Psoriasis was not only common skin disease. A recent study showed that people with psoriasis have increased risk of cardiovascular diseases.

Number of patients with psoriasis over the years continued to rise. In the United States alone, approximately 7.5 million people suffer from the symptoms of thick, red, scaly, and itchy skin. Not only physically ill, the patient had psoriasis will also experience a fatal health condition in the future if not controlled properly.

A new study published this week in the American College of Cardiology in Atlanta, the United States was mention of people with psoriasis are more likely to risk of heart attacks and strokes than those not having these skin disorders.

Researchers from Copenhagen University Hospital is to track the number of people with psoriasis, heart disease, stroke, and death in all teens and adults in the Danish population between 1997 and 2006. They found that people with severe psoriasis about 54 percent more likely to suffer a stroke, 21 percent more to get heart attacks, and 53 percent will die after 10 years of illness than non-psoriasis sufferers.

They are also more likely to require surgery such as angioplasty to open their heart arteries are clogged. While patients with mild psoriasis also have the possibility of increased risk of stroke and the angioplasty procedure. People with severe disease at a younger age at highest risk of cardiovascular problems, “said researcher Ole Ahlehoff MD, was quoted by webmd.com.

This analysis take into account other risk factors for heart disease, including age, gender, treatment performed and other health conditions. “People with psoriasis should not only seek care for symptoms of the disorder, but also should be examined to determine risk factors for heart disease and make lifestyle changes to reduce the risk of cardiovascular problems in the future, such as maintaining a healthy weight,” explained Ahlehoff.

Another study, presented last week at the annual meeting of the American Academy of Dermatology in Miami Beach, Fla., the United States showed psoriasis is also associated with an increased risk of cancers, including skin cancer, prostate cancer, and lymphoma. Researchers from the Health Economics and Outcomes Research at Abbott Laboratories to get data from insurance claims database that holds information about 93 million people around the United States.

They identified 37,159 people with psoriasis and to compare their possible cancer with 111,473 other people without psoriasis, in the same age. Known, people with psoriasis are likely to suffer from high cholesterol, high blood pressure, heart disease and become obese (obesity).
During an average period of about 1.5 to 2 years, approximately 34.8 percent of people with psoriasis was diagnosed with cancer. In contrast, only 23.2 percent of those with healthy skin cancer. Researchers concluded, 56% higher risk of cancer for people with psoriasis.

The type of cancer that can be suffered by people with psoriasis is 75 percent for skin cancer, 87 percent of lymphoma, and 22 percent of prostate cancer. “Some of the medications used for psoriasis are likely to increase the risk of skin cancer.
But the link to other cancers can not be explained by the therapy, “said Alan Menter, MD, Director of the Psoriasis Research Unit at Baylor Research Institute in Dallas, United States.

Psoriasis itself is an immune disorder disease, which affected mainly by T cells (a type of white blood cells). Activated T cells will interact with skin cells (mainly keratinocytes) and resulted in the formation of a thick skin and scaly. The cause of this disease is still unknown, but the researchers have managed to find the abnormal gene that leads to the formation in patients with psoriasis. Thus, this disease has a hereditary disease risks.

Psoriasis is generally not life threatening, although very disturbing quality of life. Personal life, social, and work is also suffering greatly affected by the disease if the skin disorder of a particular place (eg the face, palms of the hands / feet, or genitals).

If not treated properly, complications may develop the disease (the disease becomes worse) as Psoriatic eritroderma (whole body skin becomes red) or generalized psoriasis pustulosa (psoriasis with small bubbles containing pus) that could endanger patients lives.

Nowadays, there are variety of psoriasis treatment is safe and effective. The treatment help to repair the skin conditions and reduce itching complaints. Of the many types of treatment, only a small portion can be cleaned with psoriasis treatment of skin disorders. The process is called clearance or remission.

Until now I have found no drug that can cure psoriasis in total. All the existing treatment can only suppress the symptoms of psoriasis. Most people never reach a state of remission of free treatment. Another thing that must be considered before selecting treatment degrees of severity of psoriasis was suffered. Also, disease location, type, age, sex and medical history, too patient.

Diabetes clearly increases the risk of one of various cardiovascular disorders, including heart attacks, hypertension, or stroke. To reduce the risk of heart disease, doctors will usually give medicine to restore the abnormal levels of blood fats.

Unfortunately, recent studies show medicine therapy to control blood pressure and lower blood sugar does not help prevent cardiovascular disease. In fact, medicine therapy in some cases cause side effects.

A decade ago, health officials in the United States conducted three studies to see whether the three types of intensive therapy to lower blood sugar, blood pressure or blood fats are effective for preventing heart attacks and strokes in diabetics (diabetes).

A study of the blood sugar was stopped two years ago when researchers look at blood sugar control treatment was not much effect. However, two studies are in progress.

In studies of blood fats (triglycerides) which is done by researchers from Columbia University and involving 5500 people with diabetes who also have the risk factors of other heart disease, namely hypertension and high cholesterol.

All the respondents received statins, cholesterol-lowering medication. Half of the respondents have triglyceride-lowering medicines and the rest a dummy medicine. Five years later the entire group of respondents known to have the same incidence of stroke and heart attack. This means that medicine therapy does not help much.

From the results of research, proven therapies that incentives by medicine-oatan is not able to reduce the incidence of heart attacks, although it is able to prevent a stroke. However, experts do not recommend people with diabetes to stop taking the medication without consulting their doctors.

So what should people with diabetes do? Stay focused on diet and healthy lifestyle and keep trying medications doctors recommended to reduce the risk of disease, according to Dr.Clyde Yancy, a cardiologist and president of the American Heart Association.

For people with diabetes,  they are advised to eat a varied diet in order to achieve a balance between carbohydrates, proteins and fats. Some have diabetes can control their blood sugar by eating only three meals a day and avoid sweet foods. While the rest need a strict diet.

To reduce the risk of heart disease, do the exercise because it increases blood flow through blood vessels smaller and increase the efficiency of heart pumping power.

Inflammation of the gums or in medical term is called gingivitis, usually it is caused by dirty teeth. Gingivitis may also be caused due to errors in brushing teeth. Outside of these two causes, there are still secondary causes other. But clearly, lack of dental hygiene is absolute beginning gingivitis.

Without realizing it, some people think little sores and other oral cavity diseases such as bad breath and bleeding gums to cavities. Sprue by many people known as the wounds on the mucous membranes in the mouth. Typically, the wound in the mouth area is not within. If it is not accompanied by complications due to infection by more virulent bacteria, sores will heal themselves without a trace. The infection usually begins with the appearance of fluid-filled bubbles in the mouth. This bubble could burst and form a wound that will feel pain. In fact, recent research indicates a strong link between the accumulation of bacteria in the oral cavity with other severe illnesses, like diabetes, heart attacks, blood infections, until about babies with insufficient weight. Gingivitis is recognized to be the main factor cases of teeth and tooth supporting tissue damage. The longer plaque and bacteria that resides in the teeth that will cause inflammation of the gums is called gingivitis.

That gingivitis gingivitis medical term is a state in which there is a change struktual the gums. Marked by a change in shape and color of the gums. Even so, if left unchecked, this mild inflammation can develop into periodontitis. This means, inflammation around the teeth. At this stage of gum chipped teeth and form pockets of infection. As a result, the immune system to fight against the bad bacteria as the widespread and growing plaque around the gums. If this is not addressed, bone teeth, gums, and teeth buffer network will be destroyed. The teeth will soon be dated or revoked. You certainly do not want this to happen in your mouth, if this happens to you, you should go to the dentist immediately to have it checked.

Factors Causes and Symptoms
Gingivitis (gum inflammation) can occur at any age. Usually, a person Hygiene factors are critical. There are several factors that can cause gingivitis. Among other things, smoking, hormonal changes in women, diabetes, stress, cancer, AIDS, genetic factors, malnutrition, and drugs. Some medications such as antidepressants and some heart medications can cause inflammation of the gums because of the reduced flow of saliva, which actually has a protective effect on teeth and gums. In addition to severe factors such as stress, hormonal changes, diabetes, and genetics, inflammation of the gums can happen so light as food and hot drinks. But the factors that are more common is someone Hygiene factors and errors in the brush.

The cause of gingivitis is most common in the stacking rocks on the tooth from food scraps that are not cleaned. Coral tooth comes from food scraps that are not cleaned, so there is an accumulation and become rock. If the plaque remains attached to the teeth for more than 72 hours, it will harden and form tartar. Gingivitis is also found in many people who use fake teeth and never noticed the cleanliness fact. Moreover, if the false teeth were made of coarse material, so there is likely to injure the gums, causing inflammation.

Inflammation of the gums can also cause infection through the blood vessels and damage to human organs like heart, lungs, brain, and eyes. If the infection went down to the heart or the so-called percarlitis or inflammation of the lining of the heart. If the infection went up into the lungs can cause TB disease. If you go down to the eye vision problems can occur. And if the infection went up to the brain that can cause meningitis.

There are two kinds of symptoms of inflammation of the gums, symptoms of primary and secondary symptoms. The primary symptoms are marked by the swelling of the gums. As a result the head felt dizzy and feverish. While secondary symptoms characterized by pain when touched or exposed to the gum toothbrush. As a result, the head feels dizzy or commonly referred to as migrants. In the primary symptoms, the gums will appear red when the gums have a natural color pink.

In addition, swelling of the gums and the gums become more flexible than normal. As a result, the gums are no longer attached to the teeth so the dirt easier entry. If people brush their teeth or eating, often bleeding gums and gums become more sensitive. In addition patients will also complain about the smell of mouth, especially in the inflamed gums. Bleeding gums often make sufferers reluctant to brush his teeth by causing illness, it causes plaque and food scraps accumulating thus worsening the condition of gingivitis. In cases of severe gingivitis, then at the time, especially during the morning wake up pillow is packed with blood, and especially if the patient breathing during sleep through the mouth.

Diagnosis and Treatment
Diagnosis is established based on symptoms and physical examination results. If found conditions inflamed gums red, swollen and bleed easily then it could be said if he was hit gingivitis. If the patient’s has symptoms which has been mentioned above, he certainly has affected gingivitis.

Gingivitis, or inflammation of the gums if not treated will become severe and spread to the teeth resulting in tooth loss. The situation is called periodontists, which is a further stage of gingivitis, with inflammation of the gums that is more severe. Medical conditions that cause or worsen gingivitis should be addressed.

If the cause is drugs, excessive gum growth should be removed surgically. If there is a deficiency of vitamin C, vitamin supplement provided. As for cases caused by accumulated tartar, treatment will be done by cleaning the tartar. Just sprayed with warm water and given antibiotics to patients who have a fevere. In addition the doctor usually will also give mouthwash to kill germs and bacteria found in the mouth.

Although this disease can be healed within 2 to 3 days but is highly recommended to patients to get to the dentist to perform scaling or tartar cleaning the interval between 3-6 months. Scaling addition, patients can also do scerentase, namely cleaning germs that can cause gingivitis contained in the root of the tooth. Because the inflammation will spread fear and cause a condition where the patient can not chew food with his teeth. Because if not treated immediately feared would be another disease like periodontists more dangerous.

Even so, toothbrush remains the most important element to prevent this disease. Because simply by brushing your teeth twice a day for brushing your teeth too often it will damage the tooth enamel. Also recommended using a fluffy brush and brush your teeth carefully, not haphazard and short.

Shortness of breath, or dyspnea, can be caused by several conditions such as lung disease, heart disease and lack of conditioning. It can also be caused by psychogenic factor. Your physician can help you establish the reason for dyspnea, and in the overwhelming majority of cases, treat it effectively.

What is shortness of breath?

For most people “shortness of breath” or “having breathing difficulties” means a sensation of difficult or uncomfortable breathing, or a feeling of not getting enough air. Medically, this is referred to as dyspnea.

Does shortness of breath mean illness?

Shortness of breath can occur in both health and disease, and its significance varies accordingly. For example, when it occurs in a healthy person walking 100 feet at the top of a very high mountain, it may signify no disease. But if the same person had smoked a pack of cigarettes a day for 20 years, the same symptoms at lower altitude may be the first sign of progressive emphysema. In healthy individuals, shortness of breath may also occur at rest for no apparent physical reason.

Shortness of breath may be appropriate or inappropriate, real or perceived; and therefore, there is no standard lay person definition of shortness of breath. Physicians use the term dyspnea to describe “an abnormally uncomfortable awareness of breathing.”

What causes dyspnea?

The issue of dyspnea comes up frequently when patients are seen in their physician’s office for specific complaints, or for a periodic physical examination. It’s the physician’s task, not always an easy one, to determine whether the dyspnea is medically important, and to recommend a diagnostic plan and a course of therapy when needed.

Dyspnea can be acute, intermittent, or chronic, and can be caused by a heart or lung problem or physical deconditioning; or it can be of psychogenic origin.

Common heart diseases causing dyspnea include coronary artery disease (the major cause of heart attacks), congestive heart failure, and conditions where heart valves malfunction. Lung problems include bronchial asthma, acute and chronic bronchitis, emphysema, and interstitial lung disease (diffuse scarring and stiffening of lung tissue). Exposure to allergens may precipitate an asthma attack, or dyspnea-producing post nasal drip; but the biggest undiagnosed culprit remains smoking.

Psychogenic dyspnea, precipitated by anxiety, panic or an irregular breathing pattern of frequent sighs (“sigh dyspnea”), is now diagnosed in increasing frequency. This is usually not dangerous, but it may be uncomfortable, and particularly hard to diagnose and treat.

Lack of conditioning is also a cause of dyspnea, especially seen in the “weekend warrior athlete.” If you are short of breath playing basketball on Sunday afternoon, do you have a disease causing dyspnea, or is this lack of conditioning?

How is the diagnosis made?

Your account of the intensity, severity and frequency of dyspnea is very important.

This, combined with a physical examination and some basic testing, may rapidly establish the correct diagnosis.

Sometimes the diagnosis is elusive. Both asthma and heart disease can be “silent.” Even lack of conditioning may be difficult to diagnose without meticulous testing. The diagnosis of psychogenic dyspnea, can be made on the basis of your symptoms, after medical causes of dyspnea have been ruled out.

For exercise-related dyspnea, we use cardio-pulmonary stress testing (CPST). This important, noninvasive test combines the familiar cardiac test with lung function testing during exercise (on a treadmill or exercise bicycle). With it, we can determine your level of cardiopulmonary fitness, and whether your shortness of breath is due to a heart problem, lung problem, deconditioning, or “none of the above.”

Treatment

Treatment of dyspnea, and its effectiveness, depends on the underlying cause. Frequently, medications are used, such as those needed to optimally control asthma, congestive heart disease and anxiety. Special lifestyle instructions may be given, such as smoking cessation and allergen avoidance. Reconditioning exercises and stress management may be advised, or you may be instructed in the proper performance of diaphragmatic breathing.

Working together with your physician, in the overwhelming majority of cases shortness of breath can be controlled or completely resolved.

Most, if not all the tools necessary to establish the cause of dyspnea is available under one roof at our practice.

Lots of people suffer from acid reflux and have tried to over the counter antacids and medications with little or no relief. Doctors are just going to give us prescriptions for expensive medications, which might work but they are costly and some people just can’t afford them, so they continue to suffer. The good news is that the cure could be as close as making some simple changes to your diet. There are foods that cause acid reflux, and if you are eating these foods on a regular basis, then avoiding them may be all that’s needed to take care of your acid reflux.

Below you could find a list of usual foods that cause acid reflux symptoms in some people. Take a look at this list and see if there are foods on it that you eat on a regular basis and try some alternatives to see if these help reduce your acid reflux symptoms.

High Fat Foods
Dairy foods that are high in fat such as whole milks, cottage cheeses, and many other high fat cheeses can be an almost instant trigger for acid reflux. Try using non fat milk and low fat cottage cheese. Some processed cheese foods are low in fat and taste almost as good as their real cheese counterparts. Check the labels.

High fat meats like marbled steaks and other cuts of beef, ground beef, dark chicken and turkey meat and their skins can all be foods that cause acid reflux in you. Alternatively, you can find cuts of beef that are less marbled and closely trimmed, ground sirloin is typically lower in fat, and boneless, skinless chicken and turkey breasts are a wonderful and healthy alternative.

Fried foods, especially those found at any fast food restaurant, are also foods that cause acid reflux in most people. Try finding foods that are fried in lower fat oils like peanut oil. They still may cause some discomfort, but it is possible that they won’t cause as much discomfort as the others.

Fruits and Veggies
Citrus fruits like oranges, lemons, and grapefruits and their juices can irritate the esophagus and cause symptoms of acid reflux. Try fruits like apples and apple juice, which have been known to actually relieve heartburn.

Onions have been known to cause acid reflux, especially when eaten raw. If you love the taste of onion but they cause you pain, try using onion powder as an alternative.

Tomatoes are full of acid and should be avoided. This also includes products made from tomatoes like sauces, salsa, and condiments. There really is no alternative for tomatoes, but some other condiments and vegetables could replace them and still be satisfying.

Beverages
Coffee, both caffeinated and decaffeinated, can trigger acid reflux in many people and should be avoided. Try a cold glass of apple cider and 20 minutes on the treadmill for a morning pick-me-up.
Sodas and other carbonated drinks can cause symptoms of acid reflux. Water is the best alternative to soda, especially on hot summer days.

Alcohol, especially beer, can be damaging to the esophagus and cause acid reflux. This is where a lifestyle change may be necessary. When you go out volunteer to be the designated driver and have fun watching everybody else act like drunken idiots. You’re likely to win at darts more often this way, too.

There are other foods that cause acid reflux symptoms, too. The best way to figure out what is causing your acid reflux is to keep a journal and then avoid the foods that you find are your triggers. If this doesn’t help, then a trip to the doctor to discuss your acid reflux is recommended.