Why Am I Always So Tired?

It’s normal to be tired periodically. Everything from fighting a cold to going through an emotionally stressful period can make you feel less energetic. But if you’re always or almost always tired, you may be experiencing what’s commonly abbreviated in the medical community as TATT — tired all the time. 

Chronic fatigue may also cause symptoms like muscle aches, joint pain, swollen lymph nodes, and problems with attention and memory. In addition, despite being tired, you may have trouble sleeping. 

You shouldn’t ignore persistent fatigue for a couple of reasons. First, it’s no fun going through life constantly tired, and the “fix” may involve simple lifestyle changes. Second, several serious medical conditions can cause or worsen persistent tiredness. 

Chronic Fatigue and Disease

Both physical and mental health issues can lead to chronic fatigue. Some of the most common causes include:

If you suffer from one or more of these conditions, getting treatment can reduce the symptoms and increase your energy level. 

Chronic Fatigue and Lifestyle

Even if your lifestyle hasn’t changed significantly, it can still be the cause of your newly developed fatigue. That’s because our bodies constantly change due to age and other factors. Behaviors that may not have been problematic previously can “catch up with you” and start making you feel tired all the time. 

Some of the lifestyle factors that can contribute to chronic fatigue include:

  • Lack of exercise. This can be a “downward spiral” scenario in which you’re tired, so you don’t exercise, and the lack of physical activity increases your fatigue. The solution is to start an exercise program, gradually building from short walks or other low-exertion activities to more vigorous workouts. And it’s always a good idea to talk with your doctor before significantly increasing your activity level.
  • Improper Nutrition. What you eat affects your energy level. A common problem is prioritizing carbohydrates over protein. Carbs can be useful since they provide a quick energy boost. Unfortunately, your body burns them rapidly, causing your energy level to crash. High-quality protein, on the other hand, provides sustained energy. You can avoid nutritional problems by reducing your carbohydrate intake, getting more calories from protein, and ensuring you meet other dietary recommendations.
  • Being overweight or obese. Being above your recommended weight increases your risk of several medical conditions, including diabetes, heart disease, and others, all of which can cause fatigue. Eating healthy foods and exercising regularly is the best and safest way to get to and maintain a healthy weight
  • Dehydration. Your body doesn’t get energy from water, but water is crucial to a wide variety of biochemical processes in the body, many of which affect your energy level. To avoid dehydration, increase your water intake. A good goal is to drink eight 8-ounce glasses of water daily. And it’s best to consume most of them in the morning and early afternoon since waking up at night to go to the bathroom can adversely affect your sleep quality. 
  • Lack of quality sleep. This can also create a downward spiral. You sleep poorly, which creates chronic fatigue, which worsens your sleep. To break out of that pattern, you should focus on using good “sleep hygiene” practices. This includes following the same sleep/wake schedule on weekdays and weekends, keeping your bedroom quiet, dark, and comfortably cool, avoiding stimulants like caffeine close to bedtime, and avoiding screen use for an hour before bedtime. If you still have trouble sleeping, your doctor can propose treatments.
  • Ongoing elevated stress levels. Everyone feels stressed at times. But if you’re continually stressed, that condition can drain your energy. Taking action to resolve the stress when possible is important. You can also practice mind-body activities like yoga and meditation to help better manage stress.

Get Advice on Chronic Fatigue from Your Baptist Health Physician

There are many possible reasons why you’re frequently or continually tired. Consequently, it’s essential to talk with your doctor about how you feel. They can work with you to identify the cause or causes of your fatigue and develop a plan for addressing the issues. 

If you don’t have a Baptist Health doctor, you can find one in our online provider directory.  

What Color Should Urine Be?

The color of your urine (what doctors call “urochrome”) tells an important story. It can be indicative of your lifestyle, diet, and, in some cases, the presence of disease. 

Urine is 95% water. The remaining 5% is a complex mix of components that includes:

  • Urea
  • Chloride
  • Sodium
  • Potassium
  • Creatinine and other dissolved ions
  • Other inorganic and organic compounds

The most common color of urine is yellow. Urobilin, a biochemical waste product your body creates as it breaks down old red blood cells, causes the various shades.

Urine Colors and What They Mean

You should contact your doctor if you have questions or concerns about the color of your urine. For example, some people wonder, “What color is urine when your kidneys are failing?” Or, “What does healthy pee look like?”

The information below can help you understand what may be influencing the color. 

Clear Urine

Clear urine is a sign that you’re over-hydrated. Staying hydrated is good for you, but drinking too much water can flush out electrolytes. While clear urine isn’t something to worry about, you should probably consider reducing your water intake.

Yellowish or Amber Urine

Most urine color falls into this category, ranging from light yellow to a deeper amber color. The urochrome pigment naturally in your urine becomes diluted when you drink water. 

Urochrome results from your body breaking down hemoglobin, the protein that carries oxygen in your cells. If you have a significant amount of B-vitamins in your bloodstream, your urine can appear neon yellow.

Pink or Red Urine

If your urine appears pink or red, it might be due to something you ate. Fruits with naturally deep pink or magenta pigments, such as beets, blueberries, and rhubarb, can make your urine turn pink or red. However, other things can change your urine to this color. For example, vigorous exercise may produce urinary bleeding.

Certain health conditions can also cause blood to appear in your urine, a symptom known as hematuria. Some of these conditions include an enlarged prostate, urinary tract infection, kidney stones, and tumors in the bladder or kidney. 

If you’re concerned about blood in your urine and haven’t eaten any of the foods mentioned above or recently completed an intense workout, you should call your doctor.

Do you have additional questions?

See a Baptist Health Provider

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Dark Brown Urine

In most cases, dehydration causes dark brown urine. But certain medications, such as metronidazole, and chloroquine, can also cause it.

Specific foods eaten in large amounts, such as rhubarb, aloe, or fava beans, can also result in dark brown urine. In addition, liver disease can cause dark brown urine due to bile getting into the urine.

Orange Urine

Orange urine can be a sign of dehydration. Orange urine can also be a side effect of certain medications, such as the anti-inflammatory drug sulfasalazine, some laxatives, and certain chemotherapy drugs. 

If you have orange urine and light-colored stools, it could be a sign of liver or bile duct malfunction. Adult-onset jaundice can also turn urine orange.

Blue or Green Urine

Blue or green urine can be caused by:

  • Dyes. Brightly colored food dyes can cause blue or green urine. Dyes that are used in some tests for kidney and bladder function can turn urine blue.
  • Medications. Some medications that can turn urine blue or green include amitriptyline, indomethacin, and propofol.
  • Medical conditions. Familial benign hypercalcemia, a rare inherited disorder, can cause blue urine. Green urine can sometimes happen with urinary tract infections caused by pseudomonas bacteria.

Cloudy Urine

Cloudy urine may result from dehydration, but it can also be a sign of urinary tract infection or other chronic diseases and kidney conditions.

Another common question is, “Is foaming pee bad?” The answer is that cloudy urine with foam or bubbles may be a symptom of serious health conditions, like Crohn’s disease or diverticulitis. It’s something you should talk with your doctor about.

Get World-Class Urology Care at Baptist Health

Baptist Health doctors are experts in diagnosing and treating conditions affecting the urinary tract. If you or a loved one is facing a urinary health challenge, learn more about our urology care services.

Are There Differences Between a Sonogram vs. an Ultrasound?

Reviewed by: Aaron Stewart, MD, Obstetrics & Gynecology

Is an Ultrasound and a Sonogram the Same Thing?

Sonography is the application of ultrasound technology to diagnose medical conditions. Sonographers are trained medical technicians who perform ultrasounds, generate images of your body, and provide doctors with the images. Sonography is sometimes called ultrasonography.

The terms “sonogram” and “ultrasound” are often used interchangeably. While people will generally understand what’s meant regardless of which word is used, technically they’re not synonyms.

The confusion is likely a result of the usage of both terms in the description of “sonography”. What is sonography? Sonography refers to the use of ultrasound tools for diagnostic purposes. In general, an ultrasound is a procedure and a sonogram is the picture it produces.

More on the difference between sonogram and ultrasound is provided below.

What is an Ultrasound?

An ultrasound is a simple, radiation-free, non-invasive procedure. Many people are familiar with it from its use during pregnancy to provide doctors with an image of the fetus in a mother’s womb. However, there are many other uses of an ultrasound.

How Does an Ultrasound Work?

An ultrasound uses sound waves to produce a picture of a structure or area inside the body, or to affect tissue in the body. There are multiple types of ultrasounds, including:

  • Elastography is used to determine what is healthy tissue and what is a tumor.
  • Bone sonography helps doctors tell how dense bone is.
  • Doppler ultrasound is used to assess blood flow in the heart and blood vessels.
  • Therapeutic ultrasound can break up or heat tissue as a form of treatment.
  • High intensity focused ultrasound (HIFU) is used to help the body eliminate abnormal tissue.

Often, an ultrasound is used on the skin surface. However, in some cases, a device is inserted into a body opening to capture a better image. Examples include:

What is an Ultrasound Used For?

Ultrasounds can be used in many ways. One area where they’re useful is in diagnostics. The images captured using ultrasound technology help doctors diagnose conditions affecting soft tissues and organs.

Doctors use ultrasounds to examine the following soft tissues and organs:

In medical procedures, ultrasounds can be used to help guide a doctor such as when they’re performing a needle biopsy. Ultrasounds can also be used therapeutically to help treat soft tissue injuries.

What is a Sonogram?

A sonogram is an image produced by an ultrasound procedure. The term sonogram loosely translates as “sound writing,” since the sound waves effectively “write” the image that’s produced.

What is a Sonogram Used For?

Sonograms assist doctors in evaluating organs for infections, damage, or disease. Pregnant women may get ultrasounds to generate sonograms of the fetus. Doing so allows a doctor to check a baby’s development and health.

Reading a Sonogram Picture

Reading the sonogram from a prenatal ultrasound is easy if you know what to look for. For example, black areas generally indicate fluid, such as amniotic fluid or blood.  Bright white areas indicate solid structures such as bone.  In between would be shades of gray that would represent organ structures. With that in mind, identifying things like the baby’s head or legs can help you get oriented.

sonogram picture

Learn More or Get Treatment with Baptist Health

Baptist Health is committed to partnering with you on your journey to health. Learn more about our imaging and diagnostic services, mother and baby care, or women’s health services to get up-to-date information on common conditions, procedures, and treatment.

Next Steps and Useful Resources

Find a Provider
Diagnostic vs. Therapeutic Ultrasound
Types of Ultrasounds
Pregnancy Ultrasound Schedule by Week

Lyme Disease: Prevention, Detection, and Treatment

Lyme disease is an infectious disease caused by a bacterium called Borrelia burgdorferi. That bacteria are transmitted to humans by black-legged ticks or deer ticks, which become infected by feeding on infected mice, deer, or birds.

The disease gets its name from Old Lyme, Connecticut, where it was first recognized in 1975. According to the CDC, Lyme disease is the most common vector-borne illness in the U.S. It’s also common in Europe. 

How to Prevent Lyme Disease

Preventing Lyme disease primarily involves preventing tick bites. You can minimize the risk of a bite by doing the following:

  • Make your yard unattractive to ticks. Clear wooded areas that aren’t needed or wanted in your landscaping, minimize underbrush, and position woodpiles in areas that get plenty of sunshine.
  • Wear long pants, long-sleeved shirts, and a hat or head covering when you’re outdoors. 
  • Use an insect repellent that contains DEET. However, use it with caution and according to direction, and never on children under the age of three.
  • Do “tick checks” on yourself, your partner, your children, and your pets after being outdoors. 

Prompt removal from your skin of any ticks you find can also help prevent Lyme disease, as an infected tick must be attached to your body for at least 36 hours to transmit the bacteria that causes the disease. To remove ticks, use fine-tipped tweezers to grasp them gently near their head or mouth and lift them with steady, even pressure. Don’t jerk or twist.  

Try to be sure that no piece of the tick is left behind. However, if there are pieces you can’t remove easily with tweezers, don’t squeeze or dig into the skin. Leave the pieces there. 

After removing a tick, clean the bite area, the tweezers, and your hands with rubbing alcohol or soap and water. Dispose of a live tick by flushing it down the toilet, putting it in a sealed bag or container you can discard, wrapping it tightly in tape, or putting it in rubbing alcohol. 

Diagnosing Lyme Disease

To diagnose Lyme disease, your doctor will start by asking if you live in, or have traveled to, an area where the ticks that transmit the disease are common. They’ll also want to know about any bites you can remember getting. In addition, they may ask if you’ve experienced heart-related symptoms like dizziness or palpitations, as they can be caused by Lyme disease.  

Next, your doctor will conduct a physical exam to look for the presence of a rash, which is typically in an oval or bullseye shape. However, approximately 20% of people infected with Lyme disease don’t develop a rash, so your doctor will probably perform other tests, as well. 

This includes an enzyme-linked immunosorbent assay (ELISA) test that detects antibodies to the disease-causing bacteria. If that test is positive, what’s called a western blot test is usually performed to confirm the diagnosis.

Treating Lyme Disease

If you’re diagnosed with Lyme disease, your doctor will prescribe antibiotics that you’ll receive for a period of weeks, either by mouth or intravenously. The CDC says, “Most cases of Lyme disease can be treated successfully with a few weeks of antibiotics.” 

But it’s important to note that it can take weeks to months for all the symptoms to disappear. During that time, you can support your recovery by eating a healthy diet, getting plenty of rest, using stress-reduction practices, and taking anti-inflammatory medication as directed for pain relief. 

Learn About Primary Care Services at Baptist Health

Primary care doctors at Baptist Health are skilled in diagnosing and treating Lyme disease. If you think you may have contracted the disease, find a provider and schedule an appointment today. 

How Does Lyme Disease Affect the Brain?
Symptoms of Lyme Disease
Quiz: Do You Know How to Protect Yourself from Ticks?

Can Anxiety Cause Heart Palpitations?

If you’ve ever had to give a speech or been in a situation that makes you fearful and unsure, you’ve probably experienced a common emotion called anxiety. Anxious episodes are typically temporary with few serious symptoms or long-term health effects. 

Common signs of anxiety include feelings of nervousness and tension, sweating, and an uneasy stomach. Another common symptom of anxiety is an abnormally increased heart rate, also known as palpitations. Heart palpitations can feel like your heart’s racing, pounding, or fluttering. Unless your palpitations are caused by a heart rhythm disorder, known as arrhythmia, they tend to be short-lived and harmless.

What’s the Anxiety Response?

Anxiety is a response to stress which, in itself, is a response to a perceived threat. The threat may be real, like a tornado seen while driving on the highway, or it may be one that’s built up in our minds, like a child worrying about monsters in the closet. 

But anxiety’s impact isn’t only in the mind. It’s a feeling that activates your body’s autonomic nervous system (ANS), also known as the “fight or flight response.” The ANS helps regulate the functions of the:

  • Heart
  • Lungs
  • Digestive system
  • Various muscles throughout the body

The ANS works involuntarily which means, for example, that you don’t have to concentrate on your heart to have it beat faster when you’re exercising. 

What’s the Individual Response?

Everyone responds a little differently to stress and anxiety. Something that makes one person anxious may have the opposite effect on someone else. You may be petrified to make a toast at a large gathering, but chances are you know people who can’t wait for their turn to grab the mic. 

If you’re in a situation that’s making you anxious, heart palpitations are just one of the signs that your ANS has switched on. Other physical symptoms include:

  • Rapid breathing
  • Sweating
  • Muscle tension
  • Trembling
  • Gastrointestinal problems
  • Feeling exhausted

Other Causes of Palpitations

Anxiety is one cause of heart palpitations, but there are several other reasons why they could be  happening, including:

  • Alcohol. Having too many drinks in a night can get your heart racing. For example, people who rarely drink to excess, but do so at the occasional party may feel a fluttering in their chest later. This is sometimes referred to as “holiday heart.”
  • Caffeine. Everyone responds differently to caffeine. You may enjoy three cups of coffee in the morning and feel fine, but someone else might try that and get palpitations. With the popularity of high-caffeine beverages and canned energy drinks, researchers are learning more about how high levels of caffeine can lead to heart rhythm disturbances, high blood pressure, and other problems. 
  • Chocolate. Palpitations can happen from eating too much in one sitting. Chocolate is particularly associated with palpitations.
  • Medications. Cold medicines that contain pseudoephedrine can trigger heart palpitations and jittery feelings.
  • Stress. Stressful situations can lead to anxiety, which can cause heart palpitations.

How to Stop Heart Palpitations and Anxiety

Stress and anxiety are two of the key triggers of skipped beats. To avoid palpitations, try meditation, exercise, yoga, or another stress-reducing activity. If palpitations do appear, techniques like the ones described below can help:

  • Deep breathing. Sit quietly and close your eyes. Place one hand on your abdomen and breathe in slowly through your nose. Feel your abdomen move outward. Exhale through your nose or mouth, whichever feels most comfortable. Repeat. 

If your heart’s racing unexpectedly, you can try to stop it yourself with one of the following maneuvers: 

  • Valsalva maneuver. Pinch your nose closed, close your mouth, and try to breathe out forcibly through your nose.
  • Bear down. Clench your stomach muscles and your anal sphincter. Then bear down as if you’re having a bowel movement. (This is another way to do the Valsalva maneuver.)
  • Cold water. Splash cold water on your face, or immerse your face in a sink or large bowl filled with cold water. 

The Valsalva maneuver, bearing down, and cold water stimulate the vagus nerve, which helps control the heart rate. Deep breathing helps relax you and ease the stress and anxiety that can come with palpitations.

If none of these work, have someone drive you to an emergency room or call 911.

When to Talk to Your Doctor

If you’re experiencing heart palpitations, it’s important to see a doctor so treatment can start as soon as possible. See a doctor immediately if palpitations:

  • Occur frequently
  • Last for extended periods of time
  • Have no known cause or trigger

Take a Heart Health Risk Assessment

To understand more about your heart health, take a health risk assessment at Baptist Health.

Next Steps and Useful Resources: 

Antioxidants for Heart Health
The Relationship Between Diabetes and Heart Disease
What’s The Link Between Caffeine and Cardiovascular Health?

Understanding How Cancer Can Spread

Our bodies are made up of trillions of cells. Normally, new cells replace old or damaged cells once they die off. If a cell’s DNA becomes damaged, our immune system can control a small number of these abnormal cells, keeping them from causing further damage to our bodies. Cancer occurs when the number of abnormal cells becomes too much for our immune system to handle.

Why Does Cancer Spread?

Where cancer spreads is linked to where it starts. Most cancer cells that break away from the primary tumor are carried in the blood or lymph system until they get trapped in the next “downstream” organ or set of lymph nodes. Breast cancer, for example, often spreads to underarm lymph nodes and, but rarely spreads to lymph nodes in the belly. Many cancers spread to the lungs because the body pumps blood from the rest of the body through the lungs’ blood vessels before sending it to other parts of the body.

How Does Cancer Spread?

Cancer that spreads to a distant part of the body is called metastatic cancer. When cancer cells break away from a tumor, they can travel through the bloodstream or lymph system. If the cells travel in the lymph system, they could end up settling in nearby lymph nodes or other organs. It’s more common for cancer cells to travel through the bloodstream. Once these cells are in the blood, they can travel anywhere.

These are the steps cancer cells must go through before spreading to other parts of the body:

  • They must find ways to break away from the original tumor and enter the bloodstream or lymph system.
  • They need to attach to the wall of a blood or lymph vessel and move into a new body part.
  • They need to find ways to grow and thrive in their new location.
  • They must be able to avoid attacks from the body’s immune system.

How Fast Does Cancer Spread?

How fast cancer spreads depends on the cancer type. Cancer cells that have more genetic damage (poorly differentiated) typically grow faster than cells with less genetic damage (well-differentiated). 

Some cancers that generally grow slower include chronic lymphocytic leukemia, most types of prostate cancer, and colon and rectal cancer.

Examples of fast-growing cancers include lung cancer, acute lymphoblastic leukemia, and large B-cell lymphoma.

Which Type of Cancer Spreads the Fastest?

The fastest-moving cancers are pancreatic, brain, esophageal, liver, and skin. Pancreatic cancer is one of the most dangerous types of cancer because it’s fast-moving and there’s no method of early detection.

How Do You Know if Cancer Has Spread?

Metastatic cancer doesn’t always cause symptoms. When they do occur, the symptoms you may experience and how long they last depend on the size and location of the metastatic tumors. Some common symptoms of metastatic cancer include:

  • Loss of energy and feeling weak. This can become so pronounced that you may have a hard time getting out of bed, bathing, or getting dressed.
  • Weight loss without trying
  • Pain
  • Shortness of breath or trouble breathing

Connect with a Provider

If you’re experiencing any of the symptoms described above, have a family history of cancer, or are concerned that you may have cancer, take a health risk assessment to determine if you’re at risk for cancer.

Next Steps and Useful Resources:

How to Help Reduce Your Risk for Colon Cancer
Exercise and Prostate Cancer: Is It Safe?
Types of Leukemia
Your Diet & Your Colon: Something You Need to Know

Celiac Disease

What is Celiac Disease and What Causes It?

Gluten is a protein that is found in most grain products, and those with Celiac disease have higher than normal levels of antibodies, or infection-fighting cells, that attack gluten. When someone with Celiac disease ingests gluten ­­– a protein found in wheat, rye, and barley – their body views the gluten as a foreign invader. The body then attacks the small intestine, limiting the number of nutrients a person absorbs from their food. Celiac disease is genetic, and as many as 1 in 133 Americans may have the condition. Understanding of the celiac disease symptoms is essential for the proper diagnosis of the condition.

Gluten Sensitivity vs. Celiac Disease

It is easy to mistake a sensitivity to gluten for Celiac disease because both present with similar symptoms like bloating, stomach pain and diarrhea. Celiac disease is classified as an autoimmune disorder and has wide-ranging impact on the body. Gluten sensitivity is merely an intolerance to gluten that’s consumed, and does not generally impact full-body systems like Celiac can. Both issues are treated by removing gluten from the diet, however, those with Celiac disease should remove gluten completely while those with a gluten sensitivity may see improvement from simply reducing the amount of gluten and carbohydrates consumed.


Celiac disease is often a diagnosis of elimination; only blood work or a biopsy performed by your doctor can determine if you have Celiac disease. Celiac disease shares symptoms with many other chronic digestive issues, including Crohn’s disease, irritable bowel syndrome, colitis, and diverticulitis.

Celiac Disease Symptoms in Adults

Some common symptoms of Celiac disease in adults include:

  • Unexplained weight loss
  • Persistent flatulence
  • Chronic diarrhea or constipation
  • Stomach and muscle cramps
  • Joint pain
  • Anemia
  • Missed periods
  • Infertility
  • Numbness and tingling in the legs
  • Painful, itchy skin rash
  • Weak bones
  • Tooth enamel loss

Some people who have Celiac disease may have no symptoms at all.

Celiac Symptoms in Children

Infants and young children are likely to experience digestive problems like abdominal bloating and pain, gas, and/or foul-smelling stools. Additional symptoms can include the following:

  • Chronic diarrhea, which can be bloody
  • Constipation
  • Vomiting
  • Fatigue
  • Irritability
  • Neurological symptoms including learning disabilities, ADHD, headaches, lack of muscle coordination, and seizures
  • Tooth enamel damage
  • Anemia
  • Growth problems that include not growing as expected or short stature
  • Weight loss

Risk Factors

Some people are at a higher risk of Celiac disease and gluten sensitivity, including:

celiac disease symptoms


Your doctor will likely suggest removing gluten entirely from your diet. You may find this to be rather difficult, as gluten is present in many foods in the Western diet. Ceasing the intake of gluten is the only treatment for Celiac disease. Once you stop eating foods containing gluten, you may notice your symptoms clear up in as little as three days. The earlier Celiac disease is caught and treated (by removing all sources of gluten from the diet), the less time healing takes. Generally in children, full healing is seen within six months. Adults may require one to two years to see full healing, and those with advanced symptoms may take even longer or may never fully recover.

Eliminating gluten can be tricky because gluten can be listed on nutrition labels under many names, and can be present in foods you wouldn’t immediately suspect. Many people who are trying a gluten free diet are simply advised to avoid wheat, barley, and rye, but are unaware that many processed foods are made with gluten-containing ingredients. Pay special attention to nutrition labels and look out for “hidden gluten” that may be listed as: caramel color, spelt, wheat starch, wheat bran, hydrolyzed wheat protein, dextrin, or mono- and di-glycerides.

Gluten often “hides” in many of the below foods:

  • Beer, ale, and lagers
  • Bouillon cubes
  • Brown rice syrup
  • Candy
  • Chips, potato chips
  • Cold cuts, hot dogs, salami, and sausage
  • Corn flakes and crisp rice cereal
  • Communion wafers
  • French fries
  • Gravy
  • Imitation fish
  • Matzo
  • Pickles
  • Rice mixes
  • Sauces and salad dressings
  • Seasoned tortilla chips
  • Self-basting turkey
  • Soups
  • Soy sauce
  • Taco seasoning packets
  • Vegetables in sauce
  • Vinegar


When people with celiac disease eat foods containing gluten, their immune system attacks the lining of their small intestine, causing damage that prevents the absorption of nutrients. This can lead to what doctors call the dangers of celiac disease, including skin rashes, lactose intolerance, infertility, bone weakness, nerve damage, and even death.

Get Help From Baptist Health

Celiac disease can feel debilitating if left untreated, but help is available. Learn more about the digestive services and treatments available at Baptist Health, or speak with your healthcare provider about your symptoms. If you don’t have a healthcare provider, you can find a Baptist Health provider near you via our online provider directory.


6 Tips for Tackling the Time Change With a Toddler

As if getting toddlers into a good sleep routine wasn’t hard enough, the end of Daylight Savings Time can add an extra element to the challenge of getting them to bed each night.

The following tips may help your toddler (and you) through the time change:

  • Stay on schedule. That means getting your little one to wake, eat, play, nap and go to bed at the usual times according to what the clock says. Avoid the temptation to allow your child to stay up past their normal bedtime the first few days after the time change. They may be grumpy for a while, but the more you stick to your routines; the faster your toddler will adjust to a time change.
  • Send sleep signals. As adults, we all have routines that we do prior to bed; brush our teeth, put on pajamas, read, etc. So it’s also important to have a consistent routine for your toddlers prior to them going to sleep as well. In addition to a bedtime routine, you should also have a mini nap routine (about 5 minutes) where you signal to your toddler that it’s almost nap time. This could be something as simple as closing the blinds, changing a diaper and reading a couple of stories.
  • Keep them in the dark. An earlier sunrise may wake your little one up sooner than they would like. Use room-darkening shades, curtains or blinds to keep the sunshine out while they sleep.
  • Respond to early risers. If your child keeps waking early, try to explain that it’s too early to start the day. Encourage them to go back to sleep or to stay in bed doing a quiet activity.
  • See the light. Expose your child to plenty of light, especially in the morning, to help their internal clock adjust to the new time.
  • Play and stay active during the day. Keep your toddler active during the day. They’ll burn energy and may fall asleep more easily at the new bedtime.

Quick fact: Toddlers between ages 1 and 3 generally require 12-14 hours of sleep a day, including nighttime sleep and naps.

If your toddler continues to struggle with sleep after the time change, or if you have other health concerns, find a Baptist Health provider near you to help.

Is It Time Change, or Is It a Sleep Disorder?

Reviewed by: Juhee N. Mian, MD

The fall Daylight Saving Time change means we “fall back” to gain another hour of sleep (hopefully). The bad news you already know: It will get darker earlier. But there’s good news too: It’s a little easier on our bodies than the spring time change.

What Difference Could an Hour Make?

“Our internal clock can adapt to falling asleep one hour later, but it’s much harder to force our body to sleep when we’re not tired,” says Juhee N. Mian, M.D., Family Medicine physician. “Unfortunately, in an already sleep-deprived nation, the time change is just another dynamic to the struggle of clocking a good night’s sleep.”

On average, Americans sleep about 6 ½ hours per night, which for many people seems like a luxury. But compared to 1910, when Americans were averaging 9.3 hours of sleep, it’s no wonder we are seeing more and more sleep-related health issues.

Sleep affects a person’s entire body, and much more seriously than the dark circles around the eyes. Being sleep deprived can increase fatigue and irritability, lower sex drive, decrease cognitive processing, and result in a higher risk of car accidents.

Long term, not getting enough quality sleep increases a person’s risk for heart disease, heart attack, high blood pressure, stroke, and diabetes, not to mention reducing the body’s ability to fight off diseases.

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Dr. Mian suggests the following for those who normally gain a good night’s rest and are just struggling through the time change. “Get out in the sun and exercise during the day, limit caffeine intake especially after lunch and avoid taking naps so you are tired when it’s time to go to bed,” says Dr. Mian.

“A routine can help both adults and children adapt easier. Get up and go to bed at the same time every day. Trade out checking email, surfing the internet, and watching YouTube videos with a warm bath and reading a book,” adds Dr. Mian. “Our increased exposure to light from electronic devices such as phones, TVs, and laptops is seriously affecting our sleep cycles. Consider setting a timer on your kids’ technology that automatically shuts them down at a certain time to prevent any late-night technology use. Ideally, outside of school work, children should limit exposure to electronic devices to 2 hours a day.”

Sleep Disorder Assessment

For those who struggle with insomnia and sleeping issues, review the following situations, and rate them from 0 (would never doze off) to 3 (High chance of dozing) according to your normal lifestyle:

  • Sitting and reading
  • Watching TV
  • Sitting, inactive, in a public place
  • As a passenger in a car for one hour without a break
  • Lying down to rest in the afternoon
  • Sitting and talking to someone
  • Sitting quietly after lunch
  • In a car, while stopped for traffic or a light

If you score 7 or higher, you may suffer from a sleeping disorder and should talk to your primary care physician or consult a sleep specialist. Find a Baptist Health provider near you, or learn more about our Sleep Centers.

Next Steps and Useful Resources:

Find a Provider
4 Tips for the Time Change
How to Deal with Sleep Deprivation at Work
[PODCAST] All About the 4 Most Common Sleep Disorders

4 Tips for the Time Change

The end of Daylight Savings Time this Sunday, means more than just turning your clocks back one hour. If you’re not careful, that one-hour difference can throw off your circadian rhythms (your body’s internal clock that helps to regulate your 24-hour sleep-wake cycle).

There are ways to prepare and minimize the effects of the time change on your body:

  • Start early. Start changing your sleep schedule a few days ahead of the time change by gradually advancing your bedtime and wake-up time by 15 to 20 minutes. If you truly want to enjoy an extra hour of sleep (and who doesn’t), go to bed at your regular time on Saturday night, and wake up at your regular time on Sunday morning. One of the biggest mistakes that people make regarding the fall time change is staying up too late Saturday night thinking that they’re going to get an extra hour of sleep.
  • Stay in the dark. Block out light, and keep your sleeping area dark. The time change means sunrise will occur about an hour earlier. This can impact sleep, especially if you’re accustomed to waking up around sunrise. The light itself can disturb sleep, so it is always best to sleep in a darkened room.
  • See the light. Once you do wake up on Sunday, get out in the early morning sunlight. Sunlight helps to regulate your internal clock and keep it on track. Grab your partner, your dog or your favorite playlist and get outside for some fresh air and exercise.
  • Stay hydrated. Drink plenty of water. Every cell in your body needs water to work properly. During time changes or when flying across time zones (jet lag), keeping hydrated will make the process easier. Also, reduce or avoid consumption of alcohol, nicotine and caffeine, all of which can make it more difficult for your body’s internal clock to adjust to the time change.

Give your body three to four days to adjust to the new time schedule. Talk to your doctor if you have any concerns about your sleep patterns. To find a Baptist Health provider near you, visit our online provider directory. You can also learn more about our Sleep Centers, and the types of sleep disorders we treat.

Side Effects of Shorter Days

When Daylight Savings Time (DST) ends at 2 a.m. Sunday morning, you’ll turn back your clock and (hopefully) get an extra hour of sleep. Most of us need it. And while getting plenty of sleep is beneficial to your health, the shorter days and less sunlight can also have negative side effects on your health.

Here are four potential side effects of shorter days:

  • Your risk of being in a car accident may increase. The week after DST ends there’s a seven percent increase in car crashes. Driving home in the dark may be to blame for the increase in accidents. Take your time to leave work. Make sure your headlights are on and drive carefully.
  • You may exercise less. With less sunlight and cooler temperatures, you may want to skip your normal exercise routine. However, making time for exercise can help prevent weight gain through the darker, winter months. To stay in shape, join an after-work indoor sports team such as basketball or volleyball. Or wake up early and exercise before your workday begins. If you do exercise outdoors in the dark, wear brightly colored clothing or reflective gear.
  • You may feel SAD. Reduced sunlight can disrupt daily body rhythms and put you at risk for seasonal affective disorder (SAD), a form of depression. SAD is four times more common in women than in men. Even if you don’t have full-blown SAD, you can experience the “winter blues,” or feelings of exhaustion, sluggishness, and sadness. Sunlight may be your best medicine. Spend at least 30 minutes a day outside.
  • You may have a headache. Weather changes are known for triggering headaches. But time changes pose problems, too. The end of DST is a common trigger for cluster headaches (extremely painful headaches that occur in “clusters,” usually at the same time of the day and night for several weeks). See your doctor if are experiencing frequent headaches. Avoid alcohol and nicotine. Cluster headaches are more common in people who smoke and drink alcohol.

If you’re struggling with sleep, weight, mood, headaches, or any of the effects related to time change, Baptist Health is here to help. Find a provider near you and get started on the road to better health.

Choosing Urgent Care or the Emergency Room

Baptist Health Floyd: Choosing Urgent Care or the Emergency Room

Bryan Grumley, MD, offers guidance to help patients decide whether to head to the emergency room or seek faster treatment in an Urgent Care clinic.

Choosing Urgent Care or the Emergency Room Health Talks Transcript

Bryan Grumley, MD, Urgent Care
Urgent care is for quick, convenient care of everyday problems, everyday injuries and illness. Our Emergency Department at Baptist Health Floyd sees over 50,000 patients a year. Lots of those patients are emergency conditions. Many of those patients are not emergency conditions and can be more appropriately seen at our Urgent Care centers. That allows our Emergency Department staff to concentrate on true life-threatening and more serious conditions.

Care When You Need It – 24/7

If you’re experiencing COVID-19 symptoms or had been exposed to COVID-19, Baptist Health is able to see you virtually, diagnose and order a COVID-19 test to the urgent care closest to you. You don’t even need to get out of your car to be tested. Get started with an urgent care video visit by logging in or signing up for MyChart.

The Emergency Department sees patients based on level of severity, and those who visit the Emergency Department for a cold or a cough or a minor injury oftentimes end up having a really long wait time. Most people’s least favorite part of seeing the doctor is the wait time.

Within the past year, Baptist Health Floyd Urgent Care centers have introduced online check-in services. With online check-in, we can eliminate a lot of the waiting. Sign in online; pre-register for your visit; show up at your appointed time; and you’ll be next in line. Our Urgent Care centers have a variety of resources available onsite. We’re here for everyday conditions that slow you down and we can help get you back to normal activities.

Next Steps and Useful Resources:

Find an Urgent Care Location Near You
Start a Virtual Care Visit
The Difference Between Urgent Care & the ER
ER or Urgent Care?
See a Doctor Online with Virtual Care eVisits