What Happens to Your Body During a Hot Flash?

A hot flash is a sudden warm feeling in the upper body, usually the most intense over the face, neck, and chest. Hot flashes are most commonly caused by menopause.  

Menopause is when the menstrual period stops for good, with most women experiencing a hot flash about four and a half to five years after their last period. It is diagnosed after 12 months without having a menstrual period, vaginal bleeding, or spotting.  

During a hot flash, a woman might feel like she is spiking a high fever, but physiologically, that isn’t what is happening. As women approach menopause and the ovaries begin to produce less estrogen, the hypothalamus, the brain’s internal thermostat, becomes hypersensitive to even small shifts in temperature.  

When a woman experiences a hot flash, the body believes it is overheating, even when the actual temperature hasn’t changed much. In response to this, the body tries to cool down as blood vessels dilate, which is supposed to help dissipate some of that heat, triggering a sweating reflex.  

How an individual woman experiences hot flashes varies greatly. Some women describe very mild symptoms, while others suffer from profuse sweating. Additionally, some women only have hot flashes during the day, while others have regular night sweats. According to the American College of Obstetricians & Gynecologists, about four in five women experience hot flashes at some point during the menopause transition.  

Common triggers of hot flashes include: 

  • Alcohol 
  • Caffeine 
  • High sugar intake 
  • High processed foods 
  • Stress 

Black women are more likely to experience more severe and longer-lasting symptoms, sometimes up to 11 years, and research shows that women with more severe, longer-lasting hot flashes and night sweats appear to be at higher risk of cardiovascular disease.  

For decades, hot flashes were blamed solely on the loss of estrogen, but that explanation left some questions unanswered because not every menopausal woman has night sweats. What’s more, it doesn’t explain why perimenopausal women experience hot flashes while they still produce estrogen. 

Newer research has shown that when the brain recognizes that a woman’s estrogen levels are low, nerve cells in the hypothalamus called KNDy neurons become overactive, releasing neurotransmitters, which include kisspeptin, dynorphin, and neurokinin B.  

For women in the middle of their hot flash years and the ten percent of menopausal women who continue to experience them, here are some strategies and tips that can help you manage your hot flashes: 

  • Keep your core body temperature as cool as possible 
  • Keep cool at night 
  • Watch what you eat and drink 
  • Refrain from smoking 
  • Maintain a healthy weight 
  • Reduce your stress 
  • Exercise regularly 
  • When you feel a hot flash coming on, take several slow, deep breaths and try to relax 
  • Drink a glass of cold water and sit calmly until it passes 
  • Wear layers you can easily take off when you feel yourself getting hot 

Once a hot flash starts, there is no instant cure. Talk to your healthcare professional about medications and complementary therapies that make the most sense for you and your symptoms. 

If you are experiencing hot flashes due to menopause, the most effective way to relieve the discomfort from them is to take estrogen, but taking it carries risks. 

Other treatments for hot flashes can include: 

  • Medications 
  • Antidepressants, anti-seizure drugs, and other medications 
  • Hormone therapy 
  • Mind and body approaches 
  • Cognitive behavioral therapy (CBT) 
  • Hypnosis 
  • Mindful meditation 
  • Acupuncture 
  • Dietary supplements 

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.

National AFib Awareness Month

September is National AFib Awareness Month, a month dedicated to promoting education, early detection, and improved care for AFib.

AFib stands for atrial fibrillation, a type of arrhythmia, or abnormal heartbeat. During AFib, the heart’s upper chambers, or the atria, beat chaotically and irregularly. They beat out of sync with the lower chambers, called ventricles.

Afib can lead to blood clots in the heart. It also increases the risk of stroke, heart failure, and other heart-related complications.

Afib usually isn’t life-threatening, but it is a serious medical condition that needs proper treatment to prevent serious health issues.

There are many symptoms of AFib, including:

  • Feelings of a fast, fluttering, or pounding heartbeat
  • Chest pain
  • Dizziness
  • Fatigue
  • Lightheadedness
  • Reduced ability to exercise
  • Shortness of breath
  • Weakness

People can experience three types of Afib, including:

  • Paroxysmal AFib
  • Persistent AFib
  • Long-standing persistent AFib

The most common cause of AFib is problems with the heart’s structure. Other health problems and heart diseases that can cause AFib include:

  • A congenital heart defect
  • Sick sinus syndrome
  • Obstructive sleep apnea
  • Heart attack
  • High blood pressure
  • Lung diseases, including pneumonia
  • Coronary artery disease
  • Thyroid diseases
  • Infections from viruses

Many factors can increase your risk of AFib, including:

  • Age
  • Caffeine, nicotine, or illegal drug use
  • Drinking too much alcohol
  • Changes in the level of body minerals
  • Family history
  • Long-term health conditions
  • Obesity
  • Some medicines and supplements

Healthy lifestyle choices can reduce heart disease risk and prevent AFib. Some basic heart-healthy tips include:

  • Controlling high blood pressure, high cholesterol, and diabetes
  • Not smoking or using tobacco
  • Eating a diet that is low in salt and saturated fat
  • Exercising at least 30 minutes a day at least five days a week
  • Getting at least seven to nine hours of sleep a day
  • Maintaining a healthy weight
  • Reducing and managing stress

A healthcare provider can diagnose AFib by examining you and asking questions about your medical history and symptoms. Tests may be done to look for conditions causing irregular heartbeats such as heart disease or thyroid disease, including:

  • Blood tests
  • ECG or EKG
  • Holter monitor
  • Event recorder
  • Implantable loop recorder
  • Exercise stress tests
  • Chest X-ray

The goals of AFib treatment are to reset and control the heartbeat and prevent blood clots. Treatment for AFib depends on how long you’ve had it, your symptoms, and the cause of the irregular heartbeat. Afib treatment can include:

  • Medications
  • Cardioversion therapy
  • Surgery or catheter procedures

If you are experiencing any symptoms of Afib, you can schedule an appointment at Jamaica Hospital Medical Center’s Cardiology Department by calling (718) 206-7100. If you are experiencing an emergency, please dial 911 right away.

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.

National Sickle Cell Awareness Month

September is National Sickle Cell Awareness Month, a month that addresses the challenges patients, their families, and caregivers experience and provides an opportunity to increase public knowledge and understanding of sickle cell disease and traits. 

Sickle cell disease is a group of inherited red blood cell disorders that affect hemoglobin, the protein that carries oxygen through the body. It is the most common inherited blood disorder in the United States. The disease gets its name from the abnormal crescent or “sickle” shape that some red blood cells develop. These abnormal red blood cells block blood flow, resulting in recurring episodes of pain. 

Sickle cell disease is a lifelong disease affecting more than 100,000 people in the United States and 20 million worldwide. In the U.S., most people who have sickle cell disease are of African ancestry or identify themselves as Black. About one in 13 Black or African American babies are born with the sickle cell trait, and about one in every 365 Black or African American babies are born with sickle cell disease. Many people who come from Hispanic, Southern European, Middle Eastern, or Asian Indian backgrounds also have sickle cell disease. 

There are several symptoms of sickle cell disease. Early symptoms can include: 

  • Jaundice- a condition that causes the color of the skin or whites of the eyes to turn yellow 
  • Extreme tiredness 
  • Painful swelling of the hands and feet 

Many serious symptoms and complications of sickle disease can include: 

  • Episodes of severe pain 
  • Anemia symptoms, such as fatigue, shortness of breath, dizziness, and an irregular heartbeat 
  • Fever 
  • Acute chest syndrome 
  • Stroke 
  • Priapism 
  • Avascular necrosis 
  • Pulmonary hypertension 
  • Organ damage 
  • Leg ulcers 
  • Gallstones 
  • Deep vein thrombosis 
  • Pregnancy complications 
  • Vision problems 
  • Frequent infections 

There are many ways to manage and treat sickle cell disease, including: 

  • Medicines 
  • Blood transfusions 
  • Blood and bone marrow transplant 
  • Gene therapies 
  • Complementary and alternative medicine (CAM) 

Your healthcare team will probably include a doctor specializing in blood diseases called a hematologist. 

If you need help managing symptoms of sickle cell disease or sickle cell trait, schedule an appointment with a hematologist at Jamaica Hospital Medical Center’s Department of Internal Medicine 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.

Four Key Risk Factors Linked to 99% of Heart Attacks

Cardiovascular diseases, such as a heart attack, are the leading causes of death around the world. 

heart attack, or myocardial infarction, occurs when blood flow to the heart muscle is reduced or blocked. The blockage is usually caused by a buildup of fat, cholesterol, and other substances in the heart’s arteries. 

Most heart attacks are caused by coronary artery disease, which is the most common cause of death in the United States. 

The warning signs of a heart attack include: 

  • Chest discomfort that lasts more than a few minutes or doesn’t go away and returns 
  • Pain or discomfort in the arms, back, neck, jaw, and stomach 
  • Shortness of breath 

Other signs of a heart attack can include: 

  • Breaking out in a cold sweat 
  • Nausea 
  • A rapid or irregular heartbeat 
  • Unusual tiredness 
  • Heartburn or indigestion 
  • Lightheadedness 

According to a study published in the Journal of the American College of Cardiology, more than 99% of people who experience a heart attack previously had at least one of four major cardiovascular risk factors that were above ideal healthy levels. These risk factors include: 

  • High blood pressure 
  • High cholesterol 
  • High fasting glucose or high blood sugar 
  • Tobacco use 

For this study, researchers analyzed medical data from more than 9 million adults in South Korea and almost 7,000 adults in the United States for up to 20 years, allowing scientists to see multiple measurements for blood pressure, cholesterol, glucose, and smoking exposure before a participant had their first cardiovascular issue.  

At the conclusion of the study, researchers discovered that more than 99% of the study participants had at least one risk factor at unhealthy levels before experiencing a heart attack. What’s more, scientists found that high blood pressure was the biggest culprit of the four major risk factors, affecting more than 95% of South Korean participants and over 93% of U.S. participants.  

Fortunately, these risk factors are categorized as modifiable, meaning they are potentially preventable. If high blood pressure, high cholesterol, and high blood sugar can be reduced, as well as eliminating the use of tobacco, there is a possibility that the risk of heart attack can be decreased.  

If you are experiencing any symptoms of a heart attack, you can schedule an appointment at Jamaica Hospital Medical Center’s Cardiology Department by calling (718) 206-7100. If you are experiencing an emergency, please dial 911 right away. 

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 Holistic Pain Management?

Chronic pain is any pain that lasts longer than three months. It can be caused by conditions such as arthritis, fibromyalgia, or a troublesome injury. When a person suffers from chronic pain, it can be overwhelming, as it disrupts and affects every part of their life.  

Integrative health is a progressive approach to healthcare that combines leading treatment services from modern medicine with a deep understanding of illness, healing, and wellness.  

This approach combines modern and holistic medicines to help prevent the onset of disease, address existing chronic conditions, and promote healing in patients who are at the center of a treatment plan that considers the physical, emotional, and social needs of that individual. 

Traditionally, pain management techniques focused solely on the physical aspects and treated symptoms rather than addressing the underlying causes. However, extensive research suggests that pain has a profound impact on our mental and spiritual well-being as well. This is where holistic pain management comes in. 

Holistic pain management is a comprehensive, whole-person approach to treating chronic pain. It combines evidence-based therapies, such as physical therapy, cognitive behavioral therapy (CBT), acupuncture, nutrition, and stress management. This is done to address the physical, emotional, and lifestyle factors that contribute to pain, instead of only relying on medication. 

The key components of holistic pain management include: 

  • Physical therapies  
    • Exercise 
    • Physical therapy  
    • Massage 
    • Chiropractic care 
  • Mind-body approaches  
    • Cognitive behavioral therapy (CBT) 
    • Mindfulness and meditation 
    • Biofeedback  
  • Complementary therapeutic treatments 
    • Acupuncture 
    • Yoga 
    • Tai chi 
    • Herbal medicine 
    • Aromatherapy 
    • Hydrotherapy  
  • Lifestyle changes 
    • An anti-inflammatory diet 
    • Stress reduction 
    • Sleep optimization 
  • Integrative medical care consisting of a coordinated team approach combining multiple evidence-based treatments 

There is also a spiritual aspect to holistic pain management. Prayer and other forms of spiritual practice can be beneficial for pain management, as connecting to a higher power or a sense of the divine can provide a source of comfort, strength, and hope in the face of pain for some individuals.  

Additionally, energy healing practices, such as Reiki or Qi Gong, are other spiritual approaches to pain management. Reiki and Qi Gong are based on the belief that the body has an innate energy system that can be balanced and harmonized using gentle touch, visualization, and intention. By promoting the flow of energy and restoring balance within the body, energy healing practices may help to alleviate pain and promote overall well-being. 

Holistic pain management isn’t about choosing one approach over another. Instead, it is about integrating and recognizing the interconnectedness and various aspects of the mind, body, and spirit to create a thorough and personalized plan for pain relief to support the body’s natural healing processes. 

If you are interested in learning more about any of Jamaica Hospital Medical Center’s Integrative Health services, events, or classes, or would like to schedule an appointment, please call us at (718) 206-5675. 

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.

Flat Feet

Flat feet mean you have little to no arch in the soles of your feet. You may be flat-footed from childhood or have lost your arches due to a medical condition.

The arches of your feet play an important role in the mechanics of walking upright. Your arches are made of bones and connective tissues, and they:

  • Act as a springboard and shock absorber
  •  Adapt your foot to uneven walking surfaces
  • Protect nerves and vessels in the soles of your feet
  • Store and release energy as you walk

Some healthcare providers make a distinction between mildly flat feet that don’t cause any issues and the foot deformity they call pes planus. Flat arches cause other changes to your foot due to pes planus, including:

  • The flattened arch causes your heel to point outward and your ankle to roll inward
  • The arch on the inner side of your sole is flattened and appears to touch the ground
  • Your talus bone, a bone on the inner side of your foot, sticks out

Healthcare providers may classify flat feet as either flexible or rigid, or congenital or acquired.

Flexible flat feet are the most common type of flat feet. You can see the arches in your feet when you aren’t standing on them, but they disappear when you stand.

Rigid flat feet are a rare type of flat feet and mean that your feet have no arches whether you’re standing or sitting.

Congenital flat feet mean a baby has a birth defect that prevents their feet from developing arches. Some hereditary connective tissue disorders can make your arches too weak to hold up. Additionally, some families have flatter arches than others. However, genes can also cause genetic disorders or defects that affect how your arches form or prevent them from forming. These conditions include:

  • Down syndrome
  • Cerebral palsy
  • Osteogenesis imperfecta
  • Marfan syndrome
  • Clubfoot
  • Ehlers-Danlos syndrome
  • Joint hypermobility syndrome
  • Tarsal coalition

Acquired flat feet, or fallen arches, is a progressive collapsing deformity of the foot that occurs in adulthood, after your feet have developed their natural arches. Arch collapse can happen slowly or rapidly. Diseases and injuries can cause them, including:

  • Arthritis
  • Injury
  • Posterior tibial tendon dysfunction
  • Charcot foot

Flat feet don’t always cause symptoms. However, they can change the way you walk and can also transfer too much stress to parts of your lower body that aren’t prepared to bear it.

  • Early symptoms might include:
  • Foot pain after walking
  • Shin splints from overcompensating
  • Ankle pain from overpronation

Over time, you may develop:

  • Chronic pain even when you’re not walking
  • Gait disorders and abnormalities
  • Deformities such as bunions or hammertoes

These symptoms may cause you pain in your knees, hips, and lower back. You might also be more at risk of developing secondary conditions, such as:

  • Foot and ankle arthritis
  • Repetitive strain injuries
  • Ankle instability and sprains

An orthopedist or podiatrist can recognize flat feet after performing a physical exam by observing the shape and position of your foot, how it moves, and how you stand and walk on it. They will ask about your health history and any prior injuries or conditions that may have caused it. They might take images by taking a foot X-ray to confirm flat feet or to look deeper into the cause of it.

Many people won’t need treatment for flat feet. If they don’t have symptoms, they won’t need to fix them. If flat feet cause you occasional, mild aches and pains, you can treat them with:

  • Over-the-counter (OTC) pain relievers, such as nonsteroidal anti-inflammatory drugs (NSAIDs) or acetaminophen
  • Orthotic shoe inserts or other walking supports
  • Physical therapy exercises that stretch and strengthen your feet

Flat feet that cause chronic or significant pain, or other complications might need additional treatment. Depending on what’s causing it, some people might need surgery to fix the underlying issue.

It is important to know that there isn’t anything you can do to prevent flat feet. However, staying at a healthy weight may ease pain caused by flat feet.

The Department of Podiatry at Jamaica Hospital Medical Center provides a wide variety of medical treatments and surgical procedures for adults and children. To make an appointment, please call (718) 206-6713/6712

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.

Burn Treatment Myths De-Bunked

Getting a burn on any part of your body can be painful, especially based on its severity. When we get a burn, we may try to use homeopathic remedies as treatment. However, some of these homeopathic burn treatment options are either not recommended or have little to no research on whether they help or improve the healing process.

Here are some burn treatment myths and the facts to help you treat your burn wounds properly and avoid using potentially harmful remedies:

Myth #1: Using cold water to stop the burning process

A burn injury can damage your skin and disrupt or impair your body’s natural ability to regulate its temperature. This is why, after getting a burn, such as a sunburn, you may get cold more easily despite your skin feeling hot to the touch. Those who experience more severe burns are not only unable to regulate their body temperature but are at an increased risk of developing hypothermia.

Instead, use slightly warm or tepid water to rinse the affected area for 15-20 minutes before washing the burn with a gentle soap. Hot water should be avoided entirely because it can cause pain or make the burn worse.

Myth #2: Using ice to numb the burned area, cool it down, or reduce the swelling

Ice is not an effective way to treat a burn and shouldn’t be used, as it can irritate the burn and cause more damage to the wound bed. Ice also stops blood flow via vasoconstriction, which can worsen the injury.

Instead, run a towel under tepid water and wring it out so it isn’t soaking wet. Place the damp towel on the burn for ten-minute intervals to reduce swelling and pain. Be sure not to do this too often, as keeping the burn moist may promote the onset of infection.

Myth #3: Using butter and cooking oils to heal burns

Butter and cooking oils should not be used to treat burns. They can make the burn worse by trapping heat, keeping the area hot, and creating an environment that is conducive to bacterial infection.

Instead, use burn creams and antibiotic ointments to create a barrier between the wound bed and the outside environment to help prevent infection. Apply these creams and ointments directly to the affected area, then cover or wrap it with a dry, sterile bandage. Change the bandage often, as a dirty bandage promotes infection.

Myth #4: Using toothpaste to relieve pain from burns

Toothpaste often contains mint ingredients or flavoring, and this cooling sensation mimics the effects of lidocaine found in topical pain-relieving gels and creams. It isn’t recommended to put lidocaine or mint products such as toothpaste on burns, especially second- or third-degree burns, as it will make the wound painful, uncomfortable, and irritated. Additionally, toothpaste is not sanitary enough to put on any open wound and may increase the risk of infection.

Instead, use aloe vera, as it is the most natural treatment for minor burns because of its healing capabilities. Aloe vera reduces inflammation, promotes circulation, reduces bacterial colonization, and helps heal the affected area faster.

Myth #5: Using milk, flour, or egg whites to treat burns

When you eat a very spicy meal and your tongue is burning, you can drink milk to cool the burning sensation. However, putting milk on a burn may encourage infection of the wound bed, as it comes with the risk of certain harmful pathogens, such as Brucella, E. coli, Listeria, and Salmonella. Raw flour, like milk, is associated with the harmful pathogens Salmonella and E. coli. It also comes with the risk of infection, as it can dirty the wound, making it harder to clean and disinfect. Additionally, no evidence that applying eggs to a burn helps heal the wound. Using eggs to treat a burn carries the risk of salmonella poisoning, bacterial infection, and allergic reaction.

Instead, use cool water to clean the wound, and apply aloe vera, burn creams, or antibiotic ointments to help the wound heal.

Myth # 6: Using rubbing or drinking alcohol to sterilize a burn wound, and popping blisters

It may seem like a good idea to use rubbing or even drinking alcohol to sterilize a burn wound. However, they should not be used as an antibacterial solution, as they can irritate the burn, cause pain, and kill beneficial bacteria. Alcohol is also highly flammable and can catch fire if you are still near the source of the burn. Popping blisters can increase the risk of developing an infection. Blisters are not like pimples. The fluid buildup in the blister is the immune system’s attempt to protect you from further damage and infection.

Instead, use cool water to flush the wound and an antiseptic for burns to sterilize it. Also, avoid popping blisters. A healthcare provider who specializes in burns may pop the blisters for other clinical care.

If you are suffering from a burn injury and need treatment, you can schedule an appointment with a physician at Jamaica Hospital Medical Center’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.

Patient Testimonial- Wayne Singleton

“I am grateful to Dr. Atalay and the hospital staff for aiding in my recovery”, is what I said after Dr. Atalay and the staff at Jamaica Hospital Medical Center saved my life after I had a major stroke at work. 

On January 21st of this year, I was working at my job when suddenly, I began to experience the symptoms of a stroke. As the stroke advanced, I collapsed. My colleague came out of his office to help and called an ambulance.  

The ambulance brought me to the Emergency Department at Jamaica Hospital Medical Center, where I was immediately prepped for surgery. Dr. Yahya Atalay, a neuro-intervention specialist, treated me and successfully performed a thrombectomy, a procedure to remove the clot from my brain via my groin. 

Presently, I am enrolled in cardio-rehabilitation three days per week. I do light to moderate exercises, and I monitor my vitals daily. I am recovering from my stroke one day at a time. 

Thank you to Dr. Atalay and the Jamaica Hospital staff for everything they have done for me. 

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.

National Immunization Awareness Month

August is recognized as National Immunization Awareness Month (NIAM). It is a month observed to highlight the importance of vaccination for people of all ages.   

Vaccinations are important at every stage of life. They are one of the safest preventative care measures available and help play a vital role in keeping you healthy.   

Vaccines work by stimulating the immune system to protect the body against viruses or bacteria that cause infection. After vaccination, the immune system is better prepared to respond quickly when the body encounters the disease-causing organism.  

From infants to older adults, immunizations play a critical role in preventing serious diseases such as measles, whooping cough, flu, shingles, and HPV-related cancers. Skipping vaccines can leave you and your family vulnerable to these illnesses.   

Getting vaccinated plays an important role in keeping your family and community healthy, as vaccinations help protect you from infectious diseases and can lessen the severity of illness. They don’t just help protect you; they also help keep diseases from spreading to others, such as your family, neighbors, classmates, coworkers, and others in the community. Especially those who are most vulnerable to illness, such as infants, elderly people, and those with weakened immune systems.    

National Immunization Awareness Month offers a timely reminder as families prepare for back-to-school and flu season approaches. If you would like to help raise awareness about the importance of vaccination, encourage friends and family to talk to a healthcare provider they trust about staying up to date on their vaccinations. 

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.

Dysautonomia

Dysautonomia is the general term for nervous system disorders that disrupt the autonomic nervous system (ANS).  

There are two main types of dysautonomia: primary and secondary. 

Primary dysautonomia can happen on its own without a specific cause and isn’t as common as secondary dysautonomia. Two types of primary dysautonomia are familial dysautonomia, which means it is inherited, and idiopathic dysautonomia, which means it happens for reasons healthcare providers can’t explain or detect. Your odds of having familial dysautonomia are increased if you: 

  • Have a family member, such as a parent or sibling, with dysautonomia 
  • Are of Jewish heritage, especially if you are Ashkenazi Jewish heritage 
  • Are of Eastern European heritage 

Secondary dysautonomias are conditions that can cause or contribute to dysautonomia, such as: 

  • Amyotrophic lateral sclerosis (ALS) 
  • Autoimmune autonomic ganglionopathy (AAG) 
  • Amyloidosis 
  • Botulism 
  • COVID-19 infection, especially long COVID 
  • Lewy body dementia 
  • Lupus 
  • Parkinson’s Disease 
  • Multiple Sclerosis (MS) 
  • Rheumatoid Arthritis 
  • Type 2 diabetes 

The autonomic nervous system manages all the body processes you don’t think about, such as your blood pressure, body temperature, breathing, digestion, heart rate, sweating, and much more. If you have dysautonomia, one or more of these ANS processes aren’t functioning properly.  

Dysautonomia can cause several different symptoms due to its effect on the autonomic nervous system, including: 

  • Nausea and vomiting 
  • Brain fog, forgetfulness, or trouble focusing 
  • Balance problems 
  • Vertigo  
  • Migraines or frequent headaches 
  • Mood swings or anxiety 
  • Fatigue or ongoing tiredness 
  • Sexual dysfunction 
  • Vision issues, such as blurred vision or trouble with your eyes adjusting to light changes  
  • Pinpoint pupils or unusually wide-eyed pupils 
  • Unusually dry or watery eyes 
  • Trouble swallowing 
  • Sound or light sensitivity 
  • Chest pain or discomfort 
  • Runny nose 
  • Shifts in body or skin temperature 
  • Sweating more or less than usual, or sweating more in certain body parts 
  • Clammy or pale skin 
  • Exercise intolerance 
  • Excessive drooling 

There can be several possible complications of dysautonomia because of how it affects vital body processes. Most of the complications revolve around symptoms of dysautonomia, especially when they’re severe or disrupt your usual routine and activities. Serious symptoms and complications typically include: 

  • Trouble breathing, such as shortness of breath 
  • Heart rate issues, such as heart palpitations, irregular heartbeat, or a fast or slow heart rate 
  • Dizziness, lightheadedness, fainting, or passing out (especially when standing up), which can lead to injuries from falls 
  • Disrupted digestion, such as changes in bowel movements, such as constipation or diarrhea 
  • Disrupted kidney function, leading to urinary tract infections, a frequent urge to pee, or urinary incontinence 

Diagnosing dysautonomia is often a process of elimination, using a combination of methods and tests. It also involves determining how and when symptoms happen and finding the pattern linking them. Experienced healthcare providers may find it challenging to diagnose dysautonomia because it can cause symptoms throughout the body that might not seem connected. Healthcare providers may also link symptoms to the condition causing dysautonomia but not realize dysautonomia is also happening. 

Some of the tests that may help diagnose dysautonomia or help rule out other conditions include: 

  • Physical and neurological exams 
  • Heart tests, especially an electrocardiogram 
  • Ultrasound and other tests for symptoms related to urinary incontinence 
  • Blood tests, especially testing for antibodies that indicate an autoimmune disorder or testing levels of certain neurotransmitters such as catecholamines 
  • Tilt table test 
  • Sweat tests, such as the quantitative sudomotor axon reflex test 
  • Pupil measurement testing, also known as pupillometry 

There is no cure for dysautonomia. However, many symptoms are manageable, and the approach for treating dysautonomia depends on several factors, especially the cause. 

Some treatment approaches that might help include: 

  • Staying hydrated 
  • Making dietary changes 
  • Taking medications to increase blood pressure 
  • Taking immune-suppressing medications or other immune system treatments 

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

 

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.