Perils of the Pregnant Partner – Couvade Syndrome

Posted on January 21, 2015 by Joann Ariola

During pregnancy the focus is often on the changes that the expectant mother is experiencing and ignores the emotional changes of the other parent to be, who may be experiencing emotional and physical changes that are valid and deserving of the proper attention and support.

Impending parenthood can bring a rush of feelings and fears. Whether the pregnancy is planned or unexpected, the news may cause you to become introspective about many things including your relationship with your partner, the fear of newly acquired responsibilities, financial implications, feelings of inadequacy and, in some cases, sympathy pains or a condition known as, Couvade Syndrome.

Partners who have Couvade Syndrome experience symptoms that mimic pregnancy such as, constipation, gas, bloating, irritability, weight gain, cravings and nausea right along with the expectant mom.

Fortunately, the symptoms are almost always temporary and are not treated with medication. They, usually, resolve once the baby is born.

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 NERVE of Diabetes

Posted on January 9, 2015 by Joann Ariola

According to the Centers for Disease Control and Prevention, 25.8 million people in the United States have diabetes. Typically, 60 to 70 percent of people with diabetes have some sort of nerve problems, know as neuropathy.

Neuropathy is a shorter term for peripheral neuropathy, meaning nerve damage in the peripheral nervous system. Neuropathy from diabetes can damage the nerves in your hands, arms, feet and legs. This condition can cause pain, numbness and weakness. Depending on the degree of neuropathy, and how long you have been a diabetic, nerve problems can occur in every organ system, including the digestive tract, heart and reproductive organs.

The highest rates of neuropathy are among people who have had diabetes for at least 25 years. Diabetic neuropathy also appears to be more common in people who have issues with controlling their blood glucose, have high blood pressure and are overweight.

Symptoms of diabetic neuropathy vary depending on the nerves affected and develop gradually over the years. Symptoms may include:

Trouble with balance
Numbness and tingling of extremities
Abnormal sensation to a body part (Dysesthesia)
Diarrhea
Erectile dysfunction
Urinary incontinence
Vision changes
Burning or electric pain in extremities

When treating diabetic neuropathy, a nutritionist may recommend healthier food choices and exercise to help lower your glucose and glycohemoglobin levels. Additionally, analgesics and low doses of antidepressants can be prescribed for pain relief, burning and tingling.

If you are a diabetic and have been experiencing symptoms of neuropathy, Jamaica Hospital Medical Center’s Ambulatory Care Center and Department of Nutrition can help. Call 718-206-7001 to get the process started.

Don’t Let Depression Meno”PAUSE” Your life

Posted on December 17, 2014 by Joann Ariola

If you are between the ages of 45 and 55, did you know you are four times more likely to have depression than women who have not reached that stage in their life?

During menopause, a woman’s body experiences a reduction in the production of estrogen and a rise in production of testosterone (typically known as a male sex hormone). The rapid fluctuations of these hormones can influence the neurotransmitters in the brain and can lead to depression.

During Menopause, a woman’s body can experience irregularities, such as, restless sleep, hot flashes, weight gain, blood circulation, as well as, reduction in sex drive and a slower metabolism.One change that gets far less attention is a woman’s psychological health.

Studies have proven that menopausal women are three times more likely to be diagnosed with depression than the general population, even if they don’t have a personal history of mental health disease.

Depression is a common yet potentially serious symptom of menopause. It involves more than the occasional bout of sadness and, if not treated, can lead to more severe mental disorders and a lessened quality of life.

Although depression experienced during menopause is often dismissed, it is recognized as a valid disease and, when identified, can be managed.

If you are experiencing similar changes and are in an at risk age group, you can schedule an appointment with the Jamaica Hospital Medical Center’s Department of Mental Health at 718-206-7005.

Don’t Throw the Baby Out with the Bath Water

Posted on December 17, 2014 by Joann Ariola

Whether you are a new or seasoned parent, sleepless nights caused by your newborns restlessness can be un-nerving. You ask yourself the basic questions, “Is my baby’s diaper dry or is he/she hungry?” The answer could be, neither. If your baby is fussy, cranky and seems to be experiencing stomach pain, they could be “colicky.”

The condition known as colic is the term that applies to any healthy, well-fed infant, approximately two to three weeks old, who cries more than three hours a day, more than three days per week, for more than three weeks. The exact cause of Colic is unknown, which is why there isn’t a defined prescription to alleviate the discomfort associated with this condition.

Reasons for symptoms could be:

Tummy trouble, perhaps a problem with cow’s milk protein or lactose in some baby formulas.
Reflux, which is heartburn due to stomach acid and milk flowing back into the windpipe.
A growing digestive system with muscles that often spasm.
Hormones that cause stomachaches or a fussy mood.
Oversensitivity or over-stimulated by light, noise, etc.
A moody baby.
A still-developing nervous system.

It is helpful to attempt to ease your infant’s acid reflux. Try feeding half as much and twice as often. A smaller volume of food will empty from the stomach faster leaving less chance of it rising back up in the esophagus. An infant’s stomach is only the size of their own fist, so you can understand why their stomach can become overwhelmed.

Another measure you can take in preventing colic is to make sure you are relieving any gas that may be trapped. Gently rub your baby’s back, in an upward motion, to help release any gas that may have formed during their feeding. Laying your infant down, immediately after a feeding, is discouraged since a prone position can cause acid-reflux.

In addition, crying after a feeding increases intro-abdominal pressure, this can cause abdominal pain so attempt to soothe your infant. The calmer your baby is, the better their stomach will tolerate milk.

There is light at the end of the tunnel. The symptoms usually begin to subside, on its own, by the time the infant reaches three or four months old.

If your baby is experiencing the symptoms of colic, you can make an appointment at The Jamaica Hospital Medical Center’s Ambulatory Care Center. Call 718-206-7005

Buyer Beware the Potential Dangers of Plastic Surgery Tourism

Posted on December 9, 2014 by Xavia Malcolm

Cosmetic surgery is chosen with the intent of enhancing a person’s appearance. Procedures could include breast augmentations, rhinoplasty and facelifts. The costs of plastic surgery can be expensive. Generally, most insurance plans consider cosmetic surgery as elective and will not cover the costs-leaving many patients to pay out of pocket and some exploring the option of plastic surgery tourism.

The costs of receiving surgery overseas can be relatively cheaper than in the United States and can be tempting; however, consumers should be aware of the dangerous and sometimes deadly situations they can encounter. It is highly important to keep in mind that many plastic surgery practices overseas do not uphold the rigid standards of qualified board-certified physicians in the U.S. There are no laws protecting patients who choose to do surgeries outside of the country, therefore if there is negligence it is unlikely the medical practice will be penalized.

Other complications that a consumer may encounter from plastic surgery tourism include:

Travel- Long flights can increase the risk of developing pulmonary embolisms and blood clots.
Lack of follow up care- Follow up care after surgery is extremely important. Physicians need to assess your recovery and ensure there are no abnormalities and infections. Many overseas facilities offer very limited or no follow up care.
Botched surgeries and revisions- If the procedure is botched, it may cost twice as much money to make revisions than the initial surgery would with a domestic surgeon.
Language barriers- A breakdown in comprehension and communication can be fatal.
Sub-standard equipment-The facility may be ill-equipped.Facilities overseas may not use the same safety checklist that is standard in the U.S. and medical records may not be properly documented.

Every surgery, including plastic surgery has risks. Boards and organizations such as the American Society of Plastic Surgeons are in existence to regulate practices, set safety standards and help reduce these risks. While you may be saving money by going abroad, you are being exposed to medical institutions that may not have the same standards of the U.S. and increasing your risks for complications and potentially death.

Skin Changes During Pregnancy: What to Expect

Posted on October 31, 2014 by Xavia Malcolm

During pregnancy, a woman’s body undergoes a complete transformation. Many of these changes are due to hormonal shifts and altered blood flow. Women may experience several changes in their skin.

Often, changes in pigmentation are among the most pronounced skin changes during pregnancy. Dark patches may begin to appear on a woman’s face, particularly along the cheekbone, forehead, nose, chin, and upper lip. This is known a chloasma, or the mask of pregnancy. This occurs because estrogen and other hormones stimulate glands that produce more pigment, but since the pigment is not produced evenly, it results in a blotchy look. While chloasma is not preventable, the effects can be minimized by avoiding exposure to the sun or using sunblock.

Many women also develop acne during pregnancy. This is due to hormonal changes, but is usually not as severe as during adolescence. To combat pimples, simply wash your face with a mild, oil-free cleanser multiple times a day. Avoid abrasive scrubs and exfoliants because your skin during pregnancy is often more sensitive. Check with your physician before using ante-acne prescription medications.

Other skin conditions that women experience during pregnancy include stretch marks, heat rash, spider veins, and the development of a reddish hue to the palms of your hands and soles of your feet, known as palmer erythema.

Regardless of the issue, skin conditions during pregnancy will improve or resolve within weeks or months after your baby is born.

To minimize adverse skin conditions during pregnancy, try following the “pregnancy diet”, a diet that offers women just the right balance of nutrients during pregnancy. Other suggestions include drinking plenty of water and only using “noncomedogenic” and unscented makeup and skin care products. A supplement of B6 might also be helpful for someone with severe skin issues.

For more information about changes to your skin during pregnancy, speak to your obstetrician. If you do not have one, you can make an appointment at Jamaica Hospital’s Women’s Health Center by calling 718-291-3276.

Follow & Like us on Twitter and Facebook:

The Surprising Health and Beauty Benefits of The Avocado

Posted on October 29, 2014 by Xavia Malcolm

The Avocado is a very healthy and unique fruit. It is abundant in healthy fats, nutrients and has numerous health and beauty benefits. Some of the nutrients found in this super fruit include, vitamins C, B6, K, Folate and Potassium.

Some of the benefits of the avocado include:

It is a great source of Oleic acid-this healthy fat reduces inflammation and lowers bad cholesterol
Monounsaturated fats in the avocado can improve your skin tone by maintaining good moisture levels, repairing damaged skin cells, reducing skin redness and irritation.
Avocados are good for weight loss. The body uses monounsaturated fats as slow burning energy than storing it as fat. This gives you a feeling of fullness and reduces your appetite
Vitamin B6 and folic acid controls homecysteine levels which are linked to an increased risk in heart disease.
It is high in fiber and antioxidants
Avocados are a great source of biotin which helps prevent dry and brittle nails and hair.

Not only are avocados delicious but they are good for you. Enjoy them in guacamole, salads, as a spread, on a sandwich or by itself.

Getting Fit and Bicycle Riding Safety Tips

Posted on October 28, 2014 by Xavia Malcolm

Riding a bicycle can be a fun and effective way to get fit. Cycling is beneficial for the cardiovascular system because it increases oxygen intake and stimulates the heart. Studies show that riding can increase energy levels by 20 percent and in one hour burn up to 488 calories when pedaling at 12 to 14 miles per hour.

Although a bicycle is an excellent fitness tool, it is also considered a vehicle. Therefore, the rules of the road must be obeyed and a bicycle should be operated safely to prevent injuries and accidents.

In a study conducted by Jamaica Hospital’s Trauma Division, over the past year from September 2013- September 2014 there has been over 500 cyclists and pedestrians struck in areas surrounding the hospital. Bicyclists face higher risks in crash-related injuries and deaths than drivers in a motor vehicle. Follow these basic riding tips to ensure your safety and reduce the risks:

Always ride in the same direction as traffic and do not weave in between other vehicles.
Obey traffic laws and signals.
Do not listen to music or speak on cell phones while riding.
Wear a proper fitting helmet.
Never pass another vehicle on the right.
Always keep your hands on the brakes.
Stay aware of dangerous road hazards such as potholes and broken glass.
Use hand signals to show motorist where you are going.

Bicycling is a great way to get fit; however, cyclists should continue to keep in mind that they share the same rules and regulations as others. Follow the rules of the road to reduce the risk of injuries and accidents.

The Dangers of Secondhand Smoke

Posted on October 13, 2014 by Xavia Malcolm

Secondhand smoke is a combination of side stream smoke-which comes from the end of a burning cigarette and mainstream smoke-which is exhaled by the smoker. It may seem harmless but the smoke that comes from the end of the cigarette is considered to be even more harmful than the smoke inhaled by the smoker; because there are no filters. Secondhand smoke is harmful to everyone; however, pregnant women, children and partners of people who smoke are the most vulnerable.

There are over 250 harmful chemicals that can be found in the smoke created by tobacco products. Some of these chemicals are carbon monoxide, hydrogen cyanide, ammonia, arsenic, vinyl chloride and formaldehyde. The Environmental Protection Agency categorizes secondhand smoke as a Group A carcinogen; meaning that it can cause cancer in humans.

The more you are exposed to secondhand smoke, the higher your risk of developing diseases and suffering from the health effects. Respiratory symptoms such as wheezing, breathlessness and coughing can be triggered by secondhand smoke. Other harmful health effects include the increased risk of developing heart disease, respiratory disease and strokes.

Pregnant women who consistently breathe secondhand smoke may have miscarriages or give birth to low birth-weight and premature babies. For newborns exposure can escalate the risk of Sudden Infant Death Syndrome. Children can experience increased occurrences of asthma, pneumonia, bronchitis and ear infections.

Secondhand smoke is harmful, despite the level of exposure. Breathing in even a little smoke can be dangerous and the effects on your health can be immediate. There are several ways to reduce the risk of exposure to second hand smoke. You can ask members in your family not to smoke in your home, disallow smoking in your car and choose smoke- free restaurant and indoor places.

Home Remedies Separating Fact from Myth

Posted on September 22, 2014 by Michael Hinck

Age-old home remedies have been passed on for generations. Even in a modern, technologically advanced and scientific world, these timeless, home-made cures have remained and become common practice in the way minor ailments are treated.
Over the years, medical studies have been conducted to determine the validity in some of these home remedies.

Here are a few remedies in which myths have been dispelled and facts confirmed:
• Chicken Soup is good for a cold
Fact- Research published in the medical journal Chest in 2000, shows that chicken soup does have anti- inflammatory effects that clear stuffy noses and soothe sore throats. Hot fluids also aid in the movement of nasal mucus.
• Krazy Glue can be used to seal small wounds
Myth-It Is not advised to use Krazy Glue to seal small wounds. The United States Food and Drug Administration does not recommend the use of it for medicinal purposes. One may run the risk of infection or an allergic reaction.
• Honey helps in healing wounds
Fact-studies support the use of medical-grade honey as a healing agent in minor wound care. Honey possesses antibacterial properties. It has an obstructive effect on over 60 types of bacteria.
• Feed a cold, starve a fever
Myth-This is an old wives’ tale. In actuality when experiencing cold or flu symptoms the body needs all the nutrients of a proper diet. Eating foods that are high in anti-oxidants such as vitamin C, Beta- Carotene and vitamin E; helps build up the immune system. It is also very important to stay hydrated.
• Steam helps in the relief of sinus headaches
Fact-Inhaling steam relieves sinus pressure by opening up and flushing out nasal passages. Adding oils such as, eucalyptus, peppermint and chamomile can also help in soothing the mucus lining.
• Eating fish makes you smart
Fact-This is true for children up to age three or four. Fish such as salmon, Atlantic mackerel, sardines and Albacore tuna are rich in omega-3 fatty acids, including DHA (docosahexaenoic acid). DHA is beneficial for brain development in infants for the first two years of life. If your child is allergic to seafood, alternatives to fish include walnuts and avocado.

While some home remedies are natural, they may cause adverse reactions if you are taking certain medications or have allergies. It is always best to consult a physician before using them. You can make an appointment to see a Family Medicine practitioner at Jamaica Hospital by calling 718 206 6942.