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Should problem be repaired 81 DRGOTT DEAR DR Im a 75year old female with a rectocele My doc tor Indicates I can live with the condi tion yet I wonder repair would be the proper course of action Im prone to divertlculosls and am bothered with an irritable bowel from time to time Daily exercise Is a mile of walk ing per day which I hope is a help and not a hindrance DEAR READER In women the rectum Is ordinarily held in place by supporting tissue part of which Is at tached to the uterus A is a weakness of this tissue which allows of the rectum to prolapse to out of position into the vaginal canal In severe cases the rectum may actually push part of the vaginal wall out of the vaginal opening Because the degree of prolapse de pends on abdominal pressure the con dition is worsened by straining How ever It is not a health hazard and will not usually interfere with bowel evac nation If the becomes a nui or interferes with sexual rela It can be repaired During the operation a gynecolo gist tightens the vaginal wall and ally removes the uterus because this organ sagging out of position con tributes to the prolapse Although the operation is standard fare for a spe cialist your doctor Is correct in reas suring you that it is not necessary Avoiding surgery Is always prefera ble to having it if possible Continue your dally exercise low your doctors advice and If the rectocele becomes more of a problem request a consultation with a gyne cologist To give you more informa I am sending you copies of my Health Reports An Informed roach To Surgery Diverticular and Irritable Bowel Syn drome Other readers who would like copies should send 25 for each re port to PO Box Cleveland OH Be sure to mention the titles DEAR DR GOTT Several months ago I had surgery on my left eye for a detached retina My doctor says causes this yet I question that a hard fall might have triggered the condition My past history includes cataract surgery on both eyes What your opinion DEAR READER In a detached ret part of the light sensitive cover a the back of the eye peels off leading to partial blindness Some forms of detachment are associated with ocular Injury or cataract sur gery other types are caused by diabe tes or sicklecell disease anemia from malformed red blood cells To my knowledge a hard fall that spared the eyes would not cause a ret detachment You should check with another ophthalmologist to de termine what if any relation exists between your cataract surgery and the detachment DEAR GOTT My 73 year old husband is forgetful and confused with no will to live He sleeps hours every day and would sleep longer if I didn t wake him for lunch His doctor says he is senile and that senility is ex actly the same as Alzheimer s disease with a different name Is this correct DEAR READER Your husband is showing signs of a brain disorder called organic brain syndrome or de mentia Some causes of dementia such as vitamin deficiency mineral imbalance and poor circulation to the brain can be treated and corrected Other forms are unfortunately in curable Senile dementia agerelated withering of brain tissue and Alz heimers disease progressive neuro logical malfunction of unknown cause are two such forms Although doctors have traditionally believed the two conditions are unre lated recent studies suggest that se nile dementia may in fact be a spe cific type of Alzheimer disease that attacks brain cells in elderly patients Therefore your doctor is probably correct In my opinion your husband should be examined by a neurologist who af ter an examination and testing with blood analyses and brain Xrays will confirm or reject the diagnosis of se nility A precise diagnosis Is crucial because as I mentioned some causes of organic brain syndrome are treat able Ask your husbands physician for referral to a specialist THINKING OF SELLING YOUR HOME For a FLAT FEE of 2950 Nothing Up Front No Hidden Fees Paid on Closing for your appointment to find out more Into CALL TODAY RE STAR the 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