Healthy Eating Tips for Seniors

Posted on April 3, 2025 by Patrick Hercules

As we age, our metabolism slows down, causing us to require fewer calories than we did in our younger years. Our body also needs more of certain nutrients. Eating a healthy diet can support healthy aging.

Here are some tips to help get the most nutrition out of your meals:

Know what a healthy plate looks like
Eat more whole foods and limit processed foods
Look for essential nutrients
Read the “Nutrition Facts” label
Use recommended servings
Stay hydrated by drinking water with your meals and eating water-rich foods
Focus on getting enough protein to prevent muscle loss
Eat fiber-rich foods
Watch your sodium intake
Subscribe to a grocery or meal delivery service

Making these simple adjustments to your eating habits can go a long way toward building healthier eating habits. Getting the most out of foods and beverages can help you meet your nutrition needs and reduce the risk of disease. Be sure to speak with your healthcare provider about creating a dietary plan that works best for you before making changes to your diet.

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.

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.

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.

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.

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.

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.

Stroke Treatment Options

Posted on February 28, 2025 by Patrick Hercules

Strokes happen when a blood clot or broken blood vessel prevents blood from getting to your brain. The lack of blood flow deprives brain cells of the oxygen and nutrients they need to survive, causing them to die in minutes.

There are two types of strokes: ischemic and hemorrhagic.

Ischemic strokes usually happen because a blood clot blocks a blood vessel connected to your brain. Hemorrhagic strokes occur when a blood vessel in your brain breaks or ruptures.

Strokes can be fatal. Therefore, you must know the symptoms and pay attention to them when they occur. Symptoms of strokes include:

Trouble speaking and understanding what others are saying
Numbness, weakness, or paralysis in the face, arm, or leg
Problems seeing in one or both eyes
Headaches
Trouble walking
Confusion
Dizziness or vertigo
Blurred vision or double vision
Loss of coordination

Seek immediate medical attention if you notice any symptoms of a stroke, even if they seem to come and go or disappear completely.

To diagnose a stroke, a healthcare provider will use a combination of neurological exams and tests that include:

Blood tests
CT scan
Electroencephalogram (EEG)
Electrocardiogram (EKG)
MRI
Carotid ultrasound
Cerebral angiogram

Some treatments are most effective when given soon after a stroke starts. Emergency treatment depends on whether you’re having an ischemic or hemorrhagic stroke.

To treat an ischemic stroke, blood flow must quickly be restored to the brain. This can be done with:

Emergency IV medicine
Emergency endovascular procedures
- Medications delivered directly to the brain
- Removing the clot with a stent retriever
Other procedures, such as a carotid endarterectomy and angioplasty and stents

Emergency treatment of hemorrhagic stroke focuses on controlling the bleeding and reducing the pressure in the brain caused by excess fluid. If the area of bleeding is large, surgery may be needed to remove the blood and relieve pressure on the brain. Surgery may also be required to repair blood vessel damage due to the hemorrhagic stroke. A healthcare professional may recommend a procedure if an aneurysm, arteriovenous malformation (AVM), or other blood vessel condition caused the stroke. Procedures include:

Surgical clipping
Endovascular embolization, also known as coiling
Surgical removal of a tangle of thin-walled blood vessels, known as AVM
Stereotactic radiosurgery

Stroke rehabilitation is an important part of stroke treatment. Rehabilitation will help you adjust to changes in your brain and body after a stroke. You may need to regain abilities you had before or need to adjust to new or different disabilities. You may need a combination of:

Cognitive rehabilitation
Occupational therapy
Physical therapy
Speech therapy

Maintaining your overall health is the best way to reduce your risk of a stroke. Some ways you can sustain your overall health include the following:

Eating plenty of healthy foods and maintaining a healthy weight
Engaging in regular physical activity
Managing your blood pressure, cholesterol, and any health conditions you may have
Quitting smoking

If you are experiencing any symptoms of a stroke, call 911 immediately. If you need assistance managing your health to prevent a stroke or maintaining your overall wellness, visit Flushing Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment, please call (718) 670-5486.

Anorexia #NationalEatingDisorderAwarenessMonth

Posted on February 26, 2025 by Patrick Hercules

Anorexia nervosa, more commonly known as anorexia, is an eating disorder that involves severe calorie restriction and often a low body weight based on personal weight history. It is a complex condition that has mental, behavioral, and physical symptoms.

People who have anorexia often have a strong fear of gaining weight and may think they’re overweight, even if they are not. To prevent gaining weight or to continue to lose weight, people with anorexia often limit the amount or type of food they eat. They do this by restricting the number of calories they consume, resulting in a nutrient deficit and usually, but not always, a very low body weight.

Anorexia can cause changes in the brain due to malnutrition. If left untreated, weight loss can get to a point where people with anorexia are at high risk of serious physical harm or death. Anorexia has the second-highest death rate of any mental illness, surpassed only by opioid overdoses. Most anorexia-related deaths stem from heart conditions and suicide.

There are two subtypes of anorexia nervosa based on eating behaviors:

Restrictive anorexia– the person severely limits the amount and type of food they eat

Binge-purge anorexia– the person greatly restricts the amount and type of food they eat. However, they also have binge-eating and purging episodes where they eat large amounts of food in a short time and then intentionally vomit or use laxatives or diuretics to get rid of what they consumed.

Anorexia involves physical, behavioral, and emotional and mental signs and symptoms.

Emotional and mental signs of anorexia include:

Intense fear of gaining weight
Body dysmorphia
Obsessive interest in food, calories, and dieting
Fear of certain foods or food groups
Being very self-critical
Denying the seriousness of your low body weight and/or food restriction
Feeling a strong need to be in control
Insomnia

It is common to have other mental health conditions alongside anorexia, you may have additional mental and emotional symptoms.

Behavioral signs of anorexia include:

Changes in eating habits or routines, such as eating foods in a certain order or rearranging foods on a plate
A sudden change in food preferences, such as eliminating certain food types or food groups
Making frequent comments about feeling “fat” or being overweight despite weight loss
Purging through intentional vomiting and/or misusing laxatives or diuretics
Going to the bathroom right after eating
Misusing diet pills or appetite suppressants
Compulsive and/or excessive exercising
Continuing to limit calories even when your weight is love for your sex, height, and age
Wearing loose clothing and/or wearing layers to hide weight loss and stay warm
Withdrawing from loved ones and social events

Physical signs and symptoms of anorexia can include:

Significant weight loss over several weeks or months
Not maintaining an appropriate body weight based on your height, age, sex, stature, and physical health
Unexplained change in growth curve or body mass index (BMI) in children and still-growing adolescents

Physical signs and symptoms of anorexia that are side effects of starvation and malnutrition include:

Dizziness and/or fainting
Fatigue
Abnormal heart rhythm
Low blood pressure
Feeling cold all the time
Absent periods or irregular menstrual periods
Bloating and/or abdominal pain
Muscle weakness and loss of muscle mass
Dry skin, brittle nails, and/or thinning hair
Poor wound healing and frequent illness

Anorexia is a complex condition with no singular cause. Research suggests that a combination of certain factors may be responsible, such as:

Genetics
Brain changes
Trauma
Environment and culture
Peer pressure
Emotional health

Anorexia nervosa affects all gender identities, races, ages, incomes, and body types. It is also more common among teenagers, although people of any age can develop anorexia. Teens can be more at risk due to all of the changes their bodies go through during puberty. They also face peer pressure and can be more sensitive to criticism or casual comments about weight or body shape. Certain factors can raise the risk of anorexia and other eating disorders, including:

Family history
A history of weight bullying
A history of dieting
Transitions

A healthcare provider can diagnose anorexia nervosa based on the criteria listed in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). The three criteria include:

Restriction of calorie consumption that leads to weight loss or a failure to gain weight. This results in a significantly low body weight based on your age, sex, height, and stage of growth.
Intense fear of gaining weight or becoming fat
Having a distorted view of yourself and the seriousness of the state of your health

If you have signs and symptoms of anorexia, a healthcare provider will do a complete medical history and physical exam. They will ask questions about your:

Dietary history
Exercise history
Psychological history
Body image
Purging frequency and elimination habits (use of pills, laxatives, and diuretics)
Family history of eating disorders

Treatment for anorexia varies depending on the person’s needs. They may receive treatment through inpatient or outpatient care based on their current medical and mental state. Treatment for anorexia most often involves a combination of:

Individual and group psychotherapy
Medication
Hospitalization

A person with anorexia or any eating disorder will have the best recovery outcome if they receive an early diagnosis. If you or someone you know are experiencing signs and symptoms of anorexia, be sure to talk to a provider as soon as possible.

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