DEAR DR. ROACH: I am a 77-year-old man, and I had an ultrasound done because I noticed my left testicle seemed swollen. The result showed a large fluid collection (5 x 5 x 3 cm) superior to the left testicle. My doctor said to leave it as is, but if it bothered me, he could operate and remove it. Should it be removed? Will not removing it lead ...Read more
DEAR DR. ROACH: Two weeks ago, my friend got COVID a week before she was scheduled for her second booster. She is 55. She feels the second booster isn't necessary now, because she is effectively immunized. I understand that the second booster is recommended three to four months after recovery. Can you enlighten me? A mutual friend who is ...Read more
DEAR DR. ROACH: I'm a 65-year-old female, non-smoker, with very dry eyes living in a dry climate. My eyes often burn and tear up, which I find curious, having been diagnosed with dry eyes.
During the day, I use preservative-free eyedrops and also place a warm washcloth over my eyes. Before bedtime, I apply an ointment or a preservative-free gel...Read more
DEAR DR. ROACH: I am 80 years old, still work full-time and have generally good health, except for adult-onset asthma. Advair 250/50 was prescribed for me over 10 years ago, and I've been taking it regularly each morning, thoroughly rinsing each time to prevent thrush. About five years ago, I developed an abdominal hernia just below my waistline...Read more
DEAR DR. ROACH: I'm a 68-year-old woman in good medical/physical condition. I run three times a week and work out with weights regularly. The only medicine I take is bioidentical hormones. Recently, the side of my foot near my baby toe felt sore as if, when I walked, I was stepping on a small pebble. It's not really painful, but annoying. This ...Read more
DEAR DR. ROACH: I am a highly active 74-year-old female. I walk a mile and a half every morning (my dog insists), then do two step-aerobic classes with weights, two serious weight workouts with a trainer, 1-3 miles on an elliptical walker and 2-4 hours of horseback riding, plus miscellaneous activities and yard work each week. My left hip is ...Read more
DEAR DR. ROACH: I am 70 years old, in good health, with no family history of glaucoma. My optometrist diagnosed me a year ago as having low-pressure glaucoma, early stage. He prescribed brimonidine 0.2% twice daily. I also saw an ophthalmologist for a second opinion. The ophthalmologist diagnosed me as a "glaucoma suspect." He does not ...Read more
DEAR DR ROACH: My husband will be 83 in September and was recently diagnosed with an ascending thoracic aortic aneurysm measuring 4.8 cm. Five centimeters is when they do something. After hearing about the survival rate based on your recent column, along with your comment that "most people do not survive a rupture of the aorta," I'm scared. Why ...Read more
DEAR DR. ROACH: I am a 55-year-old male in good health and was diagnosed with a slightly enlarged prostate several years ago. My primary care doctor said he wasn't concerned enough to prescribe any medications. I get an annual physical, and there haven't been any changes. However, in the past couple of years, there have been times when, once I ...Read more
DEAR DR. ROACH: For sleep, my boyfriend (78) takes Ambien when he needs it, a few times each week. The instructions on the bottle says "take as needed." To me, that means if he doesn't need it, he doesn't take it. That's simple logic.
His doctor occasionally will order a urine drug screen looking for metabolites of Ambien -- something about ...Read more
DEAR DR. ROACH: Is it true that a person over 55 years of age can have bone density problems? Does drinking milk and taking calcium with vitamin D help with this condition? Also, some people take oral cortisone for arthritis. Doesn't this make the bones more susceptible to bone breakage? Some doctors don't feel men can have bone density problems...Read more
DEAR DR. ROACH: I'm 79 years old and have coronary artery disease. In 2006, I had a heart attack, followed by an angioplasty and a drug-eluting stent in my left anterior descending artery. I had that done again in the same artery in May 2021. I get an irregular heartbeat, and after I wore a heart monitor, they said I had atrial fibrillation from...Read more
DEAR DR. ROACH: My brother has low blood platelets and anemia. He will be 73 this year and has had three back surgeries. What causes low blood platelets? Can anything be done to raise platelet count? He drinks alcohol everyday -- not hard liquor, but canned alcoholic mixed drinks. He is in constant pain from his back. Also, he has osteoporosis. ...Read more
DEAR DR. ROACH: While reading one of your recent columns, I learned that all water, except distilled, contains electrolytes. I wondered if there are differences in the amount of each electrolyte in drinking water in different places in Canada, and if so, whether that might explain why I experience cramping and diarrhea when I am visiting another...Read more
DEAR DR. ROACH: What is the best medicine for arthritis? My doctor prescribed diclofenac sodium, and another doctor said it will damage my liver and kidney with prolonged usage. As you know, arthritis is a chronic disease. Let me know what medicine I can use for arthritis. -- A.A.
ANSWER: I'm assuming you mean osteoarthritis, the most common ...Read more
DEAR DR. ROACH: I am a candidate for cataract surgery. When discussing this with my doctor, he mentioned that there are new lenses that can be used, which make it possible to correct my vision to 20/20. They are called light-adjustable lenses. There is a cost of $2,400 per eye. It seems to have great success with little risk. He did mention I ...Read more
DEAR DR. ROACH: In one of your columns, someone asked if it was helpful to just rest during the night, and how did that compare to sleeping if one is unable to sleep.
You said just resting was not that helpful, that one really needed sleep. I wanted to ask about "restless" minutes as recorded by a fitness watch. Restless minutes are separated ...Read more
DEAR DR. ROACH: I have been trying to increase my upper body strength, but am having difficulties. I am almost 70 and female, and have been moderately active. I exercise daily for 30 minutes using a stationary bike or a treadmill. I injured my rotator cuff last summer playing an exercise video game. There is hardware from a previous surgery for ...Read more
DEAR DR. ROACH:As a 90-year-old man in mostly good health, I have been taking one Bactrim (sulfamethoxazole/trimethoprim) pill per day for several years now preventatively for recurrent urinary tract infections. I am very pleased with this successful treatment. However, my urologist has mentioned that I might have to relinquish the Bactrim at ...Read more
DEAR DR. ROACH: I would like to ask you a basic question about COVID-19 booster shots, since no health authority seems to answer it directly. Why should I get a booster if the booster is based on the original alpha version of the virus from more than two years ago? Even if the booster shot were based on the delta variant, that variant passed ...Read more