Osteoporosis prevention and  exercise

Posted on December 2, 2017 by admin
In Medical

Osteoporosis   can be  treated  with  medication ,  adequate   Vit D  and Calcium  in the diet .               Exercise   can  delay  the onset of  osteoporosis

Appropriate  vigorous exercise includes :-

Basketball, netball, impact aerobics, dancing, gymnastics , tennis  and skipping Moderate    benefit  can be derived from

Running, jogging , brisk walking , walking  hills, resistance training and stair climbing


Altitude sickness

Posted on November 3, 2017 by admin
In Medical


Destinations above 2500 metres may expose the traveler to possible altitude sickness by reducing the amount of inspired oxygen. Presenting symptoms may include headache, faintness or giddiness, breathlessness, nausea, vomiting or reduced exercise tolerance. Symptoms often present within 36 hours but may appear at a few days.

Previous altitude sickness increase the risk of recurrence.


Ascents greater than 500 metres / day above 3000 metres increase the likelihood of altitude sickness. A rest day every 3-4 days   is recommended to assist acclimatization. Spending 2 nights at high altitudes in the 30 days preceding, before ascending further is beneficial.

Ibuprofen, Diamox and Dexamethasone   have been found to be useful in treating altitude sickness. Nifedipine may also be useful


Contraindications to high altitude travel are severe COAD, severe or unstable ischaemic heart disease, heart failure, pulmonary hypertension, pregnancy, cerebrovascular disease or DVT.

Soft tissue injuries- ankles

Posted on October 2, 2017 by admin
In Medical

Most   ankle injuries are soft tissue damage diagnosed at clinical examination.

X-Ray / Ultrasound/MRI   are only required if a fracture joint disruption or arthritis is suspected.


Initial treatment – usually for the first 8 hours

R est

I ce  – icepacks (wrap in cloth) 20 minutes 2 hourly during waking hours

C ompression firmly bandage the injured part

E legate the injured part


Avoid the following HARM in the first few days after injury

No Heat, No Alcohol, No Running No Massage

Some pharmacological interactions between herbal preparations and prescribed medication

Posted on September 2, 2017 by admin
In Medical

Reported pharmacological interactions of common herbal preparations with prescription medication from Medical Journal of Australia Feb 2017


St John’s Wort

  • interferes with cyclosporine used to maintain transplants leading to rejection
  • causes intermenstrual bleeding  for women using the oral contraceptive
  • reduces effectiveness of warfarin
  • reduces bioavailability of theophylline , amitriptyline,, methadone, digoxin
  • potentiates side effects of tricyclic and SSRI antidepressants


Asian Ginseng

  • reduces effectiveness of immunosuppressive drugs
  • increases effects of oral hypoglycaemic ( diabetes ) drugs
  • increases side effects of MAOI antidepressants
  • has accumulative effect on benzodiazepines ( Valium, Serepax)



  • increases liver toxicity of paracetamol
  • increases effects of oral hypoglycaemic ( diabetes ) drugs
  • increases incidence of bleeding in users of anticoagulant medication


Evening Primrose  Oil

  • lowers the seizure threshold  for  epileptics
  • interferes with the action of  some anticonvulsants  including phenytoin ( Dilantin)

Dong Quai

  • potentiates   warfarin


Dry Mouth

Posted on August 3, 2017 by admin
In Medical


Dry mouth may present  as  mucous  surface  discomfort in the mouth  , burning sensation or pain on the lips  or mouth, “ bad “ taste , halitosis, denture discomfort and  eating  discomfort.

Sufferers may have  a higher  risk of dental caries , dental erosion oral infection and  loss of teeth. Causes can be  medication side effects form including  some  prescription medications, anti- cholinergics , antihistamines and  sedatives . Age , diabetes  and  underlying auto immune  diseases may also be a cause of dry mouth.


Treatment is  to review for  underlying  dental disease , illness and  medication side effects. Adequate  hydration.. Regular  and  frequent  oral  hygiene  including  brushing  /flossing / interdental brushing.

Encourage   sugar free  chewing (eg  chewing gum)  between meals , artificial saliva lubricants.