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Endless worry, irritability and insomnia are all symptoms of a possible anxiety disorder. Luckily, there are numerous anxiety medications that can help ease the condition. Joy Alonzo, a specialist in the pharmacotherapy of mental disorders at Texas A&M’s College of Pharmacy, said recently, “If you understand the different types of medication, then you can become a better advocate for your anxiety treatment. Anxiety is one of the most under-treated mental illnesses, and we need to talk more about it.” So, what medications can bring relief from crippling anxiety? According to the Anxiety & Depression Association of America (ADAA), the most common classes of drugs for the treatment of anxiety include: Selective serotonin reuptake inhibitors (SSRIs) Serotonin-norepinephrine reuptake inhibitors (SNRIs) Benzodiazepines Tricyclic antidepressants Here is a rundown on medications for anxiety. Selective serotonin reuptake inhibitors (SSRIs) SSRIs work by preventing the body from reabsorbing serotonin, which leaves more available for use. The ADAA describes serotonin as a neurotransmitter that plays a role in feelings of well-being and happiness. SSRIs are considered the first-line treatment for all types of anxiety disorders. A higher dose may be required when treating obsessive-compulsive disorder (OCD). Common side effects: Insomnia Sleepiness Sexual dysfunction Weight gain Dry mouth Common SSRIs: Citalopram (Celexa) Escitalopram (Lexapro) Fluoxetine (Prozac, Sarafem) Paroxetine (Paxil, Paxil CR, Pexeva, Brisdelle) Sertraline (Zoloft) What else you should know about SSRIs:…  read on >  read on >

A medical device used to diagnose and treat pancreatic and bile duct disease is getting attention from the U.S. Food and Drug Administration after pieces have fallen off and remained in patients’ bodies. Previously, the FDA had expressed concern about duodenoscopes because they can be difficult to clean and may spread bacteria such as E. coli from patient to patient. Duodenoscopes are flexible, lighted tubes with a camera that are threaded through the mouth down to the stomach and top of the small intestine (duodenum). However, when hospitals switched to disposable tips to cover the camera and reduce bacteria spread, this has now resulted in new problems. Those produced by Olympus Medical Systems have fallen off in patients’ mouths and stomachs, according to reports filed with the FDA. Some have sharp edges, which has led to internal bleeding in patients, according to the New York Times. The FDA has received about 160 complaints about the caps falling off. That “was above the expected numbers for that type of complaint,” according to Olympus’ own analysis. The FDA sent a warning letter to the company after an inspection at the Olympus plant in Tokyo late last year found that disposable parts made for duodenoscopes and suction valves for bronchoscopes, which are used to examine the lungs, were adulterated or defective. The agency has said the company’s responses…  read on >  read on >

E. coli bacteria are an infamous cause of food poisoning, but a new study suggests those same microbes lurking in meat may be behind nearly half a million cases of urinary tract infections (UTIs). UTIs are very common, affecting more than half of all women at least once in their lives. And the vast majority of those infections are caused by E. coli bacteria. Although E. coli may be best known for spurring outbreaks of food poisoning, most strains of the bacteria are actually harmless. In fact, E. coli lives happily in the human gut, as part of the vast array of beneficial bacteria that make up the body’s “microbiome.” Sometimes, though, when that gut-dwelling E. coli is shed in your stool, it can migrate to your urinary tract and cause a UTI. That, at least, is the source of most UTIs, said study author Lance Price, a microbiologist and professor at George Washington University, in Washington, D.C. Price’s team found genetic evidence that some UTIs are caused by E. coli in the chicken, turkey and pork that people buy at the grocery store. The bacteria find their way to the urinary tract the same way as other UTI-causing E. coli do — but the source is different. The researchers estimated that around 8% of UTIs caused by E. coli can be traced to a…  read on >  read on >

(HealthDay News) – Sen. John Fetterman, who checked himself into Walter Reed Hospital for depression five weeks ago, should be back at work soon, his aide said Thursday. The Pennsylvania senator suffered a stroke last May that nearly killed him, and depression strikes one in three stroke survivors. Still, Fetterman’s depression recovery is going well, spokesman Joe Calvello said Thursday. “He’ll be back soon, at least over a week, but soon,” Calvello told the Associated Press. While hospitalized, Fetterman continues to receive daily briefings from his Chief of Staff Adam Jentleson, Calvello added. He is also issuing statements through his office and sponsoring legislation, the AP reported. “We want to give him the space to recuperate,” Sen. Majority Leader Chuck Schumer, said during a Wednesday news conference, the AP reported. “He needs it, it’s fair, it’s right. There are other people in the Senate who have taken their time to recuperate but I’m confident he’s going to come back and be an outstanding and fine senator.” Prior to his hospitalization, Fetterman had been withdrawn and not showing an interest in talking or eating, the AP reported. He saw Capitol physician Dr. Brian Monahan, who recommended he be admitted to Walter Reed, just weeks into his time as a senator. After his stroke, he also had surgery to implant a pacemaker with a defibrillator because he…  read on >  read on >

Lots of folks gained their COVID weight during the housebound months of the pandemic, and now those extra pounds are weighing heavy on many, a new survey shows. Nearly a third (29%) of just over 1,700 adults surveyed in December 2021 said COVID-19 made them more worried than ever about being obese, according to findings published recently in the journal Surgery for Obesity and Related Diseases. That means an estimated 6.4 million thought about using either weight-loss surgery or prescription anti-obesity drugs for the first time, the researchers said. “We’ve definitely seen a significant rise in interest in weight-loss surgery and other underutilized treatments since obesity was linked to worse outcomes from COVID-19,” said co-researcher Dr. Shanu Kothari, immediate past president of the American Society for Metabolic and Bariatric Surgery (ASMBS). “COVID-19 lit the match for many people to get healthier and protect themselves from severe disease, whether that be COVID-19, diabetes, or heart disease. Treating obesity, the source of so many of these diseases, is the best way,” Kothari said in an ASMBS news release. Nearly 1 out of 5 people (18%) said they were more likely to initiate a discussion about their weight specifically because of the added risk of severe COVID in the obese and overweight, survey results showed. Those numbers were even higher among Black (28%) and Hispanic (29%) Americans, as…  read on >  read on >

Women with mental illness have a risk for cervical cancer that’s twice as high as that for others, according to new research. Swedish researchers noted that women with mental illness, neuropsychiatric disability or substance abuse were also less likely to get screening tests that can detect cervical cancer. “Our results suggest that women with these diagnoses participate more seldom in screening programs at the same time as they have a higher incidence of lesions in the cervix,” said co-author Kejia Hu, a postdoctoral researcher at the Institute of Environmental Medicine at Karolinska Institute in Solna, Sweden. “We thus found that they have twice the risk of developing cervical cancer.” The study included more than 4 million women born between 1940 and 1995. Researchers calculated their risk of cervical cancer and precancerous cervical lesions, as well as women’s participation in screening programs. They compared women diagnosed with a substance use or mental health disorder or disability with women who did not have these diagnoses. Cancer risk was elevated with all of these diagnoses, researchers found, most of all with substance abuse. In 2020, the World Health Organization announced a global strategy for eliminating cervical cancer. It aims to screen 70% of women for the disease at least once before age 35 and twice before age 45. Unequal care is a major obstacle to reaching this goal,…  read on >  read on >

There’s nothing like the comfort and security of home. For many, a home is a place filled with fond memories of happy times. It’s no wonder older adults choose to extend their independence by trying to stay in their homes as they get older, an experience called aging in place. But as a person ages, what used to be ordinary in the home can be challenging or even a hazard. Almost one-third of older adults experience a fall. Among them, 55% fall inside the home and 23% fall outside the home, according to AARP. As a caregiver, it’s important to consider what you can do to make the home safe and accessible for an older loved one. “We’re hearing more from the caregivers that are modifying their home so their older relative can move in with them,” Sandy Markwood, chief executive of USAging, a national association of local Area Agencies on Aging, noted in a recent AARP article. Here are some ideas on what changes to the home could make a big difference. Hallway and stair safety AARP suggests checking the stairs to make sure they’re in good condition. Stairwells should be well-lit and there should be secure handrails on both sides. Remove throw rugs in the home. You should also declutter hallways, walkways and stair areas. To improve visibility inside the home at night,…  read on >  read on >

Children with autism are less likely than their peers to receive important vision screening despite a high risk for serious eye disorders, researchers report. Only about 36% of children with autism spectrum disorder (ASD) completed vision screenings during their health checkups, a new study found. That was far fewer than the 59% rate for children without ASD. In addition, the screening rate for Black children with ASD was just under 28%, compared with nearly 40% for white and multiracial kids, the findings showed. “I noticed that many of our patients with autism have never had vision screening, even though it’s recommended for all young children,” said senior author Dr. Brittany Perry, a pediatrician at the Nemours Swank Autism Center in Wilmington, Del. “So, I wanted to study whether this might be a broader disparity — whether kids with autism receive vision screening less often than other kids,” she added in a Nemours news release. Early childhood is crucial for vision development, as well as for early detection and treatment of eye problems, the study authors noted. For the study, Perry’s team examined data for more than 63,800 well visits across a primary care network in Delaware, Pennsylvania and Florida. Children were 3 to 5 years of age. In Florida, nearly 46% of kids with ASD had vision screening, compared to 28% each in Delaware and…  read on >  read on >

Ask your teen about their day and try to spend more quality time together. It matters, a new study found. Teens who report better relationships with their moms and dads are healthier both mentally and physically and less likely to abuse drugs or alcohol as young adults, according to researchers. “Teens who reported higher levels of warmth, communication, time together and satisfaction with relationships and communication with parents — when re-interviewed 14 years later in young adulthood — reported higher levels of general health, optimism and quality of romantic relationships,” said study author Dr. Carol Ford, chief of adolescent medicine at Children’s Hospital of Philadelphia. These teens also reported lower levels of stress and depression, as well as lower use of nicotine, alcohol, cannabis and other drugs, she said. Exactly why or how close relationships with parents protects teens is not fully understood. “We suspect that strong positive connections between adolescents and mother and father figures are broadly protective and promote resilience even into adulthood,” Ford said. For the study, her term reviewed data from a nationwide health study of 15,000 adults who enrolled in the mid-1990s when they were 12 to 17 years of age. They were asked 14 years later about their current levels of stress, depression, optimism, nicotine and substance use, as well as other general health measures. Overall, folks who reported…  read on >  read on >

More American children have autism than previously thought, the U.S. Centers for Disease Control and Prevention reports. It also finds that the COVID-19 pandemic delayed diagnosis for many, which could have lasting impact. Data from 11 communities in the Autism and Developmental Disabilities Monitoring Network, which tracks the number and characteristics of children with autism and other developmental disabilities, revealed that at age 8, about 1 in 36 children has been identified with autism spectrum disorder (ASD). That’s 2.8% of 8-year-olds, according to an analysis published Thursday in the CDC’s Morbidity and Mortality Weekly Report. A previous estimate, done in 2018, pegged prevalence at 1 in 44 children, or 2.3%. A second report found that progress in early detection of autism among 4-year-olds in the same 11 communities slowed during the early months of the COVID-19 pandemic. They were less likely to be screened or identified with ASD than current 8-year-olds were at the same age. “Disruptions due to the pandemic in the timely evaluation of children and delays in connecting children to the services and support they need could have long-lasting effects,” said Dr. Karen Remley, director of CDC’s National Center on Birth Defects and Developmental Disabilities. “The data in this report can help communities better understand how the pandemic impacted early identification of autism in young children and anticipate future needs as these…  read on >  read on >