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Ask an Expert
Nobl Barazangi, M.D., Ph.D.
Sutter Santa Rosa Regional Hospital
What are the effects of hormone replacement therapy on a person who has a history of lacunar stroke?
Hormone replacement therapy (HRT) has been shown to increase the risk of ischemic stroke (lacunar stroke is a subtype of ischemic stroke). Although the absolute risk of complications such as stroke is relativel... continue reading about What are the effects of hormone replacement therapy on a person who has a history of lacunar stroke?
Junaid H. Khan, M.D., FACC, FACS
Sutter Santa Rosa Regional Hospital
I had a chest x-ray because of allergy symptoms. The doctor who read the x-ray said because of a cardiac fat pad in my right lobe, it was hard to tell if I had pneumonia. What is a fat pad, is this something that should concern me, and can I exercise?
A fat pad can be a normal occurrence on the sac (pericardium) that surrounds the heart. In certain cases in can obstruct the view of the right middle lobe. If there is enough clinical suspicion (by symptoms or ... continue reading about I had a chest x-ray because of allergy symptoms. The doctor who read the x-ray said because of a cardiac fat pad in my right lobe, it was hard to tell if I had pneumonia. What is a fat pad, is this something that should concern me, and can I exercise?
Nobl Barazangi, M.D., Ph.D.
Sutter Santa Rosa Regional Hospital
My dad had a stroke two months ago. He is still having some trouble with walking and speaking. Can you tell me if a stroke victim can ever return to "normal"?
Every stroke patient is different, and each patient's recovery varies depending on several factors. We do know that intensive physical, occupational, and speech therapy can significanly impact and improve a pat... continue reading about My dad had a stroke two months ago. He is still having some trouble with walking and speaking. Can you tell me if a stroke victim can ever return to "normal"?
Frank L. Anderson, M.D.
Sutter Santa Rosa Regional Hospital
In the past I've take steroids for my irritable bowel syndrome, but since I've stopped, my IBS has returned. What are your thoughts on long-term steroid use for IBS?
It would be most important to distinguish your problem by its full diagnostic name. You refer to "IBS", which stands for Irritable Bowel Syndrome. Steroids are rarely used for this condition. If the letters are... continue reading about In the past I've take steroids for my irritable bowel syndrome, but since I've stopped, my IBS has returned. What are your thoughts on long-term steroid use for IBS?
Nobl Barazangi, M.D., Ph.D.
Sutter Santa Rosa Regional Hospital
I'm a frequent sufferer of migraines. Does this mean that I'm at a higher risk of stroke?
There is some evidence showing an increased risk of stroke associated with migraine with aura. Specifically, women who have migraines with auras are at an increased risk for stroke.Smoking, oral contraceptive u... continue reading about I'm a frequent sufferer of migraines. Does this mean that I'm at a higher risk of stroke?
Dorothy M. Coleman-Riese, M.D.
Sutter Santa Rosa Regional Hospital
My sister-in-law's pediatrician recommended melatonin to help her three-year-old go to sleep at night. She says it works well. But how safe can this type of thing be for toddlers?
The short answer to your question is that for healthy kids, melatonin is probably safe and effective in small doses, under the direction of a physician, for two to four weeks. Outside of these conditions, thing... continue reading about My sister-in-law's pediatrician recommended melatonin to help her three-year-old go to sleep at night. She says it works well. But how safe can this type of thing be for toddlers?
Nobl Barazangi, M.D., Ph.D.
Sutter Santa Rosa Regional Hospital
Migraine and stroke symptoms seem to overlap. How do I know I'm just having a migraine and not a stroke?
Some migraines can be associated with neurological symptoms such as weakness, numbness, tingling, vision and speech changes, and some strokes can be associated with headaches. Therefore, sometimes it is difficu... continue reading about Migraine and stroke symptoms seem to overlap. How do I know I'm just having a migraine and not a stroke?
Nobl Barazangi, M.D., Ph.D.
Sutter Santa Rosa Regional Hospital
Are there symptoms of a brain tumor and, if so, what are they?
A brain tumor can present in many ways, depending on the size, location, and type of the brain tumor. Symptoms can include progressively worsening headaches or a new headache, nausea/vomiting, seizures, new neu... continue reading about Are there symptoms of a brain tumor and, if so, what are they?
Junaid H. Khan, M.D., FACC, FACS
Sutter Santa Rosa Regional Hospital
I'm a scuba diver who just had a pacemaker implanted. Is it safe to continue to dive? I have normal heart muscle function.
Pacemakers are considered a contraindication for commercial and military diving. Recreational diving has limited medical literature. Each diver should have a detailed conversation with their personal physician ... continue reading about I'm a scuba diver who just had a pacemaker implanted. Is it safe to continue to dive? I have normal heart muscle function.
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