My child complains of Chest Pain. Should you be worried?

Chest pain is a common complaint among children. For a parent, it can be worrisome because there is a natural tendency to associate chest pain with the heart. The good news is, in more than 95% of cases, chest pain is non-cardiac in origin.

What signs will tell me that the pain may be related to the heart?

Chest pain that occurs in association with certain pointers needs a thorough evaluation. Some of the features that may suggest a heart-related condition include:

Associated breathing difficulty or dizziness
Chest pain that is brought on by exercise
When cardiac disorders run in the family or there have been sudden deaths at a young age in the family
A past medical condition like Kawasaki disease or connective tissue disorder
The following features suggest that a non-cardiac cause is likely:

If the pain follows direct trauma to the chest or is worsened on local pressure: the muscles or bones that form the chest wall are the likely origin of pain
Wheezing or fever and cough: a lung problem is likely
A burning pain beneath the breastbone, especially in relation to certain types of food: may be related to the digestive system
A stressful situation at school or home: a psychological cause of chest pain may be considered.
What can I expect at the doctor s visit?

If your child complains of chest pain, it is important to take him or her to the doctor. Your doctor will first take a detailed history and examine the child. ECG, a record of the electrical activity of the heart, gives an initial idea whether or not the pain may be related to the heart. Other tests that may be ordered include a chest XRay, a  heart-scan  (echocardiogram), a stress test, or further tests based on the findings on evaluation.

Chest Pain In Children - Should You Be Worried?

Pulmonary hypertension is a medical condition that arises when the blood pressure remains consistently high in the vessels of the lungs. This condition can develop from a completely unrelated medical condition and is more prevalent among women. 

Pulmonary Hypertension can be a hard disease to diagnose. While it has no permanent cure, the medication depends on how far the disease has advanced. From group 1 PAH to group 5 PAH, pulmonary hypertension has 5 stages of advancement. 

Here is a list of 10 ways by which this disease can be kept under control along with the prescribed medication:

Quit smoking: Smoking aggravates pulmonary hypertension. It has adverse effects on both the heart and the lung. It is therefore of utmost importance to quit smoking. If you fail to control your urge of smoking, contact your doctor who can suggest a quitting plan.
Avoid high altitude: Patients suffering from pulmonary hypertension should avoid flying and living at high altitude. An altitude of 8000 feet and above can worsen the symptoms. It is therefore suggested that you do not take flights for travelling or come down below the altitude of 2428 meters if you are living in hilly areas.
A healthy diet: A healthy diet consisting of fresh fruit and vegetables, lean meat and whole grains should be consumed on a daily basis. A nutritious diet goes a long way in keeping pulmonary hypertension in check.
Adequate rest: A minimum of 8 hours of sleep is recommended for patients suffering from pulmonary hypertension. A good night s sleep and frequent naps keeps fatigue at bay. 
Pregnancy and birth control pills: Avoiding pregnancy is a must for patients suffering from this disease. Pregnancy can be life threatening for the both the baby and the mother. Birth control pills should be avoided as well. It greatly increases the chance of blood clots. 
Maintain a steady blood pressure: Any activities that lower the blood pressure should be avoided by all means. Spending too much time in a bathtub or prolonged stress increases the chances fainting.
Become more active: Patients of pulmonary hypertension often run out of breath with little to no activity. While activities such as weight lifting should be strictly avoided, some exercise or daily jogging can fetch good result in keeping a patient healthy.
Get vaccine on time: Doctors often suggest vaccines if the patient suffers from pneumonia or influenza. It should be ensured that such vaccines are taken on time. For patients suffering from pulmonary hypertension, prolonged exposure to diseases such as pneumonia can wreak havoc.
Regular checkup: Regular follow up with the doctor is of prime importance. Any possible side effects or deterioration can be arrested with constant supervision.
On time medication: Patients of pulmonary hypertension should ensure that all the medicines suggested by the doctor are taken at regular intervals as per prescribed dosage.

Pulmonary Hypertension - 10 Ways to Treat it 

What menstrual problems are to women, prostate problems are to men. The prostate is a gland in the lower abdomen that aids in the production of semen. The prostate is walnut sized in a young man, but can get enlarged with age. As it grows bigger, it can cause a number of problems. These are commonly seen after a man celebrates his 50th birthday.

There are three common prostate problems faced by men. Some of the symptoms that can tell if a man has a prostate problem are:

1. Difficulty faced while urinating
2. The urge to urinate frequently at night
3. Constant feeling of a full bladder
4. Pain while urinating
5. Blood in the urine

Prostatitis

This can be defined as inflammation of the prostate gland. In most cases the cause of this inflammation is unknown. However, there are two types of prostatitis; bacterial and nonbacterial. While the former reacts well to antibiotics, the latter is more difficult to control. Symptoms of this disease vary from one person to the next. Some of the factors that could trigger this disease are:

1. Chemical irritants
2. Past bacterial infection
3. Dysfunctional pelvic floor muscles
4. Sexual abuse
5. Chronic anxiety

Enlarged prostate

As mentioned earlier, as men get older, the prostate gland tends to grow in size. This growth is benign, but can block the bladder neck and prostatic urethra. This can cause problems urinating and lead to acute urinary retention. This can be very painful. Inserting a catheter can provide temporary relief and help release stored urine. Chronic retention is much less common and is associated with high bladder pressure and can damage the kidneys.

Prostate cancer

Advancing age and family genetic history are said to be the main triggers of prostate cancer. This type of cancer can remain restricted to the prostate gland in its early stages but may spread to the other glands as the cancer advances. This can also cause the growth of secondary tumors in the bones.

The only way to correctly diagnose a prostate problem is with a thorough physical examination. This includes a digital rectal exam where the doctor will insert a gloved finger into your rectum to check the size of your prostate, a blood test, mid stream urine tests and ultrasounds. In some cases a biopsy of the prostate may also be required. Depending on the diagnosis, your doctor may prescribe antibiotics, surgery, radiotherapy or hormone therapy to manage your prostate.

Are You at Risk of a Prostate Disease?

What is recurrent miscarriage?

If you have three or more miscarriages in a row, doctors call it recurrent miscarriage. If you have experienced recurrent miscarriage, your GP or midwife will refer you to a gynaecologist. Your gynaecologist will try to identify the reason for your losses.

Having miscarriage after miscarriage may leave you feeling utterly drained of hope. At times, it may be hard to keep trusting in the future. This experience affects every aspect of a woman s life from her mental and emotional health to her physical health and social well-being. 

If you can, try to draw comfort from the fact that most women who experience recurrent losses do go on to have a baby. This is especially the case if tests can find no reason for the losses. Six out of 10 women who have had three miscarriages will go on to have a baby in their next pregnancy.

Treatment of Recurrent Pregnancy Loss

Treatment for anatomic abnormalities of the uterus involves surgical restoration through removal of local lesions such as fibroids, scar tissue and endometrial polyps or timely insertion of a cervical cerclage (a stitch placed around the neck of the weakened cervix) or the excision of a uterine septum when indicated.

A thin endometrial lining has been shown to correlate with compromised pregnancy outcome. Often times this will be associated with reduced resistance to blood flow to the endometrium. Such decreased blood flow to the uterus can be improved through treatment with sildenafil (Viagra), Terbutaline and possibly aspirin.

Sildenafil (Viagra) Therapy Viagra has been used successfully to increase uterine blood flow. However, to be effective it must be administered starting as soon as the period stops up until the day of ovulation and it must be administered vaginally (not orally). Viagra in the form of vaginal suppositories given in the dosage of 25 mg four times a day has been shown to increase uterine blood flow as well as thickness of the uterine lining. To date, we have seen significant improvement of the thickness of the uterine lining in about 70% of women treated. Successful pregnancy resulted in 42% of women who responded to the Viagra. It should be remembered that most of these women had previously experienced repeated IVF failures.

Terbutaline this is a medication that relaxes the muscle in the uterine wall and so permits improved hormone delivery to the endometrium. The use of Terbutaline will often cause an increase in heart rate. It should not be prescribed to women who have irregular heart beats (arrhythmias), and women who have decreased cardiac reserve.

Aspirin this is an antiprostaglandin that improves blood flow to the endometrium. It is administered at a dosage of 81mg orally, daily from the beginning of the cycle until ovulation.

Selective Immunotherapy Using Intralipid, heparin, aspirin and corticosteroid

Many causes of pregnancy loss or failure can be treated with immunotherapy comprising combinations of aspirin and heparin and corticosteroids (dexamethasone or prednisone) and Intralipid (IL) to regulate increased NKa. Achievement of optimal success with Intralipid/corticosteroid therapy requires that the treatment be initiated well before ovulation takes place (about 7-14 days prior to anticipated implantation). Given the fact that only 10-15% of natural cycles (with or without the use of insemination and/or fertility drugs) will result in a pregnancy, it follows that repeated administration of Intralipid will be required in most cases before a pregnancy will occur. IVF achieves pregnancy rates that are often 2-3 times higher. This often makes IVF a treatment of choice in cases of immunologic recurrent pregnancy loss.

Role of IVF

Preimplantation genetic diagnosis (PGD) a procedure whereby the embryo can be tested for genetic or structural chromosomal abnormalities requires the use of IVF to select the best embryo(s) for transfer to the uterus. In cases of structural chromosomal (translocations) egg or sperm donation is often another option worth considering.

In those cases where due to intractable anatomical or alloimmune dysfunction IVF repeatedly is unsuccessful or is not an option, Gestational Surrogacy might represent the only recourse other than adoption.
If a couple with Recurrent Pregnancy Loss is open to all of the diagnostic and treatment options referred to above, a live birth rate of 70%   80% is ultimately achievable.

Recurrent Miscarriage - How to Deal With It?

Hepatic Steatosis, better known as Fatty liver is a term which describes the condition where fat gets built up in the liver. The liver is the second largest organ in the body and it plays an important function of processing everything we eat or drink and then filter out harmful elements from the blood. This process gets interrupted if there is too much in the liver. We generally call the liver as fatty, when fat accounts for more than 5 to 10 percent of the weight of your liver.

The problem of fatty liver is quite common, affecting around 10 to 20 percent of people living in America without cirrhosis or inflammation. According to the American Liver Foundation, the majority of the cases of fatty liver are detected between ages 40 and 60.

Symptoms of fatty liver
Basically one cannot associate any symptom with fatty liver, though once this situation arises, people might experience fatigue or unusual discomfort in the abdomen.
Excess fat in the liver can lead to its inflammation and in that case, you might come across symptoms such as:

You don t feel like having any food due to poor appetite
One starts to lose weight
You might experience pain in the abdomen, which tends to interfere in your passing of urine.
As there is a loss of appetite, resulting in weight loss, muscles would start feeling weak.
Due to weakness in your muscles, you would easily get tired even when you have not any work that required a lot of exertion.
Causes of fatty liver
The most common reason behind fatty liver is alcohol. On the other hand, fatty liver can also occur among people, who are non-alcoholic.
In those circumstances, the fatty liver gets developed when the body creates too much fat or is unable to metabolize fat fast enough. The excess fat gets stored in the cells of the liver where it gets accumulated to form fatty liver disease.

The common causes for fatty liver, other than alcoholism are:

Obesity: Obesity is a condition when you gained too much bodyweight through accumulation of excess body fat. This becomes a major problem which leads to other problems like fatty liver.
Diabetes: Excess amount of blood sugar in your system, which results in diabetes, raises the risk of developing fatty liver disease.
Genetic Inheritance: If you have someone in your family, father, mother or anyone else, who has suffered from this problem of fatty liver, then it s quite certain that you might also catch up with this disease.
Treatment for fatty liver
You are always at risk if you get diagnosed with the problem of the fatty liver through blood tests, MRI scan and liver biopsy. Though there is no medication or surgery possible for treating this problem a doctor would provide certain recommendations to reduce the risk factors. These include:

Limiting or complete avoidance of alcohol
Keep a check on cholesterol and reduce the intake of sugar and other saturated fatty acids
Make a genuine attempt to lose weight
Control your blood sugar by walking daily and having a restricted diet

Fatty Liver Disease - Ways It Can Be Treated!

Knowingly or unknowingly, people often end up consuming food items that affect their digestive health negatively, instead of providing health benefits. Yes, the majority of people think that they can digest any kind of food and won't suffer from any side effects at all. But in reality, based on the preparation, processing, and ingredients present in them, some foods end up triggering digestive problems. 

Let's take a look at some such foods that can be bad for the digestive health.

Processed Foods: Processed or packed foods are high in carbohydrates, and can cause various digestive issues, such as bloating, cramping, gas formation, hypertension, and diabetes, when consumed in large amounts.
Alcohol: Technically speaking, alcohol may not be a food; but if you consume alcohol every time you eat, it can be counted as a food item. When the consumption of alcohol is moderate to high, it can cause acid reflux or heartburn, inflammation in the stomach lining, stomach cramps, and even diarrhea.
Artificial Sweeteners: Artificial sweeteners may work great for keeping your blood sugar in control but may affecctyour digestive system adversely. Artificial sweeteners contain ingredients that can increase the chance of bloating, gas, diarrhea, and inflammation.
Fried and Greasy Foods: Fried foods and greasy food are not only difficult to digest but they can also cause minor digestive problems, which later lead to intense stomach conditions such as acid reflux, heartburn, bloating, tummy upset, belching, etc.
Chocolates: Are you fond of eating chocolates? Having a sweet tooth can cost you your digestive health. From heartburn to an upset stomach, eating too many chocolates or candies can result in loose stools and diarrhea.
Foods Rich in Spice: Eating too much of spicy foods and those that contain chili peppers for a tangy flavor can often lead to heartburn and acidity. While you may enjoy eating something delicious with a tangy and spicy taste, the damage it may cause to your digestive health can be a cause forconcern.
Too Much of Caffeine: Drinking too much coffee or drinks with a high caffeine content cannot only irritate the stomach but also damage the smooth functioning of the digestive system. Heartburn, inflammation, constipation, and dehydration are some of the common digestive problems posed by coffee.
Raw Vegetables and Acidic Fruits: While consuming too many acidic fruits can cause acid reflux and stomach inflammation, eating raw vegetables leads to cramps, diarrhea, bloating and gas as they pass through the digestive system undigested.
For those who are concerned about their digestive health, consulting a doctor is recommended. In case you already have a stomach related ailment or disorder or have suffered from any in the past, a doctor can suggest and advice you and what are the best foods to incorporate in your diet.


Digestive Health - 8 Things You Should Just Say 'No' To!

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