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If you’re one of the 50 million Americans who suffers from allergies, your symptoms may bloom when the seasons shift. Itchy, watery eyes, a tickly throat, and a stuffy, runny nose can make you dread spring. Seasonal allergies — also called hay fever and allergic rhinitis — can make you miserable. Try these simple strategies to keep seasonal allergies under control.
To reduce your exposure to the things that trigger your allergy signs and symptoms (allergens):
Seasonal allergy signs and symptoms can flare up when there’s a lot of pollen in the air. These steps can help you reduce your exposure:
There’s no miracle product that can eliminate all allergens from the air in your home, but these suggestions may help:
Several types of nonprescription medications can help ease allergy symptoms. They include:
If these measures don’t work, please schedule an appointment.
Colorectal cancer is cancer of the colon or rectum. This year, more than 145,600 people will be diagnosed with colorectal cancer and more than 51,000 will die of the disease.
With certain types of screening, this cancer can be prevented by removing polyps (grape-like growths on the wall of the intestine) before they become cancerous. Several screening tests detect colorectal cancer early, when it can be more easily and successfully treated.
Colorectal cancer is linked to getting older. However, colorectal cancer in adults younger than 50 is on the rise. Even so, it’s seen more in people age 50 and over.
Other risk factors include having—
Lifestyle factors that may contribute to an increased risk of colorectal cancer include—
Colorectal polyps and colorectal cancer may not cause symptoms, especially at first. Someone could have polyps or colorectal cancer and not know it. That is why getting screened regularly for colorectal cancer is so important.
Symptoms, may include—
If you have any of these symptoms, talk to your doctor. They may be caused by something other than cancer. The only way to know what is causing them is to see your doctor.
Almost all colorectal cancers begin as precancerous polyps (abnormal growths) in the colon or rectum. Such polyps can be present in the colon for years before invasive cancer develops. They may not cause any symptoms. Colorectal cancer screening can find precancerous polyps so they can be removed before they turn into cancer. In this way, colorectal cancer is prevented.
Screening can also find colorectal cancer early, when there is a greater chance that treatment will be more effective. Start screening at age 45 if you’re at an average risk, but if you have certain risk factors you may need to start screening sooner or get screened more often—talk to your health care professional. Continue screening to age 75 if you are in good health, with a life expectancy of 10 years or more. if you are ages 76-85, talk with your health care professional about whether to continue screening. After age 85, you should not get screened.
Screening Guidelines
| Stool DNA Test (sDNA)* | Every 3 years |
| Fecal Immunochemical Test (FIT)* | Every year |
| High-sensitivity Fecal Occult Guaiac Test (gFOBT)* | Every year |
| Colonoscopy | Every 10 years |
| Flexible Sigmoidoscopy | Every 5 years |
| Virtual Colonoscopy* | Every 5 years |
*Follow up a positive test with a timely colonoscopy.
Research is underway to find out if changes to your diet can reduce your colorectal cancer risk. Researchers are studying the role of diet in preventing colorectal cancer, but much still needs to be understood. Generally, experts encourage eating lots of fruits, vegetables and whole grains and limiting red meat and avoiding processed meat for a healthy diet.
References:
American Cancer Society (ACS). (2019) “Cancer Facts & Figures”
Centers for Disease Control and Prevention (CDC). (2019) “What Are the Risk Factors for Colorectal Cancer?”
Centers for Disease Control and Prevention (CDC). (2019) “What Are the Symptoms of Colorectal Cancer?”
Not all health plans cover the same prescription drugs. Your health plan has a list of all the drugs it covers, called a formulary. If you need a drug your plan doesn’t cover, you will have to pay more — possibly the full price — out of your own pocket.
How to save on prescription drugs:
There’s no question that prescription drugs can be costly even when they’re covered by your health plan. Here’s how you can save money without putting your health at risk:
Making refills easier
Ask your pharmacist to put your medications on auto-refill and sign up for refill reminders. When your prescription is due for a refill, the pharmacist will automatically process the refill, and you will receive a reminder.
Even though the temperature has dropped, this doesn’t mean you have to bring your workouts indoors.
“When it gets into the 40s and 30s, you can still enjoy your regular outside routines, like walking, running, and even cycling,” says Dr. Adam Tenforde, an assistant professor of sports medicine and rehabilitation at Harvard-affiliated Spaulding Rehabilitation Network.
Watch out for hypothermiaExercising in cold weather increases the risk of hypothermia (abnormally low body temperature). Seek emergency care right away if you develop symptoms such as intense shivering, extreme fatigue, slurred speech, or loss of coordination. Always let someone know when you are going outdoors and carry a fully charged cellphone. |
In some ways, winter can offer benefits you don’t get in summer. For instance, cold weather may actually improve endurance, says Dr. Tenforde. “In colder temperatures your heart doesn’t have to work as hard, you sweat less, and expend less energy, all of which means you can exercise more efficiently.”
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Studies also have shown that exercising in cold weather can transform white fat, specifically belly and thigh fat, into calorie-burning brown fat.
Plus, winter workouts help you get exposure to sunlight, which may help ward off seasonal affective disorder, a type of depression that some people experience during the winter months. While cold-weather exercise is safe for most people, if you have certain conditions, such as asthma or heart problems, check with your doctor to review any special precautions you need to take based on your condition or medications.
Warming up to the coldCold muscles are at a greater risk for strains and injuries, so make sure to warm up before your cold-weather workout. “You want to avoid starting with static stretches, that is, not moving the body part while stretching, which can further increase your risk for injury,” says Dr. Adam Tenforde of Harvard’s Spaulding Rehabilitation Network. “More dynamic forms of stretching that keep body parts moving can loosen your joints, get your blood flowing, and warm up muscles and tissues.” Here is a pre-exercise routine you can try: Arm circles: Hold your arms out to the sides, palms down, at shoulder height. Begin making small circles and gradually make them larger until you complete 20 circles. Then go from large to small circles until you complete another 20. Arm swings: Stand with your feet shoulder-width apart and swing your arms in unison to the right and then to the left, twisting from the waist. Go back and forth until you complete 10 swings total (five toward each side). High steps: Stand with your feet shoulder-width apart. Raise your right knee high toward your chest (touch a wall for balance or place one or both hands around your knee, if needed). Hold for a second, then return to the starting position. Repeat the movement with your left knee. Go back and forth until you’ve lifted each knee five to 10 times. Lunges: Stand with your feet together and step forward with your right leg, lowering your body by bending both knees to 90° angles. Return to the starting position and repeat the movement with your left leg forward. Repeat the sequence five to 10 times. |
You have to respect colder weather and make sure you’re properly prepared, just as you would with summer heat and humidity, says Dr. Tenforde. Here are some tips to stay safe and healthy while you enjoy your cold-weather workouts.
Wear layers. Dress in clothing that you can easily take off and put back on as needed. Start with a thin layer of synthetic material, such as polypropylene, which draws sweat away from your body.
Next, add a layer of fleece or wool for insulation. (Always avoid cotton, which absorbs sweat and can make you colder.) Top this with a waterproof, breathable outer layer. “You may need to experiment to find the right combination of clothing based on your exercise intensity and comfort level,” says Dr. Tenforde.
Protect your head, hands, and feet. When it’s cold, blood flow concentrates in your body’s core to help keep you warm, which leaves your head, hands, and feet vulnerable to the cold. Wear gloves lined with wool or fleece, or add a thin pair of glove liners made of a wicking material under a pair of heavier gloves. Also, wear heavy socks and a wool cap, and protect your eyes from wind and glare with dark glasses.
Apply sunscreen. It may not feel hot, but you can still get sunburned in winter. Your risk increases if you are surrounded by snow, which can reflect sunlight. Always wear a product that blocks both types of ultraviolet rays — UVA and UVB — with at least 30 SPF, and a lip balm with sunscreen.
Stay hydrated. You are more likely to get dehydrated in cold weather because cold air tamps down thirst. While you may not need the same fluid intake as during summer, you still need to maintain the same approach to hydration. “Drink water before, during, and after your workout and pay attention to being thirsty,” says Dr. Tenforde. If you need help, set a timer on your phone or fitness tracker to remind you to drink.
Choose a safe surface. Make sure your route offers good footing and is clear and safe to navigate. Wear shoes with good traction and invest in walking poles for support and to help avoid slips and falls. “Always remember to monitor how your body feels during cold-weather exercise,” says Dr. Tenforde. “Enjoying outdoor exercise safely remains the priority.”
As a service to our readers, Harvard Health Publishing provides access to our library of archived content. Please note the date of last review or update on all articles. No content on this site, regardless of date, should ever be used as a substitute for direct medical advice from your doctor or other qualified clinician.
BMI, or body mass index, has long been used as a way to assess body weight in the United States. The federal government uses the calculation to track obesity rates nationwide, and according to this scale, 42.4 percent of American adults age 20 and older are obese, notes the Centers for Disease Control and Prevention (CDC).
Adults can measure their BMI by taking their body weight in pounds, dividing that value by the square of their height in inches, and multiplying the result by 703, or using an online calculator. The numbers are then used to determine weight categories:
If this formula seems complicated and somewhat arbitrary, that’s because it is. Body fat percentage, not BMI, is largely responsible for a person’s health. Too high a number can result in obesity related complications, including diabetes, heart disease and increase your risk for many cancers. By relying on a person’s overall weight, BMI may overestimate body fat in athletic, muscular individuals or those with large or tall frames, labeling them as overweight or having obesity when they are not at increased risk.
However, the reverse is also true, you can have a “normal” BMI but still have a high percentage of body fat—and the associated medical complications. More than half of U.S. adults currently considered to have a normal BMI actually have a high body fat percentage (more than 30 percent fat for women.)
The way in which fat is distributed in your body has major health implications, yet it’s not taken into account by the BMI calculation. Belly fat, or fat that accumulates around the waistline and abdominal organs, greatly heightens a person’s risk of heart disease, type 2 diabetes, and other obesity-related complications, as well as death. But a person could easily fall into the “normal” BMI category (18.5 to 24.9) and have a waist circumference that puts them in a risk health category.
Individuals with “normal,” or non-obese/non-overweight BMIs, but with a large waist circumference (known as central obesity) are much more likely to die prematurely compared with people who are deemed obese via BMI but don’t have a large circumference. For women, central obesity is defined as a waist circumference greater than 35 inches for women. Waist circumference should be measured at the smallest area of one’s waist, just above the belly button.
Waist-to-hip ratio can also be used to estimate risk. This number divides waist circumference by hip circumference (measured around the widest part of your buttocks). Anything below 0.9 is considered healthy. A ratio of 1.0 or above is correlated with a two to three times increased risk of dying. Someone with a larger waist than hips will have a waist-to-hip ratio of 1.0 or above.
Understanding Your Risk: Talk with your healthcare provider to come up with a plan to assess your risk- this may include your BMI, waist circumference, hip measurements, blood pressure and lab results.
We’d like to support our patients in making telehealth visits as easy and as valuable as possible. Please review the tips below in order to best prepare for your visit.
It is helpful to decide ahead of time what device you may use for your telemedicine visit. The easiest method that we suggest is using the texted link that you will receive 30 minutes before your scheduled appointment time. The link will open the appointment directly in the browser of your smartphone without requiring you to download any additional apps or login to any accounts. If this method does not work for you, then you can use a computer, laptop, or tablet to sign into your patient portal either through our website, www.rwwc.com, or the app ‘healow’ to attend your appointment. Having a reliable internet connection is also important.
Make sure you ask your provider’s office about any technology set up that may need to occur ahead of your telemedicine visit. This may include downloading an app or creating a new account. Neither of these are required for Rittenhouse Women’s Wellness Center, however if you are referred to a specialist, their setup may differ from ours. You should ask for a contact number in case there is a problem during your telemedicine visit. Doing this will reduce the stress of managing new technology during the actual telemedicine visit.
Find a place for your appointment that is quiet so you can hear your provider, and they in turn can hear you. This will reduce distractions and interruptions, making your appointment more productive.
Just as in an in-person visit, having accurate medical history available is helpful. If you have seen other providers, been to the ER or had a hospitalization- make sure to share the details with your providers.
If you are able to, it is helpful to obtain vital signs prior to your appointment. If you have an electronic blood pressure cuff, you can obtain blood pressure and heart rate. You can take your weight and temperature as well at home and report during your telemedicine visit. You can also take pictures of any rashes or skin lesions you have questions about.
The stress of a new type of visit can be a distraction when trying to remember all the things you may want to ask your physician. Writing down important questions you have for your physician ahead of time will help you remember them during your visit.
Understanding the basics of hygiene is crucial to maintaining health and preventing disease. Hygiene has been THE hot topic since the Coronavirus pandemic began. While our top hygiene exercise is currently social distancing, the Center for Disease Control(CDC) has put emphasis on practices such as washing your hands often and for 20 seconds at a time, coughing and sneezing into your elbow, and staying home if you are sick.
While these are some of the most important tips, there are countless hygiene rules that we should be following throughout our everyday lives. There are two categories to describe these types of hygiene: Personal and Domestic.
Personal Hygiene
Personal Hygiene is how you take care of your body. These basic habits minimize the risk of infection and also enhance overall health.
Domestic Hygiene
It is also important that everything in your living space is kept clean. Rubbish and dirt build up quicker than most people realize, allowing germs and parasites to multiply and grow. This will lead to people living in the space getting sick.
Domestic hygiene activities include all the jobs which are done to keep the household and people’s clothes and bedding clean.
Additional steps that you can take to keep your household clean include:
References: