My gynecologist says I have a rectocele and it is causing me discomfort and incontienence. He thinks I should get surgery, but I don’t want that. What other options are there?

Rectoceles are relatively common in older women especially those who have had multiple vaginal births.  It is a result of weakening in the tissue between the vagina and rectum causing the rectum to bulge into the vagina.  This can result in a sensation of pelvic pressure, heaviness, constipation, and pelvic or back pain.  The condition… Continue reading My gynecologist says I have a rectocele and it is causing me discomfort and incontienence. He thinks I should get surgery, but I don’t want that. What other options are there?

My aunt has lupus and my oldest sister was recently diagnosed with lupus. Should I go get tested for lupus?

If you have any symptoms of lupus (see list below), testing may be beneficial.  However, most doctors don’t recommend screening tests for lupus if you’re asymptomatic.  For example, serum ANA is a good marker for lupus and is positive in over 95% of patients with lupus.  However, only about 25% of the general population are… Continue reading My aunt has lupus and my oldest sister was recently diagnosed with lupus. Should I go get tested for lupus?

At what point would a person be admitted to the hospital for anorexia?

In general, anyone who is unable to properly care for themselves or is in danger of hurting themselves should be admitted to the hospital.  For anorexia, there also exist specific criteria for admission. These criteria for admission include: Severe malnutrition (less than 75% of ideal body weight) Cardiac arrythmias Signs and symptosm of dehydration Electrolyte… Continue reading At what point would a person be admitted to the hospital for anorexia?

I fell in the bathroom and bruised my nose yesterday. I have now dark circles under my eyes and it hard to breath. What tests do I need?

With any severe fall and head trauma, you will need to get evaluation in the emergency department especially if you’ve had loss of consciousness.  You will need a physical exam focusing on your head as well as your eyes.  The doctor will need to check if you have any blurry vision, blind spots, and if your eyes have… Continue reading I fell in the bathroom and bruised my nose yesterday. I have now dark circles under my eyes and it hard to breath. What tests do I need?

I’m 60 now and my skin has gotten worse. My skin has become leathery with deep wrinkles and I have rough brown patches in areas and some of my veins are visible. What skin products can I use to help my skin look more youthful?

It appears that you are describing photoaging. The best treatment is any cream with tretinoin (all-trans-retinoic acid). Many of these creams are available at department stores. Check the label for “tretinoin” as this is proven to be best at reducing wrinkles, decreasing mottling of skin, and smoothing of the skin. It can also improve brown… Continue reading I’m 60 now and my skin has gotten worse. My skin has become leathery with deep wrinkles and I have rough brown patches in areas and some of my veins are visible. What skin products can I use to help my skin look more youthful?