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6 Things You Need to Know About Multiple Sclerosis

By Chronic Disease

It’s time for some Multiple Sclerosis awareness! Around 2.3 million people are diagnosed with MS worldwide, and one in twenty Australians will be affected by MS in their lifetime – either personally or through a family member or friend. But what is MS, and how does it affect the people who have it?

  1. MS starts with a dysfunctional immune system.

If an electrical cord loses its plastic coating, the exposed wires are dangerous and can’t function as intended. Multiple Sclerosis happens when a person’s own immune system starts eating away at the protective coating around their nerves, called the myelin sheath. This means that the nerve signals start getting interrupted, which causes a wide range of symptoms.

  1. MS looks different for everybody.

Symptoms depend on which part of the nervous system is attacked by the immune system, and how bad the damage is. The two main ways the symptoms occur is in a relapsing-remitting form, where people with MS have symptoms that improve (sometimes almost completely) and then return; or the progressive form, where people get gradually worse.

  1. There is a wide range of symptoms.

There are 5 main areas that people with MS are affected:

  • Neuro-psychological symptoms – MS can cause difficulties with memory, depression, trouble with thought processes, and interfere with other brain processes.
  • Motor control – loss of control over muscles sometimes results in weakness and reduced function in limbs. Some people with MS can struggle with their balance and coordination.
  • Fatigue – people with MS sometimes struggle with feeling tired and lethargic, and occasionally can have sensitivity to heat.
  • Continence problems – Some people with MS might struggle to hold on to their urine, or might have constipation or other bowel-related issues.
  • Neurological issues – some neurological issues might include feelings of dizziness and vertigo, pins and needles, and issues with eyes.
  1. It often affects young, otherwise healthy people.

While Multiple Sclerosis can happen at any age, most people are diagnosed between the ages of 20 – 40. MS occurs in women about twice as often as in men. There does appear to be some genetic link, as the odds of having MS are increased if a family member has also been diagnosed. Some researchers have linked viral infections with relapsing of symptoms.

  1. It’s currently incurable.

Treatments for MS focus around managing symptoms and shortening the attacks, as we currently have no way to cure the condition. The most common types of medication used are immunotherapy drugs, corticosteroids, or direct treatments for symptoms. The aim is to help slow down the rate that the disease progresses, and ease symptoms.

  1. There are a lot of costs associated with helping MS patients and researchers.

Aside from medication, there is a range of treatments and professionals who can help a person with Multiple Sclerosis. People with MS might benefit from physiotherapists, occupational therapists, speech therapists, nurses, social workers, eye specialists, or neuropsychological therapists who can help with symptoms that affect the brain. Research is ongoing and focuses on developing treatments for symptoms and finding a cure.

 

If you would to discuss MS further, or if you have any concerns about symptoms that you or someone you know is experiencing, talk to your GP. You can click here to book an appointment.

Food Allergy Vs Food Intolerance

By Children's Health, Nutrition

Food Allergy Vs Food Intolerance – What’s the difference?

Food has become the center of everyone’s attention, be it about eating habits, taking pictures of daily meals or just trying to understand how what we eat affects our bodies. In the process of understanding the effects of food on our body, we can often find ourselves thinking that we have an allergy after reacting badly to something we have eaten.

Food allergies and intolerances are often confused, as their symptoms can seem very similar. Truth be told, the two are very different and it is important to be able to identify one from another.

What is a food allergy?

A food allergy involves our body’s immune system reacting badly to a food protein that is otherwise harmless. When food is eaten with a particular type of protein, the immune system releases a large amount of chemical rapidly, which triggers immediate symptoms that can affect a person’s skin, gastrointestinal tract, heart and breathing in no particular order.

Some of the most common food that the causes allergies include:

  • Egg
  • Peanuts
  • Soy
  • Cow’s milk
  • Wheat
  • Tree nuts
  • Sesame
  • Fish and Shellfish

While these foods cause 90% of allergic reactions in Australian, any food can cause an allergic reaction as well as other non-foods including dust, pollen, animals and medication.

Signs and symptoms of food allergies can range from mild reactions in the skin, to moderate and severe life threatening reactions. It is important to be aware of these signs and symptoms. An allergic reaction can cause:

  • Hives or rashes (eczema)
  • Swelling of the lips, face and eyes
  • Abdominal pain and vomiting
  • Difficulty breathing due to swelling of the throat
  • Persistent coughing and wheezing
  • Dizziness and collapse
  • Pale skin and floppiness (in children)

Allergies are very common in Australia affecting 1 in 5 people at some stage of their life. Food allergies occur in around 1 in 20 children and 2 in 100 adults. They can occur at any stage of life. Children with food allergies may outgrow them over time; conversely, adults who previously did not suffer any allergies could develop one later in life. The severity is often unpredictable, therefore taking appropriate care and caution for people with known food allergies is important.

What is food intolerance?

Food intolerance is generally a chemical reaction occurring in the body, that does not involve the immune system. This can occur in response to naturally occurring chemical in food and to common food additives such as preservatives, artificial colors and flavorings. Reactions are generally dose dependent with each individual having a different tolerance level.

The exact mechanism of how food intolerance affects our body is not fully understood and is an area of growing research. However, some common signs and symptoms include itchy rashes, gastrointestinal issues such as bowel irritability and migraines.

If you are experiencing a food allergy or food intolerance, it may mean that you have to eliminate certain foods from your diet. It is important to make sure that eliminated foods are replaced with other alternatives, so that you are not missing out on important nutrients.

It is essential that an allergy or food intolerance is appropriately diagnosed by your GP or allergy specialist and an Accredited Practising Dietitian is consulted to ensure nutritional adequacy, appropriate management of food allergy and growth monitoring in children.

If you would like to see a GP to discuss your concerns about food allergies or intolerances, you can click here to book –> 

Let’s take a deep breath and talk about pneumonia

By Body Systems, General Wellbeing, Lifestyle

Pneumonia fact-check – are you at risk? 

This past week, the Lung Foundation has highlighted a very common but serious disease that affects many Australians – pneumonia. Let’s follow their lead and look at how to recognise the signs of pneumonia, how to identify if someone might be at risk, and how to help prevent pneumonia from occurring.

What is pneumonia?

We all have tiny air sacs in our lungs (called alveoli) that hold oxygen. Pneumonia causes those air sacs to swell and fill with pus or fluid, which stops air from flowing normally. There are many types of pneumonia, and most are caused by infections from bacteria or viruses. Some of these microbes are contagious, being spread by a cough or sneeze.

What are the signs?

The most common signs of pneumonia are:

  • Cough (dry or productive)
  • Fever/chills
  • Fatigue
  • Difficulty breathing
  • Chest pain, especially when coughing or breathing deeply.

Not everyone will get all of the symptoms, and pneumonia can sometimes look like a cold or flu. If you or someone you know has a few of these symptoms, it’s definitely worth getting to a GP for a closer look.

Who is at risk?

Pneumonia is a common infection – the Lung Foundation says there are over 77,500 pneumonia hospitalisations in Australia each year. Anyone can get pneumonia, but small babies and adults over the age of 65 are at an increased risk even if they are otherwise healthy, simply because of their age. The severity of the infection and the length of stay in hospital as a result greatly increases with age. Other at-risk groups are people who smoke, Indigenous Australians and people with other serious medical conditions – especially lung conditions like COPD.

Can pneumonia be prevented?

Pneumonia has such a wide range of causes and triggers that there is no 100% certain way to avoid contracting this infection. The good news is that there are several simple things you can do to lessen your chances of getting pneumonia:

  • Quit smoking.
  • Practice good hygiene – especially washing your hands well and often.
  • Have the pneumococcal vaccine.

The pneumococcal vaccine protects against the most common cause of pneumonia infection. The vaccine is free in Australia to at-risk people; including all Australians over the age of 65, people with a high-risk illness such as diabetes or weakened immune systems, Indigenous Australians who are aged 50 years or older, or Indigenous Australians aged 15-49 who have medical problems that might put them at risk.

Discuss with your GP if the pneumococcal vaccine is right for you. Pneumonia is a serious disease – if you suspect that you or someone you know might have pneumonia, seek medical advice as soon as possible. Your GP will be able to point you in the right direction.

Click here if you would like to book an appointment with a GP –>

Clearing the Air – 4 Common Misconceptions about Asthma

By Asthma, Chronic Disease

World Asthma Day is a great opportunity to highlight the campaigns around the world that educate people about asthma, and to recognise the 1 in 9 Australians of all ages and ethnicities who live with this condition every day. Sadly, there is a lot of false information around about this condition. Let’s look at some common misconceptions about asthma.

Is asthma just an allergic reaction?

Asthma is a long-term lung condition that is caused by sensitive airways, not normally an allergic reaction (although allergy-induced asthma does occur). People can have their asthma triggered by common allergens such as pollen, dust mites or air pollution – but other triggers can also include exercise and cold air. Each person is different.

People with asthma can’t breathe properly, right?

When the sensitive airways of someone with asthma are exposed to a range of “triggers”, the muscles around the airways tighten up and they produce more mucous, making it much harder to breathe. When this occurs, we call it an “asthma attack”. A person with asthma who is not having an attack still has sensitive airways, but most often they breathe quite normally. With medication and good management, many people with asthma are able to live normal lives.

All asthma attacks look the same, don’t they?

Most asthma attacks include a range of different symptoms like tightening of the chest, troubled breathing, coughing and wheezing – some attacks bring up mucous, some don’t. Asthma attacks can worsen over weeks or occur in minutes. Asthma attacks are often different for the same person! Even the meaning of the word “attack” can change – for some people it might mean some difficulty breathing, while in others it means hospitalisation.

Doesn’t asthma go away as you get older? Can’t it be cured?

Sadly, asthma is a life-long condition, although it often does start in childhood. There is no cure, but there are a range of medications that can help keep asthma under control. Even during a bad attack, the tightness in the airways is almost always reversible with medical attention. Each person with asthma should work with their GP and specialists to develop their own plan for managing their asthma and avoiding attacks.

There are many excellent resources that can provide more information about asthma and asthma management. If you suspect that someone might have asthma, talk to your GP. If you have already been diagnosed, your GP can discuss different management strategies that can help you to take control of your asthma symptoms.

Click here to book in and discuss Asthma with a GP –>

The weird, wacky and wonderful world of pregnancy – 6 changes to expect when you fall pregnant

By Family Planning & Parenting, Women's Health

Pregnancy causes major changes to your body – some you might be prepared for, and others that are completely unexpected. Here are six of the most common (and strange) symptoms to look out for when pregnant.

1 Shortness of breath

Your organs actually move around to accommodate a growing baby. That means pressure on your diaphragm, which is the band of muscle under your lungs that controls your breathing. If you can’t quite catch your breath, take it as a sign to slow down and put your feet up!

2 Bizarre dreams

High levels of hormones, intense emotion, and lack of solid sleep means that many expectant mums have vivid, memorable dreams. It’s hardly surprising – you’ve got a lot on your mind! Talk about your dreams with a trusted person if they’re bothering you, but remember that dreams are your brain’s way of processing this exciting new stage.

3 Need to urinate

Your bladder gets hit with a two-punch combo, with increased blood volume putting extra burden on the kidneys as well as downward pressure from a growing baby drastically reducing the storage space. Get ready to map out the public bathrooms whenever you leave the house.

4 Increased sense of smell

While perhaps not the most impressive of super powers, your sense of smell is likely to become noticeably improved! This sensory experience will allow you to smell a fast food restaurant before you see it, but might also be a leading contributor to the nausea and vomiting associated with morning sickness. You could try using a fresh-smelling scent such as citrus or mint, and then wait it out – most women are back to normal in the second trimester.

5 Clumsiness

Many women feel clumsy during pregnancy, and it’s not just the sudden change in size and shape. A pregnant body produces hormones that loosen ligaments and joints, which combines with the added bulk in front to confuse your sense of balance and coordination. Protect yourself with sensible shoes and extra mindfulness when moving around.

6 Cravings

Many expectant mothers crave foods (or food combinations) that they won’t touch once the baby comes. Some women even crave non-food substances, such as clay or charcoal – a condition called pica, which should be discussed with your GP. As long as your diet is healthy and well-balanced, it won’t hurt to indulge in the odd pickle-and-ice-cream sandwich, and it becomes a fun story to tell!

If you are concerned about any of your symptoms, remember to discuss them with your GP – you can click here to make an appointment »

5 things you may not know about your kidneys!

By Body Systems, Lifestyle

Our kidneys are amazing. They sit there quietly, and remove toxins and excess water from our blood, turning it into urine. They also help to control blood pressure and hydration levels by monitoring levels of salt and acidity.

Today (9 March 2017) is World Kidney Day, so say thanks to your kidneys by learning 5 things you probably didn’t know about them:

  1. The blood flow to your kidneys is higher than the flow to your heart, liver and brain!

It’s true! Even though they are tiny in comparison to total body weight (they are around the size if a computer mouse, which is about 0.5% of body weight), they receive about 20 percent of the blood pumped around your body. This equals about 1.2litres of blood each minute. That’s a lot of volume!

  1. Each kidney has somewhere between 1 and 2 million tiny filters (called nephrons)

These little nephrons are responsible for filtering the blood that flows into them. They regulate the concentration of water by acting like a sieve, taking out excess fluid and waste products, re-absorbing any soluble components that are needed (such as sodium and potassium) and excreting the rest.

  1. The kidneys help to regulate blood pressure

They do this by releasing certain hormones if they detect blood pressure is starting to rise or fall. If blood pressure falls, the signals released by the kidney cause the blood vessels in the body to become smaller in order to increase pressure. Another way the kidneys contribute to blood pressure regulation is by maintaining fluid levels. If fluid levels are low, blood pressure is also low. The kidneys detect high concentrations of electrolytes (such as sodium and potassium) and start to retain more water, which increases the volume of the blood, and increases blood pressure. 

  1. High blood pressure and diabetes can both lead to kidney failure

This is because in diabetes, the blood may have high blood sugar over long periods of time, which can overwork the tiny nephrons, causing damage. High blood pressure can also lead to kidney failure by causing damage to the blood vessels and nephrons. If damaged, the kidney may stop removing excess waste and water. Excess fluid means excess blood volume and can further increase blood pressure.

  1. Kidney disease can be prevented

By regulating your body weight (which decreases your risk of diabetes and high blood pressure), you can prevent kidney disease from occurring. Additionally, a diet low in sugar, salt, and alcohol are great preventative factors. Again, this is because a diet high in salt and sugar can cause high blood pressure, as can drinking more than two standard drinks a day.


Click here to book a GP appointment to discuss kidney health –>

Coping with Anxiety

By Mental Health

Anxiety – that shivery feeling in your chest, and adrenaline running down through your fingers – no one enjoys it, but so many experience it.

Anxiety is defined as ‘a feeling of worry, nervousness, or unease about something with an uncertain outcome.’ But it’s not just feeling stressed or worried – it’s when these feelings don’t go away. It’s when they happen at a time that you wouldn’t expect to feel anxious – without reason or cause.

It’s also very very common – 1 in 4 Australians will experience it at some point in their life! The good news it that the sooner you get help with your anxiety, the more likely you are to recover.

What are the symptoms of anxiety?

It’s important to understand that there is a difference between ‘normal anxiety’ and an anxiety condition. Normal anxiety is usually associated with an event or situation at a specific point in time. However, an anxiety condition is where the feelings of anxiety are persistent or frequent. They can effect your quality of life and how you function day to day. Each person may experience anxiety slightly differently, but Beyond Blue has summarized the common symptoms, which include:

  • Physical: panic attacks, hot and cold flushes, racing heart, tightening of the chest, quick breathing, restlessness, or feeling tense, wound up and edgy
  • Psychological: excessive fear, worry, catastrophizing, or obsessive thinking
  • Behavioural: avoidance of situations that make you feel anxious which can impact on study, work or social life

What kind of treatments are there for anxiety?

There are many different kinds of treatments, which can be explored depending on what kind of anxiety you’re facing.

Things you could try through the support of a health professional, such as a GP include:

  • Lifestyle changes – physical exercise, meditation
  • Psychological treatments / talking therapies – to help support you through your experience of anxiety and teach you tools and habits to help to reduce worries and keep your anxiety under control
  • Medical treatments – including antidepressants, which are designed to correct chemical imbalances.

The key to handling anxiety, is finding a support system and an approach to treatment that helps you feel as though you are regaining control and where you feel you can be open and comfortable to discuss the worries on your mind. A GP is able to listen to you, get to know your unique circumstances and then work collaboratively with you through things. They can suggest approaches that may be most suited to you, and travel through the journey by your side. Sometimes, taking the first step is the hardest, but also the one where you make the most progress.

If you need to see a GP to discuss anxiety, you can book one here –>

A Hearty Conversation about Heart Health

By Body Systems, General Wellbeing, Lifestyle

February 14th, Valentines day, is the day of love – represented by the symbol of the love heart. With all those hearts flying around, it’s the perfect time to be reminded of the importance of heart health. So it makes sense that it is also Heart Research Australia National Wear Red Day – aimed at raising awareness about the effects of heart disease, as well as the need for ongoing research.

 

What is heart disease?

Heart disease is a broad term used to describe a group of several diseases. Heart disease includes diseases affecting the blood vessels (such as coronary artery disease), the heart rhythm (such as arrhythmias) and heart diseases you are born with (congenital heart disease).

 

Why is heart research and heart health awareness so important?

Because the figures don’t lie, and right now, heart disease affects 2 out of 3 Australian families. In addition, on average one Australian dies from heart disease every 26 minutes! Because of this, the heart foundation recommends a heart check for people aged over 45, and over 35 for Aboriginal or Torres Straight Islander people.

 

Why is it important to have a heart health check?

Often there are no symptoms early on with heart disease, so without a test you may otherwise not know that you have the risk factors of heart disease.

 

How does my GP perform a heart health check?

During the consult, your GP will check your blood pressure, arrange blood tests, talk to you about your lifestyle and find out a bit about your family history. Once your blood test results are in, your doctor will be able to determine your risk of heart disease or stroke.

 

What can I do to reduce my risk of heart disease?

The biggest things within your control are lifestyle factors, such as maintaining a healthy weight and physical activity. Things such as avoiding excess salt intake (which increases your blood pressure, putting you at risk of heart attack or stroke), not smoking, and lowering your cholesterol levels can really help. If you’re concerned, you can speak to a GP as well as a dietician about how you can adapt your lifestyle to put you in the best possible position for avoiding heart disease.

 

What can I do to show my support for Heart Research Day?

Wear red! But also you can get together with neighbours, friends and family and raise money for heart research. Some ideas are: have a Wear Red day at school or work for a gold coin donation, host a heart healthy breakfast, lunch or dinner for your family or friends and ask for a small contribution for donation. You can also help spread the word, through social media and your personal networks, by telling people it’s Heart Research Day!

 

Click here to book with a GP to discuss heart disease –>

It’s World Cancer Day – so let’s talk about cancer.

By Cancer, Chronic Disease

Sadly, the incidence of deaths from cancer each year is very high – at 8.2 million people. The aim of World Cancer Day (February 4) is to unite the world in the fight against cancer, in order to prevent millions of deaths each year.

What is cancer?

Cancer is an abnormal cell growth. Normally our body’s cells grow, divide and die. In a cancer this doesn’t happen in the usual way. This can form a lump called a tumour, or cause the blood of lymph fluid in the body to become abnormal.

Are there different kinds of tumours?

Yes there are. You may have heard of the term malignant and benign. A benign tumour is where the cells are confined in one location and are unable to spread throughout the body – this type of cell is not cancerous. The other type, malignant, is cancerous, as the cells are able to spread by travelling through the blood or lymph system.

How does cancer spread?

A localized cancer is one that hasn’t spread. The first spot that a cancer grows in is called the primary cancer. If cancer cells form at another site this is called a secondary cancer or a metastasis.

What kind of cancers can be screened for?

Screening is a process of working out someone’s risk of developing a particular disease. The benefit of screening, is that it can detect cancers at a very early stage. Screening looks at signs of cancer before it has developed or symptoms have started.

At a particular age, every at risk person should be screened for breast cancer, cervical cancer and bowel cancer as part of the Australian screening program.

  • Breast cancer screening is offered for women aged 50-74
  • Bowel cancer screening is also for people aged 50-74 and the test can be completed in the privacy of your home
  • Cervical screening, in the form of pap testing, is used to detect cervical cancer. All women between the age of 18 and 69 who have ever been sexually active should have regular pap tests.

In addition, people at high risk of certain cancers, such as lung cancer, can receive screening for these.

How can I reduce my cancer risk?

The major things you can do to reduce your risk of cancer are to:

  1. Maintain a healthy body weight
  2. Eat well and have an active lifestyle
  3. Limit alcohol
  4. Protect your skin from the sun and other forms of UV (such as tanning beds)
  5. Be a non-smoker and avoid second hand smoke 

What do I do if I am worried about cancer, or would like to be screened for cancer?

If you are concerned about having cancer, speak to someone, such as a GP, as soon as possible. Additionally, if you would like to be screened, you can book in with a GP who can arrange any necessary tests for you, and talk to you about any concerns you may have.

Click here to book an appointment with a GP to discuss cancer and/or screening –>

Everything you need to know about PCOS

By Chronic Disease, Women's Health

What is PCOS?

PCOS, or Polycystic Ovary Syndrome, is a complex hormonal disorder, that can be difficult to diagnose. The reason it is so complex, is that there are a number of symptoms, and you don’t need all of them to be diagnosed with PCOS. In fact, different women with PCOS may have different symptoms. Further, the name is slightly misleading, because ‘polycystic’ suggests there may be multiple ‘cysts’ on the ovaries. However, not everyone with PCOS has ‘cysts’ and not everyone with ‘cysts’ will have PCOS. Not only that, but using the word ‘cysts’ isn’t completely accurate either, because what is being referred to are actually partially formed follicles which contain an egg. Phew!

So now that we have gotten that out of the way, you probably want to know a bit more about the symptoms of PCOS and why the symptoms occur in the first place.

 

What are the symptoms?

The symptoms of PCOS can include the following:

  • Excess hair on the face and body
  • Hair loss
  • Acne
  • Weight gain
  • Difficulties with fertility
  • Increased anxiety and depression
  • Symptoms associated with periods – such as irregular or no periods, or heavier or lighter bleeding during periods.

Why do the symptoms occur?

The main culprit causing many of the symptoms of PCOS is having high levels of androgens in the body. Androgens are a group of hormones, including testosterone. Under normal conditions, all women produce some androgens from the ovaries and adrenal gland. However, in PCOS, higher levels of androgens are prevalent, which can prevent ovulation and also disrupt the monthly menstrual cycle. The actual cause of PCOS is unknown, but there appears to be some connection with family history, insulin resistance and lifestyle.

 

The weight/insulin/PCOS cycle

For some women, being overweight and suffering from PCOS can go hand in hand, as being overweight can make insulin resistance and PCOS symptoms worse. This is because the more abdominal fat in the body, the more likely that insulin resistance will be present, causing the pancreas to potentially release more insulin. The more insulin released, the more the ovary is likely to produce excess androgens. This may all sound a bit overwhelming, but the important take home point, is that through lifestyle modifications you may be able to make a real impact on your PCOS symptoms. This is because insulin resistance is often partly caused by lifestyle factors, such as being over weight, having a diet high in sugar and fat or being physically inactive.

What can be done to treat my PCOS symptoms?

There are many different options for treatment of PCOS and PCOS symptoms. One of the main strategies likely to be discussed between you and your doctor will be a healthy diet and physical activity. Your GP may also discuss options of various medications with you, such as the oral contraceptive pill, or medications for insulin sensitivity or to lower testosterone levels. Each patient will be different and there won’t be a one size fits all, so it’s important to have these detailed discussions and come up with a tailored action plan for you.

Click here if you need to speak with a GP about PCOS –>

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