Large amounts of alfalfa might have some of the same effects as estrogen. But even large amount of alfalfa aren't as strong as estrogen pills. Taking alfalfa along with estrogen pills might decrease the effects of estrogen pills.
An appendectomy is surgery to remove the appendix. The appendix is a small, finger-shaped organ that branches off from the first part of the large intestine. The appendix is removed when it becomes swollen (inflamed) or infected. This condition is called appendicitis. An appendix that has a hole in it (perforated) can leak and infect the entire abdomen area.
Gastroenterologists are the most common phyician who performs colonoscopy. Some surgeons also perform them. Gastroenterologists typically do colonoscopies in the community. Family doctors will sometimes do flexible sigmoidoscopy but aren't qualified for full colonoscopy. Colorectal surgeons will also perform colonoscopy.