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Prediabetes: A window of opportunity

About 96 million Americans have prediabetes, defined by elevated blood sugar levels that are not high enough to qualify as diabetes. Risk factors include overweight or obesity, family history, and inactivity. People with prediabetes may have more infections and frequent urination or blurry vision after big meals. Lifestyle changes such as maintaining a healthy weight, exercising, eating healthy foods, drinking alcohol moderately, and not smoking may prevent prediabetes from progressing to diabetes.

IBS in the crosshairs

Irritable bowel syndrome (IBS) affects up to 45 million Americans, two-thirds of whom are women. IBS is categorized into three types depending on which symptoms dominate: diarrhea, constipation, or a mix of both. Possible contributors include changes in gut bacteria, faulty nerve signals between brain and intestine, pelvic floor problems, and genetics. Newer treatment approaches target pathways involved in symptoms. Doctors are also repurposing older drugs for IBS, including certain antidepressants and the antibiotic rifaximin (Xifaxan).

Battling a "brain storm"

Migraines, which affect nearly 40 million Americans, are likely vastly underdiagnosed and undertreated. Women are three times more likely to get migraines than men, and hormones appear to be a major trigger. Other triggers include stress, disrupted sleep patterns, hunger or dehydration, certain foods or medications, and bright lights or loud noise. Newer medications are more targeted and pose fewer side effects. They include CGRP (calcitonin gene-related peptide) blockers, more effective nasal sprays, and green light therapy.

Try this: The nose knows about nasal rinses

Rinsing your nasal cavity with a saline solution using a neti pot or small ball syringe can be a simple and inexpensive way to find relief from common sinus problems.

Why do my ears feel clogged?

Ears can feel clogged due to impacted earwax, swollen or blocked eustachian tubes, or hearing loss. If the sensation persists, a doctor should examine a person's ears and hearing.

Was it something you ate? Follow these steps when food makes you sick

Symptoms of food-related illness can show up hours or even days after ingesting a harmful microbe or toxin. Symptoms of food-related illness might include intense nausea, vomiting, stomach cramps, diarrhea, or possibly a low-grade fever (below 101° F). Someone with food-related illness should rest as much as possible, stay hydrated, and avoid sugary drinks or alcohol. A person who develops a high fever, bloody stool, severe abdominal pain, or severe dehydration should go to the emergency room.

Feel woozy? Do this first

People who've never experienced wooziness should call 911 if the symptom comes on suddenly or severely, especially if it's accompanied by other symptoms. However, a person who has experienced wooziness before or been unwell recently should sit down, have a drink of water or juice, and rest for 10 to 15 minutes. If the feeling of wooziness persists, if other symptoms develop, or if it's hard to get up without feeling faint, one should call 911.

Can long COVID affect the gut?

Some people who have been infected with the virus that causes COVID-19  have experienced lingering effects like low energy and brain fog. Could gastrointestinal problems be another aftereffect of the virus?

The skinny on fatty liver

The body's second largest organ, the liver is responsible for more than 500 bodily functions. One of the liver's greatest threats is nonalcoholic fatty liver disease (NAFLD), an umbrella term that includes several forms of liver disease. Most people with NAFLD have a type known as simple fatty liver. However, up to 20% of people with NAFLD develop inflammation in the liver known as nonalcoholic steatohepatitis (NASH). Left unchecked, this more dangerous form can progress into fibrosis (scarring) and potentially cirrhosis (severe scarring and liver damage). Lifestyle changes, such as weight loss, increasing exercise, and adopting a plant-based diet are the best means to manage and prevent NAFLD.

Harvard study: Shingles linked to a spike in risks for heart attack and stroke

A 2022 observational study that included more than 200,000 people found that those who'd had shingles at some point had a 30% higher long-term risk for a major cardiovascular event, compared with people who didn't have shingles.

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