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Can Hair Loss Be a Sign of Something More Serious? NJHRC Blog

Hair loss is a condition experienced by millions worldwide. There are several reasons why one experiences hair loss, such as stress, medications, bad diet, excessive smoking, illnesses, hormonal imbalance, age, and family history. As per the American Academy of Dermatology, up to 80 million people in the United States are affected by hair loss due to family genes – a condition commonly known as androgenetic alopecia.

However, sometimes, there can be a possibility that your hair loss could be a symptom of an underlying health issue. Usually, in such cases, hair loss is accompanied by a host of other symptoms, including lethargy, muscle pain, skin rashes, weight loss/gain, fever, etc.

Let’s have a look at the causes and symptoms that could be warning signs your hair loss is something more serious:

1. Malnourishment or lack of nutrients

If your hair loss occurs along with symptoms such as lethargy, tiredness, or feeling sluggish, you may be having a deficiency of certain nutrients. For instance, if your body has zinc deficiency, you may also experience symptoms like weight loss, diarrhea, and lack of energy. Similarly, iron deficiency can cause symptoms like tiredness, brittle nails, hair loss, chest pain, and more. Hair loss can also occur as a result of malnourishment. Make sure you consume a diet rich in proteins and nutrients, such as fruits, green vegetables, nuts, and ample water.

2. Hypothyroidism

If you have been experiencing muscle aches along with hair loss, you might be suffering from a type of autoimmune hormonal imbalance called hypothyroidism. More common in women than men, this condition occurs due to reduced amounts of thyroid hormones being released into the bloodstream. Common symptoms of hypothyroidism include weight gain, muscle pain, thinning hair, low heart rate, fatigue, constipation, and hoarseness, among others. However, your doctor can suggest medications to treat this condition and replenish the thyroid hormones in the body.

3. Alopecia Areata

Alopecia areata is an autoimmune disease that causes the hair to fall out from the scalp, the face, and at times, from other parts of the body. This condition occurs when the immune system starts attacking the hair follicles, believing them to be dangerous, causing the hair to fall out. It causes small, circular bald patches on the scalp or other parts of the body. While Alopecia totalis results in complete hair loss from the scalp, Areata Universalis results in hair loss across the entire body, including the scalp, face, and even pubic hair.

4. Lupus

Lupus is another type of autoimmune disease that occurs due to the body’s immune system attacking its cells and tissues. This results in an inflammation that can damage various organs, including the skin, joints, kidneys, lungs, heart, and blood. The key symptoms of Lupus are skin rashes, fever, hair loss, swollen joints, along with fever, fatigue, body aches, headaches, shortness of breath, and dryness in the mouth. The full-body rashes caused by Lupus are a reaction to organs becoming inflamed.

5. Prescription medication

Certain prescribed drugs such as medications to control cholesterol, blood thinners, or antidepressants can cause hair loss as a significant side effect. Other medications that might cause hair loss include birth control pills, vitamin A supplements, blood pressure medication, medication for heart disease, gout medication, and drugs used to treat arthritis. If you are noticing hair fall due to prescription medications, let your doctor know so that they can prescribe you an alternate medicine.

Are you looking for the most affordable and comprehensive hair loss treatments? Contact our expert professionals and qualified hair transplant doctors at the New Jersey Hair Restoration Center for the appropriate customized treatment options for you.


See Also:

Unexplained Pain: Could Those Aches and Fatigue Be an Autoimmune Disease?

5. Sjogren’s Syndrome
With Sjogren’s Syndrome, immune cells attack and destroy the glands that produce tears and saliva, according to the National Institute of Neurological Disorders and Stroke.About 4 million Americans have Sjogren’s — women are nine times more likely than men to be affected. At its worst, the disorder damages the kidneys, lungs, liver, pancreas and brain. It frequently causes arthritis and fatigue, and less commonly, nervous system disorders, inflammation of the blood vessels and airways, and lung disease, says Aryeh Fischer, MD, co-director of the Autoimmune Lung Center of the Division of Rheumatology and ILD Program at National Jewish Health in Denver, Colo.Lymph nodes may swell and those with Sjogren’s have a higher risk of lymphoma. “We don’t know why people develop Sjogren’s,” Dr. Fischer says. “It’s probably a combination of genetic and environmental interactions.”Nearly everyone with Sjogren’s has dry eyes and mouth.“It’s important to distinguish it from dry eyes alone, because that symptom is so common in the general population,” Dr. Fischer says.The disorder sometimes accompanies other autoimmune diseases, most commonly rheumatoid arthritis and lupus. Other symptoms:

How to treat it:Women often discover they have Sjogren’s at the dentist or eye doctor, because mucous membranes and glands in the eyes and mouth show early symptoms.Optical tests can evaluate tear production and determine if chronic dry eye has damaged the cornea. A urinalysis can detect kidney problems and blood tests can confirm inflammation. But to be classified as Sjogren’s, a doctor must confirm autoimmunity – either by the presence of antibodies or by a salivary gland biopsy, Dr. Fischer says. Unfortunately, there’s no quick fix for dysfunctional glands. Special eyedrops, drinking more liquids, moisturizers and vaginal lubricants can help ease dryness. Prescription medications can increase saliva flow to keep the mouth moist and reduce cavities.Your doctor may recommend over-the-counter or prescription non-steroidal anti-inflammatory drugs (NSAIDs, such as ibuprofen or naproxen) for joint pain, as well as the anti-malarial Plaquenil. Immunosuppressants, such as Methotrexate, can treat complications in the lungs, blood vessel or central nervous system. Drugs used to treat rheumatoid arthritis also can help.

autoimmune disorders: Hairloss, severe mouth ulcers, skin rashes? Get yourself checked for autoimmune diseases

Low energy, sore joints, skin rashes and digestive issues affecting many people may have a not-socommon reason behind them — an autoimmune disorder.

The most common symptom of an autoimmune disease is inflammation; it comes to you in the form of recurring tummy troubles or a skin rash that won’t go away even after medication.

There’s a whole spectrum of autoimmune disorders like lupus, Sjogren’s syndrome, rheumatoid arthritis, vasculitis and ankylosing spondylitis, to name a few.

There are also others like type-1 diabetes, psoriasis, multiple sclerosis, Graves’ disease (resulting in hyperthyroidism), irritable bowel syndrome and myasthenia gravis, said Dr Raja Indana, internal medicine and lead — care team, mfine.

Be Cautious This Season: Superfoods To Boost Immunity And Keep You Healthy

Immunity-Boosting Foods

Monsoon is here and so are the diseases. The change in season can result in various viral infections, flus and poor health conditions.

The tricky season can lead to various health problems like sore throat, itchy nose, sneeze, ceaseless cough, common cold, and many water-borne diseases like typhoid, gastroenteritis, food poisoning, diarrhoea, malaria and dengue.

While regular exercising and staying hydrated is important, it is crucial to consume the right foods to strengthen your immunity and beat the illness this season.

Dolly Kumar, founder and director of Gaia; Eesha Kanade, Obino’s health coach; Luke Coutinho, MD in alternative medicine & holistic nutritionist; and holistic health guru Dr Mickey Mehta share a list of best immunity-boosting foods that will keep you healthy.

Honey

Hony is the best remedy to cure a sore throat. Grate half a ginger, add a spoonful of honey and you have the perfect home-made remedy for sore throat. Rich in vitamins, minerals and antioxidants, it is a great substitute to sugar. It is also cholesterol-free and sodium-free. A spoonful of honey in warm water is one of the perfect ingredients to solve many of your health problems like high blood pressure, blood purification, etc.

Neem

Neem helps boost your immune system while cooling down your body internally. It possesses both anti-bacterial and anti-fungal properties that help keep your skin clean, radiant and healthy. Neem also has blood-purifying properties. It helps clear toxins and impurities from the blood leaving you with a strengthened immune system.

Oatmeal

Keeping yourself nourished from the inside is very important. Indulge in a hearty bowl of oats. Rich in dietary fibre and protein, oats are a low-calorie food that keeps you fuller for longer. It also helps manage cholesterol levels, maintain healthy body weight, and reduce the risk of blood sugar and diabetes.

Green Tea

Green Tea contains powerful anti-oxidants and nutrients that help regulate blood sugar, improve brain function and enhance metabolism. This ’super-drink’ also has essential minerals, bioactive compounds and fat-burning qualities. It also helps in increasing the detoxification process in the body and aids in weight loss.

MORE WOMEN SUFFERERS

Doctors say that autoimmune diseases are increasing nowadays, especially among women.

Indana said: “Yes, autoimmune diseases are on the rise. Women get autoimmune diseases at the rate of about 2:1 compared to men, 5.4% of women vs 2.7% of men. The disease often starts during a woman’s childbearing age.”

Majority of the autoimmune diseases indeed affect more women than men. “It is because of the female hormones that drive them. When you look at the relative numbers, women get them more than men but it doesn’t mean that men are not completely exempted from these diseases,” said Dr Ramesh Jois, consultant rheumatologist, Vikram Hospital, Bengaluru.

According to Dr Shalini Joshi, senior consultant, internal medicine, at Bengaluru’s Fortis Hospital, “lupus is about nine times more common in women than in men. This increased susceptibility may be made possible, at least in part, due to differences related to hormones and sex chromosomes. However, to what extent these sex differences contribute to the development of lupus is largely unknown.”

Calm Nerves, A Healthy Heart: Ladies, Here Is The Health Guide To Swear By

Me Before You

A selfless mother, an affectionate daughter, a dutiful wife or top boss; no matter what role a woman plays in everyday life, she does so with utmost passion. From managing the house to being running the show at work, and yet taking out time to spend quality moments with family and friends, women manage to do it all.

But in all the hustle, they often forget themselves. Making yourself a priority is not at the top of their list, and health gets taken for granted.

However, it is extremely important to care for the self as for others, and to start taking care of your health.

Dolly Kumar, Founder & Director at Gaia, shares 5 tips for women to stay healthy.

Stay Calm And Sip Tea

Relaxing is the mantra to lead a more balanced life. With a plate always full, it is important to take out some time to relax your nerves. And what better than a warm cup of camomile tea?

Camomile infusions are made from the flowers and are naturally caffeine-free. With a sweet aroma and light and earthy flavour, this refreshing drink is perfect to calm the nerves.

Sweeth Tooth?

We know excess of anything is bad, and too much of sugar is never a good idea.

But we all need some sweetness in our lives, don’t we? So why not choose a healthy alternative instead, which is in fact 30 times sweeter than sugar?

Stevia is a 100per cent natural low-calorie sugar substitute. Also known as meethi tulsi, as it is obtained from natural herbs, it does not contain aspartame. It has absolutely no side effects and very little or no after-taste unlike other extracts.

Now add stevia to your daily cup of tea, coffee, lemonade, lassi and enjoy sweetness without guilt.

Healthy Joints, Happy Joints

Joint pain, even now and then, can inhibit your daily performance at work or at home.

While a visit to the doctor is a must, consuming a capsule of Glucosamine twice a day can help restore healthy joint performance.

Glucosamine, a natural compound and an essential component required for maintaining healthy joint performance, helps build new cartilage and protects the existing cartilage. It also helps the body to repair damaged and eroded cartilage while lubricating the joints and stimulating synovial fluid production. It aids in getting relief from joint pain and immobility, providing analgesic & anti-inflammatory effect.

Snack Smart

Maintaining your energy level helps to keep going throughout the day.

Granola bars are a great snacking option and also help keep you energised. A delicious mix of rolled oats, muesli, chocolate and honey; this wholesome bar can be enjoyed anytime, anywhere.

Packed with a variety of nutrients, these bars come in various flavours.

WHY DOES IT HAPPEN?

Immune system disorders can happen to anyone at any age. There are dozens of autoimmune diseases, which occur when the immune system mistakenly attacks the body’s own organs and tissues.

“When something goes wrong with the immune system and it starts attacking its own healthy cells, it is called autoimmune response. The body’s immunity when functioning normally will kill germs and potentially harmful cells which could turn into cancer,” Joshi said.

Studies have shown that genetics and environmental factors cause autoimmune diseases. With the rapid increase in autoimmune diseases, it clearly suggests that environmental factors too are at play along with unhealthy lifestyles, Joshi said.

Physical and psychological stress has been implicated in the development of autoimmune disease. Unfortunately, not only does stress cause the disease, but also the disease itself causes significant stress in the patients, creating a vicious cycle, she added.

However, Indana said the exact cause of autoimmune disease is not known, although there exist many theories about what leads to the malfunction. Some of the factors are environmental irritants, bacteria or virus, chemical irritants and drugs. It has also been seen that autoimmune disorders mostly run in families, he said.

The Ultimate Healthy-Eating Guide: Snacks That Will Help You Stay In Shape

Your Mondays To Fridays Are Sorted!

Diet food contains fewer calories, and serves as a healthier alternative to conventional snacks such as potato chips, burgers and other fast food.

Experts at salebhai.com have listed some of the healthy diet snacks and food that could be consumed on different days of the week.

No More Monday Blues

Diet beaten rice (chivda) is a mixed snack popular across India and often served with hot beverages. It is made of ingredients such as flattened rice, dried peas, raisins, and so on.

Available in different combinations,it is a healthy treat as most of the ingredients are either dried or baked, and contain little to no oil or fat.

Tasty Tuesdays

While fried potato chips top the list of unhealthy foods in the world, its diet version is the opposite, without compromising on taste. Diet potato chips are mostly baked and use little to no oil, and make for a yummy snack between meals.

Wednesday Wellness

Beaten rice (chivda) is the main ingredient in poha. When lightly roasted, it can be mixed with various spices and consumed as a healthy snack all through the day.

Thursdays Just Got Yummier

A container of masala chickpeas packs several vitamins, minerals, dietary fibre and protein, keeping one fuller for longer.

WATCH OUT FOR THE SIGNS

The majority of these diseases mostly affect youngsters, Jois said. The most important symptoms are pain or swelling in the joints, difficulty in bending your fingers (joint stiffness) early in the morning and being unable to walk. “If you leave this untreated, this will become a bigger problem when it spreads to other organs of the body. In fact, diseases like lupus first start in other organs and then come to the joints. For example, people get skin rashes, eye inflammation, suffer hair loss, severe mouth ulcers — all these diseases become very complicated as they can affect any part of the body,” he said.

“A person suffering from such ailments can have one or more symptoms ranging from headaches, fever, joint pains, stiffness to difficulty in breathing, chest pain and losing weight at times. Sometimes, the patient experiences tiredness, fatigue, mouth sores and loss of hair, but because of the non-specific nature of the symptoms, they fail to seek medical attention and try to do self-medication,” explained Joshi.

Jois said: “We are increasingly recognising autoimmune diseases nowadays because of better diagnosis and better awareness among doctors. These diseases have been there for generations; now we have trained specialists designated for these diseases. There are improved tests available to give more specific diagnosis and improved medications.”

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DON’T TAKE SYMPTOMS LIGHTLY

Autoimmune diseases cannot be prevented, said Jois. But early recognition and treatment is important. Once you can manage it with medication, you can arrest the spread of the diseases to other organs. For example, lupus can spread to the kidneys. In fact, for a woman with lupus, there’s a 60% chance of developing kidney disease during her lifetime. So, recognising the problem early is important, Jois said.

LOWER THE ODDS

Joshi said the best thing you can do is to lower your chances of getting lupus or other autoimmune diseases by focusing on maintaining a healthy body through regular exercise and dietary habits. Avoid smoking tobacco and consuming alcohol. Make sure you keep yourself hydrated, eat lots of fruits and vegetables instead of packaged drinks and processed foods.

Superfoods To The Rescue! Get Your Dose Of Health-Boosting Antioxidants

Stay Healthy With An Antioxidant-Rich Diet

Some diet foods are full of antioxidants, essential nutrients. Food items like sabja (sweet basil) seeds and coconut water are easily accessible options, say experts.

Inputs by Rashida Sidhpurwala, consulting Nutritionist at UrbanClap, website for lifestyle services:

Goodbye Bloating!

Curd

For all those who suffer from constipation, gas and acidity, this one is an absolute must-have on a daily basis.

However the curd must be set at home.

This allows the essential fats, the vitamin D and the vitamin B along with the B12 to be retained.

Curd strengthens the intestines, reduces acidity attacks and keeps the bloating down.

Metabolism-Boosting Miracle

Cucumber

An alkaline body will have the best metabolism and will stay away from manifesting or developing diseases so make sure to include this super hydrating vegetable in your diet, every day.

Surprising Health Benefits

Sabja (sweet basil) seeds

Not just a quick detox, but an instant cooler and bloating reliever.

Spice For Life!

Cinnamon

This spice has a plethora of benefits that include super anti-inflammatory power and reduction of arthritic pain.

Not only does it help curb low-density lipoprotein (LDL) and blood sugar levels drastically but chewing a small piece of it also helps keeps sweet cravings at bay.

AUTOIMMUNE PROTOCOL DIET

A recent, food-based approach, the Autoimmune Protocol (AIP), helps heal the immune system and gut mucosa. This approach is said to help eliminate inflammation.

According to Indana, foods to include in AIP diet are meat and fish (preferably not factory raised), vegetables (but not nightshades such as tomatoes, eggplants, peppers and potatoes), sweet potatoes, fruits (in small quantities), coconut milk, avocado, olives, coconut oil, dairy-free fermented foods, honey or maple syrup (but only to be used occasionally, in small quantities), fresh non-seed herbs such as basil, mint and oregano, green tea, bone broth, and vinegars such as apple cider and balsamic.

Foods to avoid are grains such as oats, rice and wheat, all dairy, eggs, legumes such as beans and peanuts, all sugars including sugar replacements (except for occasional use of honey), butter and ghee, all oils (except for avocado, coconut and olive), food additives and alcohol.

International Yoga Day: Asanas For Women To Stay Youthful, Happy And Healthy

For A Healthy You!

As women venture into new terrains, also performing duties in their traditional mould, striking a balance is important to stay healthy. Yoga can help them in a big way to achieve this.

Akshar Nath, Chairman of Akshar Yoga, shares a few dynamic asanas for maintaining a youthful, happy and a healthy body for women across all ages.

NOTE: While every woman irrespective of her age can perform all these asanas, women with fluctuating blood pressure or those under medical surveillance are not advised to do these.

Also read: Pranayama – use the power of your breath to stay healthy

Padahastasana

Padahastasana is a combination of two Sanskrit words — pada (foot) and hasta (hand). As the name itself suggests, this asana involves a crisp forward bend that strengthens the muscles of the limbs as well as the core and promotes good form.

Hasta Uttanasana

Hasta Uttanasana is a raised arm pose, that expands the chest and rib cage, thus helping in full intake of oxygen that plays an important role in preventing the skin from loosening.

Halasana

The asana which gets its name from the plough, is a perfect exercise that helps in treating reproductive problems. This pose increases the blood flow to the abdominal organs and helps stimulate the thyroid and parathyroid glands too. Hence this pose is strongly recommended for ageing women.

Sarvangasana

Sarvangasana means the asana for the entire body. This shoulder stand pose is often termed as the mother of all poses. Along with many other benefits, this asana helps remove toxins and other waste products from the blood, thus preventing many diseases related to the skin. It prevents wrinkles, pimples and helps delay ageing signs. It facilitates adequate blood supply to the forehead region due to which it works great for facial problems.

Recovered COVID-19 patients report hair loss months after infection

The coronavirus disease (COVID-19) causes a multitude of complications of patients. Several studies have shown that those who recovered from the infection had lung problems and heart issues.

Now, a string of patients has reported an unusual complication after recovering from the coronavirus disease – hair loss.

Image Credit: carol.anne / Shutterstock

Several members of Survivor Corps, the Facebook support group of people who have had COVID-19, recently tackled about experiencing hair loss months after recovering from the wrath of the severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2).

“Any extreme hair loss months after infection? I had COVID-19 in March, started having huge hair loss/turnover in June. I have a ridiculous amount of hair, so no balding or anything like that, but I’m losing a lot,” one of the group members said.

While the U.S. Centers for Disease Control and Prevention (CDC) has information on when it is alright to end home isolation after a COVID-19 infection, there is limited data on the lasting side effects of the illness.

In one letter published in JAMA, a team of researchers studied data from 143 patients who recovered from COVID-19 and discovered that 44 percent said they had a worsened quality of life. Many recovered patients report lingering cough, fatigue, joint pain, difficulty of breathing, and chest pain. However, there was no single report on hair loss.

Some experts are left baffled on how COVID-19 could cause hair loss after recovery.

“Hair loss is a well-described phenomenon after any physiological stress on the body,” Dr. Amesh A. Adalja, infectious disease expert and senior scholar at the Johns Hopkins Center for Health Security, said.

COVID-19 and hair loss

What may have caused hair shedding in patients who had COVID-19? Doctors believe that hair loss can be tied to telogen effluvium, a temporary condition where people experience excessive hair shedding after a stressful life event.

About 85 to 90 percent of the hair on a healthy person’s hair is in the anagen phase or the active stage of growth. The rest of the hair is in a resting phase, also known as the telogen phase. Hair shedding is normal since the hair remains in the anagen phase for about two to four years, then go into the telogen phase, where they fall out to be replaced by new ones.

In the condition called telogen effluvium, more hairs are going into the resting phase, resulting in more hair falling out, particularly from the top of the scalp. Some of the factors that may cause this condition include major surgery, significant stress, physical trauma, extreme weight loss or sudden dietary changes, high fever or severe illness, sudden hormone changes, hypothyroidism, hyperthyroidism, and iron deficiency, among others.

According to Dr. Esther Freeman, the one in-charge of the Dermatology COVID-19 Registry, a database of dermatologic manifestations of COVID-19 that has 1,000 cases from 38 countries, said there had been a growing number of people reporting hair loss after recovering.

She noted that hair loss is not a surprising phenomenon since people start to see hair loss about three months after getting sick or a stressful life event. The recovered patients reported hair loss early in July, and they were infected between April and May.

What to do

While hair loss related to a stressful even is just temporary, it can be stressful. Doctors recommend to have proper nutrition, especially eating foods rich in iron and vitamin D. Further, hair loss supplements can help restore hair health, reducing hair fall.

Telogen effluvium is painless and does not involve other symptoms such as itchiness and scaling. However, when patients experience hair loss with other symptoms such as a burning sensation in the scalp, they need to be evaluated by a dermatologist.

The coronavirus pandemic has now affected 188 countries and territories across the globe. The number of cases has reached 18.73 million, with a death toll of more than 706,000. Of these, the number of people who have recovered has surpassed 11.3 million people.

Sources:

Journal reference:

Causes, Symptoms, Diagnosis & Treatments

Overview

What is Sjögren’s syndrome?

Sjögren’s syndrome is a lifelong autoimmune disorder that reduces the amount of moisture produced by glands in the eyes and mouth. It is named for Henrik Sjögren, a Swedish eye doctor who first described the condition. While dry mouth and dry eyes are the primary symptoms, most people who have these problems don’t have Sjögren’s syndrome. Dry mouth is also called xerostomia.

There are two forms of Sjögren’s syndrome:

  1. Primary Sjögren’s syndrome develops on its own, not because of any other health condition.
  2. Secondary Sjögren’s syndrome develops in addition to other autoimmune diseases like rheumatoid arthritis, lupus and psoriatic arthritis.

Who might get Sjögren’s syndrome?

An estimated one to four million Americans have Sjögren’s syndrome. The disease affects people of all races, ethnicities and ages. However, women are nine times more likely to develop this condition than men.

Symptoms and Causes

What causes Sjögren’s syndrome?

Sjögren’s syndrome is an autoimmune disease, which means something triggers your immune system to attack healthy cells. This attack damages the tear system in your eyes and the salivary glands in your mouth.

Exactly what causes this abnormal immune system response is not clear. These factors may play a role:

  • Environmental factors.
  • Genetics.
  • Sex hormones (the condition affects more women than men).
  • Viral infections.

What are the symptoms of Sjögren’s syndrome?

In addition to extremely dry eyes and mouth, some people experience muscle pain and joint pain all over the body, similar to fibromyalgia. Other symptoms include:

Diagnosis and Tests

How is Sjögren’s syndrome diagnosed?

If you have dry mouth, dry eyes or other signs of Sjögren’s syndrome, your doctor may use these methods to confirm a diagnosis:

  • Blood tests: These tests detect specific antibodies in the blood. They look for anti-nuclear antibodies (ANA), anti-Sjögren’s syndrome antibodies (anti-SSA, also called anti-Ro) and anti-Sjögren’s syndrome type B (anti-SSB, also called anti-La). A blood test can also detect rheumatoid factor, an antibody found in many people who have rheumatoid arthritis.
  • Biopsy: Your doctor may remove tissue or cells from a salivary gland or the inside of your lip. This biopsy sample goes to a lab to check for signs of inflammation.
  • Eye exam: An eye specialist, such as an ophthalmologist, can measure tear production. During an eye exam, your doctor will examine the cornea, the clear part of the eye, for dryness.
  • Imaging tests: These include sialometry, which measures how much saliva you produce by using X-rays that can see dye injected into salivary glands. There is also salivary scintigraphy, a way to track how long it takes for a radioactive isotope to travel from an injection point in your vein to your salivary glands.
  • Health history: If you have a pre-existing autoimmune disease, plus dry eyes and dry mouth, your doctor may conclude that you have developed secondary Sjögren’s syndrome.

Management and Treatment

What kind of a doctor treats Sjögren’s syndrome?

Many types of doctors might be involved in your care if you have SS. These include your own primary care provider, your dentist, and specialists such as rheumatologists, ophthalmologists and otolaryngologists, also called ear, nose and throat (ENT) doctors.

How is Sjögren’s syndrome managed or treated?

There is no cure for Sjögren’s syndrome, but treatments can relieve symptoms. Depending on your specific issues, your doctor may recommend one or more of these therapies.

Treatments for dry eyes:

  • Artificial tears: Over-the-counter artificial tear eye solutions and artificial tear eye ointments moisturize dry eyes. These products relieve irritation and discomfort.
  • Prescription eye drops: Cyclosporine (Restasis®) and lifitegrast (Xiidra®) prescription eye drops soothe inflamed tear glands and stimulate tear production.
  • Punctal plugs: An ophthalmologist inserts tiny silicone plugs into the tear ducts. The plugs block the ducts so tears stay on the eyes, keeping them wet.
  • Surgery: If punctal plugs work for you, your doctor may recommend surgery to close the tear ducts permanently.
  • Autologous serum drops: Your doctor can make customized artificial tears. The process involves mixing your blood serum (a clear liquid separated from your blood) with a sterile liquid solution. You receive a one-of-a-kind tear substitute unique to your body. While effective, the pricey treatment isn’t always covered by insurance.

Treatments for dry mouth:

  • Saliva producers: Products such as gum and hard candies that contain sweeteners like sorbitol or xylitol can stimulate saliva production. You can also use an over-the-counter or prescription saliva substitute. Prescription products include sorbitol oral lozenges and sorbitol oromucosal solutions (solutions that are directed toward the cheeks).
  • Prescription medications: Pilocarpine (Salagen®) and cevimeline (Evoxac®) pills increase the natural production of saliva.
  • Dental care: A dry mouth increases the risk of dental cavities, infections and tooth decay. Your doctor may recommend a prescription toothpaste and mouthwash, as well as regular fluoride treatments.

Treatments for joint or organ problems:

  • Over-the-counter pain relievers: Acetaminophen (Tylenol®) and nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen (Motrin®) and naproxen (Aleve®), can relieve joint pain and muscle aches.
  • Anti-rheumatics: Hydroxychloroquine prescription pills can diminish pain from rheumatoid arthritis or lupus. This medication may also reduce salivary gland swelling.
  • Immunosuppressants: These prescription medications slow the immune system’s response. They lessen inflammation and prevent organ damage.
  • Steroids: Prednisone prescription pills soothe inflammation of the joints, skin and organs.
  • Antifungals: These medications treat yeast overgrowth in your mouth (oral thrush) or in your vagina (vaginal yeast infection).

Treatments for vaginal dryness:

If your vagina is always dry, itchy and sore, you should check with your healthcare provider to make sure that the issue is not something more than hormonal changes. You might have some type of infection or skin issue. These conditions would require specific treatments. In general, though, women with Sjögren’s syndrome are two to three times more likely to have issues with vaginal dryness and atrophy than women of similar ages around and after menopause. Tips for helping with everyday vaginal dryness include:

  • Trying vaginal moisturizers or lubricants to add moisture to the vagina daily and to ease sexual intercourse.
  • Using unscented soaps for cleansing. Perfumes and other additives can cause irritation.
  • Asking your healthcare provider about vaginal estrogen therapy.

What are the complications of Sjögren’s syndrome?

Most people who have Sjögren’s syndrome live their lives without any significant problems. However, a dry mouth means that you are more likely to have dental problems, such as tooth decay and infection. Dry eyes can also place you at risk for eye infections.

If you have secondary Sjögren’s syndrome, you may also have problems like joint paint caused by rheumatoid arthritis or lupus.

Rarely, people with Sjögren’s syndrome develop these complications:

  • Abnormal liver or kidney function.
  • Lymphomas (cancerous tumors in the lymph nodes).
  • Lung problems that may be mistaken for pneumonia.
  • Neurological problems that cause weakness or numbness.
  • Skin rashes (red skin).

Prevention

How can I prevent Sjögren’s syndrome?

Because no one knows exactly what causes Sjögren’s syndrome or other autoimmune diseases, there is no known way to prevent it.

Outlook / Prognosis

What is the prognosis (outlook) for people with Sjögren’s syndrome?

Constantly having a dry mouth or dry eyes is certainly uncomfortable. Fortunately, symptoms tend to lessen over time. With the right therapies, you can manage symptoms so they do not interfere with your ability to enjoy life.

Does Sjögren’s syndrome cause weight gain?

Sjögren’s syndrome doesn’t cause weight gain. However, medications (like steroids) used to treat symptoms may cause weight gain. Also, there are conditions like hypothyroidism that may be linked to Sjögren’s syndrome that can result in unintended weight gain.

Does Sjögren’s syndrome affect ears?

Sjögren’s syndrome, like other autoimmune conditions, can affect ears, too. You might have trouble with hearing loss or with balance.

Living With

What should I eat if I have Sjögren’s syndrome? What foods should I avoid?

An estimated 90% of people with Sjögren’s syndrome have problems related to eating. In some cases, these problems can be enough to cause malnutrition. Troubles can be related to dryness and swelling of the throat, as well as intestinal tract or nerve damage. There also seems to be a significant number of people who have both Sjögren’s syndrome and celiac disease and/or symptoms of irritable bowel syndrome (bloating, abdominal pain, diarrhea and/or constipation).

If you have gastrointestinal symptoms, you can work with a registered dietitian (RD) to find out what food sensitivities you have. An RD can then also help you to create a food plan that works well for you and provides the nutrients you need.

Problems with gastroesophageal reflux (GERD) are also common among people in general and among people with Sjögren’s syndrome in particular. Your care team can provide you with tips for dealing with GERD. These might include not eating two to three hours before you lie down to sleep and avoiding greasy foods.

There are some recommendations that people who have autoimmune disorders like Sjögren’s syndrome should follow an anti-inflammatory diet to help with joint pain and other symptoms. Some people have found relief from a completely plant-based diet.

Here are some tips that might help you manage other types of eating issues:

  • Eat smaller amounts of food at one time, but eat more frequently throughout the day.
  • Include soft foods in your diet.
  • Be sure to chew your food completely.
  • Avoid cavities by reducing the amount of sugar you eat and drinking only water before you go to bed.

Is Sjögren’s syndrome considered a disability?

The U.S. government has awarded disability to people with severe cases of Sjögren’s syndrome. However, this is a question that you should discuss with your healthcare provider to see if you are eligible.

Does Sjögren’s syndrome cause hair loss?

If you have Sjögren’s syndrome, you might see some hair loss, and it might be as a result of the condition. There is a condition known as frontal fibrosing alopecia that is being found in higher numbers in people (mostly women) with autoimmune diseases. This condition causes slow hair loss at the front hairline and sometimes the eyebrows.

However, hair loss can be triggered by many things, including stressful life events and medications. You should ask your dermatologist about problems with hair loss.

When should I call the doctor if I have Sjögren’s syndrome?

Severe mouth or gum pain could indicate infection or tooth decay. Itchy eyes, eye pain, or blurred or double vision can signal infections or other vision problems. You should also call your doctor if you notice swollen lymph nodes in your neck, armpits or groin. Enlarged lymph nodes could indicate lymphoma or another health condition.

What questions should I ask my doctor if I have Sjögren’s syndrome?

If you have Sjögren’s syndrome, you may want to ask your doctor:

  • What lifestyle measures can I take to make my symptoms more livable?
  • Can certain medications, drinks or foods dry out the eyes or mouth?
  • Should I look out for any signs of complications?

A note from Cleveland Clinic

While there isn’t a cure for the dry mouth, dry eyes or other problems caused by Sjögren’s syndrome, you don’t have to live with discomfort or pain. Talk openly with your healthcare provider about how the disease affects your everyday life. Eating, swallowing, speaking and seeing are all critical for enjoying life. Your provider can help you find the right combination of therapies to relieve symptoms.

When Hair Loss Can Be Dangerous

Author: Kate

Hair loss and baldness may not seem like such a big deal, it’s a natural process that affects a lot of people and besides, hair is just there to look pretty right? Fortunately, our hair has more purpose than you may think. It can act as a warning signal to notify us of something wrong inside the body and any disruption in hair growth patterns should be addressed.

Not all forms of hair loss are the result of genetics or old age, in fact, excessive hair loss or unusual hair thinning can sometimes be a symptom of a disease, especially if you have always had healthy, thick hair.

Coeliac Disease

Coeliac disease is a condition of the small intestine where a reaction to gluten causes inflammation in the lining of the gut. This stops the gut from working properly and absorbing foods properly and causes symptoms including abdominal pains, tiredness and weight loss. Another common symptom is hair loss. Coeliac disease has been linked to alopecia areata (an autoimmune hair loss condition where the body’s immune system mistakenly attack the hair follicles) but thinning hair and hair loss could also be a result of the nutritional deficiency caused by the disease itself as it can cause malabsorption of vitamin B12 and folate (pernicious anaemia).

Malnutrition

Malnutrition occurs when the body is not given enough nutrients to sustain normal function. Extreme dieting or problems with the body’s digestive and absorption processes can lead to hair loss through malnutrition, resulting in telogen effluvium and diffuse hair loss. Depending on which vitamins, minerals, and nutrients are lacking, many different symptoms can occur but iron, protein, biotin, sulphur, silica, B vitamins and zinc are especially important to hair health.

Cushing Syndrome

Cushing’s syndrome develops if your body makes too much cortisol. Cortisol is a hormone which is made by the adrenal glands. Symptoms usually develop gradually, and so the diagnosis may not be clear for some time. There are various causes, and complex tests are needed to find the root cause of the excess cortisol. The syndrome itself won’t cause hair loss but if Cushing syndrome is the result of a non-cancerous tumour on the adrenal gland, it can also produce excess amounts of androgen which can lead to hair loss. Other symptoms include high blood pressure, facial hair in women, muscle weakness, tiredness, low libido, excess thirst and periods may become irregular or stop in women.

Thyroid Diseases

The thyroid gland produces hormones that help control metabolism and growth. If the thyroid is overactive (hyperthyroidism) or underactive (hypothyroidism), the body’s metabolic rate will become imbalanced, resulting in sluggish functions of major bodily systems. If the hair growth lifecycle is affected, thinning hair or hair loss can occur.

Systemic Lupus Erythematosus

Systemic lupus erythematosus, commonly called Lupus, is a chronic disease that causes inflammation in various parts of the body and affects about three in 10,000 people in the UK. Symptoms vary but the most common are joint pains, skin rashes and tiredness. In some instances the inflammation can interfere with the hair growth lifecycle, resulting in thinning hair or temporary hairloss.

What Should You Do?

Sudden hair loss is never a good sign but the main problem with disease-related hair loss is that other symptoms may be rare.  If you’re the type of person who’s happy to accept their fate rather than look into the cause, a bad hair day might be the least of your worries.

In cases where hair loss is a symptom rather than a condition, the shedding can generally be cleared up once the cause is addressed. This can occur naturally within a few months for some cases, though if it is more long-term or permanent – for instance where a temporary hair loss condition in someone with a genetic predisposition has triggered permanent Male or Female Pattern Baldness, then there are various options for hair loss treatment courses.

Unfortunately, in a lot of cases, people experiencing thinning hair tend to make a self-diagnosis and high-tail it to the supermarket to pick up the latest herbal remedy for hair growth. Not only are they wasting their money on a product that probably isn’t clinically proven to treat hair loss, they’re avoiding dealing with a potentially much more a serious condition.

Prompt professional diagnosis is needed if you do notice a sudden increase in hair fall. A medical professional will be able to rule out any hidden medical disorders. Usually, once the underlying medical condition is treated, the hair loss will stop and hair growth supporting products may help to improve hair strength and quality, as well as promoting the maintenance of normal healthy hair growth.


The Belgravia Centre

The Belgravia Centre is the leader in hair loss treatment in the UK, with two clinics based in Central London. If you are worried about hair loss you can arrange a free consultation with a hair loss expert or complete our Online Consultation Form from anywhere in the UK or the rest of the world. View our Hair Loss Success Stories, which are the largest collection of such success stories in the world and demonstrate the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time for our hair loss helpline or to arrange a free consultation.


After Covid-19, some survivors experience ‘heart-wrenching’ hair loss

When Stacey Maravola’s hair started falling out in clumps two months after she tested positive for Covid-19, she was not initially concerned.

“I washed my hair one day and I’m pulling handfuls upon handfuls. And I’m like, ‘Maybe because it was up in a scrunchie,’” Maravola, 44, of Leetsdale, Pennsylvania, said.

But nearly two months later, the hair loss has not stopped. Each time Maravola, a health and lifestyle coach, shampoos her hair, fistfuls come out, getting tangled around her fingers and sticking to her legs as she showers.

“I’ve had to limit hair washes because I’m terrified,” she said. “I’m not a big emotional person, but I can tell you, this has changed me. I cry every single time I take a shower.”

Stacey Maravola, seen in September after a haircut that she hoped would help with her hair breakage and loss.Courtesy Stacey Maravola

Maravola is one of many coronavirus survivors dealing with dramatic hair loss, something that experts say is not entirely unexpected following a serious illness — but can be jarring nonetheless.

“It is upsetting, especially for those who have gone through a significant clinical course of Covid, to then experience this as well,” said Dr. Sara Hogan, a dermatologist and health sciences clinical instructor at the David Geffen School of Medicine at the University of California, Los Angeles. “But oftentimes, patients, once they have a diagnosis and they understand that typically this will get better, they feel better.”

Sudden hair loss can happen after any stressful event, including major surgery or even an emotional stressor such as starting a new job, Hogan said. The pandemic appears to have led to a large uptick in people who are seeing their hair thinning, she said: Hogan used to see an average of three to five hair loss patients a week and now sees up to seven a day.

Related

Why severe assaults to the body or mind sometimes trigger hair loss is not entirely understood. In the majority of these cases, the patient is diagnosed with telogen effluvium, a temporary condition in which he or she sheds many more hairs than the typical 100 or so that people lose in a day. Telogen effluvium usually begins about three to six months after the stressor has happened, and in most patients, the problem will resolve within four to six months, according to Hogan. (In rare cases, unremitting stress can lead to chronic shedding, she added.)

Researchers do not believe Covid-19 attacks the hair follicles, meaning the hair loss is the body’s reaction to the physiological and emotional stress that the disease caused, rather than a symptom of the disease itself. And many hair loss patients that Hogan and other dermatologists are currently seeing have never had the coronavirus to begin with.

“It’s just all the other tolls of the pandemic that are leading to the hair loss,” such as financial worries or grieving the death of a family member, said Dr. Lauren Kole, an assistant professor of dermatology at the University of Alabama at Birmingham School of Medicine.

Hair loss following Covid-19 came into the spotlight in August when the actress and activist Alyssa Milano shared a startling video of the amount of strands she was losing when she brushed her hair.

“Thought I’d show you what #Covid19 does to your hair,” she wrote. “Please take this seriously.”

Maravola was diagnosed with the coronavirus on July 5, and had a fever for a couple of days, plus a headache and loss of appetite. While the illness was fairly mild, she has had a constellation of enduring health issues since then, including debilitating fatigue, joint pain and rashes.

Seeing her thick, black hair coming out in bunches was one of the more upsetting developments.

In September, Maravola shared a picture of her hair loss with an online support group for so-called “long haulers” — coronavirus survivors struggling with lingering symptoms — and was surprised to receive nearly 200 comments from others who said they could relate.

Stacey Maravola’s hair loss after a shower. This photo was taken in September, when she first started losing hair by the fistful.Courtesy Stacey Maravola

“It was, for me, reassurance,” she said. “I thought, at first, I was going crazy.”

There are various treatments for telogen effluvium, including supplements and topical treatments like Rogaine, although some patients are hesitant to take Rogaine because it will initially cause hair to shed more, Hogan said.

Both she and Kole recommended that anyone with new or worsening hair loss go to a board-certified dermatologist to rule out other causes, such as thyroid problems or side effects from medications. A dermatologist can also decipher whether the hair loss is due to telogen effluvium or something else, such as alopecia areata, an autoimmune disorder.

Maravola said connecting with other people who have gone through the same thing has helped her to cope with her hair loss.

“It is heart-wrenching,” she said, her voice breaking. “You have to find your support system, whether it’s on Facebook, or family and friends, because it’s scary.”

90,000 Virus stays with a person – Society – Kommersant

As soon as scientists and physicians began to understand the nature of COVID-19, a new mystery appeared – postcoid syndrome. Experts agree that from 30% to 60% of patients face various types of malaise after an infection. Thus, in Russia, the problem may concern about 2 million people. Symptoms such as shortness of breath, weakness, fatigue, anxiety persist in 30% and six months after clinical recovery.People describe strange conditions, counting on the help of specialists, but doctors can only offer them relaxation techniques and antidepressants.

First one, then another

48-year-old Muscovite Irina Avdina contracted coronavirus a year ago. The disease, she says, was difficult: 50 percent lung damage, terrible headaches and weakness. Ms. Avdina took antibiotics prescribed by her doctor for three weeks, and according to all key indicators, the infection has passed, but the woman still feels unwell.

“As the sight has fallen, it does not return. The sense of smell returned by about a third. I think the central nervous system is affected, as irritability, frequent nervous breakdowns, twitching appeared – either the leg twitches, then the hand, or else the whole of me will shake. Now the pancreas hurts, the joints hurt, for no reason, red dots appeared all over the body, ”says Irina Avdina. She also notes problems with the liver, heart and a violation of thermoregulation: “All my life I was a cold, and now in one second I am covered with sweat and is ready to throw off everything along with the skin.”

Such attacks, according to Mrs. Avdina, on the worst days there are up to fifty.

At the same time, all the tests, including hormones, she has good – and the doctors shrug their shoulders. On the advice of a friend, she turned to a medical center that offers rehabilitation after the coronavirus. However, she was denied treatment, explaining that they were “interested in people who had recovered a few months ago.” Irina Avdina no longer turns to specialists for help, as she is tired of “calling, rushing and begging.”

An outlet for a woman in this situation was the community on Facebook “Atypical coronavirus (post-covid)”. In total, it consists of 46 thousand people. Its goal is more psychotherapeutic: people talk about their problems (“the state is as if in a fog”, “they put it on their lungs like ice”, “apathy, as if the volitional sphere was turned off”, “the meat stinks of rotten onions”, “my memory has become worse and some state of emptiness “) and receive the support of” friends in misfortune. ”

Another member of the community, 21-year-old Anastasia Pavlyutina , after the coronavirus suffered panic attacks, distraction, forgetfulness, “constant tears” and fear.“It seemed to me that I was just dying,” the girl describes her condition. To the psychological difficulties, she said, over time, physical manifestations were added: pain, numbness on the left side of the body, muscle twitching, problems with the gastrointestinal tract and tachycardia. Five months later, the symptoms became less pronounced, but “cloudy” vision remained (despite the fact that the check with an ophthalmologist did not reveal any problems), hypertonicity and muscle pain, vibration in the body, mucus in the throat, hair loss, tearfulness and “much more” …

In an ordinary clinic, Anastasia was advised to be patient, in paid clinics – to walk, drink vitamins, eat right and rest.

Now, according to her, she is trying to relieve symptoms on her own in order to “exist normally”, as doctors look at her “as a fool who invented everything”.

18-year-old Andrei Belevantsev from Tomsk , judging by the analyzes, is absolutely healthy, however, even three months after the coronavirus, he is worried about unpleasant symptoms.It hurts, according to him, “one thing or the other”, and so much that it seems – quite seriously, and then suddenly disappears. In addition, the young man had more frequent panic attacks (which, however, were even before the covid), anxiety, weakness and fear appeared. As prescribed by a psychiatrist, he takes sleeping pills and “something like antidepressants.” In critical situations, he drinks a strong sedative. Due to health problems, Andrei dropped out of the university and moved to his parents. So he is calmer: they live not far from the hospital, and he knows that he can call for help at any time.

Shortness of breath to PTSD

Chief freelance specialist in medical rehabilitation of the Ministry of Health of the Russian Federation Galina Ivanova said that more than 70% of patients who have had a new coronavirus infection will need rehabilitation. The medical department even created a special commission to study postcoid syndrome. Although postcovid, or long COVID, is not yet included in the official classification of diseases, experts agree that it is necessary to diagnose this condition if some form of malaise persists for four weeks (according to other sources – 8-12 weeks) after the onset of the disease …

According to the chairman of the board of the Russian Respiratory Society, Academician of the Russian Academy of Sciences Alexander Chuchalin, from 30% to 60% of people who have had an infection face various manifestations of postcoid syndrome. Thus, in Russia we can talk about about 2 million people. The scientist cited data from a Russian study, according to which, seven months after the onset of an acute illness, the following remain:

  • fatigue (78% of participants),
  • malaise after exercise (71%),
  • cognitive dysfunction (57%),
  • 90,039 inability to work (68%).

The scientific medical journal Nature Medicine reports data from a study conducted on 1250 patients discharged from hospitals in Michigan ( US ). During the study period (60 days after discharge from the hospital), 6.7% of patients died, 15.1% required repeated hospitalization. Of the 488 patients who took part in the telephone survey, 32.6% reported persistent symptoms, including 18.9% – new or worsening of residual symptoms. Dyspnea (22.9%), cough (15.4%) and loss of taste and / or smell (13.1%) were most often reported.

A study of Italian physicians , conducted with the participation of 143 patients, showed that the most common symptoms were fatigue (53.1%), shortness of breath (43.4%), joint pain (27.3%) and chest pain ( 21.7%). Moreover, 55% of patients had three or more symptoms. A decline in quality of life, measured on the EuroQol visual analogue scale (a five-question questionnaire about the subjective feelings of a person’s physical and mental health), was noted in 44.1% of the participants.

A study conducted on 150 COVID-19 cured out of in France , similarly showed that two-thirds of patients persisted in some kind of symptoms for 60 days.

Moreover, one third reported that they felt worse than at the beginning of the acute COVID-19.

Fatigue, shortness of breath, post-traumatic stress disorder (PTSD), anxiety, depression, and impaired concentration and sleep were reported in more than 30% of study participants.

Research data, writes Nature Medicine, presumably allow us to talk about factors that increase the risk of developing postkovid. Thus, the severity of the course of the disease is “significantly associated” with the manifestation of dyspnea, increased fatigue, weakness, and PTSD after clinical recovery.In addition, some association has been reported between prior respiratory illness, higher body mass index, older age, and shortness of breath within 4–8 weeks.

The Chinese study also found that women were more likely to be fatigued, anxious, or depressed within six months. As for diabetes, obesity, chronic cardiovascular and renal diseases, and oncology, which reliably aggravate the severity of COVID-19, their relationship with postcoid syndrome has not yet been studied, the authors of the publication say.

In general, researchers from different countries come to the conclusion that full recovery by the 30th day after discharge is noted in only 40% of patients.

According to some reports, after six months, 30% of patients still experience one or more symptoms. At the same time, 14% speak of weakness even nine months after the actual recovery.

“There are things in medicine that cannot be done”

Up to a third of patients who have undergone covid subsequently have one or another neurological or psychiatric deficit, Aleksey Kashcheev, the head of the neurosurgery department of the Moscow State University clinic, told Kommersant.According to him, this is undoubtedly due to the fact that the coronavirus has a direct effect on the nervous system. In particular, this is the cause of anosmia (violation of the sense of smell) or parosmia (distortion of the olfactory sensations).

“All this suggests that there is both an indirect – due to thrombosis, and a direct neurotoxic effect. This also explains the increased incidence of strokes in covid and mild psychiatric disorders that occur even with an almost asymptomatic course, says Mr. Kashcheev.”Naturally, these effects can also be present after the disease.”

Cardiologist, Advisor to the Director General of the International Medical Cluster Foundation (Skolkovo) Yaroslav Ashikhmin clarifies that doctors faced complications after viral diseases and some bacterial infections even before the coronavirus. Sometimes, he said, these patients fell into the category of chronic fatigue syndrome patients “in which no one usually wants to believe.”

Postcoid syndrome, Mr. Ashikhmin calls a rather serious problem.He diagnoses his patients with long COVID, but admits that doctors in Russian state clinics are “limited by classifications,” and many specialists are completely unaware of such a disease. At the same time, it is often “simply impossible” to help people.

“Unfortunately, there is no treatment with proven efficacy. Therefore, we are all engaged in psychotherapy, we say that two or three weeks will pass and you will feel better, ”continues Mr. Ashikhmin.

He specifies that rehabilitation for post-lobe syndrome includes relaxation techniques, breathing exercises, cardiac rehabilitation, psychiatric and psychological assistance.In the West, the cardiologist adds, even the lost sense of smell is restored with the help of special training. For people of certain professions, such as sommeliers, this is especially true. Mr. Ashikhmin emphasizes that it is very important not to heal patients with complaints of postcoid syndrome. According to him, many rehabilitation programs have appeared, the authors of which “trade in hope”, offering expensive and useless treatment, while the best solution would be to send the patient to a psychiatrist.

According to Vyacheslav Filashikhin, the chief physician of the Rosa Center for Psychiatry, Neurology and Narcology, several mechanisms can trigger postcoid syndrome at once.The virus is indeed capable of damaging cells, thereby disrupting the functioning of the brain, which leads to mental changes. In addition, it causes some physical changes in the body: it damages blood vessels, triggers autoimmune diseases.

However, one of the main factors, according to the observations of Mr. Filashikhin, is the trauma caused by the fear of getting sick or dying from the disease.

“People who are anxious and suspicious by nature, after the coronavirus have suffered, anxiety is exacerbated: they were afraid to get sick, they were afraid to die from the disease, now they are fixated on their health, sleep poorly, listen to their feelings, start to get tested, but the tests, as a rule , good ones.Such patients with diagnoses “asthenia”, “hypochondria”, “depression” come to us, “the psychiatrist specifies.

Alexey Kashcheev also says that people who have had coronavirus are more wary of their health. “Now, when patients come to me with exactly the same surgical diseases of the spine that I have treated before and which have not become more common, almost every third person starts a conversation with the words that he has suffered covid,” the doctor explains. crises, affecting the consciousness of people, give rise to subjective medical complaints that are difficult to interpret if the doctor is not a psychologist. “

The absolute majority, the expert on patient safety, head of the course of pharmacotherapy at OsloMet University (Norway) Yuri Kiselev, is sure that the post-coid syndrome will pass.

However, he notes, depression and post-traumatic stress disorder can last for years if the patient is not provided with quality care in time. “We cannot say that after the pandemic there will be no such people. But we are talking about a small amount, ”says Mr. Kiselev. At the same time, Vyacheslav Filashikhin notes that “even without covid” anxiety-depressive disorders are increasing every year.

Yaroslav Ashikhmin admits that some patients with complaints of long COVID may have emotional disorders, such as hypochondria. However, according to him, there are things in medicine that cannot be done: “If the main complaint is asthenia and a person has suffered a coronavirus infection, it is almost impossible to distinguish this from hypochondria and, in general, it is not necessary. Both are treated with psychotherapy, and if a person is worried about something, we must help him. ”

Natalia Kostarnova

Nivolumab: Pediatric Medication | Memorial Sloan Kettering Cancer Center

This document, provided by Lexicomp ® , contains all the information you need to know about the drug, including the indications, route of administration, side effects, and when you should contact your healthcare provider.

Trade names: USA

Opdivo

Trade names: Canada

Opdivo

What is this drug used for?

  • Used to treat colon and rectal cancer.
  • This drug can be used concomitantly with another drug, ipilimumab. Some side effects may happen more often if this drug is used with ipilimumab. If your child is also receiving ipilimumab treatment, talk with your doctor about the possible risks and side effects.
  • This drug can be given to children for other indications. Consult your doctor.

What do I need to tell my doctor BEFORE my child takes this drug?

  • If your child is allergic to this drug, any of its ingredients, other drugs, foods, or substances. Tell your doctor about the allergy and how your child has it.
  • If your child is being treated with any of the following drugs: lenalidomide, pomalidomide, or thalidomide.

If your daughter is breastfeeding:

  • Make sure your daughter does not breastfeed while taking this drug and for 5 months after the last dose.

This list of drugs and diseases that may be adversely associated with this drug is not exhaustive.

Talk to your doctor or pharmacist about all medications your child is taking (prescription and over-the-counter, natural products, and vitamins) and any health concerns.You need to make sure that this drug is safe for your child’s illness and in combination with other drugs he or she is already taking. You should not start, stop, or change the dosage of any drug your child is taking without talking to the doctor.

What do I need to know or do while my child is taking this drug?

  • Tell all health care providers for your child that your child is taking this drug.These are your child’s doctors, nurses, pharmacists and dentists.
  • Get your child’s blood tested frequently. Check with your child’s doctor.
  • High blood sugar has happened with this drug. This includes the development or worsening of pre-existing diabetes mellitus.
  • Monitor your child’s blood sugar as directed by your doctor.
  • Serious health problems, such as organ damage, can happen while taking this drug.These disorders can manifest in the intestines, lungs, liver, thyroid, pituitary, adrenal glands, pancreas, kidneys, or other parts of the body. In addition, there may be problems with nerves, muscles or severe skin reactions. Sometimes these violations resulted in death. These problems can occur at any time during treatment with this drug or after it is stopped. If you have any questions, consult your doctor.
  • If your child is undergoing a stem cell transplant, talk with their doctor.Transplanting stem cells from another person (allogeneic) after treatment with this drug has had some problems. These problems can be very serious and can lead to death.
  • If your child is of childbearing age, a pregnancy test should be done before starting the drug to make sure there is no pregnancy.

If your child is or may be sexually active:

  • If your daughter uses the drug during pregnancy, the drug may have a harmful effect on the fetus.
  • Your daughter must use birth control during treatment and for some time after the last dose of this drug. Ask her doctor how long to use contraception. If your daughter becomes pregnant, contact her doctor immediately.

What side effects should I report to my child’s healthcare provider right away?

WARNING / CAUTION: Although rare, this drug can cause very serious and sometimes deadly side effects in some people.Call your child’s doctor right away or get medical attention if your child has any of the following signs or symptoms that could be associated with a very bad side effect:

  • Signs of an allergic reaction such as rash, hives, itching, reddened and swollen skin with blistering or scaling, possibly associated with fever, wheezing or wheezing, tightness in the chest or throat, difficulty breathing, swallowing or speaking, unusual hoarseness, swelling in the mouth, face, lips, tongue, or throat.
  • Signs of thyroid, pituitary, or adrenal disorders. Some signs may include changes in mood or behavior, changes in body weight, constipation, low voice pitch, dizziness, fainting, chills, feeling very tired, hair loss, prolonged or very severe headache, decreased libido.
  • Signs of a problem with the pancreas (pancreatitis) such as severe abdominal pain, severe back pain, severe stomach upset and vomiting.
  • Signs of kidney problems, including lack of urination, change in urine volume, blood in the urine, or rapid weight gain.
  • Signs of liver problems such as dark urine, feeling tired, lack of appetite, nausea or abdominal pain, light stools, vomiting, yellowing of the skin and eyes.
  • Signs of electrolyte imbalance, such as sudden changes in mood, confusion, muscle pain or weakness, a feeling of disturbed heartbeat, seizures, lack of appetite, severe stomach upset or vomiting.
  • Signs of lung or respiratory problems, such as shortness of breath or difficulty breathing, cough, or fever.
  • Any unexplained bruising or bleeding.
  • Muscle pain or weakness.
  • Inflammation.
  • Chest pain.
  • Feeling of an abnormal heartbeat.
  • Unusual burning, numbness, or tingling sensations.
  • The appearance of discolored skin spots.
  • Consult a doctor if your child develops signs of high or low blood sugar, such as fruity breath, dizziness, rapid breathing, tachycardia, confusion, drowsiness, feeling weak, flushing, headache, increased thirst, or hunger, frequent urination, shivering, or sweating.
  • Certain brain problems have happened with this drug. In rare cases, these violations were deadly. Call the doctor right away if your child develops confusion, drowsiness, extreme tiredness or weakness, fever, hallucinations, impaired memory, cramps, neck stiffness, or very bad headache.
  • Some people have had side effects with this drug infusion.In some cases, they were very severe or life threatening. Tell the doctor if your child has back or neck pain, chills or tremors, dizziness, lightheadedness, fever, flushing, itching, rash, shortness of breath, facial swelling, or wheezing.
  • Diarrhea is common with this drug. However, in a number of cases, during treatment with this drug, a serious intestinal disorder (colitis) occurred. It can be complicated by tears or holes in the intestines and can be life threatening.If your child develops symptoms such as bloody, black, tarry or viscous stool, diarrhea, or severe abdominal pain, see your doctor immediately.
  • Possible severe skin reaction (Stevens-Johnson syndrome / toxic epidermal necrolysis). This can lead to serious and permanent health problems and sometimes death. Get medical help right away if your child has symptoms such as redness, skin swelling with blistering or scaling (with or without a fever), redness or irritation of the eyes, painful sores on the lining of the mouth, throat, nose, or eyes …
  • Eye problems have happened with this drug. Some types of eye disorders require immediate treatment to reduce the likelihood of long-term vision loss. Call your child’s doctor right away if your child has any vision change, eye pain, or very severe eye irritation.

What are some other side effects of this drug?

Any drug can have side effects.However, many people have little or no side effects. Call your child’s doctor or get medical help if any of these or other side effects bothers your child or does not go away:

  • Headache.
  • Pain in bones or joints.
  • Constipation.
  • Abdominal pain or heartburn.
  • Feeling tired or weak.
  • Signs of a cold.
  • Sleep disorders.
  • Weight loss.
  • Dry mouth.
  • Irritation or pain in the mouth.
  • Flu-like symptoms.
  • Diarrhea, vomiting, indigestion, and decreased appetite are common with this drug. If these side effects occur, talk to your child’s doctor about how you can relieve them. If any of these effects cause concern, persist, or become severe in your child, contact your child’s healthcare provider right away.

This list of potential side effects is not comprehensive. If you have any questions about side effects, talk to your child’s doctor. Talk to your child’s doctor about side effects.

You can report side effects to the National Health Office.

What is the best way to give this drug?

Give this drug to your child as directed by the doctor.Read all the information provided to you. Follow all instructions strictly.

  • This drug is administered by intravenous infusion continuously over a period of time.

What if my child misses a dose of a drug?

  • Contact your child’s doctor to find out what to do next.

How do I store and / or discard this drug?

  • If you need to store this drug at home, ask your child’s doctor, nurse, or pharmacist for information about how to store it.

General information on medicinal products

  • If your child’s symptoms or health problems do not improve, or if they get worse, see your child’s doctor.
  • Do not share your child’s medicine with others or give anyone’s medicine to your child.
  • Store all medicines in a safe place. Keep all medicines out of the reach of children and pets.
  • Dispose of unused or expired drugs.Do not empty into toilet or drain unless directed to do so. If you have any questions about the disposal of your medicinal products, consult your pharmacist. Your area may have drug recycling programs.
  • Some medicines may have other patient information sheets. If you have questions about this drug, talk with your doctor, nurse, pharmacist, or other healthcare professional.
  • If you think an overdose has occurred, call a Poison Control Center immediately or seek medical attention. Be prepared to tell or show which drug you took, how much and when it happened.

Use of information by consumer and limitation of liability

This information should not be used to make decisions about taking this or any other drug. Only the attending physician has the necessary knowledge and experience to make decisions about which drugs are suitable for a particular patient.This information does not guarantee that the drug is safe, effective, or approved for the treatment of any disease or specific patient. Here are only brief general information about this drug. It does NOT contain all available information on the possible use of the drug with instructions for use, warnings, precautions, information about interactions, side effects and risks that may be associated with this drug. This information should not be construed as a treatment guide and does not replace information provided to you by your healthcare professional.Check with your doctor for complete information on the possible risks and benefits of taking this drug. Use of this information is governed by the Lexicomp End User License Agreement available at https://www.wolterskluwer.com/en/solutions/lexicomp/about/eula.

Copyright

© UpToDate, Inc. and its affiliates and / or licensors, 2021. All rights reserved.

Memorial Sloan Kettering Cancer Center

This document, provided by Lexicomp ® , contains all the information you need to know about the drug, including the indications, route of administration, side effects, and when you should contact your healthcare provider.

Trade names: USA

Keytruda

Trade names: Canada

Keytruda

What is this drug used for?

  • Used to treat cancer.

What do I need to tell my doctor BEFORE taking this drug?

  • If you are allergic to this drug, any of its ingredients, other drugs, foods or substances. Tell your doctor about your allergy and how it manifested itself.
  • If you are taking any of the following medicines: lenalidomide, pomalidomide, or thalidomide.
  • If you are or may become pregnant. This drug may have adverse effects on the fetus. Before you start taking this drug, you will have a pregnancy test to confirm that you are NOT pregnant. If you are at risk of becoming pregnant, you must use birth control during treatment and for some time after your last dose of this drug.Ask your doctor how long to use contraception. If you become pregnant, contact your doctor immediately.
  • If you are breastfeeding. Do not breast-feed while taking this drug or for 4 months after your last dose.

This list of drugs and diseases that may be adversely associated with this drug is not exhaustive.

Tell your doctor and pharmacist about all the medicines you take (both prescription and over-the-counter, natural products and vitamins) and your health problems.You need to make sure that this drug is safe for your medical condition and in combination with other drugs you are already taking. Do not start or stop taking any drug or change the dosage without your doctor’s approval.

What do I need to know or do while I am taking this drug?

  • Tell all healthcare providers that you are taking this drug.These are doctors, nurses, pharmacists and dentists.
  • Perform blood tests as directed by your healthcare practitioner. Please consult your doctor.
  • If you have constipation, diarrhea, vomiting, or nausea, consult your doctor. There may be ways to mitigate these side effects.
  • This drug can cause very serious side effects. Sometimes they were life-threatening or fatal. These effects can manifest in the lungs, intestines, liver, kidneys, pituitary gland, thyroid gland, or other parts of the body.If you have any questions, please consult your doctor.
  • If you have diabetes, consult your doctor. This drug may raise blood sugar levels.
  • Check your blood sugar as directed by your doctor.
  • Tell your doctor if you develop signs of high blood sugar, such as confusion, drowsiness, increased thirst and hunger, increased urination, facial flushing, rapid breathing, and fruity breath.
  • If you have signs of liver problems such as dark urine, fatigue, lack of appetite, nausea or abdominal pain, light colored stools, vomiting, yellow skin or eyes, call your doctor right away.
  • If you have symptoms of kidney problems such as difficulty urinating, change in the amount of urine produced, bloody, brown or foamy urine, shortness of breath or cough, puffiness or swelling of your face, feet or hands, call your doctor right away. …
  • If you have any signs of thyroid, pituitary, or adrenal disorders, call your doctor right away. Some signs may include changes in mood or behavior, weight changes, constipation, low voice pitch, dizziness, fainting, chills, feeling very tired, hair loss, prolonged or very severe headache, or decreased libido.
  • If you develop symptoms of brain damage such as imbalance, confusion, fever, memory impairment, muscle weakness, cramps or neck stiffness, severe nausea or vomiting, contact your doctor immediately.
  • Infusion reactions have happened with this drug. Sometimes they could be very severe or life-threatening. Consult your doctor.
  • Possible severe skin reaction (Stevens-Johnson syndrome / toxic epidermal necrolysis). This can lead to serious and permanent health problems and sometimes death. Get immediate medical attention if you experience symptoms such as redness, skin swelling with blistering or scaling (with or without a high fever), redness or irritation of the eyes, and ulceration in the mouth, throat, nose, or eyes.
  • If you have a transplanted organ, consult your doctor. This drug may increase the risk of graft rejection.
  • If you are planning or having a stem cell transplant from another person (allogeneic transplant), tell your doctor. During the use of the drug, certain disorders have occurred in patients who have undergone this type of transplantation. These disorders can be very severe and can lead to death.

What side effects should I report to my doctor immediately?

WARNING. In rare cases, some people with this drug can cause serious and sometimes deadly side effects. Call your doctor right away or get medical help if you have any of the following signs or symptoms, which may be associated with serious side effects:

For all purposes of this preparation:

  • Signs of an allergic reaction such as rash, hives, itching, reddened and swollen skin with blistering or scaling, possibly associated with fever, wheezing or wheezing, tightness in the chest or throat, difficulty breathing, swallowing or speaking, unusual hoarseness, swelling in the mouth, face, lips, tongue, or throat.
  • Bowel symptoms such as black, tarry stools, fever, mucus in the stool, vomit with blood or coffee grounds, severe abdominal pain, constipation or loose stools.
  • Signs of electrolyte imbalance, such as sudden changes in mood, confusion, muscle pain or weakness, a feeling of disturbed heartbeat, seizures, lack of appetite, severe stomach upset or vomiting.
  • Signs of lung or respiratory problems, such as shortness of breath or difficulty breathing, cough, or fever.
  • Signs of a spinal cord disorder (myelitis) such as pain, numbness, tingling, or weakness in the arms or legs; bladder problems, such as more frequent urination, urinary leakage, or urinary obstruction; or bowel problems such as severe constipation.
  • Pain or pressure in the chest.
  • Increased or abnormal heart rhythm.
  • Fever, chills, sore throat; the appearance of bruising and bleeding for unexplained reasons; a pronounced feeling of tiredness or weakness.
  • Changes in vision, eye pain or very severe eye irritation.
  • Swelling of the gland.
  • Dizziness or fainting.
  • Hyperemia (blush).
  • Excessive sweating.
  • Unusual burning, numbness, or tingling sensations.
  • Inability to move.
  • White spots on the skin.

Bladder cancer treatment:

  • Signs of a urinary tract infection, including blood in the urine, burning or painful sensations when urinating, frequent or immediate urge to urinate, fever, pain in the lower abdomen or pelvis.

What are some other side effects of this drug?

Any medicine can have side effects. However, many people have little or no side effects.Call your doctor or get medical help if these or any other side effects bother you or do not go away:

  • Constipation, diarrhea, abdominal pain, nausea, vomiting, or decreased appetite.
  • Feeling tired or weak.
  • Pain in the back, bones, joints or muscles.
  • Headache.
  • Weight loss.
  • Hair loss.
  • Changes in the ability to perceive taste.
  • Sleep disorders.
  • Signs of a cold.
  • Flu-like symptoms.

This list of potential side effects is not comprehensive. If you have any questions about side effects, please contact your doctor. Talk to your doctor about side effects.

You can report side effects to the National Health Office.

You can report side effects to the FDA at 1-800-332-1088.You can also report side effects at https://www.fda.gov/medwatch.

What is the best way to take this drug?

Use this drug as directed by your healthcare practitioner. Read all the information provided to you. Follow all instructions strictly.

  • This drug is administered by intravenous infusion continuously over a period of time.

What to do if a dose of a drug is missed?

  • Call your doctor for further instructions.

How do I store and / or discard this drug?

  • If you need to store this drug at home, ask your doctor, nurse, or pharmacist for information about how it is stored.

General information on medicinal products

  • If your health does not improve or even worsens, see your doctor.
  • You should not give your medicine to anyone and take other people’s medicines.
  • Store all medicines in a safe place.Keep all medicines out of the reach of children and pets.
  • Dispose of unused or expired drugs. Do not empty into toilet or drain unless directed to do so. If you have any questions about the disposal of your medicinal products, consult your pharmacist. Your area may have drug recycling programs.
  • Some medicines may have other patient information sheets.If you have questions about this drug, talk with your doctor, nurse, pharmacist, or other healthcare professional.
  • A separate patient instruction sheet is attached to the product. Please read this information carefully. Reread it every time you replenish your supply. If you have questions about this drug, talk with your doctor, pharmacist, or other healthcare professional.
  • If you think an overdose has occurred, call a Poison Control Center immediately or seek medical attention.Be prepared to tell or show which drug you took, how much and when it happened.

Use of information by consumer and limitation of liability

This information should not be used to make decisions about taking this or any other drug. Only the attending physician has the necessary knowledge and experience to make decisions about which drugs are suitable for a particular patient. This information does not guarantee that the drug is safe, effective, or approved for the treatment of any disease or specific patient.Here are only brief general information about this drug. It does NOT contain all available information on the possible use of the drug with instructions for use, warnings, precautions, information about interactions, side effects and risks that may be associated with this drug. This information should not be construed as a treatment guide and does not replace information provided to you by your healthcare professional. Check with your doctor for complete information on the possible risks and benefits of taking this drug.Use of this information is governed by the Lexicomp End User License Agreement available at https://www.wolterskluwer.com/en/solutions/lexicomp/about/eula.

Copyright

© UpToDate, Inc. and its affiliates and / or licensors, 2021. All rights reserved.

90,000 “Just like a vegetable.” Why do people continue to get sick a year after covid

https://ria.ru/20210929/postkovid-1752219949.html

“Just like a vegetable.”Why do people continue to get sick a year after covid

“Just like a vegetable”. Why do people continue to get sick a year after covid – RIA Novosti, 09/29/2021

“Just like a vegetable.” Why do people continue to get sick a year after covid

According to various sources, from 20 to 75 percent of those who have recovered from COVID-19 and six months later suffer from its consequences. Among the main symptoms are chronic fatigue, … RIA Novosti, 09/29/2021

2021-09-29T08: 00

2021-09-29T08: 00

2021-09-29T08: 11

science

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first MGMU named after Sechenov

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MOSCOW, September 29 – RIA Novosti, Alfiya Enikeeva. According to various sources, from 20 to 75 percent of those who have recovered from COVID-19 and six months later suffer from its consequences. Among the main symptoms are chronic fatigue, shortness of breath, hair loss, panic attacks, and sleep problems. Doctors call this postcoid syndrome. In Russia, every fifth patient is diagnosed with it. How these people live and struggle with complications – in the material of RIA Novosti.”I couldn’t do anything” Maria Ettyanova, 38 years old, Yakutsk I fell ill with covid almost a year ago, on October 29. A nurse from the clinic came and took an analysis for coronavirus. It turned out to be negative, but after ten days my temperature rose, dryness in the nasopharynx appeared, and the vessels in the nose ached. The whole body was crushed – muscles, bones, joints. Otherwise, everything developed according to a not the worst scenario: the temperature did not exceed 37.8 for only two days, and the saturation did not drop. CT scan showed four percent of lung damage.But there was a very strong tachycardia mixed with panic attacks. At rest, the pulse reached 120. And so until now. Plus, there were problems with blood vessels on the legs and eyes. I even thought that I had a retinal rupture due to oxygen starvation and vascular damage. But the ophthalmologist did not find anything, thank God. Appointed drops, did not help – the eyeballs seemed to hurt from the inside. I consulted with different doctors, no one could really say anything. Prescribed drugs. Some only made things worse, while others did not work at all.One drug – an anticoagulant – I decided to take on my own, the minimum dose. The doctors said that he was not needed: the coagulogram was normal, fibrinogen and d-dimer too. But at my own peril and risk, I began to drink it, because the state was like this: I just lay like a vegetable and could not do anything. After the first pill, it became better – as if it had emerged from the water. The swelling decreased, the fog in the head disappeared, and – what is very important – the tachycardia disappeared, it just disappeared like a hand. I have been taking this drug for the ninth month.Already several times I tried to get off it, but in vain. If I don’t take the pill, the tachycardia returns. I still have total chronic fatigue. I get tired very quickly. In fact, I can only walk. No exercises can be done. Cleaning the house is already a heavy physical activity. I practically stopped washing the floor, I use a robot vacuum cleaner. Since I am an individual entrepreneur, I was able to organize a very light work regime for myself. The first three months, until January, did not work at all.The business just stopped. No income – I was eating up the airbag. “I had to quit my job” Alexander Korchevny, 39, Ekibastuz, Kazakhstan. Now he is being treated at the Novosibirsk Center for the Prevention of Thrombosis. I fell ill in early June 2020, I got infected, presumably, at work. Passed the PCR test – positive. I was sent to voluntary isolation in an infectious diseases hospital for 18 days. As it turned out, in vain: one by one, relatives fell ill with covid. In the hospital, they did not treat me with anything, they only watched, since the disease was not difficult.There was a slight malaise for about three days, then for two days the temperature was poorly controlled up to 38. The smells disappeared, the appetite decreased, and there were problems with sleep. The first “call” was about ten days after the diagnosis. An unexpected tachycardia, a panic attack began, and the pressure jumped. They made an injection of aminophylline. It seems a little better. He was discharged from the hospital not sick and not healthy. I really wanted to go home after isolation. But it only got worse. New symptoms associated with nerves and blood vessels were gradually added.Endless visits to doctors began. None of them fully understood what was the matter and how to treat me. All analyzes are more or less calm. During the year he took courses with five neurologists in different cities. All made two diagnoses: vegetative-vascular dystonia and chronic fatigue syndrome. Everyone hinted at a psychologist. I also visited him, he did not reveal any violations. Throughout this year, the disease has been developing in waves: at times you feel good, at times you lie down and cannot get up. After the courses of treatment, there were minor improvements, but in general, the state of health is far from normal.Over the past 12 months, I have taken as many medicines as I have never taken in my entire life. I had to quit my job due to endless sick leaves. I asked the local therapist how to be in such a situation, because I am disabled, but she just threw up her hands. “Hair was climbing in tufts” Nailya Vagizova, 38 years old, Kazan On June 1, I felt unwell. I called a doctor. He said that it was an acute respiratory disease, prescribed an antibiotic, antiviral, vitamins, but it did not get any easier. And already on the ninth, I was in the hospital.There were breathing problems. I spent five days in intensive care. Lung involvement – more than 75 percent. Doctors told relatives that everything, we must prepare for the worst. But I pulled myself together, began to scramble out. My husband brought drugs that were not in the hospital, and thanks to this I survived. She was discharged on June 19th and recovery began: exercises, proper nutrition, pills. In theory, they should be given to everyone free of charge, but they ran out on me, and the family bought everything. After three and a half months, I still don’t feel well.About two months after discharge, my hair began to fall out, it just climbed in tufts. Constant pain in the legs, aching joints on the hands. When I was discharged from the hospital, no one warned me that it could take so long and the recovery would be so difficult. There is no help from state medicine now. The doctors at the clinic don’t say anything. I myself take all the tests for a fee, I drink vitamins, I collect information on the Internet, from people who have also been ill. I am a laboratory doctor by profession, so I began to understand and control my condition on my own.”It is easier for me to think that this is not a covid” Evgenia Yurfeld, Moscow I am not quite a standard postcovid. I was given the third group of disability even before covid, for the main disease. Atrial fibrillation provoked three strokes and bradycardia – I had to put a pacemaker. So I started to fight against dizziness, arrhythmias and disturbances in the functioning of the vestibular apparatus long before covid. I got sick with coronavirus at the end of last autumn, but in December there was already a good analysis. The doctor immediately warned me about the postcovid.She herself has suffered from COVID-19 and knows what it is. Now from time to time I have some typical symptoms, but I deliberately attribute them to the underlying disease. It’s easier for me. I am constantly under medical supervision. The doctor visits me regularly. They give me antiplatelet agents free of charge, and get quite an expensive anticoagulant at the pharmacy. Narrow specialists come to the house to examine and take tests. But I rarely bother the clinic with requests. I learned to cope with attacks myself. In general, I just hope that sooner or later the body will adapt to someone else’s virus.If she still survived with such a list of diseases and even suffered a covid, then we must thank the genes and the guardian angel. “The main thing is to trust the doctors” Valentina Nelyubova, 59 years old, Moscow I was diagnosed with covid in January. I was very sick. I almost went to another world. Two weeks were treated by private doctors at home. After that, she was treated absolutely free of charge according to the policy. And very good too. Plus, my family doctor was constantly watching me. She is also in shock: how I survived with such bad analyzes and a condition below the baseboard.When I was ill, I realized: the main thing is that doctors are close by, and it does not matter whether it is paid or not. How the treatment is important is important, and patients must trust the doctors. Now, thank God, everything is behind. Recovering from covid for several months, a long story. But everything ended well. I am very grateful to the doctors of the branch of the Alekseev day hospital at the 121st polyclinic in Yuzhny Butovo. They really help to cope with postcoid syndrome and depression. Many are afraid of mental hospitals. This is some kind of misinterpretation, misunderstanding.But only qualified psychologists can get to the problems of the post-species and help. At least they helped me. “This is already an independent disease” According to researchers at Sechenov University, in Russia more than 20 percent of patients who have had coronavirus infection suffer from postcoid syndrome. Among the most common complaints are weakness (more precisely, fatigue), shortness of breath, anxiety, depression, sleep problems, and hair loss. “Postcoid syndrome (PCS) is a symptom complex that occurs as a result of a previous coronavirus infection.This is a very broad concept that can include damage to the nervous, cardiovascular systems, organs of the gastrointestinal tract, muscle atrophy. There may even be some kind of mental manifestations. Its duration is a purely individual matter. For some, mild basic symptoms resolve within two to three months. In others, it lasts up to a year or even more. It is too early to talk about maximum terms. So far we are only observing this disease, we are studying it. In my experience, patients have various neurological disorders and lesions of the peripheral nervous system for the longest time, “said Evgeny Achkasov, head of the Department of Sports Medicine and Medical Rehabilitation at Sechenov University, an expert of the Nation’s Health League, to RIA Novosti.According to him, the symptoms of ACS, their severity and duration often depend on the severity of the course of COVID-19, but not always. So, among the patients there are many people who have relatively easily endured the covid itself, and have been suffering from its complications for more than a year. “The basis of rehabilitation programs for postcoid syndrome is breathing exercises, cyclic physical exercises, cardioprotection. We strive to protect the heart muscle both with medication and with various physiotherapeutic options. We use massages, pressure chambers.A fairly wide range. But one must understand that it is often very difficult to rehabilitate such patients at home. Better to be hospitalized. Postcoid syndrome is already an independent disease, and it must be taken very seriously, “the professor emphasized. However, if the symptoms of ACD are pronounced, and there is no opportunity to see a doctor, then experts advise to practice Scandinavian walking. This type of physical activity has a good effect on the heart – the vascular and respiratory systems.But in no case should you inflate the balloons to restore the volume of the lungs, so as not to get additional pulmonary injury.

https://ria.ru/20210123/kovid-1594170078.html

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https://ria.ru/20210921/koronavirus-1751133569.html

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medicine, Sechenov First Moscow State Medical University, health, biology, russia, covid-19 coronavirus

MOSCOW, September 29 – RIA Novosti, Alfiya Enikeeva. According to various sources, from 20 to 75 percent of those who have recovered from COVID-19 and six months later suffer from its consequences.Among the main symptoms are chronic fatigue, shortness of breath, hair loss, panic attacks, and sleep problems. Doctors call this postcoid syndrome. In Russia, every fifth patient is diagnosed with it. How these people live and struggle with complications – in the material of RIA Novosti.

“I couldn’t do anything”

Maria Ettyanova, 38 years old, Yakutsk

I fell ill with covid almost a year ago, on October 29th. A nurse from the clinic came and took an analysis for coronavirus.It turned out to be negative, but after ten days my temperature rose, dryness in the nasopharynx appeared, and the vessels in the nose ached. The whole body was crushed – muscles, bones, joints.

Otherwise, everything developed according to a not the worst scenario: the temperature did not exceed 37.8 for only two days, and the saturation did not drop. CT scan showed four percent of lung damage. But there was a very strong tachycardia mixed with panic attacks. At rest, the pulse reached 120. And so until now.

Plus there were problems with blood vessels in the legs and eyes.I even thought that I had a retinal rupture due to oxygen starvation and vascular damage. But the ophthalmologist did not find anything, thank God. Appointed drops, did not help – the eyeballs seemed to hurt from the inside. I consulted with different doctors, no one could really say anything. Prescribed drugs. Some only made things worse, while others did not work at all.

January 23, 08:00 Science Very long covid. What symptoms of the disease persist for half a year

One drug – an anticoagulant – I independently decided to take, the minimum dose.The doctors said that he was not needed: the coagulogram was normal, fibrinogen and d-dimer too. But at my own peril and risk, I began to drink it, because the state was like this: I just lay like a vegetable and could not do anything.

After the first pill it became better – as if it had emerged from the water. The swelling decreased, the fog in the head disappeared, and – what is very important – the tachycardia disappeared, it just disappeared like a hand. I have been taking this drug for the ninth month. Already several times I tried to get off it, but in vain. If I don’t take the pill, the tachycardia returns.I still have total chronic fatigue. I get tired very quickly. In fact, I can only walk. No exercises can be done. Cleaning the house is already a heavy physical activity. I practically stopped washing the floor, I use a robot vacuum cleaner.

Since I am an individual entrepreneur, I was able to organize a very light work regime for myself. The first three months, until January, did not work at all. The business just stopped. No income – I was eating up the airbag.

September 28, 15:09 Science Scientists have established a link between the microbiota of the nasopharynx and the severity of COVID-19

“I had to quit my job”

Alexander Korchevny, 39 years old, Ekibastuz, Kazakhstan.Now he is being treated at the Novosibirsk Center for the Prevention of Thrombosis

I fell ill in early June 2020, I got infected, presumably, at work. Passed the PCR test – positive. I was sent to voluntary isolation in an infectious diseases hospital for 18 days. As it turned out, in vain: one by one, relatives fell ill with covid.

In the hospital, they did not receive any special treatment, they only observed it, since the disease was not severe. There was a slight malaise for about three days, then for two days the temperature was badly controlled up to 38.Smells disappeared, appetite decreased, sleep problems appeared. The first “call” was about ten days after the diagnosis. An unexpected tachycardia, a panic attack began, and the pressure jumped. They made an injection of aminophylline. It seems a little better.

September 22, 08:00 Science “Statistically reliable fact”. Found the cause of the severe course of COVID-19

The hospital was discharged from the hospital not sick and not healthy. I really wanted to go home after isolation. But it only got worse. New symptoms associated with nerves and blood vessels were gradually added.Endless visits to doctors began. None of them fully understood what was the matter and how to treat me. All analyzes are more or less calm. During the year he took courses with five neurologists in different cities. All made two diagnoses: vegetative-vascular dystonia and chronic fatigue syndrome. Everyone hinted at a psychologist. I also visited him, he did not reveal any violations.

All this year, the disease develops in waves: at times you feel good, at times you lie down and cannot get up.After the courses of treatment, there were minor improvements, but in general, the state of health is far from normal. Over the past 12 months, I have taken as many medicines as I have never taken in my entire life. I had to quit my job due to endless sick leaves. I asked the local therapist how to be in such a situation, because I am disabled, but she just threw up her hands.

September 3, 22:52 Spread of coronavirus Scientists warned about the dangerous consequences of COVID-19

“Hair climbed in clumps”

Nailya Vagizova, 38 years old, Kazan

On June 1, I felt unwell.I called a doctor. He said that it was an acute respiratory disease, prescribed an antibiotic, antiviral, vitamins, but it did not get any easier. And already on the ninth, I was in the hospital. There were breathing problems. I spent five days in intensive care. Lung involvement – more than 75 percent. Doctors told relatives that everything, we must prepare for the worst. But I pulled myself together, began to scramble out. My husband brought drugs that were not in the hospital, and thanks to this I survived.

Was discharged on June 19th and recovery began: exercise, proper nutrition, pills.In theory, they should be given to everyone free of charge, but they ran out on me, and the family bought everything. After three and a half months, I still don’t feel well. About two months after discharge, my hair began to fall out, it just climbed in tufts. Constant pain in the legs, aching joints on the hands.

When I was discharged from the hospital, no one warned me that it could take so long and the recovery would be so difficult. There is no help from state medicine now. The doctors at the clinic don’t say anything.I myself take all the tests for a fee, I drink vitamins, I collect information on the Internet, from people who have also been ill. I am a laboratory doctor by profession, so I began to understand and control my condition on my own.

21 September, 14:11 I was given the third group of disability even before covid, for the main disease.Atrial fibrillation provoked three strokes and bradycardia – I had to put a pacemaker. So I started to fight against dizziness, arrhythmias and disturbances in the functioning of the vestibular apparatus long before covid.

I got sick with coronavirus at the end of last autumn, but in December there was already a good analysis. The doctor immediately warned me about the postcovid. She herself has suffered from COVID-19 and knows what it is. Now from time to time I have some typical symptoms, but I deliberately attribute them to the underlying disease.It’s easier for me.

I am constantly under medical supervision. The doctor visits me regularly. They give me antiplatelet agents free of charge, and get quite an expensive anticoagulant at the pharmacy. Narrow specialists come to the house to examine and take tests. But I rarely bother the clinic with requests. I learned to cope with attacks myself. In general, I just hope that sooner or later the body will adapt to someone else’s virus. If she still survived with such a list of diseases and even suffered a covid, then we must thank the genes and the guardian angel.

September 14, 13:56 Scientists have linked the severe form of COVID-19 with the number of autoantibodies

“The main thing is to trust the doctors”

Valentina Nelyubova, 59 years old, Moscow

I was diagnosed with covid in January. I was very sick. I almost went to another world. Two weeks were treated by private doctors at home. After that, she was treated absolutely free of charge according to the policy. And very good too. Plus, my family doctor was constantly watching me. She is also in shock: how I survived with such bad analyzes and a condition below the baseboard.

When I was ill, I realized: the main thing is that doctors are close by, – and it doesn’t matter if it’s paid or not. How the treatment is important is important, and patients must trust the doctors.

Now, thank God, everything is behind us. Recovering from covid for several months, a long story. But everything ended well. I am very grateful to the doctors of the branch of the Alekseev day hospital at the 121st polyclinic in Yuzhny Butovo. They really help to cope with postcoid syndrome and depression. Many are afraid of mental hospitals.This is some kind of misinterpretation, misunderstanding. But only qualified psychologists can get to the problems of the post-species and help. At least they helped me.

September 13, 15:39 Scientists have named stomach diseases that aggravate COVID-19

“This is already an independent disease”

According to researchers from Sechenov University, in Russia more than 20 percent of patients who have undergone coronavirus infection suffer from postcoid syndrome. Among the most common complaints are weakness (more precisely, fatigue), shortness of breath, anxiety, depression, sleep problems, and hair loss.

“Postcoid syndrome (PCS) is a symptom complex that occurs as a result of a previous coronavirus infection. This is a very broad concept that can include damage to the nervous, cardiovascular systems, organs of the gastrointestinal tract, muscle atrophy. There may even be some mental Its duration is a purely individual matter. For some, the main symptoms in mild form resolve within two to three months, while others persist for up to a year or even more.It is too early to talk about maximum terms. So far we are only observing this disease, we are studying it. In my experience, patients have various neurological disorders, lesions of the peripheral nervous system for the longest time, “- told RIA Novosti the head of the Department of Sports Medicine and Medical Rehabilitation at Sechenov University, expert of the National Health League, Professor Evgeny Achkasov.

According to him, the symptoms of ACS , their severity and duration often depend on the severity of the course of COVID-19, but not always.So, among the patients there are many people who have relatively easily endured the covid itself, and have been suffering from its complications for more than a year.

“The basis of rehabilitation programs for postcoid syndrome is breathing exercises, cyclic physical exercises, cardioprotection. We strive to protect the heart muscle both with medication and with various physiotherapeutic options. We use massages, pressure chambers. A fairly wide range. But you need to understand that it is often at home to rehabilitate such patients are very difficult.Better to be hospitalized. Postcoid syndrome is already an independent disease, and it must be taken very seriously, “the professor emphasized.

However, if the symptoms of ACS are pronounced, and there is no opportunity to see a doctor, then experts advise to practice Scandinavian walking. This type of physical activity has a good effect. on the cardiovascular and respiratory systems, but in no case should you inflate the balloons to restore the volume of the lungs, so as not to get additional pulmonary injury.

When to see an endocrinologist …

You need to be examined by an endocrinologist, if you have:

  • fatigue, weakness and increased fatigue for no apparent reason
  • bad mood for no obvious reason, tearfulness, frequent mood swings
  • memory reduction
  • Sleep Disorders
  • visual impairment, lacrimation, “bulging”
  • trembling hands or feet
  • rapid heart rate
  • feeling of a lump in the throat
  • high blood pressure
  • Difficult to tolerate heat or cold
  • increased sweating
  • hair loss, nail changes
  • Increased body hair in women
  • acne
  • stretch marks on the skin
  • dryness and thinning of the skin
  • increased or decreased weight
  • Sharp increase in appetite combined with weight loss
  • Frequent headaches, especially when you feel hungry
  • thirst
  • Frequent urination
  • Frequent constipation
  • itching of skin and mucous membranes
  • dry skin
  • Frequent and intractable inflammatory skin lesions
  • cramps, calf pain
  • pain in large joints and bones
  • bone fractures with minor trauma
  • menstrual irregularities
  • discharge from the mammary glands outside pregnancy and lactation
  • infertility (male or female) of unexplained nature
  • in men: decrease and disappearance of potency, enlargement of the mammary glands
  • in a child: impaired growth and development, both physical and mental, impaired puberty

All these cases are often symptoms of common endocrinological diseases: disorders in the production of thyroid hormones, excess or lack of calcium in the blood, diabetes mellitus.

If you are not worried about the above problems, you need to visit an endocrinologist:

  • when planning pregnancy
  • if you are already carrying a child – as a routine examination
  • before selecting a contraceptive
  • with the onset of menopause in women – in the order of a preventive examination
  • upon reaching 45-50 years for representatives of both sexes, regardless of health – as a preventive examination.To control age-related changes, you should contact at least once a year.

90,000 Weakness, fatigue: what to do, how to treat

Weakness and fatigue can be symptoms of the prodromal (initial) stage of any viral or bacterial disease. In addition, these symptoms can be the main manifestations and advanced clinical stage of such formidable diseases as, for example, viral hepatitis B and C, tuberculosis, hypothyroidism.Weakness and fatigue can be the first symptoms of cancer.

Possible weakness and fatigue, which are physiological in nature. They arise when a significant overload exceeds the individual capabilities of a person, and after the necessary rest they pass.

Recently, a separate disease has been distinguished – chronic fatigue syndrome. There is a theory about the viral origin of the disease. Its clinical manifestations are:

  • Constant feeling of lethargy and weakness that does not go away after a night’s sleep and good rest,
  • A constant feeling of being overwhelmed, any, even minimal, physical activity quickly exhausts, makes you want to retire and lie down, a person creates the impression of “lazy” in others,
  • pains in muscles and joints – constant, not intense, aching, intensified and weakened for no apparent reason; at the same time, the body temperature is normal and there are no objective and laboratory symptoms of joint damage,
  • mood lability,
  • headache.

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90,000 Chronic fatigue and its consequences Dialine

There is such a thing as chronic fatigue syndrome.It would seem that everyone gets tired and you just need to rest, have a full sleep, but in fact it does not get any easier. This is the main symptom of such a disease, constant fatigue and fatigue can last for months and years without any other signs. At the same time, a person feels sluggish, he is pursued by an oppressed state.

People from 25 to 45 years old who are trying to succeed in their careers are most susceptible to this syndrome. They take on too much responsibility and work to the bone, even to the detriment of mental and physical health.

Signs of chronic fatigue

In this condition, the disease can manifest itself unexpectedly, for example, a cold or indigestion. For a gastroenterologist, this can interfere with making the correct diagnosis, if he does not find anything significant, then a good specialist will definitely refer you to a neurologist.

When a person develops chronic fatigue, his immunity decreases and the body is susceptible to attacks by various viruses and bacteria.Against the background of a decrease in protective forces, a person can get sick with a variety of ailments. This is the main danger of chronic fatigue. Most often, problems happen at work:

  • of the gastrointestinal tract, it is a dull or aching pain, a feeling of heaviness in the stomach, a violation of the stool;

  • hearts, rhythm is disturbed, pains appear;

  • liver and kidney.

Hair loss, dull complexion, weight loss, characteristic of chronic fatigue syndrome.Medication can mask the symptoms, but not eliminate the cause. What other signs may indicate a disease:

  • feeling of moral and physical devastation;

  • unwillingness to communicate with others;

  • avoiding a new job;

  • impairment of memory, attention, concentration;

  • poor sleep despite fatigue.

The body will react in this way:

  • sore throat, joints, muscles;

  • migraines, pain in the temple area;

  • fast fatigue after minimal stress;

  • increased body temperature;

  • inflammation of the lymph nodes.

This is not a complete list of the consequences of chronic fatigue, in each case the body reacts differently.If there are several of the listed signs, for example, persistent headache, restless sleep, then you need to seek medical help.

Causes of the disease

To defeat chronic fatigue, you need to understand where it comes from. This condition can be called a disease or syndrome if it does not go away for more than 3 months. The causes of the condition include:

  • chronic stress;

  • tragic events in human life;

  • exhausting mental stress;

  • constant change of biorhythms;

  • poor nutrition with a lack of essential vitamins, minerals and amino acids;

  • thyroid problems, autoimmune diseases;

  • alcoholism or drug addiction;

  • use of certain medications;

  • depression, obsessive states, fears, phobias;

  • sedentary lifestyle, lack of sunlight, air;

  • no change of scenery.

Chronic fatigue does not appear overnight, it accumulates from daily stress, worries, and so on. This syndrome is typical for residents of large cities, with a fast pace of life and an unfavorable environment.

How to deal with fatigue

Getting rid of an illness should begin with a visit to a psychologist and other specialists. There are viral infections that can affect the constant feeling of fatigue, so the bacterial nature of the disease must be ruled out.An electrocardiogram, blood and urine tests, and allergy tests are prescribed.

A patient with suspicion of certain diseases may have to visit a gastroenterologist, endocrinologist, neurologist. After excluding the organic cause, the diagnosis of Chronic Fatigue Syndrome is established.

The psychologist in his work with patients applies individual or group therapies with effective methods for relieving stress, for example, through:

  • creative art process;

  • body interaction;

  • behavioral therapy;

  • creative therapy based on fine motor skills of the hands, as well as other methods that will be effective in each individual case.

Treatment for a psychogenic cause should be systematic, long-term, and it will include lifestyle changes, getting rid of bad habits, stress. Workaholics will have to reconsider their priorities, learn to get more rest and spend time with loved ones.

The specialist will also prescribe medications that alleviate the condition and symptoms at the initial stage of complex treatment. These are sedatives, sleeping pills, possibly antidepressants.In addition to the course of therapy, massage, hydrotherapy, etc. can be used. Subject to all the recommendations of doctors, the prognosis of treatment is favorable – recovery occurs within 2-3 months. It is important to seek help without using antidepressants uncontrollably or, even worse, alcohol, causing additional harm to the body.

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