Diseases & Conditions Archive

In the journals

Bleeding gums are a sign of gingivitis, an early stage of periodontal disease, but they may also signal low vitamin C in your diet, suggests a study published online Feb. 1, 2021, by Nutrition Reviews. Researchers examined 15 published studies involving 1,140 healthy people as well as data on 8,210 people from the CDC's Health and Nutrition Examination Survey. They found that low vitamin C levels in the bloodstream were associated with an increased risk for gum bleeding with gentle probing. The researchers also observed that increasing vitamin C intake may help resolve the problem.

Increased bleeding in general is one of the symptoms of scurvy, a disease caused by severe vitamin C deficiency. Scurvy, which often affected 18th-century sailors without access to fruits and vegetables, is rare today. Still, this new study sheds light on a potential cause of gum bleeding related to vitamin C levels that are only slightly low — not enough to cause scurvy.

You have the power to reduce certain risk factors for the disease.

We've come a long way in our understanding and treatment of age-related macular degeneration (AMD), the leading cause of vision loss for people ages 50 or older in the United States. We've learned that certain genes and lifestyle factors increase the risk for developing AMD, and discovered treatments that often slow the disease's progression.

Yet for all our advances, we still don't have a guaranteed way to prevent AMD. You are at greater risk if one of your parents had the condition. "One needs to be concerned, but it doesn't mean you're destined to get it. It's a complex disease, and it takes a combination of factors for it to develop," says Dr. Joan W. Miller, chief of ophthalmology at Harvard-affiliated ­Massachusetts Eye and Ear and ophthal­mology chair at Harvard Medical School.

A history of discrimination in multiple settings, including health care, may make some people who identify as LGBTQ+ hesitant to get a COVID-19 vaccine, even though the virus has disproportionately harmed this community. If you're struggling to make a decision, this may help you consider benefits and risks.

Obstructive sleep apnea leaves people tired, but also puts them at risk for other health problems. Not everyone with sleep apnea can use an airway pressure machine, and some may simply prefer not to. There are oral appliances available, but are they effective?

Men may avoid activity because of their knee pain, but movement is exactly what they need.

It is perhaps the ultimate exercise catch-22: it's hard to move with knee osteoarthritis, but moving helps relieve osteoarthritis knee pain.

More than 30 million Americans have osteoarthritis, the most common kind of arthritis. While osteoarthritis can affect the hips, lower back, neck, and fingers, it occurs most often in the knees. In fact, an estimated 10% of men ages 60 and older have symptoms of knee osteoarthritis.

On call

Q. My breasts have begun to feel swollen and seem larger. What could cause this, and should I be worried about any potential health issues?

A. Swollen breasts in men are almost always caused by either one or both of two conditions: excess fat deposition in the breasts, or growth of actual glandular breast tissue (gynecomastia). Fatty deposition occurs in overweight men and is always present in both breasts. With gynecomastia, the breasts have a firm or rubbery consistency. While it usually affects both breasts, it can affect one breast much more than the other.

Try stress reduction to improve your quality of life and potentially relieve allergy symptoms.

Spring allergies are a stressful business. Coping with watery eyes, a runny nose, sneezing, coughing, or a sore throat affects how you get through each day. "The primary consequence is a reduced quality of life. This naturally can lead to stress on patients and their families," says Dr. Ahmad Sedaghat, an ear, nose, and throat specialist at Harvard-affiliated Massachusetts Eye and Ear Infirmary.

The influence goes both ways: not only can allergies cause stress, but stress can make allergies worse.

What to do about prickly heat, poison ivy, and other uncomfortable skin reactions.

 Image: © LCOSMO/Getty Images

Sunburn is a big risk in the summer. You know the rules: seek the shade, wear protective clothing, and use a broad-spectrum sunscreen (with an SPF of at least 30). But sunburn isn't the only summer skin problem.

Plant-related rashes

Many people are allergic to urushiol, an oil found in poison ivy and poison oak. Exposure occurs when you touch the plant directly, maybe while gardening, or indirectly, by touching an object that's picked up the oil (like a shoe). You can spread the oil wherever you touch your body until the oil is washed off. Two to 10 days later, the affected skin develops a red, itchy, blistering, oozing rash. It's not contagious, though you may feel like it's spreading. "The allergic reaction continues to unfold even after you've washed off the oil," says Dr. Jason Frangos, a dermatologist at Harvard-affiliated Brigham and Women's Hospital.

Men may avoid activity because of their knee pain, but movement is exactly what they need.

It is perhaps the ultimate exercise catch-22: it's hard to move with knee osteoarthritis, but moving helps relieve osteoarthritis knee pain.

More than 30 million Americans have osteoarthritis, the most common kind of arthritis. While osteoarthritis can affect the hips, lower back, neck, and fingers, it occurs most often in the knees. In fact, an estimated 10% of men ages 60 and older have symptoms of knee osteoarthritis.

Inflammation plays a central role in healing, but left to run wild, this process can lead to arthritis, heart disease, and Alzheimer's.

Image: Ingram Publishing/Thinkstock

Inflammation is like a fire in your body you cannot see or feel. "It's a smoldering process that injures your tissues, joints, and blood vessels, and you often do not notice it until significant damage is done," says Dr. Andrew Luster, of the Center for Immunology and Inflammatory Diseases at Harvard-affiliated Massachusetts General Hospital. The damage might show up as arthritis, heart disease, stroke, and even Alzheimer's disease.

However, inflammation is not evil per se. It has an important role in how your immune system keeps your body safe and healthy. "The goal is to keep inflammation in check and not let the fire run wild," says Dr. Luster.