Health Advice



Patient Worried Over Cancer Risk With Barrett's Esophagus

Health Advice / Keith Roach /

DEAR DR. ROACH: After many years of dealing with reflux, I have now developed Barrett's esophagus. The biopsy said "Barrett's/intestinal metaplasia." After speaking to the nurse at my gastroenterologist's office, she explained that they were the "same thing."

Needless to say, I'm a bit concerned knowing that this diagnosis is a precursor to ...Read more

How To Treat Edema In The Legs And Feet

Health Advice / Keith Roach /

DEAR DR. ROACH: My brother is 74 and has edema in his legs and feet. He doesn't exercise; he basically just sleeps and plays games on his computer. His bedroom is upstairs, and he struggles going up and down the stairs. He takes a water pill (furosemide).

Is he doing more harm than good taking the pill? Is there anything he can do or take ...Read more

Ivermectin Rendered Useless For COVID And Similar Viruses

Health Advice / Keith Roach /

DEAR DR. ROACH: My friends do not believe in the COVID vaccines and take ivermectin instead. They seem to have frequent colds. Shouldn't ivermectin help prevent these colds? -- Anon.

ANSWER: You should not listen to those friends about the COVID vaccine or ivermectin. The COVID vaccine is the major reason that the number of deaths per week in ...Read more

Lab Results Signify Prompt Treatment For Type 1 Diabetes

Health Advice / Keith Roach /

DEAR DR. ROACH: I was recently diagnosed with Type 1 diabetes at the age of 62. My mother was diagnosed with Type 1 diabetes at 57. My glutamic acid decarboxylase 65 (GAD65) antibody results came in at greater than 25,000 U/mL and was confirmed twice by the lab. My C-peptide level is below 1 ng/mL. My blood sugar level was 542 mg/dL, and I was...Read more

Slower Heart Rates Are More Common In Athletes

Health Advice / Keith Roach /

DEAR DR. ROACH: I have a question about a resting heart rate, specifically when it is considered too slow for one's health. I am a 67-year-old male who, from an early age to the present time, has always been physically active every day. Now retired, I feel a great sense of accomplishment when I work out. The endorphin boosts and benefits to my...Read more

Men With Heart Disease Should Ask A Doctor Before Using Viagra

Health Advice / Keith Roach /

DEAR DR. ROACH: My husband tried two drugs for his enlarged prostate -- finasteride and tamsulosin -- prior to having prostate surgery in 2016. Since then, his libido has dropped, and his urologist suggested Viagra or a similar medication.

But we were concerned about a heart issue, since he has a stent in the "widowmaker" artery and an aortic...Read more

Autoimmune Patient Experiences Painful Menstruation

Health Advice / Keith Roach /

DEAR DR. ROACH: My 34-year-old disabled daughter has polyglandular autoimmune syndrome type 2, along with several other autoimmune diseases. Since her ovaries have never worked, she has been on hormone replacement therapy since she was 16 to protect her bones. She has had a menstrual period once every three months when the pills allow it.

...Read more

Speed Up The Healing Time Of Cold Sores With Early Treatment

Health Advice / Keith Roach /

DEAR DR. ROACH: What do you recommend to reduce healing time for cold sores on the lip? These flare-ups are so frustrating because they can take so long to heal. Is anything available that is better than oral acyclovir? Is there any difference between topical and oral meds? Are there any supplements that help? -- R.L.

ANSWER: For cold sores ...Read more

How To Make A Blood Draw More Tolerable For The Patient

Health Advice / Keith Roach /

DEAR DR. ROACH: While most aspects of modern medical care don't bother me, I despise blood draws from either arm. I always faint when it's done, and I feel awful afterward for what seems like a long time. It's a visceral response I can't control.

There are many noninvasive medical technologies now, so why are doctors still relying on this ...Read more

Lone Star Tick Bites Cause Alpha-Gal Syndrome

Health Advice / Keith Roach /

DEAR DR. ROACH: I was recently diagnosed with alpha-gal syndrome (AGS). I live in the country, but I do not remember having a tick on me. My husband and I are very cautious and always check for them. I am struggling to understand what exactly are my symptoms and what I can and cannot eat. I don't know if I am someone who can have dairy or not....Read more

Chest X-Ray Reveals A Finding Of Interstitial Lung Disease

Health Advice / Keith Roach /

DEAR DR. ROACH: My mother is 86 years old. She is in relatively good health. She recently saw her primary care physician for her routine checkup. Prior to her visit, she had developed cold symptoms. When her physician listened to her lungs, she heard some mild crackles at the base of her lungs. As a result, she was sent in for a chest X-ray. ...Read more

Cold Sensation In The Back Still Lingers Three Years After A Stroke

Health Advice / Keith Roach /

DEAR DR. ROACH: Three years ago (at age 79), I had a mild stroke. I was in and out of the hospital during the same day, but I soon reverted to normal. However, two mysterious side effects did remain:

First, although my right shoulder still works well (I can do weight lifting and pushups), it feels as if I am continuously being tightly grasped...Read more

The Best Medicine For Type 2 Diabetes Is Actually None

Health Advice / Keith Roach /

DEAR DR. ROACH: What's the best medication for Type 2 diabetes? -- P.H.

ANSWER: If I asked one of the students or residents I teach to answer that question, I would warn them that it's a trick. The best medicine is none.

In most cases, Type 2 diabetes can be prevented and treated with a lifestyle that includes regular moderate exercise as ...Read more

Zyrtec, Both Inexpensive And Safe, Works For Interstitial Cystitis

Health Advice / Keith Roach /

DEAR DR. ROACH: My urologist prescribed Elmiron for my interstitial cystitis (IC), and it worked well. But the cost became prohibitive, so he suggested Zyrtec at bedtime. While it's not quite as good as Elmiron, Zyrtec is working for me. My question is, how safe is it to stay on Zyrtec indefinitely? -- Anon.

ANSWER: IC is a chronic pain ...Read more



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