Asthma and Allergies

The most common form of asthma is caused by an allergic reaction. More than fifty percent of people who suffer from asthma have this type of disease. Asthma is an airway obstruction caused by inflammation and is a reaction that people have when they are exposed to substances that they are allergic to. Some of the offending substances are pet dander, pollen, dust mites, mold, and some foods. An asthma attack has three components:

• The bands of muscles surrounding the airways in the lungs tighten. This is called bronchospasm.

• The lining of the airways becomes inflamed and swollen.

• There is an increase in mucous production in the lining of the airway.

All of these factors make it harder for air to pass through the lungs, and breathing becomes difficult.

Treatment for allergy-induced asthma requires testing to see what a person is allergic to. Once these allergens have been identified the patient will be advised to avoid them. There is no cure for asthma but, there are several medications available that can help control it. Antihistamines are often administered, which help reduce the allergic reaction.

A physician may prescribe corticosteroids to reduce the inflammation of the airway and make breathing easier. Some medications are given for immediate relief of symptoms. Such as bronchodilators which are inhaled as needed to help to relax the airways.

Other medications are used for long-term control of symptoms and are taken on a daily basis. Speak to your physician if you experience difficulty breathing after coming in contact with certain substances. There are different treatment options available and you want to learn about the one that will be best for you.  You can also schedule an appointment with a pulmonologist at Flushing Hospital by calling 718-670-5486.

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.

Do You Have A cough That You Just Can’t Shake? You Might Have A Chronic Cough

Having a cough is not only annoying, but it can also affect your daily routine, disrupt your sleep and even contribute to other issues, such as vomiting and lightheadedness. For most, coughing will only last a few days to a week, but if you have a cough that just won’t go away, you may have what is considered a chronic cough.

Flushing Hospital warns a cough that lasts over 8 weeks is considered chronic and our doctors can help determine the cause

A chronic cough is a medical problem where a person will have a cough that lasts eight weeks or longer (four weeks or longer in children). While it can sometimes be difficult to pinpoint the problem that’s triggering a chronic cough, it is most commonly due to one or a combination of the following:

  • Postnasal drip
  • Tobacco use
  • Asthma
  • Gastroesophageal reflux disease (GERD
  • Infections such as whopping cough or TB
  • Chronic obstructive pulmonary disease (COPD)
  • Taking blood pressure medications

Fortunately, a chronic cough typically disappears once the underlying problem is treated.

See your doctor if you have a cough that lingers for weeks, especially one that brings up sputum or blood, disturbs your sleep, or affects school or work.

To make an appointment to see a doctor about your chronic cough, please call Flushing Hospital’s Ambulatory Care Center at 718-670-5486.

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.

Can How You Heat Your Home This Winter Affect Your Asthma?

New York winters are typically associated with very cold temperatures. When the thermometer dips during this time of year we are forced to heat our homes. For those with asthma, choosing how to heat their homes can have a serious impact on their condition.

Asthma is a chronic lung disease that affects millions of Americans. It narrows the airways that deliver oxygen to the lungs, making breathing difficult. Symptoms are triggered by exposure to environmental contaminants and airborne particles. If not cleaned properly, home heating systems can blow dust and other particles that trigger asthma symptoms.

Every year, asthma symptoms prompt more than 15 million physician and hospital outpatient visits and two million emergency department visits. In addition, a recent study by the American Thoracic Society noted an increase in asthma-related emergency room visits, coinciding with the first seasonal uses of indoor heating in New York City and other urban areas. The reason for this is the contaminants found inside heating ductwork typically include dust and pollution particles along with mold, bacteria, pollen, dust mites and pet dander.  All of these can easily become airborne when the heating system is fired up, and all of them are asthma triggers.

To avoid your home heating system from contributing to your asthma, it is recommended that you clean or replace all air filters in your heating system and clean the air ducts prior to being turned on for the season to help reduce triggering asthma symptoms.

Home heating systems are not the only method of heating your home that can negatively impact your asthma.  Smoke and fumes can also trigger an asthma attack. These include fumes from gas, wood, or kerosene stoves as well as fireplaces and space heaters.  All fuel-burning appliances such as these can produce nitrogen dioxide. While you can’t smell or see this gas, it can irritate your nose and throat, and trigger an asthma attack.

To keep your household air free of fumes:

  • Make sure that all stoves are properly vented to the outside. For gas stoves, be sure to use an exhaust fan that vents outside while cooking.
  • If you use a wood stove, use it according to the manufacturer’s directions and be sure that the doors fit tightly.
  • When using an unvented kerosene or gas space heater, crack open a window or use an exhaust fan.
  • Before using your fireplace, be sure that the flue is open so that smoke can escape out the chimney.

Another common practice during the winter months is burning scented candles. While burning candles can create a warm and cozy atmosphere, they can also trigger an asthma attack because they can release certain chemicals into the air that are harmful to asthmatics.

By following certain cleaning and safety practices and avoid other triggers, those with asthma can avoid flare-ups in their homes this winter season.

If you have asthma, be sure to manage your condition by seeing your doctor regularly. If you do not have a doctor, you can make an appointment at Flushing Hospital by calling 718-670-5486.

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.

Asthma and Humidity

Severe weather conditions such as high humidity can negatively affect those living with asthma.

Excessive moisture and the heaviness of the air caused by humidity can make it difficult to breathe. Hot and humid air can also help allergens which trigger asthma symptoms such as mold to thrive.

High humidity levels can cause the following asthma symptoms to occur:

  • Chest tightness
  • Wheezing
  • Shortness of breath
  • Chronic coughing

To avoid or minimize the risk of these symptoms, the Centers for Disease Control and Prevention (CDC) advises that humidity levels should be kept between 35%-50% in the home.  When temperatures are hot and humid, it is best to use an air conditioner or dehumidifier, or both.

If you are experiencing symptoms of asthma, take medications as directed or contact your doctor immediately.

To schedule an appointment with a doctor at Flushing Hospital Medical Center, please call 718-670-5486.

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.

Proper Air Conditioner Maintenance is Important For Your Health

As the weather gets warmer, we look for relief from the heat. One of the best ways to cool down is by turning on our air conditioning units, but can our air conditioners be harmful to our health?

Air conditioners contain filters that are intended to block these particles from entering the air we breathe. This is why it is important to change your filters regularly.

If not properly maintained air conditioners can lead to or worsen existing health issues, such as several types of respiratory conditions. AC units can spread dust, mold spores, pollen, and other airborne particles throughout your home. This can have a detrimental effect on your respiratory system, which can result in discomfort and hay-fever -like symptoms, such as sneezing or a runny nose.

In addition, continued exposure to an improperly maintained air conditioning unit can irritate very sensitive mucous membranes and exacerbate pre-existing conditions, such as asthma.  Studies have even concluded that young children exposed to high amounts of mold in the air are more likely to develop asthma. One major source of mold exposure is through a poorly maintained air conditioning unit.

Every air conditioner is different so it’s important to read your manufacturer’s recommendations to determine how frequently you need to change your filters.

Another option is to not rely on your air conditioner so much. Open the windows and use fans to circulate the air in your home on cool evenings and on days that aren’t so hot.

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.

How Does Hot Weather Affect Asthma ?

It is a fact that breathing difficulties associated with asthma are affected by hot weather. Anyone who has walked a few blocks when it is hot and humid outside will know that breathing seems to be more difficult. This is especially true for anyone who suffers from asthma. One possible cause of this is due to the hot, humid air irritating the airways causing inflammation which will lead to symptoms of an asthma attack. Another reason is that hot and humid air is heavier and therefore a person may have to struggle to breathe..
In hot weather months there is an increase in the amount of ozone in the air and also a higher concentration of dust and fine particles which 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.

• 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, wheezing, and 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.
To help avoid asthma attacks in hot weather it is recommended to:
• Stay indoors as much as possible in an air conditioned environment
• Avoid strenuous activity
• Keep hydrated
• Try to limit being outdoors during the hottest time of day
To schedule an appointment with a physician at Flushing Hospital who can help treat breathing difficulties, please call 718-670-5486.

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.

Can GERD Contribute to Your Asthma?

Most asthma sufferers are aware of the many potential sources for their condition, but they may not realize one very common disorder that can contribute to the development of asthma – GERD.

Heart attack

Gastroesophageal reflux disease, also known as GERD is a digestive disorder that affects the ring of muscle between the esophagus and stomach. Normally, this ring, which is called the lower esophageal sphincter, prevents acidic stomach juices from flowing back into the esophagus after food enters the stomach.

GERD occurs when the esophageal sphincter is weakened allowing the stomach’s contents to flow up into the esophagus. Heartburn, the most common symptom of GERD, feels like a burning sensation in the esophagus. Many people say it feels like food is coming back into the mouth, leaving a bitter taste.

Research has indicated that GERD can either lead to, or worsen asthma symptoms. In fact, it is estimated that over 75% of patients with hard-to-treat asthma also experience frequent heartburn from GERD.

While the relationship between GERD and asthma does exist, the exact link between the two is unknown. One possibility is that acid reflux irritates the airways and lungs, which affects breathing and makes people more sensitive to outside conditions such as pollution, cigarette smoke, and cold air. Another potential explanation is that a nerve is triggered in the airways when acid enters the esophagus, causing them to narrow in order to prevent acid from entering the lungs.

Doctors most often look at GERD as the cause of asthma when:

  • Asthma begins in adulthood
  • Asthma symptoms get worse after a meal, after exercise, at night or after lying down
  • Asthma doesn’t respond to the standard asthma treatments

For many, treating GERD can help them relieve asthma treatments Thankfully, by simply adjusting lifestyle behaviors, GERD can be controlled. Tips to control GERD include:

  • Raise the head of your bed by six inches to allow gravity to help keep down the stomach’s contents
  • Eat meals at least three to four hours before lying down
  • Eat smaller meals with moderate portions of food
  • Maintain a healthy weight
  • Limit consumption of chocolate, peppermint, coffee, tea, colas, alcohol, tomatoes and citrus fruits or juices, all of which can contribute additional acid that can irritate the esophagus
  • Give up smoking, which relaxes the lower esophageal sphincter
  • Wear loose belts and clothing

In addition, your doctor can recommend over-the-counter treatments or prescribe medications to relieve GERD symptoms.

Flushing Hospital’s Ambulatory Care Clinic offers many specialty services to treat a variety of pulmonary and digestive disorders. To make an appointment, please call 718-670-5486.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

The Link Between Asthma and Sinus Infections

Living with asthma is difficult. Part of that difficulty is the increased chances of developing sinusitis – or a sinus infection. According to the Asthma and Allergy Foundation of America, as many as half of all people with moderate to severe asthma, also have chronic sinusitis.

ThinkstockPhotos-495647112Sinus infections can make you feel miserable. Without good treatment, they can last for months or even years. The existence of asthma can only make chronic sinusitis feel worse – and having sinusitis can make your asthma harder to control.

But there’s good news! There are lots of treatments available for both sinus infections and asthma. And studies have shown that by treating one condition often helps relieve the symptoms of the other. The key is to treat both conditions aggressively.

Treatment is important in preventing sinusitis from worsening. Again, since the conditions are linked, treating sinusitis may have the added benefit of improving your asthma symptoms.

If you have sinusitis and asthma, your doctor might recommend the following:

• Steroid nasal sprays areused to reduce the swelling and ease the inflammation of the sinuses, allowing them to drain normally.

• Decongestant and antihistamine medicines can be helpful, but overuse can lead to more congestion. Try spraying warm salt water into the nose, or breathing in steam as an option.

• If the infection is bacterial and not viral, antibiotics can help, but the full dosage of the medication should be taken even if symptoms improve immediately

• Controlling exposure to allergens is key. It can minimize your asthma symptoms and reduce your risk of sinus infections.

If you have asthma, it is important to treat a sinus infection immediately. It will help you better manage your asthma. To make an appointment to see a doctor to manage your asthma or to treat a sinus infection, please call 718-670-5486.

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.

Benefit of the Annual Physical

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The greatest benefit of an annual physical is knowledge for both you and your physician.  An annual visit establishes a baseline for your personal health.  Armed with this information, your doctor can detect unhealthy trends before they become risk factors.

Nearly one third of the population with a chronic disease is unaware that they have the disease.  According to the Partnership to Fight Chronic Disease, as many as 100,000 lives could be saved each year by increasing preventive care services.

Health screenings, such as blood glucose and blood pressure tests can easily detect the two most chronic conditions, diabetes and hypertension before they cause serious health issues.  The Centers for Disease Control cites that seven out of every 10 deaths are caused by chronic disease.  Proper management of these conditions can prevent unnecessary hospitalization.

In order to get the most out of your annual physical, take a moment to prepare:

  • Make a list of your health concerns
  • Make a list of all the medications you are taking
  • Get a copy of your medical records and your family medical history

Dozens of Patient Care Specialists, on staff at Flushing Hospital Medical Center, are ready to provide you with your annual check-up.

Flushing Hospital is a certified Patient Centered Medical Home (PCMH) in its Ambulatory Care Center. The Center offers more than 50 outpatient general and specialty services for children adolescents and adults.

Flushing Hospital’s ambulatory care services accepts most major insurances, is centrally located and has convenient patient hours.  Call 718-670-5486 to schedule an appointment.

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.

Cold Weather and Asthma

People who suffer from asthma definitely know the effects that cold air can have on their ability to breathe. When very cold and dry air enters the body, and subsequently the lungs it can cause a tightening of the airways. Cold air can cause wheezing, tightness of the chest muscles, shortness of breath, coughing, a sense of dizziness and sometimes difficulty speaking.

Taking some precautions before going outside in very cold weather can help ease the symptoms. It is important to keep asthma under control at all times. It can be helpful to take a dose of an asthma inhalant ten minutes before going outdoors. This will aid in keeping the airways open. People with asthma should carry their medication with them if they know they are going to be outdoors for any period of time. Another good idea is to keep your mouth and nose covered with a scarf when you are outside in cold weather. This will help to warm the air you are breathing. Anyone who has asthma should avoid strenuous outdoor activities. Sometimes the act of just walking on a windy day can bring on symptoms of an asthma attack. Try breathing through your nose more and through your mouth less. This will help to warm the air that enters your lungs.

People with asthma know the effects it can have during the cold days of winter. Taking a few precautions can help minimize the effects of the cold air on the body.

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.

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.