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Kamis, 30 Juni 2011

6 Tips Reduce Hypertension

Sometimes we imagine hypertensive patients are people who like to get angry or irritable at least. It was not like that, many patients who do not appear physically but turned out to have hypertension.

Patients who come to doctors in general his condition is severe, because it did not know he suffered from hypertension. In medical, blood pressure is 140/90 (systolic / diastolic) mm Hg or more, indicates that we have hypertension. A healthy blood pressure was 120/80 mm Hg. If the blood pressure of 120/80 mm Hg and the 139/89 mm Hg, twice the risk of developing into hypertension.

Pengidapnya usually aged middle-aged (30-50 years). Ninety percent of people with hypertension in this category. Bad behavior, like smoking, lack of exercise, like salty foods and fast foods, eating excessive calories and obesity, contribute to the emergence of hypertension.

Well, here’s a brief suggestion to deter and reduce hypertension.
1. Eat fresh fruit 20-30 minutes before eating. Fruit chew slowly. Drinking fruit juice slowly, sip by sip, not spent at once. Fruit contains a lot of water, fiber and antioxidant compounds beta-carotene, lycopene, chlorophyll, vitamin C, which can reduce blood pressure rise.
2. Do not forget tempeh! Protease enzyme produced by yeast during the brewing of soy protein will describe kedelain into amino acids. Some of these amino acids (amino acids 50-10) together inhibited angiotensin-1 work covertting enzyme (ACE), the source of the trigger rise in blood pressure.
Three. Limit salt and “salt” Do not flush the salt and salty foods. Limit foods containing sodium salts, such as processed foods (corned beef, canned fish, side dishes / vegetables instant), bottled sauce (chili sauce, ketchup, soy sauce), instant food (noodles, instant side dish), cakes and pastries are sprinkled soda pastry / baking powder such as biscuits.
4. Lower the weight if overweight Body Mass Index (BMI) greater than 25 indicates that we are overweight. If it exceeds 30, we are overweight, To calculate BMI: the weight (kilograms) by height squared (meters). Example: height 170 cm, weight 72 kg, the BMI = 72 (1.70) 2 = 25.
5. Meditation
In the Journal of Personality and Social Psychology, 57: 1989 referred to a group of patients with hypertension and prehypertension was investigated by dividing it into two groups randomly. One group led meditate, relax according to the remaining freed their respective interests. After three months, the meditation group had decreased systolic and diastolic blood pressure respectively 10.6 and 5.9 mm Hgm, while leisure group only 4.0 and 2.1 mm Hg.
6. Sport
Isotonic exercising, like walking, jogging, swimming, can reduce blood pressure. Isotonic exercise can shrink the hormones noradrenaline and other hormones cause shrinkage of blood vessels, which can result in an increased blood pressure. Avoid isometric exercise, like lifting weights, because it can raise blood pressure.
Please select the tips that match your conditions. Keep you and your family health.
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Healing Hypertension Naturally

Any visit to the doctor can be stressful--even raising your blood pressure temporarily--but the blood pressure test during your annual physical can be critical to your long-range health.
If your blood pressure is elevated mildly, your doctor may send you home and tell you to relax, lose weight, exercise and drink less alcohol. If you smoke, he will ask you to give up the habit. These lifestyle changes have been found to aid in restoring normal blood pressure. If your blood pressure is elevated consistently for the next few visits, you will be told you have hypertension and it's time to start treatment.
The typical therapy follows a three-step process: First, you are prescribed a Step 1 medication--a diuretic, such as Lasix, Lozol, Chlorthalidone or Bumex. Eventually, the diuretic becomes less effective and a Step 2 medication called a beta-blocker is usually added. Examples of beta-blockers are Lopressor, Levatol, Inderal, Cartrol and Atenolol. This drug also loses its effectiveness in time. In Step 3, an ACE-inhibitor, such as Captopril, Lysinopril, Benazopril Hydrochloride, Quinopril Hydrochloride, or a calcium channel blocker, such as Norvasc, Verapimil or Cardizem, is prescribed.
Looking back on the results of this three-step process, what happened? You took three steps toward curing your hypertension, but with each step you regressed faster towards worsening health. By adding extra medications, your quality of life rapidly declined. You may have gone from taking no medications to taking three or four. You are now tied down to a schedule of prescription drugs, scared into believing that if you stop any of them you will suffer a stroke.
Not to mention the side effects! Diuretics cause potassium loss; it is no coincidence that the sodium/potassium ratio is off balance in those with hypertension. Many people report personality changes from beta-blockers, ACE-inhibitors and calcium channel blockers. Beta-blockers also block the beta cells of the pancreas. Over time, this increases the risk of diabetes and metabolic syndrome. The situation could be stressful enough to lead you to the refrigerator to console yourself with food, resulting in weight gain and further increase in blood pressure!
According to the American Heart Association, 75 million Americans age 20 and older have high blood pressure. That is roughly one in three adults. The three-step medication protocol is given to about 50.6 million patients each year. But the death rate from high blood pressure increased 19.5% from 1996 to 2006, and the actual number of deaths rose 48.1%. If the death rate has increased that much, one can conclude that the conventional treatment methodology is ineffective. So, why is this popular three-step protocol still being used?

Treating Hypertension Naturally

Before you look for other ways to lower your blood pressure, it's important to check your knowledge on the topic. Did you know the following?
Every part of your body can regenerate itself when it is given the right substances. Drugs are not on your body's wish list! Most block the body's natural healing processes.
Complementary health practitioners have been helping their patients lower their blood pressure for decades. That isn't anything new, and it isn't a fad.
Once someone begins a complementary health treatment program for high blood pressure, they start feeling better in the first few weeks. By the end of the program, they may not need blood pressure medication at all.
To determine how to treat high blood pressure naturally, first you have to understand what causes the condition. Medical doctors still don't know the true cause of 90% of hypertension cases, but they do know that it's related to atherosclerosis, kidney disease, chronic stress leading to adrenal disease, as well as diet and lifestyle factors that contribute to these conditions. As with many diseases, there is also an emotional component, contributed by excess worry, irritability, anger, greed and ego.
Many patients with high blood pressure report a frequent feeling of tension in their body, as if they are on the verge of a fit of anger. They aren't angry at anyone in particular when this happens. The tension they feel is real. Scientists have confirmed that this excessive neural tone may be associated with high levels of noradrenaline. A study published by the Journal of Human Hypertension in 2002 showed a high correlation between elevated levels of noradrenaline and hypertension. Therapies as simple as relaxation were found effective in this study.

Lifestyle Changes

Breathing exercises are simple, and we can benefit from as little as ten minutes of daily practice. In a 2009 Journal of Alternative and Complementary Medicine, researchers reported that various breathing exercises benefited those with hypertension, and that slow breathing had the most value.
Yoga is easy to incorporate into one's lifestyle. In a University of Pennsylvania study, researchers found that twelve weeks of regular yoga practice produced clinically meaningful improvements for patients with prehypertension and Stage 1 hypertension.
Meditation can also be beneficial. Recently a randomized controlled trial concluded that Transcendental Meditation decreased blood pressure associated with psychological distress and increased coping in young people at risk for hypertension.
One of the easiest factors related to blood pressure that you can control on your own is your diet. Reducing sodium intake can have a dramatic impact on blood pressure. Cut back on processed, packaged foods and read labels for sodium content. Any packaged or canned food should have less than 140 mg sodium per serving. Refrain from adding salt to your food, and incorporate more vegetables and fruits in your diet.
Omega-3 fatty acids have been associated with reduced risk of cardiovascular disease and improved blood pressure. Vegetarian sources of this essential nutrient include olive oil, leafy green vegetables and the seeds and oils of walnut, flax, hemp, pumpkin and soy.
Reduce your alcohol consumption. Studies have shown that if you have cardiovascular disease or high blood pressure, a reasonable alcohol limit is 30 ml or 1 oz per day. For men, this equates to two 4-oz glasses of wine (at 12-13%) or two 12-oz glasses of beer (~4%). For women, those limits are cut in half.
Avoid sugars. Foods that are high in sugar, including most processed foods, contribute not only to high blood sugar levels but high blood pressure as well. A rise in blood sugar leads to a rise in insulin and eventual insulin resistance, weight gain and diabetes. In 1997, the Journal of the American Medical Association published studies showing that diabetes can be predicted by a diet containing foods with a high glycemic index (and thus a high glycemic load). Glycemic index is a scale that indicates how fast and how high a particular food raises your blood sugar level. Google "glycemic index" and check the glycemic index of the foods you eat. My advice is to find ways to have a sweet life without sugar!

Dietary Supplements

A complete dietary supplement list should be determined by your nutritionist or health practitioner based on lab tests. However, these are the most commonly used supplements for those with hypertension, besides a standard multiple vitamin/mineral:
Potassium 2400-4400 mg daily

Magnesium 2300-4300 mg daily

Vitamin C 2500-4500 mg daily

Calcium 800-1400 mg daily

Arginine 500 mg per 22 pounds of body weight

CoQ10 100 mg daily
Moderate blood pressure decreases have been seen just from supplementing CoQ10, a vitamin-like substance present in most cells. Various studies have linked magnesium deficiency and insufficient calcium intake with hypertension. Vitamin C helps the body get rid of heavy metals, such as lead, cadmium and mercury, that can be linked to high blood pressure. Arginine is an amino acid connected with the nitric oxide system, directly affecting blood vessels' ability to dilate and constrict--a key factor in high blood pressure.

Herbal Remedies

Many herbs can be used successfully to provide therapeutic benefits to the cardiovascular system and reduce blood pressure. Herbs can often fill in biochemical gaps, missing links in health, providing medicinal constituents that act powerfully in the body.
Many medical doctors will tell you a particular herb is dangerous because it contains one specific constituent, but the constituent does not act alone once it is in your body. It acts in concert with other constituents of the herb, which oppose or neutralize it. Because of this, herbs often do not have negative side effects. However, not all herbs are medicinal, and all medicinal herbs have contraindications known to herbalists and health practitioners trained in their usage.
Terminalia arjuna is an herb found in abundance in the Himalayan forests, Bengal, Bihar and Madhya Pradesh. The saponin glycosides found in this herb are responsible for an inotropic effect, meaning that the force with which the heart and other muscles contract is affected. The arteries are strengthened by its flavonoids and proanthocyanidins. This important herb also interacts with LDL cholesterol, accelerating its turnover in the liver and inhibiting its oxidation, thus contributing to cholesterol reduction in the body. Terminalia has the potential to correct abnormalities in endothelial cells, those that line the interior of blood vessels. A study in 2003 indicates that it has beta-blocking activity. Terminalia has no toxicity, does not interact with drugs and has no contraindications.
Studies on this herb are very promising. In a 2002 double blind crossover study published in the Indian Heart Journal, 58 males diagnosed with ischemic heart disease were given either the standard medical treatment (isosorbide mononitrate, a blood vessel dilator), Terminalia, or a placebo for one week. They were monitored for symptoms of angina (severe chest pain) during exercise. Terminalia reduced symptoms better than the placebo and was equal to the standard medical treatment.
The root of the Rauwolfia serpentina tree has been used for thousands of years to lower blood pressure. It contains more than 50 active alkaloids that work synergistically. Withania somnifera, called Ashwagandha in Sanskrit, reduces stress and blood pressure simultaneously. Convulvulus pluricalis lowers blood pressure indirectly by lowering LDL cholesterol and reducing anxiety.

Protecting Against Other Degenerative Diseases

The same bad habits that cause hypertension are linked to other degenerative diseases: smoking, inactivity, obesity/overweightness, not relaxing enough, not eating enough green vegetables, not eating enough fiber, insufficient vitamin and mineral intake and a diet devoid of herbs and spices such as ginger, cinnamon, turmeric, garlic, licorice and fenugreek. Why not eliminate these factors now and reduce your risk for hypertension and various degenerative diseases?

The Meaning of It All

What does all this mean to you? It means that if you have hypertension now, you don't have to have it forever. You could take the road that many people travel when they have high blood pressure, ending up on the three-step medication protocol that leads to greater illness and declining quality of life, or you can make your next three steps an investment in your life and health by encompassing: 1)relaxation, 2) diet and supplement changes and 3) exercise.
The choice is yours, but know that you will have people cheering you on and opposing you no matter which path you choose. By investing in yourself, you can discover that your own three-step program far exceeds the expectations of most people, including your own medical doctors. What a great day it will be when you can say, "I'm healed of high blood pressure!" Schedule that day on your calendar six months from now, and begin taking the actions that will make it a reality.
Dr. Virender Sodhi holds an M.D. (Ayurveda) from India and a N.D. from Bastyr College of Naturopathic Medicine, USA.
E-mail: drsodhi _@_ ayurvedicscience.com.
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Recipes For Reducing High Blood Pressure


By Owen Jones


A lot of individuals in the West suffer from high blood pressure brought on by being overweight or/ |and the high degrees of stress that contemporary life provokes. Most sufferers are told to lose weight, take up yoga or walking or take tablets for life. This means that most people end up taking tablets for life, because lifestyle changes are so difficult to accomplish.

However, there is one enjoyable way of decreasing your blood pressure and that is eating tasty food that does not require additional salt, because it is flavoured by other spices. Here are three such recipes.

Recipe One: France

Leeks Vinaigrette (Poireaux En Salade)

Serves 4

12 leeks 1/4 cup olive oil 4 tspn vinegar of your preference black pepper, fresh ground 1 tbls fresh parsley, chopped mustard to taste

PREPARATION: Clean the leeks; cut off most of the green bits and wash thoroughly, split if necessary, under cold running water. If they are substantial, split them lengthwise; each piece should be around the size of a big stalk of asparagus.

Tie them into bundles in two places, put them in boiling salted water just enough to cover, and cook gently for 25 minutes, or until they are softish but not lifeless. Drain them well (but be certain to save the broth to add to a soup).

The leeks can be served in a serving dish or put on individual plates. Create your vinaigrette in a bowl, adding mustard to taste, and whip the dressing well until it is almost opaque, or emulsified; pour it on top of the leeks.

Recipe Two: Germany

Birnensuppe (Pear Soup)

Serves 2

2 tbspn raisins 1 tbspn dry sherry 2 small pears, cored, peeled and sliced 1 1/2 cup water 1 inch cinnamon stick 1 pinch crushed aniseed 2 tspns granulated sugar 1/2 teaspoons lemon juice

In small bowl combine raisins and sherry; put aside.

In 1-quart saucepan combine pears, water, cinnamon stick, and aniseed; bring to a boil and cook until pears are very soft, around 15 minutes. Remove cinnamon stick and let cool. Transfer to liquidizer and process until smooth; pour into bowl or container and mix in raisin mixture, sugar, and lemon juice. Cover and refrigerate until well chilled.

Recipe Three: Greece

Fried Swordfish With Mediterranean Spices

Serves 4

1/2 cups white wine vinegar 1/2 tspn paprika 1/2 tspn red pepper flakes, dried 1/2 tspn oregano 1/2 tspn cumin, ground 1/2 tspn thyme 3 cloves garlic, minced 1 bay leaf 1 1/2 lb swordfish, cut in 1" pieces olive oil for frying 1/2 cup white flour

PREPARATION: Mix first 8 ingredients in a medium non-reactive bowl. Add swordfish pieces; toss to coat. Cover and leave stand at room temperature at least 1 hour. (Can be marinated for up to 3 hours.)

TO COOK: Heat oven to 200F. Heat oil in a frying pan or an electric deep fryer to 365F. Transfer swordfish from marinade to a sieve. Drain swordfish; discard marinade. Pat swordfish pieces dry with paper towels, then toss in flour.

Working in batches to avoid overcrowding, fry swordfish until golden brown, 2 to 3 minutes. Drain swordfish pieces on paper towel; transfer to a heatproof platter but keep them warm in the oven until about to serve. (Can be kept warm in the oven up to 1/2 hour.)



About the Author:

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Is there a Vaccine for Pneumonia ?


Is there a vaccine for pneumonia?

There isn’t a vaccine for all types of pneumonia, but 2 vaccines are available. The first is called the pneumococcal conjugate vaccine (PCV). It is recommended for all children younger than 5 years of age. The pneumococcal polysaccharide vaccine (PPSV) is recommended for children 2 years of age and older who are at increased risk for pneumonia (such as children who have weakened immune systems), and for adults who have risk factors for pneumonia. This vaccine is recommended if you:
  • Are 65 years of age or older
  • Smoke
  • Abuse alcohol
  • Have certain chronic conditions, such as asthma, diabetes, heart disease or lung disease
  • Have cirrhosis
  • Have a condition that weakens your immune system, such as the human immunodeficiency virus (HIV), acquired immunodeficiency syndrome (AIDS), kidney failure or a damaged spleen
  • Have had your spleen removed for any reason
  • Have sickle cell disease
  • Have cochlear implants (an electronic device that helps you hear)
  • Are taking medicine for a recent organ transplant (these medicines suppress your immune system)
  • Are receiving chemotherapy
The pneumococcal vaccines can’t prevent all cases of pneumonia. But they can make it less likely that people who are at risk will experience the severe, and possibly life-threatening, complications of pneumonia.


Source : familydoctor.org
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Rabu, 29 Juni 2011

Heart Attack (Myocardial Infarction)

What is a heart attack?

A heart attack (also known as a myocardial infarction) is the death of heart muscle from the sudden blockage of a coronary artery by a blood clot. Coronary arteries are blood vessels that supply the heart muscle with blood and oxygen. Blockage of a coronary artery deprives the heart muscle of blood and oxygen,causing injury to the heart muscle. Injury to the heart muscle causes chest pain and chest pressure sensation. If blood flow is not restored to the heart muscle within 20 to 40 minutes, irreversible death of the heart muscle will begin to occur. Muscle continues to die for six to eight hours at which time the heart attack usually is "complete." The dead heart muscle is eventually replaced by scar tissue.
Approximately one million Americans suffer a heart attack each year. Four hundred thousand of them die as a result of their heart attack.

What causes a heart attack?

Atherosclerosis

Atherosclerosis is a gradual process by which plaques (collections) of cholesterol are deposited in the walls of arteries. Cholesterol plaques cause hardening of the arterial walls and narrowing of the inner channel (lumen) of the artery. Arteries that are narrowed by atherosclerosis cannot deliver enough blood to maintain normal function of the parts of the body they supply. For example, atherosclerosis of the arteries in the legs causes reduced blood flow to the legs. Reduced blood flow to the legs can lead to pain in the legs while walking or exercising, leg ulcers, or a delay in the healing of wounds to the legs. Atherosclerosis of the arteries that furnish blood to the brain can lead to vascular dementia (mental deterioration due to gradual death of brain tissue over many years) or stroke (sudden death of brain tissue).
In many people, atherosclerosis can remain silent (causing no symptoms or health problems) for years or decades. Atherosclerosis can begin as early as the teenage years, but symptoms or health problems usually do not arise until later in adulthood when the arterial narrowing becomes severe. Smoking cigarettes, high blood pressure, elevated cholesterol, and diabetes mellitus can accelerate atherosclerosis and lead to the earlier onset of symptoms and complications, particularly in those people who have a family history of early atherosclerosis.
Coronary atherosclerosis (or coronary artery disease) refers to the atherosclerosis that causes hardening and narrowing of the coronary arteries. Diseases caused by the reduced blood supply to the heart muscle from coronary atherosclerosis are called coronary heart diseases (CHD). Coronary heart diseases include heart attacks, sudden unexpected death, chest pain (angina), abnormal heart rhythms, and heart failure due to weakening of the heart muscle.
Atherosclerosis and angina pectoris

Angina pectoris (also referred to as angina) is chest pain or pressure that occurs when the blood and oxygen supply to the heart muscle cannot keep up with the needs of the muscle. When coronary arteries are narrowed by more than 50 to 70 percent, the arteries may not be able to increase the supply of blood to the heart muscle during exercise or other periods of high demand for oxygen. An insufficient supply of oxygen to the heart muscle causes angina. Angina that occurs with exercise or exertion is called exertional angina. In some patients, especially diabetics, the progressive decrease in blood flow to the heart may occur without any pain or with just shortness of breath or unusually early fatigue.
Exertional angina usually feels like a pressure, heaviness, squeezing, or aching across the chest. This pain may travel to the neck, jaw, arms, back, or even the teeth, and may be accompanied by shortness of breath, nausea, or a cold sweat. Exertional angina typically lasts from one to 15 minutes and is relieved by rest or by taking nitroglycerin by placing a tablet under the tongue. Both resting and nitroglycerin decrease the heart muscle's demand for oxygen, thus relieving angina. Exertional angina may be the first warning sign of advanced coronary artery disease. Chest pains that just last a few seconds rarely are due to coronary artery disease.
Angina also can occur at rest. Angina at rest more commonly indicates that a coronary artery has narrowed to such a critical degree that the heart is not receiving enough oxygen even at rest. Angina at rest infrequently may be due to spasm of a coronary artery (a condition called Prinzmetal's or variant angina). Unlike a heart attack, there is no permanent muscle damage with either exertional or rest angina.
Atherosclerosis and heart attack

Occasionally the surface of a cholesterol plaque in a coronary artery may rupture, and a blood clot forms on the surface of the plaque. The clot blocks the flow of blood through the artery and results in a heart attack (see picture below). The cause of rupture that leads to the formation of a clot is largely unknown, but contributing factors may include cigarette smoking or other nicotine exposure, elevated LDL cholesterol, elevated levels of blood catecholamines (adrenaline), high blood pressure, and other mechanical and biochemical forces.

Unlike exertional or rest angina, heart muscle dies during a heart attack and loss of the muscle is permanent, unless blood flow can be promptly restored, usually within one to six hours.
Heart Attack illustration - Myocardial Infarction
While heart attacks can occur at any time, more heart attacks occur between 4:00 A.M. and 10:00 A.M. because of the higher blood levels of adrenaline released from the adrenal glands during the morning hours. Increased adrenaline, as previously discussed, may contribute to rupture of cholesterol plaques.
Approximately 50% of patients who develop heart attacks have warning symptoms such as exertional angina or rest angina prior to their heart attacks, but these symptoms may be mild and discounted.
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What is Cancer? What Causes Cancer?

Cancer is a class of diseases characterized by out-of-control cell growth. There are over 100 different types of cancer, and each is classified by the type of cell that is initially affected.
Cancer harms the body when damaged cells divide uncontrollably to form lumps or masses of tissue called tumors (except in the case of leukemia where cancer prohibits normal blood function by abnormal cell division in the blood stream). Tumors can grow and interfere with the digestive, nervous, and circulatory systems, and they can release hormones that alter body function. Tumors that stay in one spot and demonstrate limited growth are generally considered to be benign.

Cancer cell
More dangerous, or malignant, tumors form when two things occur:
  1. a cancerous cell manages to move throughout the body using the blood or lymph systems, destroying healthy tissue in a process called invasion
  2. that cell manages to divide and grow, making new blood vessels to feed itself in a process called angiogenesis.
When a tumor successfully spreads to other parts of the body and grows, invading and destroying other healthy tissues, it is said to have metastasized. This process itself is called metastasis, and the result is a serious condition that is very difficult to treat.
In 2007, cancer claimed the lives of about 7.6 million people in the world. Physicians and researchers who specialize in the study, diagnosis, treatment, and prevention of cancer are called oncologists.

What causes cancer?

Cancer is ultimately the result of cells that uncontrollably grow and do not die. Normal cells in the body follow an orderly path of growth, division, and death. Programmed cell death is called apoptosis, and when this process breaks down, cancer begins to form. Unlike regular cells, cancer cells do not experience programmatic death and instead continue to grow and divide. This leads to a mass of abnormal cells that grows out of control.

What is cancer? - Video

A short, 3D, animated introduction to cancer. This was originally created by BioDigital Systems and used in the Stand Up 2 Cancer telethon.

Genes - the DNA type

Cells can experience uncontrolled growth if there are damages or mutations to DNA, and therefore, damage to the genes involved in cell division. Four key types of gene are responsible for the cell division process: oncogenes tell cells when to divide, tumor suppressor genes tell cells when not to divide, suicide genes control apoptosis and tell the cell to kill itself if something goes wrong, and DNA-repair genes instruct a cell to repair damaged DNA.
Cancer occurs when a cell's gene mutations make the cell unable to correct DNA damage and unable to commit suicide. Similarly, cancer is a result of mutations that inhibit oncogene and tumor suppressor gene function, leading to uncontrollable cell growth.

Carcinogens

Carcinogens are a class of substances that are directly responsible for damaging DNA, promoting or aiding cancer. Tobacco, asbestos, arsenic, radiation such as gamma and x-rays, the sun, and compounds in car exhaust fumes are all examples of carcinogens. When our bodies are exposed to carcinogens, free radicals are formed that try to steal electrons from other molecules in the body. Theses free radicals damage cells and affect their ability to function normally.

Genes - the family type

Cancer can be the result of a genetic predisposition that is inherited from family members. It is possible to be born with certain genetic mutations or a fault in a gene that makes one statistically more likely to develop cancer later in life.

Other medical factors

Holding hands
As we age, there is an increase in the number of possible cancer-causing mutations in our DNA. This makes age an important risk factor for cancer. Several viruses have also been linked to cancer such as: human papillomavirus (a cause of cervical cancer), hepatitis B and C (causes of liver cancer), and Epstein-Barr virus (a cause of some childhood cancers). Human immunodeficiency virus (HIV) - and anything else that suppresses or weakens the immune system - inhibits the body's ability to fight infections and increases the chance of developing cancer.

What are the symptoms of cancer?

Cancer symptoms are quite varied and depend on where the cancer is located, where it has spread, and how big the tumor is. Some cancers can be felt or seen through the skin - a lump on the breast or testicle can be an indicator of cancer in those locations. Skin cancer (melanoma) is often noted by a change in a wart or mole on the skin. Some oral cancers present white patches inside the mouth or white spots on the tongue.
Other cancers have symptoms that are less physically apparent. Some brain tumors tend to present symptoms early in the disease as they affect important cognitive functions. Pancreas cancers are usually too small to cause symptoms until they cause pain by pushing against nearby nerves or interfere with liver function to cause a yellowing of the skin and eyes called jaundice. Symptoms also can be created as a tumor grows and pushes against organs and blood vessels. For example, colon cancers lead to symptoms such as constipation, diarrhea, and changes in stool size. Bladder or prostate cancers cause changes in bladder function such as more frequent or infrequent urination.
As cancer cells use the body's energy and interfere with normal hormone function, it is possible to present symptoms such as fever, fatigue, excessive sweating, anemia, and unexplained weight loss. However, these symptoms are common in several other maladies as well. For example, coughing and hoarseness can point to lung or throat cancer as well as several other conditions.
When cancer spreads, or metastasizes, additional symptoms can present themselves in the newly affected area. Swollen or enlarged lymph nodes are common and likely to be present early. If cancer spreads to the brain, patients may experience vertigo, headaches, or seizures. Spreading to the lungs may cause coughing and shortness of breath. In addition, the liver may become enlarged and cause jaundice and bones can become painful, brittle, and break easily. Symptoms of metastasis ultimately depend on the location to which the cancer has spread.

How is cancer classified?

There are five broad groups that are used to classify cancer.
  1. Carcinomas are characterized by cells that cover internal and external parts of the body such as lung, breast, and colon cancer.
  2. Sarcomas are characterized by cells that are located in bone, cartilage, fat, connective tissue, muscle, and other supportive tissues.
  3. Lymphomas are cancers that begin in the lymph nodes and immune system tissues.
  4. Leukemias are cancers that begin in the bone marrow and often accumulate in the bloodstream.
  5. Adenomas are cancers that arise in the thyroid, the pituitary gland, the adrenal gland, and other glandular tissues.
Cancers are often referred to by terms that contain a prefix related to the cell type in which the cancer originated and a suffix such as -sarcoma, -carcinoma, or just -oma. Common prefixes include:
  • Adeno- = gland
  • Chondro- = cartilage
  • Erythro- = red blood cell
  • Hemangio- = blood vessels
  • Hepato- = liver
  • Lipo- = fat
  • Lympho- = white blood cell
  • Melano- = pigment cell
  • Myelo- = bone marrow
  • Myo- = muscle
  • Osteo- = bone
  • Uro- = bladder
  • Retino- = eye
  • Neuro- = brain

How is cancer diagnosed and staged?

Early detection of cancer can greatly improve the odds of successful treatment and survival. Physicians use information from symptoms and several other procedures to diagnose cancer. Imaging techniques such as X-rays, CT scans, MRI scans, PET scans, and ultrasound scans are used regularly in order to detect where a tumor is located and what organs may be affected by it. Doctors may also conduct an endoscopy, which is a procedure that uses a thin tube with a camera and light at one end, to look for abnormalities inside the body.
Cancer testing
Extracting cancer cells and looking at them under a microscope is the only absolute way to diagnose cancer. This procedure is called a biopsy. Other types of molecular diagnostic tests are frequently employed as well. Physicians will analyze your body's sugars, fats, proteins, and DNA at the molecular level. For example, cancerous prostate cells release a higher level of a chemical called PSA (prostate-specific antigen) into the bloodstream that can be detected by a blood test. Molecular diagnostics, biopsies, and imaging techniques are all used together to diagnose cancer.
After a diagnosis is made, doctors find out how far the cancer has spread and determine the stage of the cancer. The stage determines which choices will be available for treatment and informs prognoses. The most common cancer staging method is called the TNM system. T (1-4) indicates the size and direct extent of the primary tumor, N (0-3) indicates the degree to which the cancer has spread to nearby lymph nodes, and M (0-1) indicates whether the cancer has metastasized to other organs in the body. A small tumor that has not spread to lymph nodes or distant organs may be staged as (T1, N0, M0), for example.
TNM descriptions then lead to a simpler categorization of stages, from 0 to 4, where lower numbers indicate that the cancer has spread less. While most Stage 1 tumors are curable, most Stage 4 tumors are inoperable or untreatable.

How is cancer treated?

Cancer treatment depends on the type of cancer, the stage of the cancer (how much it has spread), age, health status, and additional personal characteristics. There is no single treatment for cancer, and patients often receive a combination of therapies and palliative care. Treatments usually fall into one of the following categories: surgery, radiation, chemotherapy, immunotherapy, hormone therapy, or gene therapy.

Surgery

Surgery is the oldest known treatment for cancer. If a cancer has not metastasized, it is possible to completely cure a patient by surgically removing the cancer from the body. This is often seen in the removal of the prostate or a breast or testicle. After the disease has spread, however, it is nearly impossible to remove all of the cancer cells. Surgery may also be instrumental in helping to control symptoms such as bowel obstruction or spinal cord compression.

Radiation

Radiotherapy treatment
Radiation treatment, also known as radiotherapy, destroys cancer by focusing high-energy rays on the cancer cells. This causes damage to the molecules that make up the cancer cells and leads them to commit suicide. Radiotherapy utilizes high-energy gamma-rays that are emitted from metals such as radium or high-energy x-rays that are created in a special machine. Early radiation treatments caused severe side-effects because the energy beams would damage normal, healthy tissue, but technologies have improved so that beams can be more accurately targeted. Radiotherapy is used as a standalone treatment to shrink a tumor or destroy cancer cells (including those associated with leukemia and lymphoma), and it is also used in combination with other cancer treatments.

Chemotherapy

Chemotherapy utilizes chemicals that interfere with the cell division process - damaging proteins or DNA - so that cancer cells will commit suicide. These treatments target any rapidly dividing cells (not necessarily just cancer cells), but normal cells usually can recover from any chemical-induced damage while cancer cells cannot. Chemotherapy is generally used to treat cancer that has spread or metastasized because the medicines travel throughout the entire body. It is a necessary treatment for some forms of leukemia and lymphoma. Chemotherapy treatment occurs in cycles so the body has time to heal between doses. However, there are still common side effects such as hair loss, nausea, fatigue, and vomiting. Combination therapies often include multiple types of chemotherapy or chemotherapy combined with other treatment options.

Immunotherapy

Immunotherapy aims to get the body's immune system to fight the tumor. Local immunotherapy injects a treatment into an affected area, for example, to cause inflammation that causes a tumor to shrink. Systemic immunotherapy treats the whole body by administering an agent such as the protein interferon alpha that can shrink tumors. Immunotherapy can also be considered non-specific if it improves cancer-fighting abilities by stimulating the entire immune system, and it can be considered targeted if the treatment specifically tells the immune system to destroy cancer cells. These therapies are relatively young, but researchers have had success with treatments that introduce antibodies to the body that inhibit the growth of breast cancer cells. Bone marrow transplantation (hematopoetic stem cell transplantation) can also be considered immunotherapy because the donor's immune cells will often attack the tumor or cancer cells that are present in the host.

Hormone therapy

Several cancers have been linked to some types of hormones, most notably breast and prostate cancer. Hormone therapy is designed to alter hormone production in the body so that cancer cells stop growing or are killed completely. Breast cancer hormone therapies often focus on reducing estrogen levels (a common drug for this is tamoxifen) and prostate cancer hormone therapies often focus on reducing testosterone levels. In addition, some leukemia and lymphoma cases can be treated with the hormone cortisone.

Gene therapy

The goal of gene therapy is to replace damaged genes with ones that work to address a root cause of cancer: damage to DNA. For example, researchers are trying to replace the damaged gene that signals cells to stop dividing (the p53 gene) with a copy of a working gene. Other gene-based therapies focus on further damaging cancer cell DNA to the point where the cell commits suicide. Gene therapy is a very young field and has not yet resulted in any successful treatments.

How can cancer be prevented?

Cancers that are closely linked to certain behaviors are the easiest to prevent. For example, choosing not to smoke tobacco or drink alcohol significantly lower the risk of several types of cancer - most notably lung, throat, mouth, and liver cancer. Even if you are a current tobacco user, quitting can still greatly reduce your chances of getting cancer.
Skin cancer can be prevented by staying in the shade, protecting yourself with a hat and shirt when in the sun, and using sunscreen. Diet is also an important part of cancer prevention since what we eat has been linked to the disease. Physicians recommend diets that are low in fat and rich in fresh fruits and vegetables and whole grains.
Certain vaccinations have been associated with the prevention of some cancers. For example, many women receive a vaccination for the human papillomavirus because of the virus's relationship with cervical cancer. Hepatitis B vaccines prevent the hepatitis B virus, which can cause liver cancer.
Some cancer prevention is based on systematic screening in order to detect small irregularities or tumors as early as possible even if there are no clear symptoms present. Breast self-examination, mammograms, testicular self-examination, and Pap smears are common screening methods for various cancers.

How to eat to prevent cancer - Video

A guide to some everyday foods that contain nutrients that may help reduce your risk of getting cancer. Video by Howcast.

Cancer / Oncology news

Medical News Today is a leading resource for the latest headlines on Cancer and Oncology. So, check out our cancer news section. You can also sign up to daily medical news alerts or our weekly digest medical newsletters to ensure that you stay up-to-date with the latest news.
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10 Tips To Help You Control Your High Blood Pressure

  1. Make sure your blood pressure is under 140/90 mm Hg. If your systolic pressure (the top number) is over 140, ask your doctor what you can do to lower it.
  2. Take your high blood pressure medicine, if prescribed, every day. If you have questions, talk to your doctor.
  3. Aim for a healthy weight. If you are overweight or obese, carrying this extra weight increases your risk of high blood pressure. One way to determine if you need to lose weight is to find out your body mass index or BMI. If your BMI is above the healthy range (i.e., 25 or greater), or if your waist measurement is greater than 35 inches (women) or 40 inches (men) you probably have excess abdominal weight and you may benefit from weight loss especially if you have other risk factors. Talk to your doctor to see if you are at increased risk for high blood pressure and need to lose weight.
  4. Increase your physical activity. Do at least 30 minutes of moderate activity, such as walking, most days of the week. You can do 30 minutes in three 10-minute segments.
  5. Choose foods low in salt and sodium. Most Americans should consume no more than 2.4 grams (2,400 milligrams) of sodium a day. That equals 6 grams, about one teaspoon of table salt a day. For someone with high blood pressure, the doctor may advise less.
  6. Read nutrition labels. Almost all packaged foods contain sodium. Every time you prepare or eat a packaged food, know how much sodium is in one serving.
  7. Keep a sodium diary. You may be surprised at how much sodium you consume each day and the diary will help you decide which foods to decrease or eliminate.
  8. Use spices and herbs instead of salt to season the food you prepare at home.
  9. Eat more fruits, vegetables, grains, and low-fat dairy foods.
  10. If you consume alcohol at all, consume moderate amounts. For men, this is less than two 12 oz servings of beer, or two 5 oz glasses of wine, or two 1 1/2 oz servings of "hard" alcohol a day. Women or lighter weight people should have not more than a single serving of any one of these beverages in a given day.

For more, please visit the MedicineNet.com
Source: National Heart, Lung, and Blood Institute (http://www.nhlbi.nih.gov/index.htm)
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