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Dear Dr. Roach: My 73-year-old husband has candida esophagitis (ongoing for about six years). He has Type 2 diabetes and has had esophageal dilatations for the past 23 years. He was a cigarette smoker but quit.

Dear Dr. Roach: I went to the emergency ward this weekend with severe chest pains and bloating. I was sure I was having a heart attack.

Wellness, not illness, is the focus of a new international journal for indigenous health launched this month by the Centre for Aboriginal Health Research at the University of Victoria.

Dear Dr. Roach: My son, 55, had groin pain and was told he needed a new hip. Since the surgery, he has been in constant pain. Many doctors say it is his back, and he might not have needed the hip surgery.

Dear Dr. Roach: I am a 70-year-old woman in reasonably good health. For the past 18 months or so, I have had a vibration or fluttering in my chest. It happens only upon awakening — in the morning, middle of the night or after a nap.

Dear Dr. Roach: Can you tell me why there is so much emphasis on small portions for diabetics or prediabetics? If you are watching carbs and are underweight, is there still a reason to limit portion sizes? C.

Dear Dr. Roach: There once was what I thought was a terrific procedure to increase blood flow to the myocardium — transmyocardial revascularization (TMR). As a heart patient with five stents, I was particularly interested in this procedure.

Dear Dr.

Dear Dr. Roach: I have been diagnosed with senile purpura. It’s horrible. Would you tell us what causes it, and if there is anything to do for it? Does it get worse the older you get? I know of no one else who has it or who knows anything about it.

Dear Dr. Roach: In your response to R.J. in your column, you missed an opportunity to educate a writer on the role of the physical examination.