Blog

Let Dr. Mohammed Ali Knock Out Your Arthritis Pain

Rheumatologist Dr. Mohammed A. Ali, MD of Westshore Primary Care sees patients at the Westlake, Ohio Health Campus of St. John Medical Center

He’ll be the first to tell you that he knows nothing about boxing, but Westshore Primary Care rheumatologist Dr. Mohammed A. Ali, MD, has extensive experience in diagnosing, treating and managing patients with arthritis, rheumatic diseases and osteoporosis.

These health problems affect the joints, muscles, bones and sometimes other internal organs. If you have any of these diseases you know that they are often complex, and that you may benefit from the care of a qualified rheumatologist. 

Osteoarthritis Symptoms and Risk Factors

Patients with osteoarthritis, one of the most common forms of arthritis, are a big part of Dr. Ali’s practice. 

About 27 million people in the United States have osteoarthritis, a chronic condition in which the cartilage that cushions the joints breaks down and causes the bones to rub against each other. 

“Symptoms include sore or stiff joints, stiffness after resting that goes away after movement, and pain that is worse after activity or toward the end of the day,” says Dr. Ali.  

Common risk factors include:

  • Increasing age
  • Obesity
  • Previous joint injury
  • Overuse of the joint
  • Weak thigh muscles
  • Genetics

Seasonal Allergy Relief: Do You Know About The Treatment Options?

Updated May 2017

image of woman blowing her nose

Seasonal Allergies & Symptoms

Dealing with allergy symptoms?  Read below as we discuss the specific allergy seasons, symptoms, testing options and possible treatments.

What are the allergy seasons?

  • End of Feb-May: Tree pollen
  • May-July: Grass pollen
  • Late July-early August (until the first frost): Ragweed pollens

What are the symptoms?

Symptoms may include 

  • Itchy and watery eyes and nose
  • Sneezing and nasal congestion
  • Itching in the mouth, ears, and skin 
  • Hives and flares of eczema (patches of itching and irritated skin) 
  • Asthma symptoms 
  • Feeling tired, foggy and irritable 

Symptoms will flare with exposure to the allergen that you are sensitive to.

Allergy Testing & Treatment Options



Fever Advice: What to Do When Your Child Has a Fever

Do you know what you should do when your child has a fever?

We share tips on ways to lower your child’s temperature, medication amounts, and when to call a doctor.

image of sick child with fever

What temperature is considered a fever?

A fever is any temperature 100.4°F (38°C) or higher.

What should I do to treat my child’s fever? 

If your child is older than 6 months and has a fever, you do not need to treat it unless he/she is uncomfortable. 

If your child is drinking, eating, sleeping normally, and is able to play, you should wait to see if the fever improves by itself. 

To help lower your child’s temperature, you can 

  • Keep her room comfortably cool
  • Dress her in light clothing
  • Encourage her to drink fluids such as water, diluted juices, or a store-bought electrolyte solution

Call your child's doctor right away if your child has a fever and

  • Looks very ill, is unusually drowsy, is very fussy, or has a seizure.
  • Has other symptoms, such as a stiff neck, headache, sore throat, ear pain, an unexplained rash, or repeated vomiting or diarrhea.
  • Is younger than 3 months (12 weeks) and has a temperature of 100.4°F (38.0°C) or higher.
  • Fever rises above 104°F (40°C) repeatedly for a child of any age.

How much medicine should I give my child for a fever? 

Use the following guide to give your child the correct dose of medicine.

Acetaminophen (Tylenol) and ibuprofen (Motrin) are safe and effective medicines if used as directed for improving your child's comfort. If you have questions,or if your child is under 2 years of age, call your child’s doctor to ask about proper dosage. 

Important: DO NOT use aspirin to treat your child's fever. 

Aspirin has been linked with side effects such as an upset stomach, intestinal bleeding and, most seriously, Reye syndrome.


Children’s Motrin (IBUPROFEN) 100MG/5ML

12-17 Lbs.  GIVE 2.5 ML OR 1/2 TSP

18-23 Lbs. GIVE 4 ML OR 3/4 TSP

24-35 Lbs.  OR 2-3 yrs. GIVE 5 ML OR 1 TSP

36-47 Lbs.  OR 4-5 yrs. GIVE 7.5 ML OR 1 1/2 TSP

48-49 Lbs. OR 6-8 yrs. GIVE 10 ML OR 2 TSP

60-71 Lbs. OR 9-10 yrs. GIVE 12.5 ML OR 2 1/2 TSP

72-85 Lbs.  OR 11 yrs. GIVE 15 ML OR 3 TSP


Or view the full Children’s Motrin Dosing Chart or Infants’ Motrin Dosing Chart.


Children’s Tylenol (ACETAMINOPHEN) 160 MG/5ML

12-17 Lbs. GIVE 2.5 ML

18-23 Lbs. GIVE 3.75 ML

24-35 Lbs.  OR 2-3 yrs. GIVE 5ML OR 1TSP

36-47 Lbs.  OR 4-5 yrs. GIVE 7.5 ML OR 1 1/2 TSP

48-59 Lbs.  OR 6-8 yrs. GIVE 10 ML OR 2 TSP

60-71 Lbs.  OR 9-10 yrs. GIVE 12.5 ML OR 2 1/2 TSP

72-95 Lbs.  OR 11+ yrs. GIVE 15 ML OR 3 TSP


Or view the full Tylenol Dosage Chart for Infants and Children 


Westshore Primary Care is open on weekends and has same day appointments available. Call us to schedule your appointment today 440-892-6424



DISCLAIMER: This blog is for informational purposes only. It does not replace medical care from a licensed physician. If you have a medical concern, please contact your doctor.



5 Steps to Easy, Gluten-Free Dining

Do you know what’s allowed and what’s not allowed when you're on a gluten-free diet? 

A gluten-free diet is the treatment for celiac disease. Celiac disease is an immune reaction to eating gluten, a protein found in wheat, barley and rye. If you have celiac disease you probably have a general understanding of what’s OK to eat and what you should avoid. 

That is, until you go to a restaurant.  

Restaurants are getting better at offering gluten-free options (some even have gluten-free menus). But, if there isn't a specific menu, we wanted to share these tips to help make dining out gluten-free easier and less stressful. 

If you (or someone in your family) is just starting a gluten-free diet, it’s a good idea to consult a dietitian who can answer your questions and offer advice about how to avoid gluten while still eating a healthy, balanced diet. 

image of gluten free muffins

5 Steps to Easy, Gluten-Free Dining 

Asthma Basics: What You Need to Know

Asthma Basics: What You Need to Know

image of older man treating asthma

General Asthma information

  • The number of people with asthma continues to grow
  • One in 12 people (about 25 million, or 8% of the U.S. population) had asthma in 2009 compares with 1 in 14 (about 20 million or 7%) in 2001
  • More than half (59%) of children and one-third (33%) of adults who had an asthma attack missed school or work because of asthma in 2008
  • On average in 2008, children missed 4 days of school and adults missed 5 days of work because of asthma.
  • Asthma was linked to 3,447 deaths (about 9 per day) in 2007
What is asthma?

Asthma is a chronic disease of the airways and lungs.  It causes inflammation of the airways that gets worse when you are exposed to certain things in the environment, also known as asthma triggers.

The symptoms of asthma may include:

  • Chronic coughing, especially at night
  • Shortness of breath with or without exercise
  • Chest tightness
  • Wheezing-a scratching or whistling sound that comes from deep in your chest when you breathe

Asthma flare-ups or “attacks” are often caused by exposure to allergens such as pet dander, dust mite, mold or pollen.

Non-allergic asthma triggers include illness, weather changes or extremes of temperature, pollutants or smoke exposure, stress or extremes of emotion.  Asthma symptoms may also be triggered by exercise.

Children & Asthma

Children with asthma may show the same signs of asthma as adults: coughing, wheezing and shortness of breath.  In some, the only symptoms may be cough.

If you or your child has one or more of these common symptoms, make an appointment with an allergist/immunologist:

  • Coughing that is constant or that is made worse by viral infections, happens while you or your child is asleep, or is triggered by exercise or extreme weather changes
  • Recurrent wheezing or shortness of breath
  • Chest tightness
  • Fatigue or the inability to keep up with peers in routine activities, play or sports
  • Problems sleeping due to coughing or difficulty breathing

Pay attention to patterns or symptoms. This will help your allergist/immunologist make the proper diagnosis. Consider if symptoms occur with exercise, early in the morning or at night, during certain seasons, with laughing or crying or with common allergic triggers.

How is asthma diagnosed?

In very young children, asthma diagnosis is based on a thorough medical and family history as well as physical exam.  In some children, allergy testing may be indicated if a specific trigger is suspected.

Children with a family history of asthma in their parents have a personal history of eczema or food allergy and who wheeze outside of colds have a greater likelihood of developing more persistent asthma.

In school aged children and adults, a breathing  test may be performed to see how well the lung work in addition to a thorough medical and family history as well as allergy testing if indicated.

How is asthma treated?

There is no cure for asthma, but it can be controlled.

Avoiding triggers that cause asthma is very important. Allergen desensitization via allergy shots may be an option for some. Your doctor will talk to you about controller and rescue medications if needed.

Every asthma patient needs to have an asthma action plan. This is a plan that outlines daily treatment and what to do in case asthma flares.

People with asthma are at risk of developing complications from respiratory infections such as influenza and pneumonia. That is why it is important to consider receiving vaccinations as recommended by your primary doctor and your allergist/immunologist.

Do you have more questions about asthma? 

For personalized information about an asthma diagnosis, you should talk to an allergist. Contact us to schedule an appointment.

Asthma Resources

Asthma Overview, American Academy of Allergy Asthma & Immunology (AAAAI)

Asthma Management, American College of Allergy, Asthma & Immunology (ACAAI)

DISCLAIMER: This blog is for informational purposes only. It does not replace medical care from a licensed physician. If you have a medical concern, please contact your doctor.

Get Moving for National Physical Fitness Month!

Are you getting enough physical activity? 

How about your family? Do you know the suggested daily amount of activity? 

If you’re an adult, you should be incorporating at least 30 minutes of physical activity into your daily routine.For children that time is doubled to 60 minutes. 

image of older couple riding bikes

Why is Being Active Important? 

The President’s Council on Fitness, Sports & Nutrition shares that 

Regular physical activity can produce long-term benefits, such as helping 

  • Prevent chronic diseases such as heart disease, cancer, and stroke
  • Control weight
  • Promote strong bone, muscle and joint development
  • Improve sleep 

When you’re not physically active, you are more at risk for

  • High blood pressure
  • Type 2 diabetes
  • Heart disease

But how do you squeeze that activity into an already packed schedule? 

We’ve gathered some tips for each group below to help you get moving for national physical fitness month. 

More...

How to Eat Healthy When Pregnant

As a first-time mother, or during any pregnancy, it's important to eat healthy.

Good nutrition during pregnancy improves your chance of having a healthy baby, and may even reduce the risk of other conditions in your child later in life. 

We’ve collected a list of foods to eat-- and some to avoid-- when you are pregnant. At the end we’ve also included a few recipes that incorporate some of our suggested foods. Enjoy! 

If you have more specific questions about proper nutrition during your pregnancy, contact your physician.

image of healthy eating

How to Eat Healthy When Pregnant

Eat foods packed with key vitamins & minerals.

Folic Acid, Omega-3 fatty acids

Vitamins A, B, C, E

Minerals

Iron, copper, manganese, magnesium, selenium, zinc, potassium, calcium

Fruit & Veggies

Mangoes, Avocados, Broccoli, Carrots, Edamame, red pepper, spinach

More...

Meet Dr. Zenos Vangelos, Sports Medicine Specialist

Meet Dr. Zenos Vangelos, D.O. 

Dr. Zenos Vangelos will bring his Sports Medicine Practice to the Westlake brand of Westshore Primary Care.

Semi-pro soccer player? Check. 

Team physician for the Cleveland Indians and US Soccer Federation? Check.

Seeing new patients for his new sports medicine practice at Westshore Primary Care? Check.

Dr. Zenos Vangelos brings a wealth of sports medicine experience, a passion for returning injured athletes back to the playing field, and a desire to train others in the field of sports medicine.

More...

Spring Allergy Season Strikes Again- 10 Tips to Find Relief


image of woman in spring with allergy sneezing

An estimated 36 million Americans are keeping their tissue boxes close by in preparation for the peak of spring allergy season. Spring’s budding trees and blooming flowers mark another battle against sneezing, itchy eyes, runny nose and congestion for allergy sufferers.

Allergies are triggered by substances called allergens, such as pollen or mold spores. Many trees, grasses and weeds contain small and light pollen that are easily carried by the wind, causing allergy symptoms to flare up in the spring.

"One of the best ways to help prevent allergy attacks is to start taking medication prescribed by your allergist about a week before peak allergy season in your area begins," said Dr. Nancy Wasserbauer, Allertist/Immunologist of Westshore Primary Care. "With continued use of medication and avoidance of potential triggers, allergic symptoms can be minimized."

In addition to timing medication, Dr. Wasserbauer offers the following tips to help allergy sufferers find some relief this spring.

More...


Answered: 10 Health Insurance Marketplace FAQs

Westshore Primary Care in Westlake, Ohio answers their top 10 patient questions about the Health Insurance Marketplace. Read more to find out how to keep your coverage if you choose a new plan. Image of question mark made with puzzle pieces by Horia Varlan is licensed under CC by 2.0.

With all the changes in the health insurance market, as well as increased opportunities to secure insurance coverage on your own, it is often difficult to know where to go for information or assistance.

If you are looking for (or updating) your insurance coverage, it’s important to know that each insurance company offers different plans with similar names, but they are not all accepted by your primary care physician.

Many people find it confusing looking at these plans because they may sound similar in name, but actually provide very different benefits.

In order to help you get a better understanding of the process and the Marketplace, we pulled together a list of your top questions.

More...