Basic Care Children's Ibuprofen Oral Suspension, 8 Ounce

Types and areas of headaches! Treatment of causes of severe headache

Headache is a health problem that almost everyone faces during a certain period of their life. What are the types and regions of headaches that include multiple causes, even dangerous situations? What are the causes, symptoms and treatment of headache, which we frequently hear about in the community from seven to seventy?

Headache is one of the most common health complaints that we both complain about ourselves and other people complain about. There are different types of headaches depending on the severity, duration, occurrence of the headache and how the pain begins. Common headaches in general may not be of great danger and can easily be treated, but in some cases may be caused by a much more advanced cause. In other words, headaches that start suddenly and last for a long time and which have intense intensity can be very serious causes. If we categorize the types of headaches, they are divided into two as primary and secondary headaches. If we examine primary headaches; migraine, tension type, puberty and cluster headache. If we examine secondary headaches; Head and neck injuries, brain vascular diseases, brain nerve diseases, brain diseases, brain tumors, rise in brain pressure, brain infections, sinusitis are caused by such diseases. On the other hand, daily chronic headaches are also common.

WHAT ARE THE SYMPTOMS OF HEADACHE?

Headache may occur in only one part of your head, or it may be a pain in both parts of your head. On the other hand, headache can be seen with the head region and sometimes also in the upper part of the neck or back.
Occasionally, headache can occur with very sharp, severe, throbbing pain. A headache complaint may start suddenly or may develop slowly. Headache may last a day temporarily, but sometimes it can show its effect for days. If the headache persists for a very long time, it is advisable to seek medical attention immediately. On the other hand, sudden headaches that begin and continue to exacerbate the effect of the disease is likely to be a harbinger of a dangerous disease should not be neglected and the necessary treatment method should be supported by the doctor.

WHAT ARE THE HEADACHE TYPES AND REGIONS?
WHY ARE THE FIRST HEADACHES?

1) MIGRAINE PAIN
Although the cause of migraine has not yet been fully elucidated, it is known that genetic and environmental factors play an important role. Migraine is a headache caused by enlarging and narrowing of the brain vessels due to various triggers. It also focuses on the possibility of migraine from blood circulation problems and changes in the 5th brain nerve (trigeminal), which play an important role in transmitting pain signals.
Some types of food such as stress, hunger, insomnia, chocolate and wine, sensory signals such as sound or images are possible triggers of migraine. In some women, normal hormone fluctuations also trigger migraine.
Research suggests that serotonin and other pain regulating chemicals may have an impact on the occurrence of migraine. The low level of serotonin during migraine produces a signal that causes the trigeminal nerve to release the 'neuropeptide' molecule. When neuropeptides reach the meninges, that is, the brain membrane, this leads to headaches associated with migraine.
2) TENSION TYPE HEADACHE
Tension headache is a pain that can include neck and scalp. It usually starts at the back of the head and spreads forward. Stretching of the shoulder, neck, scalp or jaw muscles is the main cause of this type of headache. In this type of headache, which is the most common headache, anxiety, depression, stress or head injury can lead to muscle tension and headache.
Activities where the head is held steady for a long time, such as working at a computer, can cause tension-type headaches. Other triggers of this type of headache include excessive exertion, poor sleep position, insomnia, tooth grinding, weakness, sinusitis, eye fatigue, or skipping meals.
Some foods are also known to trigger headaches. Old cheeses and chocolate are among these foods. Natural or artificial substances in foods can trigger headaches. Alcohol and headaches are always mentioned together. In addition, a person with a coffee habit, for example, may experience headaches due to a lack of caffeine if he does not drink the usual amount of coffee every day.
3) ADOLESCENCE HEADACHE
According to a recent study of young people aged 12-18, tension-type and migraine-type headaches occur in this period. Along with hormonal changes, changes in both psychological and environmental relationships have shown that young people complain of headaches. Adolescence is a period of stress for young people. For example, increasing exam stress and intensifying curricula in high school age can trigger headaches.
4) CLUSTER HEAD
Cluster headache starts suddenly and can be severe enough to wake a person from sleep at night. The pain manifests itself several times a day and may last for months. Then the pain disappears in the same way and does not appear again for several months. Although the exact cause of such pain is not yet known, some scientists think it is related to the immediate release of serotonin or histamine secretion. Bright lights, high altitude, temperature and physical fatigue can trigger cluster headaches. Cluster headache is less common than other types of headache.

WHY DO THE SECONDARY HEADS ARISE?
Secondary headache occurs as a symptom of another disease. If you are experiencing severe, frequent, headache-like headaches that you have never experienced before, there may be another discomfort that needs to be addressed.
If you have headache, vomiting, nausea, confusion and visual impairment, you should see a doctor immediately. Early diagnosis is very important, as some of the underlying diseases of secondary headaches are life-threatening.
Diseases that may cause secondary headaches can be listed as follows:
- Head and neck injuries
- Brain vascular diseases
- Brain nerve diseases
- Brain diseases
- Brain tumors
- Increased brain pressure
- Brain infections
- Sinusitis

WHY DO THE DAILY CHRONIC HEADACHES ARISE?
Daily chronic headaches may occur as a symptom of the diseases listed above and shown to cause secondary group headaches. However, another possibility is that these pains belong to the primary group and are not caused by any disease. In this case, your body may be overreacting to pain signals, or your brain's pain suppressing signals may not be performing well enough.
Most people who do not have any other illness but who complain of everyday pain often have recurrent headaches because they often take painkillers. The body, which is used to painkillers, responds with a headache when the drug is not taken. If you take painkillers more than 3 days a week and more than 9 times a month, you are at risk of daily headaches.

What are the methods that can be applied at home for the treatment of headache?
Exercise regularly. Exercises in outdoor conditions will help you more.
Get a massage. Massages of your temples to relieve your headaches will allow you to rest and relax.
Apply hot shower and cold compress.
Take care to eat regularly. Do some food supplements in this scope. Vitamin B2, coenzyme Q10, magnesium sulfate is good for your headache.

When should he go to the doctor for headaches?
If a headache occurs in the following cases, you should immediately consult a doctor.
Confusion in understanding problem and speaking
Fainting
In case of high fever, 39 C to 40 C and more
Numbness, weakness or paralysis on one side of your body
Neck eclipse
If vision problems begin
If you have a problem with your speaking
If there is a problem with your walk
Nausea or vomiting (unless it is clearly related to the flu or other problem)
Other symptoms that you need to have yourself examined by your doctor are;
If you have more frequent headaches than usual,
If you have more severe headaches than usual,
When you cannot see any effect of over-the-counter medications taken to prevent the headaches from getting worse,
When work begins to block your sleep or normal activities


17AXX
Basic Care Children's Ibuprofen Oral Suspension, 8 Ounce

Kirkland Signature USP Ibuprofen, 2 Bottles 200 mg of 500 Tablets Each

Go to emergency doctor if headache and high fever

Headaches are seen in almost everyone. You need to be careful with your symptoms and act accordingly. Most do not scatter money in the palm of a useless useless treatment methods. To avoid pain, do not sleep, do not get tired, eat a balanced diet

Male to female, big to small, headache is the most frequently mentioned complaint. Therefore, it has an important market area. From alternative medicine to botoxists, from private clinics to meditation, a handful of money is scattered to this market. As most of them are functional, they do not provide any benefit and exaggerated diagnosis and treatment techniques deepen the existing anxiety and depression. Our brain may be insensitive to pain, but it must be sensitive to deception.
We have to be conscious not to fall into such kes pain-traps “. We should be aware that drinking a cup of mint tea or saying words of love and compassion is more effective than many drugs. And we should not forget that it is one of the cheapest and right treatment methods to turn off TV, mobile phones and tablets frequently, which strains and enslaves us.

Balanced diet
Don't sleep. Don't get too tired. Eat well. Avoid smoking and alcohol. Stay away from noise. Stay away from stress. Love life. Be tolerant. Don't stretch, don't stretch. Don't be slaves to modernity.

Throbbing ones are very important
Throbbing headaches are characterized by a throbbing synchronized to the heartbeat. Throbbing is also referred to as murmur by some. Throbbing headache is common in patients with migraine and high blood pressure. There is no throbbing in tension headaches. Migraine is a functional headache that is soya-attracting and throbbing. Before the onset of a migraine crisis, rosemary and mint tea is a good option for the first symptoms.

Compression and printing
Tension headache is a slowly developing functional headache. Pain is exacerbated but never intolerable. The most common complaint in tension headaches is the feeling of squeezing and pressure. It is also expressed with shoulder, neck, back and arm pains.
There are also those who express tension headache as jaw pain alone or eyelid fatigue. As the pain begins, drinking a glass of chamomile or mint tea and rubbing the temples with lavender are more beneficial than the pill.

Gathers in two groups
There are two main headaches; functional and organic; and more than 170 headaches are defined under these two groups.
The most common headaches are functional headaches. Functional pain means pain that is not related to a pathological cause. The most abused pains are these kinds of pains.
Large vessels that feed the brain, brain membranes, ears, nose, eyes, teeth, sinuses, nape and back muscles are organs that are sensitive to pain. It is understood that the brain is insensitive to pain and is suitable for fooling.

Be careful to see the couple
If the headache suddenly started. If the intensity increases with time. If it causes double vision. If it was post-traumatic. If he showed up after 50. If the neck has stiffness. If you have nausea and vomiting. For the first time. With high fever
Danger if sensory loss occurs. These data are conditions that require immediate diagnosis and treatment.


16AXX
Kirkland Signature USP Ibuprofen, 2 Bottles 200 mg of 500 Tablets Each

Basic Care Ibuprofen Tablets, 500 Count

Which health problem does headache indicate?

Many people notice the various health problems they experience from time to time with the symptoms seen in their body. These symptoms sometimes occur as nausea, sometimes fever, and sometimes as a severe headache. Headache, which is one of these symptoms, can be a harbinger of another underlying health problem. Headache can be long, short, severe, sudden onset, never ending. Headache is not a disease alone, but a symptom. Defining which health problem this symptom is caused by is important for proper treatment.

What type of headache do you have?
There are many different types of headaches, even though they are in the same region in terms of pain felt. In fact, headaches are divided into two main groups as “primary, primary and functional” and “secondary, secondary and symptomatic.. In the primary group, tension, migraine, neuralgic, cluster-type pain, while the second group, benign or malignant brain tumors, hydrocephalus, meningitis, hypertension, head trauma as a symptom of other diseases such as head trauma is seen. Primary group headache types with specific characteristics are listed as follows:

1. Tension type: Tension type headaches that can last for years is followed by fluctuations. Usually there is an increase in intensity towards the evening hours.

2. Migraine type: Migraine-type pain, which may have pioneering symptoms called öncü aura ında at the beginning of seizures, is sometimes accompanied by nausea and vomiting. Migraine-type pains can cover half or all of the head, can be very rare or occur several times a week.

3. Cluster type: Cluster type pain, which is mostly seen in spring and autumn seasons, can last for 30-45 days and is very severe and usually occurs as unilateral pain. If such pains awaken from sleep in the morning, accompanied by tears, the cluster type should be suspected. Treatment-resistant cluster-type headache may benefit from oxygen administration, albeit limited.

4. Neuralgic type: Neuralgic pain in people experiencing pain; sudden electric shock or swelling. Increased sensitivities of nerve endings, cold effects, circulatory disorders, caffeine and nicotine effects, central nervous system excitatory (stimulating) neurotransmitter substances may develop due to various reasons such as the increase. Of these, the most common cause is known as exposure to cold.

If nausea and vomiting accompany, the mass is suspected

Secondary; In other words, symptomatic headaches start especially slowly and increase every day and are seen in a certain area of ​​the head without displacement. If nausea and vomiting accompany this picture, the possibility of growing mass within the head comes to mind. In addition, if there is fever and infection, inflammatory diseases of the brain such as meningitis and encephalitis need to be investigated. If there is head trauma before the headache, it is important to consider this situation first.

Most common headaches

Almost everyone experiences tension headaches at some point in their lives. These pains are most often caused by stress and contraction of the head and neck muscles. The contraction leads to a decrease in blood flow in the tissue, which leads to the accumulation of pain substances, which forms a vicious circle. Migraine headaches affect 30-35 percent of women and 20-25 percent of men. Migraine, an inherited and repetitive disorder, is caused by neurochemical effects in the brain and changes in the diameter of the brain vessels.

Overloading the senses is dangerous!

Functional headaches are mostly caused by stress or overloading the senses. When the eyes are exposed to frequent computer use, bright lights and sun; headaches are triggered when kept in noisy environments for a long time. In addition, inhaling odors such as chemicals, perfumes, exposure to extreme cold or heat, air conditioning or airflow can cause headaches during the day. Those with migraine headaches should avoid painful foods containing tyramine, sodium benzoate and monosodium glutamate, some types of cheese, canned foods, prepared foods, chocolate, shellfish and fermented beverages that will trigger the pain. As far as all these factors can be avoided, it is possible to avoid headaches. Since the cause of each of the secondary pain is different, it is important to pay attention to general health rules and hygienic principles and to protect against pain-causing diseases.


15AXX
Basic Care Ibuprofen Tablets, 500 Count

Advil Junior Strength Chewables (24 Tablets, Grape Flavor), 100mg Ibuprofen, Fever Reducer/Pain Reducer, Ages 2–11, Pack of 2

What is good for headaches?

Stress, intense work tempo, emotional reasons birden More than one factor in your daily life can make your body tired. Headache is one of the most common health problems faced in your fast and active life. Sometimes you may suffer from headaches due to adverse weather conditions, sometimes extreme stress or other reasons. Of course, the habits of your habits should not be forgotten. So sometimes you can get rid of headaches with simple solutions. Acıbadem University Atakent Hospital Neurology Specialist Dr. Murat Aksu, headache causing factors and can be done to relieve connective pain told.

1 liter of water for headaches

Drinking water is the only reason for the emergence of some headaches. For this reason, it is necessary for people who have headaches to take enough water and liquid every day. This amount is 2-3 liters depending on the season, daily activities of the person and the nutrients taken in the diet. In addition, the water to be taken during the headache, headache will pass more quickly. Drinking 1 liter of water, 4 cups of water during both migraine and tension headaches, can even relieve the pain completely without taking painkillers.

Don't stay hungry
Fasting is an important factor that causes migraine and tension headache. But to avoid headaches, you should not eat crammed food. The feeling of hunger may trigger migraine and tension headaches. So if you have one of these headaches, when you start feeling hunger, you can prevent the headaches from eating small things. But sometimes migraine can cause severe nausea with headache. In this case, eating may increase nausea. Especially people with such nausea migraine may need to be more careful not to starve.

Don't be addicted to painkillers
In most of the headaches, painkillers have a negative effect on long-term treatment even if they relieve the pain for a short time. Frequent and improper use of painkillers is an important cause of the occurrence of a headache that occurs almost every day, called ‘chronic daily headache.. Treatment of headaches caused by frequent and multiple painkillers is more difficult to treat than other headaches. In addition, frequent painkillers, in fact, change the type of pain and make it difficult to apply permanent treatment. Therefore, the point that should not be forgotten; unnecessary pain relief is not taken in headaches.

When to see a doctor?
Most headaches do not require immediate medical attention. Headache;

If it has never happened before,
If he awakened from sleep at night,
If there is vomiting, nausea, dizziness,
If there is loss of vision, loss of sensation or weakness in the arm and leg,
If it didn't exist before and appeared after the age of 30,
If seen in children, it is necessary to consult a physician as soon as possible.

Try the massage method
Relaxation methods such as massage and meditation and yoga are very effective in the treatment of some headaches. These relaxation methods are particularly effective in tension headaches. Tension-type headaches are mostly bilateral, headaches that are more intense at the nape and top and are compressive or stretching. Relaxation methods are also effective in migraine headaches. Therefore, instead of taking an immediate painkiller, applying one of these methods may be a more effective and harmless solution. However, headaches and neck hernia due to disorders of the neck vertebrae massage can be dangerous. Do not massage if this is the case.

Make your relationship with caffeine 'measured'
The effect of coffee and caffeine in the coffee on the headache depends on the amount. If a person who consumes caffeine constantly does not take caffeine for a day, headache occurs. For example, a person who drinks 1-2 cups of coffee a day at work during the week may experience headaches if they do not drink coffee at home at the weekend. However, excessive consumption of coffee can also cause headaches. Excessive consumption of caffeine-containing beverages other than coffee can also cause headaches. Therefore, small consumption of coffee can be a way of preventing headache. So few of the coffee decision, most damage.

Choose a smoke-free life
Smoking has a negative effect on headache as in most diseases. Smoking increases the severity of the pain, both when taken during most headaches; as well as headaches more frequent and severe. It can also be a harbinger of negative and dangerous situations such as headaches, arteriosclerosis and blockage, where smoking is a factor. Do not smoke during headaches.

Do not drink alcohol
Alcohol causes an increase in the severity of most headaches. However, alcohol is also an important trigger of migraine headaches. It is very important that people with migraine limit their alcohol consumption to protect them from migraine attacks. Alcohol itself is also a cause of headache. Even small amounts of alcohol can cause headaches. In this case, it is especially important to take plenty of fluids. Fluid intake with alcohol is an important factor in the prevention of alcohol-related headaches. If you are experiencing alcohol-related headaches; for at least four glasses of water. Do not drink alcohol if you have a migraine headache.

Get fresh air
Particularly tension-type headaches are more common in office environments and indoors. Therefore, in headaches that start when you are indoors, instead of taking an immediate painkiller, changing your environment, going outdoors and walking can be a headache.

Exercise regularly
Regular physical activity and exercise prevent both migraine and tension headaches. However, if there is an increase in the severity of headache with physical activity or if headache occurs before exercise, it is necessary to consult a physician.


14AXX
Advil Junior Strength Chewables (24 Tablets, Grape Flavor), 100mg Ibuprofen, Fever Reducer/Pain Reducer, Ages 2–11, Pack of 2

Infants' Motrin Concentrated Drops, Fever Reducer, Ibuprofen, Dye Free, Berry Flavored, 1 Oz

How does headache go? What is good for a headache and how is it treated?

Excessive stress, fatigue, effort, etc. during the day. headaches can be faced for many reasons. There are different types of severe headaches, the lives of millions of citizens can affect the short-term or long-term. So much so that it can trigger various problems such as nausea and fever, which is an issue that requires absolute attention. Sometimes a simple headache massage can be used to solve this health problem and sometimes it does not work. So how does headache go? What is good for headaches? Together with the solution movements for you at home, we talked about what might be good for this health situation.

Although headache is one of the most common health problems in daily life; age, race, gender and so on. is not affected by any factor. In other words, both a woman and a man can also see an old grandfather when a child is young. This situation affects the short or long term people according to their severity and affects the quality of life very negatively. So, how does headache go away and what good is headache?

Individuals who encounter this problem over and over again make the right determination about the causes of headache; if necessary, should appear to physician control.

What are headache types?
At this point, the cause of the pain is very important. Because headache is considered to be 'primary' if it is not caused by any illness, and 'secondary' if it recurs due to a health problem in the brain or body. Stress, exertion, fatigue etc. in daily life. The pain caused by the disease is considered the 'primary' group.

CAUSES OF HEADACHE
Although the causes of headache are quite diverse; it is not possible to reduce it to certain reasons. Because stress during the day can trigger severe headaches, as well as infection conditions may pave the way for this health problem.

The most common types of headache on patients are:

Migraine: Pain, although throbbing is often severe. There is a pain in one side of the head. Nausea or vomiting may occur. It can end in two hours or more than three days of pain
Tension headache: Surrounding the head, is seen in the form of compression. Low and moderate severity. Stress, stress and excessive effort is the main source.
Adolescence: In addition to hormonal changes, changes in both psychological and environmental relations have shown that young people complain of headaches. Adolescence is a period of stress for young people. For example, increasing exam stress and intensifying curricula in high school age can trigger headaches.
Cluster headache: Although it is seen less than other types, it causes trouble to the individual with sudden attacks. So much so that it can be severe enough to awaken one's sleep at night. Although the cause of these pains is not yet known, it may be a source of redness or vomiting in the eye area.
Trigeminal neuralgia: May cause severe pain due to excessive contractions of the muscles in the face.
Blood pressure-related: Occurs after the rise of blood pressure. It is usually felt on the neck.

Head and neck injuries
Brain vascular diseases
Brain Nerve Diseases
Brain diseases
Brain tumors
Increased brain pressure
Brain infections
Sinusitis

WHAT IS GOOD FOR HEADACHES?
Take note of your pains. Note which time zone during the day and after which events you are experiencing headaches. Thus, you will be more careful and conscious about these activities.
Consume water. At least 1 liter of water per day should be taken care of.
Make sure you get your sleep. Sleep is the sine qua non of a healthy life. Sleep deprivation is one of the main triggers of headache.
Do not skip meals, do not starve. Another way to avoid headaches is not to skip meals. So that you do not starve to be absolutely careful.
Try to avoid stress. Stress is linked to many ailments, and headache is one of them. It is difficult to avoid stress in everyday life; however, try to keep stress away from your life in order to improve your quality of life and avoid this problem.
Avoid consuming alcohol. As a result of excessive alcohol consumption, headache may be faced during that day or in the morning of the following day. Accordingly, either limit or end your alcohol consumption.
Try massaging. Depending on the location of the pain, you can relax by massaging. Headache message is very effective, especially tension and migraine type pain. With gentle movements, you can rub both sides of your head, neck and head; you may ask someone you know.
Medicines. Painkillers are used immediately in small or large pain situations; however, it poses a great danger to the kidneys and other organs. It should not be dependent on the use of painkillers. As a result of regular painkillers 'chronic headache' problems may arise. Pay attention to the use of medication according to the advice of your doctor.

WHEN TO GO TO THE PHD?
If the severity of the headache is of an unprecedented magnitude,
If it does not respond to any treatment,
If it occurs in children and the elderly,
Vomiting, nausea and so on. problems,
If it causes trouble during any action,


13AXX
Infants' Motrin Concentrated Drops, Fever Reducer, Ibuprofen, Dye Free, Berry Flavored, 1 Oz

Infants' Motrin Concentrated Drops, Fever Reducer, Ibuprofen, Dye Free, Berry Flavored, 1 Oz

FEVER IN CHILDHOOD

Dear mothers and fathers, in this week's article, I will talk about “fever olan, the fearful dream of parents in childhood. Fever, infection and non-infectious stimulation is the increase in body temperature. Fire is a powerful defense mechanism of the body. Normal body temperature is specific to the individual and varies during the day. It is the lowest in the morning and the highest in the evening. Factors such as measuring location in the body, ambient temperature, being overclothed, exercise, hot bath affect body temperature.

Here, I would like to mention especially the situation of newborn babies. In our society, there is a belief that newborn babies will get cold and get sick immediately. Therefore, the temperature of the baby's environment is extremely high and moreover, babies are dressed many times in this extremely hot environment. Babies are kept under a woolen blanket while mothers and other members walk around the house in summer clothes. This leads to an increase in the body temperature of the babies and unnecessary blood tests on the babies assuming that there is a fever by mistake.

Fever is a complaint that pediatricians frequently encounter. The most common cause is viral infectious diseases. However, serious bacterial infections may also be caused in young infants. This should be distinguished by the examination and evaluation of the physician. Infection factors are an important reason for the application of feverish children to the health center. Physicians regulate the patient's course of disease, examination findings and laboratory results if necessary. In addition to infectious diseases, there are many causes of fever. Particularly, the high ambient temperature is perceived as a fever in babies and children.

How to reduce fever and what should be done? The question also concerns mothers closely. Physical cooling and medications can be used to treat fever. Medications should not be the fastest and first choice tool. Because fever is a defense mechanism in the body to fight infections. The family must be informed about this. The first option should be applied to the child who we call peripheral cooling, such as having a warm shower, removing clothes, applying cold to certain points of the body with a wet cotton or towel, and lowering the ambient temperature. Fluid intake is very important in febrile children. Because when the body temperature rises, our water loss increases. Therefore, it is very important to ensure that water, which is vital for all of our organs, is more vital in the course of febrile diseases. The decrease in daily activity of infants and children, significant decrease in nutrition and decrease in urine output are the points that should be warned in febrile diseases. In addition, fever phobia of the family should be reduced. Every family is very afraid of fire. Most families have the belief that fever is the same as referral. This understanding is wrong. Fire is an important defense mechanism for the body to fight germs. It should be emphasized to families that antipyretics do not prevent the transfer. Our goal should be to make the child feel better.

Fever treatment is individual. Antipyretic therapy should be arranged according to the clinical condition of each patient with the advice of a physician. Antipyretics should not be given simultaneously or alternately. Such applications increase the likelihood of side effects of these drugs. Therefore, you should talk to your physician in detail about your hot child. Start all medicines with the advice of your physician. Hope to meet you on healthy days. Sincerely.




12AXX
Infants' Motrin Concentrated Drops, Fever Reducer, Ibuprofen, Dye Free, Berry Flavored, 1 Oz

Motrin IB, Ibuprofen 200mg Tablets for Fever, Muscle Aches, Headache & Back Pain Relief, 225 ct.

Acute Rheumatic Fever (Heart Rheumatism)

Acute rheumatic fever (ARA) or heart rheumatism, commonly known as pt rheumatic fever bakteri, usually occurs in individuals between the ages of 5 and 15 years after a throat infection (tonsillitis, pharyngitis) with a bacterial strain called Streptococci. inflammation of the joints, inflammation of the heart, swelling under the skin, involuntary sudden movements called Sydenham Koresi and red colored rashes on the skin, usually feverish. In the initial stage of the disease, death due to heart failure due to inflammation of the heart may occur. ARA is not seen in every child with upper respiratory tract infection, and its incidence is between 1-3 in 100 patients.

It is more common in the years after the initial stage (acute period) and is a valvular heart disease caused by initial cardiac inflammation. Mitral valve is usually affected in girls, whereas aortic valve involvement is more common in boys.

Clinical picture:

Arthritis: inflammation of the joints (wrist, elbow, knee, ankle, etc.), very painful, wandering (usually one to two joints in one joint, while passing another joint), leading to limitation of movement, accompanied by increased temperature and redness. It occurs in 75% of patients. Absence does not exclude ARA. The incidence increases with increasing age. It typically responds very quickly to aspirin treatment. If there is no response to aspirin treatment, the diagnosis should be reviewed.

Carditis (heart inflammation): It is seen more frequently in young children and decreases with increasing age (<3 years 90%, 30% between 14-17 years). The patient may have chest pain, shortness of breath and palpitations. On physical examination, heart murmurs are heard. Heart inflammation can be passed without any clinical findings. Rheumatic heart valve disease usually occurs as a valve stenosis or insufficiency 10-20 years after the first episode (febrile stage). Mitral valve is frequently affected (75-80%) and may be associated with mitral stenosis or insufficiency or both. Aortic valve disease is less common than mitral valve (30%) and tricuspid and pulmonary valves are less affected (<5%).


Sydenham Koresi: It develops in 10-30% of ARA cases. They are involuntary, fast, bouncing movements that often develop on the face, tongue, arms and legs. It is more common in girls. The occurrence of the disease after the febrile stage is usually later than other disease symptoms. This waiting period can be between 6 weeks and 6 months. It is often associated with carditis.

Subcutaneous nodules: 10-20% incidence. Hard, painless, 0.5-2 cm in size, usually seen on the tendons on the outer face of the joints. Coexistence with inflammation of the heart is common.


Skin rash: The most rare finding (5%). They are round, red around, pale middle, slightly raised skin. Coexistence with inflammation of the heart is common.

Laboratory findings

Throat culture must be taken. ASO antibodies are high in 80% of individuals (over 300 units). The sedimentation rate, which is the hourly sedimentation rate of blood, and the levels of CRP secreted from the liver are very high. Increased leukocytes in the blood count in the acute period is a common finding. In patients with cardiac inflammation, x-ray may increase the size of the heart.

Treatment and prevention

Antibiotic treatment: With or without throat infection, benzathine penicillin should be administered in a single dose of 1.2 million units in adults and 600,000 units in children. The faster the penicillin is administered to a child with a throat infection, the less likely it is to develop ARF. This application is called primary prophylaxis.
Anti-inflammatory treatment: Aspirin treatment is standard. Toxic symptoms of the disease are controlled and inflammatory swelling of the joints and heart is suppressed. Aspirin is given in the first 24-36 hours every 4 hours, and then every 6 hours in equal doses. The daily dose is recommended as 80-100 mg / kg in children and 4-8 g / day according to the patient's weight in adults. After two weeks, the daily aspirin dose is reduced to 60-70 mg / kg, and usually within 6 weeks the dose is gradually reduced and discontinued. Steroids are given to patients with severe heart involvement. Glucocorticoid (1mg / kg / day) in the form of diuretic. After 2-3 weeks the dose is reduced and completed in at least one month. When the daily dose is decreased to a total of 10 mg, aspirin should be started.

Prevention of recurrent attacks (secondary prevention)

If the child has a history of cardiac inflammation in the first episode, the likelihood of recurrence is higher in the first 5 years (20%). This treatment should be applied to at least 40 years of age in patients with heart valve damage, and at least 21 years of age in patients without heart damage.


11AXX
Motrin IB, Ibuprofen 200mg Tablets for Fever, Muscle Aches, Headache & Back Pain Relief, 225 ct.