Therapy for gastroparesis includes dietary modification, with patients being advised to eat frequent, small meals rather than large meals. Most patients also require medications. These drugs include cisapride (Propulsid), which may enhance the contractions of the stomach, as well as medications that bind bile acids to prevent injury to the stomach. In rare cases, further surgery may be needed to improve symptoms.

Patients with abdominal pain and heartburn after an operation for an ulcer may also be suffering from recurrent ulcers. Thus, your mother should be seen by her doctor for these complaints, and an endoscopy may be necessary to fully evaluate the remaining portion of her stomach.

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A. When surgery to remove a part of the stomach (gastrectomy) is done, there can be several post-operative side effects. One common side effect, called gastroparesis, involves the loss of the stomach’s normal contractile function. This occurs because during gastrectomy, doctors cut the vagus nerve — the nerve responsible for the stomach muscle contractions that help to mix food after meals. When gastroparesis occurs, the stomach tends to empty more slowly and patients often report acid reflux, bloating and feeling full after eating only a small amount of food.

One way of preventing or lessening the possibility of gastroparesis is for the surgeon, at the time of the stomach surgery, to perform a procedure that enhances the emptying of the stomach.

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You visit the candy machine twice a day, convincing yourself that you deserve another treat because nothing else is going well.
You spend more time playing Solitaire on the computer than working on the report that’s due tomorrow.

When people call to inquire about your line of work, you have to fight the urge to talk them out of it. You’ve used up all of your personal days and it’s only January.

You start dreading Monday morning on Friday night.

Several salons have Web sites to help you choose treatments and check on prices before heading out the door.

Here’s a sample of the foot-friendly offerings at spas across the country.

McCracken & Marshall Spa in Bloomington, Ill., offers a 55-minute Omni Spa Pedicure. For $50, the client’s feet are treated to a dip in a warm spa whirlpool, followed by a nail shaping and buffing. The technician uses an exfoliating polish for the feet and then gives them a massage with moisturizing cream. The pedicure is complete after the nails are polished.

Alexander’s of Annapolis Salon and Day Spa in Annapolis, Md., advertises a European pedicure for $40 to $45. The 60-minute procedure includes a soak in an aromatic solution. The nails are then cut, thinned on top and shaped.

The cuticles and calluses are removed and the feet undergo a mini-exfoliation followed by a massage. The session also includes nail polishing, if the customer so desires.

La Concha Spa in San Jose, Calif., offers a basic pedicure with cuticle treatment and removal, nail thinning, a foot massage, and nail polishing for $30. Clients may also opt for a paraffin pedicure, which includes dipping the foot up to the ankle in warm, moisturizing paraffin. The process, which costs $40, is said to be good for dry feet.

It’s worth noting that disorders of the spine are often handled by both orthopedic surgeons specializing in disorders of the spine as well as neurosurgeons. Either type of specialist is capable of handling this problem. The decision as to who a patient should see is typically based on reputation and recommendations from physicians and other patients.

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A.Spondylolisthesis refers to a slippage of one vertebra on another. You can be born with it, or it can result from an accident, through degeneration of the tissue, or as a secondary effect of a bone disease. The prevalence in the population is about 5 percent and is the same for both men and women. The degree of slippage is graded. Grade I implies that less than 25 percent of the body has slid forward. Grade II implies 25-50 percent, grade III implies 50-75 percent, and grade IV is 75 percent and greater.

A.Surgery is not always necessary for spondylolisthesis. Often, restriction of activity, exercises for the spine and abdominal muscles, and use of anti-inflammatory medications as well as intermittent back bracing are enough to alleviate pain. In general, the younger the patient with spondylolisthesis, the better the chance that surgery will be beneficial.

Two different surgical procedures are available for spondylolisthesis. One is a decompressive type surgery, whereby the bone that is pressing on the nerve roots is removed, freeing up the nerve roots. The other procedure is fusion, whereby the bone from one vertebra is encouraged to grow into the other, preventing movement; hopefully this alleviates the pain and prevents any further progression. Fusion can be done with or without metal rods and plates.

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In fact, approximately 25 percent of the people who have bulimia have also had anorexia.

The cause of these disorders appears to stem from feelings of low self-esteem, troubled family relationships, worries about physical changes during adolescence, and society’s glorification of thinness and its strong prejudice against those who are overweight.

There may be a history of these eating disorders in your family. So if you find yourself or a family member worrying obsessively about weight and appearance, see an eating disorder specialist for advice.

Sooner is better, because the longer they go untreated the more difficult they are to reverse.

The first symptoms of shingles vary widely from person to person and can resemble other sources of pain, including muscle strain or a heart attack. Watch for:

mysterious pain, sometimes pulsating and unbearable
tingling, itching or extreme skin sensitivity on one side of the body or face
fever and headache

A red, blistering rash in a band almost always on one side of the body. fluid-filled blisters that scab over, usually within two to three weeks.

pain and sensitivity to touch that may last longer than the blisters
When you notice the first signs of shingles, call your doctor. Today, anti-viral medications are available that halt the disease. The earlier you take these drugs, the better your chances are of avoiding the severe pain that shingles can cause.

National data indicates that there are more than 10.3 million cases of type 2 diabetes in the U.S., and that it is one of the leading causes of death and disability. Type 2 diabetes is characterized by varying degrees of insulin resistance and relative insulin deficiency. This means that dietary carbohydrates are not metabolized properly. Causes of type 2 diabetes include both genetic and environmental factors, including age, obesity, minority status, family history, physical activity and possibly diet.

Treatment for type 2 diabetes should help to maintain normal or near-normal blood glucose levels. Glucose levels in obese type 2 diabetics appear, according to research, to be directly proportional to the “dose” of physical activity. It is possible for individuals to attain normal or near-normal levels of glucose based on how long and how hard (intensity) they exercise. Physical activity also directly affects insulin resistance by increasing insulin sensitivity. ACSM recommends that people with type 2 diabetes engage in at least three nonconsecutive days of exercise per week, for 10 to 15 minutes per session, at 40 to 70 percent of maximum heart rate. Most important is sustained, regular activity.

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Eczema, also known as atopic dermatitis, is the most common skin condition infants and children encounter. Signs of the condition are itching, flaking and redness of the skin, which can cause persistent itching and lead to skin infections and sores.

But there are things parents can do to help prevent skin from drying out and rashes from flaring up. Here are some tips from the American Academy of Dermatology:

Take lukewarm baths, no more than once a day, with mild soap or nonsoap cleansers. And avoid bubble baths. Pat dry with a soft towel, as opposed to rubbing skin dry.

Apply a heavy moisturizer within just a few minutes of bathing and again at least once during the day
Wear cotton or non-irritating clothing
Wear sunscreen on all exposed areas
For infants, avoid using wipes with alcohol or fragrances