Tag Archives: #medical

Could this be the reason why your hands are always cold?

I’m sure you’ve noticed that winter is fast approaching, the air is getting colder and the temperatures are dropping! Does the cold weather ever cause your fingers or toes to become blue and numb? If so, Raynaud’s phenomenon may be the reason why!

What is Raynaud’s phenomenon?

Raynaud’s phenomenon, also known as Raynaud’s disease occurs when blood cells in your finger tips or toes overreact to the cold, causing your fingers to turn white, blue, and finally red.  This disease is typically diagnosed between the ages of 15 and 30; however it is quite rare, affecting less than 10% of individuals in the United States. Furthermore, females and individuals who live in colder regions are more likely to be afflicted by this disease.

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Image: Tcal at English Wikipedia

Types of Raynaud’s Disease

Raynaud’s disease can be classified as either primary or secondary. Anyone can develop primary Raynaud’s; however, chances are heightened for those with a family history. On the contrary, secondary Raynaud’s is uncommon. In fact, only individuals with an underlying medical condition that makes them more prone to the disease (e.g. nerve damage) are at risk for developing secondary Raynaud’s.

0:30-2:30 A more detailed explanation of the major differences between primary and secondary Raynaud’s disease

Video: Johns Hopkins Rheumatology

Symptoms and Causes

The most common symptoms include: numbness, tingling, and sometimes even pain in the fingers and toes. In most cases, symptoms will subside after about 15 minutes when your body warms up and blood flow returns to its normal rate. Additionally, Raynaud’s is triggered primarily by the cold, but other potential triggers include: emotional stress, smoking, caffeine, and certain medications.

How does this happen?

When temperatures drop, your body conserves heat by reducing the rate of blood flow to your hands and feet (i.e. the network of arteries that carry blood to these parts of your body narrow). If you have Raynaud’s disease, however, these arteries narrow more than necessary, causing your fingers and toes to feel numb and turn blue.

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An image showing regular blood flow to the fingers (A) versus constricted blood flow to the fingers (B & C)

Image: National Heart,Lung, and Blood Institute: Heart & Vascular Diseases: Raynaud’s: What Is Raynaud’s?

How dangerous is this disease?

Raynaud’s is not dangerous; however, individuals with this condition are more prone to frost bites and spasms in the fingers and toes. Furthermore, in extreme cases, blood flow to the fingers and toes may be completely blocked resulting in potential deformities and tissue damage.

Is there a cure?

There are no known cures for Raynaud’s; however, symptoms typically improve over time. Simple measures, such as covering exposed skin can be taken to prevent any symptoms. However, if you do happen to experience any symptoms, soaking the area in warm water can help relieve them.

Sami Ko

Does Not Wearing Glasses Mean Contact Lenses for Life?

“Why don’t you try contact lenses,” my optometrist offered when I told him I hated my glasses. This is a more common situation than not. I hated spending $200 on glasses each time I wanted to change my style, which is already on the lower end of the price range. Similarly, getting contacts would mean spending up to $1200 a year! Thus, are contact lenses the only solution to glasses?

NO!

A pair of stylish glasses.                                        Credit: Max Pixel

I am sure you have heard of the term myopia and presbyopia or even astigmatism. These are all different types of refractive errors; a condition where the shape of your eye does not bend light properly. With the introduction of refractive surgery, the eye care scene grew drastically with new methods to correct refractive errors through changing the eye’s structures.

Where to Start?

Like any medical procedure, you will arrive for your initial consultation. Your visit will likely begin with the careful investigation of your medical history and countless tests to assess your eye. Then your doctor will discuss the different procedures you are a candidate for. Two of these are LASIK and PRK.

What is LASIK?

Laser-assisted in situ keratomileusis or more commonly known as LASIK, is the most well-known refractive surgery technique.  By using a laser, ophthalmologists form a thin flap in the cornea – a transparent dome covering the outermost layer of the eye – making the removal of a specific amount of corneal tissue possible, before refolding the flap into its original position. This alters the eye’s ability to focus light.

The basic steps on the LASIK procedure.   Credit: Andrearchy LASIK

 

What is PRK?

Do you enjoy sports or just have a very active lifestyle in general? If so, another type of refractive surgery called photorefractive keratectomy (PRK) is perfect for you. In contrast to LASIK, where instead of creating a corneal flap that can become dislodged with intense movement, the doctor will remove the corneal epithelial, which will allow a laser to reshape the deeper cornea.

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Am I Free From Corrective Lenses Now?

It would be pointless if your surgery does not improve your eyesight at all. That’s money down the drain! With any of the procedures, most people end up with 20/40 vision or better. Thus, you can leave your fashionable glasses at home!

Snellen chart to help determine visual acuity.
Credit: Wikimedia Commons

Laser Correction Sounds Exciting, but Scary!

Unfortunately, there are inherent risks and potential side effects. Over time your eyesight will deteriorate and you might one day need glasses again to see properly. As for the immediate side effects of surgery, there is the rare chance of going blind, but in the hands of an expert surgeon the probability is 1 in 5 million. Instead, the possibility of chronic dry eyes is more worrisome. Thus, as you begin your journey remember to save up some money in advance for artificial tears!

By: Jodie Xie

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Two’s a Crowd: Liver Disease Risk Increases With Multiple Risk Factors

Why It Matters

If you’re a health-conscious sort of person, you probably already know that keeping a healthy diet and living an active lifestyle can reduce your risk of certain health problems – for instance, liver disease. But did you know that exposure to certain chemicals can influence your liver’s health for the worse?

How Tough is Your Liver?

When faced with handling its typical everyday duties, the liver is a very resilient organ. It can easily recover from the early stages of damage that may lead to liver disease, such as having a few drinks in one night. However, when the number of risk factors concerning the liver begins to add up, the likelihood of developing non-alcoholic fatty liver disease increases. Included in the list of risk factors that may pose a threat is the presence of certain chemicals in the environment.

Diagram of the liver in the human body. Source: Wikimedia Commons

 

PCBs: A Potential Threat

Two chemicals that may pose a threat to your liver’s health are vinyl chloride, an industrial chemical, and polychlorinated biphenyl compounds (PCBs), which are oily liquids used in electrical equipment. PCBs have been banned since the 1970s due to their health risks, but unfortunately, they break down very slowly and as a result are oftentimes still present in air, water, and soil sources across the globe. Currently, the greatest potential source for coming into contact with PCBs is through consuming animal products. Recent studies by the Environmental Protection Agency revealed that the maximum concentration of PCBs is just a few parts per billion (ppb) in fish, and even less for meat and dairy. These levels are considered safe for humans, though people who eat large amounts of seafood may be at higher risk.

Structure of a polychlorinated biphenyl compound. Source: OSPAR

 

Healthy Choices Can Reduce Your Risk

However, experts agree that for most people, there’s no need to panic – the effects of these chemicals were only seen to be harmful when combined with additional unhealthy lifestyle factors such as obesity or a diet with a large excess of calories. Just look to rodents for an example: in lab experiments, only the obese mice which were fed excessive amounts of food suffered from the chemicals’ harmful effects, while the healthy mice were not affected by the chemicals. It’s only when faced with additional risk factors, such as obesity, lifestyle, or genetics, that it becomes necessary to pay extra attention to your liver’s health by watching out for the warning signs of liver damage.

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Video explaining the warning signs of liver damage. Source: Intan Farisha

 

A Final Note

The good news is that for an active person of a healthy weight, these chemicals likely don’t pose a cause for concern. So don’t worry, your liver is probably going to be just fine – as long as you remember to eat your veggies and go for a jog once in a while!

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Yes, it’s true…you can be allergic to exercise!

“I’m allergic to exercise!!!”

I bet you’ve heard that phrase before or perhaps you even used it to get out of gym class in elementary school!

For the longest time, I thought it was just a figure of speech until last year when my friend was rushed to the hospital after running on the treadmill. In short, I learned that being allergic to exercise is a real condition known as exercise-induced anaphylaxis.

What is exercise-induced anaphylaxis?

Exercise-induced anaphylaxis is rare, affecting only 2% of the population; however, it can be potentially life-threatening. Although, this type of allergic reaction can occur either before or after physical activity, most cases occur after intense exercise, such as running. Nevertheless, don’t count light physical activity out. In fact, exercise-induced anaphylaxis can even occur after gardening!

What are the symptoms?

Although, the severity of exercise-induced anaphylaxis differs among individuals, the most common symptoms include: flushing of the skin, hives, swelling of the lips, abdominal pain, nausea, and vomiting. A combination of several other symptoms, such as swollen tongue, difficulty speaking, swallowing, and breathing, feeling weak, and falling unconscious can also occur in more severe cases. However, this doesn’t mean that you’re allergic to exercise just because your face is beet red and you’re out of breath after a ten-minute run!

Image of hives. Image: Blausen Medical 

How does exercise trigger an allergic reaction?

The process is simple. Imagine the allergen (i.e. exercise) as a foreign invader. Once the invader enters your body, your immune system will produce immunoglobulin E antibodies to protect itself. The foreign invader will then bind to the antibodies causing mast cells to break open and release histamines. Histamines maneuver through your body to fight off the foreign invader and symptoms vary depending on where in the body histamines are released.  For example, mast cells reacting in your nose will cause a runny nose.

Animation of anaphylaxis (0:00-2:32). Video: offworld | design + motion

Do people out grow it?

Exercise-induced anaphylaxis only recently became recognized as a ‘real’ condition. As a result, not many people know about it and more cases still need be studied to determine if it is a long-term condition or not.

If you ever experience a combination of those symptoms listed above, your doctor may recommend an allergy test. Moreover, if you’ve been diagnosed with exercise-induced anaphylaxis but you enjoy exercising, try lowering the intensity of your workout to decrease the chances of having an allergic reaction. Finally, always carry an EpiPen with you and remember “Blue to the sky and orange to the thigh!”