When I was a kid, there used to be a magazine advertisement that began “Do you suffer the heartbreak of psoriasis?” I couldn’t understand the connection between a skin rash and a broken heart until I began actually treating people with this skin condition. Psoriasis, which affects about 6 million Americans, is indeed a frustrating disorder, for both patient and doctor. Although the exact cause is unknown, we do know that new skin cells reproduce and accumulate faster than they can be sloughed off. The condition can range in severity from a few small patches to large and unsightly thick plaques that appear just about anywhere on the body.
Category: Diseases
Prostate Problems
I’ve had many male patients over age 40 who are not only inconvenienced by an enlarged prostate (usually in the form of a more frequent need to urinate), but who are also concerned that they either have cancer of the prostate or that cancer is right around the corner. I’m happy to report that most of their symptoms turned out to be related to a condition known as benign prostatic hyperplasia, or BPH. And it is indeed benign: “Hyperplasia” simply means an overgrowth of cells.
Multiple Sclerosis
Multiple sclerosis can seem like the cruelest disease. We’ve all heard of cases where a young adult, once in the bloom of health, becomes disabled and confined to a wheelchair. And while it’s true that MS attacks healthy young people, fortunately very few cases lead to rapid disability. By far the common MS “story” is one of flare-ups followed by very long disease-free periods, so that disability, if it does occur at all, may not happen for decades. Although the cause of MS remains unknown, physicians believe it’s an autoimmune disease, where the immune system winds up attacking its own central nervous system. Doctors are far less helpless in the face of MS than they once were. Disease “modifiers” such as the interferon-based medications Betaseron or Avonex and the drug glatiramer acetate (Copaxone), all have been shown to reduce flare-up rates dramatically and delay the time to disability.
Macular Degeneration
It’s likely that many of the 6 million Americans with macular degeneration first hear about it during a visit to an eye doctor where they’ve come complaining about their declining vision. Most of them leave the office in a very discouraged state of mind, with the phrase “nothing can be done” ringing in their ears. The macula is a tiny spot in the center of the retina that enables you to distinguish the fine detail in the center of your visual field. In other words, all the truly important stuff of looking at things: reading, watching TV, threading a needle, driving a car.
Lupus
Lupus means “wolf,” maybe because wolves are sly and lupus is the slyest of the autoimmune diseases–conditions in which the trusty immune system, which normally tracks and destroys viruses, bacteria, and cancer cells, suddenly turns and attacks the body. Most of the autoimmune diseases are satisfied with seizing one organ (say, the thyroid or the liver) or the joints. But lupus has imperial ambitions. The skin, joints, muscles, brain, kidney, and all the connective tissue can become victims of the very system that once guarded their existenc
Kidney Stones
My guess is that there’s never been a human being in the history of mankind who ever answered “Yes, sure, okay!” to the question “Would you like to pass another kidney stone?” We’re not positive why some people get stones and others don’t, but stone formation does run in families, and has less to do with diet than we once thought. When the stone, which forms in the kidney, decides to move, it’s during the l-o-n-g passage down the ureter (the tube from the kidney to the bladder) that causes so much pain.
Irritable Bowel Syndrome
By far the most common reason patients visit gastroenterologists is for help with irritable bowel syndrome, or IBS, also known as spastic colon. Although the condition is not dangerous, nor does it lead to anything serious, IBS is a real challenge to treat effectively. In fact, conventional medical textbooks advise doctors to tell their patients that the condition is incurable, and many patients have come to believe that the best they can expect from conventional medicine is only limited relief. All doctors, including myself, hesitate to use the word “cure.” But at WholeHealth Chicago, we’ve found that a more integrated medical “toolbox” has dramatically improved our success rate.
High Blood Pressure
We doctors know it’s difficult to get our patients enthused about taking blood pressure medicines. Our plea that “this will help you to prevent problems in the future” doesn’t compel most people just struggling to make it through the day. And of course, it’s hard to convince someone to take medicines that often have unpleasant side effects to control a condition that has no noticeable symptoms. A lot of doctors acknowledge that high blood pressure is probably overtreated. Mild-to-moderate pressure levels (140/90 to 160/100 mm Hg) can usually be reversed by lifestyle changes alone. Levels consistently above these numbers do require medical treatment. However, despite the American Heart Association’s statement that blood pressure medicine is a lifetime commitment, if successful lifestyle changes create a new and healthier you, there’s no reason why (with your doctor’s help) you can’t begin to trim down your morning load of prescription pills–maybe even to none.
Hemorrhoids
As unglamourous as they are (and you’ll never see a telethon for hemorrhoids), consider yourself very fortunate if hemorrhoids are your worst experience with ill health. Try as you might, you simply cannot die from hemorrhoids. They may swell and become quite painful. Or itch. Or bleed. But ‘rhoids will never do you in. As you might be aware, hemorrhoids are simply varicose veins that have developed in an unfortunate location. When they do bleed, it’s never very much actual blood. (But don’t ignore bleeding. Over time, you can actually get quite anemic.) The only serious complication (relatively speaking) is thrombosis, when a clot forms within the hemorrhoid, and that is indeed quite painful and usually needs a surgeon’s help.
Heartburn
Because conventional physicians are becoming more skilled at diagnosing and treating heartburn, a condition in which stomach acid splashes upward into the esophagus, this common problem is undergoing some name changes. Strictly speaking, when you used to feel as though Mount St. Helens was erupting beneath your breastbone, it was called “heartburn.” After doctors developed gastroscopes to actually see the irritated esophagus, your heartburn grew into the more respectable “reflux esophagitis,” or “reflux” for short.
Heart Disease Prevention
We’re constantly hearing about how heart disease is the nation’s “number 1 killer.” Yet if I took a survey of my patients, I’m sure most of them would say they’re more worried about cancer than having a heart attack. Especially my female patients. So when the subject comes up, I take the time to point out that heart disease kills about 500,000 women each year–more than 10 times the number who die of breast cancer–and half those deaths are from heart attacks. To which I quickly add there are more effective strategies for preventing a heart attack than there are for preventing any other chronic disease.
Gum Disease
If you’re ever sitting in the dentist’s chair, bracing yourself for an procedure called “scaling,” which cleans out the bacteria in your infected gums, just say to yourself, “This could have been avoided. I did not have to be here.” Some Americans must be getting the message and finally are brushing and flossing more efficiently, because serious gum problems are on the decline. Nevertheless, gum disease continues to cause more tooth loss than cavities, and is second only to the common cold in terms of prevalence (98% of people over age 60 have some degree of gum disease). And now, researchers have linked severe gum disease to an increased risk of both heart disease and strokes
Gout
You don’t forget your first gout attack. Pain wakes you up in the middle of the night. Of all things, it’s your big toe that hurts. You try to go back to sleep, but the pain keeps getting worse and by morning, your poor toe can’t even stand the pressure from the bed sheet. Gout, which affects mainly middle-aged men, begins with unusually high blood levels of a waste product called uric acid. Normally uric acid is excreted in the urine, but in a gout-prone person, it precipitates as crystals in certain joints (the big toe, knees, elbows, fingers). The result is a local (and painful) inflammation. The crystals can also accumulate in the skin and in the kidneys (where they can cause kidney stones or even kidney failure).
Gallstones
Having a gallstone or two (or even more) is very common: A third of all women (it’s mainly a female condition) will have them by age 60. Fortunately, most people live peaceably with their gallstones without any symptoms whatsoever. It’s when gallstones act up that you need to do something. A painful “gallbladder attack” may occur when a stone decides to move, or simply may follow bouts of indigestion, especially after a meal rich in fatty foods. A double bacon cheeseburger, fries, and a shake should simply be renamed a “Gallbladder Special.”
Flu
Although medical textbooks list hundreds of different illnesses, a bad case of flu is high on the list of those that make you feel the sickest. Those who have really had the “flu” (and I’m not talking about a bad cold, although a mild case of the flu is indistinguishable from a bad cold) will know exactly what I’m talking about. It seems that your every muscle aches; you feel so weak you can barely click the remote on your TV; your mind is so foggy that comic books are challenging; and your throat is raw from a cough that brings up no phlegm. Conventional medicine can offer some help: If you’re at a high risk for flu, vaccines can reduce your risk of getting flu during an epidemic; antiviral medications can help (somewhat) check the spread of the germ to other members of your family; antibiotics can help you deal with bacterial superinfection, if you develop one.
Fibrocystic Breast Changes
By the time they’ve reached their mid-forties or so, almost half of all women develop some degree of a condition called fibrocystic breast syndrome (FBS) in which their breast tissue becomes either more dense (“fibrous”) or it contains fluid-filled cysts, which can be tender or “lumpy.” In addition, because these cysts are under hormonal control, they often change size during a woman’s cycle and become exquisitely tender and painful during the week or so before her menstrual flow begins.
Epilepsy
Occasionally, however, the electrical system in the brain goes awry, and an electrical storm erupts in one tiny portion of the brain. The result is an epileptic seizure. Seeing someone suffer an epileptic seizure is probably scarier than experiencing one yourself–in fact, the person loses consciousness too quickly to be aware of what’s happening. Through the ages, lots of stereotypes (good and bad) have been attached to anyone who had seizures. And it’s well worth repeating that people with epilepsy are just as smart, creative, and productive as everyone else.
Endometriosis
Although theories abound, just why some women develop endometriosis and others don’t remains a mystery. Or why endometrosis produces painful or heavy periods in some and no symptoms in others. Or why some women with endometriosis are infertile and others are not. What doctors do agree on is what endometriosis is. Pieces of the lining of the uterus called the endometrium find their way outside the uterus and into the pelvis, where they implant themselves and grow.
Diabetes
Most of the people with diabetes that I see have the adult-onset type 2, which typically develops after age 40. Conventional medical treatment for this condition is certainly very good, and someone with well-controlled adult-onset diabetes can expect a perfectly normal life span. But too often, both physicians and patients consider diabetes a “medical problem”–meaning all a patient has to do is take his medicine, watch his sugar intake, and check in with the doctor every so often.
Crohn’s Disease
We don’t understand a lot about Crohn’s disease, but we do know that more and more young people are being diagnosed with it. Crohn’s is a chronic inflammation of the gastrointestinal tract. It strikes mainly adolescents and young adults, and manifests itself as abdominal pain, fever, diarrhea, and weight loss. The small intestine is primarily affected, and the patient develops real problems in absorbing important nutrients. Physicians use the anti-inflammatory drugs sulfasalazine and steroids to reduce the inflammation. As the disease seems to be related to alterations in the immune system, they sometimes add medications to suppress immunity as well. Unfortunately, the disease often progresses despite drug therapy, and surgery is frequently needed for infections and intestinal obstruction.