MEDICAL GUIDE June 2014 A special supplement of the
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Natural ways to alleviate acid reflux Special to the Floridan
Acid reflux is one of the more common, not to mention painful, side effects of gastroesophageal reflux disease, or GERD. The Florida Hospital estimates that more than 60 million adults in the United States suffer from symptoms of acid reflux each month, and almost half experience symptoms every day. Finding relief can be challenging, but there are a variety of treatments available, including some drug-free alternatives. There is no cure for acid reflux, but there are ways to manage the condition and prevent permanent damage to the esophagus. Many people rely on proton-pump inhibitors, or PPIs, to keep acid reflux at bay. PPIs are one of the more commonly prescribed medications for acid reflux, and while they may be beneficial for short-term treatment of acid reflux, the U.S. Food and Drug Administrationrecently cautioned against prolonged use of PPIs. Many acid-stopping medications can inhibit nutrient absorption, reduce resistance to infection and may cause vitamin deficiencies. They also have been shown to increase the risk of bone fractures and dementia. Rather than taking medication, some people might be able to make certain lifestyle changes to relieve acid reflux. » Pay attention to the foods you eat. Acidic foods, such as tomatoes, citrus fruits and even raisins, can increase the
There is no cure for acid reflux, but there are ways to manage the condition and prevent permanent damage to the esophagus.
Special to the Floridan
Finding relief for acid reflux can be challenging, but there are a variety of treatments available, including some drug-free alternatives.
amount of acid in the stomach. Choose foods that are less likely to aggravate symptoms and can alleviate pain and flare-ups. Foods that will absorb acid are safe bets. For example, oatmeal is a filling, hearty food that can combat acid prob-
lems. Stick to lean poultry that is baked, broiled or grilled. Remove the fatty skin, as it may cause digestive issues. » Use natural digestion enhancers. Remember those homespun remedies Mom used to whip up when you had an up-
set stomach? They can be equally effective for acid reflux. Ginger root has long been used to calm the stomach. Ginger can be made into tea or added to recipes and smoothies. Fennel, a licorice-flavored vegetable, may improve stomach
function. Some people like to eat it after a meal to aid digestion. Parsley has been used as a medicinal herb to settle the stomach for thousands of years. Parsley can add flavor to meals and serve as an attractive garnish. » Stock up on apple cider vinegar. Apple cider vinegar has uses beyond flavoring in favorite recipes. It also can soothe acid reflux symptoms. It’s believed the vinegar plays a role in maintaining healthy bacteria in the stomach, and that this bacteria eases digestion. Try mixing one teaspoon of apple cider vinegar into four ounces of water to drink before, during or after a meal. Apple cider vinegar also can be spread on salad. » Practice portion control at mealtime. Overindulging at mealtime can cause intestinal discomfort, which may contribute to acid reflux. Opt for more frequent and smaller meals instead of larger infrequent ones. Also, remain upright for two to three hours after eating to promote good digestion. » Elevate your head. If acid reflux symptoms tend to strike at night or while you are lying down, elevating your head in bed can help. Use pillows to prop yourself up or find another way to keep
your head elevated until symptoms subside. » Shed some pounds. Many doctors recommend weight loss to alleviate acid reflux. Losing 10 to 15 pounds can decrease pressure on the stomach and the lower esophageal sphincter, which is the muscle at the band of the stomach and esophagus. » Quit tobacco products. Smokers have a higher incidence of GERD than nonsmokers, so quitting smoking may help alleviate acid reflux symptoms. Even if stopping smoking has minimal effect on your acid reflux, it will still improve your overall health. » Drink more water between meals. Water hydrates the body and flushes out toxins that can build up in the digestive tract. Water also may help dilute stomach acid. However, do not drink tons of water with a meal, as this may stimulate the stomach to produce more acid to maintain digestion. Chewing gum when water is not available can stimulate saliva production. Saliva is naturally alkaline and can counteract the overproduction of acid. Acid reflux can be a nuisance or downright painful. Before reaching for medication, consider a few lifestyle changes to alleviate acid reflux.
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How to enjoy a better night’s sleep Special to the Floridan
When it is 3 a.m. and you are pacing the halls of your dark and quiet house while everyone else is sleeping soundly in their beds, it may seem like you are the only person in the entire world who is not getting some much-needed shut-eye. However, many people struggle to get a good night’s sleep. Information from the National Sleep Foundation, Better Sleep Council, Centers for Disease Control and Prevention, and several other organizations indicate that between 20 and 40 percent of the U.S. population experiences insomnia. Many of the people suffering from insomnia have family histories of the condition or are also experiencing depression. Insomnia rates are higher for people over the age of 60, and women are twice as likely to suffer from insomnia than men. Among Canadians, 40 percent of a recently polled group of 2,000 individuals reported insomnia symptoms at least three times per week in the preceding month. French-speaking Canadians were less likely to experience insomnia than English-speaking residents, but researchers are unsure why. Although how much sleep a person requires varies from individual to
individual, the general consensus is that adults should receive between seven and eight hours of sleep per night to feel rested. The Institute of Medicine estimates that hundreds of billions of dollars are spent annually on medical costs that are directly related to sleep disorders, while statistics from the National Highway Traffic Safety Administration indicate that 100,000 vehicle accidents occur annually as a result of drowsy drivers. These figures underscore the importance of getting a good night’s rest and understanding how to treat insomnia in order to do so. » Insomnia may be a byproduct of a physical condition. A person dealing with side effects of certain medications, chronic pain, restless legs syndrome, sleep apnea, and a bevy of other conditions may find it difficult to sleep at night. Identifying the cause of the insomnia can make it easier to treat, so those who can’t sleep at night may have an undiagnosed condition that is affecting their ability to fall asleep. » Exercise can help promote better sleep habits. A workout will tire you out, increase feel-good endorphins throughout the body and raise body temperature. As the body recovers from the workout, it may feel sated and you can drift off to sleep
more easily. Just do not work out too late. Aim to complete a workout two to three hours before planning on going to sleep so your body is not still amped up when your head hits the pillow. » Establish a regular sleep schedule. Humans are creatures of routine, and training the body to recognize when it is time to wake up and when it’s time to go to sleep can make it easier to enjoy a good night’s rest. Stick to a consistent schedule as much as possible -- even on the weekends. It isn’t possible to make up for lost sleep, so pull yourself out of bed at the same time in the morning, even if you didn’t get a good night’s rest. Over time you will condition yourself to accept certain times for sleeping and waking. Individuals can try natural remedies to induce sleep or stay asleep. In addition to good sleep hygiene and maintaining a regular sleep schedule, there are a number of herbs that can relax the body. Chamomile tea has soothing properties, and drinking chamomile tea before bed can be an effective sleep strategy. Insomnia is a more common problem than many people may think. Recognizing insomnia as a problem and seeking treatment can help many people get on the road to a more restful night’s sleep.
Chipola Medical Associates The region’s only Patient-Centered Medical Home Our services for Adults include:
• Same-day Urgent Care • Same-day Sick Care • Reserved patient appointments with extended hours • Health & Wellness Care • Routine Vaccinations • Minor office-based surgical procedures • Cryo services for lesions • Routine gynecological exams • Physicals • Care for Chronic Conditions • In-patient care for hospitalizations • Regional Referral Network • After-hours Nurse Practitioner call line
-Primary Care for Adults-
4250 Hospital Drive, Suite 210 Marianna, FL 32446 (850) 526-3434 www.chipolamedicalassociates.com Most Major Health Insurance Plans Accepted Accepting New Patients
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Health benefits of dark chocolate Dessert could benefit brain, heart and teeth
LEFT: Cocoa powder-derived pills may be used in the future to treat various health ailments.
Special to the Floridan
Many people associate healthy eating with foods that may not be so tasty. While desserts are not often considered the healthiest course of a meal, dark chocolate, when enjoyed in moderation, can be healthy. Dark chocolate can benefit the brain, heart and even teeth. Researchers at a meeting of the American Chemical Society in Dallas have discovered just why dark chocolate packs such a healthy punch. Otherwise indigestible portions of the chocolate are converted by microbes in the digestive system. In turn, the chocolate is transformed into anti-inflammatory compounds. Researchers found that digestion in the stomach produces long molecules called polyphenolic polymers. These molecules are too large to cross the walls of the stomach to be used nutritionally. However, when the polyphenolic polymers meet lactic acid and microbes that inhabit the human colon, the polymers ferment and can be broken down further. These smaller molecules are then used by the body. The resulting material is anti-inflammatory and can prevent certain conditions, including cardiovascular disease, from developing.
One of the pitfalls of dark chocolate is the sugar and fat content of a candy bar, which can overshadow the health benefits. But those who consume the majority of their dark chocolate in the form of unsweetened cocoa powder can avoid such consequences. Roughly two tablespoons of cocoa powder per day can produce the desired anti-inflammatory benefits, and cocoa powder can be mixed into drinks, sprinkled over oatmeal and consumed in many other ways. Full-sugar, full-fat dark chocolate bars and pieces should be enjoyed sparingly, although they are better for your health than milk or white chocolate. Interest in dark chocolate for its medical benefits has led researchers to study the efficacy of its anti-inflammatory compounds. A big study is already underway to see
cebo. Eighteen thousand men and women nationwide are expected to participate. In addition to anti-inflammatory properties, dark chocolate contains several chemical compounds that have a positive effect on mood and cognitive health. Chocolate contains phenylethylamine, or PEA, the same chemical your brain creates when you feel like you’re falling in love. Special to the Floridan Taking dark chocolate if pills containing the nu- will get flavorless, coated coa flavonols, while oth- supplements may help a trients in dark chocolate pills that contain the co- ers will be given a pla- person’s mind and body. can replicate the many health benefits, including helping to prevent heart attack and stroke. The pills are so concentrated they would be the equivalent of eating numerous dark chocolate “On The Courthouse Square” bars, but without the negative side effects. The goal of the study is to see if chocolate can provide significant medical benefits without forcing con• Auto Accidents • Physical Therapy • Massage Therapy MM23555 sumers to eat so much • Back Pain • Neck Pain • Headaches sugar and fat. The study will be sponsored by the National Heart, Lung and SAME DAY APPOINTMENTS AVAILABLE Blood Institute and Mars Group Plans Daniel Bontrager, DC Inc., maker of M&M’s and Preferred Snickers bars. The candy Michael Bennett, DC Provider company has patented a way to extract flavonols 4439 Jackson St from cocoa in high conBlue Cross Blue Shield centration and put them of Florida Marianna, FL 32448 in capsules. Mars and some other companies sell cocoa extract capsules, but with less active ingredients than those that will be tested in the study. Some participants
Formerly Bontrager Chiropractic Clinic
Years Experience Experience 2830Years
MariannaHealthandWellness.com
526-4830
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Better understanding of sun poisoning Special to the Floridan
A trip to the beach is an enjoyable way to spend a day. With warm waves lapping at your feet and a good book to enjoy, hours relaxing at the seaside tend to pass by quite quickly. While such days are often comfortable and relaxing, if you aren’t careful, you may be putting yourself at risk of sunburn and sun poisoning. Sunburns are never a good thing, but sun poisoning can be even more severe and the symptoms can become quite serious and uncomfortable. Despite what the term “sun poisoning” implies, the sun does not poison the body. Rather, the term describes sensitivity to sunlight that results in a wide range of symptoms that can affect the skin and body as a whole. Sun poisoning can occur when one
The sun’s rays are most potent between the hours of 10 a.m. and 3 p.m., making the majority of the day a prime time for skin damage. has a sun allergy, called solar urticaria. This is very rare. However, the greatest number of sun poisoning cases are simply a severe form of sunburn. Depending on the pigmentation of a person’s skin and the severity of the sun, sunburn can occur in mere minutes. Many people can get a sunburn within 15 minutes of being in the sun. The sun’s rays are most potent between the hours of 10 a.m. and 3 p.m., making the majority of the day a prime time for skin damage. Although sunburn can occur quite quickly, many people do not realize anything has occurred right away. That’s
because sunburn symptoms can be delayed. It may take a few hours for redness to appear and discomfort to set in. Staying in the sun too long without wearing adequate protection, whether it be a wide-brimmed hat, protective clothing or ample amounts of sunblock, can lead to sunburn. Over time, sunburn can progress to sun poisoning. Symptoms of sun poisoning include a severe sunburn accompanied by blisters on the skin. Pain and tingling may occur, as well as swelling where the sun touched the body intensely. Sun poisoning also may cause fever and chills, nausea, dizzi-
ness, and dehydration and electrolyte imbalance, as the body’s immune system attempts to kick into action. Avoid blazing sun whenever possible and use sunblock and reapply frequently if you must be out in the sun for any duration of time. Otherwise, some cases of sun poisoning can be relieved with the application of cool compresses or by taking cool (not cold) baths. Application of aloe gels also can alleviate discomfort. If at any point a fever occurs and spikes to more than 104 F, or if there is extreme pain and vomiting, head to the emergency room. Doctors may have to quickly reduce swelling and inflammation and administer fluids intravenously. Keep in mind that blisters from sun poisoning can get infected,
Athletic Trainers Rick Williams, AT, L Bryan Johnson, ATC, OTC, Jackson Co. Schools, Chipola College Zach Sims, ATC, Calhoun County Schools
Physician Assistant/ARNP Mike Nuccio, PA-C, General Orthopedics & Sports Medicine Meagan Milton, ARNP, General Orthopedics
Dr. Bellamy
Dr. Jordan
so it is adviseable to keep the skin clean and avoid picking at or popping blisters. Discuss any concerns about severe sunburn with a doctor. Frequent sunburns can be linked to accelerated skin aging and can put a person at a higher risk for skin cancer. According to the Cleveland Clinic, ultraviolet, or UV, radiation from the sun is the number one cause of skin cancer, but UV light from tanning beds is just as harmful. Cumulative sun exposure causes basal cell and squamous cell skin cancer, while episodes of severe blistering sunburns, usually before age 18, can cause melanoma later in life. Sun poisoning and sunburns are nothing to take lightly. These conditions are easy to prevent by being smart about sun exposure.
Dr. Lee
Dr. Rolle
Dr. Stephens
Orthopedic Surgeons David A. Bellamy MD, Steve E. Jordan, MD, Matthew C. Lee, MD, Garrison Rolle, MD, W. Brad Stephens, III, MD
Tallahassee Orthopedic Clinic (TOC) is one of the nation’s premier sports medicine and orthopedic clinics. For over 35 years, TOC has provided the highest quality orthopedic care in North Florida and South Georgia, over 25 of those years in Jackson County. We are committed to the diagnosis, treatment, rehabilitation, prevention and education of conditions that affect the body’s muscles, joints and bone. The exceptionally talented, experienced, and dedicated team at TOC enables our patients to receive comprehensive, patient-centered orthopedic health care.
3051 6th Street • Marianna, FL • (850) 526-3236
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How men can naturally boost testosterone LEFT: Getting between seven and nine hours of sleep per night may help men to combat low testosterone levels.
Special to the Floridan
Testosterone plays a vital role in men’s health. A hormone that regulates the sex organs, testosterone also impacts metabolism and bone loss, and low testosterone can compromise men’s health. According to the Urology Care Foundation, roughly 20 percent of men in their 60s have low testosterone, a figure that increases to 30 percent among men in their 70s. While a gradual decline in testosterone levels is part of the aging process, low testosterone can have a negative impact on the body. Low testosterone levels increase body fat and reduce muscle mass, and low testosterone can even lead to depression. Difficulty concentrating is another potential side effect of low testosterone. Men with low testosterone may also experience weakened bones, a symptom that could leave them more susceptible to osteoporosis. While there are prescription medications designed to boost testosterone, oftentimes low testosterone levels are a byproduct of the lifestyle choices men make. That means men might be able to increase their testosterone levels naturally by making certain lifestyle changes. * Maintain a healthy weight. Men who are obese or overweight are more susceptible to various ailments or conditions, including low testosterone. When a body is carrying excessive weight, it secretes more
aromatase, an enzyme that helps convert testosterone to estrogen, a group of hormones that promote the development and maintenance of female characteristics of the body. Maintaining a healthy weight is a great way to avoid the overproduction of aromatase, which can help the body maintain adequate testosterone levels. * Make time for sleep. Poor sleeping habits affect many hormones in the male body, and testosterone is no exception. Men who don’t get enough sleep each night may suffer from low testosterone. According to the National Sleep Foundation, sleep needs vary depending on a person’s age, but research has shown that men over the age of 18 need between seven and nine hours of sleep per night to perform at their peak. Younger men whose bodies should not yet be experiencing the gradual
cortisol the body produces, the less capable it is of producing testosterone. Men who work long hours might want to cut back on their work schedules, while those whose stress comes from other sources might want to find ways to more effectively manage that stress. Low testosterone affects millions of men across the globe. While lower testosterone is often a byproduct of aging, many men could be making Special to the Floridan lifestyle choices that are decline of testosterone That’s because the body ducing more of the hor- negatively affecting their levels common to ag- responds to stress by pro- mone cortisol. The more testosterone levels. ing should examine their sleeping habits if their testosterone levels have started to decline. The solution could be as simple as getting more sleep. * Get off the couch. Men who live sedentary lifestyles could be suffering from low testosterone because they’re spending too much time on the couch. Testosterone adapts to the body’s needs, so a man who isn’t 25 Years Experience active is unknowingly 7 Days a Week • 24 Hours a Day letting his body tell his brain that it doesn’t need Excellent References as much testosterone to Commitment to Quality Care build muscles and bones. Compassionate, Skilled Caregivers More active men’s bodies are sending a signal to the Personal Care brain that the body needs more testosterone. ThereTransportation fore, adopting a more acErrands tive lifestyle can help men Housekeeping Light naturally restore their tesCompanionship tosterone levels. Gail Hall, Manager * Work to reduce stress. Meal Preparation Hom�: 850.482.5424 • C���: 850.264.1793 Men who are overly C��o� H���n Emotional & Spiritual Support stressed may also suffer C���: 850.557.0085 from low testosterone.
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Women’s heart attack symptoms can differ from men’s Women’s symptoms may include sweating, nausea or lightheadedness Special to the Floridan
Symptoms of a heart attack can include radiating pain down the arm and tightness in the chest. While these may be universally recognized symptoms of heart attacks for men, new
studies have shown such symptoms are not necessarily what women can expect if they’re having a heart attack. Research indicates women may experience
symptoms quite different from men when it comes to heart attacks. Dismissing the symptoms of a heart attack can delay lifesaving actions. It is critical for women to recognize warning signs. Even when signs are subtle, the results can be deadly. The American Heart Association notes that a heart attacks occurs when blood flow that brings oxygen-rich blood to the heart is slowed down or cut off. Arteries that supply blood
flow to the heart may gradually become blocked by cholesterol, fat and plaque. The National Institutes of Health indicate women experience new or unusual physical symptoms as early as a month before experiencing a heart attack. Women’s symptoms may not be as predictable as men’s, but there are still some signs to consider: » sweating, » pressure in the chest and back that may feel like a rope being tightened around the body, » nausea, » pain in the back, neck, jaw or stomach, » shortness of breath without having exerted yourself, » lightheadedness, » chest pain may be
present, but fewer than 30 percent of women actually experience any pain in their chest, » unusual fatigue, » indigestion, and/or » sleep disturbances. If a woman experiences any of the above symptoms and suspects a heart attack, it is better to be safe than sorry. First, call 9-1-1 and make sure to follow the operator’s instructions. Chew and swallow an aspirin (325 mg) if you have one available. Aspirin will prevent platelets in the blood from clotting and further blocking up an affected artery. This prevents any other heart muscle cells from dying from a clot obstruction. If you suspect you are having a heart attack, do
not drive yourself to the hospital.Wait for paramedics or have someone else drive if you have no other choice. Lie down and try to remain as calm as possible until emergency responders arrive. Be somewhere safe in case you lose consciousness and have the door unlocked so that EMTs can get inside your home should you lose consciousness. One of the best ways to remain healthy with regard to heart attack is to take certain preventative measures to reduce your risk of heart attack. Quitting smoking, walking 30 minutes per day and choosing foods that are lower in fat and dietary cholesterol can help prevent heart attacks.
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Pain in the neck or jaw could be a sign of heart attack in women.
Special to the Floridan
MARIANNA 3025 6th St. In Feitz Foot Clinic
Wednesday & Friday
CHIPLEY 1611 Main St.
Monday - Friday
(850) 260-0436 *Needs Phone Link 2 with smartphones
Allen Barnes, HAS; BC-HIS
Nationally Board Certified in Hearing Instrument Sciences. Member of Florida Society of Hearing Healthcare Professionals. 24 Years Experience Helping People Hear.
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Caring for Our Community.
VeChai Arunakul M.D., F.A.C.S. General Surgery 850.482.0017
Leisa Bailey, M.D. Family Practice / Gynecology Non-surgical Obstetrics 850.547.2209
Murray Baker, M.D. Emergency Medicine 850.718.2561
Doyle Bosse, M.D. Pediatrics 850.482.2004
John T. Chacko, M.D. Urology 850.526.0005
Richard Christopher, M.D. Jirayos (Dr. Chin) Chintanadilok, M.D., F.C.C.P. Internal Medicine Pulmonary & Sleep Medicine / 850.526.5300 Geriatric & Internal Medicine 850.482.2061
Glenn Clark, M.D. Radiology 850.718.2580
David Flick, M.D., Ph.D. Internal Medicine Medical Oncology Hematology 850.718.2886
Joe Gay, M.D. Internal Medicine 850.526.3434
Richard Goff, M.D. Family Practice 850.482.2929
Teresa Goodpaster, M.D. General Surgery 850.482.0017
John Griffin, M.D. Emergency Medicine 850.718.2561
Stacy Harbin, M.D., F.A.C.S. General Surgery 850.482.0017
W. Dennis Harris, M.D. Emergency Medicine 850.718.2561
Duane Herring, M.D. Emergency Medicine 850.718.2561
Raul Olazabal, M.D. Radiology 850.718.2580
George Sanchez, M.D. Pediatrics 850.482.4655
Ben Saunders, D.M.D. Pediatric Dentistry 850.526.7748
Joseph T. Sherrel, M.D. Pediatrics 850.526.5437
Mark Akerson, M.D. Family Practice 850.482.2910
Robin Albritton, M.D. Family Practice 850.482.0017
Murali Krishna, M.D. Internal Medicine 850.526.3314
John Spence, M.D. Family Practice 850.482.2910
Ricky Leff, M.D., F.A.C.O.G. Orlando Muniz, M.D. Obstetrics / Gynecology Obstetrics / Gynecology 850.482.6484 850.482.5787
Steven Spence, M.D. Internal Medicine 850.526.5300
Not pictured: Val Dee Sheffield, M.D. Emergency Medicine 850.718.2561
At Jackson Hospital, we are focused on wellness, committed to quality, and dedicated to patient service. At the heart of our hospital is our outstanding medical staff, and we thank them for the great care they provide our community. Together we offer a continuum of care so that families can receive the care they need right here in Jackson County. For more information or a physician referral, please call 718.2696.
4250 Hospital Drive / Marianna, Florida 32446 / 850.526.2200 / www.jacksonhosp.com