The Clinton Herald, Clinton, Iowa

Food & Health

December 20, 2013

There are solutions for GERD

(Continued)

There are some situations in which an esophagogastroduodenoscopy (EGD, an upper endoscopy) should be done right away. People who require an EGD are those with evidence of bleeding, weight loss, recurrent vomiting, difficulty swallowing or anemia.

DEAR DR. ROACH: I was on Pradaxa because I have atrial fibrillation. I had a total knee replacement in November 2012, and within a month I had to have hematomas removed on two separate occasions. My surgeon said that the blood thinner, Pradaxa, might have been the culprit. What are your thoughts?

I am going to start taking Xarelto. Could this cause the same problem in the future?

ANSWER: Both of these medications reduce the body’s ability to make blood clots. The major side effect of both is excessive bleeding. Any surgery increases the likelihood of bleeding, so the combination of a major surgery, like a total knee replacement, with a medication that increases bleeding risk means that bleeding is going to be likely. However, as the body heals in the days and even months after surgery, the risk of bleeding goes down. If you were to require another surgery, the risk of bleeding would be high.

On the other hand, the risk of a blood clot causing stroke in people with atrial fibrillation is about 5 percent per year without treatment, which is why treatment is recommended. It sometimes can be hard to balance clot/stroke risk against bleeding risk.

Dr. Keith Roach is a syndicated columnist.

Text Only
Food & Health
  • Why a see-through mouse is a big deal for scientists

    A group of Caltech researchers announced in Cell Thursday their success in making an entire organism transparent. Unfortunately, this isn't any kind of "Invisible Man" scenario: The organism in question is a mouse, and the mouse in question is quite dead.

    August 1, 2014

  • Sunburn isn't the only sign of summer that can leave you itchy and blistered

    You've got a rash. You quickly rule out the usual suspects: You haven't been gardening or hiking or even picnicking, so it's probably not a plant irritant such as poison ivy or wild parsnip; likewise, it's probably not chiggers or ticks carrying Lyme disease; and you haven't been swimming in a pond, which can harbor the parasite that causes swimmer's itch.

    July 31, 2014

  • Fist bump photo Study: Fist bumps less germy than handshakes

    When it comes to preventing the spread of germs, maybe the president is on to something with his fondness for fist bumps.

    July 30, 2014 1 Photo

  • Watermelon Think beyond the slice with refreshing watermelon

    Watermelon is one of those foods you really don’t need to overthink.
    Slice it. Eat it. Spit out the occasional seed. Done.

    July 27, 2014 1 Photo

  • Health insurers owe Iowans nearly $1.8M in refunds

    The federal government says insurers owe Iowans nearly $1.8 million in refunds because of a provision in the Affordable Care Act.

    July 24, 2014

  • Agents get subsidized 'Obamacare' using fake IDs WASHINGTON (AP) — Undercover investigators using fake identities were able to secure taxpayer-subsidized health insurance under President Barack Obama’s health care law, congressional investigators said Wednesday.The weak link seemed to be call cente

    July 24, 2014

  • Almost half of America's obese youth don't know they're obese

    The good news is that after decades of furious growth, obesity rates finally seem to be leveling off in the U.S.. The bad news is that America's youth still appear to be dangerously unaware of the problem.

    July 23, 2014

  • Illinois patients to docs: 'What about marijuana?'

    Illinois doctors, nursing homes, hospitals and hospice organizations are ramping up for their role as gatekeepers in the state's new medical marijuana program.

    July 23, 2014

  • Amanda Stecker Herbs make a better way to flavor meals Summer is a season full of fresh herbs. This is the best time of year to take advantage of the fresh herbs in the grocery store. Herbs add a boost of flavor without added sodium and are rich in antioxidants. Herbs are easy to incorporate into everyda

    July 23, 2014 1 Photo

  • Genome Genetic mapping triggers new hope on schizophrenia WASHINGTON, D.C. — Scientists have linked more than 100 spots in our DNA to the risk of developing schizophrenia, casting light on the mystery of what makes the disease tick.Such work could eventually point to new treatments, although they are many y

    July 23, 2014 1 Photo

Parade
Magazine

Click HERE to read all your Parade favorites including Hollywood Wire, Celebrity interviews and photo galleries, Food recipes and cooking tips, Games and lots more.