Health Beat

What Can Cause Delayed Puberty in Children?

Posted on November 29, 2023 by Jacob Lobosco

Puberty typically starts between the ages of 9 and 14 for boys and between the ages of 8 and 13 for girls. However, some children may experience this process later than normal. This usually does not indicate a medical problem, but in some cases, it can be caused by genetic factors or an underlying condition.

Delayed puberty is defined as a lack of increase in testicle size by the age of 14 for boys and a lack of increase in breast development by the age of 13 for girls. Even if a child is experiencing other indicators of puberty, such as public hair growth or body odor, they may still meet the definition of delayed puberty.

Some of the medical conditions that can cause delayed puberty include cardiac problems, celiac disease, Klinefelter syndrome (in boys), Turner syndrome (in girls), and conditions that disrupt normal hormonal processes. Delayed puberty may also result from hereditary factors. If one or both of a child’s parents experienced puberty at a slower rate than most children, it is more likely that it will happen to that child, as well.

Many cases of delayed puberty (particularly in boys) are also associated with constitutional growth delay (CGD). CGD causes skeletal growth to be temporarily delayed. While potentially alarming, this delay is recognized as a normal part of physical development for some children and is not a cause for concern.

Treatment for delayed puberty often involves hormone therapy to jumpstart the overall process. However, it also partially depends on the factors that are causing it to occur. If the delay is the result of an underlying medical problem, treatment will also need to focus on resolving or managing that problem. Aside from a physical examination, these problems can be diagnosed through x-ray imaging (to look at bone development) and blood tests (to check hormone levels and identify signs of underlying disorders).

If your child is experiencing delayed puberty, you can visit a pediatric endocrinologist at Forest Hills Pediatric Specialists. To schedule an appointment, please call (718) 704-5020.

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.

A Healthy Thanksgiving Recipe – Glazed Green Beans

Posted on November 21, 2023 by Andrew Rubin

Thanksgiving dinner is typically a large meal that consists of turkey and many side dishes. Here is a recipe from Good Housekeeping for glazed green beans that is healthy, delicious, and easy to prepare. https://www.goodhousekeeping.com/food-recipes/a34349776/glazed-green-beans-recipe/

Meet Our New Beginnings Team Member Vivian Chen, RN

Posted on November 16, 2023 by Andrew Rubin

This month, we are proud to highlight Vivian Chen, RN. Vivian has been a member of our Flushing Hospital Medical Center team for five years, the last four in our Labor and Delivery suite.

There are many reasons why Vivian enjoys working on our New Beginnings Mother – Baby unit. She has a great deal of joy and pride in taking part in the birth of a child. She finds it very exciting and is so happy to share that moment with the moms she takes care for. Vivian also enjoys caring for the new moms and helping them with any challenges they may face.

Flushing Hospital Medical Center is a wonderful place to give birth because of people like Vivian who strive to make sure that the moms and their babies have the very best experience.

How Should You Prepare for an X-Ray?

Posted on November 15, 2023 by Jacob Lobosco

X-rays are typically used to created detailed images of your bones and soft tissues. These images help to diagnose medical problems such as bone fractures, structural issues, or foreign objects in your body, all of which can cause symptoms such as pain, swelling, or impaired physical functionality. An x-ray creates these images using a small amount of ionizing radiation.

The minimal amount of radiation exposure that occurs during an x-ray poses few health risks for people of any age. However, depending on your medical circumstances or the type of x-ray you’re receiving, there may be certain steps you should take to further minimize any potential risks from this test. Before getting an x-ray, you should:

Ask your doctor about specific steps to prepare for your x-ray: Certain types of x-rays may require you to take specific steps before your procedure. If you’re receiving an x-ray for your upper gastrointestinal tract, for example, you should typically avoid eating or drinking for several hours ahead of time. For other types of x-rays, you may need to remove metal objects (such as jewelry) or avoid applying topical substances (such as lotions or creams.)

Wear comfortable clothing: When you receive an x-ray, you’ll usually need to change out of your clothes and into a medical gown, so it may be best to wear comfortable clothing that’s easy to remove and put back on once the procedure is completed.

You can receive an x-ray at Flushing Hospital Medical Center’s Department of Radiology. To get more information or to schedule an appointment, please call (718) 670-5458.

Pilates

Posted on November 9, 2023 by Andrew Rubin

Pilates is a form of strength training exercise that was developed by Joseph Pilates over 100 years ago. Initially, it was practiced by dancers who were using it to recover from injuries that they had sustained. It has become very popular among the general population within the past quarter century.

Improper alignment of the body is the primary condition many people have that can be helped with Pilates. The concept behind Pilates is to build body core strength by focusing on improving muscle tone and improving muscle balance. This is achieved through low impact exercises that concentrate on lower back and abdominal muscles, precision patterns of movement and controlled breathing. Pilates can be performed on a mat or a device called a “reformer.” It may look easy to do but it requires a lot of precision and coordination.

The benefits of Pilates include:

Building core strength
Improving posture
Increasing flexibility
Improving balance
Increasing body awareness
Helping to control breathing
Improving mental health

Before beginning any new exercise routine, it is a good idea to speak with your physician to see if that type of exercise is appropriate for you. Find a Pilates class that is taught by someone who has expertise in the field. Pilates classes usually last 45 minutes to an hour. Make sure that you start slowly and don’t be in a hurry to learn the proper techniques.

What is Panic Disorder?

Posted on November 8, 2023 by Jacob Lobosco

Panic disorder is characterized by recurring, unexpected panic attacks over long periods of time. A panic attack is a sudden wave of intense fear coupled with physical reactions such as a rapid heart rate, shortness of breath, chest pain, or a headache; these symptoms appear despite the fact that no real, immediate danger is present. Many people may experience an occasional panic attack, but people with panic disorder experience these attacks more frequently than normal.

There is no specific known cause for panic disorder, but multiple factors may increase your risk of developing it, including:

Genetics
Continuous or extreme stress
Traumatic life events
Major or dramatic life changes
Changes in brain activity
Smoking
Excessive caffeine intake

Although the symptoms that accompany a panic attack are alarming and intense, they are not typically harmful or life-threatening. However, this can be difficult to remember or recognize when you are actively experiencing one. Additionally, even the possibility of having a panic attack (particularly for people with panic disorder, for whom attacks are more likely to occur) can have a detrimental effect on your life, potentially causing you to avoid certain situations and activities where panic attacks seem more likely to occur.

If you have experienced a recent panic attack, you should get medical treatment as soon as possible to prevent future attacks; this can help prevent panic disorder before it has a chance to develop. Lifestyle changes such as quitting smoking and getting regular exercise can also help prevent this condition.

Flushing Hospital Medical Center’s Psychiatric Department offers treatment for people at risk of experiencing panic attacks or developing panic disorder. To receive more information or to schedule an appointment, please call our outpatient psychiatric clinic at (718) 670-5562.

“Ministroke” or Transient Ischemic Attack

Posted on November 7, 2023 by Xavia Malcolm

A transient ischemic attack (TIA), often incorrectly called a ministroke, occurs when there is a temporary blockage of blood supply to the brain. Unlike a full-blown stroke, a TIA resolves within a few minutes or 24 hours and does not cause permanent damage to the brain.

A transient ischemic attack may only last temporarily; however, it should be treated as an emergency, and medical attention should be sought immediately if you are experiencing the following symptoms:

Slurred speech
Blurred or double vision
Dizziness or vertigo
Nausea and vomiting
Weakness, numbness, or paralysis on one side of the body
Severe headache
Confusion
Loss of balance or coordination

The effects of a TIA, though temporary, are serious and often increase the risk of having a true stroke in the future. It is estimated that 1 in 3 people who experienced a TIA will eventually have a stroke.

Some people are more at risk than others for having a transient ischemic attack and potential stroke. Risk factors include:

Having high blood pressure
Having diabetes
Having high cholesterol
Having a family history of TIA or stroke
Having atrial fibrillation
Smoking
Obesity
Age (The risk increases with age for those 55 and older)

The risk of a TIA may be reduced by properly managing conditions and diseases such as diabetes, cholesterol, and high blood pressure through eating a healthy diet, adhering to medications, and routine doctor visits. Other lifestyle changes include quitting smoking and exercising.

A transient ischemic attack is diagnosed after an evaluation of your symptoms. Your healthcare team may perform a series of physical examinations and imaging tests to determine the cause of the TIA. Treatment may consist of medications, angioplasty, or surgery, and is more effective the sooner you receive medical attention.

Flushing Hospital has been awarded Primary Stroke Center Certification from The Joint Commission. This achievement reflects our commitment to providing stroke patients with the highest quality of care. To schedule an appointment at our hospital, please call 718-670-5486.

Common Causes of Urinary Tract Infection

Posted on November 3, 2023 by Jacob Lobosco

A urinary tract infection (UTI) can affect any part of your urinary system, which includes the bladder, kidneys, and urethra.

UTIs are very common, affecting up to about 10 million people each year. Infections occur most often in women and people assigned female at birth (AFAB), although they also occur in a smaller percentage of men and people assigned male at birth (AMAB).

UTIs generally develop due to the presence of bacteria, usually Escherichia coli (E. coli), in parts of your urinary system. Bacteria can enter these parts of your body through the urethra to infect the bladder, but can also travel up from the bladder to infect the ureters and kidneys. Some common ways for a UTI to begin include:

Sexual intercourse: Sexual activity is one of the most common ways for people to develop a UTI. Bacteria can enter your urethra from your partner’s genitals or anus, allowing it to infect your urinary system. This exposure can also occur due to the usage of sex toys, particularly if they have not been adequately cleaned. Sexual UTIs may be prevented by washing your genital area daily and using contraceptives such as condoms during sex.

Bacteria from hands: Bacteria that are present on your hands or someone else’s can also enter your urethra by touching your genital area during sexual activity or while using the bathroom. This is most easily prevented by regularly washing your hands multiple times per day with soap and water.

Holding in urine: While holding in your urine does not cause a UTI on its own, it does increase your risk of developing one. Any bacteria present in your urine is forced to sit in your bladder system for a longer period of time, allowing it more time to multiply and potentially develop into an infection.

If you experience any typical symptoms of a UTI, such as a persistent urge to urinate, burning sensations while urinating, blood in your urine, or pelvic pain, you can receive treatment at Flushing Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment, please call (718) 670-5486.

Halloween 2023 Safety Tips

Posted on October 26, 2023 by Jacob Lobosco

Halloween is a family-favorite holiday full of spooky fun and lots of candy. However, it can also present many opportunities for injury as kids take to the streets in pursuit of trick-or-treat goodies.

Statistics show that roughly four times as many children between the ages of five and 14 are killed while walking on Halloween evening compared to other evenings of the year. Injuries due to falls and other accidents are also common among children on Halloween.

Parents can help minimize the risk of children getting injured on this holiday by following these safety tips from the American Academy of Pediatrics, the Centers for Disease Control and Prevention, and the National Safety Council.

On Halloween, children should:

Go only to well-lit houses.
Remain on porches without actually entering a house.
Travel in small groups accompanied by an adult.
Use flexible, non-sharp plastic props for costume pieces such as knives and swords.
When walking through neighborhoods trick-or-treating, use flashlights, stay on sidewalks, and avoid crossing yards.
Cross at appropriately-designated crosswalks and do not cross between parked cars.
Be sure to stop at all corners and stay together in a group before crossing.
Wear clothing or costumes that are bright, reflective, and flame-retardant.
Consider using face paint instead of masks that can obstruct a child’s vision.
Avoid wearing hats that will slide over children’s eyes.
Avoid wearing long, baggy, or loose costumes or oversized shoes that may cause kids to trip.
Be reminded to look left, right, and left again before crossing a street.

On Halloween, parents and adults should:

Supervise trick-or-treating for children under the age of 12.
Avoid giving choking hazards such as gum, peanuts, hard candies, or small toys as treats to young children.
Ensure the safety of pedestrian trick-or-treaters.
Make sure children under the age of 10 are supervised as they cross the street.
Drive slowly.
Watch for children in the street and on medians.
Exit driveways and alleyways slowly and carefully.
Have children get out of cars on the side of the sidewalk, not the street.

Follow these tips to keep both your children and yourself safe this year. Have a happy and fun Halloween!

Warning Signs of Appendicitis

Posted on October 25, 2023 by Jacob Lobosco

Appendicitis, or inflammation of the appendix, can quickly lead to life-threatening complications if left untreated. Inflammation causes the appendix to swell, which can then cause it to burst. When this happens, bacteria spreads throughout your bowels and abdominal cavity, causing infection and eventual sepsis, which can be fatal.

Appendicitis typically causes abdominal pain, nausea, and a loss of appetite. It can be difficult to get the prompt diagnosis and treatment necessary for appendicitis because its symptoms are similar to other, less serious conditions, such as gastroenteritis, urinary tract infections, or inflammatory bowel disease. It can also be particularly challenging for people assigned female at birth due to the similarity between appendicitis pain and menstrual cramps.

In order to identify appendicitis quickly and get the treatment you need to avoid serious complications, it may help to look for one or more of these warning signs:

McBurney’s Sign: A sign that many healthcare providers look for to diagnose appendicitis is tenderness at McBurney’s point, which is located in the lower right quadrant of the abdomen. You can locate this point by drawing a straight line from the right anterior superior iliac spine (ASIS), a projection of bone from your right hip, to your belly button. McBurney’s point is usually located about two inches along the line from the ASIS.

Blumberg’s sign: When your pain becomes worse after pressure is applied and released from the sore area, it could be an indicator of appendicitis. This is known as Blumberg’s sign.

Dunphy’s sign: This indicator refers to coughing that makes your pain worse.

Rovsing’s sign: If placing pressure on your lower left side causes pain on your lower right sign, it is referred to as Rovsing’s sign, which could be a warning sign of appendicitis.

Psoas or obturator sign: This indicator refers to the psoas muscle, which can become irritated by appendicitis if your appendix is located behind your colon rather than in front. If extending your right hip or rotating it outward causes pain, it is referred to as the psoas sign. However, if it hurts to rotate the right hip inward instead, it is the obturator sign, referring to irritation of the obturator internus muscle.

Appendicitis can cause your appendix to burst in as little as two days. If you experience sudden, severe abdominal pain that lasts for several hours, whether or not you notice other warning signs, please dial 911 or visit the nearest emergency room immediately.