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Troubled by migraines? Cut back on your caffeine drinks

In the journals

Over-the-counter pain medicines that contain caffeine can be effective at stopping some headaches. But drinking a large amount of caffeinated beverages might actually trigger a headache for some people with migraines, according to a study published in the August 2019 issue of The American Journal of Medicine.

Researchers recruited almost 100 people with migraines who suffered from fewer than 15 headaches per month. For six weeks, they recorded the timing and characteristics of each migraine and their intake of caffeinated beverages.

Hot flashes and heart health

This symptom is common in menopause, but frequent or persistent episodes could be a sign of higher risk for heart attack or stroke.

Researchers have begun to pay more attention to cardiovascular risk factors that are unique to women, such as early menopause (before age 40) and certain pregnancy complications. Recently they turned their attention to a common menopausal symptom that affects up to 85% of women: hot flashes.

Study results presented in September 2019 to the North American Menopause Society from the Study of Women's Health Across the Nation (SWAN) found that women who experience frequent or persistent hot flashes may be more likely than women who don't to experience a heart attack or stroke or other serious cardiovascular problems. (Researchers defined "frequent" hot flashes as having them six or more days in the previous two-week period. Women with "persistent" hot flashes reported those frequent hot flashes at 25% or more of study visits.)

Eosinophilic esophagitis: A new food-related allergic condition on the rise?

Eosinophilic esophagitis is an allergic inflammation of the esophagus that most typically develops as an allergic response to certain foods. The exact cause is unclear, but if left untreated it can lead to permanent scarring or narrowing of the esophagus.

Heart attacks in women

Although hard-to-read heart attacks happen to both men and women, they are more common in women. One reason for this is that men's symptoms initially set the standard for recognizing heart trouble. Now a growing body of research shows that women can experience heart attacks differently than men.

Understanding sex differences in heart disease is important. Heart disease is the leading cause of death for women. Although it mostly affects older women, it isn't rare in younger women. One in 10 of all women who die from heart disease or a stroke are under age 65, and this age group accounts for one-third of heart- or stroke-related hospitalizations. Even so, younger women and their doctors don't necessarily suspect a heart attack even when all the signs are there.

Bad mix: Blood thinners and NSAIDs

 

 

 

 

 

Image: Anita_Bonita/Getty Images

Take the lowest dose of NSAIDs and stop using them as soon as possible.

Blood thinners are usually given to people at risk for developing blood clots from conditions, such as abnormal heart rhythms. Use of these lifesaving medications requires caution with other drugs, especially painkillers called nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen (Advil) or naproxen (Aleve). But plenty of people take the risk to relieve aches and pains. "Many of the patients who need blood thinners are older and therefore at risk for arthritis, so it's not infrequent for a patient to be on both a blood thinner and an NSAID," says cardiologist Dr. Deepak L. Bhatt, a Harvard Medical School professor.

Trouble with crossword puzzles? Improve your semantic memory

Semantic memory is your store of factual knowledge and the meanings of words. It also helps you recall nonverbal concepts and relationships between words and concepts. And while some aspects of memory may decline with age, semantic memory does not.

One hearing aid or two?

 

If you’re like most people with hearing loss, you’ll probably find that it takes time to accept the idea that you need a hearing aid, and you may be unhappy when your audiologist recommends that you get not one, but two. Chances are that your first question will be, “Is it normal to get two hearing aids?” And then, “Do I really need two?”

If you have hearing loss in only one ear and normal or nearly normal hearing in the other, then one hearing aid is all you need. But most people have hearing loss in both ears, especially if the loss is age-related. (You may have one ear that’s better than the other, but chances are both will be in the same ballpark.) In that case, research and experience suggest that you’ll ultimately be more satis­fied with two hearing aids.

Who needs aspirin?

Age, family history, and other risk factors determine if daily aspirin can help prevent a heart attack or stroke.

For many of us, aspirin was the go-to medicine of our youth. Everything from headaches, colds, and general aches and pains were treated with two aspirin and a glass of water.

For decades, aspirin was widely believed to be a safe way to protect healthy adults from heart attacks and strokes. But over the past couple years, new research has questioned this premise and many doctors have already stopped prescribing aspirin for adults at low risk of cardiovascular disease.

Now hear this: Don’t ignore sudden hearing loss

You have a brief window to seek treatment.

Everyone's hearing naturally declines with age, and people often have one ear that hears better than the other. But if hearing loss appears suddenly in one ear for no apparent reason, you may have experienced sudden sensorineural hearing loss, or SHL, a kind of nerve deafness.

There are about 66,000 new cases of SHL per year in the United States, according to research in the August 2019 issue of Otolaryngology — Head and Neck Surgery. But these numbers are hard to come by, since the condition may be underdiagnosed.

Flu shot may lower risk of early death in people with high blood pressure

In the journals

Need another reason to get your annual flu shot? It could protect you from a fatal heart attack or stroke if you suffer from high blood pressure, according to research presented at a 2019 joint conference of the European Society of Cardiology Congress and the World Congress of Cardiology.

Previous research has found that the inflammation from a flu infection can trigger a heart attack or stroke, and people with high blood pressure are especially at high risk.

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