Diseases & Conditions Archive

Articles

Blood sugar on the brain

In people with heart disease,
elevated blood sugar levels might affect thinking and memory.

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High blood sugar may add to mental decline in people with cardiovascular disease.

Could that leg pain be peripheral artery disease?

The pain of peripheral artery disease may be felt above or below the knee during activity, and will fade with rest.

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The telltale sign is leg pain and fatigue that comes on with activity and goes away with rest.

Ask the doctor: Which bone density test should I have?

Q. My doctor has recommended a bone density screening, but the medical center with the full-body scanner is a 45-minute drive from my house. A health fair at a neighborhood church offers a bone density test using a foot scanner. Would that be as accurate?

A. The foot scan is called a quantitative ultrasound, and it usually measures the bone density of the heel bone.
It appears to be at least as good as clinical risk factors—such as older age, family history of bone fractures, low body mass index, smoking, corticosteroid use, and excessive alcohol consumption—for identifying people at high risk for osteoporosis.

"Advanced" cholesterol testing: Is it for you?

A discussion with your doctor can help to determine whether an advanced cholesterol test will be beneficial for you.

For most people, there is no advantage to tests that measure cholesterol and triglyceride particle size.

Healthy travel: Don't let this common hazard spoil your best-laid plans

Long road trips also carry a risk of deep-vein thrombosis. Take a break to stretch your legs every hour or so.

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Long trips come with an increased risk of blood clots deep in the leg veins, which can have serious complications.

Ask the doctor: I'm 75. Do I need a geriatrician?

Q. My doctor, an internist, just retired, and my health plan is asking me to designate a new primary care physician. I'm 75. Would there be advantages to choosing a geriatrician as my new doctor?

A. First, a disclaimer: I am a geriatrician. So my short answer is, "Yes, of course!" But my reasoned, unbiased answer would be, "It depends." If you are a generally healthy 75-year-old woman, a family physician or internist will be able to take excellent care of you. Geriatricians are trained to care for older adults with complex illnesses and are expert in managing the care of people who are frail. Improving your ability to function, and the quality of your life, are the guiding principles of geriatric medicine. We are expert at managing complexity and uncertainty, working with families, and caring for people with serious illnesses who are approaching the end of life. A geriatrician would be a good choice if you have physical or cognitive impairment, if you take a lot of medications, or if your friends and family are involved in your medical care. For people who have several medical problems, we emphasize the role of patient and family preference in making medical decisions, with the patient's goals as our primary focus.

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.

Ask the doctor: Any health benefits in dessert drinks?

It appears that moderate
consumption of any
type of alcoholic drink
has health benefits.

Q. Do the protective effects of alcohol extend to dessert wines and liqueurs, or do those have too much sugar?

Common pain relievers add bleeding risk to afib treatment

The abnormal heart rhythms from atrial fibrillation (afib) can form clots that, in turn, trigger strokes. To prevent that, people with afib take a blood-thinning medication to prevent clotting. But also taking common over-the-counter painkillers can block clotting too much and lead to dangerous bleeding, according to a study in Annals of Internal Medicine.

Danish researchers examined health records of more than 150,000 people with afib. A third of them had also been prescribed nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen (Advil, Motrin) and naproxen (Aleve). These common pain relievers interfere with the body's natural clotting function. Paradoxically, some NSAIDs have also been linked to higher risk of thromboembolism, or a clot that forms in the body and travel to the lungs, brain, or elsewhere.

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.

Image: Thinkstock

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

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