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      "body": "P5JfhG7K9oqsCeLgouVn443EdYuc9kr8ddNKvHGNw7bVG9ynWave\n Appendicitis is an inflammation of the appendix, a 3 1/2-inch-long tube of tissue that extends from the large intestine. One study suggests that the appendix may have some role in gut immunity, but nothing is definite. One thing we do know: We can live without it, without apparent consequences.\n\nAppendicitis is a medical emergency that almost always requires prompt surgery to remove the appendix. Left untreated, an inflamed appendix will eventually burst, or perforate, spilling infectious materials into the abdominal cavity. This can lead to peritonitis, a serious inflammation of the abdominal cavity's lining (the peritoneum) that can be fatal unless it is treated quickly with strong antibiotics\n\n\nSometimes a pus-filled abscess (infection that is walled off from the rest of the body) forms outside the inflamed appendix. Scar tissue then \"walls off\" the appendix from the rest of the abdomen, preventing infection from spreading. An abscessed appendix can perforate or explode and cause peritonitis. For this reason, almost all cases of appendicitis are treated as emergencies, requiring surgery.\n\nIn the U.S., one in 20 people will get appendicitis. Although it can strike at any age, appendicitis is rare under age 2 and most common between ages 10 and 30.\n\nWhat Causes Appendicitis?\n\nAppendicitis occurs when the appendix becomes blocked, often by stool, a foreign body, or cancer. Blockage may also occur from infection, since the appendix can swell in response to any infection in the body.\n\nWhat Are the Symptoms of Appendicitis?\n\nThe classic symptoms of appendicitis include:\n\n Dull pain near the navel or the upper abdomen that becomes sharp as it moves to the lower right abdomen. This is usually the first sign.\n Loss of appetite\n Nausea and/or vomiting soon after abdominal pain begins\n Abdominal swelling\n Fever of 99-102 degrees Fahrenheit\n Inability to pass gas\n\nAlmost half the time, other symptoms of appendicitis appear, including:\n\n    Dull or sharp pain anywhere in the upper or lower abdomen, back, or rectum\n    Painful urination and difficulty passing urine\n    Vomiting that precedes the abdominal pain\n    Severe cramps\n    Constipation or diarrhea with gas\n\nIf you have any of the mentioned symptoms, seek medical attention immediately, because timely diagnosis and treatment is very important. Do not eat, drink, or use any pain remedies, antacids, laxatives, or heating pads, which can cause an inflamed appendix to rupture.\n\n\nHow Is Appendicitis Diagnosed?\n\nDiagnosing appendicitis can be tricky. Symptoms of appendicitis are frequently vague or extremely similar to other ailments, including gallbladder problems, bladder or urinary tract infection, Crohn's disease, gastritis, intestinal infection, and ovary problems.\n\nThe following tests are usually used to help make the diagnosis:\n\n    Abdominal exam to detect inflammation\n    Urine test to rule out a urinary tract infection\n    Rectal exam\n    Blood test to see if your body is fighting infection\n    CT scans and/or ultrasound\n\nHow Is Appendicitis Treated?\n\nSurgery to remove the appendix, which is called an appendectomy, is the standard treatment for almost all cases of appendicitis.\n\nGenerally, if appendicitis is suspected, doctors tend to err on the side of safety and quickly remove the appendix to avoid its rupture. If the appendix has formed an abscess, you may have two procedures: one to drain the abscess of pus and fluid, and a later one to remove the appendix. However, there is some research showing that treatment of acute appendicitis with antibiotics may eliminate the need for surgery in certain cases.\n\n \nAppendectomy: What to Expect\n\nAntibiotics are given before an appendectomy to fight possible peritonitis. General anesthesia is usually given, and the appendix is removed through a 4-inch incision or by laparoscopy. If you have peritonitis, the abdomen is also irrigated and drained of pus.\n\nWithin 12 hours of surgery you may get up and move around. You can usually return to normal activities in two to three weeks. If surgery is done with a laparoscope (a thin telescope-like instrument for viewing inside the abdomen), the incision is smaller and recovery is faster.\n\nAfter an appendectomy, call your doctor if you have:\n\nUncontrolled vomiting\nIncreased pain in your abdomen\n Dizziness/feelings of faintness\n Blood in your vomit or urine\n Increased pain and redness in your incision\n  Fever\n  Pus in the wound\n\nCan Appendicitis Be Prevented?\n\nThere is no way to prevent appendicitis. However, appendicitis may be less common in people who eat foods high in fiber, such as fresh fruits and vegetables",
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      "body": "High blood pressure (hypertension) is a serious condition that affects one in three adults in the United States, according to the Centers for Disease Control and Prevention (CDC). It’s called the “silent killer” because people often have no symptoms, yet it can lead to some serious and sometimes even fatal conditions.\nYour blood moves through your body at a certain rate. According to the American Heart Association, a blood pressure reading of less than 120/80 mmHg is considered normal. When you have high blood pressure, your blood moves through your arteries at a higher pressure, putting more pressure on the delicate tissues and damaging your blood vessels. You are diagnosed with high blood pressure (hypertension) if your blood pressure readings are consistently above 140/90 mmHg.\n\nCauses of High Blood Pressure\nFor most cases of high blood pressure there is no known cause. This is called primary hypertension. For others, certain medical conditions like kidney or heart conditions can cause high blood pressure. This is called secondary hypertension. Some medications like birth control pills or over-the-counter cold medicines can cause high blood pressure as well. Blood pressure may or may not return to normal upon discontinuation of the medication.\n![pre-hypertension-banner-1024x411.jpg](https://steemitimages.com\n/DQmbe6Rk7oWiLB796LFqx3A2HGKiW7t5bMnMAds5w5URpwj/pre-hypertension-banner-1024x411.jpg)\n High Blood Pressure Risk Factors\nThere are many risk factors for high blood pressure. Some factors you can’t change. Others are modifiable based on your lifestyle. Risk factors you cannot change include:\n\n    age: Older adults are at greater risk for high blood pressure.\n    gender: Women over 65 are more likely to have higher blood pressure, and men under age 45 are more likely to have high blood pressure than women.\n    race: African-Americans are more likely to have high blood pressure.\n    family history: If your direct family members (parent or sibling) have high blood pressure, you are more at risk.\n\nFactors that are modifiable include:\n\n    being overweight\n    not exercising enough\n    eating an unhealthy diet\n    consuming excess salt\n    drinking alcohol\n    smoking\n    sleep apnea\n    stress\n\nDiagnosing High Blood Pressure\nYour doctor can diagnose if you have high blood pressure by simply using a blood pressure monitor to measure your blood pressure. This monitor records your systolic blood pressure (SBP), the top number, and your diastolic blood pressure (DBP), the bottom number. There are a few types of high blood pressure depending on severity.\n\n    prehypertension: 120/80 mmHg or higher\n    stage 1 high blood pressure: 140/90 mmHg or higher\n    stage 2 high blood pressure: 160/100 mmHg or higher\n    hypertensive crisis (a life-threatening condition): 180/110 mmHg or higher\n\nYour doctor will also review your health history and risk factors and perform a physical exam to make a diagnosis.\nHigh Blood Pressure Tests and Treatments\nThe test to determine if you have high blood pressure is simple and non-invasive. Your doctor will measure your blood pressure using a monitor with a cuff. Your doctor may do this several times over a few appointments to get an accurate reading because your blood pressure can change depending upon many factors, some as simple as your mood at the time the measurement is taken. Your doctor may also order:\n\n    blood tests\n    urine tests\n    electrocardiogram (ECG)\n    chest X-ray\n    computed tomography (CT) scan\n    reducing the amount of salt in your diet\n    exercising and losing weight\n    beginning a smoking cessation plan\n    trying to reduce stress with some relaxation techniques\n\nTreatment for high blood pressure varies from changing lifestyle choices to using medications. If your increased blood pressure is not severe your doctor will probably recommend lifestyle modifications first. These include:\nIf this doesn’t work or if you have a more serious high blood pressure diagnosis, your doctor will probably prescribe medication. Drugs that help lower high blood pressure include:\n\n    diuretics\n    beta blockers\n    calcium channel blockers\n    ACE inhibitors\n    vasodilators\n\nIf you have a hypertensive crisis you will need to be treated in the emergency room or intensive care unit, as this can be fatal. Your heart and blood vessels will be monitored and you will probably be on oxygen and receive medication to bring your blood pressure down to a safe level.\nDoctors Who Treat High Blood Pressure\nYour primary care doctor will treat most cases of high blood pressure. You may require more appointments depending on your blood pressure levels. If your doctor thinks you have other cardiac conditions (which are common complications of chronic high blood pressure), you may be referred to a doctor who specializes in heart problems (a cardiologist).\n\nComplications of High Blood Pressure\nHigh blood pressure is a silent killer because it can lead to some very serious complications. High blood pressure can stretch out your arteries and weaken them (an aneurysm). It can lead to an abnormal heart rhythm (arrhythmia). It can also make you more likely to have a heart attack or heart failure, kidney problems, or even a stroke.\n\nHigh Blood Pressure Prevention\nIf you have a family history of high blood pressure, you should work with your doctor on reducing your risks. You should also take the following measures:\n\n    Eat a healthy low-sodium diet.\n    Exercise regularly.\n    Try to maintain a healthy weight.\n    Quit smoking.\n\nBe sure to take your medication for high blood pressure as directed and monitor your blood pressure at home with a monitoring device. Talk to your doctor if you have any concerns about high blood pressure.",
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