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)   Garlic increases liver toxicity of paracetamol increases effects...read more

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....read more

Menopause and weight gain

Posted on July 10, 2017 by admin
In Medical
  Scientific  studies  over 7 years  extending from pre – menopause to  4  years  post  menopause  confirm the  tendency to modest  weight gain in association with   hormonal  changes..  Subsequent trials  have demonstrated  that   modest  lifestyle  intervention can   contain  or   reduce the  weight gain to a minimum  over  5  year trials post onset of menopause. This could be achieved by maintaining a diet of 1300 kcal/day and an increase in energy expenditure 1000-1500 kcal/week more than their usual energy expenditure. Diets with an emphasis on increased protein and   lower carbohydrate and fats were useful. Women who were already overweight prior to...read more

Haemachromatosis

Posted on June 2, 2017 by admin
In Medical
A common  recessively inherited   blood disorder resulting  in excess  iron in the  body due to increased  absorbtion from the  intestine. An incidence of about  1 in 200. May be  manifested   by the  following  symptoms – Fatigue and lethargy Cirrhosis of liver Liver cancer Arthritis Skin pigmentation Cardiomyopathy Testicular failure Diabetes mellitus Diagnosis  is usually  by a  combination of  blood film  , iron studies and  gene testing. Treatment  is  usually by venesection  - draining  off  excess blood