    © American Institute for Preventive Medicine

  • Sleep Disorders & Snoring

    General Health Conditions

    Not getting enough sleep can cause you to be sleepy during the day. It can make you less able to function. Snoring and sleep disorders can cause these problems, too.

    Insomnia

    Signs & Symptoms

    *  Having trouble falling asleep. Waking up in the middle of the night. Waking up too early and not being able to get back to sleep.

    *  Feeling like you didn’t get enough sleep.

    Causes

    *  Too much caffeine. Drinking alcohol and/or smoking before bedtime.

    *  Too much noise when falling asleep.

    *  Emotional stress. Depression. Anxiety. The manic phase of bipolar disorder.

    *  Fibromyalgia.

    *  Over active thyroid gland.

    *  Any condition, illness, injury, or surgery that causes enough pain or discomfort to interrupt sleep. Heart or lung conditions that cause shortness of breath when lying down. Side effects of some medicines, such as over-the-counter diet pills or decongestants.

    *  Changes in sleep/wake schedules, such as with work shift changes and jet lag.

    *  In children, nightmares or bed-wetting.

    Treatment

    *  Self-care and prevention tips.

    *  Treating the problem.

    *  Prescribed short-acting sleeping pills.

    Self-Care / Prevention

    *  Avoid caffeine for 8 hours before bedtime.

    *  Avoid long naps during the day.

    *  Have no more than 1 alcoholic drink with or after dinner.

    *  Avoid using electronic devices, such as a laptop computer before falling asleep and in the middle of the night. The type of light that emits from these devices makes it hard to fall asleep.

    *  Avoid nicotine. Don’t smoke. Stay away from secondhand smoke.

    *  Get regular exercise, but not within a few hours of going to bed.

    *  Before bedtime, take a warm bath or read a book, etc. Avoid things that hold your attention, such as watching a suspense movie.

    *  Keep your bedroom quiet, dark, and comfortable.

    *  Follow a bedtime routine. Lock or check doors and windows, brush your teeth, etc.

    *  Count sheep! Picture a repeated image. Doing this may bore you to sleep.

    *  Listen to recordings that help promote sleep.

    *  Take over-the- counter sleep aids, (e.g., melatonin, Tylenol PM, etc.) as advised by your doctor. Don’t take anyone else’s sleeping pills.

    *  If you wake up and can’t get back to sleep or can’t fall asleep, after 30 minutes, get out of bed. Read a relaxing book or sit quietly in the dark. In about 20 minutes, go back to bed. Do this as many times as needed.

    Restless Leg Syndrome (RLS) and Periodic Limb Movements in Sleep (PLMS)

    Signs & Symptoms

    *  Creeping, crawling, pulling and/or painful feelings in one or both legs.

    *  Jerking or bending leg movements that you can’t control during sleep.

    Causes

    The cause is not known. These factors play a role:

    *  Family history of RLS.

    *  The last months of a pregnancy.

    *  Chronic diseases, such as kidney failure, diabetes, and rheumatoid arthritis.

    Treatment

    *  Self-care and prevention tips.

    *  Prescribed medicines to control symptoms.

    *  A type of electric nerve stimulation.

    Self-Care / Prevention

    *  Take medications as prescribed. Let your doctor know if the medicine no longer helps.

    *  For relief, move the legs. Walk, rub, or massage them or do knee bends.

    *  Limit or avoid caffeine.

    *  Take a warm bath before bedtime.

    Sleep Apnea

    Signs & Symptoms

    *  Loud snoring and snorting sounds while sleeping on the back.

    *  Repeated periods when breathing stops 10 or more seconds during sleep.

    *  Waking up many times during the night. Excessive daytime sleepiness.

    *  Exhaustion. Hard time concentrating. Acting very cranky. Depression or other mental changes.

    *  Early morning headaches.

    Causes

    *  Too much muscle tissue is in the airway or the tissue relaxes and sags. These things narrow or block the airway. Persons who snore loudly and are overweight are more prone to these problems.

    *  A physical problem in the nose or upper airway.

    Treatment

    The goal is to keep the airway open during sleep. This is done with self-care measures and one of these treatments:

    *  A mouth guard dental device custom made by a dentist. This is worn during sleep. It pushes the lower jaw forward to open the air passage behind the tongue.

    *  A nasal continuous positive airway pressure (CPAP) device. Pressure from an air blower forces air through the nasal passages using a mask worn over the nose during sleep.

    *  Surgery to correct the cause of the airway obstruction.

    Self-Care / Prevention

    *  Lose weight, if you are overweight.

    *  Don’t drink alcohol. Don’t use tobacco products.

    *  Don’t take sleeping pills or sedatives.

    *  Use methods, such as those listed under Self-Care / Prevention – For Snoring to keep from sleeping on your back.

    Snoring

    Signs & Symptoms

    *  Loud sounds. Harsh breathing. Snorting sounds. These occur during sleep.

    Causes

    *  Sleeping on the back. The tongue falls back toward the throat and partly closes the airway.

    *  Nasal congestion from allergies or colds. Smoking. Drinking alcohol. Taking sedatives. Overeating (especially before bedtime).

    *  Sleep apnea or chronic respiratory disease.

    *  An obstructed airway. This can be due to enlarged tonsils or being overweight.

    *  Changes in hormones, such as during menopause or the last month of pregnancy.

    Treatment

    Self-care treats most cases. Other options are:

    *  Wearing a dental device that holds the jaw in a forward position.

    *  Surgery, if needed, to correct the problem.

    *  Treatment for sleep apnea, if needed.

    Self-Care / Prevention

    *  Sleep on your side. Prop an extra pillow behind your back so you won’t roll over. Sleep on a narrow sofa for a few nights to get used to staying on your side.

    *  Sew a large marble or tennis ball into a pocket on the back of your pajamas. This can help you stay on your side when you sleep.

    *  If you must sleep on your back, raise the head of the bed 6 inches on bricks or blocks. Or buy a wedge that is made to be placed between the mattress and box spring to elevate the head section.

    *  Lose weight, if you are overweight. Excess fatty tissue in the throat can cause snoring. Losing 10% of your body weight will help.

    *  Don’t smoke. If you do, quit. Limit or don’t have alcohol, sedatives, or a heavy meal within 3 hours of bedtime.

    *  To relieve nasal congestion, try a decongestant before you go to bed.

    *  Get rid of allergens in the bedroom. These include dust, down-filled (feathered) pillows, and down-filled bed linen.

    *  Try over-the-counter “nasal strips.” These keep the nostrils open and lift them up. This helps lessen congestion in nasal passages.

    Questions to Ask

    How Much Sleep is Needed?

    *  Adults need between 7 and 9 hours of sleep each night.

    *  Teens need at least 8-1/2 to 9-1/4 hours of sleep each night.

    *  After 6 months of age, most children sleep between 9 and 12 hours at night. Up to age 5, children may also take daytime naps for a total of 1/2 to 2 hours a day.

    Resources

    National Center on Sleep Disorders Research (NCSDR)

    301.435.0199

    www.nhlbi.nih.gov/about/ncsdr

    National Sleep Foundation

    703.243.1697

    www.sleepfoundation.org

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

    © American Institute for Preventive Medicine

  • Zika Virus: What To Know

    MEDICAL NEWS

    Infograph showing the zika virus.

    According to the CDC, Zika has not yet been spread by mosquitoes in the U.S., but cases have been reported here. These occurred in people who recently traveled to one of the known Zika areas.

    Graph showing symptoms of zika virus.

    Treatment

    At this time, there is no vaccine for Zika.

    *  Rest

    *  Drink water

    *  Take medications for pain and fever

    *  Call your doctor

    Prevention

    *  Use an insect repellent regularly on yourself and your children. Use one registered with the EPA.

    *  Wear light-colored clothes that cover as much of your body as possible.

    *  Sleep under a mosquito bed net if you are sleeping outside or not able to protect yourself from mosquito bites.

    *  Get rid of standing water. This is where mosquitoes breed. Cover rain barrels and other containers that store water.

    *  Protect windows and doors with screens or mosquito nets. Use air conditioning, if possible.

    *  If you’ve recently been to a known Zika area, are pregnant or are having symptoms of Zika, call your doctor.

    Sources: World Health Organization and Centers for Disease Control and Prevention

    © American Institute for Preventive Medicine