Gout diagnosis, treatment options, and case management from BSA ADC

Gout diagnosis, treatment options, and case management from BSA ADC

Gout diagnosis, treatment options, and case management from BSA ADC

(Source: National Institute of Arthritis and Musculoskeletal and Skin Diseases)

What is Gout?

Gout is a painful form of arthritis caused by a buildup of uric acid. The buildup is also known as hyperuricemia. The higher your uric acid level, the more likely you are to get gout. Excess uric acid can form crystals in the joints and lead to swelling and pain.

The first attack of gout usually occurs in the big toe.

Flares are said to be extremely painful, and are associated with red, swollen and tender joints. Flares can also be found in the feet, ankles, hands, wrists elbows and knees.

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How Is Gout Diagnosed?

Doctors often ask about symptoms, medical history and family history of gout. Signs and symptoms of gout include:

  • Hyperuricemia
  • Uric acid crystals in joint fluid
  • More than one attack of acute arthritis
  • Arthritis that develops in 1 day, producing a swollen, red and warm joint
  • Attack of arthritis in only one joint, usually the toe, ankle, or knee.

To confirm a diagnosis of gout, your doctor may draw a sample of fluid from an inflamed joint to look for crystals associated with gout.

How Is Gout Treated?

Doctors use medicines to treat an acute attack of gout, including:

  • Nonsteroidal anti-inflammatory drugs (NSAIDs)
  • Corticosteroids, such as prednisone
  • Colchicine, which works best when taken within the first 12 hours of an acute attack.

Sometimes doctors prescribe NSAIDs or colchicine in small daily doses to prevent future attacks. There are also medicines that lower the level of uric acid in the blood.

How Can I Manage my case of Gout?

High levels of uric acid can lead to crystals in the joint, causing swelling and pain. If uric acid levels are left untreated, flare-ups will happen more often, be more painful, and joint damage will occur.

Keeping uric acid levels below 6 mg/dl reduces the risk of gout attacks with long-term treatment. At this level, crystals in the joints dissolve, resulting in fewer attacks.

 

You don’t have to live another day with uncontrollable pain in your joints.

Contact us to learn more about gout or to schedule an appointment.

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What Is Endocrinology?

From Diabetes, To Bone Disease

Endocrinology is the study of Hormonal and Metabolic Disorders.

ADC Endocrine System

Photo: Wikimedia Commons

The Endocrinologists of BSA Amarillo Diagnostic Clinic are thoroughly trained in the management of hormonal and metabolic disorders. With the aid of our experienced staff, our Endocrinology Department can assist in the management of your diabetes, complex metabolic bone disease, or disorders affecting the thyroid, pituitary and adrenal glands. Patient education services are available for patients in the care and management of these disorders. We also provide dietary counsel for lowering cholesterol and triglyceride levels.

Call and schedule an appointment today at BSA ADC.

Diabetes

Diabetes is a condition in which the body is unable to properly utilize blood sugar. Carbohydrate foods create blood sugar and the body needs insulin in order to process the sugar into energy for the body to function properly.

Type I diabetes is a condition in which the body’s immune system damages the pancreatic cells responsible for producing insulin. This form of diabetes is treated with insulin replacement by injection since the body is no longer capable of producing enough of it’s own insulin.

Type II diabetes is a much more common form and is progressive in nature. This form of diabetes causes insulin resistance which means the body still produces insulin, but had difficulty utilizing it. There are various medications in pill form to treat Type II diabetes, but because of the nature of Type II diabetes, sometimes the pancreas wears out and insulin replacement by injection is required.

At this time there is no permanent cure for diabetes. Your physician will determine what medications you may need and should be carefully used daily. You should visit your doctor every three to six months so that the efficacy of treatment can be re-evaluated. Good glucose control is essential in order to prevent or retard the onset of diabetic complications. These include, but are not limited to damage to the small vessels of the eye, kidney damage, coronary artery disease, and peripheral nerve damage. These complications can lead to blindness, heart attack or stroke, dialysis, and amputation. The good news is that with proper self-care and medical expertise you can significantly reduce or avoid these complications altogether.

Weight control through diet and exercise is important. If you are overweight, your chances of diabetes increases significantly and you are putting yourself at risk. BSA Amarillo Diagnostic Clinic has a patient education specialist to assist you in the care and management of diabetes through diet and exercise.

You need to EXERCISE on a regular basis, preferably every day for at least 45 minutes. An exercise program should be initiated slowly and built up gradually to avoid injury and build stamina. Go for the distance rather than intensity. Our patient education specialist can assist you in starting an exercise regimen that will work for you. Be sure and obtain clearance from your physician before starting any exercise regimen.

CHECK YOU BLOOD SUGARS with a home glucose monitor regularly. Your physician or diabetic educator will prescribe a routine and frequency that best suits your needs, but many doctors ask that you monitor before breakfast and before supper. Please be sure to record your numbers and to bring your results along with your meter when seeing the doctor. He or she will want to discuss those readings with you.

Periodic Checks

GLYCOHEMOGLOBIN is a test developed to give information about your average blood sugar level during the past two or three months. It should be checked every three to six months. The American Diabetic Association recommends that the patients diabetic regimen be adjusted to achieve a glycohemoglobin of less than 7%. Any contributing risk factor for vascular disease should be aggressively assessed and treated. Cholesterol, triglycerides, low HDL, high blood pressure, and smoking are all factors that need to be addressed. Your physician or educator can help you understand your results and your treatment options. Some medications typically used to treat elevated blood pressure also have a protective effect in preventing kidney complications of diabetes. Any medication prescribed by your physician should be taken only as directed. Consult your doctor before adding or deleting any medication including over the counter meds.

MICROALBUMIN urine testing should be performed yearly to evaluate the likelihood of diabetic kidney involvement.

A visit to the OPTHALMOLOGIST should be scheduled at least yearly. He or she will evaluate any diabetic retinopathy, cataracts, or other conditions and plan treatment accordingly.

You should have a COMPREHENSIVE MEDICAL EXAMINATION yearly that includes a treadmill exercise test. Underlying coronary artery disease is often more common in an individual with diabetes and needs early intervention.

SICK DAYS require special consideration. Anything your body perceives as stress can and will increase your blood sugar. This stress can be physical or emotional in nature. If you are ill your blood glucose will rise even if you cannot eat. Rules of thumb for sick days are as follows.

  • Stick to your meal plan if you can eat.
  • Take your diabetes medication unless your physician tells you to stop.
  • Check with your doctor before taking any other medication.
  • Drink at least one large glass of liquid each hour. If you are eating, these liquids should be sugar free.
  • Test your blood sugar every 4 hours.
  • Ask someone to check in on you or have them call every few hours to make sure you are all right.
  • If in doubt, consult your physician. Early and effective management of sick days will reduce your chances of developing diabetic coma.

Restless Leg Syndrome: What Is It and Other Facts

Restless Leg Syndrome is a common chronic neurological disorder. Its main symptoms are an urgency to move the legs mainly at night. Typically, pain will lessen with movement, and worsen when not moving.

Restless Legs Syndrome affects approximately 5-10% of adults in the U.S.

Symptoms include:

  • An urge to move the legs, usually accompanied or caused by uncomfortable and unpleasant leg sensations
  • Symptoms begin or worsen during periods of rest or inactivity such as lying or sitting
  • Symptoms are partially or totally relieved by movement, such as walking or stretching, at least as long as the activity continues.
  • Symptoms are worse or occur only in the evening or at night

How BSA ADC can help:

  • Discuss the symptoms you’re having
  • Tell your doctor about your medical history, and if anyone in your family has RLS
  • Tell your doctor about any medications you’re taking, including over-the-counter and prescription, as well as any herbal or vitamin supplements.

BSA ADC will help you diagnose what symptoms you are experiencing and based on the results what type of RLS you have. There are two types of RLS: primary RLS, a chronic condition that can be hereditary, and secondary RLS, caused by another condition (such as pregnancy or iron-deficiency) and may resolve once the underlying condition no longer exists. Your doctor will diagnose the type of RLS and provide appropriate treatment options.

Now that you know that RLS is a neurological condition, you should also know that there are treatment options that can help, including medications and non-medication options. Contact us if you have any questions or to set up an appointment.

4 Things You Should Know About Sleep In America

4 Things You Should Know About Sleep In America BSA ADC

  • Roughly 41 million people in the United States — nearly a third of all working adults — get six hours or fewer of sleep a night, according to a recent report from the Centers for Disease Control and Prevention.

1 out of every 3 working adults in the United States isn’t getting enough sleep. It can contribute to all sorts of health problems, and even overeating. This, according to a study by the CDC.

  • About 42 percent of workers in the mining industry are sleep-deprived.

The mining industry, in particular, suffers from lack of sleep.

  • About 27 percent of financial or insurance industry workers share the same complaint.

From Wall Street to auto insurance, financial and insurance agents are another problematic sector in the workforce when it comes to lacking sleep. 1 out of every 4 in the industry doesn’t get enough sleep.

  • The idea that we should sleep in eight-hour chunks is relatively recent. (The world’s population sleeps in various and surprising ways. Millions of Chinese workers continue to put their heads on their desks for a nap of an hour or so after lunch, for example, and daytime napping is common from India to Spain.)

This one will probably come as the biggest surprise to many. If you’re lacking sleep at night, try adding sleep in other ways. Your body will thank you for it.

To learn more about sleep, or Sleep Apnea or other sleep-related conditions, contact BSA ADC.

 

3 Signs Your Headache Needs Medical Attention

Sudden, Excruciating Headache?

James came home from work, dropped his briefcase on the couch, and  slid into his favorite chair. He put his head in his hands. He’d barely made it from the car to the couch. His headache was bad enough that he wasn’t aware of his wife, who’d walked in and asked him if he was alright.

James was experiencing one or more signs of severe headache. Here are 3 sure signs your headache requires medical attention:

  1. The Headache Comes on Suddenly with Excruciating Pain
  2. It’s the Worst Headache of Your Life, or
  3. The Headache Causes a Change of Your Consciousness, Making It Difficult to Walk or Talk

If you think you are experiencing these symptoms, call your doctor right away. And if you believe you are in danger, call 911. Headaches can be extreme and awful. Carefully monitor your symptoms and speak with your doctor about how you feel.

The most common type of headache is a tension headache. Tension headaches are due to tight muscles in your shoulders, neck, scalp and jaw. They are often related to stress, depression or anxiety. You are more likely to get tension headaches if you work too much, don’t get enough sleep, miss meals, or use alcohol.

Types of Headaches

  • Migraine headaches
    • Pain may be generalized, or on one side or both sides of the head
    • Can cause mood swings, fatigue, food craving, nausea, vomiting or vertigo
    • May also cause visual disturbances or sensitivity to light and sound, flashing lights or floaters
    • Usually last 4-72 hours
  • Tension headaches
    • Usually occur at the base of your head and is usually on both sides of your head
    • Dull, vice-like pressure around the head
    • Can be triggered by stress or muscle tension, poor ergonomics or body mechanics
    • Can be intermittent and lasting throughout the day
  • Cluster headaches
    • Pain may affect the eye, temple, face and/or neck areas
    • Sudden and excruciating pain that can happen at night waking you up from sleep
    • May be accompanied with a runny nose on one side or nasal stuffiness
    • May cause watering in one eye
    • Can occur at the same time for several days
  • Chronic daily headaches
    • Daily or nearly daily headache for more than 3 months
  • Medication overuse headaches
    • Use of an analgesic more than 3 times weekly for more than 3 months
  • Sinus Headache
    • Pain or pressure occurring behind the brow bone or cheek bone
    • Often accompanied with nasal or sinus congestion
    • Ear fullness

Other Less Common Types of Headaches

Some headaches originate from the neurological system:

  • Post traumatic headaches
    Concussion
    Brain injury
  • Tumors and other causes of increased intracranial pressure
    Pseudotumor cerebral (too much fluid in the brain compartment)
    Subdural hematoma (blood outside the brain but putting pressure on the brain)
  • Cervical spine disorders

Some headaches originate from causes outside the neurological system such as:

  • Fever
  • Hypertension
  • Sinusitis
  • Sleep apnea

When to Seek Treatment

  • Sudden onset of excruciating pain
  • First or worst headache of your life
  • Worsening pattern of headaches
  • Fever associated with a headache
  • Rapid onset of headache with strenuous exercise
  • Any change in mental status or level of consciousness
  • New headache in patients under 5 or over 50

Clinical Services Available

  • MRI
  • Lab

Treatment Options

  • Medication to prevent or relieve the pain
  • Physical therapy referrals
  • Botox therapy
  • Occipital nerve blocks

Not all headaches require a doctor’s attention. But sometimes headaches warn of a more serious disorder. Let us know if you have sudden, severe headaches. Get medical help right away if you have a headache after a blow to your head, or if you have a headache along with a stiff neck, fever, confusion, loss of consciousness, or pain in the eye or ear. Contact us if you have any questions or to set up an appointment.

Some information provided by Medline Plus.

Workouts Will Help Sleep You Sleep Better

Workouts Will Make You Sleep Better - ADC Sleep Disorder's Center
Researchers have found sleep quality gets better with workouts.
People who regularly hit the gym sleep better and feel more alert during the day than those who are not as physically active, according to a research.
The results showed that people who did 150 minutes of moderate to vigorous activity a week reported a 65-percent improvement in sleep quality.
“Physical activity may not just be good for the waistline and heart, but it also can help you sleep,” study researcher Brad Cardinal, professor of exercise science at Oregon State University, said.
Participants who worked out for at least 150 minutes also said that they felt less drowsy during the daytime, compared with those who were less physically active.
(People who got 150 minutes of exercise a week reported a 65-percent improvement in their sleep quality.)
Cardinal and his colleagues studied a nationally representative sample of more than 2,600 men and women between the ages of 18 and 85.
They study adds to the evidence showing that “regular physical activity may serve as a non-pharmaceutical alternative to improve sleep,” Cardinal said.
The study showed that the risk of often feeling overly sleepy during the day dropped by 65 percent for the more active participants.
Sleep Apnea, an increasingly common form of sleep deprivation, affects millions of Americans. Come visit the ADC Sleep Disorder’s Center for more information regarding Sleep Apnea and how you can improve your sleep. Our world class medical staff has been helping victims of Sleep Apnea for decades.

Bacteria in our Bellies? 3 Key Benefits – HerCare

Did you know humans are 99% bacterial? As Bonnie Bassler said in her Ted Talk, “you see human; I see bacterial.”

This key relationship between bacteria and our bodies plays a crucial role in basically everything that happens to us.

Mutualism

Intestinal bacteria and us.

3 Key Benefits of Bacteria in the Gut

  • Bacteria allow us to obtain greater nutrients from our foods
  • Bacteria help us develop sophisticated immune systems
  • Bacteria assist in balancing emotion and cognition

Watch the full keynote speech from ADC’s own Dr. Joanna Wilson at HerCare

7 Online Services Offered at ADCPA.com

7 Patient Online Services You May Not Know About

Get Pre-Registered, Update your profile, pay your bill and more

At BSA Amarillo Diagnostic Clinic, our goal is to provide our patients with the best experience possible when interacting with our practice. That’s why we’re pleased to offer secure, interactive patient self-service features that lets you communicate with us from the convenience of your home or office. So why call, when you can click?

Picture of a woman looking at a laptop

Online Services

So go ahead, replace our waiting room with your living room. It is fast, easy, and convenient!

 

Take a Tour of the ADC Endoscopy Center

Welcome to ADC Endoscopy Center!

Let’s get you started! The ADC Endoscopy Center is located at 1 Care Circle Dr. in Amarillo Texas. Click here for a map! Our phone number is (806) 353-1769.

Check In

Kayla Check In desk ADC Endoscopy Center

Kayla, or another friendly ADC Endoscopy Center staff, will assist you in the check in process. ADC Endoscopy Center is an outpatient surgical center accredited by HHHC for Ambulatory Health Care. We strive the most excellent patient care. What you’ll need to check in:

  • A valid driver’s license
  • Insurance card
  • Co-pay (you’ll have been contacted beforehand about this)
  • A driver to assist you on your journey home (patients will not be able to drive for 24 hours after their visit)

What To Expect Once You’re Admitted

ADC Endoscopy Center Entrance

Now that you are admitted, we’ll walk you back into the admittance area. You’ll then receive a full set of vital signs, a health assessment and a patient assessment. You’ll be asked to change into a gown, and an IV will be setup. Then, an ADC specialist will come to take you back to your procedure.

Your Procedure

For your procedure, you’ll be monitored for blood pressure and heart rhythm. You’ll also be receiving oxygen and sedation before the doctor begins. The procedure usually lasts 30-45 minutes. Once the doctor is finished, you’ll be able to go into recovery where your family or friends who came with you will be able to be with you.

The Recovery Room

BSA ADC Endoscopy Center Recovery Room

In the recovery room, your temperature will be monitored and you’ll be encouraged to drink to ensure proper hydration. At this point, the doctor will be able to discuss the findings from the procedure, if you’d like. You can give permission to discuss findings when you check in. Every patient will of course need a driver with them, so be sure to bring someone with you.

At this point, we will allow you to rest for a total of 30 minutes. After that, you can leave! You can eat as soon as you leave the facility.

BSA ADC - Leaving the Endoscopy Center

Well, that was easy!

The total process, from entrance to exit, usually lasts 2-3 hours.

To learn more, visit adcpa.com or call our offices at (806) 358-0200

 

 

Program Assists Financially for Endocrine-Related Medications

pexels-photo-407237Did you know http://prescriptionhelp.aace.com/ is a website designed entirely to help those in financially difficult situations to get more affordable endocrine-related medications?

Click here to get started: http://prescriptionhelp.aace.com/

Built in collaboration with the American Association of Clinical Endocrinologists
American College of Endocrinology, the program seeks to assist with making medication more affordable for thousands of patients.

Search by medication and find out what’s available to you.

The search results will provide you with the medication’s programs that are available, and the subsequent phone number. To learn more, visit http://prescriptionhelp.aace.com/.