Many causes for fetal alcohol syndrome
Q: I’m pretty sure my sister didn’t drink during her pregnancy, but my 6-monthold niece looks like she may have fetal alcohol syndrome. Is it possible that something else is the case? — Emma W., Los Angeles
A: Fetal Alcohol Syndrome happens because alcohol is what’s called a teratogen — a substance that can cross the placenta and damage a developing embryo and fetus. Other teratogens include antibiotics such as tetracycline, some acne meds, some antiseizure meds, lithium, anti-rheumatics and chemotherapy — as well as recreational drugs. Experts believe that teratogens can begin affecting an embryo growing in the womb about 10 to 14 days after conception.
Your niece needs to be evaluated by a pediatrician who’s a specialist in developmental problems ASAP. The sooner she’s treated for any developmental problems she may have, the better her chances of overcoming any deficits.
Q: I’m miserable this winter with the cold and damp — my back hurts and my joints ache. Is there something I can do to ease my discomfort besides running away to Brazil? — Gregory T., Portland, Maine
A: In a study of weather and osteoarthritis knee pain, researchers found no correlation between increased knee pain and temperature, relative humidity, air pressure or precipitation.
So what gives? Probably you just notice pain more on cold, dreary days or would rather attribute pain to something external. But whatever the reason, it’s time to take steps to ease those aches.
Lose weight, if needed. Every extra pound puts pressure on joints and soft tissue.
Get moving! For arthritis: Appropriate, regular physical activity strengthens muscles around affected joints, protects against bone loss, may reduce joint swelling and pain, helps lubricate cartilage, improves sleep and boosts energy. For lower-back problems: A study in JAMA Internal Medicine found that exercise (strengthen your core!) reduces pain episodes by 35 percent.
Add ALA and DHA omega-3 to your diet! ALA is found in canola oil, walnuts and avocados; DHA is in salmon and ocean trout. Randomized, controlled trials found that both omega-3s decrease joint pain.
Learn to manage stress! Email questions for Mehmet Oz and Mike Roizen to youdocsdaily@sharecare.com.