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Doctor’s Q&A...
Rohypnol is the name of the so-called date-rape drug. It was manufactured to treat sleep disorders with effects similar to valium (diazepam) but is about 10 times stronger. Manufactured by Hoffman-La Roche, it is only legally available on prescription, though it is illegal in the United States. But, due to its cheap street price, it has become widely used among club goers. Roofies and R-2 are among the street-slang terms for the drug.
It dissolves easily in drinks and leaves no taste or odour. Mixed with alcohol, it causes blackouts. The manufacturer has tried to counter these effects by adding blue dye and making it more difficult to dissolve. It takes effect within 20-30 minutes, acting as a sedative and inducing amnesia. As with all drugs of abuse, it's best to avoid and for your daughter to be extra vigilant when out with strangers.
Tourette's syndrome (TS) is a neurological condition which causes sudden apparently uncontrollable movements (called motor tics) and uncontrollable vocal sounds (vocal tics). It is inherited and emerges in the childhood and teen years. The severity and nature of the symptoms vary from case to case and often disappear in adulthood.
Facial tics such as eye blinking, nose twitching or grimacing are most common, but body tics such as shoulder-shrugging, sudden jerking and jolts can also develop. In rare cases some may have a tic that makes them harm themselves, such as head banging. Persistent grunting, shrieking, muttering, throat clearing and yelping are typical vocal tics. Random swearing, called coprolalia, is the most popular conception of the condition, but in fact is a chronic symptom that affects only one-third of sufferers.
Although it is thought to be caused by a gene abnormality, the research is so far inconclusive.
It is important to remember Tourette's does not affect a person's intelligence, it is not degenerative and people with it can expect to live a normal, healthy lifespan.
Gastroenteritis is a very common problem and is usually caused by a viral or bacterial infection of the gut. The main symptoms are vomiting and diarrhoea, which can be very watery or contain blood or mucous. There can be accompanying symptoms such as headache, fever, abdominal cramps and generalised aches and pains. It generally lasts for a few days.
The cause is often not very obvious and most cases can be managed at home. Treatment involves measures to avoid dehydration, achieved by having a good fluid intake, including electrolyte solutions to replace salts and minerals, taken as frequent sips rather than gulps. Solids and dairy food should be stopped for at least 24 hours. Special care needs to be taken with the elderly and the very young. Anti-emetics and anti-diarrhoeals are best not used in the initial stages unless the symptoms are severe.
Food poisoning occurs when the offending bug produces a chemical called a toxin. In the early stages, food poisoning is indistinguishable from viral gastroenteritis but is more likely to occur during the summer months when foods have been left out of the fridge for some time. It can occur in both restaurants and the home, but careful hygienic handling of food should prevent it. Global mass production of food has increased the opportunity for food poisoning to affect large populations.
Many people do not need medical help and make a recovery.
You need to get this checked out. It can be due to a number of problems, though sometimes no reason is found. If you're on the Pill the cause could be a hormone imbalance. You may need to change the Pill you're on or use a different method of contraception.
A cervical erosion, an ectropion, could be the culprit. This is a red velvety area on the cervix which bleeds when it is touched. The cells that normally line the cervical canal can also cover an area on the exposed part of the cervix. This is a normal response to oestrogen stimulation and is commonly seen in younger women on the Pill and during pregnancy.
A cervical polyp is a fleshy growth that can protrude through the cervix. Usually innocent, they can bleed when touched and are easily treated. Infections such as chlamydia and other causes of pelvic inflammatory disease could be to blame and are usually easily treated. A woman with any kind of bleeding between periods or after sex, even if it's only spotting, should seek medical advice.
It is a common problem that people identify areas where the fat doesn't seem to shift. Excess fat is distributed fairly evenly throughout the body, though in women it tends to deposit more on the hips, waist and thighs and in men on their stomach and waist. Exercise and diet will reduce the overall fat in your body, but exercise aimed at toning up the muscle in the problem areas will help with the appearance. There are lots of classes which concentrate on problems areas. If you've done all of these things and are the normal weight for your height, then you should accept your shape and not worry about it.
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