Q: Our household canine received sick and wanted to be admitted to the veterinary hospital, the place she was recognized with leptospirosis. The vet says she is going to pull via, however do I should be involved about my household?
A: A handful of ailments — referred to as zoonoses — might be transmitted from canines to people. Of those, leptospirosis is the one one that may be transmitted by urine. It’s most definitely your canine was involved with an contaminated rodent in the home or yard, or it may have come from stagnant water the place animal urine might be discovered.
Sadly, sure, the illness might be handed out of your canine to your loved ones, so it’s good to be vigilant in watching all members of the family for sudden onset of signs.
Leptospirosis is a bacterial an infection that may trigger severe sickness. The commonest preliminary indicators are fever, muscle aches, shaking, chills and headache. These signs usually begin all of the sudden. Redness of the conjunctiva, seen as redness within the white a part of the eyes, is a typical discovering, however there are different less-specific indicators, together with belly ache, cough, joint ache and rash.
I don’t advocate medicine to stop an infection in people. Any signs must be evaluated by your common physician, whom you need to inform concerning the canine’s prognosis.
Fastidiously cleansing all onerous surfaces (combine 1 half bleach to 10 elements water for an efficient resolution or use an expert antibacterial cleansing resolution) and washing bedding the place the canine has been could be smart. As soon as the canine has gotten the OK out of your vet to return dwelling, wash your fingers after dealing with the canine, and use gloves in case you are dealing with its waste.
There’s a canine vaccine, which sadly shouldn’t be one hundred pc efficient. There isn’t a vaccine for people. I’d additionally take into account skilled pest management to be sure you don’t have any mice or rats residing within the dwelling.
Leptospirosis can have an effect on many animals. Canine are frequent, however within the uncommon case, cats get it too.
Q: I’m 72 years previous and have developed extreme tendonitis in my proper shoulder. After having seen a health care provider, receiving two photographs, present process six weeks of remedy and making an attempt my greatest to curtail use of my proper arm, I discover there may be nonetheless important ache. The physician says the final remaining possibility is surgical procedure, which I’m not in favor of. I’ve been in fairly good well being. Apart from some prostate and coronary heart points, I consider I’m in moderately fine condition, having carried out out of doors work and gardening. Any recommendations on shifting ahead?
A: Tendon issues of the shoulder could cause very important lack of operate, and the very best remedy is normally what you will have carried out: bodily remedy and generally joint injections.
I agree with you that surgical procedure shouldn’t be an amazing possibility. Attempt asking your therapist in case you are persevering with to enhance, or usually are not getting any higher. If you’re nonetheless bettering, even when slowly, proceed the train for not less than one other few weeks. Ask your therapist about dwelling exercise. Most frequently, they need you to do extra, not much less, so curbing use at dwelling is likely to be the incorrect transfer.
An MRI scan is taken into account normal earlier than surgical procedure and can assist ensure there are not any different points. If the surgeon says you aren’t going to get higher with out surgical procedure, and also you aren’t getting higher with extra remedy (and probably injections), I like to recommend getting the surgical procedure carried out in case your common physician says your coronary heart points make surgical procedure secure for you. Having each arms working properly improves high quality of life quite a bit.
Q: I’m a girl, age 68. Once I was 12 years previous, I used to be 5 toes, 5 inches tall. Now I’m 4 toes, 8 inches tall. I’ve scoliosis plus degenerative arthritis of the backbone and stroll bent over.
Whereas strolling with a retired physician, I discussed that I’m not speculated to drink espresso, because it has a foul influence on my bones. With raised eyebrows, he pulled out his telephone and mentioned: “By golly, it’s true. Espresso shouldn’t be good for the bones.”
I really like espresso. So I put 1/8 teaspoon of standard espresso grounds in a cup of sizzling water. However, is decaffeinated espresso OK? Does it have a damaging influence on bones? I can’t afford to lose extra peak.
A: Some medical questions require greater than a cursory have a look at the outcomes of an web search. The impact of espresso (and caffeine) on the bones is complicated, and there have been completely different research with, apparently, completely different conclusions.
First, you didn’t point out one of the crucial frequent causes that causes many ladies to lose peak, which is a fracture of a number of vertebrae, brought on normally by osteoporosis.
Scoliosis is an S-shaped curvature within the backbone when taking a look at somebody from behind, and one shoulder is nearly at all times greater than the opposite. Kyphosis — additionally typically attributable to osteoporosis in older women and men — is an exaggerated curve of the backbone seen from an individual’s aspect (it was referred to as a “dowager’s hump”).
Degenerative arthritis can worsen curvature and trigger lack of area within the disks between the vertebrae. To the very best of my information, there is no such thing as a impact of espresso or caffeine on scoliosis or degenerative arthritis.
Caffeine has been proven in some research to speed up lack of bone as a result of osteoporosis, and predispose an individual to fractures. The impact was proven in research with ladies consuming larger than 300 mg of caffeine, about 3 cups per day. That is extremely variable by the energy and measurement of your cup, in fact. Different research have proven that for girls who devour sufficient calcium of their weight loss program, caffeine doesn’t worsen osteoporosis, even when a girl drinks a number of espresso.
You need to seek the advice of your physician about osteoporosis, as you may very properly have that along with your different again points. However I feel you will have been unnecessarily depriving your self of one thing you get pleasure from.
Q: I examine damiana as a remedy to extend sexual drive. Is that this secure and efficient?
A: Damiana is an extract from the Turnera diffusa shrub, present in California and Mexico. There has not been a number of analysis on damiana. Some animal research present profit in males however not females, with small research in human females exhibiting profit together with quite a lot of different herbs.
There’s very restricted information on security, with one attainable case of cyanide poisoning following a really giant ingestion of damiana extract, and one other of reported case of convulsions. In really useful doses, damiana might be secure, however I can’t advocate it primarily based on present security and efficacy information.
Dr. Roach regrets that he’s unable to reply particular person letters, however will incorporate them within the column every time attainable. Readers could electronic mail inquiries to ToYourGoodHealth@med.cornell.edu or ship mail to 628 Virginia Drive, Orlando, FL 32803.