There are 2 types of strokes:

1-Hemmoragic-a blood vessel that bursts in the brain causing lack of oxygen to be supplied to the area of the brain (a lobe) where the vessel ruptured.  Lack of oxygen to any area of the body tissue=starvation to the tissue; where in this case is the brain=a stroke.

2-Blockages-These blockages caused by the following: blood clots, athero-sclerosis, a common disorder, it happens due to fat, cholesterol, with even tar from smoking, or other substances that build up in the walls of the arteries forming hard structures called plaque and in time creating a blockage in the vessel interfering with blood supply providing oxygen to tissue and if blocked in the brain=high probability of a stroke occurring if not taken care of.   “Recommended related to Heart Disease” by Web MD which states that atherosclerosis is the key cause of heart attacks & strokes including it’s the number one killer in the United States.  Risk Factors for atherosclerosis include high blood pressure (b/p)=arteriosclerosis, blood level of high bad cholesterol (LDL), blood level of low good cholesterol (HDL), smoking, diabetes, and history of heart attacks in your nuclear family.  Definitely a healthy diet, having exercise in your life, and your weight within the therapeutic body mass index level will help prevent, if not treat, atherosclerosis.

 The Risk Factors of this disease, especially diet & sedentary lifestyle:

1. High Blood Pressure (b/p)-This is also known as the diagnosis hypertension.  In understanding how hypertension works let’s use a metaphor:  Think of a blood vessel as a long thin balloon and if we stand on it the pressure will increase inside the balloon causing the diameter of the balloon to swell up.  If you continue to step on the balloon adding additional pressure this causes it to finally reach it’s total amount of pressure or when you exceed the total level of pressure this results in popping the balloon.  Similar concept with high b/p, that’s if the pressure keeps rising in our blood vessels due to blockage or vasoconstriction (which is making the vessels diameter more narrow=increased pressure in the vessels) sooner or later a vessel bursts somewhere in the body due to the b/p passing it’s total level in the amount of pressure that it can handle in the circulatory system which can result into a burst of an artery, like in the brain causing a stroke or in a vessel near the heart causing a myocardial infarction (but this is another topic some other day).  Think of food,  a human being not eating leads into starvation, well for blood cells lack of oxygen=starvation to the cells.  This causes in both situations or cases a lack of nutrition (the tissue is lacking oxygen).  With a stroke, not enough oxygen is getting to the brain resulting from either a hemorrhage (loosing too much blood=loosing to many cells=oxygen (food for tissue) or a blockage preventing 02 getting to the area.  Though many people have increased b/p due to only 2 things diet leading them to obesity, and lack of exercise due to a sedentary lifestyle, which could be changed and resolve the problem in most cases.  Increased b/p can also be due noncompliance- like continuing to smoke, or not following the healthy regimen the M.D. ordered for you as a patient.  The overall healthy regimen for a person with hypertension would be a low sodium diet (preventing further vasoconstriction), even low in cholesterol/fat/1800-2000 calories a day (preventing obesity or further weight gain), balancing rest with exercise and the b/p medications taken as prescribed, by their M.D.    So for many Americans hypertension can be controlled just by diet with balancing exercise with rest.  For others it might take a little more like doing which is what I just mentioned with following your medication regimen as ordered and going to your doctor having your b/p monitored, as your M.D. prescribes.                                                                                                                                                                        2. Smoking-For starters, this unhealthy habit puts you at risk for high blood pressure since it causes vasoconstriction (narrowing) of the vessels in our body due to the nicotine.  The answer to this risk factor is simply quit this unhealthy habit.  Smoking adds to the plaque building up in the vessels.  Centers for Disease state that in 2010 the leading cause of death was heart disease followed by cancer than to chronic respiratory disease and lastly stroke.  Over time a healthy diet balanced with exercise daily or every 2 days for 30minutes would help decrease the cardiac disease and stroke.  The American Lung Association states that smoking is directly responsible for approximately 90 percent of lung cancer deaths and approximately 80-90 percent of COPD (emphysema and chronic bronchitis) deaths.

• Among adults who have ever smoked, 70% started smoking regularly at age 18 or younger, and 86% at age 21 or younger.³
• Smoking harms nearly every organ in the body, and is a main cause of lung cancer and chronic obstructive pulmonary disease (COPD, including chronic bronchitis and emphysema). It is also a cause of coronary heart disease (CAD), stroke and a host of other cancers and diseases.

So let’s take a car for instance, if the transmission is bad and not repaired by a mechanic the engine will be effected and soon fail completely.  Now let’s take the lungs, if they are bad and you don’t go to a doctor to help treat the problem the heart will be effected at some point to failure in function and vice versa.  If a smoker doesn’t quit it causes COPD=Emphysema (this does take over years) and it will affect the heart in time to not function as effectively with someone who has healthy lungs.  Worse, if you don’t quit smoking you increase the risk of getting CAD (coronary artery disease) and add to the problem atherosclerosis if you already have the diagnosis which is caused by fatty materials (lipids), fibrous tissue with tar (from the smoking) causing blockages in the vessels.  You also have a risk at lung cancer.

3. High Cholesterol-The National Stroke Association states the following about cholesterol:
Cholesterol is a soft, waxy fat (lipid) that is made by the body. It is found in the bloodstream and in all of your body’s cells. The body needs cholesterol to form cell membranes, some hormones and vitamin D.

Cholesterol is also found in some foods, such as seafood, eggs, meats and dairy products.

Because cholesterol does not dissolve in the blood on its own, it must be carried to and from cells by particles called lipoproteins. There are two main types of lipoproteins: low-density lipoproteins (LDL)=the bad cholesterol and high-density lipoproteins=the good cholesterol (HDL).

LDL can cause plaque build-up. Plaque is a thick, hard substance that can clog arteries. Recent studies show that high levels of LDL and triglycerides (blood fats) raise the risk of ischemic stroke. Plaque can also increase risk of a transient ischemic attack (TIA) where stroke symptoms go away within 24 hours.  Stroke verses TIA=Nonreversible verses Reversible. Stroke is scarring to the brain where TIA doesn’t.  Like Heart Attack verses Angina, Heart Attack is scarring to the heart verses no scarring to the heart with Angina. Both Angina and TIA are just lack of oxygen to the heart and the brain, causing the symptoms due to lack of oxygen=ischemia.  Both heart attack and stroke are both a lot worse than just ischemia.  They both get to the point where there in no oxygen causing actual permanent damage to the organ since the problem never reversed=scarring to the heart and brain.

The second main type of cholesterol is high-density lipoprotein (HDL), often called the “good” cholesterol. High levels of HDL may reduce stroke risk.

High cholesterol levels or plaque build-up in the arteries can block normal blood flow to the brain and cause a stroke. High cholesterol may also increase the risk of heart disease and atherosclerosis, which are both risk factors for stroke.

Many things can affect the b/p levels & cholesterol levels. Some can be changed and some cannot.   We can change 3 things.  You can change, anyone can change, it’s up to you in deciding whether to do it or not and being able to discipline yourself with having the power to do it. They are:

1-Diet — Foods high in saturated fat and cholesterol can increase cholesterol levels. 

2-Weight — Being overweight can increase your cholesterol levels.

3-Exercise — People who are not active tend to have higher cholesterol levels.   

These 3 things can prone you to high blood pressure (B/P), a stroke, & cardiac disease and even other diseases.  I just had a dear friend who I’ve known almost 35 years that survived coronary artery bypass surgery over 55 y/o, with 5 blockages (2 100% blocked and 3 at least 80% blocked).  That was a set up for a silent heart attack if he didn’t have the surgery but he was lucky in getting symptoms of chest pain and fatigue/lethargy due to these blockages.  This made him go the doctor.  He stopped smoking the day before the surgery.   His life had taken a 360 turn and stopped in his daily routine and life schedule.  It had begin all over again at almost 60.

Without controlling your blood pressure therapeutically or ending your smoking or eating healthy with living healthy habits the heart at first will be able to compensate with living unhealthy habits but over time the heart may find it so hard to function or work that the heart starts to fail in doing its job effectively (it decompensates causing failure if no changes are made).  Again let’s take the car, you do maintenance to the vehicle it will operate and last longer, well the exact principle with the human body.  Pretty simple isn’t it.

If you don’t eat a healthy diet, keep your weight in a therapeutic range, properly exercise than expect a high odds they will be leaning more towards a shortening of your life span.  You can control your diet, weight and your exercise the right way with a little direction.  We are here for just direction in helping you maintain a good diet including weight and giving you guidance. Healthy habits in giving you knowledge about routine exercise, all 4 food groups and how to eat them in healthy proportions are the important key.

It is all up to you in making the choice on your life where you can make it more enjoyable and less restricted now and at retirement by sticking to a good health diet and healthy habits, not for 3 or 6 months but for life.  You make all the decisions in what you want to do with your body with what’s acceptable.

“National Immunization Awareness Month (NIAM) is an annual observance held in August to highlight the importance of vaccination for people of all ages. Together, we can help raise awareness about the importance of vaccination and encourage people to talk to a healthcare provider they trust about staying up to date on their vaccinations.

National Immunization Awareness Month aims to raise awareness about the importance of vaccination across the lifespan to help protect communities from serious diseases.”

Center for Disease Control and Prevention (National Immunization Awareness Month (NIAM) | Vaccines & Immunizations | CDC)

“Winning feels good, but youth sports is about so much more than that, with higher stakes than any football game or soccer match.

Regular physical activity benefits health in many ways, including helping build and maintain healthy bones, muscles, and joints; helping control weight and reduce fat; and preventing or delaying the development of high blood pressure (GAO, 2012). Exercise is one of the least expensive ways to stay healthy, with one study finding that exercise can prevent chronic diseases as effectively as medication (British Journal of Medicine, 2013). A comprehensive study and analysis of existing research found that leisure-time physical activity is associated with reduced risk of 13 different types of cancer, including breast, colon, liver and myeloid leukemia (National Institutes of Health, 2016).

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“Empty nest syndrome refers to the distress and other complicated emotions that parents often experience when their children leave home.

Of course, people want their children to grow up and lead independent lives. However, the experience of letting go is often bittersweet or emotionally challenging. Parents may feel lonely, sad, and have some degree of grief when their children leave the nest, whether it’s to live on their own, start a college career, or pursue their own relationships. Women normally suffer more than men do, and feelings of sadness may be more pronounced among stay-at-home parents whose lives were organized around meeting the everyday needs of their children.

This empty nest syndrome that many parents of adult children experience is not a clinical disorder or diagnosis. It reflects the emotional ambivalence of a normal life transitional period.”

Psychology Today (Empty Nest Syndrome | Psychology Today)

Empty nest syndrome is not a clinical diagnosis. Instead, empty nest syndrome is a phenomenon in which parents experience feelings of sadness and loss when the last child leaves home. Empty nest syndrome usually happens in female parents aged between 40-50. When their children have to leave home e.g. for continuing their study in the college or university, parents have to stay home alone without routine activities with their children. Although parents might actively encourage their children to become independent, the experience of letting go can be painful. Parents might find it difficult to suddenly have no children at home who need their care. Parents might miss being a part of their children’s daily lives as well as the constant companionship. These changes might develop stress, anxiety and depression. It might eventually induce suicidal thought of the parents.

With reference to Kübler-Ross, Swiss-American psychiatrist, Grieving Process consists of 5 stages:

1. Denial and rejection;
2. Anger and acting against what had happened;
3. Bargaining for keeping the hopes;
4. Depression and grief; and
5. Acceptance of the loss.

If parents experience feelings of loss due to empty nest syndrome, advices that might help parents adapt to this major life change include accepting the timing, keeping in touch with children, seeking support if necessary and staying positive.

If the last child is about to leave home and parents are worried about empty nest syndrome, it is highly recommended to look for new opportunities in personal and professional life. Changing focus from taking care of children in the last 2-30 years, it is more beneficial to look after parent’s own health. Keeping busy or taking on new challenges at work or at home can help ease the sense of loss as well.

TIPS IN DEALING WITH THIS IN YOUR LIFE:

1 Time management tools can help you manage your time.

2 Space time out for a verse of the day, things you’re praying about, truths to remember, and even what to let go.

3 Make a Planner from daily to weekly to monthly in what you will be doing.

4 Like I say so many times as a RN, not to far from 40 years in this career, TAKE ONE DAY AT A TIME!

5 Remember anyone can start strong but the your goal should be “finish strong”.  Example, How many times have we said we would loose weight and started strong but ended weak loosing nothing putting the white flag up and restarting later all over again and it was just a broken record finishing with no results?  I have, but ending strong with starting strong is much better in results making you a more confident, stronger and happier as a person.

6 What ever your dreams are in wanting to accomplish but couldn’t with the kids at home due to busy now you can try to reach your goals you wanted to strive for.  Ex. Retired now, the kids left the nest, less to do at the house now but  you took a degree in art years ago, have been an artist at times in your working life but had to put it on hold since you had work elsewhere to do in paying the bills but not you can now do art work.  Just make sure that they are reachable goals and not impossible to reach in art work now.  So you don’t set your self up for failure.  You need to approach that before starting that new life goal.

Remember everything comes to an end, some things sooner than others of course, but it does not mean life is over!

Other perianal infections

Sometimes the skin glands near your anus become infected and need to be drained, like in this structural disease. Just behind the anus, abscesses can form that contain a small tuft of hair at the back of the pelvis (called a pilonidal cyst).

Sexually transmitted diseases that can affect the anus include anal warts, herpes, AIDS, chlamydia and gonorrhea.

Diverticular disease

The structural disease diverticulosis is the presence of small outpouchings (diverticula) in the muscular wall of your large intestine that form in weakened areas of the bowel. They usually occur in the sigmoid colon, the high-pressure area of the lower large intestine.

Diverticular disease is very common and occurs in 10% of people over age 40 and in 50% of people over age 60 in Western cultures. It is often caused by too little roughage (fiber) in the diet. Diverticulosis can sometimes develop/progress into diverticulitis

Complications of diverticular disease happen in about 10% of people with outpouchings. They include infection or inflammation (diverticulitis), bleeding and obstruction. Treatment of diverticulitis includes treating the constipation and sometimes antibiotics if really severe. Surgery is needed as last resort in those who have significant complications to remove the involved diseased segment of the colon.

Colon polyps and cancer

Each year, 130,000 Americans are diagnosed with colorectal cancer, the second most common form of cancer in the United States. Fortunately, with advances in early detection and treatment, colorectal cancer is one of the most curable forms of the disease. By using a variety of screening tests, it is possible to prevent, detect and treat the disease long before symptoms appear.

The importance of screening

Almost all colorectal cancers begin as polyps, benign (non-cancerous) growths in the tissues lining your colon and rectum. Cancer develops when these polyps grow and abnormal cells develop and start to invade surrounding tissue. Removal of polyps can prevent the development of colorectal cancer. Almost all precancerous polyps can be removed painlessly using a flexible lighted tube called a colonoscope. If not caught in the early stages, colorectal cancer can spread throughout the body. More advanced cancer requires more complicated surgical techniques.

Most early forms of colorectal cancer do not cause symptoms, which makes screening especially important. When symptoms do occur, the cancer might already be quite advanced. Symptoms include blood on or mixed in with the stool, a change in normal bowel habits, narrowing of the stool, abdominal pain, weight loss, or constant tiredness.

Most cases of colorectal cancer are detected in one of four ways:

• By screening people at average risk for colorectal cancer beginning at age 45.
• By screening people at higher risk for colorectal cancer (for example, those with a family history or a personal history of colon polyps or cancer).
• By investigating the bowel in patients with symptoms.
• A chance finding at a routine check-up.

Early detection is the best chance for a cure.

Colitis

There are several types of colitis, which are conditions that cause an inflammation of the bowel. These include:

• Infectious colitis.
• Ulcerative colitis (cause unknown).
• Crohn’s disease (cause unknown).
• Ischemic colitis (caused by not enough blood going to the colon).
• Radiation colitis (after radiotherapy).

Colitis causes diarrhea, rectal bleeding, abdominal cramps and urgency (frequent and immediate need to empty the bowels). Treatment depends on the diagnosis, which is made by colonoscopy and biopsy.

Prevention:

Can gastrointestinal diseases be prevented?

Many diseases of the colon and rectum can be prevented or minimized by maintaining a healthy lifestyle, practicing good bowel habits and getting screened for cancer.

A colonoscopy is recommended for average-risk patients at age 45. If you have a family history of colorectal cancer or polyps, a colonoscopy may be recommended at a younger age. Typically, a colonoscopy is recommended 10 years younger than the affected family member. (For example, if your brother was diagnosed with colorectal cancer or polyps at age 45, you should begin screening at age 35.)

If you have symptoms of colorectal cancer you should consult your healthcare provider right away. Common symptoms include:

• A change in normal bowel habits.
• Blood on or in the stool that is either bright or dark.
• Unusual abdominal or gas pains.
• Very narrow stool.
• A feeling that the bowel has not emptied completely after passing stool.
• Unexplained weight loss.
• Fatigue.
• Anemia (low blood count).

Other types of gastrointestinal diseases

There are many other gastrointestinal diseases. Some are discussed, but others are not covered here. Other functional and structural diseases include peptic ulcer disease, gastritis, gastroenteritis, celiac disease, Crohn’s disease, gallstones, fecal incontinence, lactose intolerance, Hirschsprung disease, abdominal adhesions, Barrett’s esophagus, appendicitis, indigestion (dyspepsia), intestinal pseudo-obstruction, pancreatitis, short bowel syndrome, Whipple’s disease, Zollinger-Ellison syndrome, malabsorption syndromes and hepatitis.

“The digestive system is a complicated and diverse part of the body. It extends from the mouth to the rectum.

• The primary function of the digestive system is to eliminate waste and assist the body in absorbing essential nutrients and minerals.
• Studies report that the gut plays a crucial role in immunity.

Every one of us has experienced digestive issues, such as stomach pain, indigestion, or discomfort, at some point in our lives for various reasons.

The medical community classifies all diseases that affect the GI tract as digestive diseases. Unfortunately, more than 85 percent of all adult Americans have some form of intestinal disorder.

The best chance for a cure is always early detection. Many GI disturbances and disorders can be avoided or reduced by leading a healthy lifestyle and undergoing regular screening as recommended.”

Medicine Net (What Are 13 Common Diseases of the Digestive System?)