Sunday, 8 March 2020

[www.keralites.net] HOW MIGRAINES ARE DIAGNOSED & TREATED

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How Migraines are Diagnosed and Treated

By Dr. Arieh Kuritzky – Chief Neurologist

When people go to see a doctor, headaches are one of the most common complaints. Approximately 80% of the population experiences a headache at least once a year. Headaches can be split into two categories: Primary and Secondary.

Primary headaches are the kind of headaches whose primary cause is unclear. In this group you will find Migraines, Cluster Headaches, Tension-Type Headache and other more rare types.

The Secondary group includes headaches with a known cause that have an effective treatment helping to alleviate the pain. This group includes Sinus-Related Headaches, Meningitis, headaches caused by damage to the jaw joints, Intracranial Bleeding or pressure and headaches related to different parts of the face: eyes, teeth, muscles and the nerves of the skull.

This review deals with the Primary Headache known as a "Migraine".

What is a Migraine?

Migraines have been part of humanity since antiquity. The name comes from the ancient Greek word "Hemicrania", meaning "half a head".

Migraines are characterized by bouts of headaches, mainly on one side of the head, which can last anywhere from 4 to 72 hours and are accompanied by nausea, vomiting, and increased sensitivity to light and noise. Clinical diagnosis is done by a physician, based on the symptoms the patient complains about. Currently, there is no known testing method to conclusively confirm migraines.

Since 1988, migraines are diagnosed according to the criteria set by the International Headache Society. (HIS)

The Official Criteria for Diagnosis of Migraines:

At least five attacks fulfilling the criteria
Headache attacks lasting 4-72 hours
Headache has at least two of the following characteristics:

Unilateral location
Pulsating quality
Moderate or severe pain intensity
Aggravation by or causing avoidance of routine physical activity

During the headache, at least one of the following:

Nausea and/or vomiting
Photophobia and phonophobia

Not attributable to another disorder

Two Major Types of Migraines:

We differentiate between two types of migraine: With or without an aura.

The aura is a temporary perceptual disturbance which typically appears some time prior to the beginning of the headache. It usually lasts for about 20-30 minutes and often includes symptoms like blurred vision, partial blindness, visual hallucinations (bright lights or zigzagging lines), "holes" in the field of vision and in some cases – complete blindness. In more rare situations, auras manifest as a feeling of weakness, as well as pins and needles felt in half of the body - and even severe dizziness.

About 15% of all migraines are accompanied by auras. Two thirds of people experience migraines without an aura and the rest experience it intermittently.

The headache lasts between 3 hours and 72 hours and is accompanied by symptoms like nausea, vomiting, photophobia, phonophobia, sweating, diarrhea, paleness and in severe cases – a fugue state.

Recently, attempts have been made to simplify diagnosis by a family doctor by interviewing many people who suffer from migraines and finding the most common complaints shared by them all. It has been proven that a migraine can be positively diagnosed if the patient has 2 out of 3 of the following symptoms:
Nausea, Photophobia, and Diminished Capacity.

In the US and Europe, around 16% of the general population suffers from migraines. The phenomena is more prevalent in women, standing at 20-23%, where only 10-12% of men suffer from it. The frequency amongst prepubescent children stands equally at 4%, but rises more rapidly in women and peaks at the age of 40. Attack frequency is around 1.5 per month, and about 10% experience an attack once a week.

The quality of life for a person suffering from frequent migraines is low, and considered as one of the most debilitating diseases there are. The disease harms the sufferer's health, their family ties, their social functions and their ability to study and work. This quality is similar to that of people suffering from clinical depression and worse than of people who have diabetes, high blood-pressure or just experienced a heart-attack.

Genetics

Migraines are known to be hereditary. Specifically, in one type of rare migraine, the hereditary cause was found in the 19^th chromosome of the area that regulates the absorption of calcium ions into the cells, a function the cell requires to preform normally and transfer signals to other cells. The genetic defect blocks the channels the calcium is absorbed through, which leads to cell functions being disturbed. The problem is that the gene responsible for the common migraine has not yet been identified. At this time, a vast research is being conducted in order to find the relevant genetic defect.

How Migraines Happen

Migraines are probably a disease in the brain and not in a cardiovascular one as previously though. Auras are probably caused by diminished functions of a certain part of the cortex, which progresses in a steady pace and is accompanied by a decrease of blood flow to those parts. The headache begins when blood-flow decreases and therefor is not related to the expansion of blood-vessels as previously thought.

The changes in the cortex seem to affect the brain-stem, which causes the expansion and inflammation of the intracranial blood vessels (most likely the cause of the pain). The brain stem is the cause of the other symptoms, like nausea.

Treatment

Treatment can be divided into medicinal and behavioral. Behavioral treatment focuses on changing certain habits and avoiding things that exacerbate migraines. It appears that the brain of a patient suffering from migraines is affected by extreme situations, and thus, they need to make sure they get regular and sufficient sleep and food and avoid stress. In other words, people who suffer from migraines must avoid states of extreme hunger, stress or fatigue. In addition, some foods may also lead to migraines, so it is important to recognize them and avoid them completely, though there is no specific food that causes migraines, making recognizing these foods an individual's responsibility. A person suffering from migraines needs to monitor their daily routine and pinpoint the things that exacerbate or trigger migraine attacks in the first place. Since these triggers can change from time to time, it can be very frustrating as this behavior cannot guarantee cessation of migraines.

Medicinal Treatment:

Treating a severe attack: This treatment can be divided into specific treatment by specialized migraine medicine called "Triptans", and non-specific treatment by general painkillers like paracetamol, Aspirin, etc. Specialized treatment in only effective for migraines and is not effective for other kinds of headaches, while non-specific medicine is meant for general use.

Triptans are a relatively new kind of medicine, which works on the serotonin receptors in your brain. These receptors are located on the blood vessels in the brain, mainly in the cerebral cortex and the nerve-endings related to these blood vessels. The drug's effect on the receptors prevents the expansion of these blood vessels and the inflammation that is typical to migraines.

Side-effects of triptans include weakness, a feeling of pressure and discomfort in the chest which are not heart-related, aren't dangerous and usually pass quickly. Reaction to these drugs is very individual and cannot be predicted, so it might be necessary to try different variations until one finds the kind that is most effective for them, with minimal side-effects.

These drugs are safe and effective, and often significantly increase a patient's quality of life.

In recent studies, the use of triptans early on during the onset of a migraine effectively stopped the progression of the attack and often prevent a recurring attack.

Preventative Treatment: Meant to reduce the frequency, intensity and duration of a migraine. Such treatment should be undertaken when a patient has at-least 3-4 attacks every month, which debilitate the patient, disturbing their daily routine, and in cases where severe symptoms occur or when treating attacks that are in progress fails.

Preventative drugs include beta-blockers, antidepressants, epilepsy medicine, calcium channel blockers and anti-inflammatories.

It's recommended to start with a low dosage and gradually increase it. 6 to 8 weeks should be provided to establish the efficacy of the treatment and it should be undertaken for at-least 6 months. If an attack occurs during the course of the preventative treatment, a patient may use drugs like triptans in conjunction.

Choosing the type of preventative treatment depends on a patient's state of health, occurring side-effects and counter indications. In fertile women, pregnancy must be avoided for the duration of the treatment.

The most effective migraine-preventing drugs are beta-blockers (such as Nadalol, Metaprolol, Propranolol and others). These drugs cannot be used on patients suffering from asthma, insulin-dependent-diabetes and congestive heart failure. People who participate in competitive sports may experience a decrease in physical fitness.

In recent years, epilepsy medicine has also been used for preventative treatment. The leading kinds are sodium valproate and topiramate. Their efficacy is similar to that of beta-blockers. Both kinds are quite tolerable, making their use popular. Depending on a patient's state of health, antidepressants, calcium channel blockers or anti-inflammatory drugs may be used in addition.

Daily Chronic Headache: Recently, there is more evidence showing that migraines are a progressive disease that can transform into daily chronic headaches. This transformation is linked in 70% of cases to over-use of painkillers, but it can also be spontaneous without an indicating cause.

Sometimes, the pain starts out as a daily occurrence and the causing mechanism is unclear. It is theorized that it may be the result of new patterns that form in the central nervous system. The pain threshold is reduced to a minimum triggering the pain for external and internal stimuli that normally wouldn't trigger a headache or migraine.

This information radically changes the way neurologists consider preventative treatment. Early intervention may prevent the progression of the disease into a daily state, as well as the creation of irreversible changes in the brain and increased resistance to any form of treatment.

Through this review, we can see that today, more than ever before, we have a lot of information, with more becoming available all the time, as to what causes migraines, how they form and the tools in which to deal with it. Treatment today includes both the use of specialized drugs that are effective in over 80% of cases in conjuncture with effective, preventative treatment.

In conclusion, the days where doctors say they have "no way of treating migraines" are over. Instead, modern medicine now has a lot to offer in most cases and it is highly recommended that you talk to your family doctor and ask for an effective treatment for migraines.

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[www.keralites.net] : IMPORTANT INFORMATION ABOUT VITAMIN D

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Important Information About Vitamin D!

Vitamin D prevents osteoporosis, depression, prostate cancer, breast cancer,and even effects diabetes and obesity.

Vitamin D is perhaps the single most underrated nutrient in the world of nutrition. That's probably because it's free: your body makes it when sunlight touches your skin.

Fifteen facts that are important to know about vitamin D and sunlight exposure:

1. Vitamin D is produced by your skin in response to exposure to ultraviolet radiation from natural sunlight.

2. The healing rays of natural sunlight (that generate vitamin D in your skin) cannot penetrate glass. So you don't generate vitamin D when sitting in your car or home.

3. It is nearly impossible to get adequate amounts of vitamin D from your diet. Sunlight exposure is the only reliable way to generate vitamin D in your own body.

4. A person would have to drink ten tall glasses of vitamin D fortified milk each day just to get minimum levels of vitamin D into their diet.

5. The further you live from the equator, the longer exposure you need to the sun in order to generate vitamin D. Canada, the UK and most U.S. States are far from the equator.

6. People with dark skin pigmentation may need 20 - 30 times as much exposure to sunlight as fair-skinned people to generate the sam e amount of vitamin D. That's why prostate cancer is epidemic among black men - it's a simple, but widespread, sunlight deficiency.

7. Sufficient levels of vitamin D are crucial for calcium absorption in your intestines. Without sufficient vitamin D, your body cannot absorb calcium,rendering calcium supplements useless.

8. Chronic vitamin D deficiency cannot be reversed overnight: it takes months of vitamin D supplementation and sunlight exposure to rebuild the body's bones and nervous system.

9. Even weak sunscreens (SPF=8) block your body's ability to generate vitamin D by 95%. This is how sunscreen products actually cause disease -by creating a critical vitamin deficiency in the body.

10. It is impossible to generate too much vitamin D in your body from sunlight exposure: your body will self-regulate and only generate what it needs.

11. If it hurts to press firmly on your sternum, you may be suffering from chronic vitamin D deficiency right now.

12. Vitamin D is "activated" in your body by your kidneys and liver before it can be used.

13. Having kidney disease or liver damage can greatly impair your body's ability to activate circulating vitamin D.

14. The sunscreen industry doesn't want you to know that your body actually needs sunlight exposure because that realization would mean lower sales of sunscreen products.

15. Even though vitamin D is one of the most powerful healing chemicals in your body, your body makes it absolutely free. No prescription required.

On the issue of sunlight exposure, by the way, it turns out that super antioxidants greatly boost your body's ability to handle sunlight without burning. Astaxanthin is one of the most powerful "internal sunscreens" and can allow you to stay under the sun twice as long without burning.

Other powerful antioxidants with this ability include the super fruits like Acai, Pomegranates (POM Wonderful juice), blueberries, etc.

Diseases and conditions cause by vitamin D deficiency:

* Osteoporosis is commonly caused by a lack of vitamin D, which greatly impairs calcium absorption.

* Sufficient vitamin D prevents prostate cancer, breast cancer, ovarian cancer, depression, colon cancer and schizophrenia.

* "Rickets" is the name of a bone-wasting disease caused by vitamin D deficiency.

* Vitamin D deficiency may exacerbate type 2 diabetes and impair insulin production in the pancreas.

* Obesity impairs vitamin D utilization in the body, meaning obese people need twice as much vitamin D.

* Vitamin D is used around the world to treat Psoriasis.

* Vitamin D deficiency can cause schizophrenia.

* Seasonal Affective Disorder is caused by a melatonin imbalance initiated by lack of exposure to sunlight.

* Chronic vitamin D deficiency is often misdiagnosed as fibromyalgia because its symptoms are so similar: muscle weakness, aches and pains.

* Your risk of developing serious diseases like diabetes and cancer is reduced 50% - 80% through simple, sensible exposure to natural sunlight 2-3 times each week.

* Infants who receive vitamin D supplementation (2000 units daily) have an 80% reduced risk of developing type 1 diabetes over the next twenty years.

Shocking Vitamin D deficiency statistics:

* 32% of doctors and med school students are vitamin D deficient.

* 40% of the U.S. population is vitamin D deficient.

* 42% of African American women of childbearing age are deficient in vitamin D.

* 48% of young girls (9-11 years old) are vitamin D deficient.

* Up to 60% of all hospital patients are vitamin D deficient.

* 76% of pregnant mothers are severely vitamin D deficient, causing widespread vitamin D deficiencies in their unborn children, which predisposes them to type 1 diabetes, arthritis, multiple sclerosis and schizophrenia later in life. 81% of the children born to these mothers were deficient.

* Up to 80% of nursing home patients are vitamin D deficient.

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[www.keralites.net] BENEFITS OF BEET JUICE

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Benefits of Beet Juice

Beets are a fabulous root vegetable and the benefits of beet juice are plenty. Beets have been used traditionally to heal people.

Traditional Benefits

According to Wikipedia ancient Romans used beetroot as a treatment for fevers and constipation. Hippocrates - the father of medicine - advocated the use of beet leaves as binding for wounds. From the Middle Ages, beetroot was used as a treatment for a variety of conditions, especially illnesses relating to digestion and the blood.

Betalain

One of the major benefits of beet juice it that it contains a color pigment called betalain. This is a powerful antioxidant, anti-inflammatory, fungicidal and aid in detoxification substance. There is research that indicates that betalain may exhibit anti-cancer activity.

Betalains may occur in any part of the plant, including the petals of flowers, fruits, leaves, stems, and roots.

Nutritional Value of Beets

Beet roots are high in folic acid and manganese. The green leafs are high in vitamin A (127% RDA), Vitamin C (50% RDA), vitamin K (500% RDA) as well as calcium, iron, magnesium, potassium, copper and magnesium, sulfur, silica and choline (see the chart below for details).

Benefits of Beet Juice - Overview

Traditionally, people use beet juice to heal: anemia, liver, skin, kidneys, lymphatic circulation, tiredness, eye, liver, skin problems, detoxification, cancer. Beet juice may kill fungi, is a strong antioxidant and has anti inflammatory propperties.

Important Beet Facts

Beet juice may cause both your stool and urine to turn red. Don't be surprised if this happens!

Beet juice benefits are very powerful. You only need a little bit of juice to get the benefits. Slowly increase the amount from 1 ounce to 2 ounce a week.

Drink the juice raw because the most beneficial substances (like betalains) are lost when cooked. In addition, the oxalic acid in the beet becomes harmful when cooked, but is (in moderation) beneficial when raw(according to juice and nutrition experts Dr Walker, David Wolfe and Gabriel Cousins).

Juice the whole beets: roots plus greens. The greens contain most of the healthy minerals and vitamins. (see the chart below)

Benefits of Beet Juice

Reverses Chronic Diseases

The raw oxalic acid in beet juice is known to be a good solvent of inorganic (= bad) calcium deposits in the body. World no 1 raw food teacher David Wolfe suspects that inorganic calcium deposits are the main cause of most chronic diseases. This may explain why beet juice relieves many cases of disease related to calcification in the body, like:

arthritis
heart disease
cancer
kidney stones
eye problems
varicose veins
arteriosclerosis

Like with other bad (or inorganic) calcium dissolvers (MSM, fulvic acid and zeolites), drinking lots of beet juice may result in strong detox symptoms. When calcium dissolves, heavy metals, toxic chemicals, and viruses are released from their "hiding places".

Therefore, it is important to start with small amounts of juice (about 1 ounce). At the same time, boost your immune system by eating a raw food diet (rich in enzymes, super foods, medicinal herbs), eat products that escort (chelate) the toxins safely out of your body (like clay and zeolites) so they wont be reabsorbed and kill viruses and nano bacteria that may be released (like garlic, cats claw, E3 Live, reishi mushroom, etc)

The relatively large amount of magnesium causes the organic (= good) calcium in the leafs to be absorbed well.

Reliefs Skin Problems

Drinking beet juice regularly may be beneficial in the prevention and cure of inflammations including skin inflammation like acne. The juice also helps eliminate blemishes and promotes healthy skin and hair growth.

Prevents Cancer

One of the huge benefits of beet juice is that research shows the beet to be cancer-preventive. The betacyanin that beet juice contains, helps prevent the formation of cancerous tumors and also detoxifies the body of all harmful toxins.

Together with dissolving the bad calcium these beet juice benefits may be extremely effective in the prevention and possibly reversal of many types of cancer.

There has been research and success with leukemia, colon, lung and skin, liver, and spleen, breast, prostate and testicular cancer. This seems to be the case, even at a very low dose. (Google "beet juice cancer" for more info.)

Prevents Birth Defects

100 grams of beet root provides 27% of the RDA for folic acid known to prevent various birth defects in babies.

Eye Health

Raw beet greens contain two carotenoids: lutein and zeaxanthin. Science reports them to be extremely beneficial for the eye - especially the retina. One of the benefits of beet juice (raw) is that you can absorb the carotenoids easily while maintaining the value - these carotenoids are easily destroyed when cooked.

Anemia

The combination of iron (14% RDA) (a strong oxidant - allows oxygen in the blood) in combination with the antioxidants (127% RDA) (prevent from damage from oxidants) in beet, make iron in beets a valuable source of iron. Therefore, beet juice benefits anemia reversal. (To treat anemia, it is important to also have enough vitamin B12 which is found mostly in animal food and some sea algae e.g. (E3 Live and marine phytoplankton))

Liver Health

The betaine is one of the huge benefits of beet juice. It stimulates the function of liver cells and protects the liver and bile ducts. Beet fiber increased production of detoxifying enzymes in the liver (SOD, catalase, glutathione).

More Benefits of Beet Juice

Further beet juice is reported to be excellent in healing gout, kidney and gall bladder. It lowers homocysteine, improves production of stomach acid, reduce serum cholesterol and normalize blood pressure.

Best Way to Enjoy the Benefits of Beet Juice

Raw

As mentioned earlier, it is important to consume beets raw. The powerful betalain reduces significantly when cooked and the oxalic acid may form calcium stones when heated.

Juice

Drink beets as a juice. Beet juice goes well with carrots, cucumber and celery.

Salad

Peel, grate and eat as a salad (i.e. with raisins, grated carrot and apples!)

Pickled

Peel, grate and add purified water, apple cider vinegar (unpasteurized), sea salt, stevia or raw agave (and herbs). Let stand for at least 8 hours or overnight at room temperature.

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