Diabetic neuropathy is a serious and common complication of type 1 and type 2 diabetes. It’s a type of nerve damage caused by uncontrolled high blood sugar levels. You may not initially have any symptoms. The condition usually develops slowly, sometimes over the course of several decades.

Types of diabetic neuropathy include the following:

• Peripheral neuropathy
• Autonomic neuropathy
• Focal neuropathies
• Proximal neuropathy

If you have diabetes, your chance of developing nerve damage caused by diabetes increases the older you get and the longer you have diabetes. Managing your diabetes is an important part of preventing health problems such as diabetic neuropathy.

Your symptoms depend on which type of diabetic neuropathy you have. In peripheral neuropathy, some people may have a loss of sensation in their feet, while others may have burning or shooting pain in their lower legs. Most nerve damage develops over many years, and some people may not notice symptoms of mild nerve damage for a long time. In some people, severe pain begins suddenly.

Foot care is very important for all people with diabetes, and it’s even more important if you have peripheral neuropathy. Check your feet for problems every day, and take good care of your feet. See your doctor for a neurological exam and a foot exam at least once a year and more often if you have foot problems.

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Bipolar disorder is a medical condition that involves rapid mood swings between periods of good moods and those of irritability and depression. The condition is experienced equally by both men and women and generally manifests itself for the first time when the individual is between the ages of 15 and 25.

Symptoms

• feeling overly happy or “high” for long periods of time
• having a decreased need for sleep
• talking very fast, often with racing thoughts
• feeling extremely restless or impulsive
• becoming easily distracted
• having overconfidence in your abilities
• engaging in risky behavior, such as having impulsive sex, gambling with life savings, or going on big spending sprees

Diagnosis

Diagnosing bipolar disorder requires extensive testing. A physician testing for the disorder will ask about the patient’s family history, looking for anyone else in the family who has the disorder. The physician will also ask about any mood swings experienced recently, and take a history of the mood swings including when they began. After medical questioning, the doctor will provide a thorough physical exam to determine if there is any other illness that may be causing the symptoms of the disorder.

Treatment 

Treatment of bipolar disorder is aimed at stabilizing the patient’s mood as much as possible. With treatment, that the patient may avoid hospital stays, have a lowered desire to self-injure and function better in all of the phases of the condition. During treatment, a physician will try to determine the triggers of the mood swings and provide the patient with exercises to complete when these triggering events occur. These exercises may help prevent the moods or lower their severity. Those patients experiencing severe symptoms may require hospitalization while the mood is stabilized. This may be necessary for either the manic or depressive stages of the disorder.

Those on medication who experience positive results often stop taking the medication, mistaking it for a cure rather than an ongoing stabilizing treatment. Patients may also stop taking medication if they miss the feelings of mania. If the medication is stopped, the symptoms of the disorder often return. Stopping medication may also lead to an even higher chance of drug or alcohol abuse, an increase in suicidal thoughts and extreme judgment issues.

 

Peripheral vascular disease is a blood circulation disorder that causes the blood vessels outside of your heart and brain to narrow, block, or spasm. This can happen in your arteries or veins. PVD typically causes pain and fatigue, often in your legs, and especially during exercise. The pain usually improves with rest.

Peripheral arterial disease (PAD) develops only in the arteries, which carry oxygen-rich blood away from the heart.

Types:

The two main types of PVD are functional and organic PVD. Functional PVD means there’s no physical damage to your blood vessels’ structure. Instead, your vessels widen and narrow in response other factors like brain signals and temperature changes. The narrowing causes blood flow to decrease. The most common causes of functional PVD are emotional stress, cold temperatures, operating vibrating machinery or tools etc

Organic PVD involves changes in blood vessel structure like inflammation, plaques, and tissue damage. The primary causes of organic PVD are, smoking, high blood pressure, diabetes, high cholesterol etc.Additional causes of organic PVD include extreme injuries, muscles or ligaments with abnormal structures, blood vessel inflammation, and infection.

 Risk factors

• over age 50
• overweight
•  abnormal cholesterol
•  history of cerebrovascular disease or stroke
• have heart disease
• have diabetes
• have a family history of high cholesterol, high blood pressure, or PVD
• have high blood pressure
• have kidney disease

complications

• tissue death, which can lead to limb amputation
• impotence
• pale skin
• pain at rest and with movement
• severe pain that restricts mobility
• wounds that don’t heal
• life-threatening infections of the bones and blood stream

Early diagnosis is the first step to successful treatment and it can prevent life-threatening complications.

 

The rectum is part of the digestive tract. Cancer that originates in the colon or rectum may be called rectal cancer, colon cancer, or colorectal cancer. Because treatment and progression of colon cancer and rectal cancer may be different, they are often reported separately.

Tests used to help detect cancer at an early stage and help improve the outcome are called screening tests. Colorectal cancer screening tests include digital rectal examination (DRE), proctoscopy, colonoscopy, and stool occult blood testing. Beginning at the age of 50, a colonoscopy and annual DRE and occult blood testing should be performed. Younger patients who should undergo colorectal cancer screening include those under the age of 50 with a family history of colon cancer, and patients with a history of rectal or gynecologic cancer or ulcerative colitis.

In general, rectal and rectosigmoid cancer  are more likely than other colon cancers to produce symptoms prior to diagnosis. These cancers often cause bleeding that can be observed. Other signs and symptoms include a change in bowel activity, unexplained constipation or a reduction in stool caliber, urgency, and inadequate emptying of the bowels. With advanced tumors, urinary symptoms or buttock pain may occur. These symptoms usually lead to an evaluation of the colorectal area.

Digital rectal examination  may be used as an initial screening examination; however, tumors located more than 7 centimeters from the anal verge may be missed during this examination. Additional studies include barium enema, usually with flexible sigmoidoscopy and/or colonoscopy used as a complementary procedure.If a tumor is discovered by any of the above procedures, a biopsy should be performed.

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This rare type of tumor that most often affects pregnant women is called a gestational choriocarcinoma. The cancer usually starts in your uterus but can spread to other parts of the body. It can happen after a miscarriage, abortion, ectopic pregnancy, or molar pregnancy when an egg is fertilized, but the placenta develops into a mass of cysts instead of a fetus.

Symptoms

If the choriocarcinoma is in your vagina, it could cause bleeding.

If it has spread to other parts of your body like your lungs or brain, you may notice:

• Cough
• Trouble breathing
• Chest pain
• Headache
• Dizziness  

Treatment

 If your tumor is low-risk, meaning it’s small and hasn’t spread, chemotherapy is the main treatment. You’ll get it until there are no signs of cancer in your body based on hCG levels.

If your cancer is high-risk, you may need surgery and chemo, or surgery, chemo, and radiation.

Nearly all women diagnosed with the disease are cured with treatment, though it’s less likely if the disease has spread to your liver or your liver and your brain. But each case is different, and your doctor will discuss the option that’s right for you.

 

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Infantile neuroaxonal dystrophy is a disorder that primarily affects the nervous system. Individuals with infantile neuroaxonal dystrophy typically do not have any symptoms at birth, but between the ages of about 6 and 18 months they begin to experience delays in acquiring new motor and intellectual skills, such as crawling or beginning to speak. In some cases, signs and symptoms of infantile neuroaxonal dystrophy first appear later in childhood or during the teenage years and progress more slowly.

Children with infantile neuroaxonal dystrophy experience progressive difficulties with movement. They generally have muscles that are at first weak, and then gradually become very stiff. Eventually, affected children lose the ability to move independently. Lack of muscle strength causes difficulty with feeding. Muscle weakness can also result in breathing problems that can lead to frequent infections, such as pneumonia. Seizures occur in some affected children.Children with this disorder experience progressive deterioration of cognitive functions (dementia), and they eventually lose awareness of their surroundings.

The first symptoms may be slowing of motor and mental development, followed by loss or regression of previously acquired skills.  Rapid, wobbly eye movements and squints may be the first symptoms, followed by floppiness in the body and legs. For the first few years, a baby with INAD will be alert and responsive, despite being increasingly physically impaired.  Eventually, because of deterioration in vision, speech, and mental skills, the child will lose touch with its surroundings.   Death usually occurs between the ages of 5 to 10 years.

There is no cure for INAD and no treatment that can stop the progress of the disease. Treatment is symptomatic  and supportive. Doctors can prescribe medications for pain relief and sedation. Physiotherapists and other physical therapists can teach parents and caregivers how to position and seat their child, and to exercise arms and legs to maintain comfort.

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 A person with Raynaud’s disease experiences pain in the extremities, for example, the fingers, when temperatures drop. Fingers or toes turn from white to blue and, then, as the blood returns, they flush red. Females are an estimated nine times more likely to be affected than males

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Bertolotti syndrome is an uncommon cause of low back pain, particularly focused along the waistline slightly off to the side, that is often confused with sacroiliitis. Bertolotti syndrome is a diagnosis given to someone with symptomatic pain due to a transitional vertebra which is inflamed. Although it is a very rare cause of back pain, Bertolotti syndrome  is a very treatable diagnosis.

Most people with this transitional vertebra do not experience any symptoms. However, for the patients that do, it is important to rule out the other causes of back pain to include pain related to the lumbar disc, pain related to the lumbar facet joints, and even pain related to the sacroiliac joint. This may require specific imaging studies or specific injections to rule out these other pain generators.

For those patients that do have pain related to the pseudoarthrosis, minimally invasive spine surgery is recommended to reshape the enlarged transverse process and remove this transitional fake joint. Many patients have felt significantly better once this has been removed. Other treatment options have been reported, including fusing that region.

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