Fibromyalgia (FM) must be diagnosed by a qualified physician who is familiar with the illness and has experience diagnosing it. The specialists who most often diagnose and treat fibromyalgia are rheumatologists. In 1990, the American College of Rheumatology established the diagnostic criteria for fibromyalgia . Both of the following must be present: A history of widespread pain in all four quadrants of the body for a minimum duration of three months, and Pain in at least 11 of 18 designated tender points when four kilograms (about 10 pounds) of pressure are applied. (See a diagram of the fibromyalgia tender points here .) Although the American College of Rheumatology does not classify fibromyalgia as a diagnosis of exclusion, there are several other illnesses that have similar symptoms and sometimes occur along with FM. Therefore, it is important that the doctor test for certain comorbid conditions as well. Which tests may be necessary wi...
Today, May 12, 2011 is National Fibromyalgia Awareness Day and the month of May is National Arthritis Awareness Month. In honor of those two occasions and because a number of our community members are living with both fibromyalgia and rheumatoid arthritis, Lene Andersen , the Community Leader for HealthCentral's RA site, and I interviewed each other about RA and FM. You can read Lene's interview with me and get more information about RA at MyRACentral . Lene Andersen is the Community Leader for MyRACentra l, our rheumatoid arthritis site. She has lived with RA for over 40 years, experiencing her first symptoms at age four, and has used a power wheelchair since she was 16. She developed fibromyalgia in 2004. Lene has a Masters degree in social work and has worked in corrections and the human rights field, but changed career tracks and is now working as a writer, health and disability activist and photographer. Karen: What is rheumatoid arthritis? Lene: RA is an...
Congestive heart failure - left
The goals of treatments are:
Treat the disease that is causing the heart failure
Relieve stress on the heart
Reduce risks of worsening heart failure
You should see a heart specialist. You may need to stay in the hospital when symptoms are severe.
Treatment may involve surgery or cardiac catheterization to open blocked heart arteries, medicines for high blood pressure, and lifestyle changes such as stopping drinking alcohol.
Persons with heart failure should eat less salt, avoid alcohol, and exercise moderately.
Medicines that may be used include:
Diuretics such as furosemide (Lasix) or spironolactone (Aldactone) to help the body get rid of extra fluid
Beta blockers and ACE inhibitors to reduce the stress on the heart and to prevent further muscle damage and scarring
Digoxin to increase muscle strength and slow down abnormally fast ...
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