Do You Have “White Coat Hypertension?

Doctor taking patient's blood pressure

Does the thought of having a physician take your blood pressure make you nervous? Anxiety over going to the doctor’s office can lead to an elevation in your blood pressure; a condition known as “white coat hypertension.”

White coat hypertension is a real condition that occurs when blood pressure readings at your doctor’s office are higher than they are in other settings, such as your home. The term white coat refers to the traditional white lab coat health care professionals wear in clinical settings.

The underlying cause of white coat hypertension is believed to be tension and stress associated with being examined by a physician. Not much attention was given to this condition since the blood pressure of patients returned to normal levels when taken in the home environment, where they feel more relaxed. Recent studies however have proven that people with white coat hypertension are twice as likely to develop true hypertension within a decade, compared to people with normal blood pressure levels.

How do you know if you have white coat hypertension and what should you do if you have it? The first step is for your doctor to have you monitor your blood pressure at home to see if it returns to normal levels. If it does, together, you and your doctor can decide whether to treat it or not. On one hand, if your blood pressure is normal during the rest of the day, taking blood pressure medications can lead to hypotension (low blood pressure). On the other hand, people with white coat hypertension might have elevated blood pressure during other stressful parts of the day. Many factors, such as age, family history, and the existence of other conditions will help the doctor make the right decision for you.

There are things that you can do to reduce your anxiety and stress before having your blood pressure checked by a health care professional. First, avoid drinking excessive amounts of water before checking your blood pressure because water can increase your reading. Also, do not participate in any physical activity before having your blood pressure taken. Excessive physical exertion will raise blood pressure. Lastly, avoid stressful situations and remain calm leading up to and during your visit to the doctor’s office.

If you think you have hypertension, make an appointment with your doctor immediately. If you do not have a primary care physician, call Flushing Hospital Medical Center’s Ambulatory Care Center at 718-670- 5486 to schedule an appointment.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Preeclampsia Awareness Month

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Preeclampsia Awareness Month is a nationally recognized health observance that presents an opportunity to offer education to help increase awareness of this life-threatening disorder.

Preeclampsia occurs in eight percent of all pregnancies.  Formerly called toxemia, preeclampsia is a condition that is marked by high blood pressure in pregnant women that have previously not experienced high blood pressure.  Symptoms of preeclampsia include high levels of protein found in their urine and they may have swelling in the feet, legs and hands.  Preeclampsia appears late in the pregnancy, generally after the 20 week mark, although, in some cases, it can appear earlier.

If left undiagnosed and untreated, preeclampsia can become a more serious condition called eclampsia, which can put the expectant mother and baby at risk.

There is no cure for preeclampsia, but when it is caught in its early stages, it is easier to manage.

If you are pregnant and would like to make an appointment at Flushing Hospital Medical Center’s Women’s Health Center, call 718-670-5486, for an appointment.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Is High Blood Pressure Affecting your Kidneys?

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High blood pressure is the second leading cause of kidney failure in the United States after diabetes.

High blood pressure, also known as Hypertension, can damage blood vessels in the kidneys, reducing their ability to work properly. When the force of blood flow is high, blood vessels stretch so blood flows more easily. Eventually, this stretching scars and weakens blood vessels throughout the body, including those in the kidneys.

If the kidneys’ blood vessels are damaged, they may stop removing wastes and extra fluid from the body. Extra fluid in the blood vessels may then raise blood pressure even more, creating a dangerous cycle.

Most people with high blood pressure do not have symptoms. In rare cases, high blood pressure can cause headaches.

Kidney disease also does not have symptoms during its early stages. A person may have swelling called edema, which happens when the kidneys cannot get rid of extra fluid and salt. Edema can occur in the legs, feet, or ankles and less often in the hands or face.

Once kidney function decreases further, symptoms can include:

  • Appetite loss
  • Nausea
  • Vomiting
  • Drowsiness or feeling tired
  • Trouble concentrating
  • Sleep problems
  • Increased or decreased urination
  • Generalized itching or numbness
  • Dry skin
  • Headaches
  • Weight loss
  • Darkened skin
  • Muscle cramps
  • Shortness of breath
  • Chest pain

Following a healthy eating plan can help lower blood pressure.  Your health care provider may recommend a dietary approach that includes foods that are low in fat and cholesterol, dairy that is fat-free or low-fat, fish, poultry and nuts, as well as, consuming less read meat, sweets and added sugars.

If you are experiencing symptoms and would like to speak with a physician, please call Flushing Hospital Medical Center’s Ambulatory Care Center at 718-670-5795.

 

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Take a Break

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Studies have shown that taking regular breaks during the work day can improve productivity and mental acuity, reduce fatigue, relieve joint or muscle pain, and increase overall alertness.

Chronic stress from over working can put a strain on your body and put you at risk for poor health. Taking a break can give your body the chance to turn off the stress so that you can recuperate and repair.

Research has shown that people on a break feel healthier, have less physical complaints and could have a reduction in cholesterol levels on their return.

Some other benefits of taking a break or vacation are:

  • Vitamin D – The Sun is rich in Vitamin D which is essential for maintaining healthy bones and keeping the immune systems and nervous system functioning normally.
  • Relaxing – Taking time to relax on a break from working has powerful benefits for adults. It can be as important as sleep.

Break time shrinks stress – Time away from work helps shrink stress and anxiety while boosting mental and physical health.

Keep in mind that regularly scheduled breaks should be approved by your supervisor.

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Benefit of the Annual Physical

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The greatest benefit of an annual physical is knowledge for both you and your physician.  An annual visit establishes a baseline for your personal health.  Armed with this information, your doctor can detect unhealthy trends before they become risk factors.

Nearly one third of the population with a chronic disease is unaware that they have the disease.  According to the Partnership to Fight Chronic Disease, as many as 100,000 lives could be saved each year by increasing preventive care services.

Health screenings, such as blood glucose and blood pressure tests can easily detect the two most chronic conditions, diabetes and hypertension before they cause serious health issues.  The Centers for Disease Control cites that seven out of every 10 deaths are caused by chronic disease.  Proper management of these conditions can prevent unnecessary hospitalization.

In order to get the most out of your annual physical, take a moment to prepare:

  • Make a list of your health concerns
  • Make a list of all the medications you are taking
  • Get a copy of your medical records and your family medical history

Dozens of Patient Care Specialists, on staff at Flushing Hospital Medical Center, are ready to provide you with your annual check-up.

Flushing Hospital is a certified Patient Centered Medical Home (PCMH) in its Ambulatory Care Center. The Center offers more than 50 outpatient general and specialty services for children adolescents and adults.

Flushing Hospital’s ambulatory care services accepts most major insurances, is centrally located and has convenient patient hours.  Call 718-670-5486 to schedule an appointment.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

How Does Obesity Effect Your Circulation?

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New York now has the 12th lowest adult obesity rate in the nation, according to The State of Obesity: Better Policies for a Healthier America. New York’s adult obesity rate is currently 27.0 percent. Although the percentages are slightly decreasing, obesity can be the cause of life-threatening health issues for many. The most common health-related issues caused by obesity are hypertension, diabetes and heart disease but, obesity can also lead to poor circulation which can cause blood clots.

The most common symptoms of poor circulation include: tingling, numbness, throbbing or stinging pain in limbs and muscle cramps. Your body’s circulation system is responsible for sending blood, oxygen, and nutrients throughout your body. When blood flow to a specific part of your body is reduced, you may experience the symptoms of poor circulation. As a result of poor circulation blood clots will form in your body. Poor circulation is most common in your extremities, such as your legs and arms.

Blood clots can develop for a variety of reasons, and they can be dangerous. If a blood clot in your leg breaks away, it can pass through other parts of your body, including your heart or lungs. When this happens, the results may be serious, even deadly. If discovered early, a blood clot can often be treated successfully.

Discuss symptoms of poor circulation with your doctor. If you’re experiencing uncomfortable symptoms, they may be the sign of an underlying health condition. Other untreated conditions can lead to serious complications. Your doctor will work to determine the cause of your poor circulation and treat the underlying issue.

The journey to improved health begins with an improved diet. Here at Jamaica Hospital, the Nutrition Department offers outpatient services at our Ambulatory Care Center as well as many of our MediSys Family Care Centers, located throughout the communities we serve. To make an appointment, please call 718-206-7001.

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Are post-menopausal women at risk for developing hypertension?

hypertension-87650188Women expect their bodies to undergo several changes during menopause but it is also important for them to know about one of the major changes they may encounter post -menopause. This is a change in their cardiovascular health.  As the production of the hormone estrogen decreases, their risk for developing diseases such as hypertension can increase.

Estrogen plays a vital role in maintaining cardiovascular health. It helps with keeping blood vessels dilated, reducing sensitivity to sodium, producing collagen which keeps the walls of blood vessels flexible and reducing levels of endothelin (peptides that constrict blood vessels)- all of which are essential factors in normalizing blood pressure.

A declination in estrogen levels during menopause can also contribute to weight gain.  Being overweight or obese increases the probability of developing hypertension.

There are preventative measures post-menopausal women can take to reduce their risk of getting hypertension. Living a healthy lifestyle, which includes exercising regularly and eating a balanced has been effective in controlling and lowering blood pressure in most women.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

What is White Coat Hypertension?

WhiteCoatDoes the thought of having a physician take your blood pressure make you nervous? Anxiety over going to the doctor’s office can lead to an elevation in your blood pressure; a condition known as “white coat hypertension.”

White coat hypertension is a real condition that occurs when blood pressure readings at your doctor’s office are higher than they are in other settings, such as your home. The term white coat refers to the traditional white lab coat health care professionals wear in clinical settings.

The underlying cause of white coat hypertension is believed to be tension and stress associated with being examined by a physician. Not much attention was given to this condition since the blood pressure of patients returned to normal levels when taken in the home environment, where they feel more relaxed. Recent studies however have proven that people with white coat hypertension are twice as likely to develop true hypertension within a decade, compared to people with normal blood pressure levels.

How do you know if you have white coat hypertension and what should you do if you have it? The first step is for your doctor to have you monitor your blood pressure at home to see if it returns to normal levels. If it does, together, you and your doctor can decide whether to treat it or not. On one hand, if your blood pressure is normal during the rest of the day, taking blood pressure medications can lead to hypotension (low blood pressure). On the other hand, people with white coat hypertension might have elevated blood pressure during other stressful parts of the day. Many factors, such as age, family history, and the existence of other conditions will help the doctor make the right decision for you.

There are things that you can do to reduce your anxiety and stress before having your blood pressure checked by a health care professional. First, avoid drinking excessive amounts of water before checking your blood pressure because water can increase your reading. Also, do not participate in any physical activity before having your blood pressure taken. Excessive physical exertion will raise blood pressure. Lastly, avoid stressful situations and remain calm leading up to and during your visit to the doctor’s office.

If you think you have hypertension, make an appointment with your doctor immediately. If you do not have a primary care physician, call Flushing Hospital Medical Center’s Ambulatory Care Center at 178-670-5486 to schedule an appointment.

Join us on Facebook.com/FlushingHospital or follow us on Twitter @FHMC_NYC for more tips on fitness and health.

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Can Hypertension Lead to Dental Problems?

Managing your high blood pressure with the appropriate medications is very important for your overall health, but sometimes those medications can negatively affect your dental health.

Often, medications that are used to treat hypertension can have side effects in the oral environment. Some of these medications can reduce the amount of saliva you produce, causing xerostomia, or dry mouth. Without the proper amount of saliva, the mouth can become irritated and inflamed. Dry mouth can also increase the risk of developing infection, gum disease, and the development of plaque, and therefore cavities.

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Gum swelling or gingival overgrowth is another possible side-effect of medications used to treat high blood pressure. Gingival overgrowth occurs when gum tissue becomes so swollen that it begins to grow over the teeth. Swollen gum tissue creates a favorable environment for bacteria because plaque can easily get trapped underneath the gums, making it hard to brush and maintain good oral hygiene.

It is import to inform your dentist about any health conditions you have, and the medications you are taking. Good oral hygiene and more frequent visits to the dentist can help lower your chances of developing complications.

Flushing Hospital Medical Center’s Dental Department provides preventive dentistry programs to school children, as well as adults and seniors. Oral cancer screening programs are also frequently performed at all our community health fairs. For more information or to schedule an appointment, please call 718-670-5521.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

What is White Coat Hypertension?

WhiteCoat-207x300Does the thought of having a physician take your blood pressure make you nervous? Anxiety over going to the doctor’s office can lead to an elevation in your blood pressure; a condition known as “white coat hypertension.”

White coat hypertension is a real condition that occurs when blood pressure readings at your doctor’s office are higher than they are in other settings, such as your home. The term white coat refers to the traditional white lab coat health care professionals wear in clinical settings.

The underlying cause of white coat hypertension is believed to be tension and stress associated with being examined by a physician. Not much attention was given to this condition since the blood pressure of patients returned to normal levels when taken in the home environment, where they feel more relaxed. Recent studies however have proven that people with white coat hypertension are twice as likely to develop true hypertension within a decade, compared to people with normal blood pressure levels.

How do you know if you have white coat hypertension and what should you do if you have it? The first step is for your doctor to have you monitor your blood pressure at home to see if it returns to normal levels. If it does, together, you and your doctor can decide whether to treat it or not. On one hand, if your blood pressure is normal during the rest of the day, taking blood pressure medications can lead to hypotension (low blood pressure). On the other hand, people with white coat hypertension might have elevated blood pressure during other stressful parts of the day. Many factors, such as age, family history, and the existence of other conditions will help the doctor make the right decision for you.

There are things that you can do to reduce your anxiety and stress before having your blood pressure checked by a health care professional. First, avoid drinking excessive amounts of water before checking your blood pressure because water can increase your reading. Also, do not participate in any physical activity before having your blood pressure taken. Excessive physical exertion will raise blood pressure. Lastly, avoid stressful situations and remain calm leading up to and during your visit to the doctor’s office.

If you think you have hypertension, make an appointment with your doctor immediately. If you do not have a primary care physician, call Flushing Hospital’s Ambulatory Care Center at 718-670-5486 to schedule an appointment.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.