Health Advice

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Health

Not all fiber confers the same benefits

Health Advice / Keith Roach /

DEAR DR. ROACH: I'm 35, and have newly diagnosed Type 2 diabetes. My hemoglobin A1C went down from 7% to 6.6% on metformin, and my doctor just added Januvia. My cholesterol level is also a bit elevated, and I would like to get my cholesterol and triglycerides down a bit. I am taking Crestor.

My question is about the role of fiber ...Read more

There is a difference between anxiety and an anxiety disorder

Health Advice / Keith Roach /

DEAR DR. ROACH: My mother has been on anxiety medication for one year. Her anxiety level continues to increase to the extent that she is unable to rest. She currently takes 30 mg buspirone daily for anxiety. She is also on 20 mg losartan. She is in otherwise good health. Is there any additional or different medication that you would recommend ...Read more

Eye pressure drug was cause of breathing problems

Health Advice / Keith Roach /

DEAR DR. ROACH: I found your response to a question about shortness of breath in a recent column very interesting, since I had the problem for a couple of years before the cause was identified. I had been to an oncologist, cardiologist and family practice, and had all proper tests and X-rays with no answers. The answer was found at the eye ...Read more

What is the best walking speed for weight loss?

Health Advice / Keith Roach /

DEAR DR. ROACH: I'm quite overweight, with some physical mobility and fatigue issues because of autoimmune-related inflammatory arthritis. Some days, I can get about a block at a fairly brisk pace but I have to stop for a few minutes because of the pain in my legs, pelvis and back or I will fall down. Other days, I can get two or three blocks at...Read more

Could shingles vaccine have caused a spike in CA-125?

Health Advice / Keith Roach /

DEAR DR. ROACH: I have a history of cancer with an elevated CA-125 level. Recently I had a shingles shot and soon thereafter, my CA-125 level was high. An extensive workup showed up nothing significant, and a repeat CA-125 level was back down to normal. Could the shingles shot have elevated my CA-125 level? -- K.R.

ANSWER: CA-125 is a tumor ...Read more

Very high triglycerides may need a step up from OTC fish oil

Health Advice / Keith Roach /

DEAR DR. ROACH: I recently saw an ad on TV for Vascepa. It seems to be a drug for lowering triglycerides. I did some additional research and found that it also works as an anti-inflammatory. My triglycerides on my last bloodwork were 160. Would this drug be of benefit for me? Some say it's merely fish oil, which I have taken for several years. I...Read more

Identifying triggers for migraine

Health Advice / Keith Roach /

DEAR DR. ROACH: Is it true that fructose is a trigger for migraines? -- L.J.S.

ANSWER: Migraine headaches are a form of episodic headache, often associated with nausea, as well as sensitivity to light and sound. There are many subtypes of migraine, including migraine without headache, and any given person may identify his or her own trigger for...Read more

Unexplained weight loss must be investigated

Health Advice / Keith Roach /

DEAR DR. ROACH: I am a 72-year-old man in good health. I have lost about 12 pounds in the past year, with no explanation. I'm 5 feet, 9 1/2 inches tall, and my morning weight has dropped from 166-168 pounds to 154-156 pounds. It is still slowly falling.

I eat well, and I've exercised an hour every other day for 36 years. I've had on-and-off ...Read more

Several factors influence which BP med is the best to prescribe

Health Advice / Keith Roach /

DEAR DR. ROACH: With all the different medications available for high blood pressure, what factors determine the medicine a doctor will prescribe? -- J.E.P.

ANSWER: The first consideration is whether the person has any other medical conditions that would make a particular medication more advantageous. Someone with diabetes and protein in the ...Read more

Don't let preconceived notions about aging limit your potential

Health Advice / Keith Roach /

DEAR DR. ROACH: After reading several of your columns, where readers asked if they are too old for some activity, I wanted to make older adults aware of their untapped reservoir of energy and ability. I notice that most tend to be hesitant to try various activities thinking they are probably too old to attempt it.

I am a retired music teacher; ...Read more

Optimal blood pressure goal needs to be individualized

Health Advice / Keith Roach /

DEAR DR. ROACH: My father is 91 years old, and I am concerned that his elevated blood pressure isn't being properly addressed. Recently, it seems to run in the mid-170s to mid-80s (176/86). He has a number of health issues, such as a kidney stent every three months, diabetic neuropathy and a transient ischemic attack. He takes metoprolol (25 mg ...Read more

HSV diagnosis doesn't need to doom love life

Health Advice / Keith Roach /

DEAR DR. ROACH: I am 57 and finally divorced my cheating husband a year ago. Now that I am interested in dating again, I went for a consultation and exam with my gynecologist, complete with STD testing. I am in excellent health and all tests were negative except the one I feared: herpes, both oral and genital.

I am not only upset but also ...Read more

Putting a pause on the shingles virus until age 60

Health Advice / Keith Roach /

DEAR DR. ROACH: At what age do you recommend the shingles vaccine? I'm 56 and my doc is recommending it, but I've heard that people frequently have negative side effects. I'm doing everything I can to stay well and out of the doctor's office during coronavirus.

Would you recommend I wait until next year, when we've all (hopefully) been ...Read more

Does HRT affect the duration of hot flashes?

Health Advice / Keith Roach /

DEAR DR. ROACH: If women are prescribed a hormone replacement for hot flashes, do the hot flashes return once the medicine is discontinued. If you take hormone replacement therapy, are you just delaying the symptoms for a while and will have to deal with hot flashes either way? -- C.H.

ANSWER: Hot flashes are a common symptom when women go into...Read more

This is the year: Do not skip out on the flu shot

Health Advice / Keith Roach /

DR. ROACH WRITES: Every year around this time I write a column on the different flu vaccines that are available. Before doing so this year, I want to implore readers to get their flu vaccine. If you have never gotten one, now is the time. If you had a bad reaction 20 years ago, give the vaccine another chance this year. If you have never had the...Read more

Don't skip the shots or the PT for frozen shoulder

Health Advice / Keith Roach /

DEAR DR. ROACH: I have been diagnosed with frozen shoulder after an X-ray by an orthopedic doctor. He sent me to physical therapy, but this is the slowest recovery and the most agonizing pain. No over-the-counter products help, and I do not want surgery. He offered a shot for the pain. I declined. I could go back for it but, I do not want a ...Read more

Was son's heart inflammation the muscle, lining or both?

Health Advice / Keith Roach /

DEAR DR. ROACH: In September 2017, my son, then 17, was rushed to a nearby children's hospital and ultimately diagnosed with myocarditis, but did not have a biopsy. He was given an infusion of immune globulin that left him quite ill for about 10 hours. Upon discharge the pediatric cardiologist reassured us that my son was free of this and could ...Read more

Insulin resistance can be minimized

Health Advice / Keith Roach /

DEAR DR. ROACH: I hear about insulin resistance all the time. What is it and how do you prevent it? -- M.E.

ANSWER: Insulin lowers blood sugar levels by moving the sugar into the cells that need it. Without insulin, cells starve for energy despite very high amounts of sugar in the blood.

A small amount of insulin should drop the blood sugar ...Read more

How long will swelling last post-blood clot

Health Advice / Keith Roach /

DEAR DR. ROACH: I am a 76-year-old man. Some time ago, I had a blood clot in my leg. They removed the blood clot and now the blood flow in my leg is back to normal, but my foot swells up every time I stand on it. But when I put my foot higher than my head, the swelling goes right down and I start all over again. Two doctors are telling me in ...Read more

Fabric or detergent may be aggravating mask wearer

Health Advice / Keith Roach /

DEAR DR. ROACH: I wear a face mask whenever I go into a store. My problem is that even wearing a mask for a short time gives me a scratchy throat the next day, causing me great anxiety because I fear that I have contracted the coronavirus. That scratchiness does dissipate during the day, but it can take a while. I wear commercially made fabric ...Read more

 

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