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Ask an Expert
Toni J. Brayer, M.D.
Sutter Pacific Medical Foundation
What is the more appropriate way to treat menopausal depression, hormone replacement or SSRIs?
There is no one answer to treating "menopausal depression". Restoring hormones (HRT) and SSRI antidepressants have both been shown to help with depression in mid-life women. There are other things that have bee... continue reading about What is the more appropriate way to treat menopausal depression, hormone replacement or SSRIs?
Patricia Hockett, M.D.
Palo Alto Medical Foundation
Why do I still have PMS every month even though I’ve had a full hysterectomy? I thought the days of irritability, depression and bloating would be gone since it’s been four years since the surgery. I’ve talked to three doctors but they can’t explain it.
Symptoms of PMS arise as a response to hormonal fluctuations. Many women can continue to experience symptoms of PMS (and even feel like they are cycling) if the ovaries are not removed at the time of a hysterec... continue reading about Why do I still have PMS every month even though I’ve had a full hysterectomy? I thought the days of irritability, depression and bloating would be gone since it’s been four years since the surgery. I’ve talked to three doctors but they can’t explain it.
Katarina Lanner-Cusin, M.D.
Are there ways that I can help avoid a C-section delivery?
There are times when a C-section birth is unavoidable, due to medical conditions such as placenta previa or a baby in the breech position. Having said that, here are a few tips that may help a mother with a nor... continue reading about Are there ways that I can help avoid a C-section delivery?
Ask the Expert Team
Sutter Health
What would cause a muffled thumping sound in my left ear (almost like hearing a heart beat)? This sound is not in the right ear, only the left. It doesn't happen all the time and there is no hearing loss.
A couple of possible answers come to mind. First, there is a large source of blood flow in your head close to the bottom of your ear canal. The carotid artery is large and can sometimes produce a pounding or he... continue reading about What would cause a muffled thumping sound in my left ear (almost like hearing a heart beat)? This sound is not in the right ear, only the left. It doesn't happen all the time and there is no hearing loss.
Richard H. Hongo, M.D., FACC
Sutter Pacific Medical Foundation
I've had an eating disorder for 10 years. One of the main problems that seem to continue is heart palpitations, which I've had daily for three months. Tests (Holter, ECHO, EKG) show that I have palpitations, but no other problems. I also have chest pains
Palpitations are a very common problem and generally speaking, they are usually more of an annoyance than a danger. The time it does raise concern is when there is some underlying heart disease. The normal EKGs... continue reading about I've had an eating disorder for 10 years. One of the main problems that seem to continue is heart palpitations, which I've had daily for three months. Tests (Holter, ECHO, EKG) show that I have palpitations, but no other problems. I also have chest pains
Ask the Expert Team
Sutter Health
My mother, who is 91, had a mastectomy 30 years ago. Luckily, she is still in good health today. Is it okay for her to get a shingles shot now? It's hard to tell whether her immune system is weak or not.
Herpes zoster, better known as shingles, is a debilitating rash and has the potential to cause chronic pain (post-herpetic neuralgia). The vaccine has proven to decrease the risk of getting shingles and of havi... continue reading about My mother, who is 91, had a mastectomy 30 years ago. Luckily, she is still in good health today. Is it okay for her to get a shingles shot now? It's hard to tell whether her immune system is weak or not.
Astrin Damayanti, R.D.
Sutter Gould Medical Foundation
I was diagnosed as pre-diabetic. I need help formulating a plan to avoid becoming diabetic. What can I do to reverse my diagnosis?
You are absolutely right - you can prevent the progression of pre-diabetes to type 2 diabetes. The primary treatment for pre-diabetes is exercise and weight loss. When beginning an exercise program, start slowl... continue reading about I was diagnosed as pre-diabetic. I need help formulating a plan to avoid becoming diabetic. What can I do to reverse my diagnosis?
Toni J. Brayer, M.D.
Sutter Pacific Medical Foundation
I bruise very easily - and have since I was a child. Why am I like a banana?
A bruise occurs when small capillaries under the skin rupture and blood leaks out. It is usually due to trauma but it is common for some people to "bruise easily" or find bruises and not even remember any traum... continue reading about I bruise very easily - and have since I was a child. Why am I like a banana?
Toni J. Brayer, M.D.
Sutter Pacific Medical Foundation
I have hemorrhoids and banding has been recommended. What is it, what are the benefits, and what is the downside?
About 10 million Americans suffer from hemorrhoids, which are veins in the rectum and anus that swell and can itch and bleed. Some hemorrhoids get small blood clots (thromboses) and these are exquisitely painfu... continue reading about I have hemorrhoids and banding has been recommended. What is it, what are the benefits, and what is the downside?
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