Anxiety Triggers

Posted on August 29, 2022 by Xavia Malcolm

Anxiety is defined by the National Library of Medicine as, “a feeling of fear, dread, and uneasiness.” Having these feelings occasionally is normal; however, they become a health concern when they are excessive and interfere with the ability to live a normal life.

The exact cause of anxiety is still not fully understood, but it is believed that the following factors play a role:

Genetics
Environmental stress
Brain chemistry
Certain medical conditions

Although the exact cause of anxiety is unknown, there are certain triggers such as life events, lifestyle changes, or daily habits that can lead to or worsen this response. These include:

Financial insecurity
Traumatic experiences
Caffeine consumption
Alcohol consumption
Meeting new people
Stress
Relationship problems
Exposure to violence
Taking certain medications
Substance misuse
Loneliness or isolation

Anxiety triggers are unique to each individual. However, the most important steps anyone affected by anxiety can take is identifying what their triggers are and learning how to cope with them. Here are a few tips for coping with anxiety:

Limit alcohol and caffeine consumption
Exercise
Use stress management or relaxation techniques such as yoga, meditation, or deep breathing
Maintain good sleep health
Try to minimize negative thoughts and think positively
Journal or write down your thoughts
Speak to someone about how your feeling
Adhere to your treatment plan

Anxiety affects many people, and no one should feel ashamed if they struggle with the disorder or other mental health disorders. If you or someone you know is affected by anxiety, consult a mental health professional to explore possible causes and treatments. Your mental health provider may recommend lifestyle changes, psychotherapy, or medication.

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.

The Emergency Contraceptive Pill

Posted on August 8, 2022 by Xavia Malcolm

The emergency contraceptive pill (ECP), often referred to as the “Morning After Pill”, is a type of emergency birth control used to prevent pregnancy in women who have had unprotected sex or whose birth control method has failed.

Emergency contraceptive pills contain the medications levonorgestrel or ulipristal acetate. Both delay or prevent ovulation when taken within 72 to 120 hours after contraceptive failure or having unprotected sex. Pills containing ulipristal acetate require a prescription and those made with levonorgestrel can be purchased over the counter without a prescription.

It is important to note that while effective, emergency contraceptive pills do not prevent all pregnancies. According to The American Academy of Family Physicians, “Emergency contraception is about 75 to 85 percent effective.”

Furthermore, they are less effective when taken beyond the recommended time of 72 to 120 hours after intercourse. The sooner they are taken the better.

Emergency contraceptive pills are generally safe to take; however, they should not be used if:

You know you are or think you might already be pregnant
You have a history of abnormal vaginal bleeding
You are allergic to the ingredients

Other precautions to keep in mind are: ECPs should only be taken as a form of backup contraception. They should not be used for routine birth control. Lastly, these pills cannot be used to terminate a pregnancy.

The side effects of emergency contraceptive pills are mild and may include:

Headache
Fatigue
Breast tenderness
Abdominal cramps
Spotting (light bleeding)
Nausea or vomiting ( If you vomit within two hours after taking an emergency contraceptive pill, consult with your healthcare provider to determine if you should repeat the dose.)

If you are experiencing symptoms such as abnormally heavy or long-lasting vaginal bleeding, fevers or chills, pain during intercourse after taking ECPs, or missed periods within three weeks of taking the pill contact your doctor immediately.

To speak with a doctor at the Women’s Health Department at Jamaica Hospital Medical Center, please call 718-291-3276.

Supplements And Drug Interactions

Posted on July 26, 2022 by Xavia Malcolm

It is common for people to take dietary supplements while using prescribed medications. However, many do not disclose this information to their doctors.

Informing your doctor of prescription and supplement usage is important because some supplements when combined with certain medications can cause interactions that endanger your health.

The U.S. Food and Drug Administration (FDA), warns against combining the following medications and supplements as doing so can result in adverse reactions:

Drugs for HIV/AIDS, heart disease, depression, treatments for organ transplants, and birth control pills are less effective when taken with St. John’s wort, an herbal supplement.
Warfarin (a prescription blood thinner), ginkgo biloba (an herbal supplement), aspirin, and vitamin E (a supplement) can each thin the blood. Taking any of these products together may increase the potential for internal bleeding or stroke.

Other examples of dietary supplement and prescription medication interactions are:

Goldenseal – it is highly advised that goldenseal not be combined with most over-the-counter and prescription medicines. It may interact with blood thinners, chemotherapy and HIV drugs.
Calcium- may interact with certain antibiotics, thyroid or osteoporosis drugs.
Co-Q10- may interact with blood thinners and cancer drugs.
Valerian- may interact with anti-anxiety drugs.

It is important to keep in mind that while many supplements are labeled as natural, they may not always be safe, especially when taken with certain medicines. The FDA advises patients to always consult with their physicians before taking any dietary supplement and medication combinations.

Wearing Compression Socks During Long Flights

Posted on July 19, 2022 by Xavia Malcolm

Staying seated during long-haul flights lasting four or more hours can slow down the flow of blood in the legs.

A slow-down in circulation can increase the risk of pulmonary embolism or deep vein thrombosis. Deep vein thrombosis (DVT) occurs when blood clots form in the deep veins in the legs. Pulmonary embolism (PE) occurs when there is a blockage in the pulmonary arteries in the lungs. This is most likely caused by a blood clot that traveled from the deep veins in the legs to the lungs.

DVT and PE can lead to serious and potentially fatal complications. However, there are several things you can do to reduce the risk of developing these problems while flying, one of which is wearing compression socks.

Compression socks work by squeezing or placing pressure on the veins in the legs and feet. This helps with improving circulation and preventing blood from pooling in the veins.

Additional health benefits gained by wearing compression socks are:

They can help ease swelling in the feet
They can provide some relief to tired and achy feet
They can help improve lymphatic drainage

When purchasing a pair of compression socks, there are a few things you should keep in mind:

They have different levels of pressure, measured in mmHg
You likely have the wrong size if they feel too tight or painful

If you are flying for an extended period, consider wearing compression socks. But first, speak with your healthcare provider to decide if they are right for you. Compression socks may do more harm than good if not worn properly or if they do not fit correctly.

Optimize Your Bedroom for A Good Night’s Sleep

Posted on May 3, 2022 by Xavia Malcolm

One of the keys to achieving a good night’s rest is creating an environment that supports quality sleep.

There are a few factors to consider when cultivating that space. They include lighting, sound, tidiness, color, and temperature.

Here are a few ways you can optimize these elements to create a sleep-friendly bedroom:

Turn off all lights- This includes television lights, as well as lights from computers and phones. Exposure to light during sleep can throw off the body’s sleep-wake cycle.
Keep it quiet- Remove or turn off electronics and any other items that contribute to background noise. The only noise believed to help you sleep is white noise.
Clear clutter- Research shows that sleeping in a cluttered room can affect sleep and lead to anxiety or stress.
Choose paint colors that are conducive to sleep- Colors such as lavender, blue, silver and green are known to be calming. Whereas, colors such as purple and red are believed to be stimulating.
Sleep in cool temperatures- According to the Sleep Foundation, “The best bedroom temperature for sleep is approximately 65 degrees Fahrenheit (18.3 degrees Celsius). This may vary by a few degrees from person to person, but most doctors recommend keeping the thermostat set between 60 to 67 degrees Fahrenheit (15.6 to 19.4 degrees Celsius) for the most comfortable sleep.”

Following these recommendations can help you achieve quality sleep. Sleep specialists also recommend sticking to a sleep schedule, avoiding heavy meals a few hours before bedtime, and exercising at least three hours before bed as habits you can apply to improve sleep health.

If you are having problems falling and staying asleep, please consult a sleep specialist. To schedule an appointment with the Jamaica Hospital Sleep Center, call 718-206-5916.

Signs and Symptoms of Depression In Teens

Posted on April 13, 2022 by Xavia Malcolm

It is estimated that one in five teenagers will experience depression during their adolescent years. However, many teens do not receive the help they need because the signs of depression are often confused with typical teenage behaviors.

It may not always be easy to tell the difference between depression and teenage mood swings, but here are a few warning signs and symptoms parents can look out for:

Unusual and frequent irritability
Loss of interest in regular activities
Excessive phone and internet use
Sadness for no apparent reason
Angry outbursts
Reckless behavior
Violent behavior
Fatigue
Unexplained aches and pains such as headaches and stomach aches
Sudden changes in sleep
Sudden changes in eating habits
Difficulty Concentrating
Problems at school
Negative self-talk
Isolation from friends and family
Drug and alcohol abuse
Talks of self-harm or suicide

If you think a teen might be depressed, start a conversation. Speak about concerning behaviors in a non-judgmental, loving, and supportive way. Acknowledge their feelings, do not minimize what is being said and resist the urge to be critical.

Initially, a teenager may be resistant to these conversations but gentle persistence from an adult is advised.

Untreated depression can lead to serious problems; therefore, it is important that you seek professional help as soon as possible. A mental health professional can create a treatment plan based on an evaluation. Treatment depends on the severity of depression and may include therapy or medications.

To speak with a mental health specialist at Jamaica Hospital Medical Center, please call 718-206-5575.

Helpful Spring Cleaning Tips

Posted on April 5, 2022 by Xavia Malcolm

Studies show that an unclean and cluttered environment can negatively impact our physical and mental health.

Particles such as dust, dander, mildew, or mold in the home can trigger allergies and affect respiratory health.

A cluttered space can make some people feel mentally overwhelmed and can contribute to depression. Clutter has also been shown to affect sleep. In a study conducted by the American Academy of Sleep Medicine, it was found that people sleeping in cluttered environments were more likely to develop sleep disorders. Lastly, clutter can increase the risk of falls and injury.

A thorough spring cleaning and decluttering of the home can greatly improve environmental and air quality and help reduce the risk of illness or injury.

Here are a few helpful tips to make spring cleaning easier and our homes more conducive to better health:

Always remember to read the labels of cleaning products before using them. Certain chemicals such as ammonia, sodium hypochlorite, and formaldehyde can trigger allergies
Clean blinds with a duster or damp microfiber cloth (dampened cloths will attract more dust)
Clean windows with a glass cleaner
Wipe down walls, door frames, and baseboards. These areas are notorious for collecting dust but are often ignored
Use a High-Efficiency Particulate Air (HEPA) filter vacuum, to clean carpets, fabric shades, and drapes, also pay attention to fabric couches and mattresses
Organize clutter by sorting items into four categories: donate, store, dispose and keep
Clean wooden furniture by using a duster or microfiber cloth
Mop hard-surface floors with a microfiber mop
Wash bedding as recommended by the manufacturer. Don’t forget to also wash bedding accessories such as pillows, throw pillow covers and stuffed animals
Thoroughly clean bathrooms to avoid a buildup of mold and mildew. A cleaning solution of three parts water and one parts bleach is often recommended for cleaning mold and mildew
Clean kitchen cabinets and drawers with cabinet cleaner and degreaser
Clean air conditioning and heating filters
Don’t ignore hard-to-reach places such as ceiling fans and light fixtures. These can be cleaned by using a duster with an extendable handle

Spring cleaning can offer great benefits. For many, this includes achieving a sense of accomplishment and having a home that is tidy and free from clutter. The most important benefit however is, that spring cleaning helps to minimize exposure to allergens and other environmental hazards that can be harmful to our health.

Signs That A Headache Is More Than A Headache

Posted on March 22, 2022 by Xavia Malcolm

Headaches are very common. They can be caused by a variety of reasons including eye or neck strain, stress, strong smells, bright lights, infections, or high blood pressure.

Typically, headaches are not indicative of a life-threatening emergency. However, there are times when our bodies are trying to alert us to a problem requiring urgent medical attention.

Here are a few warning signs:

A sudden or very intense headache
Changes in headache patterns
Headaches following head injury
Headaches that begin to occur regularly in those over the age of 50
Headaches accompanied by speech and vision changes
Headaches accompanied by a stiff neck and fever
Headaches accompanied by redness and pain in the eyes
Headaches accompanied by changes in behavior
Headaches with nausea and vomiting
Headaches that interrupt sleep
Headaches that begin after sneezing, coughing or straining the body
Headaches that worsen with movement
Headaches that prevent normal day-to-day activities
Headaches persisting for more than 24 hours

These tell-tale symptoms should not be ignored as they are often associated with serious health conditions such as brain tumors, stroke, hemorrhaging, concussions, meningitis, or hypertensive crisis. See a doctor right away for immediate medical intervention as timely treatment can prevent further complications.

Stress and Urge Incontinence

Posted on March 15, 2022 by Xavia Malcolm

Urinary incontinence or the loss of bladder control is a common disorder. The American Urological Association estimates that, “A quarter to a third of men and women in the U.S. suffer from urinary incontinence.”

Although urinary incontinence affects men and women, it is more prevalent in women as a result of pregnancy, menopause and childbirth.

There are different types of urinary incontinence including stress incontinence, overflow incontinence, functional incontinence, mixed incontinence and urge incontinence. The two most common are urge and stress incontinence.

Urge incontinence, also known as overactive bladder, is characterized by loss of urine that is associated with an intense or sudden urge to urinate that cannot be delayed. This may result from:

Bladder infections
Bladder inflammation
Bladder cancer
Brain or nerve problems
Bladder stones
Enlarged prostate

Stress incontinence occurs when activities such as sneezing, coughing, laughing, standing up, or exercising causes urine to leak. This can be caused by:

Pregnancy
Childbirth
Nerve injury
Being overweight
Pelvic or prostate surgery

Urinary incontinence requires medical attention; unfortunately, a significant number of people who experience symptoms do not seek treatment. Untreated bladder incontinence can lead to skin problems and infections. It can also affect an individual’s mental health and overall quality of life in the long run.

Urinary incontinence is often indicative of an underlying medical problem. Therefore, If you are experiencing symptoms, it is advised that you see a doctor as soon as possible. Your physician can begin treatment early. Treatment may involve medications, physical therapy, bulking agents (to help close the bladder opening), or surgery.

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

Bacterial VS Viral Infection: What’s the Difference?

Posted on March 8, 2022 by Xavia Malcolm

When pathogens (microorganisms) such as bacteria or viruses enter our bodies and multiply, they can cause harmful infections.

Infections resulting from viruses are called viral infections, and those caused by bacteria, bacterial infections. Both are invisible to the naked eye, can be contagious and cause similar symptoms such as inflammation, fever, coughing or vomiting.

Although viral and bacterial infections share similarities, there are primary differences between the two.

Bacteria are living, single-celled organisms that can reproduce on their own. They can survive in different environments inside and outside the human body. Most species are harmless and some are even beneficial for our health. However, a very small percent can cause illnesses such as pneumonia, urinary tract infections, or in more severe cases cholera or tuberculosis. Doctors can treat most bacterial infections with antibiotics. Unfortunately, some strains have become resistant to these medications.

Viruses are much smaller than bacteria and are not considered to be living organisms. They consist of a core of genetic code, a coat of protein and fat lipids to protect them. Viruses cannot reproduce on their own and require living hosts such as people or animals to survive. Unlike bacteria where only a small percent is harmful to our health, most viruses cause illness and disease. Viral conditions include measles, chickenpox, HIV, polio, and COVID-19. Antibiotics are inefficient in treating these illnesses. Treatment for viral infections focuses on alleviating symptoms. Doctors may also prescribe antiviral medications to help the body fight infection.

Bacteria and viruses are all around us; therefore, there will always be a risk for infection and transmission. However, we can prevent this from occurring by practicing proper hand hygiene, disinfecting surfaces, staying home when sick and getting vaccinated, when possible.