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Robert Westford asked:




There are many different reasons why people suffer from joint pain, ranging from injury to a joint to arthritis. Joints also become damaged from excessive exercise or they also just plain wear out after time. If you are experiencing joint pain you should first of all make an appointment with your local physician so that he can accurately determine why you have pain and from there decide how best to treat it. Treatments can range from a specifically designed exercise course, to medication and physical therapy.

When visiting with your doctor, the first test will be to determine if arthritis is the cause of your joint pain. If you do have arthritis then you will want to discuss what options are available to you, and which would best suit your situation. No matter what course of treatment is prescribed, if you have arthritis, physical therapy will be a part of the plan. A physical therapist will discuss your situation with your doctor and together they will formulate a plan of treatment for you. Exercises will include those that encourage free joint movement, strengthen your joints and help to reduce pain and stiffness. If you are at all overweight, the additional exercise will also help you to reduce your weight, thus reduce the pressure that being overweight places on your joints.

Medication is often prescribed for pain, and to reduce the effects of arthritis on your system. Analgesics, or pain killers are commonly prescribed, along with non-steroidal anti-inflammatory drugs to help reduce joint inflammation and disease modifying anti-rheumatic drugs. When taken in conjunction, these medications will help with pain relief and also will reverse any damage already done to your joints.

There are quite a few supplements that can give natural aid for those suffering with arthritis. Common vitamins recommended for arthritis sufferers are Vitamins A, C and E. Glucosamine is also often recommended, as it can actually help repair damaged cartilage, and also helps prevent further damage to your joints by harmful enzymes. Omega 3 Fatty Acids are also considered very helpful when it comes to reducing inflammation of joints and they also encourage healthy blood flow through the joints as well. Other supplements sometimes considered are Aloe Vera and Emu Oil, both of which also help reduce joint swelling and inflammation.

Often times, finding relief from joint pain comes from trying a number of different things in conjunction with one another. What may help one person, may not be as effective in someone else’s case. It is important to work with your doctor to try to find the best and most suitable treatment for you.

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Robert Westford asked:




While there are different types of arthritis, all can be very debilitating. Common forms of arthritis include; osteoarthritis, rheumatoid arthritis, septic arthritis, psoriatic arthritis and gouty arthritis. When deciding on the best type of treatment, and specifically the most effective pain treatments, a lot depends on the severity and the type of arthritis. Commonly, people receive fairly extensive physical therapy when undergoing treatment, and they are encouraged to exercise well. Diet control and weight loss are also considerations. For more severe cases, or as the arthritis progresses, medication and sometimes orthopedic braces are also used.

Physical therapy plays an important role in the treatment of arthritis. Typically the physical therapist teaches the patient ways to control the pain and join and limb exercises. Exercises, while painful at times, does help control pain over the long term as it reduces stiffness and encourages greater flexibility and movement. Naturally, exercise also helps the patient to lose weight, which is very helpful in situations where the patient is overweight and places unnecessary strain on joints.

Orthopedic braces are also useful when it comes to pain relief. They help the joints move in the right range and also help relieve a lot of the pressure on the joints. Typically, you will see the knee brace used in this fashion.

Medication used in the treatment of arthritis include the use of Non steroid anti-inflammatory drugs (NSAIDS). Previously steroids were used, but as they are quite harmful to the body the introduction of non steroid drugs for long term use, to reduce inflammation is encouraged. DMARDS (disease modifying anti-rheumatic drugs) are useful in the early stages of arthritis as they can actually halt joint damage and the progression of the arthritis. Corticosteroids are sometimes used, often by being injected directly into an inflamed and swollen joint. Analgesics are also routinely prescribed to help with pain relief.

Some supplements are also often prescribed to help in the treatment of arthritis. Glucosamine helps to repair damaged cartilage. Aloe Vera is often administered because of its anti-inflammatory nature. The Omega 3 Fatty Acids are also often taken, along with other vitamins such as Vitamin A, Vitamin C and Vitamin E especially.

These are some of the more common treatments that are available for someone suffering from any type of arthritis. However, treatment should be specifically tailored to each patient by their doctor, as each individuals needs will differ.

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jerry asked:




Dilaudid

Dilaudid is the brand name of a strong analgesic prescribed for relief from pain and sometimes from cough. The generic name is Hydromorphone, which belongs to the family of narcotic pain relievers.  Also known as opioids, this narcotic pain reliever has effects similar to morphine. Dilaudid is available as an injection, in tablet, rectal suppository, as well as liquid forms. Taken in any of the mentioned forms, Dilaudid needs to be administered with caution, as overdoses may prove hazardous.

The dosage of opioid analgesics is individualized for each patient, as complete relief may not take place when adverse events occur. After comprehensive assessment of the nature of the pain -its severity, etiology, frequency, and pathophysiology- the doctor decides on a dosage in concurrence to the medical status of the patient.

Usually prescribed for immediate relief from continuous pain, the drug is injected into the buttock, hip or any large muscle, into an intravenous fluid that will enter the vein dripping through a needle or through a catheter placed under your skin or in the vein.  The oral form of Dilaudid contains hydromorphone hydrochloride, plus other ingredients such as purified water, propylparaben, methylparaben, glycerin, and sucrose.

Oral dosage of Dilaudid for adults ranges from 2.5 ml to two teaspoonfuls every 3 to 6 hours. However, higher dosages may be prescribed by the doctor depending on the patient’s clinical condition. In the tablet form, Dilaudid 2 mg, 4 mg and 8 mg. The usual starting dose is 2 mg to 4 mg tablet taken orally once every 4 to 6 hours. Caution and careful clinical evaluation is required when 8 mg tablets are prescribed. If the analgesia proves to be inadequate, the doctor may suggest a gradual increase in dosage. Inadequacy of analgesia can occur due to increase in the severity of pain or as tolerance develops.

For patients who are non-opioid-tolerant, hydromorphone therapy is typically initiated with 2-4 mg tablet, every four hours with an exception to elderly patients who require lower doses. Patients receiving opioids need varied doses of analgesia and the duration also varies according to the patient’s opioid tolerance. Since hydromorphone affects patients with hepatic and renal impairment, a very low dose should be started on and increased, depending on the severity of the problem.

Frequently observed side effects in patients taking Dilaudid include light-headedness, sedation, nausea, vomiting, dizziness, sweating, flushing, dry mouth, dysphoria, euphoria, and pruritus. Other side effects seen are respiratory depression, apnea, shock, circulatory depression, respiratory arrest, and sometimes cardiac arrest. There have also been reports of CNS such as agitation, weakness, headache, uncoordinated muscle movements, tremor, mood swings; cardiovascular effects such as bradycardia, palpitation, chills, tachycardia, faintness, hypertension, syncope and hypotension; gastrointestinal adverse effects like diarrhea, constipation, biliary tract spasm, cramps, ileus, anorexia, and taste alteration. Respiratory depression is a common side effect among the elderly, the incapacitated, and those suffering from conditions linked with hypoxia and hypercapnia.

Before taking Dilaudid, patients must inform the doctor about any present or planned pregnancy or surgery. Even in the case of a dental surgery or sterilization, the patient must inform the doctor about his use of Dilaudid. The patient’s nature of job should be known to the doctor, as the drowsiness caused by the drug could prove risky for car drivers and operators of large and heavy machinery. Also inform the doctor about:

Any prescription and nonprescription medications the patient may be taking Any kidney, liver, thyroid or heart disease Seizures, asthma, or bronchitis Prostatic hypertrophy; or urinary problems. Pregnant- present or planned Nursing infants

Patients receiving Dilaudid need to look out and inform the doctor, for the following symptoms of catheter-related infection:

tenderness warmth irritation drainage redness swelling pain

Dilaudid belongs to the family of opioid analgesics and can cause psychological and physical dependence. In patients who abruptly discontinue the drug, withdrawal symptoms are common.  Similar to other opioid agonists, Dilaudid can also be abused or misused. This morphine-type drug is sought by people with addiction disorders, drug abusers and those subject to criminal diversion. Prescribers of Dilaudid should monitor patients for signs of abuse, addiction and misuse. Though administration of Dilaudid is allowed in people with a personal or family history of alchohol or drug abuse and mental illness, intensive monitoring is required to detect signs of misuse or abuse.



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