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When should you get help for facial fracture?
You need to see a health care provider for a facial fracture, including broken nose, jaw, cheekbone, or eye socket.
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What is the outlook for costochondritis?
Noninfectious costochondritis will go away on its own, with or without anti-inflammatory treatment. Most people will recover fully. Infectious costochondritis responds well to IV antibiotics and surgical repair, but recovery may take a long time.
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What tests are used to determine if an infection is causing costochondritis?
To determine if infection is the cause of chest pain, doctors will: Look for signs of infection such as redness, swelling, pus, and drainage at the site of surgery Order a more sophisticated imaging study of the chest called a gallium scan, which will show increased uptake of the radioactive material gallium in an area of infection Check the white blood cell count to see if it is elevated, a sign of infection Order a chest X-ray if pneumonia is a suspected cause of chest pain Order an ECG and other tests if a heart problem is suspected Costochondritis is a less common cause of chest pain in adults but occurs fairly frequently in people who have had cardiac surgery.
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How does costochondritis differ from Tietze syndrome?
Tietze syndrome is often referred to as costochondritis, but the two are distinct conditions. You can tell the difference by noting the following: Tietze syndrome is rare. It usually comes on abruptly, with chest pain radiating to your arms or shoulder and lasting several weeks. Tietze syndrome is accompanied by a localized swelling at the painful area (the junction of the ribs and breastbone).
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How can you prevent costochondritis?
Costochondritis is an inflammatory process but usually has no definite cause.
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What are some home remedies for costochondritis?
The following home remedies may provide relief from costochondritis: Taking pain relievers such as nonsteroidal anti-inflammatory medications like ibuprofen ( Advil, Motrin) or naproxen ( Aleve) as needed Using local heat or ice to relieve pain Avoiding unnecessary exercise or activities that make the symptoms worse; avoiding contact sports until there is improvement in symptoms, and then returning to normal activities only as tolerated Doing stretching exercises Costochondritis responds to nonsteroidal anti-inflammatory medications such as ibuprofen ( Advil or Motrin) and naproxen ( Aleve).
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When should you go to a hospital for costochondritis?
Call the doctor for any of the following symptoms: Trouble breathing High fever Signs of infection such as redness, pus, and increased swelling at the rib joints Continuing or worsening pain despite medication Nausea Sweating Dizziness Go to a hospital's emergency room if you have difficulty breathing or any of the following symptoms occur. These symptoms are generally not associated with costochondritis: High fever not responding to fever-reducers such as acetaminophen ( Tylenol) or ibuprofen ( Advil) Signs of infection at the tender spot, such as pus, redness, increased pain, and swelling Persistent chest pain of any type associated with nausea, sweating, left arm pain, or any generalized chest pain that is not well localized. These may be signs of a heart attack. If you are not sure what is causing your condition, always go to the emergency room.
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How is costochondritis compared to Tietze syndrome?
Although some doctors use the terms costochondritis and Tietze syndrome interchangeably, Tietze syndrome has a sudden onset without any preceding respiratory illness or any history of minor trauma. In Tietze syndrome, there is frequently radiation of pain to arms and shoulders, as well as pain and tenderness associated with swelling at the spot that hurts.
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When should you call the doctor for costochondritis?
Call the doctor for any of the following symptoms: Trouble breathing High fever Signs of infection such as redness, pus, and increased swelling at the rib joints Continuing or worsening pain despite medication Nausea Sweating Dizziness Go to a hospital's emergency room if you have difficulty breathing or any of the following symptoms occur.
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How common is costochondritis in children?
Costochondritis (with unknown cause) is a common cause of chest pain in children and adolescents. It accounts for 10% to 30% of all chest pain in children. Annually, doctors evaluate about 650,000 cases of chest pain in young people ages 10 to 21. The peak age for the condition is ages 12-14.
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What are eye-related symptoms of Graves' disease?
Graves' ophthalmopathy can cause a wide range of issues with your eyes. Some people might have a little redness and minor pain, while others have strong swelling, dryness, and more severe pain. It's also possible to have bulging eyes -- because your muscles swell and your eyes are pushed out -- and pressure may build up in your eye socket. In rare cases, you can have double vision or other problems with your sight.
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How are eye problems related to Graves' disease diagnosed?
If you know you have Graves', your doctor should be able to find out if you have the eye problem with a standard eye exam. In some cases, you may need blood tests, or imaging tests like a computerized tomography ( CT) scan or a magnetic resonance imaging ( MRI) scan. With a CT scan, X-rays are taken from different angles and put together to make a more complete picture. And an MRI uses powerful magnets and radio waves to make detailed images. If you haven't been diagnosed with Graves' disease, step one probably will be to get your thyroid hormone levels checked with a simple blood test.
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Why do people with Graves' disease have eye issues?
About half of people with Graves' disease notice some eye issues, and some have severe vision problems. Experts think this happens because the tissues in your eyes have proteins like ones in your thyroid gland. The problem is known as Graves' eye disease or Graves' ophthalmopathy. Doctors don't think it can be prevented, but you're more likely to get it -- and have a worse case of it -- if you smoke.
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What are the symptoms of eye problems related to Graves' disease?
Graves' ophthalmopathy can cause a wide range of issues with your eyes. Some people might have a little redness and minor pain, while others have strong swelling, dryness, and more severe pain. It's also possible to have bulging eyes -- because your muscles swell and your eyes are pushed out -- and pressure may build up in your eye socket. In rare cases, you can have double vision or other problems with your sight. Most people with the condition notice eye symptoms within 6 months (before or after) of being diagnosed with hyperthyroidism. People who have severe hyperthyroidism aren't necessarily more likely to have eye trouble than those who have milder cases.
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If I think I'm getting Graves' disease and it's affecting my eyes, what kind of doctor do I need to see?
If you think you may be developing Graves' ophthalmopathy, you may need to see both an endocrinologist (a doctor who specializes in problems with hormones) and an ophthalmologist (eye doctor). If you know you have Graves', your doctor should be able to find out if you have the eye problem with a standard eye exam.
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How are eye problems related to Graves' disease treated?
A number of things can help: Artificial tears, gels, and ointments can go a long way toward easing dryness. If you have a lot of swelling -- especially if it leads to double vision or loss of vision -- you might need to take a steroid called prednisone for a few weeks to bring the swelling down. In the rare cases when these don't work, your doctor might recommend surgery to remove some tissue from your eye socket or radiation therapy, where high-energy X-rays are aimed at the eye muscle. Graves' ophthalmopathy tends to get better after a few years, but you may have eye problems that need to be corrected with surgery. For example, you might need surgery to ease pain and pressure on your optic nerve, fix the alignment of your eye muscles, or make sure your eyelids cover and protect your eyes.