- Women's HealthGeneral Page Tier 3BlogWhether it’s a ‘small tinkle’ with a sneeze or a ‘potty dance’ while headed toward the bathroom, the uncontrolled leakage of urine is called urinary incontinence. This condition can be a real bother for many ladies. Do you skip gym class for fear of leaking urine? Are your daily trips planned around restroom breaks? Have you ever heard yourself say, “Stop, don’t make me laugh!”? When the bladder is functioning normally, you should be able to delay a bathroom break until a socially acceptable time and not worry about leaking during activity. You do not need to have pelvic organ prolapse (or a collapsed bladder) for urine to leak. You may look and feel the same, however, the dampness signals a problem. Sometimes this condition can be temporary, such as with a urinary tract infection or during pregnancy. If so, urinary incontinence will quickly resolve after the temporary condition has passed. At other times, leakage may start slowly and worsen over time. Many women wear panty-liners or change their underwear frequently because of urinary incontinence, a condition that according to the National Association for Continence affects close to 18 million women. Urinary incontinence may be common but it’s not normal and, thankfully, there is often a cure. Here are some things you can do to help: Do Kegel exercises. These exercises help muscle strength and endurance training for the pelvic floor. Try core muscle strengthening exercises, like Pilates and yoga. The core muscle and pelvic floor muscles work closely together. Getting one region stronger can help the other. Wear a tampon during exercise, or a pessary vaginal insert made to help with stress leakage. Achieve normal body weight through nutrition or lower impact exercise. Consider a surgical procedure to support the urethra (the tube that empties urine from the body). READ MORE: Bladder control problems: 5 ways women can manage There are other cases when medical conditions or prior surgeries are causing the leakage. Even issues that limit the speed and ease of walking can contribute to leakage. Urinary incontinence and constant dampness can cause skin irritation in the regions of dampness. I have seen firsthand how urinary incontinence can affect day to day activities, plans for the future and even self-esteem. If this problem continues, talk to your healthcare team. Details about treatment can be discussed with your provider or a pelvic floor physical therapist. Leakage can control your life. Even though you can live with these problems, ask yourself, ‘Why should I?’ Would you give your daughter or girlfriend the same advice? Let’s do better for ourselves. For more information on urinary incontinence, visit us today! Author Kay Hoskey, MD is a board certified urogynecologist at the Women’s Center for Pelvic Health at Anne Arundel Medical Center.
- Senior Care, Infectious DiseaseGeneral Page Tier 3BlogThe holidays are usually a time to gather with family and friends. Our calendars fill up with parties and other social outings. We celebrate with our loved ones. We reflect on the past year and look forward to the future. But the coronavirus (COVID-19) pandemic has led to months of physical distancing as we work together to slow the spread of the virus. This has sparked feelings of loneliness in many people. Including seniors, who may be at risk of severe illness from COVID-19. 43 percent of seniors say they feel lonely on a regular basis. According to the National Institute on Aging (NIA), about 20 percent of adults who are at least 65 years old live alone. Those who are lonely can suffer from health problems as a result. The health effects of social isolation In her 2015 study on public health and loneliness, Brigham Young University Professor Julianne Holt-Lunstad said social isolation can be as damaging to one’s health as smoking 15 cigarettes a day. And according to the NIA, research has also linked loneliness to high blood pressure, heart disease, obesity, a weaker immune system, depression, anxiety and dementia. Having loved ones around often encourages people to take better care of themselves. Including eating well, exercising and taking necessary medications. Living alone and not leaving the house on a regular basis are two major things that can cause loneliness in seniors. How you can help Feeling connected to others is key. And these days, many of these connections are happening virtually. Thanks to FaceTime, Zoom and Skype, staying in touch is easier than ever. If you have an older family member or friend who wants to learn to use the new technology, set up some time to explain to them how it works. Or, simply give them a call. Chat with them about their worries and concerns. Let them know you are thinking of them. This year has been like no other. This holiday season will be no exception. The best gift you could give during the holidays or any day is to reach out to those who may be feeling lonely. Offer them connection and companionship. It costs nothing, and you’ll brighten someone’s day. Author Lil Banchero is the senior director of Luminis Health AAMC’s Institute for Healthy Aging. Originally published Dec. 16, 2019. Last updated Dec. 7, 2020.
- Primary CareGeneral Page Tier 3BlogAs the new year begins, many across the country are looking to improve their health. You may hear about family, friends or colleagues trying a “Dry January,” a growing trend to abstain from alcohol for the first 31 days of the year. This movement continues to grow in the US, especially as the World Health Organization emphasizes that no level of alcohol consumption is safe for health. However, any month can be a dry month. Taking a break can provide some significant health benefits and offer you a chance to reevaluate your relationship with alcohol. Benefits of a Dry Month The impact of a month without alcohol can be profound. Studies reveal that participants experience numerous benefits from a dry month, including improved sleep, weight loss, increased energy, and even noticeable enhancements in skin quality. Mental health and overall well-being can also undergo positive transformations. Let’s not overlook the obvious perks: financial savings and the welcome lack of hangovers. Exploring Alternatives Discover various substitutes, social strategies and activities to make the dry month experience enjoyable and sustainable. Prepare by having alternative beverages on hand; flavored seltzer water and low-sugar beverages make a great substitute in social situations. Challenging your friends and family to participate in a dry month can make the experience fun and competitive. You can also opt for outdoor activities away from alcohol-serving venues to add exercise to your routine as well. It may be helpful to keep a weekly journal to document the personal health milestones and benefits that you experience. Preparing for Success Considering a dry month? Just like any challenge, preparation significantly boosts your chance of success. Most importantly, if you drink every day, are concerned about your alcohol use or have experienced withdraw symptoms in previous attempts to quit, it is important to talk to your doctor or seek professional help before stopping alcohol. Taking a break from alcohol can be a great way to kickstart a healthier version of yourself in 2024. Excessive alcohol consumption is one of the leading causes of preventable death in the US, behind tobacco consumption, and illegal drug use. While complete abstinence is the healthiest choice, even a reduction can have positive effects. Thinking about New Year’s resolutions? Challenge yourself and explore the health benefits that a dry month can bring about. If you find yourself struggling with avoiding alcohol, this is a great opportunity to talk to your health care provider about your challenges. For those seeking professional assistance or guidance on alcohol use, Luminis Health Pathways is a comprehensive addiction treatment center, offering a range of services to support individuals on their journey towards recovery and a healthier lifestyle. Your journey to better health matters. Connect with our primary care teams for continual support in achieving a longer, healthier life. Author Dr. Andrew McGlone is the executive medical director of Luminis Health Primary Care and Population Health.
- Orthopedics, Women's Health, Pediatrics, UncategorizedGeneral Page Tier 3BlogOsteoporosis: It’s a disease that manifests later in life, but the foundation of healthy bones begins at a young age. Characterized by weak bones, osteoporosis can cause fractures and chronic pain. Here’s how it works: Your body is constantly breaking down and rebuilding your bones. For the first 25 to 30 years of your life, your body makes more than enough new bone to replace the bone it loses. Around this time, you reach what’s called “peak bone mass,” meaning your bones are at their strongest. But after age 30, the pendulum swings the other way and you start to lose more bone than you gain. This process continues for the rest of your life. For women, the most rapid bone loss is in the years around menopause. For those who haven’t built up their bones enough during those first 30 formative years, that’s when osteoporosis can set in. Known as the silent disease, osteoporosis can strike without warning. In fact, many people don’t know they have it until after they suffer a fracture. And while there’s no cure for the disease once you get it, there’s plenty you can do to prevent it in both yourself and your kids. A parent’s role to prevent osteoporosis in kids As a parent, you can greatly reduce your child’s chance of developing this disease later in life. Christina Morganti, MD, orthopedic surgeon at Anne Arundel Medical Center (AAMC), says, “The fact of the matter is, the exercise and dietary habits you instill in your children can either be a powerful mechanism to prevent osteoporosis or a perfect storm for the disease to develop.” There’s no surefire way to determine whether or not you or your children will develop osteoporosis later in life. The best solution? Do everything you can to prevent the disease early in life. If you’re a parent, make sure you’re helping your kids build strong, healthy bones. Your guide to building strong, healthy bones Luckily, preventing the disease isn’t complicated. But it does require some self-discipline and, depending on your current habits, shifts in your diet and exercise routine. Here’s what you can do for yourself and your children to help fend off the disease: Know your family history. “If you have a parent or sibling with osteoporosis, you’re at a higher risk of developing it yourself,” says Dr. Morganti. Knowing empowers you to take extra measures to ensure you’re keeping your bones as strong as possible. Exercise! The more you use your muscles, the stronger they become. Same goes for your bones. Weight-bearing exercises help improve your bone density to form stronger bones. This includes any exercise that uses resistance to make you exert effort. Resistance can come from dumbbells, your own body, fitness machines, etc. The result? New bone tissue forms as your muscles push and pull on the bones around them, strengthening both bone and muscle.Your action plan: Mix it up! Variety keeps exercise exciting and ensures you’re using a variety of muscles. Try a stair workout, hiking, running, walking, weight training or dancing to reduce your risk of osteoporosis. “While swimming and biking are great low-impact exercises, they don’t have the same effect on your bones as weight-bearing exercises do,” says Dr. Morganti. “Children should be active for at least 60 minutes a day. For adults, the recommendation is at least 30 minutes a day of aerobic exercise like walking, supplemented with strength training two to three days a week and balance training one to two days per week.” Know what to avoid. While there’s plenty you can do to keep osteoporosis at bay, don’t forget about what not to do if you want strong, healthy bones. “Some studies have linked salt, caffeine, carbonated soda and alcohol consumption with accelerated bone loss,” says Dr. Morganti. “If your children have a diet heavy in salty, processed food or drink caffeinated or carbonated drinks, this could affect their bone density.” And add this to your list of reasons not to smoke: Multiple studies reveal that smoking can actually limit your body’s ability to absorb calcium. Calcium, calcium, calcium. We’ve heard it all before. Drink your daily glass of milk to nourish your body with adequate calcium. But did you know there are plenty of non-dairy sources of calcium? Or that your body needs a certain amount of vitamin D in order to absorb the calcium you consume? “To make the most of the calcium you eat, pair calcium-rich foods with foods high in vitamin D, like tuna, shrimp and eggs (yolk included),” explains Ann Caldwell, nutritionist and registered dietitian at AAMC. Sunlight can also help the body produce more vitamin D, which is why it’s not uncommon for people to be vitamin D deficient in the winter. If you have a desk job, try taking a walk or eating your lunch outside to soak up some rays. Just don’t forget the SPF. No dairy, no problem Besides the beloved trio of milk, cheese and yogurt, there are plenty of non-dairy sources of calcium out there, including: Canned salmon. Half a can contains 23 percent of your daily value of calcium. It’s important to note that other forms of salmon won’t reap the same calcium-rich benefits as canned salmon. Figs. Pick up a bag of dried figs for a sweet, fibrous snack to keep bones strong. Cut them up into small pieces and mix with nuts and other dried fruits for a homemade trail mix your children will love. Kale, spinach, bok choy and turnip greens. There’s a reason why leafy greens are one of the healthiest foods you can eat. But there’s no need to limit yourself to the same green salad. Sauté greens with some sea salt and olive oil, or add them to a stir-fry. If you’ve passed the 30-year mark of your body making plenty of new bone tissue, taking preventative measures against osteoporosis can still be effective, and are vital to maintaining healthy bones. But the reality is that calcium and weight-bearing exercises will have a more dramatic effect on the strength of children’s bones than those of older adults. “The lesson here is to make sure you’re helping your children develop habits that create strong bones to last a lifetime,” explains Dr. Morganti. Recipe: Salmon Pasta Salad This pasta salad includes a healthy dose of calcium from the canned salmon. Plus, it’s easy to pack up the leftovers for a healthy work-day lunch the next day. Dietitian’s tip: For added calcium and health benefits, serve this on a bed of baby spinach. It’s delicious! INGREDIENTS 1 (8-oz.) package of farfalle or bow tie pasta2 heads broccoli, chopped into florets2 carrots, peeled and chopped2 teaspoons soy sauce2 tablespoons olive oil3 tablespoons red wine vinegar2 cloves of garlic, crushed/pressed¼ cup fresh lemon juiceSalt and pepper to taste10-oz. canned salmon, rinsed, drained and broken into small pieces INSTRUCTIONS Bring a large pot of water to boil. Add pasta and cook until al dente, 8-10 minutes. Bring a separate large pot of water to boil. Add broccoli and carrots, cook in boiling water for 2 minutes and drain. Combine soy sauce, olive oil, vinegar, garlic and lemon juice in a sealable container and shake vigorously. Add salt and pepper to taste. Toss together the drained pasta, vegetables, salmon and dressing in a large bowl. Store in the refrigerator. Want to eat healthier but not sure what to cook? Try more of these healthy, delicious recipes from our registered dietitians. Contributor Christina Morganti, MD, is an orthopedic surgeon at Anne Arundel Medical Center and has developed a dedicated osteoporosis program at her practice, Luminis Health Orthopedics. You can reach her office at 410-268-8862. Contributor Recipe author Ann Caldwell is a registered dietitian and nutritionist. Originally published November 29, 2016. Last updated July 5, 2023.
- Pregnancy & BirthGeneral Page Tier 3BlogIf you’ve just found out you’re pregnant, congratulations! This is such an exciting time. We hope you’re savoring every precious moment… without stressing too much. But first, a reality check. According to Prince George’s County health data, only about 6 in 10 mothers receive early prenatal care, and the maternal mortality rate is twice the national average. Luminis Health is committed to improving maternal health by expanding services, advancing health equity, and eliminating disparities. We’re here to help you with expert advice to help you maintain a healthy pregnancy and safeguard your baby before and after delivery. Here are some dos and don’ts: Pregnancy dos Since every pregnancy is unique, your doctor will always have the best answers for you. But generally, it’s important to remember to: Eat well. A healthy, well-balanced diet will fuel your baby’s growth. Make sure to add seafood, especially fish high in omega-3 fatty acids. Exercise regularly. You don’t need a gym to stay active, there are plenty of ways to move your body at home. Try gentle stretching exercises to improve flexibility or follow an online prenatal yoga video to ease stress and promote relaxation. Even simple activities like walking around your home, doing light bodyweight exercises, or practicing deep breathing techniques can help keep you active and feeling your best during pregnancy. Get plenty of sleep. It’s common to feel tired when you’re pregnant, and it can be hard to get comfortable with your growing bump. But sleep is essential for mother and baby (7-9 hours each night is best). Get your flu shot and other recommended vaccines. The Centers for Disease Control recommend certain vaccinations during pregnancy to help mothers develop antibodies that can be passed on to their babies, providing protection during the first few months of life. For example, the flu shot is safe and will protect you and your baby. The RSV vaccine is now recommended between 32 and 36 weeks of pregnancy, particularly during RSV season (September thru January). Go to all your prenatal appointments. Pregnancy care is key to keeping your baby healthy. Consider joining CenteringPregnancy,® a new program offered at Luminis Health Ob-Gyn Greenbelt. With group sessions for expectant mothers and personalized consultations with trusted OB-GYNs and midwives, this nationally recognized program has been shown to improve birth outcomes, breastfeeding rates and patient satisfaction for new moms. Limit stress and maintain your mental well-being. When you’re pregnant, your body goes through a lot of changes, all of which can affect your mental health. Any steps you can take to feel connected, grounded and centered will go a long way toward ensuring a healthy pregnancy. Take a prenatal vitamin. Ask for doctor recommendations and look for a vitamin that includes folic acid and iron if needed. Travel safely. Your doctor will help you make informed decisions about traveling, including telling you when it’s best to stop traveling (usually by 36 weeks). Pregnancy don’ts To protect your health and your growing baby, there are a few things you should avoid during pregnancy, including: Dangerous chemicals, including some household cleaners, and refrain from cleaning cat litter boxes Foods that increase the risk of foodborne illness, including deli meats, raw or processed meats, and unpasteurized milk and cheese Excess caffeine (one cup of coffee a day is usually safe) Hot tubs and saunas Radiation exposure, including X-rays, unless absolutely necessary Alcohol, tobacco, and recreational drugs Taking these steps can help you lower your risk of complications and prepare for a safe and healthy pregnancy and delivery. Authors Dr. Jonelle Samuel, a Luminis Health Ob-Gyn, is a Prince George’s County native and practices in Greenbelt.
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