Try tonic water before bed instead

Dear Dr. Gott: I am 73 years old. For the past few years, I have suffered from nightly leg cramps that frequently awaken me and, at the very least, disturb my sleep. My doctor has advised me to take a quinine pill at bedtime; however, I am reluctant to do so because the book “Worst Pills, Best Pills” advises against using quinine. What am I to do?

Dear Reader: Follow your physician’s advice. Nocturnal leg cramps are a common annoyance that may progress to dreadful discomfort. The cause is unknown, but quinine may prevent the cramps from occurring. In 40 years of practice, I’ve never had a patient develop problems from one quinine pill at bedtime. As an alternative, you might consider drinking a glass of tonic water (which contains quinine) in the evening.

Finally, many of my readers have had success with putting a bar of soap under the bottom bed sheet next to their legs.

Dear Dr. Gott: In 1995, I underwent surgery and chemotherapy for ovarian cancer. Thank heavens I have been cured, but ever since the chemo, my feet have prickled and burned. Now I feel as though I’m walking on hot coals.

My oncologist diagnosed “neuropathy” and said that nothing can be done about it. I know of other patients with the same condition. What can I do?

Dear Reader: The term “neuropathy” means that certain nerves in your body are malfunctioning, especially those in your feet. This condition is often a complication of diabetes and circulatory disorders. I am not aware that chemotherapy (in general) causes neuropathy. However, I am sure your oncologist is correct in the diagnosis. Now I believe he or she must address the problem and offer therapy.

First of all, you need a consultation with a neurologist, who will verify the diagnosis and investigate the cause, be it a vitamin deficiency, diabetes, a circulation problem or other cause. If no basis for your nerve problem can be discovered, your doctors may have to treat your symptom, not the disease itself.

Many physicians have had success using a prescription drug called Neurontin in escalating doses. Discuss this option with the oncologist. Regardless of its cause, your neuropathy can be treated.

Dear Dr. Gott: How can I get a copy of your new book, “Live Longer, Live Better”?

Dear Reader: The book should soon be available from your local bookstore, on the Web at www.quilldriverbooks.com or directly from the publisher. You can call 24 hours a day at (800) 605-7176 or write to Quill Driver Books, 1254 Commerce Ave., Suite 101, Sanger, CA 93657.