health.com ::fix what’s bugging you
health.com ::fix what’s bugging you
health, march 2006 fix what’s bugging you
by melanie haiken
this year, give your body the respect it deserves. schedule an appointment today to find out what’s bugging you—and why. here’s your action plan for three of the most common complaints.i can’t lose weight no matter what i try.odds are those nagging extra pounds are nothing serious. but they just may signal a more serious condition. two possible culprits: a thyroid imbalance and polycystic ovary syndrome. women are five times as likely as men to suffer from hypothyroidism, the most common thyroid problem. that’s when the small gland at the base of your neck doesn’t make enough thyroid hormone, which tends to slow your digestion and metabolism. but it’s relatively easy to diagnose with a thyroid-stimulating hormone (tsh) blood test. your doctor may prescribe hormone-replacement medication that can help. polycystic ovary syndrome (pcos) affects an estimated 6 to 10 percent of women. it can lead to weight gain, unwanted facial hair, and an irregular menstrual cycle—as well as type 2 diabetes. if your thyroid test doesn’t indicate problems, an insulin- and glucose-tolerance test (checking for high levels of insulin in your blood) may be your next step. ultimately, you may need a medication, like metformin, that makes your body more sensitive to insulin, which can help you slim down.to find a specialist, use the american association of clinical endocrinologists physician finder.my tummy always grumbles and hurts.if you suffer from chronic heartburn, a gastroenterologist may need to check your esophagus. “if you have inflammation and irritation in your esophagus, dietary and lifestyle changes won’t make a bit of difference,” says cynthia yoshida, md, a gastroenterologist in charlottesville, north carolina, and author of the women-centered no more digestive problems.to check for trouble, your doctor may give an endoscopy, where a tube with a camera is inserted down your throat while you’re sedated. the test can show areas requiring treatment with acid-blocking medications.if chronic constipation is your pain, don’t just keep quiet and reach for an over-the-counter laxative. see a specialist, who may order a sitzmark study, yoshida says. it involves swallowing “markers” that your doctor follows as they pass through your system, allowing her to see exactly where things are slowing down. you should also ask about new prescription laxatives known as prokinetics. they may be much more effective than drugstore remedies. to get a handle on any digestive problem, check with a gastroenterologist. go the patient center at the american gastroenterological association web site, and click on "find a gi."i’ve got muscle pain, but not bad enough to see a doctor.working long hours can be a real pain—in your arms, wrists, neck, and back. if this sounds all too familiar, you may need a workstation evaluation, says mark young, md, chairman of physical medicine and pain management at the maryland rehabilitation center and author of women and pain: why it hurts and what you can do. companies like ergo works (866-275-3746) and humantech (734-663-6707) can help. for $150 to $300, a rep will interview you in person—and then rearrange furniture and suggest accessories to make things right. go through your hr department first, because your company may pay for the assessment. over-the-counter medication like acetaminophen (the drug in tylenol) may help ease your aches, of course, while your injuries heal.for acute pain due to injury, the old standby x-ray or mri may be best—but don’t wait too long. if your doctor recommends physical therapy, ask for a referral or go to the american physical therapy association site and click on "find a pt."
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health.com ::fix what’s bugging you
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