What Causes Mouth Sores?

Mouth sores are lesions that can form on your lips, gums, tongue, cheeks, and in other parts of your mouth. They’re often painful to the touch, but can also cause a steady, consistent level of pain for as long as they are in your mouth.

One of the most common types of mouth sores is the canker sore, which usually appears as a red spot in the mouth with a white, yellow, or gray center. Canker sores may range in size from less than one millimeter to an inch in diameter. There is no clear, singular cause for canker sores, but they are believed to form in response to stress, injuries inside the mouth, nonsteroidal anti-inflammatory drugs, and dental appliances such as braces.

Another common type of mouth sore is the cold sore, which develops as a result of herpes simplex virus type 1 (HSV-1). This virus is extremely common, affecting approximately 3.7 billion people across the world under the age of 50. It primarily spreads through close contact and saliva, often infecting people through the sharing of food, drinks, or utensils, as well as through kissing.

These two types of mouth sores account for the vast majority of cases, with approximately 20% of Americans developing canker sores during their lifetime and about half of all Americans carrying HSV-1. However, mouth sores can develop as a result of:

  • Human papilloma virus
  • Irritable bowel syndrome
  • Anemia
  • Celiac disease
  • Crohn’s disease
  • Lupus
  • HIV/AIDS
  • Oral cancer
  • Cancer treatment (particularly radiation therapy)
  • Hand, foot, and mouth disease
  • Pemphigus vulgaris
  • Folate deficiency
  • Mononucleosis

While mouth sores cannot always be prevented from occurring, your risk of developing them can be reduced through good dental hygiene, a healthy diet that limits alcohol and tobacco usage, and stress management techniques.

You can also work with a doctor at Flushing Hospital Medical Center’s Ambulatory Care Center for an accurate diagnosis of the cause of your mouth sores and an effective plan for treating them. 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.

Vitamin D Deficiency in Winter

It is very important for our bodies to have a sufficient amount of vitamin D all year long, especially during the upcoming winter months.

The body uses vitamin D to help it absorb calcium from the foods that we eat while they are in the gastrointestinal tract. Calcium is essential for maintaining bone strength, fortifying our immune system, keeping the heart healthy, preventing strokes, preventing depression, and may help with the aging process.

A great source of natural vitamin D comes from the ultraviolet B rays found in sunshine, and the more daylight we are exposed to, the more vitamin D our skin will be able to synthesize. However, during the winter months getting enough is difficult. We spend more time indoors and even when we are outdoors, we tend to wear heavier clothing which blocks the sun from hitting the skin. The best time of day to be outdoors is midday when the sun is usually the strongest. During the summer months, 10 – 15 minutes every day is usually sufficient, but during the winter months, you may require 30 minutes or more to get an adequate amount of sunlight and your daily dose of vitamin D.

Here are other sources of vitamin D that can be helpful during the year and especially during the winter:

  • Eating beef liver, pork, egg yolks, and cheese
  • The skin of fatty fish such as tuna, mackerel, and salmon
  • Drinking milk that is fortified with vitamin D
  • Taking a vitamin D3 supplement

If you would like to schedule an appointment with a physician at Flushing Hospital Medical Center to discuss your health this winter, 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.

3 Diet Tips for Healthy Holiday Eating

If you’re pursing a weight loss goal or must abide by specific dietary restrictions due to a medical problem, you may be concerned about how your gatherings with friends and family for the holidays may affect your health.

Many celebrations with family and friends include plenty of indulgent meals and treats that can potentially set your weight loss goals back or otherwise negatively impact your health.

Although holiday gatherings may present certain challenges, there is no need to stress yourself out about sticking to your diet. A few key guidelines that emphasize moderation and patience can help you navigate your way through this part of the year in a way that preserves your health and allows you to focus on enjoying your time with your loved ones. These include:

Arriving with (and sticking to) a plan: Before your holiday gathering begins, determine ahead of time how much food you intend to eat. This may vary depending on your individual dietary restrictions and weight goals; if possible, find out what kind of food is being prepared ahead of time. If a particular option would be ideal for you, make it known to the hosts of the gathering ahead of time or prepare it yourself. Once you’ve determined the types and amounts of food you plan to eat, stick to that plan throughout the day.

Drink plenty of water: You will find your food to be much more filling when you drink lots of water. Try to drink roughly one glass of water each hour; you may find this easier by drinking one cup of water before your meal, one cup during the meal, and one cup afterward.

Talk to your loved ones: Remember that the main point of your holiday gathering is to spend time with the people you love and enjoy their company. Instead of absent-mindedly picking at hors d’oeuvres, focus on having conversations with the people around you and participating in the moment.

If you struggle to manage your diet during the holidays or any other part of the year, a doctor at Flushing Hospital Medical Center’s Ambulatory Care Center may be able to help. 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.

How to Cope with Holiday Depression

While the holiday season is a typically cheerful time of year, many people may feel the opposite, particularly those who suffer from mental health conditions such as chronic depression. However, even people without existing mental health problems may feel the “holiday blues” for two common reasons: loneliness and stress.

A variety of factors may cause many people to isolate themselves from friends and family during the holiday season. This can take a toll on someone mentally, particularly if they are repeatedly subjected to social media posts, movies, and other imagery depicting other people enjoying their own holiday gatherings.

Even people preparing for gatherings with large numbers of loved ones, however, may find themselves experiencing symptoms of depression, particularly if they’re responsible for hosting their group. Whether you’re striving to meet the high expectations of your family, friends, or yourself, cleaning, preparing food, and picking out the right gifts can create a significant amount of stress. If this stress builds up too much, it may cause you to start feeling depressed as you take on a negative view of yourself or look for an escape.

Regardless of the causes of your holiday depression, there are steps you can take to manage your symptoms and enjoy the season to the best of your ability. These include:

Getting out of the house: This may be your first holiday season without some or all of your family and friends. However, this does not mean you have to spend it alone at home. Whether it involves contacting family members or friends you haven’t spoken to in a long time or treating yourself to a restaurant dinner, make a plan that involves being in the company of other people during the holidays.

Accepting your best instead of “perfect:” If you’re preparing to join or host a gathering of loved ones for the holidays and are responsible for any part of the celebration, don’t judge yourself or your efforts according to the expectations of others or a “perfect” image of your results. Instead, treat both yourself and others with kindness and patience; you are making the best effort you can as an act of love to the people around you, and that is good enough.

Check in on friends and family members: You are most likely not the only person experiencing symptoms of depression during this time of year. Certain friends and family members, even those who appear happy and content, may be feeling the same way you do. Remind them you care by contacting them to find out how they are doing and wish them well for the holidays.

If your depression symptoms worsen during the holiday season, you can talk to a mental health professional at Flushing Hospital Medical Center’s Outpatient Psychiatric Clinic by calling (718) 670-5562.

If you are experiencing severe mental health symptoms such as thoughts or actions of self-harm or are contemplating suicide, please call the Substance Abuse and Mental Health Services Administration’s confidential, 24/7 National Help Line at 1-800-662-4357 immediately.

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.

Hair Loss

The loss of hair (known scientifically as alopecia) can occur on any part of the body. It can be permanent or temporary. It may be a normal part of the aging process or due to a medical condition.

A person typically loses 50 – 100 hairs a day. Under normal circumstances this isn’t noticeable because these hairs are replaced at the same rate as they are lost.

The most common form of hair loss involves thinning of hair on the scalp. This is due to heredity. Men experience male-pattern baldness which is characterized by a receding hairline. While women who experience female-pattern baldness notice the loss of hair on top of the head.

Medical conditions that can cause hair loss include diabetes, thyroid disease, iron deficiency anemia, ringworm, immune system disorders (lupus), significant weight loss, pregnancy, menopause, trauma, stress and poor nutrition. Some medications that treat cancer, arthritis, depression, gout, and high blood pressure can also cause hair loss.

Hair loss duration depends on what is causing it. Other than hair loss due to heredity, hair loss usually resolves once the medical condition is resolved or chemical factor is removed.  Hair loss due to excessive brushing, pulling hair tightly as in certain hairstyles, and using some hair dressing chemicals should resolve once those factors are reduced or eliminated as well.

Speak to your physician if you are experiencing any unexpected hair loss. If you would like to speak to a dermatologist at Flushing Hospital Medical Center to discuss your hair loss call 718-670-5486 to schedule an appointment.

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.

Holiday Exercise Tips

During the holiday season, many people fail to keep up with their exercise routines. Here are some helpful suggestions on how to get some exercise in during this busy time of year:

  • Set goals of what exercises you can realistically do during the day
  • Plan your workout time in advance so as to not interfere with your other activities
  • Condense your workout into a time frame that you will be able to maintain
  • March in place for five to 10 minutes
  • Do 10 to 20 repetitions of upper and then lower body exercises
  • Jump rope, which gives you a good cardio workout
  • Use resistance bands and tubes for strength exercises
  • Take the stairs instead of an elevator when you are out shopping
  • Exercise with a friend or family member
  • Walk as much as you can
  • Wear a fitness tracker

Keep in mind that even a little exercise is better than none. Always consult with your physician before starting a new exercise routine to make sure that it is safe for you.

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.

Tips for Maintaining Your Liver Health

There is a wide variety of potential causes of liver damage, including genetics and diseases such as diabetes to lifestyle choices such as heavy drinking, unprotected sex, usage of shared needles for injectable drugs, and even getting tattoos and piercings.

Unlike most organs, the liver is able to repair damage and regenerate over time. However, permanent liver damage is still able to occur if the regeneration process is interrupted or prevented from completing through repeated, consistent damage, which can occur under circumstances such as regular binge drinking.

The most effective way to protect your liver is to prevent damage through lifestyle changes and to work with a doctor to monitor your health. Some of the steps you can take to keep your liver healthy include:

Avoid hepatitis risk factors: You can talk to your doctor about receiving vaccinations against hepatitis A and B and about the treatments available for hepatitis C, all of which can cause severe liver damage. Additionally, avoid shared, un-sanitized needles for injectable drugs or medications, as these can transmit all forms of hepatitis.

Maintain a balanced, healthy diet: Both obesity and high alcohol intake are risk factors for permanent liver damage. Maintain a healthy weight by making nutritious dietary choices and limiting your intake of alcohol.

Use condoms during sex: Bodily fluids can carry viruses that cause lasting damage to your liver. Use condoms to limit risk to both yourself and your partner.

Avoid contact with dangerous chemicals: Certain chemicals in paint, insecticides, or other substances can enter your bloodstream through contact with your skin and cause serious damage to the liver. Wear protective clothing to limit skin contact with these chemicals as much as possible.

While many supplements such as “liver cleanse” products are available that purport to detox the liver or repair damage, these products are unregulated by the Food and Drug Administration and there is no evidence that they genuinely benefit your health in any way.

Working with a specialist at Flushing Hospital Medical Center’s Ambulatory Care Center can help you determine your biggest risk factors for liver damage, identify medications that may lead to further damage, and find the right treatment for treating any scarring or disease you are experiencing. 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.

Supplements That May Raise Blood Pressure

Supplements are often taken in an effort to increase the intake of nutrients and improve overall health.  Although supplements can provide some health benefits, they can also be harmful, especially for those diagnosed with medical conditions such as high blood pressure.

Several supplements are known to increase blood pressure or interfere with drugs intended to lower blood pressure. Here are a few:

  • Licorice
  • Caffeine pills
  • Ginseng
  • Guarana
  • Arnica
  • Ephedra
  • John’s wort
  • Bitter orange
  • Evening primrose
  • Saw palmetto
  • Hawthorn

It is always recommended that you speak with your doctor before adding supplements to your health routine.  Your physician can explore potential risks to your health and contraindications with the medications you are taking.

To schedule an appointment with a doctor at Flushing Hospital Medical Center, 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.

Cognitive Behavioral Therapy

The National Library of Medicine defines cognitive behavioral therapy (CBT) as, “a combination of two therapeutic approaches, known as cognitive therapy and behavioral therapy.”  The principle of this approach to therapy is, “What we think, how we feel and how we behave are all closely connected – and all of these factors have a decisive influence on our well-being.”

The goal of CBT is to work with a licensed mental health provider to change behavioral and thinking patterns over time by applying strategies that may include:

  • Identifying and coping with challenges
  • Learning about your mental health condition
  • Learning how to practically address rational concerns
  • Learning ways to identify and manage emotions
  • Identifying and reshaping negative or inaccurate thinking
  • Facing fears instead of avoiding them
  • Practicing new coping skills that can be used in real-life situations
  • Setting goals
  • Using problem-solving skills
  • Learning relaxation or stress-reducing techniques

Cognitive behavioral therapy has proven beneficial in helping to improve a variety of mental health conditions and disorders such as:

  • Depression
  • Anxiety disorders
  • Obsessive-compulsive disorder
  • Post-traumatic stress disorder
  • Eating disorders
  • Phobias

CBT is appropriate for adults and children. It can be conducted in one-on-one or group settings and delivered in person or online. According to Psychology Today, it may take 5 to 20 weekly sessions of about 45 minutes each for cognitive behavioral therapy to be effective. However, treatment may continue for additional sessions if needed. Cognitive behavioral therapy may be used alone or combined with medication therapy to address a person’s needs.

To learn more about cognitive behavioral therapy or to schedule an appointment with a mental health provider at Flushing Hospital Medical Center, please call (718) 670-5316.

 

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 Handwashing Awareness Week

The first week in December is marked as National Handwashing Awareness Week. Flushing Hospital Medical Center believes that Infection prevention is important to all of us and each of us has a valuable role to play in keeping patients safe from infection.

According to the CDC, handwashing is one of the best “do-it-yourself” precaution —it involves five simple and effective steps (Wet, Lather, Scrub, Rinse, Dry) you can take to reduce the spread of diarrhea and respiratory illness so you can stay healthy. Regular handwashing, particularly before and after certain activities, is one of the best ways to remove germs, avoid getting sick, and prevent the spread of germs to others.

It’s quick, it’s simple, and it can keep us all from getting sick. Handwashing is a win for everyone, except the germs.

 

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.