Herniated Disc

A herniated disc occurs when one of the discs in the spine tears or ruptures, allowing the jelly-like substance, or nucleus, in the disc to leak and irritate surrounding nerves.

A herniated disc can affect any part of the spine; however, this problem is most likely to occur in the lower spine. Herniated discs in the lumbar spine (the lower back) typically result in symptoms that affect the legs, feet, lower back, or buttocks. A common cause of lower back pain is a herniated disc. This pain is often described as sharp and radiating.  In addition to lower back pain, a herniated disc can also cause leg pain, or sciatica.

A herniated disc in the cervical spine (the neck) may lead to neck pain, pain between the shoulder blades, or pain in the arms, hands, or fingers.  Herniation in the neck or lower spine may also result in numbness, tingling, or muscle weakness, and in some instances bladder problems.

Herniated discs can be caused by age-related weakening or wear and tear of the discs; this is called disc degeneration. Other causes include:

  • Sudden or traumatic injuries
  • Repeated minor injuries
  • Repeated bending, strain, or twisting
  • Improper lifting of heavy objects
  • Poor posture
  • Obesity or excess body weight

Some people are at risk of getting a herniated disc more than others. Risk factors include:

  • Living a sedentary life
  • Being overweight
  • Smoking
  • Working in a career that requires frequent heavy lifting
  • Having a previously herniated disc
  • Having close blood relatives with spinal disc problems
  • Having a connective tissue disorder
  • Being seated for long periods

Most herniated discs heal on their own; however, in some instances, they may not. Symptoms of a herniated disc can worsen over time if left untreated, leading to complications such as bladder or bowel dysfunction, significant tingling, numbness, or weakness.  It is advisable that you see a doctor if you are experiencing these complications.

Your physician may perform a thorough physical examination and order neurological examinations, imaging tests, or nerve tests to help diagnose a herniated disc. Once diagnosed, treatment may involve medications, physical therapy, spinal injections, or surgery.

To schedule an appointment with a doctor at Jamaica Hospital Medical Center, please call 718- 206-7001.

 

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Scar Revision

A scar is a visible mark that is made of fibrous tissue.  Scars may form as a result of surgery, injury, infection, burns, or sores.

Less severe scars may fade (appearing lighter or less prominent) over time. However, thicker, more severe scars may remain prominent and cause physical discomfort, such as pain or tenderness to the touch. In addition, severe scars, particularly those resulting from burns, prior surgeries, or injuries, can restrict motion by tightening the skin. People may consider scar revision to address these issues.

Scar revision is a treatment performed to cosmetically improve the appearance of scars or potentially minimize the discomfort caused by scars.  It is important to note that scar revision will not completely erase your scar.

There are several scar revision treatments, including:

  • Injectables/ steroid injections
  • Topical treatments
  • Resurfacing treatments
  • Surgery

Scar revision surgery is plastic surgery performed to alter the appearance or condition of scars.  Surgery typically involves advanced, minimally invasive techniques such as surgical excision, tissue expansion, Z-plasty or W-plasty, skin flap surgery, or skin grafts.

It is important to note that all surgical procedures carry risks; however, serious complications are rare in scar revision surgery.  Potential risks include:

  • Poor wound healing
  • Bleeding
  • Infection
  • Recurrence of keloid scars
  • Asymmetry
  • Anesthesia risks (if general anesthesia is used)
  • New scar may not look exactly as desired (though usually better than the original)

If you are considering scar revision surgery, you will first meet with a plastic surgeon for a consultation.  Your surgeon will evaluate your scar to determine which treatments or methods may work best for you.   A qualified plastic surgeon evaluates risks based on your health and scar type.

To learn more about scar revision surgery or to schedule an appointment with a plastic surgeon at Jamaica Hospital Medical Center, please call 718-206-6713.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

High Blood Pressure and Heart Health

The American Heart Association defines hypertension, or high blood pressure, as a condition that occurs when the force of your blood pushing against the walls of your blood vessels is too high.

Hypertension causes the heart to work harder, which can lead to serious cardiovascular problems, including heart failure, stroke, and heart disease. When the heart works harder, it also greatly increases the risk of a heart attack.

Managing high blood pressure and keeping it under control can significantly reduce the risk of these issues.  You can reduce heart risks caused by high blood pressure by:

  • Monitoring your blood pressure at home
  • Eating a heart-healthy diet
  • Lowering sodium intake
  • Maintaining a healthy weight
  • Taking blood pressure medications as prescribed

Understanding the risk factors of high blood pressure is also crucial, as this can help you manage your heart health.  The risk factors are:

  • Family history (Having a parent or close blood relative with high blood pressure increases the likelihood that you develop hypertension)
  • Age (As you get older, your risk for developing high blood pressure increases)
  • Sex (According to the American Heart Association Until age 64, men are more likely than women to get high blood pressure. At 65 and older, women are more likely to get high blood pressure)
  • Race (African Americans have a higher risk of developing high blood pressure compared to other races)
  • Obesity (Too much weight puts strain on your heart and circulatory system)
  • Tobacco use (Using tobacco can damage the heart and arteries, leading to elevated blood pressure levels)
  • Drinking too much alcohol (Drinking excessive amounts of alcohol regularly can raise blood pressure. Heavy drinking can weaken and damage blood vessels, potentially leading to hypertension)
  • Lack of physical activity (Regular exercise strengthens the heart; when you are inactive, the heart must work harder to circulate blood, and harder pumping leads to high blood pressure)
  • Eating an unhealthy diet (Eating a diet that is high in sodium, trans fats, saturated fats, and sugar increases your risk)

One of the dangers of living with high blood pressure is that many people are unaware that they have it.  This is why hypertension is called “The Silent Killer.” Living with untreated high blood pressure can cause significant damage to the cardiovascular system over time.

Early detection and treatment of high blood pressure can delay or prevent complications that affect cardiovascular health. Treatment may involve medications and lifestyle modifications.

Jamaica Hospital Medical Center’s cardiology department features a specialized Hypertension Center that offers high-quality, patient-centered care for hypertension and incorporates the latest treatment advances. This center was established specifically to assist patients who do not respond effectively to traditional hypertension medications.

The American Heart Association has recognized our Hypertension Practice Center for meeting or exceeding its standards for hypertension treatment. To schedule an appointment with our Cardiology Department, please call 718) 206-7100

 

 

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

High Doses of Supplements May Lead To Liver Damage

Dietary supplements are products we ingest that contain concentrated forms of nutrients or substances that are found in food or plants.

Supplements can come in capsule, liquid, gummy, or powder form. We take them to ensure our nutritional needs are met, to address certain deficiencies, or to help us manage certain health conditions.

Although supplements can help us maintain or improve our overall health, they also pose risks, especially when taken at higher-than-recommended doses.

Certain supplements, when taken in excess, can cause serious damage to our organs.  Our liver is most susceptible to this type of injury or damage because it filters and processes everything we ingest.  Research published in the journal Hepatology and indexed by the National Library of Medicine estimates that 20% of drug-induced liver damage or injury is tied to herbal and dietary supplements. The following supplements are among those associated with liver damage or toxicity, when overused:

  • Glutamine
  • Turmeric
  • Vitamin A
  • Niacin
  • Kava
  • Green tea extract
  • Black cohosh
  • Bodybuilding or weight loss supplements
  • Ma huang (Ephedra)
  • Ashwagandha
  • Skullcap
  • John’s wort

The effects of overusing these supplements may be acute or develop over time. Signs and symptoms of liver damage include:

  • Nausea and vomiting
  • Jaundice (yellowing of the eyes or skin)
  • Itching
  • Dark urine
  • Pale-colored stools
  • Fluid in the abdomen

Researchers believe the prevalence of drug-induced liver damage, linked to supplements, is growing because more people are taking supplements, and a lot more of them.

Furthermore, supplements are not regulated by the U.S. Food & Drug Administration (FDA) like prescription medications and may not always contain the exact dose listed on the label. Therefore, you may not always know what you are getting.

If you are considering adding supplements to your healthcare regimen, there are a few steps you can take to ensure your safety:

  • Speak with your doctor before taking supplements
  • Buy from reputable brands
  • Look for third-party testing certifications from public health organizations such as NSF or USP

If you are experiencing symptoms of liver damage, schedule an appointment with your doctor as soon as possible to avoid complications.

To schedule an appointment with a doctor at Jamaica Hospital Medical Center, please call 718-206-7001.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

What Happens to The Body on Long Flights

The airline industry classifies long-haul flights as those with a flight time of six hours or more. Flying for extended periods can take a toll on our bodies. It can make us tired and uncomfortable, but it can also affect us in the following ways:

  • Dehydration– The low levels of humidity in the cabin air can lead to dehydration. Dry recycled air can make our skin and mucosal areas, such as the nose, throat, and mouth, feel excessively dry. It can also lead to a lack of lubrication in our body’s systems. Therefore, it’s important that you drink water before boarding the plane and during your flight.
  • Muscle stiffness and soreness – Staying seated for extended periods can lead to muscle stiffness and soreness. A lack of movement can compress joints and reduce blood flow, which further contributes to muscle discomfort. Additionally, dehydration can result in cramps, spasms, or joint pain. To alleviate these issues, stay hydrated and take breaks to walk or stretch whenever possible.
  • Airplane ear or barotrauma – Changes in cabin pressure affect the air pressure in your ears, which places stress on your eardrums. This may lead to earaches, muffled hearing, or discomfort. Chewing gum, yawning, or swallowing can usually improve symptoms.
  • Gut issues- Sitting for too long can affect our digestive system and trigger stomach issues such as diarrhea, gas, constipation, or bloating. Factors such as cabin pressure, dehydration, changes in eating schedule, and lack of movement can contribute to these problems. Drinking water, walking in the aisles, avoiding certain foods, or taking medication may provide some relief.
  • Blood clots /deep vein thrombosis – Long-distance flights increase the risk of blood clots and deep vein thrombosis. Remaining sedentary for hours can lead to blood clots forming in the deep veins of the legs. If these blood clots break off and travel to the lungs, they can cause a serious condition known as pulmonary embolism (PE), which is a blockage in the lungs that can lead to shortness of breath, fainting, or even death.  To reduce the risk of complications, long-distance travelers are encouraged to walk around, when possible, move their legs frequently, or wear compression socks.

When flying long distances, it’s crucial to be aware of potential medical issues you may encounter. Pay attention to warning signs and take the proper precautions needed to protect your health.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

When To Worry About Heart Palpitations

Heart palpitations are feelings or sensations of a fast-beating, fluttering, or pounding heart.  They are felt when the heart beats outside its usual rhythm.

Heart palpitations are common; most aren’t cause for concern.  They can be caused by fever, anxiety, stress, fear, drinking alcohol or caffeine, dehydration, menopause, pregnancy, or overactive thyroids.   Certain medications and supplements can also cause heart palpitations.

While palpitations are often harmless, they can sometimes be a sign of a serious health problem.  Heart palpitations lasting more than a few seconds or minutes can be a sign of arrhythmia or other heart rhythm issues.

Additionally, heart palpitations accompanied by symptoms such as chest pain, shortness of breath, fainting, dizziness, or excessive sweating can be signals of heart failure or other conditions needing immediate care.

A doctor can diagnose heart palpitations by conducting a physical examination, which includes listening to your heart and lungs.  Your doctor may also order tests such as an EKG, echocardiogram, or Holter monitoring to check for an irregular heartbeat. They may also review lifestyle factors such as your diet to determine the potential cause of your heart palpitations.

Treatment for heart palpitations depends on the cause. Prescription medications or surgery may be recommended if there is an underlying issue, such as heart disease or arrhythmia. Otherwise, your doctor may suggest lifestyle changes, such as drinking less coffee, quitting smoking, avoiding certain foods, or doing less strenuous exercises to reduce triggers that lead to palpitations.

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

High Functioning Depression

Depression is a mental health disorder characterized by a persistent feeling of sadness, hopelessness, or a loss of interest in things once enjoyed.

Depression affects approximately eight percent of adults living in the United States each year.  Several of whom may experience debilitating symptoms that can affect their ability to keep up with the demands of day-to-day life.

While the symptoms of depression can present significant challenges for some individuals—affecting their work, relationships, and social lives—others may appear to cope successfully with their symptoms. The term “high-functioning depression” describes people who live with depression and seem to manage well on the outside, even though they are struggling with symptoms internally.

It’s important to note that high-functioning depression is not an official clinical diagnosis. Instead, the term emphasizes the experience of living with depression while still functioning or meeting the demands of everyday life.

The symptoms of high-functioning depression are generally similar to those of major depressive disorder; however, the intensity and frequency may vary, with symptoms sometimes considered mild or moderate. These symptoms can include:

  • Feelings of hopelessness
  • Persistent sadness
  • Irritability
  • Loss of interest or pleasure
  • Difficulty concentrating
  • Trouble sleeping
  • Fatigue
  • Changes in appetite

Although the intensity or frequency of symptoms in individuals who seem high-functioning may not be debilitating, they should not be overlooked. It is crucial to seek help. There is no shame in reaching out to a mental health professional and building a support system.

Treatment for depression may include a combination of psychotherapy or talk therapy, medications, brain stimulation therapies, complementary medicine, or lifestyle modifications.

To schedule an appointment with a mental health provider at Jamaica Hospital Medical Center, please call 718-206-5575.

 

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Hemorrhoids

On the table are a stethoscope, a thermometer, a pen and a notebook with the inscription -Hemorrhoid. The concept of medicine.Hemorrhoids, also called piles, are swollen or enlarged veins that form in the lower rectum and around the anus.

There are two types of hemorrhoids: internal and external hemorrhoids.  Internal hemorrhoids form in the lining of the anus and the lower rectum. External hemorrhoids develop under the skin around the anus.

Hemorrhoids are common in both men and women, affecting an estimated 50% of adults at some point in their lives.  Some people are more at risk of developing hemorrhoids than others. They include those who:

  • Live a sedentary lifestyle or have a profession where they sit for long periods
  • Are pregnant
  • Have a family history of hemorrhoids
  • Are between the ages of 45 and 65 years old

Hemorrhoids develop when there is increased pressure on the veins in the anus or rectum, which leads to inflammation and swelling.

Increased pressure on the veins in these areas may be caused by:

  • Chronic constipation or diarrhea
  • Straining when passing stool
  • Sitting on the toilet for extended periods
  • Eating a low-fiber diet
  • Being pregnant
  • Frequently lifting heavy objects
  • Being overweight or obese
  • Having anal intercourse

The symptoms of hemorrhoids vary based on the type you have (internal or external).  You may experience:

  • Itching
  • Swelling or hard lumps around the anus
  • Pain or discomfort in the affected area
  • Bleeding (You may see bright red blood in stool, on toilet paper, or in the bowl, after pooping)

Symptoms of more minor hemorrhoids may be treatable at home, using over-the-counter hemorrhoid and pain medications, soaking in sitz baths, drinking more water, eating more fiber, or taking laxatives.

You should see a doctor if symptoms persist (not improving after one week of at-home treatments), and especially if your stool turns black or red, or if you notice more blood than usual.

Your doctor can diagnose hemorrhoids by performing a physical examination or tests such as a digital rectal exam or anoscopy.  They may recommend treatments based on the symptoms you are experiencing and their severity. Treatment can include injections, surgery, rubber band ligation, or using infrared light to burn hemorrhoids.

To schedule an appointment with a doctor at Jamaica Hospital Medical Center, please call 718-206-7001.

 

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Atrial Fibrillation (AFib)

Atrial fibrillation (AFib) is a common type of arrhythmia, or heart rhythm disorder. According to the American Medical Association, more than 5 million adults in the United States are living with AFib.

During AFib, the upper chambers (atria) of our heart beat irregularly and rapidly, which may cause blood to pool and clot.  This can lead to serious complications such as stroke or heart failure.

The most common cause of AFib is problems with the heart’s structure. Here are other potential causes:

  • High blood pressure
  • Thyroid disease, such as hyperthyroidism
  • Obstructive sleep apnea
  • Heart diseases such as heart valve disease or coronary artery disease
  • Infections

Some people have an increased risk of developing AFib more than others.  Risk factors include:

  • Obesity
  • Lifestyle choices such as smoking or drinking alcohol excessively
  • Age, especially individuals over the age of 65
  • A family history of AFib
  • Having diabetes
  • Having chronic kidney disease
  • Having had recent heart surgery

Not everyone who has AFib will notice symptoms. However, in other cases, a person may experience:

  • Extreme fatigue
  • Low blood pressure
  • Shortness of breath
  • Chest pain
  • Heart palpitations
  • Dizziness or lightheadedness

AFib is often discovered during health checkups because not everyone experiences symptoms.  You should see a doctor if you are experiencing symptoms such as chest pain, heart palpitations, shortness of breath, lightheadedness, or dizziness.

To diagnose AFib, your doctor will order an electrocardiogram (ECG) to measure the electrical activity of your heart. They may also order additional tests to test conditions that cause irregular heartbeats.

Treatment for AFib can include medications, surgery, or lifestyle changes.  To schedule an appointment with a cardiologist at Jamaica Hospital Medical Center, please call 718-206-7100.

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Hypertensive Heart Disease

Hypertensive heart disease are conditions that develop when chronic high blood pressure, one that is higher than 120/80 mmHg, is left untreated for a long time.

Hypertensive heart disease is a leading cause of illness and death related to high blood pressure. When high blood pressure is not properly managed over time, it puts extra strain on the heart. This can lead to various issues, including damage to the heart, coronary heart disease, and thickening or enlargement of the heart muscles, along with other serious health conditions.

Symptoms of hypertensive heart disease can vary based on the type of heart condition a person has, or the progression of disease; they may include:

  • Shortness of breath
  • Chest pain
  • Pain in the shoulders, neck, or back
  • Stroke
  • Sudden cardiac death
  • Fainting
  • Dizziness
  • Fatigue
  • Swelling of the ankles or legs
  • A persistent cough

Complications that can result from hypertensive heart disease are:

  • Heart failure
  • Stroke
  • Sudden cardiac death
  • Arrhythmia

Some people are more likely to develop hypertensive heart disease than others. You have an increased risk if you:

  • Smoke or use tobacco products
  • Drink alcohol heavily
  • Do not exercise regularly
  • Are taking certain medications
  • Eat a high-sodium diet
  • You have a close family member with a history of high blood pressure
  • Have certain health conditions such as diabetes
  • Are over the age of 45
  • Have high cholesterol
  • Are overweight

Hypertensive heart disease takes years to develop. You can reduce the risk of complications by visiting your doctor regularly. If you are experiencing symptoms associated with hypertensive heart disease, your doctor may order tests such as blood tests, urine tests, an electrocardiogram (EKG), or imaging tests to diagnose the disease.

Treatment for hypertensive heart disease may include medications to control high blood pressure or help your heart in other ways, recommending lifestyle changes, or surgery.

Jamaica Hospital Medical Center is proud to offer a patient-centered environment that consistently provides quality cardiology care. Please call our cardiology department at (718) 206-7100 to make an appointment or learn more about our services.

 

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.