Health

What do the new concussion guidelines mean for my high-school football player?

DEAR DOCTOR K: I have a teenage son who plays high school football, so I'm interested in the new concussion guidelines. Can you tell me what they say?

DEAR READER: In March of this year, the American Academy of Neurology released new guidelines for recognizing and managing sport-related concussions. These guidelines could help protect the brains of athletes at all levels of play, from professional football to youth soccer. In a phrase, the new concussion guidelines recommend "when in doubt, sit it out."

What could be causing my chronic headaches?

DEAR DOCTOR K: I've had a headache every day for six months, despite taking painkillers every day. What could be causing the headaches? And what can I do to stop them?

DEAR READER: Most people who suffer from frequent headaches don't have them every day. If your headaches have literally been with you "every day for six months," and this is something new for you, consult your doctor. While your headaches still could be one of the two most common causes of headaches -- migraine headaches or tension headaches -- they also could point to something more serious.

I’ve been falling asleep suddenly during the day — what could be causing this?

DEAR DOCTOR K: I'm 40 years old and in good health. But lately I've been falling asleep suddenly during the day. What could be causing this?

DEAR READER: There are many things that can cause a person to fall asleep suddenly. Your sudden bouts of sleep might be caused by a rapid drop in your blood sugar, a side effect of a medication you're taking, or could result from stress, depression or inadequate sleep at night. Another possibility is narcolepsy.

What is vasculitis and how is it treated?

DEAR DOCTOR K: My father recently saw his doctor, complaining of fever, fatigue, joint pain and rashes. His doctor suspects vasculitis. What is vasculitis? How is it diagnosed and treated?

DEAR READER: Vasculitis is an inflammation of the blood vessels. This inflammation can be severe enough to reduce blood flow to tissues and organs. We don't know for sure what causes it, but scientists believe it is an autoimmune disease.

How can I understand what I see on my electrocardiogram?

DEAR DOCTOR K: I recently had an electrocardiogram and my doctor gave me a copy of the tracing. Can you tell me what I'm looking at?

DEAR READER: When the 20th century began, more than 100 years ago, doctors had no way of looking inside the body of a living person. Yet we knew from autopsies of people who had died that all of the normally invisible internal organs could become diseased. So the search was on for ways to "see" inside the body.

Are calcium supplements unhealthy for men?

DEAR DOCTOR K: I'm a man in my 60s. I've been taking a calcium supplement to protect my bones, but I recently read that men shouldn't take calcium supplements. Why not?

DEAR READER: I wish I could give you a clear answer. Several recent studies have raised a question about whether regular use of calcium supplements might be bad for the heart. The bottom line: It's too early to know if this risk is real.

How can I get my toddler to stop biting?

DEAR DOCTOR K: Today at the playground my toddler bit another child. How can I make sure she doesn't do this again?

DEAR READER: Lots of toddlers between 1 and 3 years go through biting and/or hitting stages. Children at these ages cannot yet express in words their feelings, so they may bite or hit parents, children or caregivers to get attention or to express frustration. These young children also may bite just to see what kind of reaction it provokes.

Can good posture ease back pain?

DEAR DOCTOR K: I have mild back pain. I sit at a desk all day and tend to slouch. My mother says that sitting up straight may help. Is she right?

DEAR READER: I hope it's true. Otherwise, my mother (like yours) was wrong. And I think it is true.