Back pain at the young age

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QUESTION:

DOCTOR, I always have back pain on reaching age 25 this year. Do I have osteoporosis. Is this bone disease can be cured?



ANSWER:

Back pain is a common problem in all ages except children. Virtually every person will experience at least once in their lifetime. If the problem persists, they may experience symptoms should immediately consult a doctor. At least they have to get the doctor's opinion the cause of back pain experienced.

Sometimes back pain can be caused by common problems such as lifting, posture while working at the office and so on. When lifting things, many are often bent down, but they should bend the legs to carry the required motion. The office workers sitting at the table and facing the computer for hours without stretching.

SeriusWalaupun serious diseases such as cancer and spinal infections, is rare in young women, but other diseases can also cause back pain such as coral reefs should be considered. Patients should not be dependent on painkillers because it can cause side effects in the long run, such as damage to the kidneys and the risk of gastric pain.

Osteoporosis is rare in young women without other causes that may be experienced at the same time. Factors that may increase the risk for developing osteoporosis are among the professional athletes that use energy at optimum levels such as marathon runners, women lack of exercise and a low calcium diet, women who are too skinny and have a small body frame of bones, women with a family history of osteoporosis , women who smoke, have trouble absorbing the nutrients, have low estrogen levels may be due to premature menopause (menopause at a younger age), chemotherapy and suffer from a lack of vitamin D.

PerubahanSakit back is generally divided into two groups. Nearly 90 per cent of cases are in the 'function' of back pain without detectable changes in X-ray or scan Magnetic Resonance Imaging (MRI). Many of these patients were women working or married. Most of them work and sit in a chair for too long. As I have been informed that inappropriate sitting posture contribute to back pain.

Another feature of this group is their lack of exercise or recreational activities because of busy with office work and home. They are not physically and mentally healthy. Fatigue, stress and pressure somehow make them feel lower back pain more than the average person. Work lifting heavy objects that rarely do trigger symptoms of severe back pain because of the wrong technique and physical weakness.

In the meantime, another 10 per cent suffer from natural back pain with changes detected in X-Ray and MRI. Most of them suffer from the problem of deteriorating spinal cartilage structure known as degenerative disk disease;, and sometimes slip disc (intervertebral disc prolapse).

Disk is cartilage between spinal segments. It works as a shock absorber and allows movement (mobility) of the spine. It declined with the age of the disk loses moisture. This can be detected by MRI. It should be noted that not all of the degenerate disc causing back pain. This is because the slip disk occurs when the disk decline, prominent and pressing on the spinal cord. The signs are back pain accompanied by pain head to toe and below the knees.

From my observation, insha-Allah you experienced back pain are not serious, because most likely due to back pain from the first batch of 'function'. Of course, this pain can be cured. It is not due to osteoporosis. Nice to see a specialist bone (orthopedic) for further examination and appropriate course of treatment can be given.

source Utusan

Mamogram or ultrasound

STATISTICS show increased cases of breast cancer in women. Incidence of breast cancer sufferers was 1:19 in the country making it the most common cancer among all ethnic groups in the country.

Scan can usually detect cancer in stages 1 and 2 and most likely still be cured.

Radiology Consultants Kelana Jaya Medical Centre, Datin Dr. Fatima Moosa said for stage 1 cancer, nearly 90 percent can be restored.

"According to the standards of the United States (U.S.) women aged over 40 years are recommended mammogram once a year until the age of 50 years for screening every two years.

"After 70 years of age, a mammogram can be performed at any time when needed," he said when met at his office recently.

All women are at risk of getting breast cancer, however, more than 70 percent of cases occur unidentified source.

Dr. Fatima added, usually the risk of getting breast cancer increases with age, but women with a family history of cancer has a high chance of having the disease.

Women who have had cancer are at high risk for attack once again.

Women with lobular carcinoma also often attacked by cancer and those with early menarche and late menopause after the age of 55.

Additionally women who do not have children or give birth after the age of 35 are more prone to breast cancer.

Those who take high-fat diet, alcohol and smoking are also exposed to the risk of breast cancer.

Hence to avoid breast cancer, tests need to be done to detect it.

Usually mammogram is used to detect cancer at an early stage of the recovery potential is higher.

Scan is important because early treatment can be done and usually they are diagnosed with breast cancer have no risk.

Mammograms were only performed on women aged 40 years and above because fat cells have begun to decrease.

If mammograms only for women aged 40 years and above how to diagnose women under the age of 40?

Dr. She said, women under 40 years old is recommended to use ultrasound technique if suspected of having breast cancer.

"However ultrasound scans only certain areas only and depends on skilled operator and only for the target area," he said.

Ultrasound is very sensitive but not specific as mammograms.

"Ultrasound can not scan a breast portion," he said.

However, do not worry about the test because the radiation dose is low and can be done every year.

Thus the message Dr. Fatimah, if there are abnormalities in the breast, do not hesitate to see a doctor though not yet 40 years old.

source Utusan

Fasting for pregnant women

DOCTOR,
Conjunction with the fasting month, can not the doctor for any guidance for pregnant women like me. I am now five months pregnant. I am concerned that if facing any problem while fasting because this is my first pregnancy.

Mrs. R,


ANSWER

During Ramadan, many of us rush to catch up fast blessed with perfectly working practices. For women who are not pregnant, would it not be a problem. However, many pregnant women do not want to miss. Most doctors and scholars also encourage pregnant women not to fast if it is harmful to the woman or the baby in her womb.

If fasting is not harmful, they can be fast with a guide to fast during pregnancy from a doctor so that they are guaranteed healthy.

Alhamdulillah, Mrs lucky this time because of pregnancy in a lot of these advantages. You have a very good chance you educate children from the womb to identify the author. So, not surprisingly, despite being pregnant, not less than the mothers who still want to perform the duty of fasting. They want to reap the benefits of Ramadan to join the increasing worship. God willing, Madam can try to fast like the other mothers who are pregnant and choose to continue in the holy month of fasting.

Defer masaNamun, there are also mothers who stubbornly remain fast and determined to not breaking even already showing symptoms of hypoglycemia such as dizziness, nausea, trembling and almost fainting or fainting. They postpone the time for breaking. The enormity of a full month of fasting for them.

Mothers who continue to force themselves to fast without considering the actual pregnancy is harmful to the unborn child itself. In fact, the child can experience hypoglycemia and calorie malnourished useful for long term growth.

Of course not mean that all these blessings if we are not healthy offspring. In this case, it is not fair to the woman continued to fast because it is harmful to them.

Pregnancy is not a disease but a physiological condition that may be experienced by any woman. So, when there were no health problems in the mother or the unborn child and they both are under the supervision of a doctor, they were allowed to fast as usual.

To decide whether a mother is required to fast or not is highly dependent on nutrient conditions, thus fulfilling her infant nutrition. In other words, the question of nutrient should get serious consideration by pregnant women. It is also important during pregnancy the mother should think about the needs of himself and his children are burdens. If you do not change eating habits, children in the womb will also be affected. Malnutrition is any part of it will affect their health.

NutrienAlhamdulillah, Mrs. is at the second trimester (months four to six content). Normally, during the initial content of the first three months, pregnant women are experiencing symptoms of nausea, dizziness and vomiting that often, it is best not fast.

At this time, babies need the nutrients and calories are very high from the mother. If you are not experiencing problems, you may fast. Ideally, if the mother wishes to abandon the best time is during pregnancy four to six months. Mothers are advised to always get the supervision of a doctor.

Mothers who have the disease, it is recommended not to fast if you have severe allergies (always weak, nausea and a shortage of water in the body), chronic diseases such as diabetes mellitus, hypertension, kidney disease, anemia during pregnancy, oligohidramnios (mentuban water that bit), heart disease, infant growth retardation and bleeding during pregnancy.

There are pregnant women eating guidelines that should be practiced during Ramadan.

A mother should not make the pregnancy as an excuse for overeating, especially during Ramadan. Food pyramid can be used as a guide to get a nutritious and balanced diet. Taking a variety of foods as well as quantity is important.

To ensure the body's defenses strong enough, the mother must give priority to food with high calories and protein as meat. It also causes delayed stomach hungry. However, the claim is not as high caloric demands increase in other nutrients. Avoid intake of carbohydrates and sugar because it just adds calories. Fiber and vegetables, do not be forgotten.

Have lots to drink water and milk to meet the daily demands of two to three liters a day. If not, drink plain water only, may be mixed with juices, syrups and the like. Drink water throughout the night and if frequent urination, it is a good sign and shows a person does not become dehydrated. Normally a pregnant woman needs about two liters of water a day.

Therefore, to ensure sufficient water supply to the body, you should drink more water after the time of breaking fast. Then relax for about an hour before eat a meal break.

KeseimbanganTujuannya giving advance balance of the digestive system. Remember, do not overeat and avoid foods with high salt content such as eggs and salted fish. Puasalah breaking slowly so that the stomach would not be surprised. To aid digestion, chew your food well.

So that you could sustain hunger, increase his take-fiber foods which are abundant in vegetables and fruits. The body takes longer to digest the food much fiber. In addition to fiber and protein, preferably prepared foods that contain vitamins and minerals, and supplements that are fresh, vibrant body throughout the day.

In conclusion, pregnant women can fast if they have a strength and not experiencing a complication of pregnancy. For which there is no power from the disease since before marriage or suffered during pregnancy, may break and need replacing again.

Reference, Utusan Online