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Proctalgia fugax, literal pain in the rear

DEAR DR. ROACH: I hope you can help me. I have a pain that I would be embarrassed to share, in my small town, with the person who makes my doctor appointments, then the young girls who take my blood pressure and weight, and then, finally, with the doctor. I’m in my late 40s. In […]

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Red yeast rice seems promising but has issues

DEAR DR. ROACH: I read the letter from the man who took niacin to lower his cholesterol, which resulted in diabetes. I am not sure if you are aware that red yeast rice, which I have been taking, is supposed to reduce cholesterol. To my knowledge, it has no side effects. My doctor said my […]

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IBS symptoms on hiatus following colonoscopy

DEAR DR. ROACH: I have suffered for several years now from irritable bowel syndrome. I believe my symptoms began after back-to-back bouts of food poisoning, possibly norovirus. That said, I noticed something curious, and a gastroenterologist said that while it was not uncommon, he could offer no explanation. I thought maybe you might have a […]

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PSA test has a place in treating prostate cancer

DEAR DR. ROACH: I read your recent column on PSA screening for prostate cancer. As an oncologist who specializes in prostate cancer, I wanted to add that it is important for patients to understand that 1) screening is very different from diagnosis and treatment, and 2) that the PSA test is a very good and […]

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Treatment available for pseudogout

DEAR DR. ROACH: In your recent column on pseudogout, you didn’t discuss treatment. I had it earlier this year, and after a while it went away. It was very painful. Is there any medication to help it? — D.B. ANSWER: Pseudogout, like gout, is caused by the deposition of crystals inside a joint. But rather […]

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Look beyond antibiotics for recurrent infections

DEAR DR. ROACH: I have a problem taking antibiotics that treat infections. Every time I do, I have an unpleasant reaction. For something like a UTI, is it possible to get a one-dose treatment instead of taking a number of days’ treatment? I probably could tolerate one day. I tend to panic over side effects, […]

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Different valves have different INR goals

DEAR DR. ROACH: I had a St. Jude’s aortic valve put in in 1998. I have taken Coumadin since that time. A couple of years ago, my doctors changed the goal for my INR to 2-3. I don’t know why. I get nervous about having a stroke from a blood clot when my reading is […]

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Staph skin infection: from carbuncle to furuncle

DEAR DR. ROACH: I’ve been having trouble with boils for a couple of years. Last year, my doctor told me that it was a staph infection. After about a week on the antibiotics he prescribed, I started to develop an allergic reaction: a rash all over my body. I was told by a local clinic […]

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Chest radiation may affect heart disease risk

DEAR DR. ROACH: I am a 66-year-old woman who had early-stage breast cancer and routine sessions of radiation after a lumpectomy. Everything went very well. Less than two years later, I had a mild silent heart attack. I have always been healthy. My high blood pressure has been checked routinely and controlled with medicine, in […]

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Drooping eyelid common after cataract surgery

DEAR DR. ROACH: I am a 75-year-old woman who had successful cataract surgery two months ago. However, it left me with swollen eyelids and noticeable pouches under both eyes. My doctor advised that some people have a reaction like mine. I was told that the swelling should abate by six months. The healing was excellent, […]