Top10MD Blog

FACTS YOU MUST KNOW ABOUT GLUTEN ALLERGIES

 3 months ago    Leave a comments (0)



Is this gluten free?”

We’ve all heard this before. Whether you are the person behind the counter, or in line waiting to order, none of us are strangers to this question. However, what many people may not realize is that while this may seem like a question brought on by the recent gluten-free craze, gluten allergies do exist, and those who suffer from them really need to avoid gluten. To clear up a few misconceptions, here are a few facts you should know about gluten allergies.

What Is Celiac Disease?

It is possible for those with gluten allergies to develop celiac disease, which is a gastrointestinal disorder that affects the small intestine. This is caused by your body’s heightened sensitivity to gluten and can lead to GI issues such as diarrhea, which may indicate an allergy. A simple blood test from a medical professional can quickly diagnose celiac disease.  

There is a simple treatment for celiac, and it will require some effort: avoid gluten! By cutting gluten out of your diet, the allergen is no longer present in your body, and most GI issues will resolve themselves. Approximately 3 million Americans, or 1% of the population, suffer from celiac disease and must adhere to a very strict diet. With that many people dealing with the possibility of celiac disease as a result of any meal, “Is this gluten free?” may be a good question to hear!

Do Genetics Play A Role?

Don’t be so quick to blame mom and dad, but yes, genetics are involved in gluten allergies and can be inherited. If someone in your family tree had celiac disease or a gluten allergy, there is a chance that genetic predisposition can be passed down the family line.

Just like any other hereditary disorder, there is no 100% guarantee that it’ll be transmitted, as genes are inherited from both parents. That being said, the easiest way to determine if you may have inherited a gluten allergy is to ask family members if they have had issues in the past, and also visit a doctor. A gluten-free diet is a very manageable and common practice that millions of people live with daily.

Gluten Free Is Not Always Healthy…

This is a common misconception among those with and without gluten allergies. When shopping at organic stores such as Whole Foods and Trader Joe’s, it is easy to grab any product labeled “gluten-free” to serve at your next dinner party. Unfortunately, the absence of gluten does not guarantee a healthy snack.

Many of these foods are processed, which is unhealthy in its own right, but they can also be cross-contaminated with gluten. The easiest way to avoid gluten completely is to avoid processed foods. Do this, and your body will thank you!     

Gluten-free diets are much more than a passing fad. Many people are negatively affected by gluten and must avoid it at all costs. It must also be noted that gluten is not harmful to those who have no allergy. The best way to determine whether or not gluten is an issue for you to schedule a consultation with your board certified gastroenterologist today.

Dr. Jeffrey Linder is a Dallas Gastroenterologist practicing at Digestive Health Associates of Texas. He is Board Certified by the American Board of Gastroenterology and the American Board of Internal Medicine. Dr. Linder has two convenient locations in Dallas and Richardson offering state of the art techniques in gastrointestinal problems. Named Top10MD in 2016 – an honor only 1-in-3 doctors succeeds within the United States. To schedule a consultation with Dr. Jeffrey Linder, click on his profile or call his office at 214.941.6891


FINDING A SURGEON, YOU TRUST | A MATTER OF LIFE & DEATH

 1 year ago    Leave a comments (0)



Surgeries that some consider routine can still sometimes cause serious complications. No matter how straightforward you think your surgery might be, you still want to be in the absolute best surgical hands.

Today, your surgeon and hospital are especially important for procedures that are new or complex or even routine. You should be concerned and research but your surgeon and the hospital for that matter as most errors happen in a hospital setting according to John Hopkins report in May noting the third leading cause of death is medical errors. In your search for the best surgeon one indicator is how often your surgeon performs the procedure you’re seeking. For example, a study by researchers at New Hampshire’s Dartmouth-Hitchcock Medical Center of people undergoing surgery for pancreatic cancer found that annual death rates were nearly four times higher for those treated by surgeons who performed the fewest operations.

With that being said, how should you choose a surgeon, someone with whom you’ll be sharing some of your most personal information and entrusting with life-and-death decisions? Communication with your surgeon is essential.

Ask your prospective surgeon these questions before going under…

Are you board certified, and is your certification current?

  • Look for a surgeon who has the necessary board certification(s), necessary training, and has maintained their certification(s) in the specialty they are practicing.

Is this surgery necessary?

  • Avoiding surgery entirely is the only sure way to avoid a surgical complication; understanding the effectiveness of the surgery and having exhausted alternatives you then need to compare the results of your alternatives with the possible risks of the surgery. 

What are your success, failure, and complication rates?

  • Not all surgeons are willing to be upfront with this information, but a good surgeon will.

What is your experience with this surgery?

  • Ask your surgeon how many of these procedures he or she has performed and compare that number with other surgeons performing the same procedure. The best surgeon is not necessarily the busiest surgeon; it’s about avoiding the surgeon who has not performed the procedure as much or as often or as well.

What’s the hospital’s infection rate?

  • Seventeen states now make that information public, and many hospitals report their rates voluntarily. Kudos to them! After asking these questions and others relating to your needs, likes, and dislikes, do your homework and make your choice. Your final decision could be one of the most important you’ll make for you and your family.

To locate a Top10MD Surgeon you can trust visit Top10MD.com and schedule your appointment today.


FROM TOP10MD TO YOU…

 1 year ago    Leave a comments (0)

doctor


DIGESTIVE HEALTH: FACT VS. FICTION

 1 year ago    Leave a comments (0)



Myth 1: The More Fiber, the Better.

Tired of having bran cereal for breakfast, lunch, and dinner? Maybe it’s time to ease up. Most experts agree that you need to get 25-30 grams of fiber per day for good digestive health. It is difficult for many to reach 25. However, some aim to go above and beyond the recommended amount. Should we? No! Not only is reaching 25 grams an accomplishment in itself but going above and beyond can be troublesome for your gut. For people with conditions such as irritable bowel syndrome (IBS), the increase in fiber isn’t as important as the type of fiber. Research shows that insoluble fiber, like bran, may aggravate IBS symptoms. What is more important is an intake of soluble fiber such as psyllium that can offer a reduction in IBS severity. Either way, it is very important to increase fiber intake gradually (2-5 grams per day) to avoid discomforts such as gas, bloating, constipation, or diarrhea.

Myth 2: Nuts Lead to Diverticulitis

This is a common myth among people with diverticulitis. Diverticulitis is a condition in which pockets in the intestine become inflamed and irritated. If you have diverticulitis, you may have been told to avoid nuts, corn, popcorn, and food with small seeds. You may also have been told that these foods might worsen or even cause diverticulitis by lodging in pouches along your intestine. However, researchers have looked at the health records of more than 47,000 men and found no connection between these foods and diverticulitis. New studies suggest that people who eat a high-fiber diet have a lower risk of the disease, and the main culprit of diverticulitis is a low fiber diet.

Myth 3: You Will Know if You Have Cancer

There are usually no symptoms of colon cancer until its later stages. This makes early detection important with routine colorectal checks. Those at risk of colon cancer should start getting tested at age 50 through a CT scan of the colon, a colonoscopy, or a colonoscopy. Talk to your board-certified practitioner about which one is right for you.

Myth 4: Bowel regularity means a bowel movement every day.

The frequency of bowel movements varies from person to person. For some, three a day is regular and for some it is three a week. Perfectly healthy people can fall outside both ends of this range. Nevertheless, even three bowel movements a day can be abnormal in someone who usually has one bowel movement a day. If you have had a change in your frequency, it is best to speak to your practitioner to make sure there are no underlying issues.

Myth 5: Spicy Foods Cause Ulcers

Bring on the tabasco sauce and Texas chili! Hot sauce lovers you may now rejoice! People used to believe that too much spicy food would give you an ulcer. But now we know the majority of stomach ulcers are caused either by infection with a bacteria called Helicobacter pylori (H. pylori) or by use of pain medications such as aspirin, ibuprofen, or naproxen. Spicy food (and stress) may exacerbate ulcer symptoms in some people, but they do not cause ulcers.


FIVE MYTHS ABOUT YOUR GUT

 2 years ago    Leave a comments (0)



Myth 1: The More Fiber, the Better.

Tired of having bran cereal for breakfast, lunch, and dinner? Maybe it’s time to ease up. Most experts agree that you need to get 25-30 grams of fiber per day. It is difficult for many to reach 25. However, some aim to go above and beyond the recommended amount. Should we? No! Not only is reaching 25 grams an accomplishment in itself but going above and beyond can be troublesome for your gut. For people with conditions such as irritable bowel syndrome (IBS), the increase in fiber isn’t as important as the type of fiber. Research shows that insoluble fiber, like bran, may aggravate IBS symptoms. What is more important is an intake of soluble fiber such as psyllium which can offer a reduction in IBS severity. Either way, it is critical to increase fiber intake gradually (2-5 grams per day) to avoid discomforts such as gas, bloating, constipation, or diarrhea.

Myth 2: Nuts Lead to Diverticulitis

Diverticulitis is a condition in which pockets in the intestine become inflamed and irritated. If you have diverticulitis, you may have been told to avoid nuts, corn, popcorn, and food with small seeds, which is a common myth. You may also have been told that these foods might worsen or even cause diverticulitis by lodging in pouches along your intestine. However, researchers have looked at the health records of more than 47,000 men and found no connection between these foods and diverticulitis. New studies suggest that people who eat a high-fiber diet have a lower risk of the disease, and the main culprit of diverticulitis is a low fiber diet.

Myth 3: You Will Know if You Have Cancer

There are usually no symptoms of colon cancer until its later stages, so early detection is important with routine colorectal checks. Those at risk of colon cancer should start getting tested at age 50 through a CT scan of the colon, a colonoscopy, or a colonoscopy. Talk to your board-certified practitioner about which one is right for you.

Myth 4: Bowel regularity means a bowel movement every day

The frequency of bowel movements varies from person to person. For some, three a day is regular and for some, it is three a week. Perfectly healthy people can fall outside both ends of this range. Nevertheless, even three bowel movements a day can be abnormal in someone who usually has one bowel movement a day. If you have had a change in your frequency, it is best to speak to a practitioner to make sure there are no underlying issues.

Myth 5: Spicy Foods Cause Ulcers

Bring on the tabasco sauce and Texas chili! Hot sauce lovers you may now rejoice! People used to believe that too much spicy food would give you an ulcer. But now we know the majority of stomach ulcers are caused either by infection with a bacteria called Helicobacter pylori (H. pylori) or by use of pain medications such as aspirin, ibuprofen, or naproxen. Spicy food (and stress) may exacerbate ulcer symptoms in some people, but they do not cause ulcers.

 

FIND A TOP10MD GASTROENTEROLOGIST NEAR YOU

There are hundreds of Gastroenterologists to choose from; however, not all doctors are created equal. Gastroenterology takes the skill and finesse of an experienced Gastroenterologist. That’s why we’ve selected your city’s finest Gastroenterologists – to make your decision process easier.

For your peace of mind Top10MD Gastroenterologists’ credentials are validated yearly to verify medical licenses have no serious patient care sanctions, current Board Certifications in their given Medical Specialty, current DEA & DPS licenses and malpractice insurance. Top10MD’s have at least 5+ years experience and/or performed 300+ procedures in their given specialty and current Patient Satisfaction Score of 8.5 or higher.


PROBIOTICS – IT’S A GUT FEELING

 2 years ago    Leave a comments (0)



PROBIOTICS – It’s a Gut Feeling

Your body is full of bacteria. Yes, bacteria but please don’t panic. Did you know that most bacteria are quite harmless? “The right bacteria has been linked to numerous health benefits such as improved digestion, weight loss, better skin, enhanced immune function, and a reduced risk of many diseases,” says Dr. Susan Linder with HealthSpringMD. Where is this bacteria in your body? Most of them reside in your gut. The bacteria in your body outnumber your body’s cells 10 to 1, so I’d say they might be quite important. In fact, taking care of your gut, and the friendly bacteria that live there, might be one of the single most important things you can do for your health.

So where do we go from here? Probiotics. Probiotics are found in supplements and foods prepared by bacterial fermentation (such as yogurt, sauerkraut, and tempeh) and are live microorganisms that help colonize our guts with health-boosting microorganisms.

Probiotics are quite new in research but studies are rapidly expanding. The evidence has shown that different probiotics seem to work for different health conditions. Choosing the right type (or types) of probiotic is essential for each individual. Probiotic supplements are considered safe and the only side effect might be a few days of bloating when first starting.

TAKE AWAY: Probiotics are live microorganisms that provide health benefits when consumed correctly. There are many different types of probiotics, and you can get them from foods or supplements.

GUT FLORA

No, there are no beautiful flowers beginning to bloom in your gut. However, you do have hundreds of different types of microorganisms enjoying your gut such as bacteria, yeast, and viruses. Most of these microorganisms, known as your gut flora, are found in your colon, or the large intestine.

The gut flora perform a plethora of functions such as manufacturing vitamins, stimulating the immune system, regulate the integrity of the gut and turning fibers into short-chain fatty acids which helps perform many metabolic functions.

It is important to keep your gut flora balanced as an unbalanced gut flora is linked to diseases such as depression, Alzheimer’s, type-2 diabetes, obesity, heart disease, metabolic syndrome, and colorectal cancer.

TAKE AWAY: Your gut flora consists of hundreds of different types of microorganisms. Probiotics help your gut flora perform at its best.

PROBIOTICS & YOUR DIGESTIVE HEALTH

Have you ever taken an antibiotic? Yes, you have. After you take antibiotics, especially for a long period of time, most people suffer from diarrhea. The antibiotics may end the infection but they also kill many of the natural bacteria in the gut, this allows “bad” bacteria to thrive.

Studies has shown that probiotic supplements can help cure the antibiotic-associated diarrhea as well being helpful with IBS (irritable bowel syndrome) reducing bloating, constipation, and diarrhea. Studies have shown to be useful against H. Pylori infections that can contribute to ulcers and stomach cancers. Do you have a digestive problem that won’t go away? Try a probiotic supplement; it might be your answer.

TAKE AWAY: Probiotics have been shown to be effective against various digestive problems.

PROBIOTICS & WEIGHT LOSS

The bacteria in your gut as an obese individual will be different from those of lean people. Sounds unfair, right? Although it needs to be studied a lot more, some probiotic strains have been shown to help with fat loss.

In 2013 a study was published showing that over a 12-week period, people with lots of belly fat lost 8.5% of their belly fat mass by taking the probiotic Lactobacillus gasseri. Interestingly, when they stopped taking the probiotic, they gained the belly fat back within 4 weeks.

However, this needs to be studied more before any recommendations can be made as some animal studies show that some probiotic strains could lead to weight gain, not loss.

TAKE AWAY: There is some evidence that the probiotic Lactobacillus gasseri can help people lose belly fat.

PROBIOTICS & HEALTH BENEFITS

To list all of the benefits of probiotics a book would be much easier than a blog. However, there are some that are worthy of being highlighted, although this is just the tip of the iceberg.

  • Inflammation – reduce systemic inflammation, a leading cause of many diseases
  • Depression & Anxiety – reduce symptoms of anxiety and depression in people with clinical depression
  • Blood Cholesterol – lower total and LDL cholesterol levels
  • Blood Pressure – modest reductions in blood pressure
  • Immune Function – enhance immune function and lead to reduced risk of infections
  • Skin Health – useful for acne, rosacea and eczema, as well as other skin disorders

TAKE AWAY: Probiotics have been shown to have numerous health benefits.

 

Dr. Susan K. Linder a Diplomat of the American Board of Anti-Aging, Functional & Regenerative Medicine. She is also board certified in Physical Medicine & Rehabilitation, with a subspecialty board certification in Pain Management. Dr. Linder is the Medical Director of HealthSpringMD conveniently located in Fort Worth, TX. For more information on nutritional health, bio-identical hormone replacement therapy and getting back to feeling great visit her website: www.healthspringmd.com or call today to schedule a time to meet with Dr. Linder 817-926-7671.


SURGEON IN CRITICAL CONDITION FROM EBOLA BEING TREATED IN NEBRASKA

 3 years ago    Leave a comments (0)



General surgeon, Martin Salia, was working in Sierra Leone at the Kissy United Methodist Hospital when he contracted the Ebola virus and now is in a Nebraska hospital and is in severely critical condition.  Originally, from Maryland, Salia was first showing ebola symptoms on Nov.6, but originally tested negative.  Then, on Monday, November 11, he tested positive.

This time around, as reported by the Nebraska Medical Center, the doctors who are treating Marin Salia, are “using the maximum amount of supportive care possible in an effort to save his life.” It was further described as an “hour by hour situation” according to the head of the hospital’s biocontainment unit.

West Africa has had more than 5,000 individuals die from Ebola, and they were mostly from Guinea, Sierra Leone and Liberia.  Thankfully, for the 10 candidates treated for Ebola in the U.S., all but one have lived.

Salia’s wife reported that when she first spoke with him on the phone, he sounded weak and shaky, telling her he loved her. They prayed together and for their two children who are 12 and 20.  Salia’s wife referred to her husband as “my everything.”

Unfortunately, their have been 5 other doctors in Sierra Leone who have contracted Ebola, as Sierra Leone was hit very hard with the virus. None of these doctors have survived. Our thoughts, prayers, and support go out to Dr. Salia and his family.

*This report includes details from the Associated Press

* Photo Credit to NBC News


KATE, DUCHESS OF CAMBRIDGE SUFFERS FROM SEVERE PREGNANCY SICKNESS

 3 years ago    Leave a comments (0)



After all the attention that the Duchess of Cambridge is getting for experiencing sickness during her pregnancy, let it be made clear that this is not morning sickness. Kate is suffering from Hyperemesis Gravidarum (HG), which is like morning sickness on steroids. It can’t be cured with ginger ale and saltine crackers. Severe cases of HG usually require hospitalization so that the mom can receive nutrients and fluids through an IV. It is very important not to try to solve this problem with over the counter medication before seeking advice from your health care provider.

Morning Sickness vs. Hyperemesis Gravidarum

Morning Sickness: Hyperemesis Gravidarum:
Nausea sometimes accompanied by vomiting Nausea accompanied by severe vomiting
Nausea that subsides at 12 weeks or soon after Nausea that does not subside
Vomiting that does not cause severe dehydration Vomiting that causes severe dehydration
Vomiting that allows you to keep some food down Vomiting that does not allow you to keep any food down

 

Duchess KateSymptoms of Hyperemesis Gravidarum (HG)

  • Severe Nausea
  • Excessive vomiting
  • Dizziness and shortness of breath from vomiting
  • Unable to keep food down
  • Severe weight loss
  • Excessive dehydration from so much vomiting
  • Electrolyte disturbance

Emotional Toll of HG

All these things can take a large toll on one’s emotional health too. Soon-to-be moms can feel like a failure because their body is not cooperating with them and they’re not having that wonderful “pregnant glow,” that makes the whole experience look easy.  Furthermore, worry continues to grow as these ailments are prolonged and it is difficult for your baby to grow.

Looking For The Positive

Through all of this, when the pregnancy seems utterly deplorable, the hope at the end of it is that you will be blessed with a baby, a new life! For many, this has been the feedback they have shared that has helped them get through this rough and depressing time.

 

For more information and research on Hyperemesis Gravidarum (HG) visit helper.org


DALLAS PARAMEDICS UNDER EBOLA OBSERVATION | TOP10MD

 3 years ago    Leave a comments (0)



Both Fire-Rescue paramedics, as well as Texas Health Presbyterian emergency room workers are under observation as they all had made contact with a patient who is carrying the Ebola virus.

Tuesday evening, September 29th, a whole crew of Ebola experts from The Center of Disease Control & Prevention, was flown in from Atlanta to help the Dallas staff.

One Dallas Fire-Rescue crew member commented that a paramedic who was treating the man, exhibiting possible symptoms of Ebola, then put on a mask and gloves, after this realization.  The patient’s symptoms were GI issues, nausea, and vomiting and high fever.

The observation period for the 3 Dallas paramedics, who may have been exposed, will be 3 weeks, which is the maximum amount of time it can take for Ebola symptoms to show up.

Assistant Chief Norman Seals commented that he spoke to all three paramedics who seemed relaxed and not nearly as concerned as all the hype coming along with this.

Meanwhile, the Dallas County Health department and CDC will be conducting a “contact investigation,” to interview everyone the patient has come in contact with, which is roughly a dozen people in all.

The patient, himself, was a traveller, but we are also hearing that he lived in Dallas, so the investigation continues to help bring more clarity to the situation.

On a positive note, Dallas County Health Director, Zachary Thompson, says this health situation is very manageable.


GOOGLE GLASS: GAINING POPULARITY IN THE MEDICAL WORLD

 3 years ago    Leave a comments (0)

Google Glass is gaining popularity in the medical world. A 1.8 ounce computer, configured as a pair of glasses, is now finding it’s way into the medical world as a premier teaching tool.  Being able to record surgeries, hands-free, from the surgeon’s point of view has become a game changer!  Colleagues or medical students alike can now utilize these streaming surgeries.

Cardiothoracic surgeon, Pierre Theordore, M.D., has taken this new technology one step further.  By pre-loading x-ray images onto the Google glass, he is able to immediately reference them in his field of vision, and compare them to the actual surgical site.

Theodore explains that having these x-rays in your field of vision, without having to leave the operating room, allows you to maintain your attention 100% on the patient without interruption.  Having immediate access to valuable data, Theodore believes, is an essential part to making critical decisions accurately, which leads to better surgical outcomes for patients.

Dr. Theodore is the first surgeon to be given clearance on this tool as an auxiliary device from the local institutional Review Board (IRB).

If it seems hard to imagine, Theodore compares the screen to a tic tac toe board where his valuable information is in the top right hand corner and if he needs it, it’s there, but it also isn’t in the way of his normal field of vision. This is also similar to the idea of a rear view mirror.

Bridging the Gap

It’s possible that this new wearable technology is going to help break down geographical barriers, allowing surgeons in remote parts of the world to observe how the United States is performing more modern procedures. Google Glass will also provide a way to have live streaming feedback during surgery, for surgeons to teach modern surgical techniques, in live time, to surgeons in other parts of the world.

The numerous potential options for Google Glass are going to be revolutionary in the healthcare world.  With this new technology, it is now upon our doctors and researches to find out how far we can take it.

 


VIEW /





DallasFort Worth