You know the sensation. First, it’s an uncomfortable little “awareness” in the back of your throat, and the thought crosses your mind, “I hope I’m not coming down with something.” Slowly, over the next few hours or so, your awareness increases. Then the next morning, you awaken with the sensation of having swallowed a blowtorch. And, since a sore throat is all too often the first act of a bad cold, you know what the next few days are going to be like, and wonder what you can do to prevent things from getting worse. Here are some suggestions from WholeHealth Chicago.
Category: Knowledge Base
Sinusitis
In my town, doctors refer to it as the “Denver drip,” but of course the “Chicago crud” or “Manhattan mucus” serve just as well. In fact, that decidedly unpleasant, back-of-the-throat, thick-as-molasses post nasal drainage is simply your sinuses, endlessly trying to empty themselves. What with clogged heads, tickly coughs, constant nose blowing, and voices perpetually needing a “harrumph!” to clear them, it’s little wonder that sinus sufferers are willing to undergo repeated surgeries for temporary relief. Or borrow somebody’s old antibiotics. Or fantasize about plunging a Craftsman power drill up their nostrils.
Shingles
Since almost everyone gets chickenpox as a child, most of us are susceptible to developing shingles as adults. Each illness is caused by the same virus, which is called varicella in children and herpes zoster in adults. After the chickenpox ends, the virus goes into hibernation in the nerve cells along the spinal cord. Then, many years later, when the immune system is weakened in some way–by age, stress, certain drugs, illness (even the flu)–the virus awakens. At some point along the spine, it travels along a nerve, producing a painful rash along the band of skin served by that nerve. Herpes zoster means “belt of fire”–the name is apt.
Rosacea
You’re in your thirties and confident that those former anxieties about teenage acne are ancient history. Then you begin to notice something. Hmm… your cheeks…your chin…and the bridge of your nose seem to redden easily, especially when you eat some spicy food or drink alcohol. At first you think nothing of it, and don’t mind when friends comment about your “healthy glow.” But then, this odd redness just doesn’t seem to go away. When you examine your skin carefully, you see lots of tiny blood vessels. Your face appears a little swollen, and it definitely feels tender. Since the resemblance to Santa Claus is getting a bit unnerving, you decide it’s time for some help.
Raynaud’s Disease
People with Raynaud’s disease are at the other end of the spectrum from people who blush at the drop of a hat. But, instead of having blood vessels that open readily, they have vessels that constrict too easily, usually in response to something cold. When you have Raynaud’s, you can walk into an air-conditioned room or even reach into a picnic cooler, and suddenly your fingers feel oddly cold, even numb and tingly. As you watch, the tips go dead white, then blue, and (after you frantically warm them up again), a bright, throbbing red.
Psoriasis
When I was a kid, there used to be a magazine advertisement that began “Do you suffer the heartbreak of psoriasis?” I couldn’t understand the connection between a skin rash and a broken heart until I began actually treating people with this skin condition. Psoriasis, which affects about 6 million Americans, is indeed a frustrating disorder, for both patient and doctor. Although the exact cause is unknown, we do know that new skin cells reproduce and accumulate faster than they can be sloughed off. The condition can range in severity from a few small patches to large and unsightly thick plaques that appear just about anywhere on the body.
Prostate Problems
I’ve had many male patients over age 40 who are not only inconvenienced by an enlarged prostate (usually in the form of a more frequent need to urinate), but who are also concerned that they either have cancer of the prostate or that cancer is right around the corner. I’m happy to report that most of their symptoms turned out to be related to a condition known as benign prostatic hyperplasia, or BPH. And it is indeed benign: “Hyperplasia” simply means an overgrowth of cells.
PMS
After having heard the details of PMS (otherwise known as premenstrual syndrome) from hundreds of women over the years, I continue to be surprised about how most regard PMS as their lot in life and don’t seek any help for it. I guess most women believe there’s nothing they can do, and consequently they’re often amazed to learn that an integrated approach can really help. I am of the opinion, shared by many of my colleagues at WholeHealth Chicago, that getting PMS out of your life requires a strongly committed proactive “self-care” stance, something you can easily do without much reliance on your conventional physician. Generally the complexity of PMS–and there are numerous symptoms associated with it–takes a lot more time and attention than the standard 7-minute physician office visit can provide.
Perimenopause
As you’re probably aware, menopause is that phase of a woman’s life when her ovaries no longer produce the sex hormones estrogen and progesterone. Well before then, however, a woman’s hormones begin to fluctuate from month to month, often causing many unpleasant symptoms. This process may take from five to 10 years. This is perimenopause. During this time, even though periods are still occurring, symptoms associated with menopause, including hot flashes, mood swings, brain fog, and sleep disturbances begin. Yet with periods persisting, most doctors are reluctant to start prescription hormones that would stop these symptoms in days. Furthermore, since her hormonal status fluctuates, she may not need prescription hormones every month. So what’s a person to do?
Osteoporosis
A decade ago, most women had never heard of osteoporosis. Now, as the baby boomer generation approaches menopause and doctors have analyzed the statistics, articles about osteoporosis are appearing everywhere. Osteoporosis presents a health danger because as bones age they absorb less calcium. This leaves them thin and pitted, and more liable to fracture easily. With a third of all post-menopausal women suffering some degree of bone deterioration, this translates into a lot of hip, spine, and wrist fractures. Sadly, a third of all elderly women who suffer a hip fracture die within six months.
Muscle Aches and Pains
By and large, if we take reasonably good care of ourselves, most of the so-called degenerative illnesses–heart disease, cancer, diabetes–usually wait until we’re in our sixties or so. So just accept the following as a given: Before age 60, most medical problems will involve your musculoskeletal systems. Which I guess is why the waiting rooms of chiropractors and osteopaths are so crowded. If to stay healthy we keep active, and by active, I mean anything from taking a regular walk to winning bowling trophies, we will inevitably experience some muscle aches and pains.
Multiple Sclerosis
Multiple sclerosis can seem like the cruelest disease. We’ve all heard of cases where a young adult, once in the bloom of health, becomes disabled and confined to a wheelchair. And while it’s true that MS attacks healthy young people, fortunately very few cases lead to rapid disability. By far the common MS “story” is one of flare-ups followed by very long disease-free periods, so that disability, if it does occur at all, may not happen for decades. Although the cause of MS remains unknown, physicians believe it’s an autoimmune disease, where the immune system winds up attacking its own central nervous system. Doctors are far less helpless in the face of MS than they once were. Disease “modifiers” such as the interferon-based medications Betaseron or Avonex and the drug glatiramer acetate (Copaxone), all have been shown to reduce flare-up rates dramatically and delay the time to disability.
Migraine
Nearly every week, I get patients who assume that any time they have a really bad headache, it must be a migraine. Not true. In fact, migraines are a specific condition, with symptoms, causes, and treatments that differ from other headaches. To begin, what sets migraines apart is the throbbing pain–often on one side of the head–which can be intense and even incapacitating. At WholeHealth Chicago, we find a two-prong approach to migraines is often the most successful: Deal decisively with the pain of an attack (including using prescription medications, if necessary) and also find the best strategies to prevent these headaches from happening in the first place.
Menopause
Strictly speaking, menopause is your final menstrual period, but most doctors agree you need 12 straight months without a period before you can call that last period “final.” Gone along with your periods, however, are your “factory-installed” female hormones. These protect you against a host of conditions–heart disease and osteoporosis most prominently–and lack of them can lead to a variety of symptoms, known collectively by your mothers as “the change.” These may include hot flashes, night sweats, mood swings, sleep disturbances, vaginal dryness, weight changes and poor concentration.
Memory Loss/Impairment
Although all of us desire longevity, at the same time one of our greatest fears is any decline in our mental powers. One day, you might wander through your home, forgetting what you were looking for. Or you might finish a book and the next morning can barely remember the plot. You miss appointments unless you write them down. Friends and family members comment on your forgetfulness. With a chill of horror, you think, “Alzheimer’s disease!” Actually, this is very unlikely. You’ve just not been paying attention to your brain health. This has a name, “cognitive decline,” a description of what you’re experiencing, rather than an actual disease.
Macular Degeneration
It’s likely that many of the 6 million Americans with macular degeneration first hear about it during a visit to an eye doctor where they’ve come complaining about their declining vision. Most of them leave the office in a very discouraged state of mind, with the phrase “nothing can be done” ringing in their ears. The macula is a tiny spot in the center of the retina that enables you to distinguish the fine detail in the center of your visual field. In other words, all the truly important stuff of looking at things: reading, watching TV, threading a needle, driving a car.
Lupus
Lupus means “wolf,” maybe because wolves are sly and lupus is the slyest of the autoimmune diseases–conditions in which the trusty immune system, which normally tracks and destroys viruses, bacteria, and cancer cells, suddenly turns and attacks the body. Most of the autoimmune diseases are satisfied with seizing one organ (say, the thyroid or the liver) or the joints. But lupus has imperial ambitions. The skin, joints, muscles, brain, kidney, and all the connective tissue can become victims of the very system that once guarded their existenc
Kidney Stones
My guess is that there’s never been a human being in the history of mankind who ever answered “Yes, sure, okay!” to the question “Would you like to pass another kidney stone?” We’re not positive why some people get stones and others don’t, but stone formation does run in families, and has less to do with diet than we once thought. When the stone, which forms in the kidney, decides to move, it’s during the l-o-n-g passage down the ureter (the tube from the kidney to the bladder) that causes so much pain.
Irritable Bowel Syndrome
By far the most common reason patients visit gastroenterologists is for help with irritable bowel syndrome, or IBS, also known as spastic colon. Although the condition is not dangerous, nor does it lead to anything serious, IBS is a real challenge to treat effectively. In fact, conventional medical textbooks advise doctors to tell their patients that the condition is incurable, and many patients have come to believe that the best they can expect from conventional medicine is only limited relief. All doctors, including myself, hesitate to use the word “cure.” But at WholeHealth Chicago, we’ve found that a more integrated medical “toolbox” has dramatically improved our success rate.
Insomnia
Virtually all of us have experienced problems with sleep at some point in our lives. Sleep problems come in a variety of forms. Perhaps you’re unable to fall asleep, or maybe staying asleep is the problem, or perhaps you awaken unrefreshed two or three hours before you’d planned. The end result is that you’re tired the next day, or grouchy, or you can’t concentrate. And the next night arrives accompanied by that lurking fear: What if it happens again? Fortunately, most insomnia is transient, meaning that it clears up by itself.