Reasons Why You Might Swoon

Tips for Surviving Shots

Do shots make you nervous? You're not alone. Lots of people dread them because they have a very real fear of needles. So next time your doc asks you to roll up your sleeve, try these tips:

1. Distract yourself while you're waiting. Bring along a game, book, music, or movie player — something you'll get completely caught up in so you're not sitting in the waiting room thinking about the shot. Some doctors' offices schedule "shot clinics" where they do nothing but give shots so the wait time is shorter.

2. Concentrate on taking slow, deep breaths. Breathe all the way down into your belly. Deep breathing can help people relax — and concentrating on something other than the shot can take your mind off it.

3. Focus intently on something in the room. Find a picture, poster, or a sign on the wall. Concentrate on the details: If you're looking at a painting, for example, try counting the number of flowers in the garden, cows in the field, or other images. Or create as many new words as you can using the lettering on a sign. Think about how the message on a health awareness poster might affect you. Whatever it takes, keep focusing on something other than the shot until it's over.

4. Cough. Research shows that coughing as the needle goes in can help some people feel less pain.

5. Relax your arm. If you're tense — especially if you tense up the area where you're getting the shot — it can make a shot hurt more.

Sometimes people feel lightheaded or faint after getting a shot. If you feel funny, sit down and rest for 15 minutes.

Don't hesitate to tell the doctor or nurse that you're nervous before getting the shot. Medical professionals are used to people who fear shots and they'll be able to help you relax.

Ways to Fight the Flu

The flu is annoying enough on its own. So it doesn't help that flu season falls at one of the most exciting times of the year. To avoid missing out on sports events, Halloween parties, Thanksgiving feasts, and holiday fun, follow these tips:

1. Get the flu vaccine. It's the best way to protect yourself against the flu. Hate shots? Most teens can get the flu vaccine as a nasal spray. Getting vaccinated doesn't just protect your own health. It also helps the people around you because there's less chance you'll catch the flu and pass it on.

This year, the flu vaccine includes immunization against regular flu viruses and the H1N1 (swine) flu.So there's no need to get two separate vaccines.

2. Wash your hands often. In addition to getting the flu vaccine, hand washing is an important line of defense against germs like flu viruses. Why? The body takes about 2 weeks to build immunity after a flu vaccine — and even a vaccine isn't foolproof if a new strain of virus starts making the rounds. Hand washing also helps protect against other germs and illnesses that there aren't vaccines for, like the common cold.

Wash your hands after using the bathroom; after coughing or sneezing; before putting in or removing contact lenses; before using makeup; and before eating, serving, or preparing food. The great thing about hand washing is it's easy protection. So get in the habit of washing your hands when you come home from school, the mall, a movie, or anywhere else where you're around a lot of people.

3. Keep your distance if someone is sick (coughing, sneezing, etc.). Flu viruses travel through the air, so try to stay away from people who look sick. Of course, people who have the flu virus don't always look sick. That's where vaccines and hand washing come in.

It's also a good idea to avoid touching your nose, eyes, and mouth — three places flu viruses can easily enter the body.

4. Cough or sneeze into a tissue or your elbow — not into your hands.That way, you're not spreading the virus when you touch surfaces that other people may touch too.

5. Stay home if you have the flu. You don't want to pass your germs to someone else. And staying home is a great excuse to curl up and watch your favorite movie, play video games, or read. Rest can help the body recover faster.

You also can fight the flu on a daily basis by keeping your immune system strong. Some great immune boosters are getting enough sleep, eating healthy foods (including five or more servings of fruits and veggies a day!), drinking plenty of fluids, and getting regular exercise.

Don't let the flu mess with your fall and winter fun. Fight back!

Donating Blood

According to the American Red Cross, there's a 97% chance that someone you know will need a blood transfusion. Blood donors — especially donors with certain blood types — are always in demand.

Who Can Donate Blood?

To donate blood, the American Red Cross requires that people be at least 17 years old and weigh more than 110 pounds. (In some states, the age is 16 with a parent's permission.) Donors must be in good health and will be screened for certain medical conditions, such as anemia. Donors who meet these requirements can give blood every 56 days.

Before Donating

Blood donation starts before you walk in the door of the blood bank. Eat a normal breakfast or lunch — this is not a good time to skip meals — but stay away from fatty foods like burgers or fries. And be sure to drink plenty of water, milk, or other liquids.

Before donating, you'll need to answer some questions about your medical history, and have your blood pressure and blood count checked. The medical history includes questions that help blood bank staff decide if there's a risk that donors might have an infection that could be transmitted in their blood. So they'll probably ask about any recent travel, infections, medicines, and health problems.

Donated blood gets tested for viruses, including HIV (the virus that causes AIDS), hepatitis B, hepatitis C, syphilis, and West Nile virus. If any of these things are found, the blood is destroyed. Because blood can be infected with bacteria as well as viruses, certain blood components are tested for contamination with bacteria as well.

What's It Like To Donate Blood?

The actual donation takes about 10 minutes. It's a lot like getting a blood test. After you're done, you'll want to sit and rest for a few minutes, drink lots of fluids, and take it easy the rest of the day (no hard workouts!). Your local blood bank or Red Cross can give you more information on what it's like and what you need to do.

Are There Any Risks?

A person can't get an infection or disease from giving blood. The needles and other equipment used are sterile and they're used only on one person and then thrown away. The U.S. Food and Drug Administration (FDA) regulates U.S. blood banks. All blood centers must pass regular inspections in order to continue their operations.

Sometimes people who donate blood notice a few minor side effects like nausea, lightheadedness, dizziness, or fainting, but these symptoms usually go away quickly.

The donor's body usually replaces the liquid part of blood (plasma) within 72 hours after giving blood. It generally takes about 4-8 weeks to regenerate the red blood cells lost during a blood donation. An iron-fortified diet plus daily iron tablets can help rebuild a donor's red blood supply.

The Red Cross estimates that 15% of all blood donors in the United States are high school or college students. If you are eligible and wish to donate blood, contact your local blood bank or the American Red Cross for more information on what's involved. You could save someone's life.

Fainting

Desiree got out of the whirlpool at the gym and was on her way to the showers when she felt incredibly dizzy. Next thing she knew, she woke up on the locker room floor with her sister looking over her anxiously. She was pretty scared — what happened?

Desiree's sister thought she'd probably fainted. Although Desiree felt like she'd been unconscious for hours, her sister said she was out for less than a minute. Since Desiree felt fine and she'd never fainted before, she decided she didn't need to go to the ER.

When Desiree asked her school nurse about it the next day, she said Desiree probably fainted because she stayed in the whirlpool too long or the temperature was set too high, affecting her body temperature.

Why Do People Faint?

Fainting is pretty common in teens. The good news is that most of the time it's not a sign of something serious.

When someone faints, it's usually because changes in the nervous system and circulatory system cause a temporary drop in the amount of blood reaching the brain. When the blood supply to the brain is decreased, a person loses consciousness and falls over. After lying down, a person's head is at the same level as the heart, which helps restore blood flow to the brain. So the person usually recovers after a minute or two.

Reasons Why You Might Swoon

Here are some of the reasons why teens faint:

· Physical triggers. Getting too hot or being in a crowded, poorly ventilated setting are common causes of fainting in teens. People can also faint after exercising too much or working out in excessive heat and not drinking enough fluids (so the body becomes dehydrated). Fainting can also be triggered by other causes of dehydration, as well as hunger or exhaustion. Sometimes just standing for a very long time or getting up too quickly after sitting or lying down can lead someone to faint.

· Emotional stress. Emotions like fright, pain, anxiety, or shock can affect the body's nervous system, causing blood pressure to drop. This is the reason why people faint when something frightens or horrifies them, like the sight of blood.

· Hyperventilation. A person who is hyperventilating is taking fast breaths, which causes carbon dioxide (CO2) to decrease in the blood. This can make a person faint. People who are extremely stressed out, in shock, or have certain anxiety disorders may faint as a result of hyperventilation.

· Drug use. Some illegal drugs — such as cocaine or methamphetamine — can cause fainting (and even a heart attack in some cases). Inhalant use ("huffing") can lead to fainting by causing problems with a person's heartbeat. Fainting is also a side effect of some prescription medications.

· Low blood sugar. The brain depends on a constant supply of sugar from the blood to work properly and keep a person awake. People who are taking insulin shots or other medications for diabetes can develop low blood sugar and pass out if they take too much medicine or don't eat enough. Sometimes people without diabetes who are starving themselves (as with crash dieting) can drop their blood sugar low enough to faint.

· Anemia. A person with anemia has fewer red blood cells than normal, which decreases the amount of oxygen delivered to the brain and other tissues. Girls who have heavy periods or people with iron-deficiency anemia for other reasons (like not getting enough iron in their diet) may be more likely to faint.

· Pregnancy. During pregnancy the body normally undergoes a lot of changes, including changes in the circulatory system, which can cause a woman to faint. In addition, the body's fluid requirements are increased, so pregnant women may faint if they aren't drinking enough. And as the uterus grows it can press on and partially block blood flow through large blood vessels, which can decrease blood supply to the brain.

· Eating disorders. People with anorexia or bulimia may faint for a number of reasons, including dehydration, low blood sugar, and changes in blood pressure or circulation caused by starvation, vomiting, or overexercising.

· Cardiac problems. An abnormal heartbeat and other heart problems can cause a person to faint. If someone is fainting a lot, especially during exercise or exertion, doctors may suspect heart problems and run tests to look for a heart condition.

Some medical conditions — like seizures or a rare type of migraine headache — can cause people to seem like they are fainting. But they're not the same thing as fainting and are handled differently.

Can You Prevent Fainting?

Some people feel dizzy immediately before they faint. They may also notice changes in vision (such as tunnel vision), a faster heartbeat, sweating, and nausea. Someone who is about to faint may even throw up.

If you think you're going to faint, you may be able to head it off by taking these steps:

· If possible, lie down.This can help prevent a fainting episode as it allows blood to circulate to the brain. Just be sure to stand up again slowly when you feel better — move to a sitting position for several minutes first, then to standing.

· Sit down with your head lowered forward between your knees. This will also help blood circulate to the brain, although it's not as good as lying down. When you feel better, move slowly into an upright seated position, then stand.

· Don't let yourself get dehydrated. Drink enough fluids, especially when your body is losing more water due to sweating or being in a hot environment. Drink enough fluids before and during sports and exercise.

· Keep blood circulating. If you have to stand or sit for a long time, periodically tense your leg muscles or cross your legs to help improve blood return to the heart and brain. And try to avoid overheated, cramped, or stuffy environments.

What Should You Do?

If you've only fainted once, it was brief, and the reasons why are obvious (like being in a hot, crowded setting), then there's usually no need to worry about it. But if you have a medical condition or are taking prescription medications, it's a good idea to call your doctor. You should also let your doctor know if you hurt yourself when you fainted (for example, if you banged your head really hard).

If you also have chest pain, palpitations (heart beating fast for no reason), shortness of breath, or seizures, or the fainting occurred during exercise or exertion, talk with your doctor — especially if you've fainted more than once. Frequent fainting may be a sign of a health condition, like a heart problem.

What Do Doctors Do?

For most teens, fainting is not connected with other health problems, so a doctor will probably not need to do anything beyond examining you and asking a few questions.

If concerned about your fainting, the doctor may order some tests in addition to giving you a physical exam and taking your medical history. Tests depend on what the doctor thinks might be causing the problem. Common tests include an EKG (a type of test for heart problems), a blood sugar test, and sometimes a blood test to make sure a person is not anemic.

If test results show that fainting is a symptom of another problem, such as anemia, the doctor will advise you on treatments for that problem.

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