What Is the Difference Between HIV and AIDS?

Paper with Hiv aids and red ribbon. Medical conceptSometimes, people mistakenly use the terms AIDS and HIV interchangeably. The two conditions are related but different.

HIV (human immunodeficiency virus) is a virus that can lead to AIDS (acquired immunodeficiency syndrome). HIV can be transmitted through:

  • Unprotected sex
  • Contact with bodily fluids such as blood, semen, or vaginal fluids
  • Sharing needles with an infected person
  • Transfusion of contaminated blood products

HIV can also be transmitted from an HIV-infected mother to a child during pregnancy, birth, and breastfeeding.

When a person is infected with HIV, the virus weakens and gradually destroys the immune system, making it difficult for the body to fight infections and diseases. The symptoms of HIV include:

  • Swollen lymph nodes
  • Fevers
  • Mouth ulcers
  • Weight loss
  • Night sweats
  • Fatigue
  • Rash
  • Muscle aches
  • Diarrhea
  • Sore throat

HIV can be treated through antiretroviral therapy (ART), which includes a combination of HIV medications. ART prevents the virus from multiplying and reduces the amount of HIV in the blood.  If HIV is left untreated, it can progress to the chronic stage of infection or clinical latency and eventually the onset of AIDS.

AIDS is the most advanced stage of HIV. The immune system is severely damaged at this stage. Opportunistic infections, which are infections that are uncommon in people with healthy immune systems and certain cancers, are more likely to develop. These illnesses may include:

  • Recurrent pneumonia
  • Candidiasis
  • Mycobacterium tuberculosis
  • Kaposi sarcoma
  • Lymphoma
  • Cryptococcal meningitis
  • Cytomegalovirus
  • Wasting syndrome

If you are at risk of contracting HIV and are experiencing symptoms of infection, you should see a doctor.  Your physician will ask questions about your medical history and lifestyle, conduct a physical examination, and order a series of tests to determine a diagnosis.

There is no cure for HIV; however, it can be managed through ART, medication monitoring, and applying lifestyle changes that help support the immune system.

 

 

 

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

National Nutrition Month

A registered dietitian is a trained nutrition professional who has met the strict educational and experiential standards set forth by the Commission on Dietetic Registration of the Academy of Nutrition and Dietetics.

They can be employed in various practice areas, including hospitals, outpatient clinics, corporate wellness programs, food service operations, universities, research, or private practice.

RDs advise and counsel others on food and nutrition. They explain nutrition issues to their patients, develop meal plans for them, and measure the effects of those plans.

To become an RD, you must:

  • Complete a Bachelor’s degree with coursework approved by the Academy of Nutrition and Dietetics
  • Complete a 1200-hour dietetic internship, which is an accredited, supervised practice program at a healthcare facility, community program, or a food service corporation
  • Pass a national registration exam
  • Complete continuing professional education credits.

At Flushing Hospital, dietitians are available for the following services: nutrition assessment, diet instruction, recommendations for enteral and parenteral support, staff in-service, food and drug interactions, and nutrition counseling in the outpatient setting.

Flushing Hospital would like to thank our registered dietitians for the essential job they do every day. Their hard work helps our patients and community live healthier lifestyles.

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.

Bad Breath

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.

 

 

 

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.

Folliculitis

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.

 

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 Loneliness Epidemic

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.

 

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.

Treating A Sore Throat

woman suffering from sore throat sitting on sofa. Sick young woman covered with blanket coughing while sitting on the sofa at home.One of the most common causes of a sore throat is a viral infection, such as a cold. However, a sore throat can also be caused by a bacterial infection, such as strep throat, or irritation from allergies, dryness, or pollutants, such as smoke.

Once a diagnosis is made, the symptoms of a sore throat can be treated. Over-the-counter medication can be used to relieve some of the symptoms. When the cause of the sore throat is bacterial, a physician may have to prescribe an antibiotic. If the sore throat is being caused by exposure to an irritant, it is a good idea to stay away from the substance that is causing the problem.

Home remedies can offer some relief for a sore throat. They can include:

  • Rest
  • Drinking fluids
  • Drinking warm liquids
  • Adding honey to warm liquids
  • Gargling with warm salt water
  • Lozenges
  • Sucking on popsicles or ice chips
  • Using an air humidifier

A sore throat typically improves in two to seven days. If you are still experiencing symptoms, please contact your physician.

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

What to Expect During a CT Scan

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.

 

 

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.

Bleeding Disorders

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.

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.

Complications of Ulcerative Colitis

Ulcerative colitis is a form of chronic inflammatory bowel disease.  It causes inflammation and sores to develop on the inner lining of the colon and rectum.

The symptoms of ulcerative colitis may vary from person to person, they include:

  • Diarrhea (which may or may not be bloody)
  • Pus in the stools
  • Nausea
  • Abdominal cramping
  • Abdominal pain
  • Feeling the need to poop (even though your bowels are already empty)
  • An urgent need to have a bowel movement
  • Fever
  • Weight loss

People living with ulcerative colitis are at risk of developing complications or further health problems, such as:

  • Osteoporosis
  • Growth and development delay in young children
  • Bowel cancer
  • Colon cancer
  • Perforated colon
  • Toxic megacolon
  • Anemia
  • Primary sclerosing cholangitis
  • Blood clots
  • Dehydration
  • Severe bleeding from the rectum
  • Sexual dysfunction

Perforated colon, toxic megacolon, severe dehydration, and severe bleeding from the rectum are complications that require immediate medical attention.

There is no known way to prevent ulcerative colitis; however, symptoms or flare-ups can be managed to reduce the risk of complications.  You can manage symptoms by taking medications as prescribed, watching what you eat and drink, managing stress, and exercising.

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

National Endometriosis Awareness Month

March is National Endometriosis Awareness Month. Endometriosis is a condition that affects the lining of the uterus (also known as the endometrium); it currently affects an estimated 176 million women around the globe. Some of the symptoms of endometriosis include:

  • Painful sexual intercourse
  • Pain during pelvic examinations
  • Severe pain during menstruation
  • Pain during urination or a bowel movement
  • Excessive bleeding
  • Infertility

Symptoms of endometriosis tend to appear during reproductive years, between the ages of 12 and 60. The highest number of cases are diagnosed between the ages of 25 to 35; however, some women with endometriosis remain undiagnosed because they do not have symptoms. Additionally, this disorder can sometimes be mistaken for other conditions.

Endometriosis causes the inner lining of the uterus to grow outside of the uterus. This most commonly affects the ovaries, fallopian tubes, ligaments that support the uterus, and the areas between the rectum and the vagina. Rarely, endometriosis can also occur in the lungs, thighs, arms, and other parts of the body that are more distant from reproductive organs.

When endometrial tissue spreads, it develops into growths called implants. These clumps of tissue are affected by the menstrual cycle as though they were inside of the uterus, regardless of their actual location. Each month, they build up, break down, and shed. However, endometrial tissue cannot be discharged from the body if it is not inside the uterus; as a result, these implants cause inflammation, swelling, internal bleeding, and the formation of scar tissue.

Doctors do not yet know what causes endometriosis, but certain risk factors have been identified that may make you more likely to develop it. These include:

  • An immediate family member with endometriosis
  • An abnormal uterus
  • Menstruation that begins before the age of 11
  • Shorter menstrual periods, lasting less than 27 days on average
  • Heavy menstruation that lasts for more than one week

If you experience symptoms of endometriosis, your doctor can perform a variety of tests, such as pelvic examinations, laparoscopy, and imaging tests such as magnetic resonance imaging (MRI) to accurately diagnose it. While there is no cure for endometriosis, your doctor can work with you to develop an effective treatment that may incorporate options such as medication, surgery, or alternative therapies.

You can schedule an appointment with an OB/GYN at Flushing Hospital Medical Center’s Women’s Health Center to receive high-quality treatment for endometriosis. To learn more, please call 718 670-5702.

 

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.