Considering night congestion aids
Dear Dr. Roach: I am congested a lot at night. I have read about over-the-counter clips and adhesive tapes. Would they help me breathe better? Are they safe for the long term? — M.V.M.
A few years ago, a comprehensive review of studies on safety and effectiveness on these types of devices was published showing modest effectiveness. However, reviews at an online retailer were decidedly mixed. I believe that a person’s individual anatomy may be suited to only a particular type of device, or perhaps none at all. Fortunately, these devices are relatively inexpensive and safe, and may have significant benefit, so it may be worth a try. They almost certainly are safer than prescription or even over-the-counter medication.
Dear Dr. Roach: I am a 79-year-old woman, recently diagnosed with fatty liver. When I asked what to do about it, I was told to eat more fiber. No one gave me a suggested eating plan to help me do this. My present weight is 221 pounds, and I am 5 feet, 5 inches tall. I was never a drinker, just an occasional drink on a special occasion. Otherwise I am an active senior. — J.M.
Fatty liver, in people who do not drink excess alcohol, is a spectrum of disease. It ranges from mild enlargement of liver with fat (usually in association with being overweight, and called “non-alcoholic fatty liver disease”) to inflammation of the liver (nonalcoholic steatohepatitis). This last can lead to fibrosis of the liver and eventually cirrhosis.
It’s disheartening to me that you didn’t get even a basic discussion of what your diet should be. The optimal diet for someone with NAFLD is similar to that for a person with diabetes, and any registered dietician nutritionist would be able to help you with that. Just changing your diet will help, but usually weight loss is necessary to reverse the fatty liver.
Virgo (Aug. 23-Sept. 22) (8) Accept a challenge, and ask for help. You can’t do everything by yourself; rely on a partner’s support.
Libra (Sept. 23-Oct. 22) (9) Persistent actions get results. Maintain routines. Get imaginative with your work. Strengthen the heart factor.
Scorpio (Oct. 23-Nov. 21) (8) Dreams seem within reach. Put your efforts behind a matter of heart. Draw upon hidden resources. Use your talents.