Diseases & Conditions Archive

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When You Visit Your Doctor - Dysfunctional Uterine Bleeding

Dysfunctional Uterine Bleeding

Questions to Discuss with Your Doctor:

  • Do you have regular menstrual cycles?
  • When was your last period?
  • Is your bleeding always heavy or prolonged?
  • How old were you when you started menstruating?
  • How long ago did you develop abnormal bleeding?
  • Are you sexually active?
  • How many times have you been pregnant?
  • What was the outcome of each pregnancy (live births, miscarriages, cesarean sections)?
  • Have you ever had difficulty getting pregnant?
  • What medications are you taking (including over-the-counter drugs and herbal remedies such as ginseng)?
  • Are you taking hormone replacement therapy or birth control pills?
  • Have you ever had medications injected (Depo-Provera or Norplant) for birth control?
  • Have you ever taken estrogen or tamoxifen?
  • Are you taking warfarin or other blood thinners?
  • Have you ever had an abnormal Pap smear?

Your Doctor Might Examine the Following Body Structures or Functions:

  • Blood pressure, heart rate, weight
  • Abdominal examination
  • Pelvic exam

Your Doctor Might Order the Following Lab Tests or Studies:

  • Pregnancy test
  • Blood tests such as complete blood count, coagulation (clotting) studies, and certain hormone tests (such as thyroid stimulating hormone, cortisol, prolactin, follicle stimulating hormone, testosterone)
  • Pelvic ultrasound
  • Pap smear
  • Endometrial biopsy.
 

When You Visit Your Doctor - Erectile Dysfunction or Impotence

Erectile Dysfunction or Impotence

Questions to Discuss with Your Doctor:

  • Do you smoke cigarettes?
  • Have you been screened for other medical problems such as high cholesterol, high blood pressure, heart disease, and diabetes?
  • Do you exercise regularly? How much? How often?
  • Do you have a neurologic disease or sickle-cell disease?
  • Are you taking any medications (prescription or over-the-counter)?
  • Has your erectile dysfunction worsened since starting any new medications?
  • What effect is your erectile dysfunction having on your relationship? Your self-esteem?
  • How long have you had erectile problems?
  • Do you have erectile problems sometimes or all of the time?
  • Have you ever had any psychologically stressful sexual experiences?
  • Are you less interested in sex (diminished libido)?
  • Are you having difficulty achieving an erection or sustaining it?
  • Do you ever awaken with early morning or nocturnal erections?
  • Do you have pain with erections?
  • Penile bumps or lumps?
  • History of penile trauma?
  • History of pelvic surgery?
  • What are your goals in receiving treatment?
  • What therapies have you tried?
  • Do you know how much benefit you can expect from medical therapies?
  • Do you know the side effects and important drug interactions?

Your Doctor Might Examine the Following Body Structures or Functions:

  • Genital examination
  • Rectal examination
  • Pulses in the groin and feet
  • Neurologic examination

Your Doctor Might Order the Following Lab Tests or Studies:

  • Blood tests (complete blood count or CBC, glucose, cholesterol panels, thyroid function tests, prolactin level)
  • Blood testosterone level (if libido is decreased)
  • Nocturnal penile tumescence (NPT)
  • Neurologic testing (nerve condition studies)
  • Your doctor may decide to do some vascular tests to establish whether the arteries that supply blood to the penis during erections are narrowed.
 

When You Visit Your Doctor - Heart Block

Heart Block

Questions to Discuss with Your Doctor:

  • Have you been dizzy or lightheaded?
  • Have you fainted?
  • Have you been fatigued?
  • Have you had chest pain?
    • Do you get it with exertion or at rest?
    • How frequently do you get it?
    • How long does it last?
    • What brings it on?
    • What relieves it?
  • Is this a change from your usual pattern?
  • Do you get short of breath when you lie down or exert yourself?
  • Do you awaken in the middle of the night short of breath?
  • Do your ankles swell?
  • Do you get rapid or pounding heartbeats for no reason?
  • What medications are you taking (including over-the-counter medications, herbal remedies, and vitamins)?
  • Do you have any other medical problems?

Your Doctor Might Examine the Following Body Structures or Functions:

  • Heart rate, blood pressure, and weight
  • Pulses in the wrist and feet
  • Veins in the neck
  • Heart and lungs
  • Ankles and legs (for swelling)

Your Doctor Might Order the Following Lab Tests or Studies:

  • Electrocardiogram
  • Echocardiogram
  • Holter monitor
  • Electrophysiologic testing
 

When You Visit Your Doctor - After Hodgkin's Disease Treatment

Hodgkin's Disease (after the disease has been treated)

Questions to Discuss with Your Doctor:

  • Have you had fevers, heavy sweating at night, weight loss, itchy skin, or swollen lymph nodes?
  • Do you have pain in any of your bones?
  • Do you have a cough?
  • Are you fatigued?
  • Do you get lightheaded?
  • Do you bruise easily or have nosebleeds?
  • Do your gums bleed when you brush your teeth?
  • Have you had any recent infections?
  • Do you have a cough?
  • Do you have sinus congestion?
  • Do you have nasal discharge?
  • Do you know when to seek medical attention for signs of infection?
  • Do you know that you still need to practice birth control (both men and women)?
  • Infertility is uncommon with newer chemotherapy regimens. If you are a woman and have undergone early menopause, have you considered hormone replacement therapy?
  • Are you short of breath at rest or with minimal exertion?
  • Do you get chest pain or pressure with exertion?
  • Do you have swelling in your legs?
  • Do you know that chemotherapy and radiation can increase your risk of developing certain other cancers?
  • Are you up-to-date on all of your cancer screening tests?
  • If you are a woman, have you discussed the need for regular mammograms and breast examinations with your doctor?
  • Are you gaining weight?
  • Are you constipated?
  • Are you always cold?
  • Do you have dry skin?

Your Doctor Might Examine the Following Body Structures or Functions:

  • Neck veins
  • Heart
  • Lungs
  • Abdomen (for enlargement or tenderness of the liver or spleen)
  • Bones and spine (looking for areas of tenderness)
  • Skin (looking for skin cancers)
  • Lymph Nodes (neck, axilla, elbow, groin)

Your Doctor Might Order the Following Lab Tests or Studies:

  • Blood tests for complete blood counts, kidney and liver function tests
  • CT scans of the chest and abdomen
 

When You Visit Your Doctor — Acne

Acne

Questions to Discuss with Your Doctor:

  • At what age did your problem with acne begin?
  • Do you have blackheads, whiteheads, pustules, or cysts?
  • If so, what areas are involved: your face, chest, back?
  • What is your skin-care routine?
  • What products do you use? Do any of them help?
  • What medications have you tried (e.g., benzoyl peroxide, Retin-A, antibiotics, Accutane)?
  • If you are female, does your acne get worse around the time of your menstrual period and do you have regular menstrual periods?
  • What medicines do you take, including over-the-counter medicines and birth-control pills?
  • Have you been developing extra body or facial hair?

Your Doctor Might Examine the Following Body Structures or Functions:

  • Skin exam

Your Doctor Might Order the Following Lab Tests or Studies:

  • Blood tests (liver function tests, cholesterol, or if you are female, perhaps a pregnancy test if you are taking the medicine Accutane)
 

When You Visit Your Doctor - Acoustic Neuroma

Acoustic Neuroma

Questions to Discuss with Your Doctor:

  • Do you have trouble hearing out of one ear or both?
  • Do sounds seem distorted in one ear?
  • Are sounds different between your two ears?
  • Is the hearing loss getting progressively worse?
  • Do you have difficulty understanding others when they are talking? For example, do you have trouble hearing people on the other end of the telephone?
  • Do you have ear pain?
  • Have you been dizzy or lightheaded? If so, does it seem as if the room is spinning?
  • Do you feel unsteady when you walk?
  • Have you heard ringing or unusual noises in one or both of your ears?
  • Do the muscles on one side of your face feel weaker compared to the other side?
  • Is there any weakness of your face?
  • Have you lost your ability to taste certain foods?
  • Have you had headaches? Nausea? Vomiting?
  • Have you had double vision or unusual eye movements?

Your Doctor Might Examine the Following Body Structures or Functions:

  • Ear, nose, and throat exam, including a screening test of your hearing in each ear
  • Neurological exam

Your Doctor Might Order the Following Lab Tests or Studies:

  • Audiometry (formal hearing test) by a certified audiologist
  • Brain-stem auditory evoked potentials
  • MRI or CT scan of the head
 

When You Visit Your Doctor — Bell's Palsy

Bell's Palsy

Questions to Discuss with Your Doctor:

  • Do you have weakness or paralysis of the muscles in your face?
  • Can you still raise your eyebrows?
  • Can you close your eyelids?
  • Have you had ear pain? If so, on which side?
  • Are your eyes watery?
  • Have you noticed any change in your sense of taste?
  • Have you had problems hearing?
  • Have you had problems chewing?
  • Over what period of time did your symptoms develop?
  • Have you had a recent upper respiratory tract infection (for example, a cold)?
  • Could you have had a tick bite in the recent past?
  • Do you have diabetes?

Your Doctor Might Examine the Following Body Structures or Functions:

  • Neurological exam focusing on the strength of the facial muscles
  • Examination of the ears, nose, and throat

Your Doctor Might Order the Following Lab Tests or Studies:

  • Blood tests for blood sugar and possibly Lyme disease
  • Hearing test (if you report difficulty hearing)
  • MRI computed tomography (CT) of the head (if your history and exam are concerning for a stroke or tumor)
 

When You Visit Your Doctor - Crohn's Disease

Crohn's Disease

Questions to Discuss with Your Doctor:

  • Do you have abdominal pain or cramping?
  • Do you have diarrhea, fevers, fatigue, rectal pain, or bloody stools?
  • Have you recently lost weight?
  • Is there a family history of inflammatory bowel disease?
  • How many times a year do you get pain flare-ups?
  • Do you have episodes of joint pain or swelling?
  • Are you taking any medications?

Your Doctor Might Examine the Following Body Structures or Functions:

  • Temperature, blood pressure, heart rate
  • Careful abdominal exam
  • Rectal exam

Your Doctor Might Order the Following Lab Tests or Studies:

  • Sigmoidoscopy or colonoscopy
  • Stool sample to look for the presence of blood, white blood cells, and to culture
  • Complete blood count and other blood tests
  • CT scan or MRI of the abdomen
 

When You Visit Your Doctor - Gallstones

Gallstones

Questions to Discuss with Your Doctor:

  • Do you have pain in the mid- or upper-right portion of your abdomen?
  • Do fatty meals worsen the pain?
  • Does the pain occur after eating?
  • Do you have nausea, vomiting, or bloating?
  • Does the pain ever go through to your back?
  • Is the pain steady or intermittent?
  • Have you had fevers?
  • How long does it take for the pain to go away?
  • Do you take any medications (for example, birth-control pills or hormone therapy)?
  • Have you had any rapid weight loss?
  • Have you noticed darkening of your urine or yellowing of the eyes?

Your Doctor Might Examine the Following Body Structures or Functions:

  • Abdominal exam

Your Doctor Might Order the Following Lab Tests or Studies:

  • Blood tests of liver function
  • Complete blood count
  • Abdominal ultrasound
  • Cholescintigraphy (HIDA scan)
 

When You Visit Your Doctor - Gastroesophageal Reflux Disease (GERD)

Gastroesophageal Reflux Disease (GERD)

Questions to Discuss with Your Doctor:

  • Do you get a burning sensation in your chest or throat after eating?
  • Do you ever have a bitter or sour taste in your mouth?
  • Do you ever have bloating or nausea after you eat?
  • How often do you get these symptoms?
  • What do you do to relieve the symptoms?
  • Are the symptoms related to physical exertion?
  • Are the symptoms worse when you are lying down or sitting up?
  • Have you noticed any black stools?
  • Do you have a persistent cough?
  • Do you have a history of ulcer disease?
  • Are you taking any medications, especially ones that can irritate the esophagus or stomach, such as aspirin, ibuprofen, naproxen or tetracycline?
  • Do you drink alcohol or smoke?
  • How soon after you eat at night do you go to bed?
  • Have you tried any over-the-counter medications? If so, do they help?

Your Doctor Might Examine the Following Body Structures or Functions:

  • Chest and lung exam
  • Abdominal exam

Your Doctor Might Order the Following Lab Tests or Studies:

  • Upper endoscopy (internal examination of the esophagus and stomach)
  • pH probe (to assess the acid level in the esophagus and stomach)
  • Manometry (to measure the pressure of the sphincter between the esophagus and the stomach)
  • Stool testing for blood
  • Complete blood cell count
 

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