Health For Life

Trustworthy, Credible, and Timely Health Information

Some Stuff



Some MORE Stuff


Bell’s Palsy
Sunday, October 15, 2006
This is a fairly common condition named after Dr. Charles Bell, a surgeon from Scotland, who first described it. It is usually mistaken for stroke but further screening will delineate this condition. There is usually a weakness or paralysis on one side of the face causing the eyes and facial muscles on the affected side to droop. This causes the person to speak, smile and close the eye with difficulty accompanied by headache, pain in the ear on the affected side, intolerance to loud sounds, and lost of taste on the front portion of the tongue. There is also a change in the amount of tears and because of difficulty closing the affected eye with the lower eyelid turned out, the affected eye is usually dry.

The actual cause of the condition is still unclear but scientists believe that a viral cause is probable. The Herpes Simplex Virus is believed to lie dormant in the facial nerve and causes the inflammation when activated. It is usually seen in immunocompromised individuals - those who are diabetics, pregnant women, and other chronic conditions which compromise the immune system. Although this condition may clear up on its own even without treatment, most doctors still give medications to reduce or limit nerve damage.

Steroids are anti-inflammatory medicines used to reduce the swelling and inflammation. They are given together with anti-virals like Acyclovir. A massage to the affected facial muscles can also help prevent contractures from occurring. Using an artificial tear to the dry eye and covering it with eye patch help protect the eye from injury.

Labels: , , ,

posted by Rodolfo T. Rafael,M.D. @ 11:25 AM   0 comments
Insomnia

Insomnia, defined as difficulty initiating and/or maintaining sleep,is a very common symptom especially in the elderly. Although it is seen at any age group, its incidence increases with age. It is also common to individuals who are constantly exposed to stress, anxiety, and depression, and to people with chronic pain and a variety of medical conditions. Drinking coffee and cigarette smoking also contribute to insomnia. Aside from these, some medications taken for high blood pressure and some cold preparations may also aggravate the condition.

With insomnia the individual will then have symptoms of daytime sleepiness, irritability, and inability to concentrate. Depression will then ensue as a result of lack of sleep. As the condition progresses to days, daytime activities will be affected because of inability to function normally.

Some medications are given to improve the condition. This medications include sedatives or a hormone called melatonin which help regulate the sleep-wake cycle.Aside from medications, regular exercise particularly in the morning may also help improve the condition. The environment or the place you sleep also plays an important role. The place should not be crowded, not too hot, with adequate lighting, and with minimal noise in order to initiate sleep easily without any interruption. If any of these will not help, try to relax by taking a bath, listening to soft music, or just by reading a book. Daytime naps should be avoided or limited to be able to sleep soundly at night.

Meals should be taken early at least two hours before bedtime and if possible, avoid drinking anything that contains caffeine. Once already in bed and sleep does not easily set in, some meditation methods or relaxation breathing will do the trick.

Labels: , ,

posted by Rodolfo T. Rafael,M.D. @ 11:21 AM   0 comments
About Me

Name: Rodolfo T. Rafael,M.D.
Home: San Fabian, Pangasinan, Philippines
About Me: Family Physician, and Associate Professor (Medical Biochemistry, Medical Physiology and Medical Informatics)
See my complete profile
Previous Post
Archives
Links
Powered by


Health & Medicine - Top Blogs Philippines BLOGGER

Google
Copyright © 2005-2010 RODOLFO T. RAFAEL,MD, All rights reserved.