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If you have signs and symptoms of dumping syndrome, you' re likely to first see your family doctor or a general practitioner.


However, you may be referred to a doctor who specializes in treating digestive system disorders ( gastroenterologist) . Because appointments can be brief, and because there' s often a lot of ground to cover, it' s a good idea to be prepared.


Here' s some information to help you get ready, and what to expect from your doctor. What you can do Be aware of any pre- appointment restrictions. At the time you make the appointment, be sure to ask if there' s anything you need to do in advance, such as restrict your diet.


Write down any symptoms you' re experiencing, including any that may seem unrelated to the reason for which you scheduled the appointment. Write down key personal information, including any major stresses or recent life changes. Make a list of all medications, as well as any vitamins or supplements, that you' re taking.


Take a family member or friend along. Sometimes it can be difficult to absorb all the information during an appointment. Someone who accompanies you may remember something that you missed or forgot.


Write down questions to ask your doctor. Your time with your doctor is limited, so preparing a list of questions will help you make the most of your time together. List your questions from most important to least important in case time runs out.


For dumping syndrome, some basic questions to ask your doctor include: What is likely causing my symptoms or condition? Other than the most likely cause, what are other possible causes for my symptoms or condition? What kinds of tests do I need? Is my condition likely temporary or chronic? What is the best course of action?


What are the alternatives to the primary approach that you' re suggesting? Is there a special diet I need to follow, and should I see a dietitian?


I have these other health conditions.


How can I best manage them together?


Are there any restrictions that I need to follow? Should I see a specialist? What will that cost, and will my insurance cover it?


Is there a generic alternative to the medicine you' re prescribing me? Are there any brochures or other printed material that I can take with me? What Web sites do you recommend? In addition to the questions that you' ve prepared to ask your doctor, don' t hesitate to ask questions at any time that you don' t understand something. What to expect from your doctor Your doctor is likely to ask you a number of questions.


Being ready to answer them may reserve time to go over points you want to spend more time on.


Your doctor may ask: When did you first begin experiencing symptoms? Have your symptoms been continuous or occasional? How long after eating do your symptoms begin?


Have you noticed that certain foods make your symptoms worse? How severe are your symptoms? What, if anything, seems to improve your symptoms? What, if anything, appears to worsen your symptoms? & copy; 1998- 2011 Mayo Foundation for Medical Education and Research ( MFMER) .


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video Commentary: Miss California, thanks for being honest -




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Editor' s note: A nationally syndicated columnist, Roland S. Martin is the author of & quot; Listening to the Spirit Within: 50 Perspectives on Faith& quot; and & quot; Speak, Brother! A Black Man' s View of America. & quot; Visit his for more information.


He is hosting & quot; No Bias, No Bull& quot; at 8 p. m.


ET on CNN while Campbell Brown is on maternity leave. ( CNN) - - A lot of folks are always saying they like to keep it real, that they want authenticity and straight talk.


Yet when someone actually does it, there is hell to pay. Welcome to the world of Miss California, Carrie Prejean, who, since she answered a question regarding same- sex marriage in Sunday' s Miss USA pageant, has been savagely attacked by those who oppose what she had to say.


Leading the burn- her- at- the- stake parade is media opportunist Perez Hilton, the self- described gossip queen, and the individual who kick- started this controversy by asking the initial question as to whether the issue of same- sex marriage should be left up to the states.


It seems that Hilton, who is gay, was none too pleased that Prejean chose to actually give her personal opinion on the issue, and ripped her on his blog after the show, using crude obscenities as he continued to attack her at every turn on his media blitz. Hey, Hilton, from a real journalist to a wanna- be who traffics in gossip: Never ask a question if you' re unprepared for the answer! Frankly, this whole story is pretty stupid.


Isn' t the whole point of asking a question to get someone' s true feelings, rather than the plastic and superficial answers we are all used to receiving?


Sure, Prejean could have gone the safe route and given one of those answers that reveal nothing and is hard to decipher - - you know, the ones politicians give all the time - - but no! She actually gave her real opinion, and is now being torn to shreds for it. She opposes same- sex marriage.


OK, fine.


So what if she had said, & quot; Hey, I' m in full support of same- sex marriage. & quot; Would she now be celebrated on gay- focused blogs, magazines and Web sites? Would her detractors actually be saying how open she is and that she' s a great person? is undoubtedly a hot button issue.


And being from California, the site of Proposition 8, the ballot initiative that voters approved outlawing same- sex marriage, Prejean has surely had to hear the debate go back and forth. But her remark isn' t outside the mainstream. A CNN/ Opinion Research Corp. poll shows that 55 percent of Americans are against same- sex marriage, and Proposition 8 did pass in her state 52- 48 percent. What' s interesting about this is that many of the same folks who are slamming her for her remark voted for President and Vice President Joe Biden, who both have the same belief: that marriage should be between a man and a woman.


Even Secretary of State Hillary Clinton made it clear that she has the same view, and it was her husband, President , who signed the In Defense of Marriage Act, the federal law that forbids states from having to recognize gay marriage in other states. In other words, four of the biggest liberals in the country have the same belief as Prejean, but a beauty pageant winner is being torn to shreds. Hello, hypocrisy! Those who criticize Prejean have the same right as she does to express their viewpoints. But enough with all the political correctness, where someone says she should have danced around the issue, smiled and move on.


At the end of the day, we all have to be true to ourselves. Whether it' s a gay gossip writer who favors same- sex marriage or a heterosexual woman who is against same- sex marriage. The day we condemn folks for speaking honestly is the day we become a bland society.


Maybe we' re already there. The opinions expressed in this commentary are solely those of Roland Martin.


All About & bull; & bull;


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For milder cases of sleep apnea, your doctor may recommend lifestyle changes, such as losing weight or quitting smoking.


If these measures don' t improve your signs and symptoms or if your apnea is moderate to severe, a number of other treatments are available. Certain devices can help open up a blocked airway. In other cases, surgery may be necessary.


Treatments for obstructive sleep apnea Therapies Continuous positive airway pressure ( CPAP) . If you have moderate to severe sleep apnea, you may benefit from a machine that delivers air pressure through a mask placed over your nose while you sleep.


With CPAP ( SEE- pap) , the air pressure is somewhat greater than that of the surrounding air, and is just enough to keep your upper airway passages open, preventing apnea and snoring. Although CPAP is a preferred method of treating sleep apnea, some people find it cumbersome or uncomfortable.


With some practice, most people learn to adjust the tension of the straps to obtain a comfortable and secure fit. You may need to try more than one type of mask to find one that' s comfortable. Some people benefit from also using a humidifier along with their CPAP system. Don' t just stop using the CPAP machine if you experience problems.


Check with your doctor to see what modifications can be made to make you more comfortable. Additionally, contact your doctor if you are still snoring despite treatment or begin snoring again. If your weight changes, the pressure settings may need to be adjusted.


Adjustable airway pressure devices. If CPAP continues to be a problem for you, you may be able to use a different type of airway pressure device that automatically adjusts the pressure while you' re sleeping.


For example, units that supply bilevel positive airway pressure ( BPAP) are available. These provide more pressure when you inhale and less when you exhale. Oral appliances.


Another option is wearing an oral appliance designed to keep your throat open. CPAP is more effective than oral appliances, but oral appliances may be easier for you to use.


Some are designed to open your throat by bringing your jaw forward, which can sometimes relieve snoring and mild obstructive sleep apnea. A number of devices are available from your dentist. You may need to try different devices before finding one that works for you. Once you find the right fit, you' ll still need to follow up with your denti at least every six months during the first year and then at least once a year after that to ensure that the fit is still good and to reassess your signs and symptoms.


The goal of surgery for sleep apnea is to remove excess tissue from your nose or throat that may be vibrating and causing you to snore, or that may be blocking your upper air passages and causing sleep apnea.


Surgical options may include: Uvulopalatopharyngoplasty ( UPPP) .


During this procedure, your doctor removes tissue from the rear of your mouth and top of your throat. Your tonsils and adenoids usually are removed as well. This type of surgery may be successful in stopping throat structures from vibrating and causing snoring.


However, it may be less successful in treating sleep apnea because tissue farther down your throat may still block your air passage. UPPP usually is performed in a hospital and requires a general anesthetic. Maxillomandibular advancement. In this procedure, your jaw is moved forward from the remainder of your face bones.


This enlarges the space behind the tongue and soft palate, making obstruction less likely. This procedure may require the cooperation of an oral surgeon and an orthodontist, and at times may be combined with another procedure to improve the likelihood of success. Tracheostomy.


You may need this form of surgery if other treatments have failed and you have severe, life- threatening sleep apnea.


In this procedure, your surgeon makes an opening in your neck and inserts a metal or plastic tube through which you breathe. You keep the opening covered during the day. But at night you uncover it to allow air to pass in and out of your lungs, bypassing the blocked air passage in your throat.


Removing tissues in the back of your throat with a laser ( laser- assisted uvulopalatoplasty) or with radiofrequency energy ( radiofrequency ablation) are procedures that doctors sometimes use to treat snoring. Although sometimes these procedures are combined with others, they aren' t usually recommended as sole treatments for obstructive sleep apnea. Treatments for central and complex sleep apnea Therapies Treatment for associated medical problems.


Possible causes of central sleep apnea include heart or neuromuscular disorders, and treating those conditions may help. For example, optimizing therapy for heart failure may eliminate central sleep apnea.


Supplemental oxygen.


Using supplemental oxygen while you sleep may help if you have central sleep apnea.


Various forms of oxygen are available as well as different devices to deliver oxygen to your lungs. Continuous positive airway pressure ( CPAP) . This method, also used in obstructive sleep apnea, involves wearing a pressurized mask over your nose while you sleep. The mask is attached to a small pump that forces air through your airway to keep it from collapsing.


CPAP may eliminate snoring and prevent sleep apnea.


As with obstructive sleep apnea, it' s important that you use the device as directed. If your mask is uncomfortable or the pressure feels too strong, talk with your doctor so that adjustments can be made. Bilevel positive airway pressure ( BPAP) . Unlike CPAP, which supplies steady, constant pressure to your upper airway as you breathe in and out, BPAP builds to a higher pressure when you inhale and decreases to a lower pressure when you exhale.


The goal of this treatment is to assist the weak breathing pattern of central sleep apnea. Some BPAP devices can be set to automatically deliver a breath if the device detects you haven' t taken one after so many seconds. Adaptive servo- ventilation ( ASV) . This more recently approved airflow device learns your normal breathing pattern and stores the information in a built- in computer. After you fall asleep, the machine uses pressure to normalize your breathing pattern and prevent pauses in your breathing.


ASV appears to be more successful than CPAP at treating central sleep apnea in some people. Along with these treatments, you may read or hear about different treatments for sleep apnea, such as implants. Although a number of medical devices and procedures have received Food and Drug Administration clearance, there' s limited published research regarding how useful they are, and they aren' t generally recommended as sole therapies. & copy; 1998- 2011 Mayo Foundation for Medical Education and Research ( MFMER) .


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