NAIJA WOMEN HEALTH

Friday 3 January 2014

Antibiotics for Gonorrhea

Examples

Generic Name Brand Name
cefixime Suprax
ceftriaxone Rocephin
azithromycin Zithromax
doxycycline Doryx

How It Works

Antibiotics kill the gonorrhea bacteria.

Why It Is Used

These antibiotics are used to treat:
  • A person who has a positive gonorrhea test.
  • Sex partners within the past 60 days of a person diagnosed with gonorrhea, whether or not they have symptoms or used condoms.
  • A newborn whose mother has gonorrhea at the time of delivery.

How Well It Works

Antibiotic treatment, when taken exactly as directed, normally cures gonorrhea infections. If antibiotics are not taken properly, the infection will not be cured.
Certain strains of the gonorrhea bacteria have become resistant to some antibiotics, including quinolones, penicillin, tetracycline, and sulfa drugs. When bacteria become resistant to an antibiotic, they no longer can be killed by that medicine.

Side Effects

All medicines have side effects. But many people don't feel the side effects, or they are able to deal with them. Ask your pharmacist about the side effects of each medicine you take. Side effects are also listed in the information that comes with your medicine.
Here are some important things to think about:
  • Usually the benefits of the medicine are more important than any minor side effects.
  • Side effects may go away after you take the medicine for a while.
  • If side effects still bother you and you wonder if you should keep taking the medicine, call your doctor. He or she may be able to lower your dose or change your medicine. Do not suddenly quit taking your medicine unless your doctor tells you to.

Call your doctor right away if you have:
  • Black or bloody stools.
  • Chest pain.
  • Unusual bleeding or bruising.
  • Fever and chills.
Common side effects of these medicines include:
See Drug Reference for a full list of side effects. (Drug Reference is not available in all systems.)

What To Think About

Taking medicine

Medicine is one of the many tools your doctor has to treat a health problem. Taking medicine as your doctor suggests will improve your health and may prevent future problems. If you don't take your medicines properly, you may be putting your health (and perhaps your life) at risk.
There are many reasons why people have trouble taking their medicine. But in most cases, there is something you can do. For suggestions on how to work around common problems, see the topic Taking Medicines as Prescribed.

Advice for women

If you are pregnant, breast-feeding, or planning to get pregnant, do not use any medicines unless your doctor tells you to. Some medicines can harm your baby. This includes prescription and over-the-counter medicines, vitamins, herbs, and supplements. And make sure that all your doctors know that you are pregnant, breast-feeding, or planning to get pregnant.

Gonorrhea Causes, Diagnosis, Symptoms and Treatments

Also called the "clap" or "drip," gonorrhea is a contagious disease transmitted most often through sexual contact with an infected person. Gonorrhea may also be spread by contact with infected bodily fluids, so that a mother could pass on the infection to her newborn during childbirth. Both men and women can get gonorrhea. The infection is easily spread and occurs most often in people who have many sex partners.

What Causes Gonorrhea?

Gonorrhea is caused by Neisseria gonorrhoeae, a bacterium that can grow and multiply easily in mucus membranes of the body. Gonorrhea bacteria can grow in the warm, moist areas of the reproductive tract, including the cervix (opening to the womb), uterus (womb), and fallopian tubes (egg canals) in women, and in the urethra (the tube that carries urine from the bladder to outside the body) in women and men. The bacteria can also grow in the mouth, throat, and anus.

How Common Is Gonorrhea?

Gonorrhea is a very common infectious disease in the U.S. Each year, according to the CDC, there are as many as 700,000 new cases, with less than half of them reported to the CDC. There were 309,341 reported cases of gonorrhea in the U.S. in 2010.  Sexually active teenagers have one of the highest rates of reported infections.

How Do I Know If I Have Gonorrhea?

Not all people infected with gonorrhea have symptoms, so knowing when to seek treatment can be tricky. When symptoms do occur, they are often within two to 10 days after exposure, but they can take up to 30 days to develop and include the following:
Gonorrhea symptoms in women
  • Greenish yellow or whitish discharge from the vagina
  • Lower abdominal or pelvic pain
  • Burning when urinating
  • Conjunctivitis (red, itchy eyes)
  • Bleeding between periods
  • Spotting after intercourse
  • Swelling of the vulva (vulvitis)
  • Burning in the throat (due to oral sex)
  • Swollen glands in the throat (due to oral sex)
In some women, symptoms are so mild that they escape unnoticed.
Many women with gonorrhea discharge think they have a yeast infection and self-treat with over-the-counter yeast infection drug. Because vaginal discharge can be a sign of a number of different problems, it is best to always seek the advice of a doctor to ensure proper diagnosis and treatment.
Gonorrhea symptoms in men
  • Greenish yellow or whitish discharge from the penis
  • Burning when urinating
  • Burning in the throat (due to oral sex)
  • Painful or swollen testicles
  • Swollen glands in the throat (due to oral sex)
In men, symptoms usually appear two to 14 days after infection.

How Is Gonorrhea Diagnosed?

To diagnose gonorrhea, your doctor will use a swab to take a sample of fluid from the urethra in men or from the cervix in women. The specimen will then be sent to a lab to be analyzed. You also may be given a throat or anal culture to see if the infection is in your throat or anus. There are other tests which check a urine sample for the presence of the bacteria. You may need to wait for several days for your tests to come back from the lab.
Gonorrhea and chlamydia, another common sexually transmitted disease, often occur together, so you may be tested and treated for both.


Can Gonorrhea Be Cured?

Yes. Gonorrhea can be treated and cured.

How Is Gonorrhea Treated?

To cure a gonorrhea infection, your doctor will give you either an oral or injectable antibiotic. Your partner should also be treated at the same time to prevent reinfection and further spread of the disease.
It is important to take all of your antibiotics even if you feel better. Also, never take someone else's medication to treat your illness. By doing so, you may make the infection more difficult to treat. In addition,
  • Tell anyone you have had sex with recently that you are infected. This is important because gonorrhea may have no symptoms. Women, especially, may not have symptoms and may not seek testing or treatment unless alerted by their sex partners.
  • Don't have sex until you have completed taking all of your medicine.
  • Always use condoms when having sex.

What Happens if I Don't Treat Gonorrhea?

Untreated gonorrhea can cause serious and permanent problems in both women and men.
In women, if left untreated, the infection can cause pelvic inflammatory disease, which may damage the fallopian tubes (the tubes connecting the ovaries to the uterus) or even lead to infertility, and untreated gonorrhea infection could increase the risk of ectopic pregnancy (when the fertilized egg implants and develops outside the uterus), a dangerous condition for both the mother and baby.
In men, gonorrhea can cause epididymitis, a painful condition of the testicles that can sometimes lead to infertility if left untreated. Without prompt treatment, gonorrhea can also affect the prostate and can lead to scarring inside the urethra, making urination difficult.
Gonorrhea can spread to the blood or joints. This condition can be life-threatening. Also, people with gonorrhea can more easily contract HIV, the virus that causes AIDS. People with HIV infection and gonorrhea are more likely than people with HIV infection alone to transmit HIV to someone else.

How Does Gonorrhea Affect Pregnancy and Childbirth?

Gonorrhea in a pregnant woman can cause premature delivery or spontaneous abortion. The infected mother may give the infection to her infant as the baby passes through the birth canal during delivery. This can cause blindness, joint infection, or a life-threatening blood infection in the baby. Treatment of gonorrhea as soon as it is detected in pregnant women will lessen the risk of these complications. Pregnant women should consult a doctor for appropriate medications.

How Can I Prevent Gonorrhea Infection?

To reduce your risk of gonorrhea infection:
  • Use condoms correctly every time you have sex.
  • Limit the number of sex partners, and do not go back and forth between partners.
  • Practice sexual abstinence, or limit sexual contact to one uninfected partner.
  • If you think you are infected, avoid sexual contact and see a doctor.
Any genital symptoms such as discharge or burning during urination or an unusual sore or rash should be a signal to stop having sex and to consult a doctor immediately. If you are told you have gonorrhea or any other STD and receive treatment, you should notify all of your recent sex partners so that they can see a doctor and be treated.
  1. Diet tips for getting lean and reducing fats.

We all want to look our best, especially for swimsuit season during the summer months. But we also want results fast and through the easiest way possible. The following tips and suggestions are designed to support an overall healthy lifestyle and a realistic weight loss plan so you maintain a healthy weight for the rest of your life.  
Count your calories
On average, women require 2,000-2,100 calories per day to maintain their weight and men require 2,700-2,900. The solution to safely lose weight is to consume 500 calories less per day than you need to maintain your weight. Doing this, you can lose 1 pound per week since 1 pound of fat is equal to 3,500 calories.
Eat three small meals with one or two high protein snacks spread throughout the day. You’ll maintain your energy levels without feeling starved. A more severe calorie reduction will lead to muscle breakdown, slowed metabolism, fatigue and quitting your diet early.
When it comes to maintaining your healthy weight over the long-term, most diets fail because any weight lost is typically followed by an equal or greater weight gain. This is because when you restrict calories, your body releases chemicals that trigger your appetite to increase. You can fight this for awhile, but usually it overpowers even the most determined dieter.
Tip: Eat 500 calories less per day than you would eat to maintain your weight and you can lose 1 pound per week.
Exercise to boost metabolism To lose weight faster—up to 2 pounds per week—combine the reduction in caloric intake with an increase in caloric expenditure through exercise. By adding one hour of moderate to intense physical activity into your daily regimen, you can burn 500 calories or more a day for an additional 3,500 calories less per week.
You can easily double or triple your metabolic rate while you exercise by doing a simple cardio workout or lifting weights. Doing weight-bearing exercises not only increases your lean muscle mass, but increases your resting metabolism as well, since your body burns more calories to maintain a pound of muscle than a pound of fat.
If you work out in the morning, you receive added benefits, including increased energy throughout the day and increased metabolism (calorie burning) during waking hours. In addition, research shows that people who train earlier in the day tend to stick with their exercise program. Those who wait to work out later in the day can miss them due to daily distractions.
Tip: Add at least 30 minutes of morning exercise to your daily regimen to burn more fat.
Time your meals to burn fat
Meal composition and timing can play a big role in your ability to burn body fat. Getting lean in a hurry is not only based on what you eat, but also when you eat it.
If you do your cardio in the morning, do it immediately upon waking without eating. You burn the same amount of calories in the morning as in the evening for the same amount of work. However, research indicates that the percentage of fat calories burned during morning exercise, on an empty stomach, is greater.
To maximize the benefits of cardio later in the day, you should time your meals and minimize simple carbohydrate consumption. Do cardio 2-3 hours after your pre-workout meal. Your pre-workout meal should consist of protein with some low glycemic carbs to minimize insulin spikes and to maximize fat burning.
After your workout, if you delay eating any food for at least an hour, you keep your body in the fat burning mode. Then eat a relatively low glycemic meal.
Tip: To maximize fat burning, avoid eating for 2 hours before your workout and 1 hour after.
Eat protein to lose weight
When it comes to shedding pounds, the amount of calories matters, but so do the type of calories. While calorie impact has been controversial, several recent studies point to protein’s convincing benefits on weight loss. In one study, protein was increased from 15% to 30% of calories and fat reduced from 35% to 20% (carbs remained constant at 50%). The increase in protein was clearly associated with reduced appetite and fewer calories consumed, which ultimately led to significant weight loss.
In another study of dieters who lost 5-10% of their body weight, the weight regain was less in the high protein group compared to the normal protein group. The high protein group only gained back 2 pounds of the weight that was previously lost compared to 7 pounds for the normal group. Not only was weight regain less in the high protein group, they also gained only muscle and not fat.
Protein also keeps your metabolism revved up. Several studies have shown protein to generate more heat than carbs and fat. This means calorie for calorie, more energy from protein is given off as heat and less is available for storage as fat.
On restricted calorie diets, rapid weight loss is usually a sign of muscle and water loss, not fat loss. When your body is starved, it will naturally burn other sources of energy, including muscle. Eating protein provides the amino acids your body needs to prevent the breakdown of your own muscle. Make sure you get 0.5-1 gram of protein daily per pound of ideal body weight.
Excellent protein sources include skinless chicken breasts, egg whites, nonfat dairy such as cottage cheese, lowfat fish such as tuna and a variety of protein powders such as whey, casein or soy. Mixing a serving of whey protein concentrate into water provides about 25 grams of protein, yet only 4 grams of carbs. The best part is, it only costs about 50 cents, making it more cost-effective than traditional protein foods.
Tip: Choose fast-digesting whey protein to burn more calories; use slow-digesting casein to help keep you feeling full longer.
MRPs make eating simpler Meal replacements include protein shakes, powders or bars that replace a normal meal. They are easy to use, require little if any preparation and most importantly, provide structure to the daily eating plan. Using meal replacements to assist in weight management has been examined in several studies. In one study conducted over a 5-year period, overweight subjects who consumed a meal replacement shake lost about 10 pounds compared to others who gained 15 over the same time period, resulting in a 25-pound difference in weight between them. The value of meal replacements is the structure of having a prepared meal, which can provide the needed motivation to reduce calories and enhance weight loss.
Tip: Protein bars, shakes and meal replacements are perfect for breakfast, lunch or when you’re rushed.
Concentrate on good carbs Carbohydrate-rich foods like potatoes, pasta and white rice are considered high glycemic foods. Each stimulates your body to release insulin, which turns excess carbohydrate into fat. Bodybuilders and endurance athletes like to stimulate insulin release after a workout because insulin helps replenish their muscles with carbohydrate. But when dieting, you want to avoid insulin spikes. To stop insulin surges or spikes, avoid simple or high glycemic carbohydrates. Shoot for 50-100 grams of carbohydrate per day, depending on your weight. Your goal is to burn all the carbohydrate from a single meal within a couple of hours. For the first few days of your diet, eat as few carbohydrate-rich foods as you can. After your first week, eat only low glycemic carbohydrates like lettuce or salad greens, grapefruit and apples, which don’t stimulate rapid insulin production or fat storage.
Tip: Cut back on carbs or eat low glycemic carbs to control insulin.
Eat fat to lose fat
Certain fats are essential for your body—you can't live without them. Essential fatty acids, or EFAs, help you feel full longer after meals because your stomach empties more slowly.
Flax seed oil is an economical source of EFAs. It’s great to add to protein shakes, salad dressings or other foods. Because of its mild flavor, many people take it straight from a spoon! Fish oils are also excellent sources of EFAs and come in convenient capsule form.
By increasing your EFA intake and decreasing your non-essential fat consumption, you make it possible for your body to utilize more stored body fat for energy, getting you leaner faster.
Tip: Add flax oil to a low carb protein shake to help you feel full longer.
Have a snack or two To make sure you stay fueled throughout the day, it’s important to eat a high-protein, low-carb snack between meals. Low carb bars are ones that don’t affect your blood sugar levels. Some of their carbs come from sugar alcohols like glycerine or maltitol. Low glycemic impact protein bars, ready-to-drink shakes and lower calorie protein powders make perfect snack options to give you that late-morning and mid-afternoon energy boost.
Tip: Eat only half of your favorite meal replacement or protein bar to re-fuel your body without adding too many extra calories. The skinny on fat burners
The secret to healthy dieting is burning fat, not just losing weight. Thermogenic diet products, also known as “fat burners,” are supplements used to temporarily increase metabolism and energy. The term “thermogenic” means “heat-creating” and refers to the general warming that takes place when metabolism increases. Thermogenic supplements can be especially useful for those transitioning from a sedentary lifestyle into a more physically active one. They are best used to provide an energy boost prior to your exercise session. They also counteract the body’s natural tendency to slow your metabolism when dieting.
Some examples of effective fat burners are ones that contain citrus aurantium (bitter orange), caffeine, green tea (standardized for at least 270 mg of EGCG per day) and/or yerba mate.
Green tea has been widely studied for its effect on weight loss, especially for its ability to increase metabolic rate and oxidize fat. In one study, green tea extract containing 150 mg of caffeine and 270 mg of EGCG was shown to increase metabolic rate by 4% over a 24-hour period. This increase in energy expenditure equates to an additional 65-200 calories burned a day, which over a period of one month, equals about 0.6-1.7 pounds of fat loss—just from green tea alone!
Tip: Use a fat burner, preferably one that contains green tea, before workouts and meals.
Take a multi-vitamin It’s difficult to get all the vitamins and minerals your body needs from food alone. A well-rounded multi-vitamin supports your fat loss or muscle building efforts and makes up for deficiencies in your diet when eating less food.
Tip: Use a multi-vitamin and mineral formula every day (minimum 3 per day). Take with the largest meal of the day, preferably with one that includes some fat.
Throw out the scale
Losing fat is the goal. A reasonable and safe amount of fat loss is 1-2 pounds a week. Any more than that is probably not just fat loss, but muscle and water loss. Not only is your body weaker after losing muscle, but your metabolism slows.
The key to measuring how successful you’ve been at losing weight is not to worry too much about your actual weight, but to monitor how your clothes fit.
If you need to check your progress to keep motivated, use a tape measure to measure inches lost or a special scale that estimates body fat. Remember, don’t just count the pounds!
Tip: Gauge your success by your waistline, not the scale.
Plan a cheat day When your diet becomes so restrictive that you can’t go out to dinner, visit friends or enjoy a hotdog at a ball game, your chances of staying on the diet are very slim. Allow yourself one meal a week to eat any way you choose. Be flexible and reasonable with your diet program. Eating more calories one day a week may actually help your chances of success by preventing your metabolism from recalibrating to a lower set point.
Tip: When you splurge, use a carb and fat inhibitor to help minimize the damage a carb or fat-laden meal can do to your diet.
As with any new program, to ensure success, it’s important to be consistent in your diet and workout routine. Before you know it, you’ll see that your efforts are paying off, every time you look in the mirror.