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.

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.

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.

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.

How Safe is Hookah Smoking?

Posted on April 14, 2014 by Natifia Mullings

Hookah smoking is a growing trend among teens and young adults. Though the practice of smoking specially-made tobacco from water pipes is believed by many to be a safe alternative to cigarette smoking, medical research has shown otherwise.

When one smokes hookah, tobacco is heated by charcoal in a smoke chamber. The smoke then passes through water and is drawn through a rubber hose to a mouthpiece. Hookah smoking typically takes place in a group setting and generally last about an hour.

According to the Centers for Disease Control and Prevention (CDC), “hookah smoking delivers the addictive drug nicotine, is as toxic as cigarette smoking, and poses several health risks.” In a typical hookah session, smokers take approximately 200 puffs, compared to cigarette smokers who average 20 puffs a session. Additionally, the volume of smoke inhaled during a hookah session is much higher than the smoke inhaled while smoking a cigarette, 90,000 milliliters compared to 600 milliliters.

It is also believed that the charcoal used to heat the tobacco increases toxicity levels of various compounds, including carbon monoxide and heavy metals. Therefore, hookah smoking is linked to lung and oral cancer, as well as reduced lung function. These are the same harmful health effects as cigarettes. Since hookah smoking involves using, and often sharing a mouthpiece, there is also the risk of developing and spreading infectious diseases, such as herpes, influenza, and hepatitis.

Although research on hookah smoking is still developing, there is enough evidence that suggest it is just as dangerous as cigarette smoking, if not worse. Hookah smoking and its use of flavored tobacco is marketed to young adults but it’s important to understand there is no such thing as smoking hookah safely.

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