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 Mayo Clinic Family Health Book The Ultimate Home Medical
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Published by Mayo Clinic

© 2018 Mayo Foundation for Medical Education and Research (MFMER)

MAYO, MAYO CLINIC and the Mayo triple-shield logo are marks of
Mayo Foundation for Medical Education and Research. All rights reserved.
No part of this book may be reproduced, stored in a retrieval system, or
transmitted, in any form or by any means, electronic, mechanical,
photocopying, recording or otherwise without the prior written permission
of the publisher, except in the case of brief quotations embodied in critical
articles and reviews.
Mayo Clinic Family Health Book, Fifth Edition, provides reliable, practical,
comprehensive, easy-to-understand information on issues relating to good
health. The information in this book is true and complete to the best of our
knowledge. This book is intended to supplement the advice of your personal
physician, whom you should consult about your individual medical
condition. The information in this book is offered with no guarantees. The
author and publisher disclaim all liability in connection with this book.
Mayo Clinic Family Health Book does not endorse any company or
product.
ISBN (Hardcover): 978-1-945564-02-4
ISBN (Ebook): 978-0-7953-5102-0

Mayo Clinic Guide to Self-Care is designed to supplement the advice of

your personal physician, whom you should consult regarding individual
medical conditions.
MAYO, MAYO CLINIC and the Mayo triple-shield logo are marks of
Mayo Foundation for Medical Education and Research.
A Note to Readers
In this book, we commonly use the term doctor when referring to an
interaction between a health care professional and a patient. However, we
are well aware that health care today is often provided by individuals who
aren’t medical doctors. Other talented providers such as physician
assistants, nurse practitioners, clinical nurse specialists and nurse midwives
are taking on an increasing role in medicine, especially in providing
primary care. We use the term doctor as an umbrella term that encompasses
medical doctors and other certified health professionals who are licensed to
provide medical care. For space reasons and for ease of reading, using one
word to describe this group of individuals was preferable.

Photo Credits
The individuals pictured in the lifestyle photos are models, and the photos
are used for illustrative purposes only. There is no correlation between the
individuals portrayed and the condition or subject being discussed. All
photographs and illustrations are copyright of MFMER, except for the
following:
 PREFACE

The field of medicine is ever-changing. Advances in technology and

diagnostic and surgical techniques, and the development of new
medications, continue to provide doctors and scientists with ever-more-
powerful tools for diagnosing and treating disease. What this means for you
and me is a better chance of living a longer, healthier life.
However, medical advances alone can’t guarantee good health. You still
play a crucial role in determining your future health and wellness. Even
more important than the ability to treat disease is the ability to prevent it.
And that’s where your actions can pay off the most. Healthy lifestyle habits,
such as exercising daily, eating well and seeing your doctor for appropriate
preventive care, are still your best bet for enjoying a long and productive
life.
Mayo Clinic Family Health Book, Fifth Edition, is based on the premise
that knowledge gives you the tools needed to maintain good health. This
new edition of Mayo Clinic Family Health Book was created by revising
and rewriting much of the information in the previous edition. It’s our hope
that this fully updated fifth edition will serve not only as a reference during
times of illness but also as a guide in helping you and your family adopt
healthy lifestyle practices.
The information provided in this book isn’t a substitute for seeing a
doctor. No book can replace the advice of a doctor who has evaluated your
overall health. The intent of this book is to help you better understand
various symptoms, diseases, tests and treatments so that you can
communicate more effectively with your doctor and the two of you can
work together to manage your health.
Mayo Clinic Family Health Book is based on the expertise of hundreds
of Mayo Clinic health care professionals and the advice they give their
patients day in and day out. A special thanks goes out to many Mayo Clinic
staff members who took time from their busy schedules to offer their advice
and guidance as we prepared this new edition.
This book could not have been completed without the dedication and
efforts of Associate Editor Sanjeev Nanda, M.D., and Senior Editor Karen
Wallevand.
I also want to thank the marvelous colleagues, nurses and support staff
with whom I work, especially my administrative teammate Amy Clark, who
have made my Mayo Clinic career so gratifying. They all care for our
patients as they would their own families.
A final thank you goes to my wife, Jolene, my son, Sam, my daughter,
Cassie, and her husband, Chad, and my sister Nancie. They have taught me
the true meaning and importance of the word family.
All of us involved in the development of this book hope you find the
information that it contains to be useful and that this great resource will
help you and your family stay healthy.

Scott C. Litin, M.D.

Medical Editor
Editorial Staff
Medical Editor, Scott C. Litin, M.D.

Associate Medical Editor, Sanjeev Nanda, M.D.

Editorial Director, Paula M. Marlow Limbeck

Senior Editor, Karen R. Wallevand

Senior Product Manager, Christopher C. Frye

Art Director, Stewart Jay Koski

Medical Illustrators, David J. Cheney, David A. Factor, Stephen Graepel,

John Hagen, Joanna R. King, Michael A. King, Margaret Alice McKinney,
James Postier

Photographers, Michael J. Cleary, Jodi O’Shaughnessy Olson

Production. Kent McDaniel, Gunnar T. Soroos

Editorial Research Manager, Deirdre A. Herman

Editorial Research Librarians, Abbie Y. Brown, Erika A. Riggin, Katie J.

Warner

Proofreaders, Miranda M. Attlesey, Alison K. Baker, Julie M. Maas

Indexer, Steve Rath

Administrative Assistant, Terri L. Zanto Strausbauch

Assistant Editors
Jayanth Adusumalli, M.B.B.S., M.P.H., General Internal Medicine
Paldeep S. Atwal, M.B., Ch.B., Clinical Genomics
Sophie J. Bakri, M.D., Ophthalmology
Brent A. Bauer, M.D., General Internal Medicine
Tracy M. Berg, R.Ph., Pharmacy Services
Crystal R. Bonnichsen, M.D., Cardiovascular Diseases
Barbara K. Bruce, Ph.D., L.P., Psychology
Lisa K. Buss Preszler, R.Ph., Pharmacy Services
Alan B. Carr, D.M.D., Dental Specialties
Bart L. Clarke, M.D., Endocrinology
Walter J. Cook, M.D., Pediatrics
John M. Davis III, M.D., Rheumatology
Stephanie S. Faubion, M.D., Women’s Health Clinic
Debbie L. Fuehrer, L.P.C.C., General Internal Medicine
Lawrence E. Gibson, M.D., Dermatology
John B. Hagan, M.D., Allergic Diseases
Stephanie L. Hansel, M.D., Gastroenterology
Donald D. Hensrud, M.D., M.P.H., Preventive Medicine
LaTonya J. Hickson, M.D., Nephrology
Jeffrey R. Janus, M.D., ENT
Mary J. Kasten, M.D., General Internal Medicine
Cassie C. Kennedy, M.D., Pulmonary Medicine
Kelsey M. Klaas, M.D., Pediatrics
Esther H. Krych, M.D., Pediatrics
Edward R. Laskowski, M.D., Physical Medicine and Rehabilitation
Melissa C. Lipford, M.D., Sleep Medicine
Margaret E. Long, M.D., Obstetrics and Gynecology
David D. McFadden, M.D., General Internal Medicine
Timothy J. Moynihan, M.D., Oncology
Todd B. Nippoldt, M.D., Endocrinology
Laura J. Odell, R.Ph., Pharmacy Services
Sandhya Pruthi, M.D., Breast Diagnostic Clinic
S. Vincent Rajkumar, M.D., Hematology
Joyce L. Sanchez, M.D., Infectious Diseases
Benjamin J. Sandefur, M.D., Emergency Medicine
Rebecca A. Sanders, M.D., Pain Medicine
Terry D. Schneekloth, M.D., Psychiatry
Jacob J. Strand, M.D., Palliative Medicine
Bruce Sutor, M.D., Psychiatry
R. Houston Thompson, M.D., Urology
Farris K. Timimi, M.D., Cardiovascular Diseases
Matthew K. Tollefson, M.D., Urology
Landon W. Trost, M.D., Urology
Myra J. Wick, M.D., Ph.D., Obstetrics and Gynecology
Nathan P. Young, D.O., Neurology
Debra A. Zillmer, M.D., Orthopedics

Additional Contributors
Nusheen Ameenuddin, M.D., M.P.H., Pediatrics
Herjot K. Atwal, R.Ph., Pharmacy Services
Patrick R. Blackburn, Ph.D., Genetics and Genomics
Judy C. Boughey, M.D., Surgery
Bryan J. Buechel, Pharmacy Services
Petra M. Casey, M.D., Obstetrics and Gynecology
Anna L. Cavallo, Global Business Solutions
Charles C. Coddington III, M.D., Reproductive Endocrinology and
Infertility
Valeria Cristiani, M.D., Pediatrics
Susanne M. Cutshall, APRN, CNS, D.N.P., General Internal Medicine
Donald Chris Derauf, M.D., Pediatrics
Amanda J. Ewald, R.Ph., Pharmacy Services
Alice Gallo De Moraes, M.D., Pulmonary Medicine
Jennifer M. Gass, Ph.D., Genetics and Genomics
Gretchen E. Glaser, M.D., Gynecologic Surgery
Tara L. Henrichsen, M.D., Radiology
Matthew R. Hopkins, M.D., Obstetrics and Gynecology
Robert M. Jacobson, M.D., Pediatrics
Yogish C. Kudva, M.B.B.S., Endocrinology
Brenda S. Lindsay, Creative Media
Sarah K. Macklin, M.S., CGC, Clinical Genomics
Meghna P. Mansukhani, M.D., Family Medicine
Dietrich Matern, M.D., Ph.D., Laboratory Genetics
Angela C. Mattke, M.D., Pediatrics
Lonzetta Neal, M.D., Breast Diagnostic Clinic
Rose J. Prissel, M.S., RDN, LD, Clinical Nutrition
Kathryn J. Ruddy, M.D., Oncology
Jordan Rullo, Ph.D., L.P., Psychiatry
Emanuel C. Trabuco, M.D., Gynecologic Surgery
Maria G. Valdes, M.D., Pediatrics
Stephanie K. Vaughan, Global Business Solutions
Laura Hamilton Waxman
Tomohiko Yamada, O.D., Ophthalmology
 Contents

Preface

PART ONE: Injuries and Symptoms

CHAPTER 1: First Aid and Emergency Care

CHAPTER 2: Making Sense of Your Symptoms

PART TWO: Pregnancy and Healthy Children

CHAPTER 3: Pregnancy and Childbirth

CHAPTER 4 Infant and Toddler Years

CHAPTER 5: Preschool and Early School Years

CHAPTER 6: Preteen and Teenage Years

PART THREE: Healthy Adults

CHAPTER 7: Vaccinations and Screenings

 CHAPTER 8: Nutrition and Weight

CHAPTER 9: Fitness

CHAPTER 10: Stress

CHAPTER 11: Unhealthy Behaviors

CHAPTER 12: Healthy Travel

CHAPTER 13: End-of-Life Issues

Visual Guide: Anatomy and Common Disorders

PART FOUR: Diseases and Disorders

CHAPTER 14: Genetics and Disease

CHAPTER 15: Cancer

CHAPTER 16: Infectious Diseases

CHAPTER 17: Allergies and Asthma

CHAPTER 18: Brain and Nerves

CHAPTER 19: Eyes and Vision

CHAPTER 20: Ears, Nose and Throat

CHAPTER 21: Teeth and Mouth

CHAPTER 22: Heart and Blood Vessels

 CHAPTER 23: Lungs and Respiratory System

CHAPTER 24: Breast Health

CHAPTER 25: Digestive System

CHAPTER 26; Kidneys and Urinary Tract

CHAPTER 27; Bones, Joints and Muscles

CHAPTER 28: Endocrine System

CHAPTER 29: Blood and Lymphatic System

CHAPTER 30: Skin, Hair and Nails

CHAPTER 31: Mental Illness

CHAPTER 32: Sleep Disorders

CHAPTER 33: Women’s Health

CHAPTER 34: Men’s Health

PART FIVE :Tests and Treatments

CHAPTER 35: Tests and Procedures

CHAPTER 36: Medications Guide

CHAPTER 37: Pain Management

CHAPTER 38: Integrative Medicine

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