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Author Archives: Dr. Raymond Kordonowy

Dr. Raymond Kordonowy

About Dr. Raymond Kordonowy

Private Practice Medicine. President of IPALC. Delegate for the FMA,. Member of the National Lipid Association, and Florida Lipid foundation. I have provided CME lectures in the area of cholesterol disorders. Areas of interest : General Internal Medicine are advanced lipid testing/Lipidology, difficult to manage lipid cases, obesity, diet and nutritional assessment, wellness. I am married to Margaret and our two grown boys are Nicholas and Matthew. Hobbies mostly reading, listening to music economics, jogging, bad mandolin playing and upland bird hunting.

The Importance of Iron

Popeye knew what he was doing by eating his spinach. He turned to spinach to get stronger, which is true – spinach can help a person feel/be stronger. How? Spinach is loaded with iron, which not only helps a person’s strength, but also can give a person energy, strengthen bones, improve brain and cardiovascular function, and keep the digestive tract healthy. Sadly, low iron is the number one nutritional deficiency in America.

If you’ve ever felt extra exhausted or weak, there’s a good chance you may be lacking this mineral, especially if you’re a woman. Around 10 percent of women in America are deficient in iron, according to the CDC.

Iron is an essential mineral that is extremely important for the body to have a proper amount. This mineral helps transport oxygen throughout the body. Iron is an important component of hemoglobin, which is the substance in red blood cells that carries oxygen from the lungs to the rest of the body. In fact, hemoglobin represents, around two-thirds of the body’s iron. If your body is lacking iron, the body cannot make enough heathy oxygen-carrying red blood cells, and you most likely will develop anemia.

When the body lacks oxygen, you feel fatigued and exhausted; your body will have a tougher time fighting off infections or even thinking or making decisions properly.

How do you know if you have a deficiency? Often, people don’t even realize they have anemia unless they are beyond fatigued, pale, or have a hard time exercising. Symptoms of low iron include:

  • Shortness of breath
  • Increased heart beat
  • Sores at corner of the mouth
  • Cold hands and feet
  • A sore tongue
  • Brittle nails
  • Hair loss
  • Difficulty swallowing

A doctor can detect an iron deficiency through a blood test. If you are pregnant, have ulcerative colitis, celiac disease or Chron’s, you should get your blood tested regularly.

The amount you need depends on age, gender, and health. Your doctor will help determine how much you need. Your doctor will suggest an iron-rich diet if your iron is low. Iron-rich foods include: red meat, spinach, beans, dried fruit, and fortified cereals. However, your diet may not be enough for your deficiency, and your doctor may recommend an iron supplement. Your doctor will start you on a low dose and gradually increase your dosage, so your chance of developing side effects (constipation, upset stomach, vomiting) is lessened. Adults shouldn’t take more than 45 mg of iron a day.

If you’ve been extra sluggish lately (even though you get enough sleep) and your mind seems foggy, you may be low in iron. Your best bet is to get your blood levels checked by a doctor. Dr. Kordonowy of Internal Medicine, Lipid & Wellness of Fort Myers will examine you and order a blood test to determine if you have an iron deficiency or another issue. To book a consult, click here or call 239-362-3005, ext. 200. Dr. Kordonowy of Internal Medicine, Lipid & Wellness is a concierge, patient membership physician in Fort Myers, and provides direct primary care services.

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December 11, 2017
Dr. Raymond Kordonowy

About Dr. Raymond Kordonowy

Private Practice Medicine. President of IPALC. Delegate for the FMA,. Member of the National Lipid Association, and Florida Lipid foundation. I have provided CME lectures in the area of cholesterol disorders. Areas of interest : General Internal Medicine are advanced lipid testing/Lipidology, difficult to manage lipid cases, obesity, diet and nutritional assessment, wellness. I am married to Margaret and our two grown boys are Nicholas and Matthew. Hobbies mostly reading, listening to music economics, jogging, bad mandolin playing and upland bird hunting.

What to Do About Eczema

Have you noticed any red blotches on your skin? Maybe some blisters? Do they ooze or crust? Is your skin scaly? Do these skin conditions come and go? There’s a very good chance you could have eczema. Eczema isn’t just a child’s group of skin conditions, it can affect adults, as well.  In fact, 17 percent of the population suffers from eczema. With adult-onset eczema, sometimes the flare ups of the condition disappear as suddenly as they appeared; it can be unpredictable.

Eczema can be chronic for many people, but it can be controlled with the proper treatment. Skin conditions can be hard for medical professionals to diagnose and treat, because so many conditions can resemble other conditions. From bug bites and rashes to allergic reactions and diseases, doctors have a lot to sort through in figuring out what a person’s skin is reacting or responding to.  When it comes to eczema, there are a few signs and symptoms that make it obvious this is what the patient is suffering from:

  • Eczema always causes itchiness where its affecting the skin.
  • Rashes usually occur on face, arms, knees, hands or feet, but can affect other areas, as well.
  • The skin will appear dry, thickened, or scaly.
  • The skin can appear reddish and then turn brown on fair-skinned people.
  • On darker skin tones, eczema can change the pigmentation, so it appears lighter or darker.

It is still unknown what causes eczema, but it is thought to be linked to an overactive response of the immune system to some irritant. However, eczema is commonly found in families with histories of both allergies and/or asthma. You cannot spread eczema to another person.

Some reasons for flare ups include: touching rough textures, exposure to something hot or cold, exposure to certain soaps, cleaners, or detergents, exposure to animal dander, having a cold or upper respiratory infection, or stress.

There is no cure for eczema, but it can be managed. Doctors will prescribe creams (emollients) to deter itching and keep the skin moisturized. Cold compresses and antihistamines also can help reduce itching. Steroid creams, like hydrocortisone 1% (as well as prescription-level creams) can be helpful in reducing inflammation. In extreme cases, oral corticosteroids will be prescribed or antibiotics, if the areas have become infected.

During an exam, your doctor may order an allergy test to see if you have and possible allergies that are triggering the symptoms.

To try and avoid a future flare up, you should:

  • Keep your skin moisturized.
  • Reduce stress.
  • Avoid sudden changes in temperature.
  • Avoid sweating/overheating.
  • Avoid materials like wool that cause scratching.
  • Avoid harsh soaps/cleaners/detergents
  • Stay away from foods that you may be allergic or sensitive to.

If you have an unidentified skin condition or think you may have eczema, you’ll want to get it checked out right away. Dr. Kordonowy of Internal Medicine, Lipid & Wellness of Fort Myers will examine you and prescribe you with the proper treatment based on your symptoms. To book a consult, click here or call 239-362-3005, ext. 200. Dr. Kordonowy of Internal Medicine, Lipid & Wellness is a concierge, patient membership physician in Fort Myers, and provides direct primary care services.

 

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December 4, 2017
Dr. Raymond Kordonowy

About Dr. Raymond Kordonowy

Private Practice Medicine. President of IPALC. Delegate for the FMA,. Member of the National Lipid Association, and Florida Lipid foundation. I have provided CME lectures in the area of cholesterol disorders. Areas of interest : General Internal Medicine are advanced lipid testing/Lipidology, difficult to manage lipid cases, obesity, diet and nutritional assessment, wellness. I am married to Margaret and our two grown boys are Nicholas and Matthew. Hobbies mostly reading, listening to music economics, jogging, bad mandolin playing and upland bird hunting.

Nutrition for the Holiday Season

It’s that time of year again: the holidays! Fortunately, or unfortunately (whichever way you look at it), these holidays bring a lot of food to the table-from turkeys and stuffing to pies and cookies, and let’s not forget, plenty of alcohol. The holidays are a time where friends and family gather around to spend time together and indulge in plenty of high-caloric treats. Although it’s a time to make lifelong memories, this time of the year can also be extremely stressful for people who are trying to watch their weight or pay attention to their food choices due to health issues.  Their concerns and stress about holiday food is valid. According to the National Institutes of Health, overeating during the holidays can lead to an extra one or two pounds every year. This weight gain can add up and stick with a person throughout the years.

It’s unrealistic to tell people to skip the pie or grandma’s casserole during a holiday dinner, but it is realistic to approach the holiday season with a different mindset. The holiday season shouldn’t be this “all or nothing” mentality when it comes to enjoying oneself, but rather it should be about mindful choices. You can indulge in moderation during the holiday season and still stay on track with your health and fitness goals.

I wanted to share some tips and advice to help you navigate through all the parties, dinners, and gatherings that you’ll be attending during this holiday season. Remember, you don’t have to miss out or deprive yourself this holiday season.

  • Pay attention to the food you’re eating. Don’t mindlessly eat, and don’t eat food just because it’s there. Eat when you’re hungry. Don’t eat just to eat.
  • Choose special and unique foods you don’t normally eat the rest of the year to fill your plate. Balance these treats out with fruits and vegetables.
  • Control portions. Eat smaller portions of the foods provided. Remember, there will be other parties and dinners for you to try out other foods, as well.
  • Don’t stress out about the scale during this season. Aim to maintain your weight. The holidays aren’t the ideal time of year to go on a diet. Pay attention to the scale, the way your clothes fit, and how you look and feel in the mirror to monitor your progress.
  • To manage your caloric intake, drink alcoholic beverages in moderation. The calories in these drinks can add up quickly.
  • Don’t skip meals because you know a big meal is ahead. Skipping a meal with only make you hungrier and potentially cause you to overeat.
  • Stop eating when you feel satisfied and try not to stuff yourself. There will be more opportunities throughout the season to eat delicious food.
  • Aim to stay active throughout these months. If you go to the gym or take classes, continue this routine. Exercise will help balance out the increase in calories you’re consuming. You don’t need to go overboard with exercise either. A few 10-15-minute walks throughout the day can really help your body.
  • It’s OK to say no to second helpings.
  • If you plan on watching what you eat, avoid creamy sauces, dips, dressings, large portions, fried foods, and multiple helpings.
  • If you’re not wanting to indulge this holiday season, bring your own food to the party. Or, bake a healthy dish, for everyone, that you’ll feel good about eating.
  • Don’t stand near the food (if possible) so you’re less tempted to grab or mindlessly munch on treats.
  • Keep a food diary during this time so you’re aware of what you have been consuming.
  • Eat before going to a party so you curb your appetite. With some food in your stomach, you will be less likely to overeat on treats.

It’s OK to eat a little more and be flexible in your food choices this time of year. Moderation is key. If you practice many of the above tips, you will feel less “guilty” and be more confident in your choices this holiday season.

If you’re having a hard time managing your diet, especially through the holiday season, it’s a good idea to talk to a doctor to help manage your food intake and choices. Dr. Kordonowy of Internal Medicine, Lipid & Wellness of Fort Myers offers dietary counseling. To book an appointment with Dr. Kordonowy, click here or call 239-362-3005, ext. 200.

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November 21, 2017
Dr. Raymond Kordonowy

About Dr. Raymond Kordonowy

Private Practice Medicine. President of IPALC. Delegate for the FMA,. Member of the National Lipid Association, and Florida Lipid foundation. I have provided CME lectures in the area of cholesterol disorders. Areas of interest : General Internal Medicine are advanced lipid testing/Lipidology, difficult to manage lipid cases, obesity, diet and nutritional assessment, wellness. I am married to Margaret and our two grown boys are Nicholas and Matthew. Hobbies mostly reading, listening to music economics, jogging, bad mandolin playing and upland bird hunting.