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Most normal infants have a certain amount of acid reflux and this is quite common. However, there are some situations in which the reflux can lead to more serious medical conditions such as GERD. While many people may not realize it, GERD in infants is a frequent occurrence and there are many telltale signs. It is important to know and understand all of the symptoms of GERD in infants and to educate yourself on proper identification of GERD in infants.
One of the most common symptoms of GERD in infants is frequent vomiting or spitting up. Of course this is not the same as the “normal” spitting up that generally occurs between the first and third month of the infant’s life. The trouble is for some infants this problem becomes severe and requires treatment. In these cases you may be looking at GERD as the culprit.
Infants who have GERD also tend to be quite irritable when it comes time to eat. This irritability will be noted by crying, restlessness, fussiness, whining or even downright screaming. It is not hard to distinguish an irritable baby. If your baby is more irritable when it comes to feeding then you may want to consult your doctor to see what the reason is. It is very possible that eating is painful for your infant as a result of reflux.
If you infant does not seem to have much of an appetite or gets full to easily then this also could be cause for concern. GERD in infants tends to show itself in the form of a poor or under developed appetite. Of course, if it hurt you to eat, you would probably lose your appetite as well so such is understandable. While some infants may take less formula at some meals than others, if the problem becomes consistent, seek medical advice.
Another symptom of GERD in infants is clear and visible pain during feeding. If an infant is experiencing some sort of stomach discomfort, the most visible sign will be back arching and drawing up his/her legs. A comfortable baby will feel relaxed in your arms during feedings. A baby who is experiencing pain will struggle and you will be able to feel the tension in the infant.
A frequent cough or hoarse voice could also be indicative of GERD in infants. This is because the acid will eventually begin affecting the larynx of the child. In addition, hiccups which happen quite frequently and last for long periods of time may also be a sign of GERD in infants. This does not mean a tiny cough or a couple of spells of hiccups means your infant has GERD but ongoing issues should be checked out.
Many infants with GERD also spit up during burps frequently. These types of burps are generally referred to as “wet burps.” Again, a few wet burps probably isn’t cause for alarm but if it happens a lot then it would probably be safe to say a doctor’s visit would be in order.
Finally, a problem with sleeping comfortable or awakening frequently with what appears to be abdominal discomfort could be a sign of acid reflux or GERD in infants. This is because the acid is much more apt to rise into the throat and esophagus while the child is in a lying position. If your baby seems to experience painful bouts of wakefulness throughout the night then ask your pediatrician to check for other symptoms of GERD.
All children have a tendency to get an upset stomach from time to time. However, when it becomes a chronic problem and your child appears to be in pain, you may want to consider the possibility that your child is suffering from what is called acid reflux disease. This is a very painful condition in which stomach acid rises up into the esophagus and throat. The only thing worse than suffering from acid reflux yourself, is watching your child go through it.
This condition can cause major frustration as there can be a number of other ailments which appear to be acid reflux. Sometimes food allergies or sensitivities can cause children to have symptoms which mimic acid reflux. For example, something your child eats regularly may be causing acid indigestion. If that food were to be eliminated then the symptoms would just stop. Of course if you do not know what the food is, this in itself will pose a problem.
The only way to know for sure if your child is suffering from acid reflux is to have the child’s condition diagnosed by a physician. However, there are some acid reflux symptoms in kids you might watch for. If your child seems to experience a lot of discomfort after eating and he/she complains of a burning sensation, this could be a sign of acid reflux. Keep in mind that a few episodes of normal heartburn do not point to acid reflux. This will be something that happens more often than not in a child who is suffering from reflux.
You may also notice your child does not seem to thrive in terms of gaining weight appropriately. This can be related to many medical conditions but when considering acid reflux in children this is indeed one of the symptoms. If this is coupled with chronic vomiting then there is even more reason to be concerned.
If you have notice that your child seems to have a persistent cough that occurs more frequently upon waking, this could also be a result of the acid rising into the throat and esophagus. Acid reflux in children will cause irritation that could easily lead to a chronic cough. Burping to excess is also a sign of acid reflux and if you notice this address it with you physician. This is especially true if regurgitation accompanies the burping.
Wheezing, obvious discomfort while eating and frequent gagging are also telltale signs that you child may be suffering from acid reflux in children. No matter whom you are, acid reflux is a painful and uncomfortable condition, and that is putting it mildly. For a child this debilitating condition can really have an effect on the quality of his/her life. The good news is that there are many known acid reflux for kids treatments. Talk to your doctor to see what the best option for treatment will be if you have a child who is diagnosed with acid reflux disease.
There is never any reason in today’s world that a child should suffer with acid reflux. We have too many resources at our fingertips and a variety of ways in which this condition can be treated and the symptoms managed. Do not wait to take your child to a doctor if you suspect acid reflux disease as prolonging treatment can lead to other more serious complications such as GERD. If treatment is not started early there is even a chance that stomach ulcers and other underlying conditions can emerge as a result of the untreated regurgitation of the stomach acid.
Anyone suffering from excess acid in the stomach is probably experiencing severe heartburn which can indeed be debilitating if left untreated. There are a number of short term and immediate medications on the market which seek only to counteract acidity before it refluxes, but those medications are not able to have any lasting effect. One of the newest classes of medications to treat acid reflux caused by diseases such as GERD is a proton pump inhibitor. If you are looking for one by the name of Kapidex, you can stop looking because you will not find it.
Dangerous Confusion of Medications
Although the actual medication is still available it is being marketed under another name. There was a certain amount of concern that Kapidex would be confused with two other pharmaceuticals called Kadian and Casodex. From January of 2009 when it was approved by the FDA until March of 2010, there were a number of reported dispensing errors when one medication had been filled instead of the other.
Casodex is actually used as a treatment for men with prostate cancer in advanced stages and Kadian is an analgesic in the opioid family used to treat pain. It is obvious how dangerous this situation can be if the wrong medication is dispensed. For this reason the FDA approved the name change of Kapidex to Dexilant and that is the only thing which was changed. The medication itself is actually the same pharmaceutical with the generic name of dexlansoprazole, a proton pump inhibitor.
Dual Acting Kapidex/Dexilant
As mentioned, dexlansoprazole is a proton pump inhibitor that works by inhibiting the production of acid in the stomach which manifests in severe heartburn more than twice weekly. This could be the result of diseases such as gastroesophageal reflux disease (GERD), Zollinger-Ellison syndrome and even hiatal hernias.
One of the benefits of dexlansoprazole is that, unlike other proton pump inhibitors, it does go to work immediately to reduce some amount of stomach acid as it is a dual acting capsule. For the fullest effects it will require taking the entire course. Kapidex can continue reducing acid in the stomach for up to 24 hours in duration.
The capsule is taken once daily either whole or it may be carefully opened and sprinkled into a tablespoon of applesauce. Caution should be used not to chew the granules when taking this dual acting medication in applesauce because some of the granules are release delayed.
Who Should Avoid Kapidex/Dexilant
Whenever taking any medication for the first time it is important to understand that there is always a potential for side effects or adverse reactions. Kapidex should not be taken when pregnant unless specifically prescribed by your obstetrician.
Also, anyone who has liver disease should tell their doctor before taking Kapidex and elderly patients should also only take this medication if specifically prescribed for them as it can lead to a condition in which bones fracture easily. In fact, anyone with a bone disorder should discuss this with their doctor prior to taking Kapidex.
Potential Side Effects or Adverse Reactions
While Kapidex (Dexilant) is known to have few side effects, the most common are nausea, diarrhea and skin rashes. However, rashes were only manifested in a few people who had an allergy to the mediation. Some people experience gas while others do report feeling some amount of stomach pain.
It is possible to develop an upper respiratory infection, but this is a rare side effect. If you become dizzy or short of breath, drowsy or abnormally weak, contact your doctor or pharmacist right away. These symptoms are usually the result of inadvertently overdosing, but they have presented in a few instances.
This article is intended to be informational and not a substitute for proper medical advice. Always discuss any illnesses or medications with your own doctor as it is imperative to get a proper diagnosis before beginning any treatments. Even so, if you have been prescribed dexlansoprazole and have any concerns whatsoever after reading this information, discuss your questions only with a medical professional or a pharmacist. Always know what you are taking before you take the first dose – this is for your own safety.
If you have been diagnosed with a hiatal hernia, you know that living with hiatal hernia pain can be quite a trial. Normal everyday activities can cause severe discomfort and oftentimes you act before you think. For example, hiatal pain when bending over is about as bad as it gets because you are putting increased pressure on the area. A few simple common sense precautions can provide hiatal hernia pain relief in addition to the medications you have probably been prescribed by your doctor.
Never Assume Anything
Before discussing various ways to learn to live with hiatal hernia pain, it should be mentioned that some hiatal hernias need medical or surgical intervention. Just because your brother or neighbor learned to live with the pain of a hiatal hernia doesn’t mean that you should try to do so. If your doctor tells you that you need surgery, this means that the stomach has worked its way up into the esophagus far enough that surgery is the only way to repair it. Never assume that what works for others can work for you, especially against medical advice.
Finding Hiatal Hernia Pain Relief
As a rule of thumb, if something causes increased pain, don’t do it! Some people find that hiatal hernia pain on right side prevents them from sleeping on that side so they learn to sleep on their back or left side. Other people find that carrying objects in their left arm increases hiatal hernia pain on left side so they learn to carry with their right arm, leaving their left hand free. It is a matter of making adjustments in the way that you live your day to day life but once these adjustments become habit it is easier living with hiatal hernia pain.
Reducing Hiatal Hernia Pain after Eating
Since a hiatal hernia is a protrusion of the stomach up through the esophagus it is only common sense to eat smaller meals. In fact, eat tiny portions several times throughout the day instead of sitting down to a huge meal that will put undue pressure on your already tender midsection. Hiatal hernia pain after eating can also be reduced if you wear loose fitting clothing and stand up a bit immediately after eating. Sitting down pushes the stomach up against the esophagus which just tends to exacerbate the pain.
Caution When Experiencing Hiatal Hernia Pain under Ribs
Even if you have been diagnosed with a hiatal hernia, you should use caution when experiencing what you assume is hiatal hernia pain under ribs. This could very well be hiatal hernia pain but then again it could be the sign of a heart attack. Tens of thousands of people suffer heart attacks each year because they fail to recognize the warning signs. Although hiatal hernias can cause pain under the ribs and in the back, it is best not to take a chance. If accompanied by unusual nausea or if you don’t usually experience hiatal hernia pain under ribs, contact your doctor immediately.
Besides the fact that different people experience hiatal hernia pain relief in different ways, some people are more tolerant of pain than others. Make no mistake about it; hiatal hernias can be extremely painful. If you cannot find relief from the medications your doctor prescribes along with natural remedies, it is probably time for another consultation. Your condition may have deteriorated and it may become necessary for surgical repair. By learning how your body reacts to treatment you will be better able to recognize any changes as they occur. The best hiatal hernia pain relief is to familiarize yourself with your pain and to listen to what your body is telling you.
There are a greater number of people than ever before looking for home remedies for everything from simple heartburn to colorectal cancer. While there are many medications on the market which can effectively treat acid reflux, there are just as many heartburn treatment home remedies, if not more. Some methods of heartburn treatment at home involve lifestyle changes while others are dietary and yet others are homeopathic supplements and formulas. Finding one that works for you may be a matter of trial and error, but always discuss treatments with your doctor first to make sure heartburn isn’t symptomatic of some more serious underlying illness or disease.
Natural Heartburn Treatment for Kids
For many years parents have been giving their children Milk of Magnesia or Pepto-Bismol for heartburn but there is more than one natural heartburn treatment for kids. Perhaps the oldest ‘trick in the book’ is a nice glass of warm milk. Cold milk can shock the stomach so heartburn treatment milk remedies should always be at room temperature or warmer. Milk is alkaline and can quickly neutralize stomach acid before it refluxes with that horrible burning sensation. However, be aware of the fact that if the child is experiencing heartburn because he or she is running a fever and nauseous, milk can promote vomiting. If your child has repeated bouts of heartburn, talk to your pediatrician so that a proper diagnosis can be made.
Looking for the Best Heartburn Treatment Home Remedy
One thing to keep in mind is that what works for one person may be totally ineffective for another. For example, anyone who is lactose intolerant wouldn’t benefit from heartburn treatment milk remedies. On the other hand, there are others who swear by baking soda mixed with water but this is unpalatable to others. Oddly enough, there are homeopathic heartburn remedies that suggest drinking a couple tablespoons of apple cider vinegar. Proponents of taking vinegar believe that heartburn isn’t the result of excess acid but rather too little acid which doesn’t allow for adequate digestion of foods. In any case, it is important to try home remedies that are suitable for you. No two people are the same and what works for you may not work for your children or your spouse.
Heartburn Treatment at Home Lifestyle Changes
Whether you are being treated by a physician for acid reflux or are trying to remedy heartburn at home with natural methods, be aware of basic lifestyle changes that can provide significant relief. It is recommended that you never wear tight fitting clothing after eating to allow for better digestion and movement of food through the digestive tract. Also, eat lighter and more often. Large meals promote heartburn even in those not prone to it. Avoid fatty foods, an excess of refined sugar and of course caffeinated beverages. Those who cannot refrain from their coffee find that placing a teaspoon of baking soda in the grounds when brewing it can help reduce the acidity in the coffee. Finally, try sleeping with your upper body elevated at least six to eight inches. This can be accomplished by putting risers under the legs at the head or with a wedge shaped pillow.
Looking for the best heartburn treatment at home can be time consuming as you may need to experiment a bit, but once you find an effective remedy you will be able to keep it close at hand. Try not to use acid reducers or antacids during your quest for a home remedy as you will not know if it is the medication providing the relief or the natural remedy. And as always, if you experience heartburn more than twice a week over an extended period of time you should consult with your physician to rule out more serious conditions.
There are probably very few people who can honestly say they have never suffered from heartburn because it only takes a little too much stomach acid to cause the contents to reflux up into the esophagus. However, there are people who do suffer from more serious conditions such as Zollinger-Ellison syndrome, GERD (gastroesophageal reflux disorder) or even a hiatal hernia which manifests in heartburn. For the common case of heartburn, there are a number of over the counter products which can be safely taken. However, keep in mind that the best heartburn medication over the counter products fall into two main categories for the most part, those that inhibit the production of stomach acid and those that neutralize it.
Antacids on the Heartburn Medication List
The first category of heartburn medication over the counter formulations is in a class known as antacids. These have been popular for decades and contain such medications such as Alka-Seltzer, Milk of Magnesia and Pepto-Bismol. Then there are those rolls of heartburn medication over the counter products such as Rolaids and Tums. Not to be forgotten, other medications that come in both liquid and chewable forms are Maalox and Mylanta. A few over the counter antacids also contain a chemical called simethicone which reduces excess gas.
Although these medications are sold liberally over the counter, side effects can occur such as cramps, diarrhea, constipation and change in color or consistency of bowel movements. Never take more antacids than directed as this can, and often does, promote unpleasant heartburn medication side effects. If your symptoms occur more than twice a week or refuse to go away after treating with a heartburn medication over the counter, consult with your doctor instead of increasing your dosage.
Acid Reducers on the Heartburn Medication Over the Counter List
There is a very real difference between acid reducers and antacids which you should be aware of. Acid reducers work by stopping the production of stomach acid whereas antacids simply neutralize acids in the stomach. Most acid reducers are called either H2 blockers or H2 antagonists and for a long time these were only available by prescription. Many are still available in prescription strength, but the OTC preparations can be easily found and are usually in lesser dosages than their prescription counterparts. Common examples of H2 antagonists/blockers are Pepcid AC, Axid AR, Zantac 75 and Tagamet HB.
Another type of acid reducer is a type of medication called a proton pump inhibitor. These are the newest types of heartburn medication and there are a few that have been approved by the FDA for over the counter sale. The two most popular OTC proton pump inhibitors are Prilosec OTC, Prevacid 24HR while the newest on the market is Zegerid OTC. None of these medications should ever be taken for a longer period of time than 14 days unless your doctor says otherwise. Make absolutely certain to follow the instructions on the packaging and if you have any questions consult with the pharmacist or your doctor before beginning treatment.
In fact, it is always recommended that you consult with your own personal physician before taking any medications at all. Some medications, even heartburn medication over the counter preparations, have adverse reactions when taken with other pharmaceuticals. Heartburn medication during pregnancy is also not advisable unless prescribed by your doctor. Don’t be fooled by the fact that the medication is sold over the counter. Some of these medications have not proven safe for the unborn child. Whether you take heartburn medication generic over the counter products or name brands, always read the labels thoroughly before taking the first dose and never take anything against the advice of your physician.
Since the beginning of time, babies have been ‘spitting up’ and parents thought nothing of it. They simply thought baby ate too much, or ate too fast or simply had a case of ‘colic’ but there was no huge widespread concern that something was wrong with their child. In today’s world where so much is known about medical science, it would seem as though parents would not be as concerned as they are when baby starts spitting up. Most often acid reflux in babies causes more concern for the parent than there should be. Nothing sinister is going on if baby regurgitates after eating, especially when formula fed.
Understanding Acid Reflux in Babies Symptoms and Common Causes
Pediatricians will tell you that reflux is normal in babies. Consider the fact that your baby’s stomach is no larger than a golf ball so that when they drink too much milk there is nowhere for it to go quickly enough but up! Another common cause of acid reflux in babies is that the lower esophageal valve may not have yet properly tightened up to keep stomach contents down where they should be. If your baby is content after eating and spitting up without any signs of distress, then you can safely assume that one of above caused the reflux. However, if your baby appears to be in pain or at least a certain amount of discomfort, then it is time to talk to baby’s doctor about acid reflux in babies remedies.
Acid Reflux in Babies – GERD
If spitting up is causing baby pain, the pediatrician may indeed make a diagnosis of GERD (gastroesophageal reflux disease) which he or she will prescribe treatment for. The unfortunate thing about this is that many parents automatically assume their baby has GERD and will exaggerate the symptoms when explaining them to the child’s doctor. Be aware of this when monitoring your baby because it is always better not to treat baby with medications if at all possible. New parents are especially prone to exaggerating symptoms in babies, but luckily, doctors are well aware of this. If baby is screaming in obvious discomfort after eating and spitting up, breathing irregularly or is not growing well, it may really be GERD.
Acid Reflux in Babies Tips for Parents
Especially for newborns, it is better to feed baby much smaller amounts more frequently to avoid over-filling that tiny stomach. Try to keep baby in as upright a position for at least 1/4 to 1/2 hour after eating because this lets gravity help bring the milk/formula down from the stomach to the intestines. Also, doctors suggest that you make absolutely certain that there is no pressure on baby’s stomach immediately after eating and if you need to, you can add a bit of rice cereal to the formula to thicken up the fluid. If you are nursing your child, pump some of your milk so that you can give one or two feedings a day with infant rice cereal formula.
To ease your fears, remember that acid reflux in babies is normal and most often just a simple case of spitting up. If it is causing your child a great deal of distress or pain, baby will cry after eating. Watch for symptoms that show your child is suffering. If baby seems happy after spitting up, there is probably nothing to worry about. Baby’s doctor will try to avoid prescribing medications if they are not needed, but in case medication is called for, gentle antacids can usually be safely given without adverse effects. In any case, don’t give baby any medication OTC or otherwise unless you speak with your doctor first.
Acid reflux is often referred to as heartburn and indeed one of the symptoms of acid reflux is that burning sensation that starts somewhere in the vicinity of your chest and works its way up through your esophagus and finally to your throat. Sometimes acid reflux is a passing symptom of having eaten too much or too much of the wrong things and other times it is indicative of some more serious underlying condition such as GERD (gastroesophageal reflux disease) and hiatal hernias. For this reason, if you experience acid reflux more than once or twice a week it is imperative that you speak with your doctor or healthcare professional before trying any acid reflux medications over the counter.
Four Basic Acid Reflux Medications by Type
There are actually four different ‘types’ of acid reflux medications which have been successful in treating this oftentimes excruciatingly painful condition. The classifications include proton pump inhibitors, H2 receptor blockers, antacids and anti-gas medications. Of the four, anti-gas medications like Beano or Gas-X aren’t true acid reflux medications but they can help if excess gas is causing undigested foods and stomach acid to reflux up into the esophagus. The other three types of acid reflux medication do, in fact, treat acid reflux but they all approach it in a different way.
Antacids and Anti-Gas Medications
The purpose of taking an antacid when experiencing acid reflux is because they can neutralize stomach acid before it refluxes. Although you may still experience some amount of reflux, it shouldn’t be as painful if a good percentage of the acid has first been neutralized. Some antacids are sold in chewable tablets, some are tablets you can take with milk or water and others are liquid suspensions such as Pepto Bismol. These do not inhibit the production of stomach acid as H2 receptor blockers or proton pump inhibitors do, but an antacid can relieve the symptoms. So too can an anti-gas medication if it relieves bloating and pressure that is causing acid reflux.
H2 Receptor Blockers
At one time, as is the case of many of our OTC medications today, H2 receptor blockers were only available by prescription. These provide relief that is longer lasting than an antacid and can be used safely by people who experience acid reflux a few times a month. However, in the treatment of such things as GERD or hiatal hernias, a new class of medication has been found to work better and that is the proton pump inhibitors. H2 receptor blockers on the market which can be purchased without a prescription would be such pharmaceuticals as Zantac and Pepcid AC.
Proton Pump Inhibitors
Like H2 receptors, proton pump inhibitors stop the production of stomach acid but they are normally not prescribed for periods longer than two weeks at a time. There are some which are sold OTC, but those too are only to be taken for up to two weeks and only once every four months. It is of vital importance that if you are suffering from acid reflux more than twice a week so that you would need a medication of this caliber that you seek medical counsel. Again, ongoing acid reflux is generally a case of some more serious illness or condition.
It cannot be stressed enough that any problem which is ongoing should always be seen to by a qualified medical professional. There is a chance it may be nothing and then there is an equal possibility that it may be something that needs medical or surgical intervention as would be the case with a severe hiatal hernia. Acid reflux can certainly be a case of having had too much to eat or drink but it could be something far more sinister. Acid reflux medications are available by prescription as well as over the counter, but you need to know what to treat in order to find the right medication for you.
When suffering from a hiatal hernia there are several options for treatment, depending on the severity of the problem. There are times when surgical intervention may become necessary and other times lifestyle changes, medications or natural remedies may be effective. In other words, the optimal hiatal hernia treatment will be specific to the patient and his or her particular diagnosis.
Determining the Best Hiatal Hernia Treatment
Before trying any hiatal hernia treatment, it is important to get an accurate diagnosis from a qualified medical professional. Keep in mind that the number one symptom is acid reflux with accompanying pain which isn’t necessarily symptomatic of a hiatal hernia as other conditions present themselves in the same way. Once a diagnosis has been made your doctor can help you understand which treatments would best serve your needs. Although it is recommended that you follow your doctor’s advice, some people opt for an alternative hiatal hernia treatment to either avoid surgery if possible or chemical pharmaceuticals.
Understanding a Hiatal Hernia
Once you have been given a clear diagnosis, you will most likely want to know more about this condition. Actually, a hiatal hernia is when the stomach pushes up through the diaphragm into the esophagus. Sometimes it goes so far up that the only remedy is to surgically correct it. Other times it is possible to utilize hiatal hernia treatment natural remedies. If the hernia is just beginning, medications and lifestyle changes may help to arrest it from further development. However, in all cases, because the stomach has pushed up into the diaphragm and esophagus, there will almost certainly be acid reflux which needs to be dealt with.
Hiatal Hernia Treatment Options
According to hiatal hernia treatment Mayo Clinic information, very large hiatal hernias will not only allow acid to reflux up into the esophagus but food will back up as well. These generally require corrective surgery whereas small hernias can be treated with such medications as antacids, H2 antagonists and proton pump inhibitors. Surgery would be undergone to place the stomach back down where it belongs and repair the opening in the diaphragm that had been enlarged. In addition to these hiatal hernia treatment options, there are lifestyle changes which can have a profound effect on recovery after surgery as well as to help heal a hernia before it gets bad enough to require surgery.
Hiatal Hernia Treatment Diet and Lifestyle Changes
Some of the things you would want to do is significantly reduce your intake of sugars, fats, coffee and alcohol. Also, it is recommended that you do not eat three large meals a day but rather smaller meals more frequently. Some medical professionals suggest that you may want to elevate the upper portion of your body while sleeping so that acid reflux isn’t as likely to occur during the night. It is important to avoid smoking as this can exacerbate the situation tremendously. Other natural remedies include avoiding putting undue pressure on the stomach by wearing loose fitting clothing and by not lifting anything heavy. Vitamin B-6 and ginger can help to reduce heartburn and nausea while some naturopaths suggest taking aloe vera either as a beverage or in capsules.
Bear in mind that there are a number of hiatal hernia treatment options and it is impossible to know which is best suited to your needs without proper medical counsel. The hiatal hernia treatment options we detail for you are purely informational so that you can intelligently discuss treatment plans with your doctor or health care provider. In the end, no two people will have exactly the same medical needs, which is why it is of prime importance to know exactly what you are dealing with before undergoing treatment of any kind.
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