Summertime is the ideal time for outdoor activities like boating, swimming, barbecues and picnicking. It’s also ripe for sports injuries, says Nancy White, M.D., a Henry Ford Health System sports medicine physician.

“We encourage people of all ages to get outside and take advantage of all the activities available during the summer. It’s very important, though, that people keep safety top of mind to reduce their risk of injury,” Dr. White says.

Dr. White counts these as the five most common injuries:

• Sprains and strains
• Fractures
• Trampoline injuries
• Bike injuries
• Overuse injuries

“Trampoline injuries are mostly caused by jumping, either by an awkward landing or colliding with someone,” Dr. White says. “Overuse injuries happen when someone over extends themselves in a particular activity, whether it’s attending multiple sports camps or simply exercising outdoors.”

Dr. White recommends these three tips for reducing your risk of injury:

• Stay hydrated. Replenish your fluid intake with frequent water breaks.
• Perform warm-up exercises before your run or your game.
• Wear protective gear. Whether bike riding, rollerblading or skateboarding, a helmet and protective pads are a must. Obey traffic laws and store your phone away.

For soft-tissue injuries strains and sprains, Dr. White says the R.I.C.E. method is an immediate at-home treatment you can apply to reduce swelling and pain. It stands for Rest, Ice, Compression and Elevation. Over-the-counter anti-inflammatory medicine, such as ibuprofen (like Advil) or acetaminophen (like Tylenol), can help too.

If the pain worsens to the point that it interferes with your usual activities or sleep, make an appointment with your doctor or a sports medicine doctor.

Seek medical attention immediately if your pain was caused by a particularly forceful impact, you suspect a broken bone, or if the injury is accompanied by:

• Significant swelling
• Redness
• Tenderness and warmth around the joint
• Significant pain
• Fever

For injuries that don’t improve and require medical attention, you can see a Henry Ford sports medicine doctor within 24 business hours. Call (313) 972-4216 between 8 a.m. and 9 p.m. Monday-Friday.

For injuries that require immediate attention, check out our same-day care options, including walk-in clinics, urgent care centers and emergency rooms located across southeast Michigan. 

Dr. Nancy White is a sports medicine doctor seeing patients at Henry Ford Medical Center – Columbus in Novi and at the William Clay Ford Center for Athletic Medicine in midtown Detroit.

The post Summer Is Peak Time for Outdoor Sports Injuries appeared first on Henry Ford - LiveWell.

It seems that every week there’s another news story about a foodborne disease outbreak like contaminated cantaloupe, romaine lettuce tainted with E. coli or turkey harboring listeria. In fact, according to the Centers for Disease Control and Prevention (CDC), more than 3,000 people die each year from foodborne illness and 48 million people get sick. And it’s entirely preventable.

Common Food Prep Mistakes

While incidents involving contaminated foods are more likely to hit the news, the reality is that most foodborne disease is a result of what we do in our own homes. Read these 10 common mistakes and determine whether you’re doing everything you can to keep your family safe:

1. Improper thawing. Plenty of at-home chefs thaw frozen meat and other perishable foods on countertops. Unfortunately, that practice gives bacteria an opportunity to flourish. A better bet: Thaw foods overnight in the refrigerator. If you don’t have time, you can thaw in the microwave – but cook and eat immediately.

2. Inadequate cooling. People often cool leftovers on countertops for hours on end before putting them in the refrigerator. Unfortunately, any temperature between piping hot and cold allows bacteria to grow and multiply. Rather than waiting for food to reach room temperature before refrigerating, stock leftovers in the fridge immediately.

3. Undercooking high-risk foods. Meat, poultry, fish and eggs need to be cooked completely prior to eating. Whole cuts of beef, pork, lamb and veal should reach an internal temperature of 145 degrees before they’re removed from the oven or grill. Ground beef, pork, lamb and veal should reach an internal temp of 160 degrees. And poultry should reach a minimum internal temperature of 165 degrees.

4. Rinsing meat. Many of us grew up watching our parents rinse poultry and fish in the sink prior to cooking. In reality, washing these foods tends to splash bacteria all over the sink and thus increases the risk of spreading bacteria throughout your kitchen (from sponge to surface, for example).

5. Relying on the sniff test. Contrary to popular belief, smell isn’t always a good indicator of freshness or safety. Many types of bacteria that do cause malodors often don’t begin to smell “off” until they’ve multiplied and spread. But that doesn’t mean they won’t still make you sick. When you’re in doubt, throw it out.

6. Using contaminated sponges and dishcloths. To minimize the spread of pathogens, wash dish towels frequently (every other day). Sterilize sponges by putting them in the dishwasher during the drying cycle or dampening the sponge and placing it in the microwave on high for 30-60 seconds.

7. Failing to wash hands. Unwashed hands are one of the largest sources of foodborne disease. Wash hands with soap and water for at least 20 seconds after visiting the bathroom, before meal prep and every time you touch raw meat, poultry or fish.

8. Eating raw dough. Resist the temptation to dig into raw cookie dough, muffin batter or any other fixings that contain raw or uncooked eggs.

9. Mixing raw and cooked ingredients. Avoid using the same tray for raw and cooked or ready-to-eat foods and don’t re-use marinade on cooked meats unless you boil it first.

1. Cooking with contaminated utensils. Don’t use the same knife to trim raw meat and cut the finished product. Don’t stir and taste with the same spoon or utensil. And avoid using a fork to transfer both raw and cooked meat to its ultimate resting place.

Related topic: Healthy Eating Tips for Your Next Road Trip

If you suspect foodborne illness, report it to the CDC immediately by calling 1-800-CDC-INFO or visit www.foodsafety.org to submit an online report. Save packaging, produce stickers and any other labels or information so officials can better determine where the bacteria originated.

Most important, if you’re experiencing a stiff neck, severe headache and fever – or if your immune system is already compromised in any way – call 911. Similarly, if your stool is bloody or if you’re showing signs of dehydration, visit your doctor right away.

Still unsure how to prevent foodborne disease? Visit henryford.com or call 1-800-HENRYFORD (436-7936) to schedule an appointment with one of our registered dietitians or nutritionists.

You can also read more nutrition and fitness advice in our EatWell and MoveWell sections, so subscribe now to get all the latest articles sent to your inbox.

The post The Joy of Cooking Safely: How to Avoid Foodborne Illness appeared first on Henry Ford - LiveWell.

Sometimes your body doesn’t always agree with what food you put in it.

For example, it is common to experience heartburn after eating certain foods. You may have even dealt with acid reflux before if you have had a burp that caused you to throw up in your mouth a little bit.

Almost everyone will experience heartburn or acid reflux in their lifetime. But if you are having these reactions often after you eat, it may be because you have GERD (or gastroesophageal reflux disease). Kimberly Tosch, M.D., a gastroenterologist at Henry Ford Health System explains what GERD is, how it affects you and what to do about it.

“GERD is when the valve at the bottom of the esophagus allows stomach contents to rise up into the esophagus,” says Dr. Tosch. As a result, you might experience a burning pain in your chest shortly after eating. The acid in your stomach is why you might taste vomit in a burp after eating.

GERD is especially common among people with excess weight or women who are pregnant. The changes in your body can increase pressure on the abdomen, making it easier for stomach acid to get out of the esophagus.

“Fortunately, for people that have an abnormal amount of reflux throughout the day, there are medication and lifestyle modifications that can help,” reassures Dr. Tosch.

Treating and Preventing Acid Reflux

Talk to your doctor about your acid reflux. Your condition’s severity will depend on which treatment method is right for you. The doctor might suggest you:

• Try over-the-counter antacid medications (like Prilosec or Zantac)
• Eliminate foods and drinks that trigger your symptoms (see below)
• Avoid eating right before bed
• Prop your head up with a pillow when you sleep

To prevent acid reflux, Dr. Tosch offers some things to avoid:

• Acidic foods (like tomatoes or oranges)
• Spicy foods
• Food with higher levels of fat
• Excessive amounts of caffeine
• Alcohol

The Dangers of Untreated GERD

As common as acid reflux is, it is important to know how to treat it and what could happen if you ignore the symptoms. Dr. Tosch warns that chronic, untreated GERD can cause serious complications.

Over time, recurring acid reflux can damage the lining of the esophagus. This inflammation condition is called esophagitis.

“In some cases, this chronic inflammation can permanently change the lining of the esophagus,” says Dr. Tosch. “This can lead to permanent damage of the esophagus called Barrett’s esophagus, which puts you at an increased risk of developing esophageal cancer.”

If you are experiencing acid reflux more than twice a week, see your doctor to determine if you have GERD. This way you can take the necessary steps to protect yourself against more serious medical conditions in the future.

To find a doctor or make an appointment, visit henryford.com or call 1-800-HENRYFORD (436-7936).

Dr. Kimberly Tosch is a gastroenterologist who sees patients at Henry Ford Hospital and Henry Ford Medical Center – Lakeside.

The post Living with GERD: How to Manage Your Acid Reflux appeared first on Henry Ford - LiveWell.

One of the best things about summer is the longer days full of outdoor activities. Whether you are hiking, biking, gardening, camping or grilling, you know with warm weather also welcomes one major buzzkill to your fun: mosquitoes.

Sometimes it seems these pesky bugs are impossible to avoid. Their painful bite can bring a premature end to your summer plans – from backyard barbeques to nature walks. Not to mention that they have been known to spread serious illnesses such as the Zika virus, West Nile virus and malaria.

There are plenty of best practices out there for avoiding these bugs or minimizing your chances of getting bitten. Dina Ibrahim, M.D., a family medicine doctor for Henry Ford Health System, shares tips for what you can do to maximize your time outside without being bombarded by the bugs.

Use DEET. The easiest and most effective solution is to keep bug spray with DEET on hand. DEET has been proven to keep bugs away for longer than other mosquito repellents. It’s not an option for everyone, though. DEET is not approved for children under three months old. Some people may also be sensitive to this product and develop a rash or itching. If this happens, consider all-natural options.

Try natural bug sprays. While natural repellents aren’t as effective as DEET-based bug sprays, they are still better than nothing. Many popular mosquito repellent brands offer an all-natural alternative to their DEET products. Additionally, there are many products on the market that are plant-based. For example, a compound from black pepper plants called picaridin has been found to ward off the pesky bugs. Oil of lemon eucalyptus products are another option made from gum eucalyptus trees.

Make your own essential oil repellent. Essential oils are another natural way to keep the bugs away – not to mention they smell good too! Try out this recipe that you can easily make at home. You can also swap out the essential oils used here for eucalyptus or rosemary oil, which are also known to repel bugs. Switch it up to figure out what combination works (and smells) best for you!

Essential Oil Mosquito Repellent

Ingredients:
2 ounces distilled or boiled water (use only 1 oz. of water if using jojoba oil)
1.5 ounces witch hazel
30 drops citronella essential oil
25 drops peppermint essential oil
15 drops tea tree essential oil
1 teaspoon of jojoba oil (optional)

Directions:
Fill a dark, clean, glass spray bottle with the water. Add the witch hazel and then essential oils. Shake well. Spray onto exposed skin and/or clothing. Store away from sunlight and heat. Reapply as needed.

Experiment with household or beauty products. Research has shown that some products that you might have around the house can help keep mosquitoes at bay. If you have nothing else, these options could be your last line of defense:

• Avon Skin So Soft and Victoria’s Secret Bombshell perfume. Some people swear by Avon Skin So Soft lotion to keep bugs away. Use it by itself or try out their bug guard product. As for the perfume, it seems contradicting to use a floral scent to keep the mosquitoes away. But studies have shown that this specific scent will protect you better than some other leading products.
• Some people claim eating garlic, taking a supplement or even rubbing it on your skin is said to keep the bugs away. (However, you might keep your friends and family away as well!)

Wear loose-fitting clothing. It makes sense – the tighter your clothing, the easier it is for mosquitoes to bite. Instead, wear looser clothing that is tightly woven to block the bugs from your skin. If it isn’t too hot out, consider covering your skin by wearing long sleeves or pants.

Related Topic: Why do we get brain freeze? Why do our fingers wrinkle after swimming? 4 Summer Health Mysteries Solved

Use a fan. Stop swatting mosquitoes away and use a fan instead. Fans can prevent mosquitoes from landing on your skin. If they can’t land on you, they can’t bite you!

Avoiding standing water. Mosquitoes love water. They tend to hang around damp areas because they make perfect places to breed. If you can, take care of any standing water that may be collecting around your yard. Even avoid planning a cookout after rain. If you are in places that are always damp (think forests and near bodies of water), be prepared.

With so many options for warding off these little bugs, your summer can (hopefully) be mosquito free. If you are using some sort of repellent, make sure to continue to reapply after a couple hours.

If you do get bit, consider these remedies for itch relief:

• Ice
• Calamine lotion
• Benadryl or other allergy medicine (can be taken orally, but topical solutions are also available for bites)
• Aloe
• Anti-itch creams (mild topical steroids)

“If you develop fever, a headache, neck pain or joint pain after a bite, call your doctor,” says Dr. Ibrahim. “This could be a sign of a more serious infection.”

If you are concerned about a mosquito bite that isn’t healing, check out our many convenient same-day care options at henryford.com/sameday.

Dr. Dina Ibrahim is a family medicine doctor who sees patients at Henry Ford Medical Center – Southfield.

The post How to Best Protect Yourself from Mosquitoes appeared first on Henry Ford - LiveWell.

If you grow herbs in your garden or buy them fresh from local farms and farmers’ markets, there are limitless ways to enjoy them in foods and beverages. They are a great way to add flavor without adding fat, salt and added calories.

“Herbs add bright flavor to just about anything and can make ho-hum recipes into something special,” says Sarah Chapel, a registered dietitian with Henry Ford Allegiance Health.

A simple but delicious way to use basil, for example, is to pair it with homegrown tomatoes, a little olive oil, salt and pepper, and a splash of balsamic vinegar. Add fresh mozzarella, and you have a Caprese salad. Basil pesto is simply a mix of fresh basil, olive oil, parmesan cheese, garlic and walnuts or pine nuts. Pesto recipes are easy to find online, including variations with herbs other than basil. And just about any fresh herb can be finely chopped and added to salad greens for extra flavor.

Below are some suggestions for using fresh herbs in ways you may not have tried before. Experiment with different blends of the herbs you like best.

• Smoothies. Start with a fruit and plain yogurt and blend with finely chopped herbs. Try rosemary with raspberries, basil with strawberries, parsley with ginger and apples; use your imagination!
• Infused olive oil (use for dipping crusty bread or with vinegar as a salad dressing). Warm two cups of olive oil, stir in several herbs of your choice—oregano, rosemary, basil, thyme, peppercorn, garlic or chives, red pepper flakes, etc. Let sit for two weeks, and then strain out the herbs. Keep refrigerated.
• Vinaigrette dressing (for green salad, pasta salad or steamed vegetables). Blend ¼ cup vinegar with 1 tablespoon Dijon mustard, slowly whisk in ½ cup olive oil, add salt and pepper and your choice of fresh chopped herbs like dill, basil, parsley, cilantro, mint or thyme. If this is too tart for your taste, add a bit of honey.
• Grilled fruit. Peaches, nectarines, plums and pineapple are delicious when grilled. Try them plain, sprinkled with fresh herbs, or brush on simple syrup (see recipe below) before grilling.
• Simple syrup (add to iced tea, or brush on fruit before grilling). Start with equal parts of water and sugar; add the juice of a lemon or lime and boil with an herb of your choice—mint, rosemary, basil, etc.
• Vegetable dip. Add finely chopped fresh herbs of your choice and fresh garlic or garlic power to plain, low-fat sour cream; blend well and let sit, refrigerate for several hours before using.
• Infused water. Adding herbs and fruit to sparkling or still water add flavor and feel more special than drinking a plain old glass of water. Experiment with different combinations and stay hydrated.

Fresh herbs last longer with proper storage. Before placing in the refrigerator, wash them gently in cold water and either wrap in a paper towel or put them in water. They can also be finely chopped and frozen in freezer-safe containers.

To schedule an appointment with your primary care provider or find a registered dietitian, visit HenryFord.com or call 1-800-HENRYFORD (436-7936). If you’re in the Jackson area or south central Michigan, visit henryfordallegiance.com or call 1-888-862-DOCS.

Sarah Chapel is a registered dietitian with Henry Ford Allegiance Health’s Department of Prevention and Community Health. She provides nutrition counseling services, education and healthy cooking demonstrations for community members, local groups and Henry Ford Allegiance Health staff.

The post Fresh Ways to Use Fresh Herbs appeared first on Henry Ford - LiveWell.

One of the secrets to obtaining a youthful glow is loving the skin you’re in. And while pampering yourself with regular facials can cultivate clearer, smoother skin and fewer wrinkles, it’s also tough on the pocketbook.

The upshot: out-of-the-box, at-home remedies can soothe and nourish your skin at a fraction of the cost. These do-it-yourself treatments deliver the same moisturizers and antioxidants, but in a more natural form — and you don’t even have to leave home to experience the perks. Here, five kitchen staples that double as ingredients for your next facial:

1. Olive oil. Famous as a heart-healthy fat, olive oil also helps cleanse, protect and moisturize the skin. “Olive oil breaks down the natural oils that build up in our face and also works as a makeup remover,” says Jungho Kwon, M.D., a dermatologist at Henry Ford Health System. “Just dab a small amount onto a cotton pad and gently massage the area. Then wash it off with warm water.”

2. Coconut oil. Coconut oil displays antimicrobial activity, so it can help fight bacteria causing acne. It can also help soothe inflammation related to acne. Simply apply coconut oil daily to acne-prone areas.

3. Honey. Used for centuries to treat wounds, honey allows skin to breathe while simultaneously imparting healing properties. The thick goo has potent antibacterial effects, which combat acne by unclogging pores and clarifying complexion. Plus, studies show honey acts as a powerful antioxidant and natural moisture retainer to soothe angry skin and prevent wrinkles.

4. White or green tea. Steep white tea bags in water and apply the cooled bags to puffy areas beneath your eyes. The hefty hit of antioxidants and caffeine can help de-puff your eyes almost instantaneously. Unlike berries, which boast antioxidants but could also stain skin, white tea is 100 percent stain-free.

5. Yogurt. Slather yogurt on your face like a mask, with a dab of honey. (While any style will do, Greek yogurt may be easier to apply because of its thicker consistency.) Not only does the lactic acid in the yogurt act as a natural exfoliant, but sensitive complexions might also benefit from yogurt’s soothing live active cultures.

Related Topic: Want to Age Gracefully? Adopt These Healthy Habits Now

While many kitchen staples are safe for skin, some may irritate it, cause breakouts or even stain your face. A few tantalizing options to avoid: deeply hued berries (unless you add just a dab of mashed-up fruit to yogurt or coconut oil), citrus, vinegar, and “hot” spices like cinnamon and cayenne pepper.

“To stay safe, test home remedies on a small area like the inner part of your arm before you apply it all over your face,” Dr. Kwon says. And, if you have an underlying medical problem, talk to your doctor before you get busy mixing facial ingredients in your kitchen.

Finally, don’t forget to keep using sunscreen with your new DIY routine. The best anti-aging product on the market is sunscreen, according to Dr. Kwon. She recommends a daily routine of cleansing, moisturizing and then applying sunscreen.

For an appointment with a dermatologist, visit henryford.com or call 1-800-HENRYFORD (436-7936).

Dr. Jungho Kwon is senior staff dermatologist and sees patients at Henry Ford Medical Centers in Troy and West Bloomfield (on Farmington Road).

The post DIY Facials: Your Kitchen’s Best Skin Care Products appeared first on Henry Ford - LiveWell.

We may not think of it this way, but standing on two feet is complicated business. When you’re feeling unexpectedly dizzy, off-balance or lightheaded, though, you start to appreciate the normally invisible “sixth sense” of balance. Because being in balance happens “automatically” for most of us, we don’t realize what a complex system it really is. Only when something goes wrong and our world turns upside down and spins, do we even realize there is something TO go wrong.

While “dizzy spells” can be unnerving, they’re very common: Most adults experience an occasional bout of dizziness. Vertigo, the sensation of spinning, is also surprisingly common, affecting an estimated 35 percent of people over age 40 at least once during their lifetime.

“Because vertigo is not a diagnosis, but rather a symptom of an underlying problem, the first step in helping the newly “dizzy” patient is to understand what they are experiencing.  This gives us the information we need to formulate a diagnosis and treatment plan,” explains Laura Brainard, M.D., an ear, nose and throat specialist at Henry Ford Health System.

This means you have to be able to describe your experience of dizziness. Some people can’t see or walk straight due to the sudden sensation of spinning and experience extreme nausea. Some people have associated ear symptoms, like ear fullness, ringing in the ear and decreased hearing. Others become light-headed, feeling like they might black out. And many feel a combination of sensations. Some people’s symptoms last a few seconds and others’ last hours, days or weeks. Whatever the experience, it is often sudden in onset, and very upsetting, leading many people to call 911 or have family take them to the ER.

The balance system is a complex system that relies on the brain’s coordination of three main sensory inputs:

• Visual: Your eyes tell you whether you’re sinking into sand or trying to navigate an icy sidewalk.
• Vestibular: Balance sensors in your inner ear’s bony labyrinth help you maintain your equilibrium by detecting changes in head movement, the pull of gravity and whether you are moving or standing still.
• Proprioceptive: Sensors on the bottom of your feet, in your joints and muscles, and in your spine and neck tell your brain WHERE you are in space and “sense” changing positions.

As you can see, your brain relies on a complex set of inputs to keep your body upright and your visual field stable. Depending on which one of these systems is out of whack, you may experience vertigo, dizziness or imbalance.

Common Causes of Dizziness

How you feel during an episode – your experience of dizziness or vertigo – offers valuable insight about what’s causing your symptoms. Here, Dr. Brainard shares some of the most common causes of dizziness – and how to address them.

1. Dehydration. Even mild dehydration can cause you to feel dizzy, lightheaded or off balance. Dehydration not only depletes your blood volume, it can also cause your blood pressure to drop, which can make you feel woozy.

2. Medication. The number of drugs linked to dizziness is too long to list. Check the side effects of any medications you’re taking to see if they include dizziness, vertigo or loss of balance. And if you feel dizzy consistently, talk to your pharmacist and physician to see if it could be medication-related and if there’s an alternative.

3. Blood pressure. Often related to medication changes, change in health status, or to underlying heart problems, low blood pressure can cause feelings of lightheadedness, like you are going to faint. These are often most notable when standing up after laying or sitting for a long time.

4. Inner ear problems. A common cause of dizziness is something called benign paroxysmal positional vertigo, or BPPV. This kind of vertigo tends to be very short-lived, lasting seconds to minutes, and very predictable – happening in response to certain head movements. It occurs when the crystals in your inner ear get dislodged from their normal spot and float into your ear’s semicircular canals. The good news: This type of vertigo is easily corrected with physical therapy.

5. Heart disease. Sometimes dizziness can indicate a heart condition. Leaking or narrow heart valves, heart arrhythmias and narrowing arteries (also known as atherosclerosis) can reduce blood flow to the brain and make you feel dizzy.

6. Migraine headaches. According to the Vestibular Disorders Association (VEDA), about 40 percent of people who suffer from migraines also experience dizziness or vertigo. You might suffer from dizziness before, during or completely independent of your migraine. Food, temperature changes, hormonal fluctuations and other environmental factors can trigger both dizziness and migraine headaches.

7. Stroke. Rarely, a stroke can cause vertigo. For an initial episode of severe vertigo, it is important to go to the emergency room to identify if something serious is happening.

8. Meniere’s disease. This is a classic inner ear disorder caused by too much fluid in the inner ear and characterized by episodic spinning dizziness, nausea, ear pressure, decreased hearing and ringing in the ear, with episodes lasting from minutes to hours. While this kind of dizziness can be severe and temporarily disabling, doctors can offer many strategies to help patients with this disease live as normal a life as possible.

9. Anemia, thyroid disease, other medical problems. Because balance is such a complex system, it can be caused by many things.

How do you know if your dizzy spells are worrisome? “While most dizziness is not suggestive of an underlying severe problem, as with any new symptom, new onset vertigo or dizziness should be thoroughly evaluated,” says Dr. Brainard.

Your doctor can help rule out health problems related to dizziness, such as heart disease, rare vestibular conditions or a stroke, and get to the bottom of why you’re feeling these symptoms.

To find a doctor at Henry Ford, visit henryford.com or call 1-800-HENRYFORD (436-7936).

Dr. Laura Brainard is an otolaryngologist (ear, nose and throat specialist) who sees patients at Henry Ford Medical Center – Fairlane and Henry Ford West Bloomfield Hospital.

The post Is It Vertigo? Possible Causes of Dizziness Explained appeared first on Henry Ford - LiveWell.

Activated charcoal may sound like a funny thing to put on your plate or lather on your face, but recently, it’s been appearing in everything from waffles and smoothies to face wash and toothpaste. Why? Many users believe the black powder can brighten teeth, temper body odor and help the body detox. And while there may be truth to some of those claims, not every charcoal product is safe to use.

Many people are looking for ways to reduce inflammation and detox, so there’s a huge market for these products. The problem is, there’s no agency overseeing the safety or effectiveness of activated charcoal, and it’s not governed by the Food and Drug Administration (FDA).

Breaking Down the Facts on Activated Charcoal

Before you slip some activated charcoal in your morning protein shake, it’s important to note that activated charcoal is not the same as the charcoal you buy at Home Depot for your backyard barbeque, nor is it made from the same stuff as the char on your overdone toast. Instead, it comes from burning specific types of wood — including bamboo, birch and balsam — at super-high temperatures, then oxidizing it.

The particles left behind are almost pure carbon, so they’re able to suck up moisture and chemicals. But that doesn’t mean using it is safe or should be done without medical supervision.

Here are six facts you should know before you purchase anything with activated charcoal:

1. It draws out impurities. Charcoal has a rich history as a medical treatment. Its porous texture binds to toxins and prevents your body from absorbing them. That’s one reason it’s a staple in hospital emergency rooms. Doctors commonly use it as an antidote for food poisoning and drug toxicity.

2. Putting it in food can be dangerous. There’s no way of knowing what is in an activated charcoal product. It’s a completely uncontrolled industry, so it’s best to leave it out of your diet.

3. It’s abrasive. While activated charcoal is marketed as a tooth-whitening agent, it can be abrasive and ruin tooth enamel, particularly if it’s used on a regular basis.

4. It can bind to medications, vitamins and minerals. Activated charcoal does bind to chemical toxins to flush them out, but it also binds to nutrients. Take too much and you could compromise your nutrient status or interfere with the way your body absorbs medication. It can make blood pressure medication and even birth control pills less effective.

5. It can help patients with kidney disease. For patients with end-stage renal disease, activated charcoal may be a viable alternative to dialysis. The reason: It binds to urea and other toxins, reducing the number of waste products that filter through your kidneys. If you have kidney disease, talk to your doctor.

6. It can minimize body odor. For people who suffer from something called Fish Odor Syndrome, activated charcoal can bind to the stinky compounds the body produces and help reduce unpleasant odors.

The Bottom Line

Activated charcoal is still a largely unstudied and misunderstood compound and as far as safety goes, consumers are at the mercy of the manufacturer. Any chemical that has the potential to do good also has the potential to harm. Only use activated charcoal under the direction of a medical professional, particularly if you’re planning to ingest it.

Related Topic: Probiotics and More: How Healthy Bacteria Helps Your Gut

To speak with a doctor about whether activated charcoal may be an option for you, visit henryford.com or call 1-800-HENRYFORD (436-7936).

You can also read more health advice in our FeelWell section, so subscribe to get all the latest tips.

M. Elizabeth Swenor, D.O.

M. Elizabeth Swenor, D.O., has been practicing functional medicine for more than 15 years and leads the Functional Medicine program at the Henry Ford Center for Integrative Medicine. Her goal is to empower her patients with the knowledge and tools they need to achieve optimal health and wellness. Dr. Swenor strongly believes that all patients can improve their overall health by reducing whole body stress and inflammation by correcting metabolic imbalances through good nutrition. Board certified in family medicine, she has also received advanced certification in metabolic and nutritional medicine from the Metabolic Medical Institute and is also certified in anti-aging, regenerative and functional medicine by the American Academy of Anti-Aging Medicine.

The post Is Activated Charcoal Safe? 6 Facts About This Health Trend appeared first on Henry Ford - LiveWell.

Maybe you’ve felt it: You’re lying in bed, eager to doze off after a long day, but your legs feel fidgety — so much that you have to get up and move. You get out of bed and pace the room but the feeling’s still there. The culprit? It might be Restless Legs Syndrome (RLS).

“Restless Legs Syndrome refers to a subjective feeling that people have,” says Virginia Skiba, M.D., a sleep specialist with the Henry Ford Health System. “People describe it differently but there’s an uncomfortable sensation and an urge to move the legs or, less commonly, the arms. Some people describe it as an itchy feeling, a crawly feeling — but it shouldn’t be painful.”

According to the National Sleep Foundation, RLS affects approximately ten percent of American adults and two percent of children. The condition is twice as common among women as men and can occur once a day, once a month or once a year.

Depending on how much RLS bothers you, however, the condition isn’t known to cause any serious medical issues.

“Right now, we don’t have any strong evidence that RLS has a harmful effect on the body,” Dr. Skiba says. “We treat it if it affects the person’s ability to be comfortable at night and to sleep.”

Before you seek treatment however, it’s helpful to know the causes behind the condition.

Causes Of Restless Legs Syndrome

RLS wasn’t widely studied until the 1940s. Since then, the medical community has identified several factors that contribute to RLS:

• Iron deficiency. Low iron levels are often cited as the strongest factor contributing to RLS. An iron deficiency can be affected by diet, stress or—oftentimes—pregnancy.
• Dopamine regulation. Dopamine—a chemical used by brain cells to communicate and coordinate movement—is another strong factor linked to RLS.
• Family history. If someone in your family has RLS, it will often appear in your 20s or 30s, Dr. Skiba says. If there’s no history of RLS present, it may occur later in your 40s or 50s.
• Medications. Antidepressants, antihistamines and anti-nausea medications can all lead to RLS.

Related Topic: Relying on Sleeping Pills? What You Need to Know

How To Fix It

While sleepless nights caused by RLS can be frustrating, there are several ways to alleviate symptoms and maximize your Zzz’s:

• Exercise regularly. Daily exercise has been known to reduce feelings of restlessness in the limbs, but strenuous activity right before bed can lead to an even stronger desire to move around.
• Stretch before bed. Yoga, pilates or other stretching methods can often help calm the mind and body.
• Avoid stimulants. Nicotine, caffeine and alcohol can all exacerbate RLS.
• Soak in warm water. Taking a warm bath or spending time in a hot tub can ease restlessness and massaging the legs can also help reduce the sensation of discomfort.
• Try medication. Several medications can help alleviate RLS, including Mirapex (pramipexole) and Requip (ropinirole), both of which stimulate dopamine production in the brain, and Neurontin (gabapentin), which serves as an anticonvulsant. If used long term, however, some medications can make RLS worse.

No matter your experience with Restless Legs Syndrome, if it’s interfering with your ability to sleep or function throughout your day, Dr. Skiba recommends talking with your doctor about it as soon as possible. After all, a sleep specialist may be able to put the issue to bed once and for all.

To find a doctor or sleep specialist at Henry Ford, visit henryford.com or call 1-800-HENRYFORD (436-7936).

Dr. Virginia Skiba is a sleep medicine expert who sees patients at Henry Ford Medical Centers in Grosse Pointe and Sterling Heights.

The post Can’t Sleep? It Might Be Restless Legs Syndrome appeared first on Henry Ford - LiveWell.

Social networking sites like Facebook and Instagram were created to strengthen social ties and provide a sense of personal connection. But research increasingly shows extensive use of social media may actually decrease communication with family and friends while increasing feelings of loneliness, anxiety and depression.

One of the problems with social media is that it allows people to present an optimal version of themselves and their lives, selecting the most positive aspects and editing out the negative. “Facebook envy” happens when others make comparisons between their own real lives and the digital facades of their friends and acquaintances, concluding that their friends’ lives are happier and more successful.

“Seeing photos of parties they weren’t invited to and events they weren’t included in can make the average person feel left out. For those with low self-esteem issues, such comparisons can be devastating.  This is especially true for adolescents and teens, but adults are also vulnerable,” says Maria Opolka, D.O., a family medicine doctor with Henry Ford Allegiance Health.

Can You Be Addicted to Social Media?

Some researchers say overuse of social media is an actual addiction. While the National Institutes of Health states that such results remain inconclusive, the symptoms of addiction and overuse of social media are similar. These include mental preoccupation, escapism, neglect of personal life and relationships, and concealing the excessive behavior. In addition, when individuals who are overdependent on social media stop using it, they often experience feelings of anxiety. Scientific evidence shows the psychological effects are accompanied by actual physiological signs of withdrawal.

“This doesn’t mean we should all close our Facebook, Instagram and Twitter accounts today,” Dr. Opolka says. “It just means we should enjoy them for what they are, stop making personal comparisons and practice moderation.”

Dr. Opolka adds that “We should also make an effort to strengthen and maintain social connections in person, rather than online.”

If you feel persistent symptoms of depression or anxiety that last longer than a few weeks, talk to your doctor or a mental health professional. If you have thoughts of self-harm or ending your life, seek immediate care. The National Suicide Prevention Lifeline at 1-800-273-8255 is available 24 hours a day, seven days a week.

Related Topic: Need a Digital Detox? 5 Tips to Unplug

To schedule an appointment with your primary care provider, visit henryford.com or call 1-800-HENRYFORD (436-7936). 

If you’re in the Jackson area or south central Michigan, visit henryfordallegiance.com or call 1-888-862-DOCS.

Dr. Maria Opolka specializes in family medicine and cares for patients of all ages at Henry Ford Allegiance Family Medicine – Mason.

The post The Downside of Social Media appeared first on Henry Ford - LiveWell.

With around-the-clock schedules and increasing demands, it’s no surprise that Americans are sleep-deprived. Unfortunately, not getting enough sleep is taking a toll on our health. Lack of sleep is linked to everything from heart disease to an oversized waistline.

But here’s the good news: Even if you can’t get seven to nine hours of sleep during the week, you can make up some of the deficit by getting more shut-eye on the weekends.

“Playing catch-up with your sleep on your days off is a good thing — especially if you aren’t able to get the amount of sleep you need during the week,” says Meeta Singh, M.D., a sleep specialist at Henry Ford Health System.

Flex Your Sleeping-In Skills

If your goal is to improve your health, replenishing sleep is a great starting point. Like exercise and good nutrition, sleep is critical for optimal functioning. It’s also one of the easiest things to fix in terms of lifestyle habits.

But mastering the art of getting more sleep isn’t foolproof. It’s not enough to sleep in on Saturdays or take a catnap on Sunday afternoons. To help you rest easier, Dr. Singh offers four strategies to squeeze in more ZZZs on the weekend:

1. Tweak your sleep schedule slightly. If you sleep in too late or go to bed too early, you may interfere with your body’s natural circadian rhythm. So instead of ditching your sleep schedule altogether, aim to rise — and hit the sack — within an hour of your usual times.

2. Take a nap. A 15- to 30-minute power nap can be restorative, but if you’re sleep-deprived after a busy week, a 90-minute nap may be a better bet. Depending on the severity of your sleep deficit, snoozing longer than that could impact your ability to sleep at night.

3. Watch the clock. Don’t snooze in the middle of the day without an alarm. If you take a two-hour nap, you may have trouble turning in at your normal time and sleeping through the night. Similarly, taking naps late in the day can interfere with nighttime slumber. As a general rule, don’t snooze within six hours of bedtime and limit naps to a maximum of two hours.

4. Set the stage. To boost your odds of achieving restful slumber, practice good sleep habits. Keep your room cool, dark and quiet. Avoid drinking alcohol within three hours of bedtime and avoid caffeine for six hours before you plan to turn in. And ditch devices at least an hour before bedtime. Not only does the blue light these devices emit delay your bedtime, but screens are psychologically stimulating as well. It’s hard to shut down your brain when you’re scrolling through social media or messages.

Related Topic: How to Use the Weekend to Reboot Your Wellness

Some people might need more sleep than others. If you feel rested and rejuvenated when you wake up in the morning — and you don’t drag through your days — you may be getting sufficient sleep, even if it’s less than the recommended seven to nine hours each night.

The key, Singh says, is to pay attention to how you’re feeling. “In today’s world, people have difficulty knowing how to wind down. Being able to turn your mind off and getting enough sleep is very important.”

To see a Henry Ford sleep specialist, visit the Henry Ford Sleep Disorders Center, or call 1-800-HENRYFORD (436-7936) to make an appointment.

You can also read more wellness advice in our FeelWell section, so subscribe to get all the latest tips.

Dr. Meeta Singh specializes in understanding and treating a variety of sleep disorders with a focus on insomnia, sleep apnea and sleep issues in athletes. She sees patients at Henry Ford Medical Center – Columbus in Novi. 

The post Could Sleeping In Be Good for You? appeared first on Henry Ford - LiveWell.

Whether you’re a marathon runner or a Zumba fanatic, headaches caused by exercise are painful and frustrating – especially when you’re just trying to do something good for yourself.

While rarer than general headaches or migraines, exercise-induced headaches still happen, and you should first see a doctor to rule out any secondary causes. Before you start to dread the end of your workout more than the start of it – or give up on exercise all together – Ashhar Ali, D.O., a neurologist at Henry Ford Health System, has some advice on why you may be getting these types of headaches and how to prevent them.

1. You are out of shape. Getting fit is a process, and if you are overworking yourself too soon, you might find you get more headaches when working out. Your body, unless used to intense workouts, may ache, cramp or bring forth headaches as a result, Dr. Ali says.

   The fix: We all want to be fit, but start slow. It takes time to build up your fitness level and your brain may not be used to it at first.

2. You are dehydrated. “From cramps to blurry vision, being dehydrated negatively affects the body in numerous ways,” Dr. Ali says. “Headaches are another side effect of not drinking enough water.”

   The fix: Drink water or sports drinks before, during and after your workout to stay hydrated and replenish any fluids you lost.

3. You are overheated. Do you spend your summers running outside at noon? Work out in a small, poorly ventilated area? Your headaches could be caused by your body overheating to compensate for the environment you’re in.

   The fix: If you exercise indoors, set up a few fans to keep air circulating and the temperature lower. Also, pay attention to the clothing you are wearing. Are you outside in the summertime heat in all black? Do you wear heavy sweat pants while lifting weights? What you wear can play just as important of a role in your head pain as the actual activity you partake in.

4. You are working out at a higher altitude. Whether you’re traveling for work or pleasure, working out at a higher altitude where the oxygen is thinner can lead to headaches – especially if you’re exerting yourself.

   The fix: When traveling somewhere at a higher altitude, take the first few days to get yourself acclimated to the oxygen level. Another tip: Focus on exercises that are less taxing on your breathing, such as yoga or Pilates.

What Causes Headaches in the First Place?

According to Dr. Ali, there are two types of headaches: primary and secondary. Primary headaches do not have a visible cause but are common, such as migraine and tension-type headaches. Secondary headaches are the result of something else, such as an active sinus infection, ear or dental problems or, in rare cases, even a tumor.

If you suffer from exercise-induced headaches, there are options to help you. Talking with your doctor is the best place to start, as they can prescribe medications to ease your head pain.

Do you experience exercise-induced headaches, migraines or just frequent headaches? Make an appointment with a primary care doctor (or find one if you don’t have one) at henryford.com or by calling 1-800-HENRYFORD.

Dr. Ashhar Ali is a neurologist seeing patients at Henry Ford Hospital in Detroit, Henry Ford West Bloomfield Hospital and Henry Ford Medical Center – Columbus in Novi.

The post 4 Reasons You’re Getting Exercise-Induced Headaches appeared first on Henry Ford - LiveWell.

Despite being the most commonly sexually transmitted infection in the U.S., human papillomavirus (HPV) doesn’t always get a lot of attention outside your doctor’s office.

Recently, however, HPV-related cancers, which typically occur as a result of intimate, skin-to-skin contact (not necessarily through sex), have become more common, prompting health care experts to advocate for a faster uptake in administering the HPV vaccine, Gardasil 9, which until recently was only approved by the FDA for men and women up to age 26.

But as of October 5, 2018, that age range has been increased up to 45, allowing for a larger swath of the population to receive a vaccine that can prevent genital warts and cancers of the cervix, throat/mouth, penis, anus and vulva.

“This change allows a lot more people to have access to this important cancer prevention tool,” says Tamer Ghanem, M.D., Ph.D., an otolaryngologist (ear, nose and throat specialist) and head and neck cancer surgeon at Henry Ford Health System.

If you fall within that age range, the vaccine might be right for you, but it also may not have any effect. The vaccine works to stave off multiple strains of HPV, so if you’ve already been exposed to a certain strain, the vaccine doesn’t make it disappear. (Note: Nearly all sexually active men and women get HPV at some point in their lives, according to the Centers for Disease Control and Prevention. In most cases, the infection goes away on its own and does not turn into cancer.)

Nonetheless, the vaccine can still prevent individuals from being exposed to other strains of HPV—including those that can cause cancer — regardless of his or her age.

Related Topic: The Link Between HPV and Throat Cancer

Doctors typically recommend that boys and girls complete the vaccination (a series of two to three shots, depending on age) starting around 11 or 12, before they’re more likely to become sexually active.

Still, for people well beyond their teen years, the vaccine can add a sense of security and protection as men and women navigate the dating world.

And as rates for HPV-related cancers continue to rise, that sense of protection can be helpful indeed.

For more information on the HPV vaccine or the virus itself, schedule an appointment or find a primary care provider by calling 1-800-HENRYFORD (436-7936) or online at henryford.com.

 Dr. Tamer Ghanem leads the head and neck cancer surgery team at Henry Ford and is a renowned expert in transoral robotic surgery. He sees patients at Henry Ford Hospital in Detroit. The Ear, Nose & Throat team at Henry Ford Hospital was recently ranked 23rd in the nation by U.S. News & World Report on its 2018-19 Best Hospitals list.

The post HPV Vaccine: Now Approved For People Ages 27 to 45 appeared first on Henry Ford - LiveWell.

When it comes to birth control, men and women have more options than ever before. But deciding which type is right for you can be a challenge.

“Decisions around birth control are largely based on personal preference,” says Melina Dendrinos, M.D., an obstetrician-gynecologist at Henry Ford Health System. Some people want hormone-free options. Others only want to prevent pregnancy for a short time. Still others are more concerned about sexually transmitted infections (STIs) than pregnancy prevention.

Breaking Down the Methods of Birth Control

With the growing number of both hormone-free and hormone-based birth control options, you don’t have to avoid sex — or have a vasectomy or tubal ligation — to avoid pregnancy. In fact, with perfect use, many other options provide similar protection against pregnancy.

Here, Dr. Dendrinos highlights popular methods for preventing pregnancy:

Barrier methods

Barrier methods of birth control are true to their name — they literally put a barrier in place to keep the man’s sperm from reaching the woman’s egg. Diaphragms, cervical caps, contraceptive sponges and male and female condoms all fall under this category — and all are effective at preventing pregnancy. However, all of these methods demand advanced planning — for example, making sure you have the contraceptive device ready when you need it. Importantly, if you’re concerned about STIs, condoms are the only barrier method you should use.

Hormonal methods

Hormonal methods of birth control contain a small amount of man-made hormones that work to inhibit the body’s natural cycle to prevent pregnancy. They prevent eggs from being released from the ovaries, thicken cervical mucus to prevent sperm from entering the uterus, and/or thin the lining of the uterus to prevent implantation.

The options for hormonal birth control include pills, patches, rings, injections and implants. Certain intrauterine devices (IUDs) also rely on hormones for contraception. What you choose depends on factors ranging from whether you want to become pregnant in the near future (the pill may be best) to ease of use (an implant offers the longest protection with no daily duty on your part).

• The pill: Within the category of oral contraceptive pills, there are several choices. Most contain a combination of hormones estrogen and progesterone, and some contain only progesterone. The pill is effective but requires daily action on your part. (If you forget to take your pill, you’re going to need a back-up plan.)

• Patches and rings: You replace patches (worn on the belly, upper arm, buttocks or back) weekly. Vaginal rings can be left inside for weeks at a time (you take it out one week a month to menstruate).

• Injections: You’ll need to visit the clinic every three months to get a new injection, but if all goes according to plan, you won’t have a period at all between visits.

• Implants: The implant is a tiny rod that is inserted under the skin of your upper arm by a medical provider and releases the progesterone into your body. It lasts for three years. The downside is that it can cause irregular bleeding.

IUDs: According to the American College of Obstetricians and Gynecologists (ACOG), IUDs should be the first line of defense for women who are trying to avoid pregnancy. An IUD is a small, T-shaped device that is inserted into your uterus and blocks sperm from entering and fertilizing eggs. It needs to be inserted (and removed when the time comes) by a medical provider. They include both the copper PARAGARD®, which is hormone-free, along with hormone-based options, including Mirena®, Skyla®, Kyleena®, and others. Copper IUDs protect for 10 years while hormone-based options offer 3 to 5 years of protection.

Natural family planning: Natural family planning (sometimes called fertility awareness method) includes a mix of temperature taking, assessing cervical mucus and charting changes on a calendar to carefully track your menstrual cycles and times of ovulation, and then either abstaining from sex or using a barrier method during that time period. While it may be the least invasive option of the lot, it’s also the least effective and definitely takes a lot of planning ahead and attention.

Related Topic: Questions You’re Embarrassed to Ask Your Gynecologist (But Should)

Making It Work for You

The best contraception for you depends on your health, lifestyle needs, and reproductive forecast. “If you have high blood pressure, migraine headaches with aura or you are a breast cancer survivor, you may not be a candidate for estrogen-containing options,” says Dr. Dendrinos. If you’re planning to get pregnant in the not-so-distant future, you may want to avoid more long-term birth control such as injections, implants and IUDs. Talk to your doctor about pro’s and cons of the birth control methods you are considering.

No matter which option you choose, keep in mind you can change your mind. You can even avoid pregnancy if your chosen form of birth control fails. Emergency contraception methods, including Plan B One-Step®, Aftera, ella® and others can be used up to 72 hours after unprotected sex.

To discuss your birth control options with a Henry Ford primary care physician or gynecologist, visit henryford.com or call 1-800-HENRYFORD (436-7936) to find a provider or make an appointment today.

For more wellness advice, subscribe to the Henry Ford LiveWell blog to receive a weekly email with our latest posts.

Dr. Melina Dendrinos is a board-certified OB/GYN seeing patients at Henry Ford West Bloomfield Hospital.

The post What’s the Best Birth Control Option for You? appeared first on Henry Ford - LiveWell.

A whopping 1.5 million Americans suffer from fractures due to weak and brittle bones.  Even more concerning, most people don’t realize they’re at risk for osteoporosis until they break a bone.

“Osteoporosis is a silent disease, but its impact can be devastating,” says Sean Drake, M.D., internal medicine physician at Henry Ford Health System. In addition to an increased risk of fracture, osteoporosis can lead to chronic pain, increased risk of falls and difficulty staying on your feet.

Building and Preserving Bone

Although bone loss occurs more rapidly after age 35, you can still preserve bone mass well into your golden years. In fact, according to Drake, the strategies you use in your 20s and 30s to build strong bones are the same ones you’ll use to prevent bone loss as you age.

Here are his top five bone-building suggestions:

1. Adopt a bone-healthy diet: You can’t build and maintain strong bones without adequate calcium and vitamin D. Trouble is, most Americans fall short of these critical nutrients. Vitamin D is particularly challenging because the best source is sunlight exposure – and that’s sorely lacking in Michigan during the winter months. Be sure to load up on vitamin D-fortified foods like dairy milk and orange juice and talk to your doctor about getting your vitamin D levels tested. Calcium is easier to obtain. It’s widely available in everything from fortified grains to leafy greens. If you don’t get enough, your body will leach calcium from your bones to function.

2. Get moving: There’s a reason why athletes have greater bone mineral density than non-athletes. Weight-bearing exercise of any type stresses bones — and they become denser and stronger in response. Even simple activities like walking or doing lunges can strengthen bones, enhance balance and reduce your odds of falling and fracturing something. On the other hand, activities like swimming, surfing, biking and horseback riding are not weight-bearing activities, so they don’t build bone.

3.  Avoid smoking: Smoking’s hit on bone is two-fold: It inhibits your body’s ability to absorb calcium and increases the rate of bone destruction as you age.

4.  Watch your alcohol intake: Consuming alcohol at moderate levels may be slightly bone-protective. But it’s tough to tease out whether the alcohol itself is helping bones or whether people who have low-to-moderate levels of alcohol intake have healthier lifestyles in general. One thing is certain, though: At higher intakes, alcohol has similar effects on bone as smoking — decreasing calcium absorption while increasing bone destruction.

5. Be proactive: Osteoporosis is typically symptom-free until you break something. When women reach age 65, they should get screened (men can wait until they hit 70). Women under age 65 who are postmenopausal, as well as those who have broken a hip or suffered from a fragility fracture should also get screened.

Related Topic: How to Exercise at Every Age

Take Charge of Your Bone Health
If you’ve been diagnosed with osteoporosis, there are a host of things you can do to protect yourself from fractures and breaks. In fact, there’s a whole class of drugs doctors can prescribe to help you build bone. While there’s no cure for osteoporosis, medications and lifestyle changes can help preserve your skeleton.

“It’s important to know what your risk factors are,” says Drake. “If you have a family history of osteoporosis, a petite frame, or you’ve been taking steroid medications for several years, you have a higher risk of developing bone disease and should talk to your doctor about getting screened sooner.”

To make an appointment with a Henry Ford doctor or dietitian to discuss your bone health, visit henryford.com or call 1-800-HENRYFORD (436-7936).

For more information about how to preserve your health, subscribe to receive a weekly email with our latest posts.

Dr. Sean Drake is an internal medicine physician seeing patients at Henry Ford Medical Center – Sterling Heights.

The post Preventing Osteoporosis: 5 Tips for Bone Health appeared first on Henry Ford - LiveWell.

Whether it’s a harlequin romance, a detergent commercial or a standup comedy routine, our culture loves to generalize about the differences between men and women. But in some respects, when it comes to health and wellness, men and women often face similar issues. Still, many forget that conditions commonly thought of as “women’s diseases,” like breast cancer and lupus for example, can affect men too.

While the following conditions may be rarer in men than women, their impact tends to be more devastating in men, making them that much more vital to bring up during a wellness visit. Here are four conditions that men shouldn’t overlook or be afraid to ask about during their next checkup:

Autoimmune disease: Fact: Autoimmune conditions like celiac disease, rheumatoid arthritis (RA), lupus or Hashimoto’s thyroiditis disproportionately affect women. But that doesn’t mean men are unaffected. “Autoimmune diseases often present differently in men, so symptoms are different and they’re often ignored,” says Sean Drake, M.D., an internal medicine physician at Henry Ford Health System. Plus, since symptoms tend to be vague (and in some cases inconsistent) men may chalk them up to run-of-the-mill aches and pains.

Who should get checked: If you’re consistently tired, achy, or just feel out of sorts, get checked out. Men who have a family history of autoimmune disease, including Type 1 diabetes, lupus and RA, should ask their doctors what they can do to protect themselves.

Osteoporosis: Men and women both lose about 0.5 percent of bone mass each year after age 50. After menopause, when bone-protecting hormones like estrogen and progesterone drop, women lose bone even more rapidly. But that doesn’t mean men are immune to dramatic bone loss. Many medications, including steroids, proton pump inhibitors prescribed for reflux, and selective serotonin reuptake inhibitors (SSRIs) that treat depression can impact bones in negative ways.

Who should get checked: If you take medication that can negatively impact your bones, or if you’ve suffered a fracture as the result of bone loss, work with your doctor to create a game plan to counteract the damage.

Breast cancer: While breast cancer is 70 to 100 times less common among men, the disease still strikes more than 2,500 American men each year. What’s worse, most of these men won’t catch their cancer until it reaches the later stages. “Since breast cancer in men is so rare, it doesn’t make sense to screen the entire male general population for the disease,” says Dr. Drake.

Who should get checked: Men who have a strong family history of breast cancer, genetic mutations or conditions that are linked to breast cancer (including BRCA1 and BRCA2 and Klinefelter syndrome) or whose chests have been treated with radiation should talk to their doctors about whether screening is appropriate.

Yeast infections: “Jock itch,” is the male version of a yeast infection. Men who are overweight, obese and those who get hot and sweaty but don’t shower or bathe after exercise are more likely to get yeast infections. Penile yeast infections can also happen, and they’re more common among men who aren’t circumcised. Left untreated, a penile yeast infection can lead to a host of uncomfortable and embarrassing symptoms.

Who should get checked: If you have redness, itchiness and pain in or around your nether regions, get checked. Men who have been on long courses of antibiotics and those who have diabetes are at higher risk of developing yeast infections. If you fall into this category, check with your doctor about proactive ways to prevent yeast infections.

Take Charge of Men’s Health

Men should have annual health exams with their primary care doctors beginning in their 20s. That establishes a relationship with your physician and helps prevent health problems before they arise.

“It’s important to get a routine physical when you’re feeling good,” says Dr. Drake. “Not only will that help you identify risk factors for different conditions, but it also ensures you know where to turn when you don’t feel well or begin experiencing troublesome symptoms.”

Related Topic: 7 Important Screenings Every Man Should Get

No matter what your gender, age or risk factors, tell your doctor if you notice any changes in your health or day-to-day functioning.

To find a primary care doctor at Henry Ford, visit henryford.com or call 1-800-HENRYFORD (436-7936).

Check out our other latest articles eating right, staying fit and living well, subscribe to receive a weekly email with our latest posts.

Dr. Sean Drake is an internal medicine physician seeing patients at Henry Ford Medical Center – Sterling Heights.

The post 4 Women’s Health Conditions That Affect Men Too appeared first on Henry Ford - LiveWell.

At some point, you might have looked in the mirror, inspected your tongue and noticed changes in color, texture or coating. But have you ever thought about examining your tongue for a glimpse into your overall health and well-being? Since ancient times, Chinese medical practitioners have looked at patients’ tongues to diagnose disease.

“The tongue provides information about every system in the body,” says Ryan Gauthier, DAOM, RAc, LMT, a doctor of acupuncture and oriental medicine with Henry Ford’s Center for Integrative Medicine. Whether you’re suffering from digestive symptoms, stress or challenges with fertility, features on your tongue can offer clues to help identify the root cause of conditions throughout your body.

Getting Under the Tongue

So what do changes in your tongue’s appearance mean? A qualified practitioner can help decode what you see in the mirror. Here, Dr. Gauthier explains what he looks for when he peers into a patient’s mouth.

Q: Why do you view patients’ tongues as part of your practice?

A: I use the tongue to gather information about a patient’s health and well-being. It’s a way to get clues about what’s going on in your body before it erupts. Take digestion as an example: The tongue can reveal an imbalance in the digestive system, although it doesn’t lead to a specific diagnosis, like irritable bowel syndrome or Crohn’s disease. It gives us a starting point for asking the patient the right questions, like, “Are you having any changes in bowel movements or appetite? ” Once we know what part of the body is affected, we use it as a starting point to select acupuncture points and herbal prescriptions to balance that system, or recommend a patient see their primary care doctor or a specialist.

Q: Are there certain signs that people can look for that indicate imbalance?

A: Yes. If you notice changes in your tongue’s body, color, coating, or if it becomes unusually moist or dry, check with your acupuncturist or your doctor. The use of tongue diagnosis is very individual to each patient. In general, if your tongue has the combination of being overly wet, pale and there’s a little bit of a quiver, that may indicate you’re coming down with a cold.

Q: What other insight does the tongue provide?

A: The tongue is just one area of the whole body that helps Chinese medical practitioners put the pieces of the puzzle together. It can offer clues about emotional and mental well-being, even in someone who is physically healthy. For example, if the tongue appears greasy, it may indicate that someone worries and overthinks, or it could mean that they’re eating a lot of processed foods. These are just some of the things that could come up during a tongue exam that can help boost your overall health — and you don’t have to be sick for it to show up.

Q: Do other regions of the body offer similar information?

A: Before lab tests were developed, doctors looked to the eyes, skin, tongue, pulse and other areas of the body for insight into a patient’s health. For eyes, they might assess whether they’re red, clear, dry, moist, and what areas of the eye these show up in. For skin, they might look for changes in color, moisture and texture. Even the way a person walks and talks can offer clues about their overall health and well-being.

Related Topic: What Do Your Body’s Odors Say About Your Health?

Getting a Big Picture View

It’s important to look at the big picture when it comes to your health. Chinese medicine and complementary therapies can work alongside Western medicine. Each type of practice can inform the others and ultimately result in better outcomes for patients.

“If anything is out of the ordinary, it’s our job as practitioners to figure out why,” says Dr. Gauthier. “Looking at the body as a whole and then honing in on specific areas, such as the tongue, can help us spot a problem before it manifests and allows us to better diagnosis and treat the patient after they are already having symptoms.”

Just be forewarned: If you want your doctor or acupuncturist to get a window into your health through your tongue, don’t scrape it, brush it, eat colored candy or drink coffee before your visit. All of those actions can make tongue diagnosis a challenge, if not an impossibility.

Make an appointment with the Henry Ford Center for Integrative Medicine, which offers acupuncture, chiropractic care, therapeutic massage and functional medicine in support of one’s total health and wellness. Request an appointment online or by calling (248) 380-6201.

You can also read more health advice in our FeelWell section, so subscribe to get all the latest tips.

Dr. Ryan Gauthier specializes in acupuncture and oriental medicine, practicing at Henry Ford Medical Center – Novi, Henry Ford Medical Center – Cottage (in Grosse Pointe Farms) and the Henry Ford QuickCare Clinic on Woodward in Detroit.

The post Q & A: What Does Your Tongue Say About Your Health? appeared first on Henry Ford - LiveWell.

The holidays are upon us! Between visiting with family and friends, holiday feasts, shoveling snow, and all those sales at the mall, make sure that you are taking time to keep your heart healthy.

Why Are Heart Problems More Common During the Holidays?

There are many factors that affect the increase in heart attacks, strokes, atrial fibrillation (or afib), heart failure (CHF) and other heart-related conditions around this time of year. In fact, the American Heart Association found that heart-related mortality is at an all-time high during the holiday season. Akshay Khandelwal, M.D., an interventional cardiologist with Henry Ford Health System, shares the most common contributors:

1. Stress: Did you prepare enough food? When will you find time to clean? Are you ready to entertain friends and family? No matter what your plans are for the holidays, there will always be a least a few stressful moments. Emotions can reach an all-time high – especially if you are dealing with family issues, financial pressures or adjusting to changes after a birth or death. Learning how to relax yourself can lower your blood pressure, slow your heart rate and relax tense muscles.

The solution: Take some deep breaths. If you know you will be stressed shopping or preparing for a party, plan ahead so you have less to worry about the day of. Make sure to get plenty of sleep, focus on eating healthy and take time to exercise so you are ready to take on the year-end celebrations. If you find yourself stressing about more serious life issues, talk with your doctor.

2. Overexertion: It can be easy to overwork yourself by running around to stores, trying to keep up with plans, putting up decorations and even shoveling snow. Being active and working out is good for your heart, but the combination of doing too much and the cold weather can put extra strain on your heart.

The solution: Try delegating tasks to others, or don’t be afraid to ask for some extra help. You could ask relatives and friends to bring dishes to a holiday get-together so it’s less work for you. Be aware of your schedule and don’t pack these next couple weeks with too many plans. It’s okay to turn down invites – especially for relaxing nights in – or to take tasks off your own to-do list if they’re not truly necessary.

“If you’re not used to physical exertion, be careful shoveling snow,” warns Dr. Khandelwal. “You’re likely to be unaware of just how much you’re exerting yourself with the cold temperatures and multiple layers – putting yourself at risk for a heart attack.”

3. Overeating unhealthy foods: Holidays are all about the food. It is easy to forget about serving size when you want to try everything. “The problem is many common holiday foods are high in salt, saturated fat or sugar,” says Dr. Khandelwal. “This can increase your blood pressure, blood sugar and cholesterol levels.” Over time, this can lead to diabetes and heart disease. Additionally, when your body tries to digest a large amount of food, it overworks your system and increases your heart rate.

The solution: Try bringing a healthy side dish (like a salad or a modified version of a classic) to your next get-together. Remember serving sizes next time you grab your plate for holiday dinner. Keep your plate mostly protein and veggies, and eat slowly to give your body time to digest. If you can’t pass over a favorite dish, only take a small serving.

4. Excessive alcohol consumption: While a glass of red wine here and there can be beneficial to your heart, too many drinks can cause the heart to beat irregularly. Alcohol can weaken heart muscles and cause more pressure on the heart. “‘Holiday Heart Syndrome’ is a term used to describe the increase in arrhythmias such as atrial fibrillation or other irregular heart rhythms that doctors see around the holidays – typically from drinking too much alcohol,” says Dr. Khandelwal.

The solution: Limit the number of drinks you consume. It can be easy to drink more than you usually would in social situations, but that is no excuse for not keeping your control. Try only drinking alcohol with a meal as opposed to just casually having a drink in your hand all night. Or switch up every other drink with a glass of water or sparkling water.

How to Respond to and Prevent Holiday-Related Heart Problems

When faced with any of the above factors, make sure you are aware of how your actions might affect your heart. Don’t be so quick to dismiss chest pain as heartburn because it might be a heart attack. Symptoms include:

• Chest pain or tightness
• Excessive fatigue
• Pain in arms, jaw or neck
• Dizziness or a headache
• Nausea or vomiting

“Be aware of other cardiac symptoms such as palpitations/irregular heartbeats, shortness of breath, leg swelling, early fatigue and sudden loss of consciousness,” says Dr. Khandelwal.

It’s also a good idea to take steps to protect your heart well before the holidays arrive. Make sure to get regular checkups and know your numbers, like blood pressure, cholesterol, blood sugar, body mass index (BMI) and waist circumference, to help you understand your heart risk.

Being more aware of your heart health and more careful about the choices you make during the holiday season can be truly lifesaving.

If you are experiencing a heart issue, call 911 or visit your nearest emergency room.

How healthy is your heart? Take the heart risk quiz to find out. Then, schedule an appointment with your primary care provider or find a heart expert at henryford.com or by calling 1-800-HENRYFORD (436-7936).

Dr. Akshay Khandelwal is an interventional cardiologist and the President of the American College of Cardiology Michigan Chapter. He sees patients at Henry Ford Hospital.

The post 4 Reasons Why the Holidays Are Hard on Your Heart appeared first on Henry Ford - LiveWell.

Every year, millions of Americans come down with the flu. And every year, hundreds of thousands of people are hospitalized as a result of the virus, ranging from around 140,000 to as high as 959,000– as was the case during the 2017-2018 flu season, which saw the highest rate of influenza deaths in the U.S. in the past 40 years.

So what can you expect for flu season 2018-2019? That depends on a variety of factors—especially the efficiency of this year’s vaccine.

“There are always new strains of influenza developing around the world,” says Sean Drake, M.D., an internal medicine doctor with Henry Ford Health System. “Every year, vaccine manufacturers make their best guess as to which strains to target, and some years are more effective matches than others.”

Regardless of how well this year’s vaccine keeps the flu at bay, your best bet for protecting yourself and your loved ones from influenza is to get a flu shot.

“Ideally, you’ll have already gotten your flu shot in October,” Drake says. “But if you haven’t gotten it yet, get it now.”

Before you get your annual dose, however, here are a few FAQs about influenza and the flu vaccine.

Influenza FAQs

Q: Who should get a flu shot?

A: The Centers for Disease Control and Prevention recommends everyone six months of age or older receive a flu shot. People 65 and older are at higher risk for serious complications from the flu, so it’s recommended that they receive a high-dose vaccine.

Q: Should I get the high-dose vaccine if I’m under 65 years old?

A: If you’re under 65 years old, you can ask to receive the high-dose vaccine, but its potential risks and benefits haven’t been well studied. Typically, a standard dose flu shot will suffice for a younger person. Senior citizens receive the high-dose vaccine because their immune systems are weaker and the higher dose allows their bodies to produce a stronger immune response.

Q: If I get a dose of the flu vaccine early in the year, and another dose later, will it be more effective?

A: There’s currently no definitive evidence that a second dose will protect you from the flu any better than a single dose will. If you receive the shot in October, its effects will typically last until March or April. However, for children ages six months through eight years, the Advisory Committee on Immunization Practices (ACIP) recommends two doses since their immune systems have had less time to be exposed to the influenza virus.

Q: Is this year’s flu season expected to be mild or severe?

A: As of early December 2018, flu activity was low overall but increasing in the United States. You can keep tabs on the CDC’s flu season data here.

Q: What’s the difference between influenza and the stomach flu? What about the common cold?

A: People often confuse influenza—commonly referred to as ‘the flu’—with the stomach flu. Influenza is the seasonal flu and typically includes symptoms like fever, aches, chills, cough and a headache. The stomach flu typically includes symptoms like vomiting, nausea and diarrhea.

Like influenza, the common cold can also come with a fever or a headache, but more typical symptoms include a cough, runny nose and a sore throat. And unlike influenza, which hits suddenly, the common cold affects people more gradually.

Regardless of whether you think you have the flu or the common cold, Dr. Drake recommends to monitor your symptoms as closely as possible, and remember that if caught early, the flu can be treated easily with several medications. “If it is the flu, getting seen within the first 48 hours is key to receiving antiviral therapy,” Dr. Drake says. “Beyond the first 48 hours, the antiviral therapy is not proven to be helpful at which point we talk about symptom control.”

Hopefully, of course, a flu shot will prevent those symptoms from showing up at all.

Need a flu shot? Henry Ford Health System offers walk-in flu shots at these locations. Also, if you or your child is sick, check out our many convenient same-day care options at henryford.com/sameday.

Dr. Sean Drake is an internal medicine physician seeing patients at Henry Ford Medical Center – Sterling Heights.

The post Naughty or Nice? What To Expect For Flu Season 2018-2019 appeared first on Henry Ford - LiveWell.

The term “adrenal fatigue” has received a lot of air time in recent years, especially in health and fitness circles. People cite adrenal fatigue for everything from low energy to brain fog.

While your adrenal glands play several key roles in keeping your body functioning optimally, according to Jessica Shill, M.D., an endocrinologist at Henry Ford Health System, they don’t tucker out — even under stressful conditions.   

FAQ: Adrenal Fatigue

Is the concept of adrenal fatigue all a big myth? Read on for Shill’s answers to frequently asked questions about this mystifying term:

Q: What is adrenal fatigue?

 A: People use the term adrenal fatigue to describe a group of symptoms — difficulty falling asleep or waking up, low energy, sugar and salt cravings and needing caffeine to get through the day — that occur as a result of long-term mental, emotional or physical stress.

Q: Is adrenal fatigue a real condition?

A: Adrenal fatigue is NOT a diagnosis that’s recognized by the medical community. There are no scientific facts to support the idea that long-term stress will drain the adrenal glands to the point where they’re not functional. Instead, when faced with more stress, the adrenals rise to the challenge and pump out more stress hormones. That chronic stress may have downstream effects, but it won’t affect the adrenals’ ability to function.

Q: What role do the adrenal glands play in the body?

A: Our adrenal glands are small, nickel-sized organs that sit above the kidneys. Their main role is to manage stress by producing hormones like the “stress hormone” cortisol. Proponents of adrenal fatigue theory say that when people deal with stress for long periods of time, their adrenal glands become overtaxed and can’t keep up with the body’s need for these hormones. That’s when adrenal fatigue sets in, but again, this is not a medically recognized condition.

Q: How can I best support my adrenal glands?

A: You don’t need to do anything special to keep your adrenals healthy. That said, eating a diet rich in fruits, vegetables and whole grains, getting plenty of exercise and avoiding tobacco[  and excessive drinking can help keep all the organs in your body humming.

Q: What is the difference between adrenal fatigue and adrenal insufficiency?

A: Unlike adrenal fatigue, adrenal insufficiency is a real condition recognized by the medical community. The autoimmune form of the condition occurs when your immune system incorrectly attacks the part of the adrenal glands that produce the stress hormones cortisol and aldosterone. The end result: You aren’t able to produce enough of these hormones. Another form of adrenal insufficiency occurs among people who have to take long courses of high-dose steroids to manage other health conditions.

Symptoms of both types of adrenal insufficiency include weakness, fatigue, dizziness, nausea, vomiting, poor appetite, confusion and even death.

Q: How do doctors manage adrenal insufficiency?

A: Doctors can determine whether or not you have adrenal insufficiency with blood testing. If confirmed, your doctor will prescribe medication to replace the hormones your adrenals would normally make.

Q: What are the drawbacks of an “adrenal fatigue” diagnosis?

A: The concern is that patients who are told they have adrenal fatigue diagnosis will take supplements that may actually do more harm than good. They may even damage the adrenal glands. Since there’s no governing body that regulates the supplement industry, there’s no guarantee that a supplement contains the ingredients it claims, and may even cause harm. What’s worse, an adrenal fatigue diagnosis may prevent you from uncovering the real cause of your symptoms, including adrenal insufficiency.

Related Topic: 10 Unexpected Reasons for Your Fatigue

Adrenal Safety

Symptoms associated with adrenal fatigue are remarkably common. Conditions from thyroid disease to pregnancy can cause symptoms such as low energy, exhaustion and odd cravings. To get to the bottom of these symptoms, it’s important to reject adrenal fatigue as a final diagnosis.

“If you feel tired, weak, depressed and low on energy, it’s important to get a complete evaluation from your physician,” says Dr. Shill. “Anemia, sleep apnea, thyroid disease and depression all produce similar symptoms. In order to effectively treat your symptoms, we have to get to the bottom of your condition.”

Related Topic: 5 Surprising Things That Affect Your Thyroid Medication

Struggling with symptoms that don’t make sense? Visit your primary care doctor first to determine whether you need to see a specialist. To find a doctor at Henry Ford or make an appointment, visit henryford.com or call 1-800-HENRYFORD (436-7936).

Dr. Jessica Shill is an endocrinologist who sees patients at Henry Ford Medical Center – New Center One in midtown Detroit. 

The post Adrenal Fatigue: Your Questions Answered appeared first on Henry Ford - LiveWell.