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What should I know about Tdap vaccination?
Td is a booster vaccine for tetanus and diphtheria. Tdap stands for tetanus and diphtheria toxoids with acellular pertussis. It is marketed under the brand names Adacel and Boostrix. Tdap is an inactive vaccine, which means it is made using dead bacteria. The dead germs cannot make you sick. Tdap is not the same as DTa...
Can adults have allergic reactions to Tdap or Td vaccines?
You should not receive the vaccine if you have had: A serious allergic reaction to any of the vaccine ingredients in the past A coma or seizures within a week of receiving childhood vaccinations for pertussis (such as DTa P), unless the vaccine was not the cause; Td can be used in these cases. This generally happens in...
How common is pertussis?
Waning immunity and inadequate vaccination -- many parents choose not to vaccinate their children -- have led to a resurgence of the disease in the U. S. in recent years. Outbreaks of pertussis among adolescents and adults have been reported in several states. Only one shot is needed.
What is a slit-lamp test to help diagnose eye stroke?
You sit in front of a special microscope. It shines a narrow line of light in your eye so your doctor can look for anything unusual.
What happens when you get fluorescein angiography to help find out if you had an eye stroke?
Your doctor injects a harmless dye in your arm. It moves through your bloodstream to your retina. A special camera takes pictures of your eye to show which blood vessels are blocked.
What is a visual field test if you might have had an eye stroke?
You look into a machine and click a button each time you see a light. It checks if you lost any peripheral vision, which is what you see out the sides of your eyes.
How is eye stroke treated?
Minutes count in order to save your vision after an eye stroke. You may avoid lasting injury if doctors can clear the central artery blockage and restore blood flows within 90-100 minutes. But after 4 hours, the blockage could damage your vision for good.
What type of eye stroke is central retinal occlusion?
You may notice: Loss of all or part of your sight Not able to see out of side of your eyes Blurry or distorted vision Blind spots The most common type of eye stroke is called central retinal artery occlusion. It can leave you with little useful vision. You might be able to see a hand move, but not much more. Rarely, yo...
How can optical coherence tomography help in the diagnosis of eye stroke?
You get drops to dilate your pupils. Then a machine scans your eyes to make a detailed image of the retina. If your doctor thinks a clot from another part of the body caused the blockage, she may suggest other tests to look for problems in your arteries and heart. She also may order blood tests to check for clotting di...
How can paracentesis help treat eye stroke?
A specialist uses a small needle to remove a few drops of fluid from the front of your eye. This reduces pressure, which may increase blood flow in the retina.
What are symptoms of eye stroke?
Other things that make a retinal artery occlusion more likely include: Being 40 or older Being a man Smoking Trauma to the eye Damage from radiation treatments Kidney disease Clotting disorders such as sickle cell disease Birth control pills Carotid artery disease Abnormal heart rhythms like atrial fibrillation Vasculi...
How can medications help with treating eye stroke?
You may get drugs to bust clots or to lower the pressure in your eyes. These include drugs used for glaucoma, like acetazolamide ( Diamox).
How can eye massage help with treating eye stroke?
Your doctor may try one or more of the following treatments: Eye massage. Your doctor will massage your closed eyelid with a finger to dislodge the clot.
Can you prevent eye stroke?
You usually get an eye stroke because of another medical issue, such as high blood pressure or diabetes. So keep your cholesterol, blood pressure, and blood sugar levels in check. If you have diabetes, get your eyes checked every year.
What makes eye stroke more likely?
If you have a condition that affects the blood vessels -- including diabetes, high blood pressure, high cholesterol, or heart disease -- it can raise your chances of an eye stroke.
What is carbon-dioxide-oxygen to help treat eye stroke?
You breathe in a mixture of carbon dioxide and oxygen to increase blood flow to the retina. It also widens the arteries.
How is eye stroke diagnosed?
She may ask you to read an eye chart. She'll also put drops in your eyes to open up your pupils and use an ophthalmoscope to check your retina for any blockages or bleeding. Your doctor will massage your closed eyelid with a finger to dislodge the clot.
Can you have a stroke in your eye?
It can cause blurry vision and even blindness. Arteries carry blood to the retina from the heart. Without blood flow, the cells in the retina don't get enough oxygen. They can start to die within minutes or hours. An eye stroke is an emergency. If you don't get treated right away, you can damage your vision permanently...
What can you do to prevent migraine headaches from alcohol?
You can also try to: Have alcohol with a meal. This may lower the chance of bringing on a migraine. Don't drink when you're stressed. It's linked to a higher number of migraine headaches. Skip home hangover remedies. There's no proof that drinking raw eggs or downing hot sauce will get rid of your morning-after migrain...
What can trigger migraine headaches?
Many things can trigger a migraine, from stress at work to changes in the weather and foods like aged cheese. And for about one-third of people who have these headaches, alcohol is also a trigger.
Can home hangover remedies help migraine headaches?
There's no proof that drinking raw eggs or downing hot sauce will get rid of your morning-after migraine faster. Downing more alcohol (the “hair of the dog” theory) won't help either.
How can triptans help treat migraine headaches?
Ask your doctor if this medicine might help. It can't prevent a migraine, but it can help stop one after it starts. Triptans work best when you take them at the early signs of a migraine. Still, they can cause serious health risks for many people.
What are symptoms of migraine triggered by alcohol?
Alcohol can cause two different types of migraine headaches. You could get a headache within 30 minutes to 3 hours of drinking. You don't have to chug a large amount for this to happen. Some people only sip a glass or two of wine before their head starts to throb. Or you might be fine until after your blood alcohol lev...
What are the symptoms of a migraine headache caused by alcohol?
But if you're prone to migraine headaches, drinking even a small amount of alcohol can bring on an attack. You could get a headache within 30 minutes to 3 hours of drinking. You don't have to chug a large amount for this to happen. Some people only sip a glass or two of wine before their head starts to throb. Or you mi...
Does alcohol trigger migraine headaches?
Drinking a small amount of alcohol may be good for you. This may lower the chance of bringing on a migraine.
How can you tell if alcohol triggers your migraine headaches?
Alcohol can cause two different types of migraine headaches. Each time you drink, write down the type of alcohol you have, the amount, and if and when you had a migraine. Include how you felt the prior 48 hours as well as any stress or anxiety you were under at the time. Over time, you should be able to see a pattern. ...
What chemical in alcohol can trigger migraine?
And for about one-third of people who have these headaches, alcohol is also a trigger. Once it gets into your system, it is converted into a chemical that triggers migraine. Ethanol is also a natural diuretic. That means it makes you pee more than normal. All of these things can set you up for a migraine. You might hav...
How can alcohol trigger a migraine?
But if you're prone to migraine headaches, drinking even a small amount of alcohol can bring on an attack. And for about one-third of people who have these headaches, alcohol is also a trigger. Many things are probably at play. For instance, alcohol byproducts called congeners have been linked to headaches. Dark-colore...
What are the cons of gastric banding surgery?
The Cons: Your weight loss may be less dramatic than with gastric bypass. The average loss is 40% to 50% of your excess weight -- although not in everybody. You may regain some of the weight over the years. This type of surgery has a higher rate of re-operation.
How much weight will I lose after gastric banding or bypass surgery?
Blood clots in the legs, called deep vein thrombosis, or DVT Pneumonia After gastric bypass surgery, most people can expect to lose between 66% and 80% of their extra body weight. Most of this is lost within the first two years. After gastric banding, people lose 40% to 50% of their extra weight, typically within the f...
What are complications that may develop from weight loss surgery?
Complications that may develop following weight loss surgery include: Hernia Gallstones Ulcerations Gastric prolapse Severe scarring of the new stomach pouch Excess skin that may need to be removed in an additional surgery Dehydration Hair loss Kidney stones Hypoglycemia Rare but serious complications include: Bleeding...
What are rare but serious complications that may develop from weight loss surgery?
Complications that may develop following weight loss surgery include: Hernia Gallstones Ulcerations Gastric prolapse Severe scarring of the new stomach pouch Excess skin that may need to be removed in an additional surgery Dehydration Hair loss Kidney stones Hypoglycemia Rare but serious complications include: Bleeding...
When should I decide to get weight loss surgery?
Don't rush into weight loss surgery. Talk to family and friends. Talk to surgeons and to people at the hospital centers. Prepare yourself mentally and physically. Make sure you are committed to changing your lifestyle and to keeping the weight off forever.
What are the pros of gastric bypass surgery?
Gastric Bypass Surgery The Pros: Weight loss is quick and dramatic. People lose an average of 60% to 80% of their excess body weight. Because weight loss is quick, weight-related health problems such as diabetes, high blood pressure, high cholesterol, arthritis, sleep apnea, and heartburn improve quickly. Most people a...
Who should consider having weight loss surgery?
Weight loss surgery is not for everyone. Doctors generally recommend it only for people who: Have a body mass index ( BMI) of 40 or more -- about 100 pounds overweight for men and 80 for women Have a lower BMI (35 to 40), but also have serious health problems related to obesity such as heart disease, type 2 diabetes, h...
Can you regain weight after weight loss surgery?
Some eat high-calorie or high-fat foods instead of healthy foods -- and eat them too often. Some people rely on "soft meals" such as ice cream and milk shakes. The body itself may change over time, too, leading to weight gain. The digestive tract might begin absorbing more calories. Even the size of your surgical stoma...
What is the cost of weight loss surgery and will insurance cover it?
A typical weight loss surgery can run from $15,000 to $25,000 -- so insurance coverage is critical for most people. Every insurance company is different, but before agreeing to cover the surgery, most insurance companies want documentation of the patient's struggle with obesity. They want a primary care doctor's record...
What are questions to consider when choosing a bariatric surgeon?
Here are some questions to consider when choosing a bariatric surgeon: Is the specialist board certified by the American Board of Surgery? Is the specialist a member of the American Society of Bariatric Surgeons? How many weight loss surgeries has the surgeon performed? (100 or more is ideal.) How many of the surgeon's...
Will I feel like myself after I lose weight?
You may feel odd, not quite like yourself. You may feel overwhelmed by the lifestyle changes you must make for the rest of your life. You may have reached for food as comfort -- and have difficulty giving it up. A therapist can help you get through this complicated period. A support group can also help. Ask your doctor...
Are there educational seminars for people considering weight loss surgery?
Check into centers and hospitals offering educational seminars for people considering weight loss surgery. You can learn more about the actual procedure, the benefits and the risks. You may also get names of specialists who perform these surgeries. Go to these seminars and ask questions.
What are the cons of gastric bypass surgery?
The Cons: Your weight loss may be less dramatic than with gastric bypass. The surgery may result in vitamin and mineral deficiencies. The surgery may result in dumping syndrome, which occurs when food moves too quickly through the stomach and intestines. Dumping syndrome can cause shaking, sweating, dizziness, nausea, ...
How can you make nutrition a priority after weight loss surgery?
Should this occur, additional surgery may be necessary. You must make the foods you eat count. You must also take the right supplements, as recommended by your health care provider, because serious malnutrition occurs easily following weight loss surgery. A dietitian can create a diet and nutrition plan designed to mee...
What are malabsorptive surgeries for weight loss?
Restrictive surgeries (like adjustable gastric banding) work by physically restricting the stomach's size, limiting the amount of solid food you can eat. The surgeon removes parts of your intestine, creating a shortcut for the food to be digested. This means that fewer calories get absorbed into the body. The combined ...
How should you eat after weight loss surgery?
Most people are able to keep at least 50% of the excess weight off long term. Eat small amounts of food slowly, chew well, and eat lots of protein.
How will my physical appearance change after weight loss surgery?
However, many people who lose a lot of weight often find their skin looks loose and baggy. You may want plastic surgery to remove this excess skin. People will notice, and ask you about your appearance.
What are restrictive surgeries for weight loss?
After weight loss surgery, a stomach may only hold one ounce of food, although over time it may be able to hold two or three ounces of food. The combined malabsorptive/restrictive surgery also creates a smaller stomach pouch, which restricts the amount of food you can eat.
Will my social life and relationships change after weight loss surgery?
For many people, food and drink are the basis for socializing. After weight loss surgery, you must find other ways to socialize -- ways that aren't focused on food. Also, as you lose weight, the results will be obvious. People will notice, and ask you about your appearance. Prepare for these questions ahead of time -- ...
What are the pros of gastric banding surgery?
Gastric Banding Surgery The Pros: Gastric banding is often a minimally invasive surgery performed with small incisions, a laparoscope (a tiny camera), and special instruments. There is no need to cut into the stomach or intestine, and recovery is usually faster than with gastric bypass surgery. The surgery can be rever...
How does weight loss surgery affect overall health?
Because weight loss is quick, weight-related health problems such as diabetes, high blood pressure, high cholesterol, arthritis, sleep apnea, and heartburn improve quickly. These include: Obstructive sleep apnea Type 2 diabetes Gastroesophageal reflux disease ( GERD) High cholesterol Degenerative joint disease or ortho...
What is Simponi and how does it treat rheumatoid arthritis?
They should check you for infections while you're taking it, too, Golimumab ( Simponi, Simponi Aria): These biologics target tumor necrosis factor ( TNF). You'll take Simponi as a monthly shot and Simponi Aria every 8 weeks by IV.
What is Erelzi and how is it used to treat rheumatoid arthritis?
Etanercept ( Enbrel), etanercept-szzs ( Erelzi): This medication targets tumor necrosis factor ( TNF).
Can different biologic therapies be taken together at the same time?
As a general rule, you shouldn't take different biologic therapies at the same time.
What are the side effects of Enbrel used to treat rheumatoid arthritis?
The most common are pain and rash at the injection site.
What are the most common side effects of rheumatoid arthritis?
The most common side effects are a cold, sinus infection, a headache, high blood pressure, or liver problems.
How is Erelzi used to treat rheumatoid arthritis (RA)?
Etanercept ( Enbrel), etanercept-szzs ( Erelzi): This medication targets tumor necrosis factor ( TNF).
Are biologics used before surgery for rheumatoid arthritis?
You can start again when your wounds have healed and your chance of getting an infection has passed.
What is Remicade?
Certolizumab ( Cimzia): This biologic targets tumor necrosis factor ( TNF).
Are biologics more expensive than other treatments for rheumatoid arthritis?
Drugmakers have to prove they're just as safe and effective as the original and that they work the same way.
What are the side effects of Kineret?
The most common are pain and rash at the injection site.
What are the most common side effects of Humira?
The most common are pain and rash at the injection site.
What is the general rule for taking biologics for rheumatoid arthritis (RA)?
As a general rule, you shouldn't take different biologic therapies at the same time.
What are the most common side effects of Remicade?
The most common side effects are colds, a sinus infection, headache, and rash.
What is Actemra and how does it treat rheumatoid arthritis?
Certolizumab ( Cimzia): This biologic targets tumor necrosis factor ( TNF). Tocilizumab ( Actemra): This medication targets interleukin-6 ( IL-6). Or you can get shots every week or every other week.
What is Enbrel and how is it used to treat rheumatoid arthritis?
You get it in a shot every week or by IV once a month. Certolizumab ( Cimzia): This biologic targets tumor necrosis factor ( TNF). You take it as an infusion by IV.
What is Humira and how is it used to treat rheumatoid arthritis?
You get them as a shot once every 2 weeks. Certolizumab ( Cimzia): This biologic targets tumor necrosis factor ( TNF). You take it as an infusion by IV.
How is Inflectra used to treat rheumatoid arthritis (RA)?
Certolizumab ( Cimzia): This biologic targets tumor necrosis factor ( TNF). You take it as a shot every 2-4 weeks. You take it as an infusion by IV. Your first two infusions will be 2 weeks apart.
How do biologics treat rheumatoid arthritis (RA)?
Biologics are genetically engineered proteins made from human genes. Unlike other RA medications that affect your entire immune system, biologics zero in on specific parts that control the inflammation process. Aggressive treatment can help prevent long-term disability from rheumatoid arthritis. You might take it alone...
What are the side effects of biologics?
Like generic medications, they cost less than the original. Before you start taking it, your doctor should test you for infections like tuberculosis and hepatitis. They should check you for infections while you're taking it, too. The most common are pain and rash at the injection site. Biologics can cause allergic reac...
How is Humira used to treat rheumatoid arthritis (RA)?
You get them as a shot once every 2 weeks. Certolizumab ( Cimzia): This biologic targets tumor necrosis factor ( TNF). The most common are pain and rash at the injection site. Your doctor will give you a skin or blood test for tuberculosis before you start a biologic.
How are biologic medications given to patients with rheumatoid arthritis?
You take it by IV. You take it as an infusion by IV.
What is Amjevita and how does it treat rheumatoid arthritis?
You might take it alone or along with other rheumatoid arthritis medications. Adalimumab ( Humira), adalimumab-adbm ( Cyltezo), adalimumab-atto ( Amjevita): These medications target tumor necrosis factor ( TNF). The most common side effects are reactions to the infusion, chills, infections, body aches, tiredness, and a...
How is Simponi or Simponi Aria used to treat rheumatoid arthritis (RA)?
They should check you for infections while you're taking it, too, Golimumab ( Simponi, Simponi Aria): These biologics target tumor necrosis factor ( TNF). You'll take Simponi as a monthly shot and Simponi Aria every 8 weeks by IV. The most common side effects are a cold, sinus infection, headache, high blood pressure, ...
How is Amjevita used to treat rheumatoid arthritis (RA)?
You might take it alone or along with other rheumatoid arthritis medications. The most common side effects include headache, a cold, a sore throat, and nausea. Adalimumab ( Humira), adalimumab-adbm ( Cyltezo), adalimumab-atto ( Amjevita): These medications target tumor necrosis factor ( TNF). The most common are pain a...
What should you consider when using biologics to treat rheumatoid arthritis (RA)?
As with any drugs that suppress your immune system, biologics can make you more likely to get infections and other diseases. Your doctor will tell you to stop your biologic before surgery.
How is Enbrel used to treat rheumatoid arthritis (RA)?
You get it in a shot every week or by IV once a month. Certolizumab ( Cimzia): This biologic targets tumor necrosis factor ( TNF). The most common are pain and rash at the injection site.
What biologics are approved to treat rheumatoid arthritis?
Abatacept ( Orencia) Adalimumab ( Humira), Adalimumab-adbm ( Cyltezo), Adalimumab-atto ( Amjevita) Anakinra ( Kineret) Certolizumab ( Cimzia) Etanercept ( Enbrel), Etanercept-szzs ( Erelzi) Golimumab ( Simponi, Simponi Aria) Infliximab ( Remicade), Infliximab-abda ( Renflexis), Infliximab-dyyb ( Inflectra) Rituximab ( ...
How is Actemra used to treat rheumatoid arthritis (RA)?
The FDA has approved these medications to treat rheumatoid arthritis. You'll take Simponi as a monthly shot and Simponi Aria every 8 weeks by IV. Your first two infusions will be 2 weeks apart. Tocilizumab ( Actemra): This medication targets interleukin-6 ( IL-6). The most common side effects are a cold, sinus infectio...
Is it important to meet with my doctor regularly if I have rheumatoid arthritis?
As with any drugs that suppress your immune system, biologics can make you more likely to get infections and other diseases. Your doctor will tell you to stop your biologic before surgery.
What are the side effects of biologics for treating rheumatoid arthritis (RA)?
Like generic medications, they cost less than the original. Before you start taking it, your doctor should test you for infections like tuberculosis and hepatitis. They should check you for infections while you're taking it, too. The most common are pain and rash at the injection site. Biologics can cause allergic reac...
How is Orencia used to treat rheumatoid arthritis (RA)?
They include: B-cell inhibitor: They affect B cells, which are white blood cells that carry a protein that can trigger your immune response. The most common side effects are respiratory infections (like sinus infections and a sore throat), headache, coughing, and stomach pain. You take it as an infusion by IV.
What is Orencia and how is it used to treat rheumatoid arthritis?
They include: B-cell inhibitor: They affect B cells, which are white blood cells that carry a protein that can trigger your immune response. The most common side effects are respiratory infections (like sinus infections and a sore throat), headache, coughing, and stomach pain. You take it as an infusion by IV.
What are the most common side effects of Amjevita?
The most common side effects include headache, a cold, a sore throat, and nausea. The most common are pain and rash at the injection site.
What is Rituxan and how is it used to treat rheumatoid arthritis?
They include: B-cell inhibitor: They affect B cells, which are white blood cells that carry a protein that can trigger your immune response. The FDA has approved these medications to treat rheumatoid arthritis. Your first two infusions will be 2 weeks apart. You can repeat the infusions every 6 months.
Do biologics slow the progression of rheumatoid arthritis?
Aggressive treatment can help prevent long-term disability from rheumatoid arthritis. You can start again when your wounds have healed and your chance of getting an infection has passed.
What is Cimzia and how is it used to treat rheumatoid arthritis?
Certolizumab ( Cimzia): This biologic targets tumor necrosis factor ( TNF). Your doctor will decide on the dose and how often you should take it. You can take it by IV once a month.
How is Rituxan used to treat rheumatoid arthritis (RA)?
They include: B-cell inhibitor: They affect B cells, which are white blood cells that carry a protein that can trigger your immune response. The FDA has approved these medications to treat rheumatoid arthritis. Your first two infusions will be 2 weeks apart. You can repeat the infusions every 6 months. The most common ...
What is Kineret and how is it used to treat rheumatoid arthritis?
You might take a biologic alone or with another arthritis drug. Anakinra ( Kineret): This medicine targets interleukin-1 ( IL-1).
How is Remicade used to treat rheumatoid arthritis (RA)?
Certolizumab ( Cimzia): This biologic targets tumor necrosis factor ( TNF). You take it as a shot every 2-4 weeks. You take it as a shot 1-2 times each week. The most common side effects are respiratory infections (like sinus infections and a sore throat), headache, coughing, and stomach pain. You take it as an infusio...
How is Kineret used to treat rheumatoid arthritis (RA)?
Anakinra ( Kineret): This medicine targets interleukin-1 ( IL-1). You take it as a shot once a day. The most common are pain and rash at the injection site.
What is an action plan for asthma?
If you don't have one already, work with your doctor to create an asthma action plan. This is something you talk about and write down. It helps you tell how well-controlled your asthma is and what to do about it. Your action plan might include: How much medicine to take and when A list of your triggers and ways to avoi...
What should an asthma diary include?
A diary can help you keep track of how well-controlled your asthma is. Every day, write down: Any asthma symptoms you had and how you're feeling Where you were and what you were doing right before a flare When you're using medication and how much Your PEF numbers All of this information, collected in one place, helps y...
How is a peak flow meter used to help with asthma symptoms?
Your action plan might include: How much medicine to take and when A list of your triggers and ways to avoid them What to do when you have specific symptoms of trouble A peak flow meter is an inexpensive, hand-held gadget. You use it to measure how fast air comes out when you exhale hard after a full breath in. This nu...
What can you do to lower your stress from asthma?
For instance, a negative response to emotional stress can cause an asthma attack. Some natural relaxation remedies like deep abdominal breathing, progressive muscle relaxation, guided imagery, and biofeedback can help relieve stress. Stress may trigger asthma symptoms.
What is complementary therapy for asthma?
Unfortunately, there is no cure for asthma at this point. While some people with asthma say acupuncture eases their symptoms, there's little proof that acupuncture works as an asthma treatment. Herbs and natural dietary supplements. Work with your doctor to come up with an asthma action plan.
How can you relieve asthma symptoms?
Learning to control your heart rate may help you manage your asthma, but more studies are needed to confirm a benefit. As you consider the different types of natural asthma remedies available, it's very important to cautiously balance your desire to breathe easier with the possible dangers of the treatment, which may b...
When should you talk to your doctor about asthma relief?
Some natural therapies may help to manage symptoms of asthma. But because there have been limited research studies on complementary and alternative treatments for asthma, it's not known how safe and effective these are. Herbs and natural dietary supplements. Your doctor may want you to use a peak flow meter to help you...
When should you call 911 if someone breaks a bone in their face?
The person has difficulty breathing. The upper and lower jaws don't meet properly. There is an open wound with exposed bone. The person has blurred or double vision or trouble moving his or her eyeballs.
How can you control pain and swelling from facial fracture?
Keep the person's face elevated to allow blood to drain. Apply ice for swelling.
When should you get help for facial fracture?
You need to see a health care provider for a facial fracture, including broken nose, jaw, cheekbone, or eye socket.
What will my child with ADHD learn in a social skills group or program?
The children in these sessions do special activities, like role-playing, to learn how to: Greet other kids Start and hold a conversation Take turns when playing Ask for help when they need it Many schools have these groups.