Swallowing Toiletries, Makeup Sends Thousands of Kids to ER Each Year

Swallowing Toiletries, Makeup Sends Thousands of Kids to ER Each Year
News Picture: Swallowing Toiletries, Makeup Sends Thousands of Kids to ER Each YearBy Serena Gordon
HealthDay Reporter

MONDAY, June 17, 2019 (HealthDay News) — Take a stroll down the beauty products aisle and you’ll see rows of colorful packages, even some with pictures of fruit on them. It’s easy to see how about a dozen kids a day end up in the emergency room due to exposure to these enticing chemical concoctions.

Over a 15-year period, nearly 65,000 youngsters under 5 years of age were treated in U.S. emergency departments for injuries related to personal care products, a new study reports.

“Even though it seems to be a small number over 15 years, these data represent people, a child. It’s rare, but when it happens to you, it’s devastating,” said study author Rebecca McAdams. She’s a senior research associate at the Center for Injury Research and Policy at Nationwide Children’s Hospital in Columbus, Ohio.

According to the National Poison Data System, personal care products caused seven deaths in children between 1999 and 2015.

What kinds of products should you be concerned about? The researchers said personal care products are those that “cleanse, beautify, promote attractiveness or alter appearance.” They include:

  • Perfumes
  • Hair relaxers and perms
  • Nail polishes and nail polish removers
  • Moisturizers
  • Deodorants
  • Shampoos

“Kids this age are naturally inquisitive. They’re naturally exploring by putting things in their mouths,” McAdams said. “These products are enticing, and kids can’t read. They can’t discern between what’s lotion and yogurt, or what’s chocolate versus a body exfoliant.”

Dr. Jeffrey Fine, a pediatric toxicologist in the emergency department at NYU Langone Health in New York City, said fortunately most of these products don’t cause serious injuries or deaths.

Still, Fine said, it’s important to keep them out of little ones’ hands. Even a small bottle of perfume can cause intoxication in a child, he pointed out, because the fragrance is mixed in 100% alcohol.

The new study looked at medical records from 2002 through 2016. The data came from about 100 U.S. hospitals, including eight children’s hospitals. Researchers focused on children under age 5 who were treated in emergency departments for personal care product injuries.

From year to year, the number of injuries remained steady. Researchers had hoped to see a decline in the numbers over time.

Nail care products, especially nail polish remover, caused about 28% of injuries, followed by hair care (27%) and skin care (25%) products. Perfumes caused about 13% of the injuries, the findings showed.

About 60% of those injured were under age 2. Poisoning occurred in 86% of the injuries, usually when a child swallowed a product. Other injuries included chemical burns of the skin or eyes.

More than half of kids who were admitted to the hospital had been exposed to hair care products, such as hair relaxers or permanent solutions, the study found.

Fine warned that “there are a few products that are very problematic. Hair relaxers or perms have sodium hydroxide in them. That’s the same stuff as in drain cleaner and oven cleaner. An ingredient in artificial nail remover gets metabolized as cyanide,” he cautioned.

“The acetone found in nail polish remover can make a kid intoxicated. Typically they do well after ingesting this, but can be sick for a while,” he added.

Fine explained that it can be a bigger problem if kids breathe in (aspirate) a product such as baby oil or mineral oil into their lungs. “They can get pretty sick,” he said.

What can parents do to protect their youngsters from these ubiquitous household products?

Like other dangerous items, such as medications, store personal care products up, away and out of sight, McAdams suggests. A locked cabinet is best. Never leave these products unattended and put them away as soon as you’re done using them.

McAdams said one important step parents can take right now is to put the number for poison control — 800-222-1222 — in your cellphone. If it’s in your contact list, it’s easily accessible in an emergency.

Another important step is to keep everything in its original container.

Fine noted that “there have been a number of bad cases when people stored something in a soda bottle.”

It’s also important not to underestimate your child, he added.

“Kids can climb. A determined toddler can get into almost anything. All of us have had an experience where kids do things we never expected them to do. You need to lock away these things. And, when you take it out, put it away again right away,” Fine said.

The study was published June 17 in Clinical Pediatrics.

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SOURCES: Rebecca McAdams, M.P.H., senior research associate, Center for Injury Research and Policy, Nationwide Children’s Hospital, Columbus, Ohio; Jeffrey Fine, M.D., pediatric toxicologist and clinical associate professor, department of emergency medicine, and department of pediatrics, NYU Langone Health, New York City; June 17, 2019, Clinical Pediatrics

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When Healthy Eating Turns Into a Dangerous Obsession

When Healthy Eating Turns Into a Dangerous Obsession
News Picture: When Healthy Eating Turns Into a Dangerous ObsessionBy Cara Roberts Murez
HealthDay Reporter

Latest Nutrition, Food & Recipes News

FRIDAY, June 14, 2019 (HealthDay News) — When eating healthy becomes an around-the-clock obsession, it could be a sign of trouble.

An extreme preoccupation with clean eating is an eating order called orthorexia nervosa. Though less well-known than anorexia nervosa or bulimia — and not as well-documented — a new study review says orthorexia can also have serious emotional and physical consequences.

“Orthorexia is really more than just healthy eating,” said review co-author Jennifer Mills, an associate professor of health at York University in Toronto. “It’s healthy eating taken to the extreme, where it’s starting to cause problems for people in their lives and starting to feel quite out of control.”

The review of published research from around the world on the disorder was recently published in the journal Appetite.

Mills and her colleague Sarah McComb looked at risk factors and links between orthorexia and other mental disorders. Orthorexia, unlike some other eating disorders, is not yet recognized in the standard psychiatric manuals.

Healthy eating to the extreme

No clear line divides healthy eating from orthorexia’s extreme eating.

The foods someone with orthorexia might avoid are the same as those someone with healthy habits might avoid — such as preservatives, anything artificial, salt, sugar, fat, dairy, other animal products, genetically modified foods or those that aren’t organic.

It boils down to whether avoiding foods leads to obsession — excessive time and energy thinking and fretting about what to eat. Some people may eliminate numerous categories of food and eat only a very small number of things. People with orthorexia are typically less concerned about cutting calories than with the perceived quality of their food.

“They often are taking more and more time thinking about the foods they’re needing to purchase, particular foods, that makes it really difficult for them to just live their lives,” said Lauren Smolar, who wasn’t involved with the review. She is director of programs for the nonprofit National Eating Disorders Association (NEDA). “It can result in malnutrition or weight loss in a really difficult and potentially dangerous way.”

A person with orthorexia might be so focused on types of food and how that food is prepared that it becomes impossible to eat anything not made at home.

“It can lead to all kinds of related problems, like isolation, or not being able to eat at other people’s houses or not being able to eat in a restaurant for fear that the food won’t have been prepared in a very pure, clean way,” Mills said. “Those are the kinds of things that might lead someone to feel that it’s taking over their life.”

Cultural trends could be fueling those fears, Mills said. With the internet and social media, people have unlimited access to information — some of it good and some not based on scientific evidence.

Eating trends that restrict certain foods are concerning, said Smolar, who added that dieting is one of the biggest triggers for eating disorders. All foods are good in moderation, she said, and a diverse diet is best.

Though many think of eating disorders as a problem affecting young women, orthorexia appears to be experienced equally by men and women, the study found.

People who follow a vegan or vegetarian diet or who have a poor body image are at a higher risk.

For some, the underlying cause is another eating disorder, and clean eating is seen as a socially acceptable way to restrict calories, Mills said. For others, obsessive-compulsive or anxiety disorder may manifest in the need to eat in this very rigid way.

“In that sense it is very similar to what we see in other kinds of obsessive-compulsive disorder, where somebody might be afraid that they’re going to get sick or they’re going to be getting exposed to germs if they don’t wash their hands enough or if they don’t do something in a very particular way,” Mills said.

Getting help

Orthorexia should be taken seriously, Mills said. Talk to your primary care doctor about any concerns. Meeting with a psychologist who specializes in anxiety disorders, eating disorders or body image also can be helpful, she said.

NEDA offers an online screening tool that assesses risk and a helpline where you can talk through concerns and learn about resources.

“As awareness grows, more people are recognizing symptoms and seeking opportunities for help,” Smolar said. “It’s something that I think we still have a lot to learn about.”

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SOURCES: Jennifer Mills, Ph.D., associate professor, health, York University, Toronto, Canada; Lauren Smolar, M.A., director, programs, National Eating Disorders Association; Appetite, online, May 3, 2019

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How to Get the Jiggle Out: 3 Exercises to Tone Your Upper Arms

How to Get the Jiggle Out: 3 Exercises to Tone Your Upper Arms
News Picture: How to Get the Jiggle Out: 3 Exercises to Tone Your Upper ArmsBy Len Canter
HealthDay Reporter

Latest Exercise & Fitness News

THURSDAY, June 13, 2019 (HealthDay News) — Getting your upper arms in shape is a worthy ambition in any season, and the triceps are the muscles to target for a sleek look.

Toning them can be a challenge, but the “triceps extension” and variations of this key strength training move make up the core of an effective training routine.

For the basic triceps extension, lie flat on a mat with knees bent and hip-width apart or on a weight bench with feet flat on the floor in front of you. Hold the ends of a dumbbell or the handles of a weighted ball with both hands. Lift arms straight up to the ceiling. From this position, and without moving the upper arms, bend elbows to bring the weight toward your forehead until arms make a 90-degree angle. With control, straighten arms. Repeat.

For the first variation, from the same starting position, hold a dumbbell in each hand. Raise arms straight up to the ceiling, with palms facing away from you. Again, moving only your forearms, bend elbows until upper arms and forearms make a 90-degree angle. With control, straighten arms, but before you lower them again, rotate your wrists so that palms are facing you as you lower your forearms. Straighten arms and continue to reverse the position of your wrists with each rep.

For the second variation, from the same starting position and with a dumbbell in each hand, raise arms straight up to the ceiling. Again, moving only your forearms, bend elbows to lower the weights to the floor on either side of your head. Avoid moving your shoulders. Straighten arms to return to start.

For each exercise, aim for three sets of up to 15 reps each. Start with a weight that allows you to do eight reps per set in good form. Once you can complete 15 reps per set before reaching muscle failure, increase the weight.

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Chemoimmunotherapy Regimen Approved to Treat DLBCL

Chemoimmunotherapy Regimen Approved to Treat DLBCL
News Picture: Chemoimmunotherapy Regimen Approved to Treat DLBCL

TUESDAY, June 11, 2019 (HealthDay News) — Polivy (polatuzumab vedotin-piiq), a novel antibody-drug conjugate, received approval to treat patients with diffuse large B-cell lymphoma (DLBCL) in combination with bendamustine and rituximab, the U.S. Food and Drug Administration announced today. The combination was approved for patients whose disease has progressed or returned after at least two previous therapies.

Approval was based on a study of 80 patients with relapsed or refractory DLBCL randomly assigned to receive either Polivy with bendamustine and rituximab or bendamustine and rituximab alone. Researchers found a complete response rate of 40 percent with Polivy plus bendamustine and rituximab compared with 18 percent with bendamustine and rituximab alone. Twenty-five patients achieved a partial or complete response with Polivy plus bendamustine and rituximab; 64 percent of these patients had a duration of response of six months or longer and 48 percent achieved a duration of response of at least one year.

The most commonly reported side effects of the combination of Polivy plus bendamustine and rituximab included neutropenia, thrombocytopenia, anemia, peripheral neuropathy, fatigue, diarrhea, fever, decreased appetite, and pneumonia.

Patients should be closely monitored for infusion-related reactions, low blood counts, fatal or serious infections, tumor lysis syndrome, hepatotoxicity, and progressive multifocal leukoencephalopathy. The FDA noted that women of reproductive age should be advised to use effective contraception during treatment and for three months following the last dose, and those who are pregnant or breastfeeding should not be treated with Polivy.

Approval of Polivy was granted to Genentech.

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Health Tip: Insect Sting First Aid

Health Tip: Insect Sting First Aid

(HealthDay News) — For most insect stings, a person can be treated at home, says MedlinePlus. For non-severe reactions, first aid is as follows:

  • Do not use tweezers. Scrape a straight-edged object across the stinger for removal.
  • Wash the site with soap and water.
  • Apply ice on the site for 10 minutes.
  • Take an antihistamine, or apply cream.
  • Watch for signs of infection or severe allergic reaction.

Never apply a tourniquet or give the person a stimulant medication, aspirin or other pain medicine unless ordered by a doctor.

If a person shows signs of a severe allergic reaction — including trouble breathing, coughing, wheezing, uncontrolled sneezing, congestion or tightness in the lungs — seek immediate medical attention.

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