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Questions and Answers Segment

Your questions answered every 2 weeks. If you have a question for Dr Elstein, click here.


QUESTION 1:  I have heard of prostate being done by a urologist as treatment for an enlarged prostate. Why would that be done and why would it help?

  Answer:  I think you are referring to the operation whereby part of the prostate is removed which reduces the obstruction caused by this organ making it easier to urinate.  If you are suffering from the symptoms of an enlarged prostate, which includes going frequently to the toilet during the day, and night as well as a weak stream of urine you should visit your doctor to have this investigated.  Oftentimes natural remedies such as the herb saw palmetto or medications can be used to manage this problem.  If these are ineffective an operation may be necessary.  It is important to consult with your doctor, as he might need to order a PSA blood test, which is one of the ways to eliminate prostate cancer.


QUESTION 2:  I have polycystic ovarian syndrome and I was wondering if there is any cure? The doctor put me on Dianet but all it's doing is giving me regular periods which is good as I didn't have any before I was diagnosed with it and I really want children.  Is there anything else I can do like an operation?

  Answer:  One of the means for managing this disorder includes a blood test, which evaluates a condition called insulin resistance.  This is a metabolic syndrome, which leads to blood sugar imbalance as well as obesity and is thought to be linked to polycystic ovarian syndrome.  If you can persuade your doctor to do the necessary tests including the measurement of blood glucose and insulin before and after a sugar drink you can find out whether you have this problem.  Correcting it with the appropriate diet and nutrient supplements might help to resolve your polycystic ovarian disorder.


QUESTION 3: I had a thyroid out 7yrs ago and was put on oroxine of 200mcg a day.  I am putting weight on and am depressed with dry hair and no libido.  I saw a doctor who took blood tests and my DHEA is 3.8 and should be 15.  She put me on DHEA 20mcg a day and also dropped my oroxine 150mcg a day and added T3 15mcg a day.  I still don’t feel a hundred percent and have been on this dose for about 6 weeks now. How long does it take to feel normal?  I read your column in the paper every day.

  Answer:  I suggest you have your other hormones evaluated as you may be suffering from excess cortisol and progesterone deficiency.  There is a suggestion that this might also reduce the efficacy of thyroid hormone function.  If you have low DHEA you might also be suffering from insulin resistance, which is mentioned in the previous question, and this should also be evaluated and corrected.  Nutrient deficiencies might also be an issue and here you mighty be lacking in B vitamins and essential fatty acids leading to depression and dry hair. Selenium and zinc are also important for thyroid hormone function.


QUESTION 4:  I have had symptoms of chest pain, indigestion, sore throat, and fungal rash on arms and tops of legs, fungal irritation on my toe, muscles and joint aching, tiredness and vagueness for the last six months as well as chronic persistent recurring vaginal thrush for three years. I have been seeing a doctor and MRI scans, barium meals and gallbladder scans showed nothing. I suggested Candida and asked if it could be a problem and could it be investigated. The answer was basically candida can only affect you if your immune system is down and that I was okay. However I had previously had Bells Palsy 10 months ago during pregnancy so I got a 2nd opinion and was immediately without investigation told the same thing but the doctor was unable to explain my symptoms and told me take a multivitamin. I am unsure what to do now and where to get help. I am concerned about my health as I have two small children and need to stay healthy. Any suggestions would be greatly appreciated. 

  Answer:  I agree that you might have a candida infestation. Unfortunately this is viewed with some scepticism by the mainstream medical community but there is mounting evidence that this is a real clinical problem.  I have found that it is certainly worthwhile addressing this issue in my practice which I do with considerable success and appreciative patients.  My programme includes a yeast-free diet, acidophilus/bifidus supplementation and anti-candida herbal remedies including horopito, pau’d arco, citrus seed extract, olive leaf and others. If this is not successful then anti-fungal medications such as nystatin and nizoral can be incorporated.


QUESTION 5:  Is there a risk for someone suffering from GERD like me to have the gall bladder removed (cholecystectomy)?  Won't the modified bile flow make my GERD problems (Barrett stage IV) worse?  Is the hypothetical risk of pancreatitis caused by my gallstones worth the operation?  Thanks a lot for any answer.

  Answer:  It all depends on the reason for removing your gall bladder.  I don’t think that removing your gall bladder will make your reflux symptoms worse. If you are often getting symptoms associated with gall bladder dysfunction then an operation might be indicated.


QUESTION 6: What vitamins/supplements can I take to help strengthen veins/arteries/capillaries in my legs?  I am getting a lot of   spider veins and the marble look on my legs. There has to be something to correct this problem.  Please help!!

  Answer:  Vitamin C with bioflavonoids might be helpful.  Herbs such as butchers broom, horse chestnut, gotu kola and hawthorn can also help but you should get a naturopathic physician to dispense the appropriate herbal remedy for you.  Grape seed extract is another natural remedy that has the ability to strengthen veins and capillaries.


QUESTION 7:   I was diagnosed with Hashimoto's Thyroiditis 10yrs ago. I just recently found out that I am gluten intolerant also. Could this be the underlying cause for Hashimotos? Could a gluten-free diet possibly eliminate or even "cure" my thyroid?

  Answer:  There is definitely a connection between coeliac disease and Hashimoto’s thyroiditis and going on a gluten free diet might lead to improvements with regard to your thyroid function but I don’t think a cure would be guaranteed.

 


QUESTION 8: I am gradually losing my hair. I understand this may be normal but is it normal to be also losing my pubic hair and eyebrow hair continually also. I have problems with helicobacter also. Could this cause my hair loss?

  Ans wer:  I think you should visit your doctor and have your situation assessed.  It is possible that you have a hormonal imbalance or a gluten intolerance, which can lead to hair loss.  It is also possible that you have an overactive immune system that can also lead to premature balding.  Helicobacter pylori infection has not been associated with hair loss.

 


 

 

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