ArcaMax

DEAR DR. ROACH: My wife is suffering from a failed back surgery that was caused by a neurosurgeon. The operation was four years ago, and she also had a spine stimulator that was implanted three years ago. Her pain management doctor said that she'll get progressively worse as current medical care hasn't improved for this condition. She's ...Read more

DEAR DR. ROACH: What's better for your health: beer (light or full) or soft drinks (sugar or sugarless)? And why? -- W.C.G.

ANSWER: Neither alcoholic drinks nor sweetened beverages are on my list of recommended beverages. Alcohol has many toxicities, whether it's short-term or long-term use, and is a known carcinogen (cancer-causing substance...Read more

DEAR DR. ROACH: My husband has neuropathy in his feet. He is otherwise healthy, exercises daily, maintains his weight, and eats healthy. My concern is that he uses chewing tobacco. He insists that it doesn't have a negative influence on his condition, but I disagree. What's your medical opinion? He is fully aware of other health complications ...Read more

DEAR DR. ROACH: I have horrible neck, shoulder, back and hip pain, which are all from different traumas. I've been seeing a pain doctor for the past 14 years. I started out taking 5 mg of Vicodin and 4 mg of trazodone. Over the years, my prescriptions have been raised to 7.5 mg of oxycodone four times a day and 800 mg of ibuprofen three times ...Read more

DEAR DR. ROACH: I've seen a number of stories lately about people who've been arrested for behavior that doesn't seem to be criminal, but the behavior is odd. Some of these people are homeless, and I wonder if they are mentally ill and aren't taking prescribed medication. -- P.L.P.

ANSWER: Mental illness often leads to behaviors that ...Read more

DEAR DR. ROACH: Could you please explain the percentages that are given when a study indicates an increase for a particular risk? For example, say a person with mild coronary artery disease is at an increased risk of having a heart attack when taking certain drugs like meloxicam. It is confusing and possibly frightens a person away from ...Read more

DEAR DR. ROACH: My primary care physician scheduled me for a cardio stress test and ultrasonography with intravenous "microsphere" imaging. I'm slightly concerned about the term "microsphere." Is this a safe procedure? Are there any complications stemming from this chemical/procedure? Should I be concerned about a stroke? How long do these ...Read more

DEAR DR. ROACH: I am a 61-year-old retired African-American woman. This past week, I just had a Pap smear (I hadn't had one since 2021) and was told that it was positive for human papillomavirus (HPV). I'm upset because I was celibate from 2021-2024, and then in January 2024, I got married to my current husband, who lives in Africa. I was there ...Read more

DEAR DR. ROACH: I've been feeling just awful. My doctor put me through the normal tests, and all were good. A neurologist recommended that I get a cortisol test. I did, and it showed a high cortisol level. I'd never heard of this. Would you explain what high cortisol is, how it is treated, and if there are any natural cures or therapies? -- S....Read more

DEAR DR. ROACH: I was 47 when my first colonoscopy found a villous adenoma, and during the past 21 years, I've had eight or nine more without problems. But this week, I had another and wound up with aspiration pneumonia, despite having followed the prep instructions to the letter. I know my stomach was empty.

How could this happen, and what ...Read more

DEAR DR. ROACH: I recently read in your column that you test your patient's magnesium levels when they have been on long-term proton-pump inhibitors (PPIs). When I asked my doctor to include this in his order for blood tests, I was told that the test isn't accurate, and he wouldn't order it. Is there a special magnesium test that I can request? ...Read more

DEAR DR. ROACH: Can you comment on endometrial cancer? I have stage IV, and I'm in my 50s. I remain concerned about inflammatory foods. I've now embraced a macrobiotic diet, and I feel great. -- T.P.

ANSWER: In North America, endometrial cancer is the most common gynecological cancer. Most women with endometrial cancer will see their doctor ...Read more

DEAR DR. ROACH: My husband, 79, has to get both of his shoulders replaced (a reverse total shoulder replacement) due to osteoarthritis. He had the first shoulder done two months ago. It is a very painful procedure and consists of a long and painful recovery. Physical therapy is helping.

Now I'm concerned with every painful twinge in my ...Read more

DEAR DR. ROACH: My husband suffered a grand mal seizure about six months ago. He was in the hospital for seven days. When he came out of the seizure, he was very combative and experienced memory loss. He still deals with short-term memory loss, and his neurologist says that it could take a year for him to get back to normal. My question is: Is...Read more