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Ask an Expert
Wesley S. Hilger, M.D., FACOG
Sutter Medical Center, Sacramento
What can I do about frequent urination during the night? I wake up at least once or twice to urinate.
The benefits of uninterrupted sleep cannot be overstated. When we wake frequently at night with a bladder that is giving us the "gotta go" signal, we suffer the next day. Nocturia is the term to describe the nu... continue reading about What can I do about frequent urination during the night? I wake up at least once or twice to urinate.
Sue Hazeghazam, R.D.
Sutter Medical Center, Sacramento
Experts say not to skip meals because it slows metabolism down. We are also advised to exercise to burn fat. Now they say you can't just do aerobics, you need resistance training. I'm training with weights and all I'm doing is getting bigger.
You should try to do both types of exercise. Both have benefits. Aerobic exercise is helpful to improve circulation and to burn calories and, if done long enough, to also help burn fat stores. When you do resis... continue reading about Experts say not to skip meals because it slows metabolism down. We are also advised to exercise to burn fat. Now they say you can't just do aerobics, you need resistance training. I'm training with weights and all I'm doing is getting bigger.
Wesley S. Hilger, M.D., FACOG
Sutter Medical Center, Sacramento
I have prolapse that is made worse when I run. Running is something I need to be able to do, so what would you recommend? I've heard about pessaries - what are they?
Prolapse of the pelvic organs should not be something that slows you down. In many cases relief can be obtained with a simple, noninvasive treatment called a pessary. A pessary is a silicon or rubber device tha... continue reading about I have prolapse that is made worse when I run. Running is something I need to be able to do, so what would you recommend? I've heard about pessaries - what are they?
Sue Hazeghazam, R.D.
Sutter Medical Center, Sacramento
I know I should eat more vegetables but I hate veggies! Especially those super healthy ones like broccoli and cauliflower. Are there good supplements I can take or some kind of yummy chocolate shake with hidden vegetables in it?
A vitamin supplement, or even a chocolate vitamin shake, usually contains 25% or more of some vitamins or minerals that our bodies need. However, most lack the natural beneficial ingredients from the plants the... continue reading about I know I should eat more vegetables but I hate veggies! Especially those super healthy ones like broccoli and cauliflower. Are there good supplements I can take or some kind of yummy chocolate shake with hidden vegetables in it?
Wesley S. Hilger, M.D., FACOG
Sutter Medical Center, Sacramento
I've heard that the sling procedure is especially helpful for pelvic prolapse. How do I know if I am a good candidate for it?
Pelvic prolapse is a loss of support for the organs in the pelvis, including the bladder, uterus or rectum. When these organs shift out of position, they can cause symptoms that affect functioning, including ur... continue reading about I've heard that the sling procedure is especially helpful for pelvic prolapse. How do I know if I am a good candidate for it?
Wesley S. Hilger, M.D., FACOG
Sutter Medical Center, Sacramento
I'm 67, in menopause and on bio-identical hormones. During orgasms I have involuntary bladder releases. I urinate before bed and it still happens. My doctor said its bladder spasms that can occur with age. Is this normal? Is there anything I can do?
Fluid expulsion during female sexual arousal is not an uncommon event, as it is reported in 10-54 percent of women. The cause of this loss of fluid can occur due to female ejaculation (FE) or coital incontinenc... continue reading about I'm 67, in menopause and on bio-identical hormones. During orgasms I have involuntary bladder releases. I urinate before bed and it still happens. My doctor said its bladder spasms that can occur with age. Is this normal? Is there anything I can do?
Wesley S. Hilger, M.D., FACOG
Sutter Medical Center, Sacramento
I had a partial hysterectomy at 29. Now, at 43, I have bladder control problems with coughing or sneezing, and not making it to the restroom. This is not a small amount, even if I have recently gone. Is this related to the hysterectomy?
Urinary incontinence can be very troubling and have a negative impact on quality of life. It should never be accepted as "just part of getting older". Developing urinary incontinence is not necessarily associat... continue reading about I had a partial hysterectomy at 29. Now, at 43, I have bladder control problems with coughing or sneezing, and not making it to the restroom. This is not a small amount, even if I have recently gone. Is this related to the hysterectomy?
Powell O. Jose, M.D., FACC
Sutter Medical Center, Sacramento
My husband and I both have a large black coffee every day. After drinking his coffee, my husband's heart rate is elevated for hours. I don't see any increase in my heart rate from drinking coffee. Is this due to metabolism? Should my husband drink decaf?
Caffeine has multiple effects on the central nervous system, as well as the heart. Typically most people will experience an increase in heart rate, the degree of which differs among individuals. The amount of i... continue reading about My husband and I both have a large black coffee every day. After drinking his coffee, my husband's heart rate is elevated for hours. I don't see any increase in my heart rate from drinking coffee. Is this due to metabolism? Should my husband drink decaf?
Wesley S. Hilger, M.D., FACOG
Sutter Medical Center, Sacramento
I've had incontinence since giving birth. The doctor keeps telling me to do my kegels, but it's not working. Are kegels supposed to fix all incontinence problems due to childbirth, or could something else be going on?
Many studies have shown a connection between vaginal birth and bladder symptoms. In fact one in three women will have incontinence during her lifetime, and of these up to 65% will recall that it began either du... continue reading about I've had incontinence since giving birth. The doctor keeps telling me to do my kegels, but it's not working. Are kegels supposed to fix all incontinence problems due to childbirth, or could something else be going on?
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