DEAR DR. ROACH: In February, I had a stroke. I received no warning, and the stroke affected my left side. My doctor put me on blood pressure medication, but not a blood thinner. The stroke has left me with numbness in my left side, but I can use my limbs OK. What I want to […]
Dr. Roach
Botox injections used for treating an overactive bladder
DEAR DR. ROACH: In two weeks, I am supposed to get Botox injections in my bladder for an overactive bladder (OAB) and my frequent need to urinate at nighttime. Are these injections safe? Are there any bad side effects? How long do they work? — D.J. ANSWER: The initial treatment for OAB symptoms usually consists […]
Neck and hip pain might signify polymyalgia rheumatica
DEAR DR. ROACH: I think my 75-year-old husband has polymyalgia rheumatica, and I understand it has no definitive cause. He gets severe unbearable pain alternating between his neck and hips every few weeks. It seems that the only treatment is prednisone, but he does not want to take it. What else can we do? — […]
Patient can only obtain a certain HRT with a nontraditional doc
DEAR DR. ROACH: I am 62 years old and postmenopausal. I am reading more about bioidentical hormones giving added protection to the heart and brain, in addition to helping with hair loss and weight gain. However, it seems that the only way one can obtain these hormones is through nontraditional, functional medicine doctors. I haven’t […]
Episodes of faintness occur due to fibromuscular dysplasia
DEAR DR. ROACH: I am a female who is 68 years old and in generally good health. In September 2021, after a couple episodes of faintness when tilting my head back, I was given a CT angiogram with contrast. The diagnosis was fibromuscular dysplasia (the report noted a “beaded appearance” of the artery), with no […]
‘Low vitamin D level’ actually falls within the acceptable range
DEAR DR. ROACH: I had lab work done recently and received a panic call from the doctor’s office that my vitamin D level was 29 ng/mL. I needed to start 50,000 IU once a week for 12 weeks immediately. I am confused how I could be deficient of the sunshine vitamin since I live in […]
Friend needs help discussing high blood calcium with doctor
DEAR DR. ROACH: A friend has been diagnosed with high blood calcium, and when I googled it, the results concerned me. Can you give information on this and how to discuss it with the doctor? I want to forward the column to my friend, and hopefully, the information encourages/helps with the medical discussions between my […]
Weighing Xanax versus Adderall in regard to anxiety disorders
DEAR DR. ROACH: I recently read a book where a person who suffered from anxiety and depression found that Adderall gave relief from the effects of anxiety and depression. My initial thought was that this could help a person focus and perform, almost like a stimulant. Currently, Xanax is a nice option that appears to […]
Dangerously abnormal heart rate calls for medication treatment
DEAR DR. ROACH: I am a 67-year-old Caucasian female in generally good health. In 2022, I was found to have asymptomatic atrial fibrillation (AFib). I underwent electrical cardioversion in the hospital, but the AFib continued periodically throughout the past year, according to my heart monitor. Six weeks ago, a 14-day Holter monitor showed a 65% […]
High blood calcium might not correlate with coronary disease
DEAR DR. ROACH: I am a 62-year-old white male who is 5 feet, 11 inches tall and weighs 205 pounds. I have diabetes, high blood pressure and high cholesterol. I was recently diagnosed with “moderate to significant coronary disease” by a CT coronary calcium scan. This was based on a finding of “severe calcification in […]