I am having heartburn and stomach pain. Is it due to GERD or peptic ulcer?




Question: I am a 52 year old woman, suffered from allergies and was prescribed antihistamine, omeprazole sometime ago.  and after about 10 weeks began experiencing heartburn, regurgitation, difficulty in swallowing, and sleep disorder. So I consulted a doctor and I was diagnosed with malaria and acidity. I did an ultrasound and it showed excess gas present in my stomach but no ulcer. I was prescribed Spasmodigestin for 10 days and Rabeprazole for a month. Felt better. I now am feeling more acidic with heartburn and having stomach pain occasionally. Is it due to GERD or peptic ulcer?

Answer: Ulcer in the stomach is not shown as a diagnosis in the ultrasound. Some antibiotics that you are taking can cause side effects with an erosion of the stomach wall. I am not sure whether you are taking medications to reduce the secretion of acid in the stomach. Based on the info you have provided, your stomach burn seems to be mostly antibiotic-induced. If you have heartburn with an acid taste in the mouth after sleeping for few hours, then it is likely due to regurgitation. Consult your Doctor who may recommend you take Omeprazole. It is used to treat certain stomach and esophagus problems (such as acid reflux, ulcers). It works by decreasing the amount of acid your stomach makes. It relieves symptoms such as heartburn, difficulty swallowing, and persistent cough. This medication helps heal acid damage to the stomach and esophagus, helps prevent ulcers, and may help prevent cancer of the esophagus. Omeprazole belongs to a class of drugs known as proton pump inhibitors (PPIs).  Drink plenty of fluids. Avoid taking excess coffee or tea and spicy foods. Avoid smoking and drinking alcohol. Take a break of ninety minutes between your dinner and sleep. Do not sleep immediately after taking food. Keep your head end raised by placing pillows between your shoulder blades. Your Doctor may recommend you can take an upper GI (gastrointestinal) endoscopy if the severity persists or if the symptoms reappear after a month to know what is happening.

Regards,

Dr. Javez Enrico

Dr. Javez Ernesto

Fooducate App : Product review

Fooducate App Review by Doctor Beverly Lewis

Fooducate claims to empower you to achieve your diet, health, and fitness goals.

Losing weight is a great challenge and for many, the hardest part is changing diet. In this regard, Fooducate has proven to be extremely useful. This app helps by making people conscious of the importance of a healthy and balanced diet. This realization has had a transforming effect and contributed to many people’s productivity and well-being.

One of the cornerstone features of this app is that of monitoring calorie intake and thus providing a means of controlling your day–to–day diet. After using the app myself I found this feature was particularly useful in helping me see my progress and pushing me in the right direction, by making me aware of successes and my failures.

It also provides detailed information on the nutritional aspects and ingredients, which contributed to my understanding of what I was consuming daily and its expected effects. This fact alone had a tremendous effect on the way I approached my diet and my body. It is something I know is of importance and it continues to be at the heart of the problem many people face when changing diets and one of the most impressive features and innovations of this app.

fuducate screen shot

Another aspect of Fooducate is the community, which is always helpful and interesting to interact with. The topics discussed are usually interesting and the answers insightful. It also presented a positive perspective for me, as it opened my eyes to the practical understanding that many people were going through the same challenges, problems, and changes, which helped me feel like a part of this community and get inspired by this common goal. The motivational quotes also helped. The interface of the app also deserves a lot of credit. It was instantly familiar, with its Instagram-like esthetics and design and a joy to interact with.

The recipes and ingredients presented are quite varied and of course healthy. The quantity is just staggering. I never felt compelled to eat the same thing continuously day by day and thanks to the community I was always able to find appropriate substitutes or different ingredients to spice things up. In a rare occurrence, compared to my prior efforts, my healthy diet became a source of joy and experimentation instead of dread and complaints. This leads me to appreciate the experience even more and also become a better chef in the process.

The Diet tips section contributed a lot to my education, where it comes to the importance and effects of specific ingredients. I was also surprised at the amount of specific information it contained for people of different ages and in specific conditions. The tips also pushed me to experimentation with cuisines from all over the world and different substitutes to some of my favorite unhealthy snacks, all of which widened my horizon of taste and have made me a generally better-rounded person, willing to appreciate change and different cultures and civilizations.

Fooducate screen shot

 

 

Today great apps are often determined not by the amount of content in it but how they decide to present that content in easily manageable bits that make them useful and above all achieve the aim which they propagate. On the right picture, in a simple display yet effective it gives important information regarding some key features of the app such as health tracker and the daily calorie tracker. If u are like me, who loves cooking but has little time to truly dedicate itself to it, then with food founder you get access to a whole range of food recipes that are not only delicious but they help track down the daily calorie intake so that you are constantly at check. Now I admit is not easy living by measuring the daily calories, every single time, but presumed you are putting yourself in a strict regimental diet for a few months which if anything will do you good physically and mentally then investing in this app would be a prudent choice. The app gives me the feeling it is designed to be one size fits all, which means in the huge jingle of apps promising u miracles, this one is very decent in what it delivers. Ultimately however no app helps you lose weight, it boils down as my hard experience has taught me, losing weight is all about calorie deficit. So if u are struggling to keep calorie count, this app will help u immensely in this regard and lose a few pounds on the go. I noticed also that it made me more aware of what I eat every day and perhaps this is the strongest point this app has to offer. Your life won’t be turned around by apps, but if they manage to create the necessary awareness around your daily calorie intake, then the app has gone a long way for sure!

Diet tips and a friendly community to keep yourself motivated and reminded that you aren’t alone in the process is for sure a quite useful source of motivation that with a proper mindset can take a person a long head forward. The interface of the community, similar to a social network was a nice feature that I found all in all useful but in my view, it isn’t what makes this app shine. But the “Diet Tidbits” were very practical and all in all, I found them useful. The amount of information available is a good guide to optimizing your daily dietary choices and that makes the app a treat.

All in all the fooducate is a solid well build food tracking app with a decent and useful interface, with a fine balance between not too flashy but also not too messy, with excellent food choices and a very robust calorie tracking system that makes this app worth the try.

Doctor Beverly Lewis

Dr. Beverly Lewis

My Food App Pick : Fooducate

 

Fitbit Sense Smartwatch : Product Review

Fitbit Sense Smartwatch Review by Doctor Javez Ernesto

Are you wondering which is the best smartwatch that will help evaluate your health problems and tell you about the status of your health? Then you are at the right place here is our product review.

The Fitbit Sense Smartwatch is one of the most famous and technologically ambitious smartwatches. Yes, it is more helpful and advanced than the Apple and Samsung watches because the Fitbit Sense Smartwatch has many interesting features as well as FDA approval…

This smartwatch contains all the latest features and functions as compared to Apple and Samsung watches. It is the best health watch with an ECG sensor and blood oxygen reading. it also measures electrodermal activity and your skin temperature. The Apple Watch presents blood oxygen levels, too; however, Fitbit is leading the evolution of
smartwatches as they morph from devices that just track our steps to devices that take an additional holistic check-up on our health.

As I found throughout my Fitbit Sense review, these new options incorporated in the product were designed not to provide you with a way of imminent doom but instead an improved plan of however you’re doing. That’s why the Fitbit Sense is one of the unique and best smartwatches.

Fitbit Sense Smartwatch: Display And Design

Design: The Fitbit Sense Smartwatch is made of high-quality stainless steel, and it is beautifully designed to give you an elegant look. It is small and comfortable to wear with lightweight features providing you with a fantastic look in your hand. You can even wear it both day and night. This smartwatch’s right side has a small touch-sensitive with a solid-state sensor that acts as a button. It has a silicone band strap that straps your wrist, and you feel comfortable while wearing this strap.

 

Display: The display of this smartwatch is AMOLED. It has a high resolution like apple, and Samsung watches buy Fitbit beats apple and Samsung in health features. The display is bright with excellent colors, and you can easily read every instruction on a sunny day. The screen has three different brightness settings; you can change the brightness according to your requirements. You will love the display of the Fitbit Sense Smartwatch.

Fitbit Sense Smartwatch: Health Feature And Function

Compared to any or all the most effective Fitbits, Apple Watches, and Samsung Galaxy Watches, the Fitbit Sense is the boldest when you consider its new health options. The EDA and skin temperature sensing elements are distinctive to Fitbit and are meant to provide you a far better understanding of how you’re doing. However, it remains to be seen how helpful these metrics are; however, Fitbit deserves some credit to try these new features.

Best Health Features:

● EDA Sensor

You will be shocked to know that this best smartwatch will tell you how stressed you are. It does not work with what you feel, but it will tell you about your stress levels using different health measures. This watch will check your heartbeat, sleep, and activity level. You can check the EDA scan with the health app by measuring your electrodermal activity. The Fitbit sense smartwatch will also evaluate your feelings and give you the option of consulting a guide about the medication.

● Skin Temperature

The Fitbit sense smartwatch monitors your skin temperature to provide you a general sense of your overall temperature. It has a SpO2 sensor, which you can wear while sleeping if you want to measure reading. You must sleep three consecutive nights to obtain baseline results. A higher or lower skin temperature could mean you have any disturbance in your body or face any medical illness. It is also recommended for pregnant women to provide info on pregnancy.

● ECG Sensor

The third smartwatch to receive agency approval for its ECG app (the Apple Watches and the Samsung Galaxy Watches being the other two), the Fitbit Sense, will evaluate your heartbeat to visualize any irregular activity or signs of cardiac arrhythmia.

To use the ECG app, you’ll have to unfortunately g0 through many pages to learn rudimentary cardiology, best to acknowledge you’ll need the help of a doctor to diagnose a problem like an AFib – which will be perceived as an assessment – not a a diagnosis.

To use the ECG app, open the app on the smartwatch, using your index finger, place it on the screen. It will automatically scan your ECG. The app will indicate if you have a ok or irregular heartbeat or if the check was inconclusive. It worked well for me when I tried it, consistent with the app. ECG is the best health app in these smart watches.

● SpO2 Sensor

Checks blood chemical element. The Fitbit Sense, besides the Apple Watches and other Garmin watches, use what’s called a reflective detector. They shine a light-weight into your skin, these sensors explore for reflections. Partly due to reflective sensors square measure being less accurate than transmissive sensors, the Sense, Apple Watch, and many other wearables aren’t FDA-approved; therefore, their readings ought to be questioned and taken with a grain of salt. Several Apple Watch reviewers have reportable wildly-fluctuating tasks, too. The Sense produced pretty correct results in my tests.

It recorded my blood chemical element levels at ninety-six p.c,  and in fact my blood chemical element was  at ninety-eight p.c. Unlike the Apple Watch and numerous Garmin devices, the Fitbit Sense doesn’t allow you to
perform spot checks of your blood chemical element saturation. Instead, it takes a reading when you’re sleeping. It’s most likely higher at this time; therefore, you’re not perpetually checking. Initially, you had to use a selected Spo2 watch face when you were sleeping to induce this reading; however, an update to the Sense’s computer code currently permits you to use any watch face you wish. Fitbit says it’ll add seven new watch faces with SpO2
information by the end of the year.

Conclusion:

The Fitbit sense smartwatch is one of the best watches globally, and it has a lot of features and functions related to your health and fitness. If you need a watch to help evaluate your health situation, then you just need this beautifully designed smartwatch. It will take care of your health and wellness. You will love to wear this elegantly designed Fitbit sense smartwatch every day.

Dr. Javez Ernesto

My Smartwatch Pick : Fitbit Sense

 

 

 

Are my home EKG results good? Or is there a problem?

Question: Are my home EKG results good? Or is there a problem? I have very mild mitral valve regurgitation. Before I did the EKG, I just ate and I was very concerned about the chest pain. I have attached my two EKG reports here. Are they normal? They were taken consecutively, 1 minute apart, the one with 106 heart rate was taken first and the second one with 93 heart rate was taken later). I see some broad peak in the second one. I am not sure if it is an error or something else.

Answer: Hello. I have received, read your question and have taken a look at the info you uploaded. The EKG (electrocardiogram) mainly seems to be of a normal heart. There is no obvious sign of ischemic heart disease or any other issues of rhythm and electrical conduction of heart. The peak you are most concerned about is a simply nothing. It is an artifact and is a recording error of the stylus.

Regards,

Dr. Deepak Patel

I suffer from persistent acne problems?

Question: I suffer from persistent acne problems. I am a male 34 years old and have had acne problems since I was 16 years old. My acne is mostly on my face and a lot is found on my upper back. To the point I am ashamed of it. What can I do to make it go away?

Answer: Hi. I have received and read your question. You are suffering from acne vulgaris but since it is now showing up on your upper back and has become a problem you need to deal with this. Proper hygiene and washing is the first step that needs to be taken.

  1. Use a mild soap and avoid scented, medicated soap.
  2. While washing the face, the skin of the face must not be scrubbed roughly. It should be sponged gently.
  3. Wash your face three or four times a day with plain water – soap is to be used only twice a day.
  4. Avoid exposure to dust, dirt or oily cosmetics.
  5. I would also recommend to avoid fatty foods.
  6. Do not squeeze the acne as it may leave a scar permanently.

As far as treatment is concerned you should consult a dermatologist. Possible medication that will be recommended by your doctor may include:

Doxycycline 100 mg two times a day. Ibuprofen 400 mg two times for five days. Isotretinoin once a day for 15 days. Retino-A (Tretinoin) locally at night.

Regards

Dr. Deepak Patel

 

I have had ovulation induction but no pregnancy?

Question: I am trying to have a baby for 3 years now. I’m 26 years of age and in good health except for a Polycystic Ovarian Disease – pcod –  issue. I had Clomid and hCG injections twice. Both were unsuccessful. My  doctor said egg growth is OK. I have uploaded my hormonal test report and ultrasound . Please help.

Answer: Hi. I have received and read your question. In my opinion the hormone reports submitted are normal and the ultrasound seems fine. But, as there is no detail about the sizes of follicles reached during both cycles of ovulation induction it is difficult to make a comment here. There are some points that need to be clarified: Other hormone levels like serum testosterone, serum estradiol, DHEAS (dehydroepiandrosterone), 17-OHP (hydroxyprogesterone) levels also need to be done. If you have been forming adequate size follicles 222 x 22mm by midcycle then hCG (human chorionic gonadotropin) can help you ovulate but if hCG fails at this size then it is likely that your androgenic hormone levels are higher. You should upload the ultrasound pelvis report to assess the size of the ovaries. An anti-mullerian hormone level report is needed for evaluation. Based on the info provided I believe pregnancy is possible however I strongly recommend you consult with a reproductive endocrinologist (fertility doctor). This is your best avenue forward.

Regards,

Dr. John Claude

 

My body wants to keep moving to the right?

Question:  I HAVE BEEN RUNNING FOR PAST 60 YEARS, I’M 75 NOW. MOSTLY LONG DISTANCE HAVE COMPLETED 56 MARATHONS, MANY HALF AND 5K RUNS. LATELY, AFTER RUNNING THREE MILES HAVE LOWER SPINAL PAIN, BODY WANTS TO KEEP MOVING TO THE RIGHT, UNABLE TO CONTROL BALANCE. HAVE TO HOLD ONTO OBJECTS AFRAID OF FALLING OVER. I TEND TO GO OFF TO THE RIGHT?
THANK YOU

Answer: Hi. I have received and read your question. In my opinion, your history of marathon running and heavy use has led to a condition of excess Foot Supination/Pronation – an imbalance of the foot. This can be treated by consulting a specialist (sports physical therapist) who will recommend specific exercises. Also you should reevaluate your foot wear with a orthopedic shoe specialist and find a shoe that can correct the problem.

Regards,

Dr. John Claude

Excessive supination (underpronation) and excessive pronation (overpronation) can cause problems with the body’s alignment and lead to pain in the feet, knees, hips, and back.

  • Too much supination can cause problems, such as pain and soreness.
  • Most people with excessive supination have structural issues in their feet.
  • Ways to treat or prevent excessive supination include wearing proper shoes.

People who pronate excessively roll their foot inward, causing the outer part of the heel to make contact with the ground and the feet to flatten too much.

Those who supinate do not roll their foot inward enough. This puts a strain on the ankle and can cause the ankle to roll outward, which leads to injury.

Excessive supination is less common than excessive pronation.

Causes of supination : The structural problems of the feet causing supination are usually inherited. However, external factors can also play a role in the condition.

Common causes of excessive supination include:Traits that affect the mechanics of the feet and legs are often inherited, such as:

  • leg length (including differences between the length of the legs)
  • width of the foot
  • ankle stability

The shape of the foot’s arch may also increase the risk of supination, with runners with high arches being more prone to supination than other people.Good shoes support the arch and soft tissues of the foot, which help protect the foot from injury. This is especially true when walking on hard and flat surfaces.

The wrong type of shoe — such as rigid or tight shoes — can lead to supination and other foot problems. Also, wearing shoes that are worn out or have no arch support causes supination.

Can I add DHEA and Pregnenolone to improve my hormone levels?

Question: Hello, I suffered a stroke 30 years ago both my adrenal glands were removed and I now rely on 20 mg Hydrocortisone and 0.1 mg fludrocortisone a day Can I add DHEA and Pregnenolone 25/100 mg to improve my hormone levels i.e. Reduce my psa levels

Answer: Hi. I have received and read your question. Based on the information you have provided and considering the medications you are taking, I would not recommend taking DHEA or Pregnenolene. Both have questionable results with insufficient evidence of effectiveness. In addition, they are banned in some countries for certain activities. I hope this answers your question.  Below is some background additional info for you.

Serum levels of the adrenal androgen, dehydroepiandrosterone (DHEA) and its sulfated conjugation product DHEAS, peak in men and women in the 3rd decade and decrease progressively with age. Increasing numbers of middle-aged and older individuals consume over-the-counter preparations of DHEA in the hope that it will retard aging by increasing muscle and bone mass and strength, decreasing fat, and improving immunologic and neurobehavioral functions. To date, however, the benefits and risks of DHEA administration for “anti-aging” purposes have not been defined. Because DHEA can serve as a precursor to testosterone (T) and estrogen, supplemental DHEA use may pose a cancer risk in patients with nascent or occult cancer of the prostate and/or breast.

Regards,

Dr. Deepak Patel

I am really worried about developing anaphylaxis to an anesthetic?

Question: I am about to undergo a hemorrhoidectomy surgery to remove hemorrhoids. I was told I would need a local anesthetic. But I am really, really worried about developing anaphylaxis to the anesthetic. Even though I have had anesthesia in the past without any problems. Do you think I need to be concerned of having a reaction?

Answer: Anaphylaxis is a serious, life-threatening allergic reaction. Anaphylaxis may last a lifetime. But if you have not experienced a severe reaction in the past, you are unlikely to develop the same in future. Do not worry. Just be aware and, to be reassured and feel safe, keep rescue medicine always with you as standby.

Regards,

Dr. Javez Ernesto

Should I take a vaccine to improve my immunity?

Question: I went to hospital 2 weeks ago and now have received the results of my immunity test. I don’t understand what these mean. Is there a problem that I should know about? I was prepared for the test – no meds etc. Should I consider to take a vaccine in the future? Please help.

1. HAV-IgG to Hep A – 11.48 (reactive).

2. Mumps – 47 (positive).

3. Rubella – 46.2 (reactive).

4. Measles – >300 (positive).

Thank you very much for you assistance.

Answer: Hello. Thank you for your question. Immunity concerns have been more in the forefront today what with the corona virus situation and more. Based on the info you have provided it is my opinion that you have no need to worry despite the results turning positive. For instance, for hepatitis, the virus that is considered to be dangerous is hepatitis B, all the same, you may need to take hepatitis immunization. For the MMR (measles, mumps, and rubella) mostly a large number of people that are tested tend to have traits of it not unless you are symptomatic, there is no need for alarm, but again I would highly recommend you take the vaccine for the same.

Regards.

Dr. Deepak Patel

I went to ER, strep test was negative but doctor said it must be strep?

Question:

I am 21-year-old female. I am pretty healthy and have an average weight. I had a sore throat for two days and it is extremely hard to swallow due to swelling to the point I can barely eat solid food. It is not scratchy, and I do not have a cough or fever.

I went to the urgent care, strep was negative but the doctor said it must be strep and would not listen to any of my symptoms. He spent about 30 seconds with me and is treating me with Biaxin. Pain is killing me, and my stomach is having a hard time with these antibiotics even with food. I am attaching a photo.

Answer:

From the picture we received, you seem to be suffering from acute follicular tonsillitis. Usually, this is caused by strep, other bacteria responsible for this condition are Hemophilus and Moraxella. A course of antibiotic at this stage helps in early recovery. As you have been started on macrolide antibiotic, I believe it is the best course of action at this stage – you need to follow the whole course for it to be effective.

Antibiotics are known to cause gastric upset, which usually disappears once the course stops. If this is too difficult to endure ask your Doctor for  Zantac (Ranitidine) 150 mg and take before food twice daily and use warm salt water gargles at least three times a day. If situation continues, please follow up with your Doctor after seven days.

Regards,

I had a root canal done now I am in pain?

Question: I had a root canal done about a month ago. I was supposed to return to the dentist 2 weeks later but because of covid-19, they cancelled. I started getting a bit of pain in the area where the root canal was done and a bad taste in my mouth. I called my dentist and they called in a prescription for amoxicillin. One week later, nothing had changed. I called the dentist and they had me come in. The dentist prescribed me Clindamycin 4 times a day for 10 days. I’m currently on day 4 of taking this. The taste has gone away. The pain is not fully gone but better. My tongue still has a light film on it. I have spina bifida and while showering yesterday, I noticed I have 2 hive like welts near where the spina bifida cyst is.  (picture attached) Also the lymph node near my groin area is tender. I don’t feel sick or have a fever so I’m wondering if these things could be side effects of the Clindamycin?

Answer: Hi. I have received and read your question. Based on the information you have provided I believe this may be be caused by the Clindamyci. I would recommend you speak to your Dentist once more and discuss with him/her the possibility of using an alternative such as cephalexin, azithromycin or clarithromycin. If situation persists you should consult with your primary care physician.

Here Is some more information:

Common Clindamycin side effects may include:

  • nausea, vomiting, stomach pain;
  • mild skin rash; or
  • vaginal itching or discharge;

Side effects requiring medical assistance:

– any change in bowel habits;

– severe stomach pain, diarrhea that is watery or bloody;

– little or no urination; or

– a metallic taste in your mouth (after clindamycin injection).

Dr. Deepak Patel

I hit my head on a wall.

Question: I hit my head on a wall. I am feeling pressing sensations in my left temple. Just recently I feel much smaller sensations in my right temple. Not painful just pressing. What is going on?

Answer: A blow such as the one you have received may have no consequences whatsoever. Using pain relief medication such as Acetaminophen (Tylenol) may help with the pain. Please avoid using ibuprofen (advil) for such an injury. You will need to consult if you have subsequent symptoms. Immediate medical attention is required if you experience symptoms such as bruising behind the ears or around the eyes (raccoon eyes). These can potentially indicate a severe or life-threatening injury. If you experience these symptoms, a CT scan will be required to further evaluate the situation. Sometimes a blow to the head may produce a concussion. These are difficult to diagnose. And the consequences vary. Most concussions or mild traumatic brain injuries (MTBI) symptoms will go away without treatment. So please continue to monitor your situation and should symptoms worsen please consult for more investigation.

Additional Information:

Head injury can be either closed or open (penetrating).

  • A closed head injury means you received a hard blow to the head from striking an object, but the object did not break the skull.
  • An open, or penetrating, head injury means you were hit with an object that broke the skull and entered the brain. This is more likely to happen when you move at high speed, such as going through the windshield during a car accident. It can also happen from a gunshot to the head.

Head injuries include:

  • Concussion, in which the brain is shaken, is the most common type of traumatic brain injury.
  • Scalp wounds.
  • Skull fractures.

Head injuries may cause bleeding:

  • In the brain tissue
  • In the layers that surround the brain

Common causes of head injury include:

  • Accidents at home, work, outdoors, or while playing sports
  • Falls
  • Physical assault
  • Traffic accidents

Most of these injuries are minor because the skull protects the brain. Some injuries are severe enough to require a stay in the hospital.

I woke up this morning with sudden back pain?

Question:

I woke up this morning with sudden back pain and a low grade fever?

Answer:

If the fever does persist for more than 2 or 3 days, this may be due to a more serious infection or underlying condition which will require a doctor consultation. An imaging test will then be required as well as further testing after examination. In the meantime if symptoms worsen today or tomorrow, I recommend you visit an ER just to be on the safe side.

Below is a more comprehensive answer:

Causes of back pain and shortness of breath include:

Muscle strain

Muscle strains respond well to rest, ice or heat, and over-the-counter pain relievers, such as ibuprofen or acetaminophen.

A muscle strain typically goes away after a few days, but if it lasts longer, the doctor can prescribe stronger medications, such as a muscle relaxant, to help relieve the discomfort.

Pneumonia

Either a virus or bacteria can cause pneumonia. If the pneumonia is bacterial, a person may need antibiotics to clear up the infection completely. Some people may require hospitalization and supportive care to prevent further complications.

Excess Weight

Being overweight means the muscles of the back have to work harder to support the basic activities of daily life. Having extra fat around the chest or back can also make it harder to breathe or take a deep breath.

GERD

Gastroesophageal reflux disease occurs when stomach acid backs up into the esophagus and causes chest pain, heartburn, or a sour taste in the mouth.

Simple home remedies, such as not eating before lying down and avoiding common triggers can also help prevent GERD. Potential triggers include acidic foods, citrus, chocolate, coffee, and alcohol.

Gallbladder Disease

If a person has gallbladder stones, they may need surgery to remove the stones or the entire gallbladder. Someone who is susceptible to developing stones should avoid eating fatty foods, which can worsen bile production and increase the likelihood of developing stones.

Aortic Dissection

An aortic dissection occurs when there is a tear in the aorta, causing blood to leak into the vessel walls. This is a very rare condition but causes severe back pain, shortness of breath, chest pain, weakness, and sweating.

An aortic dissection is a life-threatening event that requires immediate treatment. Depending on where the dissection is, emergency surgery may be necessary.

Other Causes Include:

  • Cancer of the spine: A  tumor on the spine may press against a nerve, resulting in back pain.
  • Infection of the spine: A  fever and a tender, warm area on the back could be due to an infection of the spine.
  • Other infections: Pelvic inflammatory disease, bladder, or kidney infections may also lead to back pain.
  • Sleep disorders: Individuals with sleep disorders are more likely to experience back pain, compared with others.
  • Shingles: An infection that can affect the nerves may lead to back pain. This depends on which nerves are affected.
  • Cauda equina syndrome: The cauda equine is a bundle of spinal nerve roots that arise from the lower end of the spinal cord. Symptoms include a dull pain in the lower back and upper buttocks, as well as numbness in the buttocks, genitalia, and thighs. There are sometimes bowel and bladder function disturbances.

All Americans must start wearing masks right now!

What are Americans waiting for?

People in Asian countries have adopted the use of masks for years now. During the corona virus covid-19 outbreaks in Asia, everyone was obliged to wear a mask (and in some areas still are obliged to do so). That’s how they beat it! The use of a mask is NOT necessarily to protect the user from the virus but to PREVENT the user from spreading the virus to others! It is a very simple and intelligent thing to do. Common sense.

I don’t want to get into the reasons why North American and European governments do not promote the use of masks – that is a political issue – probably due to the fact that too much money is spent on military hardware and little to nothing spent on biological warfare or pandemic protection. Maybe it is because there is no available mass production of masks in America or not an integral part of the American culture – but that’s another issue altogether. So my advice is – WEAR A MASK, WEAR A MASK, WEAR A MASK.

Dr. D. Zluf

Dr. D. Zluf