Start with gratitude for the gift of awareness, which allows you to pay honor to all life. Notice you are breathing right now. Become aware of your breath. How sacred and wonderful is each breath? Life is so kind. We do not need to beg, “may I have another breath?” Become aware of how you are sustained and supported at this moment. Even discomfort or pain delivers awareness of life, and an opportunity for gratitude.

— Bryant McGill

Just in case I don’t have time tomorrow to write; I’m going to say happy new years now. I am so excited about partying with friends my age on new years eve I’m so excited! This year was amazing, hard and full of giving/gifts and love! I don’t know how else to sum up this year. I took an amazing class that helped me to realize I can be more than I thought; leading to me wanting to start my own online service. I got to talk to one of my best friends just everyday which is amazing to know that we can do that! <2 I got to see my aunt which was so special! For this coming I’m going to work on becoming more independent and my business may be became a life coach! HAPPY NEW YEARS EVERYONE!

http://www.suicidepreventionlifeline.org/learn/warningsigns.aspx

Suicide Warning Signs

The following signs may mean someone is at risk for suicide. The risk of suicide is greater if a behavior is new or has increased and if it seems related to a painful event, loss, or change. If you or someone you know exhibits any of these signs, seek help as soon as possible by calling the Lifeline at 1-800-273-TALK (8255).

  • Talking about wanting to die or to kill themselves.
  • Looking for a way to kill themselves, such as searching online or buying a gun
  • Talking about feeling hopeless or having no reason to live.
  • Talking about feeling trapped or in unbearable pain.
  • Talking about being a burden to others.
  • Increasing the use of alcohol or drugs.
  • Acting anxious or agitated; behaving recklessly.
  • Sleeping too little or too much.
  • Withdrawing or isolating themselves.
  • Showing rage or talking about seeking revenge.
  • Displaying extreme mood swings.

 

“Butterflies are nature’s tragic heroes. They live most of their lives being completely ordinary. And then, one day, the unexpected happens. They burst from their cocoons in a blaze of colours and become utterly extraordinary. It is the shortest phase of their lives, but it holds the greatest importance. It shows us how empowering change can be.”
~ Kelseyleigh Reber

Once you have identified with some form of negativity, you do not want to let it go, and on a deeply unconscious level, you do not want positive change. It would threaten your identity as a depressed, angry or hard-done by person. You will then ignore, deny or sabotage the positive in your life. This is a common phenomenon. It is also insane. — Eckhart Tolle

 

“No experience is wasted. Everything in life is happening to grow you up, to fill you up, to help you to become more of who you were created to be.”
— Oprah Winfreyo


When your sick and tired of being sick and tired, and ready to come into the light from the darkness, just reach out you hand and walk towards the light, where the love flows warming your tired bones.
Love patty

The saddest thing in the world is a person who has given up on life; whose fire has been extinguished. Just remember that as long as you are alive the animating spark of greatness is still within you and can be rekindled. It’s never too late! As long as there is life there is hope.
Bryant McGill

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“The only things you can take with you when you leave this world are things you’ve packed inside your heart.”
Susan Gale Quotes

 

“Just when the caterpillar thought the world was over, it became a butterfly.”
— English Proverb

 

“Dear God, teach me how to love myself beyond the distorted perceptions and false beliefs I have created about myself. Teach me how to love myself beyond the judgments I may have held about myself and against myself. I open my mind and heart to receive your love and loving guidance now.”
— Iyanla Vanzant

Doctor Q&A: Bipolar Disorder

Dr. Jerry Kennard, psychologist and Associate Fellow and Chartered member of the British Psychological Society, provides some expertise and insight into the diagnosis and treatment of Bipolar Disorder.

What causes bipolar disorder?

We don’t really know but current wisdom suggests interplay between physical and environmental factors. For example, although no single gene is responsible for bipolar there is evidence that it runs in families. Chemical imbalances in the brain are also influential. Too much or too little of certain brain chemicals (neurotransmitters) can result in either depression or mania.

What is the difference between Bipolar I and Bipolar II?

Symptoms are the key, although the distinction isn’t always that clear cut. The central feature of bipolar I is mania and this is usually severe enough to require hospitalization. People with bipolar I disorder have experienced at least one episode of mania and usually depression. Bipolar II may be diagnosed if the person experiences a less severe form of mania called hypomania. Again, hypomania and depression are the main characteristics and the intensity of the highs is not severe enough to lead to hospitalization. Sometimes the dividing line between care at home and hospitalization may be quite thin and may depend upon the level of support available.

Bipolar II is sometimes wrongly considered a milder form of bipolar disorder. An episode of bipolar is equally severe whether you are diagnosed as bipolar I or II. There is some evidence that suggests episodes of depression are more severe and more frequent in people with bipolar II.

What medications help treat bipolar disorder?

A variety of medications are available but it may take a little time before you settle on what’s best for you. Mood stabilizing medications are the cornerstone treatment but other medications can be used to help control psychotic symptoms and sometimes these are combined within a single tablet. Many people with bipolar disorder experience symptoms of anxiety so it is not unusual for the symptoms to be treated with medication. Antidepressant medication is usually avoided where possible as it may trigger manic episodes. Depending on your symptoms antidepressants may be recommended and carefully monitored.

What should I do if I have a manic episode?

This is often one of the most difficult areas for the patient and those around them. For the patient the question is why, when you’re feeling so good, so full of energy and great ideas would you need treatment? The answer is the effect this behavior has. Hypomania and mania are characterized by a lack of impulse control that can lead to destructive, disinhibited and high-risk behaviors.

Manic episodes can take months to develop or they can appear within just a couple of days. Your first ever episode may be extremely difficult to predict. You may be buzzing with optimism, sleep less and feel more impatient with the apparent slowness of things around you, but it’s really only with the benefit of hindsight that your emotional and behavioral changes start to mean something.

In order to head off potential problems at a future date it can help if you devise a plan with the support of loved ones and your doctor. Reflect on what happened during your first episode and take practical measures. For example, if you blew your savings and racked up credit, try to ensure this can’t happen again. If your thoughts were leading in a certain direction (big plans, radical lifestyle change etc.) try to monitor these. Perhaps you were expressing grandiose ideas that involved special abilities? Your plan might include such things being monitored and could also involve a loved-one contacting your dortor. Consider keeping a mood diary so you can predict change.

How can psychotherapy help with bipolar disorder?

Psychotherapy can be very useful. It can help to put your symptoms into context and help to define the parameters of the disorder. A therapist can work with you to devise methods for self-observation and will show you important self-help techniques for stress management and stress reduction. Accepting a diagnosis of bipolar disorder can be difficult. Some people resist, some become too accepting and feel disabled as a result. Psychotherapy can help you and sometimes a loved-one and other family members feel a sense of mastery over the situation rather than become victims of it.

How often should I see a therapist?

This is something to negotiate with your therapist(s). In the early stages following a diagnosis you may feel most benefit from regular weekly meetings, for example. These days it isn’t always necessary to meet face-to-face and a telephone or video communication may be acceptable. Different therapists offer different support so your family doctor may ask to see you less often than your counselor or psychologist.

Are there any programs or alternative options to help me manage bipolar disorder?

People who manage their bipolar disorder best will often point out that it’s a lifetime and lifestyle issue. Medication and therapy helps a lot but your own choices and behaviors can help lessen or possibly even prevent bipolar episodes from developing.

Our Western diet of red meats, fats, sugars and simple carbohydrates are not known to influence bipolar disorder directly but a more nutritious diet may help to reduce stress and improve overall health, thus reducing the risk of possible triggers. Fatty fish (mackerel, trout, salmon) a couple of times a week combined with complex carbohydrates (whole-grain breads, beans, vegetables) is far more beneficial for overall health. Avoiding alcohol, smoking, drugs, and even stimulants like coffee are important considerations.

A regular and predictable pattern is important if you are to reduce triggers. Sleep regularly, exercise regularly, eat well and keep stress levels down.
– See more at: http://www.healthcentral.com/bipolar/c/458275/166695/doctor-bipolar-disorder/?ap=818#sthash.SxDAibbH.dpuf

http://www.healthcentral.com/bipolar/c/458275/166695/doctor-bipolar-disorder/?ap=818&#8221;

My Christmas wish.

Christmas time; we all get asked this question what do you want for Christmas?   Normally I can come up with something I would like to get, but this year I want more than any thing you can buy.  I want to give!   I want to let my family and friends know how much they mean to me,  I want to serve others.   I want to have this blog to become a network for everyone who is depressed or just wants to be loved to read my wraps and know that they are enough!   They are perfect just as they are!  You are you!  I already have what I need LOVE!   

”Life is the first gift, love is the second, and understanding the third.”

 

Tears are good. What flows is alive. Crying is like a thundershower for the soul. The air feels so wonderful after the rain. Don’t think too much. Breathe. Don’t be harsh or demanding on yourself. Just experience your feelings and know that your tears are announcing change in your life. Change is coming; like a summer rain — to wash away your pain. Have faith that things are getting better.
Bryant McGill

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Love you!

”Caroline’s Daily Prayer: My prayer today is to appreciate the many blessings in my life. All I have to do is think of one person who loves me to realize that I can not force a person to love me. Why do others love me? I can’t control how any one feels about me – and yet I have love in my life. That is the truth essence of a blessing and I will dwell in the wonder of that blessing today – and in all the days to come. — Caroline Myss”  I know there are some of you,  who have thoughts that no one cares about you.   Or maybe you are not sure how to let them see the real you;  because the feeling that you are not good enough to be loved has you believing that you are no body.   Well STOP!  You are special there is no one else like you,  you are loved exactly for you!

 

http://www.healthyplace.com/blogs/anxiety-schmanxiety/2012/05/ten-things-to-do-for-a-panic-attack/

10 Tools for Panic Attack Relief

1. Have an exit plan. Sometimes knowing we have a plan to leave a situation helps us not be so afraid of trying something new. For example, know you can excuse yourself, you can have your own car to drive home, or you have a friend to support you can make all the difference. We are often scared to get anxiety and not be able to do anything about it.  We are afraid of being out of control. Making a plan will make you feel more in control and this counters the anxiety.

2. Have someone you can count on ready to call. In fact, have several, in case the one is busy. Someone who knows about the anxiety and can tell you you are okay, or even better–someone who can make you laugh.

3. Spend time with your pet. (Animal Therapy)

4. Have a tranquilizer with you. Knowing you have antianxiety medication to calm you down within 15 minutes can help you not be afraid of anxiety.  Again, we are afraid of beingout of control of our anxiety so just knowing you have the medicine is all you need. Panic needs you to be scared of it for it to stay.

5. Interact with water. There is something about water that stops the energy of panic.  Sometimes crying releases it (tears). However, consider taking a hot bath or shower for immediate relief. Also drinking hot soup or a hot drink (non-caffinated, please!) can help.

6. Give yourself a massage or have your loved one give you one. This really calms the nerves and calls our attention back out of the anxious mind and into the body.

7. Forward bend. Like a fetal position, any forward bend in yoga counters anxiety. You can get in child’s position. See photo above.

8. Stare at yourself in the mirror. This is called tratak meditation. It helps build trust in yourself. Do this when you are calm to prevent anxiety and panic.

9. Go for a walk. Get a change of scenery and use up some of that excess energy. The biology of fear indicates the release of adrenaline makes your body want to do something. Doing something and feeling a sense of control on the account of that activity is by far the best thing you can do for a panic attack.

10. Laugh. Watch some funny videos on YouTube. Laughter and anxiety cannot live in the same moment together!

What did I forget? What’s worked for you?

By Jodi Lobozzo Aman

“Be strong enough to stand alone, smart enough to know when you need help, and brave enough to ask for it.”
— Mark Amend

Your life will be so much better when you start trying to understand and have compassion for the people who hurt you — instead of just reacting in the heat of the moment and hurting them back. It is easy to hold a grudge. It is easy to blame. But these narratives are a perpetuation of the role of a powerless victim. When you hold grudges the victimization continues. It takes emotional bravery to forgive. It takes a huge determination toward self-care to let go of painful past events and not let them define your future. There is no self-love without forgiveness, and there is no forgiveness without self-love. Forgiving another may be the ultimate act of self-love. Forgiving is an inward act that establishes outer boundaries; it is an undefeatable triumph of self-compassion that proclaims you are no longer a victim. Through forgiveness, you can quit suffering from the sins committed against you. By holding-on to resentment you allow them to continue having power over you. Forgiving takes your power back.

— Bryant McGill

Question

Just a thought;  if true friends know their friend is hiding something from you; you have a feeling that your friend is not letting out what is bringing your friend down. You think that they feel that if they tell you, you won’t accept them.  You know and want to be a support because you know how amazing they are but they don’t think they are good enough to be loved that much; How would like to let that friend know that they can tell you anything?

There is nothing you will ever do that is more important than being honest about who you really are. As crazy as it may seem, most of us are not who we think we are; we are someone else’s ideas. Two words: cultural conditioning. Our identities are tremendously warped and distorted by yesterday’s trauma and tomorrow’s expectations. The struggle to excavate your true, authentic self from beneath the mountain of conditioning and ridiculous expectation is the epic struggle of your lifetime. Most people are buried alive in a cultural and familial avalanche from the moment they are born, and are never seen or heard from again. Your number one mission in life is to be who you were intended to be. Nothing is more miserable than living a muted existence of inauthenticity. All pain in life comes from suppressing your true identity. You must begin to understand that this is your life; no one else’s! This is your precious, wonderful, unique and brief moment in life! Please, I beg you, to at least be honest with yourself and be who you are. If you can’t be who you really are then what is life but an unbearable lie? It is essential that you follow your own idea of passion, even if to others it looks like suffering. Refuse to be coerced. Resist the suppressive pressure to contract and instead expand in defiance. Resist and declare that you are alive; you are you, and you are unmasterable and beautifully broken in a fixed world.

— Bryant McGill

Letting people see who you really are; is amazing stop hiding who you really are! Because You are Amazing!

 

“Sensitive people suffer more, but they love more and dream more.”
— Augusto Cury

 

“One of the most courageous decisions you’ll ever make is to finally let go of what is hurting your heart and soul.”
— Brigette Nicole

“What frustrates you right now will be over one day, and believe it or not, you will miss something about it. So look at your challenges with a degree of appreciation. This may be where you are now, but not tomorrow, and when that time comes you will realize that it all had great purpose in your life.”

You have to accept that you’ll never be good enough for some people. Whether that is going to be your problem or theirs is up to you. Rejection is merely a redirection; a course correction to your destiny. You have to remember that your special life is for you, and your purpose has nothing to do with the opinions of others. When we have been hurt we often shrink and run for safety. Don’t allow others to make you feel small. You came to this world to grow and to explore, and to touch the miracles and marvels of life. Your suffering needs to be respected. Don’t try to ignore the hurt, because the hurt is real. Instead, let the hurt prove there is hope through your healing. Let the hurt soften you instead of hardening you. Let the hurt open you instead of closing you. Let the hurt deliver you to love, and not to hate. Some people are critical of everyone, not just you, so try to not take it too personally. They are so unhappy in their own life that their only joy is in dragging other people down. Know that you’ll never please everyone, and that whoever hurt you just happens to be one of those people. Once you understand and accept this, it will be easier to let it go and move on.

— Bryant McGill

You are beautiful!

Life may not let you see how beautiful you are!   You maybe in a time in your life where things are not going you way.  You are having feelings of loneliness like no one cares or understands what you are going through.  You feel worthless.  You may not like the way you look or its something that you feel like no one will understand.    Well guess what!   You are not, you are worth to have support and to feel good enough to be,  you have people in your  life you are loved for who you are because there is no one else like you!  If you are feeling like this,  let someone know.   May be you are the kind of person that always takes care of others but when you need support there is no one to be there for you,  not true you have support!   You are loved!  

The Fight song

This song is for anyone who is going through a hard time, its just a great song to get you thought whatever life throws your way! I love this song, we all can relate to the words in this song somehow.  https://www.youtube.com/watch?v=4UqfrH74wc0&index=2&list=FL0bcd5tZsfnlvwxH0ktm7GA

We might be healing from something or maybe this song just gives you hope to do something different in your life life. Whatever you going through know that you can get through it and if you need help ask someone for support don’t go through it alone. 

Positive Inspirational Quotes ( PIQ)
Find your strength in life there is no such excuse for being weak. You have a beautiful heart, a loving soul, and you are strong. You have control of your life, center yourself and get yourself grounded; you have heavens beauty go out and make your life the most beautiful dream. You have a mind and your wisdom is to be heard, you have a heart and your love is to be cherished, you have a soul that shines a most precious rainbow coloring the beauty of your hearts love glowing from within. Do not try to be someone else, you become the very best of yourself, love truthfully and gift your love ~~ Lee Held

Help someone who might seem ok on the outside 

Even if you don’t know how the best way to support them 

The best gift you can give someone is love!
You might not think they appreciate what you are doing, 

but one day you will see that you just being there when they needed support 

Just Love and let them know that you are there for them. 

“May your pockets be heavy and your heart be light, May good luck pursue you each morning and night. “ – Irish Blessing

Why I’m Speaking Up About How Suicide Is Discussed in the Emergency Room Sally Buchanan-Hagen Sally Buchanan-Hagen Read more: http://themighty.com/2015/09/why-im-speaking-up-about-how-suicide-is-discussed-in-the-emergency-room

As a nurse working in the emergency department, I frequently see people come in for suicide attempts. I’ve noticed there’s a stigma surrounding some attempts, and many colleagues agree there’s a difference in the way patients are treated depending on the type of attempt.

From what I’ve seen, a patient whose attempt is more “serious,” with visible life-threatening injuries or potentially deadly pathology results, is more likely to be treated with understanding, compassion and patience. It’s as if serious injuries validate the mental illness, making the inner turmoil visible to the outside world.

But the “less serious” the attempt is (for example, taking a non-lethal amount of medication or self-inflicted injuries that aren’t fatal), the less sympathy I’ve seen patients receive. This can also be said for patients who have repeat suicide attempts. I’ve heard these patients referred to as “time-wasters,” “attention-seekers,” “taking up beds,” and they’re described as “crying out for help.” Although it’s acknowledged as wrong, there’s still anger and frustration felt towards the patient. I’ve heard many question the reason for their behavior. But I believe anyone who intentionally puts themselves in harm’s way needs help, regardless of the intended outcome, and are still entitled to be treated with dignity, understanding and kindness. 

When I was 23, I tried to jump off a cliff after being discharged from a psychiatric hospital. I have bipolar affective disorder. I rarely call this a suicide attempt, although I would’ve jumped if it weren’t for a person walking past. If that person didn’t talk me down from the edge I wouldn’t be here today. I didn’t end up in an emergency department that night; instead the person called the local psychiatric triage team for advice and made sure I got home safely. The next morning my psychiatrist arranged for me to have electroconvulsive therapy (ECT).

I was determined to take my life. However, just because I didn’t end up in the emergency department didn’t make my determination to kill myself less serious. For weeks afterwards I remained suicidal. It’s because of my wonderful family and excellent psychiatrist I got through those weeks alive.

According to the World Health Organization, 800,000 people commit suicide every year, and for every successful suicide there are many more people who attempt it. About 20 percent of people who die by suicide have made a prior suicide attempt. But the stigma attached to suicide can be isolating and discourages help-seeking behaviors.

When I was suicidal I was too embarrassed to ask for help from emergency services because I thought I would be judged. That night I stood on the cliff, dying seemed like the only way out. Like a lot of suicidal behaviors, the decision was driven by desperation and impulsivity. The method didn’t matter — only the end result. I was only seconds from death. By complete luck I survived that depression.

In seems people are fearful if we talk about suicide we’ll trigger risky behaviors. But if we don’t talk about it, how are we going to understand it? If we don’t understand it, how can we be compassionate and empathetic? And if we don’t treat those at risk with compassion and empathy, how do we expect them to seek help?

Most importantly, we need to make it known reaching out for help is one of the bravest and best things someone can do. I’ve heard nurses say it’s “heartbreaking” when patients die from a suicide attempt. But what’s more heartbreaking is how often I hear families say the person they lost had been “been unhappy for a long time’” or that “they tried suicide before.” We need to talk about suicide to offer people hope. The courage it takes to reach out must be recognized. 

Every suicide attempt needs to be taken seriously. People don’t kill themselves, mental illness does. The sooner we start understanding this, the sooner we can combat the stigma surrounding suicide. Decreasing stigma encourages help-seeking behaviors and leads to more widespread and compassionate treatment for those who need it. And this treatment needs to be available for everyone however long they need, not just for the people who end up with serious injuries in the emergency department.

If you or someone you know needs help, please visit the National Suicide Prevention Lifeline. You can also reach the Crisis Text Line by texting “START” to 741-741. Head here for a list of crisis centers around the world.

Read more: http://themighty.com/2015/09/why-im-speaking-up-about-how-suicide-is-discussed-in-the-emergency-room/#ixzz3t1EghUzv

From; http://themighty.com/2015/09/why-im-speaking-up-about-how-suicide-is-discussed-in-the-emergency-room/?utm_source=Facebook&utm_medium=Mighty_Page&utm_campaign=MENTALHEALTH

11 Things Those Who Love A Person With Mental Illness Should Know Knowledge is power.

Relationships are challenging for anyone, but for someone battling a mental health condition, that illness can often hinder more than help. A mental health disorder acts like a magnifying glass to problems. It convinces the sufferer that they don’t deserve someone’s affection. It can cause them to be distant.

In other words? It’s total hell.

The good news is, knowledge is power when it comes to mental illness. Just because someone suffers from a condition doesn’t make them broken. Below are a few things you should know if you love someone who has a mental health disorder.

1. Mental illness is not something they can just “get over.”
It takes time, treatment and acceptance to manage a mental health condition. A mental illness develops in the brain, making it very complex. It’s not something that’s “all in their heads” or a problem they can “snap out of” (although, they wish they could!).

2. It also doesn’t make them “crazy.”
You wouldn’t call someone with cancer “insane” or “crazy,” so the same courtesy should be extended to someone with a mental health condition. Mental illness is just as important as physical illness. Here are a few other terms that should also be avoided.

3. Some days are better than others.
One day they’ll feel excellent, but the next day getting out of bed is a victory in itself. And they never know when it’ll happen.

4. Their mood isn’t because of you.
It can feel like they’re upset with you, but please know it isn’t personal. Many mental health conditions are characterized by mood swings, including feelings of anger, depression and mania.

5. It’s manageable…
Through therapy, through medication, through exercise, through group support… the list is endless. However, it’s important to remember that treatment is not “one size fits all,” so what works for your cousin’s co-worker may not work for them. And that’s OK.

6. …But some days they don’t feel like fighting it.
And that can feel like the absolute worst. Experts recommend encouraging them to go to their appointments or whatever is necessary in their treatment process. Don’t give up on them on the days they’ve given up on themselves.

7. There’s a negative stereotype associated with their conditions.
There’s a large stigma attached to mental health disorders. Only 25 percent of people with a mental illness feel that others are compassionate or understanding of their condition. Your compassion means more than you’ll ever know.

8. Hugs help.
So do phone calls. Or texts. Or ice cream. Or anything that just lets them know that they’re not alone.”It may look incredibly bleak for them right now,” Adam Kaplin, an associate professor in the departments of psychiatry and neurology at Johns Hopkins, previously told HuffPost. “It’s helpful to remind them that the feelings are temporary and you’ll be right there with them.”

9. It’s OK to ask them questions.
Education is half the battle. The more you learn about their condition, the easier it is for you to understand. That being said, if they don’t want to talk about what’s going on in that moment, don’t push the issue. Silence doesn’t mean they don’t want your help, they just may be doing their own processing.

10. It’s physically debilitating.
Psychiatric illnesses don’t just mess with their emotions. Conditions like depression and anxiety can cause headaches, soreness, upset stomach and more.

11. They appreciate you.
Even if they don’t express it every day. Your support and patience is vital to their treatment and self-acceptance. So thank you.

http://www.huffingtonpost.com/entry/mental-illness-what-you-should-know_56339964e4b0c66bae5c2caf

http://www.cancer.org/cancer/pancreaticcancer/detailedguide/pancreatic-cancer-signs-and-symptoms?utm_campaign=nov_2015&utm_source=mb_facebook&utm_medium=social&utm_content=nov27

The symptoms of exocrine and endocrine pancreatic cancers are often different, so they are described separately.

Having one or more of the symptoms below does not mean you have pancreatic cancer. In fact, many of these symptoms are more likely to be caused by other conditions. Still, if you have any of these symptoms, it’s important to have them checked by a doctor so that the cause can be found and treated, if needed.

Signs and symptoms of exocrine pancreatic cancer

Early pancreatic cancers often do not cause any signs or symptoms. By the time they do cause symptoms, they have often already grown through the pancreas or spread beyond it.

Jaundice and related symptoms

Jaundice is yellowing of the eyes and skin. Most people with pancreatic cancer (and virtually all people with ampullary cancer) will have jaundice as one of their first symptoms.

Jaundice is caused by the buildup of bilirubin, a dark yellow-brown substance made in the liver. Normally, the liver excretes bilirubin as part of a liquid called bile. Bile goes through the common bile duct into the intestines, eventually leaving the body in the stool. When the common bile duct becomes blocked, bile can’t reach the intestines, and the level of bilirubin in the body builds up.

Cancers that start in the head of the pancreas are near the common bile duct. These cancers can press on the duct and cause jaundice while they are still fairly small, which may allow these tumors to be found at an early stage. But cancers that start in the body or tail of the pancreas don’t press on the duct until they have spread through the pancreas. By this time, the cancer has often spread beyond the pancreas as well.

When pancreatic cancer spreads, it often goes to the liver. This can also lead to jaundice.

Dark urine: Sometimes, the first sign of jaundice is darkening of the urine from bilirubin. As bilirubin levels in the blood increase, the urine becomes brown in color.

Light-colored stools: If the bile duct is blocked, bile (and bilirubin) can’t get through to the bowel. When this happens, a person might notice their stools becoming lighter in color.

Itchy skin: When bilirubin builds up in the skin, it can start to itch as well as turning yellow.

Pancreatic cancer is not the most common cause of jaundice. Other causes, such as gallstones, hepatitis, and other liver diseases, are much more common.

Abdominal or back pain

Pain in the abdomen (belly) or back is common in pancreatic cancer. Cancers that start in the body or tail of the pancreas can grow fairly large and start to press on other nearby organs, causing pain. The cancer may also spread to the nerves surrounding the pancreas, which often causes back pain. Of course, pain in the abdomen or back is fairly common and is most often caused by something other than pancreatic cancer.

Weight loss and poor appetite

Unintended weight loss is very common in people with pancreatic cancer. These people often have little or no appetite.

Digestive problems

Pale, greasy stools: If cancer blocks the release of the pancreatic juice into the intestine, a person might not be able to digest fatty foods. The undigested fat can cause stools to be unusually pale, bulky, greasy, and to float in the toilet.

Nausea and vomiting: If the cancer presses on the far end of the stomach it can partly block it, making it hard for food to get through. This can cause nausea, vomiting, and pain that tend to be worse after eating.

Gallbladder enlargement

If the cancer blocks the bile duct, bile can build up in the gallbladder, which then becomes enlarged. This can sometimes be felt by a doctor (as a large lump under the right ribcage) during a physical exam. It can also be detected by imaging tests.

Blood clots

Sometimes, the first clue that someone has pancreatic cancer is the development of a blood clot in a large vein, often in the leg. This is called a deep venous thrombosis or DVT. Symptoms can include pain, swelling, redness, and warmth in the affected leg. Sometimes a piece of the clot can break off and travel to the lungs, which might make it hard to breathe or cause chest pain. A blood clot in the lungs is called a pulmonary embolism or PE.

Still, having a blood clot does not usually mean that you have cancer. Most blood clots are caused by other things.

Fatty tissue abnormalities

Some people with pancreatic cancer develop an uneven texture of the fatty tissue underneath the skin. This is caused by the release of the pancreatic enzymes that digest fat.

Diabetes

Rarely, pancreatic cancers cause diabetes (high blood sugar) because they destroy the insulin-making cells. Symptoms can include feeling thirsty and hungry, and having to urinate often. More often, there are small changes in blood sugar levels that don’t cause symptoms of diabetes but can still be detected with blood tests.

Signs and symptoms of pancreatic neuroendocrine tumors

Pancreatic neuroendocrine tumors (NETs) often release excess hormones into the bloodstream. Different types of tumors make different hormones, which lead to different symptoms.

Gastrinomas

These tumors make gastrin, a hormone that tells the stomach to make more acid. Too much gastrin causes a condition known as Zollinger-Ellison syndrome, in which the stomach makes too much acid. This leads to stomach ulcers, which can cause pain, nausea, and loss of appetite. Severe ulcers can start bleeding. If the bleeding is mild, it can lead to anemia (too few red blood cells), which can cause symptoms like feeling tired and being short of breath. If the bleeding is more severe, it can make stool black and tarry. Severe bleeding can itself be life-threatening.

If the stomach acid reaches the small intestine, it can damage the cells of the intestinal lining and break down digestive enzymes before they have a chance to digest food. This can cause diarrhea and weight loss.

Glucagonomas

These tumors make glucagon, a hormone that increases glucose levels in the blood. Most of the symptoms that can be caused by a glucagonoma are mild and more often are found to be caused by something else.

Excess glucagon can raise blood sugar, sometimes leading to diabetes. This can cause symptoms such as feeling thirsty and hungry, and having to urinate often.

People with these tumors also often have problems with diarrhea, weight loss, and malnutrition. The nutrition problems can lead to symptoms like irritation of the tongue (glossitis) and the corners of the mouth (angular cheilosis).

The symptom that brings most people with glucagonomas to their doctor is a rash called necrolytic migratory erythema. It is a red rash with swelling and blisters that often travels place to place on the skin. It is the most distinctive feature of a glucagonoma.

Insulinomas

These tumors make insulin, which lowers blood glucose levels. Too much insulin leads to low blood sugar (hypoglycemia), which can cause symptoms like weakness, confusion, sweating, and rapid heartbeat. When blood sugar gets very low, it can lead to a person passing out or even going into a coma and having seizures.

Somatostatinomas

These tumors make somatostatin, which helps regulate other hormones. Symptoms of this type of tumor can include diarrhea, gallbladder problems, and symptoms of diabetes (feeling thirsty and hungry, and having to urinate often). The problems with the gallbladder can lead to belly pain, nausea, poor appetite, and jaundice (yellowing of the skin and eyes).

The early symptoms of a somatostatinoma tend to be mild and are more often caused by other things, so these tumors tend to be diagnosed at an advanced stage. Often, they are not found until they spread to the liver, when they cause problems like jaundice and pain.

VIPomas

These tumors make a substance called vasoactive intestinal peptide (VIP). Too much VIP can lead to problems with diarrhea. This may be mild at first, but gets worse over time. By the time they are diagnosed, most people have severe, watery diarrhea, with many bowel movements each day.

People with these tumors also tend to have low levels of acid in their stomachs, leading to problems digesting food. They may also have high blood sugar levels.

PPomas

These tumors make pancreatic polypeptide (PP), which helps regulate both the exocrine and endocrine pancreas. They can cause problems such as belly pain and an enlarged liver. Some patients also get watery diarrhea.

Carcinoid tumors

These tumors often make serotonin or its precursor, 5-HTP. When a pancreatic tumor makes these substances, they first travel to the liver. The liver breaks these substances down before they can reach the rest of the body and cause problems. Because of this, carcinoid tumors often don’t cause symptoms until they spread outside the pancreas.

When these tumors do spread, it is most often to the liver. There, the cancer cells can release hormones directly into the blood leaving the liver. This can cause the carcinoid syndrome, with symptoms including flushing (skin turning red with a warm feeling), diarrhea, wheezing, and a rapid heart rate. These symptoms often occur in episodes, between which the person may feel fine.

Over a long time, the hormone-like substances released by these tumors can damage heart valves, causing shortness of breath, weakness, and a heart murmur (an abnormal heart sound).

Non-functioning neuroendocrine tumors

These tumors don’t make excess hormones, so they don’t cause symptoms in early stages and often grow quite large before they are found. Most of these are cancers and start to cause problems as they get larger or spread outside the pancreas. Symptoms can be like those from exocrine pancreas cancers, including jaundice (yellowing of the eyes and skin), belly pain, and weight loss.

Symptoms caused by the cancer spreading

When pancreatic NETs spread, they most often spread to the liver. This can enlarge the liver, which can cause pain and loss of appetite. It can also affect liver function, sometimes leading to jaundice (yellowing of the skin and eyes) and abnormal lab tests.

Although these cancers often spread to the liver first, they can go on to spread to other organs and tissues. The symptoms depend on where the cancer is growing. For example, cancer spread to the lungs can cause shortness of breath or a cough. Spread to bones can cause pain in those bones.
Last Medical Review: 06/11/2014
Last Revised: 01/09/2015

Thanksgiving 2015

The one thing I’m the most thankful for is LOVE!  Family and friends who don’t care about my crazy cp  and I have about five best friends whom I don’t think my life would be this amazing without each of them!   I could not say how much they mean to me!!  I have so much to be thankful for I don’t think I could write everything down.   I have a great life and I am so thankful for it all!   I love that I can help others thought writing because helping others is my dream.   So thank you for following me and letting me what I love!     Happy Thanksgiving!  Oh yeah and just because today is Thanksgiving doesn’t mean that we can’t think about what we are thankful for everyday of the year.

If you love someone, tell them. For hearts are often broken by words left unspoken.
Tell people that you love them, even if you have to say it in your own way. Love is the light that this world truly needs and unless we are willing to show each other that love still rules the world, the world will continue to become a darker place for us all.

Let your light shine by being a vessel through which peace and love flow. Show others how to co-exist by remaining true to yourself and encouraging others to do the same. Be an example to the world of what being a positive person full of grace looks like. Never let any circumstance dampen your smile, and always seek to include those who are the most excluded.

The most powerful thing on this planet is the love that we are willing to give. Empower people knowing that the more good you do, the more that you will attract good things to happen in your own life.

 

 

wow must watch

This is so scary;

http://abcnews.go.com/Health/girl-fights-rare-case-breast-cancer-age/story?id=35392011