Sore Throat Symptoms

pain when talking or swallowing
throat that looks red all over or in streaks when you open wide and say, “Aahhh”
swollen, tender glands in the upper neck
sometimes, fever, headache and/or earache
To Relieve a Sore Throat

Drink lots of liquids, preferably warm ones, such as soup or herbal tea.
Gargle with warm salt water.
Don’t smoke, and avoid people who do smoke.
Take an over-the-counter pain reliever to ease pain and inflammation; do not exceed the prescribed dose.
Suck on throat lozenges or cough drops to keep your throat moist.

Use a vaporizer or humidifier to moisten bedroom air.

If you have fever over 101 degrees Fahrenheit, swollen glands in your neck or bright red tonsils that show white spots, or if your sore throat lasts longer than five to seven days, call your doctor for an immediate appointment.

If you cannot swallow liquids or have trouble breathing, call 911 or go to an emergency facility immediately.

The placenta or “afterbirth” is a living organ whose function is critical to the growth, development and survival of the fetus. It both provides your baby with oxygen and nutrients as well as a mechanism for discarding waste products and carbon dioxide. You can think very simply of the placenta as a sponge soaked in a pool of maternal blood within the sidewall of the uterus and attached by the umbilical cord to the fetus. In actuality it is active biochemically, hormonally and immunologically, a very complex organ. Two membranes which grow out of the placenta, the inner amniotic and the outer chorionic, surround the fetus and the amniotic fluid in which it grows.

The placenta must stay attached to the wall of the uterus until shortly after delivery or problems arise. “Placenta previa” means that the placenta extends at least partially over the inner opening of the cervix, making vaginal delivery impossible and cesarean mandatory. Patients with placenta previa after about 28 weeks are prone to vaginal bleeding and pre-term labor. However, while as many as 40% of placentas are “previa” on the second trimester ultrasound, only 1-4% are a problem at term, due to the growth of the lower uterine segment.

If the placenta separates from the wall of the uterus prematurely, it is called a “placental abruption.” If more than 50% of the placenta separates, it may be fatal to the fetus and cause large amounts of blood loss to the mother. Placental abruption is associated with many factors including cocaine use, pre-eclampsia or toxemia, and trauma.

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When can my baby sense things?
As early as ten weeks of gestation, the fetus may respond to local stimuli with squinting, mouth opening, finger flexion, and toe flexion. By only 14 weeks the fetus can swallow and make breathing movements, and by 24 weeks the fetus can respond to auditory stimuli, i.e. has the ability to hear.

Evidence from preemies suggests that by only 28 weeks, babies can respond to light changes as well as both taste and smell. That means that even 4 months before your due date your baby can probably hear you sing a lullaby or respond to whatever music you’re playing.

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The American College of Obstetrics lists 27 reasons for ultrasound examination (sonogram) in pregnancy. Many doctors will perform a vaginal ultrasound in the first trimester (12 weeks) to determine if the pregnancy is alive, when you are due, and how many fetuses there are. Little else can be determined at this point. A second trimester ultrasound may also be performed but this time abdominally, to rule out structural problems with the fetus, to find out where the placenta is located, to see the amount of amniotic fluid, and after 16 weeks, to reliably determine the gender or sex of the baby.

Not all doctors will perform both or even either of these exams. Determining factors may be your individual circumstance or your insurance carriers willingness to cover these studies.
When can we tell what sex the baby is?
You can almost always tell after it’s born! But you can get a good idea with an abdominal ultrasound performed after 16 weeks gestation. While this can sometimes be determined earlier, the accuracy of the prediction decreases with decreasing gestational age. A chorionic villus sampling (CVS) (where a tiny portion of placenta is sampled) performed at about 9 weeks or an amniocenteses performed after 12 weeks will of course determine the sex as part of the chromosomal analysis.

What is the alpha feto-protein test (AFP3)?

AFP3 is a blood test drawn from your arm after 15 weeks gestation designed to give you a risk ratio for Down’s Syndrome, Trisomy 18 and for spina bifida or open neural tube defect. The hormones tested are AFP, HCG and Estriol, all hormones produced by your pregnancy. There are known distributions of these hormones for each week of gestation, and if your gestational age, ethnic group, diabetes status and age are all fed into the computer, your results may be compared to hundreds of thousands of other women used to set the standards. Certain patterns of elevation and suppression of these hormones indicate greater or lesser risk for the conditions listed above.

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All patients with AMD may benefit from visual rehabilitation as directed by a specialist in Low Vision. Often, a combination of optical (eyeglasses, magnifiers, telescopes, etc.) and non-optical strategies (better lighting, training in use of peripheral vision, and use of items specifically designed for persons with poor vision such as large print books, books on tape, large print playing cards, computer readers and closed-circuit televisions) will allow a person with AMD to accomplish many activities of daily living with greater independence.

Since visual loss may be accompanied by depression, counseling and even anti-depressant medications may be helpful. As mentioned, visual hallucinations are not uncommon;

The patient should be reassured that these are a “natural” consequence of visual loss and not a sign of dementia or other psychiatric illness.

The most common signs and symptoms of hyperthyroidism are feelings of excessive warmth and sweating, heart racing (palpitations), and shaking of the hands (tremors). Weight loss is also common but can be caused by many diseases. An important clue that the weight loss is due to hyperthyroidism is the finding that the patient is losing weight despite having an increased appetite. On rare occasions food intake may be so great that the patient with hyperthyroidism actually gains weight.

Since thyroid hormones have effects in so many tissues, many other signs of increased metabolism may occur in hyperthyroidism. Overactivity of the intestines can result in more frequent bowel movements. The breakdown of protein in the muscles can lead to weakness such that patients have difficulty climbing stairs or lifting objects. Even mild exertion can become a problem as the diaphragm (an important breathing muscle) becomes weakened, and patients frequently notice that their endurance is limited.

Hyperthyroidism often affects a person’s moods and thinking ability. This can be especially difficult for the patient to cope with. Concentrating becomes a problem and memory can be impaired. Patients often feel as though they are losing control and are easily upset by minor stress. Although they feel driven by a nervous energy, they often feel very tired. This may be due in part to the difficulty with sleeping that many hyperthyroid patients experience. Crying spells and feelings of depression are common, and the patient’s entire personality may change. These problems often make it very difficult for patients to perform well at work or in school. Home life also becomes challenging for both the hyperthyroid patient and her or his family.

An important consideration in older individuals is that the increased metabolism that occurs with hyperthyroidism can put a significant strain on the heart. This may result in an irregular rapid heartbeat called atrial fibrillation.

In addition, heart failure, chest pains (angina), or even a heart attack (myocardial infarction, MI) may occur. Excess thyroid hormone can also pull calcium out of the bones, which can worsen osteoporosis.

The thyroid gland itself is usually enlarged in most forms of hyperthyroidism, though it is usually not tender or sore unless the patient has a viral infection of the gland (subacute thyroiditis). The enlargement is caused either by invasion of the gland by cells from the immune system or by the growth of nodules in the gland. This thyroid enlargement, which is termed a goiter, may be visible in the patient’s neck, or may only be detected by careful feeling (palpation) of the neck by the patient’s physician.

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If a person has a severe reaction to a sting, (severe swelling, difficulty breathing, etc.) call Poison Control or a hospital emergency room for guidance. Before making the call, determine the following:

person’s age, weight and condition
name of insect (if possible bring the insect to the emergency room for identification)
time of the sting
area of the body stung
They will tell you if it’s necessary to take the person to the hospital. To locate the PCC nearest you can visit the Web site of the AAPCC. If the victim has collapsed or is not breathing, call 911.
What You Can Expect
When you arrive at the hospital, some or all of the following procedures may be performed:

They will administer medications orally or by injection.
They will establish and maintain the airway, if necessary.
They will treat the symptoms.

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Most gifted children figure out what we call the “basic skills” with very little effort. They often require only a limited amount of drill and practice, whereas many other children require more classroom time to review the basics before new concepts are introduced.

Gifted children can be given more difficult problems to work on independently during class. Or try these suggestions for keeping your child challenged at home:

Have your child conduct some research in an area that interests him or her and incorporate math skills. For example, he or she can make a graph of numbers from an Internet article or do a survey on a topic (such as favorite music groups or sports stars) and compile the information in a pie chart.

Make a brainteaser book to challenge his or her friends. Your child can try to write his or her own brainteasers or compile favorites ones from other sources.

Develop a rap to help classmates remember the multiplication tables. Make a tape recording of the rap for children to listen to with headphones.

Turn numerical problems into word problems by using information from another subject. For example, take the subtraction problem of 493 minus 128 and write it out using data taken from a social-studies unit on maps.

Parents of gifted children often feel that if their child is not challenged, the child may lose his or her ability. Most of us have special areas where we excel. The challenge for parents and teachers is to help children enjoy their gift by providing them with interesting challenges.

An important positive of letting students choose their food is that it cuts waste; they’re more likely to eat what they select. But how nutritious are the selections? We queried a spokesman at the Department of Agriculture, which prescribes and monitors nutritional content of food programs for schools, day care, senior programs, and other such projects receiving federal funding or oversight.

“Yes, it’s true that hot dogs and fried potato products are not allowed more than twice a month at day care providers,” came the answer. “But that restriction does not apply to school lunches. Schools can serve hot dogs every day if they want.”

The Oregon Department of Education concurred. “Hot dogs, corn dogs, or chicken nuggets can be entree choices. If a child wants a corn dog every day, that’s his choice.” The guidelines require that good choices have to be offered, but kids do not have to choose them.