Vertigo

Posted on March 31, 2025 by Patrick Hercules

Vertigo is a sensation that makes the environment around you spin in circles. It can make you feel dizzy and off-balance. Vertigo is a symptom of several health conditions rather than a disease itself, however, it can occur along with other symptoms.

Other symptoms that might be experienced when you have vertigo include:

Nausea and vomiting
Dizziness
Balance issues
Hearing loss in one or both ears
Tinnitus
Headaches
Motion sickness
A feeling of fullness in your ear
Nystagmus

There are two main types of vertigo: peripheral and central. Peripheral vertigo is the most common type. It occurs when there is an issue with the inner ear or vestibular nerve.

Subtypes of peripheral vertigo include:

Benign paroxysmal positional vertigo (BPPV)
Labyrinthitis
Vestibular neuritis
Ménière’s disease.

Central vertigo is less common. It occurs when a condition affects the brain, such as an infection, stroke, or traumatic brain injury. People with central vertigo usually have more severe symptoms like severe instability or difficulty walking.

The causes of vertigo vary from person to person. Causes can include:

Migraine headaches
Certain medications such as antibiotics, anti-inflammatories, and cardiovascular drugs
Stroke
Arrhythmia
Diabetes
Head injuries
Prolonged bed rest
Shingles in or near your ear
Ear surgery
Perilymphatic fistula
Hyperventilation
Low blood pressure
Ataxia
Syphilis
Otosclerosis
Brain diseases
Multiple sclerosis (MS)
Acoustic neuroma

Vertigo can cause falls resulting in bone fractures or other injuries. It can also interfere with your quality of life and hinder your ability to drive or go to work.

To diagnose vertigo, a healthcare provider will perform a physical exam and ask questions about your symptoms. They may also recommend one or more tests to confirm your diagnosis. Healthcare providers can also perform tests to diagnose vertigo, including:

Fukuda-Unterberger test
Romberg’s test
Head impulse test
Vestibular test battery
Imaging tests

Treatments for vertigo depend on the underlying cause. Healthcare providers use a variety of treatments, including:

Repositioning maneuvers
Vertigo medication
Vestibular rehabilitation therapy (vertigo exercises)
Surgery

If you are experiencing vertigo symptoms, visit Flushing Hospital Medical Center’s Ambulatory Care Center. To schedule 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.

Bloating

Posted on March 28, 2025 by Patrick Hercules

Bloating describes a feeling of fullness or tightness in the abdomen. It may or may not be accompanied by a visibly distended or swollen abdomen. The feeling can range from mildly uncomfortable to intensely painful. It usually goes away after a while, but it can be a recurring problem for some people.

The most common cause of stomach pain and bloating is excess intestinal gas. Another cause may be a digestive issue after eating. It could be as simple as eating too much too fast, a food intolerance, or another condition that can cause gas and digestive contents to build up. Digestive issues and hormone fluctuations can cause cyclical bloating. Menstrual cycles are another common cause of temporary bloating.

Between 10% and 25% of otherwise healthy people complain of occasional abdominal bloating. As many as 75% describe their symptoms as moderate to severe. About 10% say they experience it regularly. Among those diagnosed with irritable bowel syndrome (IBS), it may be as much as 90%. Up to 75% of women experience bloating before and during their period. Only 50% of people who experience bloating also report a distended abdomen.

If your bloating is due to something you ate or drank, or hormone fluctuations, it should begin to ease within a few hours or days. If you are constipated, bloat won’t go down until you start pooping. Water, exercise, and herbal teas may help. If bloating doesn’t go away or gets worse, seek medical attention.

If bloating is caused by diet or alcohol consumption, it can be prevented by making certain lifestyle choices such as:

Eating enough fiber
Drinking enough water
Getting exercise
Avoiding processed foods
Practicing mindful eating
Notice stomach sensitivities

What can help relieve bloating depends on the cause. A professional diagnosis may be needed to get to the bottom of it. However, if you are looking to combat bloating in the interim, some home remedies can include:

Peppermint oil capsules
Antacids
Magnesium supplements
Probiotics
Fiber supplements
Regular exercise

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

Epilepsy Awareness

Posted on March 26, 2025 by Patrick Hercules

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

Purple Day launched internationally in 2009 thanks to global sponsors The Anita Kaufmann Foundation and The Epilepsy Association of the Maritimes.

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.

Purple Day was created in 2008 by Cassidy Megan who was inspired by her own experience living with epilepsy at just 9 years old. Cassidy often felt isolated because of her seizures, but she envisioned a day when everyone with epilepsy could feel connected and understood.

There are many ways to get involved on Purple Day, including:

Wearing purple
Share on social media
Sharing your story
Donate for Purple Day
Taking seizure first aid training

By wearing purple, sharing stories, and supporting each other, the voices of those with epilepsy can be amplified. Every conversation started, post that is shared, and every person educated brings us one step closer to breaking the stigma and creating a world where no one faces epilepsy alone.

National Drug & Alcohol Facts Week

Posted on March 21, 2025 by Patrick Hercules

National Drug and Alcohol Facts Week or NDAFW is an annual, week-long health observance that inspires dialogue about the science of drug use and addiction among youth. It provides an opportunity to bring together scientists, students, educators, healthcare providers, and community partners to help advance science and address youth drug and alcohol use in communities nationwide.

Launched in 2010 by scientists at the National Institute on Drug Abuse (NIDA), National Drug and Alcohol Facts Week, stimulates educational events in communities so teens can learn what science has taught us about drug use and addiction. In 2016, the National Institute on Alcohol Abuse and Alcoholism became a partner, and alcohol was added as a topic area for the week. NIDA and NIAAA are part of the National Institutes of Health and work with leading organizations, media outlets, and other Government agencies to spread the word about NDAFW.

National Drug and Alcohol Facts Week looks to empower youth to make informed choices about their health and learn lifesaving skills focused on overdose awareness and response. Make an impact and inspire others to join the NDAFW observance.

Patient Testimonial: Sonia Rivera says, “The Flushing Hospital Medical Center Staff Saved My Life”

Posted on March 19, 2025 by Patrick Hercules

“They saved my life”, is what Sonia Rivera said after her experience at Flushing Hospital Medical Center. On October 23^rd, 2024, Ms. Rivera was suffering from complications from hernia surgery. She wanted to go to her usual local hospital but was brought to the ER at Flushing Hospital because it was closer.

When Ms. Rivera arrived at the ER, she was taken immediately. Two doctors and three nurses attended to her. After an hour of assessment, they explained to her that her digestive system was shutting down, there was a blockage due to her not being able to digest, and gases and toxins were building up. “They explained everything well”, she said. She wasn’t digesting anything, and if she had waited a day or two longer to go to the hospital, she would have become septic.

“It was the best experience I’ve ever had at a hospital”, Ms. Rivera said. She boasted about how well she was treated and how friendly everyone was during her recovery time at the hospital. “They didn’t talk down to me or beat around the bush. They treated me like a friend. Everyone knew about my case and checked in on me while I was there.” Because of her experience at Flushing Hospital, Ms. Rivera changed her gastrointestinal doctor to one at the hospital. “I’m exceptionally happy with Flushing Hospital.”

Bad Breath

Posted on March 14, 2025 by Patrick Hercules

Bad breath or halitosis can be embarrassing and, in some cases, can cause anxiety.

Bad breath that doesn’t go away means you have an oral health issue or a condition affecting another body part.

The most common cause of bad breath is poor oral health. Without proper oral hygiene, such as brushing, flossing, and routine dental cleanings, harmful bacteria invade the mouth and multiply out of control. This leads to several oral health issues, including halitosis, cavities, and gum disease.

Poor oral hygiene isn’t the only cause of bad breath. Several other conditions can cause bad breath, including:

Dry mouth
Food
Head and neck cancers
Tobacco products
Gastroesophageal reflux disease (GERD)
Tonsil stones
Gum disease
Infections in your nose, throat, or lungs
Diabetes
Liver or kidney disease
Medicines
Sjögren’s syndrome

The main symptom of bad breath is a foul-smelling odor that comes from the mouth. The odor can be strong enough for other people to notice.

To diagnose bad breath, a dentist will smell the breath from your mouth and nose and rate the odor on a scale. The back of the tongue most often causes the smell, so they may also scrape it to rate its odor.

When treating bad breath, regularly cleaning your mouth and teeth can reduce bad breath, help avoid cavities, and lower the risk of gum disease. Further treatment for bad breath can vary. If your dentist thinks another health condition is causing your bad breath, you will likely need to see your primary care physician or a specialist.

Your dentist will work with you to help you better control bad breath caused by mouth issues. These dental measures can include:

Mouth rinses and toothpastes
Treatment of dental disease

Ways to reduce or prevent bad breath include the following:

Brushing your teeth after you eat
Flossing at least once a day
Brushing your tongue
Cleaning bridges, dentures, retainers, and mouthguards
Keeping your mouth moist
Changing your diet
Replacing your toothbrush
Scheduling regular dental checkups

If you’re experiencing bad breath, it is important to visit a dentist to ensure you’re receiving the most effective treatment possible. To schedule an appointment at Flushing Hospital Medical Center’s Department of Dental Medicine, please call (718) 670-5521.

Folliculitis

Posted on March 13, 2025 by Patrick Hercules

Folliculitis is a common skin condition in which hair follicles become infected or inflamed.

Folliculitis can look similar to acne and be uncomfortable or itchy, and because of its appearance, it can often have a psychosocial impact.

The two main forms of folliculitis are superficial and deep. The superficial form involves part of the follicle, while the deep form involves the entire follicle and is usually more severe.

There are many different types of folliculitis. Each type is unique based on the cause, the infectious organism, and its impact on the skin. The different types of folliculitis include:

Bacterial folliculitis
Hot tub rash
Malassezia folliculitis
Razor bumps
Sycosis barbae
Gram-negative folliculitis
Boils
Carbuncles
Eosinophilic folliculitis

Folliculitis appears anywhere on the body that has hair, such as the face, arms, upper back, and lower legs. Hair follicles can gather bacteria and other materials from the outside world that could cause inflammation or infection. When something is inflamed, it is swollen. A swollen hair follicle will bulge up and make a bump on the skin. If you have an infected hair follicle, you may experience:

Redness
Irritation
Itching
Bumps on the skin

Folliculitis is caused when a hair follicle is inflamed or infected with bacteria, commonly Staphylococcus aureus. This causes the follicle to swell under the skin, creating uncomfortable bumps on the surface. For many specific types of folliculitis, the cause isn’t always known. However, certain factors can increase the risk of developing this condition, including:

If you shave often
If you have been using an oral antibiotic for a long time
If you are overweight or obese
If you do activities that make you sweat a lot and don’t fully clean off afterward
If you spend time in a hot tub or sauna that isn’t properly cleaned

Signs and symptoms of folliculitis include:

Clusters of small bumps of pimples around hair follicles
Pus-filled blisters that break open and crust over
Itchy, burning skin
Painful, tender skin
An inflamed bump

To diagnose folliculitis, a healthcare provider will examine your skin and ask about your medical history. If early treatments don’t clear up the infection, the healthcare provider will run tests, including:

Scraping the skin to look for yeast under the microscope
They may take a swab for culture to determine the cause of the infection
In rare cases, they may do a skin biopsy to rule out other conditions

Treatment for folliculitis depends on the type and severity of the condition, what self-care measures were tried, and how you would like to proceed.

If you have tried nonprescription products for a few weeks and they haven’t helped, ask a healthcare provider about prescription-strength medications. A dermatologist can help you:

Control your folliculitis
Figure out whether a drug you take might be causing your symptoms and whether you can stop taking it
Avoid scarring or other damage to the skin
Make scars less noticeable

There are many ways that you can prevent folliculitis, including the following:

Washing your skin regularly
Doing laundry regularly
Avoiding friction or pressure on your skin
Avoiding shaving, if possible
Shaving with care
Trying hair-removing products or other methods of hair removal
Treating related conditions
Using only clean hot tubs and heated pools

Sometimes, folliculitis goes away without medical treatment. Self-care measures such as applying a warm, moist washcloth to the affected skin followed by an anti-itch cream may help relieve your symptoms.

If you have symptoms of folliculitis, you can receive treatment at Flushing Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment, please call (718) 670-5486.

The Loneliness Epidemic

Posted on March 12, 2025 by Patrick Hercules

In May 2023, former U.S. Surgeon General Dr. Vivek Murthy issued a report that drew attention to an epidemic that affects half of American adults: loneliness and social isolation.

Dr. Murthy said that loneliness and social isolation are “urgent public health concerns, more widespread than smoking, diabetes, or anxiety”.

Loneliness is feeling lonely or disconnected from others and not having meaningful or close relationships or a sense of belonging. It also describes the negative feelings that can occur when your needs for social connection aren’t met.

Social isolation is when a person doesn’t have relationships or contact with others and has little to no social support. It can pose a health risk to people, even if they don’t feel lonely.

Certain conditions or experiences may increase a person’s risk of social isolation and loneliness, including:

Having a mental or physical challenge, such as:
- Chronic disease or condition
- Psychiatric or depressive condition
- Long-term disability
Being marginalized or discriminated against
Having limited or no access to resources, which may result in:
- Living in rural areas
- Limited transportation
- Language barriers
- Being a victim of violence or abuse
Facing a divorce, unemployment, or the loss of a loved one

Loneliness may impact some groups more than others, including:

Low-income adults
Young adults
Older adults
Adults living alone
Immigrants
People who identify as LGBTQ+

Social isolation and loneliness can increase a person’s risk for:

Heart disease and stroke
Type 2 diabetes
Depression, anxiety, suicide, and self-harm
Dementia
Earlier death

It is important to make meaningful social connections, as those who do experience benefits, including:

Less stress
Better sleep
A longer, healthier life

Making social connections can be hard, especially if you are in poor health, have money problems, or live alone. However, a few small acts of connection can build supportive and meaningful relationships.

You can take various steps to fight against loneliness, including the following:

Talking to family, friends, neighbors, and co-workers
Connecting with others on social media
Volunteering in your community
Being kind to yourself
Learning more about ways to improve social connectedness
Getting help from a professional

To find out more about Flushing Hospital Medical Center’s outpatient mental health services or to schedule a virtual appointment, please call (718) 670-5316 to speak with our intake coordinator or (718) 670-5562 to reach the clinic.

What to Expect During a CT Scan

Posted on March 7, 2025 by Patrick Hercules

A computerized tomography scan, or CT scan, is a type of imaging procedure that uses X-ray and computer technology to create cross-sectional images, also called slices, of the bones, blood vessels, and soft tissues inside the body. CT scan images show more detail than plain X-rays do.

CT scans help healthcare providers detect diseases and injuries and plan medical, surgical, or radiation treatment.

A healthcare professional may suggest a CT scan for many reasons. A CT scan can help:

Diagnose muscle and bone conditions, such as bone tumors and fractures
Show where a tumor, infection, or blood clot is
Guide procedures such as surgery, biopsy, and radiation therapy
Find and watch the progress of diseases and conditions such as cancer, heart disease, lung nodules, and liver masses.
Watch how well certain treatments, such as cancer treatment, work
Find injuries and bleeding inside the body that can happen after trauma

Your healthcare provider will tell you everything you need to know about CT scan preparation. Some general guidelines include:

Plan to arrive early. Your provider will tell you when to come to your appointment
Don’t eat for four hours before your CT scan
Drink only clear liquids in the two hours leading up to your appointment
Wear comfortable clothes and remove any metal jewelry or clothing. Your provider may give you a hospital gown to wear

During the test, you will lie on your back on a table. If your test requires it, a healthcare provider may inject contrast dye intravenously. This dye can make you feel flushed or give you a metallic taste in your mouth. When the scan begins:

The bed will slowly move in the doughnut-shaped scanner. At this point, you will need to stay as still as possible because movement can blur the images
You may also be asked to hold your breath for a short period, usually fewer than 15 to 20 seconds
The scanner takes pictures of the area your healthcare provider needs to see. Unlike an MRI scan, a CT scan is silent
When the exam is over, the table moves back out of the scanner

You can have a CT scan in a hospital or an outpatient facility. CT scans usually take about an hour. However, with newer machines, scans can take only a few minutes. The whole process can take about 30 minutes.

After the exam, you can return to your normal routine. If you were given contrast dye, you may be asked to wait a short time before leaving to ensure that you feel okay after the exam. You might be told to drink lots of fluids to help your kidneys remove the dye from your body.

CT images are stored as electronic data files. They’re most often reviewed on a computer screen. A radiologist looks at the images and creates a report that is kept in your medical records. It usually takes about 24 to 48 hours to get the results of your CT scan. Your healthcare professional talks with you about the results.

To schedule an appointment with the Flushing Hospital Medical Center’s Radiology Department, call 718- 670-5458. To schedule an appointment for a CT scan or for more information about CT scans, please call 718-670-8851.

Bleeding Disorders

Posted on March 6, 2025 by Patrick Hercules

Bleeding disorders are a group of conditions that affect the way the body controls blood clotting. The clotting process, known as coagulation, changes blood from a liquid to a solid.

When you’re injured, your blood normally begins to clot to prevent a massive blood loss. However, these conditions prevent blood from clotting properly, which results in heavy or prolonged bleeding.

Bleeding disorders can cause abnormal bleeding outside and inside the body. Some disorders can drastically increase the amount of blood leaving the body, while others cause bleeding under the skin or in vital organs, such as the brain.

There are numerous bleeding disorders. The most common include:

Hemophilia A and B- are conditions that occur when there are low levels of clotting factors in your blood. It causes heavy or unusual bleeding in the joints. Although hemophilia is rare, it can have life-threatening complications
Factor II, V, VII, X, or XII deficiencies- are bleeding disorders related to blood clotting problems or abnormal bleeding problems
Von Willebrand’s disease- is the most common inherited bleeding disorder. It develops when the blood lacks the von Willebrand factor, which helps the blood clot

For blood to clot, the body needs blood proteins called clotting factors and blood cells called platelets. Normally, platelets clump together to form a plug at the site of a damaged or injured blood vessel. The clotting factors then combine to form a fibrin clot, keeping the platelets in place and preventing blood from flowing out of the blood vessel.

For people with bleeding disorders, however, the clotting factors or platelets don’t work the way they should or are in short supply. When the blood doesn’t clot, excessive or prolonged bleeding can occur. It can also lead to spontaneous or sudden bleeding in the muscles, joints, and other body parts.

Some bleeding disorders are present at birth and are passed down or inherited through families. However, other bleeding disorders can be caused by:

Medical conditions, such as liver disease
A low red blood cell count
A vitamin K deficiency
Side effects from certain medications

Symptoms of bleeding disorders can include:

Bruising easily
Heavy bleeding
Heavy menstrual bleeding
Nosebleeds that do not stop easily
Excessive bleeding due to surgical procedures
Umbilical cord bleeding after birth

A doctor will diagnose a bleeding disorder by asking about your symptoms and medical history. They will also perform a physical exam and run blood tests to make a proper diagnosis. These tests can include:

A complete blood count
A platelet aggregation test
A bleeding time test

Treatment options for bleeding disorders vary depending on the type of bleeding disorder and its severity. Although treatments can’t cure bleeding disorders, they can help relieve the symptoms associated with certain disorders. Treatment options include:

Iron supplementation
Blood transfusion

If you experience symptoms of a bleeding disorder, it’s important to get diagnosed as soon as possible; even if your symptoms are mild, talking to a doctor can help you avoid potential risk factors that may worsen them. You can schedule an appointment with a doctor at Flushing Hospital Medical Center’s Ambulatory Care Center by calling (718) 670-5486.