ArcaMax

DEAR DR. ROACH: I'm currently in the final stages of recovering from osteonecrosis of the jaw (ONJ). Getting a diagnosis took two months, all of which I spent in excruciating pain. I finally found someone that has knowledge of ONJ. Can this condition recur if I continue taking Prolia? -- N.L.

ANSWER: ONJ is a rare side effect of denosumab (...Read more

DEAR DR. ROACH: My daughter, who's 44 years old, was recently diagnosed with rectal cancer. It's stage III and contained. She has no cancer in her liver, lymph nodes, rectum or colon. Her doctor is going to start her on a more aggressive chemo than he first thought of, then radiation. Since the cancer's contained, once it's removed, would her ...Read more

DEAR DR. ROACH: Could you address Munchausen syndrome and how to treat a person who might have it? What causes the constant talk about real or imagined illnesses, and is there a treatment for it? -- Anon.

ANSWER: Factitious disorder, sometimes called Munchausen syndrome after the 18th century German nobleman Baron Karl Friedrich Hieronymus von ...Read more

DEAR DR. ROACH: I'm a 74-year-old woman who's quite healthy (I am active and don't take any medications), but I have a history of irritable bowel syndrome (IBS-C). Recently, I experienced bad-smelling gas, leg cramps, and finger and toe spasms. I quit eating milk products, and my symptoms almost immediately disappeared. My question is: Do food...Read more

DEAR DR. ROACH: I'm a 62-year-old woman in fairly good health. I'm currently on Wellbutrin, carvedilol, Farxiga, Entresto and spironolactone, and my blood pressure is very well-controlled. I also recently started Zoloft. About eight months ago, I started feeling bad and spoke to my doctor about it. She wasn't concerned at the time and said ...Read more

DEAR DR. ROACH: My 83-year-old sister underwent the simple procedure of replacing her pacemaker battery. She's also been diagnosed with early signs of dementia. They gave her propofol, and when she woke up, she had extreme vertigo. Since it was an outpatient facility, they dumped her in the emergency room. She spent four days in the ER because...Read more

DEAR DR. ROACH: I've decided that it's time for me to find a new primary care doctor. My biggest concern is access to my medical records. I currently have access to a patient portal to request doctor appointments or prescription renewals and review test results. Since the health care providers in my area use different portals, I need to know ...Read more

DEAR DR. ROACH: I have occasional difficulty when going to sleep and/or getting back to sleep. I have tried Ambien, trazodone, clonazepam and Lunesta. All have their pros and cons.

My question regards sleep quality. I know there are several stages of sleep that we should go through and that the brain cleans out junk during sleep. Do these sleep...Read more

DEAR DR. ROACH: I read your recent column on prostate biopsies. I'm no doctor, but I'd advise against them. My boyfriend got a biopsy in 2012, which I believe caused his cancer to spread beyond his prostate into his bones. He died three years later in 2015.

Think about this: A needle is inserted to extract cells so that they can be tested. When...Read more

DEAR DR. ROACH: Could you please comment on radiofrequency ablation (RFA) for chronic shoulder pain with rotator cuff disease? I'm 78 in good health with arthritis and a small separation of the rotator cuff. I've received epidurals that do work very well. I don't want to keep getting them, but I also don't want surgery. My shoulder orthopedic ...Read more

DEAR DR. ROACH: My husband, who is 78 and about 100 pounds overweight, was diagnosed with Parkinson's disease in July 2022. In November 2025, he was diagnosed with stage I pancreatic cancer. He's currently getting chemo treatments that started in early January of this year. He has two options -- get surgery or get radiation treatments. His ...Read more

DEAR DR. ROACH: I'm frustrated that my physicians aren't giving me adequate pain relief. I had a shoulder repair with three severely torn tendons and a torn labrum, and the surgeon cut and moved my biceps tendon. I was given 20 mg of hydrocodone and APAP 5/325 mg for pain! Are the doctors legally prevented from giving me pain medication? -- J....Read more

DEAR DR. ROACH: My daughter's going through a manic psychotic break. Her reality is skewed, and she thinks that she's right and that the rest of us are out of touch. It's taking a toll on our family. How can I get through to her to seek professional help? -- B.C.

ANSWER: Unfortunately, this is a common situation that often doesn't have an ...Read more

DEAR DR. ROACH: About six years ago, I was diagnosed with prostate cancer. I chose to have a high-intensity focused ultrasound (HIFU), which ultimately wasn't successful. I was told that surgery after an HIFU was a high-risk option, so I chose to have radiation therapy to reduce the surgical risk of side effects like incontinence.

Prior to ...Read more