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Ask an Expert
Karen Horton, M.D.
California Pacific Medical Center
I'm a 40-year-old woman considering modest-sized breast implants. Will they interfere with the ability to detect breast cancer?
Breast augmentation using implants will not interfere with breast cancer detection. Implants of all shapes and sizes have a shell made from silicone, which is an inert solid and is used in many implantable devi... continue reading about I'm a 40-year-old woman considering modest-sized breast implants. Will they interfere with the ability to detect breast cancer?
Ask the Expert Team
Sutter Health
I've always been very regular, but now in menopause I'm constipated. I eat whole grains, fruits and vegetables, drink a lot of water. I'm normal weight and I exercise. I eat prunes and take Benefiber, but I still have small movements with lots of gas.
Constipation is a condition (not a disease) where a person passes small amounts of hard, dry stool, usually fewer than three times a week. The person may also have a feeling of incomplete elimination of stool. ... continue reading about I've always been very regular, but now in menopause I'm constipated. I eat whole grains, fruits and vegetables, drink a lot of water. I'm normal weight and I exercise. I eat prunes and take Benefiber, but I still have small movements with lots of gas.
Ask the Expert Team
Sutter Health
I'm 53 and take Mimvey for hot flashes and sleeplessness. I've tried to stop but the symptoms return. Is there a "hump" to get over before they stop? How long is HRT recommended? Also, are my electrical and heart problems due to hormones? Can HRT help?
About 15-20 percent of women continue to have menopausal symptoms long after menopause, although they should diminish in intensity with time. There have been many research studies on non-estrogen treatments for... continue reading about I'm 53 and take Mimvey for hot flashes and sleeplessness. I've tried to stop but the symptoms return. Is there a "hump" to get over before they stop? How long is HRT recommended? Also, are my electrical and heart problems due to hormones? Can HRT help?
Ask the Expert Team
Sutter Health
My mom died a few months ago and dad isn't taking it well. He's lost interest in food, socializing, is not sleeping well, and has guilt about "unfinished business" in their relationship. How can I tell the difference between natural grief and depression?
I am sorry to hear of your recent loss. The relationship between grief and depression is a complex one. The response to any significant loss (including bereavement) may involve intense sadness, changes in sleep... continue reading about My mom died a few months ago and dad isn't taking it well. He's lost interest in food, socializing, is not sleeping well, and has guilt about "unfinished business" in their relationship. How can I tell the difference between natural grief and depression?
Astrin Damayanti, R.D.
Sutter Gould Medical Foundation
I'm a woman (51) who has diabetes. I read recently that women with diabetes have a much greater risk of developing heart disease than those who don't have it. Why is this, and what can I do to protect myself from heart problems?
Statistics have shown that the leading causes of death among people with diabetes are heart disease and stroke. That is because people with diabetes often times have hypertension, elevated cholesterol, and they... continue reading about I'm a woman (51) who has diabetes. I read recently that women with diabetes have a much greater risk of developing heart disease than those who don't have it. Why is this, and what can I do to protect myself from heart problems?
Wesley S. Hilger, M.D., FACOG
Surgery Center Division
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?
Carolyn E. McAloon, DPM
SEBMF HMO Network
What is the cause of numbness of toes and is there anything that will help this?
There are many causes of numb toes. There are treatments that can help once the correct diagnosis is made. Numbness is usually a symptom of an unhappy nerve. Some causes are reversible and some are not. There m... continue reading about What is the cause of numbness of toes and is there anything that will help this?
C. Scott Walthour, M.D.
Sutter Gould Medical Foundation
I had an X-ray and MRI on my right knee for severe pain. The radiologist said there was an ACL tear, but my doctor attributed it to arthritis. I don't have swelling and the pain is intermittent. If it were arthritis, wouldn't I have other symptoms?
This is a complicated question, so I'll try to break it down into two issues.First, let's talk about the ACL tear diagnosis. The anterior cruciate ligament (ACL) is one of the four main stabilizers of the knee.... continue reading about I had an X-ray and MRI on my right knee for severe pain. The radiologist said there was an ACL tear, but my doctor attributed it to arthritis. I don't have swelling and the pain is intermittent. If it were arthritis, wouldn't I have other symptoms?
Gary F. Milechman, M.D.
California Pacific Medical Center
How does the sac that surrounds the heart become infected?
The “sac that surrounds the heart” is called the pericardium. The pericardium is a fibroelastic sac that contains 15 to 50 cc of fluid and surrounds and protects the heart. Pericarditis, or an infla... continue reading about How does the sac that surrounds the heart become infected?
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