Chronic Fatigue Syndrome

General Information
One way or another have experienced this state in everyday life after a serious, hard work and lack of sleep. Usually goes away after fatiguegood rest and sleep. If symptoms persist, it means that your body wants to know that he is sick.
Long periods of fatigue may be a sign of a serious disease known as chronic fatigue syndrome (CFS), mainly affects women. CFS attacks often occur after undergoing viral diseases, but the causes of CFS had still not clear.
Causes of fatigue
- Fatigue may be due to the ingestion of certain drugs such as cold medicine, cough and motion sickness, antihistamines and allergy medications, sleeping pills, muscle relaxants, contraceptives, and antihypertensives,- Diseases in which difficulty breathing, for example chronic bronchitis, asthma and emphysema,- Heart failure, where the heart is slightly reduced and performs its function fully,- Depression and anxiety, bad mood, apprehension,- Sleep disorders and nutrition.
Fatigue is often the case in a month after suffering a viral infection, and may be an early symptom of some serious diseases (hepatitis, cancer, diabetes, anemia, heart disease, hypoglycemia, obesity, hypothyroidism, mononucleosis, rheumatoid arthritis, myasthenia gravis, alcoholism, sleep disturbances).

Symptoms of chronic fatigue syndrome
State of exhaustion often goes away after a weekend or holiday. Often you just need to give your body a rest, and it will start working again in full force.
Consult your doctor if you are concerned about long-term state of strong fatigue.
The symptoms of chronic fatigue syndrome, except the exhaustion include:
- Loss of memory and ability to concentrate,- Pharyngitis,- Inflamed lymph nodes in the neck and armpit,- Unexplained muscle pain,- Pain in the joints, and they are not swollen and the skin over them does not blush,- Severe headaches,- Sleep problems,- Extreme exhaustion lasting more than 24 hours after normal working or school day.
Sometimes CFS is difficult to diagnose, because its symptoms similar to the symptoms of many other diseases. First, your doctor will have to rule out all other possible diseases. The criterion for the diagnosis of CFS is chronic fatigue lasting 6 months or more, and 4-8 of the above symptoms. CFS is often accompanied by depression.
What you can do
Organize your time properly. Get up early and you will not have to start the day in a hurry and with a sense of fatigue. Learn to delegate something else, especially when your life and so it is enough responsibilities and actions.
Be physically active. Try at least 30 minutes a day on physical exercise. Do not exercise before going to bed, it can break it, and in the morning you feel tired. The optimum amount of sleep time.
Most people to sleep, requires 6-8 hours. If you feel the strength and desire to work, then you have slept enough. Well, if during the day you can manage to get some sleep. This can be especially useful for adolescents with their hectic pace of life and the elderly, who sleep less deep. However, avoid daytime sleep, if after you will not be able to sleep at night.
Do not start smoking. Smoking breaks the supply of oxygen in your body, replacing oxygen or deadly carbon monoxide. If you smoke for a long time, then give up this bad habit will not be easy. Still, at least try to reduce the number of cigarettes smoked.
Eat as little as possible of caffeine and alcohol. Alcohol acts as a depressant, it brings only fatigue, do not add strength. Caffeine will give a temporary rapid rise of activity followed by cutting fatigue.
Choose an appropriate power supply: some people work better after a light snack, while others may only work closely eating. Avoid fatty foods, as fat processed slower than carbohydrates, and this may reduce your activity.
During the day, make small breaks.
Go on vacation, or at least turn off the phone and relax at home.
How can I watch TV less. If you look at it, to relax, sooner or later you may find that you are in a slow and sluggish state. Try to relax more actively, for example, walk or read. Find a way to calm yourself. Listen to relaxing music, say a phrase or prayer that gives you a sense of calm. Imagine yourself on the coast, in the mountains or in any other place in the world where you feel good.What can a doctor
The doctor can determine systematic violations that cause fatigue. The doctor will examine, prescribe the necessary diagnostic studies.Effective treatment for CFS does not exist, but the treatment of the symptoms may improve your condition. If the doctor finds it necessary, he may prescribe painkillers or antidepressants.
A specialist in the field of rehabilitation medicine teach you plan a day to use the time usefully. Perhaps you need a psychologist.
Prevention of fatigue- Exercise regularly, it improves the functioning of the heart, lungs and muscles trains- Get a hobby, so as not to get bored in your free time,- Meet friends, go to exhibitions, theater,- Define what's bothering you, and little by little to solve their problems,- Learn to relax and manage stress, you can help breathing exercises, muscle relaxation exercises, massage or meditation,- Try not to use sleeping pills because they have many negative effects and can be addictive,- Give up alcohol and cigarettes.

Back pain

In most cases, back pain is not a serious breach and it can easily be prevented, but it can sometimes be associated with severe disease and spinal cord injuries (including osteochondrosis) and in some cases, gastro-intestinal tract.
General Information
Almost all adults occasionally feel pain in his back. Structure and function of the spine prone to make back pain and injury. The spine consists of 33 vertebrae separated by flexible cartilage called intervertebral discs, while it is surrounded and permeated by ligaments, muscles and nerves. Unfortunate, sudden movement, too much load (eg, wearing weights) or poor posture can cause back pain. In most cases, back pain is not a serious breach and it can easily be prevented, but it can sometimes be associated with severe disease and spinal cord injuries (including osteochondrosis) and in some cases, gastro-intestinal tract or urinary tract ( e.g., kidney stones).

Causes
- Poor posture;- Overweight;- Lifting weights;- Infections and other diseases.Symptoms
If you feel pain in the back of the voltage and during exercise, or if you occasionally occur pain in the neck and back, it is advisable to consult a doctor if no improvement does not occur after 3-5 days, back pain and temperature above 37.8, if the back pain is accompanied by nausea, vomiting or diarrhea, painful or too frequent urination, when expressed as back pain during menstruation, when the pain in the back gives the hands or feet, and is accompanied by numbness of the lower extremities. Requires immediate hospitalization, if at the same time noted the difficulty of movements in the limbs, shock, confusion.
What you can do
Moderate physical activity is the best way to combat back pain.A hot bath or hot compress can reduce pain, but these tools is better not to use the first 2 days. Take medication to relieve pain and inflammation.During sleep, it is recommended to put a pillow under your knees or if you sleep on your side, place a pillow between your legs. After reducing the severity of pain, return to normal operation and gradually, taking care not to overload the back. Try to deal with stress, which can exacerbate pain.

What can a doctor
The physician should determine the cause of back pain and rule out other, more serious diseases. Prescribe painkillers or muscle relaxants. Refer you to a neurologist, rheumatologist or orthopedist if necessary.
Preventive measures
Watch the bearing. Good posture greatly reduces the load on the spine.
Avoid heavy lifting. If you still need to lift heavy objects, be sure to bend your knees and try to keep your back straight.
During sedentary work, use a comfortable chair or a chair that supports your back.
Watch your weight. Completeness increases the load on the spine.
Do not overreach, if you need to get something from the high shelves, mezzanines, etc. Put a stool or stepladder.
Try to bend less.

Radiculitis

Sciatica - the defeat of the spinal cord of an inflammatory nature, a kind of neuritis.
General Information
The front part of the human spinal cord contains nerve cells responsible for movement, and back - for sensitivity. Accordingly, in front of him out front, or motor, roots, and the rear - rear, or sensitive. They go right or left side of the spinal canal through the holes, and then connected to each other, turning into a vertebral nerves. Vertebral nerves form a plexus and branch throughout the body.
When sciatica occurs defeat the anterior and posterior spine. And therefore suffer from motion and sensitivity. In accordance with the affected spinal cord, distinguish cervical, thoracic, sciatica.
Causes of sciatica
Inflammation of the spinal roots can develop as a result of the following reasons:

    Malformations of the spine. This can be extra vertebrae, hemivertebrae underdeveloped, extra ribs, vertebrae nonunion parts together. All this leads to compression of roots and development of the inflammatory process.
    Osteochondrosis - a disease in which there is a premature aging of the spine, the destruction of the intervertebral discs.
    Spinal injuries and their consequences: a bruised spine fractures and subluxations of the vertebrae.
    Hypothermia - most often it is not the direct cause of sciatica, a factor that provokes attacks.
    Herniated discs. Especially if there is a displacement of an intervertebral disc side: in this case, it compresses the spinal cord.
    Infections: influenza and colds caused by other viruses, syphilis, tuberculosis, and so on.
Most often, the first attack of sciatica occurs after hypothermia, transferred colds, exercise, weight lifting.
Symptoms of sciatica
The main manifestations of sciatica - pain, impaired sensitivity and muscle weakness in the affected spine. More specific manifestations depend on which part of the spine was amazed.
When lumbar sciatica, pain occurs in one of the three types of attacks:

    Backache. This is a strong pain that crops up during hypothermia, weight lifting, heavy load. It is so strong that the patient often can not walk or move, frozen in position, which was accepted before.
    Lumbar ischialgia - chronic back pain, which may be given in one or both legs. In this tense muscles waist, and the patient regularly takes a certain posture in which pain is not yet strong (usually leans towards). In the area of ​​the affected spine felt numb. Decreased muscle tone legs, they become weaker and may eventually shrink in size (atrophy).
Cervical sciatica manifested as pain in the neck, typically initially on one side only. It increases during any movement, sneezing and coughing. Neck muscles become tense, the patient tilts his head to the side to reduce pain. If cervical sciatica caused by herniated discs, the pain gradually spreads to the shoulder, arm, chest. It is rising in the night, so that people can not fall asleep for a long time.
Chest sciatica is manifested in the form of back pain, which can give a hand. Disturbed sensitivity and movement in the wrist, forearm, upper arm. Decreased muscle tone. On the hand may be swelling (it becomes thicker than on the healthy side), excessive sweating of the skin, numbness, tingling.
What can you do?
If you experience symptoms of sciatica is necessary as soon as possible address to the neurologist. There are many folk treatments, but none of them has 100% efficiency. It is necessary to establish the cause of the defeat of spinal roots and hold the right treatment. If you do not, then eventually violations will increase and lead to disability.
What can the doctor do?
Treatment of sciatica engaged neurologists, surgeons (if compression roots occurred as a result of surgical diseases). Appointed by the survey, which includes the following studies:

    Radiography. It helps identify low back pain and other spinal pathology.
    Radiography with the introduction of a contrast agent - myelography. Contrast that with a needle inserted, paints over the roots of the spinal cord and allows better to consider them.
    Magnetic resonance imaging and computed tomography - more accurate studies in comparison with X-ray, which allow to obtain layered and three-dimensional images.
    The study of cerebrospinal fluid. Appointed on the grounds.
Treatment of sciatica depends on its cause. All patients prescribed painkillers and anti-inflammatories, irritants and heat (heating pads, pepper patch, wearing a woolen shawl on the lumbar region). When severe pain of the affected area of ​​the spine cut away anesthetics. To restore nerve function used vitamins B, tools to improve blood flow.
When herniated discs and some other diseases, if, despite treatment, the pain persists, surgery is prescribed.
After treatment to prevent recurrence of sciatica appointed spa treatment.
Forecast
If treatment is initiated in a timely manner, the prognosis is favorable. Perhaps complete freedom from pain and restore all functions. If you already have a pronounced spinal cord lesions, the prognosis is serious, patients usually receive a disability, recovery does not occur.

Stomach ache

Abdominal pain ranged from dull to sharp or burning and shooting. Abdominal pain occur in various diseases and conditions.
General Information
Pain that occurs near the navel and moves to the right lower abdomen, appendicitis may indicate inflammation of the appendix (appendix intestine). In most serious cases, removal of the appendix need surgery. When running appendicitis appendix can break. If you experience severe pain or tenderness in the right lower abdomen, pain vzhivote walking, nausea, vomiting or loss of appetite, fever, you should immediately consult a doctor.
Pain in the left lower part of the peritoneum can be a symptom of diverticulitis. Diverticulitis occurs when the walls of the colon are formed spherical capsules small called diverticula which are subsequently infected and inflamed. Among other symptoms of diverticulitis include fever, nausea, vomiting, chills, cramping, and constipation. Diverticulitis treatment usually involves cleaning of colon inflammation and infections. Your doctor may prescribe antibiotics and / or analgesics, liquid diet and bed rest for a few days. In some cases, treatment of diverticulitis requires a stay in hospital. If you have complications may need surgery. The best way to prevent diverticulitis diet enriched with fiber. Dietary fiber promotes proper digestion and reduce pressures in the colon. Gradually increase the amount of fiber in your daily diet, drink plenty of fluids. Help prevent diverticulitis timely bowel movements. The accumulation of waste digestive system entails an increase in pressure in the colon.
Acute pain in the right hypochondrium, worse after eating, indicating the presence of lesion of the gallbladder. By gallbladder disease include stones and inflammation of the gallbladder (cholecystitis). If you have complications defeat the gallbladder may have other symptoms along with pain in the peritoneum. These include: jaundice (yellowing of the skin and whites of the eyes), high fever and chills. Sometimes people with gallstones do not experience any symptoms. When regularly occurring pain in the right upper quadrant should consult your doctor. With attacks of pain in the gallbladder can handle a number of ways, from simply waiting (observation of symptoms for some time, the absence of any treatment) before the medicines, and even surgery. Reduce the symptoms of gall bladder may also be reducing the amount of fat in their diets.
Abdominal pain, relaxes after a bowel movement and is accompanied by diarrhea or constipation, may indicate irritable bowel syndrome frequently encountered violations of the gastrointestinal tract, the cause of which is not yet established. In the event of irritable bowel syndrome, intestinal wall is compressed too much, too little, sometimes too slow, and sometimes the other way round too quickly. The symptoms of this disease include: bloating, flatulence, mucous stools, constant desire to empty the bowel.With this syndrome can not be dealt with by surgical methods or drugs. However, the deterioration can be prevented by eating large amounts of water, increasing the amount of fiber in the diet, reducing the amount of caffeine consumption and increasing physical activity.
Sharp burning pain in the upper and middle parts of the abdomen (between the breastbone and the navel) may indicate the presence of ulcers. An ulcer is a wound formed in tissue of the stomach or upper intestine. Causes ulcers set. Can play a role smoking, taking aspirin, ibuprofen or other nonsteroidal anti-inflammatory drugs. Ulcer may also occur if the stomach can not protect themselves against the potent gastric juice. Helicobacter pylori bacteria that live in the stomach - also capable of causing an ulcer. Stress and spicy foods may not be the cause of ulcers. Heartburn alone can not testify about the disease. Severe pain such as heartburn can also be caused by less serious disease gastroesophageal reflux disease.
In women, abdominal pain may indicate any problems with the reproductive system. Pelvic pain occurring every month before menstruation, endometriosis can speak about a state in which the particles are moving tissue of the uterus through the fallopian tube and onto the ovaries, renal pelvis, bladder, and other organs. Soreness in the lower abdomen can mean pelvic inflammatory disease (infection of the uterus, ovaries or fallopian tubes). In women of childbearing age ectopic pregnancy can also cause acute or sharp stabbing pains in the peritoneum, accompanied by vaginal bleeding, irregular menstrual cycles and pain radiating to the shoulders. Ovarian cyst and uterine fibroids can also cause abdominal pain in women.
For other cases the appearance of abdominal pain include: urinary tract infections, food poisoning and allergies, hernia, kidney stones, and lactose intolerance.
Causes of abdominal pain
In most cases, abdominal pain caused quite common causes such as emotional disorders, overeating or flu. However, these pain symptoms can be caused by a more severe disease. Clearly identify the cause of the pain can be a doctor.
Symptoms
In the event of weakly expressed pain, appearing sporadically for less than 4 weeks, you can try to deal with the problem on their own.
It is recommended to consult a doctor for pain, appearing sporadically for more than 4 weeks.
Need urgent medical care under the following conditions:
- The pain is accompanied by fever, jaundice, dark urine, severe nausea or vomiting, light pasty stools;- Sudden sharp stabbing pain in the abdomen, accompanied by vaginal bleeding, irregular cycles, pain radiating to the shoulders;- Severe persistent pain in the peritoneum after injury;- Sudden very severe pain lasting more than 2 hoursNeed urgent hospitalization If the following symptoms:- Abdominal pain, accompanied by unexpected bright red rectal bleeding or vomiting blood or a substance like coffee grounds;- Dizziness, light-headedness, rapid pulse, cold clammy skin.

What can you do with abdominal pain
Weak pain not associated with disease ulcer, diverticulitis, or gallbladder disease, can be treated at home. It should give the body enough time to rest. To ease the pain, take simple analgesics or antispasmodics (drotaverin, paracetamol). Do not use aspirin or other anti-inflammatory drugs such as ibuprofen. Avoid alcohol and caffeine.
Do not use laxatives and enemas or place.

What can a doctor
To determine the cause of the pain, your doctor may ask you the following questions: "Describe the pain you feel" (spastic, sharp or dull), constant, or does it occur intermittently? At what point do you feel the pain? At what point she appeared? How long? When pain occurs? (Menstruating? Is a growing pain after eating?) Probably need further examination.
Method of treatment will depend on the causes of abdominal pain.

Impetigo

Impetigo is a disease characterized by the formation of surface bubble-pustular rash.
What is impetigo?
Impetigo usually begins with the appearance of painful red spots that become bubbles through a stage full of sores, scabs type of honey.Occurs more frequently in children; adults are usually infected men shaving; often occurs as a complication of other diseases (itching, and so on. d.).
There are several forms of impetigo: streptococcal, staphylococcal, vulgar (mixed).
The disease is very contagious.
Impetigo often becomes the scourge of children's groups, most often it occurs in small teams, nursery children. Often there is a home and school outbreaks. Impetigo is dangerous because it can give complication of the internal organs, so that any outbreak of the disease is thoroughly investigated, and children are being treated.

The reasons leading to the formation of impetigo
More than 80% of the pathogen Staphylococcus aureus impetigo presented or beta-hemolytic streptococcus. Pathogen penetrates through the cracks and abrasions of the skin, mouth of the hair follicles.
Impetigo can occur as a primary disease or a complication of an existing dermatoses, such as eczema, neurodermatitis (secondary impetigo). Risk factors for impetigo:
1) Tropical or subtropical climate (warm humid conditions).2) Summer or rainy season.3) Slight damage the skin, insect bites, et al. (Microtrauma).4) Poor hygienic conditions, epidemics, war and others.5) The presence of impetigo in the family.6) Poor health due to anemia and malnutrition, hypovitaminosis.7) metabolic disorders (diabetes).8) Impetigo may develop as a complication of pediculosis, scabies, chicken pox, eczema.9) Contact dermatitis.
Manifestations of impetigo
Streptococcal impetigo appear on the skin painful red mottled rash Bugorkova. The latter is converted into small bubbles to 0.51 cm in diameter, filled with lighter gradually mutneyuschim contents, and further bubbles are usually painless. Eruptions are scattered or crowded groups, surrounded by a narrow rim reddened skin .. They quickly opened. After the break bubbles appear moist surface red sores, and later they are covered with honey-colored crusts fall away after 57 days.The most frequent lesions appear on exposed parts of the body the face, legs, hands, but there may be other areas of the skin at the site of skin damage.
The rash may develop quickly or slowly.
In children, most often affects the corners of the mouth strep Zayed, the wings of the nose, the skin folds of the auricles. They begin to appear in the corner of the mouth bubble with sluggish thin skin in its place quickly formed slit-like erosion, after the removal of which is detected by a red wet easily bleeding surface with a crack down the middle. After 1-2 hours again Zayed crusts. The process may be accompanied by a small soreness when opening the mouth. The process often spreads to the oral mucosa. Sometimes impetigo occurs in isolation in the mouth, where in place quickly reveals painful bubbles formed erosion, covers purulent coating.Atypical variant of streptococcal impetigo is a simple deprive a person or dry pyoderma, in which the skin (usually in children) appear pink spots of various sizes from small scales; in place to resolve the rash is temporary depigmentation (skin discoloration).
A variety of cystic impetigo is a felon and a surface at which the bubble appears on the nail ridges arched around the nail in place burrs trauma (for example, during a manicure) Needlestick etc. When such a conflict of injuries opened and formed moist erosion in a large number of streptococci in the discharge.
When staphylococcal impetigo (folliculitis) in the mouths of sebaceous hair follicles appear pustules (pustules), reaches the value of a pea.
Folliculitis may be superficial or deep.
Superficial folliculitis is characterized by the formation of multiple small (1-2 mm, the individual may reach 5 mm) pustules, pierced in the center of hair and surrounded by a narrow pink border. 3-4 day their contents dries, yellow crusts appear after falling which, on the skin without leaving marks.
With deep folliculitis on the skin formed painful red nodules the size of 5 mm or more in diameter, sometimes with abscess in the middle. A few days later the knot dissolves or abscesses, and then opened. After healing of the nodule is often left hem.
With the combination of streptococcal and staphylococcal infection develops mixed (vulgar) impetigo, where the contents of the bubbles is purulent and peel - massive. Vulgar impetigo usually occurs on the face, trunk and extremities less. Eruptions are multiple. Without treatment, a number of former eruptions or in remote areas of the skin rash there are new, the process often takes widespread. When removing the crusts exposed wet eroded surface. Has a value of transmission of infection to new areas through the hands and clothes. Regional lymph nodes are painful on palpation and a few puffy.
Complications
Most often, the disease ends without consequences, but there may be complications. One of the most unpleasant complications are complications of the kidneys (nephritis) and the heart (myocarditis).
Staphylococcal impetigo may be complicated by widespread purulent processes - abscesses and phlegmon.
Prophylaxis
Prevention is the treatment of diseases that contribute to the development of impetigo in personal hygiene, processing microtraumas antiseptic, sick children should not be led to the kindergarten. In child care requires systematic sanitary and epidemiological supervision.Course and prognosis in impetigo
Full recovery for 7-10 days during the treatment.
What can your doctor do?
Diagnosis is made on clinical grounds.
Treatment of impetigo is usually performed in the clinic (outpatient).
Patient or mother (if the child is sick) explain that the affected and surrounding skin should not be washed with water, they should be cleaned twice a day disinfectants (eg, salicylic or camphor spirit). Individual vials opened and treated zelenkoj (Brilliant Green), then coated with antibiotic ointment (e.g., erythromycin). Such treatment is carried out 3-4 times a day for 7-10 days, without imposing on the skin dressing. After treatment for 1-2 weeks, rub the affected area with alcohol.
In severe infections in young children are assigned antibiotics (oral or intramuscular).
Diagnosis of impetigo is based on abjection. Collection of material for the study produced by the ulcer after removing the crust.
What can you do?
Assess the severity of the patient's condition and determine the amount of required therapeutic measures can only be a doctor. Therefore, when the appearance of the first symptoms should see a doctor for advice in order to avoid unwanted complications.
You can not kiss patients enjoy its dishes, linens, toiletries; child with impetigo can not attend schools, kindergartens, nurseries and others.

Treatment of asthma

In compliance with all recommendations of the doctor, people with asthma can lead normal, active lifestyle, learn, work, play sports, travel and so on. Diagnosis and treatment of asthma has been allergist. Treatment depends on the severity of the disease, which is determined by the frequency and severity of attacks, but also by the presence of seizure during the night.
Asthma is a chronic allergic pulmonary disease, manifested attacks of shortness of breath or dyspnea, dry cough, sometimes in response to exposure to an allergen, against colds, exercise, emotional stress.
From the definition it is clear that asthma can not be cured completely, but it can be controlled. Observing all the advice of a doctor, people with asthma can lead normal, active lifestyle, learn, work, play sports, travel and so on. Diagnosis and treatment of asthma has been allergist. Treatment depends on the severity of the disease, which is determined by the frequency and severity of attacks, but also by the presence of seizure during the night.
Take asthma medicine exactly as the doctor's advice
Asthma drugs can be classified into high-speed bronchodilators (emergency drugs) are used to stop the attacks, and preventive drugs used daily for light protection and prevention of asthma attacks. Fast-acting drugs are prescribed to all patients with an established diagnosis for use during attacks. As a rule, preventive medications prescribed for asthma of moderate and severe. You should know that taking drugs to prevent asthma symptoms every day safely. You will not be dependent on them, even if you use them for many years. There are several methods of administration of anti-asthma drugs. The most frequently prescribed drug in the form of an aerosol (inhaler). To facilitate the use of an inhaler especially in pediatric practice using special devices tank chamber or spacer. The main objective is to maximize the total dose delivery throughout the respiratory tract. In order to ensure the proper use of the inhaler, perform one inhalation of the drug under medical supervision.
Avoid factors that cause asthma attacks you
Should clearly remember all the allergens that cause asthma attacks and avoid contact with them.
Protect your home from the risk factors. Keep pets on the site, or give them away in good hands. Do not smoke in the house. Do not use perfumes and other substances silnopahnuschih. Remove rugs and carpets, chairs, extra pillows and everything where dust can collect. Put special dust-proof covers on pillows and mattresses. Use hypoallergenic mattresses, pillows and blankets. Wash sheets and blankets as often as possible. Ventilate the room regularly. However, do not let the room allergens, such as pollen or down. Avoid physical activity until the doctor says that your asthma is well controlled and sports does not hurt.
You should visit your allergist
You have to trust your doctor. If for some reason you are not satisfied with the doctor, change it. See your doctor as often as he recommends you. Even if you feel good, and you do not have breathing problems. You may need correction therapy or additional examinations. In some cases, performance monitoring respiratory physician recommends that you use the device at home peak flow meter. Use it as often as advised by the doctor, write down all the readings of this device. Keep the house a special blog. Record the date and time of each attack, as well as the allergen that caused it, and peak flow meter readings. Take the diary with you when you go to the reception. So the doctor will be easier to navigate in your state. Ask your doctor what signs indicate a worsening condition. You must accurately represent yourself what will you do in the event of an attack.
What to do when an attack
1) Stop contact with an allergen, which provoked the attack.2) Take a bronchodilator in one dose, which is prescribed by a doctor.3) Stay alone for hours to ensure that breathing returned to normal.
Consult a doctor immediately in the following cases
1) Your bronchodilator emergency does not work or only relieves symptoms for some time.2) Do you feel frequent palpitations, lips and nails turning blue, you find it difficult to say when breathing widely flaring nostrils and marked retraction of the skin in the intercostal spaces. These symptoms indicate ineffective drugs and the need for urgent intervention of a doctor. Call an ambulance.

Bunion

General Information
Its appearance indicates the malfunction still often associated with flat feet. Violation of muscle balance and may cause deflection cones and thumb. In this case the joint, which is associated with the thumb stops, bends in the outer part of the foot that is not associated with bone growth, and with it the wrong position. When a bunion can also be observed inflammation and pain in the fingers, especially the friction of shoes. A similar problem may occur on the other side of the foot, in the region of the little finger. If bursitis long passes and causes severe pain, injections of steroids or even surgery can solve the problem.
Causes
- Congenital deformity of the foot or toes;- Weak joints or other congenital disorders;- Wearing uncomfortable, tight shoes, especially with a sharp nose that makes your toes tightly pressed against each other;- Flat;- Diseases that lead to the destruction of the joints (eg, arthritis).Symptoms
In the event of a hard lump in the first phalanx of the big toe should pay attention to your shoes.
It is recommended to consult a doctor if you have:
- Deformed, crooked thumb;- Pain in inflammation of bursa (joint capsule around the joint or pouch filled with liquid);- Problems arise when wearing shoes;- On the cone having calluses.

Complications
- Purulent bursitis (inflammation of the bags);- Severe pain when walking.

What you can doChoose a comfortable, loose shoes with round or square face.Try to place your fingers between the clumps of cotton home wear special shoes with the separator between the thumb and second finger.
Place cones around any soft material (wool, gauze) or special pads to ease the friction of the surface of the shoe. These pads are sold in pharmacies.
Use special inserts for flat feet.
Consult your doctor if the pain prevents you from walking and does not pass.

What can a doctor
The physician must: cure complications, write the correct orthopedic shoes or special inserts for flat feet, recommend physiotherapy and painkillers. In severe cases, it is recommended to perform the surgery to remove the lump or straighten the toe.

Preventive measures
Always wear comfortable shoes. Avoid shoes with high heels, with a pointed nose....

Bursitis

Bursitis - inflammation of the joint capsule - usually caused by excessive load on the joint, or if the joint for a long time is under stress or pressure.
General Information
Any movement of the bones, ligaments and tendons relative to each other in the joints accompanied by friction. However, this is mitigated by the fluid friction, which is filled with periarticular bag (bursa). Bursitis inflammation of the bursa usually caused by excessive load on the joint, or if the joint for a long time is under stress or pressure.
The causes of bursitis joints
Typically, joint inflammation associated with its improper or excessive "use". Also bursitis may occur due to injuries or periarticular bag nearby tendons. The cause of bursitis can become repetitive physical stress, such as beating of the game of golf. The disease, known as "knees maid" or "water in the knee" - an inflammation of the bursa as a result of kneeling during cleaning. Other possible causes - arthritis and gout - causes inflammation of the joints and tendons throughout the body, respectively, and may affect the bursa. Such damage may be accompanied by a decrease in the mobility of the joint, redness, swelling, and occasionally an increase in temperature in the joint.
Bursitis most often occurs in the shoulder joint, because He has the greatest range of motion of all the major joints of the human body. Pain felt on the outer side of the shoulder. Slightly less affected elbow, hip, knee, ankle and wrist.The main complication of bursitis infection. Since the bursa is often just under the skin, the infection can be caused by various bacteria that penetrate through the damaged or diseased skin over the joint. Such cases require antibiotic therapy.
Symptoms of bursitis
- Pain, inflammation, swelling in the joint, especially when tensile or kneading during the training exercise,- Limited range of motion, accompanied by severe pain, or without,- Redness and local temperature rise over the joints.
What you can do
Use as little as possible when moving the affected joint, let the inflammation subside. If struck by the elbow, make elastic bandage on hand to prevent the movement to give the joint rest.
The alternation of hot and cold compresses can ease the pain.
To reduce pain and inflammation can be used without a prescription anti-inflammatory drugs.
When acute pain subside, begin to make easy movement in the joint, gradually increasing their volume.
What can a doctor
The doctor will ask you a series of questions about recent physical activity, conduct inspection. If there is a danger that the infected joint cavity, it may take on the joint analysis of the liquid. Also for the diagnosis may need an X-ray of the affected joint. Splinting fix the joint, reducing the volume of his movements. The tire is imposed only by a specialist.
To reduce inflammation and reduce pain you may prescribe pain relievers (analgesics) and anti-inflammatories.
Warming and other physiotherapy treatments can reduce the discomfort and inflammation, in addition allow some relax your muscles, nerves and tendons.
In severe or recurrent bursitis can discuss the issue of holding joint capsule puncture (removal of abnormal excess fluid from the cavity bloated and increase in size of the joint) or bunionectomy (removal of damaged bursa).

Phlebeurysm

In case of insufficiency of venous valves or lowering the tone of veins gravity is sufficient to interfere with normal blood flow. In this case, the blood stagnates in the veins, causing the venous vessels themselves are deformed. These are called varicose veins.
General Information
It is known that the gravity effect on blood flow. The heart acts as a pump, which provides a constant circulation of blood. For circulatory organs located above the heart, gravity exerts a positive effect. However, in the vessels of the lower limbs force of gravity acts against the body. Sometimes failure of venous valves or with a decrease in venous tone gravity is sufficient to interfere with normal blood flow. In this case, the blood stagnates in the veins, causing the venous vessels themselves are deformed. These are called varicose veins.
They can usually be found in the calf muscles and the back surface of the knee. Approximately every tenth inhabitant of the planet is suffering from varicose veins. As a rule, women aged 30 to 60 years old with a birth defect of the venous valves. This disease leads as obesity, poor posture, the conditions under which a person is forced for a long time standing or sitting, pregnancy. At each of these states is extra pressure on the veins and blood flow in the lower limbs difficult.
Causes of Varicose Veins
- Absence of venous valves, their hereditary defects or damage, so that they can not prevent the reflux of the blood in the lower extremities, which in turn is caused by gravity. Thus, veins dilate blood and overflow;- Long stay in an upright position.- Obesity;- Increased pressure on the veins of the lower half of the body at a voltage of muscles during defecation, while weight lifting, pregnancy.
Symptoms of varicose
- Twisted, dark blue or purple flowers veins in the legs;- Irregular brownish pigmentation of the skin in the lower legs and ankles;- Intense pain in the legs;- Occasional occurrence of cramps in the muscles of the lower extremities;- Thickened vein;- Ulcerative defects of the skin of the legs or in the joints.Complications
- Eczema;- Skin ulcers;- Severe venous bleeding wounds of the lower extremities;- Thrombophlebitis (inflammation of a certain area of ​​the vein, which is accompanied by the formation of a blood clot).
What you can do
Without treatment measures varicose disappears. However, you are free to relieve pain and reduce discomfort in the following ways:
Avoid prolonged standing motionless in one place. Without exercise, the blood stagnates in diseased vessels, the pressure increases. All this leads to an accumulation of water in the feet, ankles and the lower portion of the tibia, which is accompanied by increase of pain.
Remember to move, to change the position of the body. When walking reduced calf muscles. In this case, the blood flows away quickly to the heart, thereby reducing the pressure in the veins. In addition, physical activity through the liquid is absorbed by the soft tissues faster and thereby reducing pain.
Wear special medical stockings or socks, so you let the fluid retention in soft tissues.
Do not sleep sitting up.
If you have a long time to sit, bend and unbend legs at the ankle joint to maintain blood flow. In travel, pay special attention to the condition of the feet. Do not sit long in one place. Every 45-60 minutes, get up and need to warm up.Do not sit close to the fire. Fixed position of the body in combination with a high temperature environment, which enhances the veins lead to fluid retention together and discomfort in the legs.
Take a bath in the evening. If a hot bath early in the morning, then it will re-expand the veins and fluid retention, and, hence, to the painful syndrome.
Suffering from varicose rasshireniemven without any heart disease may be advisable to sleep in a position where the feet are above the level of the heart. Thus, gravity drainage is carried lower extremities. Raise your legs above heart level 3-4 times a day for 5-10 minutes. This is especially useful for pregnant women. Do not eat a lot of salty foods, because in this case more fluid is retained in the body.

What can a doctor
Your doctor may prescribe drugs to facilitate or improve the condition of the tone of veins. However, in patients with severe varicose requires sclerotherapy or surgery.
Sclerotherapy is a special injection drugs, the effect of which leads to the law decay and overgrowing of varicose veins, which prevents reflux of blood.
Surgery is the removal of varicose veins (vein excision).If necessary, the doctor will prescribe treatment complications.