SCIATICA: DEALING WITH PAIN

SCIATICA: DEALING WITH PAIN
For relatively mild pain, the cause of which is known or strongly suspected, the usual first line of defence (apart from rest and seeking advice) consists of taking analgesics, that is drugs that relieve pain. These medications can be divided in two broad groups:
'Mild' analgesics, such as aspirin, ibuprofen, paracetamol and similar preparations, that can be bought over the counter without a prescription; and
More potent analgesics, including narcotic analgesics such as morphine and pethidine, which have to be prescribed by a doctor. While the dosage of any prescribed medication will of couf se be
determined by your doctor, there are some points you should keep in mind when self-medicating with mild analgesics:
All drugs - including even aspirin, that standard standby found in almost every household - have potential side-effects, although they're usually safe when used correctly.
Many medications also become less and less effective the longer and more frequently you use them. Additionally, the effect of many analgesics is not necessarily increased pro rata by larger dosages which do, however, normally bring a greater risk of side-effects.
Some kinds of pain, particularly those resulting from nerve damage, may not respond or only slightly so to simple analgesics. If your pain is not eased by ordinary painkillers, then that is an obvious indication that professional help should be sought.
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TAKING ESTROGEN

With the onset of menopause, many women suffer from hot flashes and night sweats. Arlene March, 56, a Los Angeles psychotherapist, says she started getting hot flashes 5 years ago. “I’d be working,” she recalls, “and suddenly feel intense heat all over my body. I’d break out in a sweat. I’d have to stop work. Then Dr. Mishell prescribed estrogen pills, and I’ve not had a day of discomfort.”
Some women experience a drying and thinning of vaginal tissues in the absence of estrogen, making sex painful. They also might suffer urinary tract infections and incontinence. Estrogen therapy often helps.
Among the physicians consulted, the most cautious was Dr. Morris Notelovitz, founder of the nation’s first Menopause Center, at the University of Florida, and head of the Women’s Medical and Diagnostic Center in Gainesville, Florida. He says each symptom needs a different treatment and advises that genital tract problems be given estrogen treatment for a couple of years at most. He also urges special measurements of the bones before prescribing estrogen therapy for osteoporosis.
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WOMEN’S HEALTH

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Most patients have a combination of two or more of these problems. They are usually first given a thorough medical history and examination to determine the extent of the prob­lem and to hopefully pinpoint a cause. I want to briefly outline the nature of these four symptoms so that your problem will make more sense to you as a patient if you are experiencing any of them.

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