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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.

When It’s Not a Heart Attack: Other Causes for Chest Pain

On average, about 6 million people experience chest pain in the United States each year. Chest pain is scary, especially when you’re unsure of the cause. Right off the bat, many people are worried that they’re having a heart attack or experiencing cardiac arrest.  Chest pain can be caused by a lot of different things that have nothing to do with the heart.

Although chest pain should always be treated as a serious matter, not all chest pain has to do with the heart.  I wanted to share some common causes of chest pain. Some of these causes are more serious than others, but you should always talk to a doctor about the chest pain your experiencing as soon as possible.

Heartburn – If it gets bad enough, heartburn can feel like a heart attack, because the stomach and the heart both can cause chest or epigastric pain.  If you think it may be heartburn or acid reflux, take an over-the-counter antacid to soothe the burning you feel.

Anxiety – Panic attacks from anxiety are often mistaken for heart attacks. However, no one has ever died from a panic attack, but that does not mean they are not equally scary to experience. A panic attack can cause chest tightness, lightheadedness, heart palpitations and sweaty palms, which can all be felt during a heart attack. Some people, who have experienced panic attack before, are able to reassure themselves that if a panic attack strikes again they don’t need to worry that their heart is in danger.

Costochondritis – This is the inflammation of the cartilage between the ribs. When this inflammation occurs, a person can feel very sharp pains in his or her chest, especially when taking a deep breath. If a person lifts his or her arms above the head and the feeling worsens, the pain is most likely costochondritis, because a heart attack will not change regardless of how a person moves.

Shingles – Shingles can cause pain around one side of the rib cage, usually accompanied by a rash.

Others potential causes for chest pain: Stomach ulcers, pneumonia, and pancreatitis and lung embolism (a problem potentially as fatal as a heart attack).

For the most part, any issues occurring in the body between the mouth and stomach area can cause a person to experience chest pain. If you’ve been experiencing chest pain, please contact a doctor immediately to rule out anything serious. Dr. Kordonowy of Internal Medicine, Lipid & Wellness in Fort Myers will be able to evaluate your symptoms and run tests to determine the cause of your chest pain. To book an appointment with Dr. Kordonowy, click here or call 239-362-3005, ext. 200.

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April 24, 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.

Bone Conditions You May Not Know About

When it comes to bone health issues, osteoporosis is most likely the condition that comes to mind. However, there are many other serious bone issues that can develop in people, and unlike osteoporosis some of these conditions cannot be prevented or changed with lifestyle changes.

For this article, I wanted to briefly share some information about some bone conditions that many people may not be familiar with.

Osteomalacia – Osteomalacia is when a person’s bones soften due to a vitamin D deficiency. People often don’t experience any symptoms in the early stages of this condition, and it can take years to develop. As time goes on, a person will begin to feel achiness in his or her bones, especially in the lower back, legs, and hips. People who consume little vitamin D in their diets, have little exposure to sunlight, had a gastrectomy or surgery on the small intestine, have Celiac disease or liver or kidney disorders are at a higher risk for developing osteomalacia. To treat this condition, patients take vitamin D supplements.

Osteonecrosis – This is when death of a bone occurs due to a lack of blood supply. This most often occurs in the femur near the hip. Cause for this condition include: previous fractures, excessive alcohol consumption, steroid usage, and sickle cell disease. This condition is found most common in people ages 30 to 60. In the beginning stages of osteonecrosis, a person may be symptom free, but in time he or she will feel pain when weight is put on the affect area. Treatment options range from physical therapy and medication to surgery (core decompression, osteotomy, or bone grafting).

Osteogensis imperfecta – Osteogensis imperfecta is also known as brittle bone disease and is a genetic disorder. This condition makes the bones extremely fragile and cannot be cured. It can be mild or severe ranging from a few fractures in a lifetime to hundreds of fractures with no apparent cause. Many people with this condition also suffer from osteoporosis, chronic joint pain, asthma and other issues. When it comes to treatment, patients can go through many different options including bone-strengthening medications, physical therapy, casts, splints, bone surgery, and other medical procedures.

Other serious bone conditions include: Stress fractures, bone cancers, and Paget’s Disease.

Bone issues can be extremely serious, and it’s best you talk to your doctor about any pain in your bones that you have been experiencing. Even if you have no pain, you may want to start a conversation with your doctor if bone issues run in your family, if your current lifestyle habits could lead to a bone condition, or if you are older in age. Dr. Kordonowy of Internal Medicine, Lipid & Wellness of Fort Myers will be able to address any concerns you have regarding your bone health. To book an appointment, click here or call 239-362-3005, ext. 200.

 

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April 17, 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.

Tips to Stay Properly Hydrated on a Daily Basis

As you probably know, hydration is important; it is essential to living a healthy life. Your body needs water to work, maintain temperature, remove waste, and lubricate your joints. What you may not know is that 75 percent of Americans have chronic dehydration, according to the Health and Medicine Division of the National Academies. The old guidelines of 8 glasses of 8-ounces of water a day no longer are correct. These days, an average person should be drinking between 25 to 50 percent of their body weight in ounces daily. However, a person’s water consumption ultimately depends on a number of factors including a his or her age, weight, gender, activity level, and temperature.

There are several ways to stay hydrated beyond sipping water all day long. Although, water is the best way to hydrate the body. Plenty of other liquids (juice, milk, tea, coffee, coconut water), fruits and vegetables supply a person with water. Here are some other foods and beverages that can help hydrate: hamburger, chicken breast, celery, cucumber, soup, watermelon, grapes, sports drinks, and Jell-O. Sea salt is also a good addition to the diet (in moderation) because it helps balance water and potassium levels in the body, and sodium and potassium enhance hydration.

Another way to stay hydrated is to exercise. Increasing one’s circulation actually promotes hydration in the body by improving electrolyte levels and bringing nutrients into the cells. According to the American College of Sports Medicine, it is recommended a person consumes 16 to 20 ounces of water at least four hours before exercise and 3 to 8 ounces every 15 minutes during exercise.

If a person is properly hydrated, he or she should be going to the bathroom every two to three hours, and his or her urine will be a pale yellow in color. If the urine is a darker color, this is a sign of improper hydration.

Along with the color of urine, another sign of dehydration is thirst. If you’re thirsty then that means your body is already dehydrated. Others signs of dehydration include: dry mouth, headache, little to no urine, lightheadedness, or fatigue.

If you’re having trouble drinking more often or believe you suffer from chronic dehydration, it’s best to talk to your doctor. Call Dr. Kordonowy of Internal Medicine, Lipid & Wellness in Fort Myers today. Dr. Kordonowy will be able to identify if you’re suffering from dehydration and work with you to find ways to hydrate yourself better throughout the day to live a healthier life. To book an appointment, click here or call 239-362-3005, ext. 200.

 

 

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April 10, 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.