ArcaMax

DEAR DR. ROACH: I was vaccinated as a child with the combination MMR vaccine. My husband and I are expecting a new grandchild. My friend advised me that we, as elder adults, should get revaccinated to protect the newborn. Is this really necessary? -- Anon.

ANSWER: Revaccination is probably not necessary. Two doses of the vaccine afford most ...Read more

DEAR DR. ROACH: I am 90 years old and cannot sleep at night. I have tried taking two or three times the dosage of most over-the-counter drugs to no avail. A doctor put me on a prescription medicine, but it didn't work. Is there an alternative, or must I spend the rest of my life sleepless? -- D.J.

ANSWER: At the age of 90, you need careful ...Read more

DEAR DR. ROACH: I'm a 64-year-old man in good medical health. Recently, a bump the size of a pea appeared on the large knuckle of my index finger. My general physician glanced at it and said that it was an arthritic node. I asked him who could remove it, and he told me not to worry about it until it grew or started to cause pain.

I want a ...Read more

DEAR DR. ROACH: About a month ago, I woke up without hearing in my left ear. I initially suspected a wax blockage or a blocked eustachian tube but eventually realized that it was more serious. I saw an ENT doctor who gave me a steroid shot and put me on prednisone. An MRI doesn't show a stroke or tumor.

About 5% to 10% of my hearing seems to ...Read more

DEAR DR. ROACH: My husband and I will be traveling to the United Kingdom in July and will be on a ship with about 700 passengers. We are wondering whether it would be smart (or unnecessary) to get a COVID booster before the trip. We are both in our late 60s and have had all of the available COVID shots. (The last one we received was on Oct. 10...Read more

DEAR DR. ROACH: I'm a young adult male who has been diagnosed with irritable bowel syndrome with constipation (IBS-C). Until this diagnosis, I had never even heard of the condition. A colonoscopy and an MRI were both negative. The three worst symptoms are chronic constipation, bloating and stomach cramps.

I was referred to a gastroenterologist ...Read more

DEAR DR. ROACH: Recently, to my surprise, I came down with bladder cancer. I am a healthy 66-year-old man who is 5 feet, 11 inches tall, 215 pounds, and a lifelong nonsmoker. I drink a few beers monthly and don't take any meds.

It was very surprising that what was thought to be kidney stones came back as papillary noninvasive bladder cancer. ...Read more

DEAR DR. ROACH: I was gardening and stabbed myself in the arm with pruning shears over the weekend. It just occurred to me yesterday that I'm not sure how long it's been since I got my booster shot for tetatnus. So, I checked, and I last had a booster shot nine years ago. Do I need a booster now? -- M.M.

ANSWER: For adults who have had the ...Read more

DEAR DR. ROACH: I am a 53-year-old healthy male, and I always request to check my PSA levels each year. My 57-year-old brother's new doctor denied his request for a routine PSA check on their initial visit. She said that the test now produces more false positives and unnecessary procedures and surgeries, so she said "no" and wouldn't order it.

...Read more

DEAR DR. ROACH: I am a reasonably healthy 76-year-old woman. I eat a healthy diet, avoid processed sugar, and work out usually twice a week, plus one day with a personal trainer. I am a breast cancer survivor. I drink 5 ounces of wine with dinner on weeknights and slightly more on the weekends. I am in bed around 11:30 p.m. every night and ...Read more

DEAR DR. ROACH: I am a retired and active 73-year-old who plays tennis and regularly goes to the gym. I often take long naps and sleep for 2 or 3 hours. At night, I often sleep 4 or 5 hours. My understanding is that someone in my age range should be getting 7 hours of sleep. If I take a 2-hour nap, and at night I sleep 5 hours, am I getting ...Read more

DEAR DR. ROACH: I recently had a CT scan of my chest and abdomen for pain, and they made a note that I also had coronary atherosclerosis. What is this condition? Can medications help? Can it be treated without surgery? -- P.D.

ANSWER: A computed tomography (CT) scan gives multiple two-dimensional slices of the body and is very good at looking...Read more

DEAR DR. ROACH: I am a 70-year-old female in fairly good health with a number of diseases/conditions that are fairly well-controlled. I take about 15 prescription and over-the-counter meds a day (including methotrexate) for my Sjogren's symptoms and other conditions, plus a statin.

Nine weeks ago, I had shoulder surgery for a torn bicep ...Read more

DEAR DR. ROACH: Any thoughts on milk thistle supplements in fatty liver disease that was diagnosed by an ultrasound due to elevated AST and ALT levels? -- B.S.

ANSWER: Milk thistle (sylmarin) has had mixed results in clinical trials regarding metabolic-associated steatotic liver disease (MASLD, formerly called fatty liver disease). Although a...Read more

DEAR DR. ROACH: Recently, I almost experienced kidney failure from a probable infection. I am a male, age 68. My glomerular filtration rate (GFR) ranges from 44-50, and my weight is 132 pounds. My blood pressure is 110/60 mm Hg, and I enjoy various endurance sports.

Besides limiting my protein, salt and saturated fat intake and getting ...Read more