Contrary to previous research findings, the stress of the COVID-19 pandemic has been linked to an increased headache burden in teens. Investigators found factors contributing to headache for preteens and teens during the pandemic included increased screen time for online learning, depression, anxiety, female sex, and weight gain.
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Pandemic Stress Tied to Increased Headache Burden in Teens
RE: Intensive BP Control Linked to Increase in Cerebral Blood Flow
@harup One of the concerns from clinicians about intensive blood pressure lowering has been about effects on the brain and a possible reduction in cerebral perfusion, which could cause all sorts of issues including eventual cognitive impairment and dementia
RE: Is hypersomnolence normal? what could be other reasons?
@harup Many people find themselves sleep-deprived or excessively tired at various times in their lives. On the other hand, a person with hypersomnolence can feel the need to sleep even after they have slept well for the recommended number of hours. Hypersomnolence can be problematic because it affects a person’s abilities at work and school. It can also affect their safety while driving and can be an indicator of an underlying medical disorder. Risk factors for a person developing hypersomnolence include:
excessive alcohol consumption
previous history of viral infection
previous history of head trauma
family history of hypersomnolence
medical history of depression, substance abuse, bipolar disorder, Alzheimer’s disease, or Parkinson’s disease
RE: I feel nausea whenever I board a flight, what should I do?
@tathoi Take Dramamine
If you know you’re prone to motion sickness or nausea in other forms of travel, make sure to pack Dramamine. It actually prevents nausea, dizziness, and vomiting. Try our original Dramamine Motion Sickness Relief or our long-lasting Dramamine All Day Less Drowsy formula to prevent nausea, dizziness and vomiting. The tablets come in a convenient travel vial so you can slip them into your carry-on bag. If you’re traveling with little ones, try Dramamine For Kids, formulated specially for children ages 2-12.
Try to relax
Anxiety and stress make motion sickness worse and can make it last longer. If you have a fear of flying, consider learning meditation or deep-breathing exercises to help you stay relaxed before and during your flight. If you’ve never flown before, talk to someone who has so you can understand the normal sounds and movements of an airplane and not be frightened when you hear them firsthand. Most of all, especially if you are traveling for fun, look forward to your destination and keep a positive mindset that everything will be all right.
Stay away from greasy or spicy foods
Eat light before you fly – both the night before and day of your flight – and pick up some crackers or other bland snacks in the airport to help in case your stomach gets upset. Stay away from greasy and spicy foods and limit your salt intake as well since flights can be dehydrating.
RE: Painless relatively avascular circumscribed, hard or indurated ulcer on genital area, how to treat?
@harup Genital ulcers may be located on the vagina, penis, and anorectal or perineal areas and may be infectious or noninfectious. There could be many reasons, but your symptoms are similar to syphilis ulcer. Syphilis is a bacterial infection usually spread by sexual contact. The disease starts as a painless sore — typically on the genitals, rectum or mouth. Syphilis spreads from person to person via skin or mucous membrane contact with these sores. After the initial infection, the syphilis bacteria can remain inactive in the body for decades before becoming active again. Early syphilis can be cured, sometimes with a single shot (injection) of penicillin. Without treatment, syphilis can severely damage the heart, brain or other organs, and can be life-threatening. Syphilis can also be passed from mothers to unborn children.
Kindly recommend a diet chart for type II diabetic patients!
Hello, my father is 49 years old. Recently he has been diagnosed with type II diabetes. Kindly recommend a diet chart for type II diabetic patients. I need it urgently so that we can follow it for him.
RE: How to manage acute delirium?
@dilnaj Delirium is a common geriatric syndrome affecting many older patients not only admitted into acute medical wards but also in the community. Delirium is defined as a non-specific organic brain syndrome in which disturbances of consciousness is associated with attention, perception, memory, psychomotor activation, mood, and disturbances in sleep-wake cycle. Although delirium is the most common mental state disorder, it is overlooked by clinicians. It remains unrecognized in about 60% of older adults.
RE: Hypercalcemia- what to do?
@taposh If your hypercalcemia is mild, you and your doctor might choose to watch and wait, monitoring your bones and kidneys over time to be sure they remain healthy. For more severe hypercalcemia, your doctor might recommend medications or treatment of the underlying disease, including surgery.
In some cases, your doctor might recommend:
Calcitonin (Miacalcin). This hormone from salmon controls calcium levels in the blood. Mild nausea might be a side effect.
Calcimimetics. This type of drug can help control overactive parathyroid glands. Cinacalcet (Sensipar) has been approved for managing hypercalcemia.
Bisphosphonates. Intravenous osteoporosis drugs, which can quickly lower calcium levels, are often used to treat hypercalcemia due to cancer. Risks associated with this treatment include breakdown (osteonecrosis) of the jaw and certain types of thigh fractures.
Denosumab (Prolia, Xgeva). This drug is often used to treat people with cancer-caused hypercalcemia who don't respond well to bisphosphonates.
Prednisone. If your hypercalcemia is caused by high levels of vitamin D, short-term use of steroid pills such as prednisone are usually helpful.
IV fluids and diuretics. Extremely high calcium levels can be a medical emergency. You might need hospitalization for treatment with IV fluids and diuretics to promptly lower the calcium level to prevent heart rhythm problems or damage to the nervous system.