Sabtu, 29 Juli 2017

Were You Relieved When You Were Diagnosed With Nerve Damage


Today's post from themighty.com (see link below) reflects, by means of a personal story, what millions of neuropathy sufferers across the world feel before they receive their definitive diagnosis. It seems astonishing in this day and age that we have to jump through hoops of disbelief, suspicion, inaccurate evaluations and faulty diagnoses before a medical professional finally comes up with the answer but it still happens continually in 2016. Naturally, the more neuropathy hits the news, the more patients will have light bulb moments and emerge from the darkness but is the medical profession ready for it? Not by a long chalk! Not only are we prescribed the same medications that were issued 30 years ago but the time scale between symptoms and diagnosis is unforgivably long. Add on to that the general lack of expert knowledge among doctors and you have patient frustration on a massive scale. That said, it is changing and the medical profession and pharmaceutical companies are finally waking up to the problem and working on solutions but hey...it's about time! The author of this article's patent relief at being given a diagnosis is therefore perfectly understandable. Do you recognise yourself in her story? I have a feeling you will.
 
Why I'm Happy I Received Diagnoses of Neuropathy and Myopathy  
11/19/16 By Jen Hardy Contributor I write about Hereditary Neuropathies
 
Let me start by saying I do not want to be sick. I am not lazy, or trying to get attention. What I do want is a diagnosis, so medical professionals can treat my symptoms, and if possible, heal me. There are so many people who do not understand people with chronic illness and why we want a diagnosis so badly. I want to share my story so I can help other people understand how difficult it is to live with unidentified health issues.

As a young girl, I spent a lot of time during my non-school hours in bed and on the couch. My parents chalked it up to me being a lazy person, but when I would get bursts of energy, I’d be out doing all I could, and I didn’t feel lazy! In middle school P.E., I would always stop running because of sharp pain and a burning sensation in my chest. Again, I was labeled as lazy and told to work through the pain. (Twenty-five years later, we would discover I had asthma.) My parents had me in soccer and softball for several years, but I would get worn out quickly, begging to be benched after a few quarters or innings. As you see, there was a pattern. High school went on the same way, only with the emergence of back pain on top of everything else.

I started falling down in my early 20s. People just thought that was funny. “Look how clumsy she is,” they said. Everyone thought I was both lazy and clumsy. I had x-rays and all the standard blood tests, but nothing was showing up. After I had a couple of children, my energy plummeted, but after seeing a variety of doctors, and with a chart thicker than a Harry Potter book, I still had no diagnosis. The medical and family consensus was that I was fine, lazy, and maybe a little depressed. I was a little depressed; my body was betraying me and I didn’t know why. Not only that, but no one who was close to me believed what I was saying.

In my 30s, the pain became more intense. It was difficult for me to get around, and I was becoming more unsteady. My pain was mostly in my back, but slowly creeping in a little bit everywhere else too. “Where did it come from? Why was it there?” Those were my questions. What answer did I get? “You must want drugs.”

Through all of this, I would argue with anyone who told me to take so much as an aspirin. I was so anti-any-medicine that wasn’t absolutely life-saving that taking strong pain killers was out of the question. I wanted a permanent solution, not a temporary fix. Again and again and again I was asked, “Why do you want something to be wrong? Why do you keep looking for something to be wrong with you? Why can’t you just do what you’re supposed to do like everyone else?”

I was told by those close to me, “Obviously if the doctor says nothing is wrong, then nothing is wrong.” And, “I’m certainly not going to help you get things done when you are perfectly capable of doing them yourself. Stop being lazy and snap out of it!” But more symptoms kept emerging, and I just kept asking questions, and going to doctors, and not giving up. It’s not easy to keep that up when you feel miserable.

A good personal support system helps not only physically, but emotionally as well. When I was 40, I married a soldier. He not only fought for our country, but he fought for me. He went to doctors with me and explained things when I couldn’t, he helped me to remember to take my medicine when I was too tired to remember by myself, and he always had faith that we would find help and I would get better. With his help, I found a pulmonologist who discovered that I have asthma and sleep apnea. Treating those helped some of my symptoms, but there were still several things going on with my body that no one could figure out.

In my early 40s, my husband got sick with what we thought was a cancerous kidney tumor. I didn’t want to tell him that I’d fallen down the stairs twice in one week, but my sister-in-law did. He immediately sent me to the doctor, where I got an MRI of my back, and they finally found something. Ironically, they didn’t actually find it, they said it was still there! A diffuse atrophy that was found in my back seven years earlier that no one ever mentioned to me. The muscles outside of my lower spine had completely atrophied and been replaced by fat. How could this have happened? Why? We didn’t know, but it explained the pain, weakness, and falling I’d been experiencing for years.

I saw several neurologists. My second one actually told me I had too many symptoms and had to pare down my symptom list for him to be able to help me. “Which symptoms are the right ones?” I cried, but he didn’t know, so it was time to find another neurologist. It is so important for patients to keep searching until they find a doctor who listens to them. If I had listened to the first doctors, I might not be here today. I was misdiagnosed and put through risky treatments that didn’t help, and even a major surgery I didn’t need.

I finally went to a new doctor, my eighth neurologist, who sent me to another neurologist 300 miles away at a medical center that specializes in rare neuromuscular diseases. Finally, the wrong diagnosis was officially ruled out. We also found out answers to the health questions I’d had for years. I don’t have one neuromuscular disease, I have two: neuropathy and myopathy. That’s why I had too many symptoms. That’s why none of it made sense. That’s why no one believed that I was telling the truth. It seemed like too much. Like I was making it up.

We now have names for four out of five of my main diseases: asthma, arthritis, sensory neuropathy, and sleep apnea. The fifth is idiopathic myopathy for now. That means I have a muscle wasting disease and no one knows the cause. I’ve had medical testing, the likes of which I wouldn’t wish on my worst enemy, to get to the root of it, but we’re still waiting for the final results. If they’re negative, it means my disease is so rare, it hasn’t even been discovered yet. But my ninth neurologist has done the testing necessary to know I have a serious disease. My body is like a snowman in February; the thaw is coming, we don’t know when, and little bits of me melt away as we wait.

I don’t want to be sick. I don’t want to have an illness. But I do. And because I have fought to find someone to believe in and help me, I have found answers and now I have help managing my pain and fatigue. I still don’t know what’s causing my muscles to atrophy, but in July 2016 I found out that I have neuropathy and myopathy. That’s where most of my system-wide pain is coming from, that’s why I fall, and the muscles that are left work so hard I get fatigued doing the most mundane things.

I’m very happy to finally have a name for what’s been happening to my body for years. I’m not happy because I’m chronically ill. No one wants to be chronically ill, but we do want to be helped. And that’s what a diagnosis does. It helps us get the treatment we need, and live happier, more productive lives.

https://themighty.com/2016/11/ive-been-diagnosed-with-neuropathy-and-myopathy-so-why-am-i-so-happy/

High Blood Pressure During Pregnancy


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Low Blood Pressure Chart


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Low Blood Pressure Chart

Low Blood Pressure Chart

African American High Blood Pressure

African American High Blood Pressure


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First Week Pregnancy Symptoms


Human Fetal Development Timeline

Human Fetal Development Timeline


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Human Fetal Development Timeline

Human Fetal Development Timeline

Lesbian Couples Side By Side Pregnancy Photos Go Viral Inspire

Lesbian Couples Side By Side Pregnancy Photos Go Viral Inspire


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Drug Companies and Neuropathy


Beginning a week of posts related to the drug companies, this article from United Press International(see link below) predicts huge profits for the drug company that produces effective drugs to combat neuropathy...the problem is; this article is from September, 2005!!
If you read their list of drugs used at that time, you'll see no difference to those used today...six years later! It wouldn't be so bad if the drugs worked for more than a small percentage of patients but...six years...and nothing new? Actually, the article was written six years ago but the problem is a lot older. In times of world wide austerity, we're going to need to make our voice heard...the competition for research grants and extra cash is murderous!


Neuropathic pain a lucrative drug target
By ASTARA MARCH

WASHINGTON, Sept. 19 (UPI) -- The company that can develop an effective, easy-to-use drug specifically for neuropathic pain should enjoy outstanding revenues, industry analysts predict.

Datamonitor PLC, a business information company in London, reported this outlook in a statement released last week. The company looked at seven major markets -- including the United Kingdom, the United States, Japan, France, Germany, Italy and Spain -- and found that among $2.5 billion in sales for pain drugs, not one compound has been developed specifically for neuropathic pain use.

Unlike nociceptive pain, which is a message from an injured area of the body to the brain that subsides when the injury heals, neuropathic pain seems to be generated by the nerves themselves. There usually is no active injury present when the pain is experienced, and it often grows worse over time.

Remedies for nociceptive pain, such as NSAIDs and opioids, do not work for neuropathic pain, which is only marginally affected by opioids and responds best to anti-convulsants and tricyclic anti-depressants that block the brain's neurotransmitters.

The classic example of neuropathic pain is phantom-limb syndrome after amputation. Although a part of the body has been removed, the patient often experiences what feels like stabs of pain throughout the missing extremity (neuropathic pain is often described as stabbing, searing or burning).

Diabetes, AIDS, multiple sclerosis, fibromyalgia, chronic-fatigue syndrome, reflex sympathetic dystrophy, Lyme disease and shingles (caused by a virus similar to chickenpox) also produce neuropathic pain, and people with these problems will form a large part of the projected neuropathic pain drug market.

As of June 2005 only five drugs had been approved by the Food and Drug Administration to treat neuropathic pain:

gabapentin, marketed by Pfizer as Neurontin, the gold-standard drug used in over 50 percent of cases and originally developed to treat depression;

lidocaine, marketed by Endo Pharmaceuticals as Lidoderm, a local anesthetic;

carbamazepine, originally marketed by Novartis as Tegretol, an anti-convulsant;

duloxetine, an anti-depressant marketed as Cymbalta by Eli Lilly, and

pregabalin, also marketed by Pfizer as Lyrica, another anti-depressant.
Neurontin recently lost its patent protection in the United States, and a number of generic versions are now available.

Most of these drugs need to be taken four times a day, opening a space for a pharmaceutical that requires less from the patient.

"Patients with neuropathic pain usually require several upward titrations of their pain medications before adequate pain control is achieved," said Clare Churchill, a healthcare analyst for Datamonitor, in the company's statement. "This can be particularly difficult if the patient must go through a difficult administration method a number of times before any results are seen."

Because many neuropathic-pain patients also are being treated for other conditions -- and therefore already must endure challenging pharmaceutical regimens -- Churchill said medication that could be taken orally once a day and would not negatively interact with other drugs would be ideal.

Datamonitor reported there are at least 97 compounds in development for the treatment of neuropathic pain, making it one of the most active pipelines in the central nervous system area. The company's analysis showed competition is centered on improved dosing formulations, but any serious drug would need to be at least equivalent in safety and efficacy to gabapentin and would need to demonstrate proven pain-reduction ability of greater than 50 percent in a significant majority of patients.

Dr. Michael Ferrante, director of the Pain and Spine Care Center at the UCLA Medical Center in Los Angeles, said he would be delighted to see new pharmaceuticals developed for neuropathic pain in the near future.

"Neurontin was a great step forward because it had a low side-effect profile and produced very quick results," Ferrante told United Press International. "Cymbalta, the newest medication, is more effective, but carries a significant risk of nausea. Lyrica is five times as effective as Neurontin, with a similar low side-effect profile, but is listed as a scheduled medication because it can potentially cause euphoria."

Ferrante said there is a strong need for an effective drug against neuropathic pain that has a low risk of side effects.

"People have been suffering for years with neuropathic pain, which is terribly debilitating," he said. "We need a home run for them."

Churchill said pharmaceutical companies also should consider devoting time and money to explore the pain-drug market in Japan, where neuropathic pain currently is treated with nerve blocks and vitamin B alone.

"Educating Japanese physicians on the use of the few current medications for neuropathic pain will be expensive and challenging," she said, "but the company that can do this effectively will reap a huge reward. There are a lot of sales out there."

http://biopsychiatry.com/bigpharma/neuropathic.html

Back Pain In Early Pregnancy


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Spine Worx Realignment Device Video


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Spine Worx Realignment Device Video

Uterine Fibroids

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Peripheral Neuropathy A Doctors Analysis


Ever wondered how the doctors or neurologists assess you and come to their conclusions? Today's post from medical-illness.blogspot.com (see link below) is a doctor's summary of a patient's condition after examination. His conclusion is neuropathy, probably caused by diabetes. It's interesting to look at this particular case study and see the bigger picture and maybe see similarities with our own general health. There may be a few warning pointers to look out for!
 

Diabetic Peripheral Neuropathy Personal history

Tuesday, November 4, 2014

 A known diabetic patient male patient, 46 years old, from ……….…., ………..……, married and has 3 off spring, the youngest is 16 years old, heavy smoker with no other special habits of medical importance, he is Rt. handed.

4 c/o

Loss of sensation in both hands and feet of 15 years duration.

4 HPI
The condition started 15 years ago by nocturnal burning painassociated with tingling, numbness started in both feet then progressed, one year later , to involve both hands then the patient developed gradual loss of sensation in both hands and feet, and he felt as if he walkedon cotton.
4 years later, the patient experienced weakness associated with flaccidity, falling of hair, brittle nails with no wasting or twitches. This weakness started in L.Ls then progressed, one year later, to involve both ULs. It's more in distal than proximal muscles, in extensor more than flexor muscles, in adductor more than abductor muscles. The patient also suffers from unsteadiness during eye closure with no involuntary movements.

The condition was associated with diminutionof vision, visual field defects, disturbance of color vision, ptosis in both eyes for which the patient was investigated and treated by laser photocoagulation more than once. The patient can't close his eyes firmly, with accumulation of the food behind both cheeks, no symptoms of other cranial nerve affection.
The patient has organic impotence with lost morning erection with no history of drugs known to cause erectile dysfunction.

The patient developed unsteadiness during standing with palpitation, nocturnal diarrhea, gustatory sweating and dyspepsia.

No symptoms of increased I.C.T.
No speech disturbance.
No symptoms suggesting other system affection.

4 Past history
- There is past history of D.M started 20 years ago manifested by polyuria, polydypsia, polyphagia. The patient is on insulin treatment and his blood sugar is out of control.


- There is past history of HPN started 15 years ago manifested by headache, blurred vision. The patient is on capoten and his hypertension is not controlled.
- Appendectomy operation was done at the age of 20 years.
- No history of other drug intake.
4 Family history
- No similar condition in family.
- No consanguinity.
- No common disease in family.


4 General exam
- Temperature: 37.2o c.
- Bl. Pressure: 140/80 (Recumbent position), 100/60 (standing position).
- Pulse: regular, 110 beat/minute, average volume, no special character, vessel wall not felt, equal in both sides with absent dorsalis pedis, anterior and posterior tibial and popliteal pulsation with intact femoral, radial, brachial and axillary pulsation.
- Mentality: The patient is fully conscious, well oriented for time, place and person. Average mood and memory. The patient is co-operative with average intelligence.
- Head: Examine for Retinopathy, teeth (Artificial teeth).
- L.L: Trophic ulcer, diabetic dermopathy.


4 Sensory:
- Superficial sensations: above knee and elbow level stock and glove anesthesia. Circumferential comparison must be done to exclude diabetic radiculopathy.
- Deep sensation:
§ Joint sense lost on both sides.
§ Vibration sense lost at level of peripheral nerve (medial malleolus, radial styloid process) with intact vibration sense at the level of posterior column (ASIS, clavicle).
§ Muscle sense lost (Calf muscles).
§ Lost nerve sense (Ulnar and lateral popliteal nerves).
§ +Ve Romberg's test.
- Cortical sensation : can't be examined due to loss of superficial sensation.

4 Examination of Speech: Normal.


4 Examination of Cranial Nerves:
- Optic Nerve is affected in the form of: diminution of visual acuity (Rt. eye : can count fingers at one meter, Lt. eye :blind), Tubular visual field defect .
- Ocular nerves
§ Inspection: bilateral ptosis (thumb test >> can't elevate his eye lids),pupils are dilated and irreactive to light or accommodation with no squint.
§ Power: loss of eyeball movements in all direction denoting paralysis of recti and oblique muscles of the eye.
N.B: nystagmus and conjugate eye movements can't be examined b because of loss of eye movements on examining each eye separately .
§ Reflexes: absent light and accommodation reflexes.
- Facial nerve
§ Inspection: symmetrical forehead, obliterated nasolabial folds on both sides with no tearing, no drippling of salive, no mouth deviation
§ Power: patient can't close his eyes firmly, can't elevate his eye brows , can't whistle, can't show his teeth, can't blow his cheeks
§ Reflexes: absent glabellar reflex à (bilateral LMNL).

4 Examination of Motor System :
4Inspection__
- There is wrist and ankle drop, trophic ulcer in L.L, loss of hair and brittle nail in U.L,L.L.
- No muscle wasting, no skeletal deformities, no involuntary movement.

4 Examination of Tone__
- Bilateral symmetrical hypotonia in both upper and lower limbs.

4 Percussion__
No fasciculation or myotonia.

4 Examination of Muscle Power

- Bilateral symmetrical Weakness in both upper and lower limbs. It is distal more than proximal, abductors more than abductors, extensors more than flexors.
- Abdominal muscles: weakness may be attributed to trunkal neuropathy or related to myopathy as the patient gives history of thyrotoxicosis.

4 Coordination
Coordination cannot be examined on both upper and lower limbs because of weakness.

4 Reflexes

- Deep reflexes: Areflexia in both upper and lower limbs.
- Superficial reflexes: lost plantar reflex in both L.L., lost abdominal reflex (trunkal neuropathy).
N.B: lost planter reflex may be due to loss on sensation on the sole of the foot, LMNL at S1, weakness in muscles of the big toe or skeletal deformities in big toe).

4 Back: No deformity, no swelling, no scars .
4 Gait: stamping (may be high steppage).
4 other system examination (search for autonomic neuropathy):

1- Cardiovascular system:

- Absent respiratory sinus arrhythmias.
- Persistent sinus tachycardia (already examined with pulse, and ask for palpitation).
- Painless myocardial infarction.
- Postural hypotension (already examined with pulse).


2- Genitourinary:

- Bladder disturbances (incontinence à ask for it)
- Impotence (psychic and organic à ask for it)

3- Marked sweating specially with meals (gustatory sweating à ask for it )


4- Gastrointestinal:
- Gastroparesis diabeticorum (ask for dyspepsia).
- Diabetic enteropathy (ask for nocturnal watery diarrhea and constipation).

4 pathogenesis
Sorbitol pathway.

4Investigation
- For diabetes: Bl. Sugar level with HBA1C, ECG, RFTs, blood lipid profile (cholesterol, HDL, LDL, TG)
- For P.N: Nerve Conduction velocity.

4 Treatment
- For diabetes: tight control.
- For the P.N.: Tegretol, gabapentin, vitamins, aldose reductase inhibitor
(disappointing results).


4 Diagnosis :
Diabetic Peripheral Neuropathy

4 N.B.


Lost abdominal reflex in this case may be due to trunkal neuropathy.
Abdominal muscles power can't be examined by resistance because of proximal myopathy à the patient has history of Thyrotoxicosis.
Lost knee reflex à not related to high stock level as lost superficial sensation has nothing to do with deep reflexes but is related to lost deep sensation at the level of the knee (evidenced by lost vibration sense at the knee and may be due to amyotrophy due to femoral neuropathy).
No muscle wasting à mainly sensory.


http://medical-illness.blogspot.com/2014/11/diabetic-peripheral-neuropathy.html

Jumat, 28 Juli 2017

HOMOEOPATHIC REMEDIES FOR LIPOMA


A lipoma is a slow-growing, fatty lump that's most often situated between your skin and the underlying muscle layer. A lipoma, which feels doughy and usually isn't tender, moves readily with slight finger pressure. Lipomas are usually detected in middle age. Some people have more than one lipoma. A lipoma isn't cancer and usually is harmless
The cause of lipomas is unknown. Lipomas tend to run in families, so genetic factors likely play a role in their development.
Symptoms--Lipomas can occur anywhere in the body. Lipomas are:
·         Situated just under your skin. They commonly occur in the neck, shoulders, back, abdomen, arms and thighs.
·         Soft and doughy to the touch. They also move easily with slight finger pressure.
·         Generally small. Lipomas are typically less than 2 inches (5 centimeters) in diameter, but they can grow.
·         Sometimes painful. Lipomas can be painful if they grow and press on nearby nerves or if they contain many blood vessels.
Less frequently, some lipomas can be deeper and larger than typical lipomas.
TOP HOMOEOPATHIC REMEDIES
CALCAREA CARB 200—Calcarea carb is one of the top remedies for lipoma. Calcarea carb persons are fatty and flabby and they have a tendency to excessively sweat on the head. They are sensitive to cold air. Calcarea carb persons have a special craving for boiled eggs and indigestible things like lime and chalk. In some cases long standing constipation and acidity may be associated with lipoma.
SULPHUR 200- Sulphur is an excellent constitutional drug for the treatment of lipoma.Sulphur patients experiences extreme hot sensations in the body. The heat may be more marked in the palms, soles and head.The skin looks dirty and it is dry.There is an history of skin complaints.Sulphur persons  have marked aversion to bathing. They have a craving for sweets.
BELLADONNA 200-Belladonna is best for lipoma when it is painful. The pain may worsen when touching the lump.
THUJA OCCIDENTALIS 200-Thuja got great power of dissolving fatty accumulations.Thuja is prescribed when the person with lipoma has high cholesterol levels .
BARYTA CARB. 200-Baryta carb is another effective remedy for lipoma. Baryta carb is suitable to persons who are backward mentally and physically. They are dwarfish and take cold easily. They are very sensitive to cold. , very offensive foot sweat, very weak and weary, must sit or lie down or lean on something.
LAPIS ALBUS 3X-Lapis albus is best for lipoma when it has a certain elasticity and pliability about them rather than stony hardness.
CALCAREA FLOUR 30—Calcarea flour is prescribed when it is stony hardness in nature.

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