New allergies in adulthood

Contrary to common assumptions, new allergies can emerge well into adulthood. New food allergies are more common than new seasonal ones, and shellfish is the most prominent late-emerging allergen. Women are more likely to develop food allergies in adulthood than men and to grapple with severe food-related anxiety. Some people with childhood allergies, such as those to peanuts or pollen, stop having symptoms when they reach adulthood. People who experience potential new allergy symptoms should see their primary care doctor or an allergist.

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Best treatments for this common finger problem

Doctors have three ways to treat Dupuytren’s contracture, a condition that pulls one or more fingers toward the palm. A needle aponeurotomy breaks up the thick collagen tissue sticking to the tendons. A collagenase injection contains an enzyme that eats up and dissolves the collagen. Surgery involves the removal of the collagen tissue. With all three procedures, the condition can return. The procedure that’s right for someone depends on the condition’s severity and the location of the collagen.

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What kind of reaction can you expect from the shingles vaccine?

The Shingrix vaccine decreases the risk of developing shingles (herpes zoster), a painful and potentially serious condition. In some people, the reaction to Shingrix includes mild soreness, redness, swelling, or pain in the arm at the injection site. Some people also experience fatigue, headache, muscle achiness, stomach pain, nausea, fever, or chills and shivering for a day or two. Very rarely, people have an allergic reaction. There is no evidence that anything will prevent a reaction to Shingrix.

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Tips for traveling with incontinence

Traveling long or short distances can be tricky for people who have incontinence. Certain strategies can help: avoiding bladder irritants (such as caffeinated or carbonated drinks), practicing urge suppression techniques, speaking with a doctor about medications that can ease an overactive bladder, wearing clothes with easy-to-use fasteners, wearing “bladder leak” underwear, packing important supplies such as a change of clothes or a portable urinal, using bathroom locator apps, and scheduling bathroom breaks.

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Will drinking alcohol or caffeinated drinks trigger my atrial fibrillation?

People with atrial fibrillation (afib) worry that drinking alcohol or caffeine might trigger a flare-up of the condition. Afib is characterized by erratic beating of the heart’s two upper chambers. The chambers quiver, causing blood to pool and sometimes form clots, which can cause a heart attack or stroke. Evidence strongly suggests that drinking alcohol can cause a flare-up of afib. Drinking caffeine in usual amounts does not increase that risk. However, doctors note that people who are especially sensitive to caffeine should avoid it.

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What you need to know about electric bicycles

Riding an electric bicycle (e-bike) has risks and benefits. On the plus side, an e-bike—which has a built-in electric motor—can assist a rider when pedaling is difficult. It puts less compression on the joints than a conventional bike, and makes riding easier for people with joint pain or diminished strength or endurance. But at higher speeds, an e-bike can be difficult to control for people not used to riding, which might lead to accidents.

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3 ways to streamline your health care visits

Three strategies can help decrease the number of days one must devote to medical appointments. The first is eliminating unneeded care, such as screening tests for people at low risk for certain conditions. The second strategy is coordinating various doctor visits, tests, or imaging for the same day. The third strategy is using telemedicine in place of appointments that would normally happen in person, such as mental health care visits or routine appointments for diabetes or high blood pressure.

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