Weather forecast for Tuesday, January 29, 2019
Detroit Free Press
Baby, it's cold outside, and it could have a big impact on your health.
In some people exposure to low temperatures can cause a life-threatening allergic reaction called cold uticaria.
As temperatures are almost at record temperatures, Dr. Earlexia M. Norwood, Family Medicine Service Director at Henry Ford West Bloomfield Hospital and Head of Practice Development for the Henry Ford Medical Group, What Cold Uticaria Is. and describes what she wants patients to know how they survive the freezer.
QUESTION: Is it possible to be allergic to cold weather?
ANSWER: ANSWER: ] Yes. There are people who have severe reactions to extreme cold for a long time.
Cold uticaria can range from skin reactions that leave the skin cold and you break out in hives in the area you are in. I have the oropharyngeal swelling of the respiratory tract, where it is hard after swallowing a cold drink to swallow or to breathe.
There are different variants of cold uticaria. The incidence may be between 5 and 35 percent of the population. It is more common in areas where it is cold than in areas where it is less cold, as in the southeast.
Q: How dangerous is a cold Uticaria?
A: ] The more skin exposed to people with cold uticaria, such as when swimming for extended periods of time, the more severe the systemic reactions. You may actually get into anaphylactic shock from the effects of the cold.
Some people close the airway in extreme cold. If you have trouble breathing, if you have difficulty swallowing, seek medical help immediately.
For these individuals, we recommend that you make sure you have any medication with you if you have a problem. If you are someone who reacts extremely, we ask him to wear an EpiPen.
For others, we recommend that you make sure you have medicines that can stop an allergic reaction, such as: For example, a loratadine or claritin or a Zyrtec drug, a type of antihistamine to stop an allergic reaction to the common cold. We would stop an allergic reaction to grass or mold.
Of course, the most important thing is to protect yourself from exposure to the elements. The longer you are out there, the more skin the elements are exposed to, the harder the reaction can be.
When you're outside, wear the thermal in addition to a snowsuit. And consider hiring someone to move the snow (rather than shoveling yourself).
Q: Can you talk about other cold-related health issues, such as hypothermia, and when to see a doctor for cold treatment?
A: There are a number of health risks related to cold. In the beginning, of course, the temperatures are low enough to cause injury or bodily harm to the body.
The things you would care about are just chilled. … you feel that you are colder than normal and you can not warm yourself.
I like it when people think about their core, and when they say, "I just feel like I'm down to my bones I'm disappointed. " I was exposed to the elements for too long. Try to get to a place where it is warm.
You would first get symptoms on your extremities. You will notice that your hands turn red, fingers, feet, toes, ears, turn red, become paler and turn blue. These would be early signs or symptoms.
You may experience physical symptoms such as frostbite, especially in parts of the body that are more prone to cold and where the blood vessels are the smallest. So think of your fingers toes, your ears, your nose. Things that are more exposed to the elements.
You may also notice that you are awkward because you do not have the dexterity you have had before. Normally in a cold reaction, the body tries to derive blood from parts of the body that are less important to those who are more important. Of course, your body will relocate the blood flow from your hands to make sure enough blood flows into your heart when you're so cold.
Q: How long does it take for your body to experience these symptoms?
A: It varies depending on the degree of cold, the wind shower, how long the exposure is, how the condition of the person is, how the state of health is, along with medication and whether it is is wet or if it is dry. All of these can be factors for the effects of the cold on you.
If you are in a place where you are cold and dry, it will take longer for you to get into trouble. When you are cold and wet, the moisture loses you body heat faster.
At temperatures in the single-digit range, you can definitely get in trouble in less than five minutes.
Q: You mentioned medicines that can make a person more vulnerable to cold weather. What type of medication have this effect? A: Patients who have medicines that cause them to dry out, such as: B. water pills. People who take medicines for high blood pressure, medicines that can lower the heart rate, which sometimes cause an increased cold sensitivity.
And then it's stimulants that increase the heart rate. Some of these are medicines that we use to treat children with ADHD, such as Adderall. Such stimulants, which can increase heart rate and blood pressure, can also make you more troubled.
Q: When should a person go to the hospital for cold exposure or seek medical help?
A: You know that you have trouble if you can not warm yourself up with typical measures, or for some people, if they were in the cold long enough to notice that not only my hands are red, but that they come to the point where your extremities lie They turn blue, or you have difficulty breathing, or where you feel dizzy or dizzy due to the cold, and you become less cognitive. This can happen with prolonged cold in case of extreme cold.
So, despite your best efforts, if you feel unable to warm up, or especially in people with chronic conditions such as heart disease, diabetes, seizure disorders, people who have problems with extreme colds.
Q: You mentioned that people with chronic medical conditions are more likely to have problems with cold temperatures. Why are people with heart disease more at risk?
A: When a person goes out in the cold, it restricts the flow of blood throughout the body, and of course, the blood flow to the heart.
For persons with heart disease or those who had a heart attack, you must ask your doctor before removing the snow.
Snow shoveling is exercise; it's like running on the treadmill. If you normally run on a treadmill, you are in it. They are not exposed to the cold.
So if you shovel snow, you have two elements that are at risk can increase a heart attack: cold, which reduces blood flow. And secondly, picking up the shovels, which is an effort.
It is really important that you first get clearance from your doctor for the amount of physical activity you can do, that you are exposed to cold and how long.
Another thing to consider is the degree of cold. If it's a 30-degree day and you move snow, you're less likely to get into trouble than when it's 5 degrees outside and you're shoveling snow.
Q: What other health problems do you see in patients in times of extreme cold?
A: In cold weather slippage and falls occur. There are problems with asthma that gets worse and breathing problems. The same goes for problems that control blood pressure and blood sugar. People tend to avoid chronic diseases when things go wrong with the weather.
So forget the usual things.
This is also the time of the year when the flu is really pronounced, as well as cold symptoms. So do the right thing. The way you prevent the flu means that you regularly wash your hands, people who are flu or ill, and make sure that you receive flu every year.
Q: Are there other viruses and diseases that are more common in the winter months?
A: The commonest time of the year is the common cold. There are more patients with noroviruses who can cause the stomach disease.
There are also infections that include sinus infections and ear infections that require more than conservative treatments of time, rest, and fluid. You may need medications such as antibiotics, especially if the symptoms last longer than one or two weeks, the symptoms get worse, and the temperature is above 101 degrees.
Q: What should people avoid when they try to warm up when they come in from the cold?
A: Look for symptoms early. When you cool down and feel cooled to the bones, this is a sign that you need to get to a warm place. Do not wait until you get into trouble.
If you get frostbite, get into a warm area, but do not do things like put your hands or feet under hot water. Do not rub, rub hands, or rub these areas to damage the tissue under the skin.
Heat without injuring or injuring yourself.
When you are at one point you do not get better, or you have shortness of breath. Make sure you are looking for an intervention quickly.
In addition to avoiding exposure to the cold, people who do not take regular exams, can not be seen by their doctor, and can not ensure that regular health care is ensured, will get into trouble more quickly.  We can tell you if you have high blood pressure, what are your risks. If you have heart disease, what are your risks when you are exposed to colds. Make sure you see your doctor, do physical examinations, mammograms, and Pap smears. Make sure your routine care is done.
You may be suffering from heart disease or other conditions that increase your chances of catching a cold and you will not notice it because you have not performed the routine maintenance that is necessary for your care. Start there. The important things first.
Q: Are people with autoimmune diseases such as lupus, scleroderma, or Raynaud's phenomenon, in which the blood vessels of the fingers and toes are particularly tight, at particular risk in these extreme temperatures?
A: Lower temperatures can … lead to the onset of certain autoimmune diseases such as type 1 diabetes, rheumatoid arthritis, multiple sclerosis, and lupus. The common cold can affect people with these conditions by triggering physiological changes in the body, such as small blood vessel spasms, which can restrict blood flow to specific areas. People with autoimmune problems should take the same precautions as people with Raynaud's: Avoid the cold and prone to relapses as soon as they start.
Some of them have suffered nerve or arterial damage. Avoiding a cold is the first line of defense to prevent a Raynaud episode.
Warm dress with cap, gloves instead of gloves, a scarf, a warm, airtight coat and warm socks and shoes or boots. Use hand or foot warmers and make sure you warm up your car before spending a long time in it. Also, learn how to deal with stress to avoid predisposing you to a Raynaud's episode.
Take steps to stop a Raynaud attack as it begins. Warm up your hands, feet or other affected areas immediately. For example, put your hands under your armpits, run warm water over your fingers and toes, or massage your hands and feet.
Some people even move to warmer climates to avoid cold weather in winter and particularly low temperatures.
People with a severe form of these conditions should consult with a physician about options, including medications that are available for people who are severely affected by colds, or additional treatments.
Kristen Jordan Shamus: 313-222-5997 or [email protected] Follow her on Twitter @ Kristenshamus.
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