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Ask an Expert
Katerina P. Shetler, M.D.
Palo Alto Medical Foundation
I have intestinal scarring from scleroderma, which now is in remission. I have trouble digesting food and suffer from diarrhea, constipation, digestive pain and rectal cramps. What foods are best for me and what should I avoid?
I am sorry to hear that scleroderma affected your bowel.The scleroderma may affect motility of the small bowel and stomach. It can also lead to the recurrent small intestine bacterial overgrowth. Patients with ... continue reading about I have intestinal scarring from scleroderma, which now is in remission. I have trouble digesting food and suffer from diarrhea, constipation, digestive pain and rectal cramps. What foods are best for me and what should I avoid?
Valerie J. Spier, MPH, R.D., CDE
Palo Alto Medical Foundation
Are there some types of fruit that are better for me to eat since I have diabetes?
Enjoy any type of fruit you like but try to follow these three rules:Limit yourself to one serving during a meal or snack.A serving is the amount that would have 15 grams of carbohydrate, about as big as a tenn... continue reading about Are there some types of fruit that are better for me to eat since I have diabetes?
Mark Saleh, M.D.
Palo Alto Medical Foundation
I am a frequent migraine sufferer and I was told that acupuncture can actually help more than drugs to prevent attacks. Is this true?
This question is frequently asked, and the answer is complicated. The effect of acupuncture on migraine and other chronic pain syndromes has been studied extensively. The data from these studies, unfortunately,... continue reading about I am a frequent migraine sufferer and I was told that acupuncture can actually help more than drugs to prevent attacks. Is this true?
Modern Weng, DO
Palo Alto Medical Foundation
What common medications cause constipation? It seems that ibuprofen affects me.
Constipation is fairly common affliction affecting an estimated 24-50 percent of older adults. The most common medications that may cause constipation are:Narcotic pain medications (e.g Vicodin)Iron supplements... continue reading about What common medications cause constipation? It seems that ibuprofen affects me.
Deborah Quinn-Chen, M.D.
Palo Alto Medical Foundation
I am 22 weeks pregnant. How normal are contractions of the uterus? Is this something I should contact my doctor about?
Uterine contractions can be normal in pregnancy. However there are many circumstances where they may be concerning, for example if you have a history of a preterm delivery, shortened cervix or placenta previa. ... continue reading about I am 22 weeks pregnant. How normal are contractions of the uterus? Is this something I should contact my doctor about?
Mark Saleh, M.D.
Palo Alto Medical Foundation
What is an ocular migraine, and how do I know if I'm having one?
There are two different conditions that are sometimes referred to as ocular migraines. The first consists of a migraine aura that results in visual symptoms, but the headache may not be present. This is due to ... continue reading about What is an ocular migraine, and how do I know if I'm having one?
Ravin Agah, M.D., Ph.D.
Palo Alto Medical Foundation
Since my 20s I've had insomnia. Now in my 40s, the insomnia has been unremitting. When I do sleep, I often wake up drenched. OTC sleep aids and herbal remedies don't help. I exercise and eat a healthy diet. What else should I consider?
Insomnia sometimes can result from an overactive thyroid, sleep apnea, or an enlarged prostate, in addition to stress and anxiety. Make sure that you have been checked for an overactive thyroid, enlarged prosta... continue reading about Since my 20s I've had insomnia. Now in my 40s, the insomnia has been unremitting. When I do sleep, I often wake up drenched. OTC sleep aids and herbal remedies don't help. I exercise and eat a healthy diet. What else should I consider?
Katerina P. Shetler, M.D.
Palo Alto Medical Foundation
I have diverticulitis and a few months ago had a serious attack. I was treated with 14 days of antibiotics and I'm okay now. I had a colonoscopy and the report said "severe diverticulitis of entire colon." Is there any way to get rid of these "pockets”?
I'm sorry to hear about your issues with diverticulitis.Diverticulosis is a very common problem. Diverticula form at points of weakness within the colon wall. Once you developed diverticula, they are unlikely t... continue reading about I have diverticulitis and a few months ago had a serious attack. I was treated with 14 days of antibiotics and I'm okay now. I had a colonoscopy and the report said "severe diverticulitis of entire colon." Is there any way to get rid of these "pockets”?
Susan Maayah, M.D.
Palo Alto Medical Foundation
I'm 41 and have had my tubes tied/clamped. I'm in a committed relationship so we do not use condoms and are rather sexually active. Is there any need to douche? I never have, and have heard conflicting opinions from friends.
Douching is not recommended for several reasons.Douche cleansing fluids tend to alter the vaginal pH and this can negatively impact the vagina's normal healthy bacterial flora and mucus and make one more suscep... continue reading about I'm 41 and have had my tubes tied/clamped. I'm in a committed relationship so we do not use condoms and are rather sexually active. Is there any need to douche? I never have, and have heard conflicting opinions from friends.
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