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The standard advice is to pretend as if you are passing gas.
Women are sometimes advised to imagine that they are tightening
the vagina around a tampon. In general, you should feel like you
are pulling in the anal area.
It can be difficult to isolate the pelvic floor muscles. People
contract their leg and abdominal muscles instead. It can help to
put your hand on your belly so you can sense when you are
contracting your abdominal muscles when you shouldn't be.
The advice to practice pelvic muscle exercises during urination
has been discarded. An article on urinary stress incontinence in
women in the March 6, 2008, New England Journal of
Medicine said this:
The Health Letter reviews the major health news of the year,
including health care reform, the H1N1 flu pandemic, a possible
alternative to warfarin that has fewer side effects, and
questions about the need for testing for certain cancers.
Urinary incontinence can be treated with medication or, if
necessary, surgery, but people with this problem should first try
pelvic floor exercises, moderation of fluid intake, and bladder
A five-year study funded by the National Institutes of Health
hopes to determine whether vitamin D and omega-3 fats have an
effect on rates of cardiovascular disease or cancer.
I'm 72 and my systolic blood pressure has been steady between 115
and 125. The diastolic number is low (55-65) and seems to be
falling. Is the difference between these two numbers important,
and is the falling diastolic number something to worry about?
After Dr. Kenneth Arndt answered a question about toenail fungus,
a number of readers sent us their favorite remedies. We asked Dr.
Arndt to comment on several of them.