Monday, March 30, 2009

Infectious Mononucleosis

Also known as mononucleosis or mono Pfeiffer's disease or glandular fever, infectious mononucleosis can be identified by inflamed lymph glands and constant fatigue. The disease is named so as the amount of mononuclear leukocytes which belong to white cells increase in number. The cause of the disease is EBV (Epstein - Barr virus) or in some cases cytomegalovirus. Both these viruses belong to the family of herpes simplex. According to statistic majority of the adults in the United States are exposed to the virus Epstein – Barr, a very widespread virus. Although the virus does not show any visible affects in children but it does in adolescents which can lead to infectious mononucleosis in nearly fifty percent of cases of exposure to the virus.

The other virus called cytomegalovirus which also belongs to the family of herpes simplex causes the cells to become enlarged. According to statistics, about eighty percent of adolescents infected with this virus generally don’t see any further symptoms. Although EBV has potential to develop infectious mononucleosis in adolescents the virus could make throat and blood cells its home for the lifetime. The virus has the capability to bounce back and reactive from time to time but the consolation is that it would reactivate without symptoms. 

The condition usually lasts for 1-2 months. The symptoms may vary from one adolescent to other but may include inflamed lymph glands in areas such as groin, neck and armpits, fever, continuous fatigue, enlarged spleen, sore throat as a result of tonsillitis that can make things difficult to swallow and last but not the least minor liver damage that can lead to short-term jaundice. Some adolescents may also experience symptoms such as abdominal pain, petechial hemorrhage, muscle ache, headache, depression, loss of appetite, skin rash, weakness, dizziness, enlarged prostrate, dry cough, swelled genitals and puffy and swollen eyes. Some parents are puzzled by the symptoms of mononucleosis as it may be similar to other medical conditions. It is safe to consult a doctor in such cases. 

The viruses are usually transmitted to other people through saliva (the reason why it is also called kissing disease), blood, sharing drinks and sharing utensils. The symptoms usually lasts for 4-6 weeks and do not cross 4 months. The disease is diagnosable but requires a though medical history of the adolescent. The diagnosis also involves physical examination of the adolescent and is based on symptoms reported to the physician. The diagnosis is further supported by laboratory test like blood test, antibody test and test to count white blood cells. 

A rest of about a month is generally advised and normal activities can be resumed after acute symptoms disappear. Also care should be taken to avoid physical activities which are heavy in nature and also activities or sports involving physical contacts should also be avoided. Care must also be taken to avoid eating sweet things in excess for few months. 

Thursday, February 26, 2009

Appropriate Eating Habits Before Competitions

As athletes work to prepare for competitions and tournaments, it is very important that nutritional needs be met. This includes both in eating habits, what is consumed, and when it is eaten. The old saying that you should not eat before swimming is a very real concern for athletes regardless of which sport they are involved in.

In order to allow the body to fully convert the good foods that you are eating into energy it needs time. The amount of time it needs varies depending on the exact foods that you are eating but the process is certainly not instant. In order to achieve the best results it is ideal if you break up your eating habits before competitions and try to limit the amount of food that you are eating right before engaging in sports. For example, if you are going to be running track at 10a.m. you should not eat anything after 9:30a.m. unless it is an emergency. This allows your stomach time to start converting the food you consumed into energy.

While it is necessary to drink liquids during a work out it is also essential to know what foods are safe before a work out. In order to ensure that your athletic experience goes as smoothly as possible you should always consult your sports medicine doctor for specifics based upon your body type, athletic activity and any other variables that are specific to you. In the meantime, there are some general guidelines that are acceptable to use and can assist in helping you ensure that you are ready to go.

Before you exercise, you should look at eating about 4 hours before your exercise. This means a real meal with components from all of the food groups. This does not mean simply snacking on an energy bar, or even an apple. Instead, it should be a complete meal, this may require you to adjust your workout schedule to better coordinate with your eating habits, or if your schedule handles it better adjust our eating habits around your workout schedule. Either way, it is important to eat a full meal 4 hours before your work out.

Once you are finished eating it is a good idea to eat a snack or even an energy drink that is loaded with carbohydrates. This gives your body an extra burst. It is best to look into this high carbohydrate snack about 2 hours before your workout. Remember, worrying about the calories you are consuming is not as important as ensuring that you are giving your body the fuel that it needs to function. In addition, about one hour before your workout looking into a sports drink is a really good idea. Following this schedule should have your body well stocked with plenty of energy to handle the rigors of your workout.

In the time immediately before a workout or even a competition of any type it is best to stick to small foods that are healthy and offer high amounts of carbohydrates. Examples include fruits, fruit juice, vegetable juices, and even sports drinks are all healthy choices that keep your energy levels full. They are also light enough that they will not cause any problems with your stomach while you are engaged in your athletic activity.

In addition to eating the healthy foods, sports medicine doctors also recommend consuming something sugary approximately 45 minutes before any highly strenuous activities. This includes candy bars, energy bars, and even some soft drinks. Keeping your energy levels up is not always a simple task but if you focus more on your energy levels and less on the calorie intake that you are consuming your body will appreciate it once you are moving and using the stores of energy.

Remember, limiting the amount of sugar that you consume is best since it only gives you energy for the initial start to the activity. The carbohydrates that you consumed before will provide you with the long-term energy that you need to be successful. With some careful planning it is possible to work with your sports medicine doctor and coach and decide exactly what your best eating routine is to keep you in top notch shape.

Friday, February 20, 2009

Heat-Related Illnesses in Teens

Heat related illnesses are caused due to prolonged exposure to heat and also humidity without any reprieve and due to inadequate intake of fluids. Kids and teens adjust to the variations in heat compared to adults who adapt more quickly. However the heat production is high in them when compared to adults but sweat relatively less. Sweating is the natural action of the body and cooling mechanism to counter heat. Kids and teens often ignore these facts and do not hydrate themselves enough while playing, participating in sports and exercises.

Kids and teens with health problems that are chronic or those who are on certain prescription could be more susceptible to heat related problems. Overweight adolescents or those who wear heavy clothing in times of exertion also suffer heat related illnesses. Heat related illnesses are basically classified into three types. They are: Heat cramps, heat stroke and heat exhaustion.

Heat cramps are the mildest of all heat related injuries and constitute aching muscle cramps and also spasms that occur during intense exercising and also after intense exercising and also sweating in high heat. The symptoms of heat cramps include cramps that are painful in the legs. Flushed and moist skin is also symptoms of heat cramps. The symptoms could also include mild fever generally below 102 degree Fahrenheit. Teens suffering from heat cramps should move to a cool place and take adequate rest. Remove any excessive clothing and wear or put cool clothing on skin or cool skin using air conditioner or fan. Sports drinks which are cool and which contains sugars and salts can also be taken. Stretching out cramped muscles slowly and steadily also helps reduce heat cramps.

On the other hand hear exhaustion is more serious and severe compared to heat cramps and occur due to heavy loss of salt and water from the body. Extreme heat conditions, inadequate fluid intake and excessive sweating results in this conditions. Also, heat exhaustion occurs as a result of inability of the body to maintain the body temperature below the normal which can deteriorate further and also result in a heat stroke which is even worse. The symptoms of heat exhaustion are: muscle cramps, moist skin, pale skin, nausea, fever above 102 degree Fahrenheit, diarrhea, vomiting, fatigue, headache, weakness, anxiety and faint feeling. Teens suffering from heat exhaustion should stay in cool surrounding and take enough rest. Removing excessive clothing, putting on cool clothes and sitting in fan or air conditioning also helps the situation. Intake of cold sports drinks which contains salts and sugars are also advisable. If a teen doesn’t show any signs of improvement even after taking all these measures a physician should be consulted immediately.

Heat stroke is the severest condition of all heat related illnesses. In this condition the body gets overwhelmed with excessive heat and the efficiency of the system that regulates body heat goes down considerably which can result in a serious emergency requiring immediate medical care. The symptoms of heat stroke include dry and warm skin, very high fever generally above 104 degree Fahrenheit, increased heart rate, appetite loss, nausea, headache, vomiting, fatigue, agitation, confusion, stupor, seizures, coma and possible death. A teenager experiencing symptoms of heat stroke should stay in a cool place and have adequate rest. Heat stroke is a serious condition and emergency attention should be sought by calling 911. In the meanwhile the affected teenager should be made free of excessive clothing and should be worn with cool clothes and also put cool water on the skin to lower the temperature. Placing ice bags in armpits also helps. Make the teenager drink cool drinks if the teenager is alert.

Heat strokes are very much preventable if certain precautions are taken like drinking adequate water during hot days, avoiding alcoholic and caffeine drinks, wearing light clothes, exercising in cooler time of the day, wearing sunglasses and hat, using umbrella on a hot day, applying sun cream with a spf of at least 15 etc.