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admin | Category: Electile Dysfunction 2016 | 30.05.2015
The connection between pre-eclampsia and other neurodegenerative diseases such as Alzheimers has yet to be determined. Our vlogs are back and we are kicking off with a Q from Mama on Bedrest Katlynn who is wondering if she should be on bed rest for her pregnancy induced high blood pressure and proteinuria.
We all know that Bedrest is difficult, but did you know that certain complications that cause  mamas to be put on bed  rest can also put mamas at risk for heart health problems later in life? In today’s post, I am sharing with you an info graphic from the California Maternal Quality Care Collaborative (CMQCC) which outlines the potential cardiovascular (heart) risks that Mamas on Bedrest are exposed to as a result of certain pregnancy complications. The CMQCC infographic specifically names Pregnancy Induced Hypertension, Pre-Eclampsia, HELLP Syndrome, Gestational Diabetes and Preterm Births all as increasing a mama’s risk of developing heart disease later in life. But I really like this infographic because it gives a lot of information in a neat, concise and readable fashion.
An in-depth report on the causes, diagnosis, treatment, and prevention of cluster headaches. HighlightsWhat Are Cluster Headaches?Cluster headaches are among the most painful types of headaches. Many patients report a delay of more than 5 years in the diagnosis of their cluster headaches.
Cluster headache is diagnosed by medical history, including the pattern of recurrent attacks, and by typical symptoms (swollen eyelid, watery eye, runny nose). Pre-Eclampsia is one of the most common reasons mamas are prescribed bed rest, and one of the leading causes of preterm labor, prematurity and even death in mamas globally. Irina Buhimschi, director of the Center for Perinatal Research at Nationwide Children’s Hospital in Ohio and lead author of the paper. Additionally, no one yet knows if women who develop pre-eclampsia are at greater risk for developing Alzheimers or Parkinson’s Diseases or have some sort of protection. It’s easy to do, simply click the small orange circle in the upper right hand corner of this page. This is a great question as the bed rest prescription has come into question as a viable treatment for these symptoms.
The purpose of sharing this info graphic is not to scare you, depress you about being on bed rest or to add more stress to an already difficult situation. We know this because of information shared in previous blog posts on Peripartum Cardiomyopathy, Pre-Eclampsia, and Gestational Diabetes. I think the infographic is easy to follow and mamas can get all the information that they need at a glance. I think it is well done and especially effective given that Darline is pregnant while doing the exercises.
They are marked by excruciating stabbing and penetrating pain, which is usually centered around the eye.
Because blood vessel dilation appears to follow, not precede, the pain, some action originating in the brain is likely to be part of the process.Abnormalities in the Sympathetic Nervous SystemSome evidence suggests that abnormalities in the sympathetic (also called autonomic) nervous system may contribute to cluster headaches. Migraine-like symptoms (light and sound sensitivity, aura, nausea, vomiting) are major reasons for the frequent misdiagnosis. Keeping a headache diary to record a description of attacks can help the doctor make an accurate diagnosis. This new finding is significant because this current research shows that pre-eclampsia, more specifically the proteins found in the urine of pregnant women with pre-eclampsia, are also associated with diseases of neurodegenerative diseases of aging such as Parkinson’s Disease, Mad Cow Disease and Alzheimers Disease. Left untreated, pre-eclampsia leads to dizziness, visual changes, seizures, stroke, swelling and weight gain, organ (kidney) failure and death.
Rather, my motive is to make you aware of future health risks, to educate you and share information with you so that you can take the best care of yourselves now, during your pregnancies, and throughout the rest of your lives. Then if mamas desire more information, they can read the additional resources provided in this post and in the resources in the infographic at their leisure. Cluster headache attacks occur very suddenly and without warning, with the pain peaking within 15 minutes. The trigeminal nerve carries sensations from the face to the brain.Circadian Abnormalities. This system regulates non-voluntary muscle actions in the body, such as in the heart and blood vessels.PrognosisThe pain of cluster headaches can be intolerable.
Buhimschi admits that this is definitely a huge breakthrough in pre-eclampsia research, she admits that physicians and researchers are still no closer to knowing why some women develop pre-eclampsia and why others don’t.
Pre-Eclampsia is a leading cause of preterm delivery, yet once the baby and placenta are delivered, mama’s symptoms resolve. In the meantime, having a low technology, easy to perform and inexpensive test to screen for pre-eclampsia may well reduce the maternal mortality associated with it tremendously worldwide.
In fact, a higher-than-average rate of suicidal thoughts has been reported in men with these headaches. Pre-eclampsia is still responsible for some 75,000 deaths annually, mostly in poorer, developing nations.
Even here in the US, this low lost, low tech test, performed early, may enable obstetricians to begin treating women early with antihypertensive medications and ward off the more serious signs and symptoms of pre-eclampsia.
I, Bedrest Coach Darline Turner, will be answering all bed rest related questions, including those related to this infographic.

Oxygen therapy and sumatriptan (Imitrex, generic) injection are the most effective treatments for acute attacks. The proteins noted in mamas’ urine are now easily identified with a simple and inexpensive urine test called the Congo Red Dot Test. The next step-or perhaps leap-is that perhaps them mamas who have pre-eclampsia may not need to be placed on bed rest-so long as their blood pressures are stabilized on medications, they are no longer spilling proteins into their urine and they are not having any signs of seizure, stroke or organ failure. While I can’t offer specific medical advice, I can steer you in the right directions to get all the information you need to make wise health care choices! Verapamil (Calan, generic), a high blood pressure drug, is typically the first choice of medication used for long-term prevention.Behavioral treatments can be a helpful supplement to drug therapy. Many patients report an increase in attacks when daylight savings time changes occur in the fall and spring. Research suggests that headaches that are accompanied by aura may increase the risk of stroke or transient ischemic attack (TIA). If the results of the history and physical examination suggest other or accompanying causes of headaches or serious complications, extensive imaging tests are performed.Migraines.
This simple test merely requires that clinicians place a small amount of urine on a test paper and if a large red dot develops, they know that the urine contains proteins indicative of pre-eclampsia.While we have reported on the Congo Red Dot test previously, a simple test like the Congo Red Dot test could really be a breakthough in treatment in these areas and significantly lower maternal mortality. Finally, combining these findings with the Pluristem Technology, and yes, we may in fact be on the way to eradicating pre-eclampsia!! These treatments include relaxation therapy, biofeedback, cognitive-behavioral therapy, and stress management.
Researchers have therefore focused attention on circadian rhythms, and in particular small clusters of nerves in the hypothalamus that act like biologic clocks. Cluster headaches are often misdiagnosed as migraines but they are quite different:Frequency and Duration. The hormone melatonin is also involved in the body's biologic rhythms.Dilation of Blood VesselsCluster headaches are associated with dilation (widening) of blood vessels and inflammation of nerves behind the eye.
Cluster headaches generally last 15 minutes to a few hours and can occur several times a day.
Cluster Headache Survey, the largest study of cluster headache patients ever completed in the United States, reveal:Diagnostic delays.
Many patients with cluster headache experience at least a 5-year delay in having their symptoms correctly diagnosed as cluster headache. Inflammation of nearby nerves may give rise to the distinctive stabbing, throbbing pain usually felt in one eye. The trigeminal nerves branch off the brainstem behind the eyes and send impulses throughout the cranium and face. Men are 2 - 3 times more likely to have cluster headaches than women, with the peak age of onset occurring during their 40s. Other headaches that resemble migraines include SUNCT (short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing) and chronic paroxysmal hemicrania, which are other primary headaches, and some secondary headaches notably trigeminal neuralgia (TN), temporal arteritis, and sinus headaches.
Cluster symptoms, however, are usually precise enough to rule out these other types of headaches.Tear in the Carotid Artery. A tear in the carotid artery (which carries blood to the brain) can cause pain that resembles a cluster headache. People with this condition may even respond to sumatriptan, a drug used to treat a cluster attack. Doctors should consider imaging tests for patients with a first episode of cluster headache in which this event is suspected.Orbital Myositis. Alcohol, especially beer, is the most common trigger of attacks, followed by weather changes and smells.IntroductionCluster headaches are among the most painful, and least common, of all headaches. In some people, apnea may trigger a cluster headache during the first few hours of sleep, making patients susceptible to follow-up attacks during the following midday to afternoon periods. An unusual condition called orbital myositis, which produces swelling of the muscles around the eye, may mimic symptoms of cluster headache.
Treating patients who have both disorders with a device called CPAP, which opens the airways, may help improve both conditions. This condition should be considered in patients who have unusual symptoms such as protrusion of the eyeball, painful eye movements, or pain that does not dissipate within 3 hours.Headache Symptoms that Could Indicate Serious Underlying DisordersHeadaches indicating a serious underlying problem, such as cerebrovascular disorder or malignant hypertension, are uncommon. Attacks occur regularly for 1 week to 1 year, separated by long pain-free periods that last at least 1 month.
When the disorder is in remission, such triggers rarely set off the headaches.SymptomsCluster headaches usually strike suddenly and without warning, although some people have a migraine-type aura before the attack. Such patients should immediately call a doctor if the quality of a headache or accompanying symptoms has changed. A significant number of people who experience a first cluster attack do not have another one.Chronic. The pain is deep, constant, boring, piercing, or burning in nature, and located in, behind, or around the eye.
Attacks occur regularly for more than 1 year, with pain-free periods lasting less than 1 month. The pain then spreads to the forehead, jaw, upper teeth, temples, nostrils, shoulder or neck.

Usually an injection of the triptan drug sumatriptan (Imitrex, generic), which is FDA-approved for cluster headache treatment.
The pain and other symptoms usually remain on one side of the head.The pain generally reaches very severe levels within 15 minutes.
Intranasal formulations of sumatriptan or zolmitriptan (Zomig) are alternatives.Relief can occur in 5 - 10 minutes. Patients may feel agitated or restless during an attack and often want to isolate themselves and then move around.
Although certain drugs are standard, preventive therapy needs to be individually tailored for each patient. Tearing of the eye, congestion in the associated nostril, and pupil changes and eyelid drooping may also occur. The doctor may prescribe a combination of drugs.Verapamil (Calan, generic), a calcium-channel blocker drug, is the mainstay preventive treatment for cluster headaches. During an active cycle, people can experience as few as 1 attack every other day to as many as 8 attacks a day.Duration of Cycles. During this period, corticosteroids (typically prednisone) may be used as an initial transitional therapy. Attacks cycles tend to occur seasonally, most often in the spring and autumn.Primary Headaches That Resemble Cluster HeadachesCluster headaches are a type of primary headache. A headache is considered primary when it is not caused by another disease or medical condition.
Patients should avoid the following triggers that may provoke cluster headache attacks:Alcohol.
Other primary headaches that resemble cluster headache include:Chronic Paroxysmal Hemicrania. Heavy alcohol use is strongly associated with cluster headaches, although it is not clear if alcohol triggers pain or is simply used as a coping mechanism for dealing with severe pain.Cigarette smoking. Many studies indicate that a majority of patients with cluster headache are cigarette smokers.
It causes multiple, short, and severe daily headaches with symptoms resembling those of cluster headache. While studies have not shown that quitting cigarettes will stop cluster headaches, smoking cessation should still be a goal. As compared to cluster headaches, the attacks are shorter (1 - 2 minutes) and more frequent (occurring an average of 15 times a day).
Smokers who can't quit should at least stop at the first sign of an attack and not smoke throughout a cycle.Treatment for Acute AttacksOxygen TherapyBreathing pure oxygen (by face mask, for 15 minutes or less) is one of the most effective and safest treatments for cluster headache attacks. This headache is even rarer than cluster headache, tends to occur in women, and responds to treatment with the anti-inflammatory drug indomethacin (Indocin, generic).Hemicrania Continua. Inhalation of oxygen raises blood oxygen levels, therefore relaxing narrowed blood vessels.TriptansTriptans are drugs that are usually used to treat migraine headaches. The pain, which can range from mild to severe, occurs continuously on one side of the face. An Injection of sumatriptan (Imitrex, generic) is the standard triptan treatment and is FDA-approved for cluster headaches.
SUNCT syndrome (short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing) causes stabbing or burning eye pain that may resemble cluster headaches, but attacks are very brief (lasting about a minute) and may occur more than 100 times per day.
The nasal spray form may also be effective for some patients, and generally provides relief within 30 minutes.
The spray seems to work best for attacks that last at least 45 minutes, although some people find it does not work as well as the injectable form.Zolmitriptan (Zomig) is another triptan drug used for cluster headache treatment.
The following are potentially serious problems with triptans:Complications on the Heart and Circulation.
Because of this action, spasms in the blood vessels may occur, which can cause stroke and heart attack. Patients with a history of heart attack, stroke, angina, uncontrolled high blood pressure, peripheral artery disease, or heart disease should not use triptan drugs.Serotonin Syndrome. Serotonin syndrome is a life-threatening condition that occurs from an excess of the brain chemical serotonin. Triptans, as well as certain types of antidepressant medications, can increase serotonin levels. Serotonin syndrome is most likely to occur when starting or increasing the dose of a triptan or antidepressant drug. Symptoms include restlessness, hallucinations, rapid heartbeat, tremors, increased body temperature, diarrhea, nausea, and vomiting.

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