Posted inDr. Roach

No spleen? Get your vaccinations

DEAR DR. ROACH: I had a splenectomy in 2012 because an oncologist thought I had NK lymphoma. After pathology, I was informed that I had an unusual immune system with a lot of NK cells, but no cancer. I was very happy, but I’m wondering how to take care of myself now that I don’t […]

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Gluten is not always a bad guy

DEAR DR. ROACH: I don’t have celiac disease, but I keep reading that gluten-free is a healthier way to eat. Is that true? Is there any risk? — H.C. ANSWER: For people with celiac disease, strict avoidance of gluten (a protein component of grains, such as wheat, rye and barley) is essential. Gluten damages the […]

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Exercising after blood clot may be helpful

DEAR DR. ROACH: I am a 62-year-old male in generally good health. I have a clot in the popliteal vein in my right knee, and have been taking warfarin and getting periodic blood tests. Typically, the numbers are where my primary care physician wants them. It seems to be taking a long time (eight months) […]

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Testing is the key to informed health decision

DEAR DR. ROACH: I am 71. I’m overweight at 300 pounds and have had Type 2 diabetes for 15 years. I haven’t had any chest pain or heart problems, but a recent nuclear stress test lead my doctor to suspect buildup in one of my arteries, and he wants to do a cardiac catheterization. I […]

Posted inDr. Roach, sj-web

Help for essential tremor

DEAR DR. ROACH: I’ve suffered from essential tremor for 16 years. I take 500 mg of primidone and 40 mg of propranolol twice daily. I’ve gradually increased the dose over the years, and the combination works quite well. What is the highest dose of these medications that I can take? Also, are there any new […]

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Ulcers generally unaffected by acidity of food

DEAR DR. ROACH: I have recurring stomach ulcers, so I have been researching acid-alkaline diets to resolve the ulcer problem. I am frustrated, as some research indicates that a food is acid while another source indicates that it isalkaline. How do I know which is correct? — C.T. ANSWER: Nearly all ulcers either are caused by an infection with the bacteria Helicobacter […]