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How does untreated depression affect my family?
Living with a depressed person is very difficult and stressful for family members and friends. It's often helpful to have a family member involved in the evaluation and treatment of a depressed relative. Sometimes marital or even family therapy is indicated.
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Are the signs of untreated depression in men different from those in women?
Men who have untreated clinical depression may exhibit more anger, frustration, and violent behavior than women. In addition, men with untreated depression may take dangerous risks such as reckless driving and having unsafe sex. Men are not aware that physical symptoms, such as headaches, digestive disorders and chronic pain, can be symptoms of depression.
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What should you know about untreated depression?
Clinical depression affects the way you eat and sleep. It affects the way you feel about yourself and those around you. It even affects your thoughts. People who are depressed cannot simply “pull themselves together” and be cured. Without proper treatment, including antidepressants and/or psychotherapy, untreated clinical depression can last for weeks, months, or years. Appropriate treatment, however, can help most people with depression. There is mounting evidence that clinical depression takes a serious toll on physical health. Signs of drug and alcohol abuse include: Inability to maintain personal relationships Secretive alcohol use Self-pity Tremors Unexplained memory loss Unwillingness to talk about drugs or alcohol Those who suffer depression and abuse drugs or alcohol may need very specialized treatment. Left untreated, clinical depression is as costly as heart disease or AIDS to the U. S. economy. Untreated depression makes it difficult for employees to work well.
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Who can be treated successfully for clinical depression?
Appropriate treatment, however, can help most people with depression. People with untreated depression can usually get to work.
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What are signs of primary immunodeficiency disease (PIDD) in children?
Signs that your child may have a PIDD include: Has four or more infections a year in the ears, lungs, skin, eyes, mouth, or private parts Needs to get antibiotics through an IV for infections Gets more than one severe, fast-moving illness, like septicemia, a bacterial infection of the blood Has thrush (a fungal infection in the mouth) that doesn't go away Antibiotics don't work well Gets pneumonia more than once a year Your doctor will do a physical exam and may ask you questions like: Has your child had a lot of severe infections?
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How does a primary immunodeficiency disease (PIDD) affect you?
If your child has it, in most cases he'll be able to go to school and make friends like other kids. As an adult with a PIDD, he'll be able to work and have an active, normal life.
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When should I notice the symptoms of primary immunodeficiency disease (PIDD) in children?
You may not notice any symptoms until your child is a few months old. He may get a lot of serious infections, or his illness may start out as a common cold but turn into bronchitis or pneumonia.
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How can a stem cell transplant treat primary immunodeficiency disease (PIDD) in children?
It's rare, but for a very severe PIDD, your child could need a stem cell transplant. In some cases, it's a cure. Stem cells help make new blood cells. They come from bone marrow, which is the soft center of the bones. For a transplant, a donor supplies stem cells with unbroken genes. Your child will need to find someone who is the right match so that his body accepts the new cells. Close relatives, such as a brother or sister, are the best chance. Someone from the same racial or ethnic background may also be a good donor. If no one you know is a match, you can put your child on a waiting list.
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How should children with primary immunodeficiency disease (PIDD) eat and exercise?
Just like anyone else, your child should eat good foods like fruits, vegetables, whole grains, and lean protein. Make exercise a habit, and see that he gets plenty of sleep, too.
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What is a primary immunodeficiency disease (PIDD)?
When your child has a primary immunodeficiency disease ( PIDD), his body has a harder time fighting germs that make people sick. He may get a lot of infections in his ears, lungs, skin, or other areas that take a long time to go away. Most cases happen in babies or young children, but sometimes it doesn't show up until adulthood. There are many different types -- more than 200 -- and they affect different parts of the immune system. All make it more likely that he'll get sick from infections.
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What causes primary immunodeficiency disease (PIDD)?
You can't catch PIDDs like you can a cold or the flu. Your child has it because he was born with a broken gene that affects his immune system. Sometimes this problem runs in families. Or it may have happened on its own. Normally, your body's white blood cells fight infections. Some people with PIDDs are missing certain types of white blood cells, or those cells don't work very well. If that's true for your child, he's more likely to get sick from infections that wouldn't take hold in someone else.
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How does immunoglobulin (Ig) replacement therapy treat primary immunodeficiency disease (PIDD) in children?
These are disease-fighting proteins called antibodies that your child needs. Doctors usually give it through a needle, by IV. The antibodies only last so long, so your child may need a treatment every 3 or 4 weeks. He might have some side effects such as achy muscles or joints, headaches, or a low fever.
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How can a child who has primary immunodeficiency disease (PIDD) keep from catching diseases?
To keep germs away, wash hands often, lathering up with soap for at least 20 seconds. Teach him to keep rubbing his soapy hands together while singing the " Happy Birthday" song twice, which is long enough to get the job done. You can use an alcohol-based hand sanitizer when soap and water aren't available. Stress can make it harder for his body to fight disease. Encourage him to take time to relax, play, and enjoy hobbies. Massage therapy, exercise, being with people he likes, and prayer or meditation are some other ways to lower his stress.
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What are questions to ask my doctor about primary immunodeficiency disease (PIDD)?
What else could cause these symptoms? How can I keep my child from getting sick? What reactions should I expect from the treatment? Should my child get all the usual vaccines? Does my child need to stay away from some sports?
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How should I take care of my child with primary immunodeficiency disease (PIDD)?
Even with a PIDD, your child will be able to go to school, make friends, and keep up with activities. You'll want to meet with his teachers to explain his condition and to let them know he may need to miss classes because of illness more often than other kids. You should also let the school know about medications he'll need to take.
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What happens during a stem cell transplant treat primary immunodeficiency disease (PIDD) in children?
During the transplant, your child will get the new stem cells through an IV. He won't feel any pain from this, and he'll be awake while it's happening. It could take 2 to 6 weeks for the new stem cells to multiply and start making healthy, working blood cells. During this time, your child may need to stay in the hospital or, at the very least, make visits every day to get checked by his transplant team. It can take 6 months to a year until the number of good blood cells in his body gets up to normal.
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What can I expect from primary immunodeficiency disease (PIDD) and its treatments?
Everyone's experience with a PIDD is different because there are so many types of this disease. Most people, with the right treatment, can live a full and active life. The most severe forms of the disease may be treated, and possibly cured, with stem cell transplants, although that's not an easy process. When your child has this illness, the whole family will need lots of emotional support from people like friends, extended family members, and neighbors. Talk to your doctor about getting in touch with other families who have a child with a severe PIDD and can understand what it's like.
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Where can I get information about primary immunodeficiency disease (PIDD) treatments and support groups?
The web site of the Immune Deficiency Foundation can help you find a doctor or get in touch with a support group. The site also has information about clinical trials. These test new drugs to see if they're safe and how well they work. Trials are a way for people to try medicines that aren't available to everyone. Your doctor can tell you if this is a good option for your child.
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How do doctors treat primary immunodeficiency disease (PIDD)?
If your child's PIDD is mild, he may need to take medicines to treat the infections he gets. The treatment takes several hours, and he'll need one every few weeks. Some severe forms of PIDD may need even more serious treatment: a bone marrow transplant, which has a long recovery time.
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How can a doctor diagnose a primary immunodeficiency disease (PIDD) in a child?
Does your child stay sick even after taking antibiotics? Do other people in your family tend to get sick a lot? Other tests will measure certain proteins that fight disease, called immunoglobulins. Many states now test newborns for the most severe kind of PIDD, called SCID (severe combined immunodeficiency). The antibodies only last so long, so your child may need a treatment every 3 or 4 weeks.
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Should I stay away from people who are sick?
If possible, stay away from people who have a cold or the flu. If you can't -- because you're caring for a sick family member, for instance -- step up your hand-washing routine and your attention to other defenses against germs.
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When should I get the flu shot?
It's especially important if you're in a group that doctors say is at high risk for getting sick: Children Adults older than 50 Women who will be pregnant during flu season Nursing home residents People with asthma or a long-term heart or lung condition People with diabetes or another condition that weakens the immune system -- the body's defense against germs Health care workers For the best protection, get the flu vaccine when it comes out each year in October or November. But even later is better than not at all. It takes 2 weeks for the flu vaccine to take effect, and flu season can last into March or April.
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What is the best method for hand washing to prevent sickness?
Do it thoroughly: Use soap and water. Scrub for at least 20 seconds. Wash before you eat or prepare food and after you use the bathroom or change a diaper. If you're taking care of someone who's sick, wash your hands before and after being with them.
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Do I have to stay home when I'm sick?
Stay home when you're sick. If you go to school or work when you don't feel well, you can make a lot of people sick. Although a cold or flu might not be a big deal for you, it can be serious for people with weak immune systems, like young children, the elderly, and anyone with a long-term health problem. Working while you're sick isn't good for you, either. It can make it harder for your body to fight off a cold. So do what's best for you and everyone else. Take a couple of days off.
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Who should get a flu vaccine?
Anyone over 6 months old should get one. It's especially important if you're in a group that doctors say is at high risk for getting sick: Children Adults older than 50 Women who will be pregnant during flu season Nursing home residents People with asthma or a long-term heart or lung condition People with diabetes or another condition that weakens the immune system -- the body's defense against germs Health care workers For the best protection, get the flu vaccine when it comes out each year in October or November.
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Should I wash cloths and towels more often if someone in my home is sick?
Cold and flu germs can cling to fabric. So when someone in your house is sick, replace cloth hand towels and dishrags with paper towels. Remove water glasses and add paper cups in the bathroom, too.
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Can using hand sanitizer keep me from getting sick?
It's the next best thing if you can't get to a sink. Keep a small bottle with you -- at work, in your car, and in your purse. Buy one with at least 60% alcohol. Rub it all over your hands until they're dry.
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How can I disinfect an area if people around are sick?
If you don't have one with you, don't cough into your hand. Still, if someone in your family is sick, use one to wipe down high-traffic spots: computers, phones, doorknobs, and TV remotes.
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How can I keep a cold or flu away from my friends?
Then it's time for action. Cover your nose and mouth . If you don't have one with you, don't cough into your hand. You'll just smear germs on the next thing you touch. Instead, cough into the crook of your elbow.
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How can I avoid getting sick if people around me are?
Wash your hands . It's the single best way to avoid a cold. Once germs are on your hands, it's easy for them to get into your body when you touch your eyes or mouth. Take care of yourself.
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How can I change my lifestyle to avoid getting sick?
Or are you worried you may give your cold to your family? So make sure you eat nutritious food, exercise regularly, and get enough sleep.
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Can an oral surgeon help with my impacted teeth?
Impacted teeth: This mostly happens with wisdom teeth. But it can happen in other places in your mouth, too. When the teeth come through the gums for the first time, it might be crowded, so they either don't come out at all or don't come out completely. This can cause sore gums and infections. Your dentist or surgeon might recommend you get your wisdom teeth pulled, even before they present any problems.
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How can an oral surgeon help me with a missing tooth?
Implants: You can replace a missing tooth with a dental implant. The surgeon imbeds a titanium implant into your jaw, then your dentist attaches a crown.
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What conditions can oral surgeons help treat?
Cancer treatment: Oral surgeons also treat cancers, not just of the mouth, but also of the head and neck, like of the salivary glands, sinuses, throat, larynx, and lips. Oral surgeons can also help with: Nerve repair Cleft lips and cleft palate surgery Removal of lesions on the face or inside the mouth If you have problems with your teeth or gums, talk with your dentist.
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Can an oral surgeon help with issues with my jaw joint?
Jaw-joint issues: The temporomandibular joint ( TMJ) connects your jaw to your skull. It's that little “hinge” right in front of the ears. It can cause problems like pain in your jaw, jaw-popping, stiffness, and headaches. Oral devices, pain medication, and ice packs can help. But people with recurring problems may need oral surgery.
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Can an oral surgeon help correct issues with breathing and sleep?
Sleep and breathing issues: This covers things like snoring and sleep apnea, a condition that causes you to stop breathing for brief periods during sleep. A doctor with special training may recommend a CPAP machine or other appliance that can open your airway. He may also want you to have surgery, and you'd go to an oral surgeon. The type of surgery you'd have would depend on what's blocking your breathing.
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If I have problems with my teeth, gums, or jaws, why should I talk to my dentist first?
If you have problems with your teeth, gums, or jaws, go see your dentist, even if the pain is in the area around your mouth or face. If it's an emergency and a dentist is not available, head to an urgent care clinic rather than the ER. It's best, though, to try to avoid both if possible. They will only administer medication for the symptoms and tell you to see a dentist. They may also charge 3 to 4 times what it may cost to solve the problem. Your dentist can handle most oral problems. If he thinks you need an oral surgeon, he'll recommend one.
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What are oral and maxillofacial surgeons, and what kind of training do they get?
If your dentist recommends maxillofacial surgery, he's talking about a specialty of dentistry that relates to your face and jaws. It's a surgery that treats disease and injuries of the areas around your mouth. Oral and maxillofacial surgeons must complete extra training and education beyond what is normal for a dentist. Some get a medical degree (an MD) along with their oral surgery diplomas. They put in at least 4 years of training in a hospital-based surgical program alongside medical residents in many different specialties, including anesthesia. That includes various types of IV sedation, including "twilight sleep" and general anesthesia, where you're unconscious and can't feel any pain.
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Can an oral surgeon help correct overbites and underbites?
An oral surgeon can help you out of several situations. Overbite/underbite: If your jaw or teeth aren't aligned properly, your dentist may recommend orthognathic surgery. It's an option for people with excessive overbites or underbites, trouble chewing or swallowing, certain birth defects, or sleep apnea. Often, an orthodontist can correct your teeth if they don't line up. But if it's caused by your jaw, some time with an oral surgeon might be necessary.
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Can I get human immunodeficiency virus (HIV) from vaginal sex?
Yes, and either partner can get it! A woman can get HIV through the tissue that lines her vagina and cervix. The virus can get into a man through the opening of his penis or through a small cut or sore on it. Effective HIV drugs (antiretroviral therapy) will greatly reduce the chances that an HIV infected person can give HIV to his/her partner in this way. However, even when HIV drugs are used, use a condom to cut your chances of the virus passing between you, as well as getting any other sexually transmitted infections.
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Can I get human immunodeficiency virus (HIV) from a blood transfusion?
HIV isn't spread through saliva. But if you kiss someone who's infected and has bleeding gums or sores, you could get the virus if you also have cuts or sores around or in your mouth -- because of the blood-to-blood contact. Careful testing makes sure that blood bank supplies are HIV-free.
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Can I get human immunodeficiency virus (HIV) from a hug?
In fact, it's a lot harder to give it to someone else. HIV is only spread through specific body fluids: blood, semen, pre-seminal fluid (pre-cum), vaginal and rectal fluid, and breast milk. Hugging and shaking hands are safe.
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Can I get human immunodeficiency virus (HIV) from someone's tears, sweat, vomit, or pee?
HIV is only spread through specific body fluids: blood, semen, pre-seminal fluid (pre-cum), vaginal and rectal fluid, and breast milk. Not like that. Sweat and tears don't carry HIV. And even though they might have a trace of blood, there have been no reported cases of HIV from vomit or pee.
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Can I get human immunodeficiency virus (HIV) if someone with human immunodeficiency virus (HIV) bites, scratches, or spits on you?
HIV is only spread through specific body fluids: blood, semen, pre-seminal fluid (pre-cum), vaginal and rectal fluid, and breast milk. HIV isn't spread through saliva. But if you kiss someone who's infected and has bleeding gums or sores, you could get the virus if you also have cuts or sores around or in your mouth -- because of the blood-to-blood contact. If you're trying to catch HIV, this is the way to have sex. But it's very rare. And if your skin doesn't break, there's no chance.
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Can I get human immunodeficiency virus (HIV) from anal sex?
HIV is only spread through specific body fluids: blood, semen, pre-seminal fluid (pre-cum), vaginal and rectal fluid, and breast milk. Yes, and either partner can get it! And while condoms work to protect you if they stay in place, they're more likely to break during this kind of sex. Again, effective antretroviral therapy in the HIV-infected partner will reduce the chances of passing HIV. However, condoms should be used to prevent HIV and other sexually transmitted infections.
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Can I get human immunodeficiency virus (HIV) from eating food made by a person with human immunodeficiency virus (HIV)?
HIV is only spread through specific body fluids: blood, semen, pre-seminal fluid (pre-cum), vaginal and rectal fluid, and breast milk. Remember, HIV isn't in saliva, and it dies quickly once it's outside the body. The virus can't survive the cooking process or your stomach acid. Passing HIV through eating has happened only in rare cases, when children ate food that was already chewed by someone with the virus.
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Can I get human immunodeficiency virus (HIV) from touching an open wound on someone who has human immunodeficiency virus (HIV)?
HIV isn't spread through saliva. Body fluids like blood can pass through broken skin, wounds, or mucous membranes. But it's very rare.
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Can I get human immunodeficiency virus (HIV) from mosquitoes or ticks?
You can only get it when certain fluids from someone who's infected get into your body. HIV is only spread through specific body fluids: blood, semen, pre-seminal fluid (pre-cum), vaginal and rectal fluid, and breast milk.
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Can I get human immunodeficiency virus (HIV) from someone's cough or sneeze?
HIV is only spread through specific body fluids: blood, semen, pre-seminal fluid (pre-cum), vaginal and rectal fluid, and breast milk. No, the virus doesn't travel through air.
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Can I get human immunodeficiency virus (HIV) from oral sex?
HIV is only spread through specific body fluids: blood, semen, pre-seminal fluid (pre-cum), vaginal and rectal fluid, and breast milk. You might, but it's not nearly as likely as when you have anal or vaginal sex. Still, it can happen. The person who ends up with semen or vaginal fluid in their mouth is at greater risk. Again, use a condom, latex barrier, or dental dam.
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Can I get human immunodeficiency virus (HIV) from a tattoo or a body piercing?
HIV isn't spread through saliva. In theory, yes, if the needles were used on someone with HIV before you and then not sterilized. But the CDC says no cases have been reported of someone getting the virus this way.
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Can I get human immunodeficiency virus (HIV) from kissing?
HIV is only spread through specific body fluids: blood, semen, pre-seminal fluid (pre-cum), vaginal and rectal fluid, and breast milk. It's possible, but it hardly ever happens. HIV isn't spread through saliva. And it would still have to get through your skin or into you somehow.
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Can I get human immunodeficiency virus (HIV) from sharing needles?
You can only get it when certain fluids from someone who's infected get into your body. No, the virus doesn't travel through air. Any of the supplies for preparing drugs for injection -- syringes, bottle caps, spoons, or containers -- could have the virus if someone with HIV used it first.
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Can a pregnant woman infect her baby with human immunodeficiency virus (HIV)?
HIV is only spread through specific body fluids: blood, semen, pre-seminal fluid (pre-cum), vaginal and rectal fluid, and breast milk. A woman infected with HIV can pass the virus to her child during pregnancy or while she's giving birth, or though her breast milk. The chances are greatly reduced, however if the mother is taking effective HIV drugs (antiretroviral therapy) throughout her pregnancy, labor, and delivery.
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Can I get human immunodeficiency virus (HIV) from a toilet seat, water fountain, or drinking glasses?
You can only get it when certain fluids from someone who's infected get into your body. HIV is only spread through specific body fluids: blood, semen, pre-seminal fluid (pre-cum), vaginal and rectal fluid, and breast milk. First, there's not likely to be the right kind of body fluid on public surfaces. And if there were, the virus would probably die before you got to it; it can't live long outside a body. And it would still have to get through your skin or into you somehow. Sharing dishes, glasses, and eating utensils is safe. Remember, HIV isn't in saliva, and it dies quickly once it's outside the body.
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How painful is herpes simplex?
Some people experience very mild genital herpes symptoms or no symptoms at all. Frequently, people infected with the virus don't even know they have it. However, when it causes symptoms, it can be described as extremely painful. This is especially true for the first outbreak, which is often the worst. Outbreaks are described as aches or pains in or around the genital area or burning, pain, or difficulty urinating. Some people experience discharge from the vagina or penis. Oral herpes lesions (cold sores) usually cause tingling and burning just prior to the breakout of the blisters. The blisters themselves can also be painful.
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How is herpes simplex diagnosed?
Often, the appearance of herpes simplex virus is typical and no testing is needed to confirm the diagnosis. If a health care provider is uncertain, herpes simplex can be diagnosed with lab tests, including DNA -- or PCR -- tests and virus cultures.
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What are the symptoms of herpes simplex virus?
For many people with the herpes virus, which can go through periods of being dormant, attacks (or outbreaks) can be brought on by the following conditions: General illness (from mild illnesses to serious conditions) Fatigue Physical or emotional stress Immunosuppression due to AIDS or such medications as chemotherapy or steroids Trauma to the affected area, including sexual activity Menstruation Symptoms of herpes simplex virus typically appear as a blister or as multiple blisters on or around affected areas -- usually the mouth, genitals, or rectum. The blisters break, leaving tender sores.
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How are herpes simplex viruses categorized?
!s_sensitive, chron ID: $('article embeded_module[type=video][align=top]:eq(0)').attr('chronic_id'), continuous Play: true, cp Options: { flyout: true }, display Ads: true, mode: 'in-article', sticky: true }) }); }); } else { $(function(){ $('.responsive-video-container').remove(); }); } Herpes simplex viruses -- more commonly known as herpes -- are categorized into two types: herpes type 1 ( HSV-1, or oral herpes) and herpes type 2 ( HSV-2, or genital herpes). Most commonly, herpes type 1 causes sores around the mouth and lips (sometimes called fever blisters or cold sores). HSV-1 can cause genital herpes, but most cases of genital herpes are caused by herpes type 2. In HSV-2, the infected person may have sores around the genitals or rectum. Although HSV-2 sores may occur in other locations, these sores usually are found below the waist.
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What conditions can lead to attacks of the herpes simplex virus?
For many people with the herpes virus, which can go through periods of being dormant, attacks (or outbreaks) can be brought on by the following conditions: General illness (from mild illnesses to serious conditions) Fatigue Physical or emotional stress Immunosuppression due to AIDS or such medications as chemotherapy or steroids Trauma to the affected area, including sexual activity Menstruation Symptoms of herpes simplex virus typically appear as a blister or as multiple blisters on or around affected areas -- usually the mouth, genitals, or rectum.
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Can herpes be cured?
There is no cure for herpes simplex. Once a person has the virus, it remains in the body. The virus lies inactive in the nerve cells until something triggers it to become active again.
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How is herpes simplex treated?
Medication can decrease the pain related to an outbreak and can shorten healing time. They can also decrease the total number of outbreaks. Drugs including Famvir, Zovirax, and Valtrex are among the drugs used to treat the symptoms of herpes. Warm baths may relieve the pain associated with genital sores. There is no cure for herpes simplex.
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What causes herpes infections and outbreaks?
HSV-1 can cause genital herpes, but most cases of genital herpes are caused by herpes type 2. Pregnant women with genital herpes should talk to their doctor, as genital herpes can be passed on to the baby during childbirth. For many people with the herpes virus, which can go through periods of being dormant, attacks (or outbreaks) can be brought on by the following conditions: General illness (from mild illnesses to serious conditions) Fatigue Physical or emotional stress Immunosuppression due to AIDS or such medications as chemotherapy or steroids Trauma to the affected area, including sexual activity Menstruation Symptoms of herpes simplex virus typically appear as a blister or as multiple blisters on or around affected areas -- usually the mouth, genitals, or rectum. Frequently, people infected with the virus don't even know they have it.
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How can lead get into dust?
Although lead-based paint hasn't been sold since 1978, plenty of older homes still have it. Tiny fragments of lead paint can float through the air and accumulate on surfaces throughout your house. Babies can pick them up on their hands and get them into their mouths. They can also breathe them in directly. Contrary to what you might think, it doesn't take much. Even at very low levels of exposure, lead dust can cause harm.
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How many U.S. kids have blood levels of lead that are too high?
According to the Centers of Disease Control, more than half a million children ages 1-5 in the U. S. have blood lead levels high enough to damage their health. Even with treatment, lead poisoning can permanently affect a child's development. Because their bodies are small and growing, babies and young children are at greatest risk.
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What are challenges that come with treating elderly-onset rheumatoid arthritis (RA) by medications?
These include: Disease-modifying antirheumatic drugs ( DMARDs) Biologic drugs Nonsteroidal anti-inflammatory drugs ( NSAIDs) Corticosteroids You might have more challenges with your medication, especially if you take drugs for other health conditions. This boosts your chances of a bad reaction to the medicine. You may also have a harder time with drug side effects. NSAIDs increase your chances of heart, brain, gut, and kidney problems. Corticosteroids up the odds of glaucoma, osteoporosis, and other health problems.
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What symptoms of elderly-onset rheumatoid arthritis (RA) might be a different condition?
Elderly-onset RA also has symptoms that overlap with other diseases, like: Polymyalgia rheumatica ( PMR) Late-onset psoriatic arthritis Crystal arthritis Viral arthritis Osteoarthritis Rotator cuff tendinitis Hypothyroidism Parkinson's disease It may be hardest to tell elderly-onset RA from PMR, which has similar aches and test results (like elevated CRP and ESR levels).
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Does exercise help if you have elderly-onset rheumatoid arthritis (RA)?
Your doctor has to figure out if it's really late-onset or if you've had the disease for years.
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What is the goal of treatment for elderly-onset rheumatoid arthritis (RA)?
Your treatment goal is remission, the lowest possible level of disease activity. This can prevent joint damage and can keep your joints working like they should.
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What should I know about medications for elderly-onset rheumatoid arthritis (RA)?
You can get rheumatoid arthritis ( RA) at any age, but it's most likely to show up between ages 30 and 50. When it starts between ages 60 and 65, it's called elderly-onset RA or late-onset RA. Your doctor will probably give you the same drugs used to treat early-onset RA. These include: Disease-modifying antirheumatic drugs ( DMARDs) Biologic drugs Nonsteroidal anti-inflammatory drugs ( NSAIDs) Corticosteroids You might have more challenges with your medication, especially if you take drugs for other health conditions. This boosts your chances of a bad reaction to the medicine. You may also have a harder time with drug side effects. NSAIDs increase your chances of heart, brain, gut, and kidney problems. Corticosteroids up the odds of glaucoma, osteoporosis, and other health problems.
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What are good exercises to do if I have elderly-onset rheumatoid arthritis (RA)?
You can get rheumatoid arthritis ( RA) at any age, but it's most likely to show up between ages 30 and 50. When it starts between ages 60 and 65, it's called elderly-onset RA or late-onset RA. Your doctor has to figure out if it's really late-onset or if you've had the disease for years.
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Can you have elderly-onset rheumatoid arthritis and osteoarthritis?
You may also have a harder time with drug side effects. Even if you take RA drugs, they may not do enough to reduce your pain and keep your joints working.
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What conditions have similar symptoms as for elderly-onset rheumatoid arthritis (RA)?
You can get rheumatoid arthritis ( RA) at any age, but it's most likely to show up between ages 30 and 50. When it starts between ages 60 and 65, it's called elderly-onset RA or late-onset RA. Look out for: Fever Muscle pain (myalgia) Weight loss Anemia Your tab tests may show: Elevated CRP ( C-reactive protein) Elevated ESR (erythrocyte sedimentation rate) It can be hard to spot this condition. Your doctor has to figure out if it's really late-onset or if you've had the disease for years. Elderly-onset RA also has symptoms that overlap with other diseases, like: Polymyalgia rheumatica ( PMR) Late-onset psoriatic arthritis Crystal arthritis Viral arthritis Osteoarthritis Rotator cuff tendinitis Hypothyroidism Parkinson's disease It may be hardest to tell elderly-onset RA from PMR, which has similar aches and test results (like elevated CRP and ESR levels).
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What should you know about rheumatoid arthritis (RA) and the elderly?
You can get rheumatoid arthritis ( RA) at any age, but it's most likely to show up between ages 30 and 50. When it starts between ages 60 and 65, it's called elderly-onset RA or late-onset RA. You may hear this called acute onset. If you get RA when you're younger, symptoms tend to show up over time. Elderly-onset RA usually strikes large joints, like shoulders. With younger people, the disease mostly starts in small joints, like your fingers and toes. Rheumatoid factor ( RF) is less common in elderly-onset RA. Rheumatoid factor is a protein. If your blood tests show you have it, those proteins may attack healthy tissues. Around 80% of people with early-onset RA have RF. Overall, elderly-onset RA takes less of a toll. It tends to be less severe. The exception is if you have RF. Your RA will probably be more aggressive RA than someone who doesn't have RF. Your treatment goal is remission, the lowest possible level of disease activity.
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How is elderly-onset rheumatoid arthritis (RA) treated?
You can get rheumatoid arthritis ( RA) at any age, but it's most likely to show up between ages 30 and 50. When it starts between ages 60 and 65, it's called elderly-onset RA or late-onset RA. Your treatment goal is remission, the lowest possible level of disease activity. This can prevent joint damage and can keep your joints working like they should. Your doctor will probably give you the same drugs used to treat early-onset RA. These include: Disease-modifying antirheumatic drugs ( DMARDs) Biologic drugs Nonsteroidal anti-inflammatory drugs ( NSAIDs) Corticosteroids You might have more challenges with your medication, especially if you take drugs for other health conditions.
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What can help you remove germs from your kitchen sponge?
Washing a sponge in the dishwasher also isn't enough to kill germs unless you have an extremely high-heat germicide cycle. As an alternative, you can use paper towels or a clean cloth; be sure to use the cloth only once and then toss it in the laundry. If you do use sponges, you can soak them between cleanings in a solution of no more than 1 cup of bleach to 1 gallon of water, or vinegar and water. Soak them in the bleach solution for about 5 minutes or in the vinegar solution for 20 to 30 minutes. Rinse thoroughly and let air dry.
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What can you do to help remove germs in your dishwasher?
Do you see a black fungus on the seal around your dishwasher door or inside your dishwasher? It may be Exophiala dermatitidis, a fungus that likes high heat and is resistant to most detergents. Scrub it away with a paste of vinegar and baking soda. While you're in the dishwasher, pour a couple of cups of vinegar in the bottom and run a cycle to kill other tough germs.
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What can help you remove germs from your kitchen cutting board?
Disinfect cutting boards by soaking them in straight vinegar or a bleach solution of no more than 1 cup of bleach to 1 gallon of water for about 30 minutes. Then rinse thoroughly with hot, soapy water or put them in the dishwasher. Using the dishwasher alone isn't enough to sanitize them.
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What can help you remove germs from your kitchen counter?
Spraying a 10% vinegar solution on counters will wipe out lots of kitchen counter germs at once. Keep the surface wet for 30 to 60 seconds, then wipe. Keep purses, briefcases, lunchboxes, keys, mail, and electronic devices like remote controls off countertops because they're teeming with germs.
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What can help you remove germs in your refrigerator?
Wash the refrigerator door handle frequently with a bleach solution. It's not enough to just replace the trash bag. Wipe cabinet and refrigerator door handles at least once a week with the bleach solution to kill microorganisms. Get rid of mold in the refrigerator and dust on the countertops, for example.
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What happens when you get ureteroscopy to treat kidney stones?
Your doctor inserts a thin, flexible scope through your urethra, bladder and then into your ureter to reach the stone. If the stone is small, she can use a basket to remove it. If the stone is larger, a laser passed through the scope can break it up.
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What types of prescription drugs can help with kidney stones?
Prescription drugs can help: Calcium channel blockers and alpha-blockers: These relax your ureter, the tube through which pee passes from your kidney to your bladder. A wider ureter will help the stone move more quickly. Potassium citrate or sodium citrate: Can help keep kidney stones created by uric acid from forming.
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What are percutaneous nephrolithotomy or percutaneous nephrolithotripsy to help treat kidney stones?
Percutaneous nephrolithotomy or percutaneous nephrolithotripsy. These similar surgical procedures are options if your stone is large or if other procedures fail to break them down enough. Your doctor uses a thin tube inserted through your skin to reach the stone and them removes (nephrolithotomy) or breaks (nephrolithotripsy) it. You will be given drugs so you won't be awake or feel pain. You'll likely have to stay in the hospital for 1-2 days.
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What is open surgery for kidney stones?
Open surgery: This might be an option if your stone is very oversized or your doctor can't take it out with other treatments. You'll be sedated and not awake. Your surgeon cuts through your side to reach the kidney, then takes the stone out through the opening. You may need to stay in the hospital for a few days. It can take 4-6 weeks for you to fully recover. Your surgeon usually will ask a lab to identify the type of stone, so you might be able to take meds to avoid them in the future.
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Are kidney stones painful?
Your treatment depends on where and how big your stone is and what symptoms you have. Your doctor may have to break it up or remove it. Ask your doctor: How long should I wait for my stone to pass on its own?
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Are antidepressants used to treat bipolar depression?
While antidepressants are effective treatment for people with major depressive (unipolar) disorder, they are not always as effective for bipolar depression, and generally should not be given alone (monotherapy) in people with bipolar I disorder. When antidepressants are given alone to someone with bipolar disorder, there's a risk the drug might ignite a manic episode in some patients.
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Is electroconvulsive therapy (ECT) a viable treatment for bipolar depression?
Guidelines from the American Psychiatric Association suggest that ECT is an appropriate and sometimes preferred treatment for depressed bipolar patients who have psychotic symptoms or a very high risk for suicidal behavior. In addition, ECT may benefit women who are pregnant and suffer with severe bipolar depression or mania.
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How do the CNS depressants help with bipolar disorder depression?
CNS depressants are commonly used to treat anxiety and sleep disorders and may be an effective alternative or adjunctive therapy in some bipolar patients with acute mania. Some commonly used benzodiazepines include clonazepam ( Klonopin), lorazepam ( Ativan), alprazolam ( Xanax), and diazepam ( Valium). These drugs all can be addictive and can cause sluggish thinking. They generally should be used only to treat agitation or sleep problems during the acute phase of the illness and not as long-term medications. They typically should be tapered off rather than stopped abruptly, in order to minimize the risk of drug withdrawal.
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Can psychotherapy help with bipolar depression?
In addition, ECT may benefit women who are pregnant and suffer with severe bipolar depression or mania. Along with medications for bipolar depression, patients may benefit from ongoing psychotherapy. This one-on-one therapy combines interpersonal psychotherapy with behavioral techniques to help patients learn how to more effectively manage interpersonal problems, stay on their medications, and normalize their lifestyle habits. The STEP- BD study mentioned earlier found that in addition to medications, adding a structured psychotherapy -- such as cognitive behavioral therapy, interpersonal/social rhythm therapy, or family-focused therapy -- can speed up treatment response in bipolar depression by as much as 150%.
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Can breast cancer treatment cause changes in weight?
Weight loss might be due to nausea, vomiting, or appetite changes. Weight gain is sometimes brought on by chemotherapy, or hormone therapy, which can both cause early menopause. But some other medications you may take can also cause you to put on extra pounds, as can changes in your diet and being less active.
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When should I call 911 for an insulin reaction?
A severe reaction A seizure A loss of consciousness For a severe reaction: While waiting for emergency help, inject glucagon if you are trained to do so.
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If I start to feel symptoms of a mild or moderate insulin reaction, what should I do?
For moderate to mild symptoms: Give the person a high-sugar food such as: 3 to 4 glucose tablets 1/3 to 1/2 tube of glucose in gel form 1/2 cup orange juice 1/3 cup apple juice 1/4 to 1/3 cup raisins 2 large or 6 small sugar cubes in water 4 oz. to 6 oz. of regular soda, not diet 1 tablespoon of molasses, honey, or corn syrup 5 hard candies After 15 minutes, test blood sugar, if possible. If symptoms persist or blood sugar reading is below 70 mg/d L, give another high-sugar food. If the person's next meal is more than 30 minutes away, give the person a small snack, such as 1/2 sandwich, 1 oz. cheese with 4 to 6 crackers, or 1 tablespoon peanut butter with 4 to 6 crackers. If the person still doesn't feel better, go to a hospital emergency room or call 911. If you go to the hospital, doctors may give sugar intravenously.
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What should I do in the case of a severe insulin reaction?
A severe reaction A seizure A loss of consciousness For a severe reaction: While waiting for emergency help, inject glucagon if you are trained to do so.
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When should you try a different opioid to avoid constipation?
These meds work by blocking the effects that the drugs have on your gut: Lubiprostone ( Amitzia), a pill Methylnaltrexone ( Relistor), a shot Naldemedine ( Symproic), a pill Naloxegol ( Movantik), a pill All opioids can cause constipation, but some may have less of an effect than others. Some studies have found that fentanyl may cause less constipation than morphine. Tapentadol may also be easier on your intestines than oxycodone. Methadone may also be less constipating. Talk to your doctor about which drugs will give you the right balance of pain relief and fewer side effects.
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What neurotransmitters play a role in bipolar disorder?
Disruption of circuits that communicate using dopamine in other brain areas appears connected to psychosis and schizophrenia, a severe mental disorder characterized by distortions in reality and illogical thought patterns and behaviors. The brain chemical serotonin is connected to many body functions such as sleep, wakefulness, eating, sexual activity, impulsivity, learning, and memory. Researchers believe that abnormal functioning of brain circuits that involve serotonin as a chemical messenger contribute to mood disorders (depression and bipolar disorder).
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Can lack of sleep cause bipolar disorder?
Some findings show that people with bipolar disorder have a genetic predisposition to sleep-wake cycle problems that may trigger symptoms of depression and mania. The problem for those with bipolar disorder, however, is that sleep loss may lead to a mood episode such as mania (elation) in some patients. Worrying about losing sleep can increase anxiety, thus worsening the bipolar mood disorder altogether. Once a sleep-deprived person with bipolar disorder goes into the manic state, the need for sleep decreases even more.
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How is dysthymia diagnosed?
A mental health specialist generally makes the diagnosis based on the person's symptoms. In the case of dysthymia, these symptoms will have lasted for a longer period of time and be less severe than in patients with major depression. With dysthymia, your doctor will want to make sure that the symptoms are not a result of a physical condition, such as hypothyroidism. If you are depressed and have had depressive symptoms for more than two weeks, see your doctor or a psychiatrist. Your provider will perform a thorough medical evaluation, paying particular attention to your personal and family psychiatric history. There is no blood, X-ray or other laboratory test that can be used to diagnose dysthymia.
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What are the signs and symptoms of dysthymia?
Dysthymia, sometimes referred to as mild, chronic depression, is less severe and has fewer symptoms than major depression. With dysthymia, the depression symptoms can linger for a long period of time, often two years or longer.
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Can dysthymia worsen?
It's not uncommon for a person with dysthymia to also experience an episode ofmajor depression at the same time. This is called double depression. That's why it's so important to seek an early and accurate medical diagnosis. Your doctor can then recommend the most effective treatment to help you feel yourself again.
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What else can I do to feel better if I have dysthymia?
Getting an accurate diagnosis and effective treatment is a major step in feeling better with chronic depression. In addition, ask your doctor about the benefits of healthy lifestyle habits such as eating a well-balanced diet, getting regular exercise, avoiding alcohol and smoking, and being with close friends and family members for strong social support. These positive habits are also important in improving mood and well-being.