Archive for December, 2010

Know the Symptoms of a Sinus Infection in an Instant

December 1st, 2010
Carla San Gaspar asked:




Knowing the symptoms of a sinus infection may spell the difference between suffering from sinusitis and living a healthy and normal life. Nobody wants to have sinusitis as it brings about pain and discomfort in our daily lives.

With sinusitis, it may be difficult for you to breathe through your nose. Your face may also feel swollen, particularly the area around your eyes. And on top of this, you may have a throbbing headache. That is why detecting sinusitis as soon as possible is the best preventive measure that you must bear in mind.

However, it is difficult, and often tricky, to tell the symptoms of a sinus infection apart from other sickness because of their apparent similarities. Let us consider as an example the common cold. A person suffering from sinusitis may have the symptoms associated with a cold, such as nasal congestion and discharge and severe headache and pain or pressure in specific areas of the face. This is because a cold, by itself, is among the many symptoms of sinusitis. If left untreated, a sinusitis that is mistaken for just a common cold, may lead to more serious complications.

Take a look at these simple guidelines to help you differentiate a sinusitis from a common cold:

1.   Duration of the condition

Monitoring how long a common cold lasts is the most perceptible way to differentiate it from a sinusitis. The duration of a common cold actually varies but it usually lasts for not more than 10 days. On the other hand, a sinus infection lasts for approximately 10 to 14 days or more. Specifically, the symptoms of an acute sinusitis last for less than 4 weeks while those of a chronic sinusitis last for more than 8 weeks. In case the sinusitis recurs for about 3 or more acute episodes in a year, it is also classified as chronic.

2.    Nasal discharge

Another indication that there is a sinus infection is through the color of the nasal discharge. For sinusitis sufferers, the discharge is typically thick with pus that is yellowish to yellow-green in color. This is a sign of bacterial infection. On the contrary, a common cold is due to the effects of a viral infection. It is for this reason that the nasal discharge is clear or whitish in color.

3.    Facial pressure or pain

People with a common cold may sometimes feel facial pressure or pain. But with sinusitis sufferers, the pain may most likely be felt on specific areas of the face where the sinuses are located. The pain may be experienced across the forehead, over the cheeks, or behind the eyes.

If the sinus infection occurs around the eyes, the eyes may be red, bulging or painful. If it occurs over the cheeks, it may travel to the teeth and the pain in the teeth is increased by bending over.

Once you have detected the symptoms of a sinus infection, it is recommended to take immediate action either by seeking medical attention or by simply doing some self-care measures such as nasal washing. Always remember that the best medical advice remains to be the saying that an ounce of prevention is better than a pound of cure.



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Eliminate Facial Tics With Hypnosis and Nlp

December 1st, 2010
Alan B. Densky, CH asked:




Facial tics are repetitive, brief, irregular twitches of the facial muscles. They are very varied, but the most usual ones are facial grimacing, eye blinking, nose wrinkling, mouth twitches, squinting along with grunting and throat clearing. Those tics are usually symptomatic of nervous disorders such as Tourette syndrome. They usually occur during childhood and often disappear within some weeks, even though some can last much longer.

The causing factors of facial tics are still poorly understood, but some things are suspected of triggering or worsening the symptoms. Tics can result from some nutritional deficiencies such as a lack of magnesium, but they can also very often be symptoms of other disorders such as Tourette syndrome, whose causes are thought to be neurological, and, to a certain extent, genetically inherited. Stress and anxiety have also been shown to provoke and greatly aggravate the frequency of facial tics.

Facial tics are hard to live with particularly for children. Teachers, schoolmates and even sometimes parents, may not be able to understand how tough it is to try to hold back the tics, particularly for an extended time period such as for instance a class. People will very often tell the child to “stop it”, or may even make fun of him or her for having tics.

From facial grimaces to eye blinking, tics always feel embarrassing and inappropriate for children and adults alike. It is also exhausting when one must try to control them constantly. This obsession might make you overly self-critical and you might in turn start to lose confidence in yourself and to develop some kind of social anxiety.

It is nonetheless possible to eliminate this uneasiness and to avoid people’s awkward stares. There are ways to significantly reduce, and even sometimes completely cure, facial twitches, in order to regain your peace of mind and have a completely normal life. You may never have to be concerned anymore about facial grimaces or controlling any of those annoying twitches.

Facial tics are traditionally left untreated or, in some acute cases or if the tics are related to Tourette syndrome, patients may be given neuroleptics which are also prescribed to treat disorders such as schizophrenia, attention deficit disorder or obsessive-compulsive behaviors. Such drugs were not designed to cure facial tics particularly and may not always be efficient.

Furthermore, they are well known for their several adverse effects both on the short and long term. Insomnia, depression, weight gain, sexual dysfunction and anxiety are only some of the numerous adverse effects which can be caused by these drugs. Some of them can even worsen tics over time! But there are however other ways of treating facial tics that are entirely natural and free of adverse effects.

Methods that work with hypnosis and NLP (Neuro-Linguistic Programming) have been designed specifically in order to treat facial tics. They can help you reduce them over time. In order to understand how those methods work it is useful to remember that tics are not a totally physiological condition and are not fully involuntary either. They are a response to an unconscious urge to perform the movement of the tic. This impulse disagreeably increases as you try to avoid performing the movement. Those impulses also increase in intensity and frequency alike if the patient feels stress or anxiety or if he is placed in certain situations.

Facial tics are a way to relieve pressure when you are feeling anxious or are coping with stressful conditions. This unconscious association may be treated using hypnosis and NLP, since they are able to change the kind of behavior your unconscious provokes when you are placed in certain situations. If acute, the therapist will eliminate the facial tic by suggesting the unconscious have you move your toe instead. When you move your toe it is not visible or apparent to the people around you. Hypnosis also allows you to become a lot more relaxed in general, so it is an appeasing experience. It will help you suppress both the stress and anxiety that make facial tics worse.

Facial tics come in many different forms: eye blinking, nose wrinkling, mouth twitches, squinting, facial grimacing, grunting or throat clearing. Although tics have physical causes, there are also as we have seen, very strong psychological factors. Stress and anxiety are without a doubt the most important of those factors. Tics have their roots in the unconscious mind as a response to states of stress or anxiety; using NLP and self-hypnosis you are able to change this association. Stress and anxiety may also be effectively fought in the long run with the soothing, stress relieving techniques of hypnotherapy, which will considerably decrease the occurrence of facial tics.



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How Do Experts Treat Gout? Part 2

December 1st, 2010
Nathan Wei asked:




In an earlier article I discussed the aims of treatment and some of the pitfalls in treating gout. In this article I will discuss types of treatment.

Before jumping into the exact drugs used to treat gout, let’s look at the metabolic pathway that explains why gout develops.

Foods that are high in purines (shell fish, red meat, beer, wine, etc.) are converted to hypoxanthine and then to xanthine. Xanthine is then transformed into uric acid. Patients who have a metabolic abnormality that causes them to produce an excessive amount of uric acid will have a big problem if the ingest a diet high in purines.

There are three major drug treatment strategies for gout:

• Uricosurics (these are drugs that cause patients to eliminate uric acid in the urine). Examples include probenecid, losartan, and fenofibrate). These drugs should be used in people who are under the age of 80 with normal kidney function, who are not already putting out more than 800 mgs of uric acid per day in their urine, and who are not kidney stone formers. Patients should be adequately hydrated and avoid aspirin doses higher than a baby aspirin per day because of potential drug interaction.

• Drugs that reduce urate formation. Medicines in this class block the conversion of hypoxanthine to xanthine and xanthine to uric acid. Examples include oxypurinol, febuxostat, and allopurinol. Of these only allopurinol is available for general use. This drug should be used for patients who cannot tolerate uricosuric drugs, who already put out more than 800 mgs of uric acid per 24 hours, who are stone formers, and who have chronic kidney disease. The dose of allopurinol can range from 100 mgs per day up to 800 mgs per day.

The most common dose used is 300 mgs per day. The problem is that this dose fails to get the blood uric acid to below 6 mg/dL, which is the ideal target, in more than 50 per cent of patients!

Other problems having to do with allopurinol:

o propensity for patients who are started on the drug to get acute attacks of gout,

o gastrointestinal side effects (elevated liver function tests being among the most common), drug interactions with other medicines such as azathioprine, ampicillin, and 6 MP),

o need for reduction in dosage in patients with abnormal kidney function,

o bone marrow toxic effects,

o life-threatening skin rashes,

o a peculiar hypersensitivity syndrome consisting of fever, rash, kidney and liver dysfunction, and elevated white blood cell count.

• Drugs that convert uric acid to allantoin. This is an extra step in the metabolic pathway of uric acid. By converting excess uric acid to allantoin, there is less uric acid available to cause gout. Examples include investigational drugs such as PEG uricase, rasburicase.

Unfortunately, many patients still either don’t respond to current therapies or develop a side-effect. For patients intolerant to drug therapy, strategies that can be used include lifestyle modification (diet and alcohol reduction), allopurinol desensitization, and combining uricosuric drugs.

The role of diet should not be minimized. Foods high in purines should be removed from the diet. Alcohol (particularly beer and red wine) needs to be minimized. Anecdotal evidence supporting the role of fresh cherries and fresh cherry products are interesting and should be supported by further research. (Articles written by this author on both diet and gout and cherries and gout can be found elsewhere).

Another issue relates to non-compliance of the patient with their medical regimen. Factors that appear to be responsible include: lack of proper instruction, taking of multiple medications for other diseases, development of attacks during the early part of treatment leading to discouragement, and so on.

There is an obvious need for more effective medicines to treat gout. As mentioned earlier, PEG-uricase, febuxostat, and rasburicase are currently in clinical trial testing and they show promise.

Until then, rheumatologists who see gout patients on a frequent basis should be the ones consulted as soon as possible.



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