Debunking Common Myths About Diabetes: Separating Fact from Fiction



Diabetes is a complex and often misunderstood disease, surrounded by myths and misconceptions. These myths can lead to misinformation, stigma, and poor management of the condition. In this article, we’ll delve into the facts and debunk common myths about diabetes, providing a comprehensive understanding of the disease.

_Myth 1: Diabetes is caused by eating too much sugar

Reality: Type 1 diabetes is an autoimmune disease, where the body’s immune system mistakenly attacks and destroys insulin-producing beta cells in the pancreas.
Type 2 diabetes, on the other hand, is caused by a combination of genetic and lifestyle factors, including:
– Obesity and physical inactivity
– Insulin resistance
– Pancreatic beta-cell dysfunction
– Genetic predisposition
While sugar consumption is not the sole cause of diabetes, a diet high in added sugars can contribute to weight gain and increase the risk of developing Type 2 diabetes.

_Myth 2: Only overweight people get diabetes

Reality: While obesity increases the risk of developing Type 2 diabetes, people of all shapes and sizes can develop the disease. Other factors that contribute to the risk of developing diabetes include:
– Family history
– Age
– Physical inactivity
– Certain medical conditions, such as high blood pressure and high cholesterol

_Myth 3: Diabetes is contagious

Reality: Diabetes is not contagious. You can’t catch it from someone else. The risk factors for developing diabetes are complex and multifaceted, involving a combination of genetic, lifestyle, and environmental factors.

_Myth 4: People with diabetes can’t eat sweets

Reality: While people with diabetes need to manage their carbohydrate intake, they can still enjoy sweets in moderation. A balanced diet and proper insulin management allow for occasional indulgence. It’s essential to:
– Choose complex carbohydrates, such as whole grains and fruits
– Monitor carbohydrate intake and adjust insulin doses accordingly
– Balance carbohydrate intake with proteins

_Myth 5: Diabetes is a death sentence

Reality: With proper management, people with diabetes can live healthy lives. Advances in treatment and technology have significantly improved diabetes management, including:
– Insulin pumps and continuous glucose monitoring systems
– Improved insulin analogs and medications
– Personalized treatment plans and lifestyle coaching

_Myth 6: Only older people get diabetes_

Reality: While age increases the risk of developing Type 2 diabetes, people of all ages can develop the disease, including:
– Children and young adults (Type 1 diabetes)
– Middle-aged and older adults (Type 2 diabetes)
– Gestational diabetes during pregnancy

_Myth 7: Diabetes is not a serious disease_

Reality: Diabetes is a serious disease that can lead to complications like:
– Heart disease and stroke
– Kidney damage and failure
– Blindness and vision loss
– Nerve damage and neuropathy
– Foot damage and amputation
Proper management and care can significantly reduce the risk of these complications.

By debunking these common myths, we aim to raise awareness and promote understanding of diabetes. If you have concerns or questions, consult a healthcare professional for accurate information and guidance.

References:

1. American Diabetes Association. (2022). Type 1 Diabetes.
2. World Health Organization. (2022). Diabetes.
3. Centers for Disease Control and Prevention. (2022). Diabetes Myths.
4. Academy of Nutrition and Dietetics. (2022). Diabetes and Carbohydrates.
5. Diabetes Research Institute. (2022). Living with Diabetes.
6. Mayo Clinic. (2022). Type 2 Diabetes.
7. International Diabetes Federation. (2022). Complications of Diabetes.

Written by Pharm.Belinda

The Crucial Role Of Nutrition In Managing Hypertension

Introduction

Hypertension, or high blood pressure, affects millions worldwide and is a significant risk factor for cardiovascular disease. While medication is necessary, research increasingly highlights the pivotal role of nutrition in managing hypertension. This article explores the impact of dietary choices on blood pressure regulation and offers practical guidance for incorporating nutrition into hypertension management.
Hypertension occurs when the force of blood against the artery walls is consistently too high. Over time, this can lead to serious health complications, including heart disease, stroke, and kidney failure. Lifestyle factors, including diet, play a central role in the development and management of hypertension.

The Influence of Nutrition on Blood Pressure
Numerous studies have demonstrated the profound impact of diet on blood pressure levels. High intake of sodium, commonly found in processed and restaurant foods, has been linked to hypertension. Conversely, diets rich in fruits, vegetables, whole grains, and lean proteins can help lower blood pressure.

Key Nutrients for Blood Pressure Control
Potassium, magnesium, and calcium are essential nutrients that play a vital role in blood pressure regulation. Potassium-rich foods, such as bananas, sweet potatoes, and leafy greens, help counteract the effects of sodium and promote healthy blood pressure levels. Magnesium, found in nuts, seeds, and whole grains, supports blood vessel relaxation, while calcium helps maintain proper muscle function, including the muscles surrounding blood vessels.

The DASH Diet
One dietary approach specifically designed to lower blood pressure is the Dietary Approaches to Stop Hypertension (DASH) diet. This eating plan emphasizes fruits, vegetables, whole grains, lean proteins, and low-fat dairy while limiting sodium, sweets, and red meat. Studies have shown that adhering to the DASH diet can significantly reduce blood pressure levels.

Practical Tips for Hypertension Management Through Nutrition
– Read food labels and choose low-sodium options whenever possible.
– Increase consumption of potassium-rich foods, such as bananas, oranges, spinach, and avocados.
– Incorporate magnesium sources into your diet, including nuts, seeds, legumes, and whole grains.
– Consume calcium-rich foods like low-fat dairy, tofu, and leafy greens.
– Limit alcohol intake and avoid excessive consumption of processed and sugary foods.

Conclusion
Nutrition plays a crucial role in managing hypertension and reducing the risk of associated complications. By adopting a diet rich in fruits, vegetables, whole grains, and lean proteins while minimizing sodium and processed foods, individuals can take proactive steps towards better blood pressure control. Combined with regular physical activity and medical supervision, dietary modifications offer a powerful tool for optimizing cardiovascular health and overall well-being.

References
– Appel, L.J. et al. (1997). A clinical trial of the effects of dietary patterns on blood pressure. New England Journal of Medicine, 336(16), 1117-1124.
– Appel, L.J. et al. (2005). Effects of comprehensive lifestyle modification on blood pressure control. Hypertension, 45(6), 912-918.
– Whelton, P.K. et al. (1997). Sodium, potassium, and blood pressure: interrelationships with age and race in a population-based sample. Hypertension, 17(1 Suppl), I15-24.
– Kass, L. et al. (2012). Effect of magnesium supplementation on blood pressure: a meta-analysis. European Journal of Clinical Nutrition, 66(4), 411-418.
– Houston, M.C. (2011). The role of magnesium in hypertension and cardiovascular disease. Journal of Clinical Hypertension, 13(11), 843-847.

Foot Care In Diabetic Patients

INTRODUCTION

Diabetes is a chronic condition characterized by high blood sugar levels that can lead to several complications, including neuropathy and poor circulation, especially in the feet. Proper foot care is essential for individuals diagnosed with diabetes to prevent serious complications such as ulcers and infections. This article provides a guide to foot care for diabetic patients, supported by relevant references.

Understanding the Risks

Diabetes-related neuropathy and poor circulation increase the risk of foot complications. According to the American Diabetes Association (ADA), neuropathy affects up to 60-70% of people with diabetes, leading to reduced sensation in the feet. Peripheral artery disease (PAD), a common complication of diabetes, can result in inadequate blood flow to the feet, impairing wound healing.

Daily Inspection

Regular foot examinations are recommended to detect problems early. The ADA advises diabetic individuals to inspect their feet daily for any signs of redness, blisters, cuts, sores, swelling, or changes in skin color or temperature. Early detection allows for timely intervention and prevents complications.

Proper Footwear

Choosing appropriate footwear is crucial for preventing foot problems. According to the National Institute of Diabetes and Digestive and Kidney Diseases, diabetic individuals should wear shoes that fit well and provide adequate support and protection. Specialized diabetic shoes or orthotic inserts may be necessary for those at higher risk.

Daily Hygiene

Maintaining proper foot hygiene helps prevent infections. The International Working Group on the Diabetic Foot recommends washing feet daily with mild soap and lukewarm water, followed by thorough drying, especially between the toes. Moisturizing dry skin with lotion can help prevent cracking and fissures.

Protecting Feet

Preventing injuries is essential for diabetic foot health. It is advised that diabetic individuals should wear shoes at all times to protect against cuts and injuries. Using sunscreen on exposed feet and avoiding extreme temperatures can also prevent damage.

Regular Professional Care

Routine foot care by healthcare professionals is essential for diabetic patients. Regular foot examinations by a podiatrist or healthcare provider are recommended especially for those with neuropathy or circulation problems. Professional treatment of foot issues reduces the risk of complications.

Managing Blood Sugar Levels

Optimizing blood glucose control is critical for preventing diabetic complications. It is importance to monitor blood sugar levels regularly while adhering to a healthy diet, engaging in physical activity, and taking prescribed medications as directed. Tight glycemic control reduces the risk of neuropathy and other diabetes-related complications.

Immediate Attention to Problems

Prompt treatment of foot problems is essential to prevent complications. Individuals diagnosed with diabetes are advised to seek medical attention for any foot issues, no matter how minor they may seem. Delayed treatment can lead to serious complications, including foot ulcers and infections.

Medications and Topical Treatments

In addition to preventive measures and professional care, diabetic individuals may benefit from certain medications and topical treatments to maintain foot health. Topical creams and balms containing ingredients such as urea or salicylic acid can help soften and exfoliate dry, rough skin, reducing the risk of cracks and fissures. According to a study published in the Journal of the American Podiatric Medical Association, the use of urea-based creams can improve skin hydration and reduce callus formation in diabetic patients. Additionally, antimicrobial creams or ointments may be prescribed to prevent or treat minor skin infections, especially for those with compromised immune systems or neuropathy.
Supplements can also play a supportive role in foot care for diabetics by promoting circulation, nerve health and wound healing. Examples include;
• Alpha-lipoic acid: May help reduce nerve damage and improve blood sugar control
• Omega -3 fatty acids: Can reduce inflammation and improve circulation.
• Vitamin D: Important for nerve health and immune function.
• Magnesium: Helps regulate blood sugar levels and support nerve functioning.
• Vitamin B12: Essential for nerve health and may reduce neuropathy symptoms.
• Coenzyme Q10: Supports circulation and aids wound healing.

Conclusion

Proper foot care is paramount for diabetic individuals to prevent complications and maintain overall health. By following the guidelines outlined in this article and seeking professional care when needed, individuals with diabetes can reduce the risk of foot-related complications and improve their quality of life.

References

1. American Diabetes Association. (n.d.). Foot Complications. Retrieved from https://www.diabetes.org/diabetes/complications/foot-complications
2. American Heart Association. (2020). Peripheral Artery Disease (PAD) and Diabetes. Retrieved from https://www.heart.org/en/health-topics/peripheral-artery-disease/peripheral-artery-disease-pad-and-diabetes
3. National Institute of Diabetes and Digestive and Kidney Diseases. (2017). Diabetic Neuropathies: The Nerve Damage of Diabetes. Retrieved from https://www.niddk.nih.gov/health-information/diabetes/overview/preventing-problems/foot-problems
4. International Working Group on the Diabetic Foot. (2019). IWGDF Guidelines on the Prevention and Management of Diabetic Foot Disease 2019. Retrieved from https://iwgdfguidelines.org/wp-content/uploads/2019/05/IWGDF-Guidelines-2019.pdf
5. Centers for Disease Control and Prevention. (2020). Prevent Diabetes Problems: Keep Your Feet and Skin Healthy. Retrieved from https://www.cdc.gov/diabetes/ndep/pdfs/complications_english.pdf
6. American Podiatric Medical Association. (n.d.). Diabetes & Your Feet. Retrieved from https://www.apma.org/patients/foot-conditions/foot-health-resources/diabetes-foot-care
7. American Diabetes Association. (2022). Standards of Medical Care in Diabetes. Retrieved from https://care.diabetesjournals.org/content/45/Supplement_1
8. Landsman, A. S., Sahni, D., & Kumar, S. (2009). Topical Urea for Diabetic Foot Callus Reduction: A Prospective, Randomized, Controlled, Single-Blind Pilot Study. Journal of the American Podiatric Medical Association, 99(5), 407-413. doi:10.7547/0980407

Written by Miss Egede Gabriella.

Heatwave Hazards In Nigeria: Impact On Health And Strategies For Adaptation

As a country with tropical climate Nigeria experiences intense heat throughout the year, especially in the northern regions. While warmth is often associated with good vibes and happy feels, excessive heat poses significant health risks, especially in a country where infrastructure and resources for mitigating its effects are limited. Understanding the implications of heat on health is crucial for implementing measures to protect vulnerable populations.

Vulnerable Populations: Certain groups are more susceptible to the adverse effects of heat. These groups including children, the elderly, pregnant women, and individuals with pre-existing medical conditions, are at heightened risk. Children, for instance, have less efficient thermoregulatory systems and may struggle to dissipate heat effectively, while older adults often have underlying health issues that make them more vulnerable to heat-related illnesses.
Furthermore, socio-economic factors exacerbate the impacts of heat on health. In urban areas, where infrastructure like air conditioning may be lacking or inaccessible to low-income communities, individuals face greater challenges in coping with extreme temperatures. Additionally, outdoor workers, such as agricultural laborers and construction workers, endure prolonged exposure to the sun, increasing their susceptibility to heat-related illnesses.

HEALTH RISKS

The soaring temperatures in Nigeria can lead to various health challenges, ranging from mild discomfort to life-threatening conditions.

Heatstroke: A severe form of heat illness characterized by a body temperature of 40°C (104°F) or higher, confusion, rapid pulse, and potentially unconsciousness. Heatstroke can be life-threatening if not treated promptly.

Heat Exhaustion: This occurs when the body becomes dehydrated and unable to cool itself sufficiently, leading to symptoms such as heavy sweating, weakness, nausea, and dizziness.

Dehydration: One of the most common consequences of excessive exposure to heat is dehydration. Prolonged periods of sweating without sufficient intake of fluids can lead to electrolyte imbalances. Symptoms include thirst, dry mouth, dark urine, fatigue, and dizziness.

Heat Cramps: Painful muscle spasms that occur due to electrolyte imbalances and dehydration, often experienced in the legs, arms, or abdomen.

Respiratory Problems: High temperatures can exacerbate respiratory conditions such as asthma and chronic obstructive pulmonary disease (COPD), leading to breathing difficulties.

Cardiovascular Issues: Heat can strain the heart and exacerbate cardiovascular conditions, increasing the risk of heart attacks and other cardiovascular problems.

Heat Rash (Miliaria): Heat rash, also known as prickly heat or miliaria, occurs when sweat ducts become blocked, leading to the development of red, itchy bumps on the skin. In Nigeria’s hot and humid climate, heat rash is a common occurrence, especially in areas where sweating is prevalent, such as the neck, underarms, and groin.

Eczema (Atopic Dermatitis): Eczema is a chronic inflammatory skin condition characterized by dry, itchy, and inflamed patches of skin. The hot and humid climate in Nigeria can worsen eczema symptoms, leading to increased itchiness, redness, and discomfort. Heat can also exacerbate sweating, which further irritates sensitive skin and increases the risk of flare-ups.

Pruritus (Itchy Skin): Excessive heat and humidity can exacerbate pruritus, or itchy skin, in individuals with sensitive skin or underlying skin conditions. Heat-induced sweating can irritate the skin and trigger itching, leading to discomfort and distress.

TREATMENT AND MANAGEMENT OPTIONS

Use of Sunscreen: This offers protective properties against harmful UV radiation and is essential for shielding the skin from sunburn and reducing the risk of heat related conditions like heat rash and sunburn.

Moisturization: Using emollients and moisturizers rich in humectants can help restore the skin’s barrier function, hydrate the skin and alleviate itching associated with heat-induced dryness. Moisturizers containing ingredients like ceramides, glycerin, and hyaluronic acid are particularly effective in restoring skin barrier function and alleviate symptoms.

Oral Antihistamines: These help reduce itching and provide relief from heat-induced skin issues. Non-sedating antihistamines are preferred, especially during the daytime, to minimize drowsiness.

Maintaining Electrolytes Balance: Replenishing electrolytes lost through sweating is vital for maintaining hydration and preventing heat-related illnesses. Consuming effervescent electrolytes supplement, Oral rehydration solutions and electrolyte-rich fruits such as bananas, oranges and watermelon can help restore electrolyte balance and support overall well-being during periods of extreme heat.

Use of Topical Creams: For individuals experiencing skin irritations and rashes triggered by the heat, topical creams containing soothing ingredients like aloe vera or hydrocortisone can provide relief and promote healing. Topical corticosteroids are commonly prescribed to reduce inflammation and relieve itching. These medications help control symptoms and promote skin healing. Treatments containing calamine or colloidal oatmeal can help soothe itching and inflammation associated with heat rash, providing symptomatic relief.

Moreover, treatment options for heat-related conditions such as heat exhaustion and heatstroke may involve intravenous fluid administration, antipyretic medications, and supportive care to manage symptoms and prevent complications. By incorporating these preventive measures and treatment options, individuals can better protect their skin health and overall well-being in the face of rising temperatures.
Preventive measures also include avoiding activities that may worsen sweating and friction on the skin, such as strenuous exercise, staying informed about weather forecasts and heat advisories; avoiding prolonged exposure to extreme heat, especially during peak hours. Wearing loose-fitting clothing made of breathable fabrics such as cotton allows air circulation and helps prevent sweat from becoming trapped against the skin, reducing the risk of heat rash. Maintaining good hygiene and keeping the skin dry can help prevent heat rash by reducing sweat accumulation and minimizing the risk of sweat duct blockage. Taking cool baths or showers can help soothe itchy skin and provide temporary relief from heat-related discomfort. Adding colloidal oatmeal or baking soda to the bathwater can further alleviate itching and inflammation.

SUMMARY
Nigeria faces excessive heat periodically that poses significant health risks, especially for vulnerable populations such as children, the elderly, pregnant women, and those with pre-existing medical conditions. Socio-economic factors exacerbate these risks, particularly in urban areas with limited access to infrastructure like air conditioning. Health risks from heat include heatstroke, heat exhaustion, dehydration, heat cramps, respiratory and cardiovascular issues, heat rash, eczema, and pruritus. Strategies for adaptation include sunscreen use, moisturization, oral antihistamines, maintaining electrolyte balance, using topical creams, and avoiding activities that worsen sweating and friction on the skin. Staying informed about weather forecasts, wearing breathable clothing, practicing good hygiene, and taking cool baths or showers are also recommended.

REFERENCES
Lagos State Government. (2018). Heatwave: Lagos Govt advises residents on safety tips. Retrieved from https://www.lagosstatenews.com/heatwave-lagos-govt-advises-residents-on-safety-tips/
Federal Ministry of Health Nigeria. (2017). Guidelines for Preparedness and Response to Heatwaves in Nigeria. Retrieved from https://www.health.gov.ng/doc/Guidelines%20for%20Preparedness%20and%20Response%20to%20Heatwaves%20in%20Nigeria%20Final%20Draft%20%20%20%20.pdf
United Nations Development Programme. (2019). Climate Change and Health Risks in Nigeria. Retrieved from https://www.ng.undp.org/content/nigeria/en/home/library/climate_change/climate-change-and-health-risks-in-nigeria.htmlInternational
Federation of Red Cross and Red Crescent Societies. (2019). Heatwaves: What you need to know. Retrieved from https://www.ifrc.org/en/news-and-media/news-stories/health/heatwaves-what-you-need-to-know/
National Institute for Occupational Safety and Health (NIOSH). (2016). Heat Stress. Retrieved from https://www.cdc.gov/niosh/topics/heatstress/default.html
Okafor, C. (2020). Heat Stress and Coping Mechanisms among Urban and Rural Dwellers in Lagos State, Nigeria. International Journal of Environmental Research and Public Health, 17(18), 6614.
World Health Organization. (2018). Heat and Health. Retrieved from https://www.who.int/news-room/fact-sheets/detail/climate-change-and-health.

Miss Egede Gabriella.

Parasitic Infections

PARASITIC INFECTIONS
Parasitic infections are diseases caused by organisms that live off of another living thing. They can cause fever, fatigue, intestinal symptoms, skin rashes or neurological symptoms. You can get them from contaminated food, water or surfaces, bug bites and eating undercooked meat.

What are the types of parasitic infection?
There are three main types of parasites that cause infections in humans:
* Protozoa.
* Helminths.
* Ectoparasites.

Protozoal infections :-
Protozoa are single-celled parasites. They can infect your blood, intestinal tract (gut), brain, skin, eyes and other parts of your body.

Helminth infections :-
Helminth is a general term for parasitic worms. Scientists further classify them as flukes (trematodes), tapeworms (cestodes), roundworms (nematodes) and thorny headed worms (acanthocephalans). Helminths can infect both adults and immature (larval) . Helminths usually infect your intestinal tract, but they can also infect the skin, brain and other tissues.

Ectoparasitic infections
Ectoparasites are insects and arachnids (spider-like bugs) that burrow into your skin and live there. This includes ticks, mites, lice and fleas.
They usually don’t infect other parts of your body

Symptoms of parasitic infections:-

Symptoms of parasitic infections depend on where in your body you’re infected. Some common symptoms include:
.
1. Fever
2. Muscle aches.
3. Fatigue.
4. Nausea.
5. Vomiting.
6. Diarrhea
7. Headaches
8. Skin symptoms like redness itches or sores

How do you get parasitic infections?
1. Drinking contaminated water or getting it in your mouth.
2. Eating undercooked meats.
3. Eating contaminated foods 4. Mosquito bites, tick bites, fly bites or other bites from insects that carry parasites
5. Contaminated surfaces
6. Unprotected sex
7. Contaminated dirt (soil)

How parasitic infections are diagnosed
Providers diagnose parasitic infections by looking for parasites or signs of parasites (like their eggs) in body fluids or tissues. To test you for parasites, a provider might take samples of your:
1. Poop (stool)
2. Blood
3. Skin or other affected tissue.
4. Phlegm (sputum)
5. Fluid around your brain and spinal cord (CNS fluid).

Treatments of parasitic infections
Providers use different medications to treat various types of parasitic infections, including:
1. Antiparasitics (anthelmintics or antiprotozoals).
2. Antibiotics
3. Antifungals.

Sometimes you might need a combination of different medications to cure the infection. Your provider will select a treatment that’s best for the specific type of parasitic infection you have.

Prevention of parasitic infections
Following a few precautions can reduce your risk of parasitic infections, including:
1. Wash your hands frequently
2. Avoid swimming when you have diarrhea.
3. Practice safe food habits.
4. Use Condoms
5. Protect yourself from bug bites
6. Be an informed traveler

References :-
1. Cleveland clinic.org
2. Merck Manual, Professional Version. Approach to Parasitic Injections.
3. Southwick FS. Parasitic Infections: A Global Challenge. In: Southwick FS, ed. Infectious Diseases: A Clinical Short Course. 4th ed. McGraw Hill.
4. U.S. Centers for Disease Control and Prevention.

written by:
Miss Shodimu TEmitope

Hypertension

HYPERTENSION MANAGEMENT!!!

By definition hypertension is sustained elevation in blood pressure where the benefit of intervention outweighs the risk. Hypertension management has seen several trends and advancements in recent years, with a focus on a more holistic and individualized approach. Some current trends in hypertension management include:

1. Personalized Treatment Plans: Healthcare providers are increasingly recognizing the importance of tailoring hypertension treatment plans to individual patients. This approach takes into account the patient’s unique risk factors, medical history, and lifestyle, allowing for more precise and effective management.

2. Lifestyle Interventions: Lifestyle modifications are becoming a cornerstone of hypertension management. These include dietary changes (such as the DASH diet, which is rich in fruits, vegetables, and low-fat dairy products), increased physical activity, stress reduction, and weight management. Lifestyle interventions are often recommended in conjunction with medication.

3. Combination Therapy: Many patients with hypertension require multiple medications to achieve their blood pressure goals. Combining medications from different classes can improve efficacy while minimizing side effects. Fixed-dose combination drugs are increasingly prescribed for convenience.

Choose Single Pill Combinations(SPCs) at any step. Start with dual combination therapy in most patients. For instance, ACE(angiotensin converting enzyme) inhibitors or ARB(angiotensin 2 receptor blockers) + CCB(calcium channel blockers) or Diuretic(water pill).

Start with mono-therapy only in selected patients, i.e Low risk hypertension and BP <150/95 mmHg, or high normal BP and very high CV risk, or frail patients and/or advanced age. Also, it’s worth noting that beta blockers(atenolol, metoprolol) can be used as mono-therapy or at any step of combination.

4. Home Blood Pressure Control: There is a growing emphasis on patients taking an active role in their care. This includes home blood pressure monitoring, which provides valuable data for both patients and healthcare providers. This allows for more frequent and convenient follow-up care.

Diagnosis of hypertension:

At the first visit measure blood pressure in both arms. If the difference in readings between arms is more than 15mmHg, repeat the measurements. If the difference in readings between arms remains more than 15mmg on the second measurement, measure subsequent blood pressures in the arm with the higher reading and document.

Patient Preparation:

* Have an empty bladder and rest quietly for at least 5 minutes.
* No coffee or smoking in last 30 mins.
* Do not talk or text. Sit with back supported and both feet flat on the floor. Legs should not be crossed.
* BP cuff should be placed on bare arm above antecubital fossa
* The arm with the cuff should be supported on a flat surface e.g table or a pillow if patient is lying face upwards.
* The machine should be placed at the level of the heart

These trends reflect a more comprehensive and patient-centered approach to hypertension management, with a focus on prevention, lifestyle, and individualized care to reduce the risk of cardiovascular complications. Healthcare providers are increasingly focusing on educating patients about the risks of hypertension and the importance of adherence to treatment plans. Patient engagement and understanding play a crucial role in managing hypertension effectively. Drug therapy is a common approach to managing hypertension (high blood pressure), and it typically involves the use of medications to lower blood pressure and reduce the risk of cardiovascular complications. However, some individuals may develop a condition known as resistant hypertension.

What is Resistant Hypertension?

Resistant hypertension is a subset of high blood pressure that doesn't respond adequately to treatment with conventional antihypertensive medications. It is diagnosed when a person's blood pressure remains above 140/90mmHg despite taking three different types of blood pressure medications, including a diuretic (water pill) at their highest doses. Several factors can contribute to resistant hypertension:

1. Medication Non-Adherence: Sometimes, patients may not take their prescribed medications as directed, leading to inadequate blood pressure control.

2. Secondary Hypertension: Underlying medical conditions, such as kidney disease, hormonal disorders, or obstructive sleep apnea, can contribute to high blood pressure and may be more challenging to treat.

3. Lifestyle Factors: Unhealthy lifestyle habits like a high-sodium diet, excessive alcohol consumption, and physical inactivity can worsen hypertension.

4. Medication Interactions: Some individuals may experience medication interactions that reduce the effectiveness of antihypertensive drugs.

5. Genetic Factors: Genetic predisposition can make certain people more resistant to the effects of blood pressure medications.

Drug Therapy for Resistant Hypertension:

When dealing with resistant hypertension, healthcare providers may employ various strategies:

1. Medication Adjustments: This may involve optimizing the dosage or type of existing medications or adding new classes of drugs to the treatment regimen.

2. Identifying Underlying Causes: Determining and addressing any underlying conditions contributing to hypertension, such as kidney disease or hormonal imbalances.

3. Lifestyle Modifications: Encouraging patients to make lifestyle changes like reducing salt intake, losing weight, exercising, and limiting alcohol consumption.

4. Medication Compliance: Ensuring that patients are adhering to their medication regimen and addressing any barriers to compliance.

5. Referral to Specialists: In some cases, a patient may be referred to a hypertension specialist or nephrologist for further evaluation and management.

It's essential for individuals with resistant hypertension to work closely with their healthcare providers to find the most effective treatment plan. Managing resistant hypertension often requires a combination of medications and lifestyle changes, and it can be a complex and ongoing process to achieve optimal blood pressure control and reduce the risk of cardiovascular complications.

Here's the correlation between hypertension management and drug therapy, as well as the concept of resistant hypertension:

1. Hypertension Management with Drug Therapy:
– Hypertension management often begins with lifestyle changes such as a healthy diet, regular exercise, weight control, and reduced sodium intake.
– If lifestyle modifications alone do not effectively control blood pressure, healthcare professionals may prescribe antihypertensive medications.
– There are various classes of antihypertensive drugs, including diuretics, beta-blockers, ACE inhibitors, angiotensin II receptor blockers (ARBs), calcium channel blockers, and others.
– The choice of medication depends on the individual's specific condition, as well as factors like age, underlying health conditions, and potential side effects.

2. Resistant Hypertension:
– Resistant hypertension is a condition where blood pressure remains elevated despite the use of three or more different antihypertensive medications at optimal doses, including a diuretic.
– Resistant hypertension can be classified into two main categories:
I. True Resistant Hypertension: This is when blood pressure remains high despite optimal therapy.
II. Pseudo-Resistant Hypertension: In some cases, high blood pressure may be related to factors such as poor medication adherence, white coat syndrome (elevated blood pressure in a medical setting), or secondary causes like kidney disease.

The correlation between hypertension management and drug therapy is that medications are often a crucial component of controlling blood pressure, especially when lifestyle changes are insufficient.
– For individuals with resistant hypertension, the correlation is more complex. Resistant hypertension may necessitate a more intensive drug therapy regimen, careful evaluation to identify underlying causes, and the addition of other medications or interventions.

In summary, hypertension management often involves drug therapy as part of a comprehensive treatment plan. For individuals with resistant hypertension, additional measures, investigations into potential underlying causes, and adjustments to drug therapy may be needed to achieve blood pressure control. It's crucial for individuals with resistant hypertension to work closely with their healthcare provider to find an effective treatment strategy.

Prostate Cancer

When cancer starts in the prostate, it is called prostate cancer.

Prostate cancer is the uncontrolled growth of cells in the prostate, a gland in the male reproductive system just below the bladder.

Prostate is a small walnut-shaped gland that produces the seminal fluid that nourishes and transports sperm.

Prostate cancer is one of the most common types of cancer in men. Prostate cancer usually grows slowly and initially remains confined to the prostate gland, where it may not cause serious harm. While some types of prostate cancer grow slowly and may need minimal or no treatment, other types are aggressive and can spread quickly.
As the tumor grows, it can damage nearby organs causing erectile dysfunction, blood in the urine or semen, and trouble urinating. Some tumors eventually spread to other areas of the body, particularly the bones and lymph nodes. There, tumors cause severe bone pain, leg weakness or paralysis, and eventually death.

Difference between benign and malignant tumor

A benign tumor is made up of cells that don’t threaten to invade other tissues. The tumor cells are contained within the tumor and aren’t abnormal or very different from surrounding cells.
WHILE
Malignant tumors are made of cancer cells that can grow uncontrollably and invade nearby tissues. The cancer cells in a malignant tumor tend to be abnormal and very different from the normal surrounding tissue.

SYMPTOMS

1. Frequent urination
2. Trouble urinating
3. Decreased force in the stream of urine
4. Blood in the semen and urine
5. Erectile dysfunction
6. Bone pain
7. Discomfort in the pelvic area
8. Discomfort or pain when sitting, caused by an enlarged prostate.

CAUSES

Prostate cancer is caused by the accumulation of genetic mutations to the DNA of cells in the prostate. These mutations affect genes involved in cell growth, DNA damage repair, and cell death. Changes to these genes can cause cells in the prostate to grow uncontrollably, resulting in a tumor. (american cancer society, may 2023).
Some abnormal cells can break off and spread (metastasize) to other parts of the body.

RISK FACTORS

1. Older age
2. Family history of prostate or breast cancer
3. Race
4. Obesity

COMPLICATIONS

1. Erectile dysfunction
The nerves that control a man’s erectile response are located very close to the prostate gland. A tumor on the prostate gland or certain treatments such as surgery and radiation can damage these delicate nerves. This can cause problems with achieving or maintaining an erection. Medications, vacuum devices that assist in achieving erection and surgery are available to treat erectile dysfunction.

2. Incontinence
Prostatic tumors and surgical treatments for prostate cancer can also lead to urinary incontinence. Someone with urinary incontinence loses control of their bladder and may leak urine or not be able to control when they urinate. The primary cause is damage to the nerves and the muscles that control urinary function. Treatment for incontinence depends on the type you have, how severe it is and the likelihood it will improve over time. Treatment options may include medications, catheters and surgery.

3. Metastasis (cancer that spreads)
Metastasis occurs when tumor cells from one body region spread to other parts of the body. The cancer can spread through tissue and the lymph system as well as through the blood. Prostate cancer cells can move to other organs, like the bladder. They can travel even further and affect other parts of the body, such as the bones and spinal cord. Prostate cancer that metastasizes often spread to the bones. This can lead to complications such as fractured or broken bones, severe pain, stiffness in the hip, thighs, or back, weakness in the arms and legs and higher-than-normal levels of calcium in the blood (hypercalcemia), which can lead to nausea, vomiting, and confusion.

STAGES

Staging typically describes how much cancer is present in the body and how serious the cancer is. Knowing the stage of prostate cancer can help a person understand what to expect and will inform decisions about treatment.
Stages may include:
1. Stage I: Cancer is only present in the prostate gland.

2. Stage II: Cancer has not yet spread from the prostate, but a person will have a higher PSA level.

3. Stage III: Cancer may have spread to nearby tissues.

4. Stage IV: Cancer may have spread to distant parts of the body.

TESTS AND DIAGNOSIS

Screening for prostate cancer
Prostate cancer screening searches for tumors in those without symptoms. Screening aims to separate men with high-risk cancers who would benefit from treatment, from those whose tumors are slow-growing and unlikely to impact health. This is typically done through blood tests for levels of the protein prostate-specific antigen (PSA), which are elevated in those with enlarged prostates, whether due to prostate cancer or benign prostatic hyperplasia.

Diagnosis for prostate cancer
A diagnosis of prostate cancer requires a biopsy of the prostate. Prostate biopsies are typically taken by a needle passing through the rectum or perineum, guided by transrectal ultrasound imaging, magnetic resonance imaging (MRI), or a combination of the two. Ten to twelve samples are taken from several regions of the prostate to improve the chances of finding any tumors. Biopsies are examined under a microscope by a pathologist, who determines the type and extent of cancerous cells present. Cancers are first classified based on their appearance under a microscope. Over 95% of prostate cancers are classified as adenocarcinomas (resembling gland tissue), with the rest largely squamous-cell carcinoma (resembling squamous cells, a type of epithelial cell) and transitional cell carcinoma (resembling transitional cells).

PSA testing

The blood test, called a prostate-specific antigen (PSA) test, measures the level of PSA and may help detect early prostate cancer. PSA is a protein produced by both cancerous and noncancerous tissue in the prostate, a small gland that sits below the bladder in males.
It’s normal to have a low level of PSA in your blood. A high PSA level may be caused by:
• Prostate cancer
• An enlarged prostate (BPH) (benign prostatic hyperplasia)
• Other common prostate problems
•Taking certain medicines.

TREATMENT OF PROSTATE CANCER

Your prostate cancer treatment options depend on several factors, such as how fast your cancer is growing, how much it has spread and your overall health, as well as the benefits and the potential side effects of the treatment.

1. Active surveillance
For men diagnosed with very early-stage prostate cancer, treatment may not be necessary right away. Some men may never need treatment. Instead, doctors sometimes recommend active surveillance.
In active surveillance, regular follow-up blood tests, rectal exams and possibly biopsies may be performed to monitor progression of your cancer. If tests show your cancer is progressing, you may opt for a prostate cancer treatment such as surgery or radiation.

2. Radiation therapy
Radiation therapy uses high-powered energy to kill cancer cells. Prostate cancer radiation therapy can be delivered in two ways:
● Radiation that comes from outside of your body (external beam radiation): During external beam radiation therapy, you lie on a table while a machine moves around your body, directing high-powered energy beams, such as X-rays or protons, to your prostate cancer. You typically undergo external beam radiation treatments five days a week for several weeks.
● Radiation placed inside your body (brachytherapy): brachytherapy involves placing radioactive seeds inside your prostate. This approach kills cancer cells while preserving surrounding healthy tissue.

3. Hormone therapy
The hormone testosterone boosts cancer cell growth. Hormone therapy uses medications to combat testosterone’s role in fueling cancer cell growth.  Cutting off the supply of hormones may cause cancer cells to die or to grow more slowly.

4. Surgery to remove the prostate
Surgery for prostate cancer involves removing the prostate gland (radical prostatectomy), some surrounding tissue and a few lymph nodes. 

5. Chemotherapy
Chemotherapy uses drugs to kill rapidly growing cells, including cancer cells. Chemotherapy can be administered through a vein in your arm, in pill form or both.
Chemotherapy may be a treatment option for men with prostate cancer that has spread to distant areas of their bodies. Chemotherapy may also be an option for cancers that don’t respond to hormone therapy.

LIFESTYLE AND HOME REMEDIES

You can reduce your risk of prostate cancer if you:

1. Choose a healthy diet full of fruits and vegetables.
2. Exercise most days of the week
3. Maintain a healthy weight. 
4. Talk to your doctor about increased risk of prostate cancer.

Skin Infections

PREAMBLE:
The skin, the body’s largest organ, plays a crucial role in safeguarding us from external threats, regulating our temperature, and enabling sensory experiences. Composed of various layers, including the epidermis, dermis, and subcutaneous tissue, it acts as a protective barrier against harmful microorganisms and environmental factors. Furthermore, it houses sensory receptors that allow us to sense touch, pain, and temperature. Additionally, the skin contributes to vitamin D synthesis and serves as a canvas for expressing individuality through its unique characteristics, colors, textures, and markings. A comprehensive understanding of the skin’s complexity and functions is vital for maintaining overall health and well-being.

Skin infections, also referred to as dermatological conditions, encompass a broad spectrum of issues that impact the body’s largest organ, the skin. Skin serves as a protective barrier, maintaining body temperature and contributing significantly to sensory perception. Nonetheless, it is vulnerable to a variety of disorders and illnesses, which can manifest in diverse ways, ranging from minor irritations to serious health problems. These conditions may arise due to genetic factors, environmental influences, infections, autoimmune reactions, or lifestyle choices. Examples of common skin disorders include acne, dermatitis (eczema), psoriasis, ringworm, athlete’s foot, among others. Meanwhile, certain conditions like skin cancer can pose life-threatening risks if not identified and treated promptly.

The successful management and treatment of these conditions frequently necessitate a collaborative approach involving a range of medical experts, including dermatologists, allergists, immunologists, and other health practitioners. Additionally, ongoing advancements in medical research and technology are enhancing our comprehension of skin disorders, resulting in improved diagnostic techniques and innovative therapies. Appreciating the diversity of skin disorders is crucial for preserving skin health, averting complications, and enhancing individuals’ overall well-being. Furthermore, we will delve into various aspects of skin disorders, including their causes, symptoms, treatment options, and preventive measures, all aimed at promoting skin health.

TYPES OF SKIN INFECTIONS:

Skin infections can vary greatly in symptoms, severity, and result from various causes, including bacteria, viruses, fungi, and parasites. Here’s a brief overview of some common types:

1. Ringworm (Tinea Corporis):
– Cause: Fungi called dermatophytes.
– Appearance: Red, itchy, ring-shaped rashes on the skin.
– Transmission: Can spread through direct contact with an infected person or animal or by sharing contaminated items like towels or combs.
– Treatment: Antifungal creams or oral medications prescribed by a healthcare professional.

2. Athlete’s Foot (Tinea Pedis):
– Cause: Fungi thrive in warm, moist environments.
– Symptoms: Itchy, peeling skin on the feet, especially between the toes.
– Transmission: Often spreads in locker rooms and public showers.
– Treatment: Antifungal creams or powders, and good foot hygiene.

3. Jock Itch (Tinea Cruris):
– Cause: Fungi that prefer the groin area.
– Symptoms: Itchy, red rash in the groin and inner thigh area.
– Transmission: Common in athletes and those in humid climates.
– Treatment: Antifungal creams or powders, and keeping the area dry.

4. Yeast Infections (Candidiasis):
– Cause: Candida yeast.
– Symptoms: Redness, itching, and sometimes white discharge, often in warm, moist areas like the genitals or mouth.
– Treatment: These fungal infections are typically not serious but can be uncomfortable and itchy. Treatment usually involves antifungal medications/creams, good hygiene, and keeping the affected area clean and dry.

5. Acne:
– cause: Excess sebum production(skin oil), clogged hair follicles, bacteria, hormonal changes, diet, genetics, certain medications (e.g corticosteroids), stress and environmental factors.
– Symptoms: Pimples(small, red, or white bumps on the skin), Blackheads(open clogged pores with dark centers), Whiteheads(closed clogged pores with white centers), Cysts(large, painful lumps under the skin), Inflammation, Scarring.

Treatment:
Acne treatment involves various approaches to manage and reduce the occurrence of acne.

– Cleansing: It’s important to wash your face regularly using a gentle cleanser to eliminate excess oil, dirt, and dead skin cells. Avoid using abrasive scrubs or washing too frequently, as they can cause skin irritation.
– Topical Treatments: Non-prescription products are available and may contain substances like benzoyl peroxide, salicylic acid, or alpha hydroxy acids (AHAs). These ingredients can assist in clearing clogged pores, reducing inflammation, and eliminating the bacteria responsible for acne.
– Oral Medications: In certain situations, healthcare professionals may recommend antibiotics such as doxycycline or tetracycline to reduce inflammation and bacterial growth.
– Chemical Peels: Health practitioners may recommend a visit to certified estheticians for facials like chemical peels to remove the outermost layer of skin, which can improve the appearance of acne scars and promote smoother skin.
– Lifestyle Adjustments: Maintaining a healthy lifestyle through a balanced diet, regular physical activity, effective stress management, and sufficient sleep can have an impact on acne.
– Avoid Picking or Squeezing: It’s crucial to resist the temptation to pop pimples, as this can worsen inflammation and result in scarring.

Keep in mind that treating acne requires patience and consistency. What works for one person may not be effective for another, so it’s essential to consult with a healthcare provider for personalized care. Additionally, some treatments may have side effects, so discussing these with a healthcare professional is important.

6. Dermatitis:
Commonly known as eczema, is a chronic skin condition characterized by inflammation, itching, and sometimes the formation of red, scaly patches on the skin.

Types of dermatitis:
– Atopic Dermatitis: This is the most common form, often appearing in childhood and typically associated with a family history of allergies or asthma.

– Contact Dermatitis: Caused by skin contact with irritants (irritant contact dermatitis) or allergens (allergic contact dermatitis), such as certain soaps, cosmetics, or plants like poison ivy.

Symptoms:
– Intense itching is a hallmark of eczema.
– Redness and inflammation of the skin.
– Dry, scaly, or crusty patches.
– Skin may become thickened or leathery with chronic eczema.
– In severe cases, eczema can lead to open sores or oozing lesions due to scratching.

Causes/Triggers:
– Genetics play a role, as eczema tends to run in families.
– Environmental factors, like exposure to allergens or irritants.
– Dry skin can aggravate eczema.
– Stress and hormonal changes can trigger or worsen flare-ups.

Treatment/Management:
– Moisturizing regularly is essential to keep the skin hydrated.
– Topical corticosteroids and other anti-inflammatory creams or ointments are often prescribed to reduce inflammation and itching.

Prevention:
– Keeping the skin well-moisturized.
– Identifying and avoiding triggers.
– Using mild, fragrance-free soaps and detergents.
– Managing stress, as stress can worsen symptoms.

It’s crucial to understand that eczema is a long-lasting condition without a known remedy, but its signs can be effectively controlled through appropriate skincare, medications, and lifestyle changes. If you or someone you’re familiar with is coping with eczema, seeking advice from a dermatologist or healthcare expert for a tailored treatment plan is recommended.

7. Psoriasis:
This is a long-lasting autoimmune skin condition that impacts millions of individuals across the globe. It arises when the immune system erroneously recognizes skin cells as foreign intruders, prompting an accelerated generation of skin cells. While skin cells typically renew every 3 to 4 weeks, in psoriasis, this renewal process can take as little as 3 to 7 days. This swift turnover of cells results in an accumulation of skin cells on the surface, giving rise to various symptoms like itching, burning, or discomfort in affected areas, as well as dry, cracked skin that may bleed, among other indications. The choice of treatment varies based on the severity and type of psoriasis.
They may include:

– Topical treatments: Creams, ointments, or shampoos containing corticosteroids, vitamin D analogs, or retinoids to reduce inflammation and scale.
– Oral or injected medications: For severe cases, drugs like methotrexate, cyclosporine, may be prescribed to suppress the immune system and reduce symptoms.
– Lifestyle changes: Managing stress, maintaining a healthy diet, and avoiding triggers like alcohol and smoking can help.
– Moisturizers: Using emollients can soothe dry skin and prevent flare-ups. Always consult a healthcare provider for a proper diagnosis and personalized treatment plan.

8. Chickenpox:
This is an infection that causes a skin rash. The disease is caused by a germ called varicella-zoster virus. (Chickenpox itself is also called varicella-zoster.) Most people will get the virus when they are young if they haven’t had a chickenpox vaccine.
A child with chickenpox can easily give the virus to other children. Chickenpox today is much less common because most children are vaccinated when they are young. Having chickenpox once usually provides lifelong immunity to the virus. However, the virus can reactivate later in life, causing a different condition called shingles.

Vaccination:
– The varicella vaccine is highly effective at preventing chickenpox. It’s usually given in two doses to children, and a two-dose regimen is recommended for adults who are not immune to the virus.
Treatment:
– It is mainly focused on relieving symptoms, such as itching and fever, with antihistamines and fever-reducing medications. It’s important to avoid scratching the rash to prevent infection.

SUMMARY:
Various types of skin infections caused by bacteria, fungi, viruses, and parasites exhibit a wide range of characteristics that impact the skin. These infections differ in their origins, symptoms, and therapeutic approaches, underscoring the importance of seeking professional medical advice for precise diagnosis and suitable care. For instance, Pharmacists assume a pivotal role in addressing skin ailments, contributing significantly in multiple aspects. Moreover, they offer vital counsel and proficiency in managing skin conditions by overseeing medication, providing education, and offering patient assistance. Additionally, in cases demanding specialized treatment, pharmacists may refer individuals to dermatologists or other healthcare providers.

Reference:
Google scholar article(complicated infections of skin and skin structures)
Drugs.com
WebMD

World Hepatitis Day 2023

Hepatitis is an inflammatory condition of the liver. It is commonly the result of viral infection, but there are other possible causes of hepatitis which includes autoimmune hepatitis and hepatitis that occurs as a secondary result of medications, drugs, toxins and alcohol. Autoimmune hepatitis is a disease that occurs when your body makes antibodies against your liver tissue.

FIVE MAIN VIRAL CLASSIFICATIONS OF HEPATITIS.

– Hepatitis A; This type of hepatitis is an acute short term disease.

– Hepatitis B; This is often an ongoing, chronic condition.

– Hepatitis C; This is among the most common blood borne viral infections and it presents as a long term condition.

– Hepatitis D; This is a rare form of hepatitis that only occurs in conjunction with hepatitis B infection. The hepatitis D virus causes liver inflammation.

-Hepatitis E; This is a waterborne disease. It is found in areas with poor sanitation and typically results from ingesting fecal matter that contaminates the water supply.

SYMPTOMS OF HEPATITIS

* Fatigue
* Flu-like symptoms
* Dark urine
* Pale stool
* Abdominal pain
* Loss of appetite
* Unexplained weight​

TREATMENT

Treatment to prevent hepatitis infection after exposure. If you know you’ve been exposed to the hepatitis virus and aren’t sure if you’ve been vaccinated, call your doctor immediately. An injection of immunoglobulin (an antibody) given within 12 hours of exposure to the virus may help protect you from getting sick with hepatitis. Because this treatment only provides short-term protection, you also should get the hepatitis vaccine at the same time, if you never received it.

Treatment for acute hepatitis infection If your doctor determines your hepatitis infection is acute — meaning it is short-lived and will go away on its own — you may not need treatment. Instead, your doctor might recommend rest, proper nutrition and plenty of fluids while your body fights the infection. In severe cases, antiviral drugs or a hospital stay is needed to prevent complications.

Treatment for chronic hepatitis infection Most people diagnosed with chronic hepatitis infection need treatment for the rest of their lives. Treatment helps reduce the risk of liver disease and prevents you from passing the infection to others. Treatment for chronic hepatitis may include:

*Antiviral medications. Several antiviral medications — including entecavir (Baraclude), tenofovir (Viread), lamivudine (Epivir), adefovir (Hepsera) and telbivudine (Tyzeka) — can help fight the virus and slow its ability to damage your liver. These drugs are taken by mouth.

*Interferon injections. Interferon alfa-2b (Intron A) is a man-made version of a substance produced by the body to fight infection. It’s used mainly for young people with hepatitis B who wish to avoid long-term treatment or women who might want to get pregnant within a few years, after completing a finite course of therapy. Interferon should not be used during pregnancy.

*Liver transplant, If your liver has been severely damaged, a liver transplant may be an option. During a liver transplant, the surgeon removes your damaged liver and replaces it with a healthy liver.

PREVENTION

There are many ways you can reduce your chances of getting hepatitis:

*Get the vaccines for hepatitis

*Use a condom during sex.

*Don’t share needles to take drugs.

*Practice good personal hygiene such as thorough hand-washing with soap and water.

*Don’t use an infected person’s personal items.

*Take precaution when traveling to areas of the world with poor sanitation. (Make sure to get your vaccines.)

*Drink bottled water when traveling.

*It is very important that you take preventive steps too if you work in places like nursing homes, dormitories, daycare centers, or restaurants where there you have extended contact with other people and a risk of coming into contact with the disease.

SUPPLEMENTS FOR HEPATITIS

Milk Thistle

Helps protect the liver cell and reduces inflammation that can damage the liver.

Curcumin

This is a chemical in turmeric, the spice that gives many curries their flavor and yellow hue. It can help the body fight inflammation.

Probiotics

These are beneficial bacteria that help maintain the health of the gut and aid in digestion.

Licorice Root

This root helps to slow the growth of liver cancer.

 

Diphtheria

Diphtheria is a dangerous bacterial infection that damages the mucous membranes in the nose and throat. Diphtheria can by avoided by the use of vaccines even through it is contagious from person to person.

WHAT CAUSES DIPHTHERIA?

Diphtheria is caused by a kind of bacteria called CORYNEBACTERUM DIPHTHERIAE. The disease is often passed from person to person or through touch with objects that have the bacteria on them, like a cup or used tissue. If you are in close proximity to someone who has diphtheria and they cough, sneeze or blow their nose, you could also contract the disease.
An infected person can potentially spread the bacterial infection for up to six weeks after the initial infection, even if they dont exhibit any diphtheria symptoms or signs.
The bacteria typically infect your throat and nose. The bacteria release harmful compounds known as toxins after you are infected. The poisons circulate throughout your bloodstream and frequently result in the formation of a thick, grey coating in the following bodily parts:
1) Throat.
2) Tongue.
3) Nose.
4) Airway.
These toxins can occasionally harm other organs including the heart, brain and kidneys. Complications that could be fatal can result from this, including:
1) Myocarditis ( inflammation of the heart).
2) Renal failure (kidney failure).
3) Muscular paralysis.

WHAT ARE RISK FACTORS.
Diphtheria is fairly common in developing countries where immunization rates are low. In these countries, children under age 5 and people over age 60 are particularly at risk of getting diphtheria. People are also at an increased risk of contracting diphtheria if they:
– aren`t up to date on their vaccinations.
– visit a country that doesn`t provide immunizations.
-live in unclean or crowded environment.
-have an immune system disorder such as AIDS.

WHAT ARE THE SYMPTOMS OF DIPHTHERIA?
Diphtheria symptoms frequently show up two to five days after the infection. While some people have moderate symptoms similar to the common cold, others don`t feel any symptoms similar at all.
A thick grey coating on the tonsils and throat is the most obvious and typical sign of diphtheria other typical symptoms include:
1) Fever.
2) Chills.
3) Rapid breathing.
4) Cough.
5) Sore Throat.
6) General fatigue.
7) Slurred speech.
8) Changes in vision.
9) Signs of shock.
HOW CAN DIPHTHERIA BE DIAGNOSED?
A diagnosis will be made by your doctor based on your symptoms and the results of a lab test. They obtain a sample from your sore or the back of your throat using a swab. The swab is subsequently sent to analysis and diagnosis.

HOW IS DIPHTHERIA TREATED?
Treatment for diphtheria starts immediately often even before the results of the lab tests are confirmed. To prevent organ damage your health care provider will administer diphtheria antitoxin. To treat infections, they`ll recommend antibiotics, usually penicillin or erythromycin.
To stop the spread of the disease, diphtheria patients are segregated from the general population. After taking antibiotics for around 48 hours, an infected person is no longer contagious. Tests will be be repeated to confirm that the bacteria are eliminated when therapy is finished. You will receive a vaccine to stop further illnesses after the bacteria are eliminated when therapy is finished. You will receive a vaccine to stop further illnesses after the bacteria are eliminated.

HOW IS DIPHTHERIA PREVENTED?
Antibiotics and vaccines can be used to prevent diphtheria. The vaccine for diphtheria is called DTap. It`s often administered in a single dose alongside the pertussis and tetanus vaccines. It takes five doses to fully protect against the DTap virus. Children receive it at the following ages trusted source:
1) 2 months.
2) 4 months.
3) 6 months.
4) 15-18 months.
5) 6 months.

A child may in extremely rare circumstances, develop an allergy to the immunization. This may cause lives or seizures that will eventually go away.
Since vaccines only remain effective for 10 years, your child will remain another vaccination around the age 12. it is advised that adults receive a single dose of a booster vaccine that include diphtheria, tetanus and pertussis. You will thereafter receive the tetanus-diphtheria(TD) vaccine every 10 years. By following these instructions, you or your child may be shielded from future diphtheria.

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