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How does herpes zoster (shingles) affect my cornea?
This infection is caused by the same virus that causes chickenpox. In some people, the infection becomes active again later in life, causing a painful, blistering rash called shingles. Shingles that develop on the face, head, or neck can also affect the cornea. Forty percent of people who get shingles in those areas wi...
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How can corneal injuries occur?
Depending on the cause, symptoms of corneal damage may include: Redness and swelling of the eye tissues and eyelid Tearing Blurred vision Irritation Sensitivity to light Sensation of something in the eye Eye discharge Milky or cloudy area on the cornea Vision loss Corneal injuries can occur when a foreign object gets i...
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How long do corneal abrasions take to heal?
Common causes of cornea injury include: Chemical irritation An object in the eye, such as sand or dust Something striking the eye, such as a tree branch Radiation injury from the sun, sun lamps, welding, or sun reflected on snow (snow blindness) Complications of contact lens wear Minor corneal abrasions heal quickly, u...
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How do you know if you have corneal damage?
Depending on the cause, symptoms of corneal damage may include: Redness and swelling of the eye tissues and eyelid Tearing Blurred vision Irritation Sensitivity to light Sensation of something in the eye Eye discharge Milky or cloudy area on the cornea Vision loss Corneal injuries can occur when a foreign object gets i...
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What does the treatment for corneal infections include?
This virus is the most common eye infection that causes blindness in the U. S. Depending on the cause, treatment for corneal infections may include: Antibiotic, antibacterial, antifungal, or steroidal eye drops Topical or oral antiviral medication Phototherapeutic keratectomy (laser surgery) Corneal transplant Corneal ...
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How does Fuchs' dystrophy affect the body?
Here are a few of the more common types of corneal dystrophies: Fuchs' dystrophy progresses slowly, usually affecting people in their 50s and 60s. The condition damages the endothelial cells in the cornea. Symptoms include swelling and blistering of the cornea, blurred vision, pain, and vision problems. Early on, drops...
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What are corneal opacities?
The cornea is the clear, dome-shaped area that covers the front of the eye. Light passes through the cornea before reaching the retina in the back of the eye, and so it must remain clear so light can pass through. Corneal opacities can cause anything from minor irritation to vision problems and even blindness. In fact,...
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How often should I visit my doctor to prevent corneal opacities?
Have regular eye exams. Many eye conditions can be detected early, before symptoms develop. Also be sure to see your eye doctor right away if you injure your eye or develop any unusual eye symptoms or vision problems.
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How do you get a corneal injury?
Depending on the cause, symptoms of corneal damage may include: Redness and swelling of the eye tissues and eyelid Tearing Blurred vision Irritation Sensitivity to light Sensation of something in the eye Eye discharge Milky or cloudy area on the cornea Vision loss Corneal injuries can occur when a foreign object gets i...
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How do you get corneal opacities?
Injury, infection, and certain eye diseases can cause corneal opacities.
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How do I know if I am at risk for corneal opacities?
Know your family history for eye diseases. Because corneal dystrophies are hereditary, you may be at risk if someone in your family has eye disease.
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What can you do to prevent corneal opacities?
Although corneal opacities have many causes, there are a few things you can do to help prevent damage to your cornea: Wear protective eyewear. Protect your eyes with goggles or safety glasses during activities that can cause eye injury. This includes using power tools, chopping wood, or handling chemicals. Also be sure...
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How are corneal injuries treated?
Treatment may include patching the eye, using a temporary contact lens, and prescription eye drops or ointments. If vision problems remain or the cornea becomes permanently damaged, you may need a cornea transplant. This surgery removes the damaged cornea and replaces it with a healthy donor cornea.
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What can cause corneal opacities?
Injury, infection, and certain eye diseases can cause corneal opacities.
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What are the symptoms of psoriatic arthritis (PsA)?
Often makes joints feel stiffer in the morning Can lead to fatigue, low-grade fever, and weight loss Psoriatic arthritis: Can affect joints in the back and pelvis in addition to the ones in fingers and toes Often affects only one side of your body; that means it's asymmetric. Sometimes causes foot pain, especially on t...
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What are symptoms of psoriatic arthritis (PsA)?
Often makes joints feel stiffer in the morning Can lead to fatigue, low-grade fever, and weight loss Psoriatic arthritis: Can affect joints in the back and pelvis in addition to the ones in fingers and toes Often affects only one side of your body; that means it's asymmetric. Sometimes causes foot pain, especially on t...
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How can I remember to do eat right, work out, and do other things that are good for me?
You can set up any kind of trigger: an alarm, a note, a text message. A good trigger is one you'll both notice and link to what you want to do. You also want to time it to coincide with the action you want to take.
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What are goals of using medications to treat epilepsy?
The goals of using medications to treat epilepsy include: Having no or few seizures Having no or few side effects Using only one epilepsy medication, called monotherapy Which epilepsy medication is best for you depends on many factors, including: Type of epilepsy.
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How do you take medicine for epilepsy?
Most epilepsy medications are taken by mouth. Depending on the type of drug, you may have to take it several times a day. Talk to your doctor about when you will need to take the medication, and how this affects your lifestyle. In rare cases, epilepsy medicine may be given by injection. This is most often done when sei...
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How can targeted therapy help with breast cancer?
Targeted therapy, also called biologic therapy, uses the body's immune system or hormonal system to fight breast cancer cells. That does less harm to healthy cells, so the side effects aren't usually as bad as from better-known treatments like chemotherapy. One type of targeted therapy uses antibodies to kill cancer ce...
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When should you call your doctor if you have breast cancer?
New mouth sores or patches, a swollen tongue, or bleeding gums A dry, burning, scratchy, or "swollen" throat A cough that is new or persistent Feeling the need to pee more often, stronger urges than usual, a burning feeling while peeing, or blood in your urine Heartburn, nausea, vomiting, constipation, or diarrhea that...
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What are signal transduction inhibitors for breast cancer?
These antibodies block signals inside the cancer cell that help the cells divide, stopping the cancer from growing.
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How can lapatinib (Tykerb) help with treating HER2-positive breast cancer?
Lapatinib ( Tykerb) is an example of a small-molecule drug that you can take in a pill. Together with chemotherapy, it treats some advanced cases of HER2-positive breast cancer. Doctors often use it when other cancer medications haven't worked for someone.
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When should you call your doctor about side effects from breast cancer treatment?
Call your nurse or doctor if you have: A temperature over 100.4 F. If you have any fever and chills, tell your doctor immediately. If you can't reach your doctor, go to the emergency room. New mouth sores or patches, a swollen tongue, or bleeding gums A dry, burning, scratchy, or "swollen" throat A cough that is new or...
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What are the side effects of botulinum toxin?
Botulinum toxin might cause: Weakness in the muscle and the ones near it after an injection that may keep you from using those parts of your body. The problem doesn't last long. It's rare, but some people get flu-like symptoms 1 week after the injections. They usually only last for about a day.
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How does multiple sclerosis distort the electrical messages in the muscles?
These messages travel from the nerves to the muscles via a chemical called acetylcholine. But if you have MS, the disease damages the nerves and throws those signals out of sync. It makes your muscles tense up and move when you don't want them to.
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Who gets histrionic personality disorder?
This disorder is more common in women than in men and usually is evident by adolescence or early adulthood.
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What health organizations provide information on diabetes?
Looking for organizations that provide information that can help you manage your diabetes? You may want to start with these groups.
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What are some diabetes journals/newsletters?
Academy of Nutrition and Dietetics (formerly the American Dietetic Association) 120 South Riverside Plaza, Suite 2000 Chicago, IL 60606-6995 800-877-1600www.eatright.org American Association of Clinical Endocrinologists ( AACE) 245 Riverside Avenue, Suite 200 Jacksonville, FL 32202 (904) 353-7878www.aace.com American D...
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What other medications can be used to treat dry eyes?
Other medications andnutrition: You can use steroid eye drops, for short periods, along with long-term measures. Adding fish oil or omega-3 to your diet or can also help.
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How does nondissolving punctal plugs and punctal occlusion by cautery treat dry eyes?
If temporary plugs work well, your doctor may move to longer-lasting ones or may go right to a long-lasting plug. Or he or she could choose a procedure called cautery. You might get g a drug that relaxes you, then use a special tool to burn the opening shut. The scar that forms makes a permanent plug. These measures in...
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How does liftegrast (Xiidra) treat dry eyes?
These drops are taken twice daily to kick-start tear production.
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How are artificial tear drops and ointments used to treat dry eyes?
Treatments include: Artificial tear drops and ointments. This is the most common treatment. Many types of drops are available over the counter. No one product works for everyone, so you might have to try a few to figure out the one that's right for you. If you have chronic dry eye, you need to use the drops even when y...
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What happens when dry eyes create too many tears?
When tears don't provide enough moisture, you might notice: A gritty feeling Feeling like there's something in your eye Itching Redness Blurry vision Light sensitivity Sometimes, dry eyes create too many tears. This confusing condition is called reflex tearing. It happens because the lack of moisture irritates your eye...
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How does testosterone cream treat dry eyes?
Dry eye can be related to a lack of testosterone in the oil glands on your eyelids. The doctor might give you a testosterone cream that you apply to your eyelids. It can help your oil glands work better.
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What other medications and supplements can I use to treat dry eyes?
Other medications andnutrition: You can use steroid eye drops, for short periods, along with long-term measures. Adding fish oil or omega-3 to your diet or can also help.
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How are dry eyes treated with artificial tear drops and ointments?
This is the most common treatment. Many types of drops are available over the counter. No one product works for everyone, so you might have to try a few to figure out the one that's right for you. If you have chronic dry eye, you need to use the drops even when your eyes feel fine, or they won't stay wet enough. If you...
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How are dry eyes treated with nondissolving punctual plugs and punctual occlusion by cautery?
If temporary plugs work well, your doctor may move to longer-lasting ones or may go right to a long-lasting plug. Or he or she could choose a procedure called cautery. You might get g a drug that relaxes you, then use a special tool to burn the opening shut. The scar that forms makes a permanent plug. These measures in...
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How are dry eyes treated with lifitegrast Xiidra)?
These drops are taken twice daily to kick-start tear production.
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What causes dry eyes?
Sometimes, there's a lack of balance in your tear-flow system. Or your air conditioner, heater, or other things around you could dry out your tear film.
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How does Lipiflow treat dry eyes?
This medical device uses heat and pressure to unclog blocked glands on your eyelids. These glands produce the oil in your tears. It keeps your eye moist and prevents your tears from evaporating.
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What does it mean when your have dry eyes but have too many tears?
When tears don't provide enough moisture, you might notice: A gritty feeling Feeling like there's something in your eye Itching Redness Blurry vision Light sensitivity Sometimes, dry eyes create too many tears. This confusing condition is called reflex tearing. It happens because the lack of moisture irritates your eye...
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What's in a tear?
What's in a tear? They're a mix of: Water, for moisture Oils, for lubrication Mucus, for even spreading Antibodies and special proteins that keep infection at bay The ingredients come from special glands around your eye. Dry eyes often mean your tear system is out of whack.
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How does temporary punctual occlusion treat dry eyes?
Your doctor might opt to close the punctum, or duct that drains tears from your eye. He or she might start with a temporary plug designed to dissolve over time. Based on how it works, your doctor will know whether permanent plugs will help.
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What happens when tears don’t provide enough moisture?
When tears don't provide enough moisture, you might notice: A gritty feeling Feeling like there's something in your eye Itching Redness Blurry vision Light sensitivity Sometimes, dry eyes create too many tears.
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How does cyclosporine (Cequa, Restasis) treat dry eyes?
This prescription eye drop helps your eyes boost tear production.
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How can you know if tears aren't providing enough moisture?
When tears don't provide enough moisture, you might notice: A gritty feeling Feeling like there's something in your eye Itching Redness Blurry vision Light sensitivity Sometimes, dry eyes create too many tears.
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How are dry eyes treated using temporary punctual occlusion?
Your doctor might opt to close the punctum, or duct that drains tears from your eye. He or she might start with a temporary plug designed to dissolve over time. Based on how it works, your doctor will know whether permanent plugs will help.
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What are the symptoms of schizotypal personality disorder?
People with schizotypal personality disorder display a combination of odd behavior, speech patterns, thoughts, and perceptions. Other people often describe these individuals as strange or eccentric. Additional traits of people with this disorder include the following: Dressing, speaking, or acting in an odd or peculiar...
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What complications are associated with schizotypal personality disorder?
People with this disorder might be at risk for developing anxiety or depression. They also tend to have poor social skills and lack fulfilling relationships. Without treatment, people with this disorder can become even more uncomfortable in social situations, which can lead to greater isolation.
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What are some other disorders that someone with schizotypal personality disorder may have?
People with schizotypal personality disorder who also suffer from another disorder, such as anxiety or depression, might benefit from medication, such as an antidepressant or anti-anxiety drug.
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How is schizotypal personality disorder diagnosed?
Although there are no lab tests to specifically diagnose personality disorders, the doctor might use various diagnostic tests to rule out physical illness as the cause of the symptoms. If the doctor finds no physical reason for the symptoms, he or she might refer the person to a psychiatrist or psychologist, health car...
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What are the symptoms of blocked hair follicles?
Other things can trigger breakouts: Smoking Being overweight For women, getting your period Hormone changes Heat Sweating At first, blocked hair follicles usually look like breakouts of pimples or boils. They usually form in places where your skin rubs together, like your armpits or groin. If you're a woman, you're mor...
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What can trigger blocked hair follicles?
Other things can trigger breakouts: Smoking Being overweight For women, getting your period Hormone changes Heat Sweating At first, blocked hair follicles usually look like breakouts of pimples or boils.
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What are some myths about blocked hair follicles?
Doctors know what doesn't cause the condition: It doesn't happen because you don't wash yourself well enough. You can't catch the disease from someone else.
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When should you see a doctor about blocked hair follicles?
Once you start to notice these breakouts, see your doctor as soon as you can to start tackling the problem. You can get treatments that can help clear your skin and maybe prevent more breakouts and complications.
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What leads to blocked hair follicles?
Doctors don't know for sure. Many think hormones might play a role, since the condition usually hits after puberty and breakouts can flare for women around the time they have their periods. The problem is three times more common for women than for men. It may also happen because of your immune system. Most people get c...
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Why do people take horny goat weed (epimedium)?
Some men take horny goat weed in the belief that it's a natural alternative to drugs for erectile dysfunction ( ED). Although still preliminary, there's new evidence to support the idea. A 2008 lab study found that a compound in the herb blocks the effects of an enzyme that restricts blood flow to the penis. Epimedium,...
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What is horny goat weed (epimedium)?
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What are the risks of taking horny goat weed (epimedium)?
But it may. It may cause upset stomach and dry mouth. In some, horny goat weed may result in irregular heartbeat, low blood pressure, nosebleeds, and mood changes. High doses have been linked to spasms and respiratory failure. Risks. Always speak to your doctor before taking herbal supplements like horny goat weed. Peo...
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Can I get horny goat weed (epimedium) naturally from foods?
There are no natural food sources of horny goat weed.
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How much horny goat weed (epimedium) should I take?
Horny goat weed is an unproven treatment. There is no established dose.
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How will hydrocelectomy treat hydrocele in baby boys?
The doctor can remove a hydrocele in a brief operation called a hydrocelectomy. Your baby will get medicine to numb his body or to put him under completely. Then, a surgeon makes a cut in his scrotum or lower belly. The surgeon then drains the fluid and sews the sac closed. Once it's finished, your son can go home the ...
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What are the types of hydrocele in baby boys?
There are two types: Noncommunicating hydrocele happens when the sac closes like normal, but the boy's body doesn't absorb the fluid inside it. Communicating hydrocele happens when the sac doesn't seal. With this type, his scrotum may swell more over time. Babies born prematurely are more likely to have a hydrocele.
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How can I take care a minor scalp wound in my child?
You think the injury is serious or if your child: Is younger than 2 Has neck pain Keeps crying Needs stitches for a wide open wound Vomited several times Isn't crying but has clear fluid coming from the ear or nose Has blurry vision Has a bad headache Has memory loss Shows signs of confusion Has a history of brain inju...
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When should I get medical care for my child after a minor injury?
Is not breathing Lost consciousness Had a seizure Is hard to wake up Is slurring speech or acting confused Wobbles when walking Has weak arms or legs Can't move his neck as usual Keeps bleeding Has a dent in the skull or a lot of swelling Minor head injuries in young children are scary. And although the wounds are usua...
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What medications can prevent influenza A and B?
If you are pregnant you can only receive the injectable form.
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What are side effects of influenza vaccine?
Some people develop low fever and muscle aches as side effects of the vaccine.
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What do you need to know about the influenza vaccine?
The most effective way of preventing the flu is with an influenza vaccination. Every fall you should be immunized against strains that have developed since the previous outbreak. If you are vaccinated against three or more strains, you may still come down with flu, but symptoms are likely to be milder than they would h...
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Can estrogen help treat osteoporosis?
Estrogen: While estrogen, another hormone, can help with osteoporosis in women who have been through menopause, it also has serious side effects, such as: Blood clots Breast cancer Endometrial cancer Heart disease Because of this, the FDA suggests taking only the smallest dose for the shortest possible time and only if...
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How do bisphosphonates help treat osteoporosis?
This is the most commonly used class of medicines to treat osteoporosis in men and women. They work by slowing the rate of bone loss.
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How should I first treat allergic reactions to insect stings?
First, if stung on the hand, remove any rings from your fingers immediately. If stung by a bee, the insect usually leaves a sac of venom and a stinger in your skin. Remove the stinger within 30 seconds to avoid receiving more venom. Gently scrape the sac and stinger out with a fingernail or a stiff-edged object like a ...
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How can I prevent an allergic reaction?
Allergic reactions to insect stings can be prevented with allergy shots (also known as immuntherapy). The treatment is 97% effective in preventing future reactions and involves injecting gradually increasing doses of venom that stimulate your immune system to become resistant to a future allergic reaction. If you've ha...
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How can I avoid allergic reactions to insect stings?
You can lessen your chances of an insect sting by taking certain precautionary measures: Learn to recognize insect nests and avoid them. Yellow jackets nest in the ground in dirt mounds or old logs and walls. Honeybees nest in beehives. Hornets and wasps nest in bushes, trees, and on buildings. Wear shoes and socks whe...
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What should I know about allergic reactions to insect stings?
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What are the symptoms of a mild allergic reaction to insect stings?
A mild allergic reaction to an insect sting may cause one or more of the following symptoms at the site of the sting: Pain Redness Mild to moderate swelling Warmth at the sting site Itching People who have experienced a severe systemic allergic reaction to an insect sting have a 60% chance of a similar or worse reactio...
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What are the different types of allergic reactions to insect stings?
The severity of an insect sting reaction varies from person to person. There are three types of reactions -- normal, localized, and allergic: A normal reaction will result in pain, swelling, and redness around the sting site. A large local reaction will result in swelling that extends beyond the sting site. For example...
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What medications can I take to treat allergic reactions to insect stings?
Take an over-the-counter oral antihistamine to reduce itching, swelling, and hives. However, this medication should not be given to children under 2 years of age or to pregnant women without prior approval from a doctor. The antihistamine can also make you drowsy, so do not drive or operate heavy machinery after taking...
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What are the symptoms of allergic reactions to insect stings?
Symptoms of a severe allergic reaction (called an anaphylactic reaction or anaphylaxis) may include one or more of the following: Difficulty breathing Hives that appear as a red, itchy rash and spread to areas beyond the sting Swelling of the face, throat, lips or tongue Wheezing or difficulty swallowing Restlessness a...
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How can I treat swelling from allergic reactions to insect stings?
Wash the stung area with soap and water and then apply an antiseptic. If swelling is a problem, apply an ice pack or cold compress to the area.
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What are epinephrine sting kits for allergic reactions?
Do not wait to see if you are having a reaction before administering the pen because by then it may be too late. The two most common have the brand names Ana- Kit and Epi- Pen. However, these kits should not be used as a substitute for medical intervention. You should still see a doctor after being stung. Epinephrine a...
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What blood tests can help diagnose a stroke?
Complete blood count. This includes a check for your level of platelets, which are cells that help clot blood. A lab will also measure electrolyte levels in your blood to see how well your kidneys are working. Clotting time. A pair of tests called PT (prothrombin time) and PTT (partial thromboplastin time) can check ho...
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How can magnetic resonance imaging (MRI) help diagnose a stroke?
This uses powerful magnets and radio waves to make a detailed picture of your brain. It's sharper than a CT scan and can show injuries earlier than a traditional CT. Carotid ultrasound.
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What are the signs of stroke?
The F- A- S- T test is an easy way to remember them: Face: Smile. Does one side of your face sag? Arms: Raise both and see if one droops. Speech: Say a common phrase: Does it sound strange or slurred? Time: Call 9-1-1 right away if you notice any of these symptoms. Note what time they started.
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What is the most common kind of stroke?
Your doctor may: Ask when your symptoms started and get information about your medical history Check how alert you are, and see if you can't move one side of the face or you have trouble with coordination and balance Check if you feel numb or weak in any part of your body See if you have trouble with your vision or spe...
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How is stroke diagnosed?
At the hospital, your doctor will want to rule out other conditions that might cause your symptoms. These could include seizure, migraine, low blood sugar, or a heart problem. Your doctor may: Ask when your symptoms started and get information about your medical history Check how alert you are, and see if you can't mov...
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How can angiograms of your head and neck help diagnose a stroke?
Your doctor will put dye in your blood so they can see your blood vessels with X-rays. This can help find a blockage or aneurysm.
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How can echocardiogram help diagnose a stroke?
Sometimes a clot forms in another part of the body (often the heart) and travels to the brain. This imaging test of the heart can look for clots in the heart or enlarged parts of the heart.
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What are the advantages of lasers over drills in dentistry?
Pros Compared to the traditional dental drill, lasers: May cause less pain in some instances, so reduces the need for anesthesia May reduce anxiety in patients uncomfortable with the use of the dental drill Minimize bleeding and swelling during soft tissue treatments May preserve more healthy tooth during cavity remova...
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How do lasers work in dentistry?
A peroxide bleaching solution, applied to the tooth surface, is ''activated" by laser energy, which speeds up of the whitening process. All lasers work by delivering energy in the form of light. When used for surgical and dental procedures, the laser acts as a cutting instrument or a vaporizer of tissue that it comes i...
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What causes gastritis?
It may also be caused by any of the following: Helicobacter pylori ( H. pylori): A bacteria that lives in the mucous lining of the stomach; without treatment, the infection can lead to ulcers, and in some people, stomach cancer. Bile reflux: A backflow of bile into the stomach from the bile tract (that connects to the ...
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What are the causes of neutropenia?
Neutrophils are cells in your immune system that attack bacteria and other organisms when they invade your body. The risk for serious infection generally increases as: Neutrophil count goes down Duration of severe neutropenia gets longer The causes of neutropenia include: Problem in the production of neutrophils in the...
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What are infections that cause neutropenia?
Neutrophils are cells in your immune system that attack bacteria and other organisms when they invade your body. The risk for serious infection generally increases as: Neutrophil count goes down Duration of severe neutropenia gets longer The causes of neutropenia include: Problem in the production of neutrophils in the...
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What medications cause neutropenia?
Neutrophils are cells in your immune system that attack bacteria and other organisms when they invade your body. This may be related to having an autoimmune condition, such as: Crohn's disease Rheumatoid arthritis Lupus In some people, neutropenia can be caused by certain medications, such as: Antibiotics Blood pressur...
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What factors cause a decrease production of neutrophils, resulting in neutropenia?
Neutrophils are cells in your immune system that attack bacteria and other organisms when they invade your body. The risk for serious infection generally increases as: Neutrophil count goes down Duration of severe neutropenia gets longer The causes of neutropenia include: Problem in the production of neutrophils in the...
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What are the symptoms of neutropenia?
Neutrophils are cells in your immune system that attack bacteria and other organisms when they invade your body. Neutropenia itself often doesn't cause symptoms. In some cases, people only learn they have neutropenia when they have a blood test for an unrelated reason. But some people may have other symptoms from infec...
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What are some treatments for neutropenia?
Neutrophils are cells in your immune system that attack bacteria and other organisms when they invade your body. This may be related to having an autoimmune condition, such as: Crohn's disease Rheumatoid arthritis Lupus In some people, neutropenia can be caused by certain medications, such as: Antibiotics Blood pressur...
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What is the link between diabetes and inflammation?
The effects of inflammation are familiar to anyone who has experienced a bug bite, rash, skin infection, or ankle sprain. In those situations, you will see swelling in the affected area. With type 2 diabetes, inflammation is internal. Scientists are only beginning to understand the role this form of internal inflammati...
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What does the treatment for rheumatoid arthritis (RA) include?
And with today's treatments, joint damage can be slowed or stopped in many cases. If joint pain and inflammation become unbearable or joints are severely damaged, some people need joint replacement surgery. Physical and occupational therapy make a big difference to your daily life. They are a key part of any rheumatoid...
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How can physical and occupational therapy help with rheumatoid arthritis (RA)?
Physical and occupational therapy make a big difference to your daily life. They are a key part of any rheumatoid arthritis treatment plan. They can also check on whether any gadgets would help you. This can help you handle pain.