General

Joint Pain? When is It Time to See A Family Medicine Provider?

Have you ever had a cramp in your hand from persistently trying to open a jar, but no matter how hard you tried, it just would not budge? leaving you with nothing but frustration and a hurt hand. Whether your hands are overworked or time has simply taken its toll, joint pain is nothing we should suffer through.

Your joints are the connections between your bones that allow you to bend and move many parts of the body. Having strong bones goes hand in hand with having healthy joints. Your joints are just one part of your musculoskeletal system that enable us to have mobility, giving us balance and stability. Therefore, keeping them healthy is essential, but this is often one of those things that can be easier said than done.

Joint pain — it can be described as a nagging pain that won’t go away no matter what you try to do. Pain in your joints is often a persistent feeling that won’t go away, a throbbing disruption, both physically and mentally. Some people will try to ignore pain and hope it will go away, but in the case of degenerative joint disease, this pain overpowers and hinders an individual’s quality of life.

Degenerative joint disease is a condition that is so common, yet so misunderstood. Approximately 25 million people in the United States suffer from some sort of joint disease, the most common being arthritis (osteoarthritis and rheumatoid arthritis). For over one third of adults 60 years of age and older, sometimes their joints become so worn down that even the slightest movements, like reaching for something such as a glass on a shelf, can be exceedingly difficult. In other words, this type of pain isn’t easy to ignore even if we tried.

Joint pain is incredibly common, but that doesn’t mean it should become the new normal. While joint pain may have been caused by overuse, from playing a sport, or wear and tear from aging, joint problems are not something to just write off as you get older.

Don’t wait until pain is unbearable to seek medical attention. If your painful joints are also swollen, red, warm to the touch, or very tender to touch, you should make an appointment with your provider. Seeing your family medicine provider soon after the onset of joint pain can prevent further joint damage from being done. There are many types of diseases that cause joint pain, and though they’re rarely cause for an emergency, speedy diagnosis may be important to future quality of life.

Therefore, if your joints are swollen, red, or very tender when they are touched, these are even more of a reason that a trip to the family medicine provider is necessary. Seeing your provider after the first bout with joint pain can reduce pain and inflammation, and most importantly, prevent further joint damage from occurring. There are many types of diseases that cause joint pain, and though they’re rarely cause for an emergency, speedy diagnosis may be important to future quality of life.

If you can’t move a joint or it appears to have some sort of deformity, you should also plan on seeing your healthcare provider immediately. You should also seek your family medicine providers help if you continue to experience intense or persistent pain, or the joint begins to suddenly swell up like a balloon.

If you experience joint pain at any time, go see the family medicine provider to get help as early as possible. The earlier an accurate diagnosis is made, the better the outcome will be. Since stiffness, pain, and immobility are exceedingly common symptoms of joint disease, these complications plus others, can be avoided easily if a family medicine provider performs an examination, and prescribes the right form of treatment. This in return, also will provide you with a higher quality of life in the long run.

To learn more about join pain, and what type of treatment can help remedy it, call Advanced Medical in Wellington and Royal Palm Beach, Florida at (561) 434-1935 to request an appointment, or you can request an appointment online.

Why Do We Get Sick in the Winter: Your Primary Care Providers

What Causes Colds and Flus? 

The common cold and the flu are not caused by changes in temperature, but by viruses. However, the reason they seem associated with the cooler months is because different viruses are more active at certain times of the year. For instance, rhinoviruses, which have many different strains, are some of the most common causes of a cold. These microscopic germs are at their peak during the cooler months of fall and spring. By contrast, the many strains of influenza viruses peak during the winter months. Once exposed to the human body, these viruses are carried around in our respiratory systems. When they are expelled through a cough, sneeze, or nasal secretions, droplets containing the viruses contaminate the air as well as any surfaces they may land on. Once a virus infects a host, it uses the body’s cells to replicate (multiply), instigating a response from our immune system.

Our Bodies 

Our immune system is what causes the miserable symptoms we experience with a cold or flu. When an invading organism is identified by the immune system, a number of different types of cells and chemicals are released and sent to the site of the infection. They create an inflammatory response that causes our rise in temperature, the achiness and chills associated with an infection, and an increase in lung and nasal secretions. While our immune response is actively fighting the infection, these additional secretions become a risk for others, as it makes it easier for the virus to be spread when we cough or blow our noses.

Even though cold weather does not cause infections, it can contribute to our risk of getting sick. For instance, cold air, as well as dry warm air from our heaters, can cause the tissue inside our noses to become dry and cracked. This makes it easier for germs to enter into our system. Additionally, the cold weather may make the cilia (little hairs) in our noses less effective at their job of sweeping germs away. Our immune system itself may not work as well in the cold weather, either. We defend against viruses by not allowing them to replicate. However, this mechanism may be slower when the environment is colder.

Having a chronic illness also puts you at greater risk for catching a cold or the flu. For example, people who have asthma are more likely to have an asthma attack in cold weather. When the lungs become inflamed during an attack, they are more susceptible to pick up an infection. In fact, any chronic illness that makes your immune system weaker, like diabetes or heart failure, puts you at even greater risk during the colder months.

Our Environment and Our Behavior 

As a rule, humans are not fond of staying outside in the cold weather. It may be fun to participate in winter sports or play in the snow with the right clothing on, but eventually everyone wants to come in from the cold. Because this is a communal response, we tend to congregate inside buildings that are heated with dry air. So now we have a lot of people inside, breathing the same air that causes our nasal passages to become dry and cracked. During that time of the year, chances are that some of us will already be infected, even if we don’t have symptoms yet. So any coughing, sneezing, or running noses increases the chances of someone else getting sick. The dry air (whether inside in the heat or outside in the cold) also makes it easier for the viruses to get around. Trapped in tiny droplets of moisture that stay suspended even longer in dry air, these viruses are free to move around and find their way into someone’s respiratory system. If the rooms are poorly ventilated, which is often the case, the chance of more people getting infected goes up.

Can you think of anywhere that lots of people who might be carrying a virus are congregated routinely during the colder months? That’s right – school. From kindergarten to college, filled heated classrooms and dormitories create a perfect environment for “catching cold”. Hence, from fall to spring, both the cold and the flu have ample hunting grounds for human hosts.

What Your Primary Care Provider Knows that Will Keep You Healthy

So, viruses are more active in the cooler months, the environment helps to create a perfect breeding ground for airborne infections, and our natural survival instinct to keep warm increases our chances of getting sick. However, there are some other human behaviors that we can change to prevent some of these illnesses, and your primary care provider is a perfect place to look to for advice. The following are a few tips you should remember during cold and flu season.

First, try not to share. When you cough or sneeze, cover your mouth. Also make sure and wash your hands frequently, especially after coughing or using tissues; and keep your hands away from your face because every surface you touch has the potential of carrying germs. You can also protect others from illness. If you are sick, stay home until you are feeling better.

You should also be aware of your environment. Know that if you are in an enclosed or poorly ventilated space, you are more at risk. This would include offices, classrooms, dormitories, and airplanes. If you can, try to alter your environment by making sure there is good ventilation, and humidification.

Finally arm yourself to fortify your defenses. Eat a healthy ad well-balanced diet. You should also get daily exercise and plenty of sleep. However, one of the most important things you can do to help your immune system is by staying up to date with your vaccines. This includes the flu vaccine, which is available every year beginning in September. This vaccine is made from an inactivated virus. That means it is not alive and it cannot give you the flu. What it does, is provoke your body into making specific antibodies (fighting cells) against the most common flu virus strains for the season. The most common side effects are a sore arm, and possibly mild flu-like symptoms, which are caused by your immune system’s healthy response to the vaccine. The flu is a very serious illness that not only causes severe and prolonged symptoms, but also is responsible for many deaths each year. That is why your primary care provider will recommend that each person receive the vaccine each year, beginning at six months of age.

If you have any more question regarding cold and flu season, or how your primary care provider can help you stay healthy, we are happy to discuss this and any other healthcare concerns you may have. Please call Advanced Medical, PA, at (561) 434-1935 to request an appointment, or request one online.

Why Do You Need to See a Family Medicine Provider Today?

While it might be convenient to make an appointment for the same day for an annual physical, this may not necessarily be realistic nor the best plan of action for you. Having a productive annual visit generally means that you have laboratory or other screening tests prior to seeing your provider. Conversely, sometimes it is not necessary to go straight to the family medicine provider when you come down with a cold. Viral upper respiratory infections often run their course with little more intervention than rest, fluids, and some over-the-counter medications. However, there are situations when you should have a same-day appointment. There are also certain symptoms that require an emergency room visit.

When Should I Have a Same Day Appointment? 

There are many instances when people will call the family medicine provider for advice over the phone, when they should really be seen in person. While a great deal of information can be retrieved from a conversation with your family medicine provider, there are times when he or she needs to evaluate you before ordering tests or treatments. The following list is not all-inclusive, but reviews a few of the more common complaints that require an office visit.

Upper Respiratory Symptoms

When your have had a cold for about 5 days and the symptoms are not getting better, or are worsening, it is probably time to see your family medicine provider. This is especially true if you are running a fever. You may need an antibiotic. On the other hand, you might not. Sometimes a cough and shortness of breath may be caused by bronchitis, or could be as serious as heart problems. Your provider will not be able to determine this over the phone, and having a family practitioner that can see you the same day may save you a trip to the emergency room or to urgent care.

Pain or Difficulty Urinating

Often times, problems urinating can be the result of a urinary tract infection (UTI). The first line of treatment for this is usually increasing your fluid intake and giving your body a few days to fight the infection. However, if the symptoms persist, you may need a urine culture to determine what is causing the problem, because an untreated UTI can lead to complications. These symptoms can also be caused by other illnesses, including certain sexually transmitted infections. Additionally, they may be consistent with

postmenopausal syndromes in women, or prostate problems in men.

A Fall Resulting in Pain or Swelling

The older you are, the more concerning a fall may be. And while the treatment for a traumatic injury that causes swelling is RICE (rest, ice, compression, and elevation), it is usually a good idea to have your primary care provider evaluate you. In the event that they find a fracture or significant injury to a joint, he or she can refer you to a specialist for further treatment.

Vomiting, Diarrhea, or Severe Abdominal Pain Lasting Longer than a Few Days

Viral gastroenteritis or even food poisoning is something that most younger, healthy people will recover from in a few days, but if you are not improving after 3 days of rest along with a bland diet and drinking fluids, it is time to see your primary care provider. If you are running a fever, it is even more important to be evaluated. First of all, you may need to have a few tests to find the cause of these symptoms. Additionally, vomiting and diarrhea causes loss of both fluids and electrolytes, which can lead to more problems. This is especially true with the young, the old, and the chronically ill; so making a same-day appointment would be in your best interest.

Bloody or Black Stools

Stools with bright red blood may well be from hemorrhoids, however, if accompanied by other symptoms such as abdominal cramping or diarrhea, it can be more serious. Additionally, even if it is hemorrhoids, chronic blood loss can cause anemia. If you are experiencing black stools, it could be an indication that you have bleeding somewhere higher in your gastrointestinal system – which runs from your esophagus to your anus. Seeing your primary care provider is an important first step to determine if and why you are bleeding internally.

When Should I Go to the Emergency Room? 

Even if you do have a primary care provider that offers same-day appointments, there are times when you should bypass the office and go straight to the emergency room. While this is not an exhaustive list, the following are clear indications for emergency room care. Chest pain, especially if it is associated with activity, could indicate you are having a heart attack. Other symptoms to look for in this situation would be neck, shoulder or arm pain, shortness of breath, or dizziness. If you feel palpitations, which can be a feeling of your heart beating fast and hard, or of having skipped beats, you should be evaluated in the emergency room, especially if you are feeling weak, lightheaded, dizzy, or are having chest pain. If you are feeling short of breath or are wheezing, the emergency room is the best place to be evaluated. Additionally, any time you have any neurological changes, such as confusion, dizziness, severe headaches, weakness, difficulty talking or swallowing, or an uneven smile, you should be taken to the emergency room or call 911. This would include whether the changes came on spontaneously, or after you had a head injury. In fact, any severe trauma, including a head injury should be evaluated in the emergency room.

Advanced Medical has caring and attentive medical staff, who are committed to providing quality health care to all their patients. They believe in continuity in primary care, and are available for same-day appointments. Call today at (561) 434-1935 to schedule an appointment, or book an appointment online.

The Difference between an Internist and a Primary Care Provider

To understand the difference between an internist and a primary care provider, it is important to realize that one is a specialty, and the other is a role. An internist is a provider who specializes in internal medicine, and is an expert in the diagnosis and treatment of adult diseases. While an internist can function as a primary care provider, he or she may also focus their practice on hospital medicine, medical education and/or research. On the other hand, a primary care provider may be an internist, a pediatrician, a geriatrician, a family practitioner, a gynecologist or an obstetrician, because primary care involves the practice of promoting overall health for the entire individual within the specific population (geriatrics, pediatrics, etc.) of the provider’s specialty. Let’s first look at the specialty of internal medicine, and then examine how these and other providers practice in the primary care environment.

The Internist: The Internal Medicine Specialist 

Internists are providers who have specialized training in the diagnosis and management of illness in adult patients. This means that they are capable of helping their patients stay healthy and prevent illness, but are also able to diagnose and treat both acute and chronic illnesses. Just a few of the many illnesses an internist would treat include hypertension, diabetes, high cholesterol, kidney disease, asthma, heart disease, arthritis, bronchitis, ear infections, back pain and the common cold. The list is exhaustive but basically includes any illness than can affect adults.

Internists are particularly skilled in reviewing the symptoms of patients with complex problems, performing physical exams, ordering diagnostic tests, and using this information to identify both common and rare illnesses. They are basically the detectives and problem-solvers of adult medicine; and they are also experts in treating extremely ill adults.  This is why internists are found in a variety of roles and settings. You may have an internist as your primary care provider, treating you in an office or clinic. However, some internists, known as hospitalists, care for acutely ill patients in the hospital. And some do both. Because of their specialized education and training, internists are exceptionally suited for treating patients with multiple medical problems, understanding how these illnesses, their medications, and their treatments interact, and adjusting the plan of care to best suit the individual patient’s needs.

The Primary Care Provider

A primary care provider (PCP) is basically the provider that you’ve always known as “your family medicine provider.” They are responsible for the ongoing health and wellbeing of their patients, by promoting healthy behavior, helping you prevent illness, and quickly diagnosing and treating any new or potential health problems. He or she is the family medicine provider who knows you the best and who you can turn to for any health concerns. The primary care provider is usually your first contact with the health care system, and they are skilled in providing a comprehensive assessment of health care needs, as well as continuous monitoring of chronic illnesses and treatment of new problems. They will also know when a referral to another specialist is warranted.

The central person in primary care is the patient, and the primary care family medicine provider will focus on you as a whole individual. They work hard to maintain a trusting relationship with their patients and will partner with you to come up with the best plan for your good health. This plan will usually include age-appropriate health maintenance, routine monitoring, immunizations, counseling, patient education, and treatment of acute and chronic illnesses. To realize the real benefit of having a primary care provider, you should look at them as your focal point of all your health care needs. By turning to your primary care provider first, you will make sure that the family medicine provider treating you knows and understands you; and you will avoid unnecessary tests or trips to specialists.

The role of primary care provider is performed by more than one type of provider, and each provides care to the population that they have specialized in. Internists are experts in the care of adults, or those 18 years and older. Geriatricians, on the other hand, are internists that have additional training for the medical needs of adults 65 and older. Family Practice providers are qualified to provide primary care for patients of all ages, from newborns to the elderly, while pediatricians see patients from infancy through adolescence. Specialists in obstetrics and gynecology (OB/GYN) can provide primary care for women, including reproductive health and family planning. While we often think of primary care practices as those in outpatient offices and clinic, in reality, primary care can be performed in a number of settings. This includes long-term care settings such as nursing homes, home care, day-care and even in the hospital. Whichever the setting, the primary care provider carefully tailors the healthcare plan to meet the individual needs of each patient, with the goal of helping their patients achieve their highest level of health.

When your family medicine provider knows and understands you, and is carefully monitoring your health needs, the results are bound to be of benefit to you. With the focus on prevention and early action when an illness arises, the primary care provider can often help patients avoid severe illness, the need for specialists and hospitalizations. Experts agree that primary care increases everyone’s access to healthcare and improves the quality of health care. On a more personal level, patients and providers are given the opportunity to form trusting and lasting relationships.

We would be happy to answer any questions you may have about internal medicine or primary care. At Advanced Medical, PA, we pride ourselves in providing quality health care in both internal medicine and primary care. To learn more about us and the services we offer, or to schedule a visit, call us at (561) 434-1935 to request an appointment, or request one online.

Getting the Most From Your Primary Care Visit

Have you ever gotten home from a family medicine provider visit and realized you forgot to mention something you wanted to talk about? Or maybe you arrived at your visit without important information, like the name of the new medication a specialist prescribed. Your next appointment may not be scheduled for months, and it’s often difficult to make time for an extra trip. Yet, good communication is essential for insuring that all your health needs are met. So, whether you are seeing a new provider, or returning for a follow-up appointment, here are some tips to make sure you get the most from all of your primary care visits.

Go Prepared

The time to organize your thoughts is before you get to your appointment. Preparing ahead of time will help you maximize the time you spend with your provider. Write your questions down and bring the list to the appointment with you. If you’ve researched a new treatment or have questions about a specific illness, don’t bring pages of literature with you. There’s just not enough time to review this during an office visit. It’s better to add these concerns to your list of questions so that you don’t get bogged down on one topic and miss out on addressing other health issues.

To create the best plan to meet your healthcare needs, it is important that you supply all pertinent information. If you have orders for blood work, X-rays, or other diagnostic tests, make sure you complete them in enough time that the results have been sent to the office. Also, if you had any “homework,” such as keeping a log of your blood sugars or blood pressures, make sure you bring it to the visit. And, if you have seen a specialist, have been to an emergency room, or have been in the hospital, it is best if you arrange for your records to be forwarded to your primary care office before your scheduled visit. This gives your family medicine provider the time to review the information before you arrive, leaving more time for discussion and your physical exam.

If you are seeing a new primary care provider for the first time, it is even more important that you arrive with updated and accurate information. Try to have your medical records, including all your past immunizations, forwarded before your visit. It is also a good idea for you to write out your medical history, chronologically, in your own words and bring it to the visit. Additionally, you should include a history of any illnesses your siblings, parents, aunts, uncles, cousins and grandparents had and the age that these illnesses occurred. This overview will give your new provider an even better picture of your healthcare needs.

All of Your Medications Matter

It cannot be stressed enough how important it is that your family medicine provider know ALL the medications you are taking. Five to 17% of all hospitalizations of older patients are the result of problems with medications; and drug interactions cost billions of dollars while increasing the average hospital stay by 7 days. Bring a complete list of all the medications, over the counter drugs, vitamins, herbs and supplements you are taking. It is also important to list the dosage and how many times per day you are taking them. Try to include why you are taking these medications and who originally prescribed them if you can. If you are unsure, or have any questions about what information is important regarding your medications, just put everything you are taking on a regular basis into a shopping bag, and bring it to the appointment. Updating your medication record is an important part of every visit, so make a routine of bringing updates regularly.

Use your Time Wisely

It is important to have a good relationship with your provider and he or she is genuinely interested in you, but be realistic about what can be accomplished in one visit. If you have a number of health issues, it is important to organize your thoughts and address all of your concerns. While telling stories may be entertaining, it may not be productive and could take time away from discussing important issues. So, budget your time and try to stay focused on your health. This is also not the time to paint rosy pictures or avoid embarrassing topics. Honesty and full disclosure will go a long way to help you achieve health. Use your primary care visit to its fullest potential by trusting your provider with sincere information.

Don’t Go It Alone

Sometimes you might have a lot to discuss at your visit, or you might be worried about the results of your tests. Not everyone is comfortable with medical information, so you may have trouble remembering everything your family medicine provider tells you during a visit. In these situations, you might bring a trusted friend, spouse or family member with you. They can offer you support, take notes for you, help you remember to cover all your concerns, or maybe even think of questions that you don’t.

Leave with a Plan

So now you have gone prepared, brought all your important information with you, and reviewed all of your concerns and test results. Most likely, there will be recommendations to be followed, prescriptions to be filled, or follow up testing to be done. Often, you will be advised to return within a certain amount of time. Make sure you understand all that is expected of you. Your health depends on it! So, ask questions, take notes, and clarify what you may not understand. Make sure you know the plan, agree with the plan, and are capable of carrying out all that is recommended. By arriving prepared, making the most of your time during the visit, and leaving with a good understanding of a realistic plan, you will have made the most of your primary care visit, and will be well on your way to good health.

At Advanced Medical PA, we look forward to providing you with all your primary care needs. To learn more about us and the services we offer, or to schedule your primary care visit, call us at (561) 434-1935 to request an appointment, or request one online.

Is Your Gut to Blame for Your Migraine?

Have you ever experienced a migraine? Not just a headache – but a full blown thunderclap inside your head, with terrible nausea and hypersensitivity to light and sound to boot? Chances are that if you have experienced a migraine in the past, then you have already assessed the need to seek relief with board-certified internist Dr. Ishan Gunawardene. If not, it’s important to do so as soon as possible to make sure that the issue is not something more serious, and so that we can provide you with the relief you seek so your quality of life no longer suffers.

While medications and therapies can definitely help to stave off extremely painful migraines, it’s also important to recognize potential triggers in order to either avoid or prepare for them. Certain triggers are obvious, such as stress, changes in barometric pressure, physical exertion, and sleep imbalance. Less obvious are certain foods and medications that may overreact during digestion due to some very helpful and naturally occurring bacteria that we all carry around in our guts.

Studies show that there is a correlation between migraines and a higher than normal volume of a certain bacteria found in your gut and mouth. The bacteria break down nitrates into nitric oxide (NO), which regulates blood flow and oxygen release to the blood cells and aids the immune system by fighting off parasitic organisms.

However, people who suffer from migraines contain a much higher amount of these nitrate-modifying bacteria in their bodies, which means that more NO is produced than normal. As a result, the higher volume of NO could be what causes these migraines to occur.

Since the bacteria break down nitrates into NO, avoiding certain foods and medications that have a high nitrate content may help to prevent the triggering of a migraine. Nitrates can be found in processed meats like bacon, leafy vegetables like arugula and spinach, wine, and chocolate.

Medications that contain nitrates are nitroglycerin (Nitrostat and Rectiv), isosorbide dinitrate (Dilatrate-SR), and nitroprusside (Nipride). These are all vasodilators whose purpose is to lower blood pressure through widening your blood vessels. Too much nitric oxide could cause your blood pressure to drop too much, leading to a higher risk of stroke or heart attack, and potentially to a migraine based on new research.

Do you suffer from chronic migraines? Get the relief you need as soon as you need it. Our two convenient locations in Wellington and Royal Palm Beach are open Monday – Thursday, 9 am – 5 pm and Fridays, 9 am – 12:30 pm. Schedule an appointment with Dr. Gunawardene online or by calling (561) 434-1935.

Do you suffer from migraines?  What triggers have you faced before?  What do you do to prevent or cope with a migraine?

5 Tips for Living Better with Hypothyroidism

Has living with an underactive thyroid, or hypothyroidism, reduced your quality of life? If you’re in the 5% of Americans diagnosed and living with it, hypothyroidism has probably taken its toll on your activity level, sleep, and even moods, as it can be physically and emotionally draining.

Hypothyroidism is a condition caused when your thyroid doesn’t produce enough thyroid hormone. Your thyroid is a butterfly-shaped gland at the base of the neck in front of your windpipe. The hormones produced by the thyroid are meaningful for regulating metabolism and other hormone interactions with the pituitary gland and hypothalamus in the brain. So when you don’t produce enough of these hormones, it throws your other physiological functions out of whack, and you may experience weight gain, hair loss and thinning, body aches, and even depression.

The most common treatment is a simple prescription for synthetic thyroid hormones, with regular monitoring by your family medicine provider. But what else can you do to feel your best while living with an underactive thyroid?

Here are our top five tips for living well with hypothyroidism:

  1. Get educated and involved. As with all chronic illnesses, it’s up to you to know what’s going on. Your involvement in managing your condition will have a dramatic impact on your day-to-day wellness. Do your homework to learn all you need to know about your condition.
  2. Alter your diet. You can help your body function as well as possible and gain a lot of energy back by focusing on your diet. It is important to consult with your family medicine provider regarding your specific dietary needs as an individual, especially if you have an underactive thyroid. Focus on whole foods, incorporating large quantities of vegetables that aren’t known to interfere with thyroid function; eat fresh fruits, lean protein, and healthy fats.
  3. Exercise. Some days living with hypothyroidism, just making it through the day can feel impossible. However, the less you exercise, the less energy you’ll have and the worse you’ll feel. If you exercise regularly, you’ll have more energy, feel better, and it’ll be easier to remain active. For people living with hypothyroidism, it’s actually important to avoid working out too much or too strenuously. Hitting the gym too hard can actually damage thyroid function and make symptoms worse. Instead, find a light aerobic activity you enjoy (walking, jogging, biking, dancing, tennis, golf) and aim to have three to four good sessions per week. Staying active will help with weight management, hormone balance, better sleep, and also stress relief, which is an important component of staying well with hypothyroidism.
  4. Manage stress. Life is hectic and stressful enough without having to manage a chronic condition. Unfortunately, stress makes hypothyroid symptoms worse. Make the effort to find a stress management technique that works for you, and make yourself a priority in your schedule. Many people living with hypothyroidism practice meditation, yoga, daily prayer, or journaling. Others have regular massages or acupuncture. Another way to manage stress is to seek support. Many support groups exist, both in person and online, for people living with hypothyroidism. Support groups offer opportunities to share struggles and be inspired by triumphs. It helps tremendously to talk to people who understand what you’re going through.
  5. Listen to your body. Monitor your own progress, and be your own advocate. Don’t settle for not feeling well. Take charge of your health, and if you feel something isn’t right, speak up to your family medicine provider. If one or a few of your symptoms seem out of control, ask Dr. Gunawardene what else you can do to feel better.

Dr. Ishan Gunawardene seeks to build relationships with his patients, and stay with them every step of the way, from diagnosis to treatment and long-term disease management.

As a highly accomplished internist, Dr. Gunawardene can help guide you through your hypothyroid concerns for the best possible outcome. Call our office today at (561) 434-1935 to schedule a consultation with Dr. Gunawardene, or request an appointment online.

Walk-ins and same-day appointments are welcome! Don’t put off getting the help you need and the quality of care you deserve any longer.

Can Weather Affect High Blood Sugar?

Diabetics need to be very informed about what may or may not adversely affect their health. Spikes in blood sugar can be very dangerous, and sometimes things that may be out of our control can put you in a risky situation. Extreme heat can, in fact, affect your blood sugar control! During the summer, temperatures can reach an all-time high. Coupled with outdoor activities and tropical vacations, summer is usually a hard time of the year for diabetics. More people end up in the emergency room and are hospitalized because of illness due to heat strokes.

High temperatures can have a negative effect on other diabetic management supplies, such as test strips. Insulin can be damaged by the extreme temperatures, making them ineffective and unusable.

Here are a few precautions you should take to help you prevent summer from putting a damper on your plans:

Stay Hydrated:
Staying properly hydrated can cool down your body systems to prevent heat strokes. In the heat, increased sweating can quickly cause dehydration. When you are dehydrated, the concentration of blood sugar heightens as you have less blood flow in your kidneys. Drinking plenty of water regularly throughout the day can help prevent many of these heat-related issues.

Store Your Medications Properly:
High temperatures can impact the effectiveness of your medication. It is important to note the instructions on the back of your medicine, and do as it says. Most medications will suggest where to store it and in what temperatures to store it in. Never store your medications in the car, and be wary of taking them around with you if you are spending the whole day outside in high temperatures.

Stay Out of the Heat:
Staying out of the heat may seem impossible, but it is possible to make some minor changes so that you can still enjoy being outside during the summer without risking your health. At the beach, lay under a big umbrella, wear hats and sunglasses, and stay inside between the hours of 12pm-3pm, when the heat is at its highest.

Know when to Exercise:
When you exercise, your body warms up and sweat could make it so that dehydration is easier. It is important to exercise when the temperature has cooled down. You may want to exercise during the early mornings or in the evenings, to prevent spikes in your blood sugar. And again, remember to drink plenty of water while exercising.

Test Your Blood Sugar Levels Frequently:
Since temperatures can make your sugar levels fluctuate, it is a good idea to test your sugar levels more frequently than usual. This will let you know whether you need to take immediate actions.
Summer can be a very fun time for vacations and family get-togethers, but heat can affect your blood sugar levels.

Diabetics need to follow certain steps to prevent risky situations. If you would like to get more suggestions about how to manage chronic conditions such as diabetes, our experienced providers are always there to help! Call us at (561) 434-1935 today, to schedule an appointment!

Welcome to Our Blog

Thank you for visiting our blog, and we look forward to connecting with you.

Advanced Medical is excited to bring you the latest information about research and advancements in primary care. This blog will also be used to post updates about our practice and keep in touch with our patients.

Check back often for new blog posts, and please don’t be shy. We welcome your comments and invite you to share this information with your friends and family.

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You can leave a comment here or give us a call at (561) 434-1935, anytime.