i'm eric shawn. time for "sunday housecall." >> and i'm julie bandias in for arthel neville. joining us, of course, dr. david samadi chairman and professor of urology at lennox hill hospital and dr. marc siegel, professor of medicine at langone medical center and also the author of "unlocking the code of sickness and health." >> good to see you. >> thank you for coming in. >> we've been talking about maryland governor larry hogan, his diagnosis, set to begin claim therapy, the governor

undergoing after he stays he has stage three non-hodgkins lymphoma. stage three, still is a treatable patient. >> yes. >> tell us about how they plan on treating him. >> well, this is a fairly aggressive cans their he's having so when you talk about lymphoma, which is a cancer of lymph nodes, they come in hodgkins or non-hodgkins which is what he has. non-hodgkins is more common and b-cell non-hodgkins is 90%. stage three is key and important information that's fairly aggressive and on both sides of the diagram and there's multiple lymph nodes. someone presents with a big lymph node and they may have weight loss, some night sweats or fever. they biopsy that and then they find out it's lymphoma and then they get a cat scan and p.e.t. scan and realize how far it's gone. most of the treatment chemotherapy which is what he's going to get. they may treat him with some

immune therapy and ritin to boost his survival. stage three survival rates around 60% and there's hope. don't know what the causes are, julie, a lot of times genetic, agent orange, nobody knows exactly why this happen. >> marc, what's interesting about this is he found it in his neck, he said, when he was shaving. do you feel this beforehand. he said it was a huge lump. why wouldn't you be able to detect that before it gets to that point, and when we shave as men. >> pay attention. >> what should we do? >> i knew you were going to ask that question because you want people out there to say how do i know i don't have this problem. most people would feel it before it got to that stage, man or women. men are the ones shaving up here but people all the time are coming here saying i found a little lump here, what is this? and the answer is if it's freely moving and it's tiny and rubbery, not hard, chances are it's not lymphoma.

if it gets larger and it's matted meaning you have trouble moving it and it gets really hard, that's more likely that it's something to worry b.as david was mentioning, in his case he has stage 3 which is above and below the diaphram. you got to look for lymph nodes in your groin, under your arms, in your neck. if it's an area where there was a recent infection like you had a sore throat and had nodes that persist or an ear infection or lymph node here that's around a while that can be totally norm a. another thing i want to mention, david mentioned ritoxin has been a game-changer. ritoxi it targets a limp mah on a cell. b-cell makes anti-bodies, lymph nodes make ant bodies against invaders and ritoximob is a monclonal antibody that targets for destruction that malignant

cell and you put chemo on top of it and that's why we get a 60%, 70% five-year survival rate. >> there's an isolated lymph node that pops right there, you want to pay attention to it. a lot of people may or may not know what lymph nodes are for. what's the purpose of them? think of it like a sewer system. a day like today with rain, all of this goes into the sewer system and that's what the lymph node system and chain is doing. instead of having blood in veins and arteries you have the lymphatics that if you have an infection you'll have swollen lymph nodes. if you have cancer, sometimes it can metastasize. can you have prostate or bladder cans their can metastasize. that's not what we're talking about. this is an original form of cancer in lymph nodes, and obvious muhammad ali we pray and hope he does well, but there's a lot of hope. he'll go through a big battle through this, but the prognosis depends on how he responds to chemotherapy. >> this does react well to

chemotherapy even at a stage 3. dr. siegel, you mentioned about, you know, feeling lymph nodes in your groin and armpit and neck. do we look for pain? is there any discomfort associated with this that we should be aware of? >> great question, great question. usually not. you look for the lymph node swellings and fatigue. i'll give you symptoms pretty non-specific but if you have them go to your doctor. night sweats, sweats at night, fevers at night, weight loss and profound fatigue and then if we check we might see you're anemic and then the lymph nodes can be floating around and not be painful. they can be painful if they abutt against a nerve. it's either/or, painful and not painful. they are hard and very firm and they are not freely moving less. >> especially if you lose weight without trying. that's a huge red flag. the question for marc is how do you distinguish between a lymphoma and a lipoma? >> okay. >> that's another one that comes up all the time because, you know, maybe you want to answer

that. >> i get that all the time, absolutely. the lipomas are fat cysts, and they are squishy. they are squishy. i get used to it after a while. i don't want you at home to do this. julie, i don't want you doing this at home. come to the doctor and let the doctor tell you but if it's very hard it's more likely something like a lymphoma. >> does this come up on a blood test, you get a big long list of stuff? >> a lot of times your white count can be completely out of control and once they feel that lump and to distinguish between a lipoma and lymphoma for a regular person is difficult. they would bips to and a lot of times, eric, they may get a biopsy of bone marrow because that's also relate. thymus and spleeb and lymph nodes are all connected as part. i munn system. why one of the reasons the monclonal antibody reacts really well. we are getting better this. hodgkins has a better progknowsies. >> you talk about screening, prostate screening.

all different types of screening in order to catch this before they come. scary stuff listening to you talk about this. >> scary when you ask this. when it comes to hodgkins lymphoma it's a bimodal age. you don't see anything until like around 55, 60. with this non-hodgkins usually as you get older the risk becomes higher. you see this usually over the age of 60, so if you have a family history, if you've been exposed to agent orange, et cetera or benzine, absolutely go to your doctor and have it check. very good question. >> i want to state the obvious which is if it's getting bigger, get it seen. scan yourself for the lymph nodes. don't be embarrassed. we talked last week how men never go to the dock for and david has started the smaed challenge which is to get women to get men to go to the doctor. men, if you have one of these things, go to the doctor. >> don't ignore it. >> that's right. >> ves a very good point that marc is bringing up. just don't ignore it because as julie mentioned you catch it early. cure is way up there.

>> certainly our thoughts and our prayers are with the governor that he has a full recovery and that he's caught this in time. do you feel tired and mood? i mean, who doesn't sometimes? but it could be a lot worse. scientists say it could have something to do with what we've got inside our gut. trillions of microscopic bacteria live in there, can you believe that? the doctors tell us what we can do to get better. americans. we're living longer than ever. as we age, certain nutrients... ...become especially important. from the makers of one a day fifty-plus. new one a day proactive sixty-five plus. with high potency vitamin b12... ...and more vitamin d. mr. auto-mo-deal!s! hey, it's the wheel deal! hey, hey, the duke of deals! i know a few guys in the rental car biz. let's go, 'wheels'.

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back now to "sunday housecall" and bringing new meaning to the old saying you are what you eat. researchers find a link between backedia in your gut and the way we feel. dr. siegel, this is scaring me. what's in there? >> well, first of all, you find out -- there's research coming out of texas tech, and there's six pounds of bacteria in your

body. this is not for the squeamish, this segment. six pounds. you have 2 million bacteria -- you have 23,000 genes, eric, in your body, but you have 2 million bacterial genes in your body. that means that we've got more bacteria in our body governing how we are and what we do than we have our ownegular genes in our cells, dna. you know what that means? the bacteria in your intestines are making things like serotonin and dopamine happy hormones that i thought were just made in the brain so the gut itself, the intestine itself, is helping to govern your behavior, the bacteria. if you get your bacteria pissed off or if they get infected or if you're under high stress research is starting to show that it affects mood and can lead to more depression and causes less immune response. >> how do i anger my bacteria and get more of the happy bacteria than the other ones in. >> with an incoming infection, not sleeping, not getting angry. the bad bacteria tends to

predominate when you're not doing well. the good bacteria makes happy hormones. >> david is like shaking your head. >> what i'm saying is there's a whole ecosystem of people living inside you so basically an announcement is you're 90% bacteria and 10% human. that's what we want people to know and you have trillions of these bacterias sitting over there that they are active. what we're finding out and scientists are looking at researchers, what you put in your mouth whether it's high-fat animal protein, carbohydrates, all of those get broken down by the bacteria. the good bacteria and bad bacteria ratio determines how healthy you'll be. if you eat a lot of fruits and vegetables, drink and all the things we talk about, you'll be less likely to have inflammatory disease, kurobe ease it is and those bacteria are one of the reasons we have obesity and diabetes in this country. this is the first time that we

see more about the psyche and the psychology of what these bacterias are able to do so they are secreting dopamine, serotonin and hormones that are unbelievable. if you are not eating healthy food, more processed foods, et cetera, can be leading to depression? we'll talk about crohn's disease, one of our other subjects. >> the food marchers are largely to blame for the reason why many of us sick because the food that you're putting in your system with all the preservatives are making you sick. >> that's one thing. part of something else that i want to point out which is your bacteria in the stomach not only regulates your mood but they are helping you digest your food, and you know what? when we eat that proses issed food, all the chemicals wears down the bacteria, to your point, and you know what else we're doing wrong? we're given too many antibiotics. when we get antibiotics to good kids and they wipe out the good bacterias and you get obese. >> you know what's very big,

pro-biotics, that's become huge, taking probiotics. >> that's more good bacteria. you know what's interesting about this study is they took actually the bad bacterias from obese patient and put them into mice and guess what happened to the mice? they also became obese. >> or had diabetes. >> so we're understanding just treating the actual symptoms is not the quay to go. go to the root of the problem, and we're getting into that ecosystem so you don't want to piss off your body ever again. >> i don't want to leave the probiotic on the table. should people take probiotics? you hear a lot about this. >> it's still in the mice stage. when they gave mice good bacteria they swam longer. more and more studies i predict over the next few years will show when you've had an infection, especially when you've had antibiotics, you ought to takeboro bitics and i also think they work well with irrelevantable bowel syndrome. i think probiotics are great.

there's a lot of different ones on the market. >> if you're going to the hospital or about to have a different procedure a couple weeks before you want to take off the -- to build up the good bacterias. >> crohn's disease, a common condition that affects 100,000 americans. next we'll take a look at crohn's disease, who is more likely to get it and the best way to manage the symptoms. stay right there.

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and now for should i worry? our weekly segment about everything that worries us. this viewer asks i was recently diagnosed with crohn's disease. should i worry?

dr. samadi? >> well, the short answerwell, unfortunately she's stuck with this disease because it's a chronic disease. as we mentioned, about 700,000 americans are stuck with this disease. you have to say it's part of the inflammatory bowel disease. you've heard of ulcerative colitis. it's mostly colon. what we see with crone's disease is that the entire layer of the gch g.i. tract is infected. they have times when it flares up and they're miserable and then they go into mission. there are doctors who make sure that the number of remissions is prolong and the occurrences grow less and less. make sure you see your g.i. doctor all the time and get your

regular colonoscopies. unfortunately this is a chronic disease. we can control it and she can have a good life but she has to pay attention to what foods irritate her and be very careful with this. >> she asks should she worry. david answered this. she should be vigilant. i want to explain what this is. inflammatory bowel disease including crone's has to do with the fact that your mind system is attacking the bacteria. they do it, julie, in something called skip areas, meaning that the entire colon in crone's disease or entire small bladder is not infected from one end to the other. so when we look at it we have something called skip lesion and it has a characteristic look on an upper g.a. radiographic series. that's how we diagnose it. then the treatment, diet is a

mainstay of treatment, antibiotics, sometimes immune know suppress ends, and the thing we need to be on the lookout for is colon cancer. we have a higher risk so we have to screen you more and more with it. with the treatment we have and now biological treatments, we can put people into remission. >> what i also want her to be aware of is with crone's comes a whole syndrome of other things. she would be more prone to osteoporosis and liver. skin problems, eye problems. so now you're stuck with this systemic disease and you have to pay attention to all the other organs that would be affected as a result of this. there is hope and it's good that she brought this question. >> if you want to know, eric, what symptoms do you look for? some are similar with lymphoma. if you have weight loss, night sweats, but in this case if you have diarrhea or bloody diarrhea, some type of bloody

problem going on. >> they come with a lot of fistulas, a lots of fissures. >> and rectal bleeding. >> rectal bleeding. don't ignore it. that's basically the big message here. >> your body is talking to you. listen to your body always on all of these topics. and if you have a question for our doctors e-mail us at housecall housecalls@foxnews.com. all e-mails and phone calls are kept confidential. and coming up, the health effect of skinny jeans. why doctors say they could really be hurting you. to folks out there whose diabetic nerve pain... shoots and burns its way into your day, i hear you. to everyone with this pain that makes ordinary tasks extraordinarily painful, i hear you. make sure your doctor hears you too! i hear you because i was there when my dad suffered with diabetic nerve pain. if you have diabetes and burning, shooting pain

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from the makers of one a day fifty-plus. new one a day proactive sixty-five plus. with high potency vitamin b12... ...and more vitamin d. back to "sunday house call." we got a call on the skinny jeans. >> you're wearing them. >> no, i'm not wearing them. they look great, but they could be hurting you. >> first, i'm going to say they're skinny, i'm sitting up close. they're skinny. i don't want anyone to think it's going to happen if they're wearing them. the biggest problem is not that you're going to cut off

circulation with your lower legs but in the high area you can get something called marrialle. pair is threat ka. that means you get tingling in your thighs and you can also get heartburn. that's the same with corsets, the kardashian corsets. and i don't like high heels. they can put pressure on your back and cause problems. >> let's talk about this. i do not wear high heels off the set. i go right into my flip-flops. there was a woman who was wearing skinny jeans, she squatted down and lost circulation in her legs. she had a pre-existing condition. i don't want everyone including eric to throw out their skinny jeans. >> she was in the hospital for four days, muscle damage. >> whatened p happened to her.

>> it's happened in the past. say you're a diabetic or have circulatory problem, when you wear tight pant use can have that problem. you know, a lot of times when i wear a tight jean and i put my wallet and you sit and drive for an hour, you can feel the pressure -- he's smiling already. >> because your wallet is bigger than some people. >> you can do nerve dachlk in this particular case they had to rip the jeans off. get a stretch pant and you're fine. >> the bottom line, be careful if you wear skinny jeans. >> high heels in the office, it works really well. in general, it's sexy. but for your back, your hip, your knee, it doesn't do any justice. >> it's amazing what women have to go through. >> if you have pre-existing

problems, watch it. >> men wear corsets, you know that. >> and waist cinchers are it. just be yourself, folks. that's going to do it for us. >> thanks for watching ""sunday house call." >> zeroing in on an escaped kill eric officials say it's only a matter of time before they catch david sweat. as a fugitive becomes more tiert and desperate, a tip from the public could turn things around. we're live in yub upstate new york. >> as americans get ready to celebrate independence day they issue a chilly warning. >> quite frankly, a confluence of all these events, isis calling for a