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HYPERTHYROIDISM
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Hyperthyroidism (overactive thyroid) occurs when your thyroid gland produces too much of the hormone thyroxine. Hyperthyroidism can accelerate your body's metabolism, causing unintentional weight loss and a rapid or irregular heartbeat.

Several treatments are available for hyperthyroidism. Doctors use anti-thyroid medications and radioactive iodine to slow the production of thyroid hormones. Sometimes, hyperthyroidism treatment involves surgery to remove all or part of your thyroid gland.
Although hyperthyroidism can be serious if you ignore it, most people respond well once hyperthyroidism is diagnosed and treated.

SYMPTOMS

Hyperthyroidism can mimic other health problems, which can make it difficult for your doctor to diagnose. It can also cause a wide variety of signs and symptoms, including:
• Unintentional weight loss, even when your appetite and food intake stay the same or increase
• Rapid heartbeat (tachycardia) — commonly more than 100 beats a minute
• Irregular heartbeat (arrhythmia)
• Pounding of your heart (palpitations)
• Increased appetite
• Nervousness, anxiety and irritability
• Tremor — usually a fine trembling in your hands and fingers
• Sweating
• Changes in menstrual patterns
• Increased sensitivity to heat
• Changes in bowel patterns, especially more frequent bowel movements
• An enlarged thyroid gland (goiter), which may appear as a swelling at the base of your neck
• Fatigue, muscle weakness
• Difficulty sleeping
• Skin thinning
• Fine, brittle hair
Older adults are more likely to have either no signs or symptoms or subtle ones, such as an increased heart rate, heat intolerance and a tendency to become tired during ordinary activities.

GRAVES' OPHTHALMOPATHY

Sometimes an uncommon problem called Graves' ophthalmopathy may affect your eyes, especially if you smoke. This disorder makes your eyeballs protrude beyond their normal protective orbits when the tissues and muscles behind your eyes swell. Eye problems often improve without treatment.
Signs and symptoms of Graves' ophthalmopathy include:
• Dry eyes
• Red or swollen eyes
• Excessive tearing or discomfort in one or both eyes
• Light sensitivity, blurry or double vision, inflammation, or reduced eye movement
• Protruding eyeballs

WHEN TO SEE A DOCTOR

If you experience unexplained weight loss, a rapid heartbeat, unusual sweating, swelling at the base of your neck or other signs and symptoms associated with hyperthyroidism, see your doctor. It's important to completely describe the changes you've observed, because many signs and symptoms of hyperthyroidism may be associated with a number of other conditions.

If you've been treated for hyperthyroidism or you currently are being treated, see your doctor regularly as advised so that he or she can monitor your condition.

CAUSES

Hyperthyroidism can be caused by a number of conditions, including Graves' disease, Plummer's disease and thyroiditis.
Your thyroid is a small, butterfly-shaped gland at the base of your neck, just below your Adam's apple. The thyroid gland has an enormous impact on your health. Every aspect of your metabolism is regulated by thyroid hormones.
Your thyroid gland produces two main hormones, thyroxine (T4) and triiodothyronine (T3), that influence every cell in your body. They maintain the rate at which your body uses fats and carbohydrates, help control your body temperature, influence your heart rate, and help regulate the production of protein. Your thyroid also produces a hormone that helps regulate the amount of calcium in your blood (calcitonin).
Reasons for too much thyroxine (T4)
Normally, your thyroid releases the right amount of hormones, but sometimes it produces too much T4. This may occur for a number of reasons, including:
• Graves' disease. Graves' disease is an autoimmune disorder in which antibodies produced by your immune system stimulate your thyroid to produce too much T4. It's the most common cause of hyperthyroidism.
• Hyperfunctioning thyroid nodules (toxic adenoma, toxic multinodular goiter or Plummer's disease). This form of hyperthyroidism occurs when one or more adenomas of your thyroid produce too much T4. An adenoma is a part of the gland that has walled itself off from the rest of the gland, forming noncancerous (benign) lumps that may cause an enlargement of the thyroid.
• Thyroiditis. Sometimes your thyroid gland can become inflamed after pregnancy, due to an autoimmune condition or for unknown reasons. The inflammation can cause excess thyroid hormone stored in the gland to leak into your bloodstream. Some types of thyroiditis may cause pain, while others are painless.
Risk factors

Risk factors for hyperthyroidism, include:
• A family history, particularly of Graves' disease
• Female s*x
• A personal history of certain chronic illnesses, such as type 1 diabetes, pernicious anemia and primary adrenal insufficiency

COMPLICATIONS

Hyperthyroidism can lead to a number of complications:
• Heart problems. Some of the most serious complications of hyperthyroidism involve the heart. These include a rapid heart rate, a heart rhythm disorder called atrial fibrillation that increases your risk of stroke, and congestive heart failure — a condition in which your heart can't circulate enough blood to meet your body's needs.
• Brittle bones. Untreated hyperthyroidism can also lead to weak, brittle bones (osteoporosis). The strength of your bones depends, in part, on the amount of calcium and other minerals they contain. Too much thyroid hormone interferes with your body's ability to incorporate calcium into your bones.
• Eye problems. People with Graves' ophthalmopathy develop eye problems, including bulging, red or swollen eyes, sensitivity to light, and blurring or double vision. Untreated, severe eye problems can lead to vision loss.
• Red, swollen skin. In rare cases, people with Graves' disease develop Graves' dermopathy. This affects the skin, causing redness and swelling, often on the shins and feet.
• Thyrotoxic crisis. Hyperthyroidism also places you at risk of thyrotoxic crisis — a sudden intensification of your symptoms, leading to a fever, a rapid pulse and even delirium. If this occurs, seek immediate medical care.

By Mayo Clinic Staff

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10 WAYS TO BOOST YOUR IMMUNE SYSTEM AGAINST THE NOVEL CORONAVIRUS COVID-19
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1. ENOUGH SLEEP- Atleast 7 hours. Sleep deprivation and stress overload increase the hormone cortisol, prolonged elevation of which suppresses immune function.

2. MODERATE EXCERCISE. Exercise is any bodily activity that enhances or maintains physical fitness and overall health and wellness. It is performed for various reasons, to aid growth and improve strength, preventing aging, developing muscles and the cardiovascular system, honing athletic skills, weight loss or maintenance, improving health[2] and also for enjoyment. Many individuals choose to exercise outdoors where they can congregate in groups, socialize, and enhance well-being.

3. VITAMIN D -1000 IU. Vitamin D is also known as the " Sunshine vitamins" Here is an interesting fact associated with it that you can't always obtain vitamin D from food because your body produces it naturally when exposed to the sun.

It is stressing to learn that people in large number are vitamin D deficient due to less sun expose. The deficiency of it can affect you in a number ways and often reults in daunting diseases such as cardiovascular dis orders, diabetes, and rickets. It is true that Vitamin D deficiency weaken your teeth and sometimes results in frequent bone fractures. Therefore, it is essential to wathc what you eat and make sure it contains plenty of vitamin D.

11 Amazing Health Benefits of Vitamin D.

1. Vitamin D for Infants
2. It Prevent Cancer
3. Vitamin D increase Fertility
4. Cardiovascular health
5. Weight Loss
6. Reduces Depression
7. Fight Type-2 diabetes
8. Strong bones
9. Improves Muscle Function
10. Boost Immune System
11. Treat Rickets

4. Vitamin C. Vitamin C, also known as ascorbic acid and ascorbate, is a vitamin found in various foods and sold as a dietary supplement. It is used to prevent and treat scurvy. Vitamin C is an essential nutrient involved in the repair of tissue and the enzymatic production of certain neurotransmitters.It is required for the functioning of several enzymes and is important for immune system function. It also functions as an antioxidant.

5. Zinc -20mg. Zinc is a trace element that is necessary for a healthy immune system. A lack of zinc can make a person more susceptible to disease and illness.

6. Echinacea - 2400mg for prevention 4000mg for treatment. Echinacea is a very popular herb, and people commonly take it to help combat flu and colds. It is a genus of herbaceous flowering plants in the daisy family – Asteraceae. It is also known as the American coneflower.

7. Garlic. Garlic (Allium sativum), is used widely as a flavoring in cooking, but it has also been used as a medicine throughout ancient and modern history; it has been taken to prevent and treat a wide range of conditions and diseases.

8. Probiotics. Probiotics are live microorganisms that can be consumed through fermented foods or supplements .More and more studies show that the balance or imbalance of bacteria in your digestive system is linked to overall health and disease. Probiotics promote a healthy balance of gut bacteria and have been linked to a wide range of health benefits.These include benefits for weight loss, digestive health, immune function and more.

9. Reduce stress. Exercise reduces stress and is a very effective stress management technique. These stress relief exercises can help you take control of stress, reduce stress related illness, and improve health.

10. Flavonoids. Flavonoids are rich in antioxidant activity and can help your body ward off everyday toxins. Including more flavonoids in your diet is a great way to help your body stay healthy and potentially decrease your risk of some chronic health conditions.

LUNG CANCER
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WHAT IS LUNG CANCER?

Lung cancer is a type of cancer that begins in the lungs. Your lungs are two spongy organs in your chest that take in oxygen when you inhale and release carbon dioxide when you exhale.

Lung cancer is the leading cause of cancer deaths in the United States, among both men and women. Lung cancer claims more lives each year than do colon, prostate, ovarian and breast cancers combined.

People who smoke have the greatest risk of lung cancer, though lung cancer can also occur in people who have never smoked. The risk of lung cancer increases with the length of time and number of ci******es you've smoked. If you quit smoking, even after smoking for many years, you can significantly reduce your chances of developing lung cancer.

SYMPTOMS

Lung cancer typically doesn't cause signs and symptoms in its earliest stages. Signs and symptoms of lung cancer typically occur only when the disease is advanced.
Signs and symptoms of lung cancer may include:
• A new cough that doesn't go away
• Coughing up blood, even a small amount
• Shortness of breath
• Chest pain
• Hoarseness
• Losing weight without trying
• Bone pain
• Headache

CAUSES

Smoking causes the majority of lung cancers — both in smokers and in people exposed to secondhand smoke. But lung cancer also occurs in people who never smoked and in those who never had prolonged exposure to secondhand smoke. In these cases, there may be no clear cause of lung cancer.

HOW SMOKING CAUSES LUNG CANCER

Doctors believe smoking causes lung cancer by damaging the cells that line the lungs. When you inhale cigarette smoke, which is full of cancer-causing substances (carcinogens), changes in the lung tissue begin almost immediately.

At first your body may be able to repair this damage. But with each repeated exposure, normal cells that line your lungs are increasingly damaged. Over time, the damage causes cells to act abnormally and eventually cancer may develop.

TYPES OF LUNG CANCER

Doctors divide lung cancer into two major types based on the appearance of lung cancer cells under the microscope. Your doctor makes treatment decisions based on which major type of lung cancer you have.
The two general types of lung cancer include:
• Small cell lung cancer. Small cell lung cancer occurs almost exclusively in heavy smokers and is less common than non-small cell lung cancer.
• Non-small cell lung cancer. Non-small cell lung cancer is an umbrella term for several types of lung cancers that behave in a similar way. Non-small cell lung cancers include squamous cell carcinoma, adenocarcinoma and large cell carcinoma.

RISK FACTORS

A number of factors may increase your risk of lung cancer. Some risk factors can be controlled, for instance, by quitting smoking. And other factors can't be controlled, such as your family history.

Risk factors for lung cancer include:

• Smoking. Your risk of lung cancer increases with the number of ci******es you smoke each day and the number of years you have smoked. Quitting at any age can significantly lower your risk of developing lung cancer.
• Exposure to secondhand smoke. Even if you don't smoke, your risk of lung cancer increases if you're exposed to secondhand smoke.
• Exposure to radon gas. Radon is produced by the natural breakdown of uranium in soil, rock and water that eventually becomes part of the air you breathe. Unsafe levels of radon can accumulate in any building, including homes.
• Exposure to asbestos and other carcinogens. Workplace exposure to asbestos and other substances known to cause cancer — such as arsenic, chromium and nickel — also can increase your risk of developing lung cancer, especially if you're a smoker.
• Family history of lung cancer. People with a parent, sibling or child with lung cancer have an increased risk of the disease.

COMPLICATIONS

Lung cancer can cause complications, such as:
• Shortness of breath. People with lung cancer can experience shortness of breath if cancer grows to block the major airways. Lung cancer can also cause fluid to accumulate around the lungs, making it harder for the affected lung to expand fully when you inhale.

• Coughing up blood. Lung cancer can cause bleeding in the airway, which can cause you to cough up blood (hemoptysis). Sometimes bleeding can become severe. Treatments are available to control bleeding.

• Pain. Advanced lung cancer that spreads to the lining of a lung or to another area of the body, such as a bone, can cause pain. Tell your doctor if you experience pain, as many treatments are available to control pain.

• Fluid in the chest (pleural effusion). Lung cancer can cause fluid to accumulate in the space that surrounds the affected lung in the chest cavity (pleural space).
Fluid accumulating in the chest can cause shortness of breath. Treatments are available to drain the fluid from your chest and reduce the risk that pleural effusion will occur again.

• Cancer that spreads to other parts of the body (metastasis). Lung cancer often spreads (metastasizes) to other parts of the body, such as the brain and the bones.

Cancer that spreads can cause pain, nausea, headaches, or other signs and symptoms depending on what organ is affected. Once lung cancer has spread beyond the lungs, it's generally not curable. Treatments are available to decrease signs and symptoms and to help you live longer.

THE ROLE OF VITAMIN D IN IMPAIRED FERTILITY TREATMENT
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Vitamin D is currently in the scope of research in many fields of medicine. Despite that its influence on health remains uncertain. This paper presents the review of the publications concerning the role of calciferol in reproduction processes and its significance in infertility therapy covering topics of polycystic o***y syndrome, endometriosis infertility, myoma infertility, male infertility, premature o***y failure and in vitro fertilization techniques.
The results of latest research articles in those fields has been discussed and summarized. The deficiency of vitamin defined as the concentration of 25-hydroxycalciferol

PREGNANCY TESTIMONIAL
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5 SIGNS AND SYMPTOMS OF PSORIASIS
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What are the Symptoms of Psoriasis?

The signs and symptoms of psoriasis can vary depending on the type of psoriasis you have. The 5 most common symptoms of psoriasis include:
1. Rashes or patches of red, inflamed skin, often covered with loose,
silver-colored scales; in severe cases, the plaques will grow and
merge into one another, covering large areas.
2• Itchy, painful skin that can crack or bleed
3• Small areas of bleeding where the involved skin is scratched
4• Problems with your fingernails and toenails, including discoloration
and pitting; the nails may also begin to crumble or detach from the nail
bed.
5• Scaly plaques on the scalp

Psoriasis can also be associated with psoriatic arthritis, which causes achy, swollen joints. Between 10% and 30% of people with psoriasis also have this painful joint condition.

What Causes Flare-ups?

Every person with this condition has their own triggers. Things that cause your psoriasis to become active may not affect another person.
If you find out what causes your skin to flare up, you will be better able to control your symptoms.
Psoriasis is an immune system problem. Certain triggers may make your symptoms worse, including:
• Cold, dry weather. Any climate that relieves dry skin will help. Try to
spend some time in warm sunny weather and high humidity.
• Stress. Keep calm and try to stay relaxed. Outbreaks are more likely
to pop up when you are anxious.
• Some medicines. These include some ”beta-blocker” drugs used to
treat high blood pressure and heart disease; lithium, a treatment for
bipolar disorder; and pills taken to treat malaria. Tell your doctor if you
have psoriasis and are being treated for any of these conditions.
• Infections. There is a short list of infections including strep throat and
tonsillitis that can trigger a special kind of psoriasis outbreak. It looks
like small drops that show up mainly on your torso and limbs. HIV
infection can also make it worse.
• Skin Injury. In some people, the tiniest cuts, bruises, and burns can
cause an outbreak. Even tattoos and bug bites might trigger a new
lesion. You can wear gloves or put on an extra layer of clothes to
avoid a break in your skin.
• Alcohol. Drinking, especially heavy drinking in young men, may trigger
or worsen symptoms and interfere with treatments. Combining certain
psoriasis medications with alcohol can have dangerous side effects,
especially for women in their child-bearing years.
• Smoking. Using to***co or being around second hand smoke raises
your risk of getting psoriasis and makes existing conditions worse.

WebMD Medical Reference Reviewed by Stephanie S. Gardner, MD on January 17, 2020

PSORIASIS
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KIDNEY STONES
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What are the symptoms of kidney stones?

Symptoms of kidney stones include
• sharp pains in your back, side, lower abdomen, or groin
• pink, red, or brown blood in your urine, also called hematuria
• a constant need to urinate
• pain while urinating
• inability to urinate or can only urinate a small amount
• cloudy or bad-smelling urine
See a health care professional right away if you have any of these symptoms. These symptoms may mean you have a kidney stone or a more serious condition.
Your pain may last for a short or long time or may come and go in waves. Along with pain, you may have
• nausea
• vomiting
Other symptoms include
• fever
• chills
You may have a kidney stone if you have pain while urinating or feel a sharp pain in your back or lower abdomen.
What causes kidney stones?
Kidney stones are caused by high levels of calcium, oxalate, and phosphorus in the urine. These minerals are normally found in urine and do not cause problems at low levels.
Certain foods may increase the chances of having a kidney stone in people who are more likely to develop them.

KIDNEY STONE
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PNEUMONIA
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What is Pneumonia?

Pneumonia is an infection that inflames the air sacs in one or both lungs. The air sacs may fill with fluid or pus (purulent material), causing cough with phlegm or pus, fever, chills, and difficulty breathing. A variety of organisms, including bacteria, viruses and fungi, can cause pneumonia.
Pneumonia can range in seriousness from mild to life-threatening. It is most serious for infants and young children, people older than age 65, and people with health problems or weakened immune systems.

SYMPTOMS

The signs and symptoms of pneumonia vary from mild to severe, depending on factors such as the type of germ causing the infection, and your age and overall health. Mild signs and symptoms often are similar to those of a cold or flu, but they last longer.
Signs and symptoms of pneumonia may include:
• Chest pain when you breathe or cough
• Confusion or changes in mental awareness (in adults age 65 and older)
• Cough, which may produce phlegm
• Fatigue
• Fever, sweating and shaking chills
• Lower than normal body temperature (in adults older than age 65 and people with weak immune systems)
• Nausea, vomiting or diarrhea
• Shortness of breath

Newborns and infants may not show any sign of the infection. Or they may vomit, have a fever and cough, appear restless or tired and without energy, or have difficulty breathing and eating.

When to see a doctor

See your doctor if you have difficulty breathing, chest pain, persistent fever of 102 F (39 C) or higher, or persistent cough, especially if you're coughing up pus.
It's especially important that people in these high-risk groups see a doctor:
• Adults older than age 65
• Children younger than age 2 with signs and symptoms
• People with an underlying health condition or weakened immune system
• People receiving chemotherapy or taking medication that suppresses the immune system

For some older adults and people with heart failure or chronic lung problems, pneumonia can quickly become a life-threatening condition.

CAUSES

Many germs can cause pneumonia. The most common are bacteria and viruses in the air we breathe. Your body usually prevents these germs from infecting your lungs. But sometimes these germs can overpower your immune system, even if your health is generally good.
Pneumonia is classified according to the types of germs that cause it and where you got the infection.
Community-acquired pneumonia
Community-acquired pneumonia is the most common type of pneumonia. It occurs outside of hospitals or other health care facilities. It may be caused by:
• Bacteria. The most common cause of bacterial pneumonia in the U.S. is Streptococcus pneumoniae. This type of pneumonia can occur on its own or after you've had a cold or the flu. It may affect one part (lobe) of the lung, a condition called lobar pneumonia.
• Bacteria-like organisms. Mycoplasma pneumoniae also can cause pneumonia. It typically produces milder symptoms than do other types of pneumonia. Walking pneumonia is an informal name given to this type of pneumonia, which typically isn't severe enough to require bed rest.
• Fungi. This type of pneumonia is most common in people with chronic health problems or weakened immune systems, and in people who have inhaled large doses of the organisms. The fungi that cause it can be found in soil or bird droppings and vary depending upon geographic location.
• Viruses. Some of the viruses that cause colds and the flu can cause pneumonia. Viruses are the most common cause of pneumonia in children younger than 5 years. Viral pneumonia is usually mild. But in some cases it can become very serious.

Hospital-acquired pneumonia

Some people catch pneumonia during a hospital stay for another illness. Hospital-acquired pneumonia can be serious because the bacteria causing it may be more resistant to antibiotics and because the people who get it are already sick. People who are on breathing machines (ventilators), often used in intensive care units, are at higher risk of this type of pneumonia.

Health care-acquired pneumonia

Health care-acquired pneumonia is a bacterial infection that occurs in people who live in long-term care facilities or who receive care in outpatient clinics, including kidney dialysis centers. Like hospital-acquired pneumonia, health care-acquired pneumonia can be caused by bacteria that are more resistant to antibiotics.

Aspiration pneumonia

Aspiration pneumonia occurs when you inhale food, drink, vomit or saliva into your lungs. Aspiration is more likely if something disturbs your normal gag reflex, such as a brain injury or swallowing problem, or excessive use of alcohol or drugs.

By Mayo Clinic Staff

PNEUMONIA
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Breast Cancer Symptoms and Warning Signs
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In its early stages, cancer usually has no symptoms. As a tumor grows, you may notice these signs:

1. Lump in your breast or underarm
A lump in your breast or underarm that doesn’t go away after your period. This is often the first symptom of breast cancer. Lumps associated with breast cancer are usually painless, although some may cause a prickly sensation. Lumps are usually visible on a mammogram long before you can see or feel them.

2. Swelling in the armpit, collarbone, or breast
Swelling in your armpit or collarbone could mean breast cancer has spread to lymph nodes in that area. This swelling may come before you feel a lump, so let your doctor know if you notice it. Swelling in your breast might signal an aggressive type of cancer called inflammatory breast cancer.

3. Pain or tenderness in your breast
Although lumps are usually painless, pain or tenderness can be a sign of breast cancer.

4. A flat or indented area on your breast
This could be a tumor that you can’t see or feel.

5. Breast changes
You might notice a difference in the size, contour, texture, or temperature of your breast.
A reddish, pitted surface like the skin of an orange could be a sign of advanced breast cancer.
6. A change in your ni**le
It could:
• Pull inward
• Get dimpled
• Burn
• Itch
• Develop sores

7. Ni**le discharge
You might notice an unusual discharge from your ni**le. It could be clear, bloody, or another color. It's usually caused by benign conditions, but it could be due to cancer, too.

8. A marble-like area under the skin
This area will feel different from any other part of either breast.

WebMD Medical Reference Reviewed by Carol DerSarkissian on March 05, 2019