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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.

Such a Pain: The 101 on Gallstones

Sudden pains that pop up in your stomach can be alarming and unsettling. You may frantically ask yourself “Do I have gas?” “Is my appendix going to burst,” and “Are my kidneys failing?”  With so many organs in your abdomen, there’s many reasons your stomach area can be experiencing pain. Some pains are minor and the feeling will pass in a short amount of time, while other pains are more severe and may signify a more serious issue or life-threatening condition. One such cause of abdominal pain are gallbladder issues, including gallstones and gallbladder. In this article, I will discuss these conditions and share what causes them, how to determine If you have a gallbladder problem, and treatment.

Where is your gallbladder? 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 seems 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? You will feel this pain 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 digest 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. 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 diagnosis 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.

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August 23, 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.

How to Manage Adult Acne

Acne isn’t just a teenager’s problem. In fact, acne is the most common skin condition in the United States. If you have acne and are an adult, you are not alone! Around 50 million Americans deal with acne every year.  Fifty percent of adult women and 25 percent of adult men suffer from acne. Sadly, acne cannot be cured, but it can be effectively treated. In the United States, $3 billion is spent annually in the United States on acne treatments. There is no one treatment for this condition. With different genetics, skin types, hormones, and environments, it’s easy to understand why people respond differently to treatment strategies.

Even though an adult is far past puberty, there are several factors that can lead to people developing acne, including: overactive oil glans, genetics, hormones, menstruation, stress, depression, medications, and foods with a high glycemic index (white bread, sweets, white rice).  Each person has the bacterium Propionibacterium on their skin.  When this bacterium gets into the pores, it can cause a person’s skin to breakout. Killing this bacterium doesn’t always work to clear up everyone’s faces. It’s not necessarily the bacteria that is causing a person’s skin to develop acne per se, it’s how his or her skin reacts to that bacteria.

Acne, which is a chronic inflammatory skin condition, can appear in many forms, including blackheads, whiteheads, cysts, and nodules; it can be found on the face, back, shoulders, chest, arms, buttocks, and neck.  Acne is unsightly and can be quite embarrassing by many who have it.

What is the best way to treat your acne? Well, this may take some trial and error, but it’s also best for you to discuss this topic with your primary care doctor or a dermatologist. He or she can exam your skin and listen to your symptoms to determine the best treatment plan.

  • Washing acne-prone areas of skin daily, especially after exercising or sweating, can help reduce your breakouts. Scrub gently.
  • Purchase oil-free cosmetics and lotions.
  • Don’t pick at acne or pop pimples, because it could lead to scarring.

For mild acne, topical creams (benzoyl peroxide, retinoids, and salicylic acid) will work. For more severe cases, a person most likely will take an oral antibiotic (tetracycline, doxycycline, trimethoprim/sulfa). If you are taking a medication or acne product prescribed by your doctor, wait about 4 to 8 weeks to see full results.

The anti-inflammatory isotretinoin has been known to work wonderfully on people with severe acne, but there are claims it can lead to depression and suicidal thoughts, as well as irritable bowel disease. Although, the relation has not been scientifically proven, not all doctors will prescribe this medication for those reasons. Chemical peels, dermabrasion and laser resurfacing help with acne scaring, but you should talk to your doctor about acne scar treatment.

Eating greasy pizza won’t give you acne, and tanning beds won’t clear it up for you. Unfortunately, acne is a part of life, and around 95 percent of Americans experience it at some in their lives. If you’re currently suffering from acne or scars, it’s best to talk to your doctor about the best treatment plan.

Dr. Kordonowy of Internal Medicine, Lipid & Wellness of Fort Myers can exam your skin and work with you to come up a plan to treat your acne.  To schedule an appointment with Dr. Kordonowy, call 239-362-3005, ext. 200 or click here. Dr. Kordonowy offers direct patient care membership and concierge services including the unique Inpatient Advocate Service™

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August 16, 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.

Vitamins & Supplements for Heart Health

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.

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August 7, 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.