Getting to Know “Trigger Finger”
Trigger Finger Trigger finger is a condition that arises from repetitive or prolonged gripping and bending of the fingers, causing excessive pressure between the tendons and the tendon sheath in the palm. This results in thickening of both, leading to restricted movement. It’s commonly seen in older adults who frequently use their hands for tasks such as carrying heavy objects or wringing clothes. Additionally, people with diabetes or rheumatoid arthritis are at a higher risk. Thankfully, trigger finger is both preventable and treatable with the right care.*** Women are 2-6 times more likely to develop trigger finger than men, particularly those aged 50-60. Diabetics are 4 times more likely to experience it, with around 4% of cases affecting more than one finger. Symptoms The condition causes fingers to become stuck in a bent position, making it difficult to straighten them. This can occur in any finger, and multiple fingers may be affected simultaneously. The thumb is most commonly affected, followed by the ring, middle, pinky, and index fingers. Symptoms are often worse in the morning, with pain and stiffness when first moving the fingers. As the fingers are moved throughout the day, the symptoms may gradually improve. Trigger finger can be classified into four levels of severity: Stage 1: Pain and tenderness in the palm at the tendon sheath, with occasional catching when bending the finger, though physical examination may not detect it. Stage 2: Catching is detected when bending or straightening the finger, but the finger can still extend fully without assistance. Stage 3: The finger locks, requiring help from the other hand to straighten or bend it. Stage 4: The finger is locked and cannot be fully extended. Preventing Trigger Finger Avoid prolonged activities that involve bending or straining the wrist or gripping tightly. Take breaks every 15-25 minutes when performing tasks that involve frequent hand use. Use proper hand techniques, such as writing with a large, smooth-flowing pen to reduce finger strain. For computer use, consider using a mouse pad with wrist support and keep your wrist level with or slightly below your elbow when typing. Regularly stretch and relax your hands and wrists with appropriate exercises. Source: Thai Health Promotion Foundation (ThaiHealth) แชร์
Exercising for at least 10 minutes can reduce the risk of premature death
According to the World Health Organization (WHO), about one-quarter of the global adult population does not engage in enough physical activity, defined as less than 150 minutes per week. This lack of adequate physical activity contributes to 5.5% of premature deaths worldwide, equivalent to around 3.2 million people annually, from diseases such as stroke, heart disease, high blood pressure, various types of cancer, diabetes, and respiratory issues. Recommended Physical Activity for Different Age Groups: Children (6–17 years old): Should participate in moderate to vigorous physical activity for at least 420 minutes a week, or accumulate 60 minutes of activity daily. Adults (18–64 years old): Should engage in at least 150 minutes of moderate-intensity physical activity per week or 75 minutes of vigorous activity. Older adults (65+ years): Should aim for at least 150 minutes of moderate-intensity activity per week, along with exercises to improve balance and flexibility. Three Types of Exercise for Comprehensive Fitness: Cardiovascular Fitness: Activities like walking, jogging, cycling, aerobics, rowing, and swimming enhance heart and vascular health. Muscle Strength and Endurance: Exercises such as push-ups, pull-ups, and squats, or using resistance tools like dumbbells or bands, help build strength and endurance. Those with high blood pressure should consult a doctor before starting and avoid prolonged muscle tension. Flexibility: Exercises such as yoga help reduce muscle stiffness and alleviate discomfort in areas like the back, neck, and shoulders. Stretching should be done after a warm-up and should target tight areas without overexertion. Source : Thaihealth แชร์
Volatile organic compounds (VOCs)
Volatile Organic Compounds (VOCs), commonly known as VOCs, refer to a group of organic compounds that easily vaporize and disperse into the air under normal temperature and pressure. The primary components of these substances include carbon and hydrogen atoms, along with other elements such as oxygen, fluorine, chlorine, bromine, sulfur, and nitrogen. VOCs in the atmosphere are classified as toxic air pollutants (Toxic Air). In daily life, we are exposed to VOCs through many products such as paint, cigarette smoke, bleach, solvents used in printing, automotive paint shops, industrial plants, dry cleaning agents, hair dyes and perms, pesticides, and substances released from combustion. These chemicals are commonly found in factories that use solvents, such as plastic factories, oil refineries, petrochemical plants, shoe factories, furniture manufacturers, and automobile assembly plants. VOCs contribute to the formation of ozone in the lower atmosphere, which poses health hazards to humans. These include symptoms such as illness, sore throat, difficulty breathing, eye, cornea, nose, and chest irritation, coughing, and headaches. Effects of Volatile Organic Compounds: Acute Toxicity: Inhaling benzene at high concentrations can cause central nervous system depression, irregular heartbeats, drowsiness, dizziness, rapid breathing, headaches, palpitations, confusion, loss of consciousness, and even death due to respiratory failure. Chronic Toxicity: Long-term exposure to low concentrations of benzene can impair blood production, reducing red blood cells, white blood cells, or platelets, weakening the immune system. Symptoms may include mild headaches, nausea, loss of appetite, and stomach discomfort. In severe cases, chronic exposure can lead to fatigue, blurred vision, and difficulty breathing. Impact on the Immune System: VOCs can disrupt or damage the immune system, reducing the body’s ability to fight off infections. Studies have shown that people living near toxic chemical waste sites have higher concentrations of these substances in their blood compared to those living further away. Prolonged exposure leads to an increase in these levels, with significant differences. Additionally, individuals living near toxic waste have lower white blood cell counts than those living farther away. Impact on the Nervous System: Exposure to VOCs can result in several nervous system issues, including drowsiness, dizziness, depression, and, in severe cases, loss of consciousness. Reproductive Toxicity: Women exposed to high concentrations of benzene through inhalation may experience reproductive health issues, including irregular menstruation due to reduced ovary size and difficulty conceiving due to damage to reproductive organs. However, studies in this area remain limited. Other Adverse Health Effects Volatile Organic Compounds (VOCs) can impact other bodily systems, including the genetic and hormonal systems. They may cause certain types of cancer and reproductive system disorders, such as infertility and birth defects, including gender dysphoria in children. The extent to which VOCs affect health depends on the chemical properties, the amount of exposure, the biological condition of the body, and other factors. Exposure to high concentrations of VOCs can lead to central nervous system damage, causing immediate symptoms such as unconsciousness. In cases of long-term exposure to low amounts of VOCs, chronic problems may develop, such as cancer and degeneration of internal organs. Preventing Harm from VOCs To reduce exposure to VOCs: Avoid using products with high VOC content, and opt for newer products that are VOC-free. Avoid using foam or plastic containers to heat food in the microwave. Stop smoking. Ensure good ventilation at home. Use air purifiers. Minimize exposure to heavy traffic areas. Those at higher risk of harm from VOC exposure include people with respiratory issues such as asthma, young children, the elderly, and individuals who are highly sensitive to chemicals. Additionally, those who work in or live near sources of VOCs are also at increased risk. Source : Bereau of Environmental Health Thai Health Promotion Foundation แชร์
How is Lack of sleep dangerous?
Many people enjoy nighttime activities such as watching dramas, working, playing games, or using their phones, which leaves little time for rest and sleep. They still have to wake up early for morning activities, resulting in sleep deprivation. This can lead to several negative effects, such as reduced concentration, feeling fatigued easily, getting tired quickly, difficulty in controlling emotions, and increased irritability. If sleep deprivation continues long-term, it may weaken the immune system, making you more susceptible to illness or increasing the risk of developing diabetes and heart disease. It also affects memory, learning, and critical thinking processes, which are essential for students and working individuals. Compensating for Sleep Deprivation Many people believe that after staying up late for an extended period, they can catch up on sleep over the weekend. However, this method does not effectively resolve sleep deprivation. Therefore, it’s important to allow sufficient time for proper rest. Aim for quality sleep, avoid staying up late, and ensure you get enough sleep for good health. Lack of sleep or trying to compensate for missed sleep not only fails to provide any benefit but also affects essential hormones that regulate appetite, leading to increased hunger and irregular eating habits. The body’s digestive system becomes imbalanced, which may result in fat accumulation around the waist, abnormal cholesterol levels, high blood sugar, and elevated blood pressure. This also increases the risk of heart disease, reduced brain oxygen supply, and diabetes. Quality Sleep For quality sleep, one should fall asleep within 30 minutes after going to bed, sleep soundly throughout the night, wake up no more than once, or if waking up, fall back asleep within 20 minutes. Adults should aim for 7-9 hours of sleep. Achieving quality sleep isn’t difficult by following these steps: Go to bed and wake up at the same time every day. Make your bedroom conducive to sleep, such as maintaining a comfortable temperature—not too hot or cold, and free from disturbing lights or loud noises. Avoid using mobile phones or computers 30 minutes before bed. Refrain from alcohol or caffeine before bedtime. Avoid strenuous exercise right before going to sleep. Source :Siriraj Piyamaharajkarun Hospital แชร์
Ways to Prevent Athlete’s Foot
Athlete’s Foot (Water-Induced Foot Infection) Athlete’s foot occurs when the skin on the feet becomes soft, peeled, red, itchy, and painful due to frequent exposure to water. This can cause the skin to develop sores easily and may lead to fungal or bacterial infections. Symptoms of Athlete’s Foot Irritation: Itching, redness, peeling, and soreness, commonly between the toes, around the toenails, or even on the entire foot. Infection: If a fungal infection occurs, the skin may develop itchy rashes, circular patches of peeling, and small blisters, often accompanied by a foul odor. If a bacterial infection occurs, symptoms include pain, swelling, redness, warmth, tenderness, and a foul smell. In more severe cases, there may be swelling and pain in the leg and groin on the same side, or fever may occur. How to Protect Yourself from Athlete’s Foot Avoid frequent exposure to water. If you need to soak or walk in water for an extended period, wear waterproof shoes. Dry your feet thoroughly every time they get wet, especially between the toes. Avoid wearing shoes that don’t allow air to circulate for long periods. Maintain good foot hygiene by washing with soap and water regularly. Apply moisturizer and keep nails trimmed. If you have excessive sweating on your feet, use a small amount of foot powder or antiperspirant to absorb excess sweat. If there is a wound, avoid exposing it to stagnant water and treat it promptly. Consult a doctor if you notice any abnormal skin conditions on your feet. Source : นายแพทย์ชนัทธ์ กำธรรัตน์ ฝ่ายอายุรศาสตร์ โรงพยาบาลจุฬาลงกรณ์ สภากาชาดไทย แชร์
Depression
Depression: Undermining Mental and Physical Health In recent years, there has been a growing number of news reports related to suicides stemming from depression. This condition can affect anyone and is triggered by various environmental factors or biological issues that cause the emotional center of the brain to malfunction, resulting in negative emotions and perspectives. The good news is that depression is a treatable condition, with recovery possible through medication and psychological therapy. It is important for those around the patient to be open-minded and supportive, without blaming or judging the individual. Today, we will explore the origins, symptoms, and treatment of depression to help raise awareness and prevent or promptly treat this illness. Causes of Depression Depression can result from several factors working together, including: Genetic factors: There is a high incidence of depression among the relatives of individuals with depression, suicide, or substance addiction. Physical health conditions: Conditions that directly affect the brain, such as thyroid disorders and hormonal imbalances—especially in women—or chronic illnesses that impact mental health, such as disability requiring dependence on others, chronic pain, cancer, and autoimmune diseases. Certain medications or substance abuse: Some drugs or addictive substances can interfere with brain function. Psychosocial and personality factors: High expectations, self-imposed pressure, negative self-perception, pessimism, bottling up emotions, and relying too much on others can also contribute to depression. Symptoms of Depression Depression manifests in many ways, with patients often experiencing persistent sadness, crying easily, and a lack of interest or enthusiasm. These symptoms typically last for more than two weeks and can include suicidal thoughts. Other notable symptoms include sadness, anxiety, irritability, constant anger, and a lack of joy. Patients may also have negative thoughts, feel hopeless, and lose motivation. Behaviorally, they may feel fatigued, find it difficult to focus, and experience a decline in work or school performance. Physically, insomnia, abnormal weight changes, and other symptoms can further impair daily life and relationships, as the patient may seem like a completely different person. Treatment of Depression Depression is a treatable condition, with two primary methods of treatment: Psychological therapy and medication: Different individuals may respond differently to each type of treatment, and both can be used together. Advances in modern medicine and pharmacology have led to antidepressants that are highly effective with minimal side effects, posing no harm to the liver, kidneys, or causing addiction. Seeing a psychiatrist: Patients can consult a psychiatrist for a diagnosis and counseling. Close family and friends also play a crucial role by offering support without judgment. It is important not to dismiss the patient’s symptoms as something they have made up or criticize them, as no one desires to live in turmoil. With proper treatment and mental recovery, patients can regain their confidence, hope, and independence in life. Source : Chulalongkorn Hospital แชร์
INSOMNIA
Insomnia What is Insomnia? Insomnia is a common sleep disorder characterized by difficulty falling asleep or staying asleep. People with insomnia may struggle to fall asleep at the beginning of the night, or they may wake up in the middle of the night and be unable to fall back asleep. Individuals with insomnia may experience one or both of the following symptoms: Difficulty falling asleep after going to bed or taking a long time to fall asleep. Falling asleep initially but waking up in the middle of the night and being unable to go back to sleep. What Causes Insomnia? The causes of insomnia can be divided into two main categories: Psychological and Psychiatric Causes: Including stress, anxiety, and mental health disorders. Physical Causes: Common examples include: Obstructive Sleep Apnea Limb movements during sleep that disrupt sleep Physical pain, such as joint pain or muscle pain What Conditions Can Lead to Insomnia? Several factors can contribute to insomnia, including: Stimulants like tea or coffee Decreased levels of melatonin, a hormone that promotes sleep, which naturally declines with age Exposure to light in the evening, such as from television or mobile phones before bed Irregular sleep schedules Exercising close to bedtime An unsuitable sleeping environment, such as a room that is too bright, too hot, or too cold When Should You See a Doctor? Insomnia is common and can occur in anyone due to stress, anxiety, a change in sleeping environment, or altered sleep schedules. Typically, this type of insomnia is temporary, lasting for a few days or weeks, and resolves on its own once the triggers are removed. However, you should consult a sleep specialist if you experience persistent insomnia for more than a month despite following good sleep hygiene practices. Additionally, if the issue is severe, such as experiencing excessive daytime sleepiness that leads to napping or dozing off while driving, it is important to seek immediate medical attention. Source by : Siriluk pholsiripathom, MD. Golden Jubilee Medical Center แชร์
How to Care for Your Skin after “Sun Exposure”
Many of you may have recently enjoyed a holiday and traveled to various places, which might have led to skin issues such as skin diseases or cosmetic problems caused by sunlight and heat. Since the skin is the first part of the body that comes into contact with sunlight and heat, it is most prone to issues. Common skin problems during the summer include: Skin Darkening: Due to sunlight, particularly UV rays, which generate free radicals within the skin, causing melanocytes to produce more pigment, leading to darkening. This phenomenon is more noticeable in individuals with naturally darker skin. Some people may experience long-lasting skin darkening after just three days of sun exposure. Sunburn: This occurs when the skin is exposed to a high amount of sunlight, often seen in individuals with fair skin. Symptoms include redness and a burning sensation. In severe cases, the skin may blister and peel. Skin Care After Sun Exposure: Many people may experience rashes or flare-ups of pre-existing skin conditions, such as eczema, when exposed to sunlight or heat. Some individuals may suffer from sun allergy, where the skin is overly sensitive to sunlight, resulting in rashes like solar urticaria. Another type of rash that may occur is a photosensitive reaction caused by medications, vitamins, supplements, or topical creams. These substances may not normally cause an allergic reaction but can trigger one upon sun exposure. Testing for allergens may be necessary in such cases. Heat Rash: In hot weather, red bumps resembling heat rash may appear, especially on the torso, areas where the skin is compressed by clothing for extended periods, and areas with excessive sweating. These bumps may also be itchy. Melasma, Freckles, and Dark Spots: These are common issues. Many people with existing melasma or freckles may notice these spots darken after prolonged sun exposure. Acne scars may also darken when exposed to sunlight. Premature Skin Aging and Skin Cancer: Prolonged and regular sun exposure can lead to premature skin aging. Signs of sun-induced skin aging include wrinkles, dry skin, uneven skin tone, dilated blood vessels, enlarged pores, and sebaceous glands. The skin may become rough and thickened, especially in areas with significant sun exposure, which could indicate a future risk of skin cancer. If these problems occur, initial first aid includes avoiding sunlight and heat, whether by staying in the shade, wearing protective clothing, using an umbrella, or wearing a hat to prevent further damage. If you suspect a photosensitive reaction from medications or topical creams, discontinue use. Sun-induced skin darkening will gradually fade over several weeks to months, or you may use creams containing depigmenting agents to accelerate the process. For various skin conditions and sun-induced flare-ups, topical and oral medications may be required. There are several treatment options for melasma, freckles, and dark spots, including medications and laser therapy to remove excess pigment. It is recommended to consult a specialist for appropriate treatment.” Source: Thai Health Promotion Foundation แชร์
Food Nutrition“Pulmonary Tuberculosis”
Nutrition for Pulmonary Tuberculosis Patients Tuberculosis (TB) is a significant public health issue in Thailand. In 2015, the World Health Organization (WHO) classified Thailand as one of the 14 countries facing severe TB problems globally, estimating around 120,000 new TB cases annually. Tuberculosis is an infectious disease caused by bacteria and can be spread through coughing, sneezing, and droplets from the lungs of TB patients. Individuals contract TB by inhaling these airborne bacteria into their lungs. Common symptoms of pulmonary TB include loss of appetite, coughing, phlegm, fatigue, shortness of breath, and altered taste, which can result from both the disease and side effects of medication. These symptoms often lead to rapid weight loss, increasing the risk of malnutrition, which can further exacerbate the disease and intensify adverse reactions to treatment. Malnutrition and Tuberculosis Typically, TB patients receive treatment and medication according to medical guidelines. However, nutrition is another critical factor that TB patients or their caregivers must consider. Due to the symptoms mentioned earlier, patients often have reduced food intake, leading to a rapid weight loss of 3-5 kilograms within 2 weeks. This weight loss impacts the Body Mass Index (BMI), often dropping below the normal range, and results in muscle mass loss due to insufficient nutrient and energy intake. This can affect overall health, leading to reduced immunity, slow wound healing, thin skin, increased infection risk, weakness, difficulty in movement, pressure sores, chronic wounds, and ultimately, an increased risk of mortality. Nutritional Guidelines for Tuberculosis Patients Consume a Balanced Diet: Eat from all five food groups to ensure adequate nutrient intake. Protein-rich foods such as meat, eggs, and legumes help build immunity and prevent muscle loss. Carbohydrates from whole grains like brown rice and whole wheat bread provide B vitamins, which can reduce tingling in the extremities and boost appetite. Vegetables and fruits should be varied to provide essential nutrients and strengthen the immune system, helping prevent respiratory infections. Healthy fats from sources like rice bran oil, soybean oil, and corn oil provide energy and warmth. Choose fats with good fatty acids. Increase Meal Frequency: If food intake is low, divide meals into 5-6 smaller portions throughout the day, each containing a source of protein. Incorporate healthy fats like omega-3 fatty acids to ensure sufficient nutrient and energy intake. Daily protein intake should be 1-1.2 grams per kilogram of ideal body weight. Avoid Certain Foods: If the patient has a cough and phlegm, avoid fatty meats, animal skins, fried foods, oily foods, coconut milk, cold drinks, and oils high in saturated fats (e.g., animal fats, palm oil, coconut oil). Also, avoid gas-producing foods such as pickled items, beans, carbonated drinks, alcoholic beverages, strong-smelling foods, and instant foods like instant noodles. Avoid Alcohol and Smoking. In addition, TB patients or caregivers should regularly weigh the patient, at least once a week, to monitor weight loss and assess the risk of malnutrition. This information can be shared with the treating physician and a multidisciplinary team to evaluate, plan, and support the patient’s recovery through nutrition, self-care, and appropriate exercise. Source by : Mr.Thanawat chachiyo (Nutritionist) Golden Jubilee Medical Center แชร์
Diseases during Rainy Season
The Rain Can Affect More Than Just Your Mood Aside from being cautious of your emotions, the high humidity and dropping temperatures during the rainy season can also lead to several diseases. Each year, hundreds of thousands of people become ill. What diseases should you be aware of? Find out here. Acute Diarrhea This is a common group of gastrointestinal infections, often caused by consuming food contaminated with microorganisms that affect the intestines. This includes diseases like dysentery, typhoid, and food poisoning. Symptoms: Diarrhea with watery stools, possible fever, abdominal cramps, and in cases of dysentery, mucus or blood may be present in the stool. Recommendation: Eat hot food, use shared utensils with caution, and wash hands frequently. Influenza This is a common respiratory disease group, and currently, there are outbreaks of the new H3N2 influenza strain and avian flu, which originates from poultry. These viruses can mix with human influenza strains during the rainy season. Symptoms: High fever, muscle aches, runny nose, and cough. Complications, particularly pneumonia, are common in high-risk patients. Recommendation: Use a mask, and wash hands frequently. Leptospirosis (Rat Fever) This infectious disease group is contracted through skin wounds or mucous membranes, commonly found in dogs or farm animals like pigs, cows, and buffaloes, as well as rodents. Those at risk include farmers, farm workers, freshwater fishermen, sewer workers, and those who wade through floodwaters. Symptoms: Sudden high fever, headache, severe muscle pain in the calves and thighs, and red eyes. About 5-10% of cases may progress to severe symptoms, such as jaundice, kidney failure, or shock. Recommendation: Avoid wading in standing water, and wear boots. Dengue Fever This mosquito-borne disease is primarily transmitted by Aedes mosquitoes, with over 80% found indoors, breeding in stagnant water. Other mosquito-related diseases to watch for include Japanese encephalitis and malaria. Symptoms: In the early stages, symptoms resemble a general viral infection, with fever and body aches. There may be severe bone pain, with fever lasting 2-7 days, followed by abnormal bleeding, cold hands and feet, or shock. Recommendation: Apply mosquito repellent, stay away from mosquito-prone areas, and eliminate breeding grounds. Additionally, if dirty water splashes into your eyes, it can cause conjunctivitis or pink eye. Prolonged exposure to dirty water can lead to fungal infections like athlete’s foot. See a Doctor Immediately if You Have Suspicious Symptoms As the rain begins and illness sets in, it’s best to consult a doctor before taking fever-reducing medications. Avoid aspirin, as it can be dangerous for certain diseases like dengue fever, influenza, and leptospirosis, which can be life-threatening. Source: Thai Health Promotion Foundation แชร์
