HealthCasts – David Ghozland, MD – Women’s Health Improvement Tips

The Marina Del Rey Hospital
HealthCast, featuring the doctors of
Marina Del Rey Hospital. Now, Doctor Ghozland you mentioned earlier,
diet, exercise could be factors in problems with women,
and also treatment for women. What are some of things that
you recommend, and you see? Like I said earlier, before we
rush to surgery, we want to modify lifestyle a little bit. Right. When you’re dealing with urinary stress incontinence
or pelvic floor dysfunction such as pelvic pressure or organ prolapse, which means that you’re starting
to see some descent of your bladder. There are certain things you can
do to alleviate the symptoms, by simply changing your lifestyle. First and foremost, I mentioned earlier,
you want to decrease the amount of caffeine you consume,
for the following reasons: 1. It will exacerbate your symptoms
of urinary stress incontinence. Especially if you’re taking it in the evenings. I usually recommend after about 5 p.m.,
to stop consuming caffeine. Okay! And caffeine is not just coffee. Caffeine is in a lot of things,
it’s in dark chocolate, it’s in teas, and people have to really realize that
it’s not just coffee, but other consumables that
may contain caffeine. That in itself will probably help a lot. It’s a hard thing for
anybody to do, to change their lifestyle, but then you’re talking about
taking caffeine, you know, or scaling it back. You know, we are all so busy today. Yeah, absolutely. The other thing, I highly recommend,
is we eat so many starches and carbs and by increasing the amount of
leafy green vegetables or we can really minimize the amount,
and I hate to say it on the radio, constipation. Because the smoother your
bowel movements are, the easier it is on your pelvic floor. So, decreasing caffeine, maximizing the amount of
vegetables and greens that you consume will definitely help, at some degree,
with the amount of pelvic pressure, and to decrease some of the urinary
stress incontinence. Obviously, doing daily exercises, will
enhance and better your life, and also increase pelvic support. But there are certain specific
exercises that we can do. We’ve all heard of Kegel’s exercises. What is a Kegel’s exercise? First of all, I always tell patients:
we live in Southern California. And if you drive a car in Southern California,
you should be a Kegel’s expert. Really? And the reason that is, is because we
come to so many red lights, when we drive. Yeah. That instead of remembering, oh I forgot
to do my 20 sets of Kegels today. Every time we come to a red light, I encourage my patients to do a
subconscious Kegel rep. What is that? So, that’s just try to contract your
pelvic muscles, so that you really, I hate to use the word, because
I don’t like to associate it with imagining to stop your
urinary stream, but it really is almost like that. Okay. But the key is to do it in a slow fashion. You don’t want to do quick contraction,
quick release, you want to do a slow contraction,
hold it, release slowly. So, it’s 1, 2, 3, you do that every time
you get to a red light, you’re gonna do enough Kegel’s exercises, in Los Angeles, that’ll definitely help your
urinary stress incontinence issue. With the traffic in Southern California. Absolutely, you’ll sit on the
405 and you’re cured, So, it’s as simple as a lifestyle change, but we all know lifestyle changes
aren’t that simple, whether it’s exercise, or diet, eating more
greens, to help your system out, or just scaling back on caffeine,
which everybody should probably do. It’s just some simple things that
women could do initially, to see if that helps their problems. One more thing, and I think
it’s really important. We always talk about weight loss. That is probably aside from caffeine, the number one helper of
urinary stress incontinence. If you look at extremely obese patients,
who are going in, let’s say for gastric bypass surgery,
or a sleeve. I’d say most of the time, they not only
want to lose the weight, but they’re complaining of
urinary stress incontinence. They can’t hold their urine,
there’s too much pressure there. The moment they lose that 100 pounds,
that 50 pounds, the 150 pounds, you see a huge reduction
in urinary stress incontinence issues. So, weight loss and being at your fittest, really is a huge part of helping in solving
urinary stress incontinence. The Marina Del Rey Hospital
HealthCasts featuring the doctors of
Marina Del Rey Hospital. For more information on any of the topics
discussed or to schedule a consultation please call The Marina Del Rey Hospital Helpline at 844-MISI-4-You. or go to

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