Tag Archives: dr kordonowy

09.15.17
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Gallstones – What you need to know!

Gallstones

GallstonesGallbladder pain is unmistakable if you have ever experienced it. It can range from a dull ache to a sharper debilitating doubling over kind of pain that seems to go straight through your core.

It is alarming to say the very least. With so many organs in your abdomen, there are many reasons this area can be experiencing pain. If you haven’t previously had a gallbladder attack you may not be able to pinpoint what it is without some medical intervention.

Let’s see if we can help narrow it down for you:

Where is your gallbladder located? The gallbladder sits in the upper right part of your abdomen just under your liver. This organ’s purpose is to store and concentrate bile, provide bile salts for fat digestion, and it also helps cholesterol transport and recycling.

Gallstones, for the most part, begin to form in the gallbladder when the cholesterol cannot be kept in a dissolved state, so it begins to crystallize and turn to stones. When these stone get larger, they’re known as gallstones. If they don’t affect bile movement a person will never know these stones are there because they have no signs or symptoms. Stones can be seen with imaging techniques such as ultrasound or CT scan.

A person’s gender and race seem to dictate the likelihood of developing gallstones. For example, gallstones are prevalent in 5 percent of black males but 64 percent in Native American women.

How do you know if your pain is gallstone pain? The pain you feel will be located in the upper center or right of the abdomen; this pain will be persistent for one to six hours, especially after eating fatty/rich foods. Often, this obstruction in the bile duct will resolve on its own and pain will disappear; however, if this pain lasts longer than six hours, the pressure in the gallbladder builds leading to distension, inflammation, and swelling; this is referred to as cholecystitis.

If a patient has cholecystitis and it is quickly diagnosed, it will be treated with fluids, bowel rest, and antibiotics. If they have another attack, gallbladder removal (cholecystectomy) is a recommended. If not treated right away, the cholecystitis symptoms will worsen; a person will become feverish, nauseous, and even vomit. The pain will begin to spread up to the upper part of the back, and this is when a person usually heads to urgent care or the ER.

Serious cases of cholecystitis can lead to further and more life-threatening complications such as infection of the liver bile ducts, gangrene of the gallbladder, and pancreatitis. All these conditions require hospitalization, drainage, and antibiotics.

If a cholecystectomy is needed, gallbladder removal, this is a same-day surgery and patient can eat later in the day or the following day. A person doesn’t need a gallbladder to survive. Without the gallbladder, only small amounts of fat can be digested at a time. If a person consumes too much fat, he or she will experience diarrhea.

If you been experiencing abdominal pain, it’s time to see your doctor. Gallbladder issues, left untreated over time will get worse. If it’s extreme and you are unable to see your doctor quickly, head to the ER or an urgent care center. For a primary doctor in the Fort Myers area, contact Dr. Kordonowy of Internal Medicine, Lipid & Wellness. Through an examination and testing, Dr. Kordonowy can diagnose the cause of your stomach pain. To book an appointment, click here or call 239-362-3005, ext. 200.  Dr. Kordonowy is a concierge doctor and provides direct primary care services.

08.07.17
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Vitamins, Supplements that are Good for Your Heart

vitamins

A healthy diet could aide in saving your life. By eating balanced, nutritious meals, you are fueling the body with what it needs to keep your cholesterol and sugar levels in check, while fighting off harmful diseases. Instead of thinking about what to take out of your diet, focus your attention on what foods you should be adding in to your daily eating habits. Lean meats, fruits, vegetables, “good” fats, and whole grains are essential to your health, especially heart health.

However, no one has the perfect diet. Life gets in the way sometimes, and you could have a few days in the week in which you didn’t get in enough vitamins. Whether you were too busy or just not in the mood for a salad, your diet can sometimes fall short. That’s OK. If your consistently eating healthy over time, your body will reap the benefits. Since we cannot have the perfect diet, it can be good for you to supplement your diet with vitamins, but talk to your doctor about what you should or can take daily, especially if you think you may have a vitamin deficiency.

For this article, I wanted to share with you some vitamins and supplements that you can take to help with your cardiovascular health. Whether you currently have a heart condition or not, it’s always a good idea to try and keep your heart at its healthiest, since heart disease is the #1 killer in America. The following list are supplements and vitamins that can help keep heart conditions at bay, or keep your heart from further deterioration.

Magnesium – Magnesium helps sodium move throughout the cells in the body, supports relaxation and dilation of vascular arterial walls and stabilizes heart rhythm.

Omega-3 – Omega-3 helps the body balance cholesterol and triglycerides, which is great for people who are at risk for heart disease. Omega-3 is also known to lower blood pressure and slows down the buildup of plaque in the arteries.

Coenzyme Q10 (CoQ10) – Coenzyme Q10 is an antioxidant that fights off free radicals, and manages blood pressure and cholesterol. It also helps with keep the arteries healthy and muscle cells optimally utilizing energy.

L-carnitine – L-carnitine helps transport fat into the mitochondria to be used and burned as fuel by cells.

Arginine – Arginine is an amino acid that helps improve vascular function.

Phospholipids– are necessary to “prime” the HDL particle thus allowing it to sop up cholesterol.

If you’re looking for help with your diet or have concerns about your heart health, Dr. Kordonowy of Internal Medicine, Lipid & Wellness of Fort Myers offers comprehensive dietary consults to his patients. Dr. Kordonowy also offers vitamins and supplements for you to purchase online here.   Dr. Kordonowy offers direct patient care membership and concierge services including the unique Inpatient Advocate Service™. To schedule an appointment with Dr. Kordonowy, call 239-362-3005, ext. 200 or click here.

04.05.17
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The truth about Salt

Including salt in your diet, for the average person, is just fine. We need sodium to be able to function properly. Moderation is key. Too much or too little can have negative effects.

What is salt’s role in our health?

Salt helps to maintain the electrical charge in cells It also distributes fluids. The nervous system requires it to function. Dietary salt also helps promote proper muscle function and movement.  In the intestines, sodium helps the body absorb chloride, amino acids,

It can also promote proper muscle function and movement.

On average you only need to replace about 2,000 milligrams of sodium each day.

The American Heart Association reports the average American takes in around 3,436 milligrams per day – far more than needed, which can lead to issues over time.

Too Much Salt:

  • Possibility of raised blood pressure
  • Brain tells you that your thirsty because of the increased salt in the body.
  • Kidneys try to rid the body of excess salt through urine.
  • Elevated blood pressure from too much salt can lead to an enlarged heart.
  • Extra pressure on the heart because of the presence of excess water in the blood.
  • Water retention and bloating.

Too Little Sodium

  • Nausea, vomiting, upset stomach.
  • Loss of proper muscle control.
  • Muscle weakness.
  • Disorientation, seizures, brain damage.
  • Headache.
  • Cerebral edema (brain swelling).

Track your daily sodium by following serving information on food labels which also list the amount of sodium per serving.

If you’re experiencing any symptoms consult a doctor to determine what the cause could be. Dr. Kordonowy of Internal Medicine, Lipid, & Wellness in Fort Myers can give you a dietary assessment and determine what amount of dietary salt you should be ingesting. To book an appointment with Dr. Kordonowy, click here or call 239-362-3006, ext. 200. Or to find a doctor in your area visit www.ipalc.org/find.

03.27.17
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Ways to Help Treats Upper Respiratory Illness Symptoms

Spring has sprung but that doesn’t mean we’re out of the woods just yet when it comes to cold and flu season. Upper respiratory illnesses (URI) are common in the early spring, just like the fall and winter seasons. The upper respiratory system includes the mouth, nose, sinuses, larynx, throat, and trachea. Unfortunately, many of the these URIs are viral and cannot be treated by antibiotics. These infections are not usually treated with antibiotics unless there is proof of a bacterial infection.

The common cold is a URI and a viral illness. Symptoms can include: a stuffy nose, muscle aches, sneezing, a sore throat, post-nasal drip, cough, and a mild fever (under 101.5). A cold can last anywhere from 3 to 14 days. If you’re illness is lasting at least 10 days with no improvement, you should schedule an appointment for an evaluation with the doctor.  Also, if you are experiencing a high fever, shortness of breath, wheezing, confusion, chest pain, teeth-chattering chills, or rib pain, you should make an appointment to see the doctor as soon as possible. At my office, our nursing staff can triage patients quickly with the above-mentioned issues. We can test for influenza (the flu) and low oxygen levels to check for more serious illnesses beyond a cold or allergy. We can also test for strep throat in our office quickly through a swab test.

Since viral infections cannot be treated with antibiotics, there are many remedies a person can do to lessen the symptoms and duration of his or her URI. Below, I’ve shared a few things that can be used when suffering from a URI.

  1. Vitamin C – When taken at a high dosage (1000mg 3 times a day), vitamin C has been known to shorten the duration of a cold.
  2. Zinc gluconate (Coldeez brand) – Take 5 to 6 lozenges per day every two hours. The high level of zinc gluconate (13.3 mg) improves symptoms and shortens duration of illness.
  3. Antihistamines (Zyrtec, Claritin, Alavert, Loratidine, Tavist,) can help with coughs and drying secretions.
  4. Vicks menthol rub can help breathing and provide relieve at night when applied to the chest, throat, and upper lip.
  5. Nasal saline can help flush out nostrils.
  6. Ibuprofen and other anti-inflammation medication can reduce a fever, headaches, and muscle aches. If you are on blood thinners or anti-platelet therapy, use acetaminophen instead of Iburprofen or asprin. If you are allergic to NSAIDS, avoid Ibuprofen, Aleve, or aspirin.

Below,  I’ve shared are a few links to medicinal products I offer and approve  on my website to help ease URI symptoms.

Sinus Relief Products

Cold and Cough Products

Pain Relievers

Allergy Medication

If you’re experience a long-lasting cold, flu-like or strep throat symptoms, give me, Dr. Kordonowy of Internal Medicine, Lipids & Wellness of Fort Myers, and my team a call today at 239-362-3005, ext. 200 or click here to contact us to schedule an appointment today.

01.25.17
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Don’t Fear Fat because it Doesn’t Make You Fat!

fat

Fat doesn’t make you fat. Many nutritious foods out there are high in fat actually. The human body needs fat; it gives us energy, builds cell membranes, helps with blood clotting and muscle movement, reduces inflammation, and helps us absorb some vitamins and minerals. Fats are both  “good” and “bad.”  Good fats are monounsaturated and polyunsaturated fats, bad fats are man-made trans fats, and saturated fats fall in between.

Dietary fat can actually help people lose weight, because fat can help a person fill fuller for longer, so a person potentially is consuming less calories. When a person eats fat, it also slows the entry of glucose into the blood, which helps moderate sugar levels.

Here is some information about the different kinds of fats:

Monounsaturated Fats –  These fats are found in avocados, olive oil, peanut oil, most nuts, canola oil, sunflower oil, and high-oleic oil.

Polyunsaturated Fats – These fats are essential fats, and the body requires them for normal bodily functions; the body can’t produce these fats. Essential fats must be eaten. Polyunsaturated fats can reduce (slightly) LDL cholesterol. Polyunsaturated fats can be found in salmon, herring, sardines, sunflower, safflower, soybean, flaxseed, cottonseed, corn, sesame and, grape-seed oils.

Trans Fats – This type  is associated with elevating LDL cholesterol, as well as HDL cholesterol in the blood.  T

Saturated Fats – These fats a are found in red meat, whole milk, cheese, and coconut oil.  Often baked processed and packaged foods are heavy in saturated (and trans) fat. Too much saturated fat in one’s diet can raise cholesterol (both LDL and HDL).  It is recommended that saturated fat is limited to 10 percent of the day’s caloric intake.

Want more control of your diet? Contact Dr. Kordonowy of Internal Medicine, Lipid & Wellness in Fort Myers today. Dr. Kordonowy offers dietary counseling and  weight loss strategies. To book an appointment, click here or call 239-362-3005, ext. 200.

01.12.17
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Acid Reflux Facts

Put a little extra spicy sauce on your dinner? Or, did you overate last night? There’s a good chance you may feel like your breathing fire right now. Suffering from heartburn with that burning sensation in your chest is no fun. Nearly everyone experiences heartburn in their life. However, if you’ve been experiencing heartburn at least twice a week for multiple weeks, there’s a good chance you have acid reflux disease.  In the US, about 10 to 20 percent of the population suffers from this disease. More than 60 million Americans suffer from heartburn at least once a month. Not only is this a horrible disease to physically deal with, but $40 billion annually is spent on diagnosing and treating the disease.

There are two types of acid reflux disease: gastroesophageal reflux disease (GERD) and laryngopharyngeal reflux disease (LPRD). With GERD, the stomach acid travels to the esophagus and with LPRD the refluxed material travels further up the throat. Most people will experience heartburn when the lining of the esophagus encounters too much stomach acid for a prolonged period.  The resulting tissue inflammation of the esophagus causes the burning sensation. Chronic acid reflux is associated with abnormal cellular/tissue changes that over time increased the risk of esophageal cancer.  This “precancerous” tissue change is known as Barrett’s Esophagus/Disease. This concern/development is one of the reasons physicians will recommend a referral to a gastroenterologist for direct endoscopy of the esophagus for new onset and significant chronic heart burn.

Chronic reflux can lead to persistent cough, night time sleep difficulty, hoarseness of the voice and scarring or stricture of the esophagus.  The primary symptom of stricture or blockage/tumor in the esophagus is a sensation or actual experience of food or pills getting “stuck” in the chest.  Left unattended over time this can result in an emergency known as food bolus impaction- a very dramatic emergency due to intense pain/lodging of food and intense salivation as normal saliva can’t get down into the stomach.

Chest pain: Often, people experience chest pain from the stomach acid splashing into the esophagus. This type of chest pain can sometimes be mistaken for a heart attack. If you have chest pain, do not ignore it and contact a doctor for evaluation.

Pain when lying down: When you lay down, acid can better leave the stomach and enter the esophagus. If you’re experiencing heart burn, try angling your back in bed, and avoid a big meal or fluids before bedtime.

Pain from Eating: When a person with acid reflux eats a big meal, the stomach pushes the contents up, which causes heart burn. To avoid this, avoid big fat-filled meals and watch alcohol and tobacco intake. Alcohol, caffeine, chocolate and nicotine/smoking decrease the muscle tone of the lower esophagus which promotes refluxing of stomach contents/acid.

Bitter taste in the mouth: When the acid is released upward from the stomach, it can land in the back of your throat and leave a bitter taste in your mouth. Sometimes, this bitter taste can cause people to choke.

Other symptoms: Coughing, hoarseness, sore throat, nausea, asthma, trouble swallowing, pain in the chest with eating, and extra saliva.

There are quite a few treatment options for acid reflux. For minor cases, avoiding certain food and beverages (chocolate, coffee, greasy or spicy foods, alcohol) will help reduce heartburn. Also, cutting back or stopping smoking, reducing weight, and taking over-the-counter medications can help.

For more serious cases, a person should talk to his or her doctor about symptoms; the heartburn could be a sign of another possible condition, or stronger prescription medication may be needed. As noted earlier if the problem is significant and especially if the sensation of food getting stuck is noted a direct endoscopy by a specialist is recommended.

If you’re suffering from acid reflux or heart burn and unable to manage it, it’s time to contact a doctor. Dr. Kordonowy of Internal Medicine, Lipid & Wellness of Fort Myers can diagnose and treat you for your symptoms. Don’t deal with the pain anymore and call 239-362-3005, ext. 200 or click here to book an appointment.

01.12.17
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Vitamin C Healthy Benefits

It’s cold and flu season now. Flu shots have been returning at local clinics and pharmacies. For preventative home care, many people turn to vitamin C to ward off colds and flus; this vitamin helps the immune system function at an optimum level. However, the benefits of vitamin C go beyond just helping fight off a cold. The vitamin is great to consume to maintain overall health in the body, because cells need vitamin C to work properly. Our bodies do not naturally produce the vitamin, so it’s important for us to consume this vitamin through our diet.

These are all benefits this vitamin provides for the body:

  • According to the Journal of American College of Nutrition, proper levels of Vitamin C helps the body burn more fat during exercise with up to a 30% difference between optimal and insufficient levels.
  • Vitamin C helps improve blood cell function and vascular relaxation, which can lower the risk of heart disease and stroke, and lower blood pressure.
  • Vitamin C fights off cell-damaging free radicals in the body, which can help your body reduce inflammation.
  • This vitamin may enhance chemotherapy’s effect on cancer cells, and improves the quality of life in cancer patients.
  • This can help with cataracts, because it helps increase the blood supply to the ocular areas.
  • This vitamin has been known to help repair wounds in the body, because it helps the growth of connective tissues that speed up the healing process.
  • Low levels of this vitamin and diabetes are related; this vitamin helps the process of insulin and glucose in the body.
  • A disease associated with severe vitamin C deficiency is known as scurvy.

If you’re looking to improve your overall nutrition, besides just adding vitamin C, it’s best to talk to a doctor. Dr. Kordonowy offers the unique Biophotonic scanner to assess your body stores of certain antioxidants.  Dr. Kordonowy of Internal Medicine, Lipid & Wellness of Fort Myers provides dietary education services and counseling, as well. To book an appointment, click here or call 239-362-3005, ext. 200.

08.31.16
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The Benefits of Using Sunscreen

Florida is the Sunshine State, but with that comes a lot exposure to the sun. Floridians, snowbirds, and tourists love the state for its sunshine and warm weather. However, too much sun exposure can be dangerous. Overexposure to the sun creates oxidative radicals in a person’s skin tissue. The result? Premature wrinkles and aging of the skin, painful sunburns, and skin cancer. Below, I will discuss the importance of safety in the sun, which includes using sunscreen.

Living in a sunny climate places a person at a higher risk of developing melanoma. Melanoma is the deadliest form of skin cancer. In 2015, it was estimated 73,000 Americans were to be diagnosed with melanoma.  Long sun exposure and a few sunburns in your lifetime increases your risk of developing melanoma.

The sunlight contains ultraviolet rays,  UVA, UVB, and UVC. UVA rays are emitted all day and are the ones that contribute to skin cancer; UVB rays are the most intense from 10 a.m. to 4 p.m. – these rays are the ones that are known to cause sunburns; and UVC rays do not reach the Earth’s surface.

Regardless of your complexion, it is recommended to wear sunscreen if prolonged exposure to the sun is anticipated. Cancer doesn’t discriminate based on skin shade, so protecting yourself from the sun’s rays is critical.

The American Academy of Dermatology recommends everyone uses sunscreen that protects against both UVA and UVB rays. Topical sunscreens offer a physical barrier/blocker of the sun’s UV radiation. The strength of protection of SPF 30 or higher is endorsed. Using the Biophotonic™ Scan offered in Dr. Kordonowy’s office, the amount of protective antioxidants derived from your vegetables and fruit in your skin can be measured.

It’s good to use sunscreen on a cloudy day, up to 8 percent of the sun’s rays can still penetrate your skin. Sunscreen should be applied to skin 15-30 minutes before heading outdoors, so the skin can absorb it. One ounce of sunscreen is the suggested amount to use over the body. Sunscreen should be applied  every two hours.

People have written about sunscreen not being safe for a person’s skin because of certain chemicals, but is it believed the benefits that sunscreen provides (preventing sunburn and skin cancer) beats out the not-yet proven claims of toxicity on the body. No one has died yet from sunscreen chemicals, but many people die each year from melanoma.

One in five Americans will develop skin cancer in their life. With high odds, it’s in your best interest to protect yourself from developing this type of cancer. If you have any concerns  or looking for a doctor in the area, contact Dr. Kordonowy of Internal Medicine, Lipid & Wellness in Fort Myers by clicking here or calling 239-362-3005, Ext. 200.

08.15.16
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FDA Releases New Nutrition Label

The U.S. Food and Drug Administration (FDA) announced the new Nutrition Facts label for packaged foods back on May 20th. The current nutrition label is more than 20 years old. The FDA felt the change was needed so that consumers can have the most accurate nutritional and serving information about the food.  Food and beverage manufacturers have until July 26, 2018 to comply with these new changes.

The new label was created to reflect new scientific information. The purpose of the new label is to make it easier for consumers to make better food choices.

The major changes to the label i are modifying the list of required nutrients on the label, updated serving size requirements, and a new design.

The biggest change to the nutrition label is its appearance. The general look of the label is the same, but the changes were made so consumers could read certain components of the label easier.  The type size was increased for “Calories,” “servings per container” and the “serving size.”  The type was  bolded for the calories and “serving size.”

The label must now show the actual amount and percent daily value of vitamin D, calcium, iron and potassium. Manufacturers have the option to declare the amount for other vitamins and minerals.  At the bottom of the label, the footnote has been rewritten to better explain what percent Daily Value means.  It will read “The % Daily Values tells you how much a nutrient in a serving of food contributes to a daily diet of 2,000 calories.”   The diet is based on 2000 calories eaten in a day .

Here are some other updates to the nutrition label:

  • “Added sugars” in grams as a percent daily value will be included. It is hard to meet nutrition requirements if you eat more than 10% of your calories from added sugars.
  • Vitamin D and potassium will be required on the label, along with calcium and iron.
  • “Calories from Fat” is being removed from the label, because research revealed that this type of fat is more important than the amount. “Total Fat,” “Saturated Fat,” and “Trans Fat” will still be required.
  • Serving sizes must be based on amounts of food and drinks that people actually consume, not what “looks acceptable as determined by the manufacturer.”  The Nutrition Labeling and Education Act  requires that serving sizes be based on what people actually eat in a typical setting or serving.
  • Package size affects what people eat. Serving sizes will better reflect how people typically eat at one time.
  • For products with  more than a single serving, manufacturers will provide a “dual column” label to indicated the calories and amount of nutrients in both a serving and in the entire package.

Nutrition labels are just a guideline. The portion size you need as an individual varies based on a variety of factors (medical history, height, weight, gender, metabolism, diseases, disorders, etc.). If you need help with your diet, it’s best to talk to a health professional. Contact Dr. Kordonowy of Internal Medicine, Lipid & Wellness in Fort Myers for a nutrition consult. To schedule an appointment, call 239-362-3005, Ext. 200 or click here.