Facial VeinsFacial spider veins may suddenly appear during pregnancy, usually on very conspicuous parts of the face such as the nose and cheeks. They are caused by an increase in oestrogen hormones. They may also occur when the oral contraceptive pill is taken. They are not caused by exposure to hot or cold weather and are not due to drinking coffee. Many of these spider veins do not disappear after pregnancy and may require treatment with laser or fine needle diathermy.
Spider Leg VeinsDisfiguring spider leg veins, which are mostly hereditary, often become established during pregnancy. They are not caused by excessive standing or sitting with the legs crossed. It seems that a combination of hereditary and hormonal factors stimulate growth of these vessels. Once they appear, they rarely disappear. Spider leg veins can be readily treated by a technique called microsclerotherapy. A concentrated salt solution or polidocanol is injected into the veins, which initially become inflamed and then disappear over the following six weeks. The technique causes very little pain and can be done as an outpatient procedure.
Varicose VeinsVaricose veins may also make their debut during pregnancy due to the combination of hormonal changes and pressure placed on the abdominal veins by the growing uterus. Because varicose veins can be extremely uncomfortable, maternity compression stockings are invaluable. Support pantyhose, on the other hand, are counterproductive as they provide irregular compression, usually on the wrong parts of the veins. If varicose veins do not resolve after pregnancy, they may eventually be treated by either surgery or sclerotherapy. It is preferable to wait until all pregnancies are over before embarking on any surgical treatment, although sclerotherapy can be performed at any time after pregnancy and between pregnancies.
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Pain Relief-Muscle Relaxers Comments Off
In previous chapters, we have looked at various examples where damage to tissue is followed by inflammation. The quality of the pain and what to do about it changes. In postoperative pain, the initial acts of tissue damage were carried out under anaesthesia and the patient wakes up to sense only the later stages where the body attempts repair. In slow-onset diseases, such as arthritis, pain escalates as the disease process extends. Pain may grow in sudden jumps as in some cancer pains where the tumour has expanded into new territory and blocks the normal flow of blood, the contents of the intestines, urine or nerve impulses. Intermittent pains grow with each episode.Someone in their sixties or seventies walking uphill may be struck by a chest pain. Once you stop walking, the pain goes. This is angina of effort, an announcement by the heart that it can no longer pump enough blood around the body in response to the energy demand of walking uphill. As time goes by, the arteries continue to clog and their maximum blood flow drops. As this proceeds, the steepness of the hill that can be climbed drops, the amount of exercise that pain permits drops, and rest periods prolong. Eventually, if untreated, the angina forbids even standing up. These are expected reasons why pain may persist or escalate that we may be able to attack at source. However, there are a series of quite different changes that accompany pain which we must now examine because they play an important role in pain intensity.*76\219\2*
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Gastrointestinal Comments Off
This is about the most useless of the negative emotions. What purpose does it serve?If you have done something you are ashamed of, then the guilt you are feeling has already told you not to repeat that action. You have had your lesson. Why go on punishing yourself? Asking forgiveness of the person or persons concerned and truly forgiving yourself can bring great healing. Caution: Only do this if you are sure that purging yourself will not bring distress to anyone. Be open and honest only if it is safe. Seek counselling if this useless emotion is affecting your physical or mental health or ruining relationships.Some people find it helpful to see a priest for confession and absolution. If you can’t bring yourself to do this, perhaps you could take a quiet few minutes to voice your transgression out loud and ask God, the Universe, or however you see the Infinite and ask for forgiveness. Above all, love and forgive yourself.*95\326\8*
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