GENERAL MEDICAL CONDITIONS

ASTHMA

Asthma is a chronic disease involving the airways making it difficult for air to move in and out of the lungs, causing episodes of coughing, wheezing, shortness of breath and/or chest tightness.

Migraine

Migraine

Migraine is an episodic disorder that causes severe headache. It affects ~ 17% of women and 6% of men.

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How is migraine diagnosed:

ICHD-3 diagnostic criteria and Neuroimaging

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What we prescribe:

The management of migraine consists of acute treatment and preventive treatment. Amitriptyline, Topiramate, NSAIDs, and Triptans such as Sumatriptan

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Characteristics of migraine headaches:

Often unilateral (located on one side)

Pulsating headache

Aggravated by routine day to day activities

Often associated with nausea, vomiting, light and sound sensitivity

Aura (focal neurologic symptoms)

HYPERTENSION

Hypertension is another name for high blood pressure. It can lead to severe health complications and increase the risk of heart disease, stroke, and sometimes death.

Almost half of all adults in the United States have hypertension, but many are not aware of this fact. Keeping blood pressure under control is vital for preserving health and reducing the risk of these dangerous conditions.

Risk factors associated with hypertension: Age, Obesity, Family history, Sedentary lifestyle, Hight sodium/salt diet, Race, and Excessive alcohol consumption

Lifestyle changes to control hypertension include diet, exercise, salt restriction, weight loss, and limited alcohol intake

Stages of high blood pressure:

• Normal blood pressure: Less than 130/80 mmHg.

• Stage 1 hypertension: 130 to 139/80 to 89

• Stage 2 hypertension:  over 140/90

HIGH CHOLESTERO

Cholesterol is a substance found in everyone's blood, and it is needed for good health. The problem arises when people have too much cholesterol resulting in higher risk of heart attacks, strokes, and other health problems.

Types of cholesterol:

1. Total cholesterol

2. LDL cholesterol (bad cholesterol) 

3. HDL cholesterol (good cholesterol)

4. Non-HDL cholesterol

5. Triglycerides

Lifestyle changes including reducing the amount of saturated fat in your diet, losing weight, regular aerobic exercise, and eating plenty of fruits and vegetables

DIABETES
TYPE 2

Symptoms of Hyperglycemia:

Increased thirst, frequent urination, fatigue, blurred vision, increased hunger, weight loss, and slow-healing sores or frequent infections.

INSOMNIA

INSOMNIA

This is a sleep disorder characterized by trouble staying asleep or falling asleep. 

CAUSES OF INSOMNIA

• Stress

• Medications such as antidepressants, opioids, stimulants, steroids

• Environmental such as noise, light, or temperature

• Health conditions such as anxiety, depression, sleep apnea, restless legs syndrome, and thyroid disorders

• Lifestyle choices including alcohol, caffeine, and tobacco use

ADULT ADHD

SYMPTOMS OF ADULT ADHD

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Usually self-diagnosable

ADHD symptoms include trouble focusing, hyperactivity, and impulsive behavior.

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People may experience:

• Behavioral: hyperactivity, fidgeting, impulsivity, irritability, risk taking behaviors, or lack of restraint

• Cognitive: difficulty focusing, forgetfulness, lack of concentration, problem paying attention, racing thoughts, or short attention span

• Mood: anxiety, boredom, excitement, or mood swings

• Also common: depression, learning disability, or sleep deprivation

HYPOTHYROIDISM

We offer both thyroid prescription refills and start thyroid therapy for patients who are currently on thyroid medications or looking to start treatment respectively 

SYMPTOMS OF HYPOTHYROIDISM

Common symptoms of thyroid hormone deficiency include fatigue, cold intolerance, weight gain, constipation, dry skin, myalgia, and menstrual irregularities.

HOW DO I KNOW IF I HAVE HYPOTHYROIDISM? 

The diagnosis of Primary hypothyroidism relies heavily upon laboratory tests.

Types of hypothyroidism are:

Primary Hypothyroidism is characterized by high TSH and low free thyroxine (T4)

Subclinical hypothyroidism is characterized by a normal T4 in the presence of an elevated TSH.

Secondary hypothyroidism is characterized by a low T4 concentration and a normal TSH