Strictly speaking, menopause is your final menstrual period, but most doctors agree you need 12 straight months without a period before you can call that last period “final.” Gone along with your periods, however, are your “factory-installed” female hormones. These protect you against a host of conditions–heart disease and osteoporosis most prominently–and lack of them can lead to a variety of symptoms, known collectively by your mothers as “the change.” These may include hot flashes, night sweats, mood swings, sleep disturbances, vaginal dryness, weight changes and poor concentration.
Memory Loss/Impairment
Although all of us desire longevity, at the same time one of our greatest fears is any decline in our mental powers. One day, you might wander through your home, forgetting what you were looking for. Or you might finish a book and the next morning can barely remember the plot. You miss appointments unless you write them down. Friends and family members comment on your forgetfulness. With a chill of horror, you think, “Alzheimer’s disease!” Actually, this is very unlikely. You’ve just not been paying attention to your brain health. This has a name, “cognitive decline,” a description of what you’re experiencing, rather than an actual disease.
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.
Insomnia
Virtually all of us have experienced problems with sleep at some point in our lives. Sleep problems come in a variety of forms. Perhaps you’re unable to fall asleep, or maybe staying asleep is the problem, or perhaps you awaken unrefreshed two or three hours before you’d planned. The end result is that you’re tired the next day, or grouchy, or you can’t concentrate. And the next night arrives accompanied by that lurking fear: What if it happens again? Fortunately, most insomnia is transient, meaning that it clears up by itself.
Infertility, Male
Infertility issues, which seemed so rare 20 years ago, are quite common these days. The most significant factor seems to be the desire couples have to start their families when they’re a little older, after they’ve established themselves in their careers. Clearly this affects a woman’s chances of reproducing, since fertility in women declines after age 35. And conception after age 45 is rather rare. Aside from trying to reproduce earlier in her life, there are some surprisingly simple steps a woman can take to increase her likelihood of becoming pregnant. It amazes me (although perhaps it should not) how little emphasis is placed on lifestyle issues and good nutrition by either gynecologists or infertility specialists. In all parts of the world, “wise women” have been using herbs for centuries to help their infertile daughters.
Infertility, Female
Infertility issues, which seemed so rare 20 years ago, are quite common these days. The most significant factor seems to be the desire couples have to start their families when they’re a little older, after they’ve established themselves in their careers. Clearly this affects a woman’s chances of reproducing, since fertility in women declines after age 35. And conception after age 45 is rather rare. Aside from trying to reproduce earlier in her life, there are some surprisingly simple steps a woman can take to increase her likelihood of becoming pregnant. It amazes me (although perhaps it should not) how little emphasis is placed on lifestyle issues and good nutrition by either gynecologists or infertility specialists. In all parts of the world, “wise women” have been using herbs for centuries to help their infertile daughters.
Impotence
The politically correct term for impotence these days is “erectile dysfunction,” or ED. Whatever you call it, the lesson we doctors were taught in medical school–that most cases of failure to get or maintain an erection are emotional–turned out to be dead wrong. We now know that ED has a physical cause about 85% of the time. Usually the problem is poor circulation and reduced blood flow to the penis, so that an erection cannot occur. Undeniably, the new prescription drug Viagra works well for many men. But it’s expensive, can have side effects, and may not be right for everyone. Over the years, several supplements and herbs have been used with good results. (In fact, one of these, yohimbine, can be so effective that it’s available only by prescription.) Let’s see how some of our WholeHealth Chicago recommendations can help.
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.
Hair Problems
Whether you realize it or not, every day you lose some hair. Your body then replaces it with some new strands as part of the many renewal processes that are built into our systems. As you age, the reappearance of new hair gradually slows. This phenomenon is more noticeable in men, whose “male-pattern baldness” is genetically determined and can begin as early as age 20. For women, hair normally thins after age 50, and significant hair loss before that age is rare. Hair loss can also be tied to a wide variety of conditions not related to your family history, such as nutritional deficiencies, side effects of illnesses or a particular drug, child birth, hormonal shifts, or periods of increased stress.
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.
Flatulence
Benjamin Franklin wrote a whole pamphlet on the subject. He suggested that if people added to their diet certain perfumes and flowers, they would soon be breaking wind as delectable as summer breezes. Of course, two hundred years later, our intestinal air is, well, as succulent as ever. Most of us, like it or not, do have our own ‘factory-installed’ Whoopie Cushions. The flowers didn’t work and flatulence prevails. Certainly one of those health issues in the realm of the genuinely annoying rather than medically serious, flatulence can still cause considerable discomfort, noise, and embarrassment. (Unless you’re about eight years old, in which case, expect considerable popularity among your peers.)