Information for doctors, medical students, other health practitioners and patients.

Tuesday, July 15, 2008

Keeping Pregnant Women Away From Acid Reflux Dilemma

Many women tend to experience heartburn symptoms when they are still carrying their babies, and this happens for several reasons.

One of these is the increase of hormones in the women’s body while they are pregnant. The occurrence of this will result in softening the ligaments which function is to keep the lower esophageal sphincter (LES) firmly closed. When the LES rests at unsuitable periods, tendency is, this will let the gastric acid and food to reflux back to the esophagus and throat.

One more reason of experiencing heartburn during pregnancy is because the changes in the body and the development of the baby creates more pressure in the women’s stomach. Therefore, the stomach contents are forced right into the LES, and then to the esophagus.

However, there are several methods that a pregnant woman can observe to lessen the discomfort brought by heartburn. The following are good advices, although this may not remove the heartburn totally:

• Avoid the food that triggers heartburn. Examples of this are chocolates, spicy foods, citrus fruits and juices, mustard, tomatoes and tomato based products, fatty foods, fried foods, and highly seasoned dishes. Try to refer to medical specialists to know the complete list of foods to avoid Acid Reflux. Also, for foods that you may take which contains little danger of causing heartburn.

• Get rid of drinks that have caffeine, like tea, coffee, and soda. Too much of these will cause the LES to relax and let the acid to return into the esophagus.

• Stay away from alcohol beverages. This, like caffeine tends to relax the LES thus, creating the same effect—triggering heartburn.

• Avoid eating large meals. It is suggested that taking numerous small meals throughout the day will be better.

• Avoid rush in eating your meals. Chewing food thoroughly will really help in avoidance of heartburn, so better take your time in eating.

• Rest for at least three hours after having your last meal before taking your sleep.

• A pregnant woman is advised to take more glasses of water a day, at least 8 to 10 glasses, though this must be taken not just during meals. Through this, the stomach will expand, and then the LES will be given more pressure, obliging it to open inappropriately. Hence, it is really recommended to drink more water and other fluids in between meals.

• When sleeping elevate the head of the bed for at least six to eight inches. Try to sleep with an elevated head and shoulders through a wedge pillow. Through this, the gravity will work as much that it will keep the acids in your stomach in their place—in the stomach, not in the esophagus. Try to consult physicians to gain additional knowledge on how to relieve nighttime heartburn.

• Don’t wear tight fitting clothes. Tightness around the waist and stomach will trigger heartburn as it causes uneasiness.

• When bending, do it at the knees, not at the waist. This will avoid in creating too much pressure in the stomach.

• Don’t slouch; rather sit erect in a relaxing chair.

• Maintain a sensible amount of weight, too much weight and fatness will give more stress in your stomach. As a result, this will force stomach contents throughout the LES and to the esophagus. Stay with your doctors guidelines.

• Avoid smoking. Doctors stated that smoking could cause several effects to a pregnant woman, much that it can add to the possibility of experiencing heartburn.
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Magnifying Acid Reflux: What Filipinos Need to Know with Acid Reflux Disease

Gastro Esophageal Reflux Disease (GERD), the medical term for “Acid Reflux” is defined as the product of abnormal reflux of gastric contents into the esophagus thus, creating a mucosal damage, likewise known as the chronic symptom.

This disease strikes adult primarily, while infants and children can also be affected. Normally spurred by eating certain foods, if not pregnancy, or taking a sleep right after eating a heavy meal, a large number of persons suffer from acid reflux at one time or another.

Heartburn or acid indigestion is another name that refers to acid reflux. Heartburn, the major symptom of Acid Reflux in the esophagus, is described to cause a burning uneasiness at the back of the sternum.

The symptoms may come as coughing, voice transformation, hoarseness, constant ear ache, or sinusitis. The complications brought upon by acid reflux may lead to esophageal ulcers or worse this can lead to esophageal cancer.

However, constant heartburn sensations do not necessarily mean that one has captured GERD already. The risk occurs when heartburn happened more than once a week, this occasion could possibly lead in developing GERD.

The usual cause of GERD is the increase in acidity or gastric acid production in the body, obesity, pregnancy, or tight-fitting apparels, these all can add to the problem. The yeast infections are also thought to be one of the causes of GERD-like symptoms.

An added ironical cause of the GERD is the insufficient production of stomach acid in the body. The explanation says that the valve, the hollow organ with a flap that insure the one-way course of fluid through the organ, once emptied triggers acidity in the intestines. If the valve fails to open, the contents of the stomach will be blended into the esophagus, and then irritation occurs.

Meanwhile, there are already several treatments for GERD today, one of which is the balance and healthy eating habits. Now if proper diet fails to work, one can shift to medication therapy or surgery as suggested by the doctors. Below are the lists of several selections of Acid Reflux treatment:

• Proper Diet: the natural way to cure Acid Reflux is through change in their eating habits. A good number of people affected by GERD found success in following this method. Avoid the food ingredients which can intensify heart burn such as caffeine, soft drinks, and smoking. Avoid eating two hours before sleeping; likewise, avoid lying down after taking meal. These are the regular suggested change in lifestyle.

• Another easy way to treat GERD is to elevate the head of the bed. The pharmacologic therapy, the combination of prevention of food two hours before sleeping and the rise of the head of the bed, there is a great chance for a patient to gain a 95 percent relief. The rise of the head of the bed is suggested to range for only 6 to 8 inches or 20 cm. Using this method the backflow of gastric fluids will be hampered.

• Drug Treatment: Drugs reduce the secretion of the gastric acid, for instance and famotidine and omeprazole lessen the secretion of gastric acid and the Antacids counteract the acid.

• Surgical treatment: the Nissen fundoplication, the standard surgical treatment for Acid Reflux, the medication process will only cover a short period of time. The function of this is to support the sphincter, a spherical bond of muscles that opens and closes to let the food or waste to pass, as well as stop Acid Reflux, and of course restore the hiatal hernia.
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Friday, August 24, 2007

Health Experts Appalled By Campaign Against Breastfeeding

The Philippine Department of Health (DOH), World Health Organization (WHO) and the United Nations Children's Fund (UNICEF) all expressed dismay over a campaign launched by private pharmaceutical companies against breastfeeding.

"We are appalled by the persistent distortion of data by the Pharmaceutical Healthcare Association of the Philippines (PHAP)", DOH Undersecretary Alexander Padilla said. "They propagate misleading information that seriously undermines breastfeeding in the country."

The group cited press releases and paid advertisements that appeared in newspapers during the commemoration of World Breastfeeding Week. The worldwide event is the largest annual celebration of breastfeeding by advocates and is held during the first week of August.

"The timing and nature of the materials are clearly unethical and is the very reason why the new implementing rules and regulations of Executive Order 51, or the Milk Code, is all the more imperative," Padilla added.

The revised guidelines of the Milk Code impose an absolute ban on advertising, promotions, or sponsorships of breast milk substitutes.

The Supreme Court is currently studying the documents submitted by the DOH and PHAP following a much publicized oral argument last month. The materials of PHAP cited studies and data by the National Demographic and Health Survey (NDHS), DOH, WHO, and UNICEF that painted encouraging breastfeeding rates in the country.

From: AllHeadLineNews.com
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Monday, August 20, 2007

What does the HOUSE BILL NO. 1344 contain?

House Bill No. 1344 mandates all public and private schools to require their students in the elementary, secondary and tertiary levels to undergo a yearly drug test as a prerequisite for enrollment and providing penalties for violations of the said law. The test shall be undertaken under the supervision of the Department of Health.

Refusal to undergo a drug test without a justifiable cause will not be admitted to the school until he complies with the requirement under this Act.

This house bill has been approved and said to take effect upon its approval.
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Friday, August 17, 2007

Php 100M for Philippine General Hospital

President Macapagal-Arroyo ordered the a P100 million budget for the modernization of Philippine General Hospital (PGH). Half of the amount (P50 million) will be from the Philippine Charity Sweepstakes Office (PCSO) and the other half from the Philippine Amusement and Gaming Corp. or PAGCOR.

PGH will start receiving P50 million annually from PAGCOR next year until Arroyo's term ends (on the year 2010).

The funds are being released for the hospital’s centennial anniversary which is celebrated this month. PGH was given P100 million last year for its rehabilitation program. The amount was used to acquire more medical equipment, expand hospital rooms and put up more mobile health vans.

Similar funds will also be provided to other public hospitals. Aside from modernizing public hospitals, government is also augmenting the PhilHealth insurance coverage targeting about four million indigents this year, and pushing for the passage of the cheaper medicines bill.

This is good news especially that the budget for health has been neglected these past years, allotting more on the Philippine Army. At least, it is an improvement.
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Monday, August 06, 2007

Are we running out of hospitals, too?

It seems that the health care crisis continues to be a problem in the Philippines. We have been running out of health manpower as nurses and doctors go abroad. It seems that we have another thing to be afraid of - the Philippines is also running out of hospitals!.

The Philippine Medical Association (PMA), based on a survey, reported that the number of hospitals, both private and public, in the country has dropped by 55 percent in the last 20 years - from a total of 2,000 in 1987 to only 890 at present.

Further, the new government policy that prevents private hospitals from "detaining" patients until they settle their hospitalization bills will worsen the situation. It may lead to bankruptcy of more hospitals which may lead to a more deteriorating health care system.
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Cheaper Medicine Bill Gained Support from Lawmakers

A bill aiming for a lowered price of medicines in the country has gained support among lawmakers in the House of Representatives.

At least 170 congressmen—enough to pass the bill—have thrown their support behind the measure, according to Iloilo Representative Ferjenel Biron, one of the chief proponents of the cheaper medicines bill, the Philippine Daily Inquirer reports.

Passing of the bill has unified the stand of lawmakers from both administration and opposition groups.

The House Bill No. 1, a resurrected version of the Cheaper Medicines Act of 2007, which failed to pass on third reading in the 13th Congress because of a lack of a quorum was authored by Iloilo Representative Ferjenel Biron. Accordingly, with the support gained from the congressmen, there is no reason that this bill won't be passed this time.

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Tuesday, November 07, 2006

Acne Vulgaris (Pimples) Prevention

Acne vulgaris, commonly known as “pimples”, is an inflammatory disease of the sebaceous follicles. It is a common problem among adolescents, but it could occur in adults, too. Adult acne tend to be low-grade and chronic. Aside from its physical effects, it can also bring emotional and psychological effects to a patient.

Acne is preventable, although some patients appear more predisposed to the disease, especially those with hereditary influences and taking some medications that can cause acne. Because it is a common problem, many tend to take it for granted until it worsens. Although, there are numerous acne medications available in the pharmacy, not many of them may prove useful for curing your acne. We have to bear in mind that prevention is always better than cure.

Here are some simple ways to prevent acne:

1. Wash your face regularly but avoid washing too much as it may create more damage to your skin. Washing can help remove excess oils and dead skin cells. Washing twice daily gently is all that is required.

2. Clean your face gently (without scrubbing or hard rubbing) using a gentle cleanser. Avoid using soap as much as possible because it can cause drying and breakouts. Seek a dermatologists advice on some gentle dermatological products for your skin.

3. Wash your face after exercising because sweat can clog your pores and lead to breakouts. Sweat, along with skin oils, can lead to trapped dirts and bacteria on your pores.

4. Don’t squeeze, pop or pick your acne because it might lead to irritation, infection and scarring. We have been hearing these to our parents and it appears that they are right.

5. Avoid using hair gel or spray as much as possible. These formulations contain oil that may worsen your acne. Or if you can’t live without your hair gel or spray, make sure to keep it away from your face.

6. When sleeping, try to make sure your hair isn’t in your face. Hair, according to some studies, is a good oil carrier.

7. Always use clean towels and pillowcases. Dirty towels and pillowcases may harbor bacteria and dirt, which are among the causes of acne.

8. For girls, remove your makeups when going to sleep Makeup can also lead to clogging of your pores and trapping of dirts and bacteria.

9. Avoid stress and get enough sleep. Getting enough sleep for at least 8 hours everyday can boost your immune system. We know that our immune system helps in preventing invasion of foreign materials to our body, which include bacteria.

10. Always seek your dermatologist’s advice when trying out a new skin product. Some products can have comedogenic or acnegenic effects, which means they have tendencies to cause acne.
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Monday, September 04, 2006

Updates

Due to time time constraints, exams and other school matters, the author decided to temporarily stop updating this site. However, to keep her aim of providing health information, she decided to post health-related problems in her blog which will also tackle with the common problems of Filipinos. Please visit her blog and lyrics site.
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Wednesday, August 16, 2006

Updates

I have been wanting to update this site but due to exams and activities in school, I had no time to research. Besides, I am planning to import this site on my new domain name. Please visit http://jammedph.com for updates. :)
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