Alcohol-Related Liver Disease

Excessive drinking of alcohol is classified as more than eight alcoholic drinks per day in women and more than 15 in men.  Consuming alcohol heavily over an extended period can result in the development of alcohol-related liver disease (ARLD).

ARLD causes damage and inflammation of the liver and can potentially lead to liver failure.

There are three types of alcohol-related liver disease, each categorized by stages. They include:

  1. Alcoholic fatty liver disease– This is the earliest stage that occurs when there is a build-up of fat in the liver. There are rarely any symptoms. However, developing fatty liver disease is a clear indication that the body is taking in more alcohol than the liver can process. Fatty liver disease is sometimes reversible when an individual removes alcohol from their diet.
  2. Acute alcoholic hepatitis– In this stage, the excessive consumption of alcohol causes inflammation and swelling of the liver, as well as the destruction of liver cells. This condition can be mild or severe, and symptoms may include jaundice, nausea, vomiting, fever, or abdominal pain. In some cases, treatment may reverse liver damage. In other cases, alcoholic hepatitis can lead to liver failure.
  3. Alcoholic cirrhosis– According to the American Liver Foundation, “Between 10 and 20 percent of heavy drinkers develop cirrhosis, usually after 10 or more years of drinking.” This is the most severe stage that causes the liver to become scarred, stiff and swollen. At this point, damage that is done to the liver generally cannot be undone. Cirrhosis often presents no symptoms until there is extensive damage done to the liver. Symptoms may include red or blotchy palms, jaundice, weight loss, nausea, accumulation of fluid in the abdomen, breast enlargement in men or the loss of periods in women.  It is important to pay attention to these symptoms and seek treatment because advanced cirrhosis can be life-threatening.

If you are believed to have alcoholic-related liver disease, your doctor may assess your history of alcohol consumption, order blood and imaging tests to rule out other liver diseases or request a liver biopsy to determine a diagnosis.

Treatment for alcoholic-related liver disease is based on severity. The first thing your doctor will aim to do is help you to stop drinking.  Abstinence will help to prevent further liver damage and promote healing.  It is common for patients with ARLD to have some degree of malnutrition, as a result, your doctor may recommend that you see a nutritionist. Medications may also be added to your care plan to reduce liver inflammation. In severe cases of ARLD, where there is advanced cirrhosis, treatment can include liver transplantation.

To schedule an appointment with an alcohol addiction specialist at Flushing Hospital Medical Center, please call (718) 670-5078.

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.

Alzheimer’s Awareness Month

Alzheimer’s Awareness Month was started in 2012 in order to raise awareness about the disease and to link families affected by it with resources to help. There is great emphasis placed on early detection and early intervention when dementia is detected.
Alzheimer’s is the most common cause of dementia. It mainly affects the part of the brain that is responsible for memory, and is responsible for almost 75 percent of the cases diagnosed of dementia. While most commonly seen in people who are over 65, it can be found in people who are younger.
Commonly seen symptoms include:
• Forgetting of names, places, and recent events
• Confusion
• Personality changes
• Mood swings
• Loss of inhibition
• Wandering from home
There is no cure for Alzheimer’s at the present time though some medications are available that may slow down its progression. If you would like to schedule an appointment with a physician at Flushing Hospital who may be able to assist you or someone you know, 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.

Healthy Labor Day Cookout Tips

One of the best things about the Labor Day Weekend is spending time with family and friends at cookouts and barbeques. While we look forward to these outings, the foods found can cause us to pack on the pounds. Whether attending or hosting your a Labor Day gathering, try some of these calorie conscious techniques:

• Skip the chips and dip. Instead, try healthier alternatives, like fresh vegetables. If you want to make a dip, use non-fat yogurt instead of sour cream or mayonnaise.

• Try kabobs. They offer the same opportunity to enjoy grilled chicken, beef, or pork, but minus the bread. Plus, the grilled vegetables on them will help you fill up.

• If you insist on having a burger or hot dog, choose healthier options, such as chicken or turkey instead of beef. Also, avoid whit flout buns and breads and opt for whole grains instead.

• Instead of heavy macaroni or potato salads loaded with mayonnaise, look for salads with a vinaigrette base as a lighter alternative.

• Don’t limit yourself to just grilling meat. There are many types of fish that are not only healthier, but also taste great on the grill. Vegetables, lightly coated in olive oil are also tasty and filling.

• For dessert, serve some refreshing summer fruit, such as cherries, peaches, plums or melons.
By following these tips, you can still enjoy your end of summer, but not pay for it in the fall.

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.

COVID-19: Myth: Natural Immunity Protects Against the Delta Variant

The Delta variant is spreading much more rapidly than previous strains of the COVID-19 virus. Current COVID vaccines are shown to be efficient in slowing the spread of this variation and lessening its effects on those who are infected. Vaccines work by producing antibodies that will fight infection.

Scientists at the Centers for Disease Control and Prevention have proven that COVID vaccines will create a better immune response to the Delta variant than the natural immune response people would have if they previously had the virus.

Unvaccinated people are dependent on their natural immunity, and since they don’t have sufficient antibodies specific to this virus, will often have a more severe reaction than those people who have been vaccinated.

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.

Gout

Gout is a common form of arthritis that is characterized by attacks of pain, swelling, stiffness, redness or tenderness in the joints. These attacks or flares typically affect one joint at a time. They can occur suddenly and return over time.

Gout is caused by an accumulation of urate crystals in the joint.  Urate crystals form when there are high levels of uric acid in your blood. Uric acid is produced when your body breaks down purines; substances that are found naturally in our bodies and in foods such as steak, seafood and organ meats.  Alcoholic beverages and drinks sweetened with fructose (fruit sugar) are known to promote higher levels of uric acid in the body.

Some people are more likely to develop gout than others. Factors that increase your risk include:

  • Being obese; If you are overweight your body produces more uric acid and your kidneys may not be able to properly eliminate excessive amounts
  • Having a diet that is rich in purines, this includes seafood, red meat, organ meat, or beverages sweetened with fructose
  • Consuming excessive amounts of alcohol
  • Having certain health conditions such as  hypertension, diabetes,  heart and kidney disease
  • Using certain medications such as diuretics or low-dose aspirin

Men are more at risk of developing gout than women; this is because women tend to produce lower levels of uric acid. Men are also more likely to develop gout at an earlier age than women.   In men, symptoms may occur as early as the age of 30, and in women after menopause.

There are a few things you can do to reduce your risk for gout or prevent future attacks, they include:

  • Drinking plenty of water
  • Limiting your intake of seafood and meat
  • Limiting or avoiding alcohol
  • Maintaining a healthy weight

If you are experiencing symptoms of gout, or believe that you may be at risk, make an appointment to see a physician. Your doctor may order a series of test or assess your current state of health to receive a diagnosis or to determine if you are at risk. If you would like to schedule an appointment with a doctor at Flushing Hospital Medical Center, you may 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.

Adult ADHD

Attention Deficit Hyperactivity Disorder (ADHD) is a common neurodevelopmental disorder.

Most people associate ADHD with children who have trouble focusing, are overly active or have difficulty controlling impulsive behaviors.  While ADHD does commonly affect children, it can also occur in adults. In fact, it is estimated that 4% to 5% of adults living in the United States have the disorder.

ADHD begins in childhood and can continue into adulthood. However, many adults are unaware that they have ADHD. This is because the disorder was never recognized or diagnosed during childhood.

In adults, the symptoms of ADHD may present differently than they do in children and are unique to each person. They can include:

  • Anxiety
  • Trouble coping with stress
  • Poor listening skills
  • Getting easily distracted
  • Difficulty paying close attention to details
  • Struggling to complete tasks or multitask
  • Poor organizational skills
  • An inability to control impulses i.e., Interrupting others during conversations
  • Acting without consideration for others
  • Frequent mood swings
  • Forgetfulness
  • Often losing things i.e., keys, phones, wallets

These symptoms can interfere significantly with an individual’s relationships, career, finances and other aspects of daily life.

With an accurate diagnosis, symptoms of adult ADHD can be treated or managed appropriately to reduce the risk of developing social, emotional, or occupational problems.

To accurately diagnose ADHD in adults, the American Psychiatric Association recommends a comprehensive evaluation which typically includes a review of past and current symptoms, a medical exam and history, and use of adult rating scales or checklists.

Treatment for adult ADHD typically involves education ( learning more about ADHD), medication,  therapy and other behavioral treatments, or a combination of methods.

If you are experiencing symptoms associated with adult ADHD, you should speak with a doctor. 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.

Tips to Heal a Sunburn

It is summertime and many of us will be spending time outdoors. For those who don’t take precautions to protect their skin from the strong rays of the sun, the results can be unpleasant. Too much exposure to the sun’s ultraviolet rays may lead to sunburn.

Sunburn can cause irritation and pain to the affected areas. It is important to treat sunburns as soon as possible to help your skin heal and avoid further complications.

Here are a few tips on how to help heal sunburn:

  • Take a cold bath or shower
  • Drink plenty of water
  • Use gel or cream containing ingredients such as aloe vera or calamine lotion on the affected area
  • Take a pain reliever if necessary ( aspirin, ibuprofen, naproxen )
  • Avoid further exposure to the sun
  • Never use creams that contain alcohol

If the sunburn is severe, especially in very young children, it may require medical attention. The signs of a severe sunburn are lethargy, high fever ( 101 degrees or higher ) and large blisters.  If you would like to schedule an appointment with a physician 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.

Cantaloupe Breakfast Bowl

If you are a fruit lover, this simple breakfast bowl is This easy breakfast bowl is picture-perfect when you’re craving a cold and refreshing treat.

INGREDIENTS

  • 1 cantaloupe, halved
  • 1 1/2 c. almond milk
  • 1 c. frozen raspberries, plus fresh raspberries, for garnish
  • 1 banana, sliced into coins, divided
  • 1/2 c. frozen pineapple or mango
  • 1/2 c. Greek yogurt
  • 1 tsp. pure vanilla extract
  • 1/2 c. granola

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DIRECTIONS

  1. Using a spoon, remove and discard seeds from cantaloupe. Use a spoon to widen hole in the center, leaving a 1″ border at the edges. Reserve removed fruit to add to smoothie.
  2. Combine almond milk, raspberries, half the banana, pineapple, Greek yogurt, vanilla, and extra cantaloupe. Blend until smooth.
  3. Pour smoothie into cantaloupe “bowls” and garnish with raspberries, granola, and remaining banana slices. Serve.

For more breakfast bowl recipe ideas visit, https://www.delish.com/cooking/menus/g27664093/smoothie-bowl-recipes/?slide=2

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.

Summer Wellness Tip – Swim Safety

The warmer weather is upon us and people are looking for ways to keep cool. One way that has always been popular  during the warm summer months is by swimming in a pool, whether it be at someone’s home, or a community pool in the neighborhood.

Every year there are countless accidents and also fatalities at or near swimming pools. Many could have been avoided had precautions been taken.

Safety Tips to follow:

  • Never leave children unattended near a pool
  • Only swim when there is a lifeguard present
  • Every pool should have proper drain covers
  • Pools should have alarms and proper fencing
  • Keep the pool clean
  • There should be no diving allowed in pools that are shallow
  • Never swim alone
  • There should be no horseplay in or near a pool
  • Do not swim under the influence of alcohol or drugs
  • Do not swim in a thunderstorm
  • It is a good idea to give children swimming lessons before the start of the summer
  • Children who don’t know how to swim should be given flotation devices to wear

There are many organizations around the country that offer swimming lessons for children and adults of all ages. If you don’t know how to swim, look into getting some lessons before heading out to the pool. You will have a good time and you will also be a lot safer this summer.

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.

Poison Ivy Rash

Many people enjoy spending time outside during the summer. With more time spent outdoors, there is an increased risk of exposure to plants that can cause allergic reactions.  The most common plants of this kind are poison ivy, poison oak and poison sumac; all of which grow in wooded or vegetated areas and contain urushiol.

Urushiol is an oily resin found in the leaves, stems and roots of each plant. When this substance comes in contact with our skin, it can lead to a reaction we know as poison ivy rash. An allergic reaction typically occurs 24 to 48 hours after exposure and symptoms can last up to two or three weeks.  Symptoms can be mild or severe and may include:

  • Redness
  • Blistering
  • Itching
  • Swelling

There are several ways to minimize our exposure and reaction to plants that can cause poison ivy rash.  We can:

  • Learn to identify poison ivy, poison oak and poison sumac
  • Steer clear of these plants by avoiding areas in which they grow
  • Wear protective clothing such as long sleeves and pants
  • Immediately wash areas that have been exposed with soap and water
  • Bathe pets that have been exposed

Approximately 60 to 80% of people who are exposed to urushiol will have a reaction.  For mild cases, taking cool showers and applying soothing topical treatments such as calamine lotion is recommended.  In severe cases, doctors may prescribe pills or creams that contain steroids or antihistamines.

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.