DEAR DR. ROACH: I am an 82-year-old woman in good health. I tested positive for the COVID virus in December 2020 and was hospitalized but did not need a ventilator. I needed oxygen for about two weeks after release. Four or five weeks ago, I noted thicker saliva in my mouth. The liquid hardens in […]
Dr. Roach
Surgeon to determine which patients need immediate surgery
DEAR DR. ROACH: My daughter was diagnosed with a fecalith after a day of pain and nausea. The expert opinion on her report was that an appendectomy was not required at this time. If a flare-up and pain do not recur, would an elective appendectomy be a wise choice given this first instance of symptoms? […]
Cause of UTIs needs to be proven by urine culture
DEAR DR. ROACH: I have chronic urinary tract infections. I am 79 and suffer from it often. I frequently go to the bathroom five to six times per night. If I’m lucky, I’ll get two or three hours of sleep. In addition, I feel sharp pains going up my vagina, and I have vaginal dryness. […]
Medication for low blood pressure not necessary
DEAR DR. ROACH: My husband, 75, has low blood pressure. His cardiologist has given us a blood pressure monitor to use at home every morning, and the readings are sent directly to the doctor’s office. His readings vary anywhere from 98/62 to more normal readings such as 116/70, but most are on the lower side, […]
Is high CRP cause for concern?
DEAR DR. ROACH: For the past six years, every time I have my annual labs done, my CRP has been very high. Normal range is listed as 0-3 mg/L. My results have consistently been 7-10 mg/L or more. When I express concern that this is listed as putting me at high risk for a cardiac […]
Hyaluronic acid safe to use for vaginal atrophy
DEAR DR. ROACH: I am a 74-year-old female, currently in good health. I had a complete hysterectomy at age 54, and stage 2B (ER positive, HER-2 negative) breast cancer at age 65, with lumpectomy and radiation. I am six months away from completing 10 years of Arimidex. Two years ago, my gynecologist prescribed Vagifem for […]
Hair loss most likely temporary
DEAR DR. ROACH: Last summer I had two abdominal surgeries, which were very traumatic (total of 17 days in the hospital), as well as severe pain and a very difficult recuperation. Approximately three months later, my hair started falling out. It is now so short and so thin. My doctor said it is “telogen effluvium,” […]
Fainting is more likely as we age
Dear Dr. Roach: I recently fainted for the first time in my life, requiring a trip to the emergency room. There I was diagnosed with acute syncope. I am 95 years old and in pretty good health, with my numbers being all good. My blood pressure and heart rate are fine. I walk and exercise […]
Double tinnitus is not an indication of brain damage
Dear Dr. Roach: Years ago, when I was in combat, there was a very close explosion. The blast hit my left side and I almost immediately noticed hearing a very mild ringing noise in my left ear. Within a short period of time, it became louder and constant. Through research, I deduced that I had […]
It is possible to find relief from back pain in a TENS unit
Dear Dr. Roach: I have spinal stenosis and degenerative disc disease, along with scoliosis from childhood polio. A few weeks ago, I developed sciatica and started a course of physical therapy, but quit halfway through because it seemed to make the pain much worse. The therapist recommended I try a TENS unit. Does a TENS […]