Scott L. Sole, MD
Specialty: Internal Medicine
- internal medicine
Location and Office HoursParkersburg Neurological Associates Inc
Parkersburg, WV 26104
- Anthem BlueCross BlueShield
- BlueCross BlueShield
- BlueCross BlueShield of Illinois
- Coventry Health Care
- First Health
- Great-West Healthcare Cigna
- United Healthcare
Why does a doctor use cardiac computed tomography?
Cardiologists generally perform two types of procedure using the CT scanner. The first is a coronary calcium score, which is a screening test, which can give the physician some idea of how much plaque has been deposited in the patient's coronary arteries. When plaque is present for many years, the body tends to calcify it. This calcium can be easily seen with a CT scan and this procedure takes very little time. The other type of procedure that has recently been developed is a coronary CT angiogram. Besides looking at the calcium in the coronary arteries, fatty deposits can also be visualized and a fairly good estimation of the severity of these blockages can be made. The CT scan also evaluates the heart muscle, sac surrounding the heart (pericardium), and the pulmonary arteries, as well as the thoracic (chest) and abdominal aorta.
What is external sphincter insufficiency (ESD)?
Jill Rabin, Obstetrics & Gynecology, answered
External sphincter insufficiency (ESD), the most common of the two types of stress incontinence, causes urine leakage when the abdominal muscles tighten (during coughing, laughing, sneezing), thus creating abdominal pressure against the bladder and urethra. A well-supported urethra will not leak.
For someone with stress incontinence, however, the pelvic floor muscles and the connective tissue that supports the bladder and urethra are so worn that when the stress of a cough occurs, bladder pressure (from the stress pressure in the abdomen) exceeds pressure in the urethra (pushed down and out of the abdominal compartment) and causes leakage.
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When should I call my doctor if I have celiac disease?
Call a doctor if you or your child has symptoms of celiac disease, such as:
- Unexpected weight loss.
- Diarrhea that lasts longer than 1 to 2 weeks.
- Failure of a child to grow or gain weight as expected.
- Unusual fatigue or mood changes, especially if these last more than a week and aren't related to any other illness, such as the flu.
If you or your child has been diagnosed with celiac disease, call a doctor if:
- Symptoms continue, come back or get worse.
If you think that you or your child may have celiac disease, watchful waiting is appropriate if mild symptoms of diarrhea or vomiting last only for a few days. Talk with a doctor if your child continues to have diarrhea and doesn't seem to be gaining weight as expected even though he or she has a good appetite.Who to see
Health professionals who may evaluate symptoms of celiac disease in adults or children include:
- Family medicine doctors.
- Nurse practitioners.
- Physician assistants.
A doctor who specializes in problems with the digestive system ( gastroenterologist ) should be consulted to confirm the diagnosis with a small intestine biopsy. In addition, a dietitian can help you plan and stay on a gluten-free diet.
To prepare for your appointment, see the topic Making the Most of Your Appointment.
This information does not replace the advice of a doctor. Healthwise disclaims any warranty or liability for your use of this information. To learn more visit Healthwise.org
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