What To Expect From A Nerve Conduction Study

An electromyogram (EMG) measures the electrical activity of muscles at rest and during contraction. Nerve conduction studies measure how well and how fast the nerves can send electrical signals. Nerves control the muscles in the body with electrical signals called impulses. These impulses make the muscles react in specific ways. Nerve and muscle problems cause the muscles to react in abnormal ways.

During NSC, mild electrical currents are applied to the skin on some parts of your body. This is done to see how quickly impulses travel between nerves. EMG assesses muscle function. To do this, a fine needle is placed under your skin into the muscle being tested. This is repeated on other muscles. The needle allows the electrical activity in your muscles to be measured. No electrical currents are applied with the needle.

During each test, wavy lines (waveforms) appear on a screen or on paper. these lines show how well your nerves and muscles work. These waveforms help to determine your test results.

Before Your Test

Prepare for your test as instructed. Shower or bathe, but don’t use powder, oil, or lotion. your skin should be clean and free of excess oil. Wear loose clothes. Be aware that you may be asked to change into a hospital gown. the entire test will take about 1 hour. Be sure to allow extra time to check in.

During Your Test

You will be asked to lie on an exam table with a blanket over you. You may have one or both of the following:

Nerve Conduction Study (NCS)

Small metal disks (electrodes) will be attached to your skin on the area of your body being tested. This will be done using water based gel or paste. A doctor or technologist will apply mind electrical currents to your skin. Your muscles will twitch. But the test won’t harm you. Currents may again be applied to the same area. Or, the test may continue on other parts of your body.

Electromyography (EMG)

Most of the electrodes will be removed for EMG. The doctor will clean the area being tested with alcohol. A fine needle will be inserted into the muscle in this region. When the needle is inserted, you may feel as if your skin is being pinched. Try to relax and do as instructed.

After Your Test

Before you leave, all electrodes will be removed. You can then get right back to your normal routine. If you feel tired or have some discomfort, take it easy. If you were told to stop taking any for your test, ask when you can start taking them again. Your doctor will let you know when your test results are ready.

For the safety and for the success of your test, tell the technologist if you have any bleeding problems or if you take blood thinners. You may also be asked questions about your overall health. Contact us to answer any questions you may have or to schedule an appointment.

(Some information provided by Medicine Health).

Top Questions and Answers About Diabetes

Have a question about diabetes? Get quick answers to the most frequently asked questions.

What Is 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 its 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.

Is There a Cure?

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.

Am I At Risk?

Good news, you can check! 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 patient’s 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 Ophthalmologist 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 Exam 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.

What Should my Target Blood Glucose Level be With Diabetes?

Keeping your blood sugar in target will lower your risk of developing complications of diabetes. Target levels will depend on the person and their situation. Your health-care team will help you determine your own targets for blood sugar levels.

Finally…

Whether you have been diagnosed with type 1 or type 2 diabetes, you can live a long and healthy life by eating healthy, being physically active, and taking medications (if prescribed) to keep your blood glucose (sugar) in your target range. Contact us if you have any questions or to schedule an appointment. 

5 Primary Ways to Keep Your Bones Strong as You Age

A bone density test is the only test that can diagnose osteoporosis before a broken bone occurs. This test helps to estimate the density of your bones and your chance of breaking a bone. Our Diagnostic Imaging Department is equipped to provide a variety of radiology services including BD testing. All studies are interpreted by independent radiologists who are board-certified by the American Board of Radiology.

Knowing Your Family History

A key to understanding your bone health is by knowing your family history. Having a parent or sibling who has osteoporosis puts you at greater risk — especially if you also have a family history of fractures. Additionally, hormone levels also play an important role. Too much thyroid hormone can cause bone loss. In women, bone loss increases dramatically at menopause due to dropping estrogen levels. The prolonged absence of menstruation (amenorrhea) before menopause also increases the risk of osteoporosis. In men, low testosterone levels can cause a loss of bone mass.

Additionally, hormone levels also play an important role. Too much thyroid hormone can cause bone loss. In women, bone loss increases dramatically at menopause due to dropping estrogen levels. The prolonged absence of menstruation (amenorrhea) before menopause also increases the risk of osteoporosis. In men, low testosterone levels can cause a loss of bone mass.

How to Increase Bone Health

Include Calcium in Your Diet

For adults ages 19 to 50 and men ages 51 to 70, the recommended dietary allowance (RDA) is 1,000 milligrams (mg) of calcium a day. The recommendation increases to 1,200 mg a day for women after age 50 and for men after age 70. Good sources of calcium include dairy products, almonds, broccoli, kale, canned salmon with bones, sardines and soy products, such as tofu. If you find it difficult to get enough calcium from your diet, ask your doctor about supplements.

Get More Vitamin D

Your body needs vitamin D to absorb calcium. For adults ages 19 to 70, the RDA of vitamin D is 600 international units (IUs) a day. The recommendation increases to 800 IUs a day for adults age 71 and older. Good sources of vitamin D include oily fish, such as tuna and sardines, egg yolks, and fortified milk. Sunlight also contributes to the body’s production of vitamin D. If you’re worried about getting enough vitamin D, ask your doctor about supplements.

Include Physical Activity in Your Daily Routine

Weight-bearing exercises, such as walking, jogging, tennis and climbing stairs, can help you build strong bones and slow bone loss.

Avoid Substance Abuse

Research suggests that tobacco use contributes to weak bones. Similarly, regularly having more than two alcoholic drinks a day increases the risk of osteoporosis, possibly because alcohol can interfere with the body’s ability to absorb calcium. Don’t smoke. Avoid drinking more than two alcoholic drinks a day.

Bone Density Test

Women ages 65 and up should get tested, the same applies for men 70 and up. You may want to talk with us about the risks and benefits before deciding. Younger women and men ages 50 to 69 should consider the test if they have risk factors for serious bone loss or have a family history of osteoporosis.

We Are Here For You

It’s important to pay attention to your signs and symptoms. Stay updated on which adult health warning signs promote medical attention. Regular physical exams and adult health screening tests are an important part of preventive adult health care. Know which screening tests you need and how often to have them done. Contact us if you have any questions or to schedule an appointment.

(Some information provided by the Mayo Clinic).

Give Your Heart a Break: Overcoming Chronic Stress

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When you are constantly experiencing stress, your body remains in high gear off and on for days or even weeks at a time. Chronic stress that causes an increase in heart rate and blood pressure may damage the artery walls.

Chronic Stress

On one hand, stress is inevitable and a necessary part of life. There is, however, serious consequences to not handling stress in a healthy manner. Even short-lived stress can have an impact. Chronic stress has been proven to increases the risk of developing health problems including obesity, diabetes, heart disease, cancer, and a weakened immune system. Chronic stress also has a significant negative effect on a person’s mental health. Many studies show a correlation between stress and the development of mood disorders such as anxiety disorders and depression. According to the American Psychological Association, 66 percent of people regularly experience physical symptoms of stress, and 63 percent experience psychological symptoms. Some people don’t realize the effects of stress until the effects have already negatively affected them. 

Can Managing Stress Reduce or Prevent Heart Disease?

Managing stress is a good idea for your overall health, and researchers are currently studying whether managing stress is effective for heart disease. A few studies have examined how well treatment or therapies work in reducing the effects of stress on cardiovascular disease. Studies using psychosocial therapies – involving both psychological and social aspects – are promising in the prevention of second heart attacks. After a heart attack or stroke, people who feel depressed, anxious or overwhelmed by stress should talk to their doctor or other healthcare professionals.

Tips For Managing Stress

Fortunately, there are many ways to manage the unhealthy stress. Some of these tips may be more helpful than others, and some might already be included in your daily routine. Regardless, here’s a few tips that will help:

  • When feeling stressed, slow down and take deep breaths. Try to Inhale through your nose, and exhale through your mouth
  • Exercise
  • Find a friend or family member you can trust and talk it out
  • Laugh
  • Be Positive
  • Seek out activities that involve others
  • Manage your time, be sure to not overwork yourself
  • Take a walk
  • Don’t self-medicate with alcohol or other drugs

Medicines are helpful for many things, but usually not for stress. If you are experiencing chronic stress, try learning how to manage your stress through relaxation or stress management techniques. Be careful not to confuse stress with anxiety. If you suffer from severe anxiety, speak with your doctor about your options.

Even the most organized people aren’t immune to experiencing stress. If you have questions or need more advice on managing stress, contact us or schedule an appointment.

(Some information provided by the American Heart Association).

A Quick Guide: Understanding Rheumatoid Arthritis

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Rheumatoid Arthritis is the most common form of autoimmune arthritis, affecting more than 1.3 million Americans. Of these, about 75 percent are women. In fact, 1–3 percent of women may get rheumatoid arthritis in their lifetime. The disease most often begins between the fourth and sixth decades of life. However, RA can start at any age.

RA is a chronic (long-term) disease that causes pain, stiffness, swelling and limited motion and function of many joints. While RA can affect any joint, the small joints in the hands and feet tend to be involved most often. Inflammation sometimes can affect organs as well, for instance, the eyes or lungs.

Features of Rheumatoid Arthritis

  • Tender, warm, swollen joints
  • Symmetrical pattern of affected joints
  • Joint inflammation often affecting the wrist and finger joints closest to the hand
  • Joint inflammation sometimes affecting other joints, including the neck, shoulders, elbows, hips, knees, ankles and feet
  • Fatigue, occasional fevers, a loss of energy
  • Pain and stiffness lasting for more than 30 minutes in the morning or after a long rest
  • Symptoms that last for many years
  • Variability of symptoms among people with the disease.

Who has Rheumatoid Arthritis?

Scientists estimate that about 1.5 million people, or about 0.6 percent of the U.S. adult population, have RA. Interestingly, some recent studies have suggested that although the number of new cases of RA for older people is increasing, the overall number of new cases may actually be going down.

RA occurs in all races and ethnic groups. Although the disease often begins in middle age and occurs with increased frequency in older people, older teenagers and young adults may also be diagnosed with the disease. Children and younger teenagers may be diagnosed with juvenile idiopathic arthritis (a condition related to RA). Like some other forms of arthritis, RA occurs much more frequently in women than in men. About two to three times as many women as men have the disease.

How does Rheumatoid Arthritis Affect People’s Lives?

RA affects people differently. Some people have mild or moderate forms of the disease, with periods of worsening symptoms, called flares, and periods in which they feel better, called remissions. Others have a severe form of the disease that is active most of the time, lasts fro many years or a lifetime and leads to serious joint damage and disability.

Although RA is primarily a disease of the joints, its effects are not just physical. Many people with RA also experience issues related to:

  • Depression
  • feelings of helplessness
  • low self-esteem

RA can affect virtually every part of a person’s life, from work life to family life. It can also interfere with the joys and responsibilities of family life and may affect the decision to have children.

Finally…

The rheumatologists at Amarillo Diagnostic Clinic specialize in treating patients with arthritis, gout, lupus and related diseases.  Knowledge of these diseases continues to expand through research efforts.  Our major goal is to limit any arthritic damage, especially in rheumatoid arthritis.  Our services include bone density testing, joint injections and an IV infusion clinic for new medications.  Our rheumatologists are armed with the latest information regarding your disease and treatment options to improve your quality of life. Contact us for more information or to schedule an appointment.

(Some information provided by the American College of Rheumatology).

Probiotic Powerhouse: How Good Bacteria Can Benefit Your Body

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Probiotics are live microorganisms that are intended to have health benefits. Products sold as probiotics include foods (such as yogurt), dietary supplements, and products that aren’t used orally, such as skin creams.

Although people often think of bacteria and other microorganisms as harmful “germs,” many microorganisms help our bodies function properly. For example, bacteria that are normally present in our intestines help digest food, destroy disease-causing microorganisms, and produce vitamins. Large numbers of microorganisms live on and in our bodies. In fact, microorganisms in the human body outnumber human cells by 10 to 1. Many of the microorganisms in probiotic products are the same as or similar to microorganisms that naturally live in our bodies.

Why Should You Be Taking Probiotics?

Researchers have studied probiotics to find out whether they might help prevent or treat a variety of health problems, including:

  • Prevent and treat antibiotic-associated diarrhea
  • Promote healthy cholesterol
  • Help aid depression and anxiety
  • Immune system support
  • Soothe symptoms of irritable bowel syndrome
  • Eradicate ulcers
  • Helps melt belly fat

Are all probiotics the same?

There’s preliminary evidence that some probiotics are helpful in preventing diarrhea caused by infections and antibiotics and in improving symptoms of irritable bowel syndrome, but more needs to be learned.

Probiotics are not all alike. For example, if a specific kind of Lactobacillus helps prevent an illness, that doesn’t necessarily mean that another kind of Lactobacillus would have the same effect or that any of the Bifidobacterium probiotics would do the same thing.

When Is It Time to Visit a Gastroenterologist?

A gastroenterologist is specially trained to manage diseases of the digestive tract from the esophagus to the anus.In many cases, people who are diagnosed with a chronic digestive condition are under the long-term care of a gastroenterologist. If you are experiencing a recurrence or a flare-up of an existing condition, you should contact the gastroenterologist who has been managing your treatment. If you are experiencing new symptoms, patients are usually referred to a gastroenterologist by their primary care physician. Your physician may recommend you see a gastroenterologist if you are experiencing any of the following symptoms of GI disorders:

  • Rectal bleeding
  • Leakage/underwear stains
  • Bowel movement urges that are hard to control
  • Diarrhea
  • Change in bowel habits
  • Pale-colored stools
  • Dark urine
  • Heartburn (acid reflux)
  • Abdominal pain or bloating
  • Excessive gas or belching
  • Esophageal pain
  • Vomiting
  • Loss of appetite or weight
  • Lethargy

Finally…

The gastroenterologists at Amarillo Diagnostic Clinic have some of the latest tools to diagnose and treat diseases of the esophagus, stomach, small and large intestines, liver and pancreas.  Your gastroenterologist will manage the most simple to the most complex gastrointestinal diseases. Contact us if you have any questions or to schedule an appointment.

(Some information provided by the National Canter for complementary and Integrative Health).

Key Points Your Endocrinologist Wants You to Know About Diabetes

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The Endocrinologist at Amarillo Diagnostic Clinic is 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.

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 its 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. The following will help:

Weight Control

Weight control through diet and exercise is important. If you are overweight, your chances of diabetes increase significantly and you are putting yourself at risk. The 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 Your Blood Sugars

You can do this 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

Glychohemoglobin 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 glycol hemoglobin 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 Ophthalmologist 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

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.

Finally…

An endocrinologist diagnoses and treats hormone problems by attempting to restore hormone balance within the body’s systems. It is a good idea to compile a list of any existing symptoms before the visit so that none are missed. We are here to help! Contact us if you have any questions or to schedule an appointment.

Precipitating Factors For Each Common Headache Type

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Almost everyone has had a headache. Headaches are the most common form of pain and a major reason people miss days at work, school or take a visit to the doctor. 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.

Other common types of headaches include:

 Sinus Headaches

Sinus headaches include gnawing pain over the nasal area and often increase in severity throughout the day. Pain is caused by acute infection, usually with fever, producing blockage of sinus ducts and preventing normal drainage. Fortunately, sinus headaches are rare…however, migraine and cluster headaches are often misdiagnosed as sinus in origin.

Precipitating Factors: Infection, nasal polyps, anatomical deformities, such as deviated septum that blocks the sinus ducts

Treatment: Treat with antibiotics, decongestants, surgical drainage, if necessary

Prevention: None

Arthritis Headaches

You can point out an arthritis headache by the pain at the back of head or neck which intensifies on movement. It is caused by inflammation of the blood vessels of the head or bony changes in the structures of the neck.

Precipitating Factors: Cause of pain is unknown

Treatment: Anti-inflammatory drugs, muscle relaxants

Prevention: None

Caffeine-Withdrawal Headaches

Skip your morning coffee? Caffeine withdrawal headaches include a throbbing headache caused by rebound dilation of the blood vessels, occurring multiple days after consumption of large quantities of caffeine.

Precipitating Factors: Caffeine

Treatment: Treat by terminating caffeine consumption in extreme cases.

Prevention: Avoiding excess use of caffeine.

Chronic Daily Headaches

This refers to a broad range of headache disorders occurring more than 15 days a month; two categories are determined by duration of the headache (less than four hours and more than four hours).

Precipitating Factors: Typically evolve from transformed migraine. Although not related to chronic tension-type headache, they can evolve from episodic tension-type headache. Can be associated with medication overuse.

Treatment: Depending on the type of CHD, different treatment options exist. It is important to limit analgesic use.

Prevention: Based on diagnosis of headache, how long they last, and the number experienced per month.

Depression and Headaches

Depression seems to be especially closely linked to certain kinds of chronic pain in the body, including migraine headaches, severe non-migraine headaches, and lower back pain.

Precipitating Factors: Causes can originate from a wide variety of complaints that can be categorized as physical, emotional, and psychic.

Treatment: The presence of depression is often subtle and the diagnosis is frequently missed. Depression is a wide spread affliction that can be treated, but first it must be unmasked.

Prevention: Physicians can prescribe tricyclic antidepressants, selective serotonin re-uptake inhibitors, or monoamine oxidize inhibitors in the treatment of headaches associated with depression.

 Exertional Headaches

Symptoms of exertional headaches include generalized head pain of short duration (minutes to an hour) during or following physical exertion (running, jumping, or sexual intercourse), or passive exertion (sneezing, coughing, moving one’s bowels, etc.)

Precipitating Factors: Ten percent caused by organic diseases (aneurysms, tumors, or blood vessel malformation). Ninety percent are related to migraine or cluster headaches.

Treatment: Cause must be accurately determined. Most commonly treated with aspiring, indomethacin, or propranolol. Extensive testing is necessary to determine the headache cause. Surgery is occasionally indicated to correct the organic disease.

Prevention: Alternative forms of exercise; avoid jarring exercises

Fever Headaches

Fever headaches include generalized head pain that develops with fever and is caused by the swelling of the blood vessels of the head.

Precipitating Factors: Caused by infection

Treatment: Aspirin; acetaminophen; NSAIDs; antibiotics

Prevention: None

Hangover Headaches

Migraine-like symptoms of throbbing pain and nausea, but it is not localized to one side. Hangovers can last up to 72 hours after drinking, but most are shorter in duration. Again it depends on how much was consumed, how dehydrated you became, nutritional status, ethnicity, gender, the state of your liver, medications, etc.

Precipitating Factors: Alcohol, which causes dilation and irritation of the blood vessels of the brain and surrounding tissue.

Treatment: Liquids (including broth); consumption of fructose (honey, tomato juice are a good source)

Prevention: Drink alcohol only in moderation

Hunger Headaches

Have you ever experienced pain that strikes just before mealtime? Chances are it’s a hunger headache, and it is caused by muscle tension, low blood sugar, and rebound dilation of the blood vessels, oversleeping, or missing a meal.

Precipitating Factors: Strenuous dieting or skipping meals

Treatment: Regular, nourishing meals containing adequate protein and complex carbohydrates

Prevention: Regular, nourishing meals containing adequate protein and complex carbohydrates

Hypertension Headaches

Generalized or “hair band” type pain that is most severe in the morning. It diminishes throughout the day. Very high blood pressure can trigger an event known as malignant hypertension. Malignant hypertension is also referred to as a hypertensive crisis. … In addition to a headache, malignant hypertension usually is also associated with blurred vision, chest pain, and nausea.

Precipitating Factors: Severe hypertension: over 200 systolic and 110 diastolic

Treatment: Treat with appropriate blood pressure medication

Prevention: Keep blood pressure under control

Menstrual Headaches

For some women, Migraine-type pain that occurs shortly before, during, or immediately after menstruation or at mid-cycle (at the time of ovulation). The cause or trigger is thought to be the fall of the level of estrogen. The blood level of this chemical (hormone) falls just before a period. It is not a low level of estrogen that is thought to be the trigger.

Precipitating Factors: Variances in estrogen levels

Treatment: Taking a magnesium supplement might make your headaches shorter and your periods easier. But talk to your doctor before you start using it. It’s also a good idea to limit how much salt you eat before your period starts so your body doesn’t hang on to water in your tissues, which could create extra pressure.

Prevention: Biofeedback; beta blockers (propranolol, timolol); anti-convulsant (divalproex sodium); calcium blockers; and NSAIDs

For many people, finding out what triggers a headache or migraine can help them avoid or lessen the effects of their headache symptoms. Fortunately, we can help. Contact us if you have any questions or to schedule an appointment.

(Some information provided by the National Headache Foundation).

Colonoscopy: It’s Not as Scary as You Think

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A colonoscopy is a procedure which allows a physician to look at the interior lining of the large intestine through a high-resolution video camera called a colonoscope.

Why Should I have a Colonoscopy?
This procedure may help find polyps, colon disease, ulcers, areas of inflammation or bleeding and causes of diarrhea. A colonoscopy is most often used to look for early signs of cancer in the colon and/or rectum.
*According to the American Cancer Society, one of the most powerful weapons in preventing colorectal cancer is through colorectal screening or testing. People who have no identified risk factors (other than age) should begin regular screening for colon and rectal cancer at the age of 50. Those who have a family history or other risk factors for colorectal polyps or cancer need to talk with their doctor about starting screening at a younger age and more frequent intervals.

WHAT INDICATORS DO I NEED TO CONSIDER?

WHAT DISEASES OR ILLNESSES CAN BE FOUND?

  • Rectal pain
  • Rectal bleeding
  • Change in bowel habits
  • Abdominal pain
  • Crohn’s Disease
  • Colitis
  • Ulcerative Colitis
  • Diverticulosis


Colonscope
Thin flexible instrument used to visualize the inside of your rectum and colon. It can be used to collect a biopsy (small growths and tissue samples) and contains a small camera with a light on the end to videotape and capture images.

Preparation
You will be required to take a prep to clean the bowels prior to the procedure. Your physician or nurse will give you instructions on the type of prep you are to take. The prep will cause you to have multiple bowel movements and result in liquid stools.

Important: Please call your physician if you were unable to complete your prep. It may be necessary that your test be re-scheduled.
You will also receive instructions on which foods or liquids you may eat or drink prior to the procedure. You may be asked to stay on liquids 1-2 days before your scheduled procedure.
For your safety, you will be asked to stop eating or drinking any food or liquids at least 4 hours prior to the procedure.

Important: Please tell us in advance if your health history has changed in any way since you last saw your GI physician.

Upon Admission

  • Your nurse will take your blood pressure, temperature and other vital signs
  • You will be asked about pain of any kind
  • Your nurse will go over all of the forms that will need to be filled out
  • Your medications and allergies to medications will be reviewed
  • An IV will be started
  • An assessment will be completed

The Procedure

  • Monitors will be placed on you in order that we may monitor your blood pressure, heart rate and oxygen saturation.
  • You will be placed on a small amount of oxygen through a nasal cannula.
  • Medications will be given by physicians orders throughout the procedure (medications most commonly used are Demerol; Versed; Fentanyl; and Phenergan). Please notify your nurse if you are allergic to any of these medications.
  • Your physician may take biopsies, remove polyps or perform treatment during the procedure (specimens will be sent for testing and your physicians office will call you with the results).
  • The procedure will usually take an average of 30-45 minutes
  • Recovery time may vary between 2-3 hours

We require that the person accompanying you remain at the Center during your procedure and to drive you home after your procedure. If you have any valuables with you, we will ask that you give them to the person accompanying you. Remember to ask any questions that you may have at any time.

Recovery
You will remain in recovery for at least 30 minutes. The nurse will take your temperature, vital signs and do an assessment and your physician will talk to you about your procedure. If appropriate, you will then be given fluids to drink.

Discharge
Discharge instructions will be reviewed with you and the person accompanying you and will include all of the following:

  • Do not operate machinery or heavy equipment for 24 hours
  • Do not drink alcohol for 24 hours
  • Drink plenty of other fluids
  • Avoid any foods that are greasy or spicy for the first meal
  • Call your physician if you experience severe abdominal pain, nausea, vomiting or bleeding.

You may be very sleepy at the time of discharge. You are encouraged to go home and rest for the rest of the day. Any special instructions from your physician will be written on the discharge sheet. Your physician will determine if follow-up is needed.

Traveling for the Holidays: Things to Remember

adc-traveling-illness

Whether traveling for business or pleasure, most people do not think about the possibility of acquiring a travel-related illness. In fact, travel in undeveloped countries and many foreign or tropical countries outside of resort areas, does entail some risks for acquiring local or travel-related diseases.

The Travel Clinic at Amarillo Diagnostic Clinic is available to assist you with problems in this regard. We have a full-service clinic with disease-prevention strategies, information, vaccinations and medications available for travel essentially anywhere in the world. The travel clinic at ADC is supervised by Dr. Taylor Carlisle, a board certified Infection Disease specialist trained in Tropical Medicine and Public Health.

Staying Healthy When You Travel

If you are planning to take your family overseas for a vacation, or maybe you’re going on a mission trip with your church, Amarillo Diagnostic Clinic encourages you to take precautions prior to your trip. Our travel clinic not only provides immunizations, but also provides pre-travel counseling and post-travel health evaluations. It is recommended that you see your physician 6 to 8 weeks prior to your departure and then again; after your trip if you experience unusual health issues. Remember, it is easier to take precautions in preventing overseas illnesses than it is to treat them. Call Amarillo Diagnostic Clinic today and let our travel clinic staff assist you in planning for a healthy overseas adventure.

New Area, New Illness

People are basically the same no matter where you travel, but the diseases and illnesses can be very different.

The bacteria and germs that live in one country can be very different from those of another region. That’s why lots of people get sick when they travel – they don’t have natural immunity to these germs (or put another way, their bodies haven’t yet learned how to defend themselves against these new, potentially health-threatening invaders). A common example of this is ” traveler’s diarrhea,” which often occur when visitors drink tap water while away. Ever notice how the locals don’t suffer from this malady? That’s because they have natural immunity to the bacteria that are present in their water and you don’t.

Flu Season

Most people do find themselves getting sick while traveling, especially now that it’s flu season. For most, your illness will require a quick trip to the doctor and some antibiotics or anti-parasite medication. However, if you want to be ahead of the game then be sure to get a flu vaccination. Flu symptoms include the following:

  • body chills/aches
  • dehydration
  • fatigue
  • fever
  • loss of appetite
  • runny nose

Finally…

It’s important to keep you and your family as healthy as possible during the holiday season. By getting the proper vaccination, you could be saving yourself a lot of time and money in the long-run. Contact us if you have any questions or to schedule and appointment.