Raynaud's Disease : Causes-Symptoms-Diagnosis-Treatment
What Is Raynaud's Disease?
Raynaud's sickness is an unprecedented ailment of the blood vessels, usually inside the hands and feet. It causes the blood vessels to slim when you are cold or feeling careworn. When this happens, blood can't get to the floor of the pores and skin and the affected regions flip white and blue. When the blood float returns, the skin turns crimson and throbs or tingles. In intense cases, lack of blood drift can cause sores or tissue demise.
Primary Raynaud's takes place on its own. The purpose is unknown. There is likewise secondary Raynaud's, that is caused by injuries, other diseases, or certain drug treatments.
 |
| Raynaud's Disease |
People in less warm climates are more likely to broaden Raynaud's. It is also more not unusual in ladies, people with family records, and those over age 30.
Raynaud’s phenomenon is a problem that causes reduced blood glide to the fingers. In some instances, it additionally reasons much less blood flow to the ears, feet, nipples, knees, or nose. This takes place because of spasms of blood vessels in the ones regions. The spasms manifest in reaction to cold, strain, or emotional disillusionment.
Raynaud’s can occur on its very own, called number one form. Or it can appear together with different sicknesses, called secondary shapes. The sicknesses most often linked with Raynaud’s are autoimmune or connective tissue sicknesses.
Medical terms
- Raynaud's (ray-NOSE) sickness causes a few areas of your frame — along with your hands and toes — to feel numb and cold in response to bloodless temperatures or strain. In Raynaud's disease, smaller arteries that deliver blood on your pores and skin turn out to be slim, prescribing blood drift to affected regions (vasospasm).
- Women are more likely than men to have Raynaud's sickness, also called Raynaud's or Raynaud's phenomenon or syndrome. It appears to be more common in those who live in colder climates.
- Treatment of Raynaud's sickness depends on its severity and whether or not you have got different fitness situations. For most of the people, Raynaud's sickness isn't always disabling, however it can affect your first-class of existence.
causes Raynaud's disease is a condition marked by spasms in the arteries that supply blood to the fingers toes and ears of certain people This causes the affected area to turn blue then white then red before returning to normal The good news about Raynaud's disease is that it does not cause permanent damage Most people outgrow this condition However if you have Raynaud's disease you should take steps to prevent problems with your hands and feet.
Raynaud's disease is a condition in which the fingers and toes have episodes of discoloration numbness and pain These symptoms can occur when the body temperature drops below normal or during exposure to extreme cold Raynaud's disease occurs most often in people aged 20 to 50 years old but it can also occur in children.
Types of Raynaud's disease
This condition is called for the French physician who first recognized it in 1862. You may hear it known by way of many names. There are two kinds:
Primary Raynaud’s(or Raynaud’s disease) Occurs with none other contamination in the back of it. The symptoms are often slight.
Secondary Raynaud’s (Raynaud’s syndrome, Raynaud’s phenomenon) Consequences from some other infection. It’s often a situation that attacks your frame’s connective tissues, like lupus or rheumatoid arthritis. It’s less common, however it’s more likely to cause severe health issues. This can encompass such things as pores and skin sores and gangrene. These appear whilst cells and tissue in your feet and fingers die from lack of blood.
Symptoms Raynaud's disease
Signs and symptoms of Raynaud's disease include:
Cold fingers or toes
Color changes in your skin in response to cold or stress
Numb, prickly feeling or stinging pain upon warming or stress relief
During an attack of Raynaud's, affected regions of your skin normally first flip white. Then, they frequently flip blue and feel bloodless and numb. As you warm and your movement improves, the affected areas might also flip pink, throb, tingle or swell.
Although Raynaud's maximum usually impacts your arms and feet, it is able to also have an effect on different areas of your body, along with your nostril, lips, ears or even nipples. After you warm up, the return of regular blood glide to the location can take 15 mins.
When to see a doctor
See your health practitioner right away when you have a history of excessive Raynaud's and develop a sore or contamination in one of all your affected fingers or toes.
Causes Raynaud's disease
Raynaud’s phenomenon is due to overly-touchy blood vessels within the palms and toes. They are more stricken by cold and stress. The blood vessels slender substantially, causing a decrease in blood waft and associated shade exchange. The loss of blood glides frequently results in a pale, or white, discoloration. Subsequently, the digits can flip blue and sooner or later crimson as there is a surprising influx of blood into the digits after the episode is over.
Doctors don't absolutely understand the reason for Raynaud's attacks, however blood vessels within the hands and feet appear to overreact to cold temperatures or stress.
Blood vessels in spasm
With Raynaud's, arteries for your fingers and feet grow to be slim and in brief restrict blood delivery whilst exposed to cold or strain. Over time, those small arteries can thicken barely, in addition restricting blood flow.
Cold temperatures are maximum, probably to cause an assault. Exposure to bloodlessness, which includes putting your hands in cold water, taking something from a freezer or being in bloodless air, is the most probable cause. For some people, emotional stress can trigger an episode.
Primary vs. secondary Raynaud's
There are two main types of the condition.
Primary Raynaud's. Also referred to as Raynaud's disease, this most commonplace form isn't always the result of a related scientific condition. It can be so mild that many human beings with number one Raynaud's do not seek remedy. And it is able to solve problems on its own.
- Secondary Raynaud's. Also known as Raynaud's phenomenon, this form is as a result of an underlying trouble. Although secondary Raynaud's is much less commonplace than the primary form, it has a tendency to be extra extreme.Signs and symptoms of secondary Raynaud's typically appear around age forty, later than they do for primary Raynaud's.
Causes of secondary Raynaud's include:
Connective tissue diseases. Most humans who have an unprecedented disease that leads to hardening and scarring of the pores and skin (scleroderma) have Raynaud's. Other illnesses that increase the chance of Raynaud's include lupus, rheumatoid arthritis and Sjogren's syndrome.
Diseases of the arteries. These consist of a buildup of plaques in blood vessels that feed the heart, a disorder in which the blood vessels of the fingers and feet come to be inflamed, and a type of high blood strain that impacts the arteries of the lungs.
Carpal tunnel syndrome. This situation involves stress on a first-rate nerve to your hand, generating numbness and pain within the hand which could make the hand greater liable to bloodless temperatures.
Repetitive action or vibration. Typing, gambling piano or doing comparable actions for lengthy periods and working vibrating equipment, which include jackhammers, can cause overuse injuries.
Smoking. Smoking constricts blood vessels.
Injuries to the hands or feet. Examples include a wrist fracture, surgery or frostbite.
Certain medications. These include beta blockers for excessive blood pressure, migraine medicines that include ergotamine and sumatriptan, attention-deficit/hyperactivity disease medicines, positive chemotherapy marketers, and drugs that motivate blood vessels to slim, together with some over-the-counter cold medicinal drugs.
Risk factors Raynaud's disease
Certain factors can increase your chance of developing the condition.
Risk factors for primary Raynaud's include:
Sex. More women than men are affected.
Age. Although all and sundry can expand the condition, number one Raynaud's often starts among the a long time of 15 and 30.
Climate. The disease is likewise greater than unusual in individuals who live in chillier climates.
Family history. A first-diploma relative — a figure, sibling or toddler — having the disease appears to increase your risk of number one Raynaud's.
Risk elements for secondary Raynaud's include:
Associated diseases. These include conditions such as scleroderma and lupus.
Certain occupations. These encompass jobs that cause repetitive trauma, which includes operating equipment that vibrates.
Exposure to certain substances. This consists of smoking, taking medications that have an effect on the blood vessels and being uncovered to certain chemicals, together with vinyl chloride.
Complications Raynaud's Disease
If secondary Raynaud's is intense — which is uncommon — decreased blood flow to your arms or toes ought to cause tissue damage.
A completely blocked artery can result in sores (pores and skin ulcers) or lifeless tissue, both of which may be tough to deal with. Rarely, severe untreated cases would possibly require getting rid of the affected part of your frame.
What foods to avoid if you have Raynaud's?
When you have Raynaud's disease it is important to avoid certain foods This can help to lessen symptoms and reduce the frequency of attacks It may also make it easier for your doctor to treat the condition.
How Serious Is Raynaud's disease?
Raynaud's disease also known as Raynaud's phenomenon is a condition that causes the blood vessels in your fingers and toes to narrow or constrict when exposed to cold or stress In addition to fingers and toes you may notice that your ears nose cheeks and lips are affected by Raynaud's disease The most common scenario is that of your fingers turning white in response to cold exposure When the blood flow returns to normal they turn red or blue This cycle can repeat itself several times a day.
What vitamins are good for Raynaud's?
Vitamins A C and E have antioxidant properties that can help reduce the severity of Raynaud's In addition B vitamins play a key role in maintaining the body's energy levels Calcium is also important for Raynaud's sufferers Magnesium supplements may help to lower blood pressure which tends to be high in people with this condition.
What is the life expectancy of someone with Raynaud's disease?
Raynaud's disease is a condition characterized by the narrowing and blocking of blood vessels in areas of the body such as the fingers and toes This is caused by an injury or exposure to cold temperatures Those who have Raynaud's disease may also experience numbness tingling and loss of feeling in their fingers and toes When some people with this condition are exposed to the cold they typically experience attacks that last one to three minutes These episodes can be triggered not only by cold weather but also by stressful situations anxiety and certain medicines.
Does Raynaud's get worse with age?
Raynaud's phenomenon (RP) is a condition in which the small blood vessels of the body contract limiting blood flow to various parts of the body In RP this happens to the smallest blood vessels in the fingers toes ears and nose This condition is usually triggered by exposure to cold or stress Raynaud's usually occurs in people between 20 and 50 years of age.
Prevention Raynaud's Disease
To help prevent Raynaud's attacks:
- Bundle up outdoors. When it's bloodless, don a hat, headscarf, socks and boots, and two layers of mittens or gloves earlier than you pass outside. Wear a coat with comfortable cuffs to head around your mittens or gloves, to save you cold air from reaching your fingers.Also use chemical hand heaters. Wear earmuffs and a face mask if the top of your nose and your earlobes are sensitive to cold.
Warm your car. Run your car heater for a few minutes before driving in cold weather.
- Take precautions indoors. Wear socks. When taking meals out of the fridge or freezer, wear gloves, mittens or oven mitts. Some human beings find it useful to put on mittens and socks to bed throughout the day.Because air conditioning can trigger assaults, set your air conditioner to a hotter temperature. Use insulated drinking glasses.
Diagnosis Raynaud's disease
If a doctor suspects Raynaud’s phenomenon, he or she will very well compare the affected person’s medical records and perform an entire physical examination to rule out different medical troubles. Often, it is fairly clean to diagnose Raynaud’s, however it is extra hard to become aware of the form of the sickness.
One diagnostic check useful in assisting doctors decide the appropriate form of Raynaud’s is called a nailfold capillaroscopy, wherein capillaries are studied underneath a microscope. For human beings with Primary Raynaud’s Phenomenon, the outcomes of this take a look at may be everyday. The outcomes of this take a look at will be atypical for the ones who have the secondary form.
During a nailfold capillaroscopy, the health practitioner places a drop of oil at the patient’s nailfold - the pores and skin at the bottom of the fingernail. The doctor will then examine the nailfold under a microscope or a handheld ophthalmoscope to look for abnormalities of the capillaries. If the capillaries are enlarged or abnormal, this will imply that the affected person has a connective tissue ailment.
If the affected person has signs and symptoms suggesting secondary Raynaud’s phenomenon, the doctor might also order a complete blood depend (CBC), a urinalysis, and chemistry profile.
Other assessments a doctor may additionally order to help distinguish among the 2 styles of Raynaud’s are the antinuclear antibody check (ANA), the erythrocyte sedimentation rate (ESR) or tests for the rheumatoid thing and complement levels.
Your doctor will ask approximately your symptoms and clinical records and perform a bodily examination. Your physician may also order exams to rule out other scientific problems that may cause similar signs and symptoms.
Sorting out primary vs. secondary Raynaud's
To inform the distinction between number one and secondary Raynaud's, your doctor might do a test called nailfold capillaroscopy. During the test, the medical doctor appears on the skin at the base of your fingernail underneath a microscope or magnifier to search for deformities or swelling of the tiny blood vessels.
If your health practitioner thinks that every other situation, which include an autoimmune ailment or a connective tissue disorder, can be causing Raynaud's, he or she will possibly order blood checks, together with:
Antinuclear antibodies test. Testing advantageous for these antibodies is probably a signal of an inspired immune device, not unusual in human beings who've connective tissue sicknesses or other autoimmune issues.
Erythrocyte sedimentation rate. This test determines the charge at which pink blood cells settle to the bottom of a tube. A faster than ordinary price would possibly sign an underlying inflammatory or autoimmune sickness.
No one blood check can diagnose Raynaud's. Your medical doctor may order different checks, together with people who rule out illnesses of the arteries, to help pinpoint a condition that can be associated with Raynaud's.
Treatment Raynaud's disease
If your signs and symptoms are very awful or getting worse, a GP may prescribe a medicinal drug to help enhance your movement, such as nifedipine, that is used to treat high blood pressure.
Some people want to take this medicinal drug each day. Others handiest use it to save you Raynaud's – as an instance, in the course of cold climate.
A GP may arrange tests in the event that they assume Raynaud's can be a sign of a greater critical condition, consisting of rheumatoid arthritis or lupus.
Dressing for the bloodless in layers and wearing gloves or heavy socks typically are effective in dealing with moderate symptoms of Raynaud's. Medications are to be had to deal with greater-severe varieties of the condition. The goals of remedy are to:
Reduce the number and severity of attacks
Prevent tissue damage
Treat the underlying disease or condition
Medications
Depending on the purpose of your signs and symptoms, medications would possibly help. To widen blood vessels and growth blood drift, your medical doctor might prescribe:
Calcium channel blockers. These drugs relax and open small blood vessels for your fingers and feet, reducing the severity and range of assaults in the majority with Raynaud's. These drugs can also assist heal pores and skin ulcers for your palms or ft. Examples consist of nifedipine (Adalat CC, Procardia), amlodipine (Norvasc), felodipine and isradipine.
Vasodilators. These pills, which relax blood vessels, include nitroglycerin cream (Nitro-Dur) implemented to the bottom of your palms to assist heal pores and skin ulcers. Other vasodilators include the excessive blood stress drug losartan (Cozaar), the erectile dysfunction medicinal drug sildenafil (Viagra, Revatio), the antidepressant fluoxetine (Prozac, Sarafem) and a category of medications referred to as prostaglandins.
Surgeries and medical procedures
If you have got intense Raynaud's, your physician may additionally advise surgery or injections.
- Nerve surgery. Sympathetic nerves in your palms and feet manage the opening and narrowing of blood vessels in your skin. Cutting those nerves interrupts their exaggerated responses.Through small incisions within the affected arms or toes, a health practitioner strips these tiny nerves across the blood vessels. This surgery, if successful, might lead to fewer and shorter attacks.
Chemical injection. Doctors can inject chemical substances including neighborhood anesthetics or onabotulinumtoxinA (Botox) to dam sympathetic nerves in affected hands or feet. You would possibly need to have the procedure repeated if signs return or persist.
Lifestyle and home remedies
A style of steps can lower Raynaud's assaults and help you experience better.
Avoid smoke. Smoking or breathing in secondhand smoke causes skin temperature to drop by means of tightening blood vessels, which may cause an attack.
Exercise. Exercise can increase circulation, among different health advantages. If you have secondary Raynaud's, talk to your doctor before workout outdoors in the bloodless.
Control stress. Learning to understand and keep away from annoying conditions might assist manage the wide variety of assaults.
Avoid rapidly changing temperatures. Try not to move from a warm surroundings to an air-conditioned room. If feasible, avoid frozen-meals sections of grocery stores.
What to do during an attack
Warm your arms, feet or other affected regions. To gently heat your hands and feet:
Get indoors or to a warmer area
Wiggle your fingers and toes
Place hands under armpits
Make wide circles (windmills) with your arms
Run warm — not hot — water over your fingers and toes
Massage your hands and feet
If pressure triggers an attack, get out of the traumatic state of affairs and loosen up. Practice a strain-relieving approach that works for you, and warm your palms or feet in water to help lessen the attack.
Alternative medicine
Lifestyle modifications and dietary supplements that inspire better blood float would possibly help you control Raynaud's. However, it is doubtful how well these measures may match Raynaud's. More take a look at is needed. If you're involved, talk to your physician about:
Fish oil. Taking fish oil supplements could help improve your tolerance to cold.
Ginkgo. Ginkgo dietary supplements may want to decrease the number of Raynaud's attacks.
Acupuncture. This exercise appears to improve blood float, so it may be beneficial in relieving Raynaud's attacks.
- Biofeedback. Using your mind to control frame temperature may help decrease the severity and wide variety of attacks you enjoy. Biofeedback consists of guided imagery to increase the temperature of hands and toes, deep respiration, and other rest physical activities.Your physician may be able to suggest a therapist who lets you research biofeedback techniques. There are books and movies with difficulty.
Talk to your doctor earlier than taking dietary supplements. Your doctor can warn you if there are potential drug interactions or side results of opportunity treatments.
Preparing for your appointment
Your primary medical doctor will possibly be able to diagnose Raynaud's based totally on your signs and signs and symptoms. In a few instances, but, you may be referred to a medical doctor who specializes in issues of the joints, bones and muscle groups (rheumatologist).
Here's records to help you get ready for your appointment.
Make a listing of:
Your symptoms, when they began and what seems to trigger them
Other medical conditions You and your own family have, particularly connective tissue or autoimmune problems
All medications, vitamins and other supplements you take, including doses
Questions to ask your doctor
Take a family member or pal along, if viable, that will help you not forget the data you receive.
Questions to ask your physician include:
What is likely causing my signs and symptoms?
If I have Raynaud's, is it primary or secondary?
What treatment do you recommend, if any?
How can I reduce the risk of a Raynaud's attack?
I have other health conditions. How can I manage them together?
Don't hesitate to ask other questions.
What to expect from your doctor
Your doctor is likely to ask you questions, including:
During a Raynaud's attack, do your fingers or toes change color or feel numb or painful?
Has anyone else in your family been diagnosed with Raynaud's?
Do you smoke?
How much caffeine, if any, do you consume daily?
What do you do for a living and for recreation?
General summary
- disorder Raynaud’s disease is a condition in which blood vessels narrow and blood supply to the fingers and toes is reduced when they are exposed to cold Raynaud's disease can also involve other areas of the body such as the nose ears lips or chin In most people who have Raynaud's disease exposure to cold causes symptoms in the fingers and toes However some people only have symptoms involving their nose or ears These people may be unaware that they have Raynaud's disease until it is diagnosed by a doctor.
