Women know to look for a lump. We do our monthly self-exam and see our healthcare practitioners every year for our check-up. No lump = no cancer, right? Not necessarily.
Inflammatory breast cancer doesn’t have to have a lump. In fact, it can start out with redness of the skin. It may cause your breast to enlarge or swell, be tender, warm to the touch, look like an infection, or look like mastitis as if breast-feeding! The cancer cells plug up the lymphatic vessels in the skin not allowing fluid to drain away which causes the breast to change color and swell.
This is a fairly uncommon cancer although aggressive in nature. It doesn’t improve with antibiotics if you suspected an infection nor does it improve with typical mastitis treatments. Women may suspect they have a rash on their breast and let it go before seeing their healthcare practitioner. Don’t wait! If you have any of these symptoms and they do not improve after treatment then see your doctor! Typical diagnosis is made through mammogram, possibly ultrasound or MRI and biopsy. Because there isn’t a lump, biopsy of the skin is important.
Doing a self-exam every month is just as critical as examining your skin in a mirror to look for any color, texture, or nipple changes. If you find something, have it checked out right away because this is your health we’re talking about!
Wednesday, June 10, 2009
Tuesday, May 19, 2009
Viagra and Other Ways to Lower Stress
Pfizer, inc. (the big pharmaceutical company) is unrolling a program on Thursday to help those without insurance the ability to continue certain medications for free for up to a year. On that list includes Viagra. I turned to my friend and asked, “Viagra?” To which he responded, “Unemployed people need a stress release now more than ever! Don’t take that away from them.” Ha! Point taken.
In this economy that is recovering one day and reversing the next, the stress response is something I learn about from all of my patients. More important than how much stress you are under is how, exactly, are you handling it?
If it’s chronically interfering with your sleep, your relationships, your energy, your waistline, your temper…it’s a problem. While there is no Pfizer pill for getting your job back or making more money, there are ways to help improve your situation.
Many supplements help with stress and your adrenals. At the very core are a multi-vitamin (a good quality one, not a cheap brand comprised of a hard tablet that doesn’t dissolve), Vitamin C and B-vitamins.
Herbs for sleep might include valerian, passionflower, oats and chamomile. Herbs for energy include rhodiola, ashwagandha, maca, and licorice (not to be taken if you have high blood pressure).
Exercise everyday (or most everyday) for at least 30 minutes. This can be a huge stress reliever and is great for your overall health. Go for a walk, jump rope, do jumping jacks, push-ups, sit-ups, stretches, and get online to follow programs on youtube.com for free.
Watch your caffeine intake! How much coffee and soda are you drinking in a day ‘just to keep going?’ Caffeine stimulates your cortisol and adrenaline output which can eventually lead to a burn-out sensation. Cut back and switch to water.
Take a moment to catch your breath. If you don’t meditate, then sit quietly and focus on the way that you breathe. Do you take nice deep breaths that expand your ribcage or do you shallow breathe so that only your collar bone moves a little? Slow, rhythmic, deep breathing can reduce your stress response, lower your blood pressure and improve your mood!
In this economy that is recovering one day and reversing the next, the stress response is something I learn about from all of my patients. More important than how much stress you are under is how, exactly, are you handling it?
If it’s chronically interfering with your sleep, your relationships, your energy, your waistline, your temper…it’s a problem. While there is no Pfizer pill for getting your job back or making more money, there are ways to help improve your situation.
Many supplements help with stress and your adrenals. At the very core are a multi-vitamin (a good quality one, not a cheap brand comprised of a hard tablet that doesn’t dissolve), Vitamin C and B-vitamins.
Herbs for sleep might include valerian, passionflower, oats and chamomile. Herbs for energy include rhodiola, ashwagandha, maca, and licorice (not to be taken if you have high blood pressure).
Exercise everyday (or most everyday) for at least 30 minutes. This can be a huge stress reliever and is great for your overall health. Go for a walk, jump rope, do jumping jacks, push-ups, sit-ups, stretches, and get online to follow programs on youtube.com for free.
Watch your caffeine intake! How much coffee and soda are you drinking in a day ‘just to keep going?’ Caffeine stimulates your cortisol and adrenaline output which can eventually lead to a burn-out sensation. Cut back and switch to water.
Take a moment to catch your breath. If you don’t meditate, then sit quietly and focus on the way that you breathe. Do you take nice deep breaths that expand your ribcage or do you shallow breathe so that only your collar bone moves a little? Slow, rhythmic, deep breathing can reduce your stress response, lower your blood pressure and improve your mood!
Monday, May 11, 2009
Take Probiotics And Get Skinny Post-Partum!
I recommend probiotics to nearly all of my patients. They are the healthy flora that live in your large intestines and help you to fight off bugs while keeping things regular. A recent study presented at the 2009 European Congress on Obesity found that taking probiotic supplements which contained Lactobacillus and Bifidobacterium, starting in the first trimester and continuing for at least a year post-partum were less likely to develop that central abdominal fat.
They compared 256 pregnant women who took the probiotic and received dietary advice, only received the dietary advice, or didn’t receive anything and found that probiotics plus the counseling led to only 25% of the group keeping their apple shaped abdomens. The rest lost it! Advice alone (no supplement) left 43% with the fat and 40% of the control group (no supplement or advice) had still had central belly weight.
When looking for a good probiotic, make sure it is dairy-free, refrigerated, and has a quantity in the billions! Do your research first as not all probiotics are created equal. Sometimes probiotics actually cause a little gas at first as it’s moving out the old and unhealthy to make way for the fresh and clean. If this happens to you, consider switching brands or take your supplement at night before bed.
They compared 256 pregnant women who took the probiotic and received dietary advice, only received the dietary advice, or didn’t receive anything and found that probiotics plus the counseling led to only 25% of the group keeping their apple shaped abdomens. The rest lost it! Advice alone (no supplement) left 43% with the fat and 40% of the control group (no supplement or advice) had still had central belly weight.
When looking for a good probiotic, make sure it is dairy-free, refrigerated, and has a quantity in the billions! Do your research first as not all probiotics are created equal. Sometimes probiotics actually cause a little gas at first as it’s moving out the old and unhealthy to make way for the fresh and clean. If this happens to you, consider switching brands or take your supplement at night before bed.
Ovaries Removed? Let’s Look At The Cancer Risks.
Many women have had their ovaries removed for non-cancerous reasons. The procedure is called an oophorectomy and commonly occurs with a hysterectomy. Once the ovaries are removed, a huge portion of hormone production comes to a screeching halt. A recent study in the 2009 May issue of Obstetrics and Gynecology examined the long term consequences of an oophorectomy of both ovaries and cancer risk.
The great news is that your risk for breast and ovarian cancer goes down. The not-so-great news is that your risk for all-cause mortality such as coronary heart disease and lung cancer increases.
"Bilateral oophorectomy at the time of hysterectomy for benign disease is commonly practiced to prevent subsequent development of ovarian cancer," write William H. Parker, MD, from the John Wayne Cancer Institute at Saint John's Health Center, Santa Monica, California, and colleagues. "Oophorectomy before menopause leads to an abrupt reduction in endogenous estrogen and androgen production....Later age of menopause has been associated with a reduced risk of death from coronary heart disease and stroke, and studies show that preserving ovarian function is associated with a lower risk of coronary heart disease."
Before having your ovaries removed for non-cancerous reasons, talk with your doctor about the risks and benefits especially if you have the opportunity to keep them during your hysterectomy.
The great news is that your risk for breast and ovarian cancer goes down. The not-so-great news is that your risk for all-cause mortality such as coronary heart disease and lung cancer increases.
"Bilateral oophorectomy at the time of hysterectomy for benign disease is commonly practiced to prevent subsequent development of ovarian cancer," write William H. Parker, MD, from the John Wayne Cancer Institute at Saint John's Health Center, Santa Monica, California, and colleagues. "Oophorectomy before menopause leads to an abrupt reduction in endogenous estrogen and androgen production....Later age of menopause has been associated with a reduced risk of death from coronary heart disease and stroke, and studies show that preserving ovarian function is associated with a lower risk of coronary heart disease."
Before having your ovaries removed for non-cancerous reasons, talk with your doctor about the risks and benefits especially if you have the opportunity to keep them during your hysterectomy.
Thursday, April 30, 2009
Feeling Anemic? Have Your Ferritin Tested
There are different types of anemia, however the one you might hear about most often is iron-deficient anemia. This means your body does not have enough iron either because you do not eat it, you do not absorb it, and/or you are bleeding it out somewhere (most commonly due to your period).
What many women don’t realize is that the symptoms of out-right iron deficiency, and having low iron stores (ferritin) can be very similar. Therefore your initial screening test is normal (the CBC) however your ferritin is low or low-normal.
The common symptoms include:
Fatigue
Fatigue with physical exertion (not because you are out of shape!)
Pale skin, mucosa and nail beds (not because it’s winter)
Cracking/splitting nails
Cracks at the corners of your mouth
Dizzy – especially when going from sitting to standing
Shortness of breath
Weakened muscles
Heart palpitations
Restless Legs
Craving/chewing on ice, dirt, paper, wax, and/or hair
Cold hands and feet
If you are experiencing the above symptoms, please ask your healthcare provider about testing for iron-deficient anemia that also includes a ferritin test.
What many women don’t realize is that the symptoms of out-right iron deficiency, and having low iron stores (ferritin) can be very similar. Therefore your initial screening test is normal (the CBC) however your ferritin is low or low-normal.
The common symptoms include:
Fatigue
Fatigue with physical exertion (not because you are out of shape!)
Pale skin, mucosa and nail beds (not because it’s winter)
Cracking/splitting nails
Cracks at the corners of your mouth
Dizzy – especially when going from sitting to standing
Shortness of breath
Weakened muscles
Heart palpitations
Restless Legs
Craving/chewing on ice, dirt, paper, wax, and/or hair
Cold hands and feet
If you are experiencing the above symptoms, please ask your healthcare provider about testing for iron-deficient anemia that also includes a ferritin test.
Natural Ways to Fight the Flu
Given the news lately, the word ‘flu’ seems to be on everyone’s mind. There are many strains of the flu and yours isn’t necessarily the ‘swine’ kind. If you are experiencing fever, body aches, chills, cough, headache, and sore throat then you may want to talk with your doctor. Remember that allergies don’t cause a fever and not all sore throats or headaches are flu related.
To improve your immune system and give it the support you need, consider using natural anti-viral herbs to ward off the flu or in addition to the medications given to you by your healthcare practitioner.
Echinacea is a great anti-viral herb but must be used at the absolute very start of the yucky symptoms. I tell my patients to take Echinacea when they think that maybe they might possibly be getting sick. Not when it’s full-blown. Do not use for longer than 6-8 weeks and do not use it if you have an autoimmune disease.
St. John’s Wort is also an anti-viral herb. Most commonly thought of for depression, this great little remedy works wonders for the flu. Best not to use it if you are already taking an anti-depressant or L-dopa.
Lemon Balm, also anti-viral, has calming and soothing effects especially when sipped as a tea. It is commonly in mixtures for sleep or relaxation but can be used in viral situations.
Licorice (not the candy!) is great for the flu and for coughs. It can also be sipped on as a tea and is commonly found in respiratory mixtures. Do not use licorice for longer than 6 weeks and do not use it if you have high blood pressure, diabetes, or are using corticosteroids.
Astragalus, is a great all-around herb for the stressed and tired. It has been used for hundreds of years in Chinese medicine and is great for protecting against the flu. It is an immune-stimulating herb and should not be used if you have an autoimmune disease, or are on a corticosteroid.
Remember to consult with your healthcare practitioner if do get the flu and/or if you are interested in adding these great anti-viral herbs into your treatment. Also, please do not use these herbs if you are pregnant or breast feeding.
To improve your immune system and give it the support you need, consider using natural anti-viral herbs to ward off the flu or in addition to the medications given to you by your healthcare practitioner.
Echinacea is a great anti-viral herb but must be used at the absolute very start of the yucky symptoms. I tell my patients to take Echinacea when they think that maybe they might possibly be getting sick. Not when it’s full-blown. Do not use for longer than 6-8 weeks and do not use it if you have an autoimmune disease.
St. John’s Wort is also an anti-viral herb. Most commonly thought of for depression, this great little remedy works wonders for the flu. Best not to use it if you are already taking an anti-depressant or L-dopa.
Lemon Balm, also anti-viral, has calming and soothing effects especially when sipped as a tea. It is commonly in mixtures for sleep or relaxation but can be used in viral situations.
Licorice (not the candy!) is great for the flu and for coughs. It can also be sipped on as a tea and is commonly found in respiratory mixtures. Do not use licorice for longer than 6 weeks and do not use it if you have high blood pressure, diabetes, or are using corticosteroids.
Astragalus, is a great all-around herb for the stressed and tired. It has been used for hundreds of years in Chinese medicine and is great for protecting against the flu. It is an immune-stimulating herb and should not be used if you have an autoimmune disease, or are on a corticosteroid.
Remember to consult with your healthcare practitioner if do get the flu and/or if you are interested in adding these great anti-viral herbs into your treatment. Also, please do not use these herbs if you are pregnant or breast feeding.
Tuesday, April 7, 2009
Natural Remedies for the Allergy Season
Did you know it’s almost springtime? Here in Oregon we were lucky enough to have a weekend of sunshine and 70 degree weather. This meant that everyone was outside, in their yard, and on their bikes playing in the fresh air. This also means that allergy season is quickly upon us. If you are an allergy sufferer and are looking for a more natural way to support your nose then read on!
There are a variety of natural supplements that are useful for allergies and you may consider starting now so that your system is ready for that first bit of pollen to hit your nose.
The most common is Stinging Nettle (Urtica dioica). Yes, this is the same plant that can cause major irritation when touched (hence ‘stinging’ nettle) however taken in freeze-dried capsule form, it acts like a natural anti-histamine and anti-inflammatory that can reduce your allergy symptoms. Side effects are rare but it is wise to start out with a low dose before increasing your amount.
The next most common are bioflavonoids such as quercetin and rutin. When an allergen enters your bloodstream, you have two types of immune cells that react – your mast cells and basophils. These cells leak histamine and serotonin out of their membranes causing you to feel sniffy, sneezing, itchy, and irritated. Bioflavonoids are cell membrane stabilizers meaning they come in and make sure the mast cells and basophils don’t leak out histamine so that you don’t get an allergic response. I commonly recommend quercetin be taken with bromelain for better absorption.
Vitamin C in higher doses is another great way to help your mast cells and basophils stabilize more and reduce histamine. Vitamin C is great for your immune system and can often be found mixed with quercetin or bioflavonoids for added benefit.
Improving your gastrointestinal health will also help your allergies. Just like the commercials say, 70-80% of your immune system lives in and around your intestines so let’s take care of it with probiotics that include lactobacillus acidophilus and bifidus. Make sure you buy a high potency product that guarantees what is on the label is in the capsule and take them once or twice a day for your health.
If you are already feeling stuffed up and congested, try inhaling scents such as peppermint, spearmint, and eucalyptus. Commonly found in teas or as an essential oil, their aromas help clear nasal passage ways to help you breath again!
Finally, consider using apple cider vinegar. This old time trick works wonders to improve digestion and reduce histamine. Take 1-2 tablespoons in a little water just before meals everyday and you’ll notice a difference quickly. Please be cautious if you are prone to over-acidity and talk with your healthcare provider.
There are a variety of natural supplements that are useful for allergies and you may consider starting now so that your system is ready for that first bit of pollen to hit your nose.
The most common is Stinging Nettle (Urtica dioica). Yes, this is the same plant that can cause major irritation when touched (hence ‘stinging’ nettle) however taken in freeze-dried capsule form, it acts like a natural anti-histamine and anti-inflammatory that can reduce your allergy symptoms. Side effects are rare but it is wise to start out with a low dose before increasing your amount.
The next most common are bioflavonoids such as quercetin and rutin. When an allergen enters your bloodstream, you have two types of immune cells that react – your mast cells and basophils. These cells leak histamine and serotonin out of their membranes causing you to feel sniffy, sneezing, itchy, and irritated. Bioflavonoids are cell membrane stabilizers meaning they come in and make sure the mast cells and basophils don’t leak out histamine so that you don’t get an allergic response. I commonly recommend quercetin be taken with bromelain for better absorption.
Vitamin C in higher doses is another great way to help your mast cells and basophils stabilize more and reduce histamine. Vitamin C is great for your immune system and can often be found mixed with quercetin or bioflavonoids for added benefit.
Improving your gastrointestinal health will also help your allergies. Just like the commercials say, 70-80% of your immune system lives in and around your intestines so let’s take care of it with probiotics that include lactobacillus acidophilus and bifidus. Make sure you buy a high potency product that guarantees what is on the label is in the capsule and take them once or twice a day for your health.
If you are already feeling stuffed up and congested, try inhaling scents such as peppermint, spearmint, and eucalyptus. Commonly found in teas or as an essential oil, their aromas help clear nasal passage ways to help you breath again!
Finally, consider using apple cider vinegar. This old time trick works wonders to improve digestion and reduce histamine. Take 1-2 tablespoons in a little water just before meals everyday and you’ll notice a difference quickly. Please be cautious if you are prone to over-acidity and talk with your healthcare provider.
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