Archives for 2019

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 DOES YOUR SKIN HAVE A HOLIDAY HANGOVER?   What to Do When Libations Take a Toll on Your Skin

‘Tis the season…for eating…and drinking.

We’re all aware of the effects binge drinking can have on our health, but that doesn’t stop most of us from overindulging during the party season. What many people don’t realize is that drinking alcohol in excess can have a negative impact on our appearance. Alcohol dehydrates your body including the skin, your body’s largest organ. This happens every time you drink. Extra cocktails can be adding years to your face in the form of wrinkles, poor texture and lack of radiance.

Dr. Gretchen Frieling is a Boston Area Board-Certified Dermatopathologist. She explains that frequent alcohol consumption is also thought to deprive the skin of vital vitamins and nutrients. “Over time, drinking heavily can have other, more permanent, detrimental effects on your skin. Rosacea, a skin disorder that starts with a tendency to blush and flush easily and can eventually lead to facial disfigurement, is linked to alcohol. Since alcohol increases your blood flow, it often causes blood vessels in your face to dilate (sometimes permanently) and often burst, leaving behind broken capillaries and red spots that are difficult to get rid of,” offers Dr. Frieling.

Here’s a look at what alcohol can do to wreak havoc on your appearance

Brittle hair.

What’s worse, drinking too much doesn’t only affect the appearance of your skin; it will dehydrate your hair, making it more prone to breaking and split ends. Weak, brittle hair in addition to premature wrinkling, can easily add 10 years to someone’s appearance.

Dark circles, bloodshot eyes, and even blindness.

In much the same way that alcohol causes broken capillaries on your face, it irritates and enlarges the tiny blood vessels on the surface of your eye (the sclera) causing a “bloodshot” appearance. If vanity doesn’t get your attention, how about blindness? “Because excessive drinking robs the body of some nutrients required to maintain eye health, it can lead to a condition called alcoholic optic neuritis, which impairs eyesight and, over time, can result in blindness,” cautions Dr. Frieling.

Some tips to avoid a “skin hangover” include… 

1. Stay hydrated.

Aside from giving up booze altogether, Dr. Frieling says it is possible to minimize the unwanted effects of alcohol by constantly staying hydrated. “That means drinking a full glass of water for every cocktail you have. Drink even more water before you go to bed to flush the alcohol out of your system so you wake up less dehydrated, puffy and flushed,” she advises.

2. Take care of your skin before bed.

Taking care of your skin before hitting the sack is also crucial. Dr.  Frieling advises fully washing your face and then applying a moisturizer, like a hydrating serum before getting into bed. “Sleeping with dirty skin makes it prone to clogged pores and acne.”

3. Prop pillows and use tea.

One of the best ways to minimize the eye and face puffiness is to sleep on two pillows, slightly propped up. In the morning, rubbing ice cubes all over your face helps, too. “One of the best ways to deflate eye puffiness and reduce the redness is to place cold tea bags over the eyes. The tannins in the tea help constrict blood vessels,” adds Dr. Frieling.

4. Cover up what you can’t cure.

To camouflage the redness in the face, use a green-tinted primer before applying makeup, which should help neutralize any redness. If you must use foundation, look for a lightweight, moisturizing formula.  Avoid powders, as they are often more drying.

5. Consider lasers.

When at-home remedies aren’t making much of a difference. There are pricier measures you can take to minimize the effects of alcohol. “Certain laser treatments can reduce redness and spider veins on the face. It’s important to see someone who is well trained to administer the laser treatment,” suggests Dr.  Frieling.

6. Choose your booze wisely.

If you are going to consume alcohol know that different alcohols have different effects on the skin, but as a general rule, the clearer, the better. Vodka, gin, and tequila leave your system quicker. “If you’re going to drink anything, drink vodka that doesn’t have a grain in it, like potato vodka. It’s a lot clearer and smoother, so it gets in and out of your body quickly,” says Dr.  Frieling. Most dermatologists agree that although everyone metabolizes alcohol differently if you can remember to drink in moderation and stay hydrated, you can save your skin.

www.gfacemd.com

Board-Certified Dermatopathologist Dr. Gretchen Frieling

Boston Area

Dr. Gretchen Frieling (“Dr. G”), MD is a Harvard-trained, board-certified Dermatopathologist, with over 10 years of experience in Medicine and Dermatopathology.  With a background notable for intensive ballet, including the Juilliard School, Dr. G combines her artistic eye, perfectionistic qualities, and medical expertise, to give her patients the ability to be better versions of themselves.  Dr. G has an extensive academic background, including numerous publications in peer-reviewed medical journals, selected Editor of medical journals, an author of noteworthy medical textbook chapters, an educator at the Harvard Medical School, and speaker at many national medical conferences.

When it comes to non-surgical cosmetic procedures, Dr. Frieling has mastered the art of re-defining and re-vitalizing the face by eliminating fine lines, wrinkles and re-establishing volume with a minimalistic approach.  She is the founder and CEO of the GFaceMD luxury medical skincare line.  GFaceMD is a unique, boutique, client-focused aesthetic practice, with a mission to optimize beauty through advanced micro enhancement techniques with the utmost professionalism, education, and confidentiality.  Services include injectables from neurotoxins to dermal fillers, fat dissolving treatments, collagen-stimulating treatments, laser treatments, medical facials,  microneedling, chemical peels, dermaplaning, and more.  Along with splitting her time as a practicing Dermatopathologist, Dr. Frieling enjoys spending time with her husband, her two kids, and extended family, as well as volunteering in the community. She is an avid philanthropist, serving as a judge in the Miss Pink Organization, an active member of the Juvenile Diabetes Research Foundation, and a contributor to many non-profit organizations, including My Life My Choice and St. Jude.

www.niketsonpal.com 

 A record-breaking 112.5 million people – more than a third of all Americans – are expected to travel this holiday season, including 102 million who will take their trips by car. Nothing ruins a long-awaited vacation faster than getting sick or being in medical distress.  We turned to Dr. Niket Sonpal, an NYC internist and gastroenterologist for some tips on how to avoid health consequences will traveling.

Avoid Deep Vein Thrombosis

Deep vein Thrombosis (DVT) occurs when a blood clot (thrombus) forms in one or more of the deep veins in your body, usually in your legs. Deep vein thrombosis can cause leg pain or swelling, but also can occur with no symptoms. For travelers, this can happen on long haul trips where you are not moving. Dr. Sonpal recommends if you are flying or on a train, to move around the cabin to get the blood flowing in your legs. If you are driving, take a break at a rest stop and walk around. Compression socks are also another option to prevent DVT.

Don’t Get Nauseous

People can experience motion sickness on virtually any mode of transportation. To combat this, Dr. Sonpal suggests Dramamine® Non-Drowsy Naturals, Dramamine®’s first non-drowsy formulation. It contains the clinically tested ginger dosage required for preventing and treating motion sickness. Other sources of ginger, including candies, gums, or ginger ale, may not contain a full clinical dose. For someone who is already experiencing nausea while traveling, it is a good idea to keep Emetrol on hand which is an over the counter nausea medication that does not cause drowsiness.

Avoid Bloating on a Plane

If you get gassy on a plane, you’re not alone! Dr. Sonpal explains that, “As the pressure around you decreases, the gas in your belly isn’t constrained as much and it expands. This can make you feel bloated or become distended.” It is essential to avoid foods that cause gas or have salt. Skip the tomato juice in flight and stick with non-carbonated water. Avoid alcohol, cruciferous vegetables, dairy and high sodium snacks such as salted peanuts or pretzels. Foods that are protein packed, magnesium-rich and high in Vitamin C are good options.

Sanitize Your Surfaces

Planes and trains are a breeding ground for illness.  The former are awful due to re-circulated air. Most travelers would be appalled if they really knew how germy their tray tables are! Dr. Sonpal suggests sanitizing wipes for your tray table, seat belt clip and hand rests of your seats on planes and trains. When you exit a restroom on a plane or train and touch the door handles, be sure to use hand sanitizer even if you already washed your hands.

Get Your Shots Before Traveling Abroad!

Before you even book your trip, make sure you’re up to date on your shots. If you’re traveling to an area where you’re at risk for picking up an illness like malaria, you might be prescribed preventative medication. Dr. Sonpal suggests that, “People should use the CDC website for recommended vaccines for travel abroad or see a travel clinic. The health risks posed to Americans vary based on the country they are traveling to.”

Don’t Touch the Ice!

When traveling to a different country, most people are very cautious about only drinking bottled water.  Many folks forget that ice is simply frozen water and put it into their soft drinks or alcoholic beverages. Contrary to what one might think, freezing water does not kill bacteria. The only way to be sure it is safe is if you boiled the water and then froze it.

Avoid Jet Lag

Even a relatively short time change from EST to PST (3 hours) can cause jet lag. With some international travel from the United States, the time difference can be as much as twelve hours. If you’re traveling east, try going to bed one hour earlier each night for a few days before your departure. Go to bed one hour later for several nights if you’re flying west. If possible, eat meals closer to the time you’ll be eating them at your destination. Dr. Sonpal suggests that you set your watch to the new time before you leave. Once you reach your destination, try not to sleep until the local nighttime, no matter how tired you are.

Essential Medicine/Supplies to Travel With

Dr. Sonpal stresses never to check your medication with your baggage, always keep it in your carry on. Have a fresh re-fill on prescription medication with extra doses in case you get stuck at your destination. In addition, here are some essential over the counter meds/supplies to travel with:

Benadryl- For allergic reactions such as insect or bee bites.

Pepto Bismol- For diarrhea

Laxative such as Dulcolax

Anti-biotic ointment such as Neosporin

Common cold/sinus remedies such as Mucinex or Claritin

Pain relievers such as Tylenol or Motrin

Anti- Nausea medication such as Emetrol

Motion Sickness medication such as Dramamine. If you are the driver, be sure to take the non-drowsy version.

Electrolyte tablets for dehydration

Hydrocortisone cream to relieve itching from rashes, bites, poison ivy etc.

Aloe to soothe sunburned skin

Band-Aids

Digital Thermometer

Nasal Spray to prevent clogged ears while flying

Tweezers

Eye Drops

Epi-Pen if you are prone to severe allergic reactions 

How to Find a Reliable Physician if you are Traveling Abroad

The US embassy in your destination country (http://www.usembassy.gov/) can help you locate medical services and will notify your family and friends in the event of an emergency. When selecting a doctor, make sure that he or she can speak your language. The following resources provide lists of doctors and clinics that can care of travelers:

The International Association for Medical Assistance to Travelers (www.iamat.org; membership required, but it is free)

Joint Commission International (www.jointcommissioninternational.org)

The International Society of Travel Medicine (www.istm.org)

Travel Health Online (www.tripprep.com; gets information from various sources so quality is not guaranteed)

Dr. Niket Sonpal is a native of Long Island NY and a graduate of Medical University of

..

He is the co‐author for the best-selling Master the Boards: USMLE Step 2 CK, Master the Boards Step 3, And Master the Boards: Internal Medicine.

Dr. Niket Sonpal is a native of Long Island NY and a graduate of Medical University of Silesia – Hope Medical Institute in Poland. After completing his residency in Internal Medicine at Lenox Hill Hospital, he was selected to be the 2013‐2014 Chief Resident at Lenox Hill Hospital–Northshore LIJ Health System. He is an Adjunct Assistant Professor at Touro College of Osteopathic Medicine and Clinical instructor at Kingsbrook Jewish Medical Center, Brooklyn.

Dr. Sonpal has completed his Fellowship in gastroenterology & hepatology at Lenox Hill Hospital and will continue his work in the field of medical student and resident test preparation. He now serves as the associate program director for the Internal Medicine Residency Program at Brookldale University medical center.

He is the co‐author for the best-selling Master the Boards: USMLE Step 2 CK, Master the Boards Step 3, And Master the Boards: Internal Medicine.