Carlos E. Reyes, MD
Specialty: Internal Medicine
Location and Office HoursCarlos E Reyes MD & Andrew P Myers MD
Wilmington, DE 19808
- Coventry Health Care
- Delaware Physicians Care
- Highmark BlueCross BlueShield
- Christiana Care Christiana Hospital
- Wilmington Hospital
What is proctalgia fugax?
Robynne Chutkan, MD, Gastroenterology, answeredProctalgia fugax is manifest by deep pain in the rectum that feels like a severe muscle cramp -- which is exactly what it is: a cramping of the pubococcygeus or levator ani muscles. It frequently occurs at night and may also occur after intercourse. Some patients describe an urge to defecate although the rectum is usually empty. No one knows for sure what causes proctalgia fugax but thickening of the internal anal sphincter muscles is present in many people who suffer from this condition.
What should I be aware of if I am a senior with calcification in the aorta?
Anthony Komaroff, MD, Internal Medicine, answeredCalcification in the aorta is extremely common at your age. It is often first seen during a routine x-ray. No treatment is needed to remove the calcium, as it doesn't pose a problem.
That said, calcification is an indicator that your aorta isn't as healthy as it could be. It is typically a sign that patches of cholesterol-laden plaque are accumulating in your aorta. Patches there usually mean that plaque is in other arteries, too, like the coronary arteries that supply the heart muscle.
The best way to protect yourself against this invasion is by taking the standard prevention steps. These include exercise, a healthful diet, not smoking, and controlling weight, blood pressure, cholesterol, and blood sugar. You may also want to discuss medications like low-dose aspirin and a statin with your doctor, depending on issues like your bleeding risk and your fasting cholesterol profile. That's the best way to "live with it."
Find out more about this book:Harvard Medical School Heart Disease: A guide to preventing and treating coronary artery disease
What causes kidney disease?
Honor Society of Nursing (STTI) answered
The causes of kidney disease may vary from person to person and across the types of the condition, but can be caused by a number of things which can damage kidney function, including:
- High blood pressure
- Glomerular diseases (diseases that attack blood vessels in the kidneys)
- Physical trauma
- Long-term use of some over-the-counter medications like painkillers
Sometimes kidney disease isn't caused by these factors and is instead a genetic disorder. Kidney disease can also be congenital, meaning it develops while a baby is still inside her mother. Diabetes and high blood pressure are the most common causes of kidney disease.
See all Kidney Disease questions