Archive for November, 2017
According to the most recent report, tinnitus affects around 50 million people in America (to some extent). For the most part, people learn to live with the condition, but there are solutions available. This being said, some medications will make the issue worse which is why we recommend talking to a medical professional before you take action. For example, large doses of aspirin are a bad idea, and thousands of people go wrong every year thinking it will work.
What Is Tinnitus?
Firstly, we should address how tinnitus affects us and the best way to describe it would be a constant noise disturbance coming from inside your ears. Whether it’s a ringing or a whistling, the tinnitus patient is the only person who hears the sounds, making the condition border on maddening.
For most people, it’s a high-pitched ringing that causes the frustration, but you should know it doesn’t generally mean anything larger. Although there are misconceptions that tinnitus is a signal of something deeper in the ears or brain, this isn’t normally the case. As mentioned, only the sufferer will hear the noise, but there are rare cases where the noise comes from a musculoskeletal movement which will allow others to hear it too.
Ultimately, the only real symptom is the problem itself: the perpetual ringing in your ears. However, it’s important to note that the pitch and formation of the sound can differ from one person to the next. While some people note a low-pitched screech, others will suggest a clicking, chirping, hissing, whistling, whooshing, buzzing, pulsing, static, roaring, and perhaps even a musical tone to the sound.
Through the day and night, the volume can fluctuate, and patients notice it most at night. Tinnitus worsens at night mostly because they have nothing else to distract them. When at work and talking to people, we’re concentrating on other things but, when we’re trying to go to sleep, the ringing becomes the center of attention.
A little later, we’re going to take you through the treatment for tinnitus, but we first need to know the cause of the condition. With the word ‘tinnitus,’ we have a term that describes the actual sound regardless of its cause, which is important to remember. For proper treatment, it’s important to locate the cause to prevent the condition from returning.
If we were to look at averages and the most common problem, this would come down to damage/loss of the sensory hair cells in the cochlea of the inner ear. While the aging process is typically responsible for this, it can also occur after exposure to loud noises for an extended period. However, the sound we experience will alter depending on the loss of certain audio frequencies.
Once the brain receives fewer external stimuli around the lost frequency, it must adapt and replace the sound itself, and this is thought to be the reasoning for tinnitus. Since the auditory system isn’t providing all the right sound frequencies, the brain has to pick up the slack.
Elsewhere, other causes include traumatic brain injuries, ear infections, head/neck injuries, foreign object in contact with the eardrum, cardiovascular diseases, middle ear issues, temporomandibular joint (TMJ) disorders, and diabetes. As we said earlier, some medications will exacerbate the tinnitus, and these include some antibiotics, diuretics, aspirin, and ibuprofen.
If left untreated, tinnitus can lead to social isolation, depression, anxiety, and other problems, so treatment is important. With tinnitus, the first step will always be to locate the cause of the issue. After doctors run their tests and discover the problem, they’ll care for the ear infection, drop the ototoxic medications, treat the TMJ problems, etc.
There is no apparent cure for tinnitus induced by old age, so the focus moves to dealing with the sound and making it more bearable. With tinnitus retraining therapy (TRT), this retrains the auditory system, so the tinnitus sounds are accepted rather than disrupting your hearing. Although success isn’t guaranteed, 80% of people find some level of relief from tinnitus with TRT.
If this doesn’t work, your doctor will start dealing with the side effects such as depression, anxiety, and social isolation. With cognitive behavioral therapy (CBT), this ensures depression doesn’t get on top of tinnitus patients. Finally, ENT doctors suggest sound therapy, which exposes patients to constant low background noise to counteract the unpleasant inner ear audio disturbances. With some, they find relief in hearing aids because they amplify external sounds and drown out the tinnitus.
Of all the things we experience in life, there are few more frustrating than a cough. At first, we hope it will last for just a couple of days before then disappearing. After several weeks, this is the time you should go to see a doctor because your body is telling you something. With coughs caused by viral infections or an upper respiratory infection should disappear within a week. Any cough that lasts longer than a week, a chronic cough, suggests an underlying health condition. Of course, this could be asthma, which is a common issue, but there’s another health problem we’re starting to learn more about as time goes on: sinusitis.
The Link Between Chronic Cough and Sinusitis
According to various ongoing studies and research, we now know that sinusitis is a bigger problem than we first thought. In fact, back in a 2005 Mayo Clinic study, at least 33% of all chronic cough sufferers were suffering from sinusitis (some form of inflammation of the sinuses). In the twelve years since then, this number has increased, but there are now solutions available.
If you’re wondering why this inflammation causes a cough, it comes from what we call ‘postnasal drip.’ Here, your sinuses will produce too much mucus to be of any use so some will drip backward into the throat and this triggers the cough reflex. In the medical world, this has a name of its own; upper airway cough syndrome (UACS). As a side effect of having sinusitis, this creates the link with your chronic cough, meaning you need to treat the sinusitis before anything else. If left untreated, the cough will keep returning time after time.
While on the topic, we should also discuss allergic rhinitis (inflammation concentrated in the nose). It’s caused by allergens such as mold, pollen, and dust mites. With millions of people suffering from allergies in the US, this is now a huge issue and it just so happens that postnasal drip is a symptom of the problem. As we know, this will soon lead to a chronic cough which persists until you receive treatment.
Generally speaking, patients with sinusitis and rhinitis-related coughs experience a worsening of the symptoms when the sun goes down. Since we go to bed and lie down to get some rest, this horizontal position can cause a disruption in the throat which makes sleeping somewhat difficult. Furthermore, we normally have something else to focus on throughout the day. When we’re trying to go to bed, we tend to concentrate on the things that are preventing us from resting, and this places all the emphasis on the cough.
As mentioned before, treating the cough alone in these situations is a little pointless because it won’t be long before postnasal drip brings it back again. Therefore, you need to consider tackling the cause of the issue which is the sinusitis.
If you’ve been experiencing the symptoms for more than 12 weeks, you’re now past the ‘acute’ phase and are progressing into the ‘chronic’ phase. At this stage, antibiotics aren’t likely to act fast enough, which is why some form of therapy may be required. Treatment options include including anti-inflammatory nasal sprays and the like. If the problem persists and starts to affect your life dramatically, you should see your doctor for a consultation for balloon sinuplasty.
How balloon sinuplasty works: after inserting a small camera into the nasal passage, a balloon is then sent up before being inflated. This inflation procedure works similarly to opening blocked arteries during heart surgery. Compared to more traditional options, this is less invasive and will only see you out-of-action for a couple of days.
From here, you can then treat the chronic cough (if it still exists) as you would a normal cough. Safe in the knowledge the postnasal drip has stopped, you can treat the cough without worrying about it returning anytime soon.
Ultimately, you know your body better than anybody else. Only you know when the cough is unusual in duration and severity. If you pay attention to the length of a cough, by marking it on the calendar, you’ll soon learn the right time to see a medical professional and find the underlying issue.
As technology has evolved over the years, many different industries have benefited. As prime examples, science and medicine have perhaps been at the forefront of the transition into the digital world. Not only have we seen more technology used in hospitals and saving lives, but there has also been a lot of work behind-the-scenes in laboratories. With this in mind, it has opened up a brand-new world allowing us to learn how to prevent illnesses, how to treat diseases, and how medical conditions can affect one another. Today, we’re focusing on the latter and the relationship between ADHD and sleep disorders.
Attention Deficit Hyperactivity Disorder (ADHD)
Often spotted and diagnosed during childhood, ADHD causes hyperactivity and certain disruptive behaviors in the patient which can have a direct impact on academic performance, work, and other areas of life. Due to uncontrollable impulses and urges, ADHD patients find it hard to stay in control, and this leads to a loss of concentration and focus. Every year, millions of children are affected, and some cases will continue into adulthood. Interestingly, the issue affects boys significantly more than girls; as both age though, it seems to level out, and the rates in adults are relatively equal.
Despite the many advancements in technology, the causes of ADHD outside of neuro-chemical imbalances, are largely unknown even today. According to experts, the most likely cause is a combination of environmental factors and genetics. In addition to this, there isn’t a definite cure which makes the condition somewhat of a mystery for the most part. That being said, many have developed ‘treatments’ that lessen the effects and make the condition more bearable.
Symptoms of ADHD
Nowadays, even children at the age of two years can be evaluated for ADHD. Generally speaking, the symptoms will become more manageable as time goes on, but this doesn’t help childhood because the symptoms can be destructive. For example, they include;
- Frequent daydreaming
- Forgetting information
- Lack of organization
- Difficulty in staying focused/concentrating on a task
- Difficulty in following even simple instructions
- Excessive talking
- Trouble sitting still
- Interrupting the conversations of others
- Frequent impatience
In addition to having an impact on school and work life, people living with ADHD can also struggle to maintain relationships while also becoming more susceptible to ill mental health including depression, anxiety, and, as you may have guessed from the title, sleep disorders.
Connection Between ADHD and Sleep Disorders
For those who have ADHD, you’ll know that even thinking about going to sleep can cause anxiety. With nights disturbed by physical restlessness as well as constant mental activity, sleep can be a huge issue. However, the link between sleep disorders and ADHD was overlooked for a long time. For many years, the American Psychiatric Association suggested that all ADHD symptoms are made clear within the first seven years of life. Considering sleeping disorders commonly start at 12 years of age, the connection was never made.
As the issue has become more prevalent, many studies have taken place and created the link, but the link between ADHD and sleep disorders hasn’t been made clear in all the literature currently available. That being said, patients are in no doubt their condition causes sleep disturbances, and four tend to stand out more than others.
Even after falling asleep, the sleep can be restless and not what you would consider ‘quality’ of any kind. Waking up at the quietest noise and tossing/turning all night, bed partners often choose to sleep elsewhere on bad nights.
With this issue, patients simply can’t ‘switch off’ at night, and this is said to affect up to 75% of all people with ADHD. With some, they even say they feel nocturnal because they receive a sudden burst of energy when the sun disappears (despite feeling tired for most of the day). There is statistical evidence that there is a connection between ADHD and sleep disorders: before puberty, up to 15% of children who have ADHD have sleeping problems – twice the amount compared to children with no ADHD.
Thirdly, some sufferers have reported drowsiness as soon as they lose interest in a task. While active and interested, they feel ready to partake in whatever it is that has their attention. As soon as the interest has disappeared, this is where the trouble commences.
According to some practices, up to 80% of people living with ADHD can have trouble waking up in the morning. Unfortunately, many awake every so often until around 4 a.m. before then struggling to wake up when the alarm goes just a couple of hours later.
Although it still hasn’t been recognized by the appropriate bodies, sufferers and doctors alike know the relationship that now exists between ADHD and sleep disorders, and it’s one that requires treatment if any improvement is to be made.
Are allergies genetic, hereditary, developed over time? No matter how you ask it, you seem to have stumbled across one of the most popular questions regarding allergies (after “how do I cope with allergies because they’re driving me crazy,”of course). Whether you’re starting to develop similar allergies to your parents or perhaps you’re noticing the signs in your own children, you might be wondering whether allergies can be passed down from one generation to the next.
To answer this question, we first need to deal with the word “allergy” and what it actually means. In truth, it’s quite a broad term and covers any abnormal reaction to substances that are, generally speaking, harmless to the masses. Known as ˜allergens,”these substances can be found outside, inside, in our foods, and in a variety of other locations in life.
With each allergen offering something different, the reactions and symptoms of a reaction can be very different. For pollen, for example, you might experience a runny nose, red eyes, itchy ears, watery eyes, scratchy throat, or perhaps something else. With animal dander, dust mites, and mold, the symptoms are very similar but may vary in how often one occurs over the other. Finally, more severe symptoms can include coughs, sinus headaches, and facial pain.
True or False: Are Allergies Genetic?
So, to what extent are allergies genetic? All things considered, there are many ways in which we can develop allergies and our genes are included in this list. Often, parents will pass these allergy genes to their children who will then suffer the same (or similar) allergies throughout their life. Of course, this isn’t to say that, if you have allergies, your children or potential children will definitely develop the same allergies. While some children will develop them, others will develop different allergies, while a third group won’t develop any allergies at all so each case is unique.
At this point, we should note that the allergy cannot be passed from parent to child. In what sense then, are allergies genetic? Instead, it’s the tendency to be allergic to a certain substance that’s passed on. Today, this is a common misconception even though the difference is quite significant.
Overall, we can say that children belonging to parents with allergies are more likely to see allergies themselves. This being said, it’s important for all parents to have their children tested for the same allergies if any symptoms show. As long as you’re alert and aware of your child’s behavior, you can approach your doctor and have the best case of treatment installed. To diagnose allergies, the doctor will ask for the medical history of your child (or yourself if you’re experiencing the symptoms) before then performing certain physical tests. If allergies are present but the doctor can’t quite pinpoint the issue, allergy skin testing may be used.
As soon as the issue has been highlighted, the right treatment can be put into place to keep the allergies under control in the time ahead. Rather than ignoring it and hoping for the best, medication can control the allergies and make the experience a little easier to bear.
Regardless of whether it’s your children, yourself, or even a friend or family member, your doctor might also recommend allergen immunotherapy. If the issue is severe and affecting everyday life, this treatment will gradually desensitize the body to the allergen causing the problems. As the body starts to recover, not as much medication will be required and the symptoms should reduce.
Studies and Research
A recent study in The Journal of Allergy and Clinical Immunology noted how allergies can also be gender-related as well as just inherited. For the longest time, it was assumed all allergies came from the mother. With this discovery, it means the mother is more likely to pass allergies to her daughter while a father is more likely to pass allergies to his son.
Finally, there has also been some interesting research on twins. If they share the same 25,000 genes (identical twins), there’s a 60% chance of both being allergic to peanuts if one is allergic to peanuts. If only 50% of the genes are shared (fraternal twins), this rate decreases to just 7%.
Ultimately, as we’ve seen all the way through, genes do play a role in passing these allergies along. However, this role is still largely undefined and we’ll only find out how it all works when researchers make a substantial breakthrough!
For the most part, there’s not much we can do to control the allergens and wider environment outside. However, we can control what’s inside our home and today we have some simple yet effective tips for reducing indoor allergens both now and long into the future.
Common Indoor Allergens
First and foremost, we should note that the most common allergens you might experience in your home include pet dander, food, cockroaches, mold, dust, and dust mite droppings. For the people inside your home, this can lead to allergic reactions, eczema flare-ups, and asthma spells. Therefore, prevention will always be better than the cure and you should be looking to remove these indoor allergens before doing anything else.
At first, this might seem like mission impossible because your home is a large place to cover all in one sitting. For this reason, today we’re concentrating on the most common hiding places for indoor allergens. By targeting the allergens at their source, you can keep issues to a minimum and breathe freely in your own home.
As a starting point, you should be aiming for the cleanest possible air and this comes from some form of indoor air cleaner such as a High Efficiency Particulate Arresting (HEPA) air purifier. By recycling the air and capturing allergen particles, your home can be free from dust mite debris and pet dander for some time to come.
While on the note of clean air, we also recommend moving your spring cleaning. If you leave the cleaning until later in the season, allergens will make their way into the home as soon as you open the windows to let your house breathe. For example, pollen is a big one in spring and an issue that will cause havoc for many.
With the air as clean as possible, the next area to target should be your bedroom because this should be your haven from the world. As well as cleaning your bedsheets regularly, you should also keep pets away from your bedroom and invest in dust-proof pillows and mattress. Since dust mites feed on the dead skin cells found within the bed sheets, cleaning them in hot water is important to kill them off and ensure your sheets are free from dust mites at all times.
If you have a high pile or shaggy carpet, this is the perfect breeding ground for dust mites so a weekly vacuum is essential. If you have pets, make this more frequent and this will keep your carpet as clean as possible. Every 12 to 18 months, we also recommend a professional steam as this will pull all deep-rooted stains and dust. Since the flooring covers the whole house, this is important for removing allergens and staying healthy in your home.
Often, we tend to build piles of what can only be described as ‘stuff’ around the home. Whether it’s magazines, paper, or clothing, they end up being forgotten and it creates a safe home for cockroaches. Over time, they’ll shed body parts, leave feces, and drop saliva all over the place and this will be awful for those with allergies and asthma.
While on the topic of cockroaches, you’ll need to keep an eye on your appliances to ensure all food debris is cleaned every so often. In your oven, microwave, toaster, and other appliances, the best way to remove the threat of cockroaches is to keep their food source to a minimum.
Sure, you wash all bedding once it gets pulled from your bed but how long does it stay in the linen closet after being washed? If you have three or four sets of linen on rotation, dust mites will build by the time you come to use the set and this can be dangerous. If you have sets that don’t even make their way out of the closet, they’ll be a hive of activity for dust mites which immediately taints everything else nearby. To prevent this, we highly recommend cleaning all linen with hot water even if (or especially if) it hasn’t been used for a while.
Finally, we recommend investing in a small humidity monitor because mold and mildew thrive in humid areas. If you can keep an eye on the most humid areas within the home, you should be able to prevent the growth of mold thus also preventing issues for those with allergies and asthma. Let’s not forget, mold can affect the respiratory system of even healthy people so it’s always best to keep your home free from the problem!