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Aplastic Anemia

What is aplastic anemia?

Aplastic anemia is a rare but serious blood disorder. If you have it, your bone marrow doesn't make enough new blood cells. It happens when there is damage to stem cells inside your bone marrow. There are different types of aplastic anemia, including Fanconi anemia.

What causes aplastic anemia?

The causes of aplastic anemia can include:

  • Autoimmune disorders, which are the most common cause
  • Certain inherited gene changes, such as the one that can cause Fanconi anemia
  • Toxic substances, such as pesticides, arsenic, and benzene
  • Radiation therapy and chemotherapy for cancer
  • Certain medicines
  • Viral infections such as hepatitis, Epstein-Barr virus, or HIV
  • Pregnancy

In many people, the cause is unknown. This is called idiopathic aplastic anemia.

What are the symptoms of aplastic anemia?

Aplastic anemia can develop suddenly or slowly. It can be mild or severe. The symptoms of aplastic anemia can include:

  • Fatigue
  • Weakness
  • Dizziness
  • Shortness of breath
  • Easy bruising or bleeding
What other problems can aplastic anemia cause?

Aplastic anemia can cause other problems, including frequent infections and bleeding. It raises your risk of developing a serious blood disorder.

If not treated, aplastic anemia can also lead to heart problems such as an arrhythmia (a problem with the rate or rhythm of your heartbeat), an enlarged heart, or heart failure.

How is aplastic anemia diagnosed?

To find out if you have aplastic anemia, your doctor will:

  • Take your medical and your family medical histories
  • Do a physical exam
  • Order tests, such as tests to check if you have low numbers of cells in your bone marrow and blood
What are the treatments for aplastic anemia?

If you have aplastic anemia, your doctor will create a treatment plan for you. The plan will be based on how severe the anemia is and what is causing it. Treatments can include:

  • Blood transfusions
  • Blood and marrow stem cell transplants
  • Medicines to suppress your immune system

Because of the risk of blood disorders, your doctor will monitor your condition and screen you for blood disorders regularly.

NIH: National Heart, Lung, and Blood Institute

Blood Pressure Medicines

What is high blood pressure?

High blood pressure, also called hypertension, is when blood puts too much pressure against the walls of your arteries. Almost half of American adults have high blood pressure, usually with no symptoms. But it can cause serious problems such as stroke, heart failure, heart attack, and kidney disease.

What lifestyle changes can help lower high blood pressure?

Healthy lifestyle changes can help reduce high blood pressure:

  • Losing weight
  • Being physically active
  • Managing stress
  • Reducing sodium in your diet
  • Avoiding alcohol, tobacco, and illegal drugs
  • Getting enough sleep
What if lifestyle changes alone cannot lower blood pressure?

Sometimes lifestyle changes alone cannot control or lower your high blood pressure. In that case, your health care provider may prescribe blood pressure medicines.

How do blood pressure medicines work?

The most commonly used blood pressure medicines work in different ways to lower blood pressure:

  • Angiotensin-converting enzyme (ACE) inhibitors and angiotensin II receptor blockers (ARBs) keep your blood vessels from narrowing as much and allows blood to move through them with less pressure.
  • Beta blockers help your heart beat slower and with less force. This means that your heart pumps less blood through your blood vessels. Beta blockers are typically used only as a backup option or if you also have certain other conditions.
  • Calcium channel blockers prevent calcium from entering the muscle cells of your heart and blood vessels. This allows the blood vessels to relax.
  • Diuretics remove extra water and sodium (salt) from your body. This lowers the amount of fluid in your blood. Diuretics are often used with other high blood pressure medicines, sometimes in one combined pill.

Often, two or more medicines work better than one. If these medicines do not lower your blood pressure enough, your provider may suggest that you take another type of blood pressure medicine.

While taking the medicines, it is still important to keep up with your healthy lifestyle changes. Doing both helps keep blood pressure lower than lifestyle changes or medicines alone.

NIH: National Heart, Lung, and Blood Institute

Body Weight

What is body weight?

Body weight is the total mass of your body. Keeping track of your weight is one way to check for changes in your health, but it can't tell you the whole story. That's because your weight includes muscle, bone, fat, and water. Also, everyday factors can play a role in your weight, such as your:

  • Diet
  • Activity level
  • Stress level
  • Sleep habits
  • Family history and genetics
  • Age
What factors help determine a healthy body weight?

A healthy weight is more than just a number on the scale. It's about feeling good, having energy, and lowering your risk of disease. Your health care provider can help you determine a healthy body weight based on several factors. These include your:

  • Body Mass Index (BMI). BMI is a measure of how much you weigh compared to how tall you are. The higher your BMI, the higher your risk for certain diseases. BMI does not distinguish between fat, muscle, and bone mass. It also may overestimate body fat in athletes or those with a muscular build, or underestimate body fat in older persons or others who have lost muscle.
  • Waist circumference. If most of your body fat is around your abdomen (belly) rather than your hips, you may be at a higher risk for heart disease and type 2 diabetes.
  • Health history. Your health care provider will likely consider your risk factors for diseases and health conditions, such as having high cholesterol, in determining your healthy body weight.
What are body weight ranges?

Having a healthy body weight may lower your chance of developing certain health problems. Carrying too much or too little weight can affect your health. Ranges of body weight include:

  • Underweight. Your weight is lower than it should be for your health.
  • Normal. Your weight is within a healthy range.
  • Overweight. Your weight is greater than it should be for your health.
  • Obese. Your body fat is greater than it should be for your health.

Body weight needs can be different at different ages. For children, weight and growth are tracked over time based on their age. For older adults, keeping muscle and strength is key, and sudden weight loss should always be checked by your provider.

What if I have a sudden gain or loss of weight?

Talk to your provider if you're losing or gaining weight without trying. A sudden, unexpected change in weight can be a sign of a medical problem.

Causes for sudden weight loss can include:

  • Thyroid problems
  • Cancer
  • Infectious diseases
  • Digestive diseases
  • Certain medicines

Causes for sudden weight gain can include:

  • Certain medicines
  • Thyroid problems
  • Heart failure
  • Kidney disease
  • Liver disease
How can I maintain a healthy body weight?

Maintaining a healthy body weight can improve energy, sleep, and overall wellbeing. Talk to your provider about what a healthy weight would be for you. If they recommend that you gain or lose weight, they might refer you to a dietician for support. A dietician is a professional who has special training to help you learn the best way to eat.

  • Good nutrition and exercise can help in losing weight. Even a small change in weight can lower your risk of developing certain diseases.
  • Eating extra calories within a well-balanced diet and treating any underlying medical problems can help you gain weight.

Focus on your health, not just the number on the scale. With daily healthy habits and self-compassion, you can support lasting improvements in your overall wellbeing.

NIH: National Heart, Lung, and Blood Institute

Cardiac Rehabilitation

Cardiac rehabilitation (rehab) is a medically supervised program to help people who have:

  • A heart attack
  • Angioplasty or coronary artery bypass grafting for coronary heart disease
  • A heart valve repair or replacement
  • A heart transplant or a lung transplant
  • Angina
  • Heart failure

The goal is to help you return to an active life, and to reduce the risk of further heart problems. A team of specialists will create a plan for you that includes exercise training, education on heart healthy living, and counseling to reduce stress. You will learn how to reduce your risk factors, such as high blood pressure, high blood cholesterol, depression, and diabetes. Being overweight, having obesity, smoking, and not exercising are other risk factors.

NIH: National Heart, Lung, and Blood Institute

Cardiomyopathy

Cardiomyopathy is the name for diseases of the heart muscle. These diseases enlarge your heart muscle or make it thicker and more rigid than normal. In rare cases, scar tissue replaces the muscle tissue.

Some people live long, healthy lives with cardiomyopathy. Some people don't even realize they have it. In others, however, it can make the heart less able to pump blood through the body. This can cause serious complications, including:

  • Heart failure
  • Abnormal heart rhythms
  • Heart valve problems
  • Sudden cardiac arrest (SCA)

Heart attacks, high blood pressure, infections, and other diseases can all cause cardiomyopathy. Some types of cardiomyopathy run in families. In many people, however, the cause is unknown. Treatment might involve medicines, surgery, other medical procedures, and lifestyle changes.

NIH: National Heart, Lung, and Blood Institute

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