Section: Highlights

Ask a Doctor

10/22/2018

Q: In terms of nutrition, what should I focus on to improve my child’s health?

A: Cutting back on sugar is a great place to start. Nutrition advice has changed over the years; for instance, once upon a time parents were told to eliminate fats from their child’s diet. But when the importance of healthy fats to brain development and overall good health was understood, the advice became more accurate and nuanced: unhealthy fats (especially the trans fats found in crackers, cookies and processed foods) are seriously problematic. Healthy fats—like those found in fish, avocados, olive and nuts—should be plentiful in your child’s diet.

But reducing your child’s sugar consumption is nutrition advice that has not changed. It remains as important today, as when physicians and nutritionists first sounded the alarm several decades ago. High sugar consumption has been linked to everything from cognitive decline and depression, to obesity, diabetes and artery damage.

Health and nutrition experts have two simple recommendations. First, restrict sugar-sweetened drinks to once a week. (Kids shouldn’t consume more than six teaspoons of added sugar per day—yet most consume three times this amount.) And, don’t give children under two any added sugar (including juice), as they need nutrient-rich diets and are developing taste preferences.

David Joung, MD, is a board-certified pediatrician with St. Jude Heritage Medical Group, who is committed to offering comprehensive care and education to his patients and their families.

Dr. Joung is accepting new patients and his office is located at 4300 Rose Drive in Yorba Linda. To make an appointment, please call (714) 528-4211.

Q: What are the symptoms of prediabetes? Is it serious?

A: For most people, there are no symptoms. About 86 million Americans—one-third of adults—have prediabetes, and most of them don’t even know it. Prediabetes means your blood sugar levels are higher than normal, but not yet high enough to be diagnosed as diabetes. In other words, prediabetes means you are on the road to diabetes and all of its health-threatening complications, unless you take steps to prevent or reverse it.

Talk to your doctor about your risk and ask for a blood glucose test, particularly if you are overweight and inactive, or have a family history of type 2 diabetes.

Increase your physical activity and make smarter, more nutritious food choices. Start to include Mediterranean-style eating habits into your daily routine (more fish, healthy fats and vegetables, and less sugar and trans fats). This style of eating offers a long list of benefits for your heart, brain and overall health.

Losing even a small amount of weight and getting at least 150 minutes of physical activity per week can dramatically reduce your risk of diabetes. In addition to pushing blood sugar levels back into the normal range, exercise and weight loss can also help prevent stroke, heart disease, Alzheimer’s and other debilitating diseases.

Henry Kaw, MD, is a board-certified family medicine physician who cares for individuals of all ages and every stage of life. He is committed to helping patient prevent disease and improve their well-being.

Dr. Kaw is accepting new patients. To make an appointment, please call (714) 462-8383. His office is located at 321 N. Pomona Avenue, Suite D, in Fullerton.

Q: If you want to avoid osteoporosis, are Tums and other antacids a way to get extra calcium?

A: No, antacids like Tums actually oppose the very stomach acid (hydrochloric acid) needed for calcium absorption. Calcium is one of the most important minerals in the body, not only for bone health but for nerve transmission, blood clotting, heart function, hormone function and metabolism.

While some can meet their daily calcium needs through good nutrition, most people should add a calcium supplement to ensure their body’s need for this essential mineral is met. Calcium also requires a lot of digestive teamwork, including the presence of an alphabet of vitamins, magnesium, and other minerals. If there are deficiencies along the line—for instance, not enough vitamin D—it won’t matter how much calcium you get, your body will take it (and whatever other minerals it needs) from your bones. So, in addition to a calcium supplement, you may want to take a high-quality multivitamin.

The other essential step is exercise, whether walking or another weight-bearing activity. If possible, add strength training a couple times a week. People diagnosed with osteoporosis often mistakenly avoid exercise, which actually makes their bones more vulnerable. Bones strengthen with use, just like muscle, all through your life. And because bones are constantly regenerating, every positive step you take will make a big difference—at whatever age you take them.

Board certified in Internal Medicine, Jyotika Wali, MD, helps and supports her patients by providing the entire spectrum of health care needs, from well-woman care to chronic disease management.

Dr. Wali is accepting new patients and her office is located at 1001 E. Chapman Avenue in Fullerton. To make an appointment, please call (714) 451-0000.

Q: Is there anything new in the treatment of erectile dysfunction?

A: Yes, there is. Over 50 percent of men in their 50s and 60s suffer from erectile dysfunction (ED) (formerly called impotence), negatively impacting their lives and relationships. GAINSWave represents an exciting paradigm shift in our ability to cure ED and restore normal function, even for men who do not respond to other treatments.

Low intensity, high-frequency shock waves have been used to cure ED in Europe for more than a decade—a painless and successful treatment finally available here.

GAINSWave, a noninvasive office treatment, has a greater than 75 percent success rate in more than 40 clinical studies. Shock waves “wake up” dormant stem cells and stimulate growth factors that allow the body to create new blood vessels and nerve tissue, reversing ED. While previous treatment options were about managing just the symptoms—medications, surgical implants, vacuum pumps, or penile injections—for the first time, this is an option that offers a real cure.

Blood flow is essential to normal erectile function. By repairing aged blood vessels, stimulating the growth of new blood vessels, and removing micro-plaque, the benefits from GAINSWave typically last years. The procedure is safe and effective, with no significant side effects or risks, restoring normal erectile function.

Alan Weinberg, MD, FACS, is a board-certified urologist who provides noninvasive, minimally-invasive, and robotic techniques to treat prostate cancer, incontinence, and other issues impacting men’s health.

Board-certified urologists of Southland Urology, Alan Weinberg, MD, FACS, Michael Gazzaniga, MD, FACS, and Eric Tygenhof, MD, practice in Fullerton and Yorba Linda and are accepting new patients. To make an appointment, please call (714) 870-5970.

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