Posts tagged Sudden

my friend has a sudden extreme loss of weight and appears to be very emaciated and dehydrated.?

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Question : my friend has a sudden extreme loss of weight and appears to be very emaciated and dehydrated.?
he says he has diabetes and they haven’t been able to regulate his insulin. 6 month ago he appeared to be fine,even a little chubby. Can this happen this fast? Can drugs cause diabetes like this.?
diabetes weight loss drug

Best answer:

Answer by greg j
I think you mean “haven’t been able to regulate his glucose”. There are a lot of variables but diabetes onset can indeed cause a lot of the symptoms you describe. Actually, all of those things happened to me.

Weight loss comes from the body not being able to absorb glucose (insulin resistance) and turning instead to fat energy reserves. This is the leading cause of ketoacidosis. The brain and heart both run almost exclusively on glucose.

Dehydration, I am told, is from the kidneys being overwhelmed by the high blood glucose levels and flushing out what it can (frequent urination). Constant thirst results as well.
I have no idea about the drugs.

Tell him to talk to a doctor etc. etc. etc.

Should I be concerned with sudden heartburn symptoms?

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Question : Should I be concerned with sudden heartburn symptoms?
Suddenly, without change in diet or behavior, I am getting mild heartburn after everytime I eat. What could cause this? What do I do to get this to stop?
I am 24 and I am not overweight. I have a normal BMI.
heartburn symptoms

Best answer:

Answer by techman
depends a lot on your age, health, weight etc. However make sure you drink plenty of plain water to help dilute the acid in the stomach and avoid spicy and rich foods.
Do not lie down soon after eating and it’s better to have a large meal at noon and less at night.
Heartburn is often mistaken for heart prooblems so you would be wise to have a GP check it out.

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Sudden Infant Death Syndrome (SIDS)

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Sudden Infant Death

* What is SIDS? cigarette smoke
* for SIDS
* Safe Sleeping connected
* safe places for />
safe sleep * * clothes
* FAQ

What is SIDS?
Sudden Infant Death Syndrome (SIDS), formerly known as “sudden infant death knows, refers to the sudden, unexpected death of a baby with no known cause. I had to put this page together for SIDS to prevent other families experiencing the pain of my family when I lost my brother SIDS. The number of SIDS babies die of SIDS decreases and this is due to researchers worldwide to educate parents and caregivers, always place a baby on her back with her bare head and face and maintaining sleep a smoke free environment. To give you an example of supporting education, while the Australian Bureau of Statistics show that 500 babies had died of SIDS in 1989 and 2003 the number reduced to 73 children. So please read the information contained in this fact sheet and will reduce the number of others.

SIDS is the most common cause of death in babies between one month and one year, but most babies who die of SIDS are under six months. More babies die of SIDS in winter than in summer. To date, the cause of SIDS remains unknown and there is no way to predict where it will have babies. But what has been discovered that certain factors appear to reduce the risk of SIDS. As parents aware of these factors were first introduced by the various curricula of researchers SIDS, SIDS has decreased and is projected to decline further.

Babies and young children spend much of their time sleeping, so you should be aware that certain rules are not sleep safely and may increase the risk of sudden death sleep to serious accidents. The research has important ways to reduce the risk of SIDS and found a safe sleeping environment for babies and toddlers. This fact sheet provides information to help you create such an environment for your baby or child.
cigarette smoke
SIDS smoke cigarettes are harmful to babies before and after the combination, they are born. parental smoking, increase during pregnancy and after the birth of her baby is at risk of SIDS for their baby. In fact, if the mother smokes, then the risk of SIDS doubles, and if the father smokes again doubled. It is still an increased risk of SIDS if the parents smoke outside, away from the child and the parents co-sleep with their babies, smoking the risk of SIDS will be increased again. The reasons are not clear. However, we know that a non-smoker and non smoker least reduce the risk to your baby. Do not try to let anyone smoke near your baby and try not to let anyone smoke passes into your home, car or anywhere else your baby time.

If you want to quit, and you’re not easy to find, ask for help. Call the hotline in local testing or ask your doctor, midwife or nurse for health information and advice for children.

secure a small baby sleeping on his back, the risk of SIDS. The chance of babies dying SIDS is greater if they sleep on their stomachs or sides. Healthy babies able to sleep on their backs even less likely to choke if they vomit when babies sleep on their stomach expected.

babysitters, nannies, childcare staff and others who can take care of your baby does not know that stomach sleeping side and increase the risk for SIDS . Explain that before you leave your baby in her care.

older Baby turn around, and can move, the bed should lie on his back, but they should find their own sleeping position. The risk of sudden death in babies over six months is extremely low, but still there, so please continue to practice the habits of sleep safely.

Make sure your child’s face and head uncovered, while leaving your baby sleeps. A good way to do this is your baby’s feet at the bottom of the bed lay, so they can not slip under the covers. Tuck in bedding securely so they can not solve. Never duvets, comforters, blankets, pillows, bumpers or lambskin in a bed or under the sheet covering the mattress. It is thought to increase the risk of SIDS. You can choose to use a sleeping bag securely to help your baby bedding available, but they should be used with the litter and not as an alternative to the use of beds. (For more information please my secure beds Guide) If you do this, you use a secure sleeping bag make sure the neck and armholes like that I recommend.

As a baby in an adult bed can be dangerous because the baby could get stuck under mattresses or cushions adults. The baby could also could get stuck between the bed and wall, or fall out of bed, or an adult role on the child when they sleep deeply or have used drugs or alcohol.

Tips:

* Make sure your child’s head remains uncovered during sleep.
* Do not put your baby to sleep on a waterbed or beanbag.
* belly play is safe and good for babies when they are awake and an adult is present, but never to sleep your baby on his stomach.
* Place your baby to sleep on their backs.
* Use a stable, clean, well-fitting mattress. The pass to test the steady hand. Put your hand on the mat and press tight. If you remove your hand and you can see traces of this mattress is not safe for a baby to sleep.
* Enter your baby bedding set.

safe places to sleep

children Each country has its own standards to look for products for babies and children as you please in your country before they buy a crib. All the beds new and used sold in Australia must comply with Australia / New Zealand Standard, cot (AS / NZ 2172) and bearing a label to say. If it is not possible, the track of the label is not likely to buy the bed.

Read my advice on buying a bed safely.

If you have an older child or particular occasion are, check the following:

* Wobbly or broken parts , make the bed less stable.
* Drinking a small child or baby can get stuck between (must not be less than 50 mm or more than 85 mm).
* Knobs, corner posts or exposed bolts that hook could a small child or baby clothes, especially the neck.
* Too much space (more than 25 mm) between the mattress and the edge of the bed.
* Pages that are too low and go over by active little toddlers. violent
* Sharp catches or holes in wood, prying fingers. may contain
* The old paint, lead toxicity.

babies can get stuck in a bed tilted or rocking the cradle. If you have a rocking chair, cot or bed with a safety pin, make sure to secure the pin in place when your child and have it checked to ensure that the cradle does not move in your absence .

Travel cots They are sometimes called portacots. Always use a firm mattress that comes with the crib and no extra padding or being stuck under the mattress as your baby can create the face in the space between the mattress and the bed wall. to test also the addition or padded foam mattress fitted sheets generally results in the absence of the right side of the mattress. Also, please avoid inflatable mattresses for children, because the mattress could not pass the first test, but later in the night. There is a separate standard, all of which provide a cot bed portable and all, to achieve this standard is used, a label to say. Sleeping is
risks are dangerous things you /> Eighth and avoid as far as your child or your baby sleeps – both during the night and all the time sleeping or napping. both at home and everywhere where your child will be supported Check, including nurseries, kindergartens and homes of friends and family.

bedding safe adult bed unattended can be dangerous for babies or young children because they may get stuck under beds or pillows, wedged between the wall and the bed or fall. The risk of accident is increased if you leave the baby or toddler alone on an adult bed or bunk bed.

Not your baby or toddler in a soft place to sleep, because his face can be covered. If you fall asleep while you’re with your baby on a bed or couch is a very high risk of an accident to sleep. Babies do not need pillows, cushions or tri-pillows, because they are too soft and may cover baby’s face. You will not always bring your baby or toddler on a waterbed or beanbag.
cords or pendants />

heaters and electric heaters or electrical appliances to avoid Keep away from bed to overheating, burns and electric shocks. Do not use electric blankets, hot water bottles or wheat bags for babies or young children. Please note that your child or baby can not cool down from a bed or a bed of flight and do not know how to remove the leaves.

A baby who is too hot or too cold, an increased risk for SIDS. Frequently Asked Questions

1 Is it safe to sleep on my newborn baby on his back, and asked what happens when he vomits?

Yes, you can sleep in infants in good health to be placed firmly on the back. Healthy babies sleep on their backs are less likely to stifle than to sleep on their stomach vomiting children. Some babies with rare diseases, would be forced to sleep on their side or stomach. If you sleep better on the uncertain path to your baby, talk to your doctor or nurse.

Is it safe to sleep on my newborn baby on his back?
And vomit happened? Yes, you can ensure the health of babies sleeping on their backs are established. Healthy babies sleep on their backs are less likely to choke on vomit than tummy-sleeping infants. Some may have children with rare diseases, sleeping on my side or stomach.

babies are placed on the tummy to play?
Yes, the belly play safe and very good for babies when they are awake and an adult is present. Tummy play helps develop the muscles of the arms, neck and back and prepare for the exploration of babies.

is a side-sleeping safe?
Side-sleeping may increase the risk of sudden death, probably because a young baby can roll onto his belly side. A baby can sleep on the back does not roll on her stomach, until about five or six months, has existed as the greatest risk for SIDS.

Is formula feeding increase the risk of sudden death?
There is no consistent evidence to feed the bottle increases the risk of SIDS, or that breastfeeding reduces the risk.

If I get my baby in the same room as me is it the risk of SIDS?
research in New Zealand and the United Kingdom shows a baby sleeping in the same room, but sleep is not in the same bed as parents may be in the first six to twelve months of life measures. This is probably because the parents can easily see the baby and make sure it is secure. This protective effect is not transferred if a baby sleeps in a room with other children, probably because children do not know if a child is safe or not.

Is it allowed to sleep on the couch with my baby?
Some research has shown that SIDS adults can sleep on a sofa with a baby can be dangerous because the baby may be accidentally trapped between cushions or behind the sofa. Put your baby in bed before you go when you feel sleepy sleepy.

will no longer share the bed of the risk of SIDS?
bed sharing does not seem the risk of SIDS for each of the following groups has increased:

* If you feed them to bed and cuddle your baby from being so return to bed.
* If the baby is older than four months.
* If you and your partner are non-smokers. can
If you or your partner smokes />, you sleep with your baby in the first four months increased the risk of SIDS. special circumstances that may increase the risk for all parents, if you or your partner have consumed alcohol or taken drugs that make you sleep better.

sleep If you and your baby, make sure the bedding can not look away and keep away from the pillow. Use lightweight blankets instead of duvets and blankets or placing your baby in a position where there is no danger of falling out of bed or stuck

I’m not sure what to dress my baby before bedtime. What do you suggest?
A useful guide is how to do it baby, undress – comfortable too hot, not hot dress. Conversely, some parents-dress their babies, worrying it will be too hot. Babies in particular keep their cool, especially her face, so make sure you baby face and head remains uncovered and it will remain warm.

hats or caps removed from a baby as soon as you come indoors or enter a warm car, bus or train, even if it means waking your baby . Babies regulate their temperature through the head.

How can you sleep baby?
Recent studies show that if your baby is either too hot or too cold, the risk of SIDS is increased. To avoid this, I guide the beds have security in place for you. Clink here, lead to more secure beds.

Is sucks the risk of SIDS?
Some studies show an apparent decrease in the incidence of SIDS for use with the model but the evidence is not overwhelming and outweigh the other effects of using a dummy that done. An important reason not to use one, is that babies who suck pacifiers with an increased risk of ear infections, which in turn provide a high fever and may require the use of antibiotics (both have their own side effects) tend. />

Most SIDS cases occur when babies are under the age of six months and, in general, babies who are put to sleep on his back can not roll over belly up about five or six months, when most of the danger is past. Do not try to sleep your baby on his belly can, before six months. You can secure your baby in a sleeping bag for baby, because this delay rolling over babies and keep them warmer. My research shows a baby cold rolling to the stomach to warm up in the case study Rylene explained. Click here to read the case study Rylene.

older Baby turn around, and can move, children should be put to sleep on their backs and allowed to find the sleeping position. The risk of sudden death in babies over six months is extremely low.

Remember to define the risk in another way: Make sure the baby is reduced to a solid, well-fitting mattress and tuck in the no coverage when the baby on her stomach. Check her face and head stay discovery during sleep and keep baby smoke free. Make sure it has on the stomach muscles awakened from his upper body closer monitoring.

My grandmother said I should put a hat on my baby five weeks old for him to sleep better. What do you think?
I have heard that a couple of times and I think it will be a fairy tale very dangerous. You need help most certainly not a hat on your baby to sleep as this led to increase your baby overheating and the risk of SIDS. If your baby is too hot and must cool down, then he will need to be able to lose heat through your head. You can put a hat on your baby when you’re outside in the cold are, but to bring him back inside.
Tips:

* Never put in a sleeping bag under the mattress, because they limit movement and your child is unsafe.
* The most important rules to remember having to protect your children from SIDS in a smoke-free pregnancy and surroundings for your baby, and always put a baby to sleep in a sleeping position on the back safely.

Specialists baffled by sudden onset of seizures

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Specialists baffled by sudden onset of seizures
DEAR DR. GOTT: I am writing to find out what you think we shoulddo, because all the specialists are baffled about my husband’sillness. Six months ago, he began to have seizures for no knownreason. He was in ICU for three weeks with a diabetic specialist,an endocrinologist and a neurologist on his case. They ran everytest possible to rule out this or that for the cause of theseizures. All tests …

Read more on The Times-News

Is it possible dyslexia in a sudden 20 years?

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I’m in school. I really struggle to understand a topic from a book. I mean particularly dependent on teacher assistance. I need 3-4 days to get something from a book that meant my friends to understand in 5 minutes. My doctor says that I do not have dyslexia, how it to 3-4 years instead of 20 But I am not convinced.

Sudden Cardiac Death in Sports: Pre-participation Screening of Athletes

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Definition

Sudden death in sport (SD) is defined as natural death that occurs within one hour of onset of symptoms in a fit individual participating in, usually, an elite level sport. Sudden cardiac death contributes to 93% of all sudden deaths in sport. This apparently occurs in a person without previously recognized predisposing cardiovascular conditions. In some instances, pre-existing symptoms may already have been present, but the time and mode of death are unexpected. This excludes cerebrovascular, respiratory, traumatic and drug related causes which are the origin of the other 7% of sudden deaths”. A significant cause of death in contact sports is commotio cordis, which is referred to in one of my other articles.

Incidence

The incidence of SD is estimated to be about one death in 1 in 200000 per year with an average of 300 deaths per year, but the incidence could be higher according to some European studies. An Italian study suggested an incidence of 1. 6 – 2. 3 per 100000 athletes per year (2. 1 per 100000 per year due to cardiovascular causes) and 0. 8. This clearly reflects an increased incidence in athletes.

Symptoms

most of cases are asymptomatic

in the rest, symptoms occurring prior to with SD are

i. angina (chest pain)

ii. dyspnoea (breathlessness)

iii. palpitations (awareness of one’s heart beating)

iv. pre syncope or syncope (light headedness or fainting)

Etiology

Cardiovascular causes of sudden death

- Hypertrophic Cardiomyopathy (HCM)non obstructive, obstructive, ischemic, etc – Valvular disease: Aortic stenosis, Mitral Valve Prolapse

- Coronary artery disease

- Congenital anomalies of coronary arteries

- Idiopathic concentric left ventricular hypertrophy

- Aortic rupture

- Right ventricular dysplasia (ARVC)

- Myocarditis: viral, sarcoidosis, amyloidosis

- Arrhythmias and conduction defects Congenital heart disease: Marfan’s, WPW syndrome

- Pulmonary embolisation

Drugs

- QT interval increasing: cisapride, domperidone,chlorpromazine, haloperidol, pimozide, erythromycin and clarithomycin

- epinephrine, ephedrine, cocaine, etc

- performance enhancing: erythropoietin (hyperviscocity & thrombogenesis) anabolics

Commotio cordis (CC)

sudden impact on the precordium, during a vulnerable period of the cardiac cycle cause ventricular fibrillation and sudden death without any visible injury to the sternum or ribs, e. g. contact sport. In 80% of cases of sudden cardiovascular death in athletes, the cause has been identified to be either hypertrophic cardiomyopathy or arrthymogenic right ventricular cardiomyopathy.

Age considerations

In general, in athletes > 35 years of age, atherosclerotic coronary arterial disease is the leading cause while in those < 35, it is often caused by HCM, a silent cardiac condition which gets unmasked during performance.

Geographic considerations in etiology

In the US, hypertrophic cardiomyopathy is the major cause of SD. In contrast, in Europe, cardiac arrhythmias and abnormal cardiac arterial anatomy is supposed to be the leading cause. An interesting statistic is that of all the sudden deaths in the US, 50% were found to be amongst athletes of Afro-American origin. In Asia, on the contrary, (the Philippines, Thailand, Japan), Brugada syndrome seems to be the most common cause of natural death in men younger than 50 years of age. This relates to cardiac arrest occurring during sleep or at rest and not during a sport performance . An importance observation is these cases had been the reports episodes of nightmares occurring prior to the event. This might suggest a role of the sympathetic nervous system.

Risk Stratification of Sudden Cardiovascular Death

Clinical

a. Double apical impulse with each ventricular contraction

b. Carotid jerky double pulsation, called pulses bisferiens

c. Ejection systolic murmur

Laboratory Investigations

Non-invasive

a. ECG: suggestive of LVH, in addition, there is ST segment depression, gross T wave inversions, pathologic Q waves, and suggestion of LBBB, left axis deviation

b. 2D Echocardiography: to measure the thickness of the Left ventricular wall, and the anatomical variations of the Mitral valve

c. Angio–CT

d. MRI

e. Doppler Study: to access the blood flow through the chambers

f. Ambulatory Holter monitoring Invasive Cardiac catheterization: to assess the pressure gradient between the LV and the ascending aorta, in normal heart there being no such difference

Pre-participation screening / exercise testing of athletes

Overwhelming majority of sports researchers agree on the need for preparticipation screening in sports. it is mandatory in the US and Italy. In Australia, it has been made compulsory in some sports. The American Heart Association has laid down specific recommendations for the screening of athletes. These state that ‘some form of pre- participation cardiovascular screening for high school and collegiate athletes is justifiable and compelling, based on ethical, legal and medical grounds’. Noninvasive testing can enhance the diagnostic potential of the standard history and physical examination; however it is not prudent to carry out routine use of tests as 12-lead ECG, echocardiography, or graded exercise for detection of CV disease in large populations of athletes. The Laussane recommendations have also laid down specific guidelines for pre-screening. However, guidelines by different bodies have given rise to a lot of debate and no single guideline can be considered satisfactory.

Treatment

Usually, the underlying mechanism of sudden cardiovascular death is ventricular fibrillation; hence, as such can be treated with defibrillation. Thus in elite sport, up gradation of sport first aid infrastructure, with routine employment of automated external defibrillators (AEDs) is the need of the hour. Keeping in mind the ABC of resuscitation, the surviving sports person is then transported to a referral heath unit for investigation into the causes of the event. Admission to an ICU for observation or management is usually warranted.

Discussion

In general, a lot of research has been done and a lot written about sudden cardiovascular death related to sport, but thanks to different outcomes of various studies, confusion still prevails about the exact definition of the condition, and indeed, what exactly causes it. Although, we know of conditions which may predispose to sudden death, we cannot as yet, on the basis of screening tests or procedures available, say for sure what condition(s) will definitely lead to sudden death. Hence, the major dilemma surrounding banning athletes from competition. On the one hand, there is the ethical issue of preventing risks that can lead to death, while on the other, there is the thought of banning the athlete when you are not sure if his/her heart condition is indeed a pathologic state. One may argue that taking risks is an inherent part of sports, esp. boxing, car racing, etc but life threatening risks should be a strict ‘no-no’. To conclude, exercise or sport may lead to sudden death but the benefits of exercise far outweigh the risks involved. Even in elite athletes, the risk-benefit ratio is to be taken into consideration when disqualifying him or her from competition. It is of paramount importance to judge whether the left ventricular wall thickness is a measure of physiologic adaptation to exercise or relates to a cardiac pathologic state. Physical exercise per say does not cause cardiovascular death. Does it, then, unmask a cardiac condition to cause a heart attack which otherwise would not have occurred had the person not been exercising or playing sport? That is the question for the medical community to answer. With a society dealing with ever increasing medical conditions associated with a sedentary lifestyle and unhealthy dietary habits, humanity can ill afford to be discouraged from participation in sport or exercising under any pretext unless irrefutable proof of exercise causing death exists.

Dr Deepak S Hiwale
Sports Medic Aberdeen UK
drdeepakhiwale@aol. com

Sudden Hearing Loss from Erectile Dysfunction Drugs (Jan 08)

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FDA has received about 30 reports of sudden hearing loss in patients taking a class of erectile dysfunction drugs called PDE5 inhibitors. This class of drugs includes Viagra (sildenafil), Cialis (tadalafil) and Levitra (vardenafil). The problem was sometimes accompanied by tinnitus, vertigo, or dizziness. In most cases the hearing loss involved one ear, and about a third of the time it was temporary. Medical follow-up information was often limited for the reported cases, which makes it difficult to determine whether these reports are directly related to the use of one of these drugs, an underlying medical condition, or other risk factors for hearing loss, a combination of these factors, or other factors. FDA has asked the manufacturers of these erectile dysfunction drugs to display the risk of hearing loss more prominently in the labeling, and to guide patients on what to do if they experience hearing problems while they are on the drugs. The revised label will advise clinicians to let patients know that sudden hearing loss may be due to the drug, and to stop taking the drug and seek medical attention if they experience any sudden decrease or loss of hearing. Another PDE5 inhibitor, Revatio, also contains sildenafil, the same active ingredient as in Viagra. However, Revatio is used to treat pulmonary arterial hypertension rather than erectile dysfunction. FDA is working with the manufacturer of this drug to revise its labeling, too. Because pulmonary hypertension is a . . .

Sudden Hearing Loss from Erectile Dysfunction Drugs

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FDA has received about 30 reports of sudden hearing loss in patients taking a class of erectile dysfunction drugs called PDE5 inhibitors. This class of drugs includes Viagra (sildenafil), Cialis (tadalafil) and Levitra (vardenafil). The problem was sometimes accompanied by tinnitus, vertigo, or dizziness. In most cases the hearing loss involved one ear, and about a third of the time it was temporary. Medical follow-up information was often limited for the reported cases, which makes it difficult to determine whether these reports are directly related to the use of one of these drugs, an underlying medical condition, or other risk factors for hearing loss, a combination of these factors, or other factors. FDA has asked the manufacturers of these erectile dysfunction drugs to display the risk of hearing loss more prominently in the labeling, and to guide patients on what to do if they experience hearing problems while they are on the drugs. The revised label will advise clinicians to let patients know that sudden hearing loss may be due to the drug, and to stop taking the drug and seek medical attention if they experience any sudden decrease or loss of hearing. Another PDE5 inhibitor, Revatio, also contains sildenafil, the same active ingredient as in Viagra. However, Revatio is used to treat pulmonary arterial hypertension rather than erectile dysfunction. FDA is working with the manufacturer of this drug to revise its labeling, too. Because pulmonary hypertension is a . . .

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