September 13th – National Celiac Disease Awareness Day

Posted on September 11, 2015 by Michael Hinck

Celiac disease is an autoimmune disorder that damages the small intestine, preventing the absorption of nutrients from food. It is triggered by the consumption of a protein called gluten, which can be found in wheat, barley, and rye. Approximately one percent of the population suffers from celiac disease and it affects men and women across all ages and races.

Symptoms vary depending on the age of onset, but in general, celiac disease, or gluten intolerance as it is also known, generally results in: abdominal pain, bloating, diarrhea, vomiting, poor appetite, lethargy, irritability and depression.

Children with celiac disease fail to gain weight and have a late onset of puberty. Adults with the disease also can develop anemia, joint and bone pain, arthritis, itchy rash, and mouth sores.

Accurately diagnosing celiac disease is difficult because the symptoms are similar to other diseases, but if left untreated, it can lead to serious health risks including infertility, neurological disorders, some cancers, and other auto-immune diseases.

Currently, there is no medication to cure celiac disease. The only way to treat the disease is through a strict, life-long gluten free diet, which means avoiding all foods that contain wheat, rye, and barley. Despite these restrictions, many people with celiac disease can still enjoy a well-balanced diet, with a variety of foods including bread and pasta. Due to increased awareness of celiac disease, there are many gluten-free alternatives now available; in fact sales of gluten-free products are expected to exceed $5 billion in 2015.

September 13th is National Celiac Disease Awareness Day. If you think you or a loved one has celiac disease, make an appointment with your doctor. A series of blood tests can help determine if you have it. If you are diagnosed with celiac disease, together, you, your doctor, and your family can map out a plan to help you live a healthy, gluten-free lifestyle.

If you do not have a doctor, please call Jamaica Hospital’s Family Medicine Center to schedule an appointment at 718-657-7093.

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.

September is Ovarian Cancer Awareness Month

Posted on September 10, 2015 by Andrew Rubin

Ovarian Cancer is one of the most serious cancers affecting women. In the United States an estimated 22,000 annually women will be diagnosed with this disease and approximately 14,250 will die as a result of it. This type of cancer typically affects women who are in their fifties and sixties, and frequently have a family history of the disease. When the disease is detected early, the five year survival rate is above 93%.
Symptoms of ovarian cancer are:
• Bloating
• Nausea, indigestion, gas, and constipation
• Abdominal and pelvic pain
• Fatigue
• Backaches
• Urinary frequency and urgency
When a physician suspects ovarian cancer, they will perform certain tests to confirm the diagnosis. The exam will include a blood test for the CA-125 marker, examination of the abdomen to see if there is tenderness, a pelvic exam, ultrasound, and a biopsy.
There are four main stages of ovarian cancer.
Stage I – completely confined to one or both ovaries
Stage II – Found in one or both ovaries with spread to other pelvic organs (bladder, colon, rectum, uterus)
Stage III – Cancer is found in one or both ovaries and has spread to the lining of the abdomen and/or the lymph nodes
Stage IV – Most advanced stage of the disease with spread to additional organs such as liver and lung
The three main types of ovarian cancer are: epithelial cell tumors (most common), Germ cell tumors and Stromal cell tumors. When these tumors are benign they never spread beyond the ovary. When they are malignant these tumors can spread to parts of the body beyond the pelvis and be fatal.
Treatment options for ovarian cancer include chemotherapy, surgical removal of the affected organ(s), hormone therapy, and radiation. The type of treatment will be determined by the type of ovarian cancer, the age of the patient, and the stage of the disease.
Early detection is important and women should have an annual gynecological exam once a year. If you would like to make an appointment at Jamaica Hospital’s Women’s Health Center, please call 718-291-3276.

The Many Benefits of Garlic

Posted on September 4, 2015 by Michael Hinck

Looking for a wonder drug that can:

• Lower your blood pressure and cholesterol? Check
• Boost your immune system? Check
• Control you diabetes? Check
• Improve your digestive and respiratory system? Check

What is this new, breakthrough drug? It’s not a medication at all; in fact you can find it at your local grocery store. It’s garlic!

Garlic is a plant that is used in many cultures for both culinary and medical purposes for hundreds of years. Eaten on its own, or more commonly used as an ingredient in many tasty dishes, garlic contains allicin, which is known to have anti-oxidant, anti-viral, and anti-bacterial properties.

Garlic has been shown to lower blood pressure by relaxing vein and artery walls. This action helps keep platelets from clumping together and improves blood flow, thereby reducing the risk of stroke. Garlic also decreases the levels of cholesterol and triglycerides, substances that increase the risk of cardiovascular diseases. Studies suggest that regularly eating garlic helps lower blood pressure and controls blood sugar and cholesterol levels.

This popular herb may also improve immunity by stimulating some of the body’s natural immune cells. Studies suggest that garlic may help prevent breast, bladder, skin, stomach, and colon cancer. Garlic’s antibacterial properties also make it a wonderful anti-viral and decongestant to prevent and combat colds, coughs, and upper respiratory tract infections. In addition, Garlic is often used to treat many other common maladies such as ear infections, toothaches, and treatment for warts and athlete’s foot.

Garlic can be digested either cooked or in raw form (but only in small amounts). If you do not like the taste of garlic there are also powdered or caplet forms. Your doctor can recommend which form of garlic is best for you.

For most people, consuming garlic does not cause any serious side effects if taken in moderation, but it can cause heartburn or stomach irritation if taken in excess. Due to its blood thinning properties, individuals taking anti-coagulant medications should speak with their doctor before increasing their daily garlic intake.

Rare but True – Can You be Allergic to the Cold ?

Posted on September 2, 2015 by Andrew Rubin

Every winter people complain that they need to be in a warm climate because they are “allergic” to the cold. While we think most are just trying to dramatize the effects of the cold weather in reality, there are some people who actually are allergic to the cold. The condition known as “Cold Urticaria” is brought on by exposure to the cold. It is caused by the body’s release of histamine i to the blood stream. the same chemical that gets released during an allergic reaction. This condition may be either an inherited trait or due to a virus.
Some of the signs and symptoms are:
• Reddish hives on skin that was exposed to the cold
• Hands that swell when they come in contact with cold objects
• Swelling of the lips, tongue and throat when touched by cold liquids
• Heart palpitations or fainting might occur in extreme cases.
• Headaches, fever and joint pain.
The effects of this allergic occurs when the temperature drops below 39 degrees but can also present at higher temperatures. The condition is usually limited to the part of the body that has been exposed but can have a full body effect if a person goes swimming in cold water or if they aren’t properly dressed in cold weather. One of the ways that it is diagnosed is by placing an ice cube on the skin for five minutes to see if there are any signs of a rash.
Treatment options include taking antihistamines, which will help ease the symptoms, avoiding extreme cold and making sure that you don’t leave areas of the body exposed in cold weather .
People who have cold urticaria should see a dermatologist to obtain prescription medications which may help to ease the symptoms. To schedule an appointment with a dermatologist at Jamaica Hospital Medical Center, please call 718-206-7001.

How Your Body Makes Milk for Your Baby

Posted on September 1, 2015 by Xavia Malcolm

breastfeeding-475378452 Your breasts give you the earliest clues that you are pregnant. When you become pregnant, they become swollen, tender and the skin on your nipples and areolas become darker. Within the first trimester you will continue to experience physical changes in your breasts-such as the bumps(Montgomery glands) surrounding your areolas increasing in size. Milk –producing cells (alveoli) and ducts in the mammary glands will also multiply in preparation for the distribution of milk.

Usually by your fourth to sixth month of pregnancy, hormones will be released which tell your mammary glands to begin producing milk. The alveoli draw fats, proteins and sugars from your blood to make breast milk. At this point of pregnancy, it is not unusual for your body to begin leaking milk. This form of milk is called colostrum and may be yellow or orange in color and sticky.

After the birth of your baby the body increases levels of the hormone prolactin. This hormone releases signals to produce more milk. It is also known as the hormone that makes mothers feel maternal.

You can attempt to feed your baby soon after delivering; however some mothers are not fully capable of feeding their newborn within 24 to 48 hours after delivery. Your “first milk” will be colostrum, which will have a creamy appearance. Colostrum is specially created for newborns; it is high in protein, low in fat and sugar and is easy to digest. It also helps your baby to make the first bowel movement and provides antibodies that strengthen the immune system.

As you can see, your body is designed to make the nutrients most essential to your baby’s health. Breastfeeding will provide many benefits for your bundle of joy and it will also provide you with countless health, emotional and financial benefits.

Rare but True – Alice in Wonderland Syndrome

Posted on August 26, 2015 by Michael Hinck

Alice in Wonderland Syndrome is a rare, but real condition, but it doesn’t involve the Mad Hatter or the Cheshire Cat.

Alice in Wonderland syndrome (AIWS) is a neurological condition where the sufferer has temporary episodes of a distorted perception of their own size and the size of things around them. People with this condition visualize themselves as big as giants or as small as insects. The objects around them also appear abnormally large or small. For instance, someone with AIWS will perceive a teacup either as big as a car or as small as a thimble.

This hallucination-like state typically lasts anywhere from five to 30 minutes. People with AIWS also may experience an impaired sense of space, with objects suddenly seeming very close or far away. In some cases, the sense of touch and sound may also be distorted.

The syndrome references the adventures from the famous novel by Lewis Carroll, where the title character Alice experiences strange events in Wonderland. Many believe that the Carroll himself suffered from this disease and was the inspiration for the story.
The cause of the condition is unknown, although the episodes have been closely associated with the onset of migraine headaches or epilepsy. AIWS can affect anyone, but it is most common in children and young adults. Episodes stop for most over time, but those who experience symptoms are recommended to see a doctor immediately.

Quick and Easy Appetizers for Labor Day…

Posted on August 26, 2015 by Joann Ariola

Refreshing dip, spreads and appetizer’s that will make it easy for you to dip in and chill out this Labor Day!

–Homemade is the best made.
– A grill, bacon and some bamboo skewers are all you need.
– Produce delicious skins using this recipe.
– Add some spice to your menu with this fun recipe.

10 Things You Should Know When Caring For Someone with Lupus

Posted on August 25, 2015 by Xavia Malcolm

A diagno Purple ribbone 85501057 sis of lupus can be difficult news for a patient to receive; however, it can be as equally devastating to their loved ones. Caregivers will often face many mental and physical challenges after a diagnosis due to the unpredictability of the disease. Lupus is described as “unpredictable” because symptoms may present themselves differently in each person.

Experts suggest that one of the best pieces of advice a caregiver could use to overcome challenges is to develop an understanding of the disease. Through education they can become better prepared for difficulties that are likely to occur. Knowing the basics is a good start.

Here are 10 things a caregiver should know about lupus:

What is lupus? – Lupus is a chronic disorder of the immune system. It affects over 1.5 million people in the United States. The disease causes the body to attack healthy cells and tissues. Lupus can incur damage to the joints, kidneys, heart, blood vessels, skin, brain and lungs.
Who is most likely to get lupus?-The disease is most prevalent in women of color.
What causes the disease? – Currently, the cause of lupus is unknown.
What are some of the symptoms? – Symptoms vary by the individual. In some cases your loved one may experience: muscle or joint pain, fatigue, hair loss, fevers, rashes around the face, headaches, seizures or chest pain. The symptoms are sometimes referred to as lupus flares.
How do I handle lupus flares? – Be aware of tell-tale signs such as tiredness, rashes or other symptoms. Contact your doctor right away, so that he can recommend the appropriate treatment. If flares are stress related, try suggested methods for stress reduction.
Will lupus affect my loved one’s ability to remain active? – Lupus can impair your loved ones ability to move around, especially if there is a flare up around the joints.
How can I help my loved one to stay on top of their health? – Encouraging healthy eating, exercise, taking nutritional supplements and maintaining regular checkups are vital.
How can I be emotionally supportive? – The best advice is to let your loved one know that you are there for them and there to listen. A diagnosis or symptoms of lupus can sometimes lead to depression; be on the alert for signs such as a loss in interests, long term sadness or helplessness. If your loved one appears to be depressed, seek the help of a mental health professional as soon as possible.
How can I maintain my own mental health? It is not uncommon for caregivers to experience bouts of depression as well. If you are experiencing symptoms, it is recommended that you see a mental health professional. However, if you are just experiencing mental tiredness or frustration you can try activities such as exercise or joining a support group.
How do I maintain proper care for my loved one? Maintaining a continuous and communicative relationship with their physician is best. Because the disease is unpredictable you should communicate changes to the doctor. Based on information you provide, the doctor can develop a care plan for your loved one.

For more information about lupus, please contact The Lupus Center at Jamaica Hospital. The facility is staffed by expert rheumatologists from the Feinstein Institute for Medical Research and hosts various educational community outreach programs throughout the year. To schedule an appointment, call 718-206-9888 or the Lupus Hotline at 1-877-33 LUPUS.

Asthma and Climate Change

Posted on August 25, 2015 by Andrew Rubin

It is a fact that breathing difficulties associated with asthma are affected by climate changes. These changes in the environment bring about higher levels of ozone in the atmosphere. A higher concentration of dust and fine particles can cause existing respiratory conditions to worsen especially in the very young and the elderly.

Some of the environmental factors that affect the respiratory system are:

• Higher levels of carbon dioxide and higher temperature can lead to more spores and mold in the air.

• Climate change can lead to drought conditions which can lead to more dust in the air.

• Higher temperatures can lead to more greenhouse gases being produced.

• Environmental production of pollutants from vehicles and factories become trapped in the atmosphere.

These environmental conditions can cause chest pain, coughing, and reduced lung function for those who suffer with asthma.

Irritants that affect breathing function have definitely worsened over the years due to climate changes. People are being treated more frequently in the emergency rooms across the country due to lack of clean air to breathe.

If you would like to speak with a pulmonologist about a breathing problem, please call 718-206-7001 to schedule an appointment.