Women’s Health: Did you know that new moms experience a 4th trimester? Pregnant moms spend a lot of time learning what to expect from pregnancy and how to care for their newborns. But, while pregnancy anecdotes and birth stories take top billing at baby showers and get-togethers, girlfriends and family members tend to leave the challenging aspects of the “fourth trimester,” the first six weeks postpartum, left unsaid. Changes that happen to a woman’s body during and after childbirth are not usually widely discussed with soon-to-be moms. There are so many exciting things to look forward to with a new baby. But pregnancy and childbirth can also have some less-than-desirable effects on a woman’s body, especially her pelvic floor. About 15 percent of new mothers need treatment for childbirth ailments such as urinary and fecal incontinence, complications from obstetrical tears, pelvic pain and other pelvic floor issues. Navigating the fourth trimester Know that help is out there. Whether it’s breastfeeding trouble or sleep deprivation, experts are ready to throw a lifeline when needed. Seek that help. Just having a lactation consultant watch a baby latch on can ease any fears of mom feeding baby incorrectly. It’s easier to make the decision to get help when you have that list of where to turn to for help ready before a baby arrives. Focus on what works for you and your baby. From your pediatrician to the nurse at your OB-GYN’s office, everybody doles out different advice. Whose do you take? Try them all to find what works and keep your and your baby’s health in mind. Consider if lanolin is right for you. Lanolin, a popular gift at baby showers, is a natural substance used to prevent nipples from cracking, blistering or drying out from breastfeeding. Pasque says Vaseline is tolerated easier. She has many new moms who come into the office with rashes because they are allergic to lanolin. Stock up on healing supplies. Warm-water sitz baths, ice packs, doughnut pillows, peri bottles (i.e., squirt bottles to rinse with water instead of wiping after toileting for the first few weeks) and 100 percent cotton pads help heal the vaginal trauma caused by delivery. Consider physical therapy or massage. If incontinence issues arise, see a physical therapist who specializes in pelvic floor exercises to strengthen the muscles that hold up the bladder and uterus. Therapists will ensure the exercises are done properly, and they have gadgets that monitor progress. Moms who delivered by cesarean section also may benefit from a therapist massaging the incision scar. The tightness of the collagen fibers in the skin can make bending over painful, among other issues. Manipulating the tissue can promote blood flow and accelerate healing. Avoid constipation. Chronic straining, especially if mom had a perineal tear, can put tension on the stitches and is hard on the pelvic floor muscles. Consider using a laxative like Miralax (rather than a stool softener) daily until the constipation subsides. It’s safe for breastfeeding moms as well. Try walking. If it still hurts to walk nearly a month after giving birth, see a doctor. The spine could be out of alignment, or a pelvic bone may have broken during delivery. Watch for postpartum depression. More intense than baby blues, which is marked by crying, sadness, anxiety and feeling overwhelmed, postpartum depression affects 13 percent of mothers and may appear a year after giving birth. Extreme irritability, insomnia and fear of the baby getting hurt in unusual ways are symptoms that are sometimes dismissed. If you’re a new or expecting mom, you probably have a million more questions. Contact your doctor for more info.
Alcoholic Liver Disease in Young Adults Is On The Rise. Alcohol use disorders have also increased over the last decade, with an 80 percent spike among women. As the craft beer, spirits and “mommy juice” wine cultures surge, doctors across the country are seeing a growing problem: sick livers. More people are drinking too much alcohol, causing a rise in alcoholic liver disease (ALD). The diseases of the liver are fatty liver, alcoholic hepatitis, chronic hepatitis, cirrhosis and liver cancer. Some of the early symptoms of ALD include chronic fatigue, poor appetite, itchy skin and abdominal pain and swelling. In most cases, moderate drinking — one drink a day for women, two drinks a day for men — will not lead to ALD, but overindulging can. And for those already suffering from liver disease — some of whom may not know it — even small amounts of alcohol can exacerbate their liver damage. Death rates increase One of the scariest statistics out there that the mortality related to alcohol use is increasing the most in people 25 to 34 years old. The number of drinkers in that age bracket who died nearly tripled between 1999 and 2016, with an average increase around 10 percent every year. That same study reveals that women had a 50 percent increase in alcohol-related cirrhosis during that seven-year period; the rate for men rose 30 percent. In the United States the rate of alcohol use disorders, a medical term that combines alcohol abuse and alcohol dependence, has shot up 50 percent in the past 10 years — reflecting an 80 percent spike for women, according to the most recent National Epidemiologic Survey on Alcohol and Related Conditions-III, sponsored by the National Institute on Alcohol Abuse and Alcoholism (NIAAA), the alcohol research arm of the National Institutes of Health (NIH). Discovering the cause Because women absorb and metabolize alcohol differently, it makes women more susceptible to damaging the liver than men. The hypothesis is that certain hormones play a role, Mellinger says. Women also have less body water, so women have higher concentrations of alcohol in the blood when compared with men who drank the equivalent amount. Women also have a new attitude about drinking.There is this ‘mommy juice’ culture, this ‘mommy juice’ humor involving wine that’s normalizing over-drinking. Unfortunately, there is nothing funny about alcoholic liver disease. Think you have a problem or could be at risk of ALD? Make an appointment with your doctor today.
Keeping medications secure around the little ones. Specifically Grandchildren. Keeping medications in easy-to-reach places and easy-to-open containers can raise the risk of accidental poisoning or intentional misuse. Many grandparents are guilty of this when the grandchildren come over to visit. A new poll suggests many of them could do more to reduce the risk of their medications harming their grandchild. More than 80% of the grandparents polled say they keep their medication in the same place as usual when their grandchildren visit their house – and 72% keep them in their purse or bag when they go to visit their grandchildren. And nearly one-third say they store their prescription medications in something other than the container they came in – with the vast majority of them using an easy-to-open container. These practices may put children at risk of accidental poisoning if they get into their grandparent’s medications. For older grandchildren, the easy access may lead to misuse of certain medicines that hold the potential for abuse – for instance pain medicines and sedatives.The findings, from the National Poll on Healthy Aging, suggest that grandparents need more education about safe medication storage when they’re around children and teens, whether for a holiday visit or a regular childcare session. According to the federal Centers for Disease Control and Prevention, nearly 40% of children treated in emergency departments for medication-related poisoning. Care and risk Two-thirds of grandparents say they provide care for their grandchildren; 42% care for them monthly and 18% care for them weekly. One in ten live with their grandchildren year-round. Just over half of all adults age 50 and over who answered the poll are grandparents, including 74% of those over age 65. In all, 86% said their grandchildren had visited them in the past year. During those visits, the poll found, 84% of older adults don’t change their routine regarding where they store their medicines. Those usual places include cupboards or cabinets (61%), countertops and tables (18%), purses or bags (7%) or other locations (15%). Only 5% said they routinely keep their medications in a locked cupboard or cabinet in their own homes. And when grandparents visit their grandchildren, the chance of easy access may go up, the poll suggests. Nearly three-quarters of grandparents say they keep their medicines in their bag, and 7% leave them on a counter or table. Only 7% placed them in a locked cupboard or cabinet. Containers matter. Childproof prescription drug vials and bottles were developed and required starting years ago, specifically to protect children from accidentally swallowing medicine not prescribed to them. Those “childproof” containers, however, can be hard for some adults to open. So the poll asked grandparents if they ever used alternate containers — ones that could be easier for children to open. Twenty-nine percent of the older adults polled said they transferred their prescription medicines to other types of containers. Slightly lower percentages did the same for supplements and over-the-counter medicines, which can also harm children especially when taken in larger than recommended amounts. Grandparents should make sure to have the national Poison Control number, 1-800-222-1222, stored in their phone, memorized or available. Still have questions, call us for some quick tips from your doctor.
Riding your bike has amazing benefits - especially riding to and from work! If you’re able, riding your bike to work can be one of the most beneficial things you can do in your day. There are many benefits to riding your bike to work, from keeping your body and your pocketbook healthy to saving the environment and promoting safe-cycling community infrastructure. It also can be fun, simplify life and provide a sense of freedom. The average bike commuter loses 13 pounds their first year, according to the League of American Bicyclists. And for women, a 30-minute daily commute can cut heart failure risks in half and lower the rate for breast cancer. But despite the benefits, only 17 percent of Colorado residents ruse a bicycle for transportation, including riding it to and from work, for errands, to school or social and leisure activities. Bicycle Safety Cyclists fare best when they act as though they are drivers of vehicles and, thus, are treated as such. Many people are afraid to commute because they’re afraid to ride in the road. It’s important to look up a route that takes quiet streets or streets with bike lanes, even if it’s not the most direct route and take the plunge. Legally, bicyclists must follow the same rules as motor vehicle drivers. When that does not happen, accidents do. Almost 40 percent of bike crashes involve a bicyclist who is riding against traffic and conflicting with cross-street vehicles. For safety, bicyclists should:
- Use designated bike lanes, but when bike lanes are not available, or safe road conditions do not allow, take over the traffic lane and, use visible and audible directional signals.
- Wear bright clothing, use bike lights and do not weave through parked vehicles. Instead, maintain your lane position. Be predictable for others on the roadway. Be assertive and confident but also alert and cautious, as if driving behind the wheel of a vehicle.
- Air: Are the tires properly inflated? Is there a portable bike pump and/or patch kit on board?
- Brakes: Do they work?
- Cranks, Chain, Cassette: Depending on the type of bike, make sure the “guts” are working properly and are well maintained.
Fire up the grill with these great healthy ideas for summer meals. Planning to grill for any of the upcoming holidays? Independence Day, Labor Day, or a special birthday or anniversary dinner — we have some great grilling ideas for you. Take the day and enjoy the process. Grilled Breakfast. If you choose to start with a grilled breakfast, fire up foods such as grilled pineapple or peaches, or grilled French toast, bacon, ham slices or even Chilaquiles. Easy peasy and unbelievably delicious. Foods you can grill in advance. You can also start grilling early for foods that can safely sit around on platters for a good portion of the day before the main event. Many sorts of grilled vegetables fit this bill: sliced zucchini, yellow summer squash, chayote, red or green tomato halves, large mushroom caps, cobs of corn, eggplant slices or small whole eggplants, onion wedges, asparagus, different kinds of sweet or spicy peppers, halved or sliced fennel bulb, and parboiled or blanched firm vegetables such as potato slices, yam or sweet potato, beet, carrot or parsnip. Make a compound butter from grilled scallions or leeks (or ramps, if they’re still around the market), chopping them finely and mixing them into room temperature unsalted butter. That’d be a nice treat with which to top other grilled foods down the line. More ahead-of-time grilling possibilities: low-water, so-called “grilling cheeses” such as the Greek or Greek-style halloumi or kefalotyri, Mexican queso panela, some drier provolone, and Scandinavian or American cheeses labeled “grilling cheese.” Closer to mealtime. Closer to main mealtime is the hour to begin grilling flatbreads and slices of firm crusted bread, slathered with olive oil and flavored with pepper, salt and herbs. Possibilities for grilled breads are nearly endless. Grilled entrees. Shellfish, seafood, freshwater fish, all manner of beast or fowl—whole, or as sausages—and the vegetarian or vegan possibilities of grilled firm tofu, tempeh and seitan. Recipes for all these likewise close to endless. And last, Dessert. But don’t forget dessert; it, too, can fly off the grill. Grilled fruits, again, are delicious (bananas or watermelon are especially tasty when grilled). So is grilled pound cake or other sweet firm baked goods. S’mores are a gimme as a grilled dessert, but consider making small packets of them, instead: two squares of graham cracker sandwiching some semi-sweet chocolate chips or a thin bar of chocolate, and a marshmallow or two, all wrapped in a foot-square sheet of aluminum foil and heated five minutes on the waning embers of the grill. Enjoy the process and the time spent with friends and family while taking the day to grill and be present.
4th of July Safety: Leave Fireworks to Professionals The 4th of July is a great holiday for friends, family and fireworks. We all love fireworks but they are dangerous. It is best to leave fireworks to the professionals, rather than trying to put on your own fireworks show. Did you know fireworks-related injuries are most common on July 4 and New Year’s Eve? Fireworks can cause death and injury, including burns, contusions, lacerations, and eye damage caused by foreign objects. Make the choice to protect yourself and your family from fireworks injuries, with the following tips:
- Never allow young children to play with or ignite fireworks
- Always have an adult supervise fireworks activities
- Avoid buying fireworks packaged in brown paper, which often means they were made for professional displays and could be dangerous for consumers
- Make sure you, your kids, and others watch fireworks displays from a safe distance
- Call 911 immediately if someone is injured from fireworks
- Do not wear loose clothing while using fireworks.
- Never light fireworks indoors or near dry grass.
- Point fireworks away from homes, and keep away from brush, leaves and flammable substances
- Stand several feet away from lit fireworks. If a device does not go off, do not stand over it to investigate it. Put it out with water and dispose of it.
- Always have a bucket of water and/or a fire extinguisher nearby. Know how to operate the fire extinguisher properly.
- If a child is injured by fireworks, immediately go to a doctor or hospital. If an eye injury occurs, don't allow your child to touch or rub it, as this may cause even more damage.
The Why Behind Dietary Fiber Dietary fiber is an essential component of a healthy diet. You’ve probably heard on several occasions that fiber is an essential component of every good diet and that it’s good for your health. But, why?Dietary fiber — found mainly in fruits, vegetables, whole grains and legumes — is probably best known for its ability to prevent or relieve constipation. But foods containing fiber can provide other health benefits as well, such as helping to maintain a healthy weight and lowering your risk of diabetes, heart disease and some types of cancer. Selecting tasty foods that provide fiber is not a difficult task. Find out how much dietary fiber you need, the foods that contain it, and how to add them to meals and snacks. What is dietary fiber? Dietary fiber, also known as roughage or bulk, includes the parts of plant foods your body can't digest or absorb. Unlike other food components, such as fats, proteins or carbohydrates — which your body breaks down and absorbs — fiber isn't digested by your body. Instead, it passes relatively intact through your stomach, small intestine and colon and out of your body. Benefits of a high-fiber diet The benefits of fiber are incredible to your body.
- Fiber normalizes bowel movements. Dietary fiber increases the weight and size of your stool and softens it. A bulky stool is easier to pass, decreasing your chance of constipation. If you have loose, watery stools, fiber may help to solidify the stool because it absorbs water and adds bulk to stool.
- Fiber helps maintain bowel health. A high-fiber diet may lower your risk of developing hemorrhoids and small pouches in your colon (diverticular disease). Studies have also found that a high-fiber diet likely lowers the risk of colorectal cancer.
- Fiber lowers cholesterol levels. Soluble fiber found in beans, oats, flaxseed and oat bran may help lower total blood cholesterol levels by lowering low-density lipoprotein, or "bad," cholesterol levels. Studies also have shown that high-fiber foods may have other heart-health benefits, such as reducing blood pressure and inflammation.
- Fiber helps control blood sugar levels. In people with diabetes, fiber — particularly soluble fiber — can slow the absorption of sugar and help improve blood sugar levels. A healthy diet that includes insoluble fiber may also reduce the risk of developing type 2 diabetes.
- Fiber aids in achieving healthy weight. High-fiber foods tend to be more filling than low-fiber foods, so you're likely to eat less and stay satisfied longer. And high-fiber foods tend to take longer to eat and to be less "energy dense," which means they have fewer calories for the same volume of food.
- And finally, fiber helps you live longer. Studies suggest that increasing your dietary fiber intake — especially cereal fiber — is associated with a reduced risk of dying from cardiovascular disease and all cancers.
- Whole-grain products
- Beans, peas and other legumes
- Nuts and seeds
Summer health tips for you and your family. School is out for the summer. The days are longer and filled with fun, recreation and relaxation. Sunshine, heat, water, picnics, travel, gardening, outdoor recreation and new experiences are just a few of the exciting adventures your family may encounter this summer. Below are a few tips for keeping you and your family healthy this summer.
- Summer Health Tip 1: Hydration is essential. Heat can be deadly and is much more lethal in the very young and the very old. Staying well hydrated helps to reduce heat illness and is also very important to acclimate to hot environments.
- Summer Health Tip 2: Sunscreen is key. Make sure to apply sunscreen daily, liberally and always re-apply. Many women apply sunscreen only to their face but forget their neck or chest area. These areas are simply an extension of your face and by not protecting your skin, you are aging yourself before your time. You want to keep your skin looking radiant, healthy and glowing. Pregnant women are most at risk for developing blotchy pigment on their face. Melasma can be treated but will come back with any UV light exposure. It does not have to be raining to use your umbrella. Make a fashion statement and keep cool. Protect your eyes from UV damage with some cool shades.
- Summer Health Tip 3: Regular exercise is important, even in the heat. The heat can make you lazy, but it’s really important to keep up your workout routine. If you have to move it inside, do it. Or just pick a time that’s not during the hottest hours of the day. You may need to change where you exercise and avoid the peak heat and humidity, but don’t get lazy.
- Summer Health Tip 4: Avoid Mosquitos, especially at dusk and dawn. Not only are they itchy and annoying, but mosquito bites can also lead to viruses such as Zika. Zika virus is spread to people primarily through mosquito bites, and the best way to prevent the Zika virus is to avoid mosquito bites. Be sure to clear out standing water, use insect repellent, fix broken screens, use EPA-registered insect repellents and spray your clothes (NOT skin) with permethrin.
- Summer Health Tip 5: Avoid Poisonous Plants Enjoy hiking, gardening and all things outdoors, but know how to identify poisonous plants such as poison ivy, poison sumac, and other plants that may cause you problems. Also, know when to see your physician if you notice a rash that comes on suddenly. Please see your physician if the rash is extensive or involves the face. Over the counter remedies do not always work. Your physician can help you with a prednisone therapy treatment for itchy dermatitis.
- Summer Health Tip 6: Water Safety Rules are In Place for A Reason. Do not swim alone. Bring and wear lifejackets when swimming, boating, or jet skiing. Remember water activities and alcohol do NOT mix.
A hernia can be a real pain. A hernia is a common problem. It causes a localized bulge in the abdomen or groin. It can often be harmless and pain-free, but at times it can bring discomfort and pain. But really, what is a hernia? A hernia occurs when there is a weakness or hole in the peritoneum, the muscular wall that usually keeps abdominal organs in place. This defect in the peritoneum allows organs and tissues to push through, or herniate, producing a bulge. The lump may disappear when the person lies down, and sometimes it can be pushed back. Coughing may make it reappear. Some common facts of hernias include:
- They often produce no troublesome symptoms, but abdominal complaints may signal a serious problem.
- They are usually straightforward to diagnose, simply by feeling and looking for the bulge.
- Treatment is a choice between watchful waiting and corrective surgery, either via an open or keyhole operation.
- Inguinal hernia surgery is more common in childhood and old age, while the likelihood of femoral hernia surgery increases throughout life.
- Groin A femoral hernia creates a bulge just below the groin. This is more common in women. An inguinal hernia is more common in men. It is a bulge in the groin that may reach the scrotum.
- Upper part of the stomach A hiatal or hiatus hernia is caused by the upper part of the stomach pushing out of the abdominal cavity and into the chest cavity through an opening in the diaphragm.
- Belly button A bulge in this region is produced by an umbilical or periumbilical hernia.
- Surgical scar Past abdominal surgery can lead to an incisional hernia through the scar.
- Lifting heavy items
- Persistent cough
- Poor nutrition
- Physical exertion
- Enlarged prostate
- Straining to urinate
- Being overweight or obese
- Abdominal fluid
- Straining on the toilet
- Undescended testicles
Switching Your Physician and Joining us at UFMC Pueblo Are you looking to join us at UFMC Pueblo, but already have a primary care physician or family doctor? No worries, the transition is easy. Not sure how to make sure we’re an in-network provider on your plan? Here are two ways:
- Call us! We’re here to help. We will review your insurance policy to make sure we cover you. Before you visit any provider or facility, we recommend you call ahead to be sure we are in your plan’s network, as well as confirm our address, office hours, and our new patient acceptance status.
- Feeling shy, or already on your computer? You can also head over to your health insurance provider’s website and login. There is generally a link that says “find a doctor” or something similar where you can enter your preferred physician or UFMC’s practice name into the search. This will provide you with the results you need to make sure you’re covered.
- Network status. Choose a primary care provider that is in-network to save on out-of-pocket costs when you go to the doctor.
- Quality designations and board certifications. These show that the provider has taken extra steps to provide quality care.
- Location. Look for an office that's convenient to your home or work. Make sure there is public transportation or parking nearby.
- Hospital affiliation. If there's a hospital you prefer, it can be helpful to find a provider who's affiliated with that hospital. If you have a hospital stay, this can make it easier for the hospital to share information with your doctor. You can also confirm that the hospital is in your plan’s network.