Is this just a skin rash or something more?

After work about 2 nights ago my skin looked like it had little splotches of red... The next morning I woke up and my hands felt like they were asleep... all day. And today my entire arm is getting covered in redish areas that are starting to itch... and my hands still feel prickly like they are asleep.|||probably not just a skin condition, sorry :S go to a doctor ASAP please! tingling suggests circulation difficulties, or nerve damage, or any number of things that a doctor can test you for. Good luck :P...oh where do you work? that may have something to do with it....|||Hi Matt, it could be an allergic skin reaction, try to think if you came into contact with something different. If not, it could by systemic, meaning that you have something going on inside the body that is now coming out as a rash/numbness. I work at a derm office, and a lot of times they will culture the rash for scabies or skin infection, or if it indicates something more, you might have to have a blood test. I would think that if it doesn't get any better by tomorrow, I would call your doctor and see what they think. Good luck|||Click on the link below. There are questions and answers concerning rashes. Whether you answer a question with yes or no, it will lead to to further questions and answers until you can get a generalized diagnosis. It does not replace medical attention, though. Hope you feel better soon.





http://familydoctor.org/545.xml

Looking for cause of skin rash on my hands..?

I have very small lumps under the skin on my fingers, they are pale in colour and not itchy or painful. Also have been experiencing periodic numbness in my fingers. If anyone can help with a possible cause?|||Go to a doctor, I would be guessing and that would not help you.|||I just answered this , so i will answer again ... possibly warts and carpel tunnel syndrome , contact your GP ...|||me no help either, with stuff like this u really need to see yr doc, i have studied skin conditions, but you really need some1 to look at it, so many skin allergies n lumps n bumps r very similar, i wldnt go on a guess, i wld get it looked at, good luk !

Why do i get skin rash in the heat?

when i am in the sun outdoors i get a rash all over my body. it itches a lot too|||It is called heat rash. Try using body powder. This may help.|||it's called heat rash. use sunscreen and/or wear loose clothing that covers your skin. also, drink plenty of water and don't spend too much time in the sun. try an antibiotic topical cream to treat it like you would any other rash. if it's an continuing problem, you should probably see a dermatologist.|||Heat rash|||Heat rash -- also called prickly heat or miliaria -- is a common condition in which areas of the skin itch intensely and often feel prickly, or sting, due to overheating. Heat rash looks like tiny bumps surrounded by a zone of red skin. It usually occurs on clothed parts of the body, such as the back, abdomen, neck, upper chest, groin or armpits and goes away on its own within a few days. In severe forms, however, heat rash can interfere with the body's heat-regulating mechanism .





Heat rash occurs most often in hot, humid conditions, but you may develop it in cool weather if you are overdressed. It's most common in infants.











Heat rash begins with excessive perspiration, usually in a hot, humid environment. The perspiration damages cells on the surface of the skin, forming a barrier and trapping sweat beneath the skin, where it builds up, causing the characteristic bumps. As the bumps burst and sweat is released, you may feel the prickly, or stinging, sensation that gives this condition its common name.|||You could be allergic to the sun. Sounds weird but there are people who are, typically it effects people with very light skin.|||I agree with blushlila...you could well be allergic


to the sun. Do you start feeling itchy and a burning


sensation the minute you step out in the sun?





If you are not allergic to the sun then try the other


suggestions-using baby powder, etc. You can also


try appling a deoderant in any creases on your body


where sweat accumulates.

My daughter has a skin rash?

My daughter who is 1 has bumps all over her body. The bumps look much like chill bumps (the bumps that you get when you get cold). The doc said it was because she has strep throat. She's took 2 kinds of med for it but it never clears up and she still test positive for strep. The rash has been there for about 3 weeks .Anyone knows whats going on?|||You're asking this in the wrong section... and of the wrong people. Get an opinion from a different doctor... get a few opinions, in fact.





[][][] r u randy? [][][]


.|||Soz I'd love to help u but I'm not a doctor|||wish i can help try another section that fits with this question

Can vitamin b12 cause skin rash?

the rash is on just my face|||I notice the previous respondant gave you a whole crapload of information, and yet did not answer the question!


My husband is a doctor with a great deal of nutritional training, and he says it's unlikely.|||What is vitamin B12?


Vitamin B12 is also called cobalamin because it contains the metal cobalt. This vitamin helps maintain healthy nerve cells and red blood cells [1-4]. It is also needed to help make DNA, the genetic material in all cells [1-4].


Vitamin B12 is bound to the protein in food. Hydrochloric acid in the stomach releases B12 from proteins in foods during digestion. Once released, vitamin B12 combines with a substance called gastric intrinsic factor (IF). This complex can then be absorbed by the intestinal tract.





What foods provide vitamin B12?


Vitamin B12 is naturally found in animal foods including fish, meat, poultry, eggs, milk, and milk products. Fortified breakfast cereals are a particularly valuable source of vitamin B12 for vegetarians [5-7]. Table 1 lists a variety of food sources of vitamin B12.





Table 1: Selected food sources of vitamin B12 [5]


FoodMicrograms (μg)


per serving Percent


DV*


Mollusks, clam, mixed species, cooked, 3 ounces 84.11400


Liver, beef, braised, 1 slice47.9780


Fortified breakfast cereals, (100%) fortified), ¾ cup6.0100


Trout, rainbow, wild, cooked, 3 ounces5.490


Salmon, sockeye, cooked, 3 ounces4.980


Trout, rainbow, farmed, cooked, 3 ounces4.250


Beef, top sirloin, lean, choice, broiled, 3 ounces2.440


Fast Food, Cheeseburger, regular, double patty %26amp; bun, 1 sandwich1.930


Fast Food, Taco, 1 large1.625


Fortified breakfast cereals (25% fortified), ¾ cup1.525


Yogurt, plain, skim, with 13 grams protein per cup, 1 cup1.425


Haddock, cooked, 3 ounces1.220


Clams, breaded %26amp; fried, ¾ cup1.120


Tuna, white, canned in water, drained solids, 3 ounces1.015


Milk, 1 cup0.915


Pork, cured, ham, lean only, canned, roasted, 3 ounces0.610


Egg, whole, hard boiled, 10.610


American pasteurized cheese food, 1 ounces0.36


Chicken, breast, meat only, roasted, ½ breast0.36








*DV = Daily Value. DVs are reference numbers developed by the Food and Drug Administration (FDA) to help consumers determine if a food contains a lot or a little of a specific nutrient. The DV for vitamin B12 is 6.0 micrograms (μg). Most food labels do not list a food's vitamin B12 content. The percent DV (%DV) listed on the table indicates the percentage of the DV provided in one serving. A food providing 5% of the DV or less is a low source while a food that provides 10-19% of the DV is a good source. A food that provides 20% or more of the DV is high in that nutrient. It is important to remember that foods that provide lower percentages of the DV also contribute to a healthful diet. For foods not listed in this table, please refer to the U.S. Department of Agriculture's Nutrient Database Web site: http://www.nal.usda.gov/fnic/cgi-bin/nut...





What is the recommended dietary intake for vitamin B12?


Recommendations for vitamin B12 are provided in the Dietary Reference Intakes (DRIs) developed by the Institute of Medicine of the National Academy of Sciences [7]. Dietary Reference Intakes is the general term for a set of reference values used for planning and assessing nutrient intake for healthy people. Three important types of reference values included in the DRIs are Recommended Dietary Allowances (RDA), Adequate Intakes (AI), and Tolerable Upper Intake Levels (UL). The RDA recommends the average daily intake that is sufficient to meet the nutrient requirements of nearly all (97-98%) healthy individuals in each age and gender group [7]. An AI is set when there is insufficient scientific data available to establish a RDA. AIs meet or exceed the amount needed to maintain a nutritional state of adequacy in nearly all members of a specific age and gender group [7]. The UL, on the other hand, is the maximum daily intake unlikely to result in adverse health effects [7]. Table 2 lists the RDAs for vitamin B12, in micrograms (μg), for children and adults.





Table 2: Recommended Dietary Allowances (RDA) for vitamin B12 for children and adults [7]


Age


(years)Males and Females


(μg/day) Pregnancy


(μg/day)Lactation


(μg/day)


1-30.9N/AN/A


4-81.2N/AN/A


9-131.8N/AN/A


14-182.42.62.8


19 and older2.42.62.8








There is insufficient information on vitamin B12 to establish a RDA for infants. Therefore, an Adequate Intake (AI) has been established that is based on the amount of vitamin B12 consumed by healthy infants who are fed breast milk [7]. Table 3 lists the Adequate Intakes for vitamin B12, in micrograms (μg), for infants.





Table 3: Adequate Intake for vitamin B12 for infants [7]


Age


(months)Males and Females


(μg/day)


0-6 months0.4


7-12 months0.5








When is a deficiency of vitamin B12 likely to occur?


Results of two national surveys, the National Health and Nutrition Examination Survey (NHANES III-1988-94) [8] and the Continuing Survey of Food Intakes by Individuals (CSFII 1994-96) found that most children and adults in the United States (U.S.) consume recommended amounts of vitamin B12 [6-8]. A deficiency may still occur as a result of an inability to absorb B12 from food and in strict vegetarians who do not consume any animal foods [9]. As a general rule, most individuals who develop a vitamin B12 deficiency have an underlying stomach or intestinal disorder that limits the absorption of vitamin B12 [10]. Sometimes the only symptom of these intestinal disorders is subtly reduced cognitive function resulting from early B12 deficiency. Anemia and dementia follow later [1,11].





# Signs, symptoms, and health problems associated with vitamin B12 deficiencyCharacteristic signs, symptoms, and health problems associated with B12 deficiency include anemia, fatigue, weakness, constipation, loss of appetite, and weight loss [1,3,12].


# Deficiency also can lead to neurological changes such as numbness and tingling in the hands and feet [7,13].


# Additional symptoms of B12 deficiency are difficulty in maintaining balance, depression, confusion, dementia, poor memory, and soreness of the mouth or tongue [14].


# Signs of vitamin B12 deficiency in infancy include failure to thrive, movement disorders, delayed development, and megaloblastic anemia [15].





Many of these symptoms are very general and can result from a variety of medical conditions other than vitamin B12 deficiency. It is important to have a physician evaluate these symptoms so that appropriate medical care can be given.





Do pregnant and/or lactating women need extra Vitamin B12?


During pregnancy, nutrients travel from mother to fetus through the placenta. Vitamin B12, like other nutrients, is transferred across the placenta during pregnancy. Breast-fed infants receive their nutrition, including vitamin B12, through breast milk. Vitamin B12 deficiency in infants is rare but can occur as a result of maternal insufficiency [15]. For example, breast-fed infants of women who follow strict vegetarian diets have very limited reserves of vitamin B12 and can develop a vitamin B12 deficiency within months of birth [7,16]. This is of particular concern because undetected and untreated vitamin B12 deficiency in infants can result in permanent neurologic damage. Consequences of such neurologic damage are severe and can be irreversible. Mothers who follow a strict vegetarian diet should consult with a pediatrician regarding appropriate vitamin B12 supplementation for their infants and children [7]. They should also discuss their own need for vitamin B12 supplementation with their personal physician.





Who else may need a vitamin B12 supplement to prevent a deficiency?


# Individuals with pernicious anemia or with gastrointestinal disorders may benefit from or require a vitamin B12 supplement.


# Older adults and vegetarians may benefit from a vitamin B12 supplement or an increased intake of foods fortified with vitamin B12.


# Some medications may decrease absorption of vitamin B12. Chronic use of those medications may result in a need for supplemental B12.





Individuals with pernicious anemia


Anemia is a condition that occurs when there is insufficient hemoglobin in red blood cells to carry oxygen to cells and tissues. Common signs and symptoms of anemia include fatigue and weakness. Anemia can result from a variety of medical problems, including deficiencies of vitamin B12, vitamin B6, folate and iron. Pernicious anemia is the name given more than a century ago to describe the then-fatal vitamin B12 deficiency anemia that results from severe gastric atrophy, a condition that prevents gastric cells from secreting intrinsic factor. Intrinsic factor is a substance normally present in the stomach. Vitamin B12 must bind with intrinsic factor before it can be absorbed and used by your body [7,17-18]. An absence of intrinsic factor prevents normal absorption of B12 and results in pernicious anemia.





Most individuals with pernicious anemia need parenteral (deep subcutaneous) injections (shots) of vitamin B12 as initial therapy to replenish depleted body B12 stores. Body stores of vitamin B12 can then be managed by a daily oral supplement of B12. A physician will manage the treatment required to maintain the vitamin B12 status of individuals with pernicious anemia.





Individuals with gastrointestinal disorders


Individuals with stomach and small intestinal disorders may be unable to absorb enough vitamin B12 from food to maintain healthy body stores [19]. Intestinal disorders that may result in malabsorption of vitamin B12 include:





* Sprue, often referred to as Celiac Disease (CD), is a genetic disorder. People with CD are intolerant to a protein called gluten. In CD, gluten can trigger damage to the small intestines, where most nutrient absorption occurs. People with CD often experience nutrient malabsorption. They need to follow a gluten free diet to avoid malabsorption and other symptoms of CD.


* Crohn's Disease is an inflammatory bowel disease that affects the small intestines. People with Crohn's disease often experience diarrhea and nutrient malabsorption.


* Surgical procedures in the gastrointestinal tract, such as surgery to remove all or part of the stomach, often result in a loss of cells that secrete stomach acid and intrinsic factor [7,20-21]. Surgical removal of the distal ileum, a section of the intestines, also can result in the inability to absorb vitamin B12. Anyone who has had either of these surgeries usually requires lifelong supplemental B12 to prevent a deficiency. These individuals would be under the routine care of a physician, who would periodically evaluate vitamin B12 status and recommend appropriate treatment.





Older adults


Gastric acid helps release vitamin B12 from the protein in food. This must occur before B12 binds with intrinsic factor and is absorbed in your intestines. Atrophic gastritis, which is an inflammation of the stomach, decreases gastric secretion. Less gastric acid decreases the amount of B12 separated from proteins in foods and can result in poor absorption of vitamin B12 [10,22-26]. Decreased gastric secretion also results in overgrowth of normal bacterial flora in the small intestines. The bacteria may take up vitamin B12 for their own use, further contributing to a vitamin B12 deficiency [27].





Up to 30 percent of adults 50 years and older may have atrophic gastritis, an overgrowth of intestinal flora, and be unable to normally absorb vitamin B12 in food. They are, however, able to absorb the synthetic B12 added to fortified foods and dietary supplements. Vitamin supplements and fortified foods may be the best sources of vitamin B12 for adults over the age of 50 [7].





Researchers have long been interested in the potential connection between vitamin B12 deficiency and dementia [28]. A recent review examined correlations between cognitive skills, homocysteine levels, and blood levels of folate, vitamin B12 and vitamin B6. The authors suggested that vitamin B12 deficiency may decrease levels of substances needed for the metabolism of neurotransmitters [29]. Neurotransmitters are chemicals that transmit nerve signals. Reduced levels of neurotransmitters may result in cognitive impairment. In 142 individuals considered at risk for dementia, researchers found that a daily supplement providing 2 milligrams (mg) folic acid and 1 mg B12, taken for 12 weeks, lowered homocysteine levels by 30%. They also demonstrated that cognitive impairment was significantly associated with elevated plasma total homocysteine. However, the decrease in homocysteine levels seen with vitamin supplementation did not improve cognition [30]. It is too soon to make any recommendations, but is an intriguing area of research.





Vegetarians


The popularity of vegetarian diets has risen along with an interest in avoiding meat and meat products for environmental, philosophical, and health reasons. However, the term vegetarianism is subject to a wide range of interpretations. Some people consider themselves to be vegetarian when they avoid red meat. Others believe that vegetarianism requires avoidance of all animal products, including meat, poultry, fish, eggs, and dairy foods. The most commonly described forms of vegetarianism include:


# "Lacto-ovo vegetarians", who avoid meat, poultry, and fish products but consume eggs and dairy foods


# "Strict vegetarians", who avoid meat, poultry, fish, eggs, and dairy foods


# "Vegans", who avoid meat, poultry, fish, eggs, and dairy foods but also do not use animal products such as honey, leather, fur, silk, and wool





Strict vegetarians and vegans are at greater risk of developing vitamin B12 deficiency than lacto-ovo vegetarians and non-vegetarians because natural food sources of vitamin B12 are limited to animal foods [7]. Fortified cereals are one of the few sources of vitamin B12 from plants, and are an important dietary source of B12 for strict vegetarians and vegans. Strict vegetarians and vegans who do not consume plant foods fortified with vitamin B12 need to consider taking a dietary supplement that contains vitamin B12 and should discuss the need for B12 supplementation with their physician.





There is wide belief that vitamin B12 can be consistently obtained from nutritional yeasts. Consumers should be aware that these products may or may not contain added nutrients such as vitamin B12. Dietary supplements are regulated as foods rather than drugs, and companies that sell supplements such as nutritional yeasts fortified with vitamin B12 can legally change their formulation at any time. If you choose to supplement, select reliable sources of vitamin B12 and read product labels carefully.





When adults adopt a strict vegetarian diet, deficiency symptoms can be slow to appear. It may take years to deplete normal body stores of B12. However, breast-fed infants of women who follow strict vegetarian diets have very limited reserves of vitamin B12 and can develop a vitamin B12 deficiency within months [7]. This is of particular concern because undetected and untreated vitamin B12 deficiency in infants can result in permanent neurologic damage. Consequences of such neurologic damage are severe and can be irreversible. There are many case reports in the literature of infants and children who suffered consequences of vitamin B12 deficiency. It is very important for mothers who follow a strict vegetarian diet to consult with a pediatrician regarding appropriate vitamin B12 supplementation for their infants and children [7].





Drug : Nutrient Interactions


Table 4 summarizes several drugs that potentially influence vitamin B12 absorption.





Table 4: Important vitamin B12/drug interactions


DrugPotential Interaction


# Proton Pump Inhibitors (PPIs) are used to treat gastroesophageal reflux disease (GERD) and peptic ulcer disease. Examples of PPIs are Omeprazole (Prilosec©) and Lansoprazole (Prevacid©)


PPI medications can interfere with vitamin B12 absorption from food by slowing the release of gastric acid into the stomach [31-33]. This is a concern because acid is needed to release vitamin B12 from food prior to absorption. So far, however, there is no evidence that these medications promote vitamin B12 deficiency, even after long-term use [34].


# H2 receptor antagonists are used to treat peptic ulcer disease. Examples are Tagament©, Pepsid©, and Zantac©


H2 receptor antagonists can interfere with vitamin B12 absorption from food by slowing the release of gastric acid into the stomach. This is a concern because acid is needed to release vitamin B12 from food prior to absorption. So far, however, there is no evidence that these medications promote vitamin B12 deficiency, even after long-term use [34].


# Metformin© is a drug used to treat diabetes.


Metformin© may interfere with calcium metabolism [35]. This may indirectly reduce vitamin B12 absorption because vitamin B12 absorption requires calcium [35]. Surveys suggest that from 10% to 30% of patients taking Metformin© have evidence of reduced vitamin B12 absorption [35].








In a study involving 21 subjects with type 2 diabetes, researchers found that 17 who were prescribed Metformin© experienced a decrease in vitamin B12 absorption. Researchers also found that supplementation with calcium carbonate (1200 milligrams per day) helped limit the effect of Metformin© on vitamin B12 absorption in these individuals [35].





Although these medications may interact with the absorption of vitamin B12, they are necessary to take for certain conditions. It is important to consult with a physician and registered dietitian to discuss the best way to maintain vitamin B12 status when taking these medications.





Caution: Folic Acid and vitamin B12 deficiency


Folic acid can correct the anemia that is caused by vitamin B12 deficiency. Unfortunately, folic acid will not correct the nerve damage also caused by B12 deficiency [1,36]. Permanent nerve damage can occur if vitamin B12 deficiency is not treated. Folic acid intake from food and supplements should not exceed 1,000 micrograms (μg) daily in healthy individuals because large amounts of folic acid can trigger the damaging effects of vitamin B12 deficiency [7]. Adults older than 50 years who take a folic acid supplement should ask their physician or qualified health care provider about their need for vitamin B12 supplementation.





What is the relationship between vitamin B12 homocysteine, and cardiovascular disease?


Cardiovascular disease involves any disorder of the heart and blood vessels that make up the cardiovascular system. Coronary heart disease occurs when blood vessels which supply the heart become clogged or blocked, increasing the risk of a heart attack. Vascular damage can also occur to blood vessels supplying the brain, and can result in a stroke.





Cardiovascular disease is the most common cause of death in industrialized countries such as the U.S., and is on the rise in developing countries. The National Heart, Lung, and Blood Institute of the National Institutes of Health has identified many risk factors for cardiovascular disease, including an elevated LDL-cholesterol level, high blood pressure, a low HDL-cholesterol level, obesity, and diabetes [37]. In recent years, researchers have identified another risk factor for cardiovascular disease, an elevated homocysteine level. Homocysteine is an amino acid normally found in blood, but elevated levels have been linked with coronary heart disease and stroke [38-47]. Elevated homocysteine levels may impair endothelial vasomotor function, which determines how easily blood flows through blood vessels. High levels of homocysteine also may damage coronary arteries and make it easier for blood clotting cells called platelets to clump together a form a clot, which may lead to a heart attack [43].





Vitamin B12, folate, and vitamin B6 are involved in homocysteine metabolism. In fact, a deficiency of vitamin B12, folate, or vitamin B6 may increase blood levels of homocysteine. Recent studies found that supplemental vitamin B12 and folic acid decreased homocysteine levels in subjects with vascular disease and in young adult women. The most significant drop in homocysteine level was seen when folic acid was taken alone [48-49]. A significant decrease in homocysteine levels also occurred in older men and women who took a multivitamin/ multimineral supplement for 56 days [50]. The supplement taken provided 100% of Daily Values (DVs) for nutrients in the supplement.





Evidence supports a role for supplemental folic acid and vitamin B12 for lowering homocysteine levels, however this does not mean that these supplements will decrease the risk of cardiovascular disease. Clinical intervention trials are underway to determine whether supplementation with folic acid, vitamin B12, and vitamin B6 can lower risk of coronary heart disease. It is premature to recommend vitamin B12 supplements for the prevention of heart disease until results of ongoing randomized, controlled clinical trials positively link increased vitamin B12 intake from supplements with decreased homocysteine levels AND decreased risk of cardiovascular disease.





Do healthy young adults need a vitamin B12 supplement?


It is generally accepted that older adults are at greater risk of developing a vitamin B12 deficiency than younger adults. One study, however, suggests that the prevalence of B12 deficiency in young adults may be greater than previously thought. This study found that the percentage of subjects in three age groups (26 to 49y, 50 to 64y, and 65y and older) with deficient blood levels of vitamin B12 was similar across all age groups but that symptoms of B12 deficiency were not as apparent in younger adults. This study also suggested that those who did not take a supplement containing vitamin B12 were twice as likely to be B12 deficient as supplement users, regardless of age group. However, non-supplement users who consumed fortified cereal more than 4 times per week did appear to be protected from deficient blood levels of B12. Better tools and standards to diagnose B12 deficiencies are needed to make specific recommendations about the appropriateness of vitamin B12 supplements for younger adults [51].





What is the health risk of too much vitamin B12?


The Institute of Medicine of the National Academy of Sciences did not establish a Tolerable Upper Intake Level for this vitamin because Vitamin B12 has a very low potential for toxicity. The Institute of Medicine states that "no adverse effects have been associated with excess vitamin B12 intake from food and supplements in healthy individuals" [7]. In fact, the Institute recommends that adults over 50 years of age get most of their vitamin B12 from vitamin supplements or fortified food because of the high incidence of impaired absorption of B12 from animal foods in this age group [7].





Selecting a healthful diet


As the 2000 Dietary Guidelines for Americans states, "Different foods contain different nutrients and other healthful substances. No single food can supply all the nutrients in the amounts you need" [52]. For more information about building a healthful diet, refer to the Dietary Guidelines for Americans http://www.usda.gov/cnpp/DietGd.pdf [52] and the US Department of Agriculture's Food Guide Pyramid http://www.nal.usda.gov/fnic/Fpyr/pyrami... [53].








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Posted Date:


10/7/2004


Updated:


5/25/2005 6:31 PM





References





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36. Chanarin I. Adverse effects of increased dietary folate. Relation to measures to reduce the incidence of neural tube defects. Clin Invest Med 1994;17:244-52.


37. Third Report of the National Cholesterol Education Program Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). National Cholesterol Education Program, NationalHeart, Lung, and Blood Institute, National Institues of Health, September 2002. NIH Publication No. 02-5215.


38. Selhub J, Jacques PF, Bostom AG, D'Agostino RB, Wilson PW, Belanger AJ, O'Leary DH, Wolf PA, Scaefer EJ, Rosenberg IH. Association between plasma homocysteine concentrations and extracranial carotid-artery stenosis. N Engl J Med 1995;332:286-91. [PubMed abstract]


39. Rimm EB, Willett WC, Hu FB, Sampson L, Colditz G A, Manson J E, Hennekens C, Stampfer M J. Folate and vitamin B6 from diet and supplements in relation to risk of coronary heart disease among women. J Am Med Assoc 1998;279:359-64. [PubMed abstract]


40. Refsum H, Ueland PM, Nygard O, Vollset SE. Homocysteine and cardiovascular disease. Annu Rev Med 1998;49:31-62. [PubMed abstract]


41. Boers GH. Hyperhomocysteinemia: A newly recognized risk factor for vascular disease. Neth J Med 1994;45:34-41. [PubMed abstract]


42. Selhub J, Jacques PF, Wilson PF, Rush D, Rosenberg IH. Vitamin status and intake as primary determinants of homocysteinemia in an elderly population. J Am Med Assoc 1993;270:2693-8. [PubMed abstract]


43. Malinow MR. Plasma homocyst(e)ine and arterial occlusive diseases: A mini-review. Clin Chem 1995;41:173-6. [PubMed abstract]


44. Flynn MA, Herbert V, Nolph GB, Krause G. Atherogenesis and the homocysteine-folate-cobalamin triad: do we need standardized analyses? J Am Coll Nutr 1997;16:258-67. [PubMed abstract]


45. Fortin LJ, Genest J, Jr. Measurement of homocyst(e)ine in the prediction of arteriosclerosis. Clin Biochem 1995;28:155-62. [PubMed abstract]


46. Siri PW, Verhoef P, Kok FJ. Vitamins B6, B12, and folate: Association with plasma total homocysteine and risk of coronary atherosclerosis. J Am Coll Nutr 1998;17:435-41. [PubMed abstract]


47. Ubbink JB, van der Merwe A, Delport R, Allen R H, Stabler S P, Riezler R, Vermaak WJ. The effect of a subnormal vitamin B6 status on homocysteine metabolism. J Clin Invest 1996;98:177-84. [PubMed abstract]


48. Bronstrup A, Hages M, Prinz-Langenohl R, Pietrzik K. Effects of folic acid and combinations of folic acid and vitamin B12 on plasma homocysteine concentrations in healthy, young women. Am J Clin Nutr 1998;68:1104-10.


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50. McKay DL, Perrone G, Rasmussen H, Dallal G, Blumberg JB. Multivitamin/Mineral Supplementation Improves Plasma B-Vitamin Status and Homocysteine Concentration in Healthy Older Adults Consuming a Folate-Fortified Diet. Journal of Nutrition 2000;130:3090-6.


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Help with my dogs skin rash?

My dog has a rash on his belly, I believe it is an allergic reaction to grass (he is a lab mix and they often have allergies to grass) I was wondering if anyone knew of any over the counter remedies to help with the itching.|||Skin Works or Ivy Dry are both good topical applications. They both work well for hot spots too.





For any type of skin allergies though, you should treat from the inside as well as the outside. Do some research on supplements, such as Salmon Oil, that help with skin and coat condition. Your vet will be a good resource for that and shouldn't charge for a phone call.





Have you done any testing to see if switching his food might help? He may be allergic to any grain products in his food as well if you really do think it's grass causing this problem.





Hope your boy feels better soon!|||My dog also had a belly rash. When we went to the vet she said it was from allergies and from different rugs and carpets. If you go to the vet they can give you a spray that you use on their bellies and you will notice a difference in about a week!





Best of luck!!|||your dogs skin is probably just dry, if you wash him too much that can do it, but try going to a pet store and picking up some doggie lotion|||During the summer, my dog, who has never had any allergy problems, got very itchy feet. She was chewing on her feet all of the time and they were red between the toes. I called the vet and was told about Omega 3 supplements that help with itching and inflammation. The vet had a product in a bottle that you pumped onto their food or in the case of my dog, I put it in the palm of my hand and she licked it off my hand. Within a week, the itching went away and has not come back. I was totally amazed and very happy that I did not have to go the cortisone route. Call and ask the vet about Omega 3 supplements and itchy rashes and see what he says.|||My hairless dog was suffering from allergies %26amp; itching. I took him to my vet and was told to give him Benedryl, you may want to check with a vet on the dosage as it goes by their weight. I used the childrens Benedryl as it is not as strong as the adults.|||over the counter benadryl is suitable for dogs with allergies, call your vet for dosing amounts. My 50lb boxer gets 50mg of benadryl 3 times a day.





If the allergies are more than occasional you can have your vet prescribe a prescription antihistamine. I have used Atarax with my dog in the past and now she is on prednisone. The prednisone actually comes out cheaper than the benadryl. We get 30 pills for $18 and she only needs it every few days, one prescription usually lasts 2-3 months.

What is this skin rash on my rat??

I keep my 3 male rats in a 3 story cage. We clean it once a week and it never smells. I looked at one of the boys tonight and noticed that he has a weird looking skin spot on his stomach so I held him down and took a wash cloth and washed it off, but it started to smell and pus when I did this!!!! I feel so bad if I did that to my baby boy!! I’m going to start treating him with Neosporin and clean it off 3 times a day, but has anyone heard of this? By the way they never fight so I don’t think it’s from getting bit. If it gets any worse I’m going to have a vet look at it. Thanks!|||oh poor Ratty!


I can understand why you are worried.


It sounds like the vet will need to do a skin scraping to determine if its fungal or parasite. If you are unlucky there might be an abcess under his skin and you're just seeing the top of it. An abcess would need to be lanced and cleaned by a vet and then he'd be treated with antibiotics. Be very careful of what you put on his skin ,as you know he will try to lick it off.


Best wishes. :o)|||P.S. Bex-Chan you did try to help! Thank you for that! Report It
|||Thanks for the vote phoenix_rosemaryhitz. :o) I hope your little guy is better soon. Whats with with all the negative answers? I'd recommend a pet rat any day. :o) Report It
|||he is sick|||Rats are poisonous. Why do you keep rats as pets? I don't understand why people keep rodents and snakes and weird things that should be exterminated as pets.|||ok hate to be the bearer of bad news but there was a recent outbreak of scabes in rats and ,many in my pet shop were affected. Isolate him from the other(always wear gloves) and take him to the vets. It could be just a scab in which case they'll give you Fuciderm which you apply once a day to the area. Good luck|||that's probably a new kind of super deadly virus that u %26amp; ur rats just created. u better give it to someone u hate most or u can let it loose in ur neighbourhood so u can share it with the folks.|||Plague, is caused by bacteria called Yersinia pestis. Onset of plague is usually 2 to 6 days after a person is exposed. Initial symptoms include fever, headache, and general illness, followed by the development of painful, swollen regional lymph nodes. The disease progresses rapidly and the bacteria can invade the bloodstream, producing severe illness, called plague septicemia. Once a human is infected, a progressive illness generally results unless specific antibiotic therapy is given. Progression leads to blood infection and, finally, to lung infection. The infection of the lung is termed plague pneumonia, and it can be transmitted to others through the expulsion of droplets by coughing. The incubation period of primary pneumonic plague is 1 to 3 days and is characterized by development of an overwhelming pneumonia with high fever, cough, bloody sputum, and chills. For plague pneumonia patients, the death rate is over 50%.





Geographic Distribution of Plague





In the United States, most of the human plague cases occur in two regions:





Northern New Mexico, northern Arizona, and southern Colorado.


California, southern Oregon, and far western Nevada.





How Is Plague Transmitted?





Plague is transmitted from animal to animal and from animal to human by the bites of infective fleas. Less frequently, the organism enters through a break in the skin by direct contact with tissue or body fluids of a plague-infected animal, for instance, in the process of skinning a rabbit or other infected animal. Plague is also transmitted by inhaling infected droplets expelled by coughing, by a person or animal, especially domestic cats, with pneumonic plague. Transmission of plague from person to person is uncommon and has not been observed in the United States since 1924 but does occur as an important factor in plague epidemics in some developing countries.





Human plague cases in the U.S. have been sporadic cases acquired from wild rodents or their fleas. Rock squirrels and their fleas are the most frequent sources of human infection in the southwestern states. For the Pacific states, the California ground squirrel and its fleas are the most common source. Many other rodent species, for instance, prairie dogs, wood rats, chipmunks, and other ground squirrels and their fleas, suffer plague outbreaks and some of these occasionally serve as sources of human infection. Deer mice and voles are thought to maintain the disease in animal populations but are less important as sources of human infection. Other less frequent sources of infection include wild rabbits, wild carnivores, and even antelopes, which pick up their infections from wild rodent outbreaks. Domestic cats (and sometimes dogs) are readily infected by fleas or from eating infected wild rodents. Cats may serve as a source of infection to persons exposed to them. Pets may also bring plague-infected fleas into the home. Between outbreaks, the plague bacterium is believed to circulate within populations of certain species of rodents without causing excessive mortality. Such groups of infected animals serve as silent, long-term reservoirs of infection.





Prevention





Plague will probably continue to exist in its many localized geographic areas in the southwest since attempts to eliminate wild rodent plague are impractical and futile. Therefore, primary preventive measures are directed toward reducing the threat of infection in humans in high risk areas through three techniques:





Environmental management


Public health education


Preventive drug therapy


Environmental Management





Preventing epidemic plague requires the reducing or eliminating house rat populations in both urban and rural areas.





Control of plague in such situations requires two things:





Close surveillance for human plague cases, and for plague in rodents.


Use of an effective insecticide to control rodent fleas when human plague cases and rodent outbreaks occur.


Public Health Education


In regions such as the American West where plague is widespread in wild rodents, the greatest threat is to people living, working, or playing in areas where the infection is active. Public health education of citizens and the medical community should include information on the following plague prevention measures:





Eliminating of food and shelter for rodents around homes, work places, and recreation areas by removing brush, rock piles, junk, and food sources (such as pet food), from the site.


Surveillance for plague activity in rodent populations in and surrounding high risk areas by public health workers or by citizens reporting rodents found sick or dead to local health departments.


Use of appropriate and licensed insecticides to kill fleas during wild animal plague outbreaks to reduce the risk to humans.


Treatment of pets (dogs and cats) for flea control once each week.


Preventive Drug Therapy





Antibiotics may be taken in the event of exposure to the bites of wild rodent fleas during an outbreak or to the tissues or fluids of a plague-infected animal. Preventive therapy is also recommended in the event of close exposure to another person or to a pet animal with suspected plague pneumonia. For preventive drug therapy, the preferred antibiotics are the tetracyclines, chloramphenicol, or one of the effective sulfonamides.

My Dog has a slight skin Rash.... What might it Be?

I have a Schitsu... He is very well maintained. However, in the last month or so, he has developed this rash looking things under his coat. He scratches it from time to time, but it does not seem uncomforatble to him.It is effecting, but the rash looks somewhat like a scab. what are some things it could be and how can I possibly treat it?|||Might be an allergy. Take him to the vet. I have a kitten I'm trying to get adopted %26amp; I want to treat this before I take her somewhere, because I don't want them to put her down. She's healthy. (No scabs, just some hair loss.)|||It could be a yeast infection, some dogs get these on their coats. You really should take him to a vet and let the vet do a test (scraping) on it to let you know for sure.|||could possibly be exema (sp), you could try lavendar oil, and feeding him plain yogurt|||My cat has a similar problem. He would scratch it and little patches of skin/fur would come off. He was/is allergic to cat food with any dye in it so your dog probably has an allergy. My cat had to get a steroid shot every now and then before they figured out his problem (they thought he was allergic to fish).


My sister's cat had really bad dandruff due to an allergy too. Her vet told her to give the cat baby/children Benadril (not sure of the dosage).


Call your vet or get an appointment with one to get the proper treatment. This is most likely nothing about which you need to worry :-)|||could be scabies/mites/fleas.


give him bath in DOG flea shampoo every week.


their skin gets dry in winter.


nothing serious if hair is still in tact,just do this to keep pet comfortable.|||Certain dogs are prone to skin problems eczema or allergies. Labradors especially have bad itching. The vet will usually give you a type of cortisone to administer to your dog. There are also natural remedies, but you'd have to consult "holistic" veterinarians - there are some around. Sometimes the type of heat you have, especially if it's dry in your home, can produce skin problems (my cat has dandruff). Buying a humidifier and/or giving your dog supplements with Omega-3 %26amp; 6 in it will also be helpful.|||your dog could have fles and could scratch at them often and that might cause hair to fall out or a red patch of skin, he may also have walked into poison ivy or somthing like that. another possibility is that it is just dry skin but im no vet u should ask one if it gets bad.

Help i have a bad skin rash help help help?!?

Well it happens on my arms feet and legs. On my legs i first get a burning under my skin and then it itches like no other and after that i ger huge swelling bumps. On my arms i get birght red and itch like crazy. On my feet i first get a feeling like hot burning under my skin and then it gets itchy and swells and then spots under the skin im very worried please answer soon|||it sounds like you either have poison ivy, or an allergic reaction to something. dont wear anything twice without washing it. untill you see a dermatologist they would be better to go to than a doctor..... and for now get some type of calymine lotion to help with the rash. it can be bought at your local cvs, or walgreens.|||it might be exema try to use some oatmeal bath avenno and change your soap and lotion|||do you shave your arms? it sounds alot like razor burn. at least definately on your legs, otherwise I would either way get a hydrating lotion and use it in the morning and at night, and I would definately go to a doctor. you may also be allergic to the soap or something that you are using on that skin.|||Go to the doctor but here is a link that might help you|||Sounds identical to psoriasis or eczema.......try Aveeno cream for rashes.....and then make an appointment to see your dermatologist.|||Sounds somewhat the same that I have. I went to the doctor but he didn't tell me what it is but he is still doing tests. The only thing that worked for me was toothpaste then the doctor gave me some clear medication. The clear medication was better only because it wasn't sticky like the toothpaste. I suggest for the feet use something like GermX first. I know toothpaste sounds silly but it was a life saver for me.|||You might also see if it might be dermatographism.

3.5 Week Skin Rash: Should I get a Second Opinion? Please Advise! Thank you!?

About 3.5 weeks ago I started to develop a slight rash along my lip line. I didn't think anything of it until it started to get worse by spreading along my entire upper lip and a mild burning sensation. Thus, I went to my doctor, who said that it was likely stressed induced or a reaction to my thyroid medication; he adjusted my dosage and told me to apply Vaseline to the infected area. Well, that didn't work either; in fact it got worse; now my entire mouth is red, the corners of my mouth have lesions and are bleeding, and it feels like razors cutting my lips, even when drinking water. Again I went to my doctor, who told me to take Vitamins C and B-complex supplements. Getting to the point, what could be wrong with my lips (I've never had this before). Should I get a second opinion, since this is the second time I have gone to my doctor and my symptoms haven't subsided. I don't want to offend him by going over his head, but its been 3 weeks, my lips hurt, look gross, %26amp; its embarassing.|||I would go to a dermatologist if I were you. Good Luck! I will pray for you.





Just looked this up: Perioral Dermatitis. Sounds like it could be this.

I have a skin rash! What is it? I'll describe it to you...?

Help!


On New Years I went crazy and ate probably 6 kewis! I know, it's nuts, and I'v never done it before.


Another thing, on New Year too, I got a lotion I used.


I got a never before tried by me deoderent, and used it.


I also got a new chap stick, and used it.


This happened all on New Year's Day.


2 days later, I wake up with a rash on my hand.


It itches, and looks like a million bubbles. It's on one of my hands, my right hand and I'm right handed, (the hand where i blob lotion on) and it came on on my face, near the place where I used lip gloss. like a million tiny bubbles. then on my arms, where I use deoderent.


I used a little to much deoderannt one day because i was a little smelly it put it on my arms as well as armpits. i also continued using chapstick, and lotion.


which one is it?


feel free to ask certain questions, and ill answer them in the "add comment" section!


thanks!|||take anti histamine drug


n c a doc


stop using stuff u got|||go to the doctor.|||sounds like a allergic reaction to something you use,not a doctor, but I figure the safest thing for you to do would be to see your doctor and they could better evaluate the symptoms.|||Could just be the kewis, take a benedrly, sounds like a food allergy.


Could also be the clothes u had on, u may be allergic more to a certain fabric or the washin powder


If it was new clothes, u better wash em, they go thru tons of hands at a factory.|||Could be a lot of things! It's good that you remember all the new things you tried, that's a step in the right direction. I would say to try to eliminate ALL the new things. Look for sensitive skin formulas of the products you used before you tried the new items, as products with a lot of fragrance in them might irritate you right now. I myself have sensitive skin, here are some products that I use that work well: Softlips for chapstick, Dove deodorant, Johnson's baby lotion, Ivory body wash/soap. You should be careful before trying any more new stuff, but in case your old products are heavy on fragrance/chemicals those should be safe.


It could be that the rash you got has NOTHING to do with any of the new things. You could have picked up bacteria from anywhere, to be honest. Try to go really easy on your skin the next week or so. Use gentle soaps, don't make your showers too hot, don't scrub at your skin too hard. A warm, wet washcloth is a good way to relieve itching. Hopefully it'll stop you from spreading your rash. If you don't see improvement after discontinuing use of the new products and taking it easy on yourself, you should definitely see your doctor.|||I had this on my right hand on my fingers a few months ago. It didnt go away for a few days but I had to clean my hands real well. I had to clean my hands all the time. so keep your hands clean it should go away in a couple of days. As for the other things I dont know.|||stop using them all and try taking an antihistamine such as Benadryl, if that doesn't help, go to a doctor, if it's a alllergic reaction, the Benadryl will help, after it is well, you can try 1 of the products at a time till you figure out which is causing the reaction.

My daughter has had a skin rash since she was born, it gets worse in summer or warm environs, any help, please

she itches her whole body. all the medication ave had from the GP has not helped. she does not develop any red spots, but coz of the scratching the skin bleeds. the most recent relief she has had is cows milking lotion.she has to have a cold bath to ease the discomfort, the GP said that the disease will disappear with age, but she is 9 now, any help pliz|||has she been tested for hepatitis of any kind? hcv and hbv to be exact. sometimes the mother is unaware of having the virus and passes it to her children, others may have gotten it during blood transfusion.





i would get her liver checked. also, please keep in mind (and mention to the doctor testing) that alt and ast levels aren't always elevated in the case of hcv infection so she needs to be tested for antibodies.





good luck!





also, if it isn't liver disease, has she been tested for bowel/intestinal diseases?|||just simply tell the primary care doctor to refer you to either a skin doctor (who will test for hcv before any gp would) or a gastrointerologist.


you may need to specify testing for hcv antibodies at the skin doc just in case he doesn't think that could be a reason. Report It
|||It sounds like your daughter has eczema. It's skin irritation. Mine gets really bad in the summer (the sweat irritates it). The udder cream is very helpful. She may not grow out of it if she is 9 and things have not gotten better. You may want to see a specialist to see if there is anything that they are aware of. Also, you should have her go to an allergist to make sure she doesn't have any allergies that could also be causing the problem.





(I had it worse when I was younger and now get it primarily in the summer or when I sweat a lot)|||My daughter had the same thing (eczema)


She's just coming up to 11 year old and is fine now.


I use to use a product called OILATUM. You put it on wet skin ( in the bath) and it keeps the skin moist,relives the itching.


You could try baby oil as well,any thing that keeps the skin moist.


Eczema is worst in the summer because of the salt in sweat which dries the skin and irratates it further.|||dry skin excezma

What is this called? It's a skin rash...?

About a year ago I got a rash on my leg that was red with little bumps, if it was bad enough they'd have pus in them and it was very itchy. I used some Tea Tree oil for it and it helped it go away. Now here is where I get confused...





The rash is on my right shin, and it comes back whenever I were some knee high boots with just normal ankle socks, if I wear nylons or knee high socks my leg is ok. So it must be from my boots, right? No, because I got the same thing on my left forearm, I have 1 spot on my left lower stomach, and 1 spot on my left thigh on the front The spots are small, no larger than a quarter. Except for the one on my shin. Now I think the one on my shin was from my boots, one of my cats peed on it. I wash them several times in vinegar, hot water, soap and finally put some baking soda on it and brushed it off. If it was just an irritant from my boot, then why was it anywhere else?





Also, the other spots were not as itchy or oozing at all. Some type of Dermatitis?|||Hello!


This "sounds like" it could be eczema by the way you describe it and that it turns up in different places on your body.


It will be worth your while to see a Dermatologist for proper treatment and relief.


This link has pictures and some explanations of eczema that you might find helpful. Meantime, try not to scratch it as it just makes things worse by opening those liquid pockets. Try some Calamine Lotion on it, hopefully that will help with the itch until you can see a Dermatologist.





http://www.elidel.com/info/diagnosing/ec...





I hope this helped!


Take care! :)|||It sounds like you are allergic to the boots. But, I don't know because it is only on one leg.





Have you seen a doctor about this?|||well you say that you have a cat...


sounds like you have a ring worm


cats pee and poo have allot of parasites.


but that just my opinion..

Should a severe skin rash be covered with an ace bandage or cloth?

Help! i have a severe rash on both my hands and i have been putting lotion on them every day and that isnt working and i cant even wash my hands because it hurts so bad should i keep putting lotion on it or would a cloth or ace bandage work to help keep it covered! Any advice on this is greatly apprecitaed!|||Try neosporin instead of the lotion, it may help clear it up.|||Why would you keep doing something that isn't working in the first place! Don't put anything on it, take some Benedryl and go see a Doctor!|||noo definitley not! never cover a skin rash with material b/c you need your skin to breathe. I suggest getting some irritation medication from the drug store (like a topical cream) and applying that 3 times a day! I'm a nurse, so i'm pretty sure with this one!





good luck with the rash!|||During the day, it would be a good idea to wear thin rubber gloves whenever you can to keep the moisture in and the dirt out...At night when you sleep, let the air get to them...use desitin on them as well....|||NO ACE BANDAGE!!





Go to your doctor if they are still open....if they are not, go to the ER. If you can not afford it, go to the pharmacy, ask to see the pharmacist---ask them SPECIFICALLY what type of cream they recommend for it.......he may tell you to go to the ER.





Now....depending on what it looks like:





chicken pox? most likely not if it isnt anywhere else





eczema---usually you know before you are an adult that you have it....but.....sometimes no one bothered to tell you---that can be isolated to your hands.





Yeast/fungal infection---VERY ITCHY, oozes puss. needs miconizole or clortimazole cream. THIS you can cover with cotton gloves after treating to keep from spreading it....but, only after you know what it is.





Contact dermatitis---soaps/fragrances in soaps, foaming soaps, over washing hands can make it worse.





Allergic to something---similiar to the dermatitis, but, could be specifiically a reaction in that specific area---like touching a dog or poison ivy, or hay that you are allergic to.





Some things that may provide relieve---benedryl 25-50 mg 4 times a day.





Benedryl cream---they recommend you do NOT use both forms of benedryl at the same time.





hydrocortizone cream---will help with the itch and the swelling.





for lotion, I highly recommend the gold bond ultimate line of lotions---provided you are NOT allergic to any of the ingrediants in it. FYI---my sister is allergic to aloe---and what you are discribing is similiar to what she gets when she uses ANY products with aloe in them.





Dove soap---but, if you do not know if it is a fungus, you may wish to get the pump of the dove soap---so you do not spread it around on the bar of soap, and keep picking it back up every time you wash---or the rash will not go away.





good luck to you.





ps---a doctor, or a walk in urgent care center should be able to treat you

My dog has skin rash & has a body smell & recently keeps peeing indoors?

She is a bull mastiff, she approximately 3 yrs since we rescued her 4 months ago, she was house trained. She has had a rash that comes %26amp; goes mainly on her belly area. We have done 2 courses of anti biotics and special shampoo but nothing seems to clear it. She smells we wash her and 2 days later she smells again, its a body smell not her breathe. She stratches alot, the vet didnt think she had mange, just an infections but why are they not going away and recently she has started to pee indoors, we keep her in the back porch for sleeping but she keeps peeing in the utility room, she doesnt have the run of the house, only when we allow her in. I've tried teatree spray and emu oil as alternative but this didnt work either, just wish i could get rid of her smell and stop her stratching, wondered is the peeing is to do with it?|||Unless you're very happy there and have been there for years, I'd change your vet. Quite a lot of vets aren't set up for testing for "atopy" (which is a fancy word for specific allergies). Phone around and find one who is and see what they say.





As for the weeing in the house, again, check her health first as she may have a urine infection or kidney trouble. If that comes back ok and it's a training issue, the make it easier on yourself first and make sure she's had enough water during the day (you could even add half a glass of milk to a couple of mugs of water at lunch time if you didn't think she was drinking enough to do the next bit ...) then after 7pm take the water up and give her some ice cubes instead. You can give them to her a couple at a time through the evening (about 10 should be more than enough for a mastiff) and then a couple in her bowl in the porch for over night. She can then have a full bowl of water in the morning so shouldn't have a problem with not having free access. This will empty her bladder so there's less in there that needs peeing out!!





From there it's just basics really. Praise when she does it outside, use a command like (be a good girl, or whatever) WHILE she's having a pee for several weeks to associate the words with the action and pretty soon she'll be peeing on command, especially if she's treated as soon as she's finished. Good luck with that, but definitely see a skin specialist vet for the other thing.|||have her kidneys checked|||Maybe she has food allergies - talk to the vet about it.





Not sure if the peeing is related or not...could be a seperate issue!!|||It could be a type of mite,the vet should have taken a sample for testing and one from her ears as well.Some mites infest the nasal passages and a lot of vets miss them because they are not very common.|||Did she always smell? Shar pei's have a "smell" and ist just a shar pei smell. I know, i have one. She is actaully prone to rash's but doesnt go to the bathroom in the house. It could aslo be a flea allergy. Some animals have allergies to fleas and will refuse to go where the fleas are. That could be why she isnt going to the bathroom outside. Check you yard and check her skin. If nothing, she may have dry skin. Try keeping moisture in her skin if it seems rough and flaky.|||we had a dog that done exactly the same thing and when we took her to the vets he said she is allergic to flea bites even one bite can make her skin go all scabby and smell because of the infection that came from it , a shampoo called Dr johns medicated shampoo cleared it up and stopped her from smelling.|||this isnt probably the right pace to be asking this question i would be talking to your vet again and tell him you want test run on her to find out exactley what this is he obviousley wasnt right with the first diagnosis and she is still suffering get her back or change your vets hope she gets better soon|||If it is just a skin thing then it could be a fungal infection. Have you tried Malaseb shampoo. Could be that you've already had - I use it on my shih tzu - but there are times when it's really bad that I have to bath her in it 3 times a week. Once you have it under control, it will probably only be once a week. Try Stronghold flea treatment which kills off fleas, ticks and mites too. Available from vet. Probably the weeing is not to do with it and you must persevere with putting her out every hour or so.

What is this skin rash even the vet is baffled?

my dog keeps getting this rash on the top of her neck they look like small blissters when they pop there filled with blood and pus they go away with antibiotics but come back when the corse is finished she carnt stay on antibiotics all the time my vet to be honest is useless just keeps giving her antibiotics any suggestions?|||wow babe you have me baffled with this one, I bred dogs and have never heard of anything like it. You say it is around the neck ? could it be just a simple allergy to the collar or the chain babe. Try leaving them off and see if it improves. Have you by any chance got a flea collar on the dog because quite often these cause problems.|||Could it be ringworm?|||take her to another vet,,,,,try getting blood tests|||First dry her pus with Heparsulf 30 The pet should be fine but if it still continues give your per Rhus Tox 30 twice a day and he/she will be fine. This what my doc gave my pet and he became OK.Homeopathic wonders!!

What causes my itchy skin rash? How do I find out for sure?

I dont know what is causing my rash and docters arent that helpful! I get it mostly where I sweat on my arms, neck, between fingers, feet... It is itchy and red. It can be bad at night but bad all day too. It develops into blisters. I never used to get b4 age 30. Is it excema? I take epilepsy medication (lamortigine) so I thought it might be that, but the rash comes and goes. I have been really stressed at work, so I thought it might be that, or a reaction to herbal supplimentsI take sometimes like gotu-kola. I am also wandering if it is a food allergy, so I have been trying to watch what I eat. Could I just have lots of toxins in my body that need to come out or an blocked lymphatic system? I had an opperation where they cut out all sorts of sweat glands when I was younger because of over secretion of sweat, which I am convinced was really bad for me. I really dont want to just use medication that treats the symptoms but not the cause! I want to find out what it is and get rid of i!|||I see exactly where you are coming from, the doctors are hopeless when it comes to allergies. They are only educated in medicine, that's why the doctors draw a blank when you inquire about allergies.





What did the doctor prescribe for you? Let me guess, antihistamines and steroids. Which is fine, it does the job short term. You need to treat your body internally, eating high anti-toxin foods like apples, pears, bananas, flax seeds, pumpkin seeds. Don't expect miracles, when your apply a new diet to your life style.





Your situation seems very complicated. 1) You are on lamortigine, 2) taking herbal supplements, 3) you break out in sweat rashes and 4) your hating your job at the moment. Let's take this in bite sizes:





1) Keep taking Lamortigine, you need to keep your epilepsy under control.





2) Ditch the herbal supplements. I took some omega supplements a while back and I broke out in a terrible rash. Take a simple multivitamin supplement and zinc.





3) I don't know your diet, but you seem like the sort of person that likes his coffee in the morning. Avoid any caffeine products because this disrupts the circulation system. This will cause you to feel itchy and you'll find it hard to sleep well at night. Don't eat any chocolate bars, eat simple healthy food and drink plenty of water. Water is the quickest way to slow down your histamine level.





4) Work causes a lot of stress, which makes you vulnerable to scratch because you feel anxious and nervous. I don't know the sort of problems you've got at work, it could be working hours, co-workers making your life a misery, under pressure situations at work. Whatever it is, don't let this ruin your sleep. Work problems always catch up on you, when you're in bed.





Stick to the medication at the moment, and keep to a low allergy risk diet.





I highly doubt you have eczema! I think you have a problem with your immune system. When you sweat, you also release toxins from your body. This is what causes your skin to be inflamed and itchy.





Good luck, and hope you solve the problem soon.





James Brown|||go to the doctors|||go to a dermatologist - with all the stuff you mentioned thereit sounds like you really need a few appointments.|||Crabs ..............|||It sounds like dermatitis. I get it on my hands and feet, and it starts off with little tiny blisters, which then pop. The skin then becomes really sore and itchy. Usually flares up when I am stressed or run down. Go and see a dermatologist who will be able to establish what it is and prescribe you some cream. I use betnovate.|||Its called Atopic Dermatitis, caused by allergies.


I suffer it time to time.


The answer: betametasona cream, atarax pills, lubriderm moisture cream and a needle weekly with the anti allergy chemical.

What causes my itchy skin rash? How do I find out for sure?

I dont know what is causing my rash and docters arent that helpful! I get it mostly where I sweat on my arms, neck, between fingers, feet... It is itchy and red. It can be bad at night but bad all day too. It develops into blisters. I never used to get b4 age 30. Is it excema? I take epilepsy medication (lamortigine) so I thought it might be that, but the rash comes and goes. I have been really stressed at work, so I thought it might be that, or a reaction to herbal supplimentsI take sometimes like gotu-kola. I am also wandering if it is a food allergy, so I have been trying to watch what I eat. Could I just have lots of toxins in my body that need to come out or an blocked lymphatic system? I had an opperation where they cut out all sorts of sweat glands when I was younger because of over secretion of sweat, which I am convinced was really bad for me. I really dont want to just use medication that treats the symptoms but the cause!|||To get to the root of the problem, please see a naturopath. You can check with your local health food store to see if there is one they recommend. If not, you can check the site below to see if there is one near you. I have worked with their graduates and found them to be knowledgeable, caring individuals. Please email me with any questions.|||Eczema—A Skin Problem


American Family Physician, Sept 15, 1999





Find More Results for: "What causes my itchy skin rash? How do I find out for sure? "


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Eczema (also called "atopic dermatitis") is a skin disease. (Say the word this way: ex-em-ah.) Eczema causes dry skin that can itch, get red and crack. Part of the skin might break out in a rash, or the rash might be on the whole body.





In adults, eczema usually develops on the insides of the elbows, the backs of the knees, the hands and the backs of the elbows. In young children, the rash is most often on the face.





Eczema is most common in people whose relatives have allergic conditions like asthma or hay fever. Up to 10 percent of children get eczema.





What causes eczema?





The exact cause of eczema isn't known. It may be caused or made worse by these things:





* Soaps, laundry detergents and perfumes. Scratchy clothes (like wool) can also irritate the skin.





* Allergens like pollens, pet hair or dander (dried bits of skin), food, feathers and dust mites. (Dust mites are very tiny, spider-like creatures. They make their homes in mattresses, pillows and rugs. They can only be seen under a microscope.)|||sounds like psorisis, is it white and flakey after the blisters have popped? try Oilatum, you can get this from any chemist, I use the oilatum plus which is used in the bath. Psorsis is sometimes stress related, I get it at times of stress. I get it on hands between the fingers and on top of the hand, my feet, elbows inside and out, the itchyness drives me crazy. With me it can take over my life as it looks really bad and in winter I get it on my chest as I have to wear more clothing. I feel when I have it, I have to cover it as it looks so bad, my GP told me at first it was exczema and I told him it was not as I get excezma any way, the then told me it was dermititous and yet again I knew it was not, as I had had this in the past when I worked with chemicals. I asked a friend of mine what it was as she was a nurse, straight away she told me it was prosisis and told me to tell me GP to scrape it and see if the skin flakes were silver and he did and it was, did he say sorry, no he did not! At least after 3 appointments I found out what it was.


Mine gets better when I sun bathe and expose it to the air as much as possible.


The only washing power I can use is Bold and the only washing up liquid I can use is Persil. If you get it in your hair try oilatum shampoo, you can get this on prescription as it is over £8. I always can get way with using Original Source hair products only.|||I have a friend that is allergic to his own sweat, it could be that, also...Work with a dermatologist to find the cause...Md's don't know as much...


I, myself have eczema...I use clobetasol for my flareups...And stress is the number one cause of it...With that med. I usually clear up within a day or two...Check that one out...|||Cound be lots of things, dishydrotic eczema (dry skin) tinea (fungus) it is probably not psoriasis as that will manifest itself as sliverly plaque-like lesions. I would try moisturizers like Nivea, Keri-lotion, etc. Try some over the counter Lamisil or clotrimazole cream in case it is a fungus. Try these and if they don't work (you need to try them for a few weeks) then go to a dermatologist. The blisters make me think it is dishydrotic eczema. so try the moisturizers first.|||Sounds like it could be anything from nappy rash to stress eczema. i'd come off everything except your epilepsy meds and if symptoms still persist go and see a gp and get referred to a dermatologist. Try cutting out dairy/wheat/processed foods and see if it eases in the meantime.|||Sounds very similar to what I get, which is contact dermatitis. I'm sure I get it from my own sweat, but my doctor just laughs at that suggestion, I'm still sure I'm right though.|||i would ask to see a dermatologist

Weird dry skin rash around mouth?

i have some pimples but not acne and i tried these clean n clear face cloths that didnt really do anything to help my zits but they totally dried out the skin around my mouth and now im getting red bumps there that are not zits or acne and its very itchy what should i do?? it looks AWFUL!!!!|||I had one of those before,I just put chapstick,works for me!but mabey for some other people no.Or you probally should just leave it alone,it's better not having zits or acne. =/ heh|||moisturizr the area...its just irritated...probably like an allergic reaction...its going to take a few days to heal....cover it with makeup until then|||vaseline

Help Please!!!! Skin rash?

Ive got these red pimple things around my belly button. Im really scared cuz i heard MRSA is in my school. Is it just a rash? Its like 5 or six red dots and they itch like hell. Im 13 btw|||Relax! I'm sure it isn't MRSA. Do you wear jeans? How high up do you wear them? Do they have metal snaps? I'm asking these questions because I have this rash all over my lower abdomen and it comes from my jeans snaps. I am allergic to nickel. The nickel allergy is very common especially in women. Unfortunately, because it is cheap and easy to get, it is the most popular metal used in clothing and accessories. You can have an allergy test done, but it's easiest to perhaps put something metal on another part of your body and see if you break out. For instance, try wearing a necklace or a bracelet. Do you normally wear jewelry? If you still don't know, check your family history. The nickel allergy is genetic.|||Relax. There are a million reasons why you'd get a skin rash. It's most likely not MRSA.

What to do for Skin Rash?

Our 7 year old has VERY sensitive skin. Now, she has little bumps ALL OVER herself. We'll have to take her to the doctor's tomorrow, but what can she bathe in tonight...we've done the oatmeal thing. Anything else? Benadryl doesn't even work.|||i took my 7 yo to his docs today thank goodness they are open on sundays.. he has had a rash for 2 wks now he was diagnosed with pityriasis rosea is your 7 yr old itching? i would only use aveeno for excema and rashes thats for sensitive skin. is the rash like patches behind the ear and arms? or is it all over the belly and back and bottom? this is what my son has so maybe check on google for rashes but i would think bathing will irritate it make it really red? for my sons condition we were that the sun and the hydro cream 1% aveeno wil help but his rash wil take abt 3 months to go away.|||Try dove liquid sensitive skin soap it doesn't irritate my brother's skin at all. He has the most sensitive skin I've ever seen. The doctor reccomendeed for him to use it


good luck with her!|||lotion|||My 7 year old has had sensitive skin for a while until you get her to the Doc ( i always have the prescription cream) use benadryl by mouth for itching and sleep|||The source below can help you diagnose the skin rash.

Im concerned skin rash, allergy, disorder???

Ok for about the last 2 months iv'e been getting these weird rash type of effects on my arms n even now palms, n feet, sumtimes legs.





It's mainly my arms n hands. At first i thought because i work in a warehouse it must be sumthing in there, I come in contact with all kinds of cardboard n dust etc.... some actually seem to have an effect i do believe tho...


The thing is i notice that sometimes it happens off of work also, like on the weekends even or whateva just randomly....





at work tho it seems more vicious they look like red lines that bubble up across my arms and or little dots aswell they irritate me n somewhat itch but i dont feel the need to itch.


but after about 15 20 minutes they fade away n disapear completely.





basically when they bubble up they'll look like a huge mosquito bite, like literally red n bubbled. it can be in the morning, at night big area small area random spots on my arm, upper or lower, top of hands, i even seen on my palm the other day, wtf?!? help|||u need to go to a doc please|||check MSDS sheets for anything at work you come in contact with.. may be a toxic chemical every work place must have information available ..

I need help diagnosing a skin rash? Any suggestions?

Every so often I get a mysterious rash and I can not determine what it is. I've been to a dermatologist and they were unable to help me as well. It starts out on my upper outer thigh. The first day the area is sore and turns red and puffy. The second day it turns itchy and becomes blistery. After the blisters are popped, the rash turns into a scab and goes away. This rash alternates different parts of my body starting on my thigh and moving to my lower back. above my wrist and behind my elbow. As one spot is healing, another spot is starting up. Sometimes, I only get one outbreak in one spot no place else? I thought it was some type of Staph infection, ie. impetigo, cellulitis but anyone who has had contact with me/the area doesn't catches it? It's not contagious? It comes back alternating in the same spots and there is no set day, time or reason. I've tried to narrow it to something like my bath soap or detergent? I've been unsuccessful. Any suggestions?|||sounds like you got mad gambou.....try soap and water|||Have you ever been diagnosed with excema? I had something similar last winter and the dermatologist first thought it was a contact dermatitis. I washed everything in hot water with free and clear laundry detergent and tried a rash cream. It turned out that I have excema but had never been diagnosed before. Stress makes it worse.|||It might be bedbug bites or dust mites.


Believe it or not I have (right now) the same symptom!


I've been using the same laundry detergent and using the same cologne before the outbreak happened.


Another factor is the weather. If you have dry skin (like I do) that might be causing rash / hives. Keep putting lotion on and drink plenty of WATER.





Another thing is the food you've been eating. Did you change your eating habits lately? You might be allergic to seafood, chocolates and fruits like peaches or watermelon - fruits that have fibers in them.





Do you know if your family has a history of skin allergies such as eczema? You might want to visit ANOTHER dermatologist to get a second or third opinion! Also, try www.webmd.com





I have a doctor's appointment soon. I'll see if I can get some answers!





Meanwhile...don't scratch...just tap them!

Can someone help regarding a skin rash?

My 5 month old daughter began to develop a rash after being on oatmeal cereal for 4 days. I immediately took her off of it 4 days ago, tried barley for a day which didn't work out, and put her back on rice. However, the rash has yet to clear up and it appears to me it has spread to her back. It initially started on her neck. There was a little on her chest, but nothing on her arms, belly or legs. My question is, has anyone been in this situation before and if so, how long does it take for the rash to clear? I am trying to avoid bothering her doctor if at all possible...unless it's a dire emergency. Thanks!|||It's not a food allergy if it started in one place and has spread. It is probably a contact dermatitis which is an allergic reaction to something she touched. New soap, shampoo, detergent? Go to the pharmacy and ask for something to give her that is over the counter like a cream or benadryl.





On a side note. Many viruses in children can cause rashes. If she is sick with congestion or runny nose it could be that.|||You don't describe what the rash looks like so it's difficult to say. I appreciate that you don't want to bother the doctor and although it could well have been caused by a change in her diet, it could just as easily be unrelated - often babies get a rash when they have a virus. I think that at such a young age you can't afford to take chances and the doctor won't mind you bothering him - you don't have to take his advice but you will at least feel reassured that you've had her checked out. Hope she's better soon!|||Common causes of rashes include:





anxiety


allergies, for example to foods, dyes, medicines, insect stings; such rashes are often called hives. Some people are sensitive to metals such as zinc or nickel


skin contact with an irritant


infection, e.g., by the viruses that cause chickenpox, smallpox, cold sores and measles


reaction to vaccination


skin diseases such as eczema or acne


autoimmune disorders such as psoriasis


exposure to sun (sunburn) or heat


lead poisoning


irritation such as caused by abrasives impregnated in clothing rubbing the skin. The cloth itself may be abrasive enough for some toddlers





Using a slightly cool wet towel for application might helps on the rashes.





But if your child develops a fever, seems drowsy and less active as before, or irritable, it is most advisable to see a doctor.

3 Week Skin Rash: Should I get a Second Opinion? Please Advise!?

About 3.5 weeks ago I started to develop a slight rash along my lip line. I didn't think anything of it until it started to get worse by spreading along my entire upper lip and a mild burning sensation. Thus, I went to my doctor, who said that it was likely stressed induced or a reaction to my thyroid medication; he adjusted my dosage and told me to apply Vaseline to the infected area. Well, that didn't work either; in fact it got worse; now my entire mouth is red, the corners of my mouth have lesions and are bleeding, and it feels like razors cutting my lips, even when drinking water. Again I went to my doctor, who told me to take Vitamins C and B-complex supplements. Getting to the point, what could be wrong with my lips (I've never had this before). Should I get a second opinion, since this is the second time I have gone to my doctor and my symptoms haven't subsided. I don't want to offend him by going over his head, but its been 3 weeks, my lips hurt, look gross, %26amp; its embarassing.|||It could be a fungus. Try putting some OTC fungal cream on it twice a day for a few days and see if that helps. Also keep it lubricated. Carmex has phenol in it which helps numb the pain.

Can someone help regarding a skin rash?

My 5 month old daughter began to develop a rash after being on oatmeal cereal for 4 days. I immediately took her off of it 4 days ago, tried barley for a day which didn't work out, and put her back on rice. However, the rash has yet to clear up and it appears to me it has spread to her back. It initially started on her neck. There was a little on her chest, but nothing on her arms, belly or legs. My question is, has anyone been in this situation before and if so, how long does it take for the rash to clear? I am trying to avoid bothering her doctor if at all possible...unless it's a dire emergency. Thanks!|||It's not a food allergy if it started in one place and has spread. It is probably a contact dermatitis which is an allergic reaction to something she touched. New soap, shampoo, detergent? Go to the pharmacy and ask for something to give her that is over the counter like a cream or benadryl.





On a side note. Many viruses in children can cause rashes. If she is sick with congestion or runny nose it could be that.|||You don't describe what the rash looks like so it's difficult to say. I appreciate that you don't want to bother the doctor and although it could well have been caused by a change in her diet, it could just as easily be unrelated - often babies get a rash when they have a virus. I think that at such a young age you can't afford to take chances and the doctor won't mind you bothering him - you don't have to take his advice but you will at least feel reassured that you've had her checked out. Hope she's better soon!|||Common causes of rashes include:





anxiety


allergies, for example to foods, dyes, medicines, insect stings; such rashes are often called hives. Some people are sensitive to metals such as zinc or nickel


skin contact with an irritant


infection, e.g., by the viruses that cause chickenpox, smallpox, cold sores and measles


reaction to vaccination


skin diseases such as eczema or acne


autoimmune disorders such as psoriasis


exposure to sun (sunburn) or heat


lead poisoning


irritation such as caused by abrasives impregnated in clothing rubbing the skin. The cloth itself may be abrasive enough for some toddlers





Using a slightly cool wet towel for application might helps on the rashes.





But if your child develops a fever, seems drowsy and less active as before, or irritable, it is most advisable to see a doctor.

What to do for Skin Rash?

Our 7 year old has VERY sensitive skin. Now, she has little bumps ALL OVER herself. We'll have to take her to the doctor's tomorrow, but what can she bathe in tonight...we've done the oatmeal thing. Anything else? Benadryl doesn't even work.|||i took my 7 yo to his docs today thank goodness they are open on sundays.. he has had a rash for 2 wks now he was diagnosed with pityriasis rosea is your 7 yr old itching? i would only use aveeno for excema and rashes thats for sensitive skin. is the rash like patches behind the ear and arms? or is it all over the belly and back and bottom? this is what my son has so maybe check on google for rashes but i would think bathing will irritate it make it really red? for my sons condition we were that the sun and the hydro cream 1% aveeno wil help but his rash wil take abt 3 months to go away.|||Try dove liquid sensitive skin soap it doesn't irritate my brother's skin at all. He has the most sensitive skin I've ever seen. The doctor reccomendeed for him to use it


good luck with her!|||lotion|||My 7 year old has had sensitive skin for a while until you get her to the Doc ( i always have the prescription cream) use benadryl by mouth for itching and sleep|||The source below can help you diagnose the skin rash.

Im concerned skin rash, allergy, disorder???

Ok for about the last 2 months iv'e been getting these weird rash type of effects on my arms n even now palms, n feet, sumtimes legs.





It's mainly my arms n hands. At first i thought because i work in a warehouse it must be sumthing in there, I come in contact with all kinds of cardboard n dust etc.... some actually seem to have an effect i do believe tho...


The thing is i notice that sometimes it happens off of work also, like on the weekends even or whateva just randomly....





at work tho it seems more vicious they look like red lines that bubble up across my arms and or little dots aswell they irritate me n somewhat itch but i dont feel the need to itch.


but after about 15 20 minutes they fade away n disapear completely.





basically when they bubble up they'll look like a huge mosquito bite, like literally red n bubbled. it can be in the morning, at night big area small area random spots on my arm, upper or lower, top of hands, i even seen on my palm the other day, wtf?!? help|||u need to go to a doc please|||check MSDS sheets for anything at work you come in contact with.. may be a toxic chemical every work place must have information available ..

I need help diagnosing a skin rash? Any suggestions?

Every so often I get a mysterious rash and I can not determine what it is. I've been to a dermatologist and they were unable to help me as well. It starts out on my upper outer thigh. The first day the area is sore and turns red and puffy. The second day it turns itchy and becomes blistery. After the blisters are popped, the rash turns into a scab and goes away. This rash alternates different parts of my body starting on my thigh and moving to my lower back. above my wrist and behind my elbow. As one spot is healing, another spot is starting up. Sometimes, I only get one outbreak in one spot no place else? I thought it was some type of Staph infection, ie. impetigo, cellulitis but anyone who has had contact with me/the area doesn't catches it? It's not contagious? It comes back alternating in the same spots and there is no set day, time or reason. I've tried to narrow it to something like my bath soap or detergent? I've been unsuccessful. Any suggestions?|||sounds like you got mad gambou.....try soap and water|||Have you ever been diagnosed with excema? I had something similar last winter and the dermatologist first thought it was a contact dermatitis. I washed everything in hot water with free and clear laundry detergent and tried a rash cream. It turned out that I have excema but had never been diagnosed before. Stress makes it worse.|||It might be bedbug bites or dust mites.


Believe it or not I have (right now) the same symptom!


I've been using the same laundry detergent and using the same cologne before the outbreak happened.


Another factor is the weather. If you have dry skin (like I do) that might be causing rash / hives. Keep putting lotion on and drink plenty of WATER.





Another thing is the food you've been eating. Did you change your eating habits lately? You might be allergic to seafood, chocolates and fruits like peaches or watermelon - fruits that have fibers in them.





Do you know if your family has a history of skin allergies such as eczema? You might want to visit ANOTHER dermatologist to get a second or third opinion! Also, try www.webmd.com





I have a doctor's appointment soon. I'll see if I can get some answers!





Meanwhile...don't scratch...just tap them!