Friday, February 24, 2012

Ekman, md, director of endocrinology ...

Osteoporosis is the most common type of bone disease. Researchers estimate that about 1 in 5 American women aged over 50 have osteoporosis. About half of all women over age 50 will have a hip fracture, wrist or vertebrae (bones of the spine). Osteoporosis occurs when the body is lasix 16 mg unable to form enough new bone, when too much old bone is absorbed by the body, or both. Calcium phosphates and two minerals that are necessary for normal bone formation. For youth, your body uses these minerals to produce bones. If you are not getting enough calcium, or if your body does not absorb enough calcium from food production bones and bone tissue may suffer. With age, calcium and phosphate can be absorbed into the body of the bone, making the bone weaker. This can lead to brittle, fragile bones that are more prone to fractures, even without injury. Typically, the loss occurs gradually over many years. Many times, people will have a fracture before becoming aware that the disease is. By the time the damage occurs, the disease is in advanced stage and seriously damaged. The main causes of osteoporosis is to reduce estrogen in women during and lowering testosterone levels in men. Women over 50 and men over 70 are at increased risk of osteoporosis. Chronic, chronic kidney disease, eating disorders


Taking corticosteroid medications (prednisone, methylprednisolone) every day for over 3 months, or taking anticonvulsants


white women, especially those with a family history of osteoporosis are more than average risk of developing osteoporosis. Other risk factors include:


Absence of menstruation (There are no symptoms at an early stage of disease or slouch, also called "hump widow"


bone mineral density testing (such as densitometry or. DEXA scan) shows that the number of bone you have. Your doctor uses this test to predict risk of bone fractures in the future. For information about when testing should be done, see. special type, which may show loss of bone density, quantitative computed tomography ( QCT), can be used in rare cases. In severe cases, >> << may show fracture or collapse of the vertebrae. However, simple x-rays of bones are not very accurate in predicting whether someone may have osteoporosis. You may need other blood tests and urine tests if your osteoporosis is due to health reasons, not simply the usual bone loss seen with age. There are several different treatments for osteoporosis, including lifestyle changes and various medications. osteoporosis was diagnosed with bone research density. osteopenia (thin bones, but not osteoporosis) was diagnosed with bone density studies, where fractures occur. Bisphosphonates are the main drugs used as prophylaxis and treatment of osteoporosis in postmenopausal women. Bisphosphonates taken orally include alendronate (fosamaks) ibandronat (Boniva), and ryzedronat (Actonel). Most of them take in, usually once a week or once a month. Bisphosphonates given through a vein (intravenously) are taken less frequently. calcitonin is a drug that slows the rate of bone loss and relieves bone pain. It comes as a nasal spray or injection. main side effects are nasal irritation in the form of spray and injection form of nausea. Calcitonin is less effective than bisphosphonates. or Estrogen (HRT) is used more often to prevent osteoporosis and is approved to treat women who have been diagnosed with the disease. Sometimes, if estrogen has helped a woman and she can not accept other options to prevent or treat osteoporosis, your doctor may recommend that she continue using hormone therapy. If you plan take hormone therapy to prevent osteoporosis, discuss the risks with your doctor. Teriparatide (Forteo), is designed to treat postmenopausal women with severe osteoporosis and are at high risk of fractures. medicine given through daily shots underneath the skin. You can give yourself shots at home. raloksifen (Evista) is used to prevent and treat osteoporosis. Raloksifen similar to the drug tamoxifen for breast cancer. raloksifen reduces the risk of spine fractures by 50%. However, it does not appear to other fractures, including those in the hip. This may have a protective effect against heart disease and breast cancer, although further research. The most serious side effect of raloxifene is a very small risk of blood clots in the veins of the leg (deep vein thrombosis) or lungs (pulmonary embolism). Regular exercise can reduce the likelihood of bone fractures in people. osteoporosis Some of the recommended exercises include:


weight bearing exercise - walking, running, tennis, dance


Resistance exercises - free weights, weight machines, stretch Group exercise


Balance - tai chi, yoga


Avoid exercises that is a risk of falling or impact-resistant exercises that can lead to fractures receive no less than 1200 mg per day calcium and 800 - .. 1000 IU Vitamin D3 Vitamin D helps the body absorb calcium. Your doctor may recommend additions to your calcium and vitamin D you need. Follow a diet that provides the necessary calcium and. Although it will not completely stop bone loss, it will ensure that the supply of materials, the body uses to form and maintain bones is available. Leafy green vegetables such as spinach and greens


quit smoking if you smoke. Also limit alcohol consumption. Too much alcohol can damage the bone and put you at risk of falling and fracture is important for preventing falls Avoid sedatives and remove household hazards to reduce the risk of fractures Make sure your eyesight good and other ways to prevent falling include: ....


Use bars in the bathroom when needed


your response to treatment can be controlled by a number of bone mineral density measurements every 1 - 2 years. women taking estrogen should have routine mammography, pelvic exams and Pap smears. there are no transactions for treating osteoporosis itself. However, the procedure called vertebroplasty can be used to treat any small cracks in the spine due to osteoporosis. It can also help prevent weak vertebrae become fractured by strengthening the bones of the vertebral column. procedure involves introduction shvydkotverdnuchyy glue in areas that are fractured or weak. similar procedure, called kifoplastika, uses balloons to expand the area in need of glue. (bullets removed during the procedure.)


drug to treat osteoporosis, may help prevent fractures of the vertebrae, but have not fallen may be canceled. Some people with osteoporosis are becoming disabled as a result of weakening bones.

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hip fractures leave about half of patients unable to walk alone. This is one of the main reasons why people come to nursing homes. Although osteoporosis strong, it does not affect the duration of life. Call your doctor if you have symptoms of osteoporosis or if you want to test for the state. Calcium is necessary for building and maintaining bone health. Vitamin D is also necessary because it helps the body absorb calcium. When healthy, balanced diet can help you get these and other important nutrients throughout life. number of drugs approved for osteoporosis prevention. Cranney, Papaioannu, Zytaruk N et al, Clinical Guidelines Committee of Osteoporosis Canada parathyroid hormone to treat osteoporosis ..... systematic review CMAJ 2006 4, 175 (1) :52-59 M Gass, Dawson-Hughes B. Preventing osteoporosis-related fractures: a review Am J Med 2006; 119: .. S3-S11 treatment of osteoporosis in postmenopausal women: 2010 position statement Menopause Society North American Menopause 2010 January-February, 17 .... (1) :25-54 update: .. Ari S. Ekman, MD, Head of Endocrinology, Diabetes and Metabolism, Trinitas Regional Medical Center, Elizabeth, staff New Jersey provided by VeriMed review of the healthcare system is also discussed David Zieve, MD, Internal Affairs, Medical Director, ADAM, Inc ADAM, Inc is accredited by URAC, also known as the American Accreditation Commission for Health (www. URAC. org). URAC in


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ADAM is also a founding member of Hi-Ethics and signed by the principles of Health on Net Foundation (www. soap. h). information provided herein should not be used in any medical emergency or for the diagnosis or treatment of any any disease. licensed should consult a doctor for diagnosis and treatment of any and all diseases, call 911 for all ambulance links to other sites are provided for information only - ... they are not approved such sites Copyright 1997-2012 , ADAM, Inc Any copying or distribution of the information contained herein is strictly prohibited. << >>

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