A few weeks ago in a telephone conversation with my mom, she mentioned that one of my sisters had been having some problems with her stomach for the last month or so. Being concerned, I called my sister directly to talk to her about what was going on.
"I don't know," she said. I'm eating a healthy diet, but for the last month or so I've had a lot of diarrhea and even some vomiting. And my stomach hurts so much after I eat that I just don't want to eat anymore."
"What are you eating?" I asked.
"You know, healthy stuff. Fruits and vegetables and high fiber bread."
I explained to her that a healthy diet isn't healthy if it's making you sick. And if it's making you sick then you have to do something to figure out what is causing the symptoms. First, change what you're eating so that you can eat and get some nourishment into your body. And second, make an appointment with a gastroenterologist to discuss the problems.
"It's especially important to see a GI...
Starting a little less than a year ago, I would walk my father’s miniature Schnauzer, Austin, as well as my terrier mix, Noel. Each dog weighed about 20 pounds, walked rapidly while following their nose, and did not have strong obedience training (which means that they pulled while on the leash). While they loved the walks, I ended up paying the ultimate price last spring with lower back pain.
So I was very interested in a Houston Chronicle column by Dr. Michael Roizen and Dr. Mehmet Oz entitled, “Back Hurt? Check Your Attitude.” The good doctors noted that people who are older than 30 years of age tend to have had or will have lower back pain due to improper posture while driving and working on computers. However, they suggest that your attitude can affect the status of your back. “What you think will happen next – healthy recovery or chronic pain – dramatically affects what will happen. The more optimistic and can-do your mind-s...
Last month, the American Pain Society added to its recommendations to health care providers regarding the diagnosis and treatment of low back pain .
In addition, the Society decided to discuss openly procedures that could be risky to sufferers of low back pain, including recommendations on surgery and other invasive therapies.
Unfortunately, there is not a significant body of good evidence to justify unquestioningly embracing these new recommendations. It is difficult to find well-done clinical studies which support the use of a number of the more invasive treatments used for chronic low back pain.
The initial set of guidelines for the management of chronic low back pain were published in "Annals of Internal Medicine" last October. However, these recommendations dealt more with the initial evaluation of a low back pain patient, and included thoughts on what type of x-rays to order in addition to more conservative treatments such as massage/manipulation and exerci...
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