Health Life

Lisa Mannix, MD, is a neurologist in private practice in Cincinnati.

Q: What are the signs that your doc primary care is not taken seriously your headaches?

A: The primary care providers are extremely busy and they need to know such a huge amount of turmoil and treatment. It is part of the patient’s responsibility to help them take seriously. Provide schedules head, face and ask questions about drugs or new drugs, asking “Am I someone who must see a specialist headache?” They May be very grateful and you refer. Party it is to take you seriously as well.

Q: Why is it that we understand so little about what precisely causes headaches?

A: Is not it amazing? We try to understand. The sensitivity of the nervous system works better when there is stability in its internal environment. The concept is that nerves are triggered by pulling excitable because they are at a lower threshold.

Q: Do you think that it is increasingly aware that headaches are a serious health condition?

A: I think there is, and I think that is because we have the science behind it now. Headaches have been designed by your entire head. Organizations like the National Foundation headaches are helping them. We had an increase in public figures, sports celebrities, television and film personalities who have been willing to go out and talk about their migraines. That all aware, but I think we have a long way to go.

Q: Headaches term in families?

A: Absolutely. If a parent has migraine, it is 50% chance their child will receive a migraine, if both parents do, luck is 75%. We do not know what gene or genes it is. It is a little migraine type that we found genes. It is a beginning. It certainly tells us that this is a genuine neurological disease that you inherit from you and what is probably inherit this sensitive region of the nervous system.

Q: How would you advise people with headaches to seek treatment?

A: First I would like to encourage them to seek treatment. Often, people say it’s just a headache, or is not a life-threatening, or my mother or aunt had to seek treatment years ago and they could not do anything for she. We can do much more now. They deserve to get a diagnosis and appropriate treatment. Many people are willing to forgo a day’s work and stay in bed but do not see it as important enough to go to the doctor. If they were a bleeding cut, they go to the doctor.

They can certainly start with their care provider first line, that is where most people take these types of complaints. It is better to start to see your primary care doctor in their offices rather than in the emergency room. Be proactive about this.

Q: If a treatment does not work, you should try another?

A: You must try, because we do not know everything about the disorder. Some people May be better with a class of drugs or the type of treatment than the other, and we have not been able to predict who will work well with what. On one side of prevention are really only three or four drugs that are approved by the FDA, but headache patients try some off-label medications or a combination of medications until they find one who is most to them. May Realize that you have side effects, but we have to balance that with the advantage of not being affected by severe headaches the most.

Learn more about headaches

* What happens during a migraine
* When a headache is an emergency
* The checklist trigger migraine

In collaboration with your healthcare provider and providing feedback is important: “I’m having a lot of side effects with this drug.” “I’ve been on this for several months, should we change?” Or “I’m doing really well, what is our next step?”

Q: What is the most important thing you can do as a patient to reduce your headaches?

A: A headache calendar is an incredibly powerful tool so you can check how often the headaches are there, triggers potential drugs that work well for you and those who do not. The other thing I would mention is provided that consistency and stability that the needs of the nervous system: eat and sleep on a regular schedule, reducing caffeine, exercise regularly. You can not control things like weather and hormones, but you can control what time you get up and what time you go to bed. From there, you can add medicines and alternative therapies. But you must begin with you, it’s your nervous system that you and the contractor are trying to protect and you are the first line of defence.

Q: What is the most exciting recent discovery in migraine?

A: The most important thing is that this is a real neurological disorder. Science is now supported by sound. With better imaging techniques, one can actually see the brain. If someone has a migraine, MRI does not show anything, and there is no blood test, you can do. Thus, it is difficult to see what happens in the brain. Research is better to see the electricity and neurological changes that occur during a headache. PET scanner shows us where the brain is active, functional MRI shows you what’s happening in different parts of the brain and in the excitability of neurons. That all supports the presence of headaches, which leads to treatment. As we understand better, we can develop treatments to target what happens.

Q: Does everybody who have migraine is triggered?

A: Everyone has triggered migraine. It is a question of identifying triggers. This may be the hardest. The triggers tend to be changes in weather conditions, hormones, stress, sleep cycle, but May not be the same for each person. Triggers may be additive you have a glass of red wine and you stay late, you get a migraine, but if you just take a glass of wine, not you May.

It is important to realize that hormones or foods you eat do not cause headache. They activate a nervous system, which is subject to headaches. There is no 50 different causes of migraine. It is a predisposition to migraine and 50 different triggers that can Set It Off.

Q: Why is it that a woman’s menstrual cycle affect the frequency of headaches?

A: The fall of menstruation before estrogen is a very powerful and predictable trigger. For many women, which is a very consistent trigger each month. When we check hormone levels in women who have migraine, it is not that their levels are higher or lower or different in any way, is how their nervous system reacts to change in hormone levels.

Q: Is there a promise in the use of Botox to treat migraines?

A: Botox is not approved by the FDA for the treatment of migraine, but it is under consideration. People with migraine who were Botox for other reasons have reported that their headaches are better. It is used off-label at the moment. For some patients, it can be very effective. It is a matter of determining which patients May well with it, partly because it is an expensive treatment.

Q: When someone has to seek emergency treatment for a headache?

A: There are several warning signals for a headache indicating a serious problem: The worst headache you’ve ever had, if the headache is accompanied by symptoms of nervous system, such as loss of vision, numbness on one side of the body, unconsciousness, it comes with a high fever or stiff neck, which may mean something like meningitis. We worry about headaches among children under 5 years and new headaches among people over 50 years. At this point, you worry that there is another cause that might be a brain tumor or stroke, because the risk increases by more than 50 years. The headaches that persist after head injury must be verified.

Pain in Your Head

What is cervical cancer?

Cervical cancer occurs when abnormal cells to cervixClick here to see an example. grow out of control. On the cervix, the lower part of the uterus, which opens in pochva. Cervical cancer can often be cured when detected earlier. It is usually found at a very early stage through a Pap test.
What causes cervical cancer?

Most cervical cancer is caused by a virus called the human papillomavirus, or HPV. You’ll get HPV, which have sex with someone who has it. There are many types of HPV virus. Not all types of HPV cause cervical cancer. Some of them cause genital warts, but other species may not cause any symptoms.

You can have HPV years and knows it. It stays in your body and can lead to cervical cancer years after the attack. This is why it is important to have regular Pap tests. A Pap test can find changes in cervical cells before they turn to cancer. If you consider these changes of cells, can prevent cervical cancer.
What are the symptoms?

Abnormal cervical cell changes rarely cause symptoms. But they may have symptoms, if these changes cells grow into cervical cancer. Symptoms of cervical cancer may include:

* Bleeding from pochva it is not normal, or change in your menstrual cycle, that you can not explain.
* Bleeding when something comes into contact with your cervix, for example, when sex, or when they get into the diaphragm.
* Pain in sex.
* Vaginal discharge, which is tinged with blood.

How is it diagnosed with cervical cancer?

As part of its regular pelvic exam, you should have a Pap test. During the Pap test the doctor scrapes a small sample of cells from the surface of the cervix to look for cell changes. If the Pap test shows abnormal cell changes, your doctor can do further tests to look for precancerous or cancer cells in your cervix.

Your doctor may also make a Pap test and take a sample of tissue (biopsii), if you have symptoms of cervical cancer, such as bleeding after sex.
How is it treated?

Cervical cancer, which is caught early can usually be vyléčen. If the cancer is caught very early, you still may be able to have children after treatment.

Léčbě for most stages of cervical cancer removes the cancer and gives you can not have children. These adjustments include:

* A. the removal of the uterus and pelvic lymph nodes with or without the removal of both ovaries and vejcovody.
* Radiation therapy.
* Chemoterapií.

It depends on how much cancer has increased, it is possible that one or more treatments. And you may have a combination of treatments.

It’s common to feel fear, sad, or naštvaná after finding that you have cervical cancer. Talking others who had the disease can help you feel better. Ask your doctor about support groups in your area. You can find people online who will share their experience with you.
Karcinomu cervical čípku can be prevented?

PAP test is the best way to find cervical cell changes that can lead to cervical cancer. Regular Pap tests almost always show these cell changes before they turn to cancer. It is important to establish with your doctor for any abnormal Pap test result to treat abnormal cell changes. This can help prevent cervical cancer.

The new vaccine called Gardasil protects against four types of HPV, which together cause most cases of cervical cancer and genital warts. They get three shots over 6 months. The vaccine is recommended for girls 11 to 12 years. It is also recommended for women 13 to 26 years who did not get the vaccine when they were younger.

Viru that causes cervical cancer is spread through sexual contact. The best way to avoid obtaining a sexually transmitted disease is not sex. If you have sex, safer sex practices, such as using condoms and limiting the number of sex partners you have.

Cervical Cancer

What is asthma?

Asthma causes swelling and inflammationClick here for a picture. in the airways, leading to your lungs. When asthma exacerbations, the airways tighten and become smaller. This keeps the air by using easy and makes it difficult for you to breathe. This flare-ups are also known as asthma attacks or exacerbations.

Asthma affects people in different ways. Some people only have asthma attacks during allergy season or when they breathe in the cold air, or when they exercise. Others have many bad attacks that send to the doctor frequently.

Even if you have little asthma attacks, you have yet to treat your asthma. The swelling and inflammation in the airways can lead to permanent changes in your airways and damage to your lungs.

Many people with asthma active life, full of life. Although asthma is a lifelong disease, treatment can control it and keep you healthy.
What are the causes of asthma?

Experts do not know exactly what the causes of asthma. But there are some things we do know:

* Asthma runs in families.
* Asthma is much more common in people with allergies, although not everyone with asthma, allergies. And not everybody with asthma have allergies.
* Pollution can cause asthma or make it worse.

What are the symptoms?

The symptoms of asthma can be mild or severe. You may have a mild attacks now and then, if you have severe symptoms every day, whether you have something in between. How often you have the symptoms may also change. If your asthma, you may:

* Wheeze, making a loud or soft whistling sound that occurs when you breathe in and out.
* Cough much.
* Feel tightness in the chest.
* Feel short of breath.
* Do you have trouble sleeping because of coughing or having a hard time breathing.
* Quick tired during the exercise.

Your symptoms may worsen at night.

Severe asthma attacks can be life threatening and should urgently needed care.
How is the diagnosis asthma?

Along with doing a physical exam and questions about your health, your doctor for lung function tests. These tests include:

* Spirometrie. Doctors use this test to diagnose and keep asthma. It measures how fast you can move and in the air from your lungs and how much air you move.
* Peak expiratory flow (PEF). This shows how fast you can exhale as your hardest.
* An exercise or inhalation challenge. This test measures how fast you can breathe after exercise or after taking a medicine.
* A chest x-ray to see if another disease is the cause of your symptoms.
* Anti-tests, if your doctor thinks that your symptoms may be caused by allergies.

You should routinely check with your doctor to keep track of your asthma and decide on treatment.
How is it treated?

There are two parts to the treatment of asthma. The objectives are:

* Control of asthma in the long term. To do this, use a daily treatment of asthma. This is a written plan that tells you what medication to take. It also helps you know your symptoms and how well the treatment works. Many people take controller medicine-usually an inhaled corticosteroid each day. Taking medication for each day helps to reduce the swelling of the airways and preventing attacks. Your doctor will show you how to use your inhaler correctly. This is very important, so you the correct amount of medicine to help you breathe better.
* Treatment of asthma attacks when they occur. Use an asthma action plan that tells you what to do if you have an asthma attack. It helps you to identify triggers that can cause your attacks. You make use of rescue medicine, such as albuterol, during an attack.

If you need to use the rescue inhaler more frequently than normal, talk to your doctor. This is a sign that your asthma is not controlled and can cause problems.

Asthma attacks can be life threatening, but you could avoid them if you have a plan. Your doctor can learn the skills that you need to use your asthma treatment and action plans.
How can you prevent asthma attacks?

You can prevent some asthma attacks by avoiding those things that they cause. These are called triggers. A trigger can be:

* Prikkelende in the air, such as cigarette smoke or other air pollution. Do not smoke, and try to avoid being the other if they smoke.
* What you are allergic to, such as pet dander, dust mites, cockroaches, or pollen. If you can, to prevent these things you are allergic to. It can also help in taking certain types of allergy medicine.
* Exercise. Ask your doctor about the use of an inhaler before you exercise if this is a trigger for you.
* Other things like dry, cold air, an infection, or some medicines such as aspirin and other nonsteroidal anti-inflammatory drugs (NSAIDs). Try not to use outside as the cold and dry. Talk to your doctor about vaccines to prevent certain infections, and questions about the medicines you should avoid.

Sometimes you do not know what triggers an asthma attack. Therefore it is important to have an asthma action plan that tells you what to do during an attack.

Asthma

What is allergic rhinitis?

Allergic rhinitis, often called allergies or hay fever, occurs when your immune system overreacts to particles in the air you breathe you are allergic to them. Your immune system attack the particles in your body, causing symptoms such as sneezing and a runny nose. The particles are called allergens, which simply means they can cause an allergic reaction.

People suffering from allergies generally have symptoms for many years. You have symptoms May often during the year, or only at certain times. May You also get other problems such as sinusitis and ear infections as a result of your allergies.

Over time, allergens May begin to affect Unless you, your symptoms and May not be as severe as they had been.
What are the symptoms of allergic rhinitis?

In most cases, when you’re allergic rhinitis:

* You sneeze again and again, especially after you wake up in the morning.
* You have a runny nose drip and postnasal. The drainage of a runny nose caused by allergies is usually clear and fine. But May it become thicker and cloudy yellowish or if you get a nasal or sinus infection.
* Your eyes are watery and itching.
* Your ears, nose and throat are itching.

Allergens which often cause allergic rhinitis?

You probably know that pollen from trees, grasses, weeds and cause allergic rhinitis. Many people have allergies to dust mites, animal dander, cockroaches, molds and so. Things in the workplace, such as seed, wood dust, chemicals, laboratory animals and can also cause allergic rhinitis.

If you are allergic to pollen, you have symptoms May only at certain times of the year. If you are allergic to dust mites and allergens inside, you have symptoms May all the time.
How is diagnosed allergic rhinitis?

To find out if you have allergies, your doctor will ask questions about your symptoms and examine you. Knowing what you have symptoms, when you get them, and what makes them better or worse may help your doctor if you have allergies or another problem.

If you have severe symptoms, May you have an allergy tests to find out what you are allergic.

* Your doctor May make a skin test. In this test puts your doctor a small amount of allergen in your skin to see if it causes an allergic reaction.
* Your doctor to May laboratory tests. These tests can find substances in the blood or other fluids May means that you have allergic rhinitis.

How is it treated?

There is no cure for allergic rhinitis. One of the best things you can do is avoid what causes your allergies. May You should clean your house often to get rid of dust, animal dander, or mold. May Or you need to stay indoors when the pollen is high.

Unless you have another health problem such as asthma, you take over May-the-counter medications to treat your symptoms at home. If you have another problem, talk to your doctor. Others who also should talk to their doctor before starting self-treatment of the elderly, children and women who are pregnant or nursing.

If treatment at home do not contribute more or consumption of drugs make you sleepy or cause other side effects that bother you, your doctor may prescribe drugs. These drugs can relieve your allergy symptoms with fewer side effects than the medications. May You have to try several drugs before finding one that works for you.

If your allergies bother you a lot and you can not avoid what you are allergic, you and your doctor can decide if you need to get allergy shots (immunotherapy) to help control your symptoms. For allergy shots work, you need to know what you are allergic.

Finding the treatment that suits you best May take a little time.

Allergic Rhinitis

Feeling anxious or nervous is a normal part of everyday life. While the world frets feel anxious or occasionally. Mild to moderate anxiety can help you focus your attention, energy and motivation. If the anxiety is severe, May you have feelings of helplessness, confusion, anxiety and extreme that are out of proportion with the seriousness or the likelihood of the event feared. Incredible anxiety that interferes with daily life is not normal. Such anxiety May be a symptom of another problem, such as depression.

The anxiety can cause physical and emotional symptoms. A specific situation or fear can cause some or all of these symptoms for a short period of time. When the situation passes, the symptoms usually disappear.

Physical symptoms of anxiety include:

* Tremor, twitching or shaking.
* Feeling of fullness in the throat or chest.
* Breathing or rapid heartbeat.
* Mild or dizziness.
* Perspiration or cold, clammy hands.
* Feeling jumpy.
* A muscle tension, pain, or pain (myalgia).
* The extreme fatigue.
* Sleep disorders, such as the inability to fall asleep or staying asleep, early awakening, or agitation (do not feel rested when you wake up).

The anxiety of the part of the brain that helps control how you communicate. It is therefore more difficult to express yourself creatively or function effectively in relationships. Emotional symptoms of anxiety include:

* Agitation, irritability, feeling or the periphery or seizure.
* Worrying too.
* Fearing that something bad is going to happen; feeling doomed to failure.
* Inability to concentrate, feeling that your mind is empty.

Anxiety disorders

Anxiety disorders occur when people have both physical and emotional symptoms. Anxiety disorders interfere with how a person is at the same time that other and affect daily activities. Women are twice as likely as men to have problems with anxiety disorders. Examples of anxiety disorders including panic attacks, phobias, obsessive-compulsive disorder and post-traumatic stress disorder (PTSD).

Often the cause of anxiety disorders is not known. Many people with an anxiety disorder say they felt nervous and anxious all their lives. This problem can occur at any age. Children who have at least one parent with a diagnosis of depression are more than twice as likely to have an anxiety disorder than other children.

Anxiety disorders often occur with other problems, such as:

* Mental health problems such as depression or drug addiction.
* A physical problem such as heart or lung disease. A full medical examination May be needed before an anxiety disorder can be diagnosed.

Crises panic

A panic attack is a sudden feeling of extreme anxiety or intense fear, without a cause or when there is no danger. Crises are frequent panic. They sometimes occur in normal, healthy people and usually last for several minutes.

Symptoms include feelings of dying or losing control of yourself, rapid breathing (hyperventilation), and a racing heart. You feel dizzy May, sweat, or fragile. Other symptoms include difficulty breathing, chest pain or tightness, and an irregular heartbeat. These symptoms occur suddenly and without warning.

Sometimes, symptoms of a panic attack are so intense that the person concerned that he or she is having a heart attack. Many of the symptoms of a panic attack can occur with other diseases such as hyperthyroidism, heart disease, or chronic obstructive pulmonary disease (COPD). A full medical examination May be needed before an anxiety disorder can be diagnosed.

People who have repeated panic attacks and unexpected concern over the attacks would have a panic disorder.
Phobias

Phobias are extreme and irrational fears that interfere with daily life. People with phobias have fears that are out of proportion with real danger. And while these people are aware that their fears are not rational, they are not able to control them.

Phobias are common and are sometimes with other conditions, such as panic disorder or disorder Tourette. Most people respond to phobias avoiding the situation or object that makes them feel panic (avoidance behavior).

A phobic disorder occurs when the avoidance behavior becomes so extreme that it interferes with your ability to participate in your daily activities. There are three main types of phobic disorders:

* The fear of being alone or in public places where help might not be available or can not avoid (agoraphobia)
* The fear of situations where the individual can be exposed to criticism by others (social phobia)
* The fear of things (specific phobia)

Review the emergency and check your symptoms sections to determine if and when you need to see a doctor.

Anxiety

Call a doctor if:

* Are you concerned about your child or your acne.
* Your acne worsens or does not improve with treatment at home.
* You’ve tried the treatment at home from 6 to 8 weeks, and your acne has not improved.
* You develop scars or marks after acne heals.
* Your buttons become big and strong and filled with liquid.
* You start to have other physical symptoms such as the growth of facial hair in women.
* Your acne began when you started a new medication prescribed by a doctor.
* You’ve been exposed to chemicals, oils or other substances that cause the skin to leave.

You want May to seek medical assistance sooner if there is a strong family history of acne, you are emotionally affected by acne, or you develop acne at a younger age ..

Doctor

What is vulgar acne?

The acne vulgaris, or acne, skin is a problem that starts when oil and dead skin cells clog up your pores. Some people call black spots, whiteheads, buttons, or zits. When you have just a few red spots, or buttons, you have a mild form of acne. Severe Acne can mean hundreds of buttons that can cover the face, neck, chest and back. Or, it may be bigger, stronger, red pieces that are painful (cysts).

Most young people at least mild acne. It is generally better after adolescence. But many adult women have acne in the days before their menstrual period.

How you feel about your acne May not be linked to the way it is bad. Some people with severe acne are not embarrassed by it. Others are embarrassed or upset, even if they only have a few buttons.

The good news is that there are many good treatments that can help you get acne under control.
What causes acne?

Acne begins when oil and dead skin cells clog pores. If the seeds enter the pores, the result can be swelling, redness, and pus. See a photo buttons formClick here to see an illustration ..

For most people, acne begins during adolescence. The reason is that hormone changes make the skin more oily starts after puberty.

You do not have acne to eat chocolate or fatty foods. But you can make it worse by using oily skin products that clog your pores.

The acne can run in families. If one of your parents had severe acne, you’re more likely to do so.
What are the symptoms?

The symptoms of acne whiteheads, blackheads and buttons. These may occur on the face, neck, shoulders, back or chest. What buttons are large and deep are called cystic lesions. These can be painful if they are infected. They can also scar the skin.
How is treated acne?

To help control acne, keep your skin clean. Avoid skin products that clog your pores. Look for products that say “noncomedogenic” on the label. Wash your skin once or twice a day with mild soap or acne wash. Try not to rub or choose your buttons. This may make them worse and can cause scars.

If you have just a few buttons to deal with, you can get an acne cream without a prescription. Look for one that has benzoyl peroxide or salicylic acid. These work best when used only how the label said.

It may take time to get acne under control. Continue to use the same treatment for 6 to 8 weeks. May You will notice that even before it gets better. If your skin is not better after 8 weeks, try another product.

If your buttons are really worth scars or you are at your skin, consult your doctor. An order freezing or cream for the skin May be just what you need. Your doctor also order May pills to antibiotics. A mixture of May more effective treatments. If you are a woman, to take certain contraceptive pills May help.

If you have acne cysts, talk to your doctor of medicine stronger. The isotretinoin (Accutane) such as works very well, but it can cause birth defects. And using Accutane May be associated with depression. Let your doctor if you have had depression before taking this medicine. And if you are a woman, you have to protect against pregnancy by using two forms of birth control. Even a dose of this drug may cause birth defects if a woman takes when she is pregnant. You can not take isotretinoin if you are breast-feeding.
What can be done about acne scars?

There are skin treatments that can help with acne scars look better and feel smoother. Ask your doctor. The best treatment for you depends on the severity is healing. You can have scar tissue removed or have a plan of collagen. Collagen smooth a scar punctuated by plumping up under the skin. May You get the best results with a combination of treatments.

Acne