ArcaMax

DEAR DR. ROACH: I'm an active 76-year-old retired accountant who likely spent too many hours at a computer. Now I'm paying for it with a painful condition. My general physician says that I have a pinched or compressed ulnar nerve, which likely starts in the neck shoulder area but shoots pain down my right arm and elbow, all the way to my ...Read more

DEAR DR. ROACH: What's a Zenker's diverticulum? My 74-year-old friend was diagnosed with it, along with "cricopharyngeal achalasia." I've never noticed any swallowing difficulties before. -- S.W.

ANSWER: A Zenker's diverticulum is an outpouching of the esophagus that extends posteriorly toward the spine, at about the level of the thyroid. The...Read more

DEAR DR. ROACH: I'm 80. Over the past 26 years, I've had low blood platelet counts. (In 1998, one reading was 168,000, and in 2026, the reading was 117,000.) I have an enlarged spleen (16.1 centimeters), and I understand that this could account for my low platelet count. I do have tiny red dots on my chest. However, my doctor thinks that I ...Read more

DEAR DR. ROACH: I'm about to turn 70. A month ago, I was diagnosed with autoimmune hemolytic anemia (AIHA) that's idiopathic. Two CT scans and many blood tests have cleared me of all tumors; however, my spleen's enlarged. My hematologist put me on prednisone, which is working very well. I don't know how long I'll have to take prednisone, which...Read more

DEAR DR. ROACH: Five years ago, I was diagnosed with a kidney stone while getting an ultrasound for a different reason. A CT scan was ordered, which showed that I had a conglomerate of small stones within a calyceal diverticulum in the posterior mid-pole of my left kidney. My urologist at the time said it wasn't in an area that was amenable to...Read more

DEAR DR. ROACH: I'm an 88-year-old male. I've been losing strength and muscle in my legs, which has caused me to need a walker. I'm currently in a physical therapy program twice a week, and I also do daily strengthening exercises at home.

I'd like your advice on trying a diet supplement of whey protein, hydroxymethylbutyrate, chromium and ...Read more

DEAR DR. ROACH: I was really interested in reading your recent columns on rheumatoid arthritis (RA) and other inflammatory arthritic conditions. I've taken most medications that you mentioned in your column. However, there's a product called PS372424 that's been in research since 2014, yet no medical rheumatology departments have even involved...Read more

DEAR DR. ROACH: I'm 74 years old, and I was diagnosed with congestive heart failure with a recent ejection fraction of 25%. My cardiologist has me taking empagliflozin (Jardiance) and furosemide (Lasix) daily. With moderate cardio exercise therapy every other day and two diuretics daily, my thirst runs rampant during the evenings, and I find ...Read more

DEAR DR. ROACH: I was recently admitted to the hospital with pneumonia in both lungs. Given the recent outbreak of Legionella where I live, I was concerned whether I might have had this instead. They did do some tests in the hospital to try to find out. -- R.C.

ANSWER: I looked at the labs that you sent me, and several of them are consistent ...Read more

DEAR DR. ROACH: How could I have an A1C of 5.9% in March, then 8% in July? My diet has been the same. I rarely eat fast food and never drink sodas; I avoid carbs such as sweets and breads whenever possible. Because I was so encouraged by my A1C of 5.9%, I increased my vigorous swimming routine to 2 hours a day. I'm cutting this down to 1 hour ...Read more

DEAR DR. ROACH: I'm a relatively healthy 54-year-old male. My daily medications are 20 mg of lisinopril, 20 mg of atorvastatin, and 145 mg of fenofibrate. I also take a 500-mg dose of naproxen on an as-needed basis for various aches and pains from military-service-related conditions. My naproxen intake varies anywhere from 0-4 doses per week. ...Read more

DEAR DR. ROACH: Do you know anything about aggressive digital papillary adenocarcinoma? My 39-year-old nephew was just diagnosed, and his parents are searching for answers. He's getting scans to determine whether they should amputate his finger. As far as we know, it hasn't metastasized. -- A.M.

ANSWER: No, I'd never heard of this condition. ...Read more

DEAR DR. ROACH: I'm writing regarding the recent column that mentioned frequent nighttime urination. I had a similar problem and awakened several times to urinate each night. About a year ago, I started using a CPAP for sleep apnea. Immediately after starting to use the CPAP, my nighttime urination frequency decreased. It'd range from sleeping...Read more

DEAR DR. ROACH: My daughter, age 44, has had chronic kidney disease since she was 10 years old. She had a renal transplant at 23, then another at 32. The second graft started gradually failing a year back. In January, she was diagnosed with ovarian cancer. This past month, she had a total hysterectomy, along with the removal of malignant ...Read more