National Infertility Awareness Week

Posted on April 22, 2026 by Patrick Hercules

April 19th to April 25th is observed as Infertility Awareness Week, a week dedicated to breaking the stigma around infertility, amplifying the stories of those who have and are experiencing infertility, and advocating for equitable access to care to help treat it.

Infertility is the condition that causes the inability to get pregnant after one year of trying to conceive.

The World Health Organization (WHO) estimates that roughly one in six people worldwide is affected by infertility.

Infertility may happen because of a health issue with either you or your partner, or a mix of factors that prevent pregnancy. However, many safe and effective treatments can boost your chances of getting pregnant.

The main symptom of infertility is not getting pregnant. There may be no other clear symptoms. Some women with infertility may have irregular menstrual periods or no periods. Some men may have some symptoms of hormonal problems, such as changes in hair growth or sexual function.

Many couples will conceive eventually with or without treatment.

Women should talk with a healthcare professional about infertility if they have been trying to get pregnant for at least a year. Sooner if they:

Are 35 years or older and have tried to conceive for six months or longer

Are over the age of 40

Have had no periods or irregular or very painful periods

Have known fertility problems

Have endometriosis or a history of pelvic inflammatory diseases

Have had one or more miscarriages

Have received cancer treatment such as chemotherapy or radiation

Men should talk to a healthcare professional if they have:

A low number of sperm or other problems with sperm

A history of testicular, prostate, or sexual conditions

Had treatment for cancer, such as chemotherapy

Had hernia surgery

Testicles that are smaller than the typical adult size, or swollen veins in the scrotum

Had infertility with a partner in the past

Relatives with infertility problems

Sometimes, the issues that cause infertility in couples are present at birth. Other times, they develop in life.

Infertility can affect one or both partners. In some cases, no cause can be found. Some causes of male infertility can include:

Conditions that can affect how much sperm is made or sperm quality

Problems with sperm reaching the female reproductive tract

Certain environmental factors

Damage related to cancer and its treatment

Some causes of female infertility can include:

Ovulation disorders

Uterine conditions

Fallopian tube damage or blockage

Endometriosis

Primary ovarian insufficiency

Pelvic adhesions

Cancer and its treatments

Many risk factors for both male and female infertility are the same. They include:

Tobacco use

Marijuana use

Alcohol use

Being overweight or underweight

Exercise issues

Some types of infertility cannot be prevented. However, the following tips may boost your chances of pregnancy:

Couples should have sex often and soon after menstrual bleeding stops. One of the ovaries usually releases an egg in the middle of the cycle, which is midway between menstrual periods, for most people with menstrual cycles, that is about 28 days apart. It is ideal to have sex every day, starting five to seven days before an egg is released. Continue until two days after ovulation.

Before you are tested for infertility, your healthcare team or clinic will work to understand your sexual habits. They might make recommendations to improve your chances of getting pregnant. Unfortunately, for some couples, no cause for infertility is found. This is called unexplained fertility.

Men’s treatment for infertility may include:

Lifestyle changes

Medicines

Surgery

Sperm retrieval procedures

Some women need only one or two treatments to improve infertility. Others may need a few types of therapies to become pregnant, including:

Fertility medicines

Intrauterine insemination (IUI)

Surgery to restore fertility

Assisted reproductive technology (ART) is also used. In vitro fertilization (IVF) is the most common ART technique.

At Jamaica Hospital’s Department of Women’s Health Services, we are passionate about meeting the various needs of women in our community. We proudly treat women from all walks of life and provide a warm and welcoming environment. To learn more about our OB/GYN services or to make an appointment, contact us at 718-291-3276.

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.

Tetanus Shot

Posted on April 15, 2026 by Patrick Hercules

A tetanus shot is a vaccine that reduces your risk of getting tetanus or lockjaw, a painful and potentially fatal bacterial infection.

The incubation period of tetanus ranges from 3 to 21 days after infection. Most cases occur within 14 days.

Symptoms can include:

Jaw cramping or the inability to open the mouth
Muscle spasms often occur in the back, abdomen, and extremities
Sudden painful muscle spasms, often triggered by sudden noises
Trouble swallowing
Seizures
Headache
Fever and sweating
Changes in blood pressure or a fast heart rate

The bacteria that cause tetanus can be found in the environment on metals and in soil. Because of this, the Centers for Disease Control and Prevention (CDC) recommends a series of Tdap or DTap shots in childhood and boosters every ten years. These shots also protect against other bacterial infections, such as diphtheria and pertussis.

Tetanus shots work by training the immune system to identify threats, so it has the tools to fight them when it encounters them again. These shots are known as a toxoid vaccine, which means they contain a weakened version of the toxin released by Clostridium tetani, the tetanus-causing bacteria. The toxoid creates an immune response that protects you if you are exposed to these bacteria in the future.

There are many reasons to get a tetanus shot, including:

Within 48 hours of getting a wound that is deep and/or contaminated with dirt, feces, or saliva. You will need a booster shot if you haven’t had one in the past five years
During the first trimester of pregnancy, you can protect your baby from pertussis in their first months of life
As part of the childhood immunization regimen. The CDC recommends an initial five-shot series between the ages of two months and six years old, and a booster shot between 11 and 12 years old
Every 10 years after your initial series of shots

You shouldn’t get a tetanus shot if you or your child has an allergic reaction, seizures, or a decreased level of consciousness after getting a tetanus shot in the past. Do not get a tetanus shot until you speak with your healthcare provider. They can make a recommendation as to what is safe for you.

Before you get a tetanus vaccine, it is important to tell your healthcare provider if you have:

Life-threatening allergies
Guillain–Barré syndrome
Suffered from seizures in the past
Had severe pain or swelling after getting a tetanus shot in the past
A condition that affects the nervous system
Recently had transplant surgery

It is also important to tell your healthcare provider about any medications you take, as certain medications, such as corticosteroids, cancer treatments, and immunosuppressants, could interact with the tetanus shot.

Like most vaccinations, there is a chance of side effects. However, the side effects of a tetanus shot are usually mild. The most common side effect is muscle soreness in the arm. Other side effects include:

Swelling, pain, and redness at the injection site
Headache
Fatigue
Loss of appetite
Nausea, vomiting, or diarrhea
Low-grade fever
Fussiness or irritability in babies

Children and babies rarely experience serious side effects from the DTap vaccine. If they do experience side effects, they would include:

Fever over 105 degrees Fahrenheit
Seizures
Swelling of an entire arm or leg
Continued, inconsolable crying that lasts for more than a few hours

If you or a loved one is experiencing any symptoms relating to tetanus, you can receive treatment at Jamaica Hospital Medical Center’s Ambulatory Care Center. Please call (718) 206-7001.

REM Sleep Behavior Disorder

Posted on April 10, 2026 by Patrick Hercules

Rapid eye movement (REM) sleep behavior disorder occurs when a person unknowingly, physically acts out their vivid, often bad dreams with vocal sounds and sudden, often violent arm and leg movements during REM sleep.

People don’t normally move during REM sleep, which is a normal stage of sleep that occurs many times during the night.

About 20% of a person’s sleep is REM sleep, the usual time when dreaming occurs, primarily during the second half of the night.

REM sleep behavior disorder may be linked to neurological conditions, such as:

Lewy body dementia
Parkinson’s disease
Multiple system atrophy

The onset of REM sleep behavior disorder can be gradual or sudden, and it can worsen over time. Episodes of the disorder occur occasionally or several times a night.

Symptoms of REM sleep behavior disorder include:

Movements, such as kicking, punching, arm flailing, or jumping from bed, in response to action-filled or violent dreams, such as being chased or fighting off an attack
Noises, such as talking, laughing, shouting, emotional outcries, or even cursing
Being able to recall the dream if awoken during the episode

Usually, the nerve pathways in the brain that prevent muscles from moving are active during normal REM sleep, which results in temporary paralysis of the body. However, in REM sleep behavior disorder, the nerve pathways no longer work, causing a person to physically act out their dreams.

There are several risk factors associated with the development of REM sleep behavior disorder, including:

Having a certain type of neurodegenerative disorder
Taking certain medications
Having narcolepsy
Being male and over 50 years old

Additionally, recent evidence indicates there may also be several specific environmental or personal risk factors for REM sleep behavior disorder, including:

Occupational pesticide exposure
Farming
Smoking
A previous head injury

REM sleep behavior disorder can cause various complications, including:

Injury to yourself or your sleeping partner
Distress to your sleeping partner or other people living in your home
Social isolation for fear that others may become aware of your sleep disruption

To diagnose REM sleep behavior disorder, a healthcare provider reviews your medical history and symptoms. The evaluation can include:

Physical and neurological exam
Nocturnal sleep study
Talking with your sleeping partner

A healthcare provider uses the symptom criteria in the International Classification of Sleep Disorders, Third Edition (ICSD-3). The criteria include:

You have repeated times of arousal during sleep where you talk, make noises, or perform complex motor behaviors, such as punching, kicking, or running movements, that often relate to the content of your dreams
You recall dreams associated with these movements or sounds
If you awaken during an episode, you are alert and not confused or disoriented
A sleep study shows you have an increase in muscle activity during REM sleep
Your sleep disturbance is not caused by another disturbance, a mental health disorder, medication, or substance abuse

REM sleep behavior disorder can be the first indication of the development of a neurodegenerative disease, such as Parkinson’s disease, multiple system atrophy, or dementia with Lewy bodies.

Treatment for REM sleep behavior disorder may include physical safeguards and medications.

Physical safeguards make it safer for you and your bed partner.

Medications such as melatonin and clonazepam can be prescribed to help treat REM sleep behavior disorder.

If you are experiencing any symptoms of REM sleep behavior disorder, you can consult with a neurologist at Jamaica Hospital Medical Center. To schedule an appointment, please call (718) 206-7246.

Why Do People Get Recurring Sinus Infections?

Posted on April 9, 2026 by Patrick Hercules

A sinus infection, also known as acute sinusitis, is the inflammation of the tissues in your sinuses. It can make breathing through the nose difficult and cause swelling in the area around the eyes and face. It may also cause a headache or a throbbing pain in the face. Other common symptoms of a sinus infection include:

A runny nose with thick yellow or greenish mucus
Post-nasal drip
A stuffy nose
Pain, tenderness, swelling, and pressure around the eyes, cheeks, nose, or forehead that gets worse when bending over
Ear pressure or pain
Pain or pressure in your teeth
Fever
Cough
Bad breath
Headache
Tiredness
A changed sense of smell

Common acute sinus infections usually don’t last long and clear up easily. Recurrent or chronic sinusitis, on the other hand, is when a person has four or more separate infections within one year, with each infection lasting at least 10 days with symptom-free intervals between them. This may often be a signal that an underlying issue needs to be addressed.

Recurrent sinus infections can have many underlying causes, which can often include a variety of factors working together:

Structural issues that affect sinus drainage, such as nasal polyps or a deviated septum
Infections that are difficult to clear due to bacterial infections that develop after a viral illness, which include Staphylococcus Aureus and antibiotic-resistant strains like MRSA
Health conditions or treatments that weaken the immune response or affect sinus function, such as:
- Asthma
- COPD
- Cystic fibrosis
- Immunosuppressant medications, chronic illness, or high stress levels may reduce immune effectiveness
- Dental infections that spread to nearby sinuses, which contribute to persistent or recurrent infections that have been overlooked

To diagnose recurrent sinus infections, a healthcare provider may perform a nasal endoscopy, order a CT scan, or conduct an allergy test

Identifying the underlying cause of recurrent sinus infections allows your healthcare provider to customize a treatment plan to help prevent them from occurring.

Treatment options for recurrent sinus infections vary based on your condition and may involve:

Medications such as nasal corticosteroid sprays, saline irrigation, antibiotics, and antihistamines or allergy medications
Surgical interventions such as straightening a deviated septum, removing nasal polyps, or performing endoscopic sinus surgery
Addressing biofilms and resistant infections
Lifestyle tips to help prevent recurrent sinus infections, such as quitting smoking
Managing allergies
Using a humidifier
Practicing good hand hygiene
Supporting your immune system with a balanced diet, regular exercise, sleep, and stress management

If you or a loved one is suffering from recurrent sinus infections, you can make an appointment with an ENT doctor at Jamaica Hospital Medical Center. Please call 718-206-7110.

Why Spring is A Good Time to Rebuild Healthy Routines

Posted on April 3, 2026 by Patrick Hercules

Spring has finally arrived, and with it comes warm weather, blooming flowers and trees, and longer days. It is a time for renewal and rejuvenation, and as we thaw out from winter, we may realize that spending most of our time indoors has caused us to fall into sedentary habits, such as binging comfort foods, not exercising, and other sluggish routines.

However, spring is the perfect time to refresh your health goals, rebuild healthy routines, and establish new habits. Here are some ways you can reset for the season:

Spring cleaning usually relates to deep cleaning our homes and decluttering our closets. However, it can also be a great way to reset your mindset. A clutter-free environment can help encourage mental clarity, productivity, and relaxation. You can start spring cleaning by organizing your workspaces, donating unused clothes and items, and deep-cleaning busy areas to create a space that feels new and cheerful. You can also declutter any digital spaces, such as emails, phone apps, and limit screen time, which can promote a more mindful relationship with technology.

Warmer temperatures and longer daylight hours make springtime the perfect time to take advantage of the sun. It allows us to enjoy its benefits, as it can boost our mood and energy. The spring sun recharges us with the vitamin D we were lacking after a cold and dreary winter. The sun also helps regulate circadian rhythms, which improves sleep and overall well-being. Even taking a short daily walk during the daytime can increase mental clarity and reduce stress. It is important to note that you should put on sunscreen, wear sunglasses, wide-brimmed hats, and garments with long sleeves and pants while outside to help prevent skin cancer.

Spring is a great time to assess your work-life balance and make the necessary adjustments that support your well-being. If you suffered from seasonal affective disorder or felt burnt out during winter, spring is an opportunity to rebalance work and life for less stress. Prioritize self-care and set boundaries. Make time for activities that bring you joy and happiness, such as engaging in your favorite hobbies, socializing with friends, or spending time with family. It is also important to schedule breaks, time outdoors, and moments of relaxation. A healthy work-life balance can increase mental clarity, motivation, and happiness, which can help you enter spring with restored energy and focus.

Warm spring weather provides the perfect temperature to move your workout outdoors. The standard minimum recommended time for moderate-intensity physical activity is 150 minutes per week. Whether it’s a morning jog, yoga in the park, evening walks, or gardening, it will do as long as your muscles are activated, and you do it consistently. Exercising in the sunshine adds a mood-enhancing benefit, as being amongst nature helps reduce cortisol levels, which improves heart health.

The longer days of spring may also benefit sleep health. The natural light of the sun during the day helps regulate the body’s melatonin production and improve your sleep quality and energy levels. Create a relaxing evening routine by winding down with calming activities such as reading, meditating, or gentle stretching. Try to avoid consuming caffeine or heavy meals late in the evening, as they can disrupt restfulness.

Spring is the time for new beginnings, which makes it an excellent time to focus on mental wellness. Mindfulness practices, such as meditation, deep breathing, or journaling, can help decrease stress and gain clarity. Take a few minutes each day to practice gratitude, as it can change your mindset and improve your emotional well-being. Think about establishing seasonal goals that fit your values, whether it is improving your fitness, learning a new skill or language, or creating more balance in your life. Connecting with nature, practicing self-reflection, and letting go of old habits can refresh your outlook, which can help you feel more grounded and at peace.

This season of renewal is a great time to make dietary changes. Trade in heavy, processed foods for seasonal fruits, vegetables, and lighter meals that support digestion and energy. Focus on eating foods that are rich in nutrients, such as berries, leafy greens, citrus fruits, and lean proteins. It is also important to hydrate. Increase your water intake and try drinking herbal teas or lemon water to support natural detoxification. Evaluate your eating habits and identify areas where there can be improvement. Decrease your consumption of excess sugar, refined carbs, and artificial additives. Replace them with foods that are rich in fiber, healthy fats, and lean proteins. Add more fermented foods such as yogurt and kimchi, as they can also promote gut health, boost digestion, and immunity.

Spring can be a seasonal reset, as it allows you to feel more energized, balanced, and refreshed. Incremental changes such as spending more time outdoors, improving your diet, prioritizing rest, and tidying up your space can make a major impact on both your physical and mental well-being. Embracing renewal and positive habits can help you enter spring rejuvenated, filled with happiness, vitality, and personal growth.

IBS Awareness Month

Posted on April 2, 2026 by Patrick Hercules

April is observed as IBS Awareness Month, a month dedicated to raising awareness about irritable bowel syndrome (IBS), a common disorder that affects the large intestine.

Researchers are unclear of what exactly causes IBS, but they categorize it as a neurogastrointestinal (GI) disorder. Neurogastrointestinal disorders, also known as gut-brain interaction, involve problems with how the gut and brain coordinate to help the digestive system work. This communication challenge between the brain and gut can cause:

Dysmotility

Visceral hypersensitivity

Other potential causes of IBS may include:

Gut bacteria

Severe infections

Food intolerance

Childhood stress

IBS affects approximately 15% of the U.S. population, causing abdominal pain and changes to the frequency of your bowel movements. Other symptoms of IBS include:

Diarrhea, constipation, or alternating between the two

Feeling like you are unable to empty your bowels after pooping

Cramps

Excess gas and bloating

Mucus in stool that makes it look whitish

If a person has IBS, they may notice when certain things trigger symptoms. A trigger doesn’t cause IBS itself, but it can cause or worsen symptoms to flare up. Common IBS triggers include:

Periods

Certain foods

Stress

Researchers categorize IBS based on how a person’s stool looks on the days when they’re having flare ups. Most people with IBS may experience days when they have normal bowel movements and days when they experience abnormal ones. The bowel movements on abnormal days define the type of IBS they have. The types of IBS include:

IBS with constipation (IBS-C)- most of the stool is hard and lumpy

IBS with diarrhea (IBS-D)- most of the stool is loose and watery

IBS with mixed bowel habits (IBS-M)- stool is both hard and lumpy and loose and watery

Post-infectious IBS- generally occurs after an infection in the intestines, and stool is either similar to IBS-D or IBS-M, with a smaller number of cases presenting stool as IBS-C

To diagnose IBS, a healthcare provider will get a full medical history by asking about your symptoms. Depending on your symptoms, they may need other tests to confirm a diagnosis. These tests include:

Lab tests

Imaging tests

No specific therapy works for everyone who has IBS. However, most people with IBS can find a treatment plan that works best for them. Typical treatment options for IBS include:

Modifying your diet

Exercising regularly and trying relaxation techniques

Therapy

Medications

No matter what form of IBS you are experiencing, working with a gastroenterologist can help you manage your symptoms effectively. You can schedule an appointment with a gastroenterologist at Jamaica Hospital Medical Center’s Ambulatory Care Center by calling (718) 206-7001.

Managing Seasonal Allergies If You Have Asthma

Posted on April 1, 2026 by Patrick Hercules

Spring has finally sprung, and with it comes growing grass, blooming trees, and flowers. The season of renewal also comes with seasonal allergies due to the spreading of grass, tree, and flower pollen, as well as mold spores.

Seasonal allergic rhinitis or hay fever affects many people who have pollen allergies. About 26% of adults and 19% of children are affected by seasonal allergic rhinitis.

When a person who suffers from seasonal allergies inhales pollen, it causes allergic reactions in the eyes, nose, sinuses, throat, and lungs. Seasonal allergic rhinitis can also affect those who suffer from asthma, a chronic condition that causes the airways to become narrow and inflamed and can also cause extra mucus to be produced.

Allergic asthma can be triggered by inhaling mold spores and pollen from trees, flowers, and grass. If a person who suffers from asthma inhales pollen, it can cause their airways to narrow and become swollen, which makes it difficult for them to breathe.

Asthma symptoms include:

Wheezing

Shortness of breath

Chest pain or tightness

Coughing

Common treatments for asthma include:

Nasal corticosteroid sprays

Antihistamines

Immunotherapy or allergy shots

If you suffer from seasonal allergies or asthma, there are several ways to manage allergies and reduce your exposure to pollen, including:

Using the air conditioner

Sleeping with the windows closed

Keeping track of the air quality and pollen counts

Taking your asthma medications as prescribed

Using an air purifier

Washing clothes and bedding regularly

Showering after being outdoors

Staying indoors when the pollen count is high

If you are experiencing symptoms related to seasonal allergies or asthma, you can schedule an appointment at Jamaica Hospital Medical Center’s Ambulatory Care Center. Please call (718) 206-7001.

Integrative Health: Acupuncture

Posted on March 27, 2026 by Patrick Hercules

Integrative health combines modern and holistic medicines that can help prevent the onset of disease, address existing chronic conditions, and promote healing in patients.

This approach places the patient at the center of a treatment plan, considering the physical, emotional, and social needs of that individual.

Treatment plans may also include the use of conventional medicine, such as prescriptions, to manage chronic health conditions, as well as therapies and practices, such as acupuncture.

Acupuncture is a technique in which practitioners insert fine needles into the skin to treat health problems. The needles can be manually manipulated or stimulated with small electrical currents, which is called electroacupuncture.

Originating from traditional Chinese medicine, acupuncture has been in use in some form for at least 2,500 years, gaining worldwide popularity since the 1970s.

According to the World Health Organization (WHO), acupuncture is used as a therapeutic technique in 103 out of 129 countries that reported data.

Data from the National Health Interview Survey showed that the use of acupuncture by adults in the U.S. more than doubled between 2002 and 2022. In 2002, 1% of adults in the U.S. used acupuncture. In 2022, that percentage rose to 2.2%.

National survey data suggest that acupuncture is most used for back, joint, and neck pain in the U.S.

It isn’t fully understood how acupuncture works. However, there is evidence that shows that acupuncture may have effects on the central nervous system, effects on other body tissues, and placebo effects.

Studies done in animals and humans, including studies using imaging procedures to see what is happening in the brain, have shown that acupuncture may affect nervous system function.

Acupuncture may have direct effects on the tissues where the needles have been inserted, which has been seen in connective tissue.

Research has shown that acupuncture may be beneficial for several pain conditions, including knee pain resulting from osteoarthritis and postoperative pain. Acupuncture may also help relieve joint pain associated with the use of aromatase inhibitors, which are drugs used in people diagnosed with breast cancer.

An analysis of data from 20 studies (6,376 participants) of people with painful conditions (back pain, osteoarthritis, neck pain, or headaches) showed that the beneficial effects of acupuncture continued for a year after the end of treatment for all conditions except neck pain.

Acupuncture doesn’t only treat painful conditions. It has also been studied for at least 50 other health problems. There is evidence that indicates acupuncture may help relieve seasonal allergy symptoms, stress incontinence in women, and nausea and vomiting associated with cancer treatment, and may also help relieve symptoms and improve the quality of life in people with asthma, but it has not been shown to improve lung function.

Auricular acupuncture is a type of acupuncture that involves stimulating specific areas of the ear. Research on auricular acupuncture for chronic back pain and cancer pain has had promising results.

Relatively few complications from using acupuncture have been reported. However, complications have resulted from the use of nonsterile needles and improper delivery of treatments. When not delivered properly, acupuncture can cause serious adverse effects, including infections, punctured organs, and injury to the central nervous system.

The U.S. Food and Drug Administration (FDA) regulates acupuncture needles as medical devices and requires that they be sterile and labeled for single use only.

If you are interested in learning more about any of our integrative health services, events, or classes, or would like to schedule an appointment, please call us at (718) 206-5675.

World Epilepsy Awareness Day (Purple Day)

Posted on March 26, 2026 by Patrick Hercules

World Epilepsy Awareness Day, or Purple Day, is observed on March 26th, a global initiative to raise awareness of epilepsy and support the millions of people living with it worldwide.

Approximately 65 million people are living with epilepsy across the world, and one in 26 people in the U.S. will be diagnosed with epilepsy during their lifetime.

Epilepsy is a brain condition that causes recurring seizures. Most people who suffer from epilepsy generally have the same type of seizure each time, and symptoms are usually similar from episode to episode. The symptoms of seizures can vary depending on the type of seizure, and because epilepsy is caused by certain activity in the brain, seizures can affect any brain process. Seizure symptoms may include:

Short-term confusion.

A staring spell.

Stiff muscles.

Jerking movements of the arms and legs.

Loss of consciousness.

Psychological symptoms such as fear, anxiety, or déjà vu.

Sometimes people with epilepsy may have changes in their behavior and may also experience psychosis.

Seizures can be categorized as either focal or generalized, based on where in the brain the brain activity that causes the seizure originates.

Focal seizures are the result of brain activity in just one area of the brain. Focal seizures can fall into two categories: focal seizures with preserved consciousness or focal seizures with impaired consciousness.

Types of focal seizures include:

Temporal lobe seizures

Frontal lobe seizures

Occipital lobe seizures

Focal seizures may have warning signs called auras in the moments before a seizure begins. Auras might include a feeling in the stomach, emotions such as fear, or the feeling of déjà vu. They can also be a taste, a smell, or a visual, such as a steady or flashing light, a color, or a shape. Some people may even experience dizziness and loss of balance, or hallucinations.

Generalized seizures are seizures that involve all areas of the brain. Types of generalized seizures include:

Absence seizures

Tonic seizures

Atonic seizures

Clonic seizures

Myoclonic seizures

Tonic-clonic seizures

There is no identifiable cause of epilepsy in about half of the people with the condition. In the other half, the condition may be traced to various factors, including:

Family history of epilepsy

Head trauma

Brain tumors

Infections, such as meningitis, HIV, viral encephalitis, and some parasitic infections

Abnormal blood vessel formation or bleeding in the brain

Alzheimer’s disease

Strokes, heart attacks, and other conditions that deprive the brain of oxygen

Brain inflammation or swelling

Alcoholism or alcohol withdrawal

Injury before birth

Developmental conditions

Seizures can be caused by environmental triggers. These seizure triggers don’t cause epilepsy, but they may trigger seizures in people who suffer from epilepsy. Most people with epilepsy don’t have reliable triggers that always cause seizures. However, there are often factors that make it easier to have a seizure, including:

Flashing lights

Alcohol

Illicit drug use

Lack of sleep

Stress

Dehydration

Skipping doses of anti-seizure medicines or taking more than prescribed

Skipped meals

Illness

Epilepsy is diagnosed when a healthcare provider reviews your symptoms and medical history. They may perform several tests to diagnose epilepsy and to detect the cause of seizures. These tests include:

A neurological exam

Blood tests

Genetic testing

A healthcare provider may also request brain-imaging tests and scans that detect brain changes, including:

Electroencephalogram (EEG)

High-density EEG

CT scan

Functional MRI (fMRI)

PET scan

Single-photon emission computerized tomography (SPECT)

Neuropsychological tests

Along with the test results of these brain-imaging tests, a combination of other techniques may be used to help pinpoint where the seizures start in the brain. They include:

Statistical parametric mapping (SPM)

Electrical source imaging (ESI)

Magnetoencephalography (MEG)

Treatment can help people who have been diagnosed with epilepsy have fewer seizures or even completely stop having seizures. These treatments include:

Medicines

Therapies that include devices that stimulate the brain

Surgery

A ketogenic diet

If you are experiencing any symptoms of epilepsy, you can consult with a neurologist at Jamaica Hospital Medical Center. To schedule an appointment, please call (718) 206-7246.

Treatments to Reduce Alzheimer’s Disease

Posted on March 18, 2026 by Patrick Hercules

Alzheimer’s disease is a degenerative brain disease and the most common type of dementia. It causes a slow decline in memory, thinking, and reasoning skills. Age is the biggest risk factor for the disease, followed by sex and family history.

There is currently no cure for Alzheimer’s disease. However, there is progress in Alzheimer’s and dementia research that is creating promising new treatments for those living with the disease.

The U.S. Food and Drug Administration (FDA) has approved medications for Alzheimer’s disease, which fall into two categories:

· Drugs that change disease progression in people living with early Alzheimer’s

· Drugs that temporarily ease some symptoms of Alzheimer’s

Drugs that change disease progression target the underlying biology of the disease process by aiming to slow the decline of memory and thinking, as well as function.

Anti-amyloid treatments work by removing a protein that accumulates into plaques in the brain, called beta-amyloid. Each treatment works differently and targets beta-amyloid at a different stage of plaque formation.

These treatments change the course of the disease significantly for those who are in the early stages by giving them more time to be able to participate in daily activities and live independently.

The two treatment therapies that change disease progression are Donanemab and Lecanemab.

Donanemab is an anti-amyloid antibody intravenous (IV) infusion therapy that is delivered every four weeks to treat early Alzheimer’s disease, which includes people who are living with mild cognitive impairment (MCI) or mild dementia due to Alzheimer’s who have been diagnosed with elevated beta-amyloid in the brain.

Donanemab was the third therapy that demonstrated that removing beta-amyloid from the brain decreases cognitive and functional decline in people living with early Alzheimer’s disease.

Lecanemab was the second therapy to demonstrate that removing beta-amyloid from the brain decreases cognitive and functional decline in people living with early Alzheimer’s disease.

It is important to note that anti-amyloid treatments do have side effects, such as allergic reactions, amyloid-related abnormalities (ARIA), infusion-related reactions, headaches, and falls.

As Alzheimer’s progresses, brain cells die, and the connections among those cells are lost. When this occurs, it causes cognitive and noncognitive symptoms to worsen.

Although these medications don’t stop the damage that Alzheimer’s disease causes to brain cells, they may lessen or stabilize symptoms for a limited time by affecting specific chemicals involved in delivering messages among and between the brain’s nerve cells.

The medications that are prescribed to treat symptoms related to memory and thinking include:

Cholinesterase inhibitors are prescribed to treat symptoms related to memory, thinking, language, judgment, and other thought processes. These medications prevent the breakdown of a chemical messenger important for memory and learning, called acetylcholine. Cholinesterase inhibitors support communication between nerve cells. The most prescribed cholinesterase inhibitors include:

· Benzgalantamine treats mild-to-moderate dementia due to Alzheimer’s disease

· Donepezil treats mild-to-severe dementia due to Alzheimer’s disease

· Galantamine treats mild-to-moderate dementia due to Alzheimer’s disease

· Rivastigmine treats mild-to-moderate dementia due to Alzheimer’s disease as well as mild-to-moderate dementia due to Parkinson’s disease

Possible side effects for these medications include:

· Headache

· Dizziness

· Diarrhea

· Increased frequency of bowel movements

· Nausea

· Vomiting

· Loss of appetite

Glutamate regulators are medications prescribed to improve memory, attention, reasoning, language, and the ability to perform simple tasks. This medication regulates the activity of glutamate, a different chemical messenger that helps the brain process information.

Memantine is a glutamate regulator that treats moderate-to-severe Alzheimer’s disease. It can cause side effects that include headaches, constipation, confusion, and dizziness.

A cholinesterase inhibitor combined with a glutamate regulator, such as donepezil and memantine, treats moderate-to-severe Alzheimer’s disease. Possible side effects can include nausea, vomiting, loss of appetite, confusion, dizziness, increased frequency of bowel movements, and constipation.

Alzheimer’s disease doesn’t just impact memory and thinking. It also impacts a person’s quality of life by affecting a variety of behavioral and psychological symptoms that come with dementia, such as agitation, hallucinations and delusions, and sleep disturbances. Some medications focus on treating these non-cognitive symptoms for a time; however, it is important to try non-drug strategies to manage behaviors before adding medications.

The FDA has approved only one drug to manage symptoms of insomnia that has been tested in people who are living with dementia, and one that treats agitation.

Orexin receptor antagonists are prescribed to address symptoms of insomnia and inhibit the activity of a type of neurotransmitter involved in the sleep-wake cycle called orexin.

Suvorexant treats insomnia and has been shown in clinical trials to be effective for people who are living with mild to moderate Alzheimer’s disease. Possible side effects can include a risk of impaired alertness and motor function, worsening depression or suicidal thinking, complex sleep behaviors, sleep paralysis, and compromised respiratory function.

Atypical antipsychotics are a group of antipsychotic drugs that target the serotonin and dopamine chemical pathways in the brain. These drugs are mainly used to treat schizophrenia and bipolar disorder, as well as add-on therapies for major depressive disorder. The FDA requires that all atypical antipsychotics carry a safety warning that the medication has been associated with an increased risk of death in older patients who are experiencing dementia related psychosis.

Many atypical antipsychotic medications are used “off-label” to treat dementia-related behaviors, and there is only one FDA-approved atypical antipsychotic to treat agitation associated with dementia due to Alzheimer’s disease. It is important to try non-drug strategies to help manage non-cognitive symptoms such as agitation before adding any medications.

Brexpiprazole treats agitation associated with dementia due to Alzheimer’s disease. Possible side effects may include weight gain, sleepiness, common cold symptoms, dizziness, and restlessness.

If you or a loved one is experiencing any symptoms of Alzheimer’s disease or would like to learn more about treatment options, you can consult with a neurologist at Jamaica Hospital Medical Center. To schedule an appointment, please call (718) 206-7246.