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Peptic Ulcer : Causes, Symptoms & Treatments

Causes

We don’t know if there’s a single cause for ulcers. We do know they come from an imbalance between digestive fluids in the stomachand duodenum. Most happen because of an infection in the lining of the small intestine with a type of bacteria called Helicobacter pylori (H. pylori).

Things that can increase your odds of an ulcer include:

  • Use of painkillers called nonsteroidal anti-inflammatory drugs (NSAIDs). These include over-the-counter meds like aspirin, ibuprofen, and naproxen, as well as others you can get by prescription.
  • A history of ulcers in your family
  • Being age 50 or older
  • Drinking alcohol
  • Smoking
  • Chewing tobacco
  • Stress
  • Spicy foods
  • Certain medications like steroids, anticoagulants, and drugs called selective serotonin reuptake inhibitors (SSRIs)
  • Other medical problems like liver, kidney, or lung disease
  • Radiation treatment to the area

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Symptoms

You may not have any. If you do, they may include:

  • A gnawing or burning pain in your stomach between meals or at night
  • Bloating
  • Heartburn
  • Nausea or vomiting
  • Loss of appetite
  • Dark or black stool
  • Vomiting blood or material that can look like coffee ground
  • weight loss
  • Severe pain in your belly

How Serious Are They?

Though ulcers often heal on their own, you shouldn’t ignore their warning signs. If not treated, ulcers can lead to serious health problems, including:

  • Bleeding
  • A hole through the wall of your stomach called a perforation
  • Swelling or scarring that blocks the passageway from your stomach to your small intestine
    Taking NSAIDs can lead to an ulcer without warning. The risk is especially concerning for the elderly and those with a history of peptic ulcer disease.
    Treatment
    There are several ways to treat ulcers, including:Lifestyle changes: If you smoke or drink alcohol, stop. If you take NSAIDs, talk to your doctor about something else you can take.

    Medications: These can include:

    • Proton pump inhibitors (PPIs) that ease acid levels and let the ulcer heal. They include:
      • Dexlansoprazole (Dexilant)
      • Esomeprazole (Nexium)
      • Lansoprazole (Prevacid)
      • Omeprazole (Prilosec)
      • Omeprazole/sodium bicarbonate (Zegerid)
      • Pantoprazole (Protonix)
      • Rabeprazole (Aciphex)
    • Your doctor could also prescribe one of several combinations of antibiotics that you’d take for a week or two along with a PPI.

Squamous Cell Cancer: Causes, Symptoms & Treatments

What Is Squamous Cell Cancer?

Squamous cell cancer (SCC), also known as squamous cell carcinoma, is a type of skin cancer that begins in the squamous cells. Squamous cells are the thin, flat cells that make up the epidermis, or the outermost layer of the skin. SCC is caused by changes in the DNA of these cells, which cause them to multiply uncontrollably.

What Are the Different Types of Skin Cancer?

Your skin has multiple layers. The outer, protective layer of the skin is known as the epidermis. The epidermis is made up of squamous cells, basal cells, and melanocytes. These cells are constantly shedding to make way for fresh, new skin cells. However, when certain genetic changes occur in the DNA of any of these cells, skin cancer can occur. The main types of skin cancer are squamous cell carcinoma, basal cell carcinoma, and malignant melanoma.

Squamous Cell Cancer

Squamous cells are the cells closest to the skin’s surface, and their purpose is to line the skin. SCC often develops on areas of the body that are frequently exposed to UV radiation, such as the face, hands, and ears. In some cases, it can occur in other areas of the body.

Basal Cell Cancer

Basal cells sit below the squamous cells, and they’re constantly dividing to form new cells. According to the American Cancer Society, basal cell cancer is the most common type of cancer. Like SCC, basal cell cancer develops on areas exposed to UV rays, particularly the face and neck. This type of cancer tends to grow slowly, and it rarely spreads to other parts of the body. However, if basal cell cancer goes untreated, it can eventually spread to the bones and other tissues.

Melanoma

Melanocytes are located in the deepest section of the epidermis. These cells are responsible for producing melanin, the pigment that gives skin its color. When cancer develops in the melanocytes, the condition is known as malignant melanoma. Malignant melanoma is less common than squamous cell and basal cancers, but it’s more likely to grow and spread when it’s left untreated.

What Are the Symptoms of Squamous Cell Cancer?

SCC often occurs in areas exposed to UV radiation, such as the face, ear, and hands. However, it can also appear in the mouth, in the anal area, and on the genitals.

In its early stages, SCC often presents itself as a scaly, reddish patch of skin. As it progresses, it can turn into a raised bump that continues to grow. The growth may also crust or bleed. In the mouth, this cancer will take on the appearance of a mouth ulcer or a white patch.

In some cases, you’ll notice a new growth on a pre-existing scar, mole, or birthmark. Any existing lesions or sores that aren’t healing can also indicate SCC.

Make an appointment with your doctor or dermatologist right away if you notice any of these symptoms. Early diagnosis and treatment are critical for preventing complications.

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What Causes Squamous Cell Cancer?

Skin cancer is caused by mutations that occur in skin cell DNA. These changes cause abnormal cells to multiply out of control. When this occurs in the squamous cells, the condition is known as SCC.

UV radiation is the most common cause of the DNA mutations that lead to skin cancer. UV radiation is found in sunlight as well as in tanning lamps and beds.

While frequent exposure to UV radiation greatly increases your risk of skin cancer, the condition can also develop in people who don’t spend much time in the sun or in tanning beds. These people may be genetically predisposed to skin cancer, or they may have weakened immune systems that increase their likelihood of getting skin cancer. Those who have received radiation treatment for other skin conditions may also be at greater risk of skin cancer.

What Are the Risk Factors for Squamous Cell Cancer?

Risk factors for SCC include:

  • having fair skin
  • having light-colored hair and blue, green, or gray eyes
  • having long-term exposure to UV radiation
  • living in sunny regions or at a high altitude
  • having a history of multiple severe sunburns, especially if they occurred early in life
  • having a history of being exposed to chemicals, such as arsenic

How Is Squamous Cell Cancer Diagnosed?

Your doctor will first perform a physical exam and inspect any abnormal areas for signs of SCC. They’ll also ask you about your medical history. If SCC is suspected, your doctor may decide to take a biopsy to confirm the diagnosis.

A biopsy usually involves removing a very small portion of the affected skin. The skin sample is then sent to a laboratory for testing. In some cases, your doctor may need to remove a larger part or all of the abnormal growth for testing. Talk to your doctor about any potential scarring or biopsy concerns.

How Is Squamous Cell Cancer Treated?

Treatment for SCC varies. Treatment is based on:

  • the extent and severity of your cancer
  • your age
  • your overall health
  • the location of the cancer

If SCC is caught early, the condition can usually be successfully treated. It becomes harder to cure once it has spread. Many treatments can be performed as in-office procedures.

  • In Mohs’ micrographic surgery, your doctor uses a scalpel to remove the abnormal skin and some of the surrounding tissue. The sample is immediately examined under a microscope. If there are any cancer cells in the sample, the process is repeated until no cancer cells are found.
  • During excisional surgery, your doctor removes the cancer cells as well as a thin layer of healthy skin in the surrounding area. Stitches are used to close the wound. The sample is then sent to a laboratory to ensure the entire cancerous area has been removed.
  • Electrosurgery, also called curettage and electrodesiccation, involves scraping off the cancer and burning the skin to kill cancer cells. This process is typically done more than once to ensure thorough treatment and complete removal of the cancer.
  • During cryosurgery, your doctor uses liquid nitrogen to freeze and destroy the cancerous tissue. Like electrosurgery, this treatment is repeated multiple times to make sure all cancerous tissue has been eliminated.
  • Radiation uses high-energy X-rays to kill cancer cells. This treatment is administered externally by a machine, which aims the rays at the affected area. Radiation is often performed multiple times a week for several weeks.

Some doctors may also use photodynamic therapy, laser surgery, and topical medications to treat SCC. However, the U.S. Food and Drug Administration hasn’t approved these methods for treating SCC:

  • Photodynamic therapy, or PDT, involves the application of a photosensitizing substance to the cancerous areas. The following day, the areas that were medicated are exposed to a strong light for several minutes. This activates the medication that was applied and kills abnormal cells.
  • Laser surgery uses a laser to remove areas of skin that are abnormal.
  • Topical medications, such as 5-fluorouracil and imiquimod, that are used to treat other skin cancers may also help treat SCC.

Once SCC has been treated, it’s critical to attend all follow-up visits with your doctor. SCC can return, and it’s important to monitor your skin for any precancerous or cancerous areas at least once per month.

How Can Squamous Cell Cancer Be Prevented?

To help reduce your risk for SCC, follow these tips:

  • Limit your sun exposure.
  • Avoid the sun during the hottest part of the day, which is between 10 a.m. and 4 p.m.
  • Wear sunscreen that has an SPF of at least 15 whenever you go out in the sun.
  • Wear sunglasses with UV ray protection.
  • Wear a hat and cover your skin when working outside.
  • Avoid using tanning beds and lamps.
  • Protect your skin during winter as well because winter rays can be especially dangerous.
  • Check your skin each month for any new or abnormal growths.
  • See a dermatologist once per year for a full-body skin check.

 

 

Type 2 Diabetes: Causes, Symptoms & Risks

What Causes Diabetes?

Your pancreas makes a hormone called insulin. It’s what lets your cells turn glucose from the food you eat into energy. People with type 2 diabetesmake insulin, but their cells don’t use it as well as they should. Doctors call this insulin resistance.

At first, the pancreas makes more insulin to try to get glucose into the cells. But eventually it can’t keep up, and the sugar builds up in your blood instead.

Usually a combination of things cause type 2 diabetes, including:

Genes. Scientists have found different bits of DNA that affect how your body makes insulin.

Extra weight. Being overweight or obese can cause insulin resistance, especially if you carry your extra pounds around the middle. Now type 2 diabetes affects kids and teens as well as adults, mainly because of childhood obesity.

Metabolic syndrome. People with insulin resistance often have a group of conditions including high blood glucose, extra fat around the waist, high blood pressure, and high cholesterol and triglycerides.

Too much glucose from your liver. When your blood sugar is low, your liver makes and sends out glucose. After you eat, your blood sugar goes up, and usually the liver will slow down and store its glucose for later. But some people’s livers don’t. They keep cranking out sugar.

Bad communication between cells. Sometimes cells send the wrong signals or don’t pick up messages correctly. When these problems affect how your cells make and use insulin or glucose, a chain reaction can lead to diabetes.

Broken beta cells. If the cells that make the insulin send out the wrong amount of insulin at the wrong time, your blood sugar gets thrown off. High blood glucose can damage these cells, too.

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Risk Factors and Prevention

While certain things make getting diabetes more likely, they won’t give you the disease. But the more that apply to you, the higher your chances of getting it are.

Some things you can’t control.

  • Age: 45 or older
  • Family: A parent, sister, or brother with diabetes

Some things are related to your health and medical history. Your doctor may be able to help.

  • Prediabetes
  • Heart and blood vessel disease
  • High blood pressure, even if it’s treated and under control
  • Low HDL (“good”) cholesterol
  • High triglycerides
  • Being overweight or obese
  • Having a baby that weighed more than 9 pounds
  • Having gestational diabetes while you were pregnant
  • Polycystic ovary syndrome (PCOS)
  • Acanthosis nigricans, a skin condition with dark rashes around your neck or armpits
  • Depression

Other risk factors have to do with your daily habits and lifestyle. These are the ones you can really do something about.

  • Getting little or no exercise
  • Smoking
  • Stress
  • Sleeping too little or too much

Because you can’t change what happened in the past, focus on what you can do now and going forward. Take medications and follow your doctor’s suggestions to be healthy. Simple changes at home can make a big difference, too.

Lose weight. Dropping just 7% to 10% of your weight can cut your risk of type 2 diabetes in half.

Get active. Moving muscles use insulin. Thirty minutes of brisk walking a day will cut your risk by almost a third.

Eat right. Avoid highly processed carbs, sugary drinks, and trans and saturated fats. Limit red and processed meats.

Quit smoking. Work with your doctor to avoid gaining weight, so you don’t create one problem by solving another.

Symptoms

The symptoms of type 2 diabetes can be so mild you don’t notice them. In fact, about 8 million people who have it don’t know it.

  • Being very thirsty
  • Peeing a lot
  • Blurry vision
  • Being irritable
  • Tingling or numbness in your hands or feet
  • Feeling worn out
  • Wounds that don’t heal
  • Yeast infections that keep coming back

Getting a Diagnosis

Your doctor can test your blood for signs of diabetes. Usually doctors will test you on two different days to confirm the diagnosis. But if your blood glucose is very high or you have a lot of symptoms, one test may be all you need.

A1C: It’s like an average of your blood glucose over the past 2 or 3 months.

Fasting plasma glucose: This measures your blood sugar on an empty stomach. You won’t be able to eat or drink anything except water for 8 hours before the test.

Oral glucose tolerance test (OGTT): This checks your blood glucose before and 2 hours after you drink a sweet drink to see how your body handles the sugar.

Long-Term Effects

Over time, high blood sugar can damage and cause problems with your:

  • Heart and blood vessels
  • Kidneys
  • Eyes
  • Nerves, which can lead to trouble with digestion, the feeling in your feet, and your sexual response
  • Wound healing
  • Pregnancy

The best way to avoid these complications is to manage your diabetes well.

  • Take your diabetes medications or insulin on time.
  • Check your blood glucose.
  • Eat right, and don’t skip meals.
  • See your doctor regularly to check for early signs of trouble.

Dilated Cardiomyopathy: Causes, Symptoms & Treatments

Heart Disease and Dilated Cardiomyopathy

Symptoms

Many people with dilated cardiomyopathy have no symptoms. Some that do have only minor ones, and live a normal life. Others develop symptoms that may get worse as their heart gets sicker.

Symptoms of DCM can happen at any age and may include:

  • Shortness of breath
  • Swelling of your legs
  • Fatigue
  • Weight gain
  • Fainting
  • Palpitations (fluttering in the chest due to abnormal heart rhythms)
  • Dizziness or lightheadedness
  • Blood clots in the dilated left ventricle because of pooling of the blood. If a blood clot breaks off, it can lodge in an artery and disrupt blood flow to the brain, causing a stroke. A clot can also block blood flow to the organs in the abdomen or legs.
  • Chest pain or pressure
  • Sudden death

Causes

DCM can be inherited, but it’s usually caused by other things, including:

  • Severe coronary artery disease
  • Alcoholism
  • Thyroid disease
  • Diabetes
  • Viral infections of the heart
  • Heart valve abnormalities
  • Drugs that damage the heart

It can also happen in women after they give birth. That’s called postpartum cardiomyopathy.

Diagnosis

Your doctor will decide if you have DCM after he looks at things like:

  • Your symptoms
  • Your family history
  • A physical exam
  • Blood tests
  • An electrocardiogram
  • A chest X-ray
  • An echocardiogram
  • An exercise stress test
  • Cardiac catheterization
  • A CT scan
  • An MRI

If you have a relative with dilated cardiomyopathy, ask your doctor if you should be screened for it. Genetic testing may also be available to find abnormal genes.

Treatment:

In the case of dilated cardiomyopathy, it’s aimed at making the heart stronger and getting rid of substances in the bloodstream that enlarge the heart and lead to more severe symptoms:

Medications: To manage heart failure, most people take drugs, such as a:

  • Beta blocker
  • ACE inhibitor or an ARB
  • Diuretic

If you have an arrhythmia(irregular heartbeat), your doctor may give you medicine to control your heart rate or make them happen less often. Blood thinners may also be used to prevent blood clots.

Lifestyle changes: If you have heart failure, you should have less sodium, based on your doctor’s recommendations. He may point you toward aerobic exercise, but don’t do heavy weightlifting.

Possible Procedures

People with severe DCM may need one of the following surgeries:

Cardiac resynchronization by biventricular pacemaker: For some people with DCM, stimulating the right and left ventricles with this helps your heart’s contractions get stronger. This improves your symptoms and lets you exercise more.

The pacemaker also will help people with heart block (a problem with the heart’s electrical system) or some bradycardias (slow heart rates).

Implantable cardioverter defibrillators (ICD): These are suggested for people at risk for life-threatening arrhythmias or sudden cardiac death. It constantly monitors your heart’s rhythm. When it finds a very fast, abnormal rhythm, it ”shocks” the heart muscle back into a healthy beat.

Surgery: Your doctor may recommend a surgery for coronary artery disease or valve disease. You may be eligible for one to fix your left ventricle or one that gives you a device to help your heart work better.

Heart transplant: These are usually just for those with end-stage heart failure. You’ll go through a selection process. Hearts that can be used are in short supply. Also, you must be both sick enough that you need a new heart, and healthy enough to have the procedure.

Pseudocyst: Causes, Symptoms & Treatments

The pancreas — a spongy, tadpole-shaped organ located behind the stomach — makes enzymes our bodies need to digest food and hormones to regulate blood sugar levels. If the pancreas is injured, its ducts, which carry enzyme-containing juices, can become blocked. This can lead to the development of a fluid-filled sac called a pancreatic pseudocyst.

A pseudocyst isn’t a true cyst, because the wall of the sac is not composed of a specific lining of cells characteristic of a true cyst.

The most common cause of damage to the pancreas is inflammation, called pancreatitis. A less common cause or contributor is trauma, such as a blow to the abdomen. Pancreatitis is most commonly caused by alcohol abuseand gallstones.

Rarely, pseudocysts form on the spleen, an organ of the lymphatic system, which fights infection and keeps body fluids in balance. When a pseudocyst of the spleen happens, it is usually caused by trauma.

Here’s what you need to know about pseudocysts and their treatment.

Pseudocyst Symptoms

Although the symptoms of pseudocysts may be different for different people, some of the most common are abdominal pain and bloating.

Other symptoms may include:

  • nausea
  • vomiting
  • loss of appetite
  • weight loss
  • diarrhea
  • fever
  • a tender mass in abdomen
  • yellowing of the skin and eyes (jaundice)
  • fluid buildup in the abdominal cavity

If you have any of these symptoms, you should see your doctor to determine the cause.

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Pseudocyst Treatment

Often pseudocysts get better and go away on their own. If a pseudocyst is small and not causing serious symptoms, a doctor may want to monitor it with periodic CT scans. If the pseudocyst persists, gets larger, or causes pain, it will require surgical treatment. If not monitored or treated, a pseudocyst can become infected or rupture, causing severe pain, blood loss and abdominal infection.

Surgery for Pseudocysts

For pseudocysts requiring treatment, surgery is usually necessary. During surgery to correct a pseudocyst, the surgeon usually makes a connection between the pseudocyst and a nearby digestive organ. This allows the pseudocyst to drain through that organ. Depending on the location of the pseudocyst within the pancreas, that connection may be with the stomach, small intestine, or duodenum, the upper end of the small intestine.

In some cases, this surgery is done laparoscopically. That means it’s performed through small incisions in the abdomen, using slender tools and a lighted scope. This procedure minimizes hospitalization and recovery time.

Mycosis Fungoides: Causes, Symptoms & Treatments

Mycosis fungoides

Mycosis fungoides (MF), also known as Alibert-Bazin syndrome, is a low-grade type of non-Hodgkin lymphoma in which white blood cells called lymphctyes become cancerous and affect the skin. Mycosis fungoides, named because of the mushroom fungus look of advanced stages of the disease, is a T-cell lymphoma. MF is more common in men than women. Most patients are in their 50s and 60s. MF generally affects the skin, but may progress to internal organs or the lymph nodes.

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Common mycosis fungoides symptoms

Mycosis fungoides is the most common type of skin lymphoma. Its symptoms vary from patient to patient. MF is often mistaken for eczema, psoriasis or dermatitis, making it difficult to diagnose at first. Several biopsies may be needed to confirm the diagnosis. Symptoms include:

  • Rash
  • Tumors
  • Skin lesions
  • Patches
  • Itching

NOTE: These symptoms may be attributed to a number of conditions other than cancer. It is important to consult with a medical professional for an accurate diagnosis.

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Advanced treatments for mycosis fungoides

Common mycosis fungoides treatments include:

Chemotherapy: For patients with refractory disease, chemotherapy may be provided as a single drug or a combination of drugs. Some chemotherapy drugs may be used to treat earlier forms of skin lymphoma, as topical ointments or creams applied directly to the skin.

Radiation: External beam radiation therapy (EBRT) may be used to treat mycosis fungoides. One method for delivering the radiation involves treating the skin over the whole body with rays of tiny particles called electrons. Recommendations for radiation therapy delivery depend on the type and stage of the cancer.

Targeted therapy: Targeted therapy drugs are used to attack specific parts of lymphoma cells or to increase the immune system’s response to them. These drugs may work in situations where chemotherapy does not.

Corticosteroids: These drugs are made up of cortisol, a naturally-occurring hormone that may affect immune cells such as lymphocytes. Corticosteroids may be taken as pills and injections, or applied directly to the skin in the form of ointments, gels and creams. They also may be injected directly into skin lesions. When applied to the skin, less of the drug is absorbed, resulting in fewer side effects. Long-term use of topical corticosteroids may cause the skin in that area to thin out.

Immunotherapy: Immune therapy drugs used to treat skin lymphomas are designed to help destroy lesions. The drug is most often delivered in the form of a cream. When applied to skin lesions, the drug is designed to activate the immune system to destroy cancer cells.

Ankle Sprain: Causes, Symptoms & Treatments

What is an ankle sprain?

Most people have twisted an ankle at some point in their life. But if your ankle gets swollen and painful after you twist it, you have most likely sprained it. This means you have stretched and possibly torn the ligaments in your ankle.

Even though ankle sprains are common, they are not always minor injuries. Some people with repeated or severe sprains can develop long-term joint pain and weakness. Treating a sprained ankle can help prevent ongoing ankle problems.

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What causes ankle sprains?

Most types of ankle sprains happen when you make a rapid shifting movement with your foot planted, such as when you play soccer or get tackled in football. Often the ankle rolls outward and the foot turns inward. This causes the ligaments on the outside of the ankle to stretch and tear. Less often, the ankle rolls inward and the foot turns outward. This damages the ligaments on the inside of the ankle.

An ankle sprain can range from mild to severe, depending on how badly the ligament is damaged and how many ligaments are injured. With a mild sprain, the ankle may be tender, swollen, and stiff. But it usually feels stable, and you can walk with little pain. A more serious sprain might include bruising and tenderness around the ankle, and walking is painful. In a severe ankle sprain, the ankle is unstable and may feel “wobbly.” You can’t walk, because the ankle gives out and may be very painful.

What are the symptoms?

With most sprains, you feel pain right away at the site of the tear. Often the ankle starts to swell immediately and may bruise . The ankle area is usually tender to touch, and it hurts to move it.

In more severe sprains, you may hear and/or feel something tear, along with a pop or snap. You will probably have extreme pain at first and will not be able to walk or even put weight on your foot. Usually, the more pain and swelling you have, the more severe your ankle sprain is and the longer it will take to heal.

Treatments:

Initial treatment for an ankle sprain is summarized as the RICE approach:

  • Rest. You may need to use crutches until walking is not painful without them.
  • Ice. For the first 48 to 72 hours or until swelling goes down, apply an ice pack for 10 to 20 minutes every 1 to 2 hours during the day. After 48 hours, you can continue with ice or try contrast baths. There is not good scientific evidence that ice or contrast baths help, but they are often used.
  • Compression. An elastic compression wrap will help decrease swelling and should be worn for the first 24 to 36 hours. A protective brace should also be worn if you try to bear weight on your injured ankle. Don’t apply the wrap too tightly. Loosen the bandage if it gets too tight. Signs that the bandage is too tight include numbness, tingling, increased pain, coolness, or swelling in the area below the bandage. See instructions on how to wrap an ankle  with an elastic bandage. Compression wraps do not offer protection, except by reminding you to be careful of your ankle.
    Sprained Ankle: Using a Compression Wrap
  • Elevation. Raise your ankle above the level of your heart for 2 to 3 hours a day if possible to decrease swelling and bruising.

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If you are not taking any prescription pain relievers, you may want to take an over-the-counter pain reliever such as ibuprofen or naproxen to reduce pain and swelling. Be safe with medicines. Read and follow all instructions on the label.

It may help to wear hiking boots or other high-top, lace-up shoes for support. But use caution. Don’t force your foot into a boot if you feel a lot of pain or discomfort.

Acute & Chronic Pancreatitis: Causes, Symptoms & Treatments

The pancreas is a large gland behind the stomach and next to the small intestine. The pancreas does two main things:

  1. It releases powerful digestive enzymes into the small intestine to aid the digestion of food.
  2. It releases the hormones insulin and glucagon into the bloodstream. These hormones help the body control how it uses food for energy.

Pancreatitis is a disease in which the pancreas becomes inflamed. Pancreatic damage happens when the digestive enzymes are activated before they are released into the small intestine and begin attacking the pancreas.

There are two forms of pancreatitis: acute and chronic.

Acute pancreatitis. Acute pancreatitis is a sudden inflammation that lasts for a short time. It may range from mild discomfort to a severe, life-threatening illness. Most people with acute pancreatitis recover completely after getting the right treatment. In severe cases, acute pancreatitis can result in bleeding into the gland, serious tissue damage, infection, and cystformation. Severe pancreatitis can also harm other vital organs such as the heart, lungs, and kidneys.

Chronic pancreatitis. Chronic pancreatitis is long-lasting inflammationof the pancreas. It most often happens after an episode of acute pancreatitis. Heavy alcohol drinking is another big cause. Damage to the pancreas from heavy alcohol use may not cause symptoms for many years, but then the person may suddenly develop severe pancreatitis symptoms.

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What Are the Symptoms of Pancreatitis?

Symptoms of acute pancreatitis:

  • Upper abdominal pain that radiates into the back; it may be aggravated by eating, especially foods high in fat.
  • Swollen and tender abdomen
  • Nausea and vomiting
  • Fever
  • Increased heart rate

The symptoms of chronic pancreatitis are similar to those of acute pancreatitis. Patients frequently feel constant pain in the upper abdomen that radiates to the back. In some patients, the pain may be disabling. Other symptoms are weight loss caused by poor absorption (malabsorption) of food. This malabsorption happens because the gland is not releasing enough enzymes to break down food. Also, diabetes may develop if the insulin-producing cells of the pancreas are damaged.

What Causes Pancreatitis?

In most cases, acute pancreatitis is caused by gallstones or heavy alcohol use. Other causes include medications, infections, trauma, metabolic disorders, and surgery. In up to 15% of people with acute pancreatitis, the cause is unknown.

In about 70% of people, chronic pancreatitis is caused by long-time alcohol use. Other causes include gallstones, hereditary disorders of the pancreas, cystic fibrosis, high triglycerides, and certain medicines. In about 20% to 30% of cases, the cause of chronic pancreatitis is unknown.

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What Are the Risk Factors for Pancreatitis?

Pancreatitis can happen to anyone, but it is more common in people with certain risk factors.

Risk factors of acute pancreatitis include:

  • Gallstones
  • Heavy alcohol drinking

Acute pancreatitis may be the first sign of gallstones. Gallstones can block the pancreatic duct, which can cause acute pancreatitis.

Risk factors for chronic pancreatitis include:

  • Heavy alcohol drinking for a long time
  • Certain hereditary conditions, such as cystic fibrosis
  • Gallstones
  • Conditions such as high triglycerides and lupus

People with chronic pancreatitis are usually men between ages 30 and 40, but chronic pancreatitis also may occur in women.

How Is Pancreatitis Diagnosed?

To diagnose acute pancreatitis, doctors measure levels in the blood of two digestive enzymes, amylase and lipase. High levels of these two enzymes strongly suggest acute pancreatitis.

Doctors may also use other tests, such as:

  • Pancreatic function test to find out if the pancreas is making the right amounts of digestive enzymes
  • Glucose tolerance test to measure damage to the cells in the pancreas that make insulin
  • Ultrasound, CT scan, and MRI, which make images of the pancreas so that problems may be seen
  • ERCP to look at the pancreatic and bile ducts using X-rays
  • Biopsy, in which a needle is inserted into the pancreas to remove a small tissue sample for study

How Is Pancreatitis Treated?

Treatment for acute pancreatitis

People with acute pancreatitis are typically treated with IV fluids and pain medications in the hospital. In some patients, the pancreatitis can be severe and they may need to be admitted to an intensive care unit (ICU). In the ICU, the patient is closely watched because pancreatitis can damage the heart, lungs, or kidneys. Some cases of severe pancreatitis can result in death of pancreatic tissue. In these cases, surgery may be necessary to remove the dead or damaged tissue if an infection develops.

An acute attack of pancreatitis usually lasts a few days. An acute attack of pancreatitis caused by gallstones may require removal of the gallbladder or surgery of the bile duct. After the gallstones are removed and the inflammation goes away, the pancreas usually returns to normal.

Treatment for chronic pancreatitis

Chronic pancreatitis can be difficult to treat. Doctors will try to relieve the patient’s pain and improve the nutritionproblems. Patients are generally given pancreatic enzymes and may need insulin. A low-fat diet may also help.

Serous Cystadenoma Of Pancreas: Causes, Symptoms & Treatment

Serous cystadenoma of pancreas is a benign tumor of pancreas. This cystic neoplasm is made up of several small cysts spread into a honeycomb like appearance. Serous cystadenoma of pancreas is mainly present in women, especially over the age of 60 years. The size of tumor is usually small. This type of cystic neoplasm of pancreas does not produce any signs and symptoms in majority of cases.

If symptoms occur, they are abdominal pain, loss of appetite, and indigestion.

In many patients this tumor is an incidental finding. It is detected accidentally when the patient undergoes radiological tests for some other medical condition. The neoplasm generally is located in body or tail of pancreas. Pancreatic gland is divided into head, body and tail.

Serous cystadenoma of pancreas is a benign tumor.

It does not transform into malignant cancer. Usually no treatment is necessary, unless it gets enlarge in size. In such case the tumor may need surgical removal.

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Causes Of Pancreatic Serous Cystadenoma

Pancreas is an important gland which produces digestive juices as well as insulin and glucagon hormone needed for maintaining optimum level of sugar in the blood. Pancreas is an abdominal organ. Serous cystadenoma of pancreas is an uncommon form of cystic tumor of pancreas.

The exact cause is yet not completely understood. It accounts for approximately 1% of all types of pancreatic tumor. Both males and females can be affected with this tumor; however, there is a strong predilection for females. It usually occurs in people over the age of 60 years.

The particular risk factors for development of serous cystadenoma of pancreas is not known, but common risk factors that attribute development of any pancreatic tumor are also suspected to be the cause. This includes elderly age, cigarette smoking, alcoholism, obesity, poorly controlled diabetes, chronic pancreatitis, exposure to environmental pollutants, and cirrhosis of liver.

Signs And Symptoms Of Serous Cystadenoma Of Pancreas

The signs and symptoms of serous cystadenoma of pancreas depend on its size. Almost one third of patients suffering from this condition do not reveal any symptoms. In majority of cases the size is very small typically less than 10mm. It is a solitary tumor with network of several tiny cysts that gives a morphological appearance of honeycomb. The serous cyst is present in either tail or body of pancreas.

If the serous cystadenoma of pancreas enlarges in its size, it can give rise to following symptoms;

  • Unwarranted loss of weight.
  • Pain in middle of back, exactly just below the space between two scapula.
  • Pain in abdomen
  • Loss of appetite
  • Indigestion
  • Nausea and vomiting
  • A large tumor can cause obstruction in flow of bile and enzymatic juices. This may result in jaundice or yellow discoloration of eyes, skin and nail.
  • When jaundice is present the color of urine becomes dark yellow.
  • There may be black tarry stool. In medical terminology it is referred as malena.

Serous cystadenoma of pancreas is well demarcated tumor. It mostly occurs as a single entity. Its size may be less than 10mm. But the tumor has potential to enlarge in size.

Serous Cystadenoma Of Pancreas Complications

Normally there are no complications associated with serous cystadenoma of pancreas. However, when they occur it is because of its enlarged size. Complications may not be life threatening but often cause extreme discomfort to the patient.

  • A large tumor can cause obstruction in gastric and intestinal motility.
  • It can cause obstruction in the pathway of biliary tract resulting in jaundice.
  • A large tumor can cause interference with the organs located nearby pancreas. This may create problems in the functioning of the affected organ.
  • If the pancreatic cells are destroyed in large numbers due to enlargement of serous cystadenoma, it may give rise to diabetes.

Treatment Of Serous Cystadenoma Of Pancreas

Pancreatic serous cystadenoma is typically small and benign tumor. A giant serous cystadenoma is a rare event. It is more found in females of elderly age. Most patients remain asymptomatic due to the small size and slow growth. Both these factors do not exert pressure on the adjacent organs and tissues. Hence majority of doctors recommend wait and watch approach to the patients. However, regular follow up is always necessary in such cases.

If there is a giant sized serous cystadenoma of pancreas which adheres or infiltrates the nearby tissues causing symptoms, it may need to be removed through complete surgical excision of the growth. Even after surgical removal of the tumor, patient needs regular check up with the doctor. The prognosis of this condition is good with treatment.

Cardiovascular Diseases: Causes, Symptoms & Treatments

What is heart (cardiovascular) disease?

The heart is like any other muscle in body. It needs an adequate blood supply to provide oxygen so that the muscle can contract and pump blood to the rest of the body. Not only does the heart pump blood to the rest of the body, it also pumps blood to itself via the coronary arteries. These arteries originate from the base of the aorta (the major blood vessel that carries oxygenated blood from the heart) and then branch out along the surface of the heart.

When one or more coronary arteries narrow, it may make it difficult for adequate blood to reach the heart, especially during exercise. This can cause the heart muscle to ache like any other muscle in the body. Should the arteries continue to narrow, it may take less activity to stress the heart and provoke symptoms. The classic symptoms of chest pain or pressure and shortness of breath due to atherosclerotic heart disease (ASHD) or coronary artery disease (CAD) are called angina.

Should one of the coronary arteries become completely blocked — usually due to a plaque that ruptures and causes a blood clot to form — blood supply to part of the heart may be lost. This causes a piece of heart muscle to die. This is called a heart attack or myocardial infarction (myo=muscle + cardia=heart + infarction= tissue death).

Cardiovascular disease, for this article, will be limited to describing the spectrum of atherosclerosis or hardening of the arteries that ranges from minimal blockage that may produce no symptoms to complete obstruction that presents as a myocardial infarction. Other topics, such as myocarditis, heart valve problems, and congenital heart defects will not be covered.

Heart Disease: Symptoms, Signs, and Causes

Who is at risk for heart (cardiovascular) disease?

There are risk factors that increase the potential to develop plaque within coronary arteries and cause them to narrow. Atherosclerosis (athero=fatty plaque + sclerosis=hardening) is the term that describes this condition. Factors that put people at increased risk for heart disease are:

  • Smoking
  • High blood pressure (hypertension)
  • High cholesterol
  • Diabetes
  • Family history of heart problems, especially heart attacks and strokes
  • Obesity

Since cardiovascular disease, peripheral artery disease, and stroke share the same risk factors, a patient who is diagnosed with one of the three has increased risk of having or developing the others.

What are the signs and symptoms of heart (cardiovascular) disease?

  • The classic symptoms of angina, or pain from the heart, are described as a crushing pain or heaviness in the center of the chest with radiation of the pain to the arm (usually the left) or jaw. There can be associated shortness of breath sweating and nausea.
  • The symptoms tend to be brought on by activity and get better with rest.
  • Some people may have  indigestion and nausea while others may have upper abdominal, shoulder, or back pain.
  • Unstable angina is the term used to describe symptoms that occur at rest, waken the patient from sleep, and do not respond quickly to nitroglycerin or rest.

Other heart (cardiovascular) disease symptoms and signs

Not all pain from heart disease have the same signs and symptoms. The more we learn about heart disease, the more we realize that symptoms can be markedly different in different groups of people. Women, people who have diabetes, and the elderly may have different pain perceptions and may complain of overwhelming fatigue and weakness or a change in their ability to perform routine daily activities like walking, climbing steps, or doing household chores. Some patients may have no discomfort at all.

Most often, the symptoms of cardiovascular disease become worse over time, as the narrowing of the affected coronary artery progresses over time and blood flow to that part of the heart decreases. It may take less activity to cause symptoms to occur and it may take longer for those symptoms to get better with rest. This change in exercise tolerance is helpful in making the diagnosis.

Often the first signs and symptoms of heart disease may be a heart attack. This can lead to crushing chest pressure, shortness of breath, sweating, and perhaps sudden cardiac death.

What causes heart (cardiovascular) disease?

Heart or cardiovascular disease is the leading cause of death in the United States and often can be attributed to the lifestyle factors that increase the risk of atherosclerosis or narrowing of arteries. Smoking, along with poorly controlled hypertension (high blood pressure), and diabetes, causes inflammation and irritation of the inner lining of the coronary arteries. Over time, cholesterol in the bloodstream can collect in the inflamed areas and begin the formation of a plaque. This plaque can grow and as it does, the diameter of the artery narrows. If the artery narrows by 40% to 50%, blood flow is decreased enough to potentially cause the symptoms of angina.

In some circumstances, the plaque can rupture or break open, leading to the formation of a blood clot in the coronary artery. This clot can completely occlude or block the artery. This prevents oxygen-rich blood from being delivered to the heart muscle beyond that blockage and that part of the heart muscle begins to die. This is a myocardial infarction or heart attack. If the situation is not recognized and treated quickly, the affected part of the muscle cannot be revived. It dies and is replaced by scar tissue. Long term, this scar tissue decreases the heart’s ability to pump effectively and efficiently and may lead to ischemic cardiomyopathy (ischemic=decreased blood supply + cardio=heart + myo=muscle + pathy=disease).

Heart muscle that lacks adequate blood supply also becomes irritable and may not conduct electrical impulses normally. This can lead to abnormal electrical heart rhythms including ventricular tachycardia and ventricular fibrillation. These are the heart arrhythmias associated with sudden cardiac death.

What lifestyle changes can a person make to prevent further heart disease or heart attack?

The goal of treating cardiovascular disease is to maximize the person’s quantity and quality of life. Prevention is the key to avoid cardiovascular disease and optimize treatment. Once plaque formation has begun, it is possible to limit its progression by making these lifestyle changes:

  • Maintain a healthy lifestyle with routine exercise
  • Quit smoking
  • Eat a heart healthy diet
  • Aim for lifetime control of high blood pressure, high cholesterol, and diabetes.

What is the medical treatment for heart (cardiovascular) disease?

  • An aspirin may be used for its antiplatelet activity, making platelets (one type of blood cells that help blood clot) less sticky and decreasing the risk of heart attack. The decision to use aspirin routinely depends upon whether other risk factors for heart disease are present.
  • Medications may be prescribed in patients with heart disease to maximize blood flow to the heart and increase efficiency of the pumping function of the heart.
  • Beta blocker medications help block the action of adrenaline on the heart, slowing the heart rate. These medications also help the heart beat more efficiently and decrease the oxygen requirements of the heart muscle during work.
  • Calcium channel blockers also help the heart muscle contract and pump more efficiently.
  • Nitrates help dilate arteries and increase blood flow to the heart muscle. They may be short-acting (Nitrostat) to treat acute angina symptoms or long-acting preparations (Imdur) may be prescribed for prevention.
  • Should there be significant stenosis or narrowing of the coronary arteries, angioplasty and/or stenting (described above) may be considered to open the blocked areas. These procedures are performed in conjunction with cardiac catheterization. Depending upon the patient’s anatomy and the extent of the blockage present, coronary artery bypass graft surgery (CABG) may be required.
  • If a stent is placed, other antiplatelet medications like clopidogrel (Palvix) may be prescribed.
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