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Accutane Isn't To Blame For Affecting Woman's Fertility

Health Advice / Keith Roach /

DEAR DR. ROACH: My daughter is in her 30s and has been experiencing infertility for several years. She and her husband have been tested, and the issue is her egg quality. She has had several rounds of in vitro fertilization with no success.

At age 19, she was prescribed Accutane for her acne. She had to take a monthly pregnancy test in order ...Read more

X-Ray Done For Lower Back Pain Results In The Finding Of A Tumor

Health Advice / Keith Roach /

DEAR DR. ROACH: My husband is 81 and in good health. He doesn't have any blood in his urine or any other abnormal symptoms. He recently had an X-ray done for lower back pain, and the radiologist observed abnormalities that resulted in a CT scan with contrast (oral and IV). The major finding is as follows: "There is an ill-defined soft tissue ...Read more

Insomnia And Increased Urination Occur After Stopping Alcohol

Health Advice / Keith Roach /

DEAR DR. ROACH: I switched to nonalcoholic beer a week ago due to an upcoming fibroscan on my liver later next month. I was diagnosed with a mild fatty liver this past August. I'm experiencing insomnia, plus I get up to urinate five to six times a night. Previously, it was only two to three times a night. Any thoughts or recommendations? -- A....Read more

Eliquis Still Being Absorbed Properly Amid Removal Of Stomach

Health Advice / Keith Roach /

DEAR DR. ROACH: I take Eliquis. I have no stomach; it was totally removed as a preventative measure due to the risk of stomach cancer. So, I have been trying to find out how much of this expensive drug is actually being absorbed. So far, my cardiologist, my primary care physician, nor my pharmacist can answer this question. I sent an email to ...Read more

Lesion On Lung Could Be Scar Tissue, Infection, Cancer, Etc.

Health Advice / Keith Roach /

DEAR DR. ROACH: My childhood friend just emailed me that she has a 1.1-cm lesion on her lung. It was found on a CT scan. She's having another CT scan today. She is a former smoker and has COPD. Is the lesion something that's part of COPD? What's the difference between a lesion and something else? -- J.B.

ANSWER: A "lesion" is simply a term ...Read more

Analyzing The Different Causes Behind A Stroke

Health Advice / Keith Roach /

DEAR DR. ROACH: In February, I had a stroke. I received no warning, and the stroke affected my left side. My doctor put me on blood pressure medication, but not a blood thinner. The stroke has left me with numbness in my left side, but I can use my limbs OK. What I want to know is: What causes people to have a stroke? Once you have had one, ...Read more

Botox Injections Used For Treating An Overactive Bladder

Health Advice / Keith Roach /

DEAR DR. ROACH: In two weeks, I am supposed to get Botox injections in my bladder for an overactive bladder (OAB) and my frequent need to urinate at nighttime. Are these injections safe? Are there any bad side effects? How long do they work? -- D.J.

ANSWER: The initial treatment for OAB symptoms usually consists of lifestyle changes (i.e., ...Read more

Neck And Hip Pain Might Signify Polymyalgia Rheumatica

Health Advice / Keith Roach /

DEAR DR. ROACH: I think my 75-year-old husband has polymyalgia rheumatica, and I understand it has no definitive cause. He gets severe unbearable pain alternating between his neck and hips every few weeks. It seems that the only treatment is prednisone, but he does not want to take it. What else can we do? -- C.W.

ANSWER: Polymyalgia ...Read more

Patient Can Only Obtain A Certain Hrt With A Nontraditional Doc

Health Advice / Keith Roach /

DEAR DR. ROACH: I am 62 years old and postmenopausal. I am reading more about bioidentical hormones giving added protection to the heart and brain, in addition to helping with hair loss and weight gain. However, it seems that the only way one can obtain these hormones is through nontraditional, functional medicine doctors. I haven't asked my ...Read more

Episodes Of Faintness Occur Due To Fibromuscular Dysplasia

Health Advice / Keith Roach /

DEAR DR. ROACH: I am a female who is 68 years old and in generally good health. In September 2021, after a couple episodes of faintness when tilting my head back, I was given a CT angiogram with contrast. The diagnosis was fibromuscular dysplasia (the report noted a "beaded appearance" of the artery), with no dissection or hemodynamically ...Read more

'Low Vitamin D Level' Actually Falls Within The Acceptable Range

Health Advice / Keith Roach /

DEAR DR. ROACH: I had lab work done recently and received a panic call from the doctor's office that my vitamin D level was 29 ng/mL. I needed to start 50,000 IU once a week for 12 weeks immediately. I am confused how I could be deficient of the sunshine vitamin since I live in South Florida, and I go outside a lot with good skin exposure. I ...Read more

Friend Needs Help Discussing High Blood Calcium With Doctor

Health Advice / Keith Roach /

DEAR DR. ROACH: A friend has been diagnosed with high blood calcium, and when I googled it, the results concerned me. Can you give information on this and how to discuss it with the doctor? I want to forward the column to my friend, and hopefully, the information encourages/helps with the medical discussions between my friend and the doctor. -...Read more

Weighing Xanax Versus Adderall In Regard To Anxiety Disorders

Health Advice / Keith Roach /

DEAR DR. ROACH: I recently read a book where a person who suffered from anxiety and depression found that Adderall gave relief from the effects of anxiety and depression. My initial thought was that this could help a person focus and perform, almost like a stimulant. Currently, Xanax is a nice option that appears to help with my anxiety issues...Read more

Dangerously Abnormal Heart Rate Calls For Medication Treatment

Health Advice / Keith Roach /

DEAR DR. ROACH: I am a 67-year-old Caucasian female in generally good health. In 2022, I was found to have asymptomatic atrial fibrillation (AFib). I underwent electrical cardioversion in the hospital, but the AFib continued periodically throughout the past year, according to my heart monitor. Six weeks ago, a 14-day Holter monitor showed a 65...Read more

 

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