The Columbus Dispatch

Postpartum depression, diet not thought to be linked

- — E. Dr. Roach answers letters only in his column but provides an order form of available health newsletter­s at www. rbmamail.com. Write him at 628 Virginia Drive, Orlando, Florida 32803-6475; or toyourgood­health@ med.cornell.edu.

post-delivery. Risk factors include a history of depression, major stressful events during pregnancy and a lack of financial or social support.

Postpartum depression differs from “postpartum blues,” which involves mild symptoms of depression such as sleeping ills (unrelated to the baby), poor energy, concentrat­ion difficulti­es and a “down” feeling. The symptoms tend to improve within a few days and disappear within two weeks.

Women with postpartum depression might experience symptoms for two weeks — which might include feelings of guilt, loss of pleasure and thoughts of self-harm.

Although I wish PPD could be prevented with a simple diet change, I don’t believe that to be true.

Dear Dr. Roach: I have a patent foramen ovale (hole in the heart). I’ve heard that people with a hole in the heart are more prone to strokes. If true, how can I prevent it?

A: There are several types of defects in the heart muscle called “holes in the heart”; the most common is the patent foramen ovale (Latin for “open oval-shaped window”). It occurs when the normal opening between the left and right atrium — necessary in a developing fetus because the oxygen to a fetus comes from the mother through the placenta — fails to close after birth.

Up to 30 percent of the population has a patent foramen ovale., with most never developing problems.

People with a PFO do face a higher risk for stroke. It is thought that a blood clot — which would otherwise go into the lung (and usually cause little trouble) — can go through the patent foramen ovale and into the brain, causing a stroke. Still, this is uncommon, and the greater risk of a stroke in people who haven’t had one is small.

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