Diseases & Conditions Archive

Ask the doctors

Q. I eat a lot of shellfish and recently developed gout in my knee. Did my diet cause the condition?

A. As you probably know, gout is a painful form of arthritis that occurs when high levels of a waste product called uric acid build up in the body. It can settle into joints, where it forms sharp crystals that can trigger inflammation, redness, and pain. Your diet may have aggravated the condition, but didn't cause it.

If you've had a stone, the problem is likely to recur — but it doesn't have to. Use these strategies for prevention.

The pain associated with kidney stones has been described by some as more excruciating than childbirth. Kidney stones are small, hard stones, formed when high levels of minerals in your urine start to crystallize in your kidneys, forming a pebble-like mass. The pain comes when these stones migrate from your kidneys through the ureters, which are the narrow tubes that carry urine from your kidneys into your bladder.

"Kidney stone pain is not subtle," says Dr. Gary Curhan, a professor of epidemiology at the Harvard T.H. Chan School of Public Health. It typically starts in the flank, at the side of the lower back. Sometimes if the stone moves, the pain migrates to the front of the body.

Ask the doctors

Q. My friend was recently diagnosed with fibromyalgia, but it seems like she might be imagining her symptoms. Is fibromyalgia a real condition?

A. The short answer to your question is yes. Fibromyalgia is a real condition that affects some four million Americans. It's a chronic pain syndrome that experts believe may be caused by a malfunctioning nervous system. Researchers using magnetic resonance imaging to examine the brains of people with fibromyalgia have found abnormalities in the part of the brain that processes pain signals from the body. It appears that this part of the brain is essentially boosting the intensity of normal pain signals, potentially causing the body to feel pain without a physical cause.

Q . I've started to notice a slight shakiness in my writing hand. Is this just normal aging or should I get my shaky hands checked out?

A. If the shakiness is sudden or recent, you should talk to a doctor. It may be nothing serious—for example, just a reversible side effect from a medication or from too much caffeine. However, tremors could be an early sign of a more serious condition, like Parkinson's disease. In that case, you could benefit from early diagnosis and starting treatment.

Adequate fiber can protect against this painful colon condition.

Image: Shidlovski/Getty Images

About half of Americans ages 60 to 80 have diverticulosis, a condition in which pea-sized pouches, called diverticula, bulge outward from the colon. After age 80, almost everyone has it.

Most of the time the pouches don't cause any problems, but if the diverticula become inflamed or infected, the result is diverticulitis, which produces symptoms like fever, nausea, vomiting, and pain or tenderness in the lower abdomen. It's unclear why this happens, but it's generally thought that the pouches become infected after stool or bacteria get caught in them.

On call

Q. I want to avoid another kidney stone attack. What's your advice about diet, coffee, tea, and alcohol?

A. The foods you eat and the amount of fluid you drink can contribute to some types of kidney stones. Certainly, you can help prevent recurrent kidney stones by paying attention to your fluid and food intake.

Ask the doctor

Q. Should I get a test for COVID-19 antibodies, even though I've never had any symptoms and I don't think I've had the virus?

A. A blood test for COVID-19 antibodies tells you if you have been infected in the past; it does not accurately tell you if you are currently infected. You can get an antibody test through your doctor, or possibly through a testing center set up by your state or city.

Ask the doctor

Q. Should I make my kids get tested for COVID-19 before they come to visit me?

A. As we go to press, in most communities in the United States and Europe, the virus still is widespread — particularly among young adults. Many young adults who become infected do not develop symptoms, and therefore may not suspect they are infected. Worse, they may be shedding the virus and able to infect others. Older people are more vulnerable to becoming severely ill from the virus than young adults (although some young adults and even children can become very ill). So if my kids had symptoms that might indicate they had COVID-19, I'd ask them not to come. If they had no symptoms but were living in a "hot spot," I'd ask them to get tested before they traveled — and not to visit if they tested positive. I would hate not to see the kids, but it's a sacrifice we have to make until we control the virus.