Fi­broids in the wrong place

Moose Jaw Times Herald - - OPINION -

That’s a lot of choices, but the bot­tom line is that any of the ap­proved vac­cines will give some pro­tec­tion against the flu, which is al­ways an un­pleas­ant ex­pe­ri­ence but can be a lifethreat­en­ing ill­ness: The Cen­ters for Dis­ease Con­trol and Pre­ven­tion es­ti­mates that there are 12,000 to 56,000 deaths from flu in the U.S. each year. Most of these are in peo­ple who are not vac­ci­nated.

Uter­ine fi­broids in the right (wrong) place can cause bowel com­pres­sion and con­sti­pa­tion. I wasted a lot of time adding more and more fiber to an al­ready fib­er­ad­e­quate diet to the point where I de­vel­oped di­ver­tic­u­lo­sis from bowel pres­sure. A hys­terec­tomy solved the prob­lem com­pletely. Wish I’d known sooner.

Thank you for writ­ing. Fi­broids are be­nign tu­mors of the uterus. They are very com­mon: Up to 80 per­cent of women over 40 have them, al­though many don’t have any symp­toms. The most com­mon symp­toms are bleed­ing, pelvic pain or pres­sure, or a pelvic mass noted by the woman. The vast ma­jor­ity of uter­ine masses are be­nign: There is a risk of a ma­lig­nant tu­mor (sar­coma), but only about two cases per 1,000 women with symp­to­matic fi­broids.

It is not a com­mon pre­sen­ta­tion, but you are com­pletely right that a fi­broid in the pos­te­rior part of the uterus can press di­rectly on the rec­tum. This can cause me­chan­i­cal pres­sure, re­quir­ing in­creased strain­ing to void. Fi­broids also can bleed, caus­ing ane­mia, and the iron tablets many women take to coun­ter­act this also can cause con­sti­pa­tion.

Not all women with fi­broids need surgery. They usu­ally get smaller af­ter menopause. How­ever, very large or symp­to­matic fi­broids can be treated sur­gi­cally.

The book­let on con­sti­pa­tion ex­plains this com­mon dis­or­der and its treat­ments. Read­ers can or­der a copy by writ­ing: Dr. Roach Book No. 504 628 Vir­ginia Dr. Or­lando, FL 32803 En­close a check or money or­der (no cash) for $4.75 U.S./$6 Can. with the re­cip­i­ent’s printed name and ad­dress. Please al­low four weeks for de­liv­ery.

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