May 27, 2020

Pain diary can help with diagnosis

Accidental genetic errors in cell division can also lead to cancer. These become more common with age and cannot always be corrected by the body’s own repair system.

In around five to ten percent of cases, cancer is based on an innate genetic predisposition. The German Cancer Aid advises people with a high familial risk to seek advice and regularly go to early cancer detection.

What are the effects of the corona pandemic?

The corona pandemic has resulted in cancer therapies being shortened or postponed and follow-up care being suspended. Scientists and doctors also fear that the health system will face an increased number of late-detected cancers as a result of the corona pandemic. This is because diagnostic and early diagnosis examinations do not take place as usual. In addition, people do not go to the doctor for fear of being infected with the coronavirus.

There is no reason to be afraid of infection in the hospital – high hygiene precautions are taken in clinics and practices, according to the German Cancer Aid. According to experts, the exact impact of the pandemic on cancer will only be assessable in one or two years.

Do cancer patients have a higher risk of a severe Covid-19 course?

The Robert Koch Institute notes that people with a tumor and people who are undergoing cancer treatment such as chemotherapy are affected by severe courses of Covid-19. In addition, if they contract a viral infection of the upper airways, they have a significantly higher risk of pneumonia, explains the Cancer Information Center.

However, not every cancer patient automatically belongs to the risk group for developing Covid-19. The risk of a severe course depends on whether the immune system is currently weakened. Cancer patients with a well-controlled disease or after successfully completing the initial treatment do not have an increased risk, states the German Society for Hematology and Oncology (DGHO).

It is currently unclear whether cancer patients are at an increased risk of contracting the coronavirus at all.

Malignant cells: that’s why cancer comes back often "Clear correlation": Increased cancer risk if you are very overweight Benign does not mean harmless: These tumors are not cancer

Where can I get advice and information?

Here you can get free advice on all topics related to cancer:

Cancer information network of the German Cancer Aid Telephone: 0800/80708877 Email: krebshilfe@infonetz-krebs.de Cancer information service of the German Cancer Research Center Telephone: 0800 4203040 Email: krebsinformationsdienst@dkfz.de Sources used: Own research) Corona Health Center (WHO) German Cancer Research Center (WHO) German Cancer Research Center and cancer: Answers to frequently asked questionsGerman Cancer AidGerman Society for Hematology and Oncology (DGHO) IARC: World Cancer ReportEuropean Code to Combat CancerNews agencies dpa, AFPAdditional sourcesShow less sources

Children love to cool off in the pool or in the paddling pool. After that, however, they shouldn’t romp around in their wet swimwear for too long. 

Wearing wet swimwear for long periods of time can cause bladder infections in children. Pediatrician Thomas Fendel explains that in the magazine "children!" (Edition 8/2019). It is also better to avoid sitting on cold and damp surfaces. Girls in particular are affected in comparison to boys because of their shorter urinary tract.

These are the signs

If certain intestinal bacteria get into the urinary tract, they can trigger an infection there. They also survive and reproduce better in the moist and warm environment of the female sex organ. Signs are usually a burning sensation when urinating, pain in the abdomen, and an increased urge to urinate. 

Dermatologist warns: Bikinis throw germs Urinary tract infection: How to recognize a bladder infection Home remedies: What to do if you have a bladder infection?argumentative essay titles examples

Renal pelvic inflammation threatens

Infants and young children are at risk of inflammation of the renal pelvis and damage to kidney tissue. The function of the kidneys can also be impaired in the long term. Therefore, parents should seek medical advice as soon as possible. Treatment is often with antibiotics. In addition, parents should ensure that affected children drink enough. Warm baths can relieve pain and make urination easier.

Sources used: dpa-tmn news agency

Women in particular often struggle with bladder infections. Their urethra is significantly shorter than that of men. To flush the pathogens out of the bladder, many women use bladder and kidney teas. However, these are only conditionally recommended, according to the result of "Eco test". Most are contaminated with plant toxins and pesticides.

7 home remedies for bladder infections
Photo series with 7 pictures

The testers examined 36 over-the-counter medicines for cystitis, including 21 bladder and kidney teas, 13 over-the-counter medicines and two D-mannose preparations. They were particularly surprised by the medicinal teas: most of them were remarkably high in plant toxins and pesticides.

Plant toxins and pesticides frighten the testers

There were, for example, deductions for strongly increased levels of pyrrolizidine alkaloids (PA). The plant poisons get loud "Eco test" through weeds, which form alkaloids to protect against predators, into the products. The plant poison is carcinogenic and mutagenic in animal experiments and can damage the liver in the long term.

Well-known manufacturers rattle through in the test

Even well-known manufacturers, including Bad Heilbrunner and Kneipp, only took part in the test "insufficient" from. That was the case with him "Bad Heilbrunn kidney and bladder tea, filter bag" which contains the plant constituents orthosiphon leaves as well as grouse root, the pyrrolizidine alkaloid value "very much increased". The testers also arrived "greatly increased" Traces of pesticide and four other pesticides.

Bad Heilbrunner shared opposite "Eco test" with the fact that the company will in future be adding a higher proportion of birch leaves to the product, which should not have any PA problems due to the height of growth and harvesting method.

The "Kneipp bladder & Kidney tea, medicinal tea, sachet", which contains horsetail, birch leaves and giant goldenrod, among other things, also showed one "greatly increased" Value of the pyrrolizidine alkaloid. One pesticide was above the maximum level, three other values ​​were increased. Traces of four pesticides were found in the tea.

"Satisfying" is the best rating in the bubble tea test

Only two teas were included "satisfying" off, one of them is the "Multinorm bladder and kidney tea, filter bags" from Aldi Süd. In addition to horsetail and birch leaves, it also contains giant golden rod and grouse root. However, he also had the pyrrolizidine alkaloid value and a pesticide "elevated". Another four pesticides were found in traces.

Effect of bladder teas not clinically proven

In general, if you drink enough with a bladder infection, you help flush the urinary tract and thus the removal of the pathogens. To do this it takes loud "Eco test" but not necessarily bladder and kidney teas. Especially since the diuretic effect that the teas are said to have is based exclusively on historical evidence, medical experience reports and observations of use, according to the testers.

"It is still unclear which ingredients contribute to its effectiveness", emphasizes Professor Manfred Schubert-Zsilavezc from the Institute for Pharmaceutical Chemistry at the University of Frankfurt "Eco test". "There is no clinical proof of benefit for these agents." The teas are therefore considered to be used for treatment "only supportive" classified. If the symptoms persist, if there is a fever or if blood can be seen in the urine, a doctor’s visit is urgently recommended.

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Prevention is better than treatment

So that the pathogens, in most cases the intestinal bacteria E. Coli, do not even get into the bladder, women should generally drink enough. Even after sex, it is important to go to the toilet to flush the four centimeter long urethra. When wiping, the following applies: always from front to back. Soaps and washing lotions in the genital area are better avoided in order not to weaken the vaginal flora.

Sources used: Öko-Test 09/29/2016

It is estimated that every second woman will have a bladder infection (cystitis) at one time in her life. For many women, the painful burning sensation when urinating and the uncomfortable need to urinate are even permanent problems. Knowing the five biggest risk factors can significantly reduce your risk of infection.

In most cases it is intestinal germs that overcome the short distance between the anus and the vaginal entrance and enter the bladder through the woman’s urethra, which is only four centimeters long. But other pathogens, including enterococci, staphylococci and yeasts, trigger the infection. Due to their anatomy, women are significantly more likely to suffer from bladder infections than men.

Most intestinal germs trigger the inflammation

If the intestinal germs, including Escherichia coli, colonize the tissue of the urethra and bladder, this reacts with inflammation. The result is a strong urge to urinate with only small amounts of urine as well as pain and burning sensation when urinating. The urine is cloudy. In severe cases, blood is often mixed in. Cystitis is also often accompanied by tenderness in the abdomen.

No-Go 1: Drinking too little

The two most important measures to ward off cystitis are: to prevent the colonization of the urethra and bladder by the pathogens and to protect the natural defense function of the genital area. So that the urethra and bladder are regularly flushed and pathogens transported away, it is above all important to drink. According to urologists, drinking enough fluids is one of the most important steps to prevent cystitis.

No-Go 2: Don’t go to the toilet after sex

It is also advisable to go to the bathroom after sex. Pathogens that were “massaged” into the urethra during intercourse are reliably transported out of the bladder again. Women who do not want to drink anything before sex because of the threat of urination may be interested in the following: Many women report that sex is significantly more intense for them with a slightly filled bladder than with an empty bladder.

No-Go 3: Wear synthetic thongs

The same effect as during sexual intercourse comes into play with thong. The material between the buttocks rubs against the skin when you move it and can thus also transport intestinal germs towards the urethra. Those who use synthetic materials instead of cotton also increase the risk of infection. Synthetics promote a moist environment in which bacteria multiply more easily than in breathable and moisture-regulating cotton. In addition, cotton underwear can be washed much hotter than lace, for example, which can often only be hand washed. It is also important to change your underwear every day.

No-Go 4: Too much soap in the genital area

Anyone who thinks now that they can get rid of intestinal germs with a lot of soap and shower gel is wrong. On the one hand, the germs occur naturally in the area of ​​the anus and can neither be rubbed away nor foamed away. On the other hand, the delusion of washing disturbs the sensitive protective barrier of the vagina. The local lactic acid bacteria (lactobacilli) form an acidic environment in which pathogenic germs can only multiply with difficulty. The urethra, which is right next to the vaginal entrance, benefits from this protective wall.

If this natural protection is constantly attacked by surfactants, fragrances and preservatives as well as other ingredients in soap and shower gels, the risk of infection increases. Gynecologists have therefore long advised that the sensitive body area should only be cleaned with water. Since all body excretions are water-soluble, that is how you get clean. If you like, you can use a soft washcloth. 

Urinary tract infection: How to recognize a bladder infection Home remedies for cystitis: What to do with a bladder infection? Particularly painful: cystitis in men: symptoms and causes

No-Go 5: Wash underwear too cold

Underwear, on the other hand, can foam in the washing machine. And there ideally at 60 degrees or more. Lower temperatures do not reliably kill bacteria, viruses and fungi. Anyone who only chooses the short program at 40 degrees runs the risk of growing germs. The washing powder should also contain bleach. Because these kill pathogens reliably, as studies have shown. Hand washing is not suitable for reliably killing germs – unless you let the laundry soak with the addition of a disinfectant rinse.

In most cases, pain when emptying the bladder is caused by an acute infection. However, if there is no improvement, there could be an incurable disease behind it.

Chronic bladder pain and a constant need to urinate can be signs of what is known as interstitial cystitis. Other signs are pain when filling and emptying the bladder, generally in the lower abdomen or during sexual intercourse, explains the Federal Association for Health Information and Consumer Protection (BGV).

The disease is not curable, but treatable. Those affected by the symptoms should not be afraid to ask their doctor specifically about the interstitial cystitis and, if necessary, ask for a referral to a specialist.

Pain diary can help with diagnosis

It is useful for diagnosis to keep a diary of pain, urination, activities, and diet – this makes it easier to isolate the causes of the pain.

Chronic cystitis: Symptoms and treatment Cystitis: Home remedies for cystitis Particularly painful: Cystitis in men

The disease is very unpleasant for most of the female patients and is associated with restrictions for work and private life. According to the BGV, it often takes years until a correct diagnosis is made because the symptoms are similar to those of other diseases – a urinary tract infection or irritable bladder, for example.

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