Dr. Grimes’ Bottom Line – Page 17

Mammograms, Breasts and Exams…oh My!

June 19, 2018October 2, 2015

Thinking PINK? October is Breast Cancer Awareness month, and pink ribbons are popping up on everything from restaurants and t-shirts to football socks. I love that as a community, we can rally around a cause to raise not only awareness, but also much needed funds for research and support of those affected.

The American Cancer Society statistics reveal that here in the United States, over 230,000 women will be diagnosed with breast cancer during 2015, and sadly, over 40,000 women will likely lose their lives to this disease. The good news is detection methods continue to improve, allowing these cancers … Read more

What about Aleve?

June 19, 2018September 23, 2015

On my Tylenol vs Advil blog post, I did not directly mention naproxen, better known by a trade name, Aleve. Do I have that in the first aid kit? Yes.

How is naproxen(Aleve) different than ibuprofen (Advil)?
Let’s start with how they are the SAME. Both are classified as “NSAIDs”, which means Non-Steroid Anti-Inflammatory Drug. So both naproxen and ibuprofen can be used to decrease swelling and inflammation, and both will lower elevated body temperatures (fevers). The product insert explains that naproxen is indicated for the relief of pain and fever, including headaches, toothaches, muscle and back aches, arthritis … Read more

Tylenol vs. Advil

June 19, 2018September 17, 2015

Next into the First Aid kit should be a pain reliever/fever reducer…should you put in Advil* (meaning any brand of Ibuprofen) or Tylenol* (suggesting any brand of acetaminophen)?

Drum roll please…and the answer is BOTH.

Tylenol and Advil are two very different products that work in different pathways within the body. Although the exact mechanism is not fully understood, Tylenol works in the central nervous system to block production of prostaglandins, a substance that plays a key role in pain and fever. Advil-type products (known collectively as Non Steroid Anti Inflammatory Drugs, NSAIDs) work in the peripheral as well … Read more

Antihistamines vs Decongestants

June 19, 2018September 8, 2015

Many people are confused about when to use an antihistamine vs a decongestant, which is not surprising since these medications both treat allergy symptoms, and in fact, are frequently put together in combination products. Here is a quick breakdown:

Antihistamines work “anti” (against) histamine, which is a chemical released in the body during an allergic response. Histamine causes itchy eyes, tearing, itchy nose, sneezing, and post-nasal drainage that creates scratchy or sore throats, as well as occasionally causing total skin itching or hives. Antihistamines, therefore, help decrease sneezing, dry up dripping noses, eyes and throats, and reduce hives.

Antihistamines may … Read more

College First Aid Kit

June 19, 2018September 3, 2015

Happy Fall 2015! I disappeared for the summer, as I finished writing the second edition of my first book (Seductive Delusions), as well as a series of medical articles for Livestrong.org. Since all of my patients are current college students, I thought I would share a series of posts about common health issues for otherwise healthy young adults. Pictured above is my favorite personalized gift for graduating high school seniors- a first aid kit, complete with my instructions for “when and how to use what” to feel better.

Let’s start with one very basic item that is … Read more

My Teacher Gave Me an Ulcer!

June 20, 2018March 2, 2015

“Does STRESS cause stomach ulcers?” In a college health center, this is a question I hear fairly often, especially around midterms or finals. Certainly most of us have experienced stomach discomfort when we are anxious- whether that is nausea, cramping, diarrhea or pain- but the vast majority of people with those symptoms do not have actual ulcers. However, people who are stressed may have coping habits that CAN cause or trigger the development of ulcers, such as drinking too much alcohol (more than one drink/day for women, or more than 2 drinks/day for men) or frequent use of over the … Read more

Measles Memo: VACCINES WORK!

June 20, 2018February 3, 2015

By now you have probably heard about the MEASLES outbreak that originated in Disneyland last month. At this point, over 100 cases (that span at least 14 states) have been documented since the first of this year…and we have only entered February. If you are my age or older (40-something), odds are good you remember HAVING the measles. In my case, I missed the coveted LAST DAY OF SCHOOL in 7th grade…miserably feverish, coughing, aching and covered in itchy red spots, so that particular event is etched in my middle school memories. I lay in bed sobbing in my self-pity … Read more

How Accurate are Flu Tests?

June 20, 2018January 15, 2015

In primary care offices, we do many types of rapid testing to help us diagnose and treat patients– pregnancy tests, urine tests for infection, rapid strep tests, and of course, rapid flu tests. How accurate are these tests? If a rapid flu test is POSITIVE, it is extremely accurate- 98%. This means they are very SPECIFIC tests- if it says you have it, you have a 98% chance that you really do have the flu, so the likelihood of a false positive is very low. If your rapid flu test result is NEGATIVE, however, you might still have … Read more

Flu Without Fever?

June 20, 2018January 14, 2015

Can it be? Should you even wonder if you have the flu if you don’t have a fever? Unfortunately, YES. While it is true that the classic presentation of seasonal flu includes an often HIGH fever, body aches, fatigue, sore throat, cough and abdominal symptoms like nausea, pain or diarrhea, no single symptom is absolutely necessary for a diagnosis. Children under the age of 6 years frequently do not have fever and cough with their flu symptoms. This year in particular, I have seen more cases of flu with purely fatigue and stomach symptoms…including one in our family this week.… Read more

Will You “Cervive” in 2015?

June 20, 2018January 7, 2015

Is 2015 the year you finally truly prioritize YOUR health? The majority of Americans include weight loss and possibly exercise in their New Year’s Resolutions each year…and do really well on their strict diets for a few days or maybe even a few weeks. While I absolutely applaud attention to weight and activity levels, I want to encourage you to think beyond diet and exercise for your 2015 health resolutions. (And I will spend time in future blogs this month talking more about what diets work best, but today I want to shift the focus…)

January happens to be Cervical … Read more