May 6, 2013 in Side Effects
Indicate All Sensodyne Side Effects You Have or Add a New Sensodyne Side Effect
March 12, 2013 in Side Effects
Unreported Side Effects of Drugs Are Found Using Internet Search Data, Study Finds
Scientists have detected evidence of unreported prescription drug side effects before they were found by the Food and Drug Administration’s warning system.
March 10, 2013 in Side Effects
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A UTI is an infection in the urinary tract. Infections are caused by microbes—organisms too small to be seen without a microscope. Bacteria* are the most common cause of UTIs. Normally, bacteria that enter the urinary tract are quickly removed by the body before they cause symptoms. But sometimes bacteria overcome the body’s natural defenses and cause infection.
*See the Pronunciation Guide for tips on how to say the underlined words.
The urinary tract is the body’s drainage system for removing wastes and extra water. The urinary tract includes two kidneys, two ureters, a bladder, and a urethra. The kidneys are a pair of bean-shaped organs, each about the size of a fist. They are located below the ribs, one on each side of the spine, toward the middle of the back. Every minute, your kidneys filter about 3 ounces of blood, removing wastes and extra water. The wastes and extra water make up the 1 to 2 quarts of urine you produce each day. The urine travels from the kidneys down two narrow tubes called the ureters. The urine is then stored in a balloonlike organ called the bladder and emptied through the urethra, a tube at the bottom of the bladder.
Most UTIs are caused by bacteria that live in the bowel. The bacterium Escherichia coli (E. coli) causes most UTIs. The urinary tract has several systems to prevent infection. The points where the ureters attach to the bladder act like one-way valves to prevent urine from backing up toward the kidneys, and urination washes microbes out of the body. In men, the prostate gland produces secretions that slow bacterial growth. In both sexes, immune defenses also prevent infection. But despite these safeguards, infections still occur.
People of any age or sex can get UTIs. But about four times as many women get UTIs as men. Women have a shorter urethra, which makes it easier for bacteria to reach the bladder. Also, the opening of a woman’s urethra is near the vagina and anus, where bacteria live. Women who use a diaphragm are also more likely to get UTIs than women who use other forms of birth control.
Others at higher risk for UTIs are people
Most UTIs are not serious, but some infections can lead to serious problems. Chronic kidney infections—infections that recur or last a long time—can cause permanent damage, including kidney scars, poor kidney function, high blood pressure, and other problems. Some acute kidney infections—infections that develop suddenly—can be life threatening, especially if the bacteria enter the bloodstream, a condition called septicemia.
You should see your health care provider if you have any of these signs or symptoms:
Health care providers diagnose UTIs by asking about your symptoms and then testing a sample of your urine. Your urine will be checked with a microscope for bacteria and white blood cells, which the body produces to fight infection. Because bacteria can be found in the urine of healthy people, a UTI is diagnosed based both on symptoms and a lab test.
If you have repeat infections or are in the hospital, your urine may be cultured. The culture is performed by placing part of the urine sample in a tube or dish with a substance that encourages any bacteria present to grow. Once the bacteria have multiplied, which usually takes 1 to 3 days, they can be identified. Your health care provider may also order a sensitivity test, which tests the bacteria for sensitivity to different antibiotics to see which medicine is best for treating the infection.
If you have repeat infections, your health care provider may also order one or more tests to see if your urinary tract is normal.
Kidney and bladder ultrasound. Ultrasound uses a device, called a transducer, that bounces safe, painless sound waves off organs to create an image of their structure. The procedure is performed in a health care provider’s office, outpatient center, or hospital by a specially trained technician, and the images are interpreted by a radiologist—a doctor who specializes in medical imaging; anesthesia is not needed. The images can show abnormalities in the kidneys and bladder. However, this test cannot reveal all important urinary abnormalities or measure how well the kidneys work.
Voiding cystourethrogram. This test is an x-ray image of the bladder and urethra taken while the bladder is full and during urination, also called voiding. As you lie on the x-ray table, a health care provider inserts the tip of a thin, flexible tube called a catheter through your urethra into your bladder. Your bladder and urethra are filled with a special dye, called contrast medium, to make the structures clearly visible on the x-ray images. The x rays are taken from various angles while your bladder is full of contrast medium. The catheter is then removed and x-ray images are taken during urination. The procedure is performed in a health care provider’s office, outpatient center, or hospital by an x-ray technician. The technician is supervised by a radiologist while the images are taken. The radiologist then interprets the images. Anesthesia is not needed, but light sedation may be used if you need it. This test can show abnormalities of the inside of your urethra and bladder. The test can also determine whether the flow of urine is normal when your bladder empties.
Computerized tomography (CT) scan. CT scans use a combination of x rays and computer technology to create three-dimensional (3-D) images. A CT scan may include the injection of contrast medium. CT scans require you to lie on a table that slides into a tunnel-shaped device where the x rays are taken. The procedure is performed in an outpatient center or hospital by an x-ray technician, and the images are interpreted by a radiologist; anesthesia is not needed. CT scans can provide clearer, more detailed images to help the health care provider understand the problem.
Magnetic resonance imaging (MRI). MRI machines use radio waves and magnets to produce detailed pictures of your body’s internal organs and soft tissues without using x rays. An MRI may include an injection of contrast medium. With most MRI machines, you lie on a table that slides into a tunnel-shaped device that may be open ended or closed at one end; some newer machines are designed to allow you to lie in a more open space. The procedure is performed in an outpatient center or hospital by a specially trained technician, and the images are interpreted by a radiologist; anesthesia is not needed though light sedation may be used if you have a fear of confined spaces. Like CT scans, MRIs can provide clearer, more detailed images.
Radionuclide scan. A radionuclide scan is an imaging technique that relies on the detection of small amounts of radiation after injection of radioactive chemicals. Because the dose of the radioactive chemicals is small, the risk of causing damage to cells is low. Special cameras and computers are used to create images of the radioactive chemicals as they pass through your kidneys. Radionuclide scans are performed in a health care provider’s office, outpatient center, or hospital by a specially trained technician, and the images are interpreted by a radiologist; anesthesia is not needed. Radioactive chemicals injected into your blood can provide information about your kidney function. Radioactive chemicals can also be put into the fluids used to fill your bladder and urethra for x ray, MRI, and CT imaging.
Urodynamics. Urodynamic testing is any procedure that looks at how well your bladder, sphincters, and urethra are storing and releasing urine. Most of these tests are performed in the office of a urologist—a doctor who specializes in urinary problems—by a urologist, physician assistant, or nurse practitioner. Some procedures may require light sedation to keep you calm. Most urodynamic tests focus on your bladder’s ability to hold urine and empty steadily and completely. Urodynamic tests can also show whether your bladder is having abnormal contractions that cause leakage. A health care provider may order these tests if there is evidence that you have some kind of nerve damage.
Cystoscopy. Cystoscopy is a procedure that uses a tubelike instrument to look inside the urethra and bladder. Cystoscopy is performed by a doctor in a health care provider’s office, outpatient facility, or hospital with local anesthesia. However, in some cases, sedation and regional or general anesthesia are needed. Cystoscopy may be used to look for swelling, redness, and other signs of infection.
UTIs are treated with antibiotics that can kill the bacteria causing the infection. The antibiotic prescribed will depend on the type of bacteria causing your UTI. Some antibiotics may be ruled out if you have allergies to them. Tell your health care provider if you are allergic to any medicines.
You may need to take antibiotics for a few days or for 7 days or longer. The length of treatment depends on a few factors:
Follow your health care provider’s instructions carefully and completely when taking antibiotics.
Drinking lots of fluids and urinating frequently will speed healing. If needed, you may take various medicines to relieve the pain of a UTI. A heating pad on the back or abdomen may also help.
For most people, the answer is no. But about one out of every five young women who have a UTI will have another one. Some women have three or more UTIs a year. Men are less likely than women to have a first UTI. But once a man has a UTI, he is likely to have another because bacteria can hide deep inside prostate tissue. Anyone who has diabetes or a problem that makes it hard to urinate may have repeat infections.
If you have repeat infections, your health care provider may refer you to a urologist. Talk with your health care provider or urologist about special treatment plans. For example, you may need to take antibiotics for a longer period of time to help prevent repeat infections. Some patients with frequent UTIs are given a supply of antibiotics to be started at the first sign of infection. Make sure you understand and follow the instructions your health care provider or urologist gives you.
In addition to taking antibiotics, changing some of your daily habits and lifestyle choices may help you prevent repeat UTIs.
Drinking lots of fluid can help flush bacteria from your system. Water is best. Most people should try for six to eight, 8-ounce glasses a day. But do not drink this much fluid if you have kidney failure. Check with your health care provider to learn how much fluid is healthy for you.
Urinate often and when you first feel the urge. Bacteria can grow when urine stays in the bladder too long. Urinate shortly after sex to flush away bacteria that might have entered your urethra during sex. Drinking a glass of water will also help flush bacteria away.
After using the toilet, always wipe from front to back. This step is most important after a bowel movement to keep from getting bacteria into the urethra.
Wear cotton underwear and loose-fitting clothes so air can keep the area around the urethra dry. Avoid nylon underwear and tight-fitting jeans, which can trap moisture and help bacteria grow.
For women, using a diaphragm or spermicide for birth control can lead to UTIs by increasing bacteria growth. If you have trouble with UTIs, try switching to a new form of birth control. Unlubricated condoms or spermicidal condoms increase irritation, which may help bacteria grow. Consider switching to lubricated condoms without spermicide or using a nonspermicidal lubricant.
Scientists supported by the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) are working on ways to prevent UTIs using probiotics, good bacteria that help your body fight bad bacteria. One study is looking at a vaginal suppository of the probiotic Lactobacillus to replenish a woman’s natural supply of the protective bacteria. More information about the Intravaginal LACTIN-V for Prevention of Recurrent Urinary Tract Infection Trial, funded under National Institutes of Health clinical trial number NCT00305227, can be found at www.ClinicalTrials.gov.
Participants in clinical trials can play a more active role in their own health care, gain access to new research treatments before they are widely available, and help others by contributing to medical research. For information about current studies, visit www.ClinicalTrials.gov.
computerized tomography (CT) scan (kom-PYOO-tur-eyezd) (toh-MOG-ruh-fee) (scan)
Escherichia coli (esh-uh-RIK-ee-uh) (KOH-ly)
urinary tract (YOOR-ih-NAIR-ee) (trakt)
The National Kidney and Urologic Diseases Information Clearinghouse (NKUDIC) has a fact sheet called Urinary Tract Infections in Adults that gives more information about UTIs and a fact sheet called Cystoscopy and Uteroscopy that gives more information about cystoscopy.
The following organizations also have fact sheets about UTIs.
American Urological Association Foundation
1000 Corporate Boulevard
Linthicum, MD 21090
Phone: 1–800–828–7866 or 410–689–3700
National Kidney Foundation
30 East 33rd Street
New York, NY 10016
Phone: 1–800–622–9010 or 212–889–2210
Publications produced by the Clearinghouse are carefully reviewed by both NIDDK scientists and outside experts. The NKUDIC would like to thank the following individuals for assisting with the scientific and editorial review of the original version of this publication:
Anthony J. Schaeffer, M.D.
Chair, Department of Urology
Northwestern University Medical School
Betsy Foxman, Ph.D.
Department of Epidemiology
School of Public Health
University of Michigan
Elaine Tracy, R.N.
Baylor College of Medicine
Thank you also to the Bread for the City free clinic in Washington, D.C., for facilitating field-testing of the original version of this publication.
March 3, 2013 in Side Effects
The terms “overweight” and “obesity” refer to body weight that’s greater than what is considered healthy for a certain height.
Research has shown that as weight increases to reach the levels referred to as “overweight” and “obesity,”* the risks for the following conditions also increases:1
*Overweight is defined as a body mass index (BMI) of 25 or higher; obesity is defined as a BMI of 30 or higher.
Your weight is the result of many factors. These factors include environment, family history and genetics, metabolism (the way your body changes food and oxygen into energy), behavior or habits, and more.
You can’t change some factors, such as family history. However, you can change other factors, such as your lifestyle habits.
For example, follow a healthy eating plan and keep your calorie needs in mind. Be physically active and try to limit the amount of time that you’re inactive.
Weight-loss medicines and surgery also are options for some people if lifestyle changes aren’t enough.
Reaching and staying at a healthy weight is a long-term challenge for people who are overweight or obese. But it also is a chance to lower your risk for other serious health problems. With the right treatment and motivation, it’s possible to lose weight and lower your long-term disease risk.
A lack of energy balance most often causes overweight and obesity. Energy balance means that your energy IN equals your energy OUT.
Energy IN is the amount of energy or calories you get from food and drinks. Energy OUT is the amount of energy your body uses for things like breathing, digesting, and being physically active.
To maintain a healthy weight, your energy IN and OUT don’t have to balance exactly every day. It’s the balance over time that helps you maintain a healthy weight.
Overweight and obesity happen over time when you take in more calories than you use.
Many Americans aren’t very physically active. One reason for this is that many people spend hours in front of TVs and computers doing work, schoolwork, and leisure activities. In fact, more than 2 hours a day of regular TV viewing time has been linked to overweight and obesity.
Other reasons for not being active include: relying on cars instead of walking, fewer physical demands at work or at home because of modern technology and conveniences, and lack of physical education classes in schools.
People who are inactive are more likely to gain weight because they don’t burn the calories that they take in from food and drinks. An inactive lifestyle also raises your risk for coronary heart disease, high blood pressure, diabetes, colon cancer, and other health problems.
Our environment doesn’t support healthy lifestyle habits; in fact, it encourages obesity. Some reasons include:
Studies of identical twins who have been raised apart show that genes have a strong influence on a person’s weight. Overweight and obesity tend to run in families. Your chances of being overweight are greater if one or both of your parents are overweight or obese.
Your genes also may affect the amount of fat you store in your body and where on your body you carry the extra fat. Because families also share food and physical activity habits, a link exists between genes and the environment.
Children adopt the habits of their parents. A child who has overweight parents who eat high-calorie foods and are inactive will likely become overweight too. However, if the family adopts healthy food and physical activity habits, the child’s chance of being overweight or obese is reduced.
Some hormone problems may cause overweight and obesity, such as underactive thyroid (hypothyroidism), Cushing’s syndrome, and polycystic ovarian syndrome (PCOS).
Underactive thyroid is a condition in which the thyroid gland doesn’t make enough thyroid hormone. Lack of thyroid hormone will slow down your metabolism and cause weight gain. You’ll also feel tired and weak.
Cushing’s syndrome is a condition in which the body’s adrenal glands make too much of the hormone cortisol. Cushing’s syndrome also can develop if a person takes high doses of certain medicines, such as prednisone, for long periods.
People who have Cushing’s syndrome gain weight, have upper-body obesity, a rounded face, fat around the neck, and thin arms and legs.
PCOS is a condition that affects about 5–10 percent of women of childbearing age. Women who have PCOS often are obese, have excess hair growth, and have reproductive problems and other health issues. These problems are caused by high levels of hormones called androgens.
Certain medicines may cause you to gain weight. These medicines include some corticosteroids, antidepressants, and seizure medicines.
These medicines can slow the rate at which your body burns calories, increase your appetite, or cause your body to hold on to extra water. All of these factors can lead to weight gain.
Some people eat more than usual when they’re bored, angry, or stressed. Over time, overeating will lead to weight gain and may cause overweight or obesity.
Some people gain weight when they stop smoking. One reason is that food often tastes and smells better after quitting smoking.
Another reason is because nicotine raises the rate at which your body burns calories, so you burn fewer calories when you stop smoking. However, smoking is a serious health risk, and quitting is more important than possible weight gain.
As you get older, you tend to lose muscle, especially if you’re less active. Muscle loss can slow down the rate at which your body burns calories. If you don’t reduce your calorie intake as you get older, you may gain weight.
Midlife weight gain in women is mainly due to aging and lifestyle, but menopause also plays a role. Many women gain about 5 pounds during menopause and have more fat around the waist than they did before.
During pregnancy, women gain weight to support their babies’ growth and development. After giving birth, some women find it hard to lose the weight. This may lead to overweight or obesity, especially after a few pregnancies.
Research shows that lack of sleep increases the risk of obesity. For example, one study of teenagers showed that with each hour of sleep lost, the odds of becoming obese went up. Lack of sleep increases the risk of obesity in other age groups as well.
People who sleep fewer hours also seem to prefer eating foods that are higher in calories and carbohydrates, which can lead to overeating, weight gain, and obesity.
Sleep helps maintain a healthy balance of the hormones that make you feel hungry (ghrelin) or full (leptin). When you don’t get enough sleep, your level of ghrelin goes up and your level of leptin goes down. This makes you feel hungrier than when you’re well-rested.
Sleep also affects how your body reacts to insulin, the hormone that controls your blood glucose (sugar) level. Lack of sleep results in a higher than normal blood sugar level, which may increase your risk for diabetes.
March 3, 2013 in Side Effects
Symptoms of dizziness or balance problems include:
According to http://www.healthindicators.gov, about 33.4 million US adults (14.8%) reported they had a problem with dizziness or balance in the past 12 months. Their description of dizziness and balance problems included one or more of the following: a) a spinning or vertigo sensation, a rocking of yourself or your surroundings (as if riding a carousel), b) a floating, spacey, or tilting sensation, c) feeling lightheaded without a sense of motion, d) feeling as if you are going to pass out or faint, e) blurring of your vision when you move your head, or f) feeling off-balance or unsteady. After describing their symptoms, subjects participating in this survey were asked which symptom, if more than one occurred, bothered them the most. For the most “bothersome” symptom, a number of follow-up questions were asked, for example, a) age when symptom first occurred, b) length of time they have had the problem in months or years, c) how often the problem has occurred in the past 12 months, d) how long each bout or spell lasts, e) what triggers the problem, etc. In addition, subjects answered questions about what accompanies the balance or dizziness problem, for example, nausea and vomiting, headaches (migraine or not), blurred vision, tinnitus, numbness in face, hands, or feet, etc.
Vestibular (inner ear balance) disorders can cause dizziness, vertigo, imbalance, problems with hearing, nausea, fatigue, anxiety, concentration, and other symptoms. They can deeply affect a person’s day-to-day functioning, ability to work, social relationships, and quality of life. Balance is a state of body equilibrium or stability. We often take for granted how dependent we are on a healthy balance system. When the system breaks down, however, patients will describe symptoms such as dizziness, vertigo, lightheadedness, or motion sickness. Several million people per year visit their doctor for vestibular or balance disorders. These disorders are among the most common complaints that lead patients to visit their primary care physicians. Furthermore, it is one of the most common reasons elderly people seek medical advice. Patients often describe balance problems in terms of vertigo, dizziness, lightheadedness, and motion sickness. Not all of these symptoms are caused by disorders of the vestibular system. Moreover, although one person may describe a balance problem using one or more of these terms, another person may use a different combination of these terms to describe the very same condition. In fact, some people use the word dizziness to indicate that they simply do not feel well. It is important, therefore, for patients to not use general terms when describing their balance problems. Patients are encouraged to simply describe the sensation they feel without using general terms like dizziness. One of the most important parts of the medical evaluation is the patient’s description of the symptoms. As already mentioned, it is important for the patient to describe the details of what they are experiencing. The doctor will ask other important questions such as: How long and how often have they had the problem? Does the symptom of the balance problem occur in attacks or is it constant? Is it triggered by movement or by arising from a sitting or lying position? Is it associated with other symptoms such as hearing loss, ringing of the ears (tinnitus), ear fullness, nausea, or vomiting? Have there been any general health changes, new medications, recent head trauma, or recent or current infections? Are there any other neurological symptoms, such as weakness, vision problems, or tingling?
The duration of an attack of vertigo is very helpful in determining the cause. Vertigo that follows head movement and lasts less than a minute is typical of benign positional vertigo. But an attack of vertigo lasting hours is more commonly due to Ménière’s disease. Constant vertigo, however, may indicate a central nervous system problem. A general physical examination of the ears, head, and neck should be done with special emphasis on tests of balance function. Additional testing is often recommended such as hearing tests, CT scans, MRI scans, electronystagmography (ENG), and blood tests. ENG is a technique to measure involuntary eye movements (nystagmus) that are related to balance disorders. In some situations, referral to an ear specialist (otolaryngologist), audiologist, or neurologist may also be necessary. In addition, consultations with a cardiologist, psychiatrist, and general internist are often indicated. Balance disorders can be unpredictable. Depending on the cause, the symptoms can occur at any time, even after long periods of absence of symptoms (remission). It is important, therefore, to take proper precautions in order to avoid accidents that could be caused by a balance disorder.
Gillespie LD, Gillespie WJ, Robertson MC, et al. 2004. Interventions for preventing falls in elderly people (Cochrane Review). In: The Cochrane Library, Issue 3. Chichester, UK: John Wiley & Sons, Ltd.
Nelson D, Holtzman D, Bolen J, et al. 2001. Reliability and validity of measures from the Behavioral Risk Factor Surveillance System (BRFSS). Int J Public Health. 46, S3-S35.
Rubenstein LZ, Solomon DH, Roth CP, et al. 2004. Detection and management of falls and instability in vulnerable elders by community physicians. J Am Geriatr Soc. 52(9):1527–1531.
March 3, 2013 in Side Effects
Calling All Hotheads – Tips on Keeping Cool in an Angry World
Anger is a normal, healthy emotion. It lets us know when something is wrong and makes us take action. It’s when anger runs wild that people may become hostile, even violent.
Why Do People Get Angry?
“Nobody listens to me unless I get angry.”
Some people feel that the only way they can get attention is to get mad, even if it means getting in trouble.
“It helps me get what I want.”
Just like people who use anger to get attention, these people try to use anger to force others into giving them what they want.
“He/She dissed me.”
People lash out when they feel they are being disrespected or treated unfairly. They may be insecure about themselves or sensitive to certain criticisms and insults.
“I just got frustrated.”
Sometimes it’s hard dealing with a lot of emotions, and we don’t know how to express ourselves. The result is often
frustration and sometimes rage.
“I was sick of him or her teasing me.”
While many people may think teasing is harmless and just in fun, it can really get to people after awhile. As a result, they may lash out at the person who is teasing them.
“It’s like I’m excited when I’m angry.”
Anger makes our bodies produce more adrenaline. It may not be a pleasant experience, but it’s definitely intense.
Getting a Grip
It doesn’t matter whether you’re a toddler going through the “terrible twos” or a grumpy older person, it’s always a
good time to learn to cope with your temper.
Admit that you’re angry.
It’s hard to deal with something if you don’t admit that it exists first. Try saying to yourself, “Okay, I’m really angry right now, but I’m not going to lose my cool. I’m going to deal with it.”
Deal with it!
When you start feeling angry or frustrated, stop what you’re doing. Take a few deep breaths. Count to 10 or 100.
Take a walk, stretch, laugh, go for a run, or do anything that takes your mind off the anger.
Don’t brush it off.
Everyone gets angry sometimes ? it’s perfectly normal. Ignoring your feelings doesn’t solve the problem and may make things worse in the long run. Don’t reject your anger as irrational or without reason. Instead, try to figure out what’s making you feel that way or talk to someone.
Identify and understand the cause.
You’ve just failed your third English test this semester, and you yell at your best friend for asking you a stupid question. What’s the real cause of your outburst? The test, not your friend. Knowing why you’re angry helps you deal with it.
You have the power to change or avoid an anger-provoking situation ? so use it! Losing your cool isn’t cool.
Get a new perspective.
If you’re having an argument with someone, try to put yourself in that person’s shoes. Understanding where they’re coming from might help you resolve the situation without losing your temper.
Vent to your friends and family.
Venting is not taking out your anger on your friends and family. It’s explaining your feelings and frustrations to people you trust and who can help you deal with the situation. Or talk to a school counselor, a teacher, or another adult you trust. If you find that you are angry all of the time, and can’t get a grip even after you have really tried, you may want to seek professional help.
How To Talk to Someone Who Makes You Mad
Being able to communicate with someone who makes you angry is an important skill. When talking with people who drive you crazy remember to
Redirecting Your Anger
It’s easy to lose control when you’re angry. There are many ways to deal with anger by turning that negative energy into something positive. There can be immediate rewards from exercising, or there are some longer-term solutions.
Get involved in a cause.
Find a group in your school or community that is trying to make a positive impact on society. For instance, you
might volunteer with an environmental group or tutor younger kids after school.
Physical activity is a great way to blow off steam, and spending time outside can also help you calm down. Take a
walk in the park or go for a run. Train for a 5k race. Shoot some hoops, or try a new sport. Don’t think about what
makes you angry while you exercise.
Find a hobby.
Many people have a hobby that helps them unwind. Your hobby could be anything from reading, painting and drawing, music, or sports to cooking, writing, collecting comic books, dancing, or building model airplanes. Find
something that interests you!
Talk to your teachers or community leaders about developing a cross-age, anti-bullying program for the local elementary schools.
Encourage your school or community center to start a peer mediation program. These programs give teens a way to resolve problems peacefully and provides a resource through which they can let out their anger.
Encourage your school administrators to make anger management courses a requirement for all graduating seniors and for faculty as well.
Making Peace – Tips on Managing Conflicts
Irritated? Frustrated? Angry? Ready to explode? You’re not alone. Whether it’s an argument with a friend, aggravation because a driver cut in front of you, or rage because your ex-girlfriend or -boyfriend is going out with your best friend ? conflict is part of everyday life. Anger leads to conflict, produces stress, hurts friendships, and can lead to violence. We can’t always avoid anger or conflict, but we can learn to manage it without violence.
Steps To Managing Conflict
Understand your own feelings about conflict. This means recognizing your triggers ? words or actions that immediately cause an angry or other emotional response. Your trigger might be a facial expression, a tone of voice, a finger being pointed, a stereotype, or a certain phrase. Once you know your triggers, you can improve control over your reactions.
Practice active listening. Go beyond hearing only words; look for tone, body language, and other clues to what the other person is saying. Pay attention instead of thinking about what you’re going to say next. Demonstrate your concentration by using body language that says you are paying attention. Looking at the ground with your arms crossed says you’re uninterested in what the other person is telling you. Look the other person in the eye, nod your head, and keep your body relaxed and your posture open.
Come up with your own suggestions for solving the problem. Many people can think of only two ways to manage conflict?fighting or avoiding the problem. Get the facts straight. Use your imagination to think up ways that might help resolve the argument.
Moving Toward Agreement
Agree to sit down together in a neutral place to discuss the problem.
Come to the discussion with a sincere willingness to settle the problem.
State your needs ? what results are important to you ? and define the problem. Talk about the issues without insulting or blaming the other person.
Discuss various ways of meeting needs or solving the problem. Be flexible and open-minded.
Decide who will be responsible for specific actions after reaching agreement on a plan. Write the agreement down and give both people a copy.
Confronting the Issue
Good communication skills are a necessity throughout our lives. They allow us to resolve issues before they become problems and help keep us from getting angry. When talking to people, especially those who are acting confrontational,
Instead of yelling, “You always interrupt me! You don’t care what I think,” try saying “I feel frustrated when I can’t finish making my point. I feel as though my opinions don’t matter.”
ask ? don’t demand. Instead of saying, “Get away from me,” try asking, “Would you please leave me alone right now? I am trying to talk to my friends.”
make your statement once, then give it a rest. Don’t repeat your point endlessly.
If You Can’t Work It Out… Get Help
Anger Management. How to recognize attitudes, actions, and circumstances that trigger an angry reaction and how to control that reaction are skills that many teens ? and even some adults ? have not learned. Anger management training helps individuals take command of their emotional reactions instead of allowing their emotions to take command of them.
Arbitration. In arbitration, a neutral third party determines an action. Disputing parties agree on an arbitrator who then hears evidence from all sides, asks questions, and hands down a decision.
Where To Find Help
Bullies don’t go away when elementary school ends; bullying actually peaks in junior high. It continues through high school and even into the workplace. It can lead to serious problems and dangerous situations for both the victim and the bully.
Bullying is repeated and uncalled-for aggressive behavior, or quite simply, unprovoked meanness. It’s a form of intimidation, which means behavior designed to threaten, frighten, or get someone to do something they wouldn’t necessarily do. Bullies have learned that bullying works. They do it to feel powerful and in control. There are things you can do to deal with the situation without making things worse.
Bullies keep bullying as long as it works ? as long as it makes them feel more powerful.
Many children and teens are bullies or victims of bullies, but the largest number of children and teens are bystanders ? witnesses to bullying.
Eight percent of urban junior and senior high students miss one day of school each month because of fear.
Bullying takes lots of forms: it can be physical or verbal, mild to severe.
One in four children who bullies will have a criminal record before the age of 30.
Girls can be bullies too, although bullying by girls is more likely to show up as spreading rumors, leaving people out of social events, teasing about clothes or boyfriends, or threatening to withdraw friendship. However, this doesn’t mean that girls don’t use physical intimidation to bully.
Although much bullying happens where adults can’t see or hear it, it also happens when adults are present. Often adults don’t do anything to stop the bullying.
Anyone can be the target of bullying. However, most victims are often less ? or feel less powerful ? than the bullies. A typical victim is likely to be shy, sensitive, and perhaps anxious or insecure. Some teens are picked on for physical reasons, such as being overweight or small, wearing different or “weird” clothing, having a physical disability, or belonging to a different race or religious faith.
Some bullies are outgoing, aggressive, active, and expressive. They get their way by brute force or openly harassing someone. They may carry a weapon. This type of bully rejects rules and regulations and needs to rebel to achieve a feeling of being better than everyone else.
The Smooth Talkers
Other bullies are more reserved and tricky and may not want to be recognized as harassers or tormentors. They try to control by talking, saying the right thing at the right time, and lying. This type of bully gets his or her power secretively through manipulation and deception.
As different as these two types may seem, all bullies have these characteristics in common:
If You Are the Victim
No one solution works well in every situation, but there are a variety of strategies you can try.
Avoid or ignore the bully.
Hang out with friends. There is safety in numbers.
Say no to a bully’s demands from the start. If the bully threatens you with a weapon, give in to the demands and immediately tell an adult.
Tell the bully assertively to stop threatening you (for example, “I don’t like what you’re doing ? stop it!” or “Get a life ? leave me alone.”)
Do not physically fight back: experience shows that this actually increases the likelihood of continued victimization.
Seek immediate help from an adult.
Report bullying to school personnel.
If your safety is at stake, walk away or run if you need to.
Stop the Bullying
It’s everyone’s responsibility to stop bullying. And don’t be afraid to get help when necessary. It takes courage, but you will be preventing the intimidation from continuing and possibly escalating. You can report the problem to authorities anonymously.
Refuse to participate in taunting and teasing.
Treat others the way you would like to be treated.
Tell adults if you witness cruelty or hear about violence that might occur.
Walk away from fights.
Speak out against the bully.
Stand tall and walk with confidence and in a way that commands respect.
Hang out with friends who don’t get involved in bullying.
Stand up for others who are being intimidated.
Include the person who is being bullied in your activities.
Show compassion for the victim.
Work with the school administration and get students together to develop or revise your school’s code of conduct.
Start a bully education program for the local elementary school ? consider a puppet show or skit that teaches kids about bullying.
Organize a teen panel or discussion group to talk about the issues of bullying and intimidation at your school.
Crime Prevention Tips Provided by:
National Crime Prevention Council (http://www.jasperindiana.gov/pages.cfm?departmentid=451)
citalopram 10mg Industry Jordan and Sweden shared was very good and lost in Iraq there is a similar drug has
i’m trying to cut back after a 30lb weight gain, memory haze-loss, and feeling so dumb and having my eyes so blurry I can’t read my books-, but I need this drug it helps my Fibromyalgia (FM), there has to be a happy medium I can’t stand this I”ve been on the drug since it came out and I’ve been diagnosed with FM since it was acknowledged as a illness-for me ’92 I related so much to FRM0084 when he spoke of “not knowing the bog words”. It’s easy to bluff with people for short term or people who don’t know you I just turned 64 and because things start going down hill normally form here I wrote a letter and sent to all my friends explaining all my problems I was having and if it happened with them to please understnad (alot was about what FM was caused too) Nancy I’m so sorry about your daughter. Don’t let them get away with it!
If injected into any vascular areas, can the beads migrate to the kidneys causing a low GFR, high Creatinine level?
Well I am a great fan of this if it improves lives.
I do have this problem too.
I am on a trial of Livalo for 2 weeks and will go back for testing in a month. 280 cholesterol and tris 123 So far only problem is mild muscle soreness at times behind my legs and I do notice if I do physical activity I tire a little quicker than previously. Such as when I was shoveling snow. I had to to it in 2 separate sessions. As I was just too tired to keep going I am not sure I will take it very long term but I can tolerate it for a few months or more. I am 45 and male and taking 2mg a day. I also take CoQ10 every other day as I heard this helps with side effects and I think it has helped.I probably will stick to the meds until my cholesterol is under about 230.
I took fluxacillin for one week at 2x250mg four times a day. I started having pains in the back of my right shoulder which became severe after completion of the treatment two days ago.The pain is severe such that breathing was painful. My breathing became ok after my GP prescribed diclofenac. The unbearable pain is still there.
Also the respiratory symptoms tend to be worse by cold, and the general symptoms worse with flu.
i was giving this permethrin cream pres only and its a cream you have to put on your body from head to toe have it on your skin 8 to 12 hours then wash off the next day. i went to the er on friday because the itching was so bad i could not take it any more. is there a way to have him arrested
can i have have my ex boy friend arrested because he knew he had it but did not say anything
i too have been suffering with h.s. for the last 25 yrs. antibiotics do absolutely no good. believe me I ve been on them all. accutane was no good. didn t do one bit of good.most doctors don t understand. I do have a great and caring dermatologist but he can t seem to help me as much as he s tried. I understand the sores the puss the blood the sinus tracts and holes in the skin.i even get this on top of my breast as much as under them. I don t know if this ever goes away when you become elderly. im 55 yrs old now. good luck to all of you like me with this problem!
My wife and I have used the original formula sensodyne for over 30 years with great success and no side effects. Now this product is no longer available in Canada and we are both suffering pain. Why was this product discontinued ?
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Im 15 And I Have Pinworm. I’ve NEVER Had Sex And I Don’t Know How I Got It. Im Scared To Tell My Mom. But I Know For Sure I Have It. Ive Don’t Research But Don’t Know Which Medicine Is Right For Me.
I want to try this for Mercury poisoning, Is this safe?
It is dired
It does cause really bad stomach pain/cramps. However my constipation can be so bad its a choice between taking it or ending up in hospital or having to take picolax (which is a whole other ordeal). so stomach pain for a few hours it is. and Yes I do feel like im dying with it. when will someone invent some new laxatives that arent painful or disgusting??
This is some kind of great article that states about different hair problems and issues that every woman were able to experience. I was looking individually on your link and able to read the whole content with it, I found some useful tips how to solve those mentioned problems. Thanks for the tips and guides.
“Treatment Options for Varicose Veins and Spider Veins
There are seven major forms of treatment for varicose veins and spider veins.
1. Support Stockings. The most conservative approach is simply to wear properly-fitting support hose, especially when the veins cause painful or uncomfortable symptoms. These stockings can generally be purchased at any surgical supply store and at some pharmacies. They come in below-the-knee, above-the-knee, and pantyhose styles.
2. Lifestyle changes. Good skin hygiene, weight loss (if needed), and walking can help treat varicose veins and spider veins.
3. Sclerotherapy. This procedure, which has been available since the 1930s, is another treatment option. This procedure uses a highly concentrated saline (salt) solution or a specially made detergent that is injected directly into the vein, causing the vein to disappear gradually over three to six weeks. The procedure is simple, relatively inexpensive, and can be performed in an outpatient setting.”
I was recommended to contact USA Vein Clinic to set up an appointment to see a doctor that specializes in Varicose Vein Treatment.
I was very nervous going to my first appointment. After arriving all the staff made me feel very comfortable so I would like to thank the staff for helping me through it. All treatments are covered by insurance. The procedure was painless and took no time at all. I appreciate all the help given. I will recommend this clinic to others that are in need of help.
Hello Guys, Let me share my experience with you. I was affected by varicose veins, I am glad that I decided to go USA Vein Clinic. I was very nervous but staff made me very comfort. Very clean office, Good office. I was able to have the procedure done the same day as my appointment.Now I feel like a new person. I would like to recommend USA Vein Clinic to all who are affected by spiders veins.Thanks for help.
can periods start again after the menopause?
I had Menier’s and experienced wonderful results using Beta Serc, made by Solvay Labs, France I regained 75% of my hearing loss. Beta Serc is well know for no known side effects nor interactions with other drugs. I now have a normal life. I was taking 1 x 24mg twice a day for the first 6 months, 1 a day the following 6 months. I find that when I do things to irritate Menier’s that caused the effects described above, not the drug. I went to France and saw a specialist and that was his recommended dosage. I would also mention that I do have tinnitus but I had that long before I took Beta Serc. I am sure that most of us are not really aware until we have something like Menier’s. Tinnitus is aggregated by, stress, salt, caffeine and believe it or not ASPIRIN. Please don’t rule out Beta Serc until you research for yourself. It was worth it.
im on my 6th yr of menopause i havent had a period in all that time but now im bleeding y?? plz help x
Left hospital after five days of vancomycin for staph aureus on my foot. Had IV vancomycin for 3 more weeks. Red man syndrome developed. Red flushing would begin then racing heart blood pressure would rise and then get a terrible headache. The itch was so bad I needed Benadryl. RMS would subside after infusion complete only to start again after next infusion. Five mos later I have WBC and Lymphocytes and neutrophils off in bloodwork. Feel fine though but vanco definitely affected bloodwork.
I am affected by varicose veins. I tried many creams and natural methods but these weird veins come out again and again. I have decided to go to USA Vein Clinic. Appointment is on Wednesday. Wish me best of luck..
I have been on Spiriva for six months for c.o.p.d…at first I only took it when I felt I really needed it about once a week.It helped my breathing a lot…then started useing it daily the last 3 months.So glad I found this…I quit taking it again a few days ago because I was suspecting it to be the cause of extream fatigue and anxiety,nose bleeds somthing I have never experinced in my whole life..my cataracts became enlarged,I had to go to e.r for a really bad visual migraine.constant arthritise inflamation..and depression to the point of feeling doom and scared to go out of the house by myself..also the feeling that I was depressing a cold all the time…In just the few days now with out the spiriva I am starting to feel normal again..and all these things are going away..oh yes and now to rid the 40 lbs.I gained that Ive been trying so hard to loose and never lost an ounce
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You are right Aleks, I would like to recommend you USA Vein Clinic. All treatments are covered by Insurance. Great Service, Great People, and best of all no pain afterwards !!
I’ve been taking Cefdinir 300 mg twice daily for a tonsil bacteria. Last night I woke up with a burning rectum. It’s been burning all day. Ointments and
baby powder do not stop the burning. OUCH!
I want to recommend USA Vein Clinics to those who have issues with their veins in their legs. The procedure was painless and I had no discomfort afterwards. Thanks for all the help. I feel like a new person.
i have drink fluimucil 1 week already and stop because i feel better,is it a side effect for me not having my menstration for this monht?
Should I take roacutan
for my acne? Well Id say NO.
I am Male, in my 30’s,
im happy and in full health, however I never thought I would be where I am
today when I was on roacutan about 13 years ago.
I had extremely bad
acne, all over my face back and chest.. it was very bad, I tried everything for
it but nothing worked, so as a last resort I was advised to go on roacutan.
When I started it (I was on the strongest does allowed) it worked well, it
cleared up my skin a lot and that made me fell better in myself. BUT I was a
stupid teenager.. and was smoking pot and taking a few ecstasy tablets and when
combined with the roacutan it had a terrible effect on me. (please note that I had
taken drugs before been on roacutan and never had any side effects, and also I
was only a recreational drug user, ie. 3or4 pills in a month )
The combination of
drugs and roacutan was catastrophic for me.. I fell into a deep depression and
think I actually lost my mind for a period of time.. I am a very strong
character and tried to fight this.. but without success.. I was lost to myself
and was in a very dark and scary place. I was living at home at the time, and
blocked everything up inside me about how I was feeling.. But I had no choice
really as I couldn’t communicate, I ended up spending over a year at home
without leaving.. I wouldn’t talk to my friends or family as I was
unable.. My parents were very worried
for me.. but I just wouldn’t talk.. they did there best for me, tired to bring
me to counselling, tried to show me that they loved me.. and I wanted to
respond but just couldn’t… I was depressed.
My Dad then sat me
down one night, he is a very tough man as well, but he started to cry in front
of me, told me that he loves me and reminded me that we (our family) are
fighters. This was the first time in my life that I saw my dad cry.. and the
first time he told me to my face that he loved me.. I am blessed that he did
that, Im actually welling up now again thinking about it! And I havn’t cried in
years! But that night I decided with the last bit of fight I have I was going
to try and get back to normal.. I made a small bit of progress and talked to a councillor
(this was after spending over a year in my house, most of the time in my
bedroom) who put me on some anti depressants, then my Dad gave me some money to
get out of the country, which was the only thing I could do.. as I couldn’t go
back into the public in my hometown, I just wasn’t ready for it.. so I went
backpacking for a year… It was a struggle to do it at the beginning, but if you
put your mind to it you can surprise yourself, it was great to be away from
anyone I knew and that allowed me time and the freedom to start been myself
again, and after a year of travelling I was a new man.. I was back to about 80/90%
of my old self… and then over the years.. I got better and better.. and
eventually got back to my myself.. It was a terrible experience… but I also
have to point out it was “my” experience… there is a good chance that this
wouldn’t happen to other people.. but I just want to put it out there for
people to see..
and who knows..? maybe
somebody reading this is in a dark place like I was back then… well to you I’d
like to say… I know how you feel… “there is no way out of this… I cant go on
feeling like this…etc “ well there really is a way out of it.. but it will be
VERY hard, it will take a LONG time… you will have to dig deep and there is a
chance that you might get frighten when you dig and don’t find anything… but
keep digging… you will find it, it may be small at the beginning but it is
there… and with “time” a lot of time and fight.. it will grow.. but you have to
make it grow… never ever give up…
(jezz..I wasn’t actually planning on writing all
that really, it just came out..) But to
sum it up! Obviously if I had a chance again: I would never have gone near
roacutan.. and especially when taking
recreational drugs.. what I went through was hell on earth.. it was my own
fault.. I was old enough to make the decision to go on it… and was stupid enough
to take drugs while on it… at the end of the day.. mental well been is so much
more important than having good skin..
I have been taking 8 500mg doses in two days for an infection and feel good, my energy levels are good even if sleep pattern seems a bit off even when tired. I ingest healthy amounts of fresh organic garlic, which I cut up and let rest for 10 minutes every day which keeps my energy levels high and feeling healthy, yogurt also helps with some antibiotic side effects like stomach problems – haven’t had any so far. I drink about 3 litters of tea per day and try to eat healthy and regularly even if I have no appetite on the medication. I also take 100mg co enzyme Q10 and roughly 400mg omega3, might be worth mentioning.
Worth mentioning as well that I do get a bit of the rashes or small itchy bumps after ingesting the antibiotic that people have mentioned but I ignore them and add a tiny amount of antiseptic wound wash to sooth the itching sensation.
ive been on it two weeks 50/1000 galvumet and i get stomach ache from it.
I was on Tecta for four months. One week after starting Tecta I developed a cough. I thought it was a cold and waited six weeks before going to ER with coughing up blood. They said no, it could not be the Tecta. They gave me a hydrocodone cough syrup for five days to suppress cough so I could sleep. Then when I stopped the cough syrup the cough came back and was severe enough that I was unable to control my bladder. Been on Tylenol #1 with codeine at night for 2 months. Was told by doctor to take that plus Benadryl extra strength at night to dry up the mucous. Aches and pains in muscles are so bad, no energy. Stopped taking Tecta and within 36 hours felt so much better and much of my cough is gone. Still have fits of coughing once in awhile and I am waiting for it to come out of my system. The effects of Tecta extend beyond 24 hours after taking so it builds up in your system. It may take a long time for it to leave my body. But each day I am getting better. I take Zantac at night when needed and stay away from heartburn trigger foods. The aches and pains in my muscles are still severe enough that I have to take Tylenol every four hours. I mix it up with Ibuprofen or Aleve once in a while so that I don’t wreck my liver. The anti-inflammatories work the best but are not good for my stomach. I’m hoping that when the Tecta leaves my body that I will not have these muscle/tendon pains.
its good medicine but i cant figure out when should i stop using it because i didn’t reach removing wart step and i don’t know what to do !!
I’ve had varicos veins for many years. I am afraid of any operation or painful treatment.Any one tell me what should I do?
No they won’t help you…Ferring or the doctor. That is not “do no harm”.
I dont have Diabetes but i have noticed that everytime i go to sleep i have these symthoms. Today i woke up craving sweets and i was real dehydrated. i was confused i didnt want to talk and felt anxious. what should i do? should i set my self a doctor appointment?
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February 14, 2013 in Side Effects
Abdominal bloating is a condition in which the belly (abdomen) feels full and tight. Your belly may look swollen (distended).
Common causes include:
The diabetes medication acarbose, as well as any medicine containing lactulose or sorbitol, may cause bloating.
More serious disorders that may cause bloating are:
When the pancreas is not able to make enzymes needed for digestion (pancreatic insufficiency)
You may take the following steps:
If you have constipation, it should be treated. However, fiber supplements such as psyllium or 100% bran can make your symptoms worse.
You may try simethicone and other medicines you buy at the drugstore to help with gas, but these medications are often not helpful.
Call your health care provider if you have: