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i'm arthel nechl time now for "sunday housecall.." >> hello and welcome each aeric shawn. joining us, dr. marc siegel, professor of medicine at, in yu. also the author of the inner pulse, unlocking the secret code of sickness and health. >> and dr. david samadi chairman and professor of urology as len lennox hill hospital and chief of robotic surgery. >> we'll start with the tragic news that dmooed comedian gary shandling's early death reminds us about what happens when we get older. it was sudden, unexpected. it was an taernt heart attack. had are some of the most common heart attack symptoms in both men and women? he apparently had shortness of brelt, called 911. and by the time the ambulance goss there, he was passed out. it is shock. how do we know if the same thing

could happen to us. >> there is a heart attack every 43 seconds in the united states and it is the number one killer of men and women. men and women are different. we are going to talk about that. they don't have necessarily the same symptoms. i get middle of the night phone calls or middle of the day, somebody saying i have chest pain, shortness of breath, i'm sweating, radiation down my arm, to my jaw, to my neck. how do i know whether to send that patient to the hospital? you know what i do? i decide based on their background. are they smokers, do they have high blood pressure? are they over weight? what are their risk factors. i always err on the side of sending them to the hospital f. they have chest pain or shortness of breath i do not want to underreact. the other thing is you call 911. you call 911 right away when you wake up and you are not feeling the way you usually do. the other thing you generally do is take an aspirin. we want you to take an aspirin if you have cls pain, you are

not feeling right, you have fatigue, nausea. there are atypical symptoms but if you have that feeling in your chest, you take an aspirin. >> aot of people say i don't want to bother 911, don't want to go to the hospital in the middle of the night. >> the picture everyone has is someone holding his chest, gasping for air, and then he is going to falling down. we've seen it in cartoons. but hart attacks a lot of times can be subtle, especially among women. women are always underdogged. this he go to their emergency room and diagnosis of heart attack is missed because we always think about men having this kind of thing. we have to pay attention. the mess j to lot of people is if you have unusual symptoms, you are not feeling yourself, you may be breaking in and out a cold sweat -- it's not always the chest pain that raid yachts to the arm. in this case we don't know if heart attack was the main reason, had he gone the day or

night before he could have been alive. >> it's the number one killer for women, which most people don't know, heart attack. am i right. >> that's right? >> number one killer for women. and a lot of times women we'll put it off to the side. it's okay. i want to talk about the major heart attack symptoms for women. for women, it's sleep disturbance, indigestion, it's anxiety, which is something we all go through at one point or another. i want you to tell us when we should go to the hospital. but before that, i want your response, most surprising heart attack symptoms, sexual dysfunction, snoring or sleep apnea, bleeding, sore or swollen gums. how do we know it's not spicy food we ate. and then sexual dysfunction? >> that's a good point. when we talk about young men in

their early 30s and 40s that come to the office who say i was fine a couple of years ago and now i suffer from sexual dysfunction. that's a sign of heart disease. why? the arteries in men's genitalia is thinner than the coronary arteries in the heart. the first thein sein of heart attack in young men is sexual dysfunction. snoring is important. sleep apnea -- women, if you see your husband or boyfriend is snoring all night it's not just annoying. obesity and something clogging your throat -- >> what if you are not obese and you are snoring at night. >> sleep apnea is one of the risks for diabetes, heart disease, and strokes. make sure they go to the sleep app and they find out. a lot of people are taking medications for spicy food. maldigestions are important.

inflammation in your mouth, gingivitis and peridontal -- >> that is so important. marc, they say you have got to brush your teeth because the germs -- and floss -- is it true that the germs can go in your circulation system and cause a heart attack? >> absolutely. i want to be clear on something. these are risk factors that would set you up for heart attacks. i don't want people to think my gums are bad, i'm going to have a heart attack. i want them to think, i'm at risk for aheart attack. it's not the same thing. the people that are prone to this -- and the reason that happens with gingivitis. it's inflammation. it gets into your body, into your heart and you have a problem. so you have a problem. you are at risk. one more thing, for women out there, don't think we are telling you you can't have chest pain. we say it's more atypical. you are more than likely to have the fatigue or the dizziness or the nausea, but you are likely to have chest pain, too. women are more prone to the

atypical symptoms, the sweating -- especially die bet igs. diabetics are prone to not having the classic -- here's the classic presentation, an elephant is sitting on our chest, it's radiating down your left arm. you were short of breath and you are sweating. that's the classic presentation, but a hot of people are not having that. >> and hyper thyroidism. >> hyper para thyroidism. he was in a segment with jerry seinfe seinfeld. and he made fun of the fact that you are tired, pumpy. what people should know, hyper para thyroidism is a gland behind the thyroid. if you secrete a lot of para thyroid, calcium can be high. high calcium can lead to heart disease. >> bottom line, don't ignore symptoms. even if you think they are not major, check it out with your doctor. >> absolutely. hair loss is a serious concern for thousands of women in the u.s. yes. coming up we're going to talk about some of the top causes for

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call 888-429-5722 now. welcome back. right now we are talking about female hair loss. it is more common than you might think. in fact, women make up 40% of those struggling with the problem according to the american hair loss association. what are some of the more common causes and treatments we want to talk about? dr. samadi, i have heard that women who are taking -- i heard them say they are on cholesterol medication and their hair falls out. is there something to that. >> yes, it's true. this is a great topic. 35 million american women suffer from hair loss. this is devastating. it takes thur self-confidence away. for men it is a macho thing. he lost his hair -- >> i don't know about that.

>> i knew you were going to run with that. when it comes to women, it's motional, it takes their self-confidence away. a lot of teams these are androgen ethic al owe peesha, meaning the same hormonal changes that happen in men can happen in women. the test troen we talk about makes the follicle of the hair weak and you can lose your hair. >> if your father was bald and you are a woman, would you lose your hair? if you are a son and your father is bald, that could happen. >> yes, because there is a genetic risk and you are more susceptible. also, the one we are often seeing is basically as a result of natural environmental things. for example, stress is a huge factor with this. you know, people that go through illnesses, people that go through surgery or chemotherapy, et cetera. and there is a three-month lag between the time that your hair is kind of growing to the resting phase. we don't have time to get into it. but when somebody comes in and says hey dock i lost all of my

hair you want to know what happened three months ago, what kind of stress level that they had. and the good thing about this is that it will come back after the stress level is done. one of the things that you need to know is to find out about your thyroid. hypothyroid, low thyroid or women who go through heavy menstruations and they lose iron, check find out what is going on checkcally for you and he are place your thyroid or replace iron if you are anemic. this is not normal. you can get help. >> can you get hair transplants? >> >> i want to ask something specific because i brought this segment to the table. >> absolutely. >> because, at the hair salon -- i'm always listening to other people's conversation. if you are around me, don't say anything you don't want me to know. i overheard the lady next to me talking about spironolactone. and i found out she was taking it.

it is a water pill but it was helping her hair grow back. i'm not endorsing that, but i'm asking you about it, dr. seeingle. >> i'm glad you brought this up. first of all, you have to figure out why you have it. other things like autoimmune disease, birth control pills, could be stress. once you figure out why you have it then we can help treat it. first thing is use rogaine or minoxidil. it's approved in women. we don't know how that works. they are still studying that but it works. the second thing that works is propeesha, which works in men because it blocks the hydrotest testosterone. and the third thing is spironolactone. we use it in heart failure, high blood pressure, it is a die your ethic. the reason it works is because it blocks the male hormones,

androgen. so you see, it might work to build your hair back up. but guess what, all the other things worry me, it is a die your ethic, too many side effects. it's off label. >> you have to check with your doctor. >> go to a dermatologist who is a specialist. >> it's interesting. >> but it works. i think it works. >> they can get a biopsy of the scalp and find out exactly what is going on with you. bbz minoxidil, 2%, they can also get other medications. vitamins for hair may or may not work. most clinical trials with bioteen and others really haven't worked for this. we get your blood tests check your iron and everything else. >> and then eric women can get hair transplants. >> i was going to say that's a big thing now with women. the follicle transplant system. >> one other tiny point is it

may be normal. menopause causes this. it may be normal. may not be anything wrong with you. >> when you think something is wrong with you and you have got food poisons, it happens to a lot of empeople. i have got my story i'll tell you in a moment. how do you know if it's food poison organize a virus? and how do you avoid it. plus a popular choice about kids and adults talking about gummy vitamins? the doctors on those gummy bear vitamins straight ahead on "sunday housecall." if you have moderate to severe rheumatoid arthritis like me, and you're talking to a rheumatologist about a biologic... this is humira. this is humira helping to relieve my pain and protect my joints from further damage. this is humira helping me reach for more. doctors have been prescribing humira for more than ten years. humira works for many adults. it targets and helps to block a specific source of inflammation that contributes to ra symptoms. humira can lower your ability to fight infections, including tuberculosis.

serious, sometimes fatal infections and cancers, including lymphoma, have happened, as have blood, liver and nervous system problems, serious allergic reactions, and new or worsening heart failure. before treatment get tested for tb. tell your doctor if you've been to areas where certain fungal infections are common, and if you've had tb, hepatitis b, are prone to infections, or have flu-like symptoms or sores. don't start humira if you have an infection. talk to your doctor and visit humira.com. this is humira at work.

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housecall." should i worry. how now if you have food poisoning or if it's a virus. it happened to me. i was on assignment down by the border for a story for "the o'reilly factor." i'm in the hotel down by the border. i get my coffee, muffin. i called home. got my stuff together. got my eggs and toast. 45 minutes later i'm worshipping the porcelain god. unbelievable. what die get? it just hit me. i got a fever on friday.

how do you pick this stuff up? >> you might have gotten it from the airplane. >> no it happened right after i ate the eggs. how do i know it came from the food or i picked up a virus. >> i know you had vomiting. i know it lasted about two or three days. and i think you didn't take any treatment. 48 million case as year of food poisoning. 20 million are norovirus. i'm going out on a limb. i think that's what eric had, combination of diarrhea, cramping and vomiting and low grade fever, i think you had a norovirus. >> it wasn't food poisoning. >> it is food poisoning. norovirus can be in the food. can be in food handlers. wildly infectious. you can spread it from one to another. eric very careful. he's using hand sanitizers, washing his hands. >> you get to the hotel where

they make stuff. >> the key here is hydration. drink a lot of fluids. you're losing it on both ends. don't take antibiotics. even if it was a bacteria i wouldn't give antibiotics because studies show if i give antibiotics early i spread the toxin that the bacteria is making. you want to replenish your gut with positive bacteria. i love the idea of probiotics. >> should everybody be on probiotics? no. if your immune system can tolerate it. you may be in a restaurant where the food wasn't handled properly. you may have gotten either norovirus. these are short term. drink a lot of fluids. people in danger are pregnant

women, children or hiv patients. those are the ones at risk. wash your hands. cook your food. invest in some good food. >> wait until you see thursday night 8:00 p.m. o'reilly factor it was worth me getting sick over there. >> good story coming up. >> thank you for sharing your symptoms with us. >> okay. it's a fact. kind of like grandkids equals free tech support. oh, look at you, so great to see you! none of this works. come on in. sfx: leaf blowers the yardley's. dad! sorry. spring is on. start your trugreen lawn plan today. trugreen. live life outside.

so about a month ago i started taking gummy vitamins. do they work >> they dwork. but if you have a fair balanced diet, you don't need to take any vitamins. that's a the big message. the proesh with vitamins they are not fda regulated. what's on the label much these bottles is not what you have in your vitamins. a new study shows a lot of elderly between the ages of 65 and 80 taking more medications and a lot of interaction between your vitamins and medications. treat your vitamins like a real drug. >> are regular vitamins -- >> if you're taking cumiden and fish oil that can increase your bleeding. vitamin e can increase prostate cancers. gummy ones are okay if you take one or two. if you can take a real tablet

easier to digest. if you take a lot of these they can make you real toxic. >> the gumies. >> vitamin a, b, c. >> you going pop them like candy. >> that's right. >> the first place is to start is if you have a well balanceled diet you don't need vitamins. i might be testing you to see what your vitamin d level is a lot of people take vitamin d without knowing what their level is. you have to put it under your tongue. you need sublingual b12. don't do it on your own. one out of five older americans are taking supplements they don't need. more and more my elderly patients are on medications. they add supplements. they may not know the interactions.

make sure the doctor is checking the pdr. >> kids can go through this so fast and take a lot of them. like you said like candy and become toxic. so be careful. you can have one two. enjoy. >> you can have one now. a deadly train crash on the major northeast amtrak corridor just outside of philadelphia today. those killed not on board the train they were on the tracks. we'll go live to the scene. gop candidates sprint to the finish in wisconsin and nake round on the sunday morning talk shows. we're live in the badger state with the final arguments. hillary clinton and bernie sanders are trading barbs as they battle over the badger state and prepare for a major showdown in new york. hello. thanks so much