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Posts Tagged ‘Dr. Sam’

Fungal Nail Infections

January 24th, 2009

A fingernail or toenail infection that is caused by a fungus is called onychomycosis (say: “on-ee-koh-my-ko-sis”). Toenails are more likely to become infected than fingernails. This infection can make your nails thick and discolored. Your nails may also be brittle or change their shape. You may even have pain in your toes or fingertips.

Who gets fungal nail infections?
Anyone can get a fungal nail infection. These infections are more common in adults older than 60 years of age. They are especially common in people with diabetes or circulation problems. Children rarely get fungal nail infections.

Why did I get a fungal nail infection?
It may be hard to know where or how you got a fungal nail infection. A warm and wet place provides the perfect conditions for a fungus to grow. If you often wear heavy work boots that make your feet warm and sweaty, a fungus can grow around your toenails. If you often walk barefoot in locker rooms, you can pick up a fungus from the warm, wet floors.People whose hands are often wet (for example, dishwashers in restaurants and professional house cleaners) are more likely to get fungal fingernail infections.

Sometimes several people in a family will get fungal infections in their nails at the same time. This can happen because their immune systems aren’t't able to fight off the infection very well or because the infection is being passed when they use the same towels.

How do I find out if I have a fungal nail infection?
If you think you have a fungal infection in your fingernails or toenails, see your doctor. By looking carefully at your nails, your doctor might be able to tell if you have an infection.

How is a fungal nail infection treated?
Several medicines can treat a fungal nail infection. Some of these medicines are not safe for people who have liver problems or a history of congestive heart failure. Be sure to let your provider know if you have one of these conditions. Your provider will decide which medicine is right for you.

You might only need to take the medicine for 6 weeks. You might need to take it for 6 months, or longer. It depends on where the infection is and the severity of the infection.

Topical treatments, or creams and polish that you apply to the top of your nail, also may be available for mild infections.

Because of the high price of some of these medications your provider may consider other treatments like toenail removal in severe infections.

What can I do to take care of my nails?

  • Keep your nails cut short and file down any thick areas.
  • Don’t use the same nail trimmer or file on healthy nails and infected nails. If you have your nails professionally manicured, you should bring your own nail files and trimmers from home.
  • Wear waterproof gloves for wet work (like washing dishes or floors). To protect your fingers, wear 100 percent cotton gloves for dry work.
  • Wear 100 percent cotton socks. Change your socks when they are damp from sweat or if your feet get wet. Put on clean, dry socks every day. You can put over-the-counter anti-fungal foot powder inside your socks to help keep your feet dry.
  • Wear shoes with good support and a wide toe area. Don’t wear pointed shoes that press your toes together.
  • Avoid walking barefoot in public areas such as locker rooms.

Information Source: FamilyDoctor.org

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Beat the Summer Heat

July 28th, 2008
What causes heat-related illness?
Heat-related illnesses, such as “heatstroke” and “sunstroke,” occur when your body can’t keep itself cool. As the air temperature rises, your body stays cool when your sweat evaporates. On hot, humid days, the evaporation of sweat is slowed by the increased moisture in the air. When sweating isn’t enough to cool your body, your body temperature rises, and you may become ill.

What does the “heat index” mean?
The heat index tells you how hot it feels outside in the shade. It is not the same as the outside temperature. The heat index is a measurement of how hot it feels when relative humidity is combined with the effects of the air temperature. When you are standing in full sunshine, the heat index value is even higher. A heat index of 90°F or above is dangerous.

How can I prevent heat- related or caused illness?
When the heat index is high, stay indoors in air-conditioned areas when possible. If you must go outside, take these precautions:

Wear lightweight, light-colored, loose-fitting clothes.
Protect yourself from the sun by wearing a hat or using an umbrella. Don’t forget the sunscreen! Drink plenty of water before starting an outdoor activity. Drink extra water all day. Drink less tea, coffee, cola and alcoholic beverages.

Schedule vigorous outdoor activities for cooler times of the day–before 10 a.m. and after 6 p.m.
During an outdoor activity, take frequent breaks and drink water or other fluids every 15 to 20 minutes, even if you don’t feel thirsty. If you have clear, pale urine, you are probably drinking enough fluids.

If you have a chronic medical problem, ask your doctor about how to deal with the heat and about drinking extra fluids with your medicines.

Remember also to carry your cell phone just in-case you need to call 911.

What should I do if I have signs of heat- related or caused illness?
Go to a shady, cooler area right away. Remove any excess clothing and begin sponging your body with luke warm tap water. Slowly sip water or other fluids.
Get medical help right away if you have these warning signs:

  • Hot, dry skin, but not sweaty
  • Confusion or loss of consciousness
  • Frequent vomiting
  • Shortness of breath or trouble breathing

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May is Hearing Month

May 1st, 2008

May is Better Hearing & Speech Month

How are your Ears Doing?

Hearing problems are the third most chronic health condition in the United States. These problems can be linked to loud noise exposure, heredity, repeated colds, long standing diabetes, or high blood pressure, and even side effects of certain drugs. Issues with hearing can affect a person socially. Whether it is trying to have a conversation with friends, listen to the TV, or enjoy your favorite music; not being able to hear properly can take the joy out of your favorite activities.

Here is some healthy ear advice:
When swimming, use swimmer’s ear plugs to the keep the ears dry. This prevents swimmers ear infections.

  • Avoid loud noises, use protection like ear plugs or ear muffs when operating noisy machinery
  • Turn down the volume of your Personal CD/MP3 player
  • Every child and adult should have a hearing test done annually
  • Clean ears regularly (A build up of ear wax can mask infections and decrease hearing ability)
  • Avoid using Q-tips as much as possible to clean out your ears.

We encourage you to maintain optimum hearing health and to help identify early hearing loss in both children & adults. During your annual physical, we offer hearing tests as well. Hearing tests may indicate any ear disorders, infections, or hearing problems that you may have. At America’s Family Doctors we use diagnostic equipment to aid us in the diagnosis and management of these ear related problems such as:

  • Hearing Loss
  • Dizziness
  • Vertigo
  • Middle ear disorders, ear infections, or fluid in the middle ear
  • Tinnitus or ringing in the ears
  • Ear ache or fullness / pressure in the ears

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