Doctor insights on:
I have acid reflux and want to start going for an easy 2-mile walk after dinner. When is best to go (how long after eating, how long before bedtime).?
It depends...: How long you wait to exercise depends on the size of your meal and what kind of exercise you want to do. If you have your big meal of the day at lunch time, and a small evening meal, then choose to go for an easy 2-mile walk, 30 minutes is likely to be long enough to wait. If your evening meal is your largest of the day, an hour is a better wait. ...Read more
Will it be hard for a 20 month old to digest eating oatmeal and applesauce at 8pm (before bedtime)?
Cereal before bedtim: Giving cereal before bedtime ie a bit unusual. Typically the child should be given the heavy meals earlier in the evening and perhaps be given a cup of warm milk, which is rich in phenylalanine before bed-time, provided that you brush his teeth. Phenylalanine, one the milk's ingredients and an Amino Acid makes the children, and adults sleep better. ...Read more
Many possibilities: Medical conditions, emotional or stress problems, life-style schedules, pregnancy or menopause, etc. Are possible. Even good things like exercise (too late in the day) can do it. Too large a meal too late can, and on and on. Troubling emotional associations from the past about bedtime too. Maybe a therapist can help you untangle it so you can sleep well. ...Read more
The thought is that cholesterol formation in the liver is highest when sleeping, so a shorter acting statin would have the highest blood levels in the blood if taken at bedtime.
Some statins that have a longer time in the blood, so less of an issue.
According to their fda package inserts:
pravachol, crestor, and Lipitor (atorvastatin) can be taken at any time. Zocor is reported to take in evening. ...Read more
Water: Make sure the material in the bottle is not going to be either interesting or promote dental caries. Water would at least not be harmful, and when the kid gets bored with it she will toss it. ...Read more
Melatonin: Typically 30-90 minutes before bedtime is enough. You may have to adjust the timing based on your body's response (e.g., if you get sleepy earlier than desired, you will have to delay taking the medication the next night). Also, when you take it, you will need to keep the lights dim for it to take stronger effect. Keep in mind sometimes lower doses are more effective than higher doses (e.g., 1 mg). ...Read more
Retinal detachment: This could be due to detachment of the vitrous (jelly like substance in the eye) but it could also be an early warning of detachment of the retina. You should see your ophthamologist (eye doctor) to make sure. Retinal detachment can be treated and blindness prevented if caught early enough. ...Read more
Caffeine/hot cocoa: Hot cocoa has about the same amount of caffeine as decaf coffee (which still has small amounts of caffeine after processing). If caffeine makes you jittery, you can take the hot cocoa to help stay alert without side effects. If you drink caffeinated coffee or tea regularly, the hot cocoa won't keep you much more awake. ...Read more