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Tuesday, November 28, 2023
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Published every 5 years by the U.S. Departments of Agriculture and Health and Human Services for public health professionals, the government's Dietary Guidelines for Americans reflects the current body of nutrition science. The recommendations help Americans make healthy dietary choices and help shape nutrition policies and programs like school lunches and food benefits for mothers and children.

Sugar and Salt

The biggest changes are that cholesterol counting is not as important, while there is now a recommended limit on added sugar, which should make up no more than 10 percent of your daily calories. In keeping with the last guidelines issued in 2010, the government still advises people to eat less than 10 percent of their calories from saturated fat and less than 2,300 mg of sodium (salt) every day.

In addition to providing a cap on added sugar, the guidelines also include a chart of where Americans get most of their added sugars. The  term "sugar-sweetened beverages" is broken down into easily identifiable terms like soft drinks, sports and energy drinks and sweetened "fruit drinks."

Saturated fat

The committee’s report contained specific warnings to reduce red meat and processed meat consumption. Lower intakes of meats, including processed meats; processed poultry; sugar-sweetened foods, particularly beverages; and refined grains have often been identified as characteristics of healthy eating patterns.

For more information on the government's new 2015 dietary guidelines, visit http://health.gov/dietaryguidelines/

During the holiday season when we are surrounded by delicious treats and meals with friends, family and co-workers it's easy to over indulge and add on extra pounds. So what's the problem with putting on some extra weight over the holidays when you can take it off in the new year? According to the National Institutes of Health, the pounds most Americans put on over the Holidays are not so easily taken off and actually accumulate year over year, contributing the obesity.

The best strategy is to avoid putting on the extra pounds in the first place. Here are some tips for keeping the calories under control.

1. Watch the portions. The good news is that you should be able to can the food you want, the key is how much you consume.

2. Don't go to holiday gatherings hungry. Having a nutritious and fulfilling snack ahead of time will make it easier to resist over eating and control your portions.

3. Drink water instead of high calorie drinks. Those holiday cocktails don't just contain lots of calories themselves, they can also stimulate your appetite and make you lose track of how much you have eaten.

4. Offer healthy snacks. If you're contributing to the holiday menu consider offering healthy alternatives like fruits and vegetables and low calorie dips.

5. Focus on the real meaning of the season. The reality is most holiday gatherings are centered around food. By focusing your attention on friends and family, you can take pleasure in good conversation.

 

Wednesday, 11 November 2015 18:58

The Facts About Tinnitus

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If you regularly experience the sensation of ringing or whistling sounds in your ears you have a very common condition called tinnitus. Tinnitus affects approximately 50 million Americans and for most people it is just an annoyance and not a serious problem. However, for some tinnitus can cause problems like sleeplessness and difficulty concentrating.

The Causes of Tinnitus

While tinnitus is sometimes associated with loss of hearing, many people with tinnitus experience no hearing loss and some may even become more sensitive to sound.

The most common cause of tinnitus is hearing that has been damaged by exposure to loud noise, which can cause permanent damage to the cochlea in the inner ear. Because even a single exposure to loud noise can damage the ear and cause tinnitus, it's important to protect your hearing when you're near loud music, power equipment, gunshots, aircraft engines and other loud noises.

Other common causes include:

  • Earwax buildup of wax and ear infections
  • Many drugs (Over 200 prescription and nonprescription drugs list tinnitus as a potential side-effect)
  • The aging process
  • Meniere's disease
  • Head and neck injuries
  • Cardiovascular disease, circulatory problems and high blood pressure
  • Stress and fatigue

If you're concerned about tinnitus or have other hearing problems, speak with your doctor.

 

As we approach the fall season many people begin to experience symptoms of seasonal affective disorder (SAD) or seasonal depression. SAD is a very common mood disorder that is characterized by depression that occurs at the same time every year.

The symptoms of SAD include feeling tired, depressed, hopelessness, and withdrawing socially.

Causes

The exact causes of SAD are unknown, but there are several factors that seem to increase the likelihood of experiencing the condition, these include:

  • Reduced levels of light in the fall and winter can disrupt your body's biological clock (circadian rhythm).
  • A drop in serotonin, a brain chemical (neurotransmitter) that affects mood. Low levels of sunlight can cause a drop in serotonin, trigger depression.
  • Changing seasons can disrupt the body's level of melatonin, which helps to regulate sleep patterns and mood.

When to See Your Doctor

Having an occasional day when you feel down is normal, but don't brush off that yearly feeling as simply a case of the "winter blues" or a seasonal depression that you have to deal with on your own.

Feeling depressed to days at a time that leads to a lack of motivation and activity can signal a major depression. It's especially important to see your doctor if your sleep patterns and appetite have changed or if you feel hopeless, have suicidal thoughts, or turn to alcohol for comfort or relaxation.

Treatment for SAD may include light therapy (phototherapy), talk therapy and medications. Your doctor can also give you tips to keep your mood and motivation on an even keel throughout the year.

With the start of school approaching it's important to be prepared to reduce stress and make sure your child stays healthy and safe during the school year. Here are some things to check prior to the start of the school year.

1. Health History Records

Have your child's medical history and emergency contact information organized and available for your family and your child's school or day care provider. Have printed instructions for the caretaker to take with them to the emergency department if needed. Communicate with the school nurse about any medical conditions that may require medications or other supervision.

2. Schedule back to school physicals and vaccinations

Your doctor will ensure that your child is up-to-date on all their vaccinations. In addition, flu shots may be available depending on when you schedule your appointment. Be sure to inform your doctor if your child will be playing any sports.

3. Schedule Dental, Vision and Hearing Screenings

Vision and hearing screenings are especially important for kids starting their first year of school. 

4. Rehearse the Route to School

If your child will be walking to school take time to show them how to safely cross intersections only at designated crosswalks.

If your child rides the bus, pick a safe pick up/drop off spot that can be clearly seen by other adults and preferably in a group with other children.

If your child will be riding a bike (or skateboard or scooter) make sure they wear a helmet and have appropriate safety gear.

5. Have an Emergency Plan

Make sure your child knows who to contact in an emergency. For older children having a phone for emergency use can also be a good idea.

 

Many Americans take heartburn medications known as proton pump inhibitors (PPIs) to help relieve the discomfort of acid indigestion. A recent study found that the drugs are linked to an increased risk of heart attacks, as well as other health problems. The PPIs researchers studied included both prescription and over-the-counter drugs meant to reduce the amount of acid the stomach produces, thereby reducing discomfort in the chest. They included: Nexium (esomeprazole), Prevacid (lansoprazole), Prilosec and Zegerid (omeprazole), among others. 

The study looked at adults who had no history of heart disease and found that there was a link between PPIs and an increased risk of heart attacks. However, the study does not prove that taking PPIs raises the heart attack risk.

Should You Take PPIs for Heartburn?

For many, the risks of taking PPIs outweigh the benefits, particularly when there are other effective methods of eliminating heart burn without side effects. Because PPIs only treat the symptoms of heart burn, not the underlying cause, treating the cause is the best strategy.

If you have been taking PPIs regularly to treat heartburn and would like to find an alternative strategy for treating symptoms, it's is important to talk with your doctor before quitting PPIs abruptly. This can have result other harmful side effects.
Thursday, 25 June 2015 01:14

Are Allergy Shots Right For You?

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Allergy shots are not a magic bullet that will cure your allergies, however they can reduce the symptoms and make life easier. If you have severe allergies that last 3 months of the year or more, or you can't take allergy medications because of the side effects or adverse interactions with other medications you may be taking, allergy shots may be a good option.

Allergy shots can be given to children older than 2 years or older and adults without heart problems or severe asthma. To determine if allergy shots are right for you your doctor will review your medical history and do a medical exam. To identify your specific allergen(s), a series of allergy tests will be performed to decide what, if any allergy shots could be beneficial. It's important to perform the testing in small amounts to ensure there are no adverse reactions to the allergens.

If you don't like needles and the idea of taking a series of shots, you'll be happy to know that the needles used for for immunotherapy are smaller than needles used for most immunizations and medications.

To work properly and safely, allergy shots must be given in a series over time, so patience will be needed for the minimum of 6 months the series of shots will need to be administered. After the initial series, maintenance therapy will be usually be continued for 3-5 years.

If you suffer from allergies for more than 3 months out of the year, talk with your doctor to see if allergy medications or shots are a good option for you.

Wednesday, 20 May 2015 15:14

Tips For Managing High Cholesterol

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Everyone over age 20 should have a cholesterol screening every 5 years. Those at high risk for heart disease should have more frequent screenings. If your total cholesterol level exceeds a level of 200, safely lowering cholesterol levels may be possible with exercise and dietary changes. While your doctor can help you set a target cholesterol number, there are changes you can make that can help lower cholesterol levels significantly in about 6 weeks.

Exercise

Even moderate exercise such as 45 minute daily walk can have a positive effect on increasing HDL (the "good" cholesterol) while lowering LDL ("bad") cholesterol. The key is to have a regular exercise schedule that includes physical activity at least 5 days a week.

Dietary Changes

One of the keys to lowering cholesterol levels is to reduce levels of unhealthy saturated and trans fats and increase the sources of healthy fats in the diet. Canola oil and olive oil are good alternatives to vegetable oils, butter and stick margarine. Foods with healthy oils include salmon, tuna, trout and other fish that have cholesterol-lowering omega-3 fatty acids. Nuts such as walnuts are also a healthy choice.

Increasing soluble dietary fiber is also beneficial in not only lowering cholesterol but contain heart-healthy antioxidants. Good sources of fiber include beans, oats and products containing psyllium.

The summer season is a peak time for Minnesotans to travel abroad. With a little planning and preparation you can ensure that you and your family stay healthy and have an enjoyable experience. Parkway Family Physicians offers travel medication and immunization counseling that can address any health conditions that may need treatment abroad as well as providing immunizations against diseases that may be prevalent in certain countries.

By checking your medical history for any known conditions and researching your travel itinerary, we can provide you with the necessary vaccinations, prescriptions and advice to keep you healthy while traveling abroad.

Depending on the countries you're planning to visit, here are some of the vaccinations commonly obtained prior to travel:

  • Hepatitis A
  • Hepatitis B
  • HPV (Human Papillomavirus) – Cervarix or HPV (Human Papillomavirus) – Gardasil
  • Influenza
  • Japanese Encephalitis
  • Measles/Mumps/Rubella (MMR)
  • Meningococcal (for Meningococcal Meningitis)
  • Pneumococcal Polysaccharide – PPSV23 (for Pneumonia)
  • Polio
  • Rabies
  • Tetanus/Diphtheria (Td)
  • Tetanus/Diphtheria/Pertussis (Tdap)
  • Typhoid
  • Varicella (Chickenpox)
  • Yellow Fever
For more information, visit the the CDC's travel page.

Please schedule your appointment a minimum of six to eight weeks prior to your departure.



Wednesday, 18 March 2015 22:16

Surviving the Allergy Season

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According to Weather.com, this allergy season is expected to be one of the worst in recent memory. The allergy season in Minnesota is expected to be more severe this year because colder temperatures have delayed the pollinating of trees. Since not all trees pollinate at the same time (maple, cedar and elm trees, pollinate earlier than other trees) the delay will result in a large number of trees pollinating at once.

If you suffer every spring from a runny nose, itchy eyes and headaches there are over-the-counter allergy medications like Zyrtec and Claritin, but if your allergies are severe, it may be time to talk with your physician.

Here are some tips to reduce allergy symptoms.

1. Use nasal sprays. Sprays containing Corticosteroid drugs target inflammation and are the most effective treatment for nasal allergy symptoms.

2. Close the windows and turn on the air conditioner. The furnace air filter will reduce the amount of pollen entering the home.

3. Use a saline nasal rinse. A saline rinse helps removes pollen, mucus, and other irritants from the nose.

4. Keep your home clean. Regularly Vacuum carpet and upholstery to remove allergens that have been brought indoors.

5. Avoid peak allergy times. Pollen counts are typically lowest early in the morning right before dawn and in the early evening.

 

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