Posts by Staff

Home Remedies for Canker Sore

Posted by on Jan 6, 2014 in News | 0 comments

Mouth painCanker sore or aphthous ulcer is a small, painful lesion in the mouth. It is the most common open sore in the mouth and it is non-contagious. Keep in mind that it is not the same as cold sore, which tends to be on the lips. Canker sore usually occurs on the soft tissues inside the mouth and it is either white or yellow with red border. Majority of the time, no treatment is required and it resolves on its own in 7-10 days. More than 20 percent of people in the U.S have canker sore in their lifetime and some people may have more than one episode. It can occur at any age but more commonly seen among teenagers and young adults.

Canker sore does not need any treatments but there are a few home remedies you can try to relieve pain and to heal faster. You can put half a teaspoon of salt into a glass of water and rinse your mouth with it. You can also mix up half water and half hydrogen peroxide, and dab the mixture directly on the sore with a cotton swab. Then, dab small amount of Milk of Magnesia on the canker sore. You can repeat this process 3-4 times a day.

Another easy remedy you can try is to make the mixture, which contains one teaspoon of Milk of Magnesia and one teaspoon of Benadryl (diphenhydramine). This time you swish the mixture in your mouth for about 60 seconds and spit it out. You can do this process for 2-3 times a day.

There are a few pastes you can apply directly to the canker sore. They contain a numbing ingredient such as benzocaine (Anbesol, Orabase, Orajel and Zilactin), fluocinonide (Vanos) and amelxanox (Aphthasol). Some are over-the-counter while others require prescription. Always check the direction on the box to see how many times you can apply in one day.

If you have severe sores, you might want to make an appointment with your doctor. He or she can prescribe you steroid mouth rinse to reduce inflammation and relieve pain. But you will be at a greater risk for fungal infection or oral thrush with steroid mouth rinse. Another mouth rinse which contains tetracycline (antibiotic) can be given for severe canker sores.

Contributed by Patricia Hsiao M.D.
Sources: emedicinehealth.com, nlm.nih.gov, mayoclinic.com, uptodate.com

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Cranberry Juice for UTI (urinary tract infection)?

Posted by on Dec 27, 2013 in News | 1 comment

Bathroom
UTI or urinary tract infection refers to an infection anywhere in the urinary tract. Urinary tract includes the two kidneys, ureters (tubes that connect kidneys and bladder), bladder and urethra (tube that carries urine to the outside of the body). Most of the time, it is the bacteria that cause an infection and E.coli is the most common bacterium. Women tend to get UTI more often than men because the urethra is shorter in female anatomy. Thus, it is faster for bacteria to reach the bladder. It is estimated that more than 50 percent of women experience UTI in their lifetime. Some healthy, young women may have recurrent UTI, which is having more than two infections in six months or more than three infections in a year.

There are a number of ways to prevent recurrent UTI. The doctor will often switch the contraceptive methods especially if they are using spermicides and diaphragm. The doctor will also recommend the women to use the bathroom right after the intercourse and drink some fluid to flush out the bacteria in the vaginal area. For postmenopausal women, he or she will prescribe estrogen cream to apply in the vagina. One study showed that estrogen cream nightly for two weeks then twice weekly for eight months reduced UTI infection in postmenopausal women. Some doctor will give antibiotic as a preventative therapy for women who have recurrent infections. Some will take nightly for six months while others are instructed to take one dose after the intercourse. Researchers are looking into whether cranberry juice or cranberry products can prevent UTI. It would be a great alternative to prevent UTI if cranberry products truly work.

Scientists have identified some compounds or chemicals in cranberry that prevent the attachment of E.coli to the cells in urinary tract. In order for an infection to occur, bacteria must attach to the cells in urinary tract. Studies found that women who drink cranberry juice or consume cranberry products have less UTI infection. More significant decrease was seen in women with recurrent UTI. However, researchers concluded that it will require more studies to confirm whether cranberry prevents UTI and how much cranberry you will need to consume to be effective. It is suggested that you should try drinking 100 percent cranberry juice instead of mixed juices such as cranapple or crangrape.

Contributed by Patricia Hsiao M.D.
Sources: nejm.org, npr.org, uptodate.com

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Welcome to eclaireMD

Posted by on Jun 6, 2012 in News | 0 comments

Welcome to eclaireMD. We are a group of engineers, doctors, nurses, nutritionists, and other professionals who are passionate about improving health care. Our mission is to put practical tools into your hands to better control and improve the quality of your life.

Your Life, Your Health — In Your Hands.

Today marks the day that we are officially going “live,” with the launch of our web site and mobile app for general public access.  In addition to checking back periodically to our web site, you can follow us on Facebook, Google+, and Twitter.

We will be continually updating our offerings, so stay tuned.

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Weight-loss surgery can “reverse” diabetes

Posted by on Mar 26, 2012 in News | 0 comments

CBS reports: Weight-loss surgery can “reverse” diabetes, studies confirm

By CBS News Staff

(CBS/AP) Nearly 26 million Americans have type 2 diabetes, and now researchers say they may have a way to reverse the disease for many of them. Their studies give clear proof that weight-loss surgery can reverse and possibly cure diabetes and doctors are saying more people should be offered the surgery, and not just as last resort..

New study: Weight-loss surgery may cure diabetes
Diabetes: 5 dumb ways to boost your risk

The two studies, released on Monday in the New England Journal of Medicine, are the first to compare stomach-reducing operations to medicines alone for “diabesity” – Type 2 diabetes caused by obesity. Millions of Americans have it, and can’t make enough insulin to process sugar from what they eat.

Both studies found that surgery helped far more patients achieve normal blood-sugar levels than medicines alone did. Some were able to stop taking insulin as soon as three days after their surgeries. Cholesterol and other heart risk factors also improved dramatically.

Doctors don’t like to say “cure” because they can’t promise a disease will never come back. But in one study, most surgery patients were able to stop all diabetes drugs and have their disease stay in remission for at least two years. None of those treated with medicines alone could do that.

“It is a major advance,” said Dr. John Buse, a diabetes researcher at the University of North Carolina at Chapel Hill, who was no involved in the studies. Buse said he often recommends surgery to patients who are obese and can’t control their blood-sugar through medications, but many are leery of it. “This evidence will help convince them that this really is an important therapy to at least consider,” he said.

There were signs that the surgery itself – not just weight loss – reverses diabetes. Food makes the gut produce hormones to spur insulin, so doctors think trimming away part of it surgically may affect those hormones.

Weight-loss surgery “has proven to be a very appropriate and excellent treatment for diabetes,” said one study co-leader, Dr. Francesco Rubino, chief of diabetes surgery at New York-Presbyterian Hospital/Weill Cornell Medical Center. “The most proper name for the surgery would be diabetes surgery.”

More than a third of American adults are obese, and more than 8 percent have diabetes, a major cause of heart disease, strokes and kidney failure. Between 5 million and 10 million are like the people in these studies, with both problems.

For a century, doctors have been treating diabetes with pills and insulin, and encouraging weight loss and exercise with limited success. Surgery offers hope for a long-term fix. It costs $15,000 to $25,000, and Medicare covers it for very obese people with diabetes. Gastric bypass is the most common type: Through “keyhole” surgery, doctors reduce the stomach to a small pouch and reconnect it to the small intestine.

One previous study tested stomach banding, a less drastic and reversible procedure for limiting the size of the stomach. This technique lowered blood sugar, but those patients had mild diabetes. The new studies tested permanent weight-loss surgery in people with longtime, severe diabetes.

At the Cleveland Clinic, Dr. Philip Schauer studied 150 people given one of two types of surgery plus standard medicines or a third group given medicines alone. Their A1c levels – the key blood-sugar measure – were over 9 on average at the start. A healthy A1c is 6 or below.

One year after treatment began, only 12 percent of those treated with medicines alone were at that healthy level, versus 42 percent and 37 percent of the two groups given surgery.

Use of medicines for high cholesterol and other heart risks dropped among those in the surgery groups but rose in the group on medicines alone.

“Every single one of the bypass patients who got to 6 or less got there without the need for any diabetes medicines. Almost half of them were on insulin at the start. That’s pretty amazing,” said a study co-leader, Dr. Steven Nissen, the Cleveland Clinic’s cardiovascular chief.

An obesity surgery equipment company sponsored the study, and some of the researchers are paid consultants; the federal government also contributed grant support.

The second study was led by Dr. Geltrude Mingrone at the Catholic University in Rome, with Rubino from New York. It involved 60 patients given one of two types of surgery or medicines alone. The researchers set as their goal an A1c under 6.5 – the level at which someone is considered to have diabetes.

Two years later, 95 percent and 75 percent of the two surgery groups achieved and maintained the target blood-sugar levels without any diabetes drugs. None of those in the medicine-alone group did.

There were no deaths from surgery and only a few complications. Four patients in the Cleveland study needed second surgeries, and two in the Italian study needed hernia operations. Doctors note that uncontrolled diabetes has complications, too – many patients wind up on dialysis when their kidneys fail, and some need transplants.

An adult who has a body mass index (a calculation based on height and weight) of 30 or more is considered obese. That’s 203 pounds or more for a 5-foot-9 man, for example. The government recently lowered the criteria for use of gastric bands from a BMI of 35 down to 30 in diabetics or people with heart disease, opening the way for wider use of this and other procedures for obesity.

The studies “are likely to have a major effect on future diabetes treatment,” two diabetes experts from Australia, Dr. Paul Zimmet and George Alberti, wrote in an editorial in the medical journal. Surgery “should not be seen as a last resort” and should be considered earlier in treating obese people with diabetes, they wrote.

In 2008, 60 Minutes interviewed Dr. Rubino. Now he and the researchers recommend that doctors consider weight-loss surgery as a treatment for obese patients’ diabetes.

“People think diabetes is chronic, irreversible disease,” Rubino told 60 Minutes. “There is evidence now that diabetes is not always irreversible. In other words, it is not invincible.”

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