ArcaMax

DEAR DR. ROACH: In 2021, I drove to the hospital with chest and back pain. I was told that I needed an emergency surgery to remove my gallbladder. During the procedure, I suffered a heart rhythm disturbance, which they were able to stabilize. (Months later, a doctor indicated that they had to use electrodes to rectify my heartbeat during ...Read more

DEAR DR. ROACH: My friend has cryptogenic cirrhosis. She says that the doctors don't know what causes it. Where could this have come from, and what does this mean for her? -- A.T.G.

ANSWER: "Cryptogenic" is from the Greek roots "krytpo-" (meaning hidden) and -genic (for "origin"), so "cryptogenic" literally means that its origins are unknown. ...Read more

DEAR DR. ROACH: After a month of testing from my gastrointestinal doctor, I have been diagnosed with irritable bowel syndrome (IBS). I have been sick for several months and have lost 12 pounds. (I'm now down to 100 pounds.)

I have been prescribed Xifaxan. The cost from my pharmacy is $811. Normally, I never have a co-pay. I checked around, and ...Read more

DEAR DR. ROACH: I am a 75-year-old man with an elevated A1C level; I was diagnosed with prediabetes. I feel healthy but have struggled to lose weight. I was wondering what your feeling are on using a glucose monitor. -- F.M.

ANSWER: A continuous glucose monitor is a device shaped like a disc, and the smallest of them are only just larger than...Read more

DEAR DR. ROACH: My wife was having problems getting to sleep and has stocked our medicine cabinet with various p.m. versions of popular pain relievers that have been advertised as sleep aids. Recently, I've had problems getting to sleep as well and began taking a single pill before retiring, but I can't honestly say that they're helping.

I ...Read more

DEAR DR. ROACH: I read your column daily in my local newspaper. The people who write in often describe themselves as "healthy" or "in good health." Then they always add that they are taking some sort of medication for some sort of ailment. Can you please clarify which attributes make a person healthy as opposed to unhealthy? -- L.S.

ANSWER: I...Read more

DEAR DR. ROACH: I am a 76-year-old male who is in relatively good health. For the past six months, I have been experiencing diarrhea on and off. I initially spoke to my general physician, and he thought it could be lactose intolerance. I reduced my dairy intake, drank lactose-free milk, and took Lactaid pills before eating dairy.

After about ...Read more

DEAR DR. ROACH: In a recent column, you noted that many patients do not properly use their inhaled asthma/chronic obstructive pulmonary disease (COPD) medications, but you didn't tell us how to properly use them. I'd hate to think that I've been doing Advair and albuterol incorrectly all these years. A little help, please? -- Anon.

ANSWER: The ...Read more

DEAR DR. ROACH: What can you tell me about the cause and treatment of immune thrombocytopenia purpura (ITP)? I am a 71-year-old male, and after lab results showed a low blood platelet count, I underwent a spleen and liver scan as well as a bone marrow biopsy. They all showed normal function, and no infection (viral or bacterial) has been found. ...Read more

DEAR DR. ROACH: When I was about 6 years old in the early '40s, my 16-year-old brother was sent to a sanitarium for tuberculosis patients. He was there for 18 months and was a survivor.

During this period of time, we (the family) went regularly for chest X-rays and some kind of test that involved a needle in my forearm. Why aren't X-rays done...Read more

DEAR DR. ROACH: I read with interest the letter from the reader who had shoulder pain and was identified with Parsonage-Turner syndrome. I had never heard of it before. I am a 64-year-old woman with severe shoulder pain. It has persisted for more than five years.

In addition to the ball of fire in the top of my arm/shoulder, I'm bothered by a...Read more

DEAR DR. ROACH: I have suffered from high blood pressure since I was a young man in my early 20s. I recently turned 70 years old. My blood pressure has been controlled by various medications. Most recently, I have been taking 20 mg of lisinopril once each day. I also take amlodipine.

Recently, my primary care physician spotted some abnormal ...Read more

DEAR DR. ROACH: I have notes from friends at home who are getting their COVID vaccines and high-dose flu shots on the same day in the same arm. They talk about being completely wiped out and the cons of having two sore arms. Does it matter if you get the shots in one arm or the other? I suspect that it's fine to do them both in one arm, and ...Read more

DEAR DR. ROACH: I am a 70-year-old male with a large inguinal hernia on the right side. I have consulted two different surgeons, and both surgeons recommend taking care of the condition at the earliest convenience.

The surgeon who specializes in robotic surgery recommends laparoscopic surgery with three small incisions. He also recommends ...Read more