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Spasm diagnosed by measuring pressure in esophagus

DEAR DR. ROACH: I am a 72-year-old woman. For many years, or even decades (but infrequently, like every few months), I have experienced sudden chest pressure or tightness while eating my evening meal. Out of the blue, I feel extreme pressure or tightness in my chest, and I must stop eating and take a few […]

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Where does weight go when you lose it?

DEAR DR. ROACH: When you lose weight through diet and exercise, where does the weight go? — L.A.J. ANSWER: Weight gain and weight loss in the very short term can be related to body fluid, but I think you are really talking about people who have made a long-term loss of, say, 10 pounds. Those […]

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To best fix nutrition gap, determine what is affecting appetite

DEAR DR. ROACH: I’m a 78-year-old woman, and I don’t have the greatest appetite. My doctor has recommended that I take a liquid breakfast drink (like Carnation Instant Breakfast) and vegetable juice along with my regular meals. Are they worth the expense? Do they help nutrition? — E.I. ANSWER: I’d want to find out why […]

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Medical research has more than just a profit motive

DEAR DR. ROACH: I recently have been diagnosed with Type 2 diabetes. I have read all sorts of pamphlets and brochures; I have been to classes at the local hospital to learn about managing this disease; I have seen the vast array of supplies for testing blood sugar at my local pharmacy. I have come […]

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Addressing the pain of peripheral neuropathy

DEAR DR. ROACH: My feet hurt me so much that I no longer want to live. I am a 63-year-old white female. I have Type 2 diabetes, since 2014. My podiatrist says that I have plantar fasciitis, osteoarthritis and foot neuropathy. I have all the symptoms of peripheral neuropathy and then some. My feet feel […]

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Consultation, treatment hinges on wishes of patient, not family

DEAR DR. ROACH: I have always accepted that even in the least invasive surgical procedure, death could occur. I also am aware of the HIPAA regulation and that privacy is of the utmost importance. But to exclude immediate family from a consultation with the patient and a surgeon on life-and-death issues should never be allowed. […]

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Creaks and cracks in neck may be due to arthritis

DEAR DR. ROACH: I am an 83-year-old man in reasonably good health. About six months ago, I started hearing a cracking noise when I turned my head sideways or up and down. Sometimes it would happen every 15 seconds. No one can hear it but me, which is why I haven’t gone to my family […]

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Pseudomonas sinus infection tricky to eradicate

DEAR DR. ROACH: After years and years of excessive nasal congestion and postnasal drip that frequently affected my speech, I was diagnosed with a pseudomonas infection in my sinuses. I’ve had a balloon sinuplasty and two rounds of Cipro. My symptoms briefly improved after each treatment, but soon reverted to their prior condition. My ear, […]