QUOTE FOR WEDNESDAY:

“Vaginal atrophy used to be a medical term for thinning and drying of the vagina’s inner lining, often after menopause. Another name for it was atrophic vaginitis. These terms are no longer used. The physical changes they described are now considered to be part of a group of symptoms that affect the genitals and lower urinary tract, called genitourinary syndrome of menopause (GSM).”

MAYO Clinic (Vaginal atrophy – Symptoms & causes – Mayo Clinic)

Part I A condition rarely talked about; thinning of the vaginal wall! What it is, the symptoms, the causes and those at risk!

Vaginal atrophy is a condition where the lining of your vagina gets drier and thinner. This results in itching, burning and pain during sex, among other symptoms. The condition also includes urinary tract problems such as urinary tract infections (UTIs) and urinary incontinence.

Vaginal atrophy most often occurs during perimenopause and menopause  when your ovaries produce less estrogen. It can occur when your estrogen levels decrease due to cancer treatment or having your ovaries removed. You may experience many uncomfortable symptoms when hormone levels decrease. These symptoms can disrupt your quality of life.

Recently, the term vaginal atrophy has been replaced with the newer term, genitourinary syndrome of menopause (GSM). This new term helps describe not just the vaginal, but also the urinary symptoms that may occur as a result of low estrogen.

How common is vaginal atrophy (GSM)?

At least half of women who enter menopause show signs and symptoms of genitourinary syndrome of menopause. Vaginal dryness is typically the first indication that you’re developing vaginal atrophy.

Symptoms and Causes

What are the symptoms of vaginal atrophy (GSM)?

The tissue that lines the wall of your vagina becomes thin, dry and inflamed when you have vaginal atrophy. Often, the first sign is less lubrication (dryness), which you may notice during sex. Other symptoms of genitourinary syndrome of menopause include:

  • Burning and/or itching in your vagina.
  • Dyspareunia (pain during sex).
  • Unusual vaginal discharge (usually a yellow color).
  • Spotting or bleeding, especially during sex.
  • Vulvar itching (itching around your external genitals).

It can also affect your urinary system and cause symptoms like:

  • Frequent urinary tract infections (UTIs).
  • Being unable to hold your pee (incontinence).
  • Peeing more than usual.
  • Painful urination (dysuria).
  • Blood in your pee (hematuria).
  • Burning feeling when you pee.

What causes vaginal atrophy (GSM)?

During menopause, your body makes less estrogen. Without estrogen, the lining of your vagina can become thinner and less stretchy. Your vaginal canal can also narrow and shorten. Less estrogen also lowers the amount of normal vaginal fluids and changes the acid balance in your vagina. All of these factors make your vaginal tissue more delicate and more likely to become irritated.

Your body can also produce less estrogen during events other than menopause. If you’re breastfeeding, receiving treatment for cancer or have had your ovaries removed, you can experience vaginal atrophy due to lack of estrogen.

Who is at risk for getting vaginal atrophy (GSM)?

Women in menopause are the most likely to experience vaginal atrophy because their body naturally produces less estrogen. However, other factors can decrease estrogen levels and lead to vaginal atrophy. These include:

  • Decreased ovarian functioning due to chemotherapy or radiation therapy.
  • Medications that contain antiestrogen properties including tamoxifen, medroxyprogesterone and nafarelin.
  • Oophorectomy (removal of your ovaries).
  • Some birth control pills.
  • Immune disorders.
  • Breastfeeding.
  • Smoking cigarettes.
If you have penetrative sexual activity less often (with or without a partner), you may also have a higher risk of moderate to severe vaginal atrophy. Studies show that people who have sex more often tend to have milder cases of atrophy than those who stop having sex. This is because sexual stimulation increases blood flow to your vagina and makes your vaginal tissue more elastic.

 

QUOTE FOR TUESDAY:

is an umbrella term for two main conditions=

and

2) Crohn’s disease.

Both cause inflammation in the digestive tract and are considered chronic conditions, which means they are long-term conditions. Ulcerative colitis and Crohn’s disease tend to flare and calm down over time. Both are treatable with medicines.Ulcerative colitis and Crohn’s disease can look similar at first, with symptoms such as diarrhea, belly pain and fatigue. But where they occur in the intestines and how deep the inflammation goes, known as transmural involvement, are different. Those differences help explain the symptoms and help your healthcare team decide which tests to order and what treatments or surgeries might be recommended.  There are main differences between ulcerative colitis and Crohn’s disease”

MAYO CLINIC (Ulcerative colitis vs. Crohn’s disease – Mayo Clinic)

The difference between Ulcerative colitis versus Chron’s disease!

IBD refers to both Crohn’s disease and ulcerative colitis, however they can be distinguished from one another by their symptoms, GI involvement, biopsy, and antibody testing.

You’ve had stomach cramps for weeks, you’re exhausted and losing weight, and you keep having to run to the bathroom. What’s going on?

It could be an inflammatory bowel disease (IBD).  But which one?

There are two: Crohn’s disease and ulcerative colitis. They have a lot in common, including long-term inflammation in your digestive system. But they also have some key differences that affect treatment.

By the way, if you hear some people just say “ulcerative colitis” you have sores (ulcers) in the lining of your colon, as well as inflammation there.  With Crohn’s disease you may have ulcers.

Facts on Chron’s Disease:

  • Inflammation may develop anywhere in the GI tract from the mouth to the anus
  • Most commonly occurs at the end of the small intestine
  • May appear in patches
  • May extend through entire thickness of bowel wall
  • About 67% of people in remission will have at least 1 relapse over the next 5 years

Facts on Ulcerative Colitis:

  • Limited to the large intestine (colon and rectum)
  • Occurs in the rectum and colon, involving a part or the entire colon
  • Appears in a continuous pattern
  • Inflammation occurs in innermost lining of the intestine
  • About 30% of people in remission will experience a relapse in the next year

The symptoms of Crohn’s disease or ulcerative colitis (UC) can be similar. They include:

Belly cramps and pain, Diarrhea, Constipation, An urgent need to have a bowel movement, Feeling like your bowel movement wasn’t complete, Rectal bleeding, Fever, Smaller appetite, Weight loss, Fatigue, Night sweats, Problems with your period. You might skip them, or their timing might be harder to predict.

You might not have all of those symptoms all the time. Both conditions can come and go, switching between flares (when symptoms are worse) and remission (when symptoms ease up or stop).

Crohn’s and ulcerative colitis are most often diagnosed in teenagers and young adults — although they can happen at any age — and tend to run in families.

There are similarities between Crohn’s disease and Ulcerative colitis, which are:

1.)Ulcerative colitis and Crohn’s disease affect men and women equally

2.)The symptoms of ulcerative colitis and Crohn’s disease are very similar

3.) Both diseases often develop in teenagers and young adults although the disease can occur at any age.

4.) The causes of both UC and Crohn’s disease are not known and both diseases have similar types of contributing factors such as environmental, genetic and an inappropriate response by the body’s immune system

There are differences between Crohn’s disease and ulcerative colitis and know what they are:

1.) Location –  Ulcerative colitis is limited to affecting the colon (large intestines (colon) to anus; while Crohn’s disease can occur anywhere starting from the mouth to the small intestines to the large intestines (colon) to the anus.

2.)  In Crohn’s disease, there are healthy parts of the intestine mixed in between inflamed areas. Ulcerative colitis, on the other hand, is continuous inflammation of the colon.

3.)  Ulcerative colitis only affects the inner most lining of the colon while Crohn’s disease can occur in all the layers of the bowel walls.

How to get Diagnosed: 

Since the differences between the two conditions mostly revolve around where in the digestive system inflammation happens, the best way for a doctor to give you the right diagnosis is to take a look inside.  To look inside is either a endoscopy or colonoscopy    depending on where the M.D. thinks the disorder is located.

Prior to these invasive tests the M.D. might order:

X-rays that can show places where your intestine is blocked or unusually narrow.

Contrast X-rays, for which you’ll swallow a thick, chalky, barium liquid so doctors can see how it moves through your system.

CT scans and MRIs to rule out other conditions that might cause symptoms similar to an inflammatory bowel disease.

After the M.D. see’s something on these tests indicating more invasive tests now he or she may order:

Endoscopy, in which a doctor uses a tiny camera on a thin tube to see inside your digestive system.

Specific types of endoscopy can be:

  • Examine lower part of your large intestines. Your doctor will call this test “sigmoidoscopy”.
  • Look at your entire large intestine. This is a colonoscopy.
  • Check the lining of the esophagus, stomach, and duodenum. This is an EGD (esophagogastroduodenoscopy).
  • Additional testing to look at your small intestine using a pill-sized camera. This is often called pill, or capsule, endoscopy.
  • See the bile ducts in the liver and the pancreatic duct. This test is called ERCP (endoscopic retrograde cholangiopancreatography).

Scientists are working to make two blood tests better at helping to diagnose ulcerative colitis and Crohn’s. They check on levels of certain antibodies found in the blood:

  • “pANCA” (perinuclear anti-neutrophil antibodies)
  • “ASCA” (anti-Saccharomyces Cerevisiae antibody)

Sometimes, even after all these tests, doctors might not be able to tell which of the two conditions you have. That’s true for 1 in 10 people with IBD. They show signs of both diseases. So they get a diagnosis of “indeterminate colitis,” because it’s not clear which ailment it is.

Finding Your Treatment

Because of the similarities between the conditions, many treatments of ulcerative colitis and Crohn’s disease overlap. These things help for both:

The appendix of the human body & Appendicitis.

The appendix is a small pouch attached to the large intestine. The appendix is a small, finger-shaped pouch of intestinal tissue located between the small intestine (cecum) and large intestine (colon). The appendix is a small finger-shaped tube that branches off the first part of the large intestine.

Appendicitis (means append=appendix and itis=inflammation.  Appendicitis causes pain in your lower right abdomen. However, in most people, pain begins around the navel and then moves. As inflammation worsens, appendicitis pain typically increases and eventually becomes severe.

Although anyone can develop appendicitis, most often it occurs in people between the ages of 10 and 30. Standard treatment is surgical removal of the appendix.

Signs and symptoms of appendicitis may include:

  • Sudden pain that begins on the right side of the lower abdomen
  • Sudden pain that begins around your navel and often shifts to your lower right abdomen
  • Pain that worsens if you cough, walk or make other jarring movements
  • Nausea and vomiting
  • Loss of appetite
  • Low-grade fever that may worsen as the illness progresses
  • Constipation or diarrhea
  • Abdominal bloating
  • Flatulence

The site of your pain may vary, depending on your age and the position of your appendix. When you’re pregnant, the pain may seem to come from your upper abdomen because your appendix is higher during pregnancy.

Strongly suggestive of appendicitis is pushing down on the R lower quadrant and upon letting go the pain is severe compared to when pushing down.  It is called “rebound effect”.

Diagnostic Tests for confirming appendicitis:

  • Blood test. This allows your doctor to check for a high white blood cell count, which may indicate an infection.
  • Urine test. Your doctor may want you to have a urinalysis to make sure that a urinary tract infection or a kidney stone isn’t causing your pain.
  • Rectal exam
  • Imaging tests. Your doctor may also recommend an abdominal X-ray, an abdominal ultrasound, computerized tomography (CT) scan or magnetic resonance imaging (MRI) to help confirm appendicitis or find other causes for your pain.

Treatment:

Appendicitis treatment usually involves surgery to remove the inflamed appendix. Before surgery you may be given a dose of antibiotics to treat infection.  There are times though antibiotics may only be used and the MD see’s if the appendicitis is resolved; it depends on the MD and the severity of the appendicitis.

Surgery to remove the appendix (appendectomy)

Appendectomy can be performed as open surgery using one abdominal incision about 2 to 4 inches (5 to 10 centimeters) long (laparotomy). Or the surgery can be done through a few small abdominal incisions (laparoscopic surgery). During a laparoscopic appendectomy, the surgeon inserts special surgical tools and a video camera into your abdomen to remove your appendix.

In general, laparoscopic surgery allows you to recover faster and heal with less pain and scarring. It may be better for older adults and people with obesity.

But laparoscopic surgery isn’t appropriate for everyone. If your appendix has ruptured and infection has spread beyond the appendix or you have an abscess, you may need an open appendectomy, which allows your surgeon to clean the abdominal cavity.

Expect to spend one or two days in the hospital after your appendectomy.

Draining an abscess before appendix surgery

If your appendix has burst and an abscess has formed around it, the abscess may be drained by placing a tube through your skin into the abscess. Appendectomy can be performed several weeks later after controlling the infection.

 

QUOTE FOR THE WEEKEND:

Things to remember in life:

  • “Wearing clothes that are too tight can lead to several health issues, including digestive problems, yeast infections, and nerve compression.
  • Repeatedly wearing overly tight clothing can restrict blood flow and compress nerves, potentially leading to lasting health effects.
  • While occasionally wearing tight-fitting clothes is unlikely to cause significant harm, it’s important to pay attention to your body and avoid clothing that causes discomfort, pain, or restricted breathing.”

Healthline

Can Tight Pants, Tight Ties, TIght Girdles/Pelvic Clothing Be Responsible for Several Apparel-Related Illnesses?

clothes on too tight  clothes on too tight2

The answer is yes.

If you have a body you’re proud of, thanks to hours of lifting weights and watching your diet, you may on occasion show it off by wearing something form fitting, but make sure it’s not TOO constrictive. As a recent news story showed, wearing tight clothing, in this case, “skinny jeans” could land you in the hospital.

Are Your Skinny Jeans TOO Tight?

Recently, a woman donned a pair of skinny jeans to help her friend move to a new apartment. While milling around her friend’s old apartment, she squatted down time after time to pick items up with the skinny jeans hugging her legs. By the end of the day, she could no longer feel her legs because of leg swelling and nerve compression, and fell while walking through a park. When she couldn’t get up, she had to crawl to the side of the road and hail a passing taxi to transport her to the hospital.

Sadly, she went on to spend four days in the hospital getting treatment to repair the damage the form-fitting jeans did to her muscles, nerves, and blood vessels. The swelling in her legs was so pronounced that medical personnel had to cut her skinny jeans off. Lab studies showed she had abnormally high levels of creatine kinase, an enzyme that rises when muscles are damaged.

The diagnosis was rhabdomyolysis and compartment syndrome – a condition marked by the build-up of pressure within a muscle.  When muscles swell inside a space that’s too tight, it can quickly damage tissues by blocking the blood supply they need for survival. Muscles are surrounded by fascia, connective tissue that doesn’t stretch or expand easily. So when pressure builds up, it can’t be easily released. People sometimes develop compartment syndrome when they have an arm or leg in a tight cast and less commonly from wearing clothing that’s too tight. Some people are more prone to developing compartment syndrome because their fascia is overly rigid.

Can Wearing Tight Clothing Cause Nerve Damage?

Compartment syndrome from wearing tight clothing is rare, but what isn’t so rare is a condition called meralgia paresthetica, another health problem caused by, among other things, wearing tight pants. With meralgia paresthetica, the lateral femoral cutaneous nerve that supplies sensation to the outer aspect of the thigh is compressed by constrictive clothing, usually a pair of tight pants. Pregnancy, having diabetes, and being overweight are also risk factors for this condition. Fortunately, damage to the nerve usually isn’t permanent, although surgery may occasionally be needed.

If you wear a compression garment or shape wear that makes your tummy and hips look slimmer for a night out on the town, you’re at higher risk for meralgia paresthetica. Better to tone up those areas through exercise than wear something overly constrictive to push in your hips or tummy.

 Can Tight Clothing Cause Spinal Problems?

Ask a chiropractor and they’ll tell you not to wear clothing that limits movement of your hips and core. Why? Doing so tightens the muscles that support your spine and throws off your postural alignment. A study published in Applied Ergonomics showed wearing tight pants restricts movement of the lower hips and trunk. As a result, the lumbar spine has to work harder to compensate. It’s always risky to limit movement of one part of the kinetic chain since another part has to take up the slack.

It’s not just tight pants that are a problem but tube and pencil skirts that force you to take short steps and place greater stress on your joints. Combine a tube skirt with high heels and you make the problem even worse by throwing off your center of gravity. Your risk of injury is higher too when you slip into a tight tube or pencil skirt. Ever tried to squat down or bend over to pick something up in a narrow skirt? It’s not easy – or safe.

Don’t forget – you may not feel the impact wearing tight clothing has on you right away, unless you develop an acute injury. Think of the risk as being cumulative over time. Keep in mind that anything that alters your natural gait and stride can create back and spine problems over time.

 Digestive Issues and Yeast Infections

Wearing tight clothing around your waist or abdomen increases the pressure inside your abdomen cavity. This pressure pushes up on your diaphragm and can trigger or worsen acid reflux symptoms. So, if you have heartburn, indigestion or bloating after a meal, check to see if your pants are too tight, and if you have on tight clothing, watch how much you eat! Clothing with tight waistbands and belts that constrict your waist or tummy are common culprits as are compression garments like Spanx.

Finally, tight clothing that reduces air flow to your “private parts” place you at greater risk for vaginal yeast infections. When you walk around in tight pants, moisture builds up in your crotch area and serves as a breeding ground for Candida, the fungi that cause yeast infections.

The Bottom Line

Not only is constrictive clothing uncomfortable, it may be hazardous to your health. If you wear something tight, keep it on for the least amount of time possible. Just as you save your stilettos for a special occasion, treat tight clothing the same way. It’s not comfy nor is it healthy. Wearing pants that are tight around the calves is especially risky when it’s warm outside and you’re standing or sitting a lot. The warm weather and standing can cause leg swelling and with tight pants on, your calves can only expand so much, leading to a build-up of pressure.

The take-home message? Be fashionable but sensible about what you put on.

Some clothing-related maladies go by mundane-sounding names that hardly hint at their potential to sicken. For example, a middle-aged or older man whose belly hangs below the waist of his pants may suffer from “tight pants syndrome,” a term coined in a 1993 article by Dr. Octavio Bessa, an internist in Stamford, Conn.

Bessa described a collection of gastrointestinal symptoms including abdominal pain, heartburn and reflux a few hours after meals that he would see in 20 to 25 men every year. The common thread: All wore ill-fitting pants with waistbands several inches smaller than their bellies, Bessa reported in the Archives of Internal Medicine.

Three years later, two diagnostic imaging specialists from Wales described a “sporting variant” of tight-pants syndrome that they linked to tight Neoprene bike shorts worn to prevent muscular injury. Drs. Charles G.F. Robinson and Nigel Jowett recounted how the shorts blocked venous blood flow in the legs of a 25-year-old man after his workout on a stationary bike. The doctors determined he’d suffered deep venous thrombosis (DVT), clotting probably exacerbated by a hip fracture four years earlier.

Despite treatment with blood thinners, the patient later developed a dangerous pulmonary embolism, indicating a clot had traveled to his lungs.

Pants that are too snug can lead to certain health issues, research suggests. Meaning you can be fit not just overweight.

Women suffer their own tight-pants agonies, too. A gynecological variation can foster yeast infections, pelvic pain, itching and irritations easily mistaken for a sexually transmitted disease. The solution? Looser, cotton clothing.

The way a woman wears her slacks might leave her prone to the breakdown of fatty tissue at the outside of the thighs, called lipoatrophia semicircularis, dermatologists say. “Persistent mechanical pressure” exerted by “strangling folds” of too-tight trousers can impair circulation and set the stage for this condition, especially in women who sit for long periods, according to a study from Chile’s Universidad Andres Bello in the June 2007 Journal of Dermatology.

Wearing tight neckties and shirts with constricting collars can impede blood flow through neck veins and arteries and may affect vision. In a 2003 study of 40 men, half with glaucoma, three minutes with a tightened tie raised eye pressure among the majority of those with and without the disease. Elevated eye pressure is a key element of diagnosing and monitoring glaucoma, a leading cause of blindness.

The lead researcher, Dr. Robert Ritch, a glaucoma specialist at New York Eye and Ear Infirmary, maintained in the study in the British Journal of Ophthalmology that the transient rise in pressure readings “could affect the diagnosis and management of glaucoma.” But several prominent glaucoma specialists said the study failed to establish that transient high pressure from the tightened ties could cause glaucoma.

Believe it or not but too-tight neckties might impede proper circulation in severe cases, research suggests.

Tight neckties also can limit neck movement and raise muscle tension in the upper back and neck, researchers at Korea’s Yonsei University reported last year in “Work: A Journal of Prevention, Assessment and Rehabilitation.” They tested 30 computer workers when wearing and not wearing tight neckties and concluded that “it is especially important for male workers to select and tie neckties appropriately” to prevent musculoskeletal injuries.

Although clothing-related pain and dysfunction can affect almost everyone, Avitzur said women have a tendency to overlook discomfort, for the sake of appearance. An admitted fashion health victim, Avitzur said she had worn ill-fitting boots and “too-heavy earrings that tore through one of my lobes.”

She got the idea for a blog about skinny jeans while at the office of the plastic surgeon who repaired the damage from her poor earring choice.

 

References:

Applied Ergonomics xxx (2013) 1e9. “Effects of restrictive clothing on lumbar range of motion and trunk muscle activity in young adult worker manual material handling”

Medical Daily. “Fashion Victim In Tight Pants Experiences Nerve And Muscle Damage: Medical Conditions Caused By Skinny Jeans” June 22, 2015.

ABC News.go.com

QUOTE FOR FRIDAY:

“Cardiovascular disease can be deadly for anyone. But females face unique risks, largely due to differences in anatomy and hormones. They’re more likely to have other heart attack symptoms along with chest pain, and they have a higher chance of developing symptoms from heart failure. Heart-healthy lifestyle changes can help.

Cardiovascular disease (CVD) affects women in unique ways. Sex-specific differences like anatomy, red blood cell count and hormones seem to impact a person’s risk factors, symptoms and other aspects of their cardiovascular health.

Researchers have found many sex-specific differences in the cardiovascular system. These complex differences, often at a microscopic level, can affect how females experience heart disease compared to males. A few examples include:

  • Anatomy. Females have smaller blood vessels and heart chambers. The walls of their ventricles (pumping chambers) are also thinner.
  • Blood count. Females have fewer red blood cells. As a result, they can’t take in or carry as much oxygen at any given time.
  • Cardiovascular adaptations. Changes in altitude or body position (like quickly standing up after lying down) are more likely to affect females. These changes can lead to sudden drops in blood pressure.
  • HormonesEstrogen and progesterone levels are typically higher in females, while testosterone is higher in males. These hormones can impact many aspects of your heart health and overall health.”

Cleveland Clinic (Heart Disease in Women: Risk Factors, Symptoms & Prevention)

Women with Heart Disease-If you are a woman, you need to know the basics about heart disease – especially heart disease as it behaves in women versus men.

                             Women and Heart DIsease

Many many women and their doctors don’t know that heart disease is the number one killer of women. Furthermore, the heart disease that is seen in women is often not quite the same as heart disease in men.

Let’s remember that Heart disease is an umbrella term that includes heart failure, coronary artery disease (CAD), arrhythmias, angina, and other heart-related infections, irregularities, and birth defects.

These facts lead to two common (and sometimes tragic) misapprehensions held by many women and their doctors: That women don’t really get much heart disease, and when they do, it behaves pretty much like the heart disease that men get.

The truth is that not only is heart disease very common in women, but also, when women get heart disease it often acts quite differently than it does in men. Failing to understand these two fundamental truths leads to a lot of preventable deaths and disability in women with heart disease.

If you are a woman, you need to know the basics about heart disease – especially heart disease as it behaves in women.

When women have angina, they are more likely than men to experience “atypical” symptoms. Instead of chest pain, they are more likely to experience a hot or burning sensation, or even tenderness to touch, which may be located in the back, shoulders, arms or jaw – and often women have no chest discomfort at all. An alert doctor will think of angina whenever a patient describes any sort of fleeting, exertion-related discomfort located anywhere above the waist, and they really shouldn’t be thrown off by such “atypical” descriptions of symptoms. However, unless doctors are thinking specifically of the possibility of CAD, they are all too likely to write such symptoms off to mere musculoskeletal pain or gastrointestinal disturbances.

Women are more likely than men to have heart attack symptoms unrelated to chest pain, such as:

      • Neck, jaw, shoulder, upper back or abdominal discomfort.
      • Shortness of breath.
      • Right arm pain.
      • Nausea or vomiting.
      • Sweating.
      • Lightheadedness or dizziness.
      • Unusual fatigue.

Heart attacks (or myocardial infarctions)  also tend to behave differently in women.

Frequently, instead of the crushing chest pain that is considered typical for a heart attack, women may experience nausea, vomiting, indigestion, shortness of breath or extreme fatigue – but no chest pain. Unfortunately, these symptoms are also easy to attribute to something other than the heart. Furthermore, women (especially women with diabetes) are more likely than men to have “silent” heart attacks – that is, heart attacks without any acute symptoms at all, and which are diagnosed only at a later time, when subsequent cardiac symptoms occur.

The Diagnosis of CAD in Women Can Be More Difficult.

Diagnostic tests that work quite well in men can be misleading in women. The most common problem is seen with stress testing – in women, the electrocardiogram (ECG) during exercise can often show changes suggesting CAD, whether CAD is present or not, making the study difficult to interpret. Many cardiologists routinely add an echocardiogram or a thallium study when doing a stress test in a woman, which greatly improves diagnostic accuracy.

In women with typical CAD, coronary angiography is every bit as useful as in men; it identifies the exact location of any plaques (i.e., blockages) within the coronary arteries, and guides therapeutic decisions. However, in women with atypical coronary artery disorders (to be discussed in the next section), coronary angiograms often appear misleadingly normal. Thus, in women angiography is often not the gold standard for diagnosis, as it is for most men.

CAD In Women Can Take Atypical Forms.

At least four atypical coronary artery disorders can occur in women, usually in younger (i.e., pre-menopausal) women. Each of these conditions can produce symptoms of angina with apparently “normal” coronary arteries (that is, coronary arteries that often appear normal on angiogram). The problem, obviously, is that if the physician trusts the results of the angiogram, he/she is likely to miss the real diagnosis.

DALLAS, February 19, 2013 — A new study show women’s heart disease awareness is increasing.  A study with the number of women aware that heart disease is the leading cause of death nearly is doubling in the last 15 years, but that this knowledge still lags in minorities and younger women, according to the American Heart Association (AHA).

Among the study’s major findings, researchers comparing women’s views about heart disease in 1997 and today found:

  • In 2012, 56 percent of women identified heart disease as the leading cause of death compared with 30 percent in 1997.
  • In 1997, women were more likely to cite cancer than heart disease as the leading killer (35 percent versus 30 percent); but in 2012, only 24 percent cited cancer.
  • In 2012, 36 percent of black women and 34 percent of Hispanic women identified heart disease as the top killer — awareness levels that white women had in 1997 (33 percent).
  • Women 25-34 years old had the lowest awareness rate of any age group at 44 percent.

Among the women surveyed in 2012, researchers found:

  • Racial and ethnic minorities reported higher levels of trust in their healthcare providers compared with whites, and were also more likely to act on the information provided—dispelling the myth that mistrust of providers contributes to disparities.
  • Compared with older women, younger women were more likely to report not discussing heart disease risk with their doctors (6 percent among those 25-34 versus 33 percent for those 65 and older).

Risk Factors for Heart Disease in Women – Those we can’t change = Nonmodifiable Factors:

Age and Family History, Gender, Ethnicity.

The risk of having heart disease increases with age and this is due to stiffening of heart muscles which makes the heart less efficient in pumping blood around the body. You can determine your heart age by using this tool, developed by the British Heart Foundation: https://www.bhf.org.uk/heart-health/risk-factors/check-your-heart-age.

Another risk factor you cannot change is if you have a history of heart disease among family members. This can double your risk, so if your mother, father, sister or brother has suffered from heart disease before the age of 60 you are at a greater risk of developing heart disease.

Modifiable Risk Factors – Those we can change are:

1-Smoking is the single largest preventable cause of death in Australia, and approximately 40% of women who smoke die due to heart disease, stroke or blood vessel disease. Smokers are 2-4 times more at risk of developing heart disease compared to non-smokers. In 2011/2012, over 1.3 million women in Australia smoked, and 89% of them did this on a daily basis. While these numbers are for women aged 15 and over, the largest group were in the 25-34 age group.

Passive smoking (exposure to the cigarette smoke of others) also causes an increase in the risk of developing heart disease, which increases further in people having high blood pressure or high cholesterol. Women who smoke and also take the contraceptive pill have a 10 times higher risk of having a heart attack.

2-Alcohol. Do you know that drinking too much alcohol increases the risk of heart disease? Excessive drinking causes more weight gain (due to increased calories!), increase in blood pressure and blood lipids. Over a long period of time it can weaken the heart muscle and cause abnormal heart rhythms. Try and not drink alcohol every day, limit it to two standard drinks at a time and aim for at least two alcohol free days a week and make sure you don’t increase the amount you drink on the other days. Periodically take a break from any alcohol for a week or more and you will notice many benefits including a better nights sleep.

3.High Blood Pressure or Hypertension. Your blood pressure is a measurement of how ‘hard’ your heart is working to push blood around your body, through the blood vessels. It can be a ‘silent’ killer and if you do not know your blood pressure then it is worth having it checked by your GP. Changing your lifestyle will reduce your blood pressure. A recent study suggests that keeping your blood pressure under 140/90 can increase your life expectancy by 5 years at the age of 50 years. You can assess your high blood pressure through your MD monthly or less expensive buy a b/p machine and check your b/p everyday especially if your on antihypertensive meds to make sure your b/p isn’t under 100/60 to prevent hypotension.

4.Diabetes. Do you have diabetes and if so, is it under control?

Diabetes doubles your risk of having heart disease. People who have uncontrolled diabetes are at risk of having heart disease at an earlier age. For pre-menopausal women, having diabetes cancels the protective effects of hormone present in women and significantly increases the risk of heart disease. Taking steps to find out what your blood sugar is and keeping it well-controlled is essential.

5.Obesity- Do you know your body fat content?  If you think that you are overweight then you put yourself at risk of having heart disease. Being overweight will increase your blood pressure and contribute to developing diabetes. In addition to that, women who carry weight around their middle (belly fat) as opposed to their hips are twice as likely to develop heart disease.

By taking the steps to reduce your weight, you can reduce your risk of heart disease. A great tool developed by National Heart Foundation of Australia calculates if you might be at risk: http://www.heartfoundation.org.au/healthy-eating/Pages/bmi-calculator.aspx

6- INACTIVE-Are you physically active every day? Recent research indicates that “sitting is the new smoking” and being physically inactive can double your risk of having heart disease. It is important to get some exercise every day, such as a 30 minute walk where you raise your heart rate. It also raises your serotonin levels (feel-good hormone) and can reduce depression

7- STRESS-We could almost ask – do you know anyone who is not stressed?! However, while everyday life is stressful, those people who are almost constantly stressed are at risk of adopting unhealthy behaviours in order to reduce their stress levels. Examples include increasing their alcohol intake or smoking in order to relax; or tending to eat more junk food because they are often short of time. All of these factors increase their risk of heart disease.

Women, stress and the risk of heart disease

Along with poor diet, lack of exercise and smoking, unmanaged stress may increase the risk for heart disease. Now medical experts are discovering that mental stress affects women in different, and in some cases, more devastating ways, especially if they already have coronary conditions. One study that

Heart disease is the leading cause of death for men and women in the United States. Every year, 1 in 4 deaths are caused by heart disease. The good news? Heart disease can often be prevented when people make healthy choices and manage their health conditions. Communities, health professionals, and families can work together to create opportunities for people to make healthier choices. Make a difference in your community: Spread the word about strategies for preventing heart disease and encourage people to live heart healthy lives

 

QUOTE FOR THURSDAY:

“Based on the most recent data available, in the United States in 2021, 141,902 new colorectal cancers were reported and in 2022, 52,967 people died from colorectal cancer.

From 2017 to 2021, about 1 in 3 colorectal cancer cases were diagnosed at a localized stage, meaning the cancer had not spread outside the colon or rectum. Almost 4 in 10 colorectal cancers were found at a regional stage (the cancer had spread to nearby lymph nodes, tissues, or organs), and about 2 in 10 were found at a distant stage (the cancer had spread to distant parts of the body).

Overall, 64% of colorectal cancer patients had not died from their cancer 5 years later. However, survival varied by stage at diagnosis.

Survival is higher when colorectal cancer is found before it spreads to other parts of the body. Screening tests can prevent colorectal cancer or find it early, when treatment works best.”

Center for Disease Control and Prevention – CDC (U.S. Cancer Statistics Colorectal Cancer Stat Bite | U.S. Cancer Statistics | CDC)