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7 things your dog wants you to know about separation anxiety

2024-05-14T09:01:00

(BPT) – Have you ever looked at your dog’s big sweet eyes and wondered, “What is going on inside your head?” If your answer is yes, you’re not alone. While your dog can’t communicate with you verbally, you can still pick up on the signs of separation anxiety. The sooner you do, the sooner you can talk to your veterinarian about potential treatments, such as Reconcile® (fluoxetine hydrochloride). Knowing what your furry friend is thinking could help save you both a lot of stress. Here’s what your pup might say about the struggles of separation anxiety.

1. “I hate it when you leave.”

Separation anxiety causes up to 17% of dogs to engage in problematic behavior when left alone, such as when you leave for work or to run an errand.1,2 While some dogs are predisposed to separation anxiety, others seem to develop it out of nowhere. Several things can trigger your dog’s nervous tendencies, such as a change in routine, loss of a family member, or a new living situation. If your dog’s separation anxiety developed suddenly, try pinpointing what may have changed in your life.

2. “When you get overly affectionate, I worry you’re not coming back.”

Dogs are empathetic creatures that can sense when something’s up. When you show an exaggerated amount of emotion before you leave, they can start to freak out.3 You may believe you’re showing love, but your dog sees it as a sign of impending doom — in other words, you walking out the door. To avoid this, remain calm and ignore your dog for 20 to 30 minutes before leaving so you don’t create a heightened state of arousal just prior to your departure.

3. “I destroy things because I feel the need to escape or distract myself.”

The signs that your dog has separation anxiety are often easy to spot. Think of the things that shock you when you get home: chewed-up doorways, torn-up cushions, trash strewn everywhere, or maybe a note from your neighbor saying your pup barked constantly all day.4 If it’s something that rarely happens when you’re home, it could be a sign of separation anxiety.

4. “I’m not misbehaving. I’m scared.”

Your dog isn’t being naughty. Your dog isn’t being spiteful. Your dog is anxious. When left alone, dogs with separation anxiety often feel compelled to escape or do something else to release their nervous energy, which manifests to you as “acting out.” If you arrive home and find a mess, stay calm. Your dog doesn’t realize they did something “wrong.” Never punish your dog for house soiling or destruction — this will only increase the anxiety associated with anticipating your return.

5. “I wish I had something fun to do while you’re gone.”

Keeping your dog occupied when you leave can help alleviate anxiety and keep them focused on something besides your absence. Giving them their favorite toy or treat can help them focus on something other than the stress of you leaving, as well as associate your departure with something wonderful and delicious!

6. “I don’t want to be anxious anymore. Can we work on it together?”

Behavior modification training is an important part of managing separation anxiety in dogs. Following the BOND® training program is a great place to start. BOND stands for: Be Positive, Only Reward Calm Behavior, No More Drama When You Come and Go, and Develop Your Dog’s Independence. These easy-to-follow steps can help build your dog’s confidence and gain a sense of security when alone. To learn more, visit reconcile.com/bond-training-information.

7. “Will you ask my veterinarian about Reconcile?”

Reconcile is a once-a-day chewable tablet and FDA-approved medication commonly used to treat separation anxiety in dogs in conjunction with behavior modification training, like the BOND program. If you think your dog has separation anxiety, talk to your veterinarian about a training plan that includes Reconcile and learn more at reconcile.com.

There is no overnight solution or quick fix for your dog’s separation anxiety. It takes hard work and dedication, but when you approach it with empathy, a challenging situation becomes an opportunity for growth and bonding. Remember, your dog looks to you for guidance and reassurance, so approaching separation anxiety with patience, love, and a proactive mindset will lead to a happier, healthier relationship for both of you. If you think your dog has separation anxiety, speak with your veterinarian today.

1Bamberger M, Houpt KA. Signalment factors, comorbidity, and trends in behavior diagnoses in dogs: 1,644 cases (1991-2001). JAVMA. 2006;229(10):1593.

2Tiira K, Sulkama S, Lohi H. Prevalence, comorbidity, and behavioral variation in canine anxiety. J Vet Behav. 2016;16:38.

3Horwitz DF. In Horwitz D, Mills D (eds). Separation-related problems in dogs. BSAVA Manual of Canine and Feline Behavioural Medicine, 2nd ed. Gloucester, UK: British Small Animal Veterinary Association, 2010.

4Schwartz S. Separation anxiety syndrome in dogs and cats. J Am Vet Med Assoc. 2003;22(11):1526-1532.

IMPORTANT SAFETY INFORMATION: The most common adverse events reported in decreasing order of reported frequency are: decreased appetite, depression/lethargy, shaking/shivering/tremor, vomiting, restlessness and anxiety, seizures, aggression, diarrhea, dilated pupils, vocalization, weight loss, panting, confusion, incoordination, and excessive salivation. Reconcile chewable tablets are contraindicated for dogs with a history of seizures or when used with drugs that may cause seizures. Consult your veterinarian for complete safety information or click here to read the package insert.

The information, tools and material presented on this site are provided for informational and educational purposes only. Please consult your veterinarian for an official diagnosis of canine separation anxiety and to learn more about Reconcile. Click here to read the complete terms and conditions regarding use of this website.

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The Milk Bank Challenge: Empowering women to donate breast milk to babies in need

2024-05-14T09:53:00

(BPT) – Did you know women can donate their breast milk to infants in need? It’s a powerful opportunity to have a profound impact on families, yet many women simply don’t know it exists. But there’s a way for lactating women to donate this liquid gold to babies who need it.

It’s called the Milk Bank Challenge. It was created by ConceiveAbilities Surrogacy Agency in 2022, when the worldwide supply of infant formula dropped to dangerously low levels. The goal was to empower lactating women to donate their breast milk to help bridge the gap between formula supply and the number of babies, especially at-risk premature babies, who desperately needed that nutrition.

Since its launch, the Challenge has inspired more than 2,000 women to donate an astonishing 2 million ounces of breast milk to the program. Last year alone, lactating women were inspired to donate 1.3 million ounces of breast milk, 15% of all milk donated nationwide. To give you an idea of the scale of this effort, one single ounce of breast milk can feel a baby in a Neonatal Intensive Care Unit (NICU) for a day.

Spurred on by the Challenge’s success, ConceiveAbilities increased their goal for this year, and the first step toward achieving that is to increase awareness.

That’s where you come in. Whether you know a lactating mother or are one yourself, share this link to the Milk Bank Challenge with other lactating women through email, social media or whatever way works best for you. Once they click through and enter their email address to learn more, you’ll both receive a $5 reward for your time. When women donate, they’ll receive $250 in thanks.

Carrie Anselmo knows how profound an impact donating milk can be to a family with an infant in the NICU. She joined the Milk Bank Challenge and donated 756 ounces. For her, it was personal.

“I have wanted to donate to other NICU families since my son Logan was born as a micro-preemie at 24 weeks,” she said. “We spent 229 days in two different NICUs and we recently graduated! He is a survivor and miracle! I have wanted to give back and help provide NICU babies nutrients they need if the mother cannot.”

“When we set the goal of one million ounces, it seemed lofty, but I never doubted the generosity of these amazing women and their willingness to make such an impactful gift,” said Nazca Fontes, who founded ConceiveAbilities as an egg donation service nearly 30 years ago and has grown it into the most experienced full service egg donor and surrogacy agency. It was founded on the belief that everyone who wants to become a parent, can.

ConceiveAbilities sees lactation as an important component of its All-In Surrogate Care and Compensation Package, recognizing the significance of the fourth trimester in postpartum recovery. The Milk Bank Challenge aligns with the organization’s commitment to sharing valuable information for women during their fourth trimester, including resources on lactation.

Breast milk is a powerful form of nutrition for a growing baby, especially one who has come into this world prematurely and needs a boost. For women who can’t provide it themselves to their own children, donation of this invaluable liquid can be lifesaving in more ways than one. To find out more about the Milk Bank Challenge, or to learn about egg donation, surrogacy or becoming a parent via these methods, contact ConceiveAbilities.

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Preparing for the future: What you need to know about life insurance

2024-05-14T05:01:00

(BPT) – While you can’t predict everything life may throw at you, you can still set yourself up for some of life’s uncertainties. One way you can prepare for any situation and provide for your loved ones in the future is through life insurance.

The ins and outs of life insurance can seem complicated and overwhelming, but don’t get discouraged. Boston Mutual Life Insurance Company offers tips and insights to help you identify the best life insurance options that make sense for you and your family. Check out the company’s answers to some of the most common life insurance questions.

What is life insurance?

The basic concept of life insurance is pretty simple. You pay premiums to an insurance company for the length of your policy. When you pass away, the company pays a death benefit to your beneficiaries that can be used for funeral and final expenses, medical bills, credit card bills, mortgage payments, living expenses, and more.

Why do I need life insurance?

A life insurance policy can help you secure your and your family’s future. At its core, life insurance is a key component of a good financial plan and provides peace of mind for you and your loved ones. Many people assume life insurance only covers funeral costs but claims payments can be used for an array of other expenses to relieve family members of having to cover certain outstanding bills after the policyholder is gone.

When should I get life insurance?

A common myth about life insurance is that it’s only for older adults, not for healthy young adults. However, purchasing life insurance while you’re young establishes protection right away before you may even need it. It can also be a smart financial decision because you typically can secure lower premiums when you’re at a younger age.

If you’re a parent or grandparent, consider setting your children or grandchildren up for success by purchasing a whole life insurance policy for them. One idea could be to gift a whole life insurance policy to your child or children (or grandchild or grandchildren) for high school or college graduation. This is a sensible present that builds cash value that can help them plan for their own future.

What are the different types of life insurance?

There are two main types of life insurance policies. Which one you choose will most likely depend on your present and future needs.

  • Whole life insurance is permanent life insurance that provides protection for your entire life and offers financial support through a claims payout to your beneficiary or beneficiaries at the time of your passing. Whole life accumulates a cash value that you can access during your life if needed for certain expenses, such as to buy a home, settle debts, or pay for college.
  • Term life insurance offers financial support for a loss only during a specified period. The premiums may be lower than whole life insurance premiums, but it won’t offer coverage for your entire life. Term also doesn’t accumulate value.

How much life insurance do I need?

Life insurance is not a one-size-fits-all product. How much life insurance you would consider purchasing depends on your age, family situation, and future plans. Luckily, there are a number of options, including riders (or add-on benefits to a policy) that offer you flexibility. The best way to figure out what type and how much life insurance you may need is to talk with a local insurance professional.

Curious about learning more about life insurance options that would fit your needs? Visit Boston Mutual.com for more details.

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Private car purchases unveiled: Your 8-step guide to a successful transaction

2024-05-13T15:59:00

(BPT) – So, you’re ready to buy your next car. Are you considering going through a private seller? If you haven’t bought a car from a private seller before, you may have some concerns and questions. To help you navigate the private seller market, Autotrader — one of the most comprehensive vehicle marketplaces — offers the following eight tips to help you purchase your next car with ease.

1. Do your research

Before you begin looking at car listings, do your homework. Narrow down which cars fit your needs and lifestyle. Once you have a handful, research common issues and going rates for specific car makes, models and years. Arming yourself with this information will allow you to enter the world of private car sales with confidence.

2. Create a budget

Once you know which cars you’d like, create a budget and stick to it. If you don’t have a clear picture of your finances, take the time to track your income and expenses. Once you know how much money you have to work with, set a realistic price range and see which cars on your list make the cut.

Remember, your car expenses are more than just the monthly loan payment and average monthly fuel costs. You’ll also need to account for car insurance, scheduled maintenance and other related expenses. You can use a handy tool like Autotrader’s monthly car payment calculator to factor in all your costs.

3. Find private seller listings

Locating private seller car listings isn’t as difficult as you may think. Do a deep dive into the classified ads, neighborhood chat boards and online platforms. If you’ve narrowed down your choice to a specific model, a website like Autotrader can help you find options based on a make, model and year.

4. Ask the right questions

When you find a car with potential, it’s time to contact the seller. As you discuss the vehicle, come prepared with a list of questions. During your chat, find out why the owner is selling the car, how long they’ve had it and where they got it. Ask if they can provide a vehicle history report that details any accidents and repair history as well as maintenance history and if any warranties still apply.

5. Arrange a trial run

If the seller answered your questions to your satisfaction, your next step should be setting up an appointment to see the car and get behind the wheel. During your test drive, you can experience how it handles and if the vehicle matches your expectations. Make sure to note any strange noises and odd vibrations.

When meeting with a private seller, insist on meeting in a public place during the day and bring a friend or relative. You’ll feel more secure, and your buddy can help you spot any problems or concerns you may have missed.

6. Schedule a professional inspection

Even if the car seems to be in the exact condition the seller specified, ask to take it to a third party, like your trusted mechanic, for a professional inspection. A professional inspection can help you detect any problems that might not be obvious just by looking at or driving the car. Inspections tend to cost $100-$150, and they’re well worth the cost for your peace of mind.

7. Negotiate price and discuss payment

Negotiating the price of a car can sound intimidating, but it’s a common part of the buying process when purchasing a vehicle from a private seller. Remember, be respectful but firm. Don’t be afraid to walk away if the price is outside your budget or you feel that the car’s condition doesn’t reflect its value.

If you agree to purchase the car, talk with the seller about how they’d like to receive payment. There are many ways you may be able to pay for a car, including cash, certified checks, bank transfers and digital payment platforms, just to name a few.

8. Don’t forget the paperwork!

Finally, make sure all the paperwork is in order. The seller must transfer the vehicle’s title to the buyer to complete the transaction. Check your state’s requirements for bill of sale, car registration, and any applicable taxes or fees.

Simplifying car buying (and selling!)

You can simplify buying from a private seller by using Private Seller Exchange on Autotrader. Private Seller Exchange on Autotrader will verify the seller’s identity, provide a platform to chat with the seller, allow you to schedule a test drive, make offers online, confirm a car’s ownership and accident history, and provide a secure payment platform. Best of all, once you’ve purchased the car, you can use Private Seller Exchange on Autotrader to arrange car pickup or have it delivered to your door!

By using Private Seller Exchange on Autotrader, you can proceed with a private car sale with convenience, security and ease. Sellers can also use the platform to list and sell their cars!

Are you ready to buy your next car? Use these 8 tips to make purchasing from a private seller a breeze. Visit Autotrader.com/Marketplace for more information and to view a “How It Works” video.

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7 tips for electrical safety in and around your home

2024-05-13T12:01:00

(BPT) – May is Electrical Safety Month! It’s a great time to remind yourself of the potential dangers associated with electricity and be proactive about electrical safety in and around your home, workplace and community. People tend to take electricity for granted — our lights, appliances, technology, and everything else we plug into a wall outlet should just work, right? — but it’s important to be mindful of safety to prevent electrical accidents, injuries and even fires.

Here’s an electrical safety checklist from the pros at Mr. Electric, a Neighborly company, one of the leading electrical installation and repair providers to homes and businesses nationwide.

Check cords. When was the last time you checked the cords on your lamps, appliances and electronics? The obvious first step is to look for fraying or other damage. But also be mindful of how they’re placed. Are your cords snaking their way under a carpet or furniture? Make sure they have a clear run from the unit to the outlet. And about those outlets…

Check outlets. Overloading is a no-no. Make sure you’re not plugging too many electrical devices into one outlet. But, just as important, and maybe more so, is checking the outlets themselves. Are any loose? Do any of them have discoloration or burn marks? If you see this, call Mr. Electric immediately. That’s a potential sign of electrical danger.

Be mindful of water. Remember to keep countertop appliances away from water sources like sinks and bathtubs. And check the outlets in your kitchen and bathroom to ensure they are Ground Fault Circuit Interrupter (GFCI) outlets, which cut power if there’s a ground fault.

Monitor extension cord use. If you have extension cords crisscrossing your rooms or using extension cords for appliances like window air conditioners that specifically advise against it, it’s time to rethink that.

Unplug appliances. We’re not talking about fridges and washing machines. But the toaster, the coffee grinder or your hairdryer — unplug those when not in use. Not only will it save money on your electricity bill (they draw electricity when plugged in), but it will add a layer of safety, too.

Consider a whole-home surge protector. With storm season in full swing, it’s time to think about protecting your appliances, technology and other devices with a whole-home surge protector. They work in much the same way as power strips (You have your computer plugged into one, right? If not, do it now.) but they protect the whole house and are built to withstand multiple power surges. To find out more or to get one installed, contact Mr. Electric.

Get an electrical home inspection. Not only is this important for the safety of your home and everyone in it, but getting your home’s electrical system checked by a professional will also offer you peace of mind. When Mr. Electric does an electrical home inspection, they thoroughly examine your entire electrical system to ensure that all electrical wires, systems and components meet legal safety standards, using the National Electrical Code (NEC) as their primary guideline. Upon completion of your electrical home inspection, a Mr. Electric inspector will provide a detailed, prioritized checklist, including areas needing immediate attention, recommendations for improvements, and potential upgrade possibilities.

To learn more or schedule a home electrical safety inspection, contact the pros at Mr. Electric. And then exhale, knowing your family is safe from electrical hazards.

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12 ideas for home improvement projects to do now

2024-05-13T15:01:00

(BPT) – May is National Home Improvement Month! As the days get longer and the weather gets warmer, it’s the perfect time to breathe new life into your living space, whether you’re looking to revamp your kitchen, upgrade your landscaping, or tackle that long-overdue bathroom renovation.

To get you started, here are some ideas from the pros at Neighborly’s trusted network of local home service brands, including Mr. Rooter, Mr. Electric, Aire Serv, Mr. Appliance, Mosquito Joe, Precision Garage Door Service and Molly Maid.

Invest in sustainable features. Updating your bathroom? Investing in eco-friendly upgrades like a tankless water heater or water-conserving toilet is good for the environment. It can lead to a higher return on investment when you decide it’s time to move.

Install ceiling fans. Ceiling fans get the air moving in your home, and are a decorative addition to any room. Look for styles that complement your decor, and even add a dramatic flair.

Declutter. Take a look around your bedroom, living room or family room. Too much clutter? Decluttering your home can seem like a daunting task, but Molly Maid says it boils down to this: take note of what the room is supposed to be used for and remove anything that doesn’t pertain to that use. A pro tip to make it even easier: designate bins for items to keep, donate, sell or discard. Just toss the items in the appropriate bin and you’ll be halfway there.

Inspect your dryer for allergens. When you hear the word “allergies,” it’s easy to think of the more common allergens like pollen and dust, but there are several hidden allergens in homes that can cause a host of health issues. Inspect your dryer vents for mold, lint or animal droppings, and call Dryer Vent Wizard to remove dangerous foreign objects. And while you’re at it, organize your laundry room with new shelving or a hanging rod.

Switch to an HVAC zoning system. This allows you to regulate the temperature levels throughout different areas of your home to help keep every nook and cranny comfortable. Aire Serv also helps reduce energy consumption by allowing you to adjust temperatures in your home according to use.

Install kitchen ventilation. Properly ventilating your cooktop can help improve the overall air quality in your home and add a decorative, even dramatic, touch to the space.

Install crown molding. The best way to elevate your living space and make your ceiling appear higher is by installing crown molding. Not only is crown molding classic and timeless, but it also draws the eye upward. This will make the rooms in your home seem bigger than they are.

Replace your garage door. A new garage door can significantly increase your home’s value and curb appeal. Choosing an experienced, highly-rated company like Precision Garage Door Service can save money in the long term and give you peace of mind that your garage door is functioning optimally.

Landscape with retaining walls. Retaining walls help manage a sloping landscape and add character and beauty to your property. Transform your yard and property by using retaining walls to add terraces filled with flowers, herbs, vegetable gardens, or even small fruit trees.

Keep pests at bay. Invest in an outdoor mosquito control service if you’re looking for a powerful solution to handle a mosquito problem for outdoor areas. A company like Mosquito Joe can clear your yard of biting bugs and allow you to enjoy your outdoor spaces again — itch-free!

Paint your front door. This is one of the easiest, least expensive ways to give your home a dramatic pop in curb appeal. A company like Five Star Painting can give your front door and home a new, updated look with a new coat of paint, making it stand out.

Install new windows. Windows can set the tone for your home’s aesthetic and enhance your living space’s comfort. Choosing the right window for your home comes down to thinking about where you live, where the window would go, and your goals. Glass Doctor offers homeowners full-service window repair, replacement and installation.

Need help with any of these projects? Neighborly’s trusted network of local home service brands is dedicated to connecting you with reliable and skilled professionals in your area. When it comes to repairing, maintaining or enhancing your home, Neighborly is here to give your home the makeover it deserves. Visit neighborly.com or download the Neighborly App today to explore their services and connect with a local Neighborly pro.

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Healthy Brain Aging: Strategies to Help Your Brain and Body

2024-05-13T08:01:00

(BPT) – Whether you’ve heard about cognitive health recently in the news or have a loved one who may be showing signs of cognitive decline, it’s natural to worry about how your brain health may change with age. In fact, recent findings from a McKnight Brain Research Foundation (MBRF) survey found that 87% of Americans are concerned about age-related memory loss and a decline in brain function with age.

While the concerns are natural, it’s important to understand what cognitive aging is and the changes to expect with age. Many people may not realize that forgetting a colleague or neighbor’s name at the grocery store and not remembering it until you get home isn’t a cause for alarm.

The MBRF recently launched the “Brain Works – Optimize Your Brain Span” campaign to educate the public on what cognitive aging is, as a first step to reducing fear and encouraging everyone to take action to promote healthy brain aging.

From diet to exercise to getting enough sleep, research suggests there are steps people can take to help keep their brains healthy across their lifespan. Yet, only 32% of the MBRF survey respondents said they believe they can take action to help control their brain health as they age compared to 68% who believe they can control their physical health with age.

To reverse that thinking, the Brain Works campaign aims to help people better understand the brain-body connection and encourages everyone to put the same amount of effort into caring for their brains as they do the rest of their bodies.

Tips to Optimize Your Brain Span:

Healthy Body, Healthy Mind

Taking care of your physical health by getting health screenings as recommended for your age is also important for your cognition. Be sure to manage any chronic health conditions you may have, like diabetes, high blood pressure and high cholesterol. Avoiding or quitting smoking will also help reduce the risk of cognitive decline.

Feed Your Brain

Eating a healthy and balanced diet that’s rich in fresh fruits and vegetables, whole grains, lean proteins and low-fat dairy products can reduce inflammation, the risk of chronic diseases, and help support brain health. For optimal brain health, also stay hydrated, limit alcohol consumption, and reduce your intake of solid fats, sugar, sodium and highly processed foods.

Break a Sweat

Did you know that strengthening your body also helps sharpen your brain? Physical activity has been consistently linked to numerous benefits for brain health and cognition. While any form of exercise is great, and even a walking program is good, aerobic exercise like biking or jogging is particularly beneficial for cognitive health. Aim to get your heart pumping and blood flowing for at least 30 minutes every day — even if you break it up into small bursts.

Ignite Your Intellect

Challenging and activating the mind with activities, like learning a new language, skill or hobby, helps keep your mind sharp. Feeling social? Invite friends over for a game night. Rather spend some time alone? Settle down with a good book or tackle a puzzle.

Find Your Zen

Stress is a natural part of life, but over time, chronic stress can negatively impact the brain. Whether you journal, practice yoga or indulge in a soothing massage, finding effective ways to relieve stress is essential for your brain health and overall well-being.

Keep your Friends Close

Great news for social butterflies! Staying connected with friends, family and your community is also good for your brain. Despite the benefits, only about half of the MBRF survey respondents identified social interaction as a way to promote brain health. Take this as a sign to call an old friend or invite a neighbor to go on a walk. Your brain and body will thank you!

Get Your Z’s

Not getting enough sleep may result in problems with memory and thinking, yet a third of American adults report regularly getting less than the recommended 7-8 hours of sleep. Help protect your brain by getting better sleep.

Learn more about the Brain Works campaign and how to optimize your brain span at: https://mcknightbrain.org/brainworks/.

About the Brain Works Campaign

The McKnight Brain Research Foundation launched the “Brain Works- Optimize Your Brain Span” campaign in March 2024 to educate the public on cognitive aging and to offer tips to help maintain optimum brain health with age. The campaign features information on cognitive aging, including an online hub of tools and resources from the McKnight Brain Research Foundation and other reputable organizations with cognitive health expertise. Visit the resource hub and learn more at: McKnightBrain.org/BrainWorks.

About the McKnight Brain Research Foundation Consumer Survey

The MBRF survey was conducted by Wakefield Research. Responses were solicited from 1,000 nationally representative US adults ages 18+, between December 11th and December 15th, 2023, using an email invitation and an online survey. Data has been weighted.

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Difficulty swallowing? You may have eosinophilic esophagitis

2024-05-13T09:01:00

(BPT) – Do you find it difficult to swallow food? Does food feel like it gets stuck in your throat when you eat? These are common symptoms of eosinophilic esophagitis (EoE), a disease that affects an estimated one in 2,000 people in the U.S. EoE is reportedly increasing around the world.

What is EoE?

EoE is a chronic allergic condition. It involves inflammation and swelling in the esophagus. This can make it difficult to swallow food. The esophagus is the tube connecting the mouth to the stomach. Chronic inflammation from EoE causes damage to the esophagus that makes eating difficult or uncomfortable.

The main symptom of EoE is difficulty swallowing, but it’s not the only sign. According to the American College of Allergy, Asthma & Immunology (ACAAI), other symptoms may include:

  • Irritability
  • Problems with feeding
  • Poor weight gain and growth among infants and toddlers
  • Acid reflux
  • Regurgitation
  • Vomiting
  • Stomach pain
  • Chest pain in teens and adults

Infants and toddlers may refuse food or show poor growth, malnutrition or weight loss. School-age children may have chronic stomach pain, trouble swallowing and/or vomiting.

People with EoE tend to drink a lot of liquids to swallow food. They often feel full halfway through a meal. If solid food gets stuck in the throat, it is a medical emergency. Left untreated, long-term inflammation from EoE can narrow the esophagus and cause permanent damage.

Anyone can develop EoE — and although it’s a rare disease, it’s becoming increasingly more common. Children, adults, men and women of all ethnicities can develop the condition. For some families, EoE is hereditary.

Is EoE related to food allergies?

While doctors and researchers aren’t sure what causes EoE, it can be triggered by food or environmental allergies. People with other allergic conditions like asthma and eczema also often develop EoE. Some with EoE mistakenly believe they have gastroesophageal reflux disease (GERD). They do not realize that reflux could be related to EoE, and that treatments between the two conditions are different.

To manage your symptoms, your doctor may recommend different treatments to reduce the symptoms and inflammation.

Your doctor may recommend removing certain foods from your diet to treat EoE. This is known as a dietary restriction or diet therapy. Diet therapy removes potential food triggers from your diet. The triggers may include common food allergens, such as cow’s milk, egg, peanut, tree nuts, fin fish, shellfish, wheat, soy and sesame. A special amino acid-based liquid formula may be recommended by your doctor. These formulas are referred to as elemental formulas. They do not trigger allergies.

When do I need medication to treat EoE?

Your doctor may recommend medicines to help manage your symptoms. Since EoE is an inflammatory disease, treatments will focus on decreasing inflammation. A common treatment is taking pills called proton pump inhibitors (PPIs). While PPIs reduce stomach acid production, they can also reduce inflammation in some EoE patients.

Another treatment a doctor may prescribe is a corticosteroid to help control inflammation. These types of medications can come in an inhaler or liquid form.

How do biologics work to treat EoE?

Your doctor may recommend a biologic medication. Currently in the U.S., there is one biologic approved to treat EoE — dupilumab. It is administered via an injection. Dupilumab can reduce the number of eosinophils in the esophagus and relieve symptoms caused by EoE inflammation. It can also improve patients’ ability to swallow food.

Learn more about biologic medications at BiologicMeds.org.

If you recognize the symptoms of EoE in yourself or a loved one, speak to your doctor. You may want to see a specialist such as an allergist or gastroenterologist. If you’ve already been diagnosed with EoE, continue to work with your doctor for ongoing disease management and to discuss new treatment options.

Don’t wait. Take an active role in your health by talking to your doctor if you’re experiencing EoE symptoms. To learn more about the condition and how to manage it, visit AllergyAsthmaNetwork.org or APFED.org.

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3 steps to save a life

2024-05-13T10:01:00

(BPT) – By Kenji Inaba, MD, FACS, FRCSC

You’re on your way to work when a car crash happens. A backyard bonfire takes a turn while chopping firewood. While in your backyard, a neighbor has an accident with a lawnmower. These scenarios share a common thread — a person in need of help due to severe bleeding. This is where the American College of Surgeons Stop the Bleed® program comes in. Stop the Bleed is a simple set of skills that empowers everyday people to save lives in critical moments by learning a few basic techniques.

Training That Empowers All

May is National Stop the Bleed month and training is for everyone — parents, students, office workers, teachers — literally everyone. No background in health care is needed to get trained. Before helping, ensure your own safety and that 911 has been called. The techniques can be distilled into three lifesaving steps:

  1. Apply Direct Pressure: The first and most immediate step involves applying firm pressure directly to the wound, which helps to control bleeding.
  2. Pack the Wound: If direct pressure alone is not enough, packing the wound with gauze or a cloth can help control more severe bleeding.
  3. Apply a Tourniquet: For severe limb bleeding that does not stop with direct pressure or packing, a tourniquet may be necessary. This method is highly effective in stopping blood flow to a limb, thereby preventing further blood loss.

These steps form the core of Stop the Bleed training, which takes about an hour to complete — less time than it takes to watch a movie. The training is available in a variety of formats, including in-person and online options.

Originally launched in 2015, the Stop the Bleed initiative is driven by a clear vision: to equip ordinary people with the skills to prevent death from bleeding. Since then, nearly 4 million individuals globally have learned these essential skills through the program.

The Urgency of Early Action

With any injury that causes severe bleeding, the first few minutes are critical and can mean the difference between life and death. As a trauma surgeon, I have witnessed the profound impact of immediate bleeding control, observing firsthand how quick actions by bystanders can save lives. Conversely, I’ve also seen the tragic outcomes when help arrives too late.

A Call to Action

As we observe National Stop the Bleed Month in May, it’s a timely reminder of the critical importance of being prepared. Whether you’re attending a neighborhood barbecue, enjoying a day at the park, or simply going about your daily routine, the skills you learn from Stop the Bleed can prepare you to act quickly and confidently in an emergency. Lives are saved not just by the actions of medical professionals, but also by ordinary people who make extraordinary decisions to help others in need.

To join a course and buy a Stop the Bleed kit, visit stopthebleed.org.

Kenji Inaba, MD, FACS, is the Chair of the Stop the Bleed® Committee of the American College of Surgeons Committee on Trauma, Chief of Trauma at the Los Angeles General Medical Center, and a Professor of Surgery at the University of Southern California.

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Journey to type 1 diabetes diagnosis, helping to reduce the risk of diabetic ketoacidosis

2024-05-13T07:01:00

(BPT) – Sponsored by Sanofi

At just 25 years old, Amy Hsieh began experiencing a series of health-related symptoms that ultimately changed her life. Hsieh explained: “I was extremely thirsty, lost a lot of weight, and felt like I had to go to the bathroom constantly. This actually went on for over a year. At the time, I had no idea that these were very typical symptoms of type 1 diabetes — and so I overlooked them. I wish I hadn’t.”

In the coming weeks, Hsieh’s symptoms grew increasingly severe. While visiting family in Taiwan, she went into diabetic ketoacidosis (DKA), which is a serious complication of type 1 diabetes that can sometimes be life-threatening. “I was rushed to the hospital, where I was put into the intensive care unit (ICU) for three days. And then after I got out of the ICU, I had to stay in the hospital for over a week while I recovered. It was an incredibly scary experience, and I was shocked to learn I had type 1 diabetes, as was my family, because no one else has it.”

Hsieh is not alone in her experience of going through DKA. Far too often, DKA is how people realize they have type 1 diabetes, with as many as 40% of DKA cases stemming from those who are newly diagnosed. That said, there is no need to wait until you are seriously ill to find out if you might be at risk of developing type 1 diabetes. Screening can help identify the early stages of type 1 diabetes before symptoms arise. The1Pledge.com includes information about early screening for type 1 diabetes, so people of all ages can get information in advance about their risk of developing type 1 diabetes and can better prepare for the future — and even potentially reduce the risk of DKA.

Understanding DKA

DKA typically develops when you don’t have enough insulin in your system to allow blood sugar into your cells. As a result, your liver breaks down fat for fuel, a process that produces acids called ketones. When too many ketones are produced too fast, they can build up to dangerous levels in your body, which can in turn have other negative effects on your health.

Much like Hsieh’s experience, where she was experiencing symptoms for over a year, type 1 diabetes develops slowly over time in the body. There are three stages of the disease. In the earlier stages, a person does not show any noticeable symptoms. By the time someone might be at risk of going through DKA, they are in the later stage of type 1 diabetes as symptoms begin to become more pronounced. Common symptoms of DKA include excessive thirst and urination — but, if left untreated, critical symptoms can appear quickly.

“Had I known earlier that I would develop type 1 diabetes, I would have taken steps — such as having a care team in place, monitoring my blood sugar levels, and more — to reduce my risk of DKA,” Hsieh explains. “My story underscores why it’s so important to spread awareness of type 1 diabetes — what it is, how it develops, and, most importantly, how it is possible to detect it in advance through screening. Given my history, it’s no surprise that I’m a big advocate for all people to get screened, no matter your age or if you have a family history of the disease.”

Why screening matters

When it comes to type 1 diabetes and your health in general, knowledge is power. Just consider that early screening may help people potentially reduce their risk of going through DKA at initial diagnosis of T1D by up to 50%. “Prior to diagnosis, I lived a very healthy lifestyle, so I didn’t even question my symptoms when they arose,” Hsieh notes. “If I had been screened, I might not have been blindsided by my diagnosis and I could have spent that valuable time in Taiwan with my family, rather than being in the hospital. I want others to know screening is an option, so they can possibly reduce their own risk of experiencing the same thing I went through.”

You can check out type 1 diabetes screening options for yourself and your loved ones at The1Pledge.com and by talking to your doctor.

Sanofi does not provide medical advice, diagnosis, or treatment — information is provided for educational purposes only. Your doctor is the best source of health information. Talk to your doctor if you have any questions about your health or treatment.

Amy Hsieh is a paid spokesperson for Sanofi.