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Chronic Itching? It’s Usually More Than Skin Deep

By |2022-04-21T16:00:24-04:00April 21st, 2022|Categories: Skin Conditions|Tags: , , , , , , , |3 Comments

If you are suffering chronic itching — a common but difficult-to-treat symptom of an inflammatory skin condition — then you’ll want to read about my experience with diagnosing and treating Lexi.

Chronic Itching

Lexi is a 25-year-old woman who came to see me about a skin condition that was causing persistent itching. She was suffering with cellulitis on her face and eczema on her hands. (Cellulitis a common, potentially serious bacterial skin infection. With cellulitis, the affected skin appears swollen, red, and is typically warm to the touch and painful.) In Lexi’s case, she had been previously treated by another doctor with several rounds of topical steroids, oral steroids, and antibiotics.

She told me that, at first, the infections and skin cleared. But after a few short weeks, all of her symptoms reappeared. She said the skin on her hands was itchy, and the cellulitis on the side of her face was causing her to feel depressed and self-conscious.

The astonishing thing to me, was that her dermatologist continued to write prescriptions without actively seeking out the cause — the root cause. Lexi was never questioned about her environment at home or work or her stress levels, and her diet was only briefly discussed. And perhaps most shocking of all — no lab tests were ever ordered.

If this sounds familiar, you might be relieved to find out that skin conditions like Lexi’s — while often more than skin deep — can be effectively treated. In fact, you can start experiencing relief in a matter of days and be on your way with a treatment plan aimed at curing you in a matter of weeks.

Common Skin Conditions

Before we investigate the causes and cures for itchy skin conditions, let’s take a look at the most common diagnoses: Continue reading…

Anxiety is Normal But Also a Hindrance to Optimal Health

By |2021-05-19T19:20:42-04:00May 19th, 2021|Categories: Brain Health|Tags: , , , |2 Comments

At some point in our lives, most of us can expect to experience some form of anxiety. It might occur as the result of a life challenge, whether that be a relationship, health issue, work conflict, finance, or traumatic event. Such anxieties are normal and seldom anticipated.

Having said that, I believe it’s important to avoid downplaying the impact that stress has on our lives. It can ruin a person’s health and yet it’s so often treated superficially or worse — it’s blown off by the medical provider.

However, if you are going through a period of acute stress, or you remain in a state of chronic stress and now find yourself feeling fatigued, unmotivated, or irritable, you may be experiencing the negative health impacts of stress. And that stress might possibly be diagnosed as Generalized Anxiety Disorder (GAD).

Anxiety is Normal but Not Optimal.

In our culture — curated as it is by conventional medicine — anxiety is often seen as a disorder and, in such fashion, labeled GAD. However, anxiety is also a normal part of life. It’s a normal part of physiology and in many cases it’s not a disorder. When anxiety becomes a disorder, it is far more obvious to recognize in ourselves and those around us and there is a greater likelihood a diagnosis of GAD will be provided by a psychologist or similar health care professional.

Whether you actually have GAD or just suffer mild to moderate anxiety, it can feel as if you’re being treated for anxiety or depression abstractly, and even with such treatment your health can decline because the underlying issues have not been resolved.

I have observed many patients seeking out functional medicine or holistic medicine who are struggling with a low to moderate anxiety level that doesn’t fit the formal diagnosis of Generalized Anxiety Disorder.

Some men and women can be reluctant in acknowledging their anxiety, while others freely discuss their concerns. It is also common for people to dismiss anxiety or lower the value it has on their health outcomes.  In some ways I think we have the wrong understanding of what anxiety is and how it blocks us from reaching our optimal health.

Breaking anxiety down, I like to classify it as follows:

  1. Generalized Anxiety Disorder — advanced anxiety often benefitting from prescription medication
  2. Moderate/ mild anxiety — successfully treated without the use of prescription medication

Conditions and Symptoms Associated with GAD and Moderate to Mild Anxiety

Anxiety can create or exacerbate many conditions including:

  • Chronic Fatigue
  • Cortisol Imbalances
  • Hormone Imbalance, altered libido or painful cycles
  • Hypoglycemia
  • Irritable Bowel Syndrome (IBS) — Constipation or Diarrhea
  • Insomnia or restless sleep
  • Neurological Symptoms
  • Restless Legs
  • Weight Gain or Loss

Besides the commonly known symptoms of anxiety, which cause worry, upset and inability to relax, there are others, including: Continue reading…

The Unintended Side Effects of Birth Control: A Doctor’s Case Study

By |2021-03-17T19:44:11-04:00March 17th, 2021|Categories: Hormones|Tags: , , , , , , |0 Comments

If you’ve been taking birth control and feel bloated after eating, or have gained weight that is difficult to drop, or have been set back by sports-related injuries that happened years ago, perhaps this case study on the unintended consequences of birth control on women’s health is for you.

Meet Stephanie — a 24-year-old professional who came to see me with a concern about her digestion. Well, it turned out to be more than that, and as you’ll see, very much related to her use of birth control pills.

Stephanie’s most pressing concern was related to her constant bloating after eating, along with constipation. During her initial consultation, she also told me that while playing sports in high school she suffered a terrible ankle injury that required surgery and months of bed rest. During this time, this 5-foot, 4-inch young woman went from weighing 120 pounds to 183 pounds.

Stephanie’s pediatrician recommended a gluten-free diet to assist her with digestion problems and weight loss. As a result of following her initial doctor’s advice, she did manage to lose a little more than 20 pounds, but still wasn’t comfortable at 162 pounds.

So far, Stephanie’s scenario seemed pretty straightforward to me. This young woman, concerned about her weight, had experienced a setback due to a sports injury a decade earlier as a teenager. Since then, exercise and diet haven’t helped her lose weight, and now she’s stuck at 162 pounds.

More to the Story

One important lesson I’ve learned over the course of my 20-plus years in practice is that there’s usually more to the story leading up to a patient’s primary symptoms, and this was certainly the case with Stephanie. As we explored her medical history, including the information she provided on the functional medicine analysis form she completed prior to her initial consultation, I discovered some interesting and enlightening details: Continue reading…