Chief Justice Rehnquist’s Death Focuses Attention on Thyroid Cancer

Kensington, MD (PRWEB) September 6, 2005

The news that the Supreme Court’s Chief Justice William Rehnquist has died of thyroid cancer on September 3, 2005 has increased awareness of this fairly uncommon cancer.

The thyroid is the butterfly-shaped gland that lies at the front of the neck, beneath the voice box, and behind the “Adam’s Apple.” The thyroid’s function is to produce hormone that helps the body utilize energy, and regulate metabolism. in rare cases, the thyroid becomes cancerous.

It’s estimated that this year, there will be 25,690 new cases of thyroid cancer in the U.S. Of these, about 19,190 will be in women and about 6,500 in men. about 1,490 people (860 women and 630 men) are expected to die of thyroid cancer in 2005. Thyroid cancer is actually one of the few cancers that are becoming more common in the past several years, with a growth rate of 3% per 100,000 people each year.

A healthy thyroid is around the size of a quarter, and cannot usually be felt through the skin. But an enlarged thyroid, and benign or cancerous lumps in the thyroid can sometimes be felt or seen externally.

“It’s estimated that more than 13 million Americans have undiagnosed thyroid conditions,” said thyroid patient advocate Mary Shomon, who has been publishing books and newsletters about thyroid disease and advocating on behalf of thyroid disease patients since 1997.

Millions of Americans have undiagnosed thyroid problems, including an underactive thyroid (hypothyroidism), an overactive thyroid (hyperthyroidism), nodules, goiter (enlarged thyroid), and thyroid cancer.

It’s thought that Rehnquist had a particularly rare, fast-moving and almost always fatal form of thyroid cancer known as anaplastic cancer. most thyroid cancer, however, is highly treatable and survivable.

Could you have thyroid cancer? to aid in early detection of thyroid enlargement or nodules, you can perform a simple self-exam of the thyroid, looking for lumps or enlargements in the neck that may point to thyroid conditions. to detect a thyroid abnormality, follow these steps:

1. Stand in front of a mirror

2. Stretch your neck back

3. Swallow some water

4. while swallowing, look for enlargement in your neck (below the Adam’s Apple, above the collar bone area)

5. Feel the area to confirm any enlargement or bump

6. if you feel or see anything unusual, see an doctor for evaluation and further testing

Your physician should also perform a manual thyroid examination at every physical.

In 2005, 25,690 new cases of thyroid cancer are expected in the U.S. — 19,190 in women and 6,500 in men.

Currently, there are more than 200,000 thyroid cancer patients in the U.S.

About 1,490 people (860 women and 630 men) are expected to die of thyroid cancer in 2005.

About 1,460 people (840 women, 620 men) are expected to die of thyroid cancer in 2004.

Thyroid cancer is one of the few cancers that are becoming more common in the past several years, with a growth rate of 3% per 100,000 people each year.

Thyroid cancer often goes undetected because patients do not experience any symptoms.

If untreated, thyroid cancer can spread to other areas of the body.

10-15 million Americans have nodules that may be a sign of a thyroid disorder.

Men who have nodules are three times more likely to have thyroid cancer.

Thyroid cancer is more prevalent in people exposed to head/neck radiation for medical treatments, and in people exposed to radiation via the nuclear testing in the 40s and 50s, nuclear accidents, living or working near nuclear plants, or situations such as the Chernobyl disaster.

There are four types of thyroid cancer: Papillary, Follicular, Medullary, and Anaplastic.

Papillary, Follicular, and Medullary cancers are the most common types of thyroid cancer, and affects mostly women age 25 – 65. These cancers are almost always treatable and curable when detected early. Treatment involves surgery and radioactive iodine to remove and ablate any cancerous thyroid tissue. Long-term survival rate is high.

Anaplastic is a rare and serious thyroid cancer that usually causes a large mass, spreads quickly, and is more common in those over 65 and in men. Long-term survival is poor, and 80% of patients die within a year.

Thyroidectomy — surgical removal of the thyroid — followed by radioactive iodine, is the typical treatment for thyroid cancer.

For more information online, read:

An Introduction to Thyroid Cancer: Overview of Thyoid Cancer Information

thyroid-info.com/articles/cancerintro.htm

Mary Shomon is a nationally-known thyroid patient advocate and best-selling author of numerous books on thyroid disease, including the New York Times best-seller “The Thyroid Diet: Manage Your Metabolism for Lasting Weight Loss,” “Living well With Hypothyroidism: What Your Doctor Doesn’t Tell You…That you need to know,” “Living well With Graves’ Disease and Hyperthyroidism,” and the “Thyroid Guide to Fertility, Pregnancy and Breastfeeding Success.” she is editor of the “Sticking out our Necks” Thyroid Newsletter, and the Thyroid Information website at thyroid-info.com

, Vocus PRW Holdings, LLC. Vocus, PRWeb, and Publicity Wire are trademarks or registered trademarks of Vocus, inc. or Vocus PRW Holdings, LLC.

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By: Dr. Carol Jean Tillman

A dog cough is a symptom that usually results from an underlying condition that affects the upper respiratory tract, namely the nose, throat, larynx (voice box) and trachea (windpipe).

below we will discuss the respiratory diseases and problems that can cause coughing in dogs.

The potential causes of a coughing dog can be divided into four main categories:

• Kennel cough in dogs
• Distemper in dogs
• Heartworm disease in dogs
• Dog pneumonia
• Valley fever in dogs

Kennel Cough in Dogs

the most common problem that affects the upper respiratory tract is infectious Tracheo Bronchitis, more commonly known as "Kennel Cough".

Symptoms can be described as a dog cough that begins as a dry hacking cough and ends in gagging or wretching by the dog. a clear, watery discharge from the eyes and nose may also be present, and you may notice that your dog has lost his appetite.

Fortunately, it is not a serious condition.

see our Kennel Cough in Dogs page for more information, including causes, symptoms, prevention and natural treatment of this type of dog cough.

Distemper in Dogs

Distemper is another infectious agent that will cause dog coughing symptoms. It is caused by the Canine Distemper Virus (CDV) and is a highly contagious disease.

Dog distemper symptoms initially include fever, change in mood and possibly dog coughing, followed by apparent return to normalcy and finally progressing into renewed fever along with reduced appetite and energy. Some dogs with later stage distemper also exhibit coughing along with a clear nose discharge.

Since it currently has no cure and can be fatal, vaccinating your dog is a must for conventional and holistic dog owners alike. but how you choose to vaccinate is up for debate.

see the following pages for more information:

• Overview and treatment of distemper in dogs
• Canine distemper symptoms
• Distemper vaccine

Heartworm Disease in Dogs

Heartworm disease in dogs is caused by an 8 to 10 inch worm that lives its adult stage in the heart of the dog. the female worm produces microscopic larvae that are released into the bloodstream and circulate throughout the body.

Dog heartworm disease is characterized by several symptoms including persistent coughing, difficulty breathing, weakness or fainting and weight loss. If left untreated, it may even cause heart failure.

see the following pages for more information:

• Dog Heartworm Signs, Transmission and causes (coming soon)
• Natural Heartworm Treatment for Dogs

Dog Pneumonia

Dog pneumonia can sometimes cause a dog cough. It often occurs after a long bout with upper respiratory illness such as canine kennel cough. Fever, sluggishness, reduced appetite, a runny nose and dog coughing are the most common symptoms.

see our Pneumonia in Dogs page for more information, including natural treatment and prevention options.

Valley Fever in Dogs

Canine valley fever is caused by a fungus and affects the respiratory tract, skin , skeleton, skin and covering of the heart.

Symptoms are numerous and depend on the affected area of the body. If the respiratory tract or heart are affected, a persistent dog cough will be present.

see our Canine Valley Fever page for more information.

Autoimmune causes of dog coughing include dog allergies and dog asthma.

Dog allergies

Allergic reactions to dog vaccines, environmental allergens, dog food, fleas, drugs, and other noxious stimulants can trigger an allergic response and a correlated dog cough in a susceptible patient.

Any age or breed of patient can be susceptible, but it seems to occur more commonly in dogs between 6 months and 2 years. This may be due to the accumulation of all of the puppy vaccinations followed by the stress of surgery for spaying or neutering, which then lowers their resistance.

Symptoms of dog allergies, especially inhaled allergies to pollens, etc. can include runny eyes and scratching the face, muzzle, corner of mouth, ears, and along the tops of both front legs and feet. Occasionally, dog coughing may be exhibited.

Allergies to second hand smoke will also commonly trigger dog coughing and sometimes dog asthma.

the following pages include more information about dog allergies and how to treat them naturally:

• Dog with dog food allergy
• Dog skin allergies
• Dog itchy skin

Asthma in Dogs

Asthma in dogs can start at any age and occur in any breed, but it also is more common in younger patients.

the symptoms are characterized by increased effort to inhale, and the narrowed airway passage causes the characteristic wheezing sound. This can be followed by coughing as the dog attempts to open the airway and catch a breath. It is usually worse during exercise, and it can be worse in cold or hot weather… it depends on the patient.

Conventional treatment for dog asthma and allergies usually consists of drugs such as cortisone, anti-histamines, and/or bronchodilators to suppress the symptoms.

Holistic treatment starts with improving the dog’s diet, improving the living conditions (avoiding second hand smoke if possible), decreasing stress and avoiding dog vaccines. also, using homeopathic dog remedies to treat the constitution of the patient depending on the individual symptoms will help to reduce symptoms and in some cases bring about a cure.

I recently treated a 5 year old Llasa apso named Jingles for asthma. Rescue Remedy was used in combination with the homeopathic remedy Phosphorus. Rescue Remedy was useful to decrease anxiety when the owner’s younger 2 year old Golden Retriever wanted to play.

It was noted that increased exercise really exacerbated Jingles, causing more wheezing and asthma as he tried to keep up with the larger, younger dog.

Other changes included improvement in diet to eliminate dry food, offering tartar control chew treats such as Greenies Smart Treats, and giving toys with food inside (like the Kong Chew Toy) to keep him busy… this combination approach has really helped.

Congenital causes of dog coughing result from tracheal collapse. Affected breeds include the dogs that have a very short nose and a pushed in face, technically referred to as brachycephalic breeds.

Common breeds fitting this description include…

• American Bull dogs
• Boston Terriers
• Boxers
• Brussels Griffith
• French Bull dogs
• Pekingnese
• Pugs
• Puggles (Pug and Poodle Mix)

Due to the features of these breeds, their entire respiratory tract is compromised, from the nostrils that are too small, to the elongated soft palate that can hang down in the back of the throat and restrict air flow, to the narrowed and/or collapsing trachea.

Congenitally caused dog coughing can start as young as 3 to 4 months of age. but it can also be late onset, especially if the dog is overweight.

Symptoms of an obstructed upper airway may include snoring, rapid breathing (or tachypnea), noisy breathing when inhaling, frequent panting, difficulty eating or swallowing, coughing and gagging, inability to perform physical activity, especially in warm, humid weather and occasionally physical collapse.

a physical examination may reveal further indications, such as constricted nasal passages, a higher body temperature (or hypothermia) and increased respiratory effort evident by open-mouth breathing and constant panting. a honking, coughing sound, much worse on exertion or exercise or when excited, is another indication.

Treatment of susceptible breeds is not necessary unless symptoms are present and can often be avoided altogether for dogs who dog not live in warm humid weather or near allergens.

Exact treatment is dependent upon what sort of symptoms are present and how severe they are. Breathing assistance and oxygen supplementation may be necessary, and if the airway is obstructed it must be opened. This can be done by passing a tube through the mouth and windpipe (known as an endotracheal tube) or via a surgical cut in the windpipe (known as a tracheostomy).

There are also surgical procedures that can be done to prevent airway problems in brachycephalic breeds, such as widening narrowed nostrils or shortening an elongated palate.

If the dog undergoes any surgical procedures, she needs to be strictly monitored and continuously checked for breathing rate and effort, heart rate, pulse, and temperature, among other characteristics.

There is no specific holistic treatment that can be done to alter the physical conformation of a breed. Only responsible breeding to increase size of nostrils, shorten soft palates, and strengthen tracheal rings will benefit future generations of brachycephalic breeds.

Prevention comes in the form of corrective surgical procedures, such as the shortening of an overlong palate or correction of narrowed nostrils. these procedures can help prevent respiratory problems in brachycephalic breeds.

Owners of these breeds should also avoid risk factors such as warm humid weather and canine obesity, which can worsen inherent respiratory problems.

Old age in dogs can bring about congestive heart failure, cancer and laryngeal paralysis, each of which may include a dog cough as a symptom.

• Congestive heart failure in dogs
• Dog lung cancer
• Laryngeal paralysis in dogs

Congestive Heart Failure in Dogs

for smaller breeds, congestive heart failure usually affects dogs over the age of 10, while larger breeds can be affected as young as 7 or 8. Dog coughing is relatively common with this condition, although it is typically not exhibited in other heart-related issues such as cardiomyopathy.

Congestive heart failure in dogs is caused by a leak in one of the valves of the heart. If a puppy is born with a defective heart valve, the signs of congestive heart disease can start much earlier.

Some veterinarians also feel that dental disease can contribute to congestive heart disease, as the bacteria in the mouth and gums can go into the circulation and lodge onto the edge of the heart valve, causing it to deform and create the leak.

Symptoms of congestive heart failure in dogs include coughing and difficulty breathing. a dog’s tongue or gums may also have a blue-tinge instead of their normal healthy pink color. This can be worse at night when the dog is trying to go to sleep.

Conventional veterinarians will treat congestive heart failure with bronchodilators, diuretics, and cardiac drugs for the heart. Holistic veterinarians treat the whole patient, using a low sodium dog food diet, low calories if dog weight loss is needed and better quality protein, such as a raw natural dog food diet.

Herbal treatment with herbal cough syrups that contain wild cherry bark, licorice, comfrey root, coltsfoot, mullein, slippery elm and horehound is also used. in addition, Co-Enzyme Q-10 can be prescribed to strengthen the heart muscle.

the likelihood or timing of congestive heart failure can be greatly improved by following a holistic approach to dog care. following the recommendations on this site is your best bet, including the feeding of a healthy dog food diet, a reasonable dog vaccination schedule, minimal exposure to toxic flea products, exercise, and effective dog dental hygiene.

Dog Lung Cancer

Lung cancer usually occurs in older patients, is not breed specific and can be due to environmental factors. as with humans, second hand smoke from the owner can be a cause. It can also occur as a metastasis from a cancer located somewhere else in the body which then spreads to the lungs.

see our Canine Tumors (Dog Cancer) page for more information.

Laryngeal Paralysis in Dogs

Laryngeal paralysis in dogs occurs when the folds on the inside of the larynx (voice box) on the left and right are not pulled up out of the way with each inhalation of breath. the folds remain hanging straight, creating an obstruction to the flow of air. It can occur on only one side or it can be on both sides.

It can occur slowly over time or can come on suddenly when a dog is stressed with exercise or excitement. It usually older dogs between 8 and 10 years old and in larger breeds such as Labrador Retrievers and Golden Retrievers and giant breeds such as St. Bernards and great Danes.

the cause laryngeal paralysis is a defect in the laryngeal nerve which can become paralyzed or partially paralyzed. When this occurs the patient is able to inhale, and the opening to the trachea widens, but the laryngeal folds do not pull back out of the way.

When there is a restriction of air, the patient tries to breathe in harder, and also cough, in an attempt to clear the obstruction. This makes the problem worse, as the more effort put into breathing, the more inflamed the mucous membranes become. This results in further dog anxiety and worsens the condition.

Conventional treatment consists of surgery to ‘tie’ back the laryngeal folds, preceded by a tranquilizer or sedation to calm the patient.

as a holistic alternative, consider dog acupuncture, especially electro-acupuncture. It has been found to help stimulate the laryngeal nerve and create movement in the folds in 60 to 70% of patients treated.

Since it is not really know why the laryngeal nerve becomes paralyzed in the first place, it is difficult to say how to prevent it. Some veterinarians have linked it to a low thyroid hormone. however, supplementing with thyroid hormone has not been shown to reverse the problem.

Facts, Symptoms And Treatments of Thyroid Cancer

Although thyroid cancer is rare, compared to other cancers in the USA, there are about 20,000 new patients diagnosed annually. being the most common of the endocrine related cancers, the prognosis for the patients diagnosed with it is usually excellent.

Unfortunately most thyroid cancers do not cause any symptoms. the major symptom is a lump or nodule in the throat. Patients may come to their physician with complaints of neck, jaw or ear pain and a nodule may be discovered then. Patients may have difficulty swallowing, a “tickle in the throat” or shortness of breath if the cancer is large enough to be pressing on the windpipe. Hoarseness of the voice can occurs if the the disease starts irritating the nerve in the voice box.

There are four types of thyroid cancer, Papillary, Follicular, Medullary and Anaplastic. each of these types have specific characteristics. Papillary is the most common type making up 70 to 80% of thyroid cancers. Occurring at any age it begins in the papillary cells. This type tends to grow slowly and if it spreads it will spread to the lymph nodes in the neck. When a patient is diagnosed with papillary cancer in the early stages, they can be cured.

The second type is follicular cancer. This type occurs in the the follicular cells and if it spreads will grow into the lymph nodes. This cancer makes up 10 to 15% of thyroid cancers and is diagnosed in older patients. because it grows slowly, if it is detected early it can be cured.

The third type is medullary cancer. This one begins in the C cells. making up 5 to 10% of thyroid cancers this type is usually associated with other endocrine problems. unlike the first two this type can be diagnosed by genetic testing of the blood cells. It is easier to control if found early and is treated before it spreads.

The fourth type is anaplastic cancer. This type makes up 2 to 5% of thyroid cancers making it the most rare. It begins in the follicular cells and it grows and spreads fast. Anaplastic cancer is usually found in patients that are over 45 years of age. unlike the previous three types this type is very hard to control.

There are two treatments for patients diagnosed with thyroid cancer. Surgery is the primary form of treatment for all types of this disease. if the cancer is small, the removal of the entire thyroid gland can be the cure. the second treatment is radioactive iodine therapy (RAI treatment). because of this type of treatment the prognosis is of papillary and follicular cancers is excellent. after surgery the radioactive iodine when administered to patients seeks and destroys remaining cancerous cells without any or little damage to other tissues.

Once treated and even diagnosed as “cured” patients will be asked to return for examinations of the neck. Blood work will be done to measure the T4 and TSH, as well as the thyroglobulin levels. Physicians may also repeat whole-body iodine scans to determine if there are any thyroid cancer cells remaining.

The prognosis of thyroid cancer is very good especially in younger patients. if the disease is confined to the thyroid gland and surgery is done the outcome is excellent. even though the prognosis of patients diagnosed over 40 years of age is not as good, with treatment they feel well despite their condition and are able to live a long time.

More information about my journey with thyroid cancer can be found at fucoidanforhealth.com/

I was diagnosed with thyroid cancer in 1997. I have journeyed through the diagnosis, treatment and now continuing living with the disease.

¿Qué es el cáncer?

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And how can it be treated?

Symptoms of lung failure are:
1.)Cough-is a sudden, explosive exhalation of air; the function of a cough is to clear material from the airways.
2.)Dyspnea-(shortness of breath) is the unpleasant sensation of difficulty in breathing.
3.)Chest pain-Chest pain may be described as sharp (possibly knife-like), dull, burning, or squeezing; it may be located in a specific spot on the chest (such as the chest wall) or may be difficult to locate, often feeling like a deep ache. the pain may be constant or intermittent, lasting seconds, minutes, or longer. it may be worsened by breathing, changes in body position, exertion, eating, or other factors.
4.)Wheezing-is a whistling, musical sound during breathing resulting from partially obstructed airways.
5.)Stridor-is a gasping sound during inhalation resulting from a partial blockage of the throat (pharynx), voice box (larynx), or windpipe (trachea).
6.)Hemoptysis-is the coughing up of blood from the respiratory system.
7.)Cyanosis-is a bluish discoloration of the skin resulting from an inadequate amount of oxygen in the blood.
8.)Clubbing is an enlargement of the tips of the fingers or toes and a change in the angle where the nails emerge.

Emergency treatment follows the principles of cardiopulmonary resuscitation. Treatment of the underlying cause is required. Endotracheal intubation and mechanical ventilation may be required. Respiratory stimulants such as doxapram may be used, and if the respiratory failure resulted from an overdose of sedative drugs such as opioids or benzodiazepines, then the appropriate antidote such as naloxone or flumazenil will be given.

If ever you think you have this. please consult your doctor right away and hope I helped.