DEAR DR. ROACH: Would you please discuss the use of Evista for treatment of osteoporosis as an alternative to bisphosphonates? The decision of which medication to take is very confusing, since every one of them has serious side effects. I am trying to choose the lesser of the evils. — S.K. ANSWER: Raloxifene (Evista) has […]
Dr. Roach
For calcium intake, dietary sources are the way to go
DEAR DR. ROACH: I read your recent column on calcium. I recently have been informed by my physician that there is a link between excess calcium and heart disease. She recommended that I stop taking my calcium supplements. I feel like I’m between a rock and a hard place: osteoporosis versus heart disease. Does the […]
Mystery seven-year itch: Is it shingles?
DEAR DR. ROACH: For the past seven years, I have had an itch under my shoulder blade on my back. It stretches from the left side to the center. There is no rash or anything visible on the skin; it just itches all the time. Neither my physician nor my dermatologist has a remedy. My […]
There doesn’t seem to be benefits of ‘heart scans’
DEAR DR. ROACH: I know so many people who have had a heart attack and open heart/bypass surgery due to blocked arteries. Isn’t there a test or scan we can have done every five years or so to check our arteries and be proactive about this before a heart attack happens? We have colonoscopies; why […]
Exercise can give insufficient vein valves a leg up
DEAR DR. ROACH: I’m a 69-year-old woman in excellent health. I take valsartan and doxazosin for high blood pressure. I am concerned because I have developed swelling in my left foot and ankle, with none at all in the right foot. Until now, I have never had any foot or ankle swelling, even in the […]
Prognosis for Langerhans cell histiocytosis depends on its extent
DEAR DR. ROACH: I have a friend who is the primary caregiver to her son, diagnosed with Langerhans cell histiocytosis. I am unfamiliar with this condition and would like to better understand the challenges and prognosis. Can you help? — O.C. ANSWER: Langerhans cell histiocytosis is a rare disease that is difficult to understand. Expert […]
Many causes could be acting together to cause your high blood pressure
DEAR DR. ROACH: I have had elevated blood pressure for a very long time. I had my son eight years ago and I don’t recall what it was before that; however, I developed pre-eclampsia during pregnancy and had a cesarean section a week early. When my son was 2, I was diagnosed with ADHD, and […]
Tightness and burning in lower legs signal nerve involvement
DEAR DR. ROACH: I am an active, healthy 67-year-old man. Several months ago, I started having a deep tightness and burning sensation in both lower legs. Nothing I do relieves the pain, including ice, heat, massage and pain medication. It is continuous and worse at night. I have been referred to specialists, and tests for […]
Balancing the risks of Celebrex with benefits against arthritis
DEAR DR. ROACH: I am a 63-year-old overweight woman with low cholesterol, normal-range blood pressure and a healthy heart. I don’t smoke or drink alcohol, and other than my excess weight, I am a healthy person and see my doctor regularly for checkups. My health issue is painful degenerative osteoarthritis in my knees, hips, spine […]
How not to take blood pressure
DEAR DR. ROACH: Recently, I had my annual checkup and nervously had to wait a while. The doctor’s assistant came in and proceeded to take my blood pressure. She then looked at me disparagingly and said: ”Do you always have a high blood pressure”? Of course, when she said this it probably doubled. Why can’t […]