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PlayDiabetic patients that also suffer from high blood pressure may be at a higher risk of a heart attack if they are treating their high blood pressure with antihypertensive drugs. High blood pressure also known as “hypertension” is one of America’s leading health problems. Dianne TyndallMidland Healthy Living ExaminerDianne Tyndall is a freelance journalist, a native born Floridian living in Texas. Cannes Film Festival fashion: Amal Clooney, Blake Lively, Victoria BeckhamThe 69th Cannes Film Festival opened on Wednesday, May 11 with Woody Allen's new film.
Ways to earn extra money: The side hustleRemember when a full-time job used to mean working 40 hours a week or more and bringing home a decent paycheck that would last, at least until the next pay check?
Fibromuscular Dysplasia, commonly called FMD, is a disease that causes one or more arteries in the body to have abnormal cell development in the artery wall.
FMD is most commonly found in the arteries that supply the kidneys with blood (renal arteries) and the arteries called the carotid and vertebral arteries which are found in the neck and supply the brain with blood. Some people with this disease do not have symptoms or findings on a physical examination.
A person with severe carotid FMD causing severe narrowing or a tear in the carotid or vertebral artery may have neurologic symptoms involving the facial nerves (drooping of the eye lid, unequal size of the pupils, for example), stroke, or transient ischemic attack.
FMD involving the arteries that supply the intestines, liver and spleen with blood (mesenteric arteries) can result in abdominal pain after eating and unintended weight loss.
FMD affects women far more commonly than men, although men and children can be affected with the disease. It is difficult to determine how common FMD is in the general population, due to a number of reasons. In some cases of FMD, an attempt should be made to improve the flow of blood through a severely narrowed vessel. If an angioplasty is performed, a catheter is extended into the affected artery and a small balloon is inflated in the artery. The appropriate treatment will vary with each individual and severity, location, and extent of disease.
The vascular sub type of Ehlers-Danlos syndrome (type IV) has been associated with the most common type of fibromuscular dysplasia, known as medial fibroplasia. The FMD Society of America is sponsoring the United States Registry for FMD, which gathers information regarding the epidemiology, symptoms, disease extent, treatments and outcomes of patients who have FMD. Ringing in ears do not cause hearing loss and in fact the person becomes highly sensitive to even small sound. Other factors like frequent ear infections and formation of tumor in the ear can cause tinnitus. Certain medical conditions like Meniere’s disease, otosclerosis, high blood pressure, anemia, diabetes, thyroid problems and allergies can cause tinnitus.
In case tumor is the root cause of the problem surgery is to be done for removing the tumor.
Many major health concerns arise when a person’s blood pressure rises, some of which are diabetes, eye problems, kidney damage, stroke and heart disease. Long term from other medical disorders such as: obesity, smoking, inactivity, drinking alcohol, caffeine, birth control pill’s, pregnancy, eating large quantities of fat, sugar and salt. You can get your blood pressure checked at your doctor’s office, many pharmacies have blood pressure machines to check yourself for free, or you can purchase your own machine for private home use.
As a result, areas of narrowing (called stenosis), aneurysms, or tears (called dissections) may occur. Less commonly, FMD affects the arteries in the abdomen (supplying the liver, spleen and intestines)  and extremities (legs and arms). A number of case reports in the literature have identified the disease in multiple members of the same family including twins.

People with carotid FMD have a higher risk for aneurysms of the arteries in the brain (intracranial aneurysms). Similar to FMD in other arteries, FMD of the coronary arteries can cause abnormal areas of narrowing (stenosis) or tearing (called dissection).
In children with FMD, the disease seems to more commonly present with significant narrowings rather than tears of arteries and also seems to involve the arteries to the kidneys and intestines more commonly than the carotid vessels. Individuals with mild FMD are often asymptomatic and so the disease often goes undetected. There are many options for imaging the arteries, including specialized blood vessel ultrasound known as duplex ultrasound, a CAT scan of the arteries which is obtained after a dye is given through the veins, or a special type of MRI. A metal stent is typically not required to keep the vessel open, but may be needed in some cases, such as for treatment of a dissection (tear) of a blood vessel. The treatment plan should be discussed in depth with a specialist who is very knowledgeable about FMD and its natural history. Some people may find it annoying and it can affect their quality sleep also causing psychological problems. Intake of drugs like strong antibiotics, aspirin, sedatives and prolonged use of antidepressant medications can cause tinnitus.
He may check for neck or head injury and order for imaging tests like X-ray, CT or MRI scanning.
Medications like alprazolam and other benzodiazepine drugs, corticosteroid drugs, and Cytotec and other prostaglandin drugs are recommended for treating tinnitus. Many pre-packaged food’s are bombarded with sodium, so be sure to read label’s and choose wisely. If you suspect you have hypertension you should seek the medical help of your health care practitioner, and always check with him or her before starting any new diet or exercise regime. She is a retired licensed practical nurse and has worked in the medical profession for over 20 years, working in Hospitals, Nursing Homes and the private sector. In more than one-half of people with this disease, there will be evidence of FMD in more than one artery. This area requires further research and is under investigation by many researchers around the world. FMD in the carotid arteries may cause headaches or a swooshing sound in the ears (called pulsatile tinnitus).
Bleeding in the brain (intracranial hemorrhage) may occur if an aneurysm ruptures, and it is important to identify and treat brain aneurysms early to prevent this. Both stenosis and dissection from FMD can lead to reduced blood flow in the coronary arteries, which can cause chest pain or in some people very rarely it can cause heart attack. However, it also seems that women are more likely to have a sudden coronary artery dissection within 2 weeks of childbirth.
Most studies examining the prevalence of FMD have looked at specific patient populations in whom individuals may have already suffered from serious consequences of the disease, such as patients with carotid dissection. If angioplasty is performed, the procedure and recovery period may be longer than an arteriogram done for diagnosis only. The frequency of noise may vary from low to high pitch and it can be heard now and then or as continuous stretch.
For some people in addition to loud noise, they can get ear pain and difficulty in sleeping due to stress. Retraining therapy is given for tinnitus to get back the normal sensation in the nerve path of the ears. In most cases of hypertension the person does not experience any symptoms but in some cases a person suffering from high blood pressure will suffer with ringing in the ear’s, shortness of breath, visual problems, nosebleed’s, headache’s and dizziness.
Eat fresh raw fruit’s such as apple’s, banana’s and orange’s and eat fresh vegetables such as cabbage, kelp, tomatoes, and celery, also add more fiber to your diet.

Many people with FMD do not have any symptoms or signs on physical examination and are diagnosed by accident during a radiology scan for another problem. Some patients with FMD may have no symptoms at all but are diagnosed with this disease when a physician hears a noise over one of the arteries due to disturbed or turbulent blood flow within the vessel. It involves inserting a wire through the groin into or near the affected artery and injecting contrast material, a dye that can be detected by an x-ray machine.
Occasionally, traditional open surgery is performed to treat severe narrowing due to FMD, particularly in those that cannot be treated with angioplasty. Treatment for ringing in ears is available in the form of medications, surgery, using masking device etc.
For instance, musicians, carpenters, pilots and landscapers are at high risk for developing tinnitus since their work involves hearing loud noise most of the time. Wear and tear of the inner cells of the ear can lead to deterioration of the cochlea of the ear. If any medications are causing such noise in the ear, your GP may provide suitable alternative for the problem.
You may be hearing what other people do not hear and sometimes you will be able to hear only loud frequency sound and not normal sound. Some excellent food’s that have been known to bring blood pressure lower are garlic, onion’s, and parsley. The carotids are in the front and the vertebrals and basilar artery are in the back of the neck and head. The patient is usually awake during an arteriogram procedure although medications may be given to keep her comfortable.
This can cause irritation to the affected person and in severe cases it can affect your potential at workplace or your relationships. People whose job involves gun making and other musical instruments can also develop this condition.
If buildup of ear wax and infection is causing tinnitus, he may thoroughly clean your ears. Tinnitus can be more nuisance particularly during night when there is complete silence around. Among some individuals with FMD, there is a family history of other vascular problems, such as blood vessel aneurysms.
This outpatient procedure usually lasts from one to two hours with a recovery period of up to six hours (this varies widely). As you walk, these arteries open up to get blood to the brain and if it doesn't work then a headache results. Most of the time, dizziness also occurs.If you are having tinnitus (buzzing or ringing in one ear or both) you need to get to your doctor right away. I am assuming the physical exam was normal if the person was discharged from the ER.One thing to be careful about is the atypical nature of the headache. True migraine is throbbing at the temples, around the eyes and has nausea and maybe vomiting. Pain in the back of the head could be related to the vertebral or basilar arterties.If this patient came to our practice we probably would do an MRI and MRA just to view the arteries.

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