Are Ovarian Cysts During Pregnancy Dangerous?

Contrary to common belief, ovarian cysts during pregnancy pose no major health problems to women. The fact is of the matter is, it is quite a common occurrence among pregnant women. Moreover, there have not been many recorded occasions when symptoms hampered normal pregnancy.

Ovarian cysts occur at a rate of 1 in every 1,000 pregnancies and only 1 in 25,000 will develop ovarian cancer. This means that most cysts are harmless. Benign cysts are thinly walled and filled with harmless fluid and will not pose dangers unless they grow to uncomfortable proportions and rupture. Since the condition seldom impede normal pregnancy, doctors, in a lot of cases, will just maintain close surveillance and wait for the cysts to go away. Most cysts are known to leave as quickly as they appeared.

A ruptured ovarian cyst is the most dangerous thing that can happen to pregnant women, except when the cysts are cancerous. The pain is intense enough to cause early labor or miscarriage. Thankfully, anesthesia and other pain relievers do not have harmful side effects and can be used to ease the pain. Also, the fluids coming from the burst cysts are not a source of infection. Even then, doctors must be alert on possible complications resulting from untimely labor and delivery.

Drastic action from doctors is required when cysts that grow on stems become twisted, causing excruciating pain. Most of the time, they have to be surgically removed. Cysts 6 cm to 8 cm in size will exert pressure on the other organs of the body, particularly the bladder and bowels. Cysts these large are also most likely to burst. Doctors usually will have them removed to pre-empt rupture.

Some of the symptoms of ovarian cyst are very similar to pregnancy. Doctors always want to make sure that all the discomforts experienced by pregnant women are, in fact, due to pregnancy and not ovarian cysts. Most women can have ovarian cysts and may not even be aware of them, which is understandable since seldom are there symptoms. In pregnant women, however, doctors will be extra careful and make sure that the abdominal pain, nausea, vomiting, and queasiness are solely the result of pregnancy and not of ovarian cysts that are malignant, have grown too big, or are on the brink of rupture. It is through examinations related to pregnancy that ovarian cysts are sometimes detected as well.

When a pregnant woman is found to have ovarian cysts, doctors will order an ultrasound along with other tests just to make sure that the cysts are not malignant. But there is actually nothing much too fear. Ovarian cysts during pregnancy are overwhelmingly benign and in extreme cases where rupture occurs, effective remedies are available.

Why Thrush Can Be a Sign of Something More Dangerous

Background to Oral Thrush

Oral thrush is the name given to yeast infection of the mouth and throat. All yeast infections are caused when Candida bacteria are able to multiply unchecked. When this happens the bacteria can cause localised or systemic infections in various parts of the body.

Candida bacteria are normally present in the human body just like many other bacteria and they are needed to keep other unhealthy bacteria under control. However, under certain conditions, the Candida in our gastrointestinal tract can multiply out of control and can then change from a yeast form into a fungal form which can produce roots-like structures and penetrate the walls of our intestines. This can allow yeast, bacteria and partially digested food to get into the blood stream and this is how the infection can find its way to different parts of the body. Localised infections including thrush can then follow.

What Allows the Candida to Multiply?

The Candida bacteria are normally kept under control as part of our healthy internal equilibrium by friendly pro-biotic bacteria. It is when the normal equilibrium is disrupted that Candida overgrowth can occur. This can happen in a number of situations:

– Antibiotics may be prescribed to deal with a particular medical condition. It is often the case, however, that the antibiotics can kill the friendly pro-biotic bacteria as well as the unhealthy bacteria that they were intended to treat.

– Hormonal changes during the monthly cycle or as a result of pregnancy can upset the natural internal balance.

– An elevated blood sugar level due to badly controlled or uncontrolled diabetes can cause the Candida to multiply. yeast love to feed on sugar.

– If our immune system is weakened or damaged due to recent illness or something more sinister such as HIV our bodies can struggle to maintain the normal internal balance.

– Higher than normal levels of stress can be a factor in weakening our immune system.

– A poor diet including too many refined carbohydrates such as white bread, white rice and white pasta with not enough fruit and vegetables can cause increased blood sugar levels which the yeast will feed on. A poor diet will also not provide the essential vitamins and nutrients that our immune system needs in order to function properly.

What Is Oral Thrush?

Candida yeast is normally present in the mouth but without causing any unpleasant symptoms as long as a normal healthy balance is maintained. Unfortunately, as described above, under certain conditions the yeast can multiply and become a nasty unpleasant infection.

Oral thrush can develop quite suddenly and without much warning and, like all types of yeast infection, can be very persistent if not treated quickly and comprehensively. If the symptoms are not dealt with quickly, thrush can spread down the throat to the oesophagus and potentially, in extreme cases, to the skins and lungs.

Symptoms of Oral Thrush

Oral thrush can begin with a sore, burning sensation in the mouth and throat and can then produce thick creamy white lacy patches on top of a red base. This typically forms on the tongue and/or inside the cheeks and perhaps on the roof of the mouth, on the gums or the back of the throat.

Eating, swallowing and brushing of the teeth can become very painful and it can feel as if something is continually stuck in the throat.

Children who suddenly lose their appetites for no apparent reason could be victims of oral thrush.

Why We Should Start Treatment ASAP

The key message here is that if a person has the symptoms of oral thrush it is very possible, in fact very likely, that they have started to develop an overgrowth of Candida in their gastrointestinal tract.

I would therefore advise that a full program of treatment should be started without delay so as to avoid the possibility of the infection becoming systemic and causing problems in various other parts of the body.

How to Treat All Types of Yeast Infection

The general advice on treatment is the same for all types of yeast infection, including oral thrush. There are various over-the-counter treatments available to get relief from the symptoms. It is very important, however that action is taken to restore the correct internal balance so that the condition does not return or worse become systemic.

For recommendations on a comprehensive holistic program that will restore the natural balance permanently please visit my website.

Hepatitis -Definition, Causes, Symptoms and Treatment

Hepatitis known as an inflammation of the liver , is a gastroenterological disease. Hepatitis is generally categorized as a viral or non-viral hepatitis. Viral hepatitis can be considered “rapid” a position that comes on frequently with severe symptoms and for a short time or “chronic” a position that comes on slowly, may or may not have symptoms for a long time.

Lot of sickness and conditions that can lead to inflammation of the liver, for example, drugs, alcohol , chemicals, and autoimmune diseases ,which are categorize as a non viral cause & some viruses that cause inflame the liver, for example, the virus of mononucleosis and the cytomegalovirus can be categorize as a viral. However,Most viruses don’t impact on liver .But when doctors speak of viral hepatitis, they generally are referring to hepatitis caused by some specific viruses that primarily attack the liver .There are number of viruses that causes hepatitis. They have been called types A, B, C, D, E, F & G. All of these viruses can result an acute disease with appearance number of weeks including yellowing of the skin and eyes called as jaundice, dark urine, high fatigue, nausea, vomiting & abdominal pain. It can take various months to a year to experience fit again. The most common hepatitis viruses are types A, B, and C

Causes

Hepatitis is most generally caused by one of three viruses: A,B,C.

Hepatitis A virus : It is the one of the most common form of hepatitis also known as infectious hepatitis .It is a liver disease caused by the (HAV) hepatitis A virus .Hepatitis A can impact on any person. It (HAV) exist in the stools (feces or poop) of infected persons. HAV is spread when individual ingests something that is infected with HAV-contaminated stool ,in water, milk, and foods, especially in shellfish .

Hepatitis B virus : is a severe disease caused by a virus that harms the liver. It is commonly known as hepatitis B virus (HBV).It also called as serum hepatitis.It can cause a wide number of symptoms ranging from general malaise to lifelong infection, cirrhosis of the liver, liver cancer, liver failure, and death. HBV spreads by contaminated body fluids, such as blood, saliva, semen, vaginal fluids, tears, and urine, a infected blood transfusion ,

shared infected needles or syringes for injecting drugs ,sexual activity with an HBV-infected individual,transmission from HBV-infected mothers to their newborn infants.

Hepatitis C virus: is one of the common liver disease caused by a virus known as HCV(hepatitis C virus) .Infection with the hepatitis C virus can cause chronic liver disease and is the leading reason for liver transplant . HCV is spread by direct contact with an infected person’s blood, getting a tattoo or body piercing with unsterilized tools, sharing drug needles , sexual contact with infected person.

strong>Symptoms

Hepatitis, in its primary stages, may produces flu-like symptoms, including:

  • Malaise
  • Mild fever
  • Muscle or joint pains
  • Appetite loss
  • Nausea
  • Vomiting
  • Diarrhea
  • Slight abdominal pain
  • diarrhea
  • Fatigue

Hepatitis in its secondary stages i.e. if hepatitis progresses, its symptoms rarely serious or fatal embryonic to the liver as the source of sickness and rapidly progressing form leads to death. It symptoms, including:

  • Jaundice (yellowed skin, mucous membranes and whites of the eyes).
  • Foul breath.
  • Dark urine or tea-colored urine.
  • Light colored stools that may retain pus.
  • Itching.
  • Enlarged spleen.
  • Hives.

Treatments

There is no specific remedy for hepatitis A. Most cases of hepatitis A resolve themselves spontaneously.

The doctors prescribed rest is the only treatment for hepatitis B is rest, combined with a high protein, carbohydrate food to repair damaged liver cells and protect the liver.An antiviral agent called interferon is prescribed by the doctors if hepatitis B persists.

An antiviral agent called interferon is prescribed by the doctors if hepatitis B persists.

Hepatitis C is cured with a combination of pegylated interferon alfa-2b and ribavirin.

Currently, there is no efficacious treatment for hepatitis D and E.

Diet for Cirrhosis of the Liver – How It May Lengthen Your Life

Just what is liver cirrhosis all about? Once we have a decent knowledge of the disease, we can go ahead and learn more about planning a diet for cirrhosis of the liver. The main idea is to manipulate your nutritional intake in such as way that your liver gets to take a break from being overtaxed.

If you don’t already know, what happens with cirrhosis is that it is a scarring of the liver which is caused through long-term damage caused by inflammation. Too much alcohol and hepatitis C are usually the culprits when talking about liver cirrhosis. Other causes that aren’t as common are brought on by either certain medications and chronic viral infections. As your liver is overworked, scar tissue will form in the areas most affected. This is what it’s supposed to do, but excessive scar tissue will impair the ability of your liver to do it’s job effectively.

If your sufferings from cirrhosis you need to worry about it leading to other health problems. One in twenty people with cirrhosis will also develop cancer of the liver. Let your cirrhosis progress too much, and you’ll find that your only recourse is a new liver and time spent waiting on the transplant list.

There are some specific things that can be done to help save your liver and reverse the liver damage that was caused by cirrhosis. But you can maximize the liver’s natural ability to repair itself by adjusting your diet in favor of giving your liver a much needed break. The most important of those things is putting yourself on a proper diet for cirrhosis of the liver.

The good news here is that you won’t have to eat bland or disgusting foods to help your liver. Really, these are mostly what your high school health teacher told you to eat, but so few of us follow their advice. Lean protein, fresh fruits and veggies and whole grains will form the basis for your new diet. The reason we hear about these particular foods so often is because they are the proper fuel for our bodies and can help heal us when we are feeling sick and unhealthy.

Vitamin and mineral deficiencies are very common in patients with cirrhosis of the liver. They are usually lacking vitamins A, K, E and D. The four food groups listed above will provide these vitamins and minerals and start your liver on the road to recovery.

Follow doctor’s orders and find out if you’ll need any supplements to help further along your cause.

At diet for cirrhosis of the liver is a diet that is completely free of unhealthy fats and alcohol. You can however have small amounts of healthy fats such as those that are contained in fish and nuts.

You’ll be making it as easy as possible for your liver to repair itself by adhering to these dietary suggestions. A great side effect of a diet for cirrhosis of the liver is that you’ll live a longer and healthier life. And isn’t that what it’s really all about?

Prostate Massage – How Much is Enough? How Much is Too Much?

Prostate massage is without a doubt one of the most powerful tools for healing a sick and painful prostate. It’s not because of the massage itself. It is because of what the massage does for your body.

Prostate massage better enables the prostate gland to heal itself.

There are no drugs, nor will there ever be any, that can compare with what Mother Nature can do to heal your body.

What some correct massage does is bring more fresh new blood to your sick tired aching prostate. It is the increased supply of fresh healthy blood that enables your body to clean and heal itself.

Where 99% Of Prostate Problems Come From

Most problems of the prostate gland come from just four sources:

1) Toxic accumulation

2) Lack of oxygen and nutrients

3) Inadequate nutrition

4) Too much sex

Correct prostate massage will take care of the first two. Moderation (and even an extended period of rest) will take care of the third. Learning what to feed your body will cover the fourth.

With this knowledge and use of these tools you can handle over 99% of all prostate problems. Even the most long term, chronic, and terrible ones.

How Much Prostate Massage Is Enough?

How much should you massage your prostate? That answer is different for each individual. It depends on the condition of your prostate and what the problem or problems are.

But, consider prostate massage just like an exercise program.

If your body is sick, weak, and out of shape generally, you can’t do too much exercise. The same will be true for your prostate gland.

And if your prostate is already in pain, sick and weak you won’t want to make it worse.

When you first begin, it is very important to ALWAYS be very gentle. You’re not usually going to fix a prostate problem in just one day. Neither are you going to become a Mr. America body builder after just one day in the gym. Make sense?

Persistence Is Key

Persistence is a key factor with prostate massage. Slow and sure like the tortoise will actually be your quickest way to success.

When a man does too much massage or massages too hard, it can cause some real pain the following day or two and the man often gives up after that.

This is just like most people who buy gym memberships. Did you know that of all the people who buy lifetime gym memberships, most people will use that gym just 4 times. Just 4! Then they give up and never return.

Why? Because they do too much in the beginning. All their muscles hurt after that. They feel crappy and irritable. So they quit! It all went wrong because they did too much too soon.

Don’t let that happen to you with your prostate massage program.

Start SLOWLY!

Be gentle. Especially during the first massages.

It’s much better to feel like you’re not doing enough than to feel like you did too much.

After the first internal prostate massage, wait a few days before doing another one. If you are starting with the external prostate massage it can be done every day.

But, the internal prostate massage is usually much more intense. You are contacting the prostate directly. You’re not massaging through a layer of muscle and fat with this massage.

You can compare this to weight lifting and walking. Walking you can do every day. But, weight lifting is most effective when done just 2 or 3 times a week. This is because weight lifting is much more intense. The body needs more time to rest, clean up and recover from it.

How Much Massage Is Too Much?

I’m sure by now you’re probably getting the idea. Any amount that causes pain is too much.

In the beginning there will usually be some normal tenderness. And the next day or two may easily result in some added soreness. This is a natural phenomena. During your first few massages you’re going to be releasing a lot of accumulated toxins. These toxins have been accumulating for years!

When they are stirred up (and they start coming out ot the prostate tissues) they can irritate not only your prostate gland, but your whole prostate area. This is what causes the normal soreness on following days.

Then the blood will slowly flush them away.

The same thing can happen if you have not massaged your prostate for a long time.

Other than that, if you are experiencing pain during your massage you are either being too aggressive or you are massaging for too long a period of time. Or both.

Anytime you feel pain or serious discomfort: STOP what you are doing immediately! Then continue more gentle or stop all together. Come back to it another day.

PAIN means you are doing too much, or pushing too hard, or both.

Let Your Body Be Your Guide

After you have been doing prostate massage for a number of weeks, you’ll learn how much feels good and what is uncomfortable. Stay with what feels good. Once you are accustomed to them, the massages should actually be very refreshing. Just like exercising.

Never go past the point of comfort. That’s your best guide. It will be different from man to man. So make progress slowly and find what is best for you.

If Your Prostate Hurts Before You Even Start Massaging

If you are already suffering from a lot of prostate pain, you may not be able to do the internal prostate massage at first. In fact using the internal massage in this circumstance could be a very bad idea.

In this case, the vibrating massage and sitz bath are the best choices.

Once you start feeling better, you can progress to the external prostate massages.

The internal massage (because of the direct contact) is the strongest and fastest acting. But, it is not something that should be used if you have a delicate condition or are in a lot of pain to begin with.

As you progress and your pain reduces, the internal prostate massage can be tried.

Always Be Safe

Always consult your doctor first. Rarely, a medical condition may exist that could make the internal massage dangerous. This usually occurs only in men of advanced age. Certain types of hemorrhoids, polyps, fissures, colon disease, certain prostate cancers, and just plain old age may present a problem where the internal massage could be dangerous.

If that is the case, you can still build health and find a tremendous amount of relief with gentle external massages and peripheral massages.

Always remember: It is always wise to check with your doctor first. Especially if you have any doubts about your condition. This will enable you to proceed with the correct type of massage with complete confidence.

Doing The Correct Amount

Prostate massage is not a competition. Neither is it a test of endurance.

The whole idea with massage is to get more fresh blood in and toxins out. That’s it! After that the body does everything else on it’s own.

So start slowly. Don’t cause yourself pain. Be regular with your practice.

When your prostate regains health: your pain disappears, you are peeing normally again, and you’ll notice your whole life becomes a happier one! Your entire spirit and zest for life will improve.

That’s what correct prostate massage can help over 98% of men with prostate problems accomplish.

Be Well…

~ William

Dog Vomiting – What Could Make Your Dog Vomit?

If your dog vomits from time to time, it may not be a reason for concern, but when this happens really often, and then it is time to get worried.

Dog vomiting can also mean tract inflammation, and this can also mean that the dog is lacking some digestive enzymes. The dog can also have an allergy to something or a problem in the intestinal tract.

If you see that the vomit puddle is filled with food that looks undigested, the vomiting can be due to stress or overeating. In some rare cases, the undigested food can also point to food poisoning. But this is up to the vet to decide and then prescribe the correct medicine.

Some dogs tend to eat whatever they encounter and this can be really bad for their stomach. Many dogs also tend to overeat and this can lead to vomiting episodes too. If you see blood in the vomit than it means the dog has a serious health condition. In this case professional assistance is required. Internal laceration can appear when the bowel and the intestines are inflamed.

In many cases the inflamed digestive track solves the problem by vomiting. But in some cases a visit to the vet is necessary. So make sure to keep the dog as comfortable as you can and let him vomit. Then notice how the vomit appears and take a sample for the vet to analyze. Do not frighten the dog when he is vomiting because this will add up to its stress. The dog already knows that bodily fluids on the carpet are a bad thing and you do not want to add up to its stress.

Sometimes, the puppies vomit because their digestive system is undeveloped and needs to learn how to cope with new food. Also, puppies are greedy and they want to eat as much as possible till they throw up. Puppies also tend to taste things just for the fun of it and they can get accidentally poisoned. So keep an eye on your new puppy and if you see any symptoms take it immediately to the doctor.

You should also know that digestive problems are quite common in puppies, especially ones that belong to large breeds.

But the rule is: if the dog vomits twice in 24 hours, for more than 2 days in a row, than take it to the vet for the proper investigation. Make sure to follow all the rules mentioned above. And also talk to the breeder that sold you the dog. Make sure you have the entire medical history of the puppy. If you also see that the dog is vomiting after lunch hours, prepare the area for it and wait for the vomiting episode to occur. Try to restrict his movements during those vomiting episodes so that you can handle the mess.

Make sure that you notice the vomit of your dog and never let the dog re-ingest the vomit. Also, it is best to take the dog to the vet if you notice the slightest symptoms and problems. You know what people like to say: better safe than sorry, right?

Food Poisoning – Know Your Compensation Rights

With the credit crunch beginning to bite, this year many people have chosen to take a summer holiday in this country rather than going abroad. Many of us use a holiday as a welcome break from cooking food at home, however every year there are a small number of food poisoning outbreaks in the UK that can be traced back food purchased from hotels, restaurants or cafes. It is not just the Food Standards Agency that can sue a restaurant for serving unsafe food, ordinary members of the public can make a personal injury claim if they have suffered food poisoning.

In the UK we are fortunate to have some of the strictest food safety regulations in the world. The 1990 Food Safety Act gives anyone who has suffered food poisoning from buying food that was unsafe for human consumption the right to sue the producer or seller. Unlike in other types of personal injuries, such as workplace accidents or road traffic accidents, it is not necessary to prove negligence on the part of the producer or seller. As long as the product in question can be demonstrated as unfit for human consumption then there are grounds to claim personal injury compensation.

It is worth remembering that you can also claim food poisoning compensation if you fell ill after eating food providing as part of a package holiday abroad. It is the duty of the tour operator to make sure all the food on a package holiday is fit for human consumption, so you can still claim even if you fell ill outside of the UK, provided your holiday was booked with a UK tour operator.

Untreated Peptic Ulcer can Lead to Serious Complications

Peptic ulcer is a common disorder of the digestive system that causes inflammation, irritation and lesions to internal tissues and organs. Peptic ulcers generally occur on the premises of infection with Helicobacter pylori (bacteria that often populate the interior of the stomach), triggered by an overproduction of gastric acids and pepsin. Helicobacter pylori weaken the internal organs’ mucus-covered protective walls, enabling digestive fluids to cause ulcerations and lesions.

The natural physiologic factors that can prevent the occurrence of peptic ulcer are: appropriate production of mucus, good mucosal blood circulation, appropriate production of bicarbonate, alkaline tide and a thick hydrophobic layer. If the balance of these natural defenses is perturbed, the risks of developing peptic ulcer are considerably increased.

Peptic ulcers can be developed either at the level of the duodenum or at the level of the stomach. Duodenal peptic ulcers are generally less serious, while stomach peptic ulcers can lead to serious complications. In the absence of an appropriate medical treatment, stomach peptic ulcer can lead to perforated ulcer or bleeding ulcer, disorders that require immediate medical intervention.

Peptic ulcer occurs in people of all ages and it affects both sexes equally. Although at first the disorder may be mild, peptic ulcer can progress over the years, sometimes even becoming life-threatening. However, nowadays peptic ulcer can be effectively overcome with medication treatments, rarely requiring surgical intervention. When it is timely diagnosed, peptic ulcer is highly curable.

Peptic ulcer usually generates symptoms such as abdominal discomfort and soreness, which usually intensify after meals or during the night. It is important to note that antacids can only provide temporary symptomatic relief, being unable to prevent the progression of peptic ulcer. Peptic ulcer can only be overcome with the means of an appropriate diet and specific medical treatment. When suffering from peptic ulcer, it is very important to pay regular visits to your doctor in order to receive medical examinations and a correct treatment.

The best means of preventing the progression of peptic ulcer are a healthy lifestyle and an appropriate diet. A good ulcer diet can ease the symptoms of peptic ulcer and can also keep the disorder under control. Ulcer diets should only contain non-acidic foods and beverages. When suffering from peptic ulcer, you should limit the intake of citrus fruits, processed foods and some dairy products. Although milk is known to provide relief for peptic ulcer, it can actually aggravate the disorder.

Avoid smoking, alcohol and coffee when suffering from peptic ulcer. Smoking affects the blood circulation at the level of the stomach and it also slows down the process of healing, while coffee and alcoholic beverages stimulate an overproduction of pepsin and gastric acids. In order to minimize the risk of complications, it is best to abstain from smoking, alcoholic and caffeine beverages when suffering from peptic ulcer.

Acid Reflux Bacteria

Acid reflux disease or GERD (Gastro Esophageal Reflux Disease) can be described as reflux of gastric acid into the lumen of our esophagus. It happens when there is increased acid secretion from the gastric mucosa. The muscular tone of the gastro-esophageal valve is also reduced in this situation. Stomach acid irritates the esophageal mucous membrane which is not capable to withstand the extreme pH of gastric acid. So we feel irritation and pain over the lower aspect of our throat.

Incidence of GERD –

GERD is very common throughout the world. It is estimated that one tenth of the American population will suffer from peptic ulcer disease at some point of their lifetime. More than 2 billion dollars are spent for treatment of this disease annually.

Symptoms –

There is extremely painful burning sensation over the lower end of throat and upper central part of stomach. Moreover, this pain is related to eating. Intake of food increases the intensity of pain. There is regurgitation of food as the tone of the gastro-esophageal valve is reduced.

Causes –

GERD is multifactorial in origin. The most common causes are –

· Excessive smoking

· Intake of spicy food, junk food

· Irregular food habits

· Class I personality

· Executive lifestyle

· Long standing use of pain killer drugs (NSAIDs)

· Helicobacter pylori – recently invented bacteria, normally present in the stomach. But in some patients, there is overproduction in the bacterial colony and increase production of gastric acid.

Diagnosis of H. pylori –

There are three methods of diagnosing H. pylori (acid reflux bacteria). The simplest test is directed to detect presence of antibody in the blood against the organism. A breath test is available that works by determining labeled carbon dioxide in the breath symptomatic of an H. pylori infection. Lastly the most invasive test is endoscopic assessment of H. pylori presence.

Complications of Hyperacidity

Hyperacidity is becoming a major health issue all over the world. A sedentary lifestyle with little or no exercise and unhealthy eating habits are the main culprits. Contrary to popular belief, it a serious disease and it should be treated as early as possible. Taking pills every time you get a heart burn is definitely not the treatment. A thorough treatment of the core issue is necessary in order to avoid complications. Complications of hyperacidity, if left untreated can be fatal.

The first complication of hyperacidity that patients may face is that the inner layer of the stomach, known as the mucous membrane may get damaged because of its soft texture. This may lead to severe pain in the stomach. If the patient is not treated, it may lead to formation of ulcer. A stomach ulcer will cause a lot of discomfort and pain to the patient. It may also lead to perforation of the stomach. Treating an ulcer in its early stage is not very difficult.

An untreated ulcer will cause further damage to the mucous layer of the stomach. The third layer of the stomach will get affected which can lead to perforation. The patient will suffer from constipation and indigestion. If still left untreated, the condition could even lead to stomach cancer, which has been known to be fatal in lots of people.

Hyperacidity is a serious condition and it should be treated as such. It is essential to visit a medical practitioner if a bout of hyperacidity lasts for more than two weeks. Complications of hyperacidity can be untreatable sometimes. Practicing a healthy lifestyle is one of the best precautions.

The Dangers of Gastritis

For the uninitiated, Gastritis is the inflammation of the stomach that is similar in many ways to a mild ulcer. While sometimes caused by alcohol and aspirin, it can also be caused by high levels of stress and from bacteria present in the system. In terms of pains, the illness is related to a highly acidic stomach so you will experience strong stomach pains, located on the left side of your belly typically. These pains can be reduced by eating, making for a twist compared to most stomach disorders which are worsened by eating.

However, a big warning for people suffering from Gastritis is that the things that often will help with upset stomachs can make the pains from Gastritis even worse. As such, you need to be very careful in treating yourself as you will often be walking the fine line between making yourself feel better, and experiencing intense pains.

The best way to avoid exacerbating the pains are by avoiding acidic items. For instance, when sick, you need vitamin c. However, don’t dink orange juice with gastritis as its citric contents could make your stomach feel even worse. Likewise, while soda is great for an upset stomach, helping you get out the gas, it is awful for Gastritis. With this disease, the acidity of the soda will make you experience even worse pains.

And worst of all, as I found out the hard way, is Aspirin. I had a terrible headache while suffering from Gastritis and after taking an Aspirin without thinking, I immediately felt my stomach explode. It felt like my stomach was boiling as the medicine wrecked havoc on my vulnerable stomach.

In the end, it is important to differentiate between Gastritis and an upset stomach. The treatment for the two issues are very different, and attempting to treat one with the other can be very painful. In the end, your best solution is to just see a doctor and let them help you out.

Interesting Facts About a Nursing Career

Nursing is a noble profession. Without these people, no one will be able to look after the patient when the doctor is not available. It should be pointed that there is a shortage of nurses in the US. The government for its part has hired foreign nationals to fill the gap but this is not enough to solve the problem. This is why knowing some facts about a career in nursing could probably encourage students in high school or maybe even in college to make that shift.

1. Entry level nurses earn a lot more than what other professionals earn after graduating from college. One report shows that they get an average of $45,000 a year compared to accountants who only get about $41,000.

2. Unlike other courses that will require the student to get a degree in 4 years, nurses can graduate and find work after 2 years. These programs area namely an Associate Degree in Nursing or AND as well as the Hospital Diploma. Students of these two programs can go back to school later on to further their studies by getting a Bachelor of Science in Nursing or BSN.

3. Nurses may also find work in places other than the hospital. These include schools, correctional facilities, private companies, research labs and homes since only three out of five registered nurses work in a hospital.

4. For the country, majority of nursing jobs are occupied by women despite an increase of 5.4% of males that have joined the workforce. But in the U.S. military, one third of those serving are men.

5. In the US, the ratio between registered nurses and doctors is 4:1. Aside from providing the usual health care services to patients, they also teach patients about prevention and work in other fields such as cardiac, family health, gynecology, neonatal, neurology, oncology, pediatrics and other advance clinical specialties.

6. Nurses work between 8 to 10 hours per shift because the risk of an error happening are greater if they work longer than 12 hours.

7. The reason why the government has to fill the shortage of nurses is to lower the incidence of adverse outcomes with patients. For instance, one study has shown that if the number of registered nurses in a hospital is not increased, there will be a rise in the number of patients who will suffer from lung failure, pressure ulcers and urinary tract infections.

Those with higher resident nurse staffing will have lower rates of adverse patient outcomes enabling them to be discharged later on without further incident.

8. Apart from a shortage in trained nurses, there is also a shortage in nursing faculty. After years of working in a hospital setting, such individuals can apply in schools to teach what they know to the bunch of hopefuls who want to make a difference in the lives of the patients.

The facts mentioned about nursing just goes to show that nurses play a vital life saving role in the overall healthcare system of the country. Doctors which we have a lot of can only do so much and they need the help of trained professionals to follow through what they have done to treat a patient.

If you have the desire to help people, then perhaps you should see if a nursing career is right for you.

How to Deal With Different Types of Edema?

In common parlance, edema implies a swelling of certain body tissues due to excess water content. Professionals define it as an accumulation of excess fluid in certain parts of the body’s tissues. The extra fluid accumulates outside of the capillaries in the spaces between the cells. Thus, the tissues become soggy and swollen.

Edema manifests itself in different forms as under:

1. Pulmonary Edema:

Pulmonary edema is a life-threatening condition in which the lungs become water-logged by an accumulation of serous fluid in the air sacs. The sudden development of pulmonary edema constitutes a medical emergency.

The usual cause of pulmonary edema is stagnation of the blood that flows through the lungs. It may be recalled that the ventricle of the right side of the heart pumps blood into and through the lungs, after which it flows into the atrium of the left side of the heart. As the blood passes through the lungs, it releases its load of carbon dioxide and accepts a new load of oxygen. Once this blood arrives in the left side of the heart it is placed under pressure by the contraction of the left ventricle and thus forced to circulate throughout the entire body.

Pulmonary edema typically occurs when, for one reason or another, the left side of the heart becomes unable to perform its usual work load. In this situation the flow of blood is impeded as it moves through the lungs, for the right side of the heart is still pumping blood into the lungs but the left side of the heart is now handicapped in disposing of the volume of blood it receives from the lungs. So, the blood flowing through the lungs on its way to the heart tends to back up, causing stagnation of blood within the lungs. This stagnation favors a seepage of the blood plasma into the delicate alveoli of the lung which would normally be occupied by air. This is how pulmonary edema occurs.

2. Emphysema:

In emphysema, the lungs become less and less efficient because of progressive damage to the millions of alveoli, or air sacs, at the ends of the bronchioles in the lungs. Oxygen and carbon dioxide exchange takes place in the walls of the alveoli-but when these walls of the air sacs are damaged, cavities form which contain an accumulation of contaminated mucus. The efficiency of the lungs is greatly reduced and the patient suffers from shortness of breath (dyspnea) because the waste air is not easily removed/exhaled from the lungs and the required amount of oxygen-rich air is not restored/inhaled.

Because the lung cannot repair itself, chronic obstructive pulmonary disease (COPD), which is a serious form of illness, sets in. COPD being incurable, Professionals focus their attention on prevention-which brings us to the consideration of its causes. Cigarette smoking is the major factor. It is also recognized that certain irritants such as cotton fibers, asbestos fibers, coal dust and cement (used in building construction) particles, carried by the air into the lungs do play a significant part in causing or aggravating the disease.

How to deal with pulmonary edema and emphysema:

Initially, lungs are not at fault when pulmonary edema develops. This condition is a result of defective functioning of the heart. Care and treatment must, therefore, be directed toward correcting and supporting the weakened heart, as well as toward the prevention of further accumulation of fluid in the lungs.

Because the lungs are now handicapped in providing the body’s requirement of oxygen, it should be arranged for the patient to breathe pure oxygen. Some physicians prescribe morphine in this emergency, not only to reduce the patient’s anxiety but because this drug tends to reduce the work load of the heart and lungs. Diuretics drugs that increase the quantity of urine produced by the kidneys may also help in ridding the body of excess fluid. The placing of tourniquets on three of the patient’s extremities for 15 minutes at a time so as to retard the return of blood from the arms and legs has the effect of reducing the congestion of blood in the lungs.

3. Rheumatoid arthritis:

Rheumatoid arthritis is a chronic disease of the joints. Its exact cause is not known. However, research suggest that as the immune system fails to work properly, the ‘synovium’, a thin membrane surrounding a joint, gradually becomes inflamed and swollen, which leads to inflammation of other parts of the affected joints.

With the passage of time, the bones linked by the joint are weakened. In severe cases, bone tissue may eventually be destroyed. The joints that are usually affected are the small ones in your hands and feet, mainly the knuckles and toe joints, but rheumatoid arthritis can develop in any joint, including your wrists, knees, ankles or neck. When your joints are affected, they become red, warm, swollen, tender to the touch, painful to move, and stiff. It is advisable to seek medical help as soon as possible.

4. Edema in cirrhosis of the Liver:

In cirrhosis, the liver’s production of protein declines, with a consequent lowering of the blood’s osmotic pressure. This favors the development of edema. Swelling of the ankles may be observed. Cirrhosis also hinders the flow of blood coming to the liver from other abdominal organs and this causes an increase of blood pressure in the capillaries of these organs. This results in an accumulation of fluid in the abdominal cavity (ascites).

Any type of edema calls for immediate expert medical care-so that any subsequent complications may be nipped in the bud timely and appropriately.

Geriatric Medical Coding – Coding for Dementia

Geriatric medicine involves health concerns of the elderly population, and these cover a number of syndromes and conditions. Dementia, urinary incontinence, osteoarthritis, diabetes, cardiovascular diseases, cerebrovascular diseases, hypertension, hearing concerns, and hyperthyroidism are some of the major conditions. Geriatricians carry out various examinations and offer counseling sessions for their patients. Practitioners in this field also screen patients for various psychosocial concerns.

Dementia Codes – Medical and Psychiatric Codes

Dementia is a condition that affects a number of old people and it is defined as the progressive and severe impairment of one’s brain function that interferes with one’s normal functioning. Dementia is usually irreversible. It may be mild, moderate, severe or profound.

The new codes for dementia are provided in ICD-10 Chapter V: Mental and Behavioural Disorders. These codes signify various types of dementia and include medical codes and psychiatric codes. When billing for dementia, service providers should give the correct diagnostic codes for medical conditions causing irreversible dementia such as:

• Alzheimer’s disease

• Frontotemporal dementia

• Multi-infarct dementia

• Parkinson’s disease with dementia

• Huntington’s disease

• Leukoencephalopathies

• Senile degeneration of the brain

• Mild cognitive impairment

• Dementia with Lewy bodies

• Pick’s disease

• Binswanger’s disease

• Creutzfeldt-Jakob disease

• Multiple sclerosis

• HIV

• Neurosyphilis

• Unspecified cerebral degeneration

• Memory loss and late effects of CVD

Psychiatric codes signify uncomplicated senile dementia, presenile dementia, senile dementia with delusional features, senile dementia with depressive features, senile dementia with delirium, arteriosclerotic dementia, dementia without behavioral disturbances, and dementia with behavioral disturbances. When coding, it is necessary to indicate whether the dementia occurred with or without behavioral disturbances such as violent behavior, aggressive behavior, wandering off and more.

Reversible types of dementia are treatable and are most often caused by conditions such as brain tumors, chronic alcoholism, infections, certain deficiencies, heavy-metal poisoning, hyperthyroidism and so on. Providers can bill for pharmacologic, physical, occupational, speech-language and other therapies that are provided for their dementia patients. Payers require that providers clearly enter their primary diagnosis as well as the secondary diagnosis that support the medical necessity of the services provided. In case the patient suffers from an illness or injury not related to their dementia, the physician’s primary diagnosis recorded in the claim should reflect clearly the need for the billed service.

Factors that Have an Impact on Reimbursement

• CMS does not regard certain diagnostic codes as regular medical codes. As a result, these are not reimbursed at the usual rate, sometimes these are not paid at all. The provider has to have in-depth knowledge regarding the assignment of the correct primary and secondary diagnostic codes to ensure full reimbursement.

• Reporting all professional services in all settings such as inpatient, outpatient, home and nursing facilities, correctly using the appropriate CPT five digit codes

• Appropriate use of evaluation and management (E/M) codes or the five digit codes used to report non-procedural professional services. These codes should clearly highlight the complexity of the service provided. Tests such as gait and balance assessment, mini mental status exam, history, physical and family interview do not have their own CPT codes. So these are included under E/M.

A physician’s interaction with the patient includes screening, procedure visit and visit for discussing results. For effective reimbursement, the correct diagnostic and procedural codes have to be assigned for each of these visits. During screening, the physician identifies the condition for which the appropriate diagnostic code has to be assigned. Any new problem that requires a differential diagnosis has to be documented during the procedure visit. The provider has to also ascertain whether requirements for a higher level code are met. Additional documentation includes valid diagnostic codes to justify a comprehensive exam, codes to report any co-existing conditions such as diabetes, weight loss, delirium and so on. This is important with regard to using higher levels of E/M coding. In the case of a patient with multiple problems, the doctor will have to spend more time to complete the assessment. It is the visit’s complexity that would justify billing for the highest level E/M.

• 99205 – Level 5 comprehensive exam for new patient

• 99215 – Level 5 comprehensive exam for established patient

• 96116 – neurobehavioral status examination

Codes to Use for Care Management Provided

• First hour – 99358

• Each additional 30 minutes – 99359

• Telephone services – 99371-3

Tips for Accurate Coding

Review of systems (ROS), history of present illness (HPI), family, physical examination, social medical history, medical decision making, time spent for discussion of counseling, and organizing care, all these have to be taken into account when assigning E/M codes. When coding for dementia, under no circumstances should a lower level of service be reported using a higher level code. If you are to receive due reimbursement, medical necessity of a provided service is of course the primary consideration. Individual requirements of the CPT codes used are also a major criterion. The level of service reported should have sufficient supporting documentation.

Heart Attack: Causes, Risks and Prevention

Heart attack, medically known as Myocardial Infarction, is the sudden stoppage of the heart due to death or damage to a large part of the heart muscles known as myocardium. It is widely acknowledged that heart related conditions (cardiovascular diseases) are the number one cause of death and disability in the United States and most parts of the civilized world, today. And sudden death, from heart attack is by far the most common consequence of cardiovascular diseases.

We have all seen someone, seemingly healthy days or hours before, suddenly slump and die. This is the kind of death or disability that heart attack visits on its victims. Of the numerous types of cardiovascular conditions, the one that is most likely to lead to a heart attack is what is known as Coronary Heart Disease (CHD) or more appropriately, Coronary Artery Disease (CAD).

Coronary arteries are the vessels (arteries) that carry oxygen-rich blood to the heart muscles or myocardium. So, as the name implies, Coronary Artery Disease is a condition that affects the coronary arteries (i.e. arteries of the heart). This condition is characterized by the slow and gradual buildup of fatty deposits (fat streaks, plaques or atheromatous streaks) in the walls of the coronary arteries. Initially, these atheromatous streaks/plaques expand into the walls of the arteries, but subsequently, they start building up and growing into the lumen of the affected arteries, narrowing such arteries and obstructing blood flow. This is known as atherosclerosis.

As the build up of the plaques continue, over the years, the plaques increase in thickness and the degree of obstruction of blood flow to the heart muscles becomes severe. Though, the buildup of the plaques takes a very long time to completely occlude the lumen of an artery and result in heart attack, however, sudden rupture of a plaque usually speeds up the process. The rupture of plaque activates the blood clotting system and the clot-plaque interaction fills the lumen of such artery to the point of sudden closure. Such sudden occlusion of a coronary artery causes irreversible death of the heart muscle supplied by that artery (myocardial infarction) and precipitates a ‘heart attack’ i.e. the sudden stop of heart beat.

Coronary heart disease, the commonest underlying cause of heart attack, as with several other cardiovascular conditions has been associated with a number of risk factors; however, a family history of coronary heart disease appears to be one of the strongest risk factors. Also, men are more likely to suffer a heart attack than women, though after menopause, the risk of women approaches that of men, especially with hormonal therapies, which tend to increase a woman’s risk of CHD. Other risk factors include: Smoking, diabetes, hypertension, obesity (especially central or female-type obesity), a chronic sub-clinical lack of vitamin C, elevated homocysteine levels, elevated blood levels of asymmetric dimethylarginine and also importantly, sedentary or inactive lifestyle.

Beside some factors which cannot be controlled, such as hereditary and gender, prevention of CHD and hence, heart attack, is usually achieved through the modification of risk factors. Leading an active life style with frequent exercise, cessation of smoking, maintaining a low-fat, low-calorie diet and decreasing blood cholesterol levels, especially Low density lipoproteins (LDL) are crucial to preventing heart attack. Exercise and healthy diet have been shown to have profound effect on cardiovascular risks, although, cessation of cigarette smoking can also profoundly reduce the risk of heart attack.

It is important to note that despite the increasingly growing number of deaths recorded as a result of heart related conditions, cardiovascular diseases can still be prevented, or at least delayed, in most cases, contrary to general beliefs. The increasing number of deaths recorded in most western countries is mainly due to unhealthy lifestyles; such as smoking, lack of physical activity and unhealthy eating habits; and worst still, the unwillingness to modify these lifestyles in most individuals.