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Can I Quit My Heartburn Drug?

“As long as I’m trimming my daily prescription drugs,” remarked Mary, who had recently quit her cholesterol-lowering statin after shifting to healthful eating, “what about this Nexium? I admit I have some misgivings about stopping anything that seems to be working so well!”

I hear that a lot. Some patients have been taking a chronic heartburn drug for such a long time they don’t remember who prescribed it in the first place.

High Blood Pressure

One of the most common reasons people give for coming to our practice is to see if there’s “something other than all these pills” they’ve been prescribed for a medical problem. I frequently hear sentences such as, “I read the side effects of this drug and think: but those are the symptoms I’m being treated for,” or “I take all these pills and I feel pretty much the same.”

Hopping for Strong Bones

Although it’s the Christmas season, the title is not Shopping for Strong Bones. It is actual hopping, of the jumping-up-and-down variety. With or without a mini-trampoline (great fun, by the way, and readily available online).

Exercise researchers are spending more time these days determining which forms of exercise actually produce specific health benefits. Several weeks ago I wrote about the findings that exercise didn’t help with weight loss unless you cut calories, too.

Holiday Stress Rx: Ten Tips

December is a stressful month, especially for women and despite all the holiday cheer.

Some of you might be thinking “But he’s Jewish–what does he know about Christmas stress?” Here are my credentials: I’ve been married for many years to a Christian woman and I’ve watched as she and our extended family become fried by the stress during every holiday season. Also, my patients tell me the holidays stress them, period.

Health Care Reform and You (and Me)

As the Washington battles over health care reform continue, these past weeks have left me seriously conflicted. My moods swing between glee at the thought of health care reform and gloom as it seems we’ve once again capitulated our country’s needs to corporate bottom lines. You’d think that as a lifetime Chicagoan, I’d be used to this by now.

This is Your Moment (And You Didn’t Even Know It)

I’m surprised there’s been no mention in the newspapers or on TV of a newly published article from the prestigious American Journal of Medicine. Maybe it’s that we’re all suffering a bit of bad-news fatigue and the media decided to take mercy on us. Let’s face it. The conclusions from an immense survey (40,000 participants […]

Horse Chestnut

Every autumn, the shady horse chestnut tree (Aesculus hippocastanum) produces prickly fruits containing one to three large seeds, or “nuts.” In the 1800s, European doctors figured out that an extract made from these seeds could help treat varicose veins, hemorrhoids, and other disorders caused by fragile veins and sluggish circulation.

Horehound

Ancient Greeks reportedly relied on horehound (Marrabium vulgare) to treat mad-dog bite, which explains the “hound” in this plant’s name. But over time, it has been this herb’s power to control a cough that has made it so popular. Soothing teas, lozenges, and syrups concocted from its wooly leaves and white flowering tops make a cough more productive by stimulating phlegm (mucus) output in the airways. Colds, bronchitis, and other minor respiratory problems often respond to horehound treatment as well.

Herbal Digestive Formula

Naturopathic doctors have long recommended a classic herbal digestive combination (variously known as Robert’s or Bastyr’s Formula) for controlling the intestinal pain and inflammation associated with Crohn’s disease and ulcerative colitis, both inflammatory bowel diseases.

Herbal Decongestant

Several herbs can help relieve the swelling and stuffiness that make sinusitis, the common cold, or other respiratory complaints so uncomfortable. Most of these herbs work by opening up clogged nasal passages to ease breathing. And while they can certainly be bought and used individually, a blend of these botanicals provides the unique healing qualities of many different herbs–in just a single pill.

Hawthorn

Hawthorn (Crataegus oxyacantha), a rose family member popularly planted along hedges to deter trespassers with its prickly branches, has heart-healthy properties that ancient Greeks and Native Americans recognized centuries ago. Its modern reputation as a healing agent dates to Victorian times, when an Irish physician’s secret heart formula was ultimately revealed to contain a tincture made from the bright red berries.

Hypnotherapy

The word “hypnosis” is derived from the Greek hypnos meaning “sleep.” Actually, you’re not asleep when hypnotized, but rather are in a trancelike state of restful alertness. This is accompanied by an extreme openness and receptivity to suggestion. Hypnotherapy is the use of hypnosis for self-improvement and/or healing. All hynotherapy employs hypnosis, but not all hypnosis is hypnotherapy.

Hydrotherapy

Hydrotherapy is the use of water to maintain health or promote healing. Ice, steam, and hot, tepid, and cold water are all used in a number of different ways–some widely accepted, others controversial. For example, external treatments, such as the application of ice to a sprained ankle or soaking in a hot tub to soothe sore muscles, have become common remedies and some are universally prescribed by both conventional and alternative practitioners, particularly naturopaths. However, internal therapies such as colonic irrigation are considered suspect and even dangerous by most mainstream doctors.

Homeopathy

Homeopathy is a comprehensive system of medicine in which practitioners use solutions containing minute amounts of animal, vegetable and/or mineral substances to promote healing. Homeopaths believe in what they call the “law of similars.” This means that “like cures like” and that illnesses can be treated by giving patients a small dose of a substance that produces similar effects to those of the illness. This is the same principle used in allergy treatments and immunizations.

Hellerwork

Hellerwork is a type of bodywork created by Joseph Heller, a former NASA aerospace engineer. Like Rolfing, Hellerwork uses deep-tissue massage to help reduce stress and ease mobility.

Heller was originally taught Rolfing by Ida Rolf, Ph.D., a Columbia University trained biochemist, who created the therapy in the 1930s. In 1976 he became the head of the Rolf Institute, now located in Boulder, Colorado, which oversees the training of Rolfing practitioners. Two years later he developed his own variation on the method, which added verbal dialogue and movement exercises to the hands-on work.

High Blood Pressure

We doctors know it’s difficult to get our patients enthused about taking blood pressure medicines. Our plea that “this will help you to prevent problems in the future” doesn’t compel most people just struggling to make it through the day. And of course, it’s hard to convince someone to take medicines that often have unpleasant side effects to control a condition that has no noticeable symptoms. A lot of doctors acknowledge that high blood pressure is probably overtreated. Mild-to-moderate pressure levels (140/90 to 160/100 mm Hg) can usually be reversed by lifestyle changes alone. Levels consistently above these numbers do require medical treatment. However, despite the American Heart Association’s statement that blood pressure medicine is a lifetime commitment, if successful lifestyle changes create a new and healthier you, there’s no reason why (with your doctor’s help) you can’t begin to trim down your morning load of prescription pills–maybe even to none.

Hemorrhoids

As unglamourous as they are (and you’ll never see a telethon for hemorrhoids), consider yourself very fortunate if hemorrhoids are your worst experience with ill health. Try as you might, you simply cannot die from hemorrhoids. They may swell and become quite painful. Or itch. Or bleed. But ‘rhoids will never do you in. As you might be aware, hemorrhoids are simply varicose veins that have developed in an unfortunate location. When they do bleed, it’s never very much actual blood. (But don’t ignore bleeding. Over time, you can actually get quite anemic.) The only serious complication (relatively speaking) is thrombosis, when a clot forms within the hemorrhoid, and that is indeed quite painful and usually needs a surgeon’s help.

Heartburn

Because conventional physicians are becoming more skilled at diagnosing and treating heartburn, a condition in which stomach acid splashes upward into the esophagus, this common problem is undergoing some name changes. Strictly speaking, when you used to feel as though Mount St. Helens was erupting beneath your breastbone, it was called “heartburn.” After doctors developed gastroscopes to actually see the irritated esophagus, your heartburn grew into the more respectable “reflux esophagitis,” or “reflux” for short.

Heart Disease Prevention

We’re constantly hearing about how heart disease is the nation’s “number 1 killer.” Yet if I took a survey of my patients, I’m sure most of them would say they’re more worried about cancer than having a heart attack. Especially my female patients. So when the subject comes up, I take the time to point out that heart disease kills about 500,000 women each year–more than 10 times the number who die of breast cancer–and half those deaths are from heart attacks. To which I quickly add there are more effective strategies for preventing a heart attack than there are for preventing any other chronic disease.