What is an Elimination Diet?

Foods that you’re allergic to can cause you to experience a variety of symptoms, including gas, bloating, nausea, or diarrhea. While these types of problems are rarely life-threatening allergic reactions, they can cause significant discomfort and disruption in your daily life. However, you may not know for certain which exact foods are causing these reactions. An elimination diet can help you identify them.

Elimination diets involve removing, then later re-adding, certain foods from your diet which are suspected to be the cause of allergic reactions. This diet is typically only maintained for a brief period of up to six weeks.

An elimination diet is typically divided into an “elimination” phase and a “reintroduction” phase. During the elimination phase, potential allergens are removed from your diet. These typically include foods such as:

  • Nuts
  • Seeds
  • Legumes
  • Dairy products
  • Starchy foods
  • Caffeinated drinks
  • Spices
  • Meat
  • Fish
  • Sugary products
  • Certain fruits and vegetables

During the reintroduction phase, you once again start to eat each food group you’ve cut out of your diet. Each of these groups is individually re-introduced over the course of up to three days, providing adequate time to watch for potential symptoms.

Different versions of the elimination diet, such as the low-FODMAPs diet (which targets short-chain carbohydrates), only remove specific food groups. Alternatively, varieties such as the fasting elimination diet, which involves only drinking water for up to five days, may be more extreme than the standard version.

No matter which version of the elimination diet you plan to try, you should only do so under the supervision of a medical professional. The re-introduction of food allergens can potentially cause anaphylaxis, a severe reaction that causes airways to swell and restricts your breathing. Extreme varieties such as the fasting elimination diet can be especially dangerous to your health without the guidance of a doctor.

If you suspect you have a food allergy and plan to follow an elimination diet, schedule an appointment with a registered dietician at Jamaica Hospital Medical Center’s Outpatient Nutritional Services Department by calling (718) 206-7056.

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.

Safety Tips for Cold Weather Outdoor Exercise

Winter weather doesn’t mean the end of your outdoor exercise routine. If you plan to continue to run or bike after the mercury drops, consider following these tips so you can stay safe and warm while exercising in the cold.

Know the weather conditions before heading outdoors – In addition to the temperature, those heading outside to exercise need to understand how wind and precipitation can affect your health.  These factors, combined with the length of time spent outdoors need to be taken into consideration before beginning an outdoor exercise regime.

Know the signs of frostbite and hypothermia –Frostbite is most common on exposed skin, such as your cheeks, nose and ears. It can also occur on hands and feet. Early warning signs include numbness, loss of feeling or a stinging sensation.

Hypothermia is abnormally low body temperature. When exposed to cold temperatures, your body begins to lose heat faster than it can be produced. Hypothermia signs and symptoms include intense shivering, slurred speech, loss of coordination and fatigue.

Get out of the cold and seek emergency help right away if you experience symptoms of frostbite or hypothermia.

Dress in layers – Dressing too warmly is a big mistake when exercising in cold weather. Exercise generates a considerable amount of heat — enough to make you feel like it’s much warmer than it really is. The best option is to dress in layers that can be removed as soon as you start to sweat and then put layers back on as needed.

Protect your head, hands, feet and ears – When it’s cold, blood flow is concentrated in your body’s core, leaving your head, hands and feet vulnerable. Ways to protect these parts of your body include wearing a thin pair of glove liners under a pair of heavier gloves, purchasing exercise shoes one size larger to allow for thick thermal socks or an extra pair of regular socks. And don’t forget a hat to protect your head or headband to protect your ears.

Use proper safety gear – If it’s dark when you exercise outside, wear reflective clothing. If you ride a bike, both headlights and taillights are a good idea. Also choose footwear with enough traction to prevent falls, especially if it’s icy or snowy.

It’s as easy to get sunburned in winter as in summer — even more so if you’re exercising in the snow or at high altitudes. Wear a sunscreen and lip balm with sunscreen. Protect your eyes from snow and ice glare with dark glasses or goggles.

Drink plenty of fluids – Don’t forget about hydration, as it’s just as important during cold weather as it is in the heat. Drink water or sports drinks before, during and after your workout, even if you’re not really thirsty.

These tips can help you safely and enjoyably exercise in cold conditions. Closely monitor how your body feels during cold-weather exercise to help prevent injuries. While exercise is safe for almost everyone, even in cold weather, if you do have certain condition such as asthma or heart disease that could limit you ability, you should check with your doctor first.

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.

Jamaica Hospital Offers Weight Lifting Safety Tips

Lifting weights can offer many health benefits, including strengthening your muscles, burning excess fat, and improving your overall physical fitness. If however, it not done safely, weight lifting can result in serious injury or even death.

Before you begin to lift weights, you should speak with a qualified instructor or other trained professional to teach you the proper technique to avoid an injury. They can advise you on an appropriate starting point that should include what exercises are best suited for you as well as how much weight to start with, and at how often to lift. Many factors will play a role in determining your weight lifting regime including age, overall physical health, and the reason you want to lift weights.

Some weight lifting safety tips should include:

  • Take time to warm up and cool down before and after your workout by stretching your muscles
  • Avoid weight lifting alone. Using a partner to “spot” you will help you avoid injury
  • Understand the proper form when lifting weights, including keeping your back straight
  • Don’t exercise any set of muscles more than three times per week and never lift more weight than you can handle safely
  • Take a moment to understand how to operate the equipment and inspect it to make sure it is in good condition
  • Wear shoes with good traction to avoid slipping
  • Stop lifting weights if you feel faint or are experiencing any  type of pain

It is important to speak to your doctor if you are considering beginning a weight lifting program to make sure it is the best form of exercise for you. You should also consult with your doctor if you suspect you sustained an injury while lifting weights.

To make an appointment with a physician at Jamaica Hospital’s Ambulatory Care 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.

Can Your Pet Be A Distraction To You While You Drive?

There are many known driving distractions that we are warned to avoid while on the road. These include: talking or texting on your mobile device, eating or drinking, attending to personal grooming, or adjusting our vehicle’s radio or navigation system. While it is important to be mindful of each of these potential distractions, there is another type of distraction that doesn’t get as much attention – driving with our pets.

Many people take their dogs or cats in the car with them when they run local errands; others bring them along for long road trips. During these excursions, our pets often have free reign of the vehicle, will place their head out the car window, and in some cases, even sit in the driver’s lap. These activities, while adorable, can pose great danger to not only the operator of the vehicle, but also the other passengers, fellow motorists, and even the pets themselves.

A recent study of individuals who frequently travel with their pets in the car revealed some very startling facts about their behaviors. The survey concluded that 64 percent of drivers admitted to engaging in a potentially distracting pet-related activity, and 29 percent admitted to actually being distracted by their pets. Some of the activities noted in the study included petting or playing with their pets, allowing them to stay in their lap, feeding them treats, and taking photos of them.  The same study determined 84 percent allowed their pets to ride in their vehicle while unrestrained.

To avoid these types of distractions while driving, motorists should consider purchasing a safety device for their dog or cat. There are two types of devices to choose from:

  • Pet seat belts – They are easy to use and work in tandem with your normal seat belt. Check to make sure the pet belt is the right size for your animal. One that’s too big or too small is counterproductive and can cause unnecessary injuries.
  • Pet carriers- Look for a sturdy carrier with ample ventilation and plenty of room for your pet to turn around and stretch out. Also, make sure you secure the carrier so that it stays safely in place if you suddenly brake or get into an accident.


Jamaica Hospital’s Trauma Division warns that driving with your beloved pet in the car doesn’t need to be dangerous. Take some time to make sure you can safely restrain your pet to maximize safety for you and your lovable friend.

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 is Popcorn Lung and Can Vaping Cause It?

“Popcorn lung” is the nickname for bronchiolitis obliterans, a serious and irreversible lung disease that can damage the smallest airways in your lungs, resulting in coughing and shortness of breath.

popcorn lung, pulmonary medicine, Jamaica Hospital, vaping, e-cigarettes, lungs

The condition got its nickname because of the chemical diacetyl, a buttery flavored chemical that was commonly found in microwave popcorn.  After workers at the factories that produced microwave popcorn began to experience symptoms associated with bronchiolitis obliterans after inhaling diacetyl, manufacturers removed it from their products.

While diacetyl is no longer a threat from microwaved popcorn, many are now being exposed to it through e-cigarette vapor. Diacetyl is often added to “e-juice” liquid by some e-cigarette companies to complement flavorings such as vanilla, maple, coconut and more. In fact, recent studies have found that more than 75 percent of flavored e-cigarettes and refill liquids tested positive for diacetyl

So how does diacetyl cause popcorn lung? Your lungs are where your blood receives oxygen before carrying it to cells in the rest of your body through tiny air sacs called alveoli. Exposure to diacetyl can irritate or scar the alveoli, causing inflammation or narrowing, making it difficult for them to deliver oxygen to your blood.

The main symptoms of popcorn lung are a dry cough and shortness of breath. These show up between two weeks and two months after you’ve been around a toxic gas or had an illness. You’re especially likely to have them after exercising or heavy labor.

Other symptoms may include:

  • Flu-like illness with fever
  • Unexplained fatigue
  • Weight loss
  • Wheezing
  • Eye, skin, mouth, or nose irritation, if caused by chemical exposure

Popcorn lung is often misdiagnosed as asthma, bronchitis, or emphysema. To diagnose popcorn lung, your doctor will order an X-ray, CT scan or a surgical lung biopsy. Your doctor may also want to measure your lung’s function by conducting a pulmonary function test.

Unfortunately, there is no cure for popcorn lung, but there are treatments to help alleviate the symptoms or slow the progression of the disease. Treatment options include prescription corticosteroids, cough suppressants, bronchodilators to open the airways or immunosuppressant therapy to decrease your body’s immune response. In severe cases oxygen supplementation may be needed. If left untreated, popcorn lung can be fatal in some cases.

The best way to prevent developing popcorn lung is to avoid exposure to harmful chemicals like diacetyl, found in e-cigarettes.

If you are experiencing symptoms of popcorn lung, make an appointment to see your doctor. To make an appointment with a Pulmonologist at Jamaica Hospital, please call our Ambulatory Care Department at 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.

Tips To Make Sure the Ice in Your Freezer is Clean

There is nothing more refreshing on a warm summer day than an ice-filled cold beverage, but before you host your next summer gathering, make sure that the ice you serve is clean and free of harmful bacteria.

While ice is rarely considered to be the source of trouble, there are good reasons to take a second look at how ice is dispensed in your own home.  You may think most bacteria wouldn’t survive the icy conditions of a freezer. But they can. Bacteria and viruses such as listeria, E-coli and salmonella can live in freezing temperatures, meaning they may be alive in your ice cubes. With proper precautions however, you can eliminate the risk of these contaminants existing in the ice you serve.

Here are some tips:

  • Change Your Filter – Most ice makers in freezers use a secondary water filter to stop particles from contaminating the ice. To keep your ice clean, change the freezer’s water filter as frequently as the manufacturer recommends, about every six months.
  • Regular Cleaning – Don’t forget to defrost and deep clean your freezer at least once a year. As a rule of thumb, if the ice buildup in your freezer is a quarter-inch or thicker, then it’s time to defrost and clean it.
  • Use Ice Regularly – The slight melting and refreezing of cubes can allow pathogens to take hold. To avoid this, remove the ice storage bin from the freezer and dump any clumps into the sink. Since inactivity causes ice clumps to form, the easiest solution is to use the ice maker more frequently.
  • Organize Your Freezer – Make sure frozen foods are properly sealed or double-wrapped and avoid having them come into direct contact with ice in trays or bins. Also label all food with a use-by date and remove all expired foods from your freezer.
  • Don’t Use Your Hands – While all of the above tips are useful, the fact is that the most common way to spread germs is by placing unwashed hands in an ice container. Instead of using your hands, use a designated scooper or other tool to handle ice.

It is important to note that while the existence of contaminants in your ice might be disturbing to learn, the health risks associated with it is fairly minimal to the average immune system and the transmission of viruses are rare. Those more at risk are pregnant women, children, and people with a compromised immune system.

Regardless, it is always a good idea to take the proper precautions to reduce your chances of getting yourself or your guests sick.

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 Benefits of Couples Counseling

There are many changes that couples can go through during the course of their relationship.  In some instances, these changes can lead to undue stress, strain and conflict on their relationship.

During these times, couples may benefit from counseling.  Couples counseling can be effective in helping you and your partner heal, foster forgiveness and help you reconnect.

Some benefits from counseling are:

  • Learning how to communicate in a non-adversarial way
  • Understanding the importance of listening to your partner and how to process what your partner is saying
  • Learning how to get your point across with assertion and not aggression or anger
  • Finding a way to discuss your issues without fear of retaliation or hurting the feelings of your partner
  • Learning how to work through your issues in a safe environment
  • Getting your feelings out in the open and not letting them fester
  • Re-committing to work out your issues together without engaging in conflict
  • Developing a deeper understanding of your partner and what their needs are

By entering into counseling, you may find that you and your partner are willing to put in the work needed to get through a difficult time. If the opposite is realized, you will then feel less guilt when you make the decision to end the relationship knowing you have given it every chance.

If you and your partner would like to speak with a counselor at Jamaica Hospital Medical Center, call 718-206-5588 to schedule an appointment.

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 Will Your New Year’s Resolution Be For 2019 ?

Some popular resolutions that people be make for 2019 are to:

• Lose weight
• Get organized
• Spend less
• Quit smoking
• Fall in love

The percentage of people who make New Year’s resolutions is about 45% of the population. People in their twenties tend to be more successful at maintaining their resolutions as compared to people over the age of 50. By the end of the first month 65% of the people are still doing a good job of keeping to their resolution, however by the end of six months that number drops to around 44%.

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.

Can Journaling Help Relieve Stress and Anxiety

Did you know that keeping a journal is a great tool for relieving anxiety and stress?  According to Verywellmind.com, “Journaling can relieve stress by helping you work through your anxious feelings.”

By journaling, you can minimize thoughts that may have you anxious.  Writing down what is causing you to stress may help you shift feelings of fear and hopelessness to empowerment and solution orientated thoughts.

Some tips on how to get started are:

  • Start journaling for five to 15 minutes – Too much time shouldn’t be spent on your journaling. Write about what is concerning you most.
  • If an event is currently causing difficulty write it down in detail. If it is not a current issue, but something that has been plaguing you, focus on writing that you worry about the “what could possibly happen” factor.
  • Write how these feelings affect you in your daily life
  • Once your thoughts are arranged, you can write about what positive measures you can implement to help relive how you are feeling (i.e. meditation, exercise, support groups)

The hardest part about journaling is getting started.  Many people think that they don’t have the time to journal, but if you have the time to fret, you have the time to put pencil to paper and work on feeling better!

For more tips on how to benefit from journaling visit – www.verywellmind.com

 

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.

Running Do’s and Don’ts

It is no secret that exercise does wonders for your health.  Running, in particular, offers many benefits, and is known to improve your mental and physical wellbeing.

In a study published in the Journal of the American College of Cardiology, it was found that” five to 10 minutes a day of low-intensity running is enough to extend life by several years.” Similar studies have also indicated that running can help reduce the risks associated with obesity, diabetes, heart disease, high blood pressure and some cancers.

Given the benefits, your doctor may recommend that you include running as part of your exercise regimen. If you decide to run, there are a few things you should keep in mind in order to prevent injury and optimize your workout. Here are some running dos and don’ts:

The Do’s:

  • Keep your head up -This will keep your body in alignment and prevent injuries
  • Stretch and warm up-This reduces muscle tightness and increases your range of motion
  • Start slowly -Starting off too fast can lead to overexertion which may result in side aches
  • Schedule rest days –Allow your body days to recover and reduce the risk of exhaustion
  • Remain hydrated- Drinking enough water will prevent dehydration

The Don’ts:

  • Do not run in shoes that are worn or not intended for running- Shoes that are worn or not designed for running may lack support and lead to injuries
  • If running outdoors, do not run with headphones – It is important to be aware of your surroundings and avoid hazards
  • Do not eat big meals before running-Eating too much can slow you down
  • Do not ignore injuries- It is important that you rest if you are injured, not doing so can lead to complications

The most important thing to consider before starting your running routine is to speak with your doctor. Experts recommend that you receive a full medical checkup if you are over the age of 40, have preexisting medical conditions, are obese or have a family history of heart disease.  Your doctor will be able to assess your health and determine if running is best for you.

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.