Travel precautions for hemophilia A patients

Travel precautions for hemophilia A patients

Hemophilia is a rare genetic bleeding disorder that affects a fraction of the people in the country. According to the Centre for Disease Control, roughly 12 out of every 100,000 males are diagnosed with hemophilia A. The bleeding is caused by a missing factor VIII protein, responsible for the blood’s clotting function. This inherited disorder is challenging to manage, and one must take the following precautions, especially while traveling with hemophilia A.

Consult with a specialist

Always consult with a doctor to understand if traveling with hemophilia A is possible in the first place. One should reconsider if the bleeding symptoms are severe. Some vaccinations for hepatitis A and B are recommended for patients who plan to travel. Doctors also provide a travel letter that explains the disorder for security purposes. Only then can airport officials allow prescriptions and care package supplies on board with the passenger.

Prepare a precautionary kit

Understand that airline baggage restrictions are not applicable for doctor-approved prescriptions and emergency supplies. So, patients can pack everything conveniently into a carry-on bag. However, it is the patient’s responsibility to label and mark all supplies, as there are certain prescriptions or equipment that cannot be exposed to X-ray scanning at the airport. Also, travel delays can happen, so pack enough to ride out any contingencies.

Checklist for supplies

The regular checklist should include vials of the prescription, a diluent for preparing thin solutions, and a reconstitution device for mixing the factor VIII solution. Other things include disposable syringes, cleaning alcohol, cotton pads, disinfectant, and a container to dispose of all supplies carefully. Doctors may also recommend additional supplies that need to be packed with the emergency kit. The checklist should also contain a list of hemophilia treatment centers (HTC) along the planned route. National and global HTC directories are available online for reference.

Medical information

It is recommended that patients carry all necessary emergency contact information while traveling with hemophilia A. Doctors also suggest wearing a medical ID bracelet that alerts medical professionals about the condition. This is quite handy in cases where the patient cannot explain what’s wrong or loses consciousness.

Check insurance

Always carry updated information for travel and medical insurance. Hospitals can be expensive in foreign countries, so double check to see if preexisting conditions like hemophilia A are covered under the policy.

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Rheumatoid arthritis – Things to avoid to manage the condition

Rheumatoid arthritis or RA is the inflammation of joints, leading to cartilage degeneration. It is an autoimmune disease wherein the immune system attacks the body's tissues and can be caused by the wear and tear of the joints. It is estimated that more than 20 percent, which is over 50 million people, get diagnosed with rheumatic conditions like arthritis. Here are some things to avoid in daily lives for better management of rheumatoid arthritis. Leading a sedentary lifestyle A sedentary lifestyle is one of the biggest risk factors for rheumatoid arthritis. Lack of movement can weaken the joints, making it challenging to manage rheumatoid arthritis. Doctors recommend doing some light intensity exercises to relieve pain due to arthritis and help build stronger joints. Bad posture Bad body posture can put excess weight on weakened joints, which can worsen rheumatoid arthritis. A good body posture reduces the pressure on the joints, thereby reducing other symptoms like excess joint pain and trouble walking or doing simple chores. Wearing high heels High heels can put a lot of pressure on the hips and knees. This can aggravate arthritis symptoms. The cartilage around the joints can get damaged further, resulting in pain and inflammation. Performing high-intensity exercises Joints tend to weaken with age, and performing specific exercises damages the weakened joints and aggravates rheumatoid arthritis caused by inflammation triggered by exercising. Consuming refined carbohydrates Refined carbohydrates such as white flour, rice, pasta, pizza, and many breakfast cereals have little to no nutrient value. Having too many sources of refined carbohydrates in one's meals can increase and worsen arthritis symptoms. Consuming refined carbohydrates with refined sugar in the form of pastries and cakes can be even more harmful, as they can increase inflammation and pain. Eating processed foods Processed foods contain high amounts of preservatives in the form of MSG (monosodium glutamate). These preservatives can increase the amount of sodium and uric acid in the body. Excess uric acid in the body can result in its crystallization in the joints, resulting in pain and inflammation. Drinking aerated drinks Aerated or carbonated drinks contain high amounts of sugar. These drinks increase the risk of one putting on visceral fat and being diagnosed with diabetes and reduce the body’s ability to absorb calcium. Low calcium levels in the body increase the risk of osteoarthritis. Women with low calcium levels stand a greater chance of getting rheumatoid arthritis. Otezla® (apremilast) is used to treat the symptoms of active psoriatic arthritis in adults that works by inhibiting an enzyme (phosphodiesterase 4) within the immune system that can affect certain cells and contribute to inflammation in the body. In very early studies, Otezla showed potential in the treatment of RA.

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Hyperkalemia – 10 foods to avoid

Potassium plays a huge role in the health of our heart muscles and nerve cells. And high levels of this element in the blood cause hyperkalemia. If you consume meals high in potassium, your doctor may advise you to decrease portion sizes and concentrate on fruits and vegetables with a lower potassium content. Here is a list of foods rich in potassium that must be avoided if you have hyperkalemia. Yogurt and dairy products A serving of nonfat yogurt weighing eight ounces has roughly 625 mg of potassium, making it one of the dairy aisle's highest sources of potassium. Even reduced fat milk contains 366 mg of potassium in a glass of cow's whole milk. Ricotta and cottage cheese are also high in potassium. Goat cheese is a low potassium food, proving that not all cheeses are made equal. Likewise, About 131 milligrams of potassium may be found in a half cup of vanilla ice cream. Bananas When people consider foods high in potassium, bananas frequently come to mind. A banana normally contains 422 mg of potassium. Among all the fruit, bananas are athletes' favorite as they provide energy. However, it could be highly dangerous for someone suffering from hyperkalemia. Consult your doctor if you have hyperkalemia and stick to fruits such as apples and berries. Leafy vegetables About 420 milligrams of potassium can be found in only a half cup of cooked spinach. Raw spinach, young or mature, has roughly 167 mg per cup. Fennel, bok choy, beet greens, and Swiss chard are also high in potassium. You can opt for kale instead. Kale has more nutrients than these other dark leafy greens, but it has less potassium. 73 mg is present in one cup of raw kale. Fish Clams, which provide 534 mg of potassium in just 3 ounces, are the finest source of protein from seafood. Around three ounces of skipjack tuna offers 444 mg, another major source of potassium. One of the most popular fish, salmon, frequently has a lower potassium content. Keeping a check on what type of fish you are eating if you have hyperkalemia is a must. Kidney beans Beans are a balanced addition to any meal plan as they're rich sources of protein and fiber. However, according to data from the USDA, one cup of the kidney-shaped type has 713 mg of potassium. A half-cup of black beans has 489 mg of potassium. Avocado This creamy, green-fleshed fruit is packed with 690 mg of potassium and is high in fiber and heart-healthy lipids. Although it might seem good for your heart, you should avoid it if you have hyperkalemia. Potatoes Potassium is heavily concentrated in potatoes; 925 milligrams of potassium may be found in a baked potato. A three-ounce portion of french-fried potatoes has 470 mg of potassium and a lot of fat and calories. The potassium content in an ounce of potato chips is 465 mg. Indulging in fast foods like fries is adverse for those with hyperkalemia. Oranges A single orange has 240 mg of potassium, making it a food with a high potassium content. With 450 mg per 8 oz glass, orange juice is a more potent source of potassium. Fruits vary in their potassium content. Berries are a poor source of potassium and can be a decent substitute for oranges and orange juice. Another good option is apples. Dried fruits The nutrients in fruit, including potassium, that have been dried are concentrated. You get roughly 750 milligrams from half a cup of dried apricots. Also, even though raisins and dried plums make a fantastic snack, they should be avoided by someone with hyperkalemia. Legumes and beans Legumes are a significant source of potassium as well. White beans have the most, with 600 mg of potassium in a half cup. In half a cup serving, other legumes such as lima beans and pinto beans have between 300 and 350 mg.

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