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Tuesday, March 31, 2009
Sunday, March 22, 2009
Health Diseases: Hemolytic Anemia
Alternative Names:
Anemia - hemolytic
Causes, incidence, and risk factors:
Hemolytic anemia occurs when the bone marrow is unable to make up for premature destruction of red blood cells by increasing their production. When the marrow is able to make up the loss, anemia does not occur.
There are many types of hemolytic anemia, which are classified by the location of the defect. The defect may be in the red blood cell itself (intrinsic factor), or outside the red blood cell (extrinsic factor).
Causes of hemolytic anemia include infection, certain medications, autoimmune disorders, and inherited disorders.
Types of hemolytic anemia include:
- Sickle-cell anemia
- Paroxysmal nocturnal hemoglobinuria
- Hemoglobin SC disease (similar in symptoms to sickle-cell anemia)
- Hemolytic anemia due to G6PD deficiency
- Hereditary elliptocytosis
- Hereditary spherocytosis
- Hereditary ovalocytosis
- Idiopathic autoimmune hemolytic anemia
- Non-immune hemolytic anemia caused by chemical or physical agents
- Secondary immune hemolytic anemia
- Thalassemia
Symptoms: - Chills
- Fatigue
- Pale skin color
- Shortness of breath
- Rapid heart rate
- Yellow skin color (jaundice)
- Dark urine
- Enlarged spleen
Signs and tests: - These are tests for hemolysis (red blood cell destruction). There are specific tests which identify the specific types of hemolytic anemia. They are performed after hemolysis has been established.
- Elevated indirect bilirubin levels
- Low serum haptoglobin
- Hemoglobin in the urine
- Hemosiderin in the urine
- Increased urine and fecal urobilinogen
- Elevated absolute reticulocyte count
- Low red blood cell count (RBC) and hemoglobin
- Elevated serum LDH
- Direct measurement of the red cell life span by radioactive tagging techniques shows a shortened life span.
- This disease may also affect the following test results depending on the specific cause:
- Uric acid
- TIBC
- RBC indices
- Protein electrophoresis - serum
- Potassium test
- Platelet count
- Peripheral smear
- Leukocyte alkaline phosphatase
- Serum iron
- Hematocrit
- Ferritin
- Febrile or cold agglutinins
- Donath-Landsteiner test
- Coombs' test, indirect
- Coombs' test direct
- CBC
- Blood differential
- AST
- 24-hour urine protein
Treatment:
Treatment depends upon the type and cause of the hemolytic anemia. Folic acid, iron replacement, and corticosteroids may be used. In emergencies, transfusion of blood may be necessary.
Expectations (prognosis)
The outcome depends upon the type of hemolytic anemia.
Complications
The complications vary with the specific type of hemolytic anemia. Severe anemia can cause cardiovascular collapse. Severe anemias can aggravate pre-existing heart disease, lung disease, or cerebrovascular disease.
Call for an appointment with your health care provider if symptoms of hemolytic anemia develop.
Prevention
There is no known prevention for hemolytic anemia.
Anemia Types and it's Causes
There are many types and potential causes of anemia. For information about a specific type of anemia, see one of the following articles:
- Anemia due to B12 deficiency
- Anemia due to folate deficiency
- Anemia due to iron deficiency
- Hemolytic anemia
- Hemolytic anemia due to G-6-PD deficiency
- Idiopathic aplastic anemia
- Idiopathic autoimmune hemolytic anemia
- Immune hemolytic anemia
- Megaloblastic anemia
- Pernicious anemia
- Secondary aplastic anemia
- Sickle cell anemia
Causes, incidence, and risk factors
- The cause varies with the type of anemia. Potential causes include blood loss, poor diet, many diseases, medication reactions, and various problems with the bone marrow, where blood cells are made. Iron deficiency anemia is most common in women who have heavy menstrual periods.
Risk factors include heavy periods, pregnancy, older age, and diseases that cause anemia.
Symptoms - Possible symptoms include:
- Fatigue
- Chest pain
- Shortness of breath
Signs and tests
The doctor will perform a physical examination, and will look for the presence of a pale complexion and rapid heart rate.
Anemia can be confirmed by a red blood count or hemoglobin level. Other tests depend on the type of anemia.
Treatment
Treatment should be directed at the cause of the anemia. In some cases, blood transfusions and the medication erythropoietin will correct anemia.
Expectations (prognosis)
The outlook depends on the cause.
Complications
Severe anemia can cause low oxygen levels in vital organs such as the heart, and can lead to a heart attack.
Calling your health care provider
Call your health provider if you have any symptoms of anemia, or any unusual bleeding.
Causes of Bedwetting and It's Treatment
Alternative Names
Enuresis
Causes, incidence, and risk factors
Children develop complete control over their bladders at different ages. Nighttime dryness is usually the last stage of toilet learning. When children wet the bed more than twice per month after age 5 or 6, it is called bedwetting or nocturnal enuresis.
Children who were dry for at least 6 months and then started wetting again have secondary enuresis. There are many reasons that children wet the bed after being fully toilet trained. It might be physical, emotional, or just a change in sleep.
Children who have never been consistently dry at night have primary enuresis. This usually occurs when the body makes more urine overnight than the bladder can hold and the child does not wake up when the bladder is full. The child's brain has not learned to respond to the signal that the bladder is full. It is not the child's or the parent's fault.
Physical causes are rare, but may include lower spinal cord lesions, congenital malformations of the genitourinary tract, infections of the urinary tract, or diabetes.
Bedwetting runs strongly in families. More than 5 million children in the U.S. wet the bed.About 9% of boys and 6% of girls still wet the bed at age 7. The numbers drop slightly by age 10. Although the problem goes away over time, many children and even a small number of adults continue to have bedwetting episodes.
Symptoms
The main symptom is involuntary urination, usually at night, that occurs at least twice per month.
Signs and tests
Your child's doctor will discuss the history of bedwetting in detail. You can help by keeping a detailed diary that outlines normal urination and wetting episodes, fluid and food intake (including time of meals), and sleep times.
A physical examination should be performed to rule out physical causes. A urinalysis will be done to rule out infection or diabetes.
X-rays of the kidneys and bladders and other studies are not needed unless there is reason to suspect some other problems.
Treatment
Doing nothing or punishing the child are both common responses to bedwetting. Neither helps. You should reassure your child that bedwetting is common and can be helped.
Start by making sure that your child goes to the bathroom at normal times during the day and evening and does not hold urine for long periods of time. Be sure that the child goes to the bathroom before going to sleep. You can reduce the amount of fluid the child drinks a few hours before bedtime, but this alone is not a treatment for bedwetting. You should not restrict fluids excessively.
Reward your child for dry nights. Some families use a chart of diary that the child can mark each morning. While this is unlikely to solve the problem completely, it can help and should be tried before medicines are used. It is most useful in younger children, about 5 to 8 years old.
Bedwetting alarms are another method that can be used along with reward systems. The alarms are small and readily available without prescription at many stores.
The alarm wakes the child or parent when the bladder is full, and the child can they get up and use the bathroom. Alarm training can take several months to work properly. You may need to train your child more than once. Bedwetting alarms have a high success rate if used consistently.
Once your child is dry for 3 weeks, continue using the alarm for another 2 weeks and then stop.
Prescription medications such as DDAVP (desmopressin) are available to treat bedwetting. They decrease the amount of urine produced at night. These medicines are easy to use and have quick results. They can be used short term for an important sleepover. They may also be prescribed for long-term use for months. Your doctor may recommend stopping the medicine at different times to see if the bedwetting has gone away.
Saturday, March 21, 2009
Easy Way with Calling America
Thursday, March 19, 2009
Richardson's loved ones 'shocked and devastated'
Wednesday, March 18, 2009
Britney Spears' new 'If U Seek Amy' video
Monday, March 16, 2009
Natasha Richardson Hospitalized for Head Injury
Acromegaly and Features
Acromegaly most commonly affects adults in middle age, and can result in severe disfigurement, serious complicating conditions, and premature death if unchecked. Because of its insidious pathogenesis and slow progression, the disease is hard to diagnose in the early stages and is frequently missed for many years, when changes in external features, especially of the face, become noticeable. Acromegaly is often also associated with gigantism.
Features that result from high level of hGH or expanding tumor include:
- Soft tissue swelling visibly resulting in enlargement of the hands, feet, nose, lips and ears, and a general thickening of the skin
- Soft tissue swelling of internal organs, notably the heart with attendant weakening of its muscularity, and the kidneys, also the vocal cords resulting in a characteristic thick, deep voice and slowing of speech
- Generalized expansion of the skull at the fontanelle
- Pronounced brow protrusion, often with ocular distension
- Pronounced lower jaw protrusion with attendant macroglossia (enlargement of the tongue) and teeth gapping.Hypertrichosis, hyperpigmentation, and hyperhidrosis may occur in these patients
Wednesday, March 11, 2009
Banana Split

KC Concepcion and Piolo Pascual: The Adaptation of hit Koreanovela Lovers in Paris
Lovers in Paris

This romantic drama is set in the romantic city of Paris, France. A weird twist of fate connects three people from completely different worlds to one place where they begin to develop feelings towards each other. At first none of them realize what they are getting themselves into, but as they get to know each other more and more their feelings toward each other begin to deepen...
This drama begins when Tae Young decides to go to Paris to work on writing a scenario that would truly capture the essence of this romanic and beautiful city of Paris. There she meets Gi Ju while working at a friend's stall and Soo Hyuk when her bicycle breaks down. Gi Ju asks her to act as his fiance so he could get the interest of a client he was meeting in Paris. While at a party hosted by this client something goes wrong to reveal the truth about their relationship. There they decide to call the whole thing quits and break up. They both go to Korea where fate pulls them back together.
Tae Young, Gi Ju and Soo Hyuk begin to develop friendships with Tae Young and end up feeling more feelings towards her than they initially thought. The thing about both of them having feelings towards one girl was that Gi Ju is Soo Hyuk's uncle and they had grown up like best friends since they were only about 7 years apart. Their feelings towards her slowly begin to be revealed causing heartache for all the people around them.
Update: Rare Harry Potter book fetches $19,000 at auction
The soft-cover book was one of 200 copies printed and is a rarity compared with later editions of the popular series that were printed in the millions, the Heritage Auction Galleries said.
The book, "Harry Potter and the Philosopher's Stone," includes an autograph from author J.K. Rowling.
It's the first book in the Harry Potter series and was published in the United States under the title "Harry Potter and the Sorcerer's Stone."
The auction had estimated that the 223-page book would sell for as much as $12,000.
The winning bid of $19,120 bypassed expectations, but it was not the most expensive sale of Harry Potter-related items in an auction.
Tuesday, March 10, 2009
Ashlee Simpson to join ‘Melrose Place’ cast
Saturday, March 7, 2009
Francis Magalona Passed Away
Thursday, March 5, 2009
Beauty Preservation by Beaute de Maman

Overcoming Seasonal Weight Gain
- Food Choices: During the winter, we tend to eat more 'comfort' foods that are higher in fat and contain less than healthy ingredients. Foods like french fries, ribs and chili tend to feel more comforting than salad, fresh fruit and grilled fish
- What you can do: Look for recipes that use fruits and vegetables that are in season during winter months: kale, squash, onions, artichokes, Brussels sprouts, cauliflower and citrus. Also incorporate soups that are either broth or vegetable based instead of those with creams to warm you up. Lastly, aim to stay away from fried foods and try baking options (potatoes for instance).
- Lack of Sunlight: Decreased exposure to sunlight can have a tremendous affect on our mood, and as a result, we eat foods that tend to be rich in carbs, fats and sugars, which make us feel better.What you can do: Expose yourself to sunlight regularly. Although the cold might be a deterrent, bundling up and getting outside into the sun will do your mood wonders.
- Reduced Activity Level: When it is cold outside, we do everything possible to stay inside. Further, activities like staying in bed, buried under the covers or on the couch snuggled up in a blanket is a lot more appealing than running on the treadmill or for that matter, outside.
- What you can do: Try finding new activities that are winter appropriate. Whether it be cross-country skiing, snowshoeing or ice skating, work with the season, not against it.
Results on Your Metabolism: Although there isn't significant evidence that temperature has a great affect on our metabolism, our activity level does. Specifically, when our activity level is reduced, our metabolism slows.


