Week 7 - Pain, Womens & Mens Health Flashcards
T/F all inflammation is painful
False
Not all inflammation is painful; but all pain has inflammation (probably)
Inflammation and pain are closely related
Calor
Heat
Dolor
Pain
Rubor
Redness
Tumor
Swelling
Functio laesa
Loss of function
What are tests for systemic inflammation (4)
ESR
CRP
hs-CRP
Homocysteine levels
What are dietary foods that reduce inflammation?
Vegetables, fruit
What dietary foods need to be eliminated to reduce inflammation?
Sugars
Junk foods of all kinds
High processed foods
Anti inflammatory fats (3)
Alpha-linolenic acid (ALA)
Gamma-linolenic acid (GLA)
Fish oil
What foods is Alpha-linolenic acid (ALA) found in?
Omega-3 fatty acids
Natural fat in vegetables, beans, fruits, red meat, diary
Seed oils: flaxseed, canola, wheat germ, walnut oils
What foods is
Gamma-linolenic acid (GLA) found in?
Omega 6 fatty acid,but anti-inflammatory
Oils of borage, evening primrose, black currant, hemp
From a 1981 BMJ article, what was the sole cause of decades of rheumatoid arthritis pain?
Corn
In dental patients, what was the outcome for using ginger, ibuprofen and placebo for pain?
Ibuprofen was most effective day of surgery
And then ginger was just as effective
What is the conclusion for turmeric/curcumin use in arthritis?
Turmeric/curcumin is superior to placebo and not inferior to pain meds
What is omega-3, omega-6 role in severe HA?
Increase n-3 AND reduce n-6 significantly improves HA hours per day, HA days, and HA quality of life
Migraine qualities
Pulsing, throbbing
Nausea, vomiting, photo or phono-phobia
W>M
1/3 of migraineurs can predict the onset of migraine because of a
prodromal “aura”
Triggers for migraine
Stress, anxiety, hormonal changes, flashing lights, lack of food or sleep, diet
What are foods that can trigger migraines?
Tyramine - aged meats and cheeses
MSG
Aspartame
Nitrites - processed meats, salad bars to keep salad from turning brown
What are some diets/things that may help?
Elimination diets Weight loss if obese Frequent meals Carbohydrate restriction Gluten restriction
Migraine triggers such as stress, menstruation, alcohol and some diuretics deplete
Magnesium
People with migraines have lower Mg levels in RBC, mononuclear cells, serum and brain tissue
What B vitamin might relieve migraines?
B2, riboflavin
What herb might be beneficial for migraines?
Butterbur herb
Pain-safe foods for migraine
Brown rice, cooked and dried fruits, cooked green and yellow vegetables, water, condiments
T/F histamine is a trigger for migraine
True
Histamine is found in
Red wine Champagne Beer Fish Sausage Pickled cabbage
How long do caffeine withdrawal headaches last?
~4 days
Sinus headache food group cause?
Dairy
What is one thought process in preventing pain in low backs?
Prevent blood vessel blockage
What are 2 herbs that might work for LBP
Salix alba - white willow bark
Harpagophytum procumbens - devil’s claw
What is a vitamin that might help with pain reduction
Vitamin D
What two vitamins might be good for osteoarthritis
Glucosamine
Chondroitin
Diet change that might help rheumatoid arthritis
Fasting + vegetarian diet
Dietary triggers for arthritis
Dairy Corn Meat Wheat, oat, rye Eggs Citrus Potatoes Tomatoes Nuts Coffee
What is the severe version of PMS called
Premenstrual dysphoric disorder
When do symptoms of PMS or PMDD remit?
Onset of menses
Only during late luteal phase of cycle
Key hormonal changes in PMS
Estrogen levels elevated
Progesterone reduced
What needs to be r/o in the Tx of PMS?
Hypothyroidism
Depression
What supplements are good for PMS
B6
Magnesium
Herbs for PMS (4)
Dong quai
Licorice root
Black cohosh
Chasteberry
T/F meditation can alleviate many PMS sx
True
Most Sx-producing food for PMS is:
Chocolate
T/F Calcium can help PMS symptoms
True
Pyridoxine (B6) was shown to significantly help what Sx of PMS?
Emotional Sx (not somatic or menstrual Sx)
What is a key thing to do for women with PCOS
Loss weight / maint healthy weight
Low sperm count associated with (2)
Morbidity
Mortality
What are supplements that may help male infertility?
No strong studies, but:
Selenium
CoQ10
Antioxidant supplementation helps [men/women] with infertility issues
Men
Omega 3 helps [men/women] with infertility issues
Women
When has a woman reached menopause?
No menses for 12 months
Generally naturally after age 40
T/F breakthrough bleeding in a perimenopause woman can be a sign of cancer
True
Genistein
Soy-derived isoflavone and phytoestrogens
Genistein helps reduce
Hot flashes
What are the side effects of menopausal hormone replacement therapy
Increased heart disease, breast cancer, stroke, blood clots
Proliferation of cellular elements of the prostate without malignancy
Benign prostatic hypertrophy (BPH)
BPH may result in chronic bladder outlet obstruction that may lead to (5)
Urinary retention Renal insufficiency Recurrent UTI Gross hematuria Bladder calculi
Inverse Association of what food and BPH?
Soups
Pulses
Cooked vegetables
Citrus fruit
Anecdotally, what might help with partially or completely reversing urinary symptoms of BPH?
Eliminating dairy
