Posts Tagged ‘heart attack’

Stress Therapies Through Natural Remedies

May 10th, 2010

If stress is not han­dled prop­erly, more seri­ous ill­nesses may result.

How Seri­ous a Threat to Your Health is Stress?

Many believe that prac­ti­cally every ill­ness has stress reac­tion as a con­tribut­ing fac­tor. Some­one who han­dles stress well just sim­ply doesn’t get sick.

How often are the times you have caught a cold or flu also been times when you were wor­ried or stressed about some­thing more than nor­mal, or even deal­ing with some kind of trauma?

This is why it is wise to remem­ber what­ever reme­dies you choose for tem­po­rary relief, there must in addi­tion be con­scious work toward releas­ing stress pat­terns and habits that keep the worry mode, or anx­i­ety in place.

Here’s some­thing to think about. Is stress dif­fer­ent today than it was a few decades ago? Con­tem­po­rary stress tends to be more per­va­sive, per­sis­tent and insid­i­ous because it stems pri­mar­ily from psy­cho­log­i­cal rather than phys­i­cal threats. It is asso­ci­ated with ingrained and imme­di­ate reac­tions over which we have no con­trol and were orig­i­nally designed to be ben­e­fi­cial such as:

* The heart rate and blood pres­sure soar to increase the flow of blood to the brain to improve deci­sion mak­ing.
* The blood sugar rises to fur­nish more fuel for energy as the result of the break­down of glyco­gen, fat and pro­tein stores.
* The blood is shunted away from the gut, where its not imme­di­ately needed for pur­poses of diges­tion. It goes to the large mus­cles of the arms and legs to pro­vide more strength in com­bat, or greater speed in get­ting away from a scene of poten­tial peril.
* Also clot­ting occurs more quickly to pre­vent blood loss from lac­er­a­tions or inter­nal hemorrhage.

These and myr­iad of other imme­di­ate and auto­matic responses have been exquis­itely honed over the lengthy course of human evo­lu­tion as life sav­ing mea­sures to facil­i­tate prim­i­tive man’s abil­ity to deal with phys­i­cal challenges.

How­ever, the nature of stress for mod­ern man is not an occa­sional con­fronta­tion with a saber-toothed tiger or a hos­tile war­rior but rather a host of emo­tional threats like get­ting stuck in traf­fic and fights or mis­un­der­stand­ings with cus­tomers, co-workers, or fam­ily mem­bers, that often occur sev­eral times a day.

Unfor­tu­nately, our bod­ies still react with these same, archaic fight or flight responses that are not only use­ful­ness but poten­tially dam­ag­ing and deadly. Repeat­edly invoked, it is not hard to see how they can con­tribute to hyper­ten­sion, strokes, heart attacks, dia­betes, ulcers, neck or low back pain and other “Dis­eases of Civ­i­liza­tion.“

Feel­ing a Bit Stressed These Days?

You’re not alone! Traf­fic jams, dead­lines, bills to pay, job changes, end­less chores and errands, rela­tion­ships, fam­ily prob­lems, it’s always some­thing and of course we are on the brink of war.

Stress is expe­ri­enced by every­one at one time or another. It requires the body to make phys­i­cal and chem­i­cal adjust­ments in order to main­tain the nec­es­sary phys­i­o­log­i­cal bal­ance for sur­vival. A rac­ing heart, a burst of energy, and mus­cle ten­sion are the body’s phys­i­cal responses to stress. When faced with dan­ger, some of the first stress reac­tions are a rise in blood pres­sure, quicker breath­ing and heart beat, and dilated pupils. Sight and hear­ing become more alert.

This reac­tion is an instinc­tive response that pro­tects us from threats to our sur­vival. Phys­i­o­log­i­cal changes are part of the “fight or flight” response, which pre­pares and ener­gizes a per­son to con­front or flee from dan­ger. After the threat has passed or a change takes place, the “alarm” signs dis­ap­pear. The body is still aroused but is adapt­ing to the change.

When you “gear up” under stress, your body begins to do more of some things and less of oth­ers. For exam­ple, blood cir­cu­la­tion increases, but diges­tion slows down or even stops. First symp­toms of these diges­tive orders may be Per­sis­tent Indi­ges­tion or Colitis.

Once the stress ends, your body goes to work to restore the bal­ance. How­ever, if stress returns too soon, your body will never have time to get back on an even keel. Even­tu­ally, this can lead to major health prob­lems. Exhaus­tion occurs, caus­ing dam­age to the person’s phys­i­cal and emo­tional well-being. If the stress is short-term, chances are good that it can be dealt with. It is long-term stress that causes the body to break down and has many real phys­i­cal effects.

Some of the dis­or­ders asso­ci­ated with stress are:

* Anx­i­ety
* High blood pres­sure
* Headaches
* Depres­sion
* Weak­ened Immune Sys­tem
* Higher Cho­les­terol Lev­els
* Sleep­less­ness
* Impo­tence
* Migraine Headaches
* Diar­rhea
* Loss of Appetite
* Increased Appetite

If stress is not han­dled prop­erly, then more seri­ous ill­nesses will result.

There is no escape from stress. You must learn how to han­dle it.

Relax­ation is often dif­fi­cult. But nec­es­sary to alle­vi­ate the stress. Nature Cre­ation (www.naturecreation.com) is one com­pany who man­u­fac­tures nat­ural herbal ther­apy packs. The prod­ucts are filled with 9 essen­tial nat­ural herbs, which the essence of scents will bring nat­ural relax­ation stim­u­la­tion to your brain. In addi­tion, the prod­ucts can also be used as hot or cold ther­apy. These are excel­lent if you have mus­cle stiff­ness, body pain, headache, cramps or awk­ward twist of your nerves.

The design of Nature Cre­ation prod­ucts are ergonom­i­cally fit com­fort­ably to the con­tour of your body. There are 18 patented shapes and sizes and five unique col­ors to choose.

Please visit the com­pany web­site to learn more of the prod­ucts and all the benefits.

Share and Enjoy:
  • Digg
  • del.icio.us
  • Facebook
  • Google Bookmarks
  • LinkedIn
  • StumbleUpon
  • email
  • Live
  • MSN Reporter
  • MySpace
  • RSS
  • Yahoo! Bookmarks
  • Yahoo! Buzz
  • Add to favorites
  • PDF
  • MyShare
  • Reddit
  • Technorati
  • Twitter

Sleep Apnea, What is it?

February 17th, 2010

What Is Sleep Apnea?

Sleep apnea is a com­mon dis­or­der in which you have one or more pauses in breath­ing or shal­low breaths while you sleep.

Breath­ing pauses can last from a few sec­onds to min­utes. They often occur 5 to 30 times or more an hour. Typ­i­cally, nor­mal breath­ing then starts again, some­times with a loud snort or chok­ing sound.

sleep_apnea

sleep_apnea

Sleep apnea usu­ally is a chronic (ongo­ing) con­di­tion that dis­rupts your sleep 3 or more nights each week. You often move out of deep sleep and into light sleep when your breath­ing pauses or becomes shallow.

This results in poor sleep qual­ity that makes you tired dur­ing the day. Sleep apnea is one of the lead­ing causes of exces­sive day­time sleepi­ness.
Overview

Sleep apnea often goes undi­ag­nosed. Doc­tors usu­ally can’t detect the con­di­tion dur­ing rou­tine office vis­its. Also, there are no blood tests for the condition.

Most peo­ple who have sleep apnea don’t know they have it because it only occurs dur­ing sleep. A fam­ily mem­ber and/or bed part­ner may first notice the signs of sleep apnea.

The most com­mon type of sleep apnea is obstruc­tive sleep apnea. This most often means that the air­way has col­lapsed or is blocked dur­ing sleep. The block­age may cause shal­low breath­ing or breath­ing pauses.

When you try to breathe, any air that squeezes past the block­age can cause loud snor­ing. Obstruc­tive sleep apnea hap­pens more often in peo­ple who are over­weight, but it can affect anyone.

The ani­ma­tion below shows how obstruc­tive sleep apnea occurs. Click the “start” but­ton to play the ani­ma­tion. Writ­ten and spo­ken expla­na­tions are pro­vided with each frame. Use the but­tons in the lower right cor­ner to pause, restart, or replay the ani­ma­tion, or use the scroll bar below the but­tons to move through the frames.
The ani­ma­tion shows how air flow to the lungs can be blocked, caus­ing sleep apnea.

The ani­ma­tion shows how air flow to the lungs can be blocked, caus­ing sleep apnea.

Cen­tral sleep apnea is a less com­mon type of sleep apnea. It hap­pens when the area of your brain that con­trols your breath­ing doesn’t send the cor­rect sig­nals to your breath­ing mus­cles. You make no effort to breathe for brief periods.

Cen­tral sleep apnea often occurs with obstruc­tive sleep apnea, but it can occur alone. Snor­ing doesn’t typ­i­cally hap­pen with cen­tral sleep apnea.

Untreated sleep apnea can:

* Increase the risk for high blood pres­sure, heart attack, stroke, obe­sity, and dia­betes
* Increase the risk for or worsen heart fail­ure
* Make irreg­u­lar heart­beats more likely
* Increase the chance of hav­ing work-related or dri­ving accidents

Lifestyle changes, mouth­pieces, surgery, and/or breath­ing devices can suc­cess­fully treat sleep apnea in many peo­ple.

Other Names for Sleep Apnea

* Sleep-disordered breath­ing
* Cheyne-Stokes breathing

What Causes Sleep Apnea?

When you’re awake, throat mus­cles help keep your air­way stiff and open so air can flow into your lungs. When you sleep, these mus­cles are more relaxed. Nor­mally, the relaxed throat mus­cles don’t stop your air­way from stay­ing open to allow air into your lungs.

But if you have obstruc­tive sleep apnea, your air­ways can be blocked or nar­rowed dur­ing sleep because:

* Your throat mus­cles and tongue relax more than nor­mal.
* Your tongue and ton­sils (tis­sue masses in the back of your mouth) are large com­pared to the open­ing into your wind­pipe.
* You’re over­weight. The extra soft fat tis­sue can thicken the wall of the wind­pipe. This causes the inside open­ing to nar­row and makes it harder to keep open.
* The shape of your head and neck (bony struc­ture) may cause a smaller air­way size in the mouth and throat area.
* The aging process lim­its the abil­ity of brain sig­nals to keep your throat mus­cles stiff dur­ing sleep. This makes it more likely that the air­way will nar­row or collapse.

Not enough air flows into your lungs when your air­ways are fully or partly blocked dur­ing sleep. This can cause loud snor­ing and a drop in your blood oxy­gen levels.

When the oxy­gen drops to dan­ger­ous lev­els, it trig­gers your brain to dis­turb your sleep. This helps tighten the upper air­way mus­cles and open your wind­pipe. Nor­mal breaths then start again, often with a loud snort or chok­ing sound.

The fre­quent drops in oxy­gen lev­els and reduced sleep qual­ity trig­ger the release of stress hor­mones. These com­pounds raise your heart rate and increase your risk for high blood pres­sure, heart attack, stroke, and irreg­u­lar heart­beats. The hor­mones also raise the risk for or worsen heart failure.

Untreated sleep apnea also can lead to changes in how your body uses energy. These changes increase your risk for obe­sity and dia­betes.

Who Is At Risk for Sleep Apnea?

It’s esti­mated that more than 12 mil­lion Amer­i­can adults have obstruc­tive sleep apnea. More than half of the peo­ple who have this con­di­tion are overweight.

Sleep apnea is more com­mon in men. One out of 25 middle-aged men and 1 out of 50 middle-aged women have sleep apnea.

Sleep apnea becomes more com­mon as you get older. At least 1 out of 10 peo­ple over the age of 65 has sleep apnea. Women are much more likely to develop sleep apnea after menopause.

African Amer­i­cans, His­pan­ics, and Pacific Islanders are more likely to develop sleep apnea than Caucasians.

If some­one in your fam­ily has sleep apnea, you’re more likely to develop it.

Peo­ple who have small air­ways in their noses, throats, or mouths also are more likely to have sleep apnea. Smaller air­ways may be due to the shape of these struc­tures or aller­gies or other med­ical con­di­tions that cause con­ges­tion in these areas.

Small chil­dren often have enlarged ton­sil tis­sues in the throat. This can make them prone to devel­op­ing sleep apnea.

Other risk fac­tors for sleep apnea include smok­ing, high blood pres­sure, and risk fac­tors for stroke or heart fail­ure.

What Are the Signs and Symp­toms of Sleep Apnea?

One of the most com­mon signs of obstruc­tive sleep apnea is loud and chronic (ongo­ing) snor­ing. Pauses may occur in the snor­ing. Chok­ing or gasp­ing may fol­low the pauses.

The snor­ing usu­ally is loud­est when you sleep on your back; it may be less noisy when you turn on your side. Snor­ing may not hap­pen every night. Over time, the snor­ing may hap­pen more often and get louder.

You’re asleep when the snor­ing or gasp­ing occurs. You will likely not know that you’re hav­ing prob­lems breath­ing or be able to judge how severe the prob­lem is. Your fam­ily mem­bers or bed part­ner will often notice these prob­lems before you do.

Not every­one who snores has sleep apnea.

Another com­mon sign of sleep apnea is fight­ing sleepi­ness dur­ing the day, at work, or while dri­ving. You may find your­self rapidly falling asleep dur­ing the quiet moments of the day when you’re not active.
Other Signs and Symptoms

Oth­ers signs and symp­toms of sleep apnea may include:

* Morn­ing headaches
* Mem­ory or learn­ing prob­lems and not being able to con­cen­trate
* Feel­ing irri­ta­ble, depressed, or hav­ing mood swings or per­son­al­ity changes
* Uri­na­tion at night
* A dry throat when you wake up

In chil­dren, sleep apnea can cause hyper­ac­tiv­ity, poor school per­for­mance, and aggres­sive­ness. Chil­dren who have sleep apnea also may have unusual sleep­ing posi­tions, bed­wet­ting, and may breathe through their mouths instead of their noses dur­ing the day.

How Is Sleep Apnea Diagnosed?

Doc­tors diag­nose sleep apnea based on your med­ical and fam­ily his­to­ries, a phys­i­cal exam, and results from sleep stud­ies. Usu­ally, your pri­mary care doc­tor eval­u­ates your symp­toms first. He or she then decides whether you need to see a sleep specialist.

These spe­cial­ists are doc­tors who diag­nose and treat peo­ple with sleep prob­lems. Such doc­tors include lung, nerve, or ear, nose, and throat spe­cial­ists. Other types of doc­tors also can be sleep spe­cial­ists.
Med­ical and Fam­ily Histories

Your doc­tor will ask you and your fam­ily ques­tions about how you sleep and how you func­tion dur­ing the day. To help your doc­tor, con­sider keep­ing a sleep diary for 1 to 2 weeks. Write down how much you sleep each night, as well as how sleepy you feel at var­i­ous times dur­ing the day.

You can find a sam­ple sleep diary in the National Heart, Lung, and Blood Institute’s “Your Guide to Healthy Sleep.”

Your doc­tor also will want to know how loudly and often you snore or make gasp­ing or chok­ing sounds dur­ing sleep. Often you’re not aware of such symp­toms and must ask a fam­ily mem­ber or bed part­ner to report them.

If you’re a par­ent of a child who may have sleep apnea, tell your child’s doc­tor about your child’s signs and symptoms.

Let your doc­tor know if any­one in your fam­ily has been diag­nosed with sleep apnea or has had symp­toms of the disorder.

Many peo­ple aren’t aware of their symp­toms and aren’t diag­nosed.
Phys­i­cal Exam

Your doc­tor will check your mouth, nose, and throat for extra or large tis­sues. The ton­sils often are enlarged in chil­dren with sleep apnea. A phys­i­cal exam and med­ical his­tory may be all that’s needed to diag­nose sleep apnea in children.

Adults with the con­di­tion may have an enlarged uvula or soft palate. The uvula is the tis­sue that hangs from the mid­dle of the back of your mouth. The soft palate is the roof of your mouth in the back of your throat.
Sleep Studies

A sleep study is the most accu­rate test for diag­nos­ing sleep apnea. It cap­tures what hap­pens with your breath­ing while you sleep.

A sleep study is often done in a sleep cen­ter or sleep lab, which may be part of a hos­pi­tal. You may stay overnight in the sleep cen­ter.
Polysomnogram

A polysomno­gram (poly-SOM-no-gram), or PSG, is the most com­mon study for diag­nos­ing sleep apnea. This test records:

* Brain activ­ity
* Eye move­ment and other mus­cle activ­ity
* Breath­ing and heart rate
* How much air moves in and out of your lungs while you’re sleep­ing
* The amount of oxy­gen in your blood

A PSG is pain­less. You will go to sleep as usual, except you will have sen­sors on your scalp, face, chest, limbs, and fin­ger. The staff at the sleep cen­ter will use the sen­sors to check on you through­out the night.

A sleep spe­cial­ist reviews the results of your PSG to see whether you have sleep apnea and how severe it is. He or she will use the results to plan your treatment.

How Is Sleep Apnea Treated?

The goals of treat­ing obstruc­tive sleep apnea are to:

* Restore reg­u­lar breath­ing dur­ing sleep
* Relieve symp­toms such as loud snor­ing and day­time sleepiness

Treat­ment may help other med­ical prob­lems linked to sleep apnea, such as high blood pres­sure. Treat­ment also can reduce your risk for heart dis­ease, stroke, and dia­betes.
Spe­cific Types of Treatment

Lifestyle changes, mouth­pieces, breath­ing devices, and/or surgery are used to treat sleep apnea. Cur­rently, there are no med­i­cines to treat sleep apnea.

If you have sleep apnea, talk to your doc­tor or sleep spe­cial­ist about the treat­ment options that are most appro­pri­ate for your spe­cific condition.

Lifestyle changes and/or mouth­pieces may be enough to relieve mild sleep apnea. Peo­ple who have mod­er­ate or severe sleep apnea may need breath­ing devices or surgery.
Lifestyle Changes

If you have mild sleep apnea, some changes in daily activ­i­ties or habits may be all that you need.

* Avoid alco­hol and med­i­cines that make you sleepy. They make it harder for your throat to stay open while you sleep.
* Lose weight if you’re over­weight or obese. Even a lit­tle weight loss can improve your symp­toms.
* Sleep on your side instead of your back to help keep your throat open. You can sleep with spe­cial pil­lows or shirts that pre­vent you from sleep­ing on your back.
* Keep your nasal pas­sages open at night with nose sprays or allergy med­i­cines, if needed. Talk to your doc­tor about whether these treat­ments might help you.
* Stop smoking.

Mouth­piece

A mouth­piece, some­times called an oral appli­ance, may help some peo­ple who have mild sleep apnea. Your doc­tor also may rec­om­mend a mouth­piece if you snore loudly but don’t have sleep apnea.

A den­tist or ortho­don­tist can make a custom-fit plas­tic mouth­piece for treat­ing sleep apnea. (An ortho­don­tist spe­cial­izes in cor­rect­ing teeth or jaw prob­lems.) The mouth­piece will adjust your lower jaw and your tongue to help keep your air­ways open while you sleep.

If you use a mouth­piece, it’s impor­tant that you check with your doc­tor about dis­com­fort or pain while using the device. You may need peri­odic office vis­its so your doc­tor can adjust your mouth­piece to fit better.

Breath­ing Devices

Con­tin­u­ous pos­i­tive air­way pres­sure (CPAP) is the most com­mon treat­ment for mod­er­ate to severe sleep apnea in adults. A CPAP machine uses a mask that fits over your mouth and nose, or just over your nose. The machine gen­tly blows air into your throat.

The air presses on the wall of your air­way. The air pres­sure is adjusted so that it’s just enough to stop the air­ways from becom­ing nar­rowed or blocked dur­ing sleep.

Treat­ing sleep apnea may help you stop snor­ing. But stop­ping snor­ing doesn’t mean that you no longer have sleep apnea or can stop using CPAP. Sleep apnea will return if CPAP is stopped or not used correctly.

Usu­ally, a tech­ni­cian will come to your home to bring the CPAP equip­ment. The tech­ni­cian will set up the CPAP machine and adjust it based on your doctor’s orders. After the ini­tial setup, you may need to have the CPAP adjusted on occa­sion for the best results.

CPAP treat­ment may cause side effects in some peo­ple. These side effects include a dry or stuffy nose, irri­tated skin on your face, sore eyes, and headaches. If your CPAP isn’t prop­erly adjusted, you may get stom­ach bloat­ing and dis­com­fort while wear­ing the mask.

If you’re hav­ing trou­ble with CPAP side effects, work with your sleep spe­cial­ist, his or her nurs­ing staff, and the CPAP tech­ni­cian. Together, you can take steps to reduce these side effects. These steps include adjust­ing the CPAP set­tings or the size/fit of the mask, or adding mois­ture to the air as it flows through the mask. A nasal spray may relieve a dry, stuffy, or runny nose.

There are many dif­fer­ent kinds of CPAP machines and masks. Be sure to tell your doc­tor if you’re not happy with the type you’re using. He or she may sug­gest switch­ing to a dif­fer­ent kind that may work bet­ter for you.

Peo­ple who have severe sleep apnea symp­toms gen­er­ally feel much bet­ter once they begin treat­ment with CPAP.

Surgery

Some peo­ple who have sleep apnea may ben­e­fit from surgery. The type of surgery and how well it works depend on the cause of the sleep apnea.

Surgery is done to widen breath­ing pas­sages. It usu­ally involves remov­ing, shrink­ing, or stiff­en­ing excess tis­sue in the mouth and throat or reset­ting the lower jaw.

Surgery to shrink or stiffen excess tis­sue in the mouth or throat is done in a doctor’s office or a hos­pi­tal. Shrink­ing tis­sue may involve small shots or other treat­ments to the tis­sue. A series of such treat­ments may be needed to shrink the excess tis­sue. To stiffen excess tis­sue, the doc­tor makes a small cut in the tis­sue and inserts a small piece of stiff plastic.

Surgery to remove excess tis­sue is only done in a hos­pi­tal. You’re given med­i­cine that makes you sleep dur­ing the surgery. After surgery, you may have throat pain that lasts for 1 to 2 weeks.

Surgery to remove the ton­sils, if they’re block­ing the air­way, may be very help­ful for some chil­dren. Your child’s doc­tor may sug­gest wait­ing some time to see whether these tis­sues shrink on their own. This is com­mon as small chil­dren grow.

Key Points

* Sleep apnea is a com­mon breath­ing dis­or­der in which you have one or more pauses in breath­ing or shal­low breaths while you sleep.
* Sleep apnea usu­ally is a chronic (ongo­ing) con­di­tion that dis­rupts your sleep 3 or more nights each week.
* Sleep apnea often goes undi­ag­nosed. Doc­tors usu­ally can’t detect the con­di­tion dur­ing rou­tine office vis­its. Also, there are no blood tests for the con­di­tion. Most peo­ple who have sleep apnea don’t know they have it because it only occurs dur­ing sleep.
* The most com­mon type of sleep apnea is obstruc­tive sleep apnea. This most often means that the air­way has col­lapsed or is blocked dur­ing sleep. This may cause shal­low breath­ing or breath­ing pauses.
* Sleep apnea can cause day­time sleepi­ness, increase the risk for or worsen some med­ical con­di­tions, and increase the chance of hav­ing a work– or driving-related acci­dent.
* It’s esti­mated that more than 12 mil­lion Amer­i­can adults have sleep apnea. More than half of the peo­ple who have this con­di­tion are over­weight.
* The most com­mon signs of sleep apnea are loud snor­ing and chok­ing or gasp­ing dur­ing sleep and being very sleepy dur­ing the day.
* Doc­tors diag­nose sleep apnea based on your med­ical and fam­ily his­to­ries, a phys­i­cal exam, and results from sleep stud­ies.
* Treat­ment is aimed at restor­ing reg­u­lar breath­ing dur­ing sleep and reliev­ing symp­toms. Treat­ment also may help other med­ical prob­lems linked to sleep apnea.
* Lifestyle changes, mouth­pieces, breath­ing devices, and/or surgery are used to treat sleep apnea. Con­tin­u­ous pos­i­tive air­way pres­sure (CPAP) is the most com­mon treat­ment for mod­er­ate to severe sleep apnea.
* Sleep apnea can be very seri­ous. How­ever, fol­low­ing an effec­tive treat­ment plan can often improve your qual­ity of life quite a bit. Fol­low up with your doc­tor reg­u­larly to make sure your treat­ment is work­ing. Tell him or her if the treat­ment causes side effects that you can’t han­dle.
* Fam­ily mem­bers can help a per­son who snores loudly or stops breath­ing dur­ing sleep by encour­ag­ing him or her to get med­ical help.
* Treat­ment may improve your over­all health and hap­pi­ness as well as your qual­ity of sleep (and pos­si­bly your family’s qual­ity of sleep).

Share and Enjoy:
  • Digg
  • del.icio.us
  • Facebook
  • Google Bookmarks
  • LinkedIn
  • StumbleUpon
  • email
  • Live
  • MSN Reporter
  • MySpace
  • RSS
  • Yahoo! Bookmarks
  • Yahoo! Buzz
  • Add to favorites
  • PDF
  • MyShare
  • Reddit
  • Technorati
  • Twitter

What is Arthritis…?

February 3rd, 2010

Arthri­tis is inflam­ma­tion of one or more joints, which results in pain, swelling, stiff­ness, and lim­ited move­ment. There are over 100 dif­fer­ent types of arthritis.

Causes, inci­dence, and risk factors

Arthri­tis involves the break­down of car­ti­lage. Car­ti­lage nor­mally pro­tects the joint, allow­ing for smooth move­ment. Car­ti­lage also absorbs shock when pres­sure is placed on the joint, like when you walk. With­out the usual amount of car­ti­lage, the bones rub together, caus­ing pain, swelling (inflam­ma­tion), and stiffness.

You may have joint inflam­ma­tion for a vari­ety of rea­sons, including:

* Bro­ken bone
* Infec­tion (usu­ally caused by bac­te­ria or viruses)
* An autoim­mune dis­ease (the body attacks itself because the immune sys­tem believes a body part is for­eign)
* Gen­eral “wear and tear” on joints

Often, the inflam­ma­tion goes away after the injury has healed, the dis­ease is treated, or the infec­tion has been cleared.

With some injuries and dis­eases, the inflam­ma­tion does not go away or destruc­tion results in long-term pain and defor­mity. When this hap­pens, you have chronic arthri­tis. Osteoarthri­tis is the most com­mon type and is more likely to occur as you age. You may feel it in any of your joints, but most com­monly in your hips, knees or fin­gers. Risk fac­tors for osteoarthri­tis include:

* Being over­weight
* Pre­vi­ously injur­ing the affected joint
* Using the affected joint in a repet­i­tive action that puts stress on the joint (base­ball play­ers, bal­let dancers, and con­struc­tion work­ers are all at risk)

Arthri­tis can occur in men and women of all ages. About 37 mil­lion peo­ple in Amer­ica have arthri­tis of some kind, which is almost 1 out of every 7 people.

Rheumatoid Arhritis

Rheuma­toid Arhritis

Other types or cause of arthri­tis include:

* Rheuma­toid arthri­tis (in adults)
* Juve­nile rheuma­toid arthri­tis (in chil­dren)
* Sys­temic lupus ery­the­mato­sus (SLE)
* Gout
* Scle­ro­derma
* Pso­ri­atic arthri­tis
* Anky­los­ing spondyli­tis
* Reiter’s syn­drome (reac­tive arthri­tis)
* Adult Still’s dis­ease
* Viral arthri­tis
* Gono­coc­cal arthri­tis
* Other bac­te­r­ial infec­tions (non-gonococcal bac­te­r­ial arthri­tis )
* Ter­tiary Lyme dis­ease (the late stage)
* Tuber­cu­lous arthri­tis
* Fun­gal infec­tions such as blastomycosis

Symptoms

If you have arthri­tis, you may experience:

* Joint pain
* Joint swelling
* Stiff­ness, espe­cially in the morn­ing
* Warmth around a joint
* Red­ness of the skin around a joint
* Reduced abil­ity to move the joint

Signs and tests

First, your doc­tor will take a detailed med­ical his­tory to see if arthri­tis or another mus­cu­loskele­tal prob­lem is the likely cause of your symptoms.

Next, a thor­ough phys­i­cal exam­i­na­tion may show that fluid is col­lect­ing around the joint. (This is called an “effu­sion.”) The joint may be ten­der when it is gen­tly pressed, and may be warm and red (espe­cially in infec­tious arthri­tis and autoim­mune arthri­tis). It may be painful or dif­fi­cult to rotate the joints in some direc­tions. This is known as “lim­ited range-of-motion.”

In some autoim­mune forms of arthri­tis, the joints may become deformed if the dis­ease is not treated. Such joint defor­mi­ties are the hall­marks of severe, untreated rheuma­toid arthritis.

Tests vary depend­ing on the sus­pected cause. They often include blood tests and joint x-rays. To check for infec­tion and other causes of arthri­tis (like gout caused by crys­tals), joint fluid is removed from the joint with a nee­dle and exam­ined under a micro­scope. See the spe­cific types of arthri­tis for fur­ther infor­ma­tion.
Treatment

Treat­ment of arthri­tis depends on the par­tic­u­lar cause, which joints are affected, sever­ity, and how the con­di­tion affects your daily activ­i­ties. Your age and occu­pa­tion will also be taken into con­sid­er­a­tion when your doc­tor works with you to cre­ate a treat­ment plan.

If pos­si­ble, treat­ment will focus on elim­i­nat­ing the under­ly­ing cause of the arthri­tis. How­ever, the cause is NOT nec­es­sar­ily cur­able, as with osteoarthri­tis and rheuma­toid arthri­tis. Treat­ment, there­fore, aims at reduc­ing your pain and dis­com­fort and pre­vent­ing fur­ther disability.

It is pos­si­ble to greatly improve your symp­toms from osteoarthri­tis and other long-term types of arthri­tis with­out med­ica­tions. In fact, mak­ing lifestyle changes with­out med­ica­tions is prefer­able for osteoarthri­tis and other forms of joint inflam­ma­tion. If needed, med­ica­tions should be used in addi­tion to lifestyle changes.

Exer­cise for arthri­tis is nec­es­sary to main­tain healthy joints, relieve stiff­ness, reduce pain and fatigue, and improve mus­cle and bone strength. Your exer­cise pro­gram should be tai­lored to you as an indi­vid­ual. Work with a phys­i­cal ther­a­pist to design an indi­vid­u­al­ized pro­gram, which should include:

* Range of motion exer­cises for flex­i­bil­ity
* Strength train­ing for mus­cle tone
* Low-impact aer­o­bic activ­ity (also called endurance exercise)

A phys­i­cal ther­a­pist can apply heat and cold treat­ments as needed and fit you for splints or orthotic (straight­en­ing) devices to sup­port and align joints. This may be par­tic­u­larly nec­es­sary for rheuma­toid arthri­tis. Your phys­i­cal ther­a­pist may also con­sider water ther­apy, ice mas­sage, or tran­scu­ta­neous nerve stim­u­la­tion (TENS).

Rheumatoid Arhritis

Rheuma­toid Arhritis

Rest is just as impor­tant as exer­cise. Sleep­ing 8 to 10 hours per night and tak­ing naps dur­ing the day can help you recover from a flare-up more quickly and may even help pre­vent exac­er­ba­tions. You should also:

* Avoid posi­tions or move­ments that place extra stress on your affected joints.
* Avoid hold­ing one posi­tion for too long.
* Reduce stress, which can aggra­vate your symp­toms. Try med­i­ta­tion or guided imagery. And talk to your phys­i­cal ther­a­pist about yoga or tai chi.
* Mod­ify your home to make activ­i­ties eas­ier. For exam­ple, have grab bars in the shower, the tub, and near the toilet.

Other mea­sures to try include:

* Tak­ing glu­cosamine and chon­droitin — these form the build­ing blocks of car­ti­lage, the sub­stance that lines joints. These sup­ple­ments are avail­able at health food stores or super­mar­kets. While some stud­ies show such sup­ple­ments may reduce osteoarthri­tis symp­toms, oth­ers show no ben­e­fit. How­ever, since these prod­ucts are regarded as safe, they are rea­son­able to try and many patients find their symp­toms improve.
* Eat a diet rich in vit­a­mins and min­er­als, espe­cially antiox­i­dants like vit­a­min E. These are found in fruits and veg­eta­bles. Get sele­nium from Brewer’s yeast, wheat germ, gar­lic, whole grains, sun­flower seeds, and Brazil nuts. Get omega-3 fatty acids from cold water fish (like salmon, mack­erel, and her­ring), flaxseed, rape­seed (canola) oil, soy­beans, soy­bean oil, pump­kin seeds, and wal­nuts.
* Apply cap­saicin cream (derived from hot chili pep­pers) to the skin over your painful joints. You may feel improve­ment after apply­ing the cream for 3–7 days.

MEDICATIONS

Your doc­tor will choose from a vari­ety of med­ica­tions as needed. Gen­er­ally, the first drugs to try are avail­able with­out a pre­scrip­tion. These include:

* Aceta­minophen (Tylenol) — rec­om­mended by the Amer­i­can Col­lege of Rheuma­tol­ogy and the Amer­i­can Geri­atrics Soci­ety as first-line treat­ment for osteoarthri­tis. Take up to 4 grams a day (2 extra-strength Tylenol every 6 hours). This can pro­vide sig­nif­i­cant relief of arthri­tis pain with­out many of the side effects of pre­scrip­tion drugs. DO NOT exceed the rec­om­mended doses of aceta­minophen or take the drug in com­bi­na­tion with large amounts of alco­hol. These actions may dam­age your liver.
* Aspirin, ibupro­fen, or naproxen — these non­s­teroidal anti-inflammatory (NSAID) drugs are often effec­tive in com­bat­ing arthri­tis pain. How­ever, they have many poten­tial risks, espe­cially if used for a long time. They should not be taken in any amount with­out con­sult­ing your doc­tor. Poten­tial side effects include heart attack, stroke, stom­ach ulcers, bleed­ing from the diges­tive tract, and kid­ney dam­age. In 2005, the U.S. Food and Drug Admin­is­tra­tion (FDA) asked mak­ers of NSAIDs to include a warn­ing label on their prod­uct that alerts users of an increased risk for heart attack, stroke, and gas­troin­testi­nal bleed­ing. If you have kid­ney or liver dis­ease, or a his­tory of gas­troin­testi­nal bleed­ing, you should not take these med­i­cines unless your doc­tor specif­i­cally rec­om­mends them.

Rheumatoid Arhritis

Rheuma­toid Arhritis

Pre­scrip­tion med­i­cines include:

* Cyclooxygenase-2 (COX-2) inhibitors — These drugs block an inflammation-promoting enzyme called COX-2. This class of drugs was ini­tially believed to work as well as tra­di­tional NSAIDs, but with fewer stom­ach prob­lems. How­ever, numer­ous reports of heart attacks and stroke have prompted the FDA to re-evaluate the risks and ben­e­fits of the COX-2s. Cele­coxib (Cele­brex) is still avail­able, but labeled with strong warn­ings and a rec­om­men­da­tion that it be pre­scribed at the low­est pos­si­ble dose for the short­est dura­tion pos­si­ble. Talk to your doc­tor about whether COX-2s are right for you.
* Cor­ti­cos­teroids (“steroids”) — these are med­ica­tions that sup­press the immune sys­tem and symp­toms of inflam­ma­tion. They are com­monly used in severe cases of osteoarthri­tis, and they can be given orally or by injec­tion. Steroids are used to treat autoim­mune forms of arthri­tis but should be avoided in infec­tious arthri­tis. Steroids have mul­ti­ple side effects, includ­ing upset stom­ach and gas­troin­testi­nal bleed­ing, high blood pres­sure, thin­ning of bones, cataracts, and increased infec­tions. The risks are most pro­nounced when steroids are taken for long peri­ods of time or at high doses. Close super­vi­sion by a physi­cian is essen­tial.
* Disease-modifying anti-rheumatic drugs — these have been used tra­di­tion­ally to treat rheuma­toid arthri­tis and other autoim­mune causes of arthri­tis. These drugs include gold salts, peni­cil­lamine, sul­fasalazine, and hydrox­y­chloro­quine. More recently, methotrex­ate has been shown to slow the pro­gres­sion of rheuma­toid arthri­tis and improve your qual­ity of life. Methotrex­ate itself can be highly toxic and requires fre­quent blood tests for patients on the med­ica­tion.
* Bio­log­ics– these are the most recent break­through for the treat­ment of rheuma­toid arthri­tis. Such med­ica­tions, includ­ing etan­er­cept (Enbrel), inflix­imab (Rem­i­cade) and adal­i­mumab (Humira), are admin­is­tered by injec­tion and can dra­mat­i­cally improve your qual­ity of life. Newer bio­log­ics include Oren­cia (abat­a­cept) and Rit­uxan (rit­ux­imab).
* Immuno­sup­pres­sants — these drugs, like aza­thio­prine or cyclophos­phamide, are used for seri­ous cases of rheuma­toid arthri­tis when other med­ica­tions have failed.

It is very impor­tant to take your med­ica­tions as directed by your doc­tor. If you are hav­ing dif­fi­culty doing so (for exam­ple, due to intol­er­a­ble side effects), you should talk to your doctor.

SURGERY AND OTHER APPROACHES

In some cases, surgery to rebuild the joint (arthro­plasty) or to replace the joint (such as a total knee joint replace­ment) may help main­tain a more nor­mal lifestyle. The deci­sion to per­form joint replace­ment surgery is nor­mally made when other alter­na­tives, such as lifestyle changes and med­ica­tions, are no longer effective.

Nor­mal joints con­tain a lubri­cant called syn­ovial fluid. In joints with arthri­tis, this fluid is not pro­duced in ade­quate amounts. In some cases, a doc­tor may inject the arthritic joint with a man-made ver­sion of joint fluid. The syn­thetic fluid may post­pone the need for surgery at least tem­porar­ily and improve the qual­ity of life for per­sons with arthritis.

Expec­ta­tions (prognosis)

A few arthritis-related dis­or­ders can be com­pletely cured with treat­ment. Most are chronic (long-term) con­di­tions, how­ever, and the goal of treat­ment is to con­trol the pain and min­i­mize joint dam­age. Chronic arthri­tis fre­quently goes in and out of remis­sion.
Complications

* Chronic pain
* Lifestyle restric­tions or disability

Call­ing your health care provider

Call your doc­tor if:

* Your joint pain per­sists beyond 3 days.
* You have severe unex­plained joint pain.
* The affected joint is sig­nif­i­cantly swollen.
* You have a hard time mov­ing the joint.
* Your skin around the joint is red or hot to the touch.
* You have a fever or have lost weight unintentionally.

Prevention

If arthri­tis is diag­nosed and treated early, you can pre­vent joint dam­age. Find out if you have a fam­ily his­tory of arthri­tis and share this infor­ma­tion with your doc­tor, even if you have no joint symptoms.

Osteoarthri­tis may be more likely to develop if you abuse your joints (injure them many times or over-use them while injured). Take care not to over­work a dam­aged or sore joint. Sim­i­larly, avoid exces­sive repet­i­tive motions.

Excess weight also increases the risk for devel­op­ing osteoarthri­tis in the knees, and pos­si­bly in the hips and hands. See the arti­cle on body mass index to learn whether your weight is healthy.

Share and Enjoy:
  • Digg
  • del.icio.us
  • Facebook
  • Google Bookmarks
  • LinkedIn
  • StumbleUpon
  • email
  • Live
  • MSN Reporter
  • MySpace
  • RSS
  • Yahoo! Bookmarks
  • Yahoo! Buzz
  • Add to favorites
  • PDF
  • MyShare
  • Reddit
  • Technorati
  • Twitter

What are the symptoms of heart attack?

September 16th, 2009

heart-attack-01Although chest pain or pres­sure is the most com­mon symp­tom of a heart attack, heart attack vic­tims may expe­ri­ence a vari­ety of symp­toms including:

* Pain, full­ness, and/or squeez­ing sen­sa­tion of the chest

* Jaw pain, toothache, headache

* Short­ness of breath

* Nau­sea, vom­it­ing, and/or gen­eral epi­gas­tric (upper mid­dle abdomen) discomfort

* Sweating

* Heart­burn and/or indigestion

* Arm pain (more com­monly the left arm, but may be either arm)

* Upper back pain

* Gen­eral malaise (vague feel­ing of illness)

* No symp­toms (Approx­i­mately one quar­ter of all heart attacks are silent, with­out chest pain or new symp­toms. Silent heart attacks are espe­cially com­mon among patients with dia­betes mellitus.)

Even though the symp­toms of a heart attack at times can be vague and mild, it is impor­tant to remem­ber that heart attacks pro­duc­ing no symp­toms or only mild symp­toms can be just as seri­ous and life-threatening as heart attacks that cause severe chest pain. Too often patients attribute heart attack symp­toms to “indi­ges­tion,” “fatigue,” or “stress,” and con­se­quently delay seek­ing prompt med­ical atten­tion. One can­not overem­pha­size the impor­tance of seek­ing prompt med­ical atten­tion in the pres­ence of symp­toms that sug­gest a heart attack. Early diag­no­sis and treat­ment saves lives, and delays in reach­ing med­ical assis­tance can be fatal. A delay in treat­ment can lead to per­ma­nently reduced func­tion of the heart due to more exten­sive dam­age to the heart mus­cle. Death also may occur as a result of the sud­den onset of arrhyth­mias such as ven­tric­u­lar fibrillation.

Share and Enjoy:
  • Digg
  • del.icio.us
  • Facebook
  • Google Bookmarks
  • LinkedIn
  • StumbleUpon
  • email
  • Live
  • MSN Reporter
  • MySpace
  • RSS
  • Yahoo! Bookmarks
  • Yahoo! Buzz
  • Add to favorites
  • PDF
  • MyShare
  • Reddit
  • Technorati
  • Twitter

Heart Attack, What’s happening to our body?

September 16th, 2009

heart_attackA heart attack (also known as a myocar­dial infarc­tion) is the death of heart mus­cle from the sud­den block­age of a coro­nary artery by a blood clot. Coro­nary arter­ies are blood ves­sels that sup­ply the heart mus­cle with blood and oxy­gen. Block­age of a coro­nary artery deprives the heart mus­cle of blood and oxy­gen, caus­ing injury to the heart mus­cle. Injury to the heart mus­cle causes chest pain and chest pres­sure sen­sa­tion. If blood flow is not restored to the heart mus­cle within 20 to 40 min­utes, irre­versible death of the heart mus­cle will begin to occur. Mus­cle con­tin­ues to die for six to eight hours at which time the heart attack usu­ally is “com­plete.” The dead heart mus­cle is even­tu­ally replaced by scar tissue.

Approx­i­mately one mil­lion Amer­i­cans suf­fer a heart attack each year. Four hun­dred thou­sand of them die as a result of their heart attack.

What causes a heart attack?

Ath­er­o­scle­ro­sis

Ath­er­o­scle­ro­sis is a grad­ual process by which plaques (col­lec­tions) of cho­les­terol are deposited in the walls of arter­ies. Cho­les­terol plaques cause hard­en­ing of the arte­r­ial walls and nar­row­ing of the inner chan­nel (lumen) of the artery. Arter­ies that are nar­rowed by ath­er­o­scle­ro­sis can­not deliver enough blood to main­tain nor­mal func­tion of the parts of the body they sup­ply. For exam­ple, ath­er­o­scle­ro­sis of the arter­ies in the legs causes reduced blood flow to the legs. Reduced blood flow to the legs can lead to pain in the legs while walk­ing or exer­cis­ing, leg ulcers, or a delay in the heal­ing of wounds to the legs. Ath­er­o­scle­ro­sis of the arter­ies that fur­nish blood to the brain can lead to vas­cu­lar demen­tia (men­tal dete­ri­o­ra­tion due to grad­ual death of brain tis­sue over many years) or stroke (sud­den death of brain tissue).

In many peo­ple, ath­er­o­scle­ro­sis can remain silent (caus­ing no symp­toms or health prob­lems) for years or decades. Ath­er­o­scle­ro­sis can begin as early as the teenage years, but symp­toms or health prob­lems usu­ally do not arise until later in adult­hood when the arte­r­ial nar­row­ing becomes severe. Smok­ing cig­a­rettes, high blood pres­sure, ele­vated cho­les­terol, and dia­betes mel­li­tus can accel­er­ate ath­er­o­scle­ro­sis and lead to the ear­lier onset of symp­toms and com­pli­ca­tions, par­tic­u­larly in those peo­ple who have a fam­ily his­tory of early atherosclerosis.

Coro­nary ath­er­o­scle­ro­sis (or coro­nary artery dis­ease) refers to the ath­er­o­scle­ro­sis that causes hard­en­ing and nar­row­ing of the coro­nary arter­ies. Dis­eases caused by the reduced blood sup­ply to the heart mus­cle from coro­nary ath­er­o­scle­ro­sis are called coro­nary heart dis­eases (CHD). Coro­nary heart dis­eases include heart attacks, sud­den unex­pected death, chest pain (angina), abnor­mal heart rhythms, and heart fail­ure due to weak­en­ing of the heart muscle.

Ath­er­o­scle­ro­sis and angina pectoris

Angina pec­toris (also referred to as angina) is chest pain or pres­sure that occurs when the blood and oxy­gen sup­ply to the heart mus­cle can­not keep up with the needs of the mus­cle. When coro­nary arter­ies are nar­rowed by more than 50 to 70 per­cent, the arter­ies may not be able to increase the sup­ply of blood to the heart mus­cle dur­ing exer­cise or other peri­ods of high demand for oxy­gen. An insuf­fi­cient sup­ply of oxy­gen to the heart mus­cle causes angina. Angina that occurs with exer­cise or exer­tion is called exer­tional angina. In some patients, espe­cially dia­bet­ics, the pro­gres­sive decrease in blood flow to the heart may occur with­out any pain or with just short­ness of breath or unusu­ally early fatigue.

Exer­tional angina usu­ally feels like a pres­sure, heav­i­ness, squeez­ing, or aching across the chest. This pain may travel to the neck, jaw, arms, back, or even the teeth, and may be accom­pa­nied by short­ness of breath, nau­sea, or a cold sweat. Exer­tional angina typ­i­cally lasts from one to 15 min­utes and is relieved by rest or by tak­ing nitro­glyc­erin by plac­ing a tablet under the tongue. Both rest­ing and nitro­glyc­erin decrease the heart muscle’s demand for oxy­gen, thus reliev­ing angina. Exer­tional angina may be the first warn­ing sign of advanced coro­nary artery dis­ease. Chest pains that just last a few sec­onds rarely are due to coro­nary artery disease.

Angina also can occur at rest. Angina at rest more com­monly indi­cates that a coro­nary artery has nar­rowed to such a crit­i­cal degree that the heart is not receiv­ing enough oxy­gen even at rest. Angina at rest infre­quently may be due to spasm of a coro­nary artery (a con­di­tion called Prinzmetal’s or vari­ant angina). Unlike a heart attack, there is no per­ma­nent mus­cle dam­age with either exer­tional or rest angina.

Ath­er­o­scle­ro­sis and heart attack

Occa­sion­ally the sur­face of a cho­les­terol plaque in a coro­nary artery may rup­ture, and a blood clot forms on the sur­face of the plaque. The clot blocks the flow of blood through the artery and results in a heart attack (see pic­ture below). The cause of rup­ture that leads to the for­ma­tion of a clot is largely unknown, but con­tribut­ing fac­tors may include cig­a­rette smok­ing or other nico­tine expo­sure, ele­vated LDL cho­les­terol, ele­vated lev­els of blood cat­e­cholamines (adren­a­line), high blood pres­sure, and other mechan­i­cal and bio­chem­i­cal forces.

Unlike exer­tional or rest angina, heart mus­cle dies dur­ing a heart attack and loss of the mus­cle is per­ma­nent, unless blood flow can be promptly restored, usu­ally within one to six hours. While heart attacks can occur at any time, more heart attacks occur between 4:00 A.M. and 10:00 A.M. because of the higher blood lev­els of adren­a­line released from the adrenal glands dur­ing the morn­ing hours. Increased adren­a­line, as pre­vi­ously dis­cussed, may con­tribute to rup­ture of cho­les­terol plaques.

Approx­i­mately 50% of patients who develop heart attacks have warn­ing symp­toms such as exer­tional angina or rest angina prior to their heart attacks, but these symp­toms may be mild and discounted.

Share and Enjoy:
  • Digg
  • del.icio.us
  • Facebook
  • Google Bookmarks
  • LinkedIn
  • StumbleUpon
  • email
  • Live
  • MSN Reporter
  • MySpace
  • RSS
  • Yahoo! Bookmarks
  • Yahoo! Buzz
  • Add to favorites
  • PDF
  • MyShare
  • Reddit
  • Technorati
  • Twitter

Understanding STRESS

August 10th, 2009

Mod­ern life is full of has­sles, dead­lines, frus­tra­tions, and demands. For many peo­ple, stress is so com­mon­place that it has become a way of life. Stress isn’t always bad. In small doses, it can help you per­form under pres­sure and moti­vate you to do your best. But when you’re con­stantly run­ning in emer­gency mode, your mind and body pay the price.

If you fre­quently find your­self feel­ing fraz­zled and over­whelmed, it’s time to take action to bring your ner­vous sys­tem back into bal­ance. You can pro­tect your­self by learn­ing how to rec­og­nize the signs and symp­toms of stress and tak­ing steps to reduce its harm­ful effects.

Stress is a nor­mal phys­i­cal response to events that make you feel threat­ened or upset your bal­ance in some way. When you sense dan­ger – whether it’s real or imag­ined – the body’s defenses kick into high gear in a rapid, auto­matic process known as the “fight-or-flight” reac­tion, or the stress response.

The stress response is the body’s way of pro­tect­ing you. When work­ing prop­erly, it helps you stay focused, ener­getic, and alert. In emer­gency sit­u­a­tions, stress can save your life – giv­ing you extra strength to defend your­self, for exam­ple, or spurring you to slam on the brakes to avoid an accident.

The stress response also helps you rise to meet chal­lenges. Stress is what keeps you on your toes dur­ing a pre­sen­ta­tion at work, sharp­ens your con­cen­tra­tion when you’re attempt­ing the game-winning free throw, or dri­ves you to study for an exam when you’d rather be watch­ing TV.

But beyond a cer­tain point, stress stops being help­ful and starts caus­ing major dam­age to your health, your mood, your pro­duc­tiv­ity, your rela­tion­ships, and your qual­ity of life.

The Body’s Stress Response

When you per­ceive a threat, your ner­vous sys­tem responds by releas­ing a flood of stress hor­mones, includ­ing adren­a­line and cor­ti­sol. These hor­mones rouse the body for emer­gency action.

Your heart pounds faster, mus­cles tighten, blood pres­sure rises, breath quick­ens, and your senses become sharper. These phys­i­cal changes increase your strength and sta­mina, speed your reac­tion time, and enhance your focus – prepar­ing you to either fight or flee from the dan­ger at hand.

Effects of chronic stress

The body doesn’t dis­tin­guish between phys­i­cal and psy­cho­log­i­cal threats. When you’re stressed over a busy sched­ule, an argu­ment with a friend, a traf­fic jam, or a moun­tain of bills, your body reacts just as strongly as if you were fac­ing a life-or-death sit­u­a­tion. If you have a lot of respon­si­bil­i­ties and wor­ries, your emer­gency stress response may be “on” most of the time. The more your body’s stress sys­tem is acti­vated, the eas­ier it is to trip and the harder it is to shut off.

Long-term expo­sure to stress can lead to seri­ous health prob­lems. Chronic stress dis­rupts nearly every sys­tem in your body. It can raise blood pres­sure, sup­press the immune sys­tem, increase the risk of heart attack and stroke, con­tribute to infer­til­ity, and speed up the aging process. Long-term stress can even rewire the brain, leav­ing you more vul­ner­a­ble to anx­i­ety and depression.

Many health prob­lems are caused or exac­er­bated by stress, including:

* Pain of any kind
* Heart dis­ease
* Diges­tive prob­lems
* Sleep prob­lems
* Depres­sion
* Obe­sity
* Autoim­mune dis­eases
* Skin con­di­tions, such as eczema


How much stress is too much?

Because of the wide­spread dam­age stress can cause, it’s impor­tant to know your own limit. But just how much stress is “too much” dif­fers from per­son to per­son. Some peo­ple roll with the punches, while oth­ers crum­ble at the slight­est obsta­cle or frus­tra­tion. Some peo­ple even seem to thrive on the excite­ment and chal­lenge of a high-stress lifestyle.

Your abil­ity to tol­er­ate stress depends on many fac­tors, includ­ing the qual­ity of your rela­tion­ships, your gen­eral out­look on life, your emo­tional intel­li­gence, and genet­ics.
Things that influ­ence your stress tol­er­ance level

* Your sup­port net­work – A strong net­work of sup­port­ive friends and fam­ily mem­bers is an enor­mous buffer against life’s stres­sors. On the flip side, the more lonely and iso­lated you are, the greater your vul­ner­a­bil­ity to stress.
* Your sense of con­trol – If you have con­fi­dence in your­self and your abil­ity to influ­ence events and per­se­vere through chal­lenges, it’s eas­ier to take stress in stride. Peo­ple who are vul­ner­a­ble to stress tend to feel like things are out of their con­trol.
* Your atti­tude and out­look – Stress-hardy peo­ple have an opti­mistic atti­tude. They tend to embrace chal­lenges, have a strong sense of humor, accept that change is a part of life, and believe in a higher power or pur­pose.
* Your abil­ity to deal with your emo­tions. You’re extremely vul­ner­a­ble to stress if you don’t know how to calm and soothe your­self when you’re feel­ing sad, angry, or afraid. The abil­ity to bring your emo­tions into bal­ance helps you bounce back from adver­sity.
* Your knowl­edge and prepa­ra­tion – The more you know about a stress­ful sit­u­a­tion, includ­ing how long it will last and what to expect, the eas­ier it is to cope. For exam­ple, if you go into surgery with a real­is­tic pic­ture of what to expect post-op, a painful recov­ery will be less trau­matic than if you were expect­ing to bounce back immediately.

Causes of stress

The sit­u­a­tions and pres­sures that cause stress are known as stres­sors. We usu­ally think of stres­sors as being neg­a­tive, such as an exhaust­ing work sched­ule or a rocky relationship.

How­ever, any­thing that puts high demands on you or forces you to adjust can be stress­ful. This includes pos­i­tive events such as get­ting mar­ried, buy­ing a house, going to col­lege, or receiv­ing a promotion.

What causes stress depends, at least in part, on your per­cep­tion of it. Some­thing that’s stress­ful to you may not faze some­one else; they may even enjoy it.

For exam­ple, your morn­ing com­mute may make you anx­ious and tense because you worry that traf­fic will make you late. Oth­ers, how­ever, may find the trip relax­ing because they allow more than enough time and enjoy lis­ten­ing to music while they drive.

Top Ten Stress­ful Life Events

1. Spouse’s death
2. Divorce
3. Mar­riage sep­a­ra­tion
4. Jail term
5. Death of a close rel­a­tive
6. Injury or ill­ness
7. Mar­riage
8. Fired from job
9. Mar­riage rec­on­cil­i­a­tion
10. Retirement

Signs and symp­toms of stress overload

It’s impor­tant to learn how to rec­og­nize when your stress lev­els are out of con­trol. The most dan­ger­ous thing about stress is how eas­ily it can creep up on you. You get used to it. It starts to feels famil­iar – even nor­mal. You don’t notice how much it’s affect­ing you, even as it takes a heavy toll.

The signs and symp­toms of stress over­load can be almost any­thing. Stress affects the mind, body, and behav­ior in many ways, and every­one expe­ri­ences stress dif­fer­ently.
How do you respond to stress?

Psy­chol­o­gist Con­nie Lil­las uses a dri­ving anal­ogy to describe the three most com­mon ways peo­ple respond when they’re over­whelmed by stress:

* Foot on the gas – An angry or agi­tated stress response. You’re heated, keyed up, overly emo­tional, and unable to sit still.
* Foot on the brake – A with­drawn or depressed stress response. You shut down, space out, and show very lit­tle energy or emo­tion.
* Foot on both – A tense and frozen stress response. You “freeze” under pres­sure and can’t do any­thing. You look par­a­lyzed, but under the sur­face you’re extremely agitated.

Keep in mind that the signs and symp­toms of stress can also be caused by other psy­cho­log­i­cal and med­ical prob­lems. If you’re expe­ri­enc­ing any of the warn­ing signs of stress, it’s impor­tant to see a doc­tor for a full eval­u­a­tion. Your doc­tor can help you deter­mine whether or not your symp­toms are stress-related.

Share and Enjoy:
  • Digg
  • del.icio.us
  • Facebook
  • Google Bookmarks
  • LinkedIn
  • StumbleUpon
  • email
  • Live
  • MSN Reporter
  • MySpace
  • RSS
  • Yahoo! Bookmarks
  • Yahoo! Buzz
  • Add to favorites
  • PDF
  • MyShare
  • Reddit
  • Technorati
  • Twitter

Why am I so Tired?

July 7th, 2009

Get­ting plenty of sleep but still exhausted? Before you blame your multi-tasking, super-woman lifestyle, learn more about what might be at the root of your unex­plained fatigue.

We are in the midst of a global energy cri­sis but it has noth­ing to do with oil. The prob­lem is unex­plained fatigue.

“I’m so tired; I just can’t do what I used to do.”

“I’d love to go but hon­estly, I just don’t have the energy.”

“Sex? You mean right now?”

If you’re like most women, these phrases have become mantras, the echo of our col­lec­tive yawn grow­ing louder every day.

“The sin­gle biggest com­plaint I hear from my patients, day in and day out, is fatigue,” says car­di­ol­o­gist Nieca Gold­berg, MD, Direc­tor of the NYU Med­ical Cen­ter Women’s Heart Pro­gram and asso­ciate pro­fes­sor at the NYU School of Medicine.

Of course, for some of us the prob­lem is sim­ply multi-tasking to the max and not get­ting enough sleep, or good qual­ity sleep. “If you’re con­tin­u­ally log­ging in just 5 or 6 hours a night, it’s going to catch up with you, no mat­ter your age,” says Rebecca Amaru, MD, clin­i­cal instruc­tor of obstet­rics and gyne­col­ogy at the Mount Sinai Med­ical Cen­ter in New York City.

But if you are get­ting a healthy 7 to 8 hours a night and you’re still tired, Gold­berg says it’s time for a check-up to uncover the causes for fatigue.

“If your fatigue goes on for more than a week and there is no expla­na­tion for feel­ing tired, then yes, see your doc­tor,” says Goldberg.

While occa­sion­ally fatigue may be a sign of a seri­ous ill­ness, experts say most often it’s caused by a minor prob­lem, with a rel­a­tively easy fix.

To help you zero in on why you can’t stop yawn­ing, here are 7 hid­den causes of fatigue — poten­tial health prob­lems you should dis­cuss with your doctor.

Fatigue Cause # 1: Anemia

“If you are in your repro­duc­tive years, and par­tic­u­larly if you expe­ri­ence heavy men­strual cycles, have fibroid tumors or uter­ine polyps, or if you’ve recently given birth, the blood loss may have caused you to develop ane­mia — a lead­ing cause of fatigue in women,” says Amaru.

Prob­lems occur, she says, when the bleed­ing leads to a defi­ciency of hemo­glo­bin, the iron-rich pro­tein in red blood cells that car­ries oxy­gen from the lungs to other parts of your body. When your tis­sues and organs don’t get enough oxy­gen, she says, the result is fatigue.

Other causes of ane­mia include inter­nal bleed­ing, or a defi­ciency of iron, folic acid, or vit­a­min B12. Ane­mia may also be caused by chronic dis­eases like kid­ney dis­ease, for exam­ple. Symp­toms can include dizzi­ness, feel­ing cold, and irritability.

To con­firm a diag­no­sis of ane­mia, your physi­cian will give you a blood test. Treat­ment, she says, usu­ally con­sists of iron sup­ple­ments if iron defi­ciency is the cause, and adding iron-rich foods — such as spinach, broc­coli, and red meat — to your diet.

The good news: With effec­tive treat­ment, your fatigue should begin to lift in thirty days or less.

Fatigue Cause # 2: Under­ac­tive thy­roid (hypothyroidism)

If you are gen­er­ally slug­gish, run down, and even a lit­tle depressed, Gold­berg says the prob­lem may be a slow thy­roid, also known as hypothy­roidism. The thy­roid is a small, but­ter­fly shaped gland that sits at the base of your neck and con­trols your metab­o­lism, the speed at which your body operates.

“I believe that undi­ag­nosed thy­roid dis­or­der is one of the major female health prob­lems in this coun­try. I think it is even more wide­spread than any­one real­izes,” says Goldberg.

Accord­ing to the Amer­i­can Thy­roid Foun­da­tion, by age 60 approx­i­mately 17% of all women will have a thy­roid dis­or­der and most won’t know it. The most com­mon cause, they say, is an autoim­mune dis­or­der known as Hashimoto’s thy­roidi­tis. This con­di­tion causes the body to destroy the cells respon­si­ble for pro­duc­ing thy­roxin and other hor­mones secreted by the thy­roid gland. The result is hypothy­roidism, or a slow metabolism.

Blood tests known as T3 and T4 will detect thy­roid hor­mones. If these hor­mones are low, Gold­berg says syn­thetic hor­mones can bring you up to speed and you should begin to feel bet­ter fairly rapidly.

Fatigue Cause # 3: Undi­ag­nosed Uri­nary Tract Infec­tion (UTI)

Although most women asso­ciate a uri­nary tract infec­tion with symp­toms such as burn­ing or urgency, Gold­berg says in some instances fatigue may be your only clue.

“Not every woman has obvi­ous symp­toms of a UTI. Some have no symp­toms or mild symp­toms that go unno­ticed, except for the fatigue,” she says.

In most instances, a UTI is caused by bac­te­ria in the uri­nary tract, often the result of improper bath­room hygiene (wip­ing back to front, for exam­ple). Sex­ual inter­course can increase the risk because it can push bac­te­ria from the vagina into the urethra.

If your physi­cian sus­pects that you have a UTI, your urine will be tested. Treat­ment is quick and easy, and usu­ally involves an oral antibi­otic med­ica­tion. Gold­berg says the fatigue will lift within a week or less.

If your symp­toms return, get tested again, she says, because in some women, UTI’s are chronic. If this is the case, talk to your doc­tor about pre­ven­tive care, includ­ing low dose antibiotics.

Fatigue Cause # 4: Caf­feine Overload

Many of us grab a cof­fee or cola for a quick burst of energy, but for some women, caf­feine can have the oppo­site effect.

In an arti­cle pub­lished in the jour­nal US Phar­ma­cist, author W. Stephen Pray, PhD, RPh, reports that caf­feine is a stim­u­lant, but if you take too much, the tables can turn.

“In some patients, con­tin­ued abuse results in fatigue,” accord­ing to Pray. And if you think this means you sim­ply require more caf­feine to get the kick, this isn’t the case. “Any attempts to solve the prob­lem by increas­ing caf­feine intake causes the fatigue to worsen,” he says.

The solu­tion: Elim­i­nate as much caf­feine from your diet as pos­si­ble. This means not only cut­ting out cof­fee. Choco­late, tea, soda and even some med­ica­tions also con­tain caf­feine and could be caus­ing unex­plained fatigue.

Fatigue Cause # 5: Food Allergies

While food is sup­posed to give us energy, some doc­tors believe hid­den food intol­er­ances — or aller­gies — can do the oppo­site. Accord­ing to Rudy Rivera, MD, author of Your Hid­den Food Aller­gies Are Mak­ing You Fat, even mild food intol­er­ance can leave you feel­ing sleepy. Eat the offend­ing food long enough and you could find your­self feel­ing con­tin­u­ally exhausted.

“Evi­dence indi­cates food intol­er­ance as a cause of fatigue, and even sug­gests that fatigue may be an early warn­ing sign of food intol­er­ance,” he says.

If you sus­pect that food may be behind all that yawn­ing, Rivera says to start with an elim­i­na­tion diet, cut­ting out foods that cause you to feel sleepy within 10 to 30 min­utes of eat­ing them. You can also talk to your doc­tor about a food allergy test — or invest in a home test such as ALCAT — which may help you iden­tify the offend­ing foods.

Fatigue Cause # 6: Sleep Apnea

If you’re not get­ting enough sleep, it stands to rea­son you’ll be tired. But what if you don’t know that you aren’t get­ting suf­fi­cient sleep? This is often the case with a con­di­tion called sleep apnea — a sleep dis­or­der that causes you to momen­tar­ily stop breath­ing, often many times dur­ing the night. Each time you stop breath­ing, you awaken just long enough to dis­rupt your sleep cycle, usu­ally with­out being aware of it. Your only clue, says Gold­berg, is that you expe­ri­ence con­stant fatigue no mat­ter how many hours you sleep each night.

Accord­ing to Gold­berg, sleep apnea, which is caused by an upper air­way obstruc­tion, often occurs in women who are over­weight or obese. Snor­ing is often a sign of sleep apnea. Diag­no­sis requires a visit to a sleep lab, or to a doc­tor spe­cial­iz­ing in sleep apnea.

If you have sleep apnea, your physi­cian will rec­om­mend lifestyle changes, includ­ing los­ing weight and quit­ting smok­ing. Med­ical treat­ment includes devices that keep air­way pas­sages open while you sleep. In extreme cases, surgery may be nec­es­sary to ensure proper air­way flow. Left untreated, sleep apnea can increase your risk of stroke or heart attack.

Fatigue Cause # 7: Undi­ag­nosed Heart Disease

If you find your­self becom­ing exhausted after activ­ity that used to be easy, it may be time to talk to your doc­tor about the pos­si­bil­ity of heart disease.

Accord­ing to Gold­berg, when over­whelm­ing fatigue sets in after ordi­nary tasks — such as vac­u­um­ing the house, doing yard work, or com­mut­ing from work each day — your heart may be send­ing out an SOS that it needs med­ical attention.

“This doesn’t mean that you should panic every time you yawn,” says Gold­berg. “Most of the time, fatigue is not the first sign of heart dis­ease, and it’s usu­ally linked to some­thing far less serious.”

At the same time, Gold­berg points out that heart dis­ease is the lead­ing cause of death in women. “If fatigue fol­low­ing activ­ity is sig­nif­i­cant, and no other pos­si­ble rea­son comes to mind, see your doc­tor for a check-up,” she advises. If your fatigue is related to your heart, med­ica­tion or treat­ment pro­ce­dures can usu­ally help cor­rect the prob­lem, reduce the fatigue, and restore your energy.

Share and Enjoy:
  • Digg
  • del.icio.us
  • Facebook
  • Google Bookmarks
  • LinkedIn
  • StumbleUpon
  • email
  • Live
  • MSN Reporter
  • MySpace
  • RSS
  • Yahoo! Bookmarks
  • Yahoo! Buzz
  • Add to favorites
  • PDF
  • MyShare
  • Reddit
  • Technorati
  • Twitter

What is Stress?

July 6th, 2009

stress_2Stress can come from any sit­u­a­tion or thought that makes you feel frus­trated, angry, or anx­ious. What is stress­ful to one per­son is not nec­es­sar­ily stress­ful to another.

Anx­i­ety is a feel­ing of appre­hen­sion or fear. The source of this uneasi­ness is not always known or rec­og­nized, which can add to the dis­tress you feel.

Alter­na­tive Names

Anx­i­ety; Feel­ing uptight; Stress; Ten­sion; Jit­ters; Apprehension

Con­sid­er­a­tions

Stress is a nor­mal part of life. In small quan­ti­ties, stress is good — it can moti­vate you and help you be more pro­duc­tive. How­ever, too much stress, or a strong response to stress, is harm­ful. It can set you up for gen­eral poor health as well as spe­cific phys­i­cal or psy­cho­log­i­cal ill­nesses like infec­tion, heart dis­ease, or depres­sion. Per­sis­tent and unre­lent­ing stress often leads to anx­i­ety and unhealthy behav­iors like overeat­ing and abuse of alco­hol or drugs.

Emo­tional states like grief or depres­sion and health con­di­tions like an over­ac­tive thy­roid, low blood sugar, or heart attack can also cause stress.

Anx­i­ety is often accom­pa­nied by phys­i­cal symp­toms, including:

  • Twitch­ing or trem­bling
  • Mus­cle ten­sion, headaches
  • Sweat­ing
  • Dry mouth, dif­fi­culty swallowing
  • Abdom­i­nal pain (may be the only symp­tom of stress, espe­cially in a child)

Some­times other symp­toms accom­pany anxiety:

  • Dizzi­ness
  • Rapid or irreg­u­lar heart rate
  • Rapid breath­ing
  • Diar­rhea or fre­quent need to urinate
  • Fatigue
  • Irri­tabil­ity, includ­ing loss of your temper
  • Sleep­ing dif­fi­cul­ties and nightmares
  • Decreased con­cen­tra­tion
  • Sex­ual problems

Anx­i­ety dis­or­ders are a group of psy­chi­atric con­di­tions that involve exces­sive anx­i­ety. They include gen­er­al­ized anx­i­ety dis­or­der, spe­cific pho­bias, obsessive-compulsive dis­or­der, and social pho­bia.

Com­mon Causes

Cer­tain drugs, both recre­ational and med­i­c­i­nal, can lead to symp­toms of anx­i­ety due to either side effects or with­drawal from the drug. Such drugs include caf­feine, alco­hol, nico­tine, cold reme­dies, decon­ges­tants, bron­chodila­tors for asthma, tri­cyclic anti­de­pres­sants, cocaine, amphet­a­mines, diet pills, ADHD med­ica­tions, and thy­roid medications.

A poor diet – for exam­ple, low lev­els of vit­a­min B12 — can also con­tribute to stress or anx­i­ety. Per­for­mance anx­i­ety is related to spe­cific sit­u­a­tions, like tak­ing a test or mak­ing a pre­sen­ta­tion in pub­lic. Post­trau­matic stress dis­or­der (PTSD) devel­ops after a trau­matic event like war, phys­i­cal or sex­ual assault, or a nat­ural dis­as­ter. Peo­ple with gen­er­al­ized anx­i­ety dis­or­der expe­ri­ence almost con­stant worry or anx­i­ety about many things on more than half of all days for 6 months. Panic dis­or­der or panic attacks involve sud­den and unex­plained fear, rapid breath­ing, and increased heartbeat.

In very rare cases, a tumor of the adrenal gland (pheochro­mo­cy­toma) may be the cause of anx­i­ety. The symp­toms are caused by an over­pro­duc­tion of hor­mones respon­si­ble for the feel­ings of anxiety.

Home Care

The most effec­tive solu­tion is to find and address the source of your stress or anx­i­ety. Unfor­tu­nately, this is not always pos­si­ble. A first step is to take an inven­tory of what you think stressmight be mak­ing you “stress out”:

  • What do you worry about most?
  • Is some­thing con­stantly on your mind?
  • Does any­thing in par­tic­u­lar make you sad or depressed?
  • Keep a diary of the expe­ri­ences and thoughts that seem to be related to your anx­i­ety. Are your thoughts adding to your anx­i­ety in these situations?

Then, find some­one you trust (friend, fam­ily mem­ber, neigh­bor, clergy) who will lis­ten to you. Often, just talk­ing to a friend or loved one is all that is needed to relieve anx­i­ety. Most com­mu­ni­ties also have sup­port groups and hot­lines that can help. Social work­ers, psy­chol­o­gists, and other men­tal health pro­fes­sion­als may be needed for ther­apy and medication.

Also, find healthy ways to cope with stress. For example:

  • Eat a well-balanced, healthy diet. Don’t overeat.
  • Get enough sleep.
  • Exer­cise regularly.
  • Limit caf­feine and alcohol.
  • Don’t use nico­tine, cocaine, or other recre­ational drugs.
  • Learn and prac­tice relax­ation tech­niques like guided imagery, pro­gres­sive mus­cle relax­ation, yoga, tai chi, or med­i­ta­tion. Try biofeed­back, using a cer­ti­fied pro­fes­sional to get you started.
  • Take breaks from work. Make sure to bal­ance fun activ­i­ties with your respon­si­bil­i­ties. Spend time with peo­ple you enjoy.
  • Find self-help books at your local library or bookstore.

Call your health care provider if

Your doc­tor can help you deter­mine if your anx­i­ety would be best eval­u­ated and treated by a men­tal health care professional.

Call 911 if:

  • You have crush­ing chest pain, espe­cially with short­ness of breath, dizzi­ness, or sweat­ing. A heart attack can cause feel­ings of anxiety.
  • You have thoughts of sui­cide.
  • You have dizzi­ness, rapid breath­ing, or rac­ing heart­beat for the first time or it is worse than usual.

Call your health care provider if:

  • You are unable to work or func­tion prop­erly at home because of anxiety.
  • You do not know the source or cause of your anxiety.
  • You have a sud­den feel­ing of panic.
  • You have an uncon­trol­lable fear — for exam­ple, of get­ting infected and sick if you are out, or a fear of heights.
  • You repeat an action over and over again, like con­stantly wash­ing your hands.
  • You have an intol­er­ance to heat, weight loss despite a good appetite, lump or swelling in the front of your neck, or pro­trud­ing eyes. Your thy­roid may be overactive.
  • Your anx­i­ety is elicited by the mem­ory of a trau­matic event.
  • You have tried self care for sev­eral weeks with­out suc­cess or you feel that your anx­i­ety will not resolve with­out pro­fes­sional help.

Ask your phar­ma­cist or health care provider if any pre­scrip­tion or over-the-counter drugs you are tak­ing can cause anx­i­ety as a side effect. Do not stop tak­ing any pre­scribed med­i­cines with­out your provider’s instructions.

What to expect at your health care provider’s office

Your doc­tor will take a med­ical his­tory and per­form a phys­i­cal exam­i­na­tion, pay­ing close atten­tion to your pulse, blood pres­sure, and res­pi­ra­tory rate.

To help bet­ter under­stand your anx­i­ety, stress, or ten­sion, your doc­tor may ask the following:

  • When did your feel­ings of stress, ten­sion, or anx­i­ety begin? Do you attribute the feel­ings to any­thing in par­tic­u­lar like an event in your life or a cir­cum­stance that scares you?
  • Do you have phys­i­cal symp­toms along with your feel­ings of anx­i­ety? What are they?
  • Does any­thing make your anx­i­ety better?
  • Does any­thing make your anx­i­ety worse?
  • What med­ica­tions are you taking?

Diag­nos­tic tests may include blood tests (CBC, thy­roid func­tion tests) as well as an elec­tro­car­dio­gram (ECG).

If the anx­i­ety is not accom­pa­nied by any wor­ri­some phys­i­cal signs and symp­toms, a refer­ral to a men­tal health care pro­fes­sional may be rec­om­mended for appro­pri­ate treatment.

Psy­chother­apy such as cognitive-behavioral ther­apy (CBT) has been shown to sig­nif­i­cantly decrease anx­i­ety. In some cases, med­ica­tions such as ben­zo­di­azepines or anti­de­pres­sants may be appropriate.

Ref­er­ences

Muller JE, Kohn L, Stein DJ. Anx­i­ety and med­ical dis­or­ders. Curr Psy­chi­a­try Rep. 2005 Aug;7(4):245–51.

White KS, Far­rell AD. Anx­i­ety and Psy­choso­cial Stress as Pre­dic­tors of Headache and Abdom­i­nal Pain in Urban Early Ado­les­cents. J Pedi­atr Psy­chol. 2005.

Lubit R, Rovine D, Defran­cisci L, Eth S. Impact of trauma on chil­dren. J Psy­chi­atr Pract. 2003; 9(2): 128–138.

Share and Enjoy:
  • Digg
  • del.icio.us
  • Facebook
  • Google Bookmarks
  • LinkedIn
  • StumbleUpon
  • email
  • Live
  • MSN Reporter
  • MySpace
  • RSS
  • Yahoo! Bookmarks
  • Yahoo! Buzz
  • Add to favorites
  • PDF
  • MyShare
  • Reddit
  • Technorati
  • Twitter

Stress Management

May 11th, 2009

Stress symp­toms may be affect­ing your health, even though you might not real­ize it. You may think ill­ness is to blame for that nag­ging headache, your fre­quent for­get­ful­ness or your decreased pro­duc­tiv­ity at work. But some­times stress is to blame. Indeed, stress symp­toms can affect your body, your thoughts and feel­ings, and your behav­ior. When you rec­og­nize com­mon stress symp­toms, you can take steps to man­age them.

Of course, other poten­tially seri­ous health prob­lems also can cause some of these symp­toms. If you’re not sure if stress is the cause or if you’ve taken steps to con­trol your stress but symp­toms con­tinue, see your doc­tor. Also, if you have chest pain, espe­cially if it occurs dur­ing phys­i­cal activ­ity or is accom­pa­nied by short­ness of breath, sweat­ing, dizzi­ness, nau­sea or pain radi­at­ing into your shoul­der and arm, get emer­gency help imme­di­ately. These signs and symp­toms may indi­cate a heart attack and not sim­ply stress symptoms.

Effects of stress …
… On your body … On your thoughts and feelings … On your behavior
  • Headache
  • Back pain
  • Chest pain
  • Heart dis­ease
  • Heart pal­pi­ta­tions
  • High blood pressure
  • Decreased immu­nity
  • Stom­ach upset
  • Sleep prob­lems
  • Anx­i­ety
  • Rest­less­ness
  • Wor­ry­ing
  • Irri­tabil­ity
  • Depres­sion
  • Sad­ness
  • Anger
  • Feel­ing insecure
  • Lack of focus
  • Burnout
  • For­get­ful­ness
  • Overeat­ing
  • Under­eat­ing
  • Angry out­bursts
  • Drug or alco­hol abuse
  • Increased smok­ing
  • Social with­drawal
  • Cry­ing spells
  • Rela­tion­ship conflicts

If you do have stress symp­toms, tak­ing steps to man­age your stress can have numer­ous health ben­e­fits. Stress man­age­ment can include:

  • Phys­i­cal activity
  • Relax­ation techniques
  • Med­i­ta­tion
  • Yoga
  • Tai chi
Share and Enjoy:
  • Digg
  • del.icio.us
  • Facebook
  • Google Bookmarks
  • LinkedIn
  • StumbleUpon
  • email
  • Live
  • MSN Reporter
  • MySpace
  • RSS
  • Yahoo! Bookmarks
  • Yahoo! Buzz
  • Add to favorites
  • PDF
  • MyShare
  • Reddit
  • Technorati
  • Twitter

What is Stress?

May 11th, 2009

We are all famil­iar with the word “stress”. Stress is when you are wor­ried about get­ting laid off your job, or wor­ried about hav­ing enough money to pay your bills, or wor­ried about your mother when the doc­tor says she may need an oper­a­tion. In fact, to most of us, stress is syn­ony­mous with worry. If it is some­thing that makes you worry, then it is stress.

Your body, how­ever, has a much broader def­i­n­i­tion of stress. TO YOUR BODY, STRESS IS SYNONYMOUS WITH CHANGE. Any­thing that causes a change in your life causes stress. It doesn’t mat­ter if it is a “good” change, or a “bad” change, they are both stress. When you find your dream apart­ment and get ready to move, that is stress. If you break your leg, that is stress. Good or bad, if it is a CHANGE in your life, it is stress as far as your body is concerned.

Even IMAGINED CHANGE is stress. (Imag­in­ing changes is what we call “wor­ry­ing”.) If you fear that you will not have enough money to pay your rent, that is stress. If you worry that you may get fired, that is stress. If you think that you may receive a pro­mo­tion at work, that is also stress (even though this would be a good change). Whether the event is good or bad, imag­in­ing changes in your life is stressful.

Any­thing that causes CHANGE IN YOUR DAILY ROUTINE is stressful.

Any­thing that causes CHANGE IN YOUR BODY HEALTH is stressful.

IMAGINED CHANGES are just as stress­ful as real changes.

Let us look at sev­eral types of stress — ones that are so com­mon­place that you might not even real­ize that they are stressful.……

Emo­tional Stress

When argu­ments, dis­agree­ments, and con­flicts cause CHANGES in your per­sonal life — that is stress.

Emotional Stress

Ill­ness

Catch­ing a cold, break­ing an arm, a skin infec­tion, a sore back, are all CHANGES in your body condition.

illness

Push­ing Your Body Too Hard

A major source of stress is over dri­ving your­self. If you are work­ing (or par­ty­ing) 16 hours a day, you will have reduced your avail­able time for rest. Sooner or later, the energy drain on your sys­tem will cause the body to fall behind in its repair work. There will not be enough time or energy for the body to fix bro­ken cells, or replace used up brain neu­ro­trans­mit­ters. CHANGES will occur in your body’s inter­nal envi­ron­ment. You will “hit the wall,” “run out of gas”. If you con­tinue, per­ma­nent dam­age may be done. The body’s fight to stay healthy in the face of the increased energy that your are expend­ing is major stress.

Envi­ron­men­tal Factors

Very hot or very cold cli­mates can be stress­ful. Very high alti­tude may be a stress. Tox­ins or poi­sons are a stress. Each of these fac­tors threat­ens to cause CHANGES in your body’s inter­nal environment.

environmental toxins

The Spe­cial Case of Tobacco Use

Tobacco is a pow­er­ful toxin!! Smok­ing destroys cells that clean your tra­chea, bronchi, and lungs. Smok­ing causes emphy­sema and chronic bron­chi­tis, which progress to slow suf­fo­ca­tion. The car­bon monox­ide from cig­a­rette smok­ing causes chronic car­bon monox­ide poi­son­ing. Tobacco use dam­ages the arter­ies in your body, caus­ing insuf­fi­cient blood sup­ply to the brain, heart, and vital organs. Cig­a­rette smok­ing increases the risk of can­cer 50 fold.

Chew­ing tobacco or snuff is no safe haven. It also dam­ages your arter­ies, and it car­ries the same can­cer risk. (Can­cers of the head and neck are par­tic­u­larly vicious, dis­fig­ur­ing, and deadly).

Poi­son­ing the body with car­bon monox­ide, and caus­ing the phys­i­cal ill­nesses of emphy­sema, chronic bron­chi­tis, can­cer, and arte­r­ial dam­age, tobacco is a pow­er­ful source of added stress to one’s life.

Hor­monal Factors

PUBERTY

The vast hor­monal changes of puberty are severe stres­sors. A person’s body actu­ally CHANGES shape, sex­ual organs begin to func­tion, new hor­mones are released in large quan­ti­ties. Puberty, as we all know, is very stressful.

PRE-MENSTRUAL SYNDROME

Once a woman passes puberty, her body is designed to func­tion best in the pres­ence of female hor­mones. For women past puberty, a lack of female hor­mones is a major stress on the body. Once a month, just prior to men­stru­a­tion, a woman’s hor­mone lev­els drop sharply. In many women, the stress of sharply falling hor­mones is enough to cre­ate a tem­po­rary OVERSTRESS. This tem­po­rary OVERSTRESS is pop­u­larly known as Pre Men­stru­al­Syn­drome (PMS).

POST-PARTUM

Fol­low­ing a preg­nancy, hor­mone lev­els CHANGE dra­mat­i­cally. After a nor­mal child­birth, or a mis­car­riage, some women may be thrown into OVERSTRESS by loss of the hor­mones of pregnancy.

MENOPAUSE

There is another time in a woman’s life when hor­mone lev­els decline. This is the menopause. The decline in hor­mones dur­ing menopause is slow and steady. Nev­er­the­less, this menopausal decline causes enough stress on the body to pro­duce OVERSTRESS in many women.

Tak­ing Respon­si­bil­ity for Another Person’s Actions

When you take respon­si­bil­ity for another person’s actions, CHANGES occur in your life over which you have lit­tle or no con­trol. Tak­ing respon­si­bil­ity for another person’s actions is a major stressor.

Aller­gic Stress

Aller­gic reac­tions are a part of your body’s nat­ural defense mech­a­nism. When con­fronted with a sub­stance which your body con­sid­ers toxic, your body will try to get rid of it, attack it, or some­how neu­tral­ize it. If it is some­thing that lands in your nose, you might get a runny, sneezy nose. If it lands on your skin, you might get blis­tery skin. If you inhale it, you’ll get wheezy lungs. If you eat it, you may break out in itchy red hives all over your body. Allergy is a def­i­nite stress, requir­ing large changes in energy expen­di­ture on the part of your body’s defense sys­tem to fight off what the body per­ceives as a dan­ger­ous attack by an out­side toxin.

On a typ­i­cal day in the brain, tril­lions of mes­sages are sent and received. The mes­sages that are happy, up beat mes­sages are car­ried by the brain’s “HAPPY MESSENGERS” (tech­ni­cally known as Bio­genic Amine/Endorphin Sys­tem). Other mes­sages are somber and qui­et­ing. They are car­ried by the brain’s “SAD MESSENGERS”. Most nerve cen­ters receive input from both types of mes­sen­gers. As long as this input is bal­anced, every­thing runs along on an even keel.

Stress, how­ever, causes prob­lems with the brain’s Happy Mes­sen­gers. When life is smooth, the happy mes­sages keep up with demand. But when too much stress is placed on the brain, the Happy Mes­sen­gers begin to fall behind on their deliv­er­ies. As the stress con­tin­ues, the happy mes­sages begin to fail. Impor­tant nerve cen­ters then receive mostly SAD MESSAGES, and the whole brain becomes dis­tressed. The per­son enters a state of brain chem­i­cal imbal­ance known as — OVERSTRESS.

OVERSTRESS makes peo­ple feel ter­ri­ble. With SAD MESSAGES over­whelm­ing the happy mes­sages, a per­son feels “over­whelmed” by life. Peo­ple com­plain of being tired, unable to fall asleep or to obtain a rest­ful night’s sleep. They have plagues of aches and pains, lack of energy, lack of enjoy­ment of life. They feel depressed, anx­ious, or just unable to cope with life.

Too many sad messages

Low Stress Tol­er­ance — The Inher­ited Factor

Every­one inher­its a cer­tain abil­ity to make and use Happy Mes­sen­gers in the brain. As long as you can make enough Happy Mes­sen­gers to keep up with the stress in your life, you will find stress to be fun, excit­ing, enjoy­able, chal­leng­ing. In fact, with­out it you would be bored.

How­ever, when the amount of stress in your life is so great that you begin to run out of Happy Mes­sen­gers, then bad things begin to hap­pen. You may have sleep dis­tur­bances, aches and pains, lack of enjoy­ment of life and even panic attacks.

The amount of stress that you can tol­er­ate before your Happy Mes­sen­gers mal­func­tion is referred to as your “Stress Tol­er­ance”. Your Stress Tol­er­ance is set by your genetic inher­i­tance. Most of us have inher­ited suf­fi­cient Stress Tol­er­ance to allow us to weather the stresses of daily liv­ing. We still feel well and enjoy life. Yet, each of us, at some time has expe­ri­enced short peri­ods of brain chem­i­cal imbalance.

The night you couldn’t sleep before your big test at school, or your impor­tant job inter­view, or your “fab­u­lous date”…

The sad­ness and cry­ing you may have felt when a friend or rel­a­tive passed away, or a girl­friend or boyfriend left…

The chest pains or the headaches that you may have thought were heart prob­lems or migraine, but your doc­tor said came from too much stress and strain…

WE HAVE ALL EXPERIENCED SUCH BRIEF EPISODES OF HAPPY MESSENGER MALFUNCTION. BUT, FULLY 10% OF OUR POPULATION FEELS LIKE THIS ALL OF THE TIME!

You see, one in ten per­sons has inher­ited a LOW STRESS TOLERANCE. This means that his/her Happy Mes­sen­gers “poop out” at stress lev­els which the rest of us would con­sider “nor­mal, every­day stress.” The result of inher­it­ing such a Low Stress Tol­er­ance may be a dis­as­ter. Such a per­son will be oper­at­ing his or her life in prac­ti­cally per­ma­nent OVERSTRESS. Sleep dis­tur­bances, aches and pains, fatigue, depres­sions, mood swings, anx­i­ety attacks, and even drug addic­tion can become life long problems.

Since one in ten per­sons have inher­ited a Low Stress Tol­er­ance, we are describ­ing an enor­mous num­ber of people.

Ten per­cent of your friends, your acquain­tances, your employ­ees, your co-workers, your employ­ers… every­where around you there are per­sons who are not able to cope with the stress of daily life.

One in ten is OVERSTRESSED

To under­stand how stress results in this dis­as­trous con­di­tion for so many peo­ple, let us begin by exam­in­ing the brain’s HAPPY MESSENGERS.

There are three Happy Mes­sen­gers: SEROTONIN, NORADRENALIN, and DOPAMINE. These are the brain chem­i­cals that begin to mal­func­tion when stress lev­els become more than a per­son can handle.

Sero­tonin

SEROTONIN LETS YOU SLEEP

The Happy Mes­sen­ger, Sero­tonin, must work prop­erly in order for you to sleep well. Sero­tonin is respon­si­ble for mak­ing sure that your body’s phys­i­ol­ogy is set for sleep­ing. If Sero­tonin does not do its job prop­erly, you will not be able to obtain a rest­ful sleep, no mat­ter how hard you try.

SEROTONIN SETS YOUR BODY CLOCK

Inside every one of our brains is a very accu­rate “Clock”. This time keep­ing appa­ra­tus func­tions like the con­duc­tor of a sym­phony orches­tra. Just as the con­duc­tor of the orches­tra keeps all the var­i­ous instru­ments play­ing in rhythm, so the Body Clock keeps all the var­i­ous func­tions of your body coor­di­nated, and mov­ing to the same rhythm.

The Body Clock is located deep in the cen­ter of the brain, in a lit­tle group of cells known as the Pineal Gland. Within the Pineal Gland is a store-house of the mes­sen­ger Sero­tonin, which is the chem­i­cal “main­spring” of the Clock. Each day the Sero­tonin is chem­i­cally con­verted to a related com­pound, Mela­tonin; and then the Mela­tonin is con­verted right back to Sero­tonin. The whole cycle from Sero­tonin to Mela­tonin and back to Sero­tonin takes exactly 25 hours — and this forms your Body’s Clock.

Twenty five hours? Yes, under exper­i­men­tal con­di­tions of an unchang­ing envi­ron­ment, such as in a cave kept at a con­stant level of illu­mi­na­tion for weeks on end, this Body Clock cycles every 25 hours. If, how­ever, a per­son is exposed to a nat­ural out­door cycle of day­light and dark­ness, the Pineal Gland will auto­mat­i­cally set itself to a 24 hour day. That is, the Pineal Gland will auto­mat­i­cally match its cycle to the length of one Earth’s day. That way, noon in the Pineal Gland is always noon on Earth. If exposed to day­light, the Pineal Gland will nei­ther gain nor lose time, but will always cycle exactly in con­cert with the Earth as our planet twirls through space. The whole process of set­ting the Body Clock to Earth time takes about three weeks.

The 24 hour cycling of the Body Clock is impor­tant. It adjusts your body chem­istry for sleep­ing and for wak­ing. Every evening your Body Clock will set your phys­i­ol­ogy for sleep­ing; then you feel drowsy and sleep soundly. After a while, your Body Clock adjusts your phys­i­ol­ogy for wak­ing. You then wake up and feel refreshed.

We men­tioned that the Body Clock is the coor­di­na­tor of your phys­i­o­logic orches­tra. Three impor­tant play­ers in that orches­tra are your body tem­per­a­ture, stress fight­ing hor­mone, and sleep cycles. Each of these must be prop­erly coor­di­nated by the Body Clock in order for you to sleep soundly, and awake feel­ing rested.

THE BODY CLOCK AND YOUR BODY TEMPERATURE

Every 24 hours, your body tem­per­a­ture cycles from high to low, vary­ing by as much as one degree. When it is time to wake up and be active, your body tem­per­a­ture rises slightly. When it is time to fall asleep, your body tem­per­a­ture dips slightly. Most of us have felt how dif­fi­cult it is to fall asleep on a very warm night, when you toss and turn and wish you could cool off. Con­trast this with the rel­a­tive com­fort when one is tucked in a nice bed in a room that is slightly cool, or even down­right cold. To achieve the best sleep, the body ther­mo­stat is sup­posed to lower slightly at night, a tim­ing which is coor­di­nated by your Body Clock.

THE BODY CLOCK AND YOUR STRESS FIGHTING HORMONE

The body has a vital hor­mone called Cor­ti­sol, which is the body’s chief stress fight­ing hor­mone. When Cor­ti­sol secre­tion is high, the body shifts to a “war foot­ing”. It is pre­pared for stress con­di­tions such as hunger, trauma, hem­or­rhage, fight­ing, or run­ning. Ordi­nar­ily, one’s Cor­ti­sol drops sub­stan­tially in the evening, as one relaxes, set­tles down, and pre­pares for sleep.

As with body tem­per­a­ture, the ups and downs of your stress fight­ing hor­mone must cycle prop­erly dur­ing a 24 hour day for you to achieve a rest­ful night’s sleep and awake refreshed. Any dis­rup­tion of your Cor­ti­sol cycle, and rest­ful sleep will become very difficult.

THE BODY CLOCK AND YOUR SLEEP CYCLES

After falling asleep, one nor­mally goes DEEPER and DEEPER into sleep, finally reach­ing a state of deep restora­tive sleep. Then sleep becomes LIGHTER and LIGHTER until one enters dream­ing sleep. Then the whole cycle begins over again. About every 90 min­utes one goes through this cycle. In the early part of the evening the cycle pauses a rel­a­tively long time in the deep­est restora­tive phase. As the evening pro­gresses, the amount of time spent in deep restora­tive sleep lessens, and one spends more and more time dream­ing. In order for one to feel rested, this sleep pat­tern must be cycling prop­erly. And, of course, the cycle is reg­u­lated by your inter­nal Body Clock.

STRESS DESTROYS YOUR SLEEP

The Body Clock is essen­tial for the proper har­mony of your body tem­per­a­ture, stress fight­ing hor­mone, and sleep cycles. In order to fall asleep eas­ily, sleep soundly, and awake refreshed, your Body Clock must be func­tion­ing prop­erly. The Happy Mes­sen­ger, Sero­tonin, is the “main­spring” of the Body Clock. If stress causes Sero­tonin to fail, the Body Clock will stop work­ing. You will not be able to obtain a rest­ful sleep, no mat­ter how hard you try.

SINCE SEROTONIN IS USUALLY THE FIRST HAPPY MESSENGER TO FAIL UNDER STRESS, THE FIRST SIGN OF OVERSTRESS WILL USUALLY BE INABILITY TO OBTAIN A RESTFUL SLEEP.

Nora­dren­a­lin: Giv­ing Us Energy

I am sure you have all heard of “Adren­a­lin”. When you are fright­ened, Adren­a­lin is released into your blood stream by your adrenal glands. Your heart beats faster, blood flow is shunted away from your skin and intestines and towards your mus­cles. Per­spi­ra­tion appears on your palms and fore­head. You are ready for “fight or flight”. A cousin of Adren­a­lin, named Nora­dren­a­lin is one of the Happy Mes­sen­gers. Nora­dren­a­lin has many impor­tant func­tions in the body’s ner­vous sys­tem. The one that most con­cerns us here, how­ever, is the role of Nora­dren­a­lin in set­ting your energy lev­els. Proper func­tion­ing of Nora­dren­a­lin in the brain is essen­tial for you to feel ener­gized. With­out enough brain Nora­dren­a­lin you feel exhausted, tired, droopy and with­out energy. You just don’t feel like doing any­thing. You just wantto sit.

Peo­ple with Nora­dren­a­lin fail­ure become pro­gres­sively more and more lethar­gic. They do not seem to have any energy to do any­thing. Run­ning your brain with low Nora­dren­a­lin is akin to run­ning your car with a fail­ing bat­tery. Sooner or later, it just won’t start.

Dopamine: Your Plea­sure and Your Pain

As you prob­a­bly know, mor­phine and heroin are the most potent pain reliev­ing and plea­sure pro­duc­ing med­ica­tions known to man. They are so potent in fact, that they were long believed to mimic some unknown, but nat­u­rally occur­ring, body chem­i­cal. A recent tech­no­log­i­cal advance has led to the remark­able uncov­er­ing of nat­ural morphine-like mol­e­cules that are, indeed, made in each of our brains. Col­lec­tively, these sub­stances are known as ENDORPHINS, and they are respon­si­ble for reg­u­lat­ing our moment to moment aware­ness of pain.

It appears that in the dis­cov­ery of Endor­phins we have found our body’s nat­u­rally occur­ring mech­a­nism for reg­u­lat­ing pain. It is likely that a cer­tain base­line secre­tion of Endor­phin occurs at all times in the body. Under cer­tain con­di­tions, this Endor­phin secre­tion may rise, mak­ing the per­son rel­a­tively insen­si­tive to pain. Under other con­di­tions, the Endor­phin lev­els may drop, mak­ing a per­son more sen­si­tive than usual to pain.

Indi­vid­ual vari­a­tions of Endor­phin level would explain the obser­va­tion that peo­ple may react with dif­fer­ing lev­els of per­ceived pain when suf­fer­ing the same painful stim­u­lus. In med­ical prac­tice it is quite com­mon to see one per­son with an injury have very lit­tle dis­com­fort, while another per­son with a very sim­i­lar injury has ter­ri­ble dis­com­fort. In the past we have said that such unusual suf­fer­ing was “all in the person’s head”.

Now we may spec­u­late that what is dif­fer­ent in that person’s head is the Endor­phin level. Hence, the per­son who seems to have an unusual amount of dis­com­fort from what appears to be a triv­ial injury, prob­a­bly is feel­ing more pain. For some rea­son, his body’s own pain con­trol mech­a­nism has been depleted of Endorphins.

Now, our third Happy Mes­sen­ger, Dopamine, seems to be con­cen­trated in areas of the brain imme­di­ately adja­cent to where the major Endor­phin releas­ing mech­a­nisms lie. When Dopamine func­tion declines, Endor­phin func­tion also declines. Hence, when too much stress causes fail­ure of Dopamine func­tion, it also causes loss of your body’s nat­ural “pain killer”.

Dopamine also runs your body’s “Plea­sure Cen­ter”. This is the area of your brain that allows you to enjoy life. When stress inter­feres with your Dopamine func­tion, the Plea­sure Cen­ter becomes inop­er­a­tive. Nor­mally plea­sure­ful activ­i­ties no longer give any plea­sure. With severe Dopamine/Endorphin mal­func­tion, life becomes painful and devoid of any pleasure.

WHAT OVERSTRESS FEELS LIKE

When your stress level is high enough to cause fail­ure of your Happy Mes­sen­gers, what is going to hap­pen to you? What will you feel like?

If your total stress load is high enough to inter­fere with your brain’s Happy Mes­sen­gers, then your Body Clock is going to stop work­ing. You will find your­self hav­ing dif­fi­culty falling asleep, and fre­quent awak­en­ings dur­ing the night, per­haps with vivid dreams. When morn­ing rolls around, you will not feel at all rested.

Next, you will note lack of energy, lack of desire to get out and do things, lack of inter­est in the out­side world.

Next, you will have aches and pains. Par­tic­u­larly com­mon are chest, shoul­der, back and neck pains. But, it will seem like you are aware of vague, uncom­fort­able feel­ings from all over your body. Along with increased sen­si­tiv­ity to aches and pains, there is a decreased sense of plea­sure in life. Things that used to be fun or plea­sur­able do not seem enjoy­able anymore.

When all of these symp­toms coincide–lack of sleep, fatigue, aches and pains–you feel that life is not enjoy­able any­more. You feel over­whelmed by life. Now you may cry eas­ily, and feelthat you are “depressed”.

You may also feel quite anx­ious. All these strange changes in your body. Why can’t I sleep? Why do I ache all the time? Am I hav­ing a heart attack? What is hap­pen­ing to me? It is not uncom­mon for per­sons who are expe­ri­enc­ing the strange changes in their body caused by Happy Mes­sen­ger fail­ure to have peri­ods of panic. It is dur­ing these so-called “panic attacks” that you feel as if you can not catch your breath. The heart races in panic, the mus­cles ache and pain all over the chest. You may even get light-headed. You may have stom­ach upset and diar­rhea. Stress has caused your body to behave in strange and dif­fi­cult ways. Under these cir­cum­stances, anx­i­ety and fear are not at all unexpected.

All of us have expe­ri­enced some peri­ods of OVERSTRESS in our lives. Usu­ally they will be of short dura­tion. We live in such a high stress soci­ety, how­ever, that at least TEN PERCENT OF OUR POPULATION IS IN OVERSTRESS ALL THE TIME! These peo­ple, who have inher­ited a Low Stress Tol­er­ance, are fight­ing against Happy Mes­sen­ger fail­ure every day of their lives. It rarely stops; and they are sorely afflicted.

In the past, we did not know the cause of this suf­fer­ing. Such per­sons were often said to have a “men­tal ill­ness”. The med­ical world now rec­og­nizes these symp­toms to arise from a brain Happy Mes­sen­ger mal­func­tion. THIS MALFUNCTION IS CAUSED BY TOO MUCH STRESS.

What was once regarded as a men­tal ill­ness has emerged from that shad­owy realm to reside in the world of bio­chem­istry and phys­i­cal illness.

Share and Enjoy:
  • Digg
  • del.icio.us
  • Facebook
  • Google Bookmarks
  • LinkedIn
  • StumbleUpon
  • email
  • Live
  • MSN Reporter
  • MySpace
  • RSS
  • Yahoo! Bookmarks
  • Yahoo! Buzz
  • Add to favorites
  • PDF
  • MyShare
  • Reddit
  • Technorati
  • Twitter
SEO Powered by Platinum SEO from Techblissonline