Smokable Marijuana Needed In Some Cases

Posted on July 13, 2018 by Dr. Noel R. Williams

With the recent passing of State Question 788, Dr. Williams said he had hoped to do more for his patients who in some cases are chronically ill. He says Tuesday’s restriction banning the sale of smokable marijuana is counterproductive to the reason the bill came about. Read the full story here.

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Overactive Bladder

Posted on June 24, 2018 by Dr. Ben Barenberg

Urinary Urgency/Frequency Syndrome:

With normal bladder function, when you feel your bladder is full you can control when you urinate by contracting a particular muscle in the bladder. In the case of an overactive bladder, the muscles receive the wrong nerve messages and contract unexpectantly, causing you to feel like you have to urinate right away or, in some cases, causing you to leak urine. Women who suffer from overactive bladder may experience voiding frequency >8 times a day, voiding frequency >2 times a night, sensation of incomplete bladder emptying, strong urge to urinate, and may suffer urinary leakage. There are many risk factors for overactive bladder including childbirth, pelvic surgery, neurologic diseases, aging, and certain medications. The workup for overactive bladder includes a complete medical history. Your doctor may require you to fill out a bladder diary. Most workups include an assessment for bladder infection, assessment for appropriate bladder emptying, and potentially complex bladder testing known as urodynamics. Treatments for overactive bladder include but are not limited to medications, pelvic floor therapy, Mona Lisa Touch Laser Therapy, Interstim bladder pacemaker, and botox. 

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Painful Urination

Posted on June 17, 2018 by Dr. Ben Barenberg

The term “dysuria” refers to any pain or discomfort associated with urination (peeing). Women of any age can experience painful urination. Dysuria is most commonly associated with urinary tract infections. Pregnant women, women with diabetes, women with prior vaginal mesh surgeries, and women with any type of disease of the bladder are at higher risk of painful urination. Other causes of dysuria include: vaginal infection, bladder infection, urethral infection, sexually transmitted diseases, menopausal vaginal changes, and urinary tract cancer.  women who experience painful urination should see a doctor. Dysuria can be a symptom of a broader physical condition that may need treatment. The workup for painful urination may include urine culture, vaginal culture, and potentially further evaluation for more complex disorders of the lower urinary tract. 

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Vaginal Dryness/Atrophy

Posted on June 10, 2018 by Optimal Health Staff

Vaginal dryness is a condition that occurs due to hormonal changes in the vagina.  When estrogen levels drop in the vulva, blood flow decreases and atrophy can occur. Atrophy is thinning of the tissue that results in less rugations or natural folds in the vaginal tissue.  As the body loses rugations, the tissue becomes less elastic with less natural moisture and lubrication. This can lead not only to painful intercourse but also recurring vaginal and bladder infections.  Physiologic moisture helps maintain the proper pH balance which prevents overgrowth of yeast or harmful bacteria that can make a woman more prone to vaginitis and UTI’s.  

Treatment of vaginal atrophy can include a variety of hormone replacement options such as estrogen and testosterone which can be used in topical forms such as creams, gels, patches, sprays and pellets. There is also a laser treatment available called MonaLisa Touch which is a non-hormonal option that can help with atrophy, vaginal dryness, mild stress urinary incontinence and decreased sensitivity. 

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