Monday, 30 May 2011

Know your Chest Pain to day

Coronary artery disease (CAD) is the leading cause of death in America. Each year hundreds of thousands of Americans die from heart disease. Many people have no idea they even have CAD. The first indication, many people have heart disease is, in fact, when they have a massive heart attack, or even worse, experience sudden cardiac death.


Chest pain is one of the characteristics of CAD. Some people (such as women or diabetics) can be serious heart disease, or even suffer a heart attack with any chest pain! Most instances of chest pain is not related to the heart. Other common causes of chest pain, spasm includes esophagus heartburn and chest wall pain (e.g. a tense muscles from lifting the furniture). While the list of potential causes of chest pain is rather long, is the purpose of this article can help you consider your symptoms in detail, so you can transfer these symptoms to your doctor. When you experience chest pain, think about the following issues. (If you have severe chest pain or are at high risk for having a heart attack, call 911.)


1. how often have you pain?


2. how long last episodes of pain?


3. the pain radiate anywhere, as the shoulders, neck or jaw?


4. you experience shortness of breath, nausea, heart racing, dizziness or sweating with chest pain?


5. What things to bring on the pain and what makes it go away?


6. what position is the most comfortable for you when you are experiencing pain?


7. Have any of your close blood relatives had a heart attack, and if yes, as if they were and what were their approximate age, when they had their first attack?


8. you smoke? Have you ever smoke in the past, and if so, how much?


9. have you ever been told you have a high cholesterol level?


10. to take a deep breath or cough affect pain?


11. pressing on your chest render the same type of pain?


12. Is pain pressure or press sensation sharp, achy, burning or boring?


13. have you cough recently?


14. Affects food pain? If Yes, how it affects the pain?


15. have you belching or passing gas more than usual?


16. What have you tried for pain? It seemed, and if so, how long did it take to get the emergency aid and for how long did the exemption last?


17. Is pain at its worst on its disease or as time moves on?


18. have you ever been diagnosed with asthma?


19. Is there any pain in the breasts?


You can still learn more on www.health.com  and  www.medicinenet.com for more information.

Wednesday, 25 May 2011

Lung Abscess-a preventable pulmonary Disorder

Localized lesion in the lung is called suppurative lung abscess. Tuberculous and ' cystic cavities, is taken into account even though secondary infection by pyogenic organisms, usually not under this term.


Reasons
1. Aspiration pneumonia: Aspiration of stomach contents or materials from the upper respiratory tract occurs in a coma, anaesthesia or deep sleep.
2. other types of Pneumonias
3. systemic pyemia
4. secondary infection of pulmonary Infarcts
5. Necrosis and infection of bronchogenic Carcinoma
6. spread of amoebic liver abscess and primary pulmonary amoebiasis
7. Bronchial obstruction leads to abscess formation distally.


Impairment of cough due to painful conditions in the chest or in the post-operative period and conditions that impair Ciliære function (heavy smoking or bronchitis) predispose abscess formation. Right lower lobe is the most common Web site to the aspiration and suppuration. In a coma patient suffering this supinely axillary segment right upper lobe apical segment and in the right lower lobe is the most dependent parts more often. Next in frequency is the corresponding segments to the left.


Pathology
Suppuration and necrosis of lung tissue forms the basic pathological process. Abscess is lined by granulation dryer tissues, limiting the spread of infection. Common organisms is derived from the upper respiratory tract and foot. These include ærob and anærob streptococci, staphylococci, pneumococci and spirochaetes. E. coli, Clostridia and b. Proteus may less commonly be present. When the abscess ruptures in a Bronchus, expectorated inflammation. The cavity contains pus and air. The wall is thick and rough compared with tuberculous cavities or potato cyst nematodes. Chronic abscesses may be multiloculated. When the content is complete, the cure by fibrosis.


Clinical features
Early symptoms are pneumonia with fever, cough, malaise, rigor, and pleuritic chest pain. Originally cough may be unproductive. Hemoptysis is not uncommon. When the abscess breaking in Bronchus cough becomes postural. Sputum is a large quantity (300-500 ml/day), purulent, blood-stained and disgusting smelling systemic symptoms depends on virulence organisms and patient's general condition. The patient is in a moderately severe cases, febrile, toxic and dyspneic. Painful clubbing in the fingers and toes developer in a few weeks.


Physical examination may reveal the presence of consolidation due to the surrounding pneumonic process. Pleura-rub can be heard. When the abscess opened in a Bronchus, heard the auscultatory signs of cavernous and grove post-tussive crepitations.


Results of laboratory tests
Neutrophil leukocytosis can be found in most cases, to leave it in a conical glass, settles in sputum for typically three layers (foam above, serous part in middle and thick medicine response particles below). The organisms can be identified by gram staining and culture.


X-Ray chest reveals consolidation with clearance in its centre. A partial drain abscess is seen as a cavity containing fluid and is necessary to find abscess. Tomography provides additional information about abscess wall and its contents.


Diagnosis
It is found by clinical examination and chest x-ray. Etiology may be determined by microbiological examination of sputum. Help with bronchoscopy to visualize the main bronchi that exclude obstruction and new growths and also aspirate sputum for further studies. It can also help in cleanup obstruction and allow drainage.


Complications


Pulmonary
Serious Hemoptysis
Extension to other parts of the lung and on the other side
Empyema, pyopneumothorax and Pleurisy; and
Local lung fibrosis and bronchiectasic changes


Extrapulmonary complications
Brain abscess can develop due to Metastases of septic embolism from in the lungs, as when cerebral circulation through the vertebral system of veins (Batson's system). Other complications include pulmonary Osteoarthropathy, emaciation and cachexia is due to the loss of large amounts of proteins (in the form of purulent sputum) and infection. If left untreated, proves fatal lung abscess.


Differential Diagnosis
Lung abscess is distinguished from bronchiectasis, bronchogenic Carcinoma, lung tuberculosis, fungal infections, pulmonary cysts and secondary neoplasms. Bronchiectasis is more chronic and usually bilaterally. A cavitating bronchogenic carcinoma may resemble a abscess clinical and radiologically. Carcinoma is more common in smokers. Sputum is rarely heavy, or purulent. It is more frequently blood stained with necrotic tissue become expectorated at times. The presence of hilar Lymphadenopathy is in carcinoma. In cavitary pulmonary tuberculosis is often not mucoid sputum and foul smelling. Digital clubbing is less common. Tuberculosis affects the upper lobes often, abscess usually occupies the lower lobes. X-Ray reveals thin-walled cavities without free liquid level.


In endemic areas, Lung abscesses should be examined for fungal pathogens of sputum samples and immunological investigations. ' Cystic disease of the lungs is often bilateral and present from early life. Radiologically, cysts appear thin walled. Cysts can rarely be lonely. Digital clubbing is less marked in the ' cystic disease in the lungs.


Treatment
Principles of therapy include anti-microbial drugs, drainage of the abscess cavity and surgery in difficult cases.


Antibiotics
Correctly collected sputum uncontaminated by pharyngeal microbes should be sent to the culture and sensitivity studies and antibacterial drugs should be given in the appropriate dosage till radiological clearance is completed. In most cases, the recovery fully in 4-6 weeks. Anærob infection has dealt with the supplier, where intravenous 500 mg every 8 hours. Drainage of the abscess is achieved by postural drainage and gentle tapotement over the chest. Respiratory physiotherapy to help stimulate cough and expectoration initiated early. If the security clearance of the abscess is unsatisfactory, bronchoscopic aspiration can help. With proper medical treatment, the majority of lung abscesses healed.


Surgery
It is listed under certain circumstances such as lack of medical treatment, remaining fibrosis with changes bronchiectatic, suspicion of bronchogenic Carcinoma, serious hemoptysis and pleura-suppuration. If the condition does not show improvement after a reasonable course of medical treatment, surgery should not be delayed indefinitely. Necessary surgery should be performed before the general condition of the produce.


Prevention of lung abscesses
Lung abscess is largely a preventable disease, which can be the same by preventing aspiration pneumonia. Other measures include the quick removal of bronchial obstruction, complete treatment of pneumonia and early diagnosis of pulmonary suppuration.


You can still learn more on www.mayoclinic.com  and  www.webmd.com for more information.

Thursday, 19 May 2011

Pain in the ribs and Costochondritis

When there is a stabbing pain in the ribs, is because it is not always an injury. Instead, you can suffer from a condition known as costochondritis, which is an irritation of the cartilage that connects with the ribs and chest plate or sternum. This pain can scare you-it looks like the type of angina, chest pain you get from heart disease. It can also feel like a cracked or broken a rib.


Costochondritis is also known by several other names, including chest wall pain, costosternal syndrome and costosternal chondrodynia.


What can cause Costochondritis?


The most likely reason you would need to be pain in the ribs from costochondritis is a blow to the chest. Sometimes you can also strain the cartilage by lifting wrong, or something that weighs too much.


Another common reason for costochondritis is fibromyalgia. • This is a condition that may occur in all areas of the body and can affect the top of the sternum. Violent or persistent coughing can cause this, as well as respiratory infections.


Costochondritis symptoms


Discomfort in the chest in the area where the ribs are attached to the sternum is a typical indication of costochondritis.


There are two types of pain. First is a stabbing pain in the chest. The other starts like an ache, there will be more intense. It is more common to feel this discomfort on the left side instead of on the right side. Take a breath can be unpleasant or even painful and that cough may cause intense pain.


People who feel such serious ribcage pain often believe that they suffer from a heart attack instead of costochondritis. The main difference is that, angina (chest pain from heart disease) feels as if it comes from deep inside the chest, costochondritis pain is more against the outer page.


When there is breast pain question, an immediate call to your is in order.


How to treat Costochondritis


It will usually heal on his own time.


If the pain is exceptionally intense, you can ask for a doctor to prescribe pain relievers and anti-inflammatory medicine. Of the disk can medications also help if the pain is strong but not too strict.


You can still learn more on www.cardiologychannel.com  and  www.chestnyc.org for more information.

Saturday, 7 May 2011

Symptoms of Acid Reflux-you may experience severe Heartburn, chest pain and cancer!

Intense burning sensation in the chest or neck Vomiting Trouble breathing or swallowing Sore throat Chronic cough Inconvenient? Yes.


Painful? Absolute.


But not deadly, right? Think again.


According to a recent study increased cases include cancer of the esophagus (esophageal adenocarcinoma) nearly 600% in the last few decades. Even more frightening, cancer of the esophagus is one of the deadliest cancers known to man- 4 out of 5 persons affected die within 5 years.


People in greatest danger are those with acid reflux, gastroesophageal reflux condenser disease (GERD) or Barrett's esophagus. Additional risk factors include obesity, alcohol or nicotine use and a cost missing fruit and essential vitamins.


Perhaps the worst of all news, medicines manufactured to cure us ... not. The only cure the symptoms, and to a very high price. Doctors have discovered that taking a proton pump inhibitor (PPI) as Nexium, Prilosec, Prevacid, etc. not only treats the symptoms, it also increases the risk for other serious diseases, especially pneumonia.


The increased risk for pneumonia is considered to be how proton-pump inhibitors (PPI) work. Proton pump inhibitors suppress acid in the stomach that prevents it from increasing in the esophagus, but doctors believe that these PPI can also cause different types of bacteria to grow in the stomach and lungs, and these bacteria may be to blame for the increased risk for pneumonia.


If you are exposed to one of the millions of people suffer from the symptoms of acid reflux, GERD, or Barrett's esophagus, you need to lower your risk immediately. If you are overweight, or if you smoke or drink, act today in order to begin to lead a healthier lifestyle.


You can still learn more on www.en.wikipedia.org/wiki/Chest_pain  and  www.chestnyc.org for more information.

Sunday, 1 May 2011

Treat a cough Homeopathically easily

A cough is usually a symptom of some affection lungs, bronchial tubes, or neck. A cough is often all that is wrong and is due to eye irritation or irritability air passenger.


A cough is the chaotic contractions of the diaphragm caused by a form of irritation. It is very varied in the properties. Homeopathy teaches us not to use drugs to suppress cough, which is one of the body's own natural defense. Consider the following remedial measures if you're looking at deals with an acute cough.


1. BRYONIA -For a hard, dry coughing and shaking. It will be worse in a warm room. Often with masks and pain in the chest. They keep their head and chest when coughing. Want large quantities of cold water. Much worse for the Motion.


2. ACONITE -For a dry hard cough. It is constant, worse at night. The patient is anxious, restless, face flushed, and can have constipation. Even worse for exposure to cold winds.


3. IPECACUANHA -damp rattling cough is worse at night. Often include nausea, vomiting, and anxiety. The chest sounds wheezy.


4. SPONGIA TOSTA -For a dry, barking, croupy cough, whistling with irritating Tickling, hoarseness, loss of voice. They are better after eating and drinking. Worse during inspiration and before midnight.


5. BELLADONA -card dry shaking cough, intense attacks. The larynx is dry. They are worse at night. Headache. Red face and warm.


6. DROSERA -violent throat tickle and cough. A chaotic cough. Worse at night, with retching, oppression and vomiting. Sputum may be blood-streaked. Perspires on waking, have a pain below the ribs.


You can still learn more on www.en.wikipedia.org/wiki/Chest_pain  and  www.chestjournal.chestpubs.org for more information.