Nerve disorders Archive

A rapid heart rate—tachycardia—is a key feature of postural orthostatic tachycardia syndrome, or POTS, a mysterious condition that involves the nervous system and can cause a constellation of symptoms, including fatigue, shortness of breath, headaches, and brain fog, as well as pain in the chest, extremities, or elsewhere in the body. At least half of all cases of POTS are thought to be triggered by an infection (such as mononucleosis), which then spurs inflammation or an autoimmune response. Treatment includes drinking lots of water, eating lots of salt, and graded exercise training.

Essential tremor causes involuntary shaking, most often in the hands, head and voice. It may be an inherited condition and is different from another well-known tremor disorder called Parkinson's disease. There is no cure, but symptoms can be managed through medication and lifestyle changes.

Some older adults feel cold frequently. This may result from age-related physical changes or an underlying condition. Examples of underlying conditions that might make a person feel cold include anemia, an underactive thyroid, diabetic neuropathy, peripheral artery disease, or Raynaud's phenomenon. People who experience coldness that interferes with their daily activities or sleep should talk to a doctor about it.

The potential causes may be hard to pin down. Here are some of the most common ones — and what to do about them.

Sometimes it's easy to know why a particular part of your body is itchy. Maybe you have a bug bite, allergies, or a visible skin condition such as eczema. It's harder to know the cause when there's nothing obvious behind all-over, generalized itching. "It's the most common skin complaint in people over age 65," says Dr. Kenneth Arndt, a dermatologist and former medical editor of the Harvard Special Health Report Skin Care and Repair.

Potential causes

Generalized itching has many potential triggers. One is aging. "The skin barrier doesn't work as well as it used to, and things that may not have irritated you before may now be absorbed in the skin and cause itching," Dr. Arndt explains. "The skin also develops a somewhat impaired immune response, a reduction in fat and blood flow, and altered sensory perception, making it more prone to itching."

Ask the doctors

Q. Is there anything I can do at home to ease sciatica pain?

A. Sciatica is a condition that causes pain that radiates down the buttock and the leg. It occurs when one of the two sciatic nerves in your body, which run from your back down to your toes, is compressed or irritated. Most often the problem is triggered by a ruptured disc or arthritis in the lower spine. This condition can be quite painful, but there are some strategies you can use at home to ease your discomfort.

Nerve damage might be causing everything from low blood pressure to gastrointestinal distress without your knowing it.

Doctors have long known peripheral neuropathy as a nerve condition that causes reduced sensation, tingling, weakness, or pain in the feet and hands. But those symptoms may be just the tip of the iceberg. Doctors are now learning that neuropathy can cause many more problems.

What is peripheral neuropathy?

Peripheral neuropathy refers to damage to the peripheral nerves throughout the body. These nerves carry messages to and from the brain.

In the journals

Previous studies have shown a link between loss of smell among older adults and risk of death within a short period — often five years or less. Now, a report published online May 21, 2019, by Annals of Internal Medicine confirmed this increased risk of death over more than a decade, as well as identifying the leading causes of death.

Researchers gave smell identification tests to 2,289 adults ages 71 to 82 (about half of whom were men). They found that those who scored low on the smell test had a 46% higher risk of dying within 10 years, and 30% within 13 years, compared with those who had a stronger sense of smell.