Q: everymonth within the week my menstural period starts i have this heart pains that feels heavy and somtimes i feel a change in flow and pumping rythms. i want to know if this is normal. i am a patient with endometriosis.
A: These sensations are probably not related to your periods or endometriosis. If you continue to have heavy sensations in the chest, you might want to see a doctor for this. Regarding the heart rhythm changes- in a healthy young person the most common cause of this sensation is called a PVC, which is premature ventricular complex. Everyone has these, up to six times in a minute. It usually gives you the sensation that you have missed a beat, a heaviness, then your heart beats slightly faster. It is actually an early heart beat and the heart compensates by taking longer to fill its chambers with blood before contracting. This is why you feel a missed beat or even a heavy sensation.
Saturday, February 9, 2008
Missed Period and Negative Pregnancy Test
Q: I haven't had my period for two months now. i have tested three times and it says that i am not pregnant. i'm really worry. i don't know what's wrong.
A: Over the counter urine pregnancy tests are pretty accurate and detect pregnancy within two weeeks of becoming pregnant. Usually we recommend waiting a week, and rechecking it. The most accurate test is a blood test which your doctor can order. It checks the beta-hcg hormone levels in the blood.
A: Over the counter urine pregnancy tests are pretty accurate and detect pregnancy within two weeeks of becoming pregnant. Usually we recommend waiting a week, and rechecking it. The most accurate test is a blood test which your doctor can order. It checks the beta-hcg hormone levels in the blood.
Tuesday, February 5, 2008
Fetal Alcohol Syndrome
Q: i just found out i may be pregnant, i have been drinking steadily for some time and not trying to get to pregnant.i am worried about FAS,is there a risk for that within the first month?
A: You are at risk, but no one knows for sure how much alcohol and for long it needs to be consumed to cause FAS. Here is a link to more information about FAS.
A: You are at risk, but no one knows for sure how much alcohol and for long it needs to be consumed to cause FAS. Here is a link to more information about FAS.
BIRTH CONTROL AND MENOPAUSE
Q: I have been told I am in menopause. I was prescribed Seasonique bc pills to level everthing off. I have been on the pills for 3 weeks and I am going nuts!! My breasts are sore, Im irritable, I wanto eat, eat and eat more. How long should it take for these meds to balance out my hormones?
A: It is difficult to say because I'm not sure what the goal is of your treatment. Oral contraceptive pills should be used with caution in women over the age of 35. After a month cycle of your pills, if you are still feeling this way you should discuss it with your physician who knows your history well. Typically, we as physicians like to know if something isnt working for you.
A: It is difficult to say because I'm not sure what the goal is of your treatment. Oral contraceptive pills should be used with caution in women over the age of 35. After a month cycle of your pills, if you are still feeling this way you should discuss it with your physician who knows your history well. Typically, we as physicians like to know if something isnt working for you.
Sharp Pains in the Breast And Breast Cancer
Q: I am 33 years old, I had a complete hystectomy a few months ago. I have had sharp pains, not alot, but every once in a while in my breasts. I take an over the counter estrogen, and that is it. I am wondering if this could be some sort of breast cancer. My doctor did an exam and found nothing, but I have a very high risk of breast cancer in my family.
A: estrogen can cause breast tenderness. Breast cancer rarely causes pain. At this time, the U.S. Preventive Services Task Force recommends screening mammograms, with or without breast examination every one to two years for all women over 40. Women with risk factors for breast cancer, including a close family member (like a sister or mother) with the disease, should consider having annual mammograms starting 10 years earlier than the age at which the relative was diagnosed. So you may want to discuss your family history with your physician to see if they recommend getting a mammogram. Breast cancer in more distant relatives are not an indication to have mammograms at an age earlier than 40.
A: estrogen can cause breast tenderness. Breast cancer rarely causes pain. At this time, the U.S. Preventive Services Task Force recommends screening mammograms, with or without breast examination every one to two years for all women over 40. Women with risk factors for breast cancer, including a close family member (like a sister or mother) with the disease, should consider having annual mammograms starting 10 years earlier than the age at which the relative was diagnosed. So you may want to discuss your family history with your physician to see if they recommend getting a mammogram. Breast cancer in more distant relatives are not an indication to have mammograms at an age earlier than 40.
Milk Like Disharge
Q: I just stopped taking birth control pills in november, i just had sex and there is a white milk like disharge coming out of my chest
A: Milky discharge is related to an elevated prolacting level. Amongst other things, you can have an elevated prolactin level in response to pregnancy and hyperstimulation around sex.
A: Milky discharge is related to an elevated prolacting level. Amongst other things, you can have an elevated prolactin level in response to pregnancy and hyperstimulation around sex.
Sunday, February 3, 2008
WEIGHT GAIN AND BIRTH CONTROL
Q: I have been on my period for the past 20 days now and every time that i take my birthcontrol i get sick. In the past two days i have gaind 15 pounds what could be wrong
PREGNANCY and PERIODS
Q: I Know you can be pregnant and still have a period. Is it possable you can still have a period and be pregnant with a negitive home pregnancy test?
A:
A:
Breast Tenderness
Q: I started having breast tenderness yesterday and it hurts to the touch. I went to webmd and it said it is normal to have breast tenderness right before and during the menstral period but i am on birth control and i dont get my period is it normal to still have pain or should i be worried?
A: Birth control can also cause breast tenderness, especially ones high in estrogen. If the pain is cyclical, it is probably related to hormones. Breast pain may be seen in pregnancy. It is rarely associated with breast cancer
A: Birth control can also cause breast tenderness, especially ones high in estrogen. If the pain is cyclical, it is probably related to hormones. Breast pain may be seen in pregnancy. It is rarely associated with breast cancer
BREASTFEEDING OFF ONE BREAST ONLY
Q: i am breast feeding and my infant will not take the right breast. he takes the left one just fine. my question is why doesnt he take the right one? could there be something wrong with my breast?
A: not necessarily, he may be able to latch on better to the left one. If this is a persistent problem, you may want to discuss this with a lactation nurse.
A: not necessarily, he may be able to latch on better to the left one. If this is a persistent problem, you may want to discuss this with a lactation nurse.
TUBES TIED but HAS TITANIUM ALLERGY
Q: i got my tubs tied and after i found out that i am allergic to titanium. should i get my tubs untied? how much will it cost?
A:
A:
High Blood Pressure In Pregnancy
Q: my daughter is due to have her 1st baby anytime now she has been having high b/p for over a month her dr has only told her to rest for 2 hrs at a time on her left side 4 times a day, she was seem yesterday her b/p was 160 /90 it has been as high as 172/108 . is this normal ?
A: No, blood pressure this high is not normal in pregnancy. During pregnancy, blood pressure usually is lower than normal. There are conditions in pregnancy associated with high blood pressure, which include Pregnancy Induced Hypertension and Pre-Eclampsia. Pre-Eclampsia, which is also known as 'toxemia' is a serious condition that occurs in a small percentage of pregnancies. It is a collection of symptoms which is diagnosed by a large amount of protein in the urine, high blood pressure, severe headaches
(not always present), blurry vision (not always present), Increased reflexes (not always present) and swelling of the feet (this is normal in pregnancy) The exact cause of preeclampsia is not known.
Risk factors include, African-American heritage, First pregnancy, Multiple pregnancies, Older than age 35, Past history of diabetes, high blood pressure, or kidney disease
Symptoms of preeclampsia can include:
Headaches
Swelling of the hands and face (edema)
Weight gain
More than 2 pounds per week
Sudden weight gain over 1 - 2 days
Note: Some swelling of the feet and ankles is considered normal with pregnancy.
Other symptoms that can occur with this disease:
Abdominal pain
Agitation
Decreased urine output
Nausea and vomiting
Vision changes
If women have isolated blood pressure without these other signs, then it is usually monitored and medicine is usually not given unless bp is quite elevated.
A: No, blood pressure this high is not normal in pregnancy. During pregnancy, blood pressure usually is lower than normal. There are conditions in pregnancy associated with high blood pressure, which include Pregnancy Induced Hypertension and Pre-Eclampsia. Pre-Eclampsia, which is also known as 'toxemia' is a serious condition that occurs in a small percentage of pregnancies. It is a collection of symptoms which is diagnosed by a large amount of protein in the urine, high blood pressure, severe headaches
(not always present), blurry vision (not always present), Increased reflexes (not always present) and swelling of the feet (this is normal in pregnancy) The exact cause of preeclampsia is not known.
Risk factors include, African-American heritage, First pregnancy, Multiple pregnancies, Older than age 35, Past history of diabetes, high blood pressure, or kidney disease
Symptoms of preeclampsia can include:
Headaches
Swelling of the hands and face (edema)
Weight gain
More than 2 pounds per week
Sudden weight gain over 1 - 2 days
Note: Some swelling of the feet and ankles is considered normal with pregnancy.
Other symptoms that can occur with this disease:
Abdominal pain
Agitation
Decreased urine output
Nausea and vomiting
Vision changes
If women have isolated blood pressure without these other signs, then it is usually monitored and medicine is usually not given unless bp is quite elevated.
Ovarian Cyst and Intercourse
Q: Can you have sex with an ovarian cyst?
A: Yes, sexual intercourse does not tend to worsen pain related to an ovarian cyst, nor does it affect it.
A: Yes, sexual intercourse does not tend to worsen pain related to an ovarian cyst, nor does it affect it.
Sunday, January 27, 2008
BREAST CYST
Q: I have been told that I have a cyst in my right breast but not to worry. I am worried because my sister died of breat cancer and I would like to know how they know if this is not a cancer?
TRYING TO GET PREGNANT
Q: I have been trying to get get pregnet for a year and a year ago i lost a baby do you think thats is why i cant get pregnet?
BLISTER ON THE MINORA
Q: i am married and have been sexually with him and only him! i have been sexually with him for 2 years and today i found im not sure if it is swollen or a blister on my labia minora...i normally check myself when im in the shower...and yesterday i took a shower and it was not there...it is the same color as my vagina and it doesnt hurt when i walk nor wear clothes..but when i touched it, it was didnt hurt painfully..i wore gloves when i touched it...do you know what the possibilities it could be are...
A: Of course you want to rule out worse case scenario of a sexually transmitted disease. The good news is most sores associated with std's are painful like herpes. Syphilis can cause a non-tender sore, a 'chancre.' Swelling at the bottom of the labia can be a bartholin's gland cyst which is usually painful. An ingrown hair or inflammed follicle is always in the differential.
A: Of course you want to rule out worse case scenario of a sexually transmitted disease. The good news is most sores associated with std's are painful like herpes. Syphilis can cause a non-tender sore, a 'chancre.' Swelling at the bottom of the labia can be a bartholin's gland cyst which is usually painful. An ingrown hair or inflammed follicle is always in the differential.
SPOTTING AFTER SEX
Q: why do sometimes i have blood spotting during a sexaul contact is there something wrong with me? i had 3 miscarriage last year but the doctor said its normal. do you think thats connected why im bleeding.what should i do?
A: Spotting after sex can be a sign of inflammation or changes of the cervix. Make sure your pap smear is up to date. Other causes of bleeding may be from tears of the skin.
A: Spotting after sex can be a sign of inflammation or changes of the cervix. Make sure your pap smear is up to date. Other causes of bleeding may be from tears of the skin.
BIRTH CONTROL EFFECTIVENESS WITH VOMITING
Q: I am on birth control pills, but I have had unexplained diarrhea for almost a month. I went in to see the doctor to check for parasites in the stool, but did not ask about the effectiveness of the pill. I read on the Yasmin Lotus information label that diarrhea and vommiting can lower its effectiveness. I had sex using only the birth control as protection earlier today (no condoms)...Is emergency contraception necessary?
Saturday, January 26, 2008
MARIJUANA USE IN PREGNANCY
Q: I six weeks in im having a baby in I smoke pot i slowed down but I want to know what will happen to my baby?
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