Is My Teen Troubled?

Posted on April 14, 2015 by Joann Ariola

Although there are many books that offer tips, there isn’t a universal reference guide that can prepare a parent for what will happen during their child’s teenage years. There are so many changes that your teen is facing that could influence them in a positive or negative way.

As your teenager begins to assert their independence, some behavioral changes may become bizarre and unpredictable. Your once sweet, obedient child, who always wanted to be with you, now wants to have as little association with you as possible. The child that hung on to your every word now rolls their eyes when you give your opinion or advice. These are the actions of a normal teenager, but how can you know if their behavior is a sign of greater issues?

Some teenagers exhibit a break in communication, fighting, defiance, violent mood swings and explosive anger. These teens face behavioral, emotional, and learning problems that are beyond the normal teenage issues and pose a greater challenge for their parents.

Some warning signs that your teen may be troubled are:

Changes in appearance, if it is accompanied by problems at school other negative changes in behavior, such as self-harm or extreme weight loss or weight gain.
Repeated escalation of arguments, violence at home, skipping school, getting into fights, and run-ins with the law.
Rapid changes in personality, falling grades, persistent sadness, anxiety or sleep problems, depression, bullying or talk of suicide.
Alcohol consumption or drug use becomes habitual.
A sudden change in peer group, especially if the new friends encourage negative behavior.

The challenge for parents is to help their teen cope with emotions and deal with anger in a more constructive way. First, parents need to establish clear rules and consequences; teens need rules now more than ever. Secondly, suggest exercise and team sports to your teen, they have proven effective in the relief of tension and anger, give your teen and yourself, space to cool off. Lastly, you can’t help your teen if you lose your temper as well.

Parenting a troubled teen can seem like an impossible task, but identifying red flag behaviors in your teen, seeking help from a doctor, counselor, therapist or other mental health professional is a step in the right direction.

For more information or to schedule an appointment, call the Department of Psychiatry at Flushing Hospital Medical Center 718-670-4416.

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 Vacations

Posted on April 8, 2015 by Andrew Rubin

We live in a stressful society that is full of situation. It is very important for people to take a break in order to stay healthy. Studies have shown not taking a vacation for a few years can increase the risk of heart disease and the potential for a heart attack. People who take vacations have an easier time to breaking bad habits such as nail biting, smoking, and eating poorly because stress the triggers for these bad habits aren’t present.
There are many benefits to taking a vacation:
• Betters outlook on life
• Allows the body to unwind
• Increases happiness
To really benefit from a vacation a person has to leave their work environment at home.
Today, with electronic devices so prevalent, it is important to not check them more than
once or twice a day.

I Am So Stressed! Where Are My Cigarette’s?

Posted on March 27, 2015 by Joann Ariola

Is smoking a cigarette when you are stressed, depressed or irritable a proven way to relieve those emotions or improve your mood?

The answer is, no. The relief you get from smoking comes from the act of taking the “time out” necessary to smoke a cigarette. It does not have to do with the chemical actions of nicotine in your brain.

If you finish your cigarette and return to your stressful situation, the feeling of tension will come back. Therefore, the act of smoking is only a temporary solution for handling stress.

A proven way to control stress, tension or depression in your life is to identify what brings on those emotions and learning how to change the way you react to the events and situations in your life.

If you have been using smoking as a way to reduce stress, a great time to
“kick the habit” is to participate in The Great American Smoke out, Wednesday, November 18th, 2015.

Jamaica Hospital Medical Center can help. Enroll, today, for our smoking cessation classes. For more information or to register, call: 718-206-8494.

Why Do People Eat Dirt, Chalk or Other Non -food Items?

Posted on March 17, 2015 by Xavia Malcolm

Why are some people addicted to eating substances that are not food? The answer is that they may have an eating disorder known as pica. A common characteristic of the disorder is the consistent consumption of non-nutritive substances for at least one month.

There are several reasons why a person may be demonstrating behaviors associated with pica- it could be a chemical imbalance, a nutritional deficiency such as an iron deficiency or an obsessive compulsive disorder.

Pica-related behaviors should be addressed immediately because of the risk of complications that can occur. Individuals could expose themselves to serious infections and medical conditions such as parasitic infestations, ulcers, intestinal obstructions and tooth abrasions.

Symptoms and complications that are commonly linked with pica can include:

Eating sand or soil, this potentially leads to gastric pain and bleeding.
Consuming clay, which may cause constipation.
Ingesting paint, could put a person at risk for contracting lead poisoning
Eating metal objects, this could lead to bowel perforation.

Some people are more likely than others to be subject to this eating disorder. These individuals may include:

Pregnant women (Pica is most common in women with their first pregnancy; they may crave items such as ice or chalk).
10 to 32 percent of children between the ages of one to six.
Adults with OCD or schizophrenia.
People who are malnourished.
Individuals who are mentally or developmentally disabled.

There are several approaches that can be exercised in the treatment of pica. Treatment depends on the diagnosis. A physician may run blood tests to determine if the reason for the disorder may be a result of a nutritional deficiency. If this is the case, nutrients that are lacking are supplemented. Another approach may be therapy to address mental health or environmental health issues. It is recommended that a resolution be sought immediately because if left untreated pica can persist for years and may cause irreversible damage.

Asthma v. COPD

Posted on March 17, 2015 by Joann Ariola

Chronic obstructive pulmonary disease (COPD) is a general term that describes progressive respiratory diseases including emphysema and chronic bronchitis. COPD is characterized by decreased airflow over time and increased inflammation of the lungs.

Asthma, on the other hand, is considered a separate respiratory disease, but is occasionally mistaken for COPD because of its similar symptoms.

These symptoms include:

Chronic coughing
Wheezing
Shortness of breath

The majority of COPD sufferers also have asthma, which is considered a risk factor for developing the disease. As you age, the likelihood of this duel-diagnosis increases.

COPD and asthma respond well to treatments such as smoking cessation and airway-opening medications like bronchodilators. At times, inhaled steroids are also needed. However, lung function is only fully reversible in asthma patients. A diagnosis of asthma, along with COPD, often means a significant decline in lung function as the COPD progresses. This progression is true even in patients with mild forms of the disease.

By nature of the similarity of the symptoms of COPD and asthma, many patients can go undiagnosed or misdiagnosed. Early detection of COPD, especially in current or past smokers, is critical to preserving lung function “Undiagnosed or poorly controlled asthma and COPD can lead to a decreased quality of life by limiting a person’s ability to perform everyday activities. Teaching patients to take their medicine as prescribed, to never run out of their medications, and to keep their doctors’ appointments is essential to improving their outcomes.” Dr. Kamica Lewis.

If you think you may have symptoms of asthma or COPD, please contact Jamaica Hospital Medical Center’s Ambulatory Care Center at 718-206-7001 to make an appointment with a doctor for an evaluation.

Breastfeeding is Nutritious, Effective and FREE!

Posted on March 11, 2015 by Joann Ariola

There are many factors to consider when choosing to breast feed or formula feed your baby.

The American Pregnancy Association recommends breastfeeding for most families because breast milk provides the ideal nutrition for infants. It is a nearly perfect mix of all the ingredients your baby will need to grow. Breast milk contains vitamins, protein, and antibodies that help your baby fight off viruses, as well as, being more easily digested than infant formula.

A mother’s milk is always the perfect temperature, does not have a preparation time and is readily available at any time and place.

There is also a great financial benefit to breastfeeding. Formula prices can range from $54.00 to $198.00 per month depending on the brand. The additional cost of bottles, nipples and preparation should also be factored into this expense.Breast feeding not only saves you time and money, it will give you time to relax quietly with your newborn and bond.If you have any questions about breastfeeding and would like to speak with a lactation specialist, call Jamaica Hospital’s Women’s Health Center at 718-291-3276.

Is Juicing Beneficial For Your Health?

Posted on March 10, 2015 by Xavia Malcolm

Juicing or juice cleanses are growing in popularity as more people are using this practice as a way to lose weight or improve their health. Juice bars are becoming a common fixture in shopping malls as the demand for freshly-made and all-natural juices increase. There are a few advantages that can be achieved by juicing.

Some advantages of juicing include:

Juicing may be an easier way for some to obtain the daily fruits and vegetables that are essential in maintaining a healthy diet. Many people find it more convenient and less time consuming to drink fruits and vegetables instead of eating them.
Juicing can help in promoting weight loss- if it is done correctly and the body is not deprived of vital nutrients and fibers.

There also disadvantages associated with all-juice diets. The disadvantages that are associated with all-juice diets include:

An all-juice diet for a prolonged period of time is not recommended as studies have shown that LDL cholesterol levels may increase. Depriving the body of whole foods that are rich in nutrients could also weaken its ability to fight infections and function properly.
Juicing can prove dangerous for individuals with chronic health conditions such as diabetes and kidney disease. High levels of fructose, which is the sugar found in fruits can elevate blood sugar levels. Excessive juicing can cause high levels of potassium and minerals to build up in the blood- this can become hazardous if one has kidney disease.
Juicing may not be the healthiest or most effective way to lose weight as your body may think it is starving and lower its metabolic rate. If your body is being deprived of the daily recommended caloric intake it could begin to burn muscle tissue instead of fat to provide energy, causing the loss of muscle mass.

If you choose to juice, consult your physician, especially if you have chronic health conditions and juice in moderation. Juicing can be beneficial if it is done properly and is supplemented with nutrient-rich whole foods. It is recommended that a glass of juice can be used to substitute one meal for example breakfast or lunch for the day. Most healthcare practitioners caution that juicing should not surpass the duration of a few days.

Quieting That Cough, Naturally

Posted on February 23, 2015 by Joann Ariola

Coughing is a common health problem. When there is a blockage or irritant in your throat, your brain thinks a foreign element is present and tells your body to cough to remove that element.

Some reasons you may cough are itchy throat and congestion. Instead of using over-the-counter cough suppressants, you may want to try a natural cough treatment using readily available ingredients in your kitchen.

Ginger tea is one of the most popular cures for a cough and is a proven home remedy.

Follow the recipe below for a simple and effective way to quiet a cough.

GINGER TEA

· Cut fresh ginger into small slices and crush them slightly. Place them in a cup of water and bring to a boil. You can also use some lemon juice and honey to taste.

It is suggested to drink this herbal solution three to four times a day for relief from a sore throat, coughing and even chest congestion.

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Peripheral Vascular Disease and Hypertension

Posted on February 23, 2015 by Joann Ariola

Peripheral Vascular Disease or PVD as it’s more commonly known, is a condition that is often associated with Hypertension.

PVD is a slow and progressive circulation disorder involving diseases in any of the blood vessels outside of the heart, the lymph vessels – arteries, veins, and lymphatic vessels. Organs supplied by these vessels, such as the brain, heart and legs may not receive adequate blood flow for ordinary function.

However, the legs and feet are the most commonly affected.

Up to half of the people diagnosed with PVD are symptom free. For those experiencing symptoms, most common and first symptom is intermittent leg discomfort described as cramping that occurs with exercise and is relieved by rest. During rest, the muscles need less blood flow, so the pain disappears. It may occur in one or both legs depending on the location of the blocked or narrowed artery.

Other symptoms of PVD may include:

Decreased skin temperature
Diminished pulses in the legs and feet
Hair loss on the legs
Impotence
Numbness, weakness, or heaviness in muscles
Reddish coloring of the extremities

Some risk factors for peripheral vascular disease include factors that can be changed or treated with lifestyle changes, such as controlling your blood pressure or increasing physical activity. Unfortunately, risk factors like age and family history of heart disease and hypertension cannot be changed.

It is important to take steps to prevent PVD. A prevention plan may also be used to prevent or lessen the progress of PVD once you are diagnosed. If you would like to consult a physician, call Jamaica Hospital Medical Center’s 718-206-7001 for diagnosis and treatment.

Can You Overdose on Vitamins?

Posted on January 13, 2015 by Xavia Malcolm

Surely you have heard the saying, “too much of a good thing can become a bad thing.” The same applies to vitamin supplements, as taking an excess of vitamins can be harmful to your health. This may seem contradictory because vitamins are often encouraged to supplement nutrients that may be lacking in our diets. Physicians or nutritionists may suggest vitamins once it is confirmed that you have a nutrient deficiency and highly advise that the daily recommended doses are followed.

The Institute of Medicine has established guidelines such as the RDA (Recommended Dietary Allowance) and DV (Daily Value) to help people understand the daily suggested dose of vitamins.

Vitamin overdose occurs when a person ingests far more than the daily recommendation, for an extended period of time. Although the body can excrete excessive amounts of water-soluble vitamins such as vitamin C, it can retain fat-soluble vitamins such as vitamin A, which can be toxic.

Here are a few vitamins that are proven to be toxic if taken in excess, as well as their symptoms of overdose:

Iron- Nausea, bloody stools, diarrhea, dizziness, headache, fluid build-up in the lungs and fever.
Vitamin A-Hair loss, liver damage, severe headaches, bone pain, blurred vision, dry skin and vomiting
Vitamin D- Abnormal heart rhythm, constipation, frequent urination, muscle weakness and confusion.
Vitamin E- Interferes with the body’s ability to clot blood, which can be harmful for those on blood thinning medication
B Vitamins-B6 in excess can cause nerve damage; while B3 can cause jaundice, elevated liver enzyme levels and nausea.

If you have decided to purchase vitamins, always follow the daily recommended dose to avoid excessive intake. Before purchasing it is recommended that you consult a physician or nutritionist to receive an assessment.