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Dysphagia - what it is, what can be done, and why you should speak with your provider if you have trouble swallowing

Dysphagia. This is the technical medical term for difficulty swallowing which is a common complaint. Most people have experienced this sensation in their lives. It can occur when you’re eating something doughy like a bagel or French bread and then take few extra bites before swallowing. If you immediately swallow several times in a row you may get the sensation that the food is slowly passing toward your stomach. Your mouth may salivate; you might get a pressure sensation behind your breastbone; you might experience some pain, burning or discomfort. And, then you will feel instant relief the second the food you swallowed passes from the esophagus into the stomach. This is dysphagia.

For most people, this experience occurs very occasionally and usually when we are trying to eat too much, too quickly.

However, for some patients this symptom may occur more frequently such as daily and sometimes as often as every bite of food. It may also occur with solid food alone or with both solids and liquids. Most people will hope that the symptom will resolve by itself. Over time, they will often change the way they eat to avoid the symptom. They will eat slowly and chew their food till it resembles a paste, or they will use water to make things runny which then allows the food to pass.

What is interesting is that patients are reluctant to see or discuss this symptom with their physicians. In the last few months, I have seen patients who have had the symptom of dysphagia anywhere from 1 year to 40 years before they believed it was important enough to seek medical advice. The simple truth is that dysphagia that happens regularly or requires changes in the way you eat should be reported to a physician to determine the cause of the trouble.

What causes dysphagia?

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Flu vaccine for children

A lot of parents have questions about the flu vaccine and many parents refuse the vaccine as they feel it does not very effective. Some parents are concerned about vaccines in general and refuse vaccinating their child as they don’t want to administer “another vaccine” to their child. The best way to prevent getting flu is by vaccination.

What is flu (Influenza)?

Flu (influenza) is not just a common cold or a stomach virus as most people think. Influenza usually occurs during the winter in our region although it can occur all year around in other parts of the world. It can be a serious respiratory illness that can lead to complications especially in children and older adults. Symptoms are generally similar to any other common cold infections and can vary from fever, runny nose, nose congestion, cough, body aches and headaches. The body aches and headaches are mostly reported by older children and adults. Children may not be able to explain their symptoms and may just be fussy.

Most children get over the flu without any complications. In some children and adults, however, it can lead to serious complications including pneumonia.

How to prevent the flu:

Influenza is ...

How to stay hydrated - and why we should drink more water

When people think of the Pacific Northwest, they often think of rain. Especially during non-summer months, water never seems to be in short supply in our region. So it seems strange that many of us aren’t getting as much water as our bodies need.

Every cell and tissue in your body needs water to survive and without it, you could be left high and dry. Thirst is the first sign that your body is dehydrated which means we should be drinking water even before we think we need it.

What are other signs of dehydration?

Can Chicken Soup and Orange Juice Fight Off Illness?

Chicken soup and orange juice are popular home remedies when a cold or flu strikes. But can certain foods really make us feel better, or is it just folklore?

“There is no clear consensus about whether or not certain foods can help us ward off or relieve illness,” explains Richard Lindquist, M.D., Medical Program Director at Swedish Weight Loss Services. “However, certain foods do contribute to overall health, and that can help us withstand exposure to illnesses.”

The body needs energy to fight off illness, and good foods like healthy proteins, and antioxidant-rich, bright colored fruits and vegetables, provide that energy. And what about Grandma’s chicken soup? 

“Although a Nebraska Medical Center study did conclude that chicken soup appeared to help participants fight off colds, I wonder whether or not other factors like a healthy diet or regular hand washing contributed to these outcomes,” says Dr. Lindquist. “However, chicken soup combined with plenty of rest and fluids can’t hurt when you’re feeling under the weather.”

One thing we can be sure of is that eating the wrong foods can certainly contribute to us become ill. “If we are deficient in protein, vitamins and nutrients, our bodies are less able to fight off illness,” explains Dr. Lindquist. “Additionally, foods that cause us to put on extra weight are detrimental to our immune system. Excess fat tissue causes inflammation in the body, which compromises our immune system and makes us vulnerable to viruses.”

Even if we’re eating the right foods and avoiding the wrong ones, cold and flu viruses are highly contagious and can attack even the healthiest individuals. For this reason, it’s a good idea to take other steps to protect yourself. “The best thing you can do to prevent illness is to avoid exposure to infectious sources,” advises Dr. Lindquist. “The next best thing is making sure your immune system is up to par, and that includes good nutrition.” Some tips for avoiding, or at least decreasing, your exposure to illness include:

Get Schooled on Health

Many of us would choose not to go back to school. We’re finished with the exams, the studying and the lectures. But does that mean we don’t have anything more to learn? Unlikely. In fact, most of us could afford to get schooled some more…on health. Do you know the latest recommendations for lung cancer screening? Do you know how to cook heart healthy meals? What about the right way to do CPR, do you know it? Even as a health educator, I find myself at a loss with many of these questions. As students head into midterms and finals, maybe we should all hit the (health) books, too!

Of course, if you’ve been out of school for a while, it may seem hard to jump back in or even know where to jump back in. Where should you start? Consider your local health facility. When it comes to health, the hospital or your local health facility is more than just a place to go when you get sick. Hospitals are also the place to go to avoid getting sick. Learning about health is one of the best ways to do this and many hospitals, clinics, and other medical facilities have health classes that can exercise your brain (and even your body, too!) Instead of paying a copay to ask a health care provider some basic questions, why not try a health class? Many are free or low cost and can offer opportunities to ask questions and get much needed answers to health questions.

Talk with your doctor, your neighbors or your friends to get ...

An Appetite for Autumn

Perhaps a recent flip of the calendar and a gentle drop in the thermometer has reminded you that it’s time to transition from the hassle-free and spontaneous raw meals of summer to the grounding and planned dishes autumn warrants. Despite claiming that we enjoy this season of change and appreciate the opportunity to readopt routines and schedules, most likely we will get lost in our obligations, stretch the limits of our clothing seams, let the darkness of the early setting sun bury our guilt for abandoning the gym, and then collectively and excitedly gear up for fabulous health resolutions when the clock strikes midnight on December 31. Kidding. In all seriousness, I hope you can utilize the following tips and suggestions for transitioning to fall foods while successfully avoiding the seamstress.

Fall Favorites

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One Flu over the Cuckoo's Nest

No, that’s not a typo. Flu season is upon us. As summer vacations end, kids go back to school and work picks up again, things can get a little cuckoo. The added stress tied with more contact with people as we head indoors to escape the cooling weather mean that we are more likely to get sick.

Germs like the flu love two things: weaker immune systems (thanks, stress!) and people in close contact with each other.  Schools and offices (two of the most cuckoo places this time of year) are ideal breeding grounds for the flu, which still kills tens of thousands of people every year. The bright side of this is that the flu is preventable!

Here are the top four ways to keep from getting sick this season:

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