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Advice about daily aspirin

The heart-protecting benefits of a daily low-dose aspirin have to be weighed against the risk of bleeding, a common side effect that is usually minor but sometimes serious. The calculation depends on age and whether a person has cardiovascular disease, diabetes, or a condition that raises risk of bleeding.

Easing summer swelling

Lower leg and foot swelling is most often the result of an abnormal buildup of fluid, which doctors refer to as edema. Fluid tends to flow downhill, making it more likely to pool in the lower parts of the body. Excess fluid retention can be triggered by many things, including eating too much salt, heat, drinking alcohol, or standing for a long period of time. To reduce it, reduce dietary sodium, elevate the feet at the end of the day and wear support stockings.

How can you manage anxiety during pregnancy?

During pregnancy it's completely normal to experience a certain amount of anxiety about the baby, giving birth, and becoming a new parent. But for some women this worry takes over their thoughts and becomes debilitating. There are treatments available that may or may not involve medication, depending on the individual situation.

Back to the future: Psychedelic drugs in psychiatry

There is a renewed interest in the potential for psychedelic drugs to be used for medical purposes in the treatment of a variety of psychiatric conditions. Broadly, these drugs are able to induce altered thoughts and sensory perceptions, and research has found them to be beneficial in treating depression and post-traumatic stress disorder, and they can also be helpful for some people in end-of-life situations.

Choosing the right ED drug

Men have a higher risk of having erectile dysfunction (ED) as they age and many can benefit from taking an ED drug. There are currently four choices in the US, and men usually adopt a trial-and-error approach to find the drug and dosage that works for them. The choice also can be dictated by how fast they want the drug to work and how long the effect will last.

Are you taking too many supplements?

Taking too many dietary supplements can lead to potential problems. Examples include medication interference, difficulty managing a complicated regimen, missed prescription medication doses, and overdoing it on nutrient intake. It’s not that all supplements are without benefits. For some people, specific supplements may offer some chance of benefit, and little risk. But going overboard can be risky. It’s important to speak with a doctor before starting a supplement to make sure it won’t interfere with one’s health or current medications.

When pain slows your new walking regimen

There are lots of aches and pains that can slow down a new walking regimen. Examples include heel pain from plantar fasciitis, shin pain from spinal stenosis, and joint pain from osteoarthritis. Treatment varies, depending on the cause. Once pain has been addressed, it’s important to set realistic goals for a walking routine, starting with five or 10 minutes per day and gradually increasing the time. Doctors recommend an ultimate goal of 30 minutes of daily brisk walking.

Alternatives to warfarin may be safer, more effective for afib

For people with certain types of valvular atrial fibrillation, drugs known as direct oral anticoagulants (DOACs) may be safer and more effective than warfarin (Coumadin). DOACs include apixaban (Eliquis), dabigatran (Pradaxa), and rivaroxaban (Xarelto).

Diastolic blood pressure: Worth a second look?

A diastolic blood pressure reading lower than 60 mm Hg may be linked to an increased risk of heart attack and stroke in people at high cardiovascular risk. Diastolic pressure tends to fall with age. Some people with a low reading have a leaky aortic valve, which interferes with normal blood circulation throughout the heart and causes diastolic pressure to fall. But in people with healthy aortic valves who can be physically active without any symptoms (such as chest pressure, shortness of breath, or lightheadedness), a low diastolic blood pressure should not pose a problem.

Why do I bruise so easily?

Noticeable bruises as a person ages are related to the tiny blood vessels in the outer layer of skin becoming more fragile. There is not much people can do about this, but they should see their doctors if bruises resemble red or purple spots, appear only on the lower legs, or become painful.

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