My Blog

Posts for: April, 2018

By J. Gabriel Guajardo, M.D.
April 19, 2018
Category: Health Care

There are many ways to get bladder incontinence under control.urinary incontinence

Dealing with a loss of bladder control, or urinary incontinence can be embarrassing. Being concerned that you might not be able to make it to the bathroom in time could have you avoiding certain social or professional situations. While people may assume that this problem only happens to older women, our Brownsville, TX, OBGYN Dr. J. Gabriel Guajardo is here to tell you that this happens to women of all ages for many reasons.

What causes urinary incontinence?

Urinary incontinence may be acute or chronic. If it’s acute, a urinary tract infection, constipation, certain medications (e.g. blood pressure or heart medications; sedatives), or certain foods or drinks could be to blame. In fact, these foods and drinks can stimulate the bladder and cause urgency:

  • Caffeine
  • Carbonated drinks
  • Alcohol
  • Chocolate
  • Spicy or acidic foods
  • Citrus fruits

If urinary incontinence doesn’t seem to go away then it could be caused by pregnancy, aging, menopause, childbirth, a urinary tract obstruction or a neurological disorder (e.g. spinal injury; Parkinson’s disease).

When to see a doctor?

It’s important to give our Brownsville, TX, gynecologist a call if:

  • You experience sudden urinary incontinence (which could be caused by a new medication or a UTI)
  • Your urinary incontinence requires you to wear a pad
  • Your urinary incontinence impacts your life

While we know that this problem can be a bit embarrassing it is an issue that many women face and it’s important to talk to us about what’s going on so that we can provide you with the individualized care and treatment you need to get this problem under control.

What are my treatment options?

The treatment or treatments that will work best for you will really depend on the cause of your urinary incontinence, which is why it’s a good idea to visit us as soon as symptoms arise so that we can provide a thorough diagnosis.

Urinary incontinence can be treated with:

  • Pelvic floor exercises
  • Medications (e.g. estrogen cream)
  • Botox (to relax the muscles of the bladder)
  • Bladder training and biofeedback
  • Surgery (if symptoms aren’t responding to any other treatment options)

No matter whether you’ve been diagnosed with urinary incontinence or think you are dealing with this problem it’s important that you have a medical team by your side to provide you with the treatment you need here in Brownsville, TX. Call us today.


By J. Gabriel Guajardo, M.D.
April 13, 2018
Category: OBGYN
Tags: Mammogram  

Mammogram AppointmentWith breast cancer being the most commonly diagnosed cancer in American women it’s now more important than ever to educate women on the importance of getting regular mammograms. While most women won’t need to get them during their early adult years, it’s important to understand why mammograms are necessary, who should be getting them and how often you should get one.

No matter your age, it is important to note that if a lump is detected during a physical breast exam a mammogram should be performed. According to the American Cancer Society, women should get a mammogram once a year starting around the age of 40. This doesn’t include the self-exams you should be performing on yourself once a month to check for lumps. Women 55 years old or older should get a mammogram every two years.

Of course, if breast cancer runs in your family then you may need to get a mammogram earlier. It’s important that you talk to your gynecologist right away about your family history in order to determine whether or not you should start getting regular mammograms sooner. After all, a mammogram is the best diagnostic tool to be able to detect breast cancer earlier. This simple tool could just end up saving your life.

A mammogram only takes about 20 minutes to complete. A machine will be used to compress the breast for a couple seconds in order to capture the necessary images. While the compression may be uncomfortable it shouldn’t be painful. If you do feel pain it’s important that you let us know. It can take up to 10 days to get results.

A radiologist will look at the images captured during your mammogram and explain findings on a scale from 0 to 6, with 0 meaning that there were no abnormalities and 6 being malignant breast cancer that has already been detected with a biopsy. If there are any suspicious findings, a biopsy may be recommended to test the breast tissue for the presence of cancer cells.

If it’s believed that the findings are benign then a biopsy will not be necessary; however, we may recommend that you come in more regularly for routine mammograms.

Whether you have questions about getting a mammogram or you want to find out if you could benefit from this diagnostic test, call your OBGYN today to learn more. Taking precautions now could protect you in the future.


By J. Gabriel Guajardo, M.D.
April 03, 2018
Category: Pregnancy Care

Woman with Hyperemesis GravidarumIt’s normal for a lot of pregnant women to experience morning sickness, particularly during the early months of pregnancy. Of course, there are some women who deal with such severe morning sickness that it affects not only their daily lives but also their health. This severe form of morning sickness is known as hyperemesis gravidarum.

While normal bouts of morning sickness can cause nausea and even occasional vomiting during the day (or even at night), if you have hyperemesis gravidarum you will experience severe nausea and vomiting that is so persistent and invasive that it can lead to weight loss, dehydration and even fainting episodes. Women who experience true hyperemesis gravidarum are usually unable to keep food down.

This condition often manifests itself between four and six weeks, but may continue to occur up until the 13-week mark; however, there are some women who still experience symptoms throughout the course of their pregnancy.

Unfortunately, there is no way to prevent this from happening to you. The best thing you can do is visit your obstetrician right away if you suspect that you might have hyperemesis gravidarum. In more severe cases, you may need to be hospitalized. This is often the case if you are severely dehydrated or have low electrolyte levels and are unable to keep food down. When this happens, an IV is administered so that you can get the nutrients and vitamins your body needs.

It’s also important to discuss any medications that you may want to take prior to taking them as they could have some negative effects on you or your baby. Fortunately, there are other non-medicinal ways to reduce hyperemesis gravidarum symptoms. We will provide you with a variety of different options for how to keep your nausea and vomiting under control.

If you are dealing with severe nausea and vomiting during your pregnancy it’s important that you turn to your obstetrician for the care you need. Pregnancy should be an exciting time but we know that you will have questions and concerns along the way. Turn to an OBGYN you can trust to help guide you through this exciting journey.