Some things to watch for that might prompt you to see a health care provider about sleep apnea.
Photo: Kampus Production/PEXELS
by Tim Ditman OSF Healthcare
URBANA - Here’s another reason to pay attention when your partner complains that you’re snoring or gasping for air at night: sleep apnea – repeated episodes of stopped or slowed breathing during sleep – and stroke go together in more ways than you think.
Leslie Ingold, RN, MSN, a regional stroke navigator at OSF HealthCare, says sleep apnea decreases blood flow to the brain, which can cause a stroke. Conversely, she says people who have suffered a stroke can experience sleep apnea, typically in the first day or two.
Ingold also says people with obstructive sleep apnea (collapse of the upper airway) are twice as likely to have a hole in their heart known as a patent foramen ovale (PFO). PFOs can increase your stroke risk.
“One of the tests we do when [stroke] patients come to the hospital is an echocardiogram of the heart. A PFO is what we’re looking for. It’s that hole in your heart that doesn’t close properly when you’re a child,” Ingold says. “It’s actually what they look for in sports physicals when kids are in school. Listening for that extra ‘lub-dub’ in the heartbeat. Sometimes it’s not caught. We’re finding people in their 60s and 70s that have the hole. We can go in and get that closed.”
What to watch for
Some things to watch for that might prompt you to see a health care provider about sleep apnea:
Snoring. Ingold says watch for loud snoring or a pattern of snoring when you didn’t used to.
“When you can hear it through the wall,” she quips.
Waking up and gasping for air
Morning headaches
Excessive sleepiness, difficulty concentrating and irritability throughout the day. For kids, watch for hyperactivity.
Increased blood pressure
For stroke signs, experts want you to remember the acronym BEFAST. If there are irregularities in balance, eyes, face, arms or speech, it’s time to call 9-1-1.
Nighttime strokes
Ingold says one in four strokes happens in the early morning when you’re likely asleep. Those so-called “wake up strokes” can make things tricky.
Medicine like tenecteplase (TNK) must be given at the hospital within 4.5 hours of the onset of symptoms. If you suffer a stroke while you’re sleeping, there’s not a good way to know when symptoms started. So, health care providers must go by the last time you were well, which would be when you went to sleep.
“There are some other things that can be done,” Ingold says, if TNK is not an option. “If there’s a clot, we can take care of those up to 24 hours [since symptom onset.] We can see if there are early signs of brain damage and get you on the road to those kinds of procedures if you qualify.”
But a big takeaway message: if you have stroke symptoms like a severe or unexpected headache, don’t sleep it off. See a health care provider.
Sleep
Healthy sleep
You may need treatment like a continuous positive airway pressure machine (CPAP) for sleep apnea. But healthy sleep habits will go a long way, too. Ingold says you can try a four-week plan.
Week one: Commit to physical activity, especially if you work at a desk all day. Get up and take a short walk.
“Do some things that will make you ready for bed,” Ingold says.
Week two: Phone tactics. Move it away from your bed to charge overnight. Use an old-fashioned alarm clock instead of your phone’s alarm. Turn your phone over. All of these make you less tempted to look at the device and take in blue light that inhibits sleep.
Week three: Create a morning routine.
“It doesn’t have to be anything fancy,” Ingold says. “Your alarm goes off. You walk over to check the phone you’ve placed on the other side of the room. Maybe grab a cup of coffee and give yourself five to 10 minutes. Read a devotion. Do some meditation.”
Week four: Not just the phone. Ditch all devices as bedtime approaches. Read a book or listen to a podcast instead of clearing the Netflix queue.
Other tips for healthy sleep:
Avoid long naps during the day. If you must nap, experts say to keep it under three hours.
Make your home’s lighting natural: bright during the day, darker as night approaches and dark at night.
Avoid large meals, caffeine and alcohol before bed.
If you are a light sleeper, things like earplugs and an artificial noise machine can help.
Dr. Ovadia says microplastics may have negative effects on testosterone in men and estrogen and progesterone in women. This could mean reduced muscle mass and libido for men.
Photo: Pete Linforth from Pixabay
A turtle makes his way over a mound of decaying plastic bottles on a beach. The byproduct from the decay are called microplastics or nanoplastics, which are incredibly small pieces of plastic that can get into our body. Scientists don’t fully understand microplastics’ impact on the human body. A lot of research is needed to determine the negative impact on our health.
by Tim Ditman OSF Healthcare
URBANA - From news reports to social media blurbs to medical studies, they’ve been in the public eye a lot lately. And experts say that likely won’t change.
We’re talking about microplastics or nanoplastics, incredibly small pieces of plastic that can get into our body.
Photo provided
Philip Ovadia, MD
So, how concerned should we be? Philip Ovadia, MD, a cardiothoracic surgeon at OSF HealthCare, says this issue will continue to be studied for years. But there are things you can do now to optimize your health and reduce your risk of problems.
“We’re increasing our understanding of the toxins in our environment. Our environment has become more toxic, and that’s a challenge to our health,” Dr. Ovadia says. “The best thing for people to do is to control what you can control. What are you eating? What are you using on your body? What is your lifestyle like? How active are you?”
Where do microplastics come from? What harm can they do?
Dr. Ovadia says microplastics can be purposefully manufactured as part of a product. Toothpaste and skin exfoliants are examples. Or, microplastics can occur when larger plastic products, like water bottles, break down. The microplastics can then get into our environment, such as ocean water or our foods and drinks.
“There’s even some evidence that these things can spread in the air, and we can breathe them in,” Dr. Ovadia adds.
Dr. Ovadia points to three areas where ingesting microplastics could be cause for concern.
Intestines: Dr. Ovadia says microplastics can irritate our intestines, leading to inflammation of tissue and a condition called leaky gut.
“That’s when we get a breakdown of the barrier that lines our intestines. That allows some things in our food that aren’t supposed to get across into our bloodstream to get into the bloodstream. Many of these things set off inflammation in the body,” Dr. Ovadia says.
Endocrine system: Dr. Ovadia says microplastics may have negative effects on testosterone in men and estrogen and progesterone in women. This could mean reduced muscle mass and libido for men. For women, it could mean changes in the menstrual cycle, an increased infertility risk and, for young women, earlier start of puberty.
Blood vessels: Dr. Ovadia points to a 2024 study where experts looked at plaque removed from the carotid artery (located in the neck) of study participants.
“For over half of the people, there was evidence of microplastics in those plaques. Furthermore for the people who had those microplastics, over the next three years they had a four-and-a-half times increased risk for a heart attack, a stroke or dying,” Dr. Ovadia says.
“It doesn’t prove that the plastics are causing the problems,” Dr. Ovadia adds. “But it’s certainly concerning data. And I, as a heart surgeon, start to worry. If we see these in plaques in arteries in the neck, are they also in the plaques in arteries of the heart patients I operate on?”
Photo: Sentinel/Clark Brooks
Heating food in certain types of plastic containers can be harmful due to the leaching of chemicals into the food. Microwaving food in plastic, especially those not specifically labeled as microwave-safe, can cause chemicals from the plastic to transfer to the food
What should I do?
So, do we need to panic about microplastics? Should the health concerns be akin to smoking?
Not now, Dr. Ovadia says. He reiterates that studies on this topic are in the early stages, and experts don’t fully understand microplastics’ impact on our health.
“It’s an unknown risk at this point,” he says.
But, there are small, everyday steps you can take to reduce the risk of microplastics entering your body.
Drink from a glass or stainless steel bottle, not a plastic bottle.
Use a good water filtration system. That could be built into your home’s water supply, or you could purchase a filter to attach to your faucet or water bottle.
Make food choices that minimize your exposure to plastic wraps and containers. Think the to-go boxes you get at a restaurant. Instead, eat more fresh, non-packaged food. Find these in the outer aisles of the grocery store.
“Eat the things that grow in the ground, and eat the things that eat the things that grow in the ground,” Dr. Ovadia says with a smile. “That’s how I always explain it to people. Try eating more whole, real food. That will minimize your exposure to microplastics.”
Look into the cosmetics and toiletries you use. Dr. Ovadia admits the jargon on a label can be difficult to understand. Instead, research the brands themselves. If, for example, a toothpaste brand is pledging to reduce microplastics in their products, it’s a green flag.
Myths have potentially contributed to more than 900 measles cases reported across the country. Public health officials are working to combat misinformation surrounding vaccines in an effort to curb the spread.
by Judith Ruiz-Branch Illinois News Connection
CHICAGO - At least two people have tested positive for measles in Illinois and public health officials are working to combat misinformation surrounding vaccines in an effort to curb the spread.
Health officials said the measles virus is highly infectious and especially concerning for babies and young children, as well as people who are pregnant or have compromised immune systems. It can cause pneumonia, brain damage and even be fatal in some cases.
Dr. Kiran Joshi, interim chief operating officer at the Cook County Department of Public Health, said it is also preventable through vaccination, with two doses of measles-mumps-rubella vaccine providing nearly 100% lifelong protection.
"Ninety-seven percent of people who got measles this year happened to be unvaccinated," Joshi pointed out. "Vaccination is incredibly protective."
Joshi added over the past 50 years, the measles vaccine has saved more than 150 million lives across the world. He noted the department has launched a campaign to counter some of the misinformation that is circulating.
Public health officials are focusing campaign efforts on unvaccinated people. Joshi explained it includes having multiple conversations with hesitant patients and providing evidence-backed information. He stressed misinformation about preventive measures like taking vitamin A is concerning and not scientifically proven.
"There are a lot of myths out there, such as 'vaccines can cause autism,'" Joshi pointed out. "I want to state categorically that is incorrect, that there's no credible evidence to support that, yet these myths continue to perpetuate."
Joshi added the myths have potentially contributed to more than 900 measles cases reported across the country.
"When you look at the research, when you look at the evidence, all of that has been subjected to pretty rigorous standards," Joshi outlined. "We also go to the nature of science, that you have to be able to repeat studies. You have to look at the research as a whole, instead of sort of cherry-picking."
He advised anyone with questions to speak with their primary care provider about their vaccine records and ensure they are getting any health information from reputable source.
Urticaria is a rash causing round, swollen areas on the skin. It can be tender, itchy and/or painful. People with light skin may see red, raised bumps or welts.
BPT - If you've had hives, you know how challenging they can be. But you may not know that there is more than one type of hives, or urticaria, and that treatments are available. A brief episode of hives is a nuisance, but when symptoms persist for weeks, months or years, it can take a physical and psychological toll.
What is urticaria?
Urticaria is a rash causing round, swollen areas on the skin. It can be tender, itchy and/or painful. People with light skin may see red, raised bumps or welts. In people of color, hives may match the color of surrounding skin or appear slightly lighter or darker. They may appear all over your body or in one area.
Urticaria occurs when chemical compounds involved in the body's inflammatory and immune responses are released. One of these chemicals is histamine, which is released by mast cells and basophils. When this release happens in the skin's outer layers, it results in hives.
Most hives resolve quickly, but they can become chronic. Acute urticaria refers to hives lasting one day to six weeks. Chronic urticaria means the hives have lasted for six weeks or longer. For many people, the cause is unknown.
Chronic urticaria eventually goes away by itself.
Chronic urticaria is a rare condition that occurs in only 23 out of 10,000 people, though the actual number may be higher, since many people do not report or recognize the symptoms. Chronic urticaria is most common in adults aged 40-59. More women than men are affected, and more Black Americans and other ethnic groups are affected. There are two types:
Chronic idiopathic urticaria (also called chronic spontaneous urticaria) is not triggered by external factors. In many cases, the cause could be an autoimmune condition, another systemic disease like cancer, or unknown.
Chronic inducible urticaria is caused by certain environmental and physical factors.
Identifying urticaria triggers
Common triggers include:
Allergens, including certain foods
Exposure to heat/cold
Tight clothing
Insect stings and bites
Infections and viruses
Medications such as antibiotics and NSAIDs
Diseases including asthma, celiac disease, diabetes, lupus, rheumatoid arthritis, thyroid disease, vasculitis and vitiligo
Stress
Diagnosis and treatment
The cause of your chronic urticaria may be hard to identify. It's best to see a specialist such as a board-certified allergist or dermatologist for diagnosis and treatment.
Your doctor may perform allergy tests, lab tests or a skin biopsy to rule out other conditions that involve or resemble hives. You can help by keeping a diary that tracks your symptoms.
Chronic urticaria eventually goes away by itself. Management focuses on the most appropriate treatment to control symptoms, usually starting with the first line of treatment: a long-lasting antihistamine.
Antihistamines block production of histamine to reduce or eliminate hives and ease itch and swelling. Ask your doctor for a non-sedating antihistamine.
Topical itch creams may provide mild relief for hives that do not cover the entire body.
Corticosteroids: Topical corticosteroids reduce inflammation, irritation and itching. By reducing inflammation, they also promote healing. For a severe hives flare-up, a short course of oral corticosteroids (prednisone) can help reduce inflammation and itching. These medications can cause serious side effects, especially if taken long-term. It's important to follow your doctor's instructions when taking oral corticosteroids.
Advanced treatments
It's important to work closely with your doctor if your hives don't respond to treatment. If antihistamines alone do not help, your doctor may recommend combining them with other medications, including leukotriene modifiers or H2 blockers. New advanced treatments are available, and more are in clinical trials or undergoing FDA review.
Biologics: Omalizumab is a biologic medication used to treat chronic urticaria when antihistamines haven't worked. Two more biologics are in development as chronic urticaria treatments: dupilumab is in FDA review and briquilimab is in clinical trials. Biologics work by targeting cells and interrupting the inflammatory process. This stops or reduces symptoms. Biologics are injectable medications typically given once per month.
Cyclosporine: This is an oral medication that calms the immune system to prevent hives from occurring. It can be taken along with antihistamines. Since cyclosporine is an immunosuppressive, it can decrease the body's ability to fight infections. Talk with your doctor about side effects and the benefits vs. risks of taking this medication.
Bruton's tyrosine kinase (BTK) inhibitor: Remibrutinib is an oral medication in clinical trials. It works by blocking the activation of mast cells and basophils. These cells release histamine and other inflammatory mediators that cause hives, swelling and itching. By blocking this process, remibrutinib can reduce or eliminate symptoms.
Hives and mental health
It's important not to blame yourself for your hives. If you're feeling anxiety, depression or embarrassment about your skin condition, talk with your healthcare provider or a mental health specialist. Support groups for people with urticaria also let you share experiences and know you are not alone.
Don't let chronic urticaria impact your quality of life. Talk to your doctor. Check out the Chronic Urticaria Toolkit at ChronicHives.info.
PEORIA - As measles cases continue to climb across the United States, the long-term implications can’t be ignored.
The respiratory viral infection, although thought eliminated in the U.S. in 2000, has reemerged, especially among unvaccinated individuals. As of early April 2025, the Centers for Disease Control and Prevention (CDC) has reported more than 600 confirmed cases of measles.
Measles is extremely contagious
"The key to measles is how highly infectious it is. Each person that has measles will infect between 12 and 18 people in an unvaccinated situation," says Doug Kasper, MD, an infectious disease specialist with OSF HealthCare. "The key for controlling measles is widespread vaccine use."
For reference, each influenza patient, on average, will infect one to two others.
The measles vaccine is normally offered once a child has reached one year of age. It's a two-shot series, which came on the market in 1963. Dr. Kasper says this gives medical experts decades of data that show a correlation between people receiving the vaccine, and close to zero circulation of the virus in the United States.
The states with measles outbreaks are in unvaccinated people, and no breakthrough cases (in those who have received the vaccine) have been reported, Dr. Kasper adds.
The long-term risks for unvaccinated measles patients
"There is emerging information that vaccination not only protects an individual from not becoming ill or having less severity of illness with a viral exposure, whether that's measles, chicken pox, influenza or COVID-19, but that there are long-term risks from viral infections that we do not appreciate in the moment," Dr. Kasper says. "Some of these have been associated with memory loss or dementia as somebody ages. Some of these are associated with organ disease like hepatitis or kidney disease."
Subacute Sclerosing Panencephalitis (SSPE)
SSPE is a rare, deadly degenerative disease of the central nervous system that can happen seven to 10 years after a measles infection. Young children, pregnant women and immunocompromised people are the most at-risk for SSPE. One to three out of every 1,000 children who become infected with measles will die from respiratory and neurologic complications, the CDC says.
SSPE symptoms happen over four stages.
Stage 1: Personality changes, mood swings or depression. There may also be fever and headaches, this stage can last up to six months
Stage 2: Muscle spasms and uncontrolled movement problems. Loss of vision, dementia and seizures can occur
Stage 3: Twisting movements and rigidity. Sometimes death
Stage 4: Serious brain damage, including areas of the brain that control breathing, heart rate and blood pressure, leading to coma and death
Immune amnesia
Another long-term impact of measles is known as immune amnesia. The American Society for Microbiology (ASM) calls immune amnesia “one of the most unique and most dangerous features of measles pathogenesis.” The extremely rare condition causes people’s immune systems to “forget” how to fight off infections and makes the person more susceptible. The ASM determined it normally takes two to three years after a measles infection for protective immunity to return.
A measles outbreak was declared in Northeast Illinois in early 2024 and declared “over” by the Illinois Department of Public Health (IDPH) in June. The expectation of statewide health experts is that measles will return to Illinois in the coming months. This is mainly due to heavy travel through Chicago airports and summer festivals. County health departments have now been tasked with keeping an eye on their measles vaccine rates and identifying areas where vaccine rates are low.
Peoria County's measles vaccine rate is quite high, around 95%. But outlying communities in central Illinois have lower vaccine rates, normally more rural counties. Health experts at Michigan Medicine call the Great Lake State “ripe for a measles outbreak,” as only 66% of toddlers receive the recommended childhood immunizations.
Measles symptoms
"Measles typically presents with a high fever, typically much higher than what we'd see with seasonal colds or influenza. Fevers can be 104 or 105 degrees Fahrenheit," Dr. Kasper says. "That's followed by a runny nose and a characteristic rash. This typically develops on the head and then spreads down the rest of the body."
“We don’t want to go back”
"Measles at its peak, in the 1950s before the vaccine, led to a significant number of hospitalizations in young children. Around 50,000 hospitalizations were estimated per year and about 500 deaths," Dr. Kasper says. "We don't want to go back to that scenario in any capacity, where we have a large number of unvaccinated people. The outcomes could be too severe."
Immunocompromised people like those who have received an organ transplant, cancer patients or those on long-term therapies that could impact their immune system, are at high risk for measles.
Why vaccines are so important right now
Summer travel along with large crowds at places like airports and theme parks, will likely bring more measles cases to the United States.
"This time, as good as any time, is to make sure somebody is updated on their vaccinations. If somebody isn't sure if they were vaccinated as a child, they should talk to their primary care provider about testing or receiving the vaccine. If someone is immunocompromised and they might be at a higher risk for measles through travel in areas that have exposure, they should talk to their primary care provider about the vaccine," Dr. Kasper says. "If someone has young children or is at an age where vaccine is recommended, we wholly recommend for them to discuss with their provider to remain up to date on their vaccine series."
Vaccine hesitancy continues to be a topic of discussion, one that Dr. Kasper recommends patients openly discuss with their medical provider.
Natural immunity is not a viable option with measles. The highly infectious nature of the virus, along with the severity of symptoms and potential for long-term complications, make it an illness people need to try and avoid entirely.
For Black women, one of the biggest issues is finding their voice when confronting health issues.
by Paul Arco OSF Healthcare
As a practicing OB/GYN, Lisa Davis, MD, sees the maternal health challenges Black women deal with every day.
Lisa Davis, M.D. OSF HealthCare Saint Anthony Medical
“Some of the issues that face black women when it comes to maternal health are issues with blood pressure,” says Dr. Davis, chief medical officer for OSF HealthCare Saint Anthony Medical Center in Rockford, Illinois. “So what we would call preeclampsia, a risk of preterm birth, which can result in low birth weight of the infant, postpartum hemorrhage, or hemorrhage that occurs right after delivery or during the latter stages of delivery.”
And it can lead to even more serious consequences. According to the Centers for Disease Control and Prevention (CDC), the pregnancy-related death rate for Black women is three times the rate for mothers of other racial and ethnic groups.
Nationally, April 11-17 is Black Maternal Health Week, a time to raise awareness and take action to improve the health of Black mothers.
Dr. Davis says for Black women, one of the biggest issues is finding their voice when confronting health issues, which include disparities such as getting quality healthcare, dealing with underlying chronic conditions and social drivers such as income, housing, transportation or child care.
Dr. Davis stresses to her patients the importance of making their own health a high priority.
“I think for black women in the maternal health space, it's being heard and too often, there is a misperception that sometimes is out there regarding their response to pain, their use of drugs and things that are all misconceptions,” she says. “That is a big challenge for us, and that includes me, to overcome. It doesn't matter what level of education or where you live. The research has shown that it is still an issue.”
Dr. Davis adds that the medical community can do better when it comes to listening and responding to their patients’ needs. “Every patient is special and different for us to slow down and really look at that person as the person, and understand and listen,” she says. “Sometimes patients, if they're not comfortable, won't disclose what's going on in the first few minutes, but as you get ready to leave, then you might start to get the real back story. And so, it's important for us to slow down and be in the moment.”
Another need is for more Black providers, according to Dr. Davis. She says studies have shown that Black patients tend to relate to someone their own color. “It's very important, I think, for that message to be out there and to encourage young people to look at health care as an option, especially young people of color, because in the future, that's what we're going to need.”
But there are things patients can do for themselves. Dr. Davis stresses to her patients the importance of making their own health a high priority. That includes maintaining a healthy diet, getting enough rest and exercise and attending prenatal appointments.
“If you're not at your best, how can you be good for anyone else?” she asks. “I think what moms suffer from is everyone's important, but sometimes they need to take that step back and focus on themselves, so they can be 100% for their kids, for their spouse, for their parents, for their siblings.”
This spring, protect yourself from those triggers that you know will make you uncomfortable.
Photo: Corina/Pixabay
by Paul Arco OSF Healthcare
ESCANABA, MI - If you grew up without suffering from seasonal allergies, consider yourself one of the lucky ones.
But if you’ve reached your 40s or 50s and are now feeling miserable during the spring and fall months, welcome to the club. Adult-onset allergies are a real thing. And it happens to a lot of people.
Nearly 1 in 3 adults in the U.S. have seasonal allergies, eczema, or food allergies, according to recent data released by the Centers for Disease Control and Prevention (CDC). Nearly 75% of those are older than 45. Many of those people developed allergies in adulthood or were not diagnosed until they were adults.
Experts are unclear why or how allergies develop in adulthood. Some theories include moving from one geographic region to another, having a reduced immune system or owning a pet for the first time in your life. There is a belief, however, that having one severe allergic reaction or symptoms during childhood can increase your chances of developing allergies as an adult.
Breanne Gendron OSF Nurse Practitioner
Many people who develop allergy symptoms early in life will outgrow their allergies by their 20s or 30s. But, really, it’s possible to develop an allergy to something – whether it’s an animal or pollen – at any point in life.
“People will have them as kids and sometimes grow out of it,” says Breanne Gendron, a nurse practitioner with OSF HealthCare. “Then the alternative happens, where something starts bothering you as you age. That’s when we teach you about all the different medications you can use to control your symptoms.”
Gendron says most people are bothered by things that bloom and that includes trees and grass in the spring. Ragweed pollen or other weed pollen are problematic in the fall. Spores from molds and fungi are typically around in warm-weather months. And don’t forget about house dust mite allergens, which tend to be present throughout the year.
Most allergy symptoms, while annoying, are mild. Examples are sneezing, itchy eyes and runny nose. In her practice, Gendron notices more adults suffering from sinus infections with their allergy issues, more so than her younger patients.
“The dilemma about having untreated allergies is that you can get extra congestion in your sinuses, which could lead to a sinus infection,” Gendron says. “When you get pressure in your face, and you generally feel a little rundown, then we want to treat you for that.”
Gendron recommends treating allergies with a combination of oral antihistamines, eye drops and steroid nasal sprays. Allergy shots may be in order as well. But first, talk to your doctor to see if you are a candidate for a skin test to determine your specific allergies. “Once the medication gets your symptoms to calm down, you can generally keep it in check with less medication,” she says.
There are other things you can do to help minimize your symptoms. Gendron recommends things like eliminating carpet in your bedroom and washing your sheets regularly to eliminate dust. Consider taking a shower before bedtime, especially after being outside, and keep the windows closed at night to prevent pollen from entering the home.
This spring, protect yourself from those triggers that you know will make you uncomfortable.
“If you are bothered by something in the environment and you know that it bothers you, such as mowing the grass or raking leaves, do yourself a favor by wearing a mask to prevent yourself from breathing in more allergens,” she adds. “And take your allergy pills before you do those things, to make sure that you're going to have less of a reaction.”
Ultra-processed foods have been trending lately, with health experts giving them more attention than usual because of their negative effects on people’s health.
Photo: David J. Boozer/Unsplash
by Matt Sheehan OSF Healthcare
Dr. Tiffini Franada
PEORIA - Pondering what cooking options are best for your brain? Here’s some food for thought.
Tiffani Franada, DO, is a neurologist with OSF HealthCare who specializes in Multiple Sclerosis. Part of her passion is working with patients choosing brain-healthy diets and lifestyle, which prevents neurological diseases like Alzheimer’s, Parkinson’s and Multiple Sclerosis.
The MIND diet
"The MIND diet is a combination of the Mediterranean diet, which is healthy fats, olive oils, fish, fruits and vegetables. And the DASH diet, which is a low-sodium diet,” Dr. Franada says. “It's particularly helpful for patients who live with hypertension (high blood pressure). The two of those combined seem to be very effective at preventing the development of Alzheimer's."
Patients on the Mediterranean diet often have lower levels of inflammatory markers in their spinal fluid. Higher levels are suggestive of Alzheimer's. Patients also perform better on cognitive testing, Dr. Franada adds.
Fiber-rich foods
"In regard to carbs, whole grains are probably best, and they have really good fiber in them. As well as things like legumes and beans which have good fiber levels, which make you feel full for longer," Dr. Franada says.
The National Cancer Institute (NCI) lists many high-fiber foods here. Lentils, vegetable soups, whole-wheat bread and pasta make the list. As well as fruits and vegetables like apples, apricots, broccoli and Brussels sprouts.
Berries and antioxidant production
"Blueberries are great, really berries of all kinds. They really help that antioxidant production," Dr. Franada says. "For vegetables, leafy greens are really helpful. They have a good amount of folic acid, which helps to reduce homocysteine (amino acid) in the brain. Homocysteine promotes inflammation and shrinkage in the brain, and we want to reduce that."
“Fats are not the enemy”
The word “fat” oftentimes has a negative connotation to it. Dr. Franada says there are healthy fats out there that offer benefits to brain health.
"Fats are not the enemy. Healthy fats are good for the brain. Your brain requires them, like fatty fish (salmon), which have good Omega-3s in them. If you don't eat fish, flax seed is a great alternative," Dr. Franada says. "Walnuts also have great, healthy fat in them. As well as olive oil, which has monounsaturated fatty acids which protects against inflammation in the brain."
Lean meats, like chicken and turkey, can be good for brain health because there’s healthy amounts of protein and fiber in them, Dr. Franada says.
Don’t dismiss dark chocolate!
"Dark chocolate is great. Dark chocolate has good amounts of antioxidants. Of course, all things in moderation. But a dark chocolate square once a night, not a bad thing," Dr. Franada says. "Also, caffeine! Believe it or not, a cup of caffeine, like coffee or tea, can help with focus, attention and is helpful for the brain."
Photo: Elena Leya/Unsplash
Dark chocolate benefits brain health by providing antioxidants that protect against oxidative stress and improve cognitive function. Its flavonoids enhance blood flow to the brain, while compounds like phenylethylamine and serotonin precursors help boost mood and reduce stress. Regular consumption in moderation may support memory, focus, and long-term neuroprotection.
Dr. Franada recommends having your caffeinated drink of choice early in the morning, right when you wake up, instead of later in the day. Having it later in the day can give you a lot of energy, which leads to you not sleeping well at night. Sleep is also extremely important for brain health.
Foods to avoid
Ultra-processed foods have been trending lately, with health experts giving them more attention than usual because of their negative effects on people’s health. High sodium, added sugars and excessive amounts of bad fat headline are the reasons why we should avoid them, with these elements being linked to diabetes, obesity and cancer.
Obesity is typically part of a metabolic syndrome, where a person has elevated blood sugars, blood pressure and cholesterol. This puts patients at risk for stroke, sleep apnea, Alzheimer's and many other health issues. Those risk factors can put someone at risk for neurological disease.
"Heavily processed foods are not great for the brain or the heart. Excess sugars, like added sugars, should be avoided as well. If you're going to have sugar, have something with natural sugar in it," Dr. Franada says. "Berries are much preferred to things with added sugars. Also, white bread and processed carbs should be avoided, too."
Effect on white brain matter
"There's some real-world data showing that the Mediterranean diet can prevent white matter changes on the brain, which are little white spots that develop on patients’ brains as they get older. It's also seen in patients with vascular risk factors," Dr. Franada says. "If you follow the Mediterranean diet pretty strictly, you can prevent getting those white spots. They also found people who adhere to that diet have better structural integrity. The left and right sides of the brain talk better to one another."
What about cheat days?
If you exercise five or six days a week and give yourself a “cheat day” where you splurge a bit, evaluate how the food feels in your body. Instead of packing on the calories and going bananas, Dr. Franada recommends reeling it in a bit and focusing on moderation.
"You'll probably start to recognize it doesn't feel so great," Dr. Franada says. "Maybe it's a chocolate dessert at night, or something smaller that you can do to still stay with your healthy diet, just in smaller quantities."
Dr. Franada cautions against super rigid diets that make you "fall off the wagon" after a few weeks. "You have to find something that's sustainable for you," Dr. Franada adds.
ROCKFORD - Whenever you feel a headache coming on or you tweak your back, it’s common to reach into the medicine cabinet for a couple of acetaminophens (Tylenol) or ibuprofen (Advil). But does it matter which one you take? And is there anything wrong with taking both to fight off what ails you?
Acetaminophen is an analgesic, which is a type of drug that reduces pain signals within your nervous system. It’s used to treat discomfort like headaches and joint pain, and to reduce fever.
Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that is typically used to tackle issues such as back pain, menstrual cramps and toothaches. It also works to decrease fever.
Photo provided
Sarah Sheley
Sarah Sheley is a pharmacist with OSF HealthCare. She says it’s important to know that ibuprofen helps with inflammation and acetaminophen can’t do that.
"The difference between the two is the fact that the ibuprofen, that anti-inflammatory component, reduces pain by affecting the production of certain hormones in your body that cause inflammation," she says.
But each pain reliever comes with its own risks.
Acetaminophen is typically safer to use for most people. Some side effects include nausea, vomiting and headache. But it’s a drug that's absorbed by your liver so it’s not the best option for people with liver problems.
The side effects of ibuprofen include heartburn, nausea and stomach pain (it’s important to take it with food). Taking ibuprofen for a long time or at high doses can increase the risk of blood clots, kidney damage and ulcers.
Check with your pediatrician before giving your child any pain relievers.
"With ibuprofen there is more concern with patients using it if they had renal insufficiency, heart failure, GI (gastrointestinal) issues like Crohn's or IBS; they could cause a lot of irritation in the GI tract or stomach," Sheley says.
If you are taking a blood thinner ibuprofen can increase your risk of bleeding so opt for acetaminophen instead.
Sheley says that acetaminophen and ibuprofen are appropriate choices for children with fevers. However, stick with acetaminophen for infants 3 months or younger. The correct dose for your child is based on their weight, not their age. Do not guess their weight — acetaminophen and ibuprofen can be dangerous when given in the wrong dose. Check with your pediatrician before giving your child any pain relievers.
Be aware that ibuprofen and acetaminophen can have a negative interaction with some prescription and over-the-counter drugs.
Since the two pain relievers work differently, Sheley says it’s fine for most adults to use them interchangeably.
"As long as you don't have any kidney or liver issues, you can alternate between the two. It is safe," she says. "You want to keep the doses four to six hours apart to help maintain and it probably is a good thing to alternate those, if you want to hit the pain from two different mechanisms."
Sheley says the most important tip is to know why you’re taking a particular pain reliever and don’t overdo it. The recommended maximum dosage for adults is 3,000 milligrams a day for acetaminophen and 2,400 milligrams a day if you’re taking ibuprofen.
Additionally, other factors such as your medical history and underlying cause of pain also help determine which pain reliever is best for you.
"Making sure that you know the source of your pain is important, and make sure that you are aware of a total daily dose that you should be taking of either medication prior to starting it," Sheley says.
Be aware that ibuprofen and acetaminophen can have a negative interaction with some prescription and over-the-counter drugs. If you have any concerns or questions, consult with your primary care provider or your pharmacist.
Six ways Trump's budget will damage rural Americans' way of life
Right now, Congress is working on a giant, fast-track bill that would make historic cuts to basic needs programs to finance another round of tax breaks for the wealthy and big corporations.
PONTIAC - People everywhere are conquering their cabin fever and are enjoying the great outdoors after a long, bitter winter. But before you head out for that hike, health care experts remind you to take precautions to avoid tick bites. Read more . . .
by Tim Ditman
