Posted inDr. Roach, sj-web

Importance of BP numbers

DEAR DR. ROACH: Decades ago, I served in the Marines and was wounded in action in the Korean War. While recuperating in the naval hospital, I was told by several doctors that the more important reading of blood pressure (which they took frequently) was the bottom number. Now I am told by my doctors at […]

Posted inDr. Roach, sj-web

Knots in the back

DEAR DR. ROACH: My wife is 69 and in very good health, exercising at least two hours a day. She has suffered from “knots in the back” for over 10 years. It is extremely painful, often bringing her to tears. It comes on suddenly at any time of the day or night, and lasts hours, […]

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Posted inDr. Roach, sj-web

Man's atrial fibrillation

DEAR DR. ROACH: My husband, age 67, recently was diagnosed with atrial fibrillation. He began feeling very weak, and got dizzy every time he stood. We both had started on the keto diet together about a week prior. I’m a registered nurse. After taking his blood pressure and finding it to be very low for […]

Posted inDr. Roach, sj-web

Blood pressure target

DEAR DR. ROACH: I am a 91-year-old male. When I switched primary care physicians, my new doctor shook his head because my previous doctor had never told me about my low GFR readings and being borderline diabetic. In the past I had assumed that if the doctor didn’t mention any low or high blood test […]

Posted inDr. Roach, sj-web

Managing arthritis pain

DEAR DR. ROACH: I am 88 and have had osteoarthritis in my hands and knees since I was in my 50s. I began taking Tylenol and Advil for pain. But on a recommendation from a health food store clerk, I started taking turmeric. Since that first dose, I have never had to take any pain […]

Posted inDr. Roach, sj-web

Risk versus benefit

DEAR DR. ROACH: What is your take on the benefits versus risks of DMSO? — W.R. ANSWER: DMSO (dimethyl sulfoxide) has only one use approved by the Food and Drug Administration, in people with interstitial cystitis, where it is directly instilled into the bladder. It is also used (off-label, meaning without an official FDA indication) […]

Posted inDr. Roach, sj-web

Blood cell production

DEAR DR. ROACH: You have mentioned diseases of the blood marrow in the column before, but what does the bone marrow actually do? — T.S.B. ANSWER: The main job of the bone marrow is to produce the different blood cells: red blood cells to carry oxygen; white blood cells to fight infection and cancers; and […]

Posted inDr. Roach, sj-web

The art of Viagra

DEAR DR. ROACH: If I take Viagra on an empty stomach, eat dinner one hour later, then have sex 45 minutes after that, will Viagra work very effectively in this situation? — Anon. ANSWER: Although the manufacturer says you can take sildenafil (Viagra) with or without food 30 minutes to four hours before sexual activity, […]

Posted inDr. Roach, sj-web

Don't skip the specialist

DEAR DR. ROACH: My significant other and I are debating whether I should pursue follow-up testing with a rheumatologist for the possibility of ankylosing spondylitis. I say no, and she says yes, because things could be worse down the road if do have AS and don’t deal with it starting now. I am in my […]

Posted inDr. Roach, sj-web

Total knee replacement

DEAR DR. ROACH: I am thinking of having a total knee replacement done, as recommended by my doctor. I have bone on bone in my knee. What is your opinion? I know a friend of a friend who had one done three months ago and has had nothing but trouble. He has had two manipulations […]