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Dwint Family Health Care NP,  PLLC

1665 Bedford Avenue, STE 2                         111-56 76th Dr. STE, STE UL1

Broo‚Äčklyn, NY 11225                                        Forest Hills, NY 11375

Concierge Health & Wellness Provider

All Inclusive Health 

My Blog


Nine Factors That Appear to Elevate Alzheimer's Risk Evidence suggests benefit from addressing related potentially modifiable risk factors.

Posted on 25 August, 2015 at 14:58 Comments comments ()
Jin-Tai Yu, M.D., Ph.D., an associate specialist in neurology at the University of California, San Francisco, and colleagues reviewed the findings of 323 studies completed between 1968 and 2014. Collectively, the studies involved more than 5,000 patients and looked at 93 conditions with the potential to affect Alzheimer's risk. The team set out to determine which factors appeared to offer some protection against developing Alzheimer's.

The strongest evidence suggested that:
  •  coffee, 
  • vitamins C and E, 
  • folate, 
  • nonsteroidal antiinflamatory drugs, 
  • statins,antihypertensive medications,
  • and estrogenmedications,
  • and estrogen supplementation, all appeared to reduce Alzheimer's risk. 

Patients battling several serious health conditions also seemed to see their risk fall, including those with:
  • arthritis, 
  • heart disease, 
  • metabolic syndrome, and/or cancer. 
Those who were light or moderate drinkers of alcohol similarly saw their Alzheimer's risk dip, alongside current smokers (apart from those of Asian descent), 
those struggling with stress, and seniors with high body mass index.

By contrast, a complex statistical analysis enabled the research team to zero in on the nine factors that appeared to elevate Alzheimer's risk among 66 percent of those who ultimately get the disease. 

Those include:
  •  high body mass index in midlife; 
  • carotid artery disease;
  •  hypertension;
  • depression; 
  • frailty; 
  • being poorly educated;
  •  having high levels of homocysteine;
  •  and (specifically among those of Asian descent) being a smoker and/or having type 2 diabetes.

Effective interventions in diet, medications, biochemical exposures, psychological condition, pre-existing disease and lifestyle may decrease new incidence of AD.

Say No To Alchol During Pregnancy. Prevent Fetal Alchol Spectrum Disorder(FASD): a very serious group of conditions that can occur in a person whose mother drank alcohol during pregnancy.These effects can include physical problems and problems with behavi

Posted on 21 August, 2015 at 1:18 Comments comments ()
Drinking alcohol can cause a group of conditions called fetal alcohol spectrum disorders (FASDs).  Among their symptoms, children with FASD may grow less quickly than other children, have facial abnormalities and have problems with their central nervous systems, including  mental retardation.

A person with an FASD might have physical and behavioral problems such as trouble with:
  • Learning and remembering
  • Understanding and following directions
  • Controlling emotions
  • Communicating and socializing
  • Daily life skills, such as feeding and bathing
  • Poor reasoning and judgment skills
  • Sleep and sucking problems as a baby
  • Vision or hearing problems
  • Problems with the heart, kidneys, or bones

The truth is, drinking alcohol while pregnant is risky. 

  • There is no known safe amountof alcohol use during pregnancy. Yet, many pregnant women who drink­to­moderate amounts of alcohol think it cannot harm their babies. 

  • There is no safe typeof alcohol to use during pregnancy: A bottle of beer, a glass of wine, home brew, a“forty,”hard lemonade, or “alcopops”*—even some energy drinks—all carry the same risk as drinking a shot of hard liquor or a mixed drink made with liquor. They all contain about the same amount of alcohol.

  • There is no safe time to drink alcohol during pregnancy. Drinking alcohol at any time during pregnancy can permanently damage the fetal brain and other parts of the body. Some research indicates that the brain is especially vulnerable to alcohol during the first few weeks of fetal development.

Because most pregnancies are unplanned,women and girls usually are not aware that they have become pregnant and may continue to drink alcoholic beverages. Data on past month alcohol use among women in the United States, indicate that:

  •  12.2 percent of pregnant women (about one in eight) drank alcohol. This rate remained stable over the 15­year period 1991–2005.  

  • 19 percent drank alcohol during their first trimester; 7.8 percent in the second trimester; and 6.2 percent in the third trimester.

A pregnant woman or girl who drinks alcoholic beverages can cause damage to her baby, possibly including fetal alcohol spectrum disorders. Different terms are used to describe FASDs,depending on the type of symptoms No one treatment is right for every child. Good treatment plans will include close monitoring, follow-ups, and changes as needed along the way.

If you used alchohol or any unprescribed drugs, during pregnancy, Talk with your health care provider about it"as soon as possible." Get your child the help he may need before it is too late. 


Chills & Fever : Chills are feelings of coldness accompanied by shivering Chills can be a symptom of a serious or life-threatening infection or hypothemia. Fever is the body's normal and healthy reaction to infection and other illnesses, both minor and se

Posted on 27 July, 2015 at 3:44 Comments comments ()
Chills and fever are signs that something is wrong. If you treat your chills and fever but they persist, you should see your doctor to determine the underlying cause. Chill is a sensation of cold, with convulsive shaking of the body, accompanied by an elevation of temperature in the interior of the body; usually a symptom of an infectious disease.  

Chills can occur after exposure to a cold environment. They also occur as a response to a bacterial or viral infection that causes a fever.

Chills are often related to fever; Every one of you may have experienced the wave of chills and exhaustion that a fever causes. When the brain increases the body's temperature set-point, the rest of the body gets confused and feels like it needs to meet that higher temperature.You feel cold because technically you are colder than your body's new set-point. In turn, the body works to generate heat to warm itself by contracting and relaxing muscles, hence the shivering.

  • Viral infections , such as colds and flu, and bacterial infections, such as a urinary tract infection or pneumonia, often cause a fever. 

  • Fever is a symptom, not a disease. When you have a fever, your other symptoms will help you determine how serious your illness is. 

  • Chills are an important symptom with certain diseases such as Malaria

  • Chills is also  a common sign of anxiety, but it is NOT something you need to live with forever. The right anxiety cures can prevent this constant feeling of fear PERMANENTLY.

Although a fever is easy to measure, determining its cause can be hard. See your Doctor if you are experienceing any of the following:

  • Stiffness of the neck,confusion, irritability, or sluggishness.
  • A bad cough, shortness of breath, abdominal pain or burning, or frequent urination.
  • A temperature of 101°F or more, in a child younger than 3 months.
  • A child between 3 months and 1 year has a fever that lasts more than 24 hours.
  • A fever  that remains above 103°F after 1-2 hours of home treatment.
  • A fever does not improve after 3 days, or has lasted more than 5 days.

Treatments vary depending on the cause of the fever.

  • The most common treatments for fever include over-the-counter drugs such as acetaminophen (Tylenol) and nonsteroidal anti-inflammatory drugs such ibuprofen (Advil, Motrin) and naproxen (Aleve). Children and teens should not take aspirin because it's linked to condition called Reye’s syndrome.

Nosebleeds Nosebleeds are due to the bursting of a blood vessel within the nose.Nosebleeds aren't usually serious. However, frequent or heavy nosebleeds may indicate more serious health problems, such as high blood pressure or a blood clotting disorder.

Posted on 10 July, 2015 at 11:34 Comments comments ()
Consult a doctor for a nosebleed if bleeding cannot be stopped, there is a large amount of blood lost, or you feel weak or faint.

Nosebleeds (epistaxis, nose bleed) can be dramatic and frightening. Most often they are considered to be a nuisance and not a true medical problem but, they can be both.  Nosebleeds are divided into two types, Anterior and Posterior.

1. Anterior nosebleeds The bleeding usually comes from a blood vessel at the very front part of the nose. Anterior nosebleeds are usually easy to control, either by measures that can be performed at home or by a doctor

2 .Posterior nosebleeds:  The bleeding usually comes from an artery in the back part of the nose. These nosebleeds are more complicated and usually require admission to the hospital and management by an otolaryngologist (an ear, nose, and throat specialist).

Nosebleeds are fairly common and most people will experience them every now and again. Anyone can get nosebleedsThe cause of most nosebleeds are unknown, but they may also result from trauma, medication use, tumors, or nasal/sinus surgery.  Common causes of nosebleed include:

  • Dry, heated, indoor air, which dries out the nasal membranes and causes them to become cracked or crusted and bleed when rubbed or picked or when blowing the nose..

  • Colds (upper respiratory infections) and sinusitis, especially episodes that cause repeated sneezing, coughing, and nose blowing.

  • Vigorous nose blowing or nose picking

  • The insertion of a foreign object into the nose

  • Injury to the nose and/or face

  • Allergic and non-allergic rhinitis (inflammation of the nasal lining)

  • Use of drugs that thin the blood (aspirin, non-steroidal anti-inflammatory medications, warfarin, and others)

  • High blood pressure

  • Facial and nasal surgery

Many nosebleeds can be treated at home, but some do require medical careHolding pressure, nasal packing, chemical cautery, and use of nasal decongest sprays represent the first line of treatment for a majority of nasal bleeding. 

Here what you can do when there's a nosebleed!

  • Have the person sit up straight and lean forward slightly. Don't have the person lie down or tilt the head backwardBy remaining upright, you reduce blood pressure in the veins of your nose. Sitting forward will help you avoid swallowing blood, which can irritate your stomach.

  • With thumb and index finger, firmly pinch the nose just below the bone up against the face. Use your thumb and index finger to pinch your nostrils shut. Breathe through your mouth. Continue to pinch for five to 10 minutes.Pinching sends pressure to the bleeding point on the nasal septum and often stops the flow of blood.

  • Apply pressure for 5  to 10 minutes. Time yourself with a clock.

  • If bleeding continues after 5 minutes, repeat the process. Once the bleeding stops, DO NOT bend over; strain and/or lift anything heavy; and DO NOT blow, rub, or pick your nose for several days.

Gently applying Vaseline or other ointment to the front of the nose with a Q-tip on a daily basis helps to moisturize the nose and prevent nose bleeds due to dryness. It is also very important to avoid any trauma to the nose after a nose bleed by picking healing scabs or blowing the nose too aggressively.

Consult a doctor for a nosebleed if bleeding cannot be stopped, there is a large amount of blood lost, or you feel weak or faint.

Protect your baby from group B strep. If you have GBS, your baby can get very sick and even die if you are not tested and treatedGetting screened for GBS late in pregnancy – and receiving antibiotic treatment during.

Posted on 3 July, 2015 at 3:05 Comments comments ()
Do You Know What is group B streptococcus?

  • Group B strep (GBS) is a kind of bacteria that many people harbor in their intestinal tracts. The bacteria may also inhabit (or "colonize") your vagina as well, and be passed on to your baby during labor and birth.

While GBS is generally harmless in healthy adults, it may cause stillbirth and serious infections in babies. Getting screened for GBS late in pregnancy – and receiving antibiotic treatment during labor if you're a carrier –  greatly reduces your baby's risk of becoming infected. .

What Does Being a GBS Carrier Mean?

  • Being a carrier for GBS bacteria does not mean you have an infection. It only means you have these bacteria in your body. You would not feel sick or have any symptoms. These bacteria are usually not harmful to you—only to your baby during childbirth or soon after being born.

Carrying GBS bacteria also does not mean that you are not clean, and it does not mean that you have a sexually transmitted disease. The bacteria are not spread from food, sex, water, or anything that you might have come into contact with. These bacteria can come and go naturally in the body. 

The group B strep test is done during pregnancy to identify women who carry this common bacterium.
What are the consequences of early-onset GBS disease?

  • Early-onset GBS disease can causesepsis (an infection in the blood),pneumonia, and, less frequently, meningitis. Some of these babies, particularly thosewith meningitis, will have long-term health problems such as:
  •  hearing or vision loss
  •  cerebral palsy, or developmental disabilities
  •  and about 5 percent won't survive. 

If you're pregnant, your health care provider will likely recommend a group B strep test during the third trimester. Because you can test positive at certain times and negative at other times, you'll need to repeat the group B strep test each time you're pregnant.

April 2015 is Women’s Eye Health and Safety Month. According to the Women’s Eye Health Task Force, risk factors for premature death due to heart disease or cancer are the same as those for blindness and vision impairment. These factors include

Posted on 12 April, 2015 at 1:04 Comments comments ()
Every woman, especially those who are pregnant, planning to get pregnant or diabetic, should make it a priority to get a comprehensive, dilated eye exam.  
There are a number of health factors and differences between men and women that put women at greater risk of serious vision loss; two-thirds of Americans with vision impairment are women. However, through early detection and treatment vision loss can be lessened.

Regular dilated exams are essential to prevention, early detection of eye disease — and to keeping you and your eyes healthy. So in honor of Women’s Eye Health and Safety Month, schedule a routine eye exam, if it’s been more than a year and encourage the women in your life to do the same also.

Nearsightedness, or myopia, is a very common condition in which nearby objects are visible but faraway objects are out of focus and difficult to see.

Farsightedness, or hyperopia,is a common vision impairment in which you are able to see things that are far away, but have trouble seeing things that are up close.

Risk factors for vision problems in women include:
  • Obesity
  • Smoking
  • Age
  • Poor nutrition

The main Eye-related Health Risks Faced by Women include:

  • Glaucoma is one of the leading causes of blindness in the United States. Glaucoma refers to a number of diseases that damage the optic nerve and can lead to vision loss. It is usually caused by abnormally high pressure inside the eye. Glaucoma can damage your vision so gradually you may not notice any loss of vision until the disease is at an advanced stage.

  • Cataracts-  A cataract is a clouding of the lens of the eye that can impair vision.

  • Dry Eye Syndrome. With this condition, the eyes do not produce enough tears or the tears are poor quality and evaporate quickly. When this happens, the eyes sting or burn, feel scratchy, become irritated or tear excessively.

If you are  experiencing any of the following symptoms, an appointment with an eye care professional should be made immediately:

  • Unusual trouble adjusting to dark rooms.

  • Eye pain /or severe headache

  •  a blank spot or haziness in your central vision and color perception.

  • Swelling (edema) of the eyelids and tissue around the eye

  • A constant stare

  • Eyelid retraction

  • Dry eyes or a sensation of grit or irritation to the eye

  • Watering and redness of the eyes

  • Sensitivity to light

  • A feeling of pressure in the eye sockets

  • Double vision

  • Loss of vision

An eye emergency is when chemicals or a foreign object gets in the eye, or an injury affects the eye area. Emergencies require immediate medical attention to help prevent permanent vision damage.

Eye injuries can be prevented by the use of protective eyewear at work, at home, at school and in sports. You should have your eye health evaluated annually. Recognizing vision problems early may prevent long-term complications and blindness.

Abdominal pain may be minor and of no great significance, or it can reflect a major problem involving one of the organs in the abdomen.The characteristics of the pain -- location, timing, duration, etc. are important in diagnosing its cause. Persisting ab

Posted on 27 March, 2015 at 12:46 Comments comments ()
Abdominal pain (Pain in the belly) can be associated with a variety of conditions both within and outside of the abdomen. Abdominal pain can be acute and sudden in onset, or the pain can be chronic and longstanding. 

The cause of abdominal problems can be hard to pinpoint. Sometimes minor and serious abdominal problems start with the same symptoms.  Pain that increases with movement or coughing and does not appear to be caused by strained muscles is more likely to be a symptom of a serious problem.  

Severe abdominal pain is a greater cause for concern. If it starts suddenly and unexpectedly, it should be regarded as a medical emergency, especially if the pain is concentrated in a particular area. 

Whether it's a mild stomach ache, sharp pain, or stomach cramps, abdominal pain can have numerous causes. Fortunately, most abdominal problems are minor, and home treatment is all that is needed. Some serious causes of sudden severe abdominal pain include:

  •  Appendicitis – the swelling of the appendix (a finger-like pouch connected to the large intestine), which causes agonizing pain in the lower right-hand side of your abdomen, and means your appendix will need to be removed.

  • a bleeding or perforated stomach Ulcer – a bleeding, open sore in the lining of your stomach or duodenum (the first part of the small intestine)

  • Acute Cholecystitis – inflammation of the gallbladder, which is often caused by gallstones; in many cases, your gallbladder will need to be removed

  • Kidney stones – small stones may be passed out in your urine, but larger stones may block the kidney tubes, and you'll need to go to hospital to have them broken up

  • Diverticulitis – inflammation of the small pouches in the bowel that sometimes requires treatment with antibiotics in hospital

Some of the more common causes include:
  • Indigestion after eating
  •  Pregnancy, gas,
  • Bladder infections
  • Appendicitis, ulcers, gastritis,
  • parasite infection, 
  • Abdominal muscle injury, 
  • Abdominal hernia, 
  • lactose intolerance, 
  • Food poisoning,
  •  Menstrual cramps,
  •  abdominal organ injury from trauma, and constipation.
  • Abdominal pain can also be a common side effect of medication. When you use certain drugs chronically, it can cause abdominal pain. In some cases this can be solved by switching the medication for similar other drugs

In order for your health care provider to assist you in managing your pain, it is helpful for you to be able to adequately describe your pain. If your abdominal pain lasts longer than 24 hours, or gets worse as time passes, call your doctor right away.

Hemorrhoids, also called piles, are swollen, inflamed veins around the anus or lower rectum.PILES: Ignoring piles can just pile on problems: As doctors say too many of us are embarrassed to seek help !.‘If you’ve got blood in your stools, get

Posted on 24 March, 2015 at 12:22 Comments comments ()
Piles are hemorrhoids that become inflamed.Hemorrhoids are masses, clumps, cushions of tissue in the anal canal - they are full of blood vessels, support tissue, muscle and elastic fibers. 
Common symptoms of hemorrhoids may be a sign of other serious health problems.

Call your doctor if you have symptoms like these:

  • Stools are black or tarry.
  • A lump or bulge that is not tender and does not go away develops at the anal opening

Both hemorrhoids and bowel cancer can cause rectal bleeding, any such bleeding should be investigated to rule out  pre-cancerous polyps or bowel cancer. Colon or rectal cancer and other conditions have many of the same symptoms as hemorrhoids.

Piles can occur at any age, but are more common in older people. They affect both men and women. In fact, most people suffer from piles at some time, but usually they are nothing more than a temporary problem. 

Piles can be of various sizes and may be internal (inside the anus) or external ones (outside the anus). Typically, internal piles occur from 2 to 4cm above the opening of the anus. External piles (perianal hematoma) occur on the outside edge of the anus. The internal ones are much more common.

Many experts believe that they are caused by continuous high pressure in the veins of the body, which occurs because humans stand upright.  Sometimes they result from straining hard to pass faeces, which is more likely if you do not eat enough fibre, or lifting heavy weights. 

The symptoms of piles can come and go. There are five main symptoms:

  • bleeding, with bright red blood
  • itching and irritation
  • aching pain and discomfort
  • a lump, which may be tender

  • soiling of underwear with slime or faeces (‘skid marks’).

Regardless of the size or swelling of a hemorrhoid, no treatment is required if symptoms do not exist.  Hemorrhoids are either inside the anus or under the skin around the anus, and often result from chronic (long term) straining to have a bowel movement.

Be sure to see your healthcare Provider, if: 

  • Moderate rectal pain lasts longer than 1 week after home treatment.
  • Pain or swelling is severe.
  • Tissue from inside the body bulges from the anus and does not return to normal after 3 to 7 days of home treatment.
  • A lump inside the anus becomes bigger or more painful.

Prevention is perhaps the most effective treatment for piles:

  • Avoidance of constipation with a high-fibre, high-fluid diet.
  • Avoidance of prolonged straining.

Though hemorrhoids are thought of as a minor health problem, you shouldn't let that notion keep you from getting them examined. The ultimate goal is hemorrhoid relief, and for many people, that means an office visit.

Ringworm is a fungal skin infection. It is caused by a fungus that grows on the skin. Once the fungus is established, it spreads out in rings.

Posted on 5 February, 2015 at 15:26 Comments comments ()
Ringworm  is a common fungal infection of the skin and is not due to a worm. Ringworm occurs when a type of fungus called tinea grows and multiplies on your skin

The fungus that causes ringworm thrive in warm, moist areas. Ringworm is more likely when you are often wet (such as from sweating) and from minor injuries to your skin, scalp, or nails. Try not to scratch the rash, as this may spread the fungus to other areas of your body.

Ringworm can affect the skin on your:

  • Beard -- tinea barbae
  • Body -- tinea corporis
  • Feet -- tinea pedis (also called athlete's foot)
  • Groin area -- tinea cruris (also called jock itch)
  • Scalp -- tinea capitis

Ringworm is characterized by a red ring of small blisters or a red ring of scaly skin that grows outward as the infection spreads. The center of the ring may clear up, while a new ring of infection develops at the edge of the old ring. Keep the affected area clean and dry.

  • Children are most likely to get ringworm.

  • Ringworm of the scalp can spread from child to child when children share hats, combs, or brushes.

  •  Ringworm of the body can be spread on towels, clothing, or sports equipment.

  • Personal hygiene is important in preventing the spread of ringworm. 

  • Dogs and cats can be infected with ringworm, too, and they can pass it to people through direct contact.

It's really important, where possible, to prevent spreading the infection. You should avoid sharing towels, bedding or clothes with anyone diagnosed with ringworm.

You need to see your GP if you or your child have ringworm of the scalp.  Ringworm can be successfully treated with antifungal medications used either topically or orally.

Seizures: Seizures are uncontrolled electrical activity in the brain that may lead to symptoms that may range from mild loss of attention to violent muscular contractions that can lead to death

Posted on 3 November, 2014 at 11:58 Comments comments ()
 Seizures: Sudden, uncontrolled body movements and changes in behavior that occur because of abnormal electrical activity in the brain Seizures are classified as either generalized or partial depending upon how much of the brain is affected.  Symptoms include loss of awareness, changes in emotion, loss of muscle control, and shaking. Seizures may be caused by drugs, high fevers, head injuries, and certain diseases, such as? Epilepsy .

Seizures are symptoms of a brain problem, temporarily affecting the way a person behaves, moves, thinks or feels.  Seizures are common. A person may have only one seizure without a recurrence.  In about 1 of 10 cases, however, seizures continue to occur, and the person is diagnosed as having epilepsy.

Whats is Epilepsy? epilepsy is the term used to describe when you have recurring seizures. Epilepsy is caused by irregular brain activity and can develop at any age. Some people are born with a defect in the structure of their brain. Others have had a head injury, tumor, lead poisoning, stroke, or an infection  If you have experienced recurring seizures (2 or more) and all other possible causes have been ruled out—such as:

  • Alcohol withdrawal, 
  • Extremely low blood sugar,
  •  Heart problems, or 
  • Other medical conditions—you may have epilepsy.

  • Epilepsy can be a lifelong illness, but many people with a history of multiple seizures eventually will stop having seizures. People who are younger when seizures start and who have a normal neurological examination are more likely to become seizure-free at some point. For people with active epilepsy, the frequency and severity of seizures can be reduced with medication.

When you think of seizures, you often think of convulsions in which a person's body shakes rapidly and uncontrollably however not all seizures cause convulsions, Because there are different types of seizures, the first step is to have your physician identify which type you haveSeizure activity may range from simple blank staring to loss of consciousness with plasticity or muscle jerking.

Most seizures last from 30 seconds to 2 minutes and do not cause lasting harm.
  1. If seizures last longer than 5 minutes or -
  2. If a person has many seizures and does not wake up between them
It is a medical emergency. 

Whichever kind of seizures you’re experiencing, they may take an emotional toll. You may feel alone or self-conscious. They may affect your relationships. But most of all, you live with a feeling of uncertainty, not knowing when the next seizure may occur.

The good news is there are things you can do that may help you live your life as fully as possible with epilepsy.Treatment for epilepsy includes medications, lifestyle changes, and sometimes surgery.

  • If epilepsy is due to a tumor, abnormal blood vessels, or bleeding in the brain, surgery to treat these disorders may make the seizures stop.

  • Medication to prevent seizures, called anticonvulsants, may reduce the number of future seizures:These drugs are taken by mouth. Which type you are prescribed depends on the type of seizures you have.

  • Your dosage may need to be changed from time to time. You may need regular blood tests to check for side effects.
  • Always take your medication on time and as directed. Missing a dose can cause you to have a seizure.
  •  Do not stop taking or change medications on your own. Talk to your doctor first.

Many epilepsy medications cause birth defects. Women who plan to become pregnant should tell their doctor in advance in order to adjust medications.

Many epilepsy medicines may affect the health of your bones. Talk to your doctor about whether you need vitamins and other supplements.