Democrat and Chronicle from Rochester, New York on October 23, 2015 · Page Z7
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Democrat and Chronicle from Rochester, New York · Page Z7

Rochester, New York
Issue Date:
Friday, October 23, 2015
Page Z7
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Page Z7 article text (OCR)

pearls before swine stephan pastis for better or for worse lynn Johnston shoe Gary brookins and susie Mcnelly rex MorGan, M.d. wilson & beatty fred basset alex GrahaM MarMaduke brad anderson rubes leiGh rubin the faMily circus bil keane ZiGGy toM wilson & toM ii heathcliff peter GallaGher Janric classic sudoku instructions: Complete the grid so that every row, column and 3x3 box contains the numbers 1 through 9 (no repeats). difficulty ratinG: Silver at left: Answer to yesterday’s puzzle looking for tV listings? The television grid appears each day on page 2c. looking for movie times? Go to for the latest times. dear dr. roach: I have had many bouts of diverticulitis, and was recommended for surgery. However, one gas- troenterologist recommended treating my chronic constipation with Miralax, and since then I haven’t had one bout of diverticulitis. Is this something you have seen? — S.V. answer: Diverticula are small pouches in the wall of the colon. They occur most frequently in the left side of the colon, the sigmoid (S- shaped) colon. While divertic- ula occasionally bleed, when they become blocked they may become inflamed — that’s diverticulitis, a condition that causes pain and fever. Acute episodes usually are treated with clear liquid diet and oral antibiotics. Once an episode is resolved, it’s time to consider what to do to prevent further episodes. Although surgery is effective in preventing recurrences of diverticulitis in people where the disease is mainly in the sigmoid colon, people who respond to medical therapy don’t need surgery. In general, if the outcomes for medical and surgical therapy are similar, I tend to prefer medical treatments. Medical treatments to prevent further episodes are aimed at reducing pressure in the colon and maintaining normal transit of material through the bowel, which is why a high-fiber diet is the most common recommendation. If a high-fiber diet alone isn’t sufficient, it’s reasonable to consider other treatments. Polyethylene glycol (Miralax) is a non-absorbable substance that increases water in the bowel movement, preventing hard, dry stool. It is not indicated for long-term use. There are prescription medicines indicated for long-term constipation, such as lubipro- stone (Amitiza); however, I haven’t seen even regular use of Miralax cause problems so long as it isn’t overused. Take only enough to keep the constipation away. dear amy: I could use some advice on how to handle a source of family irritation regarding our son-in-law during holiday meals. “Patrick” works in the restaurant business and often works late hours and some holidays. Over the years we’ve accommodated his schedule by rearranging ours. We’ve started the festivities later in the day or even moved the day so we can celebrate together. Nevertheless, on the day of celebration with family, all goes well until there is a lull in the activities. At that point Patrick will stretch out on the couch and fall asleep. If we all want to play a game or visit or do some other activity as a family, he’ll opt to sleep rather than join in. In the beginning we bought into the excuse that he worked late and is tired. Now it just feels rude. It is hard to not take his behavior personally. My daughter is caught in the middle, but doesn’t like it any more than we do. I’d like to have your help with what we can say or do to address this ahead of time. — Elephant On The Couch dear elephant: You cannot prevent someone else from doing something they always do. What you can do is let your son-in-law know that this bothers you, by saying, “’Patrick,’ we know you work very hard, but when you fall asleep on the couch after Thanksgiving dinner we have a tough time partying around you. We’d love to spend more time with you — awake.” When this happens, ask your daughter to please rouse him and get him to a bedroom, where he will be out of everyone’s way. I’m not sure how she is “caught in the middle.” If he is dominating your celebration by snoring on the couch and you don’t like it and she doesn’t like it, there is no “middle.” He cannot possibly justify his choice to nap in the center of your holiday, other than to say, “Hey, I’m tired.” If you are too intimidated to respectfully ask your son- in-law to be a more engaged family member and if your daughter is too nervous to walk him to a bedroom, then you all have a bigger problem than his lack of respect for your holiday. Diverticulitis is treated with drugs and surgery Family has to tiptoe around sleeping in-law Send Dr. Keith Roach your medical questions. Write to him at ToYourGoodHealth@med.

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