June 24th, 2009 by Paul Auerbach, M.D. in Better Health Network
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Ciguatera fish poisoning involves a large number of tropical and semitropical bottom-feeding fish that dine on plants or smaller fish that have accumulated toxins from certain microscopic dinoflagellates. Therefore, the larger the fish, the greater the toxicity. The ciguatoxin-carrying fish most commonly ingested include the barracuda, jack, grouper, and snapper. Symptoms, which usually begin 15 to 30 minutes after the victim eats the contaminated fish, include abdominal pain, nausea, vomiting, diarrhea, tongue and throat numbness, tooth pain, difficulty walking, blurred vision, skin rash, itching, tearing of the eyes, weakness, twitching muscles, incoordination, difficulty sleeping, and occasional difficulty in breathing. A classic sign of ciguatera intoxication is the reversal of hot and cold sensation (hot liquids seem cold and vice versa), which may reflect general hypersensitivity to temperature. Unfortunately, the symptoms persist in varying severity for weeks to months. Victims can become severely ill, with heart problems, low blood pressure, deficiencies of the central and peripheral nervous systems, and generalized collapse. Anyone who displays symptoms of ciguatera fish poisoning should be seen promptly by a physician.
It was reported this spring that ciguatera fish poisoning has been linked to pain during sexual intercourse. Despite the sensational coverage that this announcement received by the press, the phenomenon has been known for quite some time. It is indeed a fact that a person affected by ciguatera fish poisoning may suffer symptoms of pain during sex. These symptoms include painful ejaculation in men, and a burning sensation during and after (for up to 3 hours) intercourse. What was interesting about this most recent report, which was generated by observations made in North Carolina, was quantification of the duration of the uncomfortable symptoms. One male reported that his symptoms lasted a week, and two of the women said that they were affected for a month. The fish implicated in this particular cluster of cases was amberjack.
Treatment for ciguatera fish poisoning is for the most part supportive, although certain drugs are beginning to prove useful for aspects of the syndrome. An example is intravenous mannitol for abnormal nervous system behavior or abnormal heart rhythms. These therapies must be undertaken by a physician. Prochlorperazine may be useful for vomiting; hydroxyzine or cool showers may be useful for itching. There are chemical tests (such as Cigua-Check® Fish Poison Test Kit) to determine the presence of ciguatoxins in fish, but there is not yet a specific antidote.
This post, Ciguatera Poisoning and Sex, was originally published on
Healthine.com by Paul Auerbach, M.D..
June 4th, 2009 by Nancy Brown, Ph.D. in Better Health Network
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As if we needed any more indications that the sexuality education we teach in schools might not be working, the latest place for teens to find answers to their questions is via cell phone.
In spite of web sites that allow teens to ask anonymous questions like We’re Talking Teen Health and Go Ask Alice!, teens are still looking for answers to immediate sexuality-related questions, and texting them is the newest way to get answers.
In California, teens can text their sexuality questions to ISIS by texting the word ‘hookup’ to the phone number 365247 which will allow them to sign up for weekly health tips. Each tip contains a prompt to text the word ‘clinic’ plus a zip code to get contact information for two local clinics.
In North Carolina, they can text questions to The Birds and Bees Text Line. Both services provide non-judgmental and medically accurate information within 24 hours to teens with questions.
Neither site provides medical advice, only information from an adult and encouragement to seek medical care. The important part is that these services are another place teens can reach out to adults for information and support.
I worry a little bit about what happens when teens admit they were raped, or are being sexually abused – what do the adults receiving this information do – and are they responsible for reporting what they learn to the authorities, but I guess that is a abridge we cross when we come to it.
For now, I am happy there are more adults willing to provide the information teens need to make good decisions, get medical care, and protect themselves. As always, parents would be the best source of sexuality information, but they might need their own texting site for their questions!
This post, Reaching Adults – Teens Text Questions About Sex, was originally published on
Healthine.com by Nancy Brown, Ph.D..
February 25th, 2009 by Stacy Stryer, M.D. in Health Tips
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By Stacy Beller Stryer, M.D.
I read an interesting article in the New York Times last week, “Inside the Mind of the Boy Dating Your Daughter.” When I saw the title, I was instantly drawn to it because my older daughter is going to enter high school in the fall (yikes!) and has recently begun talking about boys. She currently attends a magnet school where most of her classmates are female. She just mentioned, for the first time, that there are no boys to like in her program, which makes for boring sleepover talks (but makes her mother exceedingly happy). Given that I think she’s the cat’s meow, I thought I could get a little “inside information” from reading the article before throwing her into the world of male testosterone and upperclassmen.
However, the article totally surprised me. Coming from a family of 3 girls and having 2 daughters, myself, I am much more comfortable figuring out what a girl might be thinking or feeling than a boy. I must admit that I believed the folklore that teen boys basically have sex on their brains. But, according to a study recently published in the Journal of Adolescence, this is not the case. Researchers had 105 10th grade teens complete a survey about sex, love and relationships. Reportedly, most boys said the main reason they would date someone was because they “really liked her.” The second most common reason they wanted to date someone was to get to know her better, and because they were physically attracted to her. Of note, 40% of the boys stated that they had already been sexually active and 14% wanted to have sex to lose their virginity. We must remember, however, that this was a relatively small sample size done in one school.
As a follow-up, the New York Times asked people to send in their comments about the article, and they discussed the results in the Week in Review. Many of the comments sent in were from adult men, who didn’t believe the teens answered honestly because, as these adults remembered, (?is their memory correct) they thought about sex, and only sex as teens.
An important and notable comment made by Dr. Andrew Smiler, the author of the study, is that parents are less likely to talk to their sons about relationships than their daughters. He stressed the need to talk to boys frequently about relationships, respect, trust and sex.
This gives me some hope that my daughter won’t be bombarded with a storm of testosterone the moment she enters high school. Actually, I am not too worried because I have been preparing her for the world of “boys” since she was much younger. For years we have talked about puberty, and as she has become older we have added relationships, values, possible uncomfortable situations, and waiting to have sex. I believe that this will carry her a long way. And, according to research, I am right, because telling a teenager to wait to have sex actually makes it more likely that they will.
As parents, we must remember to talk to both our daughters and our sons. Our discussions should start early. In elementary school, they should know what puberty is and how boys and girls develop. They should also learn about love and respect. As preteens, they should have talks regarding dating, relationships, and sex. If you wait too long, they will not hear you, or they will already have had to deal with a sexual situation and may not have known how to handle it. Amy Mirion and Charles Miron, authors of How to Talk With Teens About Love, Relationships, and S-E-X, also discuss how important it is to have small, ongoing dialogue rather than the one “big sex talk.” They suggest that, when parents talks with boys, they be direct and simple, and that they include topics such as love, respect, and values. They also stress the need for boys to actually be told to wait before having sex.
Just in case, maybe I’ll send some pepper spray to school with my daughter next year …
For more information on how to talk to your children about relationships, sex, and other risky behavior, check out the following websites:
4parents.gov
WebMD
Children Now
Ciguatera fish poisoning involves a large number of tropical and semitropical bottom-feeding fish that dine on plants or smaller fish that have accumulated toxins from certain microscopic dinoflagellates. Therefore, the larger the fish, the greater the toxicity. The ciguatoxin-carrying fish most commonly ingested include the barracuda, jack, grouper, and snapper. Symptoms, which usually begin 15 to 30 minutes after the victim eats the contaminated fish, include abdominal pain, nausea, vomiting, diarrhea, tongue and throat numbness, tooth pain, difficulty walking, blurred vision, skin rash, itching, tearing of the eyes, weakness, twitching muscles, incoordination, difficulty sleeping, and occasional difficulty in breathing. A classic sign of ciguatera intoxication is the reversal of hot and cold sensation (hot liquids seem cold and vice versa), which may reflect general hypersensitivity to temperature. Unfortunately, the symptoms persist in varying severity for weeks to months. Victims can become severely ill, with heart problems, low blood pressure, deficiencies of the central and peripheral nervous systems, and generalized collapse. Anyone who displays symptoms of ciguatera fish poisoning should be seen promptly by a physician.
