Written by ashah-admin

Arteriosclerosis / Atherosclerosis

Arteriosclerosis occurs when the blood vessels that carry oxygen and nutrients from your heart to the rest of your body (arteries) become thick and stiff — sometimes restricting blood flow to your organs and tissues. Healthy arteries are flexible and elastic, but over time, the walls in your arteries can harden, a condition commonly called hardening of the arteries.

Atherosclerosis is a specific type of arteriosclerosis, but the terms are sometimes used interchangeably. Atherosclerosis refers to the buildup of fats, cholesterol and other substances in and on your artery walls (plaques), which can restrict blood flow.

These plaques can burst, triggering a blood clot. Although atherosclerosis is often considered a heart problem, it can affect arteries anywhere in your body. Atherosclerosis usually is preventable and is treatable.

Symptoms

Atherosclerosis develops gradually. Mild atherosclerosis usually doesn’t have any symptoms.

You usually won’t have atherosclerosis symptoms until an artery is so narrowed or clogged that it can’t supply adequate blood to your organs and tissues. Sometimes a blood clot completely blocks blood flow, or even breaks apart and can trigger a heart attack or stroke.

Symptoms of moderate to severe atherosclerosis depend on which arteries are affected. For example:

If you have atherosclerosis in your heart arteries, you may have symptoms, such as chest pain or pressure (angina).

  • If you have atherosclerosis in the arteries leading to your brain, you may have signs and symptoms such as sudden numbness or weakness in your arms or legs,
    difficulty speaking or slurred speech, or drooping muscles in your face. These signal a transient ischemic attack (TIA), which, if left untreated, may progress to a stroke.
  • If you have atherosclerosis in the arteries in your arms and legs, you may have symptoms of peripheral artery disease, such as leg pain when walking (intermittent claudication).
  • If you have atherosclerosis in the arteries leading to your kidneys, you develop high blood pressure or kidney failure.
  • If you have atherosclerosis in the arteries leading to your genitals, you may have difficulties having sex. Sometimes, atherosclerosis can cause erectile
    dysfunction in men. In women, high blood pressure can reduce blood flow to the vagina, making sex less pleasurable.

Causes

Atherosclerosis is a slow, progressive disease that may begin as early as childhood. Although the exact cause is unknown, atherosclerosis may start with damage or injury to the inner layer of an artery. The damage may be caused by:

  • High blood pressure
  • High cholesterol, often from getting too much cholesterol or saturated fats in your diet
  • High triglycerides, a type of fat (lipid) in your blood
  • Smoking and other sources of tobacco
  • Diabetes
  • Inflammation from diseases, such as arthritis, lupus or infections, or inflammation of unknown cause

Once the inner wall of an artery is damaged, blood cells and other substances often clump at the injury site and build up in the inner lining of the artery. Over time, fatty deposits (plaques) made of cholesterol and other cellular products also build up at the injury site and harden, narrowing your arteries. The organs and tissues connected to the blocked arteries then don’t receive enough blood to function properly.

Eventually pieces of the fatty deposits may break off and enter your bloodstream. In addition, the smooth lining of a plaque may rupture, spilling cholesterol and other substances into your bloodstream. This may cause a blood clot, which can block the blood flow to a specific part of your body, such as occurs when blocked blood flow to your heart causes a heart attack. A blood clot can also travel to other parts of your body, blocking flow to another organ.

Treatments and drugs

Lifestyle changes, such as eating a healthy diet and exercising, are often the best treatment for atherosclerosis. Sometimes, medication or surgical procedures may be recommended as well.

Various drugs can slow — or even reverse — the effects of atherosclerosis. Here are some common choices:

Written by ashah-admin

Anxiety

Experiencing occasional anxiety is a normal part of life. However, people with anxiety disorders frequently have intense, excessive and persistent worry and fear about everyday situations. Often, anxiety disorders involve repeated episodes of sudden feelings of intense anxiety and fear or terror that reach a peak within minutes (panic attacks).

These feelings of anxiety and panic interfere with daily activities, are difficult to control, are out of proportion to the actual danger and can last a long time. Symptoms may start during childhood or the teen years and continue into adulthood. Examples of anxiety disorders include social anxiety disorder (social phobia), specific phobias and separation anxiety disorder. A person can have more than one anxiety
disorder.

Sometimes anxiety results from a medical condition that needs treatment. Whatever form of anxiety you have, treatment can help.

Written by ashah-admin

Alzheimer’s disease

Alzheimer’s disease is a progressive disease that destroys memory and other important mental functions.

It’s the most common cause of dementia — a group of brain disorders that results in the loss of intellectual and social skills. These changes are severe enough to interfere with day-to-day life.

In Alzheimer’s disease, the brain cells themselves degenerate and die, causing a steady decline in memory and mental function.

Current Alzheimer’s disease medications and management strategies may temporarily improve symptoms. This can sometimes help people with Alzheimer’s disease maximize function and maintain independence.

But because there’s no cure for Alzheimer’s disease, it’s important to seek supportive services and tap into your support network as early as possible.

Written by ashah-admin

Acute sinusitis

Acute sinusitis (acute rhinosinusitis) causes the cavities around your nasal passages (sinuses) to become inflamed and swollen. This interferes with drainage and causes mucus to build up.

With acute sinusitis, it may be difficult to breathe through your nose. The area around your eyes and face may feel swollen, and you may have throbbing facial pain or a headache.

Acute sinusitis is most often caused by the common cold. Other triggers include allergies, bacterial and fungal infections. Treatment of acute sinusitis depends on the cause. In most cases, home remedies are all that’s needed. However, persistent sinusitis can lead to serious infections and other complications. Sinusitis that lasts more than eight weeks or keeps coming back is called chronic sinusitis.

Symptoms

Acute sinusitis symptoms often include:

  • Drainage of a thick, yellow or greenish discharge from the nose or down the back of the throat
  • Nasal obstruction or congestion, causing difficulty breathing through your nose
  • Pain, tenderness, swelling and pressure around your eyes, cheeks, nose or forehead
  • Reduced sense of smell and taste
  • Cough, which may be worse at night Other signs and symptoms can include:
  • Ear pain
  • Headache
  • Aching in your upper jaw and teeth
  • Bad breath (halitosis)
  • Fatigue
  • Fever

Treatments and drugs

Most cases of acute sinusitis don’t need treatment because they’re caused by viruses that also cause the common cold. Self-care techniques are usually the only treatment needed to speed recovery and ease symptoms.

Treatments to relieve symptoms

Your doctor may recommend treatments to help relieve sinusitis symptoms, including:

  • Saline nasal spray, which you spray into your nose several times a day to rinse your nasal passages.
  • Nasal corticosteroids. These nasal sprays help prevent and treat inflammation. Examples include fluticasone (Flonase), mometasone (Nasonex), budesonide (Rhinocort Aqua), triamcinolone (Nasacort AQ) and beclomethasone (Beconase AQ).
  • Decongestants. These medications are available in over-the-counter (OTC) and prescription liquids, tablets and nasal sprays. OTC oral decongestants include Sudafed, Actifed and Drixoral. Nasal sprays include oxymetazoline (Afrin, others). These medications are generally taken for only a few days at most. Otherwise they can cause the return of more severe congestion (rebound congestion).
  • Over-the-counter pain relievers, such as aspirin, acetaminophen (Tylenol, others) or ibuprofen (Advil, Motrin IB, others). Aspirin has been linked with Reye’s syndrome, so use caution when giving aspirin to children or teenagers. Though aspirin is approved for use in children older than age 2, children and teenagers recovering from chickenpox or flu-like symptoms should never take aspirin. Talk to
    your doctor if you have concerns.

Antibiotics

Antibiotics usually aren’t needed to treat acute sinusitis.

  • Antibiotics won’t help when acute sinusitis is caused by a viral or fungal infection.
  • Most cases of bacterial sinusitis improve without antibiotics.
  • Antibiotic treatment is generally needed only if the infection is severe, recurrent or persistent.

Antibiotics used to treat acute sinusitis caused by a bacterial infection include amoxicillin (Amoxil, others), doxycycline (Doryx, Monodox, others) or the combination drug trimethoprim-sulfamethoxazole (Bactrim, Septra, others). If the infection doesn’t go away or if the sinusitis comes back, your doctor may try a different antibiotic.

If your doctor does prescribe antibiotics, it’s critical to take the entire course of medication. Generally, this means you’ll need to take them for 10 to 14 days — even after your symptoms get better. If you stop taking them early, your symptoms may come back.

Antifungal medications

Rarely, acute sinusitis is caused by a fungal infection, which can be treated with antifungal medication. The dose of medication — as well as how long you’ll need to take it — depends on the severity of your infection and how quickly your symptoms improve.

Immunotherapy

If allergies are contributing to your sinusitis, allergy shots (immunotherapy) that help reduce the body’s reaction to specific allergens may help treat your symptoms.

Prevention

Take these steps to help reduce your risk of getting acute sinusitis:

  • Avoid upper respiratory infections. Minimize contact with people who have colds. Wash your hands frequently with soap and water, especially before your meals.
  • Carefully manage your allergies. Work with your doctor to keep symptoms under control.
  • Avoid cigarette smoke and polluted air. Tobacco smoke and other pollutants can irritate and inflame your lungs and nasal passages.
  • Use a humidifier. If the air in your home is dry, such as it is if you have forced-air heat, adding moisture to the air may help prevent sinusitis. Be sure the humidifier stays clean and free of mold with regular, thorough cleaning
1 2 3