Health Beat

What Are the Most Common Types of Pediatric Hernias?

Posted on March 8, 2023 by Jacob Lobosco

Hernias, which are defects in your abdominal wall that allow tissue or fat to bulge through, typically occur in children as inguinal or umbilical hernias. They’re often present due to birth complications such as premature birth.

There are two types of inguinal hernias. The most common type in children, indirect inguinal hernias, generally occurs as a result of an opening in the abdominal wall being present at birth. Direct inguinal hernias develop more rarely, as they usually result from physical overexertion due to sports or lifting heavy objects.

The other most common form of childhood hernia, umbilical hernias, occur in the spot where the umbilical cord was previously attached to the belly button. They develop when the muscles fail to close around this spot after the umbilical cord falls off.

Both inguinal and umbilical hernias may cause a pain or tenderness in the belly button or groin, as well as a bulge in this area that grows in size as a result of laughing, crying, or physically straining. However, more severe symptoms such as bloating, fever, severe and sudden abdominal pain, and nausea may indicate that the hernia has become strangulated.

A hernia can become strangulated after an extended period of incarceration, a condition in which part of the intestine becomes trapped in the abdominal opening. This can lead to the loss of that part of the intestine, as well as any involved testicles or ovaries.

Hernias occur most commonly in children who are assigned male at birth, are born prematurely or underweight, are of African descent, and who experience conditions such as undescended testicles, cystic fibrosis, or a genetic syndrome that increases the risk of a hernia.

A pediatric hernia is typically treated through surgery, during which your child’s surgeon will push the bulging tissue back into its proper position and re-seal the opening with stitches. This can be performed as an open surgery (involving a small incision in the affected area) or as laparoscopic surgery (involving several tiny incisions in the abdomen and groin).

To schedule an appointment with a doctor and begin treatment for your child’s hernia, you can schedule an appointment at Forest Hills Pediatric Specialists by calling (718) 704-5020 or at Flushing Hospital Medical Center’s Pediatric Surgery Division by calling (718) 670-3007.

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.

Jet Lag and Sleep

Posted on March 7, 2023 by Flushing Hospital

Jet lag can profoundly affect sleep and alertness. This sleep disorder occurs when your body’s internal clock (circadian rhythms), which tells you when to sleep, becomes imbalanced after traveling to different time zones.

According to the National Sleep Foundation, when a person travels to a new time zone their “circadian rhythms are slow to adjust and remain on their original biological schedule for several days. This results in our bodies telling us it is time to sleep, when it’s actually the middle of the afternoon, or it makes us want to stay awake when it is late at night.”

Jet lag can lead to daytime fatigue, gastrointestinal problems, mood changes, a general unwell feeling, headaches, mild depression, insomnia, and difficulty staying alert and concentrating. These symptoms generally appear within a day or two of travel and can worsen the longer you travel and the more time zones you cross.

There are several ways to combat or minimize the effects of jet lag. Here are a few you can try:

Avoid alcohol the day before your flight and during your flight.
Get plenty of rest before you fly.
Avoid caffeine or other caffeinated beverages before or while traveling.
Drink lots of water.
Wear sunglasses during your flight.
Move around the plane on long flights.
Adapt immediately to the schedule of your destination. While it may be tempting to sleep during the day after your arrival, it is advised that you stay up and active and expose your body to sunlight.
Avoid heavy meals upon arrival at your destination.

Symptoms of jet lag are mostly temporary and typically last a few days; however, if you are a frequent flyer they may become more severe. You can speak with your doctor or a sleep specialist who may recommend treatments such as light therapy, melatonin supplements, or prescription medication.

March is National Kidney Month

Posted on March 6, 2023 by Flushing Hospital

March is National Kidney Month and the National Kidney Foundation is urging all Americans to give their kidneys a well-deserved checkup.

The kidneys are two fist-sized organs, located just below the rib cage, in your lower back. The left kidney is on the left side of the spine and the right kidney is on the right side of the spine. Blood flows through the kidneys many times a day. They maintain overall health by serving the following functions:

Filtering waste out of 200 liters of blood each day
Regulating the body’s salt, potassium, and acid content
Removing toxins from the body.
Balancing the body’s fluids
Releasing hormones that regulate blood pressure
Producing an active form of vitamin D that promotes strong, healthy bones
Controlling the production of red blood cells

According to the U.S. Centers for Disease and Control, some quick facts on Kidney Disease are:

Kidney disease is the 9th leading cause of death in the country.
More than 26 million Americans have kidney disease, and most don’t know it.
There are over 95,000 people waiting for kidney transplants.
Currently, more than 590,000 people have kidney failure in the U.S. today.
Risk factors for kidney disease are hypertension, diabetes, family history, and age over 60.

Symptoms of kidney disease include:

Swelling of the face, hands, abdomen, ankles, and feet
Blood in the urine
Puffy eyes
Painful urination
Increased thirst
Fatigue

Oftentimes, kidney failure can be prevented or delayed through early detection and proper treatment of underlying diseases such as diabetes and high blood pressure which can slow additional damage to the kidneys.

If you are 18 years or older with diabetes, high blood pressure, cardiovascular disease or a family history of kidney disease, you should schedule an appointment with your doctor and ask that you be screened for kidney disease.

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

World Birth Defects Day

Posted on March 3, 2023 by Flushing Hospital

Birth defects are defined as conditions that are present when a baby is born and can affect nearly every part of the body. Conditions such as cleft lip can be easily diagnosed. Other conditions such as deafness or heart defects may only be discovered after diagnostic testing.

The largest number of birth defects occurs during the first three months of gestation.

The most common birth defects in the US, according to the Centers for Disease Control and Prevention (CDC) include:

Down syndrome
Cleft lip (with or without cleft palate)
Atrioventricular septal defect (hole in the heart)
Absence or malformation of the rectum and/or large intestine
Gastroschisis (hole in the abdominal wall)
Tetralogy of Fallot (a combination of heart defects)
Spina bifida without anencephaly
Reduction deformity, upper limbs
Reversal of the heart’s two main arteries

Although birth defects can’t always be prevented, there are plenty of steps pregnant women can take to help reduce the risk.

The womenshealth.gov website offers these suggestions:

Make regular visits to your doctor throughout pregnancy
Get 400mcg of folic acid each day through diet or supplements
Don’t smoke, use illegal drugs or drink alcohol while you are pregnant
Always check with your doctor before taking any medication
Get all vaccinations recommended by your doctor
If you have diabetes, keep it under control
Stick to a healthy weight

You may also request a pre-pregnancy or early pregnancy screening test in order to spot potential or real birth defects. The types of tests include a carrier test to see if you or your partner carries potentially harmful genes, as well as screening and diagnostic tests that can determine risks for and detect genetic disorders.

A Healthy Recipe for Roasted Salmon

Posted on March 2, 2023 by Andrew Rubin

Salmon is a very popular fish that is both healthy and easy to prepare. Here is a simple healthy recipe from RealSimple for Slow-Roasted Citrus Salmon.

https://www.realsimple.com/food-recipes/browse-all-recipes/citrus-salmon-recipe

What To Expect: Colonoscopy

Posted on February 28, 2023 by Xavia Malcolm

A colonoscopy is a procedure that physicians use to examine the inside of the large intestine (colon). During an examination, doctors can investigate changes in the large intestine and possible causes for a variety of symptoms. Most importantly, physicians can use this procedure to look for precancerous or cancerous polyps on the inside of the colon’s lining.

Before the procedure, your doctor will require that you consume a clear liquid diet for at least 24 hours ahead of the time for your exam. You will also have to take a laxative to help clear the intestines. In some instances, your provider may perform an enema before the test. Please be sure to inform your doctor of any medications you are taking so that adjustments can be made if needed before your procedure.

When you arrive for your colonoscopy, you may be given medications to sedate you or make you feel sleepy. It is highly recommended that you have someone available to drive you home for this reason.

Your physician will begin the procedure once you are sedated. A colonoscope is the tool your healthcare provider utilizes to conduct the examination. The device is a long, flexible tube with a camera and light on the end. During the procedure, your physician will insert the colonoscope into your rectum and move it into your colon to look for polyps or other signs of a potential health problem.

Once the examination is completed, your healthcare team will transport you to a recovery room for a few hours. It is common for patients to experience mild cramps or bleeding in the first stool after the procedure. Please contact your doctor if bleeding and cramping persist.

Anosmia Awareness Day

Posted on February 27, 2023 by Jacob Lobosco

Anosmia is the complete loss of your sense of smell. Approximately three percent of all Americans experience either this condition or severe hyposmia (a diminished sense of smell), with a much larger percentage of the population experiencing a milder form of smell alteration.

Although people may be born with anosmia in rare instances, it typically occurs later in life due to a variety of factors. One of the primary risk factors for smell impairment is age; a reduced sense of smell becomes increasingly likely as you get older, with a quarter of all Americans in their 70s and nearly 40% of Americans in their 80s experiencing these problems in some form. It’s also more common for men and people who are Black or Mexican-American.

Losing your sense of smell can leave you vulnerable to several potential health risks. Food or liquids that spoil often create a foul odor, but if you lack the ability to smell, you may accidentally consume these items without realizing that they are no longer safe. You also may not be able to recognize the presence of hazards such as smoke until it’s too late.

The loss of your sense of smell also affects more than just scents. Smell also plays a significant role in the way you process flavors; without it, food and drinks become bland and less distinguishable. This can lead to other issues such as a loss of interest in eating, poor nutrition, weight loss, or potentially even depression. Additionally, attempts to resolve this lack of flavor, such as adding copious amounts of salt to food, can lead to high blood pressure and other problems.

Anosmia is not necessarily a permanent impairment. In fact, polyps, nasal deformities, and conditions such as sinus infections or viruses may cause you to temporarily develop symptoms of anosmia. An otolaryngologist (also known as an ear, nose, and throat doctor) can help to determine the cause of your symptoms and determine the right course of treatment, both for the underlying condition and for restoring your sense of smell.

You can visit an ear, nose, and throat doctor at Flushing Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment, please call (718) 670-5486.

Anosmia Awareness Day

Posted on February 27, 2023 by Flushing Hospital

You can visit an ear, nose, and throat doctor at Flushing Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment, please call (718) 670-5486.

Employee Spotlight Shines on Hilly Lokenauth, RN

Posted on February 23, 2023 by Andrew Rubin

This month, we are proud to shine our Employee Spotlight on Hilly Lokenauth, RN, Assistant Head Nurse in the Emergency Department at Flushing Hospital Medical Center.

Hilly grew up in a town called Eccles, Guyana where her father owned a large store. She attended St. Anglican Elementary School and then on to the Indian Education Trust College. After high school, Hilly went on to study Nursing at the Mercy School of Nursing in Guyana. She moved to New York forty years ago, settling in Jackson Heights, Queens where she still resides. Upon coming to the United States Hilly attended St. Joseph College in Brooklyn, where she obtained her BS in Health Administration.

Hilly has two grown children, a daughter who is also a nurse in the NICU at Flushing Hospital and a son who works in finance at Tampa General Hospital in Florida. Hilly has four grandchildren ages two to six. She doesn’t have any pets but one day would really like to have a parrot. She is one of ten children. There were five girls and five boys in her family growing up, (five siblings who have since passed away unfortunately) who at one time lived in many different parts of the world.

Religion is a very important part of Hilly’s life. She is a member of the Cavalry Assembly of God Church in Richmond Hill, Queens, where she attends services on the weekends. In her free time she enjoys listening to Christian music and reading Christian novels. She isn’t a big sports fan, but enjoys watching the enthusiasm of the people who are watching sporting events. She also enjoys watching reality shows on TV. Hilly enjoys taking short trips, either upstate New York or to visit people she knows in Westchester.

What matters most to Hilly are her family and friends. She enjoys taking care of people and likes to quote a proverb saying that “whoever refreshes others, will be refreshed”. She gets great satisfaction caring for her patients. Hilly enjoys the diversity of people she has had the opportunity to treat in the Emergency Department. She comes in contact with people from all over the world and has learned so much about different cultures. Hilly feels fortunate to be working with such a team in the Emergency Department. Working through the Covid-19 pandemic really had an impact on her, and the people she worked with. The experience made her appreciate the importance of her health and for the people in her life.

We are so fortunate to have Hilly as a member of the Flushing Hospital team and we look forward to her continuing with us for many more years in the future.

What Does It Mean to “Die of Natural Causes?”

Posted on February 22, 2023 by Jacob Lobosco

In the United States, the majority of deaths each year are recorded as having occurred due to “natural causes.” However, it may not always be clear what exactly this term means, particularly due to the fact that it does not point to a specific factor that led to a person’s death.

A death by natural causes is one that occurs solely due to internal factors (such as a disease) rather than external factors (such as a traumatic physical injury). Three of the most common ways it can occur include:

Heart disease: Although factors affected by lifestyle choices (such as a person’s weight, diet, and physical activity level) can contribute to the risk of developing heart disease, anyone can experience it at any age. This is because your risk is also tied to your genetics and family history of heart disease.

Cancer: While multiple people within the same family may experience cancer without it being the result of genetics, it can occur as a result of what is referred to as a “family cancer syndrome” (also known as “inherited cancer syndrome” or “genetic cancer syndrome”). This refers to an abnormal gene that can greatly increase the risk of certain forms of cancer. Family cancer syndrome accounts for approximately five to 10% of all types of cancer.

Stroke: You may experience a stroke due to various natural factors. Every 10 years after the age of 55, your risk of experiencing a stroke doubles. Additionally, death due to a stroke is more common among women of all ages than men. Strokes are also more common among people who are Black, Hispanic, Native American, or Native Alaskan, as well as people with certain genetic disorders such as sickle cell disease.

If you experience or have a family history of a chronic medical condition, get the treatment you need to prevent your symptoms from worsening. You can schedule an appointment with a medical specialist at Flushing Hospital Medical Center’s Ambulatory Care Center now by calling (718) 670-5486.