DEAR DR. ROACH: I am a 69-year-old male who is being treated for high blood pressure and high cholesterol; both are well-controlled. My recent cholesterol level was 150 mg/dL with an LDL of 56 mg/dL and an HDL of 42 mg/dL. I’m on 10 mg of rosuvastatin, and I do intensive workouts with a trainer […]
Dr. Roach
Vomiting and difficulty eating could signify gastroparesis
DEAR DR. ROACH: I am a 71-year-old healthy, active woman. I normally work out six days a week and used to be in very good shape. I am having stomach issues, which caused me to lose 20 pounds since the end of December 2023. I was thin to begin with and have lost a significant […]
Patient with recurrences of diverticulitis debates surgery
DEAR DR. ROACH: I’ve had diverticulitis repeatedly since 2016. It’s been bad enough 10 times (with belly pain and fever) that I was given antibiotics. I’ve had it at least that many more times where I wasn’t as ill (usually just had belly pain), and I didn’t take antibiotics, since it went away on its […]
Diabetic patient wants to switch from metformin to Ozempic
DEAR DR. ROACH: I have Type 2 diabetes. My BMI is 29. My last A1C was 8.4%. I currently take metformin and glipizide. I’ve asked my doctor about the new medications, like Ozempic and Mounjaro, but he is reluctant to prescribe them. The past two times we’ve discussed it, he talked me out of it, […]
Statin causes muscle pain in patient with high blood pressure
DEAR DR. ROACH: I had a CT calcium scan, and my score was 530. My doctor said that this was high, so he put me on a statin (Lipitor). But it debilitated me with so much muscle pain that I had to stop. I am wondering if there is something other than a statin to […]
Accutane isn’t to blame for affecting woman’s fertility
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 […]
X-ray done for lower back pain results in the finding of a tumor
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 […]
Insomnia and increased urination occur after stopping alcohol
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 […]
Medicine still being absorbed properly amid removal of stomach
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 […]
Lesion on lung could be scar tissue, infection, cancer, etc.
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 […]