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Autonomic Nervous System Disorders

Your autonomic nervous system is the part of your nervous system that controls involuntary actions, such as the beating of your heart and the widening or narrowing of your blood vessels. When something goes wrong in this system, it can cause serious problems, including:

  • Blood pressure problems
  • Heart problems
  • Trouble with breathing and swallowing
  • Erectile dysfunction in men

Autonomic nervous system disorders can occur alone or as the result of another disease, such as Parkinson's disease, alcoholism and diabetes. Problems can affect either part of the system, as in complex regional pain syndromes, or all of the system. Some types are temporary, but many worsen over time. When they affect your breathing or heart function, these disorders can be life-threatening.

Some autonomic nervous system disorders get better when an underlying disease is treated. Often, however, there is no cure. In that case, the goal of treatment is to improve symptoms.

NIH: National Institute of Neurological Disorders and Stroke

Benefits of Exercise

We have heard it many times before -- regular exercise is good for you, and it can help you manage your weight. But if you are like many people, you are busy, you sit most of the day at your job, and you haven't yet changed your exercise habits. The good news is that it's never too late to start. You can start slowly and find ways to fit more physical activity into your life. To get the most benefit, you should try to get the recommended amount of physical activity for your age. If you can do that, the payoff is that you will feel better, may help prevent or control many diseases, and will likely even live longer.

What are the health benefits of exercise?

Regular exercise and physical activity may:

  • Help you get to and stay at a healthy weight. Along with diet, exercise plays an important role in maintaining a healthy weight and preventing obesity. If you are at a healthy weight, you can maintain it if the calories you eat and drink are equal to the amount of energy you burn. To lose weight, you need to use more calories than you eat and drink.
  • Reduce your risk of heart diseases. Exercise strengthens your heart and improves your circulation. The increased blood flow raises the oxygen levels in your body. This helps lower your risk of heart diseases such as coronary artery disease and heart attack. Regular exercise can also lower high blood pressure, cholesterol, and triglyceride levels, all of which are risk factors for heart disease.
  • Help your body manage blood glucose (blood sugar) and insulin levels. Exercise can lower your blood glucose levels and help your insulin work better. This can reduce your risk of metabolic syndrome and type 2 diabetes. And if you already have one of these diseases, exercise can help you manage it.
  • Help you manage a chronic health condition. For example, regular physical activity may help reduce pain and improve function in adults with arthritis. It can also help support daily living activities for people with disabilities. This may help them be more independent.
  • Help you quit smoking. Exercise may make it easier to quit smoking by reducing your cravings and withdrawal symptoms. It can also help limit the weight you might gain when you stop smoking.
  • Improve your mental health and mood. During exercise, your body releases chemicals that can improve your mood and make you feel more relaxed. This can help you deal with stress, manage anxiety, and reduce your risk of depression.
  • Help keep your thinking, learning, and judgment skills sharp as you age. Exercise stimulates your body to release proteins and other chemicals that improve the structure and function of your brain.
  • Strengthen your bones and muscles. Regular exercise can help kids and teens build strong bones. Later in life, it can also slow the loss of bone density that comes with age. Doing muscle-strengthening activities can help you increase or maintain your muscle mass and strength. For older adults, this can mean staying independent, like being able to get in and out of a chair or bed without help.
  • Reduce your risk of some cancers, including colon, breast, uterine, bladder, esophageal, kidney, stomach, and lung cancer. There are different ways that physical activity may lower the risk of these cancers. For example, it can strengthen your immune system and reduce inflammation in your body. It also helps prevent obesity, which is a risk factor for many cancers.
  • Reduce your risk of falls. For older adults, doing balance and muscle-strengthening activities can help reduce your risk of falling.
  • Improve your sleep. Exercise can help you fall asleep faster and stay asleep longer.
  • Boost your energy. Exercise helps your heart and lungs work better, which can leave you feeling more energetic throughout the day.
  • Improve your sexual health. Regular exercise may lower the risk of erectile dysfunction (ED) in men. For those who already have ED, exercise may help improve their sexual function. In women, exercise may increase sexual arousal.
  • Increase your chances of living longer. Studies show that physical activity can reduce your risk of dying early from the leading causes of death, like heart disease and certain cancers.
How can I make exercise a part of my regular routine?

Here are some tips to help you make exercise part of your daily routine:

  • Make everyday activities more active. Even small changes can help. You can take the stairs instead of the elevator. Walk down the hall to a coworker's office instead of sending an email. Wash the car yourself. Park further away from your destination.
  • Be active with friends and family. Having a workout partner may make you more likely to enjoy exercise. You can also plan social activities that involve exercise. Consider joining an exercise group or class, such as a dance class, hiking club, or volleyball team.
  • Keep track of your progress. Keeping a log of your activity or using a fitness tracker may help you set goals and stay motivated.
  • Make exercise more fun. Try listening to music or watching TV while you exercise. Also, mix things up a little bit - if you stick with just one type of exercise, you might get bored. Try doing a combination of activities.
  • Find activities that you can do even when the weather is bad. You can walk in a mall, climb stairs, or work out in a gym even if the weather stops you from exercising outside.
  • Remember that some physical activity is better than none. Do what you can! Even 5 minutes of physical activity has real health benefits.

Bile Duct Cancer

Your liver makes a digestive juice called bile. Your gallbladder stores it between meals. When you eat, your gallbladder pushes the bile into tubes called bile ducts. They carry the bile to your small intestine. The bile helps break down fat. It also helps the liver get rid of toxins and wastes.

Bile duct cancer is rare. It can happen in the parts of the bile ducts that are outside or inside the liver. Cancer of the bile duct outside of the liver is much more common. Risk factors include having inflammation of the bile duct, ulcerative colitis, and some liver diseases.

Symptoms can include:

  • Jaundice
  • Itchy skin
  • Fever
  • Abdominal pain

Tests to diagnose bile duct cancer may include a physical exam, imaging tests of the liver and bile ducts, blood tests, and a biopsy.

Treatments include surgery, radiation therapy, and chemotherapy.

NIH: National Cancer Institute

Birth Defects

What are birth defects?

A birth defect is a problem that happens while a baby is developing in the mother's body. Most birth defects happen during the first 3 months of pregnancy. One out of every 33 babies in the United States is born with a birth defect.

A birth defect may affect how the body looks, works, or both. Some birth defects like cleft lip or neural tube defects are structural problems that can be easy to see. Others, like heart disease, are found using special tests. Birth defects can range from mild to severe. How a birth defect affects a child's life depends mostly on which organ or body part is involved and how severe the defect is.

What causes birth defects?

For some birth defects, researchers know the cause. But for many birth defects, the exact cause is unknown. Researchers think that most birth defects are caused by a complex mix of factors, which can include:

  • Genetics. One or more genes might have a change or mutation that prevents them from working properly. For example, this happens in Fragile X syndrome. With some defects, a gene or part of the gene might be missing.
  • Chromosomal problems. In some cases, a chromosome or part of a chromosome might be missing. This is what happens in Turner syndrome. In other cases, such as with Down syndrome, the child has an extra chromosome.
  • Exposures to medicines, chemicals, or other toxic substances. For example, alcohol misuse can cause fetal alcohol spectrum disorders.
  • Infections during pregnancy. For example, infection with Zika virus during pregnancy can cause a serious defect in the brain.
  • Lack of certain nutrients. Not getting enough folic acid before and during pregnancy is a key factor in causing neural tube defects.
Who is at risk of having a baby with birth defects?

Certain factors may increase the chances of having a baby with a birth defect, such as:

  • Smoking, drinking alcohol, or taking certain "street" drugs during pregnancy
  • Having certain medical conditions, such as obesity or uncontrolled diabetes, before and during pregnancy
  • Taking certain medicines
  • Having someone in your family with a birth defect. To learn more about your risk of having a baby with a birth defect, you can talk with a genetic counselor,
  • Being an older mother, typically over the age of 34 years
How are birth defects diagnosed?

Health care providers can diagnose some birth defects during pregnancy, using prenatal testing. That's why it important to get regular prenatal care.

Other birth defects may not be found until after the baby is born. Providers may find them through newborn screening. Some defects, such as club foot, are obvious right away. Other times, the health care provider may not discover a defect until later in life, when the child has symptoms.

What are the treatments for birth defects?

Children with birth defects often need special care and treatments. Because the symptoms and problems caused by birth defects vary, the treatments also vary. Possible treatments may include surgery, medicines, assistive devices, physical therapy, and speech therapy.

Often, children with birth defects need a variety of services and may need to see several specialists. The primary health care provider can coordinate the special care that the child needs.

Can birth defects be prevented?

Not all birth defects can be prevented. But there are things you can do before and during pregnancy to increase your chance of having a healthy baby:

  • Start prenatal care as soon as you think you might be pregnant, and see your health care provider regularly during pregnancy
  • Get 400 micrograms (mcg) of folic acid every day. If possible, you should start taking it at least one month before you get pregnant.
  • Don't drink alcohol, smoke, or use "street" drugs
  • Talk to your health care provider about any medicines you are taking or thinking about taking. This includes prescription and over-the-counter medicines, as well as dietary or herbal supplements.
  • Learn how to prevent infections during pregnancy
  • If you have any medical conditions, try to get them under control before you get pregnant

Centers for Disease Control and Prevention

Blisters

What are blisters?

Blisters are fluid-filled sacs on the outer layer of your skin. They form because of rubbing, heat, or diseases of the skin. They are most common on your hands and feet.

Other names for blisters are vesicles (usually for smaller blisters) and bulla (for larger blisters).

What causes blisters?

Blisters often happen when there is friction - rubbing or pressure - on one spot. For example, if your shoes don't fit quite right and they keep rubbing part of your foot. Or if you don't wear gloves when you rake leaves and the handle keeps rubbing against your hand. Other causes of blisters include:

  • Burns
  • Sunburn
  • Frostbite
  • Eczema
  • Allergic reactions
  • Poison ivy, oak, and sumac
  • Autoimmune diseases such as pemphigus
  • Epidermolysis bullosa, an illness that causes the skin to be fragile
  • Viral infections such as varicella zoster (which causes chickenpox and shingles) and herpes simplex (which causes cold sores)
  • Skin infections including impetigo
What are the treatments for blisters?

Blisters will usually heal on their own. The skin over the blister helps keep out infections. You can put a bandage on the blister to keep it clean. Make sure that there is no more rubbing or friction on the blister.

You should contact your health care provider if:

  • The blister looks infected - if it is draining pus, or the area around the blister is red, swollen, warm, or very painful
  • You have a fever
  • You have several blisters, especially if you cannot figure out what is causing them
  • You have health problems such as circulation problems or diabetes

Normally you don't want to drain a blister, because of the risk of infection. But if a blister is large, painful, or looks like it will pop on its own, you can drain the fluid.

Can blisters be prevented?

There are some things you can do to prevent friction blisters:

  • Make sure that your shoes fit properly
  • Always wear socks with your shoes, and make sure that the socks fit well. You may want to wear socks that are acrylic or nylon, so they keep moisture away from your feet.
  • Wear gloves or protective gear on your hands when you use any tools or sports equipment that cause friction.
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