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Ask an Expert
Mark Saleh, M.D.
Palo Alto Medical Foundation
I've been having visual migraines where I get jagged vision, usually in my left eye, and progressing from the lower right edge to encompass my whole left visual field. Could this be the result of dehydration?
Dehydration is one of several triggers that can exacerbate migraine headaches, including migraine variants like the one you are experiencing. Maintaining good hydration should help reduce the frequency of these... continue reading about I've been having visual migraines where I get jagged vision, usually in my left eye, and progressing from the lower right edge to encompass my whole left visual field. Could this be the result of dehydration?
Deborah Quinn-Chen, M.D.
Palo Alto Medical Foundation
Are birth plans necessary?
Formal, written birth plans are not necessary. It is important to think through your wishes for your labor and delivery, but remember that the course of labor can turn out to be quite different than what you ex... continue reading about Are birth plans necessary?
Robert Osterhoff, M.D.
Palo Alto Medical Foundation
I've been on a gluten-free diet for a year. Does that mean that the "fingers" in my small intestine are back to normal? I still have problems with eating too much fiber at one time, causing looser and somewhat urgent bowel movements the next morning.
For patients who have a diagnosis of celiac disease, the small intestine will typically heal once exposure to gluten is eliminated. This means that the "fingers" of the intestine, which are known as villi,... continue reading about I've been on a gluten-free diet for a year. Does that mean that the "fingers" in my small intestine are back to normal? I still have problems with eating too much fiber at one time, causing looser and somewhat urgent bowel movements the next morning.
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?
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.
Susan Maayah, M.D.
Palo Alto Medical Foundation
Two years ago I was diagnosed with a rare uterine cancer. The doctors took everything including some lymph nodes. I've always had a healthy sexual appetite but since my surgery I feel numb - like a robot with no feelings. Is there anything I can do?
It is quite common after having a complete hysterectomy and removal of the ovaries for women to feel a loss of libido. The ovaries produce hormones such as estrogens, progesterones and androgens which are parti... continue reading about Two years ago I was diagnosed with a rare uterine cancer. The doctors took everything including some lymph nodes. I've always had a healthy sexual appetite but since my surgery I feel numb - like a robot with no feelings. Is there anything I can do?
Ravin Agah, M.D., Ph.D.
Palo Alto Medical Foundation
I've been experiencing a burning sensation on my tongue for two months. It only involves one inch near the tip. There is no redness, lesions or broken skin, just the burning, which causes my mouth to water. I've heard this may be a menopausal symptom.
Burning tongue syndrome is a very common symptom which has been seen in some patients with menopausal symptoms.This also could be a manifestation of other diseases such as a B12 deficiency or an absorption prob... continue reading about I've been experiencing a burning sensation on my tongue for two months. It only involves one inch near the tip. There is no redness, lesions or broken skin, just the burning, which causes my mouth to water. I've heard this may be a menopausal symptom.
Karen Handy, M.P.H.
Palo Alto Medical Foundation
I had lap band surgery and I have lost 65 pounds, but I am getting discouraged because my weight seems to have stopped there. How many calories should I have a day? I am limited to about a cup of food three times a day.
First of all, congratulations on your weight loss so far! Unfortunately, weight loss plateaus are a frustrating and all-too-common occurrence, even with weight loss surgeries. If you hit a plateau in the first ... continue reading about I had lap band surgery and I have lost 65 pounds, but I am getting discouraged because my weight seems to have stopped there. How many calories should I have a day? I am limited to about a cup of food three times a day.
Ravin Agah, M.D., Ph.D.
Palo Alto Medical Foundation
My husband of 38 years and I were having sex when we noticed for the first time that his penis was twisted. He's always had a normal erection. We were wondering if this should be checked? He was also just diagnosed with melanoma on his ear.
Your husband might have Peyronie's disease. Peyronie's disease occurs when a plaque (scar) develops inside the penis. Sometimes this plague is caused by trauma to the penis or a blow to the groin. It is common ... continue reading about My husband of 38 years and I were having sex when we noticed for the first time that his penis was twisted. He's always had a normal erection. We were wondering if this should be checked? He was also just diagnosed with melanoma on his ear.
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