VERY DETAILED AND EASILY REMEMBERED EXPLANATION ON PRE-ECLAMPSIA...... VERY USEFUL FOR FAMILY PHYSICIANS... CASE IS SAVED SIR.... THANKS A LOT....RAJESH GOPAL.
Description for hypertension with pregnancy and preeclampsia is very useful. They should be remembered as the number is of patients is increasing elderly pregnant etc.
Very useful & informative post sir
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THYROID DISORDERS -EVERYTHING YOU SHOULD KNOW - by Dr Sunil kumar Dear friends and Curofians here's an brief information about thyroid disorders. Thyroid gland is a butterfly shaped gland in the front of the neck. It encircles the windpipe or the trachea. It is about 4 cms in height and weighs about 18 gms. This gland is responsible for the secretion of thyroid hormones. Hormones are chemicals produced by special glands like thyroid, adrenals, ovaries etc. They act as messengers and are carried by the blood to the various target organs. Thyroid disorders are conditions that affect the thyroid glands. It plays an important role in regulating numerous metabolic processes throughout the body. The Thyroid gland is located below the adam’s apple wrapped around the trachea. Thyroid disease is a common problem that can cause symptoms because of over- or under-function of the thyroid gland. The thyroid gland is an essential organ for producing thyroid hormones, which maintain our body metabolism. The thyroid gland is located in the front of the neck below the Adam's apple. Thyroid disease can also sometimes lead to enlargement of the thyroid gland in the neck, which can cause symptoms that are directly related to the increase in the size of the organ (such as difficulty swallowing and discomfort in front of the neck). Thyroxine T4 is the primary hormone developed by the Thyroid gland. A small portion of the T4 released from the gland is converted to Triiodothyronine (T3) which is the most active hormone. Hyperthyroidism: Too much thyroid hormone results in a condition known as hyperthyroidism. Affects about 1 percent of women. It's less common in men. Grave’s disease is the most common cause of hyperthyroidism. Symptoms: RestlessnessNervousnessIrritabilityracing heartIncreased sweatingShakingRestlessnessTrouble sleepingThin skinBrittle hairNailsWeight lossMuscle weakness Causes: Toxic adenomas: Nodules develop in the thyroid glands and begin to secrete thyroid hormones upsetting the body's chemical balance.Subacute thyroiditis: Inflammation of the thyroid that causes the gland to leak excess hormones, resulting in temporary hyperthyroidism that lasts a few weeks but may persist for months.Pituitary gland: Malfunctions or cancerous growths in the thyroid gland. Although rare, hyperthyroidism can also develop from these causes. Treatments for hyperthyroidism: destroy the thyroid gland or block it from producing its hormones. Antithyroid drugs: such as methimazole (Tapazole) prevent the thyroid from producing its hormones.Radioactive iodine: a large dose of it damages the thyroid gland. A pill is given by mouth. As thyroid gland takes in iodine, it also pulls in the radioactive iodine, which damages the gland.Surgery: Surgery can be performed to remove your thyroid gland. Hypothyroidism: Inadequate production of hormones by the thyroid gland is termed as hypothyroidism. This is also called Underactive thyroid state. Hypothyroidism can make the body’s development to slow down and reduces metabolism rates. Since the body needs some amount of thyroid for energy production and drop in hormone production leads to lower energy levels. Symptoms: FatigueDry skinIncreased sensitivity to coldMemory problemsConstipationDepressionWeight gainSlow heart rateComa What are the causes of Hypothyroidism? Hypothyroidism can be caused by a number of factors: Hashimoto's thyroiditis: This is the commonest cause. This is an autoimmune disorder (normally body’s defence system fight against external infections. In autoimmune disorder the defence system attacks the healthy cells of the body by mistake). In Hashimoto’s thyroiditis the immune system/defence system produces antibodies that attack the thyroid gland and destroy it.Iodine deficiency in diet: For the production of thyroid hormones iodine is very important. The body does not produce iodine normally, so it needs to be supplemented from outside. Iodine is mainly present in the food we eat. It is mainly present in shellfish, salt-water fish, eggs, dairy products. If a person does not eat iodine rich foods, he may end up with iodine deficiency leading to hypothyroidism. Currently, this causative factor is on the decline due to government initiative of table salt with iodine.Surgery: Surgery to remove thyroid gland (for e.g. thyroid cancer treatment, overactive thyroid etc.)Radiation to the neck (to treat cancer in the neck area): The thyroid gland cells are damaged due to the radiation.Treatment with radioactive iodine: This treatment is used for managing hyperthyroidism/overactive thyroid, where the thyroid gland produces excessive thyroid hormones. One of the treatment modalities is by radioactive iodine. Sometimes this radiotherapy destroys normal functioning cells which lead to hypothyroidism.Certain medicines: Certain medicines used to treat heart conditions, cancer, psychiatric conditions etc. – for e.g. amiodarone, lithium, interleukin-2, interferon-alpha.Pregnancy: Pregnancy (the reason is unclear but it has been noticed that the thyroid may get inflamed after delivery – this is called Postpartum thyroiditis.Damage to the pituitary gland: Pituitary gland is a gland which is present in the brain. It produces a hormone called TSH (Thyroxine-Stimulating hormone).The TSH tells the thyroid gland how much thyroid hormone it should make. If the levels of thyroid hormone in the blood are low, then the TSH will stimulate the thyroid gland to produce more Thyroid hormone.Hypothalamus disorders: This is an organ in the brain. This produces a hormone called TRH (Thyrotropin Releasing Hormone) which acts on the Pituitary gland to secrete TSH. So any disorder of Pituitary gland will indirectly effect the production and secretion of Thyroid hormones. These are very rare disorders.Congenital thyroid defects: Some babies are born with thyroid problems. This is due to the thyroid not being developed normally during pregnancy. Sometimes the thyroid gland does not function normal. This can be identified by screening for thyroid disorders in the first week after delivery. This is usually by a blood test using a small drop of blood from the baby’s heel. Who are at risk of developing Hypothyroidism? Women have a higher risk of suffering from hypothyroidism than men.Older people are at increased risk.People suffering from other autoimmune diseases like Coeliac disease, Type-1 Diabetes Mellitus, Vitiligo, Pernicious anemia, Multiple sclerosis, Rheumatoid arthritis, Addison’s disease etc.People with psychiatric conditions such as bipolar disorderPeople with Chromosomal abnormalities like Down syndrome, Turners syndrome also have a high risk of suffering from hypothyroidism. How to diagnose hypothyroidism? Blood tests: TSH: This hormone is made in the pituitary gland and it stimulates the thyroid gland to produce thyroxine. If the thyroxine levels are low in the blood, the pituitary gland produces and secretes more TSH into the blood to act on the thyroid gland to produce more thyroxine. A raised TSH level indicates hypothyroidism. Other tests are not usually necessary unless a rare cause of hypothyroidism.T4: A low level of thyroxine indicates hypothyroidism.T3: these levels are generally not needed to diagnose hypothyroidismAnti-Thyroid peroxidase antibodies (anti-TPO antibodies) or Anti- thyroglobulin antibodies are present in 90-95% of patient with autoimmune thyroiditis.Other blood tests include Creatinine Kinase, Serum Lipids, Complete blood picture etc.Ultrasound of the neck is done if the patient presents with a thyroid swelling. What is the treatment of hypothyroidism? Overt hypothyroidism is treated by synthetic Thyroxin hormone which should be taken every day on an empty stomach at least 30 – 45 minutes before breakfast. The treatment is continued for the rest of the patient’s life. Regular thyroid function tests are done once every 8 weeks-12 weeks to adjust the dose of the thyroxine in the initial period of diagnosis. Once the thyroxine dose is stabilised, the tests can be done even once a year. This treatment is quite effective. Sub-clinical hypothyroidism is only treated if the patient is a woman and is contemplating pregnancy, in patients with symptoms or if the TSH is quite high. What are the side-effects of thyroxine medication? There are few side effects if any. Most people tolerate these medications quite well. An important consideration before starting medication is to check if the patient has chest pain/angina. These people are started on the least available dose. If these patients are started on a higher dose they notice a worsening of their angina pains. Side effects mainly occur if the thyroxine dose is high which leads to hyperthyroidism. The symptoms of this could be palpitations 9increased heart beat), weight loss, profuse sweating, anxiety, irritability etc. There are some tablets which increase with thyroxine tablets. These include carbamazepine, iron supplements, calcium supplements, rifampicin, phenytoin, warfarin etc. What are the complications of hypothyroidism? If untreated hypothyroidism can lead to: heart problems like heart attack due to increased levels of bad cholesterol like LDL, or heart failure due to fluid retentionobesityinfertilityjoint painsdepressionA pregnant woman with hypothyroidism is at increased risk of giving birth to a baby with congenital hypothyroidism, also known as cretinism. Further, the woman may have pregnancy related complications like pre-eclampsia, premature delivery, low birth weight baby, anemia, post-partum haemorrhage (bleeding after delivery) etc.Myxoedema is another complication where the patient has extremely low levels of thyroid hormone. The body temperature drops drastically making the person lose consciousness or go into a coma. If you wish to discuss about any specific problem, you can consult an Endocrinologist. Regards Dr Sunil kumarDr. Sunil Kumar10 Likes17 Answers
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Preeclampsia and Eclampsia What Is Preeclampsia? Formerly called toxemia, preeclampsia is a condition that pregnant women develop. It is marked by high blood pressure in women who have previously not experienced high blood pressure before. Preeclamptic women will have a high level of protein in their urine and often also have swelling in the feet, legs, and hands. This condition usually appears late in pregnancy, generally after the 20 week mark, although it can occur earlier. If undiagnosed, preeclampsia can lead to eclampsia, a serious condition that can put you and your baby at risk, and in rare cases, cause death. Women with preeclampsia who have seizures are considered to have eclampsia. There's no way to cure preeclampsia, and that can be a scary prospect for moms-to-be. But you can help protect yourself by learning the symptoms of preeclampsia and by seeing your doctor for regular prenatal care. When preeclampsia is caught early, it's easier to manage. What Causes Preeclampsia? The exact causes of preeclampsia and eclampsia -- a result of a placenta that doesn't function properly -- are not known, although some researchers suspect poor nutrition or high body fat are possible causes. Insufficient blood flow to the uterus could be associated. Genetics plays a role, as well. Who Is at Risk for Preeclampsia? Preeclampsia is most often seen in first-time pregnancies, in pregnant teens, and in women over 40. While it is defined as occurring in women have never had high blood pressure before, other risk factors include: A history of high blood pressure prior to pregnancyA history of preeclampsiaHaving a mother or sister who had preeclampsiaA history of obesityCarrying more than one babyHistory of diabetes, kidney disease, lupus, or rheumatoid arthritis What Are the Signs and Symptoms of Preeclampsia? In addition to swelling, protein in the urine, and high blood pressure, preeclampsia symptomscan include: Rapid weight gain caused by a significant increase in bodily fluidAbdominal painSevere headachesChange in reflexesReduced urine or no urine outputDizzinessExcessive vomiting and nauseaVision changes You should seek care right away if you have: Sudden and new swelling in your face, hands, and eyes (some feet and ankleswelling is normal during pregnancy.)Blood pressure greater than 140/90.Sudden weight gain over 1 or 2 daysAbdominal pain, especially in the upper right sideSevere headachesA decrease in urineBlurry vision, flashing lights, and floaters You can also have preeclampsia and not have any symptoms. That's why it's so important to see your doctor for regular blood pressure checks and urine tests. How Can Preeclampsia Affect My Baby and Me? Preeclampsia can prevent the placenta from receiving enough blood, which can cause your baby to be born very small. It is also one of the leading causes of premature births, and the complications that can follow, including learning disabilities, epilepsy, cerebral palsy, hearing and vision problems. In moms-to-be, preeclampsia can cause rare but serious complications that include: *Stroke *Seizure *Water in the lungs *Heart failure *Reversible blindness *Bleeding from the liver *Bleeding after you've given birth Preeclampsia can also cause the placenta to suddenly separate from the uterus, which is called placental abruption. This can cause stillbirth. The only cure for preeclampsia and eclampsia is to deliver your baby. Your doctor will talk with you about when to deliver based on how far along your baby is, how well your baby is doing in your womb, and the severity of your preeclampsia. If your baby has developed enough, usually by 37 weeks or later, your doctor may want to induce labor or perform a cesarean section. This is will keep preeclampsia from getting worse. If your baby is not close to term, you and your doctor may be able to treat preeclampsia until your baby has developed enough to be safely delivered. The closer the birth is to your due date, the better for your baby. If you have mild preeclampsia - also known as preclampsia with and without severe features, your doctor may prescribe: Bed rest either at home or in the hospital; you'll be asked to rest mostly on your left side.Careful observation with a fetal heart ratemonitor and frequent ultrasoundsMedicines to lower your blood pressureBlood and urine tests Your doctor also may recommend that you stay in the hospital for closer monitoring. In the hospital you may be given: Medicine to help prevent seizures, lower your blood pressure, and prevent other problemsSteroid injections to help your baby's lungs develop more quickly Other treatments include: Magnesium can be injected into the veins to prevent eclampsia-related seizuresHydralazine or another antihypertensive drug to manage severe blood pressure elevations Monitoring fluid intake and urine outputDr. Vasundhara Nanavaty9 Likes7 Answers
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the rare case i mentioned ... n needed help ... is suffering from sjogren syndrme .... i was mislead by the reporting of alcohol n chronic alcoholism ... thanks to Curofy f riends for promptly reponsidn g pl find here with the details from Sjogren India website .............. Sjögren's syndrome What is Sjögren's syndrome? Sjögren's (pronounced SHOW-grins) syndrome (SS) is a chronic, autoimmune disease in which white blood cells attack and destroy the moisture-producing glands, causing decreased production of saliva and tears. It was first identified by a Swedish physician, Dr. Henrik Sjögren in 1933. Although the hallmark symptoms are dry eyes and dry mouth, Sjögren's syndrome also may cause dryness of other organs. It may also involve the kidneys , GI system, blood vessels, lung, liver, pancreas and the Central Nervous System. Many patients experience debilitating fatigue and joint pains. Nine out of ten patients are women. Symptoms wax and wane. Some people experience mild discomfort, other suffer debilitating symptoms that greatly impair their quality of life. When it occurs along with other primary diseases like Rheumatoid Arthritis, Lupus (SLE), or Scleroderma, it is known as secondary Sjögren's syndrome. Early diagnosis and proper treatment can prevent serious complications and greatly improve the quality of life for those with Sjögren's Syndrome. Symptoms You may have Sjögren's syndrome (SS) if you continuously experience: Dry, gritty, sore, red or burning eyes Eyes sensitive to sunlight, smoke and winds Difficulty in speaking, swallowing dry food Increased Dental decay, difficulty in wearing dentures Sore, cracked tongue, increased yeast infections Altered sense of taste and smell Swollen salivary glands Debilitating Fatigue Joint and muscles pains Dry nose Dry cough Dry skin and rashes Vaginal dryness How Sjögren's syndrome may affect you file:///C:\Users\MYPC\AppData\Local\Temp\msohtmlclip1\01\clip_image001.jpg FAQs Who is most likely to develop Sjögren's syndrome (SS)? Nine of ten (SS) patients are women. The average age of diagnosis is late 40's although it can occur in all age groups in both sexes. What are the symptoms of Sjögren's syndrome? Symptoms may include a dry, gritty or burning sensation in the eyes; difficulty in talking, chewing or swallowing; a sore or cracked tongue; dry or burning throat; a change in the sense of taste or smell; increased dental decay; joint pains; digestive problems; dry nose; dry skin & fatigue. No two people have the exact same set of symptoms. Is it easy to diagnose Sjögren's syndrome? Sjögren's syndrome is often undiagnosed or misdiagnosed. The symptoms of SS may overlap or “mimic” those of other diseases including Lupus, Rheumatoid Arthritis, Fibromyalgia, Chronic Fatigue Syndrome, and Multiple Sclerosis. Because all symptoms are not always present at the same time and Sjögren's can involve several body systems, physicians and dentists sometimes treat each symptom individually and do not recognize that a systemic disease is present. The average time from onset of symptoms to diagnosis is over five years in the USA. What kind of doctor treats Sjögren's? Rheumatologists have primary responsibility for managing Sjögren's syndrome. Ophthalmologists, dentists and other specialists are also involved in treating symptoms related to SS. How is Sjögren's syndrome diagnosed? Once Sjögren's syndrome is suspected, you may have to undergo a series of blood tests, including: ANA (Anti-Nuclear Antibody): About 70% of Sjögren's syndrome patients have elevated antibodies that react against normal components of a cell's nucleus. SS-A (or Ro) and SS-B (or La): 70% of patients are positive for SS-A and 40% positive for SS-B. RF (Rheumatoid Factor): 60-70% of patients have a positive RF. ESR (Erythrocyte Sedimentation Rate): Measures inflammation. IGs (Immunoglobulins): Normal blood proteins, usually elevated in Sjögren's syndrome. Dry Eye tests include: Schirmer's Test: Measures tears production. Rose Bengal and Lissamine Green: Dyes to observe abnormal cells on the surface of the eye. Slit-Lamp Exam for assessing the health of the cornea. Dry Mouth tests include: Parotid Gland Flow: Measures the amount of saliva produced over a certain period of time. Salivary Scintigraphy: Measures salivary gland function. Sialography: An x-ray of the salivary-duct system. Lip Biopsy: Confirms lymphocytic infiltration of the minor salivary glands. This test is often needed for a confirmed diagnosis of Sjögren's syndrome. What treatments are available? Over the counter products for relieving dry eyes and dry mouth are available. Prescription drugs are available for systemic symptoms, depending on the nature and severity of the condition. What else can be done? High quality professional dental and eye care are extremely important. Lifestyle changes and use of protective gear such as wrap around goggles help in relieving symptoms. Often, patients learn useful tips from one another in support group meetings. Will I die from Sjögren's syndrome? Although Sjögren's syndrome is a serious disease, it is generally not fatal if complications are diagnosed and treated early on. The incidence of lymphoma (cancer of the lymph glands) is believed to be higher in people with Sjögren's syndrome than in the general population.Dr. Vinod Kumar Goyal5 Likes5 Answers
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Preeclampsia is defined as the presence of a systolic blood pressure (SBP) greater than or equal to 140 mm Hg or a diastolic blood pressure (DBP) greater than or equal to 90 mm Hg or higher, on two occasions at least 4 hours apart in a previously normotensive patient. If the preeclampsia remains untreated, it can develop into eclampsia, in which the mother can experience convulsions, coma, and can even die. However, complications from preeclampsia are extremely rare if the mother attends her prenatal appointments. Pathophysiology The pathophysiology of preeclampsia likely involves both maternal and fetal/placental factors. Abnormalities in the development of placental vasculature early in pregnancy may result in relative placental underperfusion/hypoxia/ischemia, which then leads to release of antiangiogenic factors into the maternal circulation that alter maternal systemic endothelial function and cause hypertension and other manifestations of the disease (hematologic, neurologic, cardiac, pulmonary, renal, and hepatic dysfunction). However, the trigger for abnormal placental development and the subsequent cascade of events remains unknown. Causes pertaining to Preeclampsia Potential causes are being explored. These include: Genetic factors History of diabetes, kidney disease, lupus, or rheumatoid arthritis Blood vessel problems Insufficient blood flow to the uterus Genetics plays a role, as well Autoimmune disorders Risk factors for Preeclampsia There are also risk factors that can increase your chances of developing preeclampsia. These include: Being pregnant with multiple fetuses Being over the age of 35 Being in your early teens Being pregnant for the first time Being obese Nulliparity Multifetal pregnancy Thrombotic disorders (eg, antiphospholipid antibody syndrome) Having a history of high blood pressure Having a history of diabetes Having a history of a kidney disorder History of lupus, or rheumatoid arthritis Clinical manifestations of Preeclampsia Signs and symptoms of preeclampsia include: Changes in vision, like blurriness, flashing lights, seeing spots or being sensitive to light A headache that doesn’t go away Nausea (feeling sick to your stomach), vomiting or dizziness Pain in the upper right belly area or in the shoulder Sudden weight gain (2 to 5 pounds in a week) Swelling in the legs, hands or face Trouble breathing Decreased urine output Decreased levels of platelets in your blood (thrombocytopenia) Excess protein in your urine (proteinuria) Impaired liver function Many of these signs and symptoms are common discomforts of pregnancy. Complications associated with Preeclampsia Fetal growth restriction or fetal death may result. Diffuse or multifocal vasospasm can result in maternal ischemia, eventually damaging multiple organs, particularly the brain, kidneys, and liver. Factors that may contribute to vasospasm include decreased prostacyclin (an endothelium-derived vasodilator), increased endothelin (an endothelium-derived vasoconstrictor), and increased soluble Flt-1 (a circulating receptor for vascular endothelial growth factor). Women who have preeclampsia are at risk of abruptio placentae in the current and in future pregnancies, possibly because both disorders are related to uteroplacental insufficiency. The coagulation system is activated, possibly secondary to endothelial cell dysfunction, leading to platelet activation. The HELLP syndrome (hemolysis, elevated liver function tests, and low platelet count) develops in 10 to 20% of women with severe preeclampsia Diagnosis and Test All women who present with new-onset hypertension should have the following tests: CBC Serum alanine aminotransferase (ALT) and aspartate aminotransferase (AST) levels Serum creatinine Uric acid 24-hour urine collection for protein and creatinine (criterion standard) or urine dipstick analysis Additional studies to perform if HELLP syndrome is suspected are as follows: Peripheral blood smear Serum lactate dehydrogenase (LDH) level Indirect bilirubin Imaging Techniques Ultrasonography: Transabdominal, to assess the status of the fetus and evaluate for growth restriction; umbilical artery Doppler ultrasonography, to assess blood flow Cardiotocography: The standard fetal nonstress test and the mainstay of fetal monitoring Head CT scanning is used to detect intracranial hemorrhage in selected patients with any of the following: Sudden severe headaches Focal neurologic deficits Seizures with a prolonged postictal state Atypical presentation for eclampsia Treatment and Medications Preeclampsia has no cure except for delivery of the baby. However, delivery may not always be the best option at the time preeclampsia is diagnosed. The treatment that the patient receives depends on the severity (mild versus severe) of the associated symptoms and the stage of the pregnancy. Close monitoring of the woman and her fetus will be needed. Tests for the mother might include blood and urine tests to see if the preeclampsia is progressing, such as tests to assess platelet counts, liver enzymes, kidney function, and urinary protein levels. Tests for the fetus might include ultrasound, heart rate monitoring, assessment of fetal growth, and amniotic fluid assessment. Anticonvulsive medication, such as magnesium sulfate, might be used to prevent a seizure. Some of the medications used for stroke include labetalol, nifedipine or methyldopa. Natural or Home Remedies Lemon If you are used to its juice, you have already found a wonderful way to hydrate your body, in addition to water. Get fresh lemon juice and combine it with warm water. Drink the mixture 2-3 times on a daily basis. Ginger One surprising fact about ginger root is that it prevents inflammation and swelling very effectively. Ginger has stimulating effects on blood circulation, which means that your baby will get more blood and oxygen as well. Prepare several fresh ginger slices. Mix them into warm water and boil them in several minutes. Continue to steep them in the next 15 minutes. Get it strained. The warm tea can be consumed 2-3 times daily. Garlic Garlic is one of some natural foods with the greatest effects on high blood pressure. Our body has the higher level of hydrogen sulfide and nitric oxide. These substances possess relaxing effects on our blood vessels, which means that preeclampsia pain is under control. Get several fresh garlic cloves grinded. Then, combine garlic powder (about 3 teaspoons) with a cup of water. Boil them for a few minutes before steeping in the next 20 minutes. Strain the mixture Beet Being an excellent source of calcium, beet plays an important role in maintaining the balance of potassium and sodium in our blood. You should consume fresh beet juice by blending it every day to benefit the most from this natural ingredient. Vitamin C Vitamin C plays an essential role in human health, not to mention pregnant women. It is the key to a strong immunity, which ensures a lower risk of different infections. You can go for tomatoes, cabbage, potatoes, strawberries, bananas or citrus fruits. Potassium Among various nutrients, potassium is one of many irreplaceable. The appearance of potassium-rich foods in meals is a great suggestion for those who want to prevent preeclampsia. Some outstanding examples of these foods are bananas, avocados, chicken or beans. Vitamin E Another type of vitamin that is required in the treatment and prevention for preeclampsia is vitamin E. It is effective to improve blood circulation and reduce the risk of swelling. According to the National Institute of Health, pregnant women should take in about 15 mg on a daily basis. Vitamins E can be found in a variety of foods, for example, almonds, corn or fish. Acupuncture Acupuncture has great influence on the blood circulation inside our body, which reduces the risks of high blood pressure significantly. Of course, it should be applied only with the help of professionals. And you had better not abuse this method to cope with preeclampsia pain. Every time you intend to do this, please talk to your doctor for the best advice. Prevention and Cure Maintain a Healthy Weight Get Regular Exercise: The benefits of exercise during pregnancy include reduced inflammation, help to reach and to maintain a healthy weight, and even defense against the effects of stress Eat a Healing Diet to Reduce Blood Pressure Levels Prevent Dehydration and Fatigue Sleep is good for oh-so-many reasons, but it’s especially important for mama to get some rest. Get some sunshine! Low vitamin D is associated with preeclamptic women in a study in Ireland. (You can also eat vitamin D-rich foods such as sardines, egg yolks, grass-fed butter, or cod liver oil.Dr. Nitin Kanholkar3 Likes2 Answers
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Pt. 53/F, C/O pain n jt stiffness in B/L hands n feet since 7-8 yrs. H/O chicken gunia fever 7-8 yrs ago. O/e, stiffness of MCP pIP n dIP jts of both hands. Ankle n MTP jts stiffness. Clinical pic n ixns attached. Advise, Dx n rx plz.Dr. Lukman Sheth6 Likes17 Answers