Breast cancer symptoms

Breast cancer is one of the most common cancer in the world, women must to pay atention to the first sign of breast  cancer. 

Screening program hellp women to get acces to a mammography in the early stages.

 Symptoms of breast tumors vary from person to person. Some common, early warning signs of breast cancer include:

• Skin changes, such as swelling, redness, or other visible differences in one or both breasts
• An increase in size or change in shape of the breast(s)
• Changes in the appearance of one or both nipples
• Nipple discharge other than breast milk
• General pain in/on any part of the breast
• Lumps or nodes felt on or inside of the breast

Symptoms more specific to invasive breast cancer are:

• Irritated or itchy breasts
• Change in breast color
• Increase in breast size or shape (over a short period of time)
• Changes in touch (may feel hard, tender or warm)
• Peeling or flaking of the nipple skin
• A breast lump or thickening
• Redness or pitting of the breast skin (like the skin of an orange) 

Symptoms of invasive breast cancer

Breast cancer that’s spread from where it began into the tissues around it is called invasive or infiltrating. You may notice:

• A lump in your breast or armpit. You might not be able to move it separately from your skin or move it at all.
• One breast that looks different from the other
• A rash or skin that’s thick, red, or dimpled like an orange
• Skin sores
• Swelling in your breast
• Small, hard lymph nodes that may be stuck together or stuck to your skin
• Pain in one spot

Symptoms of metastatic breast cancer

Without treatment, breast cancer can spread to other parts of your body, including other organs. This is called metastatic, advanced, or secondary breast cancer. Depending on where it is, you may have:

• Bone pain
• Headache
• Changes in brain function
• Trouble breathing
• Belly swelling
• Yellow skin or eyes (jaundice)
• Double vision
• Nausea
• Loss of appetite and weight loss
• Muscle weakness

Symptoms of triple-negative breast cancer

Breast cancer is called triple-negative if it doesn’t have receptors for the hormones estrogen and progesterone and doesn’t make a lot of a protein called HER2. This kind tends to grow and spread faster than other types, and doctors treat it differently.

Triple-negative tumors make up 10% to 15% of breast cancers. They cause the same symptoms as other common types. Get an overview on triple-negative breast cancer symptoms and treatment.

Symptoms of male breast cancer

About 1% of breast cancers happen in men. Because it’s so rare, you may not pay attention to the symptoms until the cancer has grown. Watch for:

• A lump or thick spot in your breast or armpit
• Changes in the skin of your breast or nipple, such as redness, puckering, scales, or discharge

Learn more about breast cancer in men.

Symptoms of Paget’s disease of the breast

This type often happens along with ductal carcinoma. It affects the skin of your nipple and areola. Symptoms may look like eczema and include:

• Nipple skin that’s crusted, scaly, and red
• Bloody or yellow discharge from the nipple
• A flat or inverted nipple
• Burning or itching

FOTO from VectorStock

Left Ventricular Hypertrophy

Left Ventricular Hypertrophy

Left ventricular hypertrophy is the action of getting thickened the muscle of the left ventricle of the heart. Left ventricular hypertrophy is the natural result of the excessive strength straining and aerobic exercises. But the medical references prefer to regard it as the natural reaction of the heart to the cardiovascular disease. It is, basically, one of the types of heart disease.

The most amazing thing is that, left ventricular hypertrophy, by itself, is hardly considered as a severe disease, or at all a disease. But , the fact remains that it is the cause of a number of diseases that often turn to be quite serious. It can cause some diseases like Dilated Cardiomyopathy and Hypertropic Cardiomyopathy, that affect the muscles of the heart, and even leads to a sudden death of the affected person.

Left ventricular hypertrophy also causes tremendously high blood pressure. The very health problems and the health hazards are the symptoms and the signs of left ventricular hypertrophy. The person affected by left ventricular hypertrophy is found to take shorter breaths, since, he or she is simply unable to take natural length of breaths. The sufferer may also feel a pain in the chest. This pain can even turn to be very acute at times. In this condition, the patient should be given immediate treatment, since, this acute pain in the chest can even result in stroke or heart attack, either a mild one or even a severe one.

If a person suffers from left ventricular hypertrophy, he or she may also have very irregular heartbeats, which is quite sure a terrible discomfort for the person who is suffering. Dizziness is another sign of left ventricular hypertrophy. The affected person feels dizzy almost all the time. In addition to that, the person also might be feeling a reeling sensation in the head. Any person who is affected by left ventricular hypertrophy, must have the symptom of fainting frequently. The duration of the fainting may not be too long. If a person is found to be showing most of the signs and symptoms, mentioned here, he or she should be immediately given proper medication under the guidance of a veteran cardio expert.

Some of the causes of left ventricular hypertrophy are aortic stenosis, aortic valve regurgitation and extreme hypertension. Farther studies in this field have revealed that the aged persons are the easier targets of left ventricular hypertrophy, since most of the people who have been victimized by left ventricular hypertrophy are aged above 55. Therefore the older you grow, the more enriched is the possibility of getting attacked by left ventricular hypertrophy.

Take care of the weight of your body. Be healthy. But, do not gain extra weight. Have the habit of doing regular physical exercises that will help you losing extra weights, if you have gained any.

If any coronary disease prevails in the heart of a person, the possibility of his getting attacked by left ventricular hypertrophy. Coronary diseases also add to the troubles of left ventricular hypertrophy.

Rheumatic Heart Disease

Rheumatic Heart Disease

Rheumatic Heart Disease is an illness that occurs when the heart muscle is damaged due to rheumatic fever. Rheumatic fever is known as an inflammatory disease that will affect many areas of the body in addition to the heart. Other areas that can be affected are the brain, skin and joints. In the case of the heart, however, rheumatic fever, silently damages the valves to the point where they are not doing their job of regulating blood flow into, and out of, the heart. If you have had rheumatic fever in the past then it is a good idea to get checked for rheumatic heart disease. The disease can quietly cause many symptoms in a person that can slowly lead to heart failure. The important thing to remember is that if you are experiencing any of the symptoms to head to your doctor right away to get checked out.

Symptoms of Rheumatic Heart Disease

In most cases a person who gets rheumatic heart disease will have had rheumatic fever, and before that strep throat. If the strep throat is not properly cared for it can turn into rheumatic fever which can turn into rheumatic heart disease. The symptoms of rheumatic fever will begin to show up about three weeks after the symptoms of strep throat show up.
* Fever.
* Swollen and painful joints all over the body.
* Pain that starts in one joint but suddenly jumps to another joint without warning.
* Heart palpitations and a rapid heartbeat.
* Shortness of breath or trouble breathing during normal activities.
* Skin rashes all over the body.
* Extreme fatigue at all points during the day.
* Nodules under the skin that are small and pain free.

Preventing Rheumatic Heart Disease

* Treat strep throat with penicillin in order to prevent rheumatic fever from developing.
* Continuous antibiotic treatment until the symptoms of rheumatic fever subside.
* Living a healthy lifestyle. Take care of your body so your body takes care of you.

If you have been diagnosed with rheumatic fever then you are at risk for developing rheumatic heart disease. The disease can occur at any point in life even after you rid yourself of rheumatic fever. Since the onset is quick and sudden, it is important to take the time to properly monitor the condition with your doctor. If you are diagnosed with rheumatic heart disease your doctor will be able to get you on a treatment plan that can help to minimize the potential of serious consequences.

Alcoholic Cardiomyopathy

Alcoholic Cardiomyopathy

Large number of people are falling victim to heart disease. One of the main reasons of the increase in the number of heart patient is the changing lifestyle. Various types of heart disease are effecting people in large number. The symptoms of each type of heart disease is different. One of the most common types of heart disease is Alcoholic Cardiomyopathy. It is a disease of the heart muscle. This is caused when the heart muscle becomes weak. Cardiomyopathy or heart muscle disease is a major public health problem. There are 3 million people in United States currently living with cardiomyopathy. Almost 400,000 people are diagnosed with heart disease each year. This disease has become a prime factor in contributing quarter million deaths in the world. In the past few years the incidence of cardiomyopathy is increasing like anything. Many complications of the disease can be overcome if the patient understand their disease. The patient suffering from Alcoholic Cardiomyopathy must take active participation in treating the disease. The heart muscle become very weak in most cases of alcoholic cardiomyopathy.

There are many disorders which cause numerous types of cardiomyopathy. But whatever may be the type ultimately the same thing happen which is the inefficiency of the heart muscle. It reduces the capacity of the heart to meet the needs of the body. The heart failure happens when the heart can no longer pump enough blood. The cases of Alcoholic Cardiomyopathy is increasing day by day. The main cause of cardiomyopathy is the coronary artery disease. The damage to the heart can be on the region of the heart muscles. One must get themselves diagnosed properly. Go for a proper diet and god exercise which can help the patient to avoid certain complications. As alcoholic cardiomyopathy is caused by excessive consumption of alcohol for long time. It is caused by the direct toxic effects of alcohol. In that case the heart become inefficient and the heart become unable to pump the blood. Not only heart is effected by the Alcoholic Cardiomyopathy but other body parts can also be effected by this. The symptoms of alcoholic cardiomyopathy are decreased alertness or concentration, Shortness of breath, decreased urine output, loss of appetite; ankle, feet, and leg swelling; cough containing mucus, irregular or rapid pulse, breathing difficulty while lying down, overall swelling, weakness, fatigue, faintness, etc. The moment patient is experiencing these symptoms it become necessary to take him to the hospital.

One of the most important treatment for alcoholic cardiomyopathy is to improve the lifestyle and take care of the diet. Stop consuming alcohol. The commonly used medications must be used daily like beta blockers, diuretics and ACE inhibitors. The patient who are suffering from congestive heart failure must o for a surgical insertion. The patients of alcoholic cardiomyopathy must frequently consult the doctor and must continue with the medications. With latest drugs and technology coming up now one can easily diagonise the alcoholic cardiomyopathy.

Irregular heartbeat causes

Irregular heartbeat causes are very diversified, beginning with heart disease and continuing with electrolyte imbalance or other medical conditions unrelated to heart pathology. Many times we wonder what is the meaning of the palpitations: Is it something wrong? Do I need to see a doctor?
In some cases, irregular heartbeat causes remain uncovered, persons with “healthy” hearts experience palpitations (also called arrhythmia in medical practice). However, each person with these complaints should have a medical examination, in order to exclude a disorder that may cause these symptoms, as we will see next.
A normal heart rate is 60 to 90 beats per minute; if heart rate is under 60 beats/minute, then we have a bradycardia and over 90 beats/minute a tachycardia. Arrhythmia occurs with a normal heart rate, but also with a low or rapid heart rate.
In order to understand the next medical terms, some specifications are necessary: sinus node, atrioventricular node and Purkinje fibers are the heart system (the heart pacemakers) which normally conducts impulse to muscle cells and make the contraction possible; a pacemaker is a group of cells capable of generating electrical impulse and heart contraction;
How many types of irregular heartbeat causes exist in medical practice?

• sinus node dysfunction (one of the pacemakers, located in the atrium is no longer working properly): e.g. sinus bradycardia, sinus node stops, sinus node blocks,
• supraventricular extrasystoles (irregular heart beats generated in the sinus node or atrioventricular node, they occur faster then a normally heart beat and are followed by a pause)
• sinus tachycardia, supraventricular tachycardia (rapid heart rate generated above the ventricular tissue)
• atrial fibrillation and flutter (irregular heart beats generated by multiple atrial pacemakers, others then the normal heart pacemakers)
• ventricular tachycardia (rapid heart beats generated in ventricles), extrasystoles (a premature heart contraction generated by a ventricle pacemaker) and ventricular fibrillation (rapid heart rate, incompatible with life, this is a heart rate that determines cardiac arrest)
• atrioventricular blocks (cardiac impulse is delayed or blocked in the atrioventricular node, and will be received by ventricles later or at all)
• torsade of points (a form of ventricular tachycardia that occurs when there is a potassium deficit)

What are the irregular heartbeat causes?

There are different disorders that can be a cause of irregular heartbeat causes including:

• Coronary artery disease ( coronary vessels that supply heart tissues with blood are blocked, usually by atheroma, the consequence of this blockage will be heart ischemia-the oxygen deprivation of heart tissues- and this can be one of the irregular heartbeat causes),

Atheroma is a swelling of the artery walls determined by an accumulation of lipidis.

• A heart attack it is common among  irregular heartbeat causes,
• Electrolyte imbalances (such as sodium, magnesium or potassium): e.g. a high level of potassium can result in cardiac arrest,
• Heart muscle changes (fibrosis-a conjunctive tissue deposit in the heart muscle- can also affect cells responsible for electrical impulse generation- the pacemakers),
• Healing process after heart surgery,
• Heart failure it is also one of the  irregular heartbeat causes, because in this condition one of the mechanism that heart uses to compensate for its diminished function is sinus tachycardia (if it can’t pump a proper amount of blood, it tries to pump a smaller amount but faster),
• Infection or fever is one of the irregular heartbeat causes, many times associated with sinus tachycardia,
• Anemia, in severe cases produces sinus tachycardia, the heart tries to pump the blood faster, in order to compensate for the lack of red blood cells and hemoglobin, the oxygen carrier,
• Thyroid disease-e.g. hyperthyroidism is associated with rapid heart beats, while hypothyroidism with low heart rate,
• Emotional stress produces irregular heartbeats, specially in people suffering from heart diseases,
• Usage of caffeine, tobacco, and alcohol are related with irregular heartbeat causes.

The usage of drugs is an important problem of the nowadays society, also with a great impact on our body: many times the usage of drugs was mentioned as one of irregular heartbeat causes and there were cases when cocaine consumption determined heart attacks and death.

If you think you have irregular heartbeat causes please see your physician.

Decreased cardiac output

What is a decreased cardiac output?

Decreased cardiac output is a synonymous term used for heart failure or heart insufficiency. In patients suffering from decreased cardiac output or heart failure, the amount of blood that vessels „offer” to the tissues is not enough for the metabolic demands. Decreased cardiac output means that heart can’t function at its proper parameters, even if the heart muscle labor increases and all types of compensating mechanisms are used.
How can doctors tell us if we have a decreased cardiac output?
Decreased cardiac output determines a diminished ejection fraction (a smaller amount of blood is delivered to the aorta and its branches) and can be discovered when your doctor performs an echocardiography. Measuring the ejection fraction periodically will offer information about the heart failure evolution, but is not always correlated with the severity of symptoms. For example, there are patients with severe decreased cardiac output (about 24%) that still can perform common activities without having shortness of breath, chest pain, palpitations or getting tired, while other patients with a higher ejection fraction (and therefore a higher cardiac output) have all the symptoms listed above.

Decreased cardiac output- clinical case report:

After the theoretical part of this article listed above is time to pass to a more practical part, in order to understand what the decreased cardiac output manifestations are and how it can affect people life and daily activities.
Next we will present a case of a 63 years old patient suffering from heart failure, with a decreased cardiac output, so we can have a better image of how life is for a person diagnosed with this disorder.
Case report:
A 63-year-old Caucasian man had a 40 years medical history of diabetes, treated with glyburide 10 mg twice/day. He was also known with coronary heart disease and heart failure (left ventricular ejection fraction 25% determined by echocardiogram, NYHA class II-III), hypercholesterolemia, and chronic renal insufficiency (serum creatinine 1.4-1.8 mg/dl). His drug therapy included aspirin 325 mg/day, digoxin 0.125 mg/day, simvastatin 20 mg at bedtime, metoprolol 50 mg twice/day, and nitroglycerin 0.4 mg sublingually as needed. At that clinic visit, the patient had no other complaints and his heart failure appeared stable. Nine days later he came to the clinic with an increase in weight of 3.6 kg (baseline weight 78.6 kg) complaining of shortness of breath. Physical examination revealed bibasilar rales (pulmonary sounds heard during breathing which may indicate infection, pulmonary edema, allergy or bleeding etc.), +S₃ gallop (abnormal sound heart during heart auscultation, which indicates heart failure), and increased jugular venous distention (JVD-because right heart has a decreased function, blood will flow back into the veins that bring it into the heart chambers), but no lower extremity edema. Again, he reported adherence to drug therapy and no dietary indiscretions.  After treatment adjustment he was released from the hospital, but returned 2 weeks later reporting that his weight increased, and legs edema occurred, while his wife confirmed he had a high sodium intake. Chest radiograph was consistent with pulmonary edema. Fluids were immediately restricted, and the patient was given bumetanide 5 mg intravenously twice/day. By hospital day 2 the patient had lost 4.1 kg by diuresis and  on hospital day 5 his heart failure was stable.
In conclusion, decreased cardiac output is the main manifestation of heart failure and has a great impact in patients’ life (as we saw in the case above).

If you think you have any of the following symptoms of decreased cardiac output contact your hospital.