Treatment of Crohn's disease

As diagnosis and treatment of inflammatory bowel disease should be a specialist gastroenterologist or Coloproctologists familiar with this pathology. Treatment of severe attacks carried out only in specialized (surgical) hospital. Yakov Bogatin confirms that treatment of mild forms of the disease should be well supervised.

Treatment of Crohn's disease builds on the disease activity and localization of the lesion, so painted numerous treatment regimens.

At a low disease activity and to maintain remission enough destination sulphasalazyne and 5-ASA drugs.
With the active course of the disease (exacerbations), should be the appointment of glucocorticoids. Appointment of drugs, selection of initial dosage and its permanent correction is a doctor. Unfortunately (and Yakov Bogatin also confirms this), long-term use (more than 6-8 weeks) of glucocorticoids develop numerous side effects, in addition, 36% of patients develop dependence on glucocorticoids.

When failure of such treatment (or during the development of dependence or intolerance) prescribers 2 nd series. Reported on the use of immunosuppressants in Crohn's disease. The main side effects Immunosuppressive therapy are pancreatitis, inhibition of bone marrow hemopoiesis, drug-induced hepatitis, increased risk of malignant lymphomas and other tumors.
In the course of treatment careful monitoring of indicators of the blood cells and liver markers is required.

Yakov Bogatin says that antibiotics play an important role in the treatment of septic complications of Crohn's disease, including abscesses and perianal lesions. They can also reduce diarrhea in patients with syndrome of excessive bacterial growth in lesions of the small intestine.

Jacob Bogatin: What to do if you are allergic to the sun

If you've never been allergic to the sun, doing some simple tips, you can easily avoid its repetition according to Jacob Bogatin.

1. Use of UV-protective creams, suntan lotion, causing them to the body for 20 minutes before going in the sun and after sun lotion and shower, apply moisturizer designed to hydrate and protect skin after exposure to sunlight on it.

2. Coming out of the water of the sea or river, blot the water, but do not wipe, because you are washing a towel blanket of cream, and it will have to apply again.

3. Jacob Bogatin suggests to use cosmetics as much as possible, gels, creams, toilet water, perfume, fragrance containing, as the sunlight they provoke the emergence of pigmented spots of various colors, which are only two - three weeks.

4. If you are the owner of a very sensitive skin, sunbathe in the shade under the tent, avoid direct sunlight. Let your tan will not bronze, but only gold, but you avoid the discomfort of burnt skin, flaking and redness, fever and so on.

5. To eliminate solar allergy is usually mild easily solve the problem of ointments containing betamethasone, prednisolone, dexamethasone. Jacob Bogatin warns not to remove the redness, burning, itching, folk remedies, such as sour cream, vegetable oil, it does not help. Use special after-sun gels, they all contain anti-inflammatory substances, extracts from medicinal plants, soothing and cooling the skin supplements.

6. Drink at least two liters of carbonated water per day, this will help you out of the body of toxic substances and many more.

But if you are traveling and the problem must be resolved quickly and locally, and rash spoil your entire holiday, it will be useful, and other tips.

Jacob Bogatin:About air conditioners and legionnaires disease

International team of scientists consisting of American, French and Israeli experts including Jacob Bogatin deciphered the DNA of one of the most mysterious and malevolent bacteria that inhabit our planet - Legionella.

To be precise, the decoded genome of only one of Legionella - Legionella pneumophila, which brought and still brings a lot of trouble and the doctors and ordinary people, but the significance of this event has not diminished. This bacterium causes severe pneumonia in humans (still known as Legionnaires disease, legionellosis).
Legionella are widely distributed throughout the world, is part of the natural flora of many reservoirs, both natural and artificial.

According to Jacob Bogatin the detection of nasty parasite in air conditioning systems, has caused a shock as the inhabitants of the numerous offices, and the manufacturers of air conditioners. And so the message that the legionella found in ordinary warm tap water and bathrooms with Jacuzzi in the salons SPA, caused a lot speculations and much ado.

What does the Legion mean?
The first association with the word "legionnaire" - Ancient Rome, the legions of Julius Caesar. Second - France, Foreign Legion. Neither the first nor the second with Legionnaires disease has nothing to do.

Name associated with the American Legion ( The American Legion ), an organization founded in 1919 and unites Americans - members of various wars. It is the Congress of this public organization in 1976, held in Philadelphia, and the outbreak of strange infections. Within a month the disease claimed the lives of 34 out of 220 cases of delegates and was immediately given the name "Legionnaires disease".

How do you get infected?
As Jacob Bogatin writes for a person to become infected, it needs to breathe in the agent located in a water spray: shower, the flow of air from the air conditioner, variegated fountains and fountains.

Despite the fact that Legionella can be found in the sputum of cases, cases of transmission from person to person is not registered. But when you consider that virtually every modern office is equipped with air-conditioning system, the magnitude of the threat began to look very impressive.
Jacob Bogatin is sure that the incubation period of legionellosis on average 5-7 days. Described a number of clinical forms of infections: a proper disease legionnaire, pontiakskaya fever, "Fort Bragg". There could be other forms of the disease.

Yakov Bogatin: How to treat insect bites

Summer - is not only time for vacations and recreation, but also a time of heightened probability of being bitten by insects. A beautiful evening on the lake overshadowed intrusive mosquitoes, walk in the shade of the forest cool - invisible mites, and enjoy a juicy watermelon and sweet melon - bothersome wasps and bees. How to protect yourself from these intruders, and to treat insect bites? Yakov Bogatin will explain how to do it.

1. 1. Mosquitoes

The best way to be protected against tiny blood-suckers - is closed carry clothing and use repellents - creams, gels or ointments. Also effective are fumigators. These substances are gradually evaporate under the influence of temperature and thus repel insects.

If you experienced a mosquito bite, the site of the bite should be wiped with ammonia (ammonia), vodka, cologne or a solution of baking soda. Effectively relieves itching and redness at the sting site application of modern pharmaceutical facilities - balsam "rescuer" or "keeper" ointment "Fenistil.

The latter removes the manifestation of allergic phenomena. In the case of multiple bites, especially if there is a predisposition to allergic reaction, you need to take antihistamines.

2. 2. Tongs

While hiking in the woods do not forget about the meeting with the ticks. Their bite is absolutely painless, and to detect mites can cling only on closer inspection. According to scientists, ticks have a certain selectivity bites between the sexes. Thus, women, the bloodsuckers prefer to bite in the knees and the groin area, and men - in the underarms and back.

If you find mites do not under any circumstances attempt to immediately pull out. It is best for this procedure to see a doctor, because when you remove the insect is very important to avoid damage.

If you are unable to use medical care, then, first of all, it should be abundantly lubricated with oil or Vaseline insect. This blocks access of oxygen to the tick, as he breathes with the back of the body.

According to Yakov Bogatin the insect then tries to climb out on his own. If you are deleting an insect you have it crushed, or part of it remained under the skin, should be mandatory to apply to an infectious diseases doctor.

The main danger of ticks in that they are carriers of diseases such as tick-borne encephalitis and Lyme disease. Therefore, before going into the woods do not forget about good gear: Wear clothing with sleeves, pants tuck in closed shoes, and the unprotected parts of the body, apply insect repellent.

3. 3. Wasps, bees and other troubles

Yakov Bogatin also warns that in summer there is a high probability of being bitten and other insects: wasps, bees, hornets or bumblebees. Typically, these insects do not attack first, but they can be angry if an active wave your hands, or drive them away newspaper.

Wasps sting more and more painfully, the bees also stung less and then die. A great danger they pose to the bite allergies. If you have a tendency to allergies, and if an insect stung the child, be sure to take antiallergic drugs: tavegil, suprastin, klaritin or other

At the site of the bite bee sting remains, which must be removed. This should be done as conservatively as possible, because the sting of bees has the form "needles" with barbed. Using tweezers, remove the sting, disinfect the wound with iodine or alcohol solution, apply ice or something cold - it will help reduce pain and swelling.

If you experience symptoms such as breathlessness, convulsions, high fever, loss of consciousness, nausea, vomiting, need to urgently seek medical advice because we are talking about severe allergic reaction. To prevent swelling of the throat and respiratory tract requires an emergency medical care.

If you go on vacation, it is worth pre-arrange the acquisition of the necessary components of a summer first-aid kit: disinfectants, antihistamines, etc. Do not forget about the simple rules of safety, regularly use insect repellent and the probability of getting insect bites or development of complications after him would be minimized.

Yakov Bogatin: Cats diseases - Leptospirosis

Leptospirosis is a bacterial infectious disease mainly found with the dogs, widespread enough in our country. An infection source is environment, it is especially good this bacterium remains in the damp environment, in pools, reservoirs with stagnant water. Also dogs can catch it at contacts with rodents. Leptospirosis found with cats is also described, but clinically meets extremely seldom. Yakov Bogatin stresses that this illness proceeds hard, sometimes with a deadly outcome. But as practice shows, the pets sick with leptospirosis, seldom become a source of an infection for a human being. Much more often disease is transferred through contact to the same rodents, through water in the infected reservoirs etc.

Disease is shown by a standard set of symptoms, characteristic for any infection: an anorexia (refusal of a forage), slackness, lack of activity, body rise in temperature, sharp defeat of a gastroenteric path (vomiting, a diarrhoeia, sometimes with a blood impurity). Disease also can be accompanied by morbidity of muscles that is clinically shown by infringement of support ability, unsteadiness of gait etc.

Breeding in blood, the bacterium can affect kidneys and a liver. Therefore as Yakov Bogatin says it is very important to hand over at once, besides special analyses on infections, biochemistry of blood for the control of indicators of these bodies.

The diagnosis proves to be true by serological blood researches: definition of antibodies to various kinds of leptospir. In this sense it is very important vaccinal the anamnesis of a sick animal as at the vaccinated animal any quantity of these antibodies also will be observed. Also it is necessary to consider, that two enter into a standard vaccine only the most widespread kind of leptospir, and actually it is much more of them. That is, can be ill even correctly and in due time vaccinated animal.

Already before reception of positive result on Leptospirosis it is necessary to begin symptomatic treatment: antibiotics of a wide spectrum of action, vitamins, immunomodulators, drop infusions. After statement of the exact diagnosis the special antibiotic, effective against leptospir is added. If leptospirosis is confirmed for the first time 1 – 2 days of development of clinical signs it is possible to apply whey against leptospirosis.

According to Yakov Bogatin the most effective preventive maintenance from leptospirosis is restriction of bathing of dogs in suspicious reservoirs, destruction of rodents, and also vaccination. Against leptospirosis it is desirable to enter a vaccine more often, than once a year, for example, time in 8 – 9 months as already at this time immunity becomes less intense.

Jacob Bogatin: Lyme illness. Treatment. Precautions

According to Jacob Bogatin the disease has propensity to a chronic current with alternation of the periods of an aggravation and attenuation, but sometimes proceeds in the form of continuously proceeding process. Usually symptoms of defeat of joints (arthritis) are thus shown. Against a chronic inflammation the joint gradually changes and loses the function.

Treatment of Lyme illness
At a heavy current of disease treatment is spent in hospital. Antibiotics, and also the medical products influencing inflammatory process in those or other bodies and fabrics and removing an intoxication are appointed.

At a chronic current of disease along with antibiotics the medical products restoring immunity (protective forces of an organism) are prescribed. But Jacob Bogatin admits that if organism response is excessive and dangerous in itself its medicines suppressing are appointed.

The forecast at Lyme illness

The forecast favorable at in due time begun treatment. In an opposite case, especially at a chronic current, invalidation can become a reality.

Disease preventive measures

Going on walk in wood, it is necessary to try not to leave open places on a body, especially standing. If nevertheless you have found out that there is an insect on your body that can’t be thrown away by a tick Jacob Bogatin says that it is necessary to cover it with a napkin plentifully moistened with vegetable oil, on half an hour-hours. After that cautiously tweezers to remove the tick, trying it not to crush, and to grease the wound with iodine.

Jacob Bogatin:Lyme illness`

Many like to spend the summer outside and in the country. But it is far not all know, that not only in country wood, but also in their city park can await a danger in the form of pincers. According to Jacob Bogatin small harmless by sight insects live in a shade of bushes and trees and at a sting deeply get under a skin. This already in itself is unpleasant, as can cause a purulent inflammation.

But the most dreadful thing is that pincers transfer some infectious diseases. One of such diseases is Lyme illness.

What is Lyme illness?

Lyme illness is an infectious disease caused by Borrelias and transferred by pincers. Lyme illness has bent to a chronic current with frequent aggravations. Mainly the skin, nervous system, joints and heart are affected.

Jacob Bogatin claims that it is established, that the natural centres of Lyme illness substantially coincide with the natural centres of tick-borne encephalitis, and are registered almost in all territory of Russia.

If there is an infection

Borrelias live in an organism of some wild animals, such as rodents, deer, birds etc. At a sting of the tick spirochaete from blood of a wild animal get to intestines of the tick, breeds there, and then are allocated with excrements. In salivary glands of the tick Borrelias it is not enough, therefore not any sting of the infected tick can lead to disease of the person. Stings of pincers are registered within spring, summer till late autumn, but Jacob Bogatin suggests that the peak of stings usually is registered in the period from May to June.