Bladder & Bowel Archive

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Easy ways to stay regular

Increasing fluids may help improve regularity. In general, healthy older adults should consume about 3 to 6 cups of fluid per day.
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Improve digestive health by addressing underlying causes of irregularity, as well as fluids, diet, and exercise.

Harvard researchers link coffee with reduced colon cancer recurrence

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You may drink coffee because it tastes good or helps you wake up. But the popular brew is also associated with health benefits, such as reducing the risk for heart disease, stroke, and type 2 diabetes. Now a study from Harvard-affiliated Dana-Farber Cancer Institute published Aug. 17, 2015, in the Journal of Clinical Oncology suggests that regular consumption of caffeinated coffee may be associated with a reduced recurrence of colon cancer, and even a reduced risk of death. The study included nearly 1,000 people with stage 3 colon cancer. They filled out questionnaires about their dietary patterns during chemotherapy, and then again six months after treatment was completed. People who drank four or more cups of coffee per day were 42% less likely to have cancer return than non-coffee drinkers, and were 34% less likely to die from cancer or any other cause.

This type of study doesn't prove that coffee drinking caused the lower chance of cancer recurrence and death. A randomized trial is needed to show cause and effect. But researchers are encouraged by the results. "Regular coffee intake has been associated with a reduced risk of type 2 diabetes, and it may be that through a similar mechanism, coffee may also improve outcomes for people with advanced colon cancer," says Dr. Charles Fuchs, senior author on the paper.

Should all hemorrhoids be treated?

Ask the Doctor

Q. I had a colonoscopy recently and it detected hemorrhoids. I don't have any symptoms. Should I be doing something to get rid of them?

A. Like you, approximately 40% of people with hemorrhoids have none of the common symptoms—bleeding, anal itching, and pain. Their hemorrhoids may be found on a routine physical examination or during a test done for other reasons, such as a colonoscopy for colon cancer screening.

Frequent nighttime urination

Having to rise from bed to hit the bathroom even once can be bothersome if it disturbs your sleep rhythm. 

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Repeated nocturnal bathroom calls are bothersome, but self-help steps and targeted treatment offer relief.

Best ways to battle irritable bowel syndrome

Get to know your triggers and ways to prevent flare-ups.

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Irritable bowel syndrome may be due to an overgrowth of bacteria in the small intestine or nerve problems.

Adding a diuretic to your blood pressure drug

Diuretics can augment the blood pressure-lowering effects of other drugs, such as ACE inhibitors.

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It may boost the effect of your current medication.

Ask the doctor: Health benefits of probiotics

Q. Would you suggest I try taking a probiotic supplement for general colon health? I have a sensitive stomach and sometimes suffer from constipation.

A. Probiotics, the beneficial bacteria that live in our intestines and assist in digestion, have gained a lot of support lately. Each week, a new study appears describing health benefits or diseases associated with changes in the so-called microbiome—the diverse community of microorganisms each of us carries inside our body. Still, the benefits of adding probiotics to the intestinal tract are uncertain.

Probiotics have proved helpful in situations where the body's normal, healthy bacteria have been destroyed, such as after taking a powerful antibiotic. Small studies in people with irritable bowel syndrome have suggested that taking probiotics improves pain and diarrhea. The benefit in constipation is less certain, but it's reasonable for you to try taking a probiotic if you are interested.

Pelvic organ prolapse: You're not alone

Exchanging information with friends is one way to remove the stigma of pelvic organ prolapse.

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Few women realize how common pelvic prolapse is—and how easily treated. Here are five things you should know.

Full bladder wakes women more often than thought

Two in three women over age 40 wake up at least once each night because of a full bladder, and nearly half make two or more nighttime trips to the bathroom. But only a quarter of women who get up to urinate during the night say they are bothered by having to do so.

That's the finding from a survey of more than 2,000 northern California women ages 40 and older. Factors that increased the likelihood that a woman woke at night to urinate included older age, past hysterectomy, hot flashes, and use of vaginal estrogen. However, the late-night bathroom breaks weren't caused by an overactive bladder or stress incontinence. The results were published in the January 2015 issue of the journal Obstetrics and Gynecology.

Stay a step ahead of urinary tract infections

Drink plenty of fluids to help flush out bacteria in the urinary tract. Drink enough each day so that your urine is almost clear in color.

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Keep hydrated, and empty your bladder often to stave off these risky infections.

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