Author Archives: Ramon.KGS

Unwanted Hair


Just as most people desire to have attractive, socially acceptable head hair, hair in other regions is despised as readily. Women regard hair in regions ranging from the pubic area and scalp as a masculine feature, and to be avoided at all costs.

The appearance of hair under the arms and in the suprapubic area is one of – normal secondary sexual characteristics of developing females. However, women show a distinct tendency to produce an above-average growth of hair other parts of the body as well. In majority of cases this does not indicate any hormonal imbalance. A check will tell if other members of the family have a similar problem.

Today there is good medical treatment for women with unwanted hair. Facial hair is usually the major problem (a “moustache “beard,” hated by all women). However hair on the breasts, legs and arms is s. often unpopular, especially when present in large, obvious amounts.

Unwanted Hair Treatment

Treatment should be under the supervision  vision of your physician, and involves of the drug spironolactonc (“Aldactons – as a 100 mg tablet. One (sometimes a tablet is taken daily, for a period of six-twelve months, or maybe more according to the results obtained. This drug balances the uptake of the male hormone testosterone by receptors in the hair which in turn restricts the growth of  hair. In the fullness of time it will thin out, and there will be no further growth while medication is being taken. Most noticeable result occurs after approximately  twelve months. If one tablet is insufficient, two tablets may be taken. The whole procedure is evaluated after 12-18 months.

Blood test for serum electrolytes is normally carried out by the doctor, and if results are abnormal, treatment is started. There are usually no adverse side effects. Men who have an oily skin, often with  lesions, may notice an improvement in skin texture. The drug is not new and has been in use medically for many  years for other purposes.

Although the medication seems suitable for most women, some will probably want to continue to use the methods have been available for many years. Here is a listing of the most common trouble areas, and some of the solutions that may be used if so desired.

Unwanted facial hair.

If this is dark and very obvious, simple bleaching often makes it less apparent. Depilatory creams give instant removal, but they must be reapplied as soon as new hair shows through. Although this may give the appearance of promoting a bristly stubble, this is not so. New hairs, due to their shortness, may appear firmer as they come through the skin. Waxes are not advised for facial hair (as they remove the very fine hairs normally present as well as the unwanted obvious ones). Electrolysis will give a permanent cure. It is imperative that you attend a person skilled in this procedure, otherwise satisfactory results may not occur.

In some very rare sex disorders of the male, the production of testosterone is below normal, and hair growth (in all areas except the scalp) does not occur or is markedly delayed. This disorder is seldom diagnosed under the age of 18 years. It is usually treated by specialists and experts in this field are fairly limited.  Many cases respond well to male hormone administration.

Men desiring greater growth of hair on the face, chest, underarms and pubic region may benefit from the administration of the male hormone in a similar manner. However, you should take over the problem with your family physician and under no circumstances taken without proper supervision.

Wall Fixings

Before making fixings into solid masonry, make a couple of test drillings to find out whether the wall is built of brick or lightweight blocks. It brick is identified from red or yellow bore dust, use ordinary plastic wall plugs; but if grey dust suggests lightweight blocks it is better to use a proprietary block plug which has larger ‘wings’ to grip the softer material. In either case the screw must be long enough to penetrate at least 38 mm long into the masonry behind plaster, so use screws are at least 62 mm/21/2 in. long for a plastered wall. Increase this 1.0 75 mm/3 in for fixings that will carry heavy loads. Screw gauge 8 will be adequate for normal loads; increase this to gauge10 for 75 mm/3 in screws. Make sure, too, that the screw and wall plug sizes are compatible, and take care to drill the holes are right angles to the wall surface, deep enough to accept the screw length.

Making fixings to stud (dry) walls poses fixing problems. Cavity fixing devices such as spring or gravity toggles and cavity anchors can be used only for fixings that will carry the lightest loads. For any other use, the fixing must be made either to a horizontal twigging (cross bridging)fixed between adjacent scuds difficult to fir except during construction of the wall framework — or directly to the vertical studs themselves. These will have to be located with an electronic stud finder or, less satisfactorily, by wrapping and test drilling — they are usually at 400 mm/16 in or 600 min/24 in centres. Make sure that pilot holes are drilled into the centre of the stud, not near its edge, since this could result in a weak fixing. Use screws 50 mm/2 in long for medium loads, 75 mm/3 in long for heavy ones.

MAKING FIXINGS IN MASONRY

1. Mark where the fixing is to go and use a masonry drill, sized to match the wall slip. Wind tape around the drill bit to act as a depth guide.

2. If the drill has an adjustable depth stop attachment, use it instead of the tape to set the drilling depth. Drill until the stop touches the wall surface.

MAKING FIXINGS IN PLASTERBOARD (GYPSUM BOARD)

1. If the fixing must be between joists or studs rather than into them, drill a clearance hole for tile fixing device through the plasterboard

2. Push a cavity anchor into the hole so it can expand against the hack of the board, and drive in the screw. Using toggles, thread the screw through the object first.

3. Choose a wall plug sized to match the screw being used, and push it into the hole, insert its rim is flush with the wall. Tip it with a hammer if necessary.

4. Thread the screw through a clearance hole drilled in the object being fixed, insert it in the mouth of the wall plug and drive it home.

5. Alternatively, use long-sleeved frame plugs. Drill holes through the wood and into the wall, insert the plug and tighten the screw to make the fixing.

MAKING FIXINGS INTO STUDS

1. Use an electronic stud finder to locate the stud or ceiling joist positions. It works by detecting the nails which secure the plasterboard (gypsum board).

2. When the stud or joist positions are marked, drill clearance holes in the object to be fixed at matching centres. Check these for accuracy.

3. Drill pilot holes through the board surface and into the stud or joist. Make sure that the drill bit is at right angles to the surface of the wall.

4. Insert screws into the clearance holes, then offer up the object to be fixed, align ii with the pre-drilled pilot holes and drive the screws home.

Virilisation

If there has been excessive secretion of androgens from the adrenal cortex, this may give rise to precocious puberty if it happens in the pre-pubertal age.

Virilisation Symptoms

In females, of any age, this will result in virilisation. which means the appearance of typical male characteristics. There may be an increase in muscular development and hairiness (particularly the face and underarm), as well as enlargement of the clitoris, the equivalent of the male penis. In males the condition may be unnoticed until puberty is reached. Then precocious puberty occurs. This causes premature development of the external genitals, rapid bony growth and muscular development. The voice breaks prematurely, facial and body hair appears.

Libido increases, often dramatically, and can lead to psychosexual difficulties and social problems. Excessive male hormone causes the growing points of bones to close prematurely, so that growth may be stunted.

Apart from coming from the adrenals. the excess hormone may emanate from the pituitary gland due to a tumour that may press on the optic pathways, producing visual disturbances as well.

Virilisation Treatment

Substitution therapy with cortisone type drugs often successfully checks symptoms. However, if due to a tumour in the adrenals, the outlook may be poor. If cancer is causing the symptoms. spread can rapidly take place to other organs. Tumours of the pituitary must be treated either surgically or with radiotherapy. Sometimes hormonal therapy (medroxyprogesterone) by injection may assist if given long-term.

Underweight


Although there are far more overweight people around than underweight, the latter may be a problem in those afflicted. Sometimes disease can cause person to become underweight, often dramatically, and needs medical investigation by the doctor. However, there are many ways to improve weight; the methods are simple and practical.

It is a strange paradox, but while one of the world is today starving to the other half is eating itself to death!

Many developing lands, and in particular the developing world in general, suffer from undernourishment to a severe degree. Unfortunately, in many of these countries populations are constantly in hunger.

Warning: sometimes an attempt to gain weight is to anticipate nature increasing at an alarming rate. The population tends to catch up to the total food availability, and invariably goes way past it.

Therefore, in many lands there is under nutrition, underweight (with consequent inroads of disease and debility) and general body thinness. However, while the Western world in general has too much food, and an excess of availability of it, there are some people who are underweight. They are outnumbered by far by the overweight, but thin people contrast even more sharply with the well-fed people with whom they inevitably associate. This tends to make them stand out in stark relief. The very thin dislike their appearance almost as much as the overweight, although as a class they are far less vocal about it. Doctors are frequently visited by the underweight and asked for advice as to what to do.

Causes of Underweight

Of course, there are many causes. Just as there are constitutionally obese persons, so the reverse also holds true. There are many who have a genetic predisposition to be thin. “Small boned” is a common phrase, used in the hope of hiding the suggestion of any disability.

Just as many overweight people have been brought up on foods since babyhood that predisposed to adult obesity, so the underweight person most likely has been brought up on a dietetic intake that tends to produce a thin adult body.

Many thin people simply do riot enjoy the high-carbohydrate (and consequently high-kilojoule) foods. They do not eat sweets and chocolate and cake and pastry by choice. Their consumption of potato and allied products tends to be low. Their intake of sugar and sugar based foods is also much lower than average. They prefer foods to be unsweetened, don’t have sugar in their beverages, and drink simple water or unsweetened fruit juice in preference to bottled carbonated drinks, which are notoriously high in sugar (arid kilojoule) content.

On the whole, underweight people tend to be healthier as a class than the overweight. They tend to be quicker in their movements, be more active in the total daily volume of exercise, may he more mentally active, but not necessarily so.

However, a very underweight person, particularly one who is losing weight, may have some inherent disorder that must be corrected. Weight loss can be a sign of serious disease. Such wasting disorders as cancer and tuberculosis are notorious in this respect. Anaemia and many other illnesses cause the body to deplete its food stores quicker. It may be due to a reduced intake of kilojoules simply because the illness is making the person less hungry and consequently eat less. Or it may be due to increased metabolic rates. There are various views.

The sudden onset of weight loss should be considered a potentially serious symptom. It often follows acute illnesses, and in these events, if it is a relatively short lived, mild infection, may not be of consequence. For example, a bad bout of a viral influenza, particularly if accompanied with a gastric component where there is nausea, vomiting and diarrhoea, will quickly lead to a rapid weight loss. If this persists for a week or two, it can readily strip four to ten kilos from a pers frame. Many of these sicknesses or brief duration, and as soon as the illness is over, and the fluid losses are stop; and the normal eating pattern is resumed, the weight will gradually cc: on again.

Actually, some people welcome a short illness such as this, for it may strip away enough unwanted fat to bring weight to a level they may have striving to achieve for a long time. Once the weight has reduced, it is far easier keep it at a static level simply by diet and discretion.

If there is no obvious cause for be: underweight, if it is worrying the patient or if it has occurred suddenly for no apparent reason, a medical examination is worthwhile. The doctor may order to exclude serious causes, such as cancer or TB. In younger persons these are unlikely, but anything can happen. Do not say to yourself, “I’m only 30. Nothing serious could possibly happen to me.” It may, and the only way to be sure it won’t is to obtain an expert opinion.

Wall Decorating Ideas

The first involves finishing off apart-riled wall with a band of narrow tiles in a colour or design that complements or contrasts with the main riled area, to form a decorative border. These tiles are available in lengths that match standard rile widths, and are usually 50-75 minimum 2-3 in wide. They are cur and fixed just like any other tile.

The second method is to incorporate a group of patterned tiles as a feature panel within a larger area of plain riling. The group may simply be contrasting patterned tiles, or may be a multi-tile motif a group of four, six or more tiles that fit together to form one large design when they are fixed in position. Tile manufacturers offer a range of mass-produced designs you can choose from, or a motif panel can he commissioned from a specialist tile supplier. Plan the motif’s position on the wall carefully, and build it in the usual way as tiling progresses.

I. Use a tiling gauge to mark the position of the first row of tiles on the wall surface. Put up a support batten (furring strip) if necessary then spread some tile adhesive on the wall, and place any plain tiles that will be below the decorative panel. Start placing the first tiles that will form the decorative panel. Here the tiles are being laid at an angle of 45°, so half-tiles are placed first.

2 .Continuous adding whole and half-tiles to build up the pattern, checking is you work that the edges of the panel are uniformly horizontal and vertical.

3. Here the panel is being surrounded by slim border tiles. Add whole border riles to the top of the panel first, working from the centre line outwards.

4. At the corners of the panel, fit an over-long horizontal border tile and hold another vertically over it so you can mark a 45° cutting line on each tile.

5. Make the 45° cuts on the end of each corner tile, then bed the horizontal tile in place. Check that the CUE end is precisely aligned with the panel comer. Repeat the process at the other end of the horizontal section of the border. The pieces should be the same length, as the border is centred.

6. Fit the border riles up each side of the decorative panel, then mark the position of the mitre cut on the final tiles, cut them and fit them in place.

Plant Decoration

Herbaceous borders bring wonderful colour in summer but die down to next to nothing in the winter, so it is good to provide an evergreen structure of plants to get you through all the seasons. These can also contribute to the ‘architecture’ of the garden, creating levels, screens, and even sculpture. You can plan to have taller shrubs at the back of the borders, slowly graduating toward the front, or you can make more structured steps. You can arrange rows of small, lightly screening plants across the garden to create a living screen, and you can use specimen trees or neatly trimmed topiary as living sculpture.

The colour scheme can he planned against this basic structure. The decorative garden room is at its prettiest with plenty of colour. The structural shrubs and trees also can be chosen to make certain there is some colour all the year round — fruit trees for blossom in spring; shrub roses for summer colour and late-flowering clematis and wonderful berries, such as those of the pyracantha, in autumn, and of holly in winter. This display can he complemented by autumn-flowering bulbs such as colchicum, schizostylis, and cyclamen.

But the most variety of colours can be added with pots and containers. There is always a choice of seasonal colour at garden centres. By planting up in movable pots, you can easily put the colour where you want it and replant with new seasonal colour as the old blooms die.

Colour creates much more impact if it is kept to a theme — of blues and pinks, perhaps, or oranges and yellows. This theme can be strengthened with the use of paint and stain on nearby fences, garden buildings, furniture, or even the pots themselves.

Adding decorative colour

In a decorative garden, colour is very important. Not only can the paint you choose suggest mood and ambience, just as it does indoors, it can emphasize the colour scheme of the planting.

The surfaces you paint may be the house walls, walls of outside buildings, or the garden walls. Maybe you have a hopscotch of fencing and trellis work, all of slightly different woods and ages, that has resulted in a visual muddle. Paint them all in the same decorative finish, and you will have a much more coherent look. Or you may have newly erected trellis work that has a year or more to wait for a verdant covering of creepers. Paint it, and you will have a reasonable finish while you wait.

Colour can also be used to highlight areas. You may pinpoint an area destined for a particular colour scheme or you may wish to highlight the planting. Burnt-orange fencing would provide a stunning background for marigolds, while yellow picket would highlight the nodding heads of pansies. Painted fences and surfaces also lend colour throughout the year. They are particularly valuable in winter when many plants have died down.

Ideas with paint

Whether you want to paint your garden wall or a house wall that makes up part of the garden, there is plenty of inspiration to be had. Experiment not only with colour but with technique.

As well as straight colour, you can create depth by layering the colour. Try to add effects such as marble, stone, slate, or moss or by stenciling to a wall. The trick is to consider the scale of the garden.

These effects will have to be seen from much further away than they would be if used inside the house. Even a 10 m/30 ft garden is much larger than the average room, so everything has to be exaggerated a little.

An enchanting little pond, complete with fountain and cherub, adds colour and interest to a shady corner of the garden.

Although you may spend less time in the front garden, colourful plants growing by the door will create a welcoming impression.

Paint Practicalities

Any outdoor paint job has to be able to withstand a lot of beating from the weather, such as frosts, strong winds, torrential rain and the summer sun.

For this reason, it is best to use exterior-quality products. They are less likely to peel and flake, their colours are less likely to fade and they are specifically designed to protect the surface they are covering.

Alternatively, when decorating items such as pots and containers, which are not crucial to the garden structure, you can achieve a reasonably hard-wearing finish using a wider variety of paints over a primer, finished with a varnish.

Whatever you plan to paint or stain, it is important to use primers and varnishes that are compatible with each other, otherwise they may react adversely. Remember too that, if you have the patience and time, several thin layers of paint always produce a more enduring and better-looking finish than one thick one

Wound Care

Wound Care

BRUISES AND HEMATOMAS
Bruises (also called contusions) usually form a bluish discoloration at the site of the injury and fade from blue to green to yellow over one to two weeks.
A hematoma (goose egg) is a collection of blood and swelling in the skin or just underneath it. Depending upon its size and location, this swelling will go down in one to ten days.
Apply ice intermittently to the injured area for a few days. The ice can be applied for 20 minutes every two to four hours and will help to limit bleeding into the tissues. If your child won’t allow you to put ice on the bruised area, it will still heal fairly quickly in most cases.
ABRASIONS
Abrasions (or scrapes) are broad areas of superficial skin damage; they seldom result in any deep underlying damage and rarely leave a significant scar. They heal quickly and usually do not become infected.
Treatment
Cleanse the wound gently with warm soapy water to remove any dirt and debris. A painless antiseptic such as hydrogen peroxide can help cleanse an abrasion.
Apply an antibiotic ointment such as a neomycin-polysporin mixture (Neosporin) or one prescribed by your child’s physician. Cover with a nonstick wound dressing to keep it clean.
Change the dressing once or twice daily until the wound is no longer moist and sensitive.
LACERATIONS
A laceration can range from a minimal break in the skin surface, requiring only a brief cleansing and a day or two of a simple dressing, to a long, gaping wound requiring extensive repair. A deep laceration may damage tendons, nerves, joints, or other underlying tissues. It may also contain dirt or other foreign material that can lead to infection. Because of these potential complications, most wounds deeper or wider than I or 2 mm should be examined by a physician to determine appropriate treatment.
Treatment First aid for lacerations that might require sutures (stitches) includes the following:
Apply steady pressure with clean gauze or washcloth to stop bleeding.Keep the area clean.
Rinse with clean water if available.
Keep covered with a sterile bandage, or at least a clean cloth, until the wound can be examined by a medical professional.
A laceration should be closed within 24 hours. The sooner the
wound is treated, the less likely it will become infected. If a laceration is not sutured, the consequences are usually not serious, but healing could take longer and the resulting scar is likely to be wider or more prominent.
Sometimes lacerations are deep enough to involve injury to a nerve or tendon. For this reason, any laceration that looks deep at all should be examined and cleaned by your child’s physician or another medical professional.
WHEN SUTURES ARE NOT USED
With some contaminated lacerations or certain types of animal or human bites, the physician may not use sutures because closing the wound could increase the risk of infection. In such cases the wound will be left open, but it will gradually heal as the body’s repair processes close the defect.
CONCERNS ABOUT TETANUS
Any laceration, puncture, bite, abrasion, or burn should prompt a review of a child’s tetanus
Immunization status. Tetanus is a potential threat following any wound, but it is a greater, tern following punctures or contaminated wounds. If a child is on schedule for Isis or hernunizations or is fully immunized, no tetanus update will be needed. Otherwise a tetanus booster should be given.
SIGNS OF INFECTION
Signs and symptoms of infection include local pain, swelling, and redness, which may cover a large area around the wound. There may also be fever. Inflammation of local lymph channels may form a red streak that extends away from the wound. Some bacteria can the production of discolored drainage (or pus). If a wound appears to be level wing an infection, show it to a physician. Mild heat on the affected area, rest, elevation of the affected area (if an arm or leg), and antibiotics will most likely be recommended.
THE IMPORTANCE OF FOLLOW-UP
Be sure to obtain specific wound-care instructions before leaving the office or emergency facility. In general, if sutures or sterile strips have been used, the wound should be kept dry for a few days. This will mean that the child should not go swimming or soak the wounds while bathing. In some cases, the physician may instruct you to clean the wound and apply fresh dressings. He or she should also tell you when the strips or bandages should be removed. A follow-up appointment is usually required when stitches need to be removed.

Removing Old Finishes

If the wall or ceiling to be given a new covering is painted or wallpapered, preparing the surface for its new finish is quite straightforward. However, if it was previously covered with materials such as texture paint, ceramic or polystyrene (plastic foam) riles or wall panelling, more work will he needed to remove the old finishes and return the surface to its original condition.

Textured finishes are tackled indifferent ways, depending on their type. Texture paints arc basically thick water-based (latex) paints, normally used to create relatively low-relief effects, and can be removed with specially formulated paint removers. Some textured effects formed with a powder or ready-mixed compound are best removed with a steam wallpaper stripper, which softens the compound so that it can he easily scraped away from the wall.

Never attempt to sand off a textured finish. There are two reasons. The first is that it will create huge quantities of very fine dust; the second is that older versions of this product contained asbestos fibres as a filler, and any action that might release these into the atmosphere as inhalable dust must be avoided at all costs.

For tiles and wall panelling, complete removal or a cover-up with plasterboard (gypsum board) are the two options available. The former will leave a surface in need of considerable renovation, while the latter will cause a slight loss of space within the room, as well as some complications at door and window openings.

Removing Textured Finishes

1. Strip texture paint by brushing on a generous coat of proprietary texture paint remover. When the paint has softened, scrape generous coat of a proprietary texture off with a broad-bladed scraper. Wear paint remover. Stipple it well into the paint and leave it to penetrate.

2. When the paint has softened, scrape it off with a broad bladed scraper. Wear gloves, and also safety goggles if working on a ceiling.

3. Once the bulk of the coating has been removed, use wire wool dipped in the paint remover to strip off any remaining fleck of paints

4. Remove powder-based or ready-mixed types using a steam stripper, which will soften the finish. Never try to sand off this type of finish.

Removing Ceramic Tiles

1. On a completely riled wall, use a hammer to crack a tile and create a starring point for the stripping. On partly tiled walls, always start at the tile edge.

2. Use a broad bolster (stonecutter’s)chisel and a club(Tailing) hammer to chip the old riles off the wall. Have the wall replastered afterwards rather than trying to patch the surface.

Removing Polysterene (Plastic Foam) Tiles

1. Lever the tiles away front the ceiling with a scraper. If they were fixed with a continuous coat of adhesive, consider temporarily covering the tiles with heavy lining paper. Fur the best finish, fit a new plasterboard(gypsum board)ceiling, nailing through to the ceiling joists.

2. If the tiles were fixed in place with blobs of adhesive, use a heat gun to soften the old adhesive so it can be removed with abroad-bladed scraper.

Removing Wall Paneling

1. The last board to be fixed will have been nailed to the fixing grounds through its face. Use a nail punch to drive the nails in and free the board.

2. The other boards will have been secret-nailed through their tongues. Use a crowbar (wrecking bar) to prise them away from their grounds.

3. Finally, prise the grounds off the wall, and use a claw hammer or crowbar with some protective packing to lever the fixing nails out of the wall

Underactive Thyroid Gland


In infants and small children this may be a deficiency of iodine in the diet, producing a visible swelling in the neck called a goitre. be extremely important. It can affect the mental and physical development of the infant, and if undiagnosed and untreated may lead to a serious condition called hypothyroidism. This is also commonly termed cretinism.

Underactive Thyroid Gland Symptoms

Symptoms may set in fairly early in life. The first few weeks may seem fairly normal, but then an observant mother or physician may notice that baby seems sluggish and a bit slow mentally. The skin may appear to be cool and grey; the infant may be constipated, have a large tongue and flabby muscles on the abdomen. In time these become accentuated. The tongue may loll out, a swelling be present at the navel, called an umbilical hernia. There may be a hoarse little cry. Often the symptoms are vague, rather than clear-cut.

This may be at a slower rate than one would normally expect. Mental development especially becomes obviously much slower; the eyes seem to be set widely apart, and an abnormal appearance develops. With further increase in age, the skin becomes dry and coarse, the hair dry, coarse and brittle. There are the obvious signs of thyroxine lack.

Underactive Thyroid Gland Treatment

I’m happy to say treatment is often dramatic. The hormone that is lackingthyroxine – is administered, and can make a world of difference. If given sufficiently early, it can also prevent serious symptoms from developing. But if it’s so difficult to pick, how can the doctors start early therapy? Fortunately, in Australia, obstetrics hospitals now carry out a routine blood test at birth that can detect hypothyroidism. The complaint affects about one baby in 4,000. So in this manner it’s possible to commence treatment virtually from birth. It is done under medical supervision, and may be continued for many years. These services are now available in many countries of the Western world, and have virtually become an automatic procedure for babies.

Osteitis Deformans

What is Osteitis Deformans?

This is a relatively common disease of the bone, most often seen in aging patients. It is common in Great Britain, even more common in Australia, and rare in China. Any bone of the body may be affected, but the pelvis is the most likely, followed by the upper ends of the long bones of the lower limbs (femur and tibia), the heavy bones of the vertebral column, skull and humerus (the long bone of the upper part of the upper limb).
The basic problem is an initial osteoporosis, in which calcium is absorbed from the bony structure. This causes softening of the bones, and a tendency to bow and fracture. In due course, this is followed by the laying down of new a metal screw  often needed to fix the ends of a fractured femur bone, and this ultimately becomes the dominant feature. So the bones tend to become hard and brittle, fracturing easily. Adjacent joints are prone to osteoarthritis, particularly the hip and knee joints.

Osteites Deformans Symptoms

The disease is one of advancing years and, although occasionally seen in younger people, is seldom in evidence before the age of 50. The sexes are affected equally. Often there are no symptoms at all, the disease being discovered quite by accident when an X-ray is being taken for something entirely different.
However, others may complain of symptoms, particularly deep bone pain that is worse at night, and a shift in posture fails to give any relief. Others note the “typical triad” of symptoms. This consists of an obvious bowing of the limbs, enlargement of the skull and loss of height. The long bones tend to bend forwards or sideways. The bones of vertebral column tend to fracture, so producing a reduction in height. Disc degeneration may occur, and produce pressure on the nerve roots with added symptoms. Pathological fractures common, particularly in the back, severe nerve impingement may produce serious symptoms.
It is claimed that at many as 10 per cent of Paget’s disease patients ultimately suffer from malignant (cancerous changes in the bones. This must be remembered, particularly if there is a sudden increase in pain over the affected bones. It needs immediate, investigation.

Osteites Deformans Treatment

Many forms of therapy have tried, but none have been universally effective until the discovery of the value calcitonin. Salmon and human calcitate are currently in favour, often bring considerable relief and are of value even in patients who suffer from major nerve defects.. This has been the most advance in therapy ever, and may soon replace most other existing forms of treatment. It is now widely used in most major medical centres around the Western world.