expert type icon EXPERT

Joseph Gomes

Family Practitioner

Dr. Joseph Gomes is a family practitioner practicing in Folsom, Ca. Dr. Gomes specializes in comprehensive health care for people of all ages. In addition to diagnosing and treating illnesses, family practitioners also put focus on preventative care with routine checkups, tests and personalized coaching on how to maintain a healthy lifestyle. Dr. Gomes possesses immense general knowledge on maintaining health and today, family practitioners provide more care for the underserved and rural populations than any other medical specialty.
7 years Experience
Joseph Gomes
  • Folsom, Ca
  • AUC School of Medicine
  • Accepting new patients

What lifestyle changes and medications can help manage acid reflux?

Hi, great question. Acid reflux can of course be managed medically with prescription medicine, but it is often times best to first make lifestyle modifications prior to even considering READ MORE
Hi, great question. Acid reflux can of course be managed medically with prescription medicine, but it is often times best to first make lifestyle modifications prior to even considering pharmacotherapy.

I’ll bullet-list some items below:

• Bite Size. Yeah. Bite size. We often, quite literally, “bite off more than we can chew. Large bites often hand in hand with:

• Chewing. What did yo momma s’plain you? Gotta chew your food. Large bites and inadequate chewing forces the stomach cells to produce MORE stomach acid. So guess where all that extra acid goes? You guessed it. Right up your “throat”, causing the characteristic burning sensation acid reflux is known for.

• What else? Lying flat (supine) right after a meal. Lying flat (anatomically speaking) makes it easier for acid to reflux up.

Which is why, after your next Thanksgiving Turkey dinner (or Tofurkey, Beef Jerky, whatever) that you sit upright for at least 20 mins after the meal.

Take care!

What lifestyle changes and medications can help manage acid reflux?

Hi, great question. Acid reflux can of course be managed medically with prescription medicine, but it is often times best to first make lifestyle modifications prior to even considering READ MORE
Hi, great question. Acid reflux can of course be managed medically with prescription medicine, but it is often times best to first make lifestyle modifications prior to even considering pharmacotherapy.

I’ll bullet-list some items below:

• Bite Size. Yeah. Bite size. We often, quite literally, “bite off more than we can chew. Large bites often hand in hand with:

• Chewing. What did yo momma s’plain you? Gotta chew your food. Large bites and inadequate chewing forces the stomach cells to produce MORE stomach acid. So guess where all that extra acid goes? You guessed it. Right up your “throat”, causing the characteristic burning sensation acid reflux is known for.

• What else? Lying flat (supine) right after a meal. Lying flat (anatomically speaking) makes it easier for acid to reflux up.

Which is why, after your next Thanksgiving Turkey dinner (or Tofurkey, Beef Jerky, whatever) that you sit upright for at least 20 mins after the meal.

Take care!

What treatment options are available for pneumonia, and which one is best for me?

Treatment for Pneumonia depends on the type of Pneumonia diagnosed. Also depends on the individuals preexisting conditions (if applicable). There’s viral pneumonia. There’s also READ MORE
Treatment for Pneumonia depends on the type of Pneumonia diagnosed. Also depends on the individuals preexisting conditions (if applicable). There’s viral pneumonia. There’s also bacterial pneumonia, there’s even Fungal pneumonia to name a few. They’re all treated according to the aforementioned features (and more).

What helps with hypertension naturally?

Hi, yes, there are tons of “natural” approaches to HTN. Some of the more “natural-est” approaches is lifestyle modification. The answer is not always to do something extra, but READ MORE
Hi, yes, there are tons of “natural” approaches to HTN. Some of the more “natural-est” approaches is lifestyle modification. The answer is not always to do something extra, but to sometimes take a step back and perhaps reconsider some of the current practices and make adjustments at the most fundamental layers first.

The big players? Food. Drink. Exercise. Sleep.

The Basics:

Food: low salt diet

Drink: energy drinks are all bad for blood pressure. *Key Rec* don’t underestimate the influence from Alcohol.

Exercise/Sleep: goes without saying that these are important.

Hope that helps

Are there any dietary restrictions I should follow with a CKD?

Hi, CKD (Chronic Kidney Disease) stage 1 is the stage which describes the most baseline level of kidney health. It was developed by The National Kidney Foundation's (NKF) Kidney READ MORE
Hi, CKD (Chronic Kidney Disease) stage 1 is the stage which describes the most baseline level of kidney health. It was developed by The National Kidney Foundation's (NKF) Kidney Disease Outcomes Quality Initiative (KDOQI) as a way to describe the filtering ability of the kidneys. CKD Stage 1 can be something to pay attention to (particularly if there are current risk factors for renal decline, but it could also just be a label being used to describe the norm.
So, assuming there’s actual reason for concern, most important would be to try to figure out what caused the CKD in the first place? Was it high blood pressure? Diabetes? Etc? Figuring which other players may be involved can help not only determine the cause, but also assist with the intervention selection (if needed).



Can acupuncture help with chronic pain conditions?

Yes. Acupuncture is actually BEST when used to treat chronic medical conditions (including chronic pain).