About Experts Sitemap - Group 21 - Page 12 2014-10-14

Family, Internal Medicine, General Medical Questions: broken bone, pain medications, emotional trauma
pain medications, emotional trauma, accident occured: certainly this can be a side effect from the mental emotional trauma, and could be a side effect of your pain medications. I don t see a direct relationship with the broken bone. There is no magic except to let it heal, then advance stressing the bone,...

Family, Internal Medicine, General Medical Questions: broken bone, sign of depression, pain medications
sign of depression, pain medications, accident occured: if this is a side effect from a broken bone, or trauma from the accident? No, it is not Is it a big deal to have your appetite go down like this? yes a sign of depression I do seem somewhat more depressed, but I can t really explain why I m getting full...

Family, Internal Medicine, General Medical Questions: Cat Bites, tetanus shots, tetanus shot
tetanus shots, tetanus shot, cat kitten: it depends on how old your son is, but he is probably ok because he has had multiple tetanus shots starting at age 2 months. Yes, there are several bacterial infections that can occur... if he has worsening redness/pain/swelling at the puncture sites...

Family, Internal Medicine, General Medical Questions: Chickenpox in Adult, fever chills nausea, stressful job
fever chills nausea, stressful job, chickenpox: the timing is awfully strange, with the prolonged time from exposure to a few lesions then to a whole mess of lesions.... In any event, she is on acyclovir (I assume a lot.... 800 mg 5 X per day) so that is all we have to prevent complications such as...

Family, Internal Medicine, General Medical Questions: Cholesterol Levels, anxiety and depression, cholesterol numbers
anxiety and depression, cholesterol numbers, extreme anxiety: If your Hb/HCT is normal, it doesn t matter whether the ferritin is low. The big issue is the weight loss and anxiety and depression. They should be evaluated and treated. It is possible that the weight loss is secondary to the mood problems. That is...

Family, Internal Medicine, General Medical Questions: cough, menthol, recurring cough.
menthol, recurring cough.: Hi there Al, thank you for posting your question. My area of expertise is in human sexual dysfunction. I hope I can be of some small help to you. To the best of my knowledge, Menthol -- a naturally occurring substance, has few if any untoward effects and...

Family, Internal Medicine, General Medical Questions: daughters health, finger sweeling, rh factor
finger sweeling, rh factor, rhumatoid artritis: Hi there Julie.Sorry. I really can t help you here. I think it would be a mistake to assume that there is any connection between your daughter s finger swelling and the herbal drinks that she was using. If the swelling persists she may need a few tests to...

Family, Internal Medicine, General Medical Questions: diagnostic laparoscopy, endometriosis, pelvic pain
endometriosis, pelvic pain, ovulation pain: Hi there Gail, thank you for posting your question. My area of expertise is in human sexual dysfunction. I hope I can be of some small help to you. I would need to know an awful lot more about your pain before I could offer an opinion. Your doctors are...

Family, Internal Medicine, General Medical Questions: Electrolites, heart rhythm problems, electrolites
heart rhythm problems, electrolites, electolytes: electolytes are the salts in the blood... potassium, sodium, chloride and others.... they have multiple functions.... when you have enough, everything works fine... if you are deficient or have too much of one in particular, you can get certain syndromes......

Family, Internal Medicine, General Medical Questions: ears, internal medicine specialist, low blood pressure
internal medicine specialist, low blood pressure, eustacian tube: you probably have tinnitus. around 5% of people in the world have tinnitus. People with severe tinnitus may have trouble hearing, working or even sleeping. Causes of tinnitus include hearing loss, exposure to loud noises or medicines you may be taking...

Family, Internal Medicine, General Medical Questions: Frequent Bowel Movements, frequent bowel movements, milk cheese
frequent bowel movements, milk cheese, bowel movements: It depends what you consider normal.... 2 a week probably is less normal than 2 a day. Did you replace the candy/soda with something else that your intestines are reacting to? Sometimes milk products can do this.... milk/cheese/butter. Otherwise, bm s daily...

Family, Internal Medicine, General Medical Questions: foot pain, sole of your shoe, red hot poker
sole of your shoe, red hot poker, taking medicine: do minimal walking for 15 days. use a padding in the sole of your shoe below he heel . you can keep a peice of foam where the heal rests in the shoe. if the problem came in a very short time and is not gradually going away, wait for a month then you may need...

Family, Internal Medicine, General Medical Questions: Help with anemia question, iron deficiency anemia, bone marrow biopsy
iron deficiency anemia, bone marrow biopsy, iron pills: you can exhaust your iron stores and not be anemic yet.... you become anemic when you have slowly exhausted the iron, then you don t have the building blocks to make your red cells, ie, hemoglobin/hematocrit. So you could have normal hb and no residual iron...

Family, Internal Medicine, General Medical Questions: Hernia?, inguinal region, spermatic cord
inguinal region, spermatic cord, abdomin: I doubt it.... I am having trouble following your description, but, you see only a 2 d representation, so it is hard to appreciate what is on top of what. People can have an inguinal strain without a true hernia.... but I don t see this as indicating...

Family, Internal Medicine, General Medical Questions: Insect bite or spider bite, insect bite, taking medicine
insect bite, taking medicine, skin specialist: It seems to me this may be an issue for an infectious disease specilaist not a skin specilaist. This may be something that does remain in your body and lies dormant than flairs again. I would look for a good Infectious Disease doctor and bring him/her...

Family, Internal Medicine, General Medical Questions: lump, local anesthesia, marbel
local anesthesia, marbel, lipo: I actually do lipo.... if they are firm, they are either small clumps of blood that have hardened, or they are clumps of fat that were not broken up properly. If they are squishy, they are seromas, spaces made by the procedure that have filled with serum....

Family, Internal Medicine, General Medical Questions: Nursing Home Admission, medical power of attorney, power of attorney
medical power of attorney, power of attorney, sister in law: no... the ultimate decision is made by the person or people who have healthcare power of attorney. However, you should be prepared to take her home, as once her hospitalization needs have been met, they will discharge her from the hospital and she will need...

Family, Internal Medicine, General Medical Questions: What is a "natural death.", fatal car accident, attack cancer
fatal car accident, attack cancer, natural death: natural as opposed to un-natural which would be forced by an outside influence, for example, natural..... progressing cancer heart attack stroke un natural.... a murder a fatal car accident a soldier getting gassed or blown up in war an overdose/suicide...

Family, Internal Medicine, General Medical Questions: Positive Leukocytes in UTI home test, wbcs, rule of thumb
wbcs, rule of thumb, leukocytes: hi serena, i do not recommend home testing kits as who is there to explain your results? as a rule of thumb, i do not explain home testing kit results as i personally believe it is an unethical method of medical advisory. please consult with your physician...

Family, Internal Medicine, General Medical Questions: Psych meds causing syncope?, presyncope, heart rhythm
presyncope, heart rhythm, psychiatric medications: people say they have had blood tests... but I want to make sure that your CBC, thyroid and your cortisol levels (not usually checked) were normal. Then, to make sure your heart rhythm is not causing this. You are gonna feel pretty weird stopping the SSIR...

Family, Internal Medicine, General Medical Questions: Question, berry aneurysm, gentle exercises
berry aneurysm, gentle exercises, lumbar puncture: moduretic is a diuretic... a water pill.... that would only lower BP, so I don t make much of a connection between that and the headache. The aneurysm... I am sure there is a little scar tissue in the area. The lumbar puncture is a great test to see if another...

Family, Internal Medicine, General Medical Questions: small bowel obstruction, small bowel obstruction, watery diarrhea
small bowel obstruction, watery diarrhea, stomach bug: if you are passing stool (or watery diarrhea) then that is a good sign that there isn t a big obstruction.... if the bowel obstructs, you start vomiting pretty early on with non-relievable pain. This may simply be a stomach bug, but if it persists, you need...

Family, Internal Medicine, General Medical Questions: Toe Nail, toe nails, toe nail
toe nails, toe nail, podiatrist: hi james, keep the area clean and dry as there is a risk of infection until the area heals. you should cover the area with a bandage as well. it should grow back if the roots were not damaged; however, it will not be the same as before. the bent up or...

Family, Internal Medicine, General Medical Questions: tinnitus, neurotologist, ringing in the ears
neurotologist, ringing in the ears, example noise: Hi, Tinnitus is noise heard in the head or ears. It is extremely common -- occurring in 20 percent of population. No one person describes tinnitus like the next person. It may be a sign of a sesitive ear and you will probably have hear loss in old age much...

Family, Internal Medicine, General Medical Questions: toddler rubbing hitting head, radio waves, ent doctor
radio waves, ent doctor, mild pain: he should have got a CT scan as the first step since MRI causes more exposure to radio waves and is cheaper. there maybe some reason for mild pain in the head which he wants to find. let me know the pregress. if he is not crying while doing this, there may...

Family, Internal Medicine, General Medical Questions: tubal infertility, wheat allergy, reproductive endocrinology
wheat allergy, reproductive endocrinology, world war ii: hi pat, i am sorry to hear of your situation. i am further sorry that your ob/gyn did not refer you once he or she was incapable of handling your case. i cannot comment on another physician as it is unethical. what you need is a sub-specialist in obstetrics...

Family, Internal Medicine, General Medical Questions: UNTITLED, sand particles, itchy ears
sand particles, itchy ears, ear wax: The skin on the outer part of the ear canal has special glands that produce ear wax, also known as cerumen. The purpose of this natural wax is to protect the ear from damage and infections. Normally, a small amount of wax accumulates and then dries up and...

Family, Internal Medicine, General Medical Questions: upset at how hospital handled my dying father, emergency room doctor, student nurse
emergency room doctor, student nurse, palliative treatment: Please don t get upset with me over this, but in reading it, I get several vibes. Losing a parent is about the hardest thing to go through that people face... I lost both mine in different ways and can vouch for that. When you see a loved one...

Family, Internal Medicine, General Medical Questions: Vtamin B, vitamin b deficiencies, blood testing
vitamin b deficiencies, blood testing, vitamin d: if you are from this country, it is virtually unseen to have rickets or other B deficiencies. These levels can be checked. There are syndromes that have sets of signs and syndromes also. With all that, everyone is Vitamin D-3 low... you can have your...

Family, Internal Medicine, General Medical Questions: weird blister, sebaceous cyst, pencil eraser
sebaceous cyst, pencil eraser, bug bite: if you would have backed into an iron you would have known about it right away.... this could be a sebaceous cyst that got infected, drained some, now may be recurriung. They will sometimes go away but often they have to be drained. Your daughter,...

Family, Internal Medicine, General Medical Questions: abdominal CT scans, virtual colonoscopy, abdominal ct scan
virtual colonoscopy, abdominal ct scan, virtual colonoscopies: a cat scan for kidney stones is typically done without contrast dye. The abdominal CT in general is done with dye to look for organ problems. The virtual colonoscopy is a special cat scan done after someone has prepped (like you do for a colonoscopy) and...

Family, Internal Medicine, General Medical Questions: arthritis, bump on wrist, connective tissue disorder, internal medicine specialist
connective tissue disorder, internal medicine specialist, bump on wrist: you probably have an autoimmune connective tissue disorder. i will not be able to diagnose because of the inadequate information but you can help yourself by visiting http://labtestsonline.org/understanding/conditions/autoimmune.html then after a rough...

Family, Internal Medicine, General Medical Questions: autoimmune and shingles?, numbness in extremities, herpes simplex infection
numbness in extremities, herpes simplex infection, painful rash: I have heard this scenario many times.... I hate to tell you this, but that probably is a herpes simplex infection. Shingles does not recur multiple times. This can be verified by culturing the fluid from one of the blisters the next time it occurs. Treatment...

Family, Internal Medicine, General Medical Questions: Bawl Movement, green feces, iron intake
green feces, iron intake, healthcare community: hi james, i cannot give you a diagnosis via the internet. green feces that is hard without any other symptoms usually means there s a high level of iron intake. as you are uninsured, you might want to search for a public healthcare community clinic which...

Family, Internal Medicine, General Medical Questions: Blood Work left unanswered, blood test results, white blood count
blood test results, white blood count, blood work: this test is probably normal.... the white blood count is a little high, but that has to be taken in context.... if there is a suspected infection, it may indicate that. But it is pretty close to normal. The hemoglobin is a little high.... it is commonly...

Family, Internal Medicine, General Medical Questions: Chronic Chest/Abdominal Pain, barium study, stomach muscles
barium study, stomach muscles, chest xray: Hi Erin, according to the relation of the pain with the incidence of dropping the box, it is probably an injured stomach muscle. There is quite clear evidence for it. So you need to focus on it to get relief fully. Now we have to let those muscles have least...

Family, Internal Medicine, General Medical Questions: cbc, white blood cells, absolute lymphocyte count
white blood cells, absolute lymphocyte count, lymphs: I am not sure what conclusion to draw from this.... it could be an infection... with the lymphs high, it leads towards a viral infection. It also should be rechecked to make sure the absolute lymphocyte count isn t increasing (which might mean a blood cancer,...

Family, Internal Medicine, General Medical Questions: chronic hives, chronic hives, pitting edema
chronic hives, pitting edema, claritan: it is unlikely that the ranitidine or the claritan caused the ankle swelling.... You should talk to your doctor about a workup to find out what did cause it...... The prednisone could cause swelling, but from your note, you didn t take prednisone this time....

Family, Internal Medicine, General Medical Questions: Dexa scan results, dexa scan results, broken bones
dexa scan results, broken bones, vitamin d3: you have mild but present osteoporosis, so you are at a little increased risk of broken bones... you should be on adequate vitamin D3 (at least 2000 IU s per day) and I would consider a bisphosphonate drug, like Fosamax also. It had gotten a little bit worse...

Family, Internal Medicine, General Medical Questions: Diarrhea after eating?, periods of fasting, watery diarrhea
periods of fasting, watery diarrhea, protein source: that is kinda interesting.... I would not blame it on protein source changes.... more likely some other food intolerance.... maybe milk/cheese/butter? or some higher sugar load. If you can t pin that down, I would try to stay on the diet for 3 weeks...

Family, Internal Medicine, General Medical Questions: EPIDIDYMECTOMY Complications..., groin area, spinal headache
groin area, spinal headache, pain meds: I am not a urologist, so don t treat this with nerve blocks. There is little risk to trying the temp block. And if it helps, and they can block the local area of pain, you should have an excellent result. To find a subspecialist in urology that...

Family, Internal Medicine, General Medical Questions: ear, perforated eardrum, ent doctor
perforated eardrum, ent doctor, pin top: It sounds like it isn t healing well.... if you are a smoker, stop.... that really makes it less likely that the eardrum will heal. It is time to start making an appointment to see an ENT doctor... they can patch the drum and allow the eardrum tissue to grow...

Family, Internal Medicine, General Medical Questions: autoimmune and shingles?, shingles
Family, Internal Medicine, General Medical Questions: autoimmune and shingles?, shingles

Family, Internal Medicine, General Medical Questions: father probable basal carcinoma, basal carcinoma, cell cancers
basal carcinoma, cell cancers, plaque buildup: He is recommending Moh s surgery.... basal cell cancers are very slow growing and almost never spread.... they simply enlarge at the site and can go deeper and cause problems with local spread. Also, they can be disfiguring if they get too big on the face....

Family, Internal Medicine, General Medical Questions: Healthy Eating, metabolism food, functions of the liver
metabolism food, functions of the liver, saleeby: The liver is an organ of detoxification and metabolism... food, drugs, chemicals, anything that you put in your mouth for that matter is processed through the liver. It is a very complicated process typically dealing with three forms of detoxification and...

Family, Internal Medicine, General Medical Questions: Heart attack, massive heart attack, cholesterol hypertension
massive heart attack, cholesterol hypertension, cholesterol deposits: People get heart attacks because their arteries clog with cholesterol deposits.... Risk factors include cholesterol, hypertension, smoking, diabetes and family history. There are other factors that we don t understand yet. If you have any concern,...

Family, Internal Medicine, General Medical Questions: FOR HIGH HOMOCSTEINE, small intestine, stomach acid
small intestine, stomach acid, vitamin d3: IPP means PPI? You absorb B12 thru a protein that carries it across your small intestine. You can only absorb so much thru there. Before lifelong B12, I would get a vitamin B12 level... if normal, no need. If it is low, you need to supplement it thru a...

Family, Internal Medicine, General Medical Questions: High Chromatin Blood test, blood test, specimen
blood test, specimen, timely manner: I don t know why anyone would even do a chromatin test... there isn t any significane to the numbers as far as diagnosing any diseases.... the problem with the test is that it can elevate if the specimen is not tested in a timely manner or if it is drawn in...

Family, Internal Medicine, General Medical Questions: Hospital Costs, outrageous charges, bill charges
outrageous charges, bill charges, doctor didn: how many times have I answered this question..... I agree, those are pretty outrageous charges.... this can easily become a long discussion, but, the charges are markedly inflated... insurance companies, medicare, etc. pay only a fraction of those charges....

Family, Internal Medicine, General Medical Questions: Iron Supplements, iron deficiency anemia, hemoglobin levels
iron deficiency anemia, hemoglobin levels, ferrous sulfate: No the additional 10mg is NOT too much to take. Make sure you don t have hemochromotosis an Iron absorption and metabolism disorder because then Fe can be toxic. Also some thalasemias iron intake can be dangerous. JP Saleeby, MD www.docsaleeby.blogspot.com...

Family, Internal Medicine, General Medical Questions: Laser therapy for carpal tunnel, carpal tunnel release, musculoskeletal conditions
carpal tunnel release, musculoskeletal conditions, orthopedist: I think chiropractic care is appropriate for a lot of musculoskeletal conditions... standard physical therapy type treatments. But if other methods aren t working for CPTS, you probably need a carpal tunnel release. (Surgery) I would not let a chiropractor...

Family, Internal Medicine, General Medical Questions: Low testosterone question, Testosterone replacment therapy. TRT, low testosterone
Testosterone replacment therapy. TRT, low testosterone, male menopause.: Hi there Ryan, thank you for posting your question. My area of expertise is in human sexual dysfunction. I hope I can be of some small help to you. My gut reaction to what you are saying here is that testosterone replacement therapy would certainly not be...

Family, Internal Medicine, General Medical Questions: Lumps around vulva area, barthalin cysts
barthalin cysts: Hi there Janet, thank you for posting your question. My area of expertise is in human sexual dysfunction. But I hope I can be of some small help to you. Obviously I can t tell you exactly what these lumps are but my feeling is that they are benign, non-cancerous...

Family, Internal Medicine, General Medical Questions: lab tests, finger joints, false negatives
finger joints, false negatives, rheumatologist: a lot of the rheumatologic tests are vague.... they point in the right direction but this specialty has a lot of false negatives and false positive blood tests. All your tests, your history, and your physical exam need to be taken in context with each other....

Family, Internal Medicine, General Medical Questions: light blood, bladder stones, best case scenario
bladder stones, best case scenario, colo rectal: urinary bleeding needs a different kind of evaluation... best case scenario is that this is a bladder infection. You need an evaluation for this... it may consist of only a urinalysis but you may need additional tests to look for kidney/bladder stones, cysts,...

Family, Internal Medicine, General Medical Questions: Mid-cycle bleeding, causes?, mid cycle bleeding, thyroid tests
mid cycle bleeding, thyroid tests, regular periods: there are many possibilities.... first, get a first morning urine to make sure you are not pregnant.... after that, just follow it... it can be early implant, it could be missed ovulation, overflow bleeding... there are a lot of different names for a lot...

Family, Internal Medicine, General Medical Questions: Mid-cycle bleeding, causes?, mid cycle bleeding, short luteal phase
mid cycle bleeding, short luteal phase, fertility indicator: First you should know that Basal body temperature (BBT) is the temperature of your body at rest. BBT charting is a useful tool for couples trying to conceive because of its ability to confirm ovulation. BBT charting also helps the couple understand more fully...

Family, Internal Medicine, General Medical Questions: mixing cataflam & hydrocodone, drug interaction, severe pain relief
drug interaction, severe pain relief: Hi there Karem, thank you for posting your question. My area of expertise is in human sexual dysfunction. I hope I can be of some small help to you. I think that your dentist is probably correct. You can always check for possible drug interaction on www1.mediguard.org.uk...

Family, Internal Medicine, General Medical Questions: mixing cataflam & hydrocodone, pain management specialists, cataflam
pain management specialists, cataflam, dental pain: pain management actually is my area.... and dental pain is the gold standard on testing meds for pain control. You will never 100% relieve pain so it is a good model to see what works pretty good. Cataflam (diclofenac) comes in many many forms.... it...

Family, Internal Medicine, General Medical Questions: mixing cataflam & hydrocodone, NSAIDS, Opioids
NSAIDS, Opioids: Kerem, Unless you are allergic to either of these medications I see no reason why they cannot be taken conjointly. Cataflam is an NSAID class drug and Hydrocodone/Apap is a opioid drug in combination with Tylenol and all are compatible. Taking two NSAIDS...

Family, Internal Medicine, General Medical Questions: mystery 'mole', genital wart, definite diagnosis
genital wart, definite diagnosis, inch dia: so it is a skin colored growth... this may be a small skin tag. This is also what a genital wart would look like. I know the thought isn t pleasant, but these are very easy to remove.... some local novacaine and they are easily shaved off. Then it can be...

Family, Internal Medicine, General Medical Questions: nocturnal (mostly) cough after rash and fever, viral illness, chickenpox
viral illness, chickenpox, chicken pox: rash and fever and cough suggest a viral illness... your eight year old should be protected against all the serious ones and should have gotten the chicken pox immunization. These usually resolve on their own but since it is gone on this long it is worth...

Family, Internal Medicine, General Medical Questions: Pain in Sterum, tricep dips, sterum
tricep dips, sterum, sternum: it sounds like you injured the joint between one of the ribs and the sternum. These are joints, but they don t move that much, however they can still be injured.... these can nag for a few weeks because you can t rest them. Sometimes a doctor might inject...

Family, Internal Medicine, General Medical Questions: Pneumonia 2 year old concerns, needle biopsy, high fever
needle biopsy, high fever, stomach pain: the way to check for the bug causing pneumonia (if you aren t coughing up a lot of phlegm) is a needle biopsy or bronchoscopy.... this isn t done unless there is no response to treatment. Each medicine is very safe with a very very low risk of SJS.......

Family, Internal Medicine, General Medical Questions: Poor digestion, irritable bowel disease, bloating and indigestion
irritable bowel disease, bloating and indigestion, poor digestion: This appears to be one of: 1. Non-IgE Mediated Gastrointestinal Disorders 2. Crohn s 3. Irritable bowel disease you need a workup including blood tests and endoscopy. consult a gastroenterologist befor that you may try reduding water intake before,...

Family, Internal Medicine, General Medical Questions: pneumonia, chest xray, whooping cough
chest xray, whooping cough, sniffle: well, you may not get fever with any illness... kids develop fevers much more readily. Pneumonia is bad luck starting with a cold that causes some inflammation and mucous plugging in the lungs and somewhere down the line something is plugged and bacteria...

Family, Internal Medicine, General Medical Questions: prescription drugs, gabapentin, lyrica side effects.
gabapentin, lyrica side effects.: Hi there Susan, thank you for posting your question. My area of expertise is in human sexual dysfunction. I hope I can be of some small help to you. Both gabapentin and lyrica are what I would term nasty drugs by which I mean that they have plenty of...

Family, Internal Medicine, General Medical Questions: Release of growth hormone, peaks and valleys, pituitary gland
peaks and valleys, pituitary gland, hormone production: the pituitary gland has no idea what time it is.... with these hormone loops... there are peaks and valleys of hormone production.... during sleep, the first few hours produce the most, but it is not shut off afterwards, just less production. Wouldn t...

Family, Internal Medicine, General Medical Questions: routine blood work with side effects, plasma donation center, office nurses
plasma donation center, office nurses, routine blood: Obviously it isn t right. I have worked at a plasma donation center for 20+ years and have seen my share of these. The person drew the blood and the vein leaked afterwards. Being on aspirin or coumadin makes this more likely. The good news is that...

Family, Internal Medicine, General Medical Questions: running vs walking?, calories per day, interval training
calories per day, interval training, battle of the bulge: The answer to this will be an opinion... there are many opinions and many ways to lose weight..... The critical part of a weight loss plan is your diet. You have to eat less than you use consistently over time. You can increase the amount you use via...

Family, Internal Medicine, General Medical Questions: Staying youthfull, growth hormone
growth hormone: Gord, Yes you guessed right.. most are on the juice .... either testosterone or rhGH (Growth Hormone) and not just the men. Have you seen some celebrity women in their 50s and 60 s for example Cher or Hutton... they look like women in their 30s. Well...

Family, Internal Medicine, General Medical Questions: Stomach problems, heartburn and acid reflux, small bowel obstruction
heartburn and acid reflux, small bowel obstruction, bowel obstruction symptoms: Appears to be small-bowel obstruction. Symptoms of it can include 1 or more of: Crampy abdominal pain, generally coming in intense waves that strike at intervals of five to 15 minutes and sometimes center either on the navel or between the navel and rib...

Family, Internal Medicine, General Medical Questions: Sudden jabbing pain, light exercise, sound sleep
light exercise, sound sleep, pain signal: those kind of pains typically are nerve pains (neuritis) where the nerve sends a pain signal for an unknown reason. If it is happening occasionally, I don t see any reason you can t do light exercise and qigong (provided you aren t messing with chinese supplements)...

Family, Internal Medicine, General Medical Questions: Thyroid medication, thyroid medication, crnp
thyroid medication, crnp, hello doctor: you can do it this way.... it just isn t worth that trouble tho.... we have so many doses of synthroid that you can always find a dose that works. And they are getting too picky.... 10% change in thyroid doesn t matter. So I don t know what exactly the CRNP...

Family, Internal Medicine, General Medical Questions: taste and smell, sinus infection, nasal congestion
sinus infection, nasal congestion, afrin: some medications cause it.... biaxin and others. Sometimes a sinus infection can cause it. you might try Afrin nasal spray for 3 days if you have nasal congestion. Also, get some zinc, over the counter supplement.... take that daily for a month.... that...

Family, Internal Medicine, General Medical Questions: tight and burning skin, mri of the brain, feet legs
mri of the brain, feet legs, legs feet: first, this may be from the lexapro and will fade away... boosting serotonin levels in the brain causes some weird skin sensation feelings... there is no specific treatment, other than staying off the medications. If you had stayed on the med, it probably...

Family, Internal Medicine, General Medical Questions: Uncontrollable feet and ankle itching, toe nails, ankle area
toe nails, ankle area, skin specialist: He probaby has some minor problem with the nerves. The fungus may have a role too. so get a handy massager and use it for 5 minutes on both feet before sleeping to tone up the nerves. Also get good treatment and regular follow up with the skin specialist for...

Family, Internal Medicine, General Medical Questions: viral infections, elevated white blood cells, white blood cells
elevated white blood cells, white blood cells, viral illnesses: it is more typical to have a high white count from bacterial infections.... those lead us toward a diagnosis. Some viral illnesses can last a long time (AIDS, hepatitis B&C, Epstein Barr (MONO)) But most viral infections like a chest cold resolve in 10-14...

Family, Internal Medicine, General Medical Questions: Cellulitis / Staph, clindamyacin, clindamicin
clindamyacin, clindamicin, thanks in advance: I am also a father and can feel your pain. we can use a good herbal formula. you can use nigella sativa seeds. you can powder them or crush them and let you son eat one spoon of powder just after meals twice daily. if nigella sativa oil is avialable, take...

Family, Internal Medicine, General Medical Questions: Child with Mono and splenomegaly, spleen rupture, liver enlargement
spleen rupture, liver enlargement, organ injury: people have to be punched pretty hard for a spleen rupture, even with mono.... she should get very sick, including bad abdominal pain, tachycardia.... if there was an organ injury. If none of that presents over the next couple days, she is OK..... and I...

Family, Internal Medicine, General Medical Questions: chicken pox, antibody level, varivax
antibody level, varivax, chicken pox: I don t think they had varivax 15 years ago.... But in general, the immunity slowly fades and might be gone. You can have an antibody level checked (varicella zoster titre) or can get Zostavax as an adult. So it is hard to tell if you still have immunity....

Family, Internal Medicine, General Medical Questions: general question, alpha arbutin, arbutin cream
alpha arbutin, arbutin cream, bad liver: You need to stay away from all those products that can potentially cause liver problems unless your transplant doctor specifically says that medicine is OK. You would be better off seeing a plastic surgeon or a cosmetic dermatologist for an evaluation instead...

Family, Internal Medicine, General Medical Questions: Where is House when you need him?, hydrogen breath test, focal lesions
hydrogen breath test, focal lesions, sad plight: I would take a step back and work on the basics..... You need to resolve the constipation. I assume you already had normal thyroid function tests. So if it is simply chronic constipation from an unknown cause, it should be treated, either with Miralax...

Family, Internal Medicine, General Medical Questions: headaches, afrin nasal spray, signs of dehydration
afrin nasal spray, signs of dehydration, nasal secretions: yes.... it is hard now to tell exactly what is going on, but I would get some AFRIN NASAL SPRAY and use it twice a day for 3-5 days. (You don t want to use this long term for allergies.) It sounds like you had a viral cold initially, then progressed to...

Family, Internal Medicine, General Medical Questions: Ill father, ill father, fogger
ill father, fogger, sore throat: strep throat is a pretty miserable illness..... the fogger probably isn t doing much but strep hurts a lot. I assume he is in his right mind.... meaning he doesn t have dementia... if that is the case, then he gets to make choices on his health care. From...

Family, Internal Medicine, General Medical Questions: Iron & Thyroid, low ferritin, anxiety and depression
low ferritin, anxiety and depression, iron supplements: when someone is iron deficient, we must look for the cause.... in a guy, the cause is usually blood loss through the stomach/intestines. In a woman, it is usually from menstrual blood loss. It is very unlikely to be from some type of cancer, but it is easy...

Family, Internal Medicine, General Medical Questions: Keratosis Pilaris - dermititis, wikipedia the free encyclopedia, reddish rash
wikipedia the free encyclopedia, reddish rash, follicular keratosis: Joanne, This information is from WiKipedia: http://en.wikipedia.org/wiki/Keratosis_pilaris Keratosis pilaris From Wikipedia, the free encyclopedia Keratosis pilaris Classification and external resources ICD-9 757.39 OMIM 604093 DiseasesDB...

Family, Internal Medicine, General Medical Questions: More Lab Results, extreme weight loss, viral illnesses
extreme weight loss, viral illnesses, iron stores: You will not get an instant fix nor an instant answer to your questions. Some will involve trials of replacement and determining your response to those. Looking at these tests, yes the iron is low but the HCT is keeping up (very close to normal) so your...

Family, Internal Medicine, General Medical Questions: Leg pain, ra dr, nerve pain
ra dr, nerve pain, rheumatoid arthritis: This easily could be your low back and the pain down the leg is sciatic pain radiation... if it is, we use standard treatments... ice in the low back/high buttocks on that side- 20 minutes on, 2 hours off. Anti inflammatory pain meds. Careful lifting......

Family, Internal Medicine, General Medical Questions: manganese, manganese mn, chronic exposures
manganese mn, chronic exposures, kathleen kathleen: Kathleen, Manganese is a necessary element for good health, as it is a co-factor in at least one enzymatic reaction w/in our bodies. Like many things, too much can be a bad thing. Some elements the body can tolerate very high levels or purposeful exogenous...

Family, Internal Medicine, General Medical Questions: medicines, cholesterol lowering medication, ezetimibe
cholesterol lowering medication, ezetimibe, zetia: They are european forms of Zetia, which is a cholesterol lowering medication. It lowers cholesterol by blocking your ability to absorb it in your intestines. She should not be taking both.... it is the same medicine, so she is double dosing if she is. The...

Family, Internal Medicine, General Medical Questions: I need an answer please., birth control pills, low dose birth control pills
birth control pills, low dose birth control pills, low dose birth control: I doubt cervical cancer a lot..... that does not cause pain. I would look at easy things first.... a urinary tract infection. If you are at any risk, a check for sexually transmitted diseases, like chlamydia/gonorrhea. The weird bleeding could just...

Family, Internal Medicine, General Medical Questions: Ovarian Cyst?
there is a lot of room in the pelvis... babies fit in there. A little 4 cm cyst fits easily... it is a question of whether it is stretching the cyst wall. A lot of them hurt because the fluid irritates the pelvis when they rupture, which yours hasn t. You...

Family, Internal Medicine, General Medical Questions: Pain in lower back., groin area, kidney stone
groin area, kidney stone, medium sized business: that kind of pain could be a kidney stone, although that would not account for the numbness. It is more likely a low back problem, possibly a disc pressing on the nerve a little bit. I am enjoying not having the stress of running a medium sized business...

Family, Internal Medicine, General Medical Questions: Secondary Adrenal Insufficiency Recovery, asthma episode, personal anecdotes
asthma episode, personal anecdotes, secondary adrenal insufficiency: Tough question... it is easy to atribute a lot of vague symptoms to the steroids or lack of steroids. So changes in dosing are difficult to assess. But, it is common to be in this predicament when someone has to take a lot of prednsione over a long period....

Family, Internal Medicine, General Medical Questions: Sore throat & lightheaded/dizzy
if you have fever and painful swallowing, then you have to consider strep throat.... that must be treated with antibiotics. Most sore throats are viral and will get better no matter what, but if you have any of the following, get checked for strep.... ...

Family, Internal Medicine, General Medical Questions: Stomach Pain, low grade fever, stool cultures
low grade fever, stool cultures, bad eggs: I doubt if it will be this easy, but you said blood and stool samples..... this could easily be a urinary tract infection. Stool cultures are a waste of time and very expensive... except for rare food poisoning (with vomiting and diarrhea) like the episode...

Family, Internal Medicine, General Medical Questions: Teen Concentration issue, add attention deficit disorder, attention deficit disorder
add attention deficit disorder, attention deficit disorder, low thyroid: First, I would look for a medical problem.... I assume there is no alcohol or drug use.... even pot seriously disrupts concentrating issues. Then I would look for other metabolic things, specifically anemia and low thyroid hormone. People can slowly get...

Family, Internal Medicine, General Medical Questions: Undiagnoised illness, diaper rash cream, upper respiratory infection
diaper rash cream, upper respiratory infection, bloody noses: well, you do have a lot of issues.... it is tough to sort them all out. I would be very worried about the recurrence of blood clots. Coumadin caused the bloody nose, bloody stools, but I doubt whether it is causing the other side effects. I would...

Family, Internal Medicine, General Medical Questions: Undiagnosed illness, rocky mountain spotted fever, fever 103
rocky mountain spotted fever, fever 103, viral illnesses: unfortunately, doctors are people too, with egos and idiosyncrasies.... no excuse, but I am sorry that happened. If someone is in the hospital, it is hard to switch doctors.... if they are stable and out of the hospital, then it is much easier... simply...

Family, Internal Medicine, General Medical Questions: Unintentional Weight Loss
that is an awful lot of weight to lose.... that is 20-25% of your total weight and it doesn t look like you were heavy to start. You had a pretty extensive workup.... the only thing that I see to add is one of the digestive disorders like celiac sprue or...

Family, Internal Medicine, General Medical Questions: urinary issues?, urinary tract infection
urinary tract infection: Hi Lori. Thank you for posting your question. Sorry, but I m not at all sure here. A feeling like an itch inside is more likely to do with your recurring UTI than it has to do with your degenerative spinal disease. As a minimum collect a midstream urine for...

Family, Internal Medicine, General Medical Questions: weight, low calorie foods, overweight and obesity
low calorie foods, overweight and obesity, buying medicine: Hi, I will help you. I have helped many people reduce weight without drugs. I think the best would be to try the dietery approach again. you can take help from: http://diet.health.com/ http://weightloss.about.com/ Also rememeber, you dont have to...

Family, Internal Medicine, General Medical Questions: weird spiking fever, fever 99, pain meds
fever 99, pain meds, pepto bismol: I assume you had your urine checked for a UTI (urinary tract infection). This sounds like you had a slowly progressing viral upper respiratory infection. Most of these simply go away, some progress to a full bacterial sinus infection that may need antibiotics....

Family, Internal Medicine, General Medical Questions: whited out vision and plugged ears, heart rate, chain reaction
heart rate, chain reaction, blood pressure: the pain is causing a hormonal chain reaction where some chemicals are released that drop the blood pressure and slow the heart rate.... it happens from pain or sometimes from visual clues that affect us. In the pain setting, it is early shock. ...

Family, Internal Medicine, General Medical Questions: Aging and slowing metabolism, slowing metabolism, agricultural research service
slowing metabolism, agricultural research service, body composition: There’s been a lingering debate about why metabolism slows as people age. A broad study funded by the Agricultural Research Service found that as people age, there is a gradual loss of those high-energy-consuming muscle cells that help our body burn calories;...

Family, Internal Medicine, General Medical Questions: Asprin or Fish Cod Oil, cod liver oil, preventing heart disease
cod liver oil, preventing heart disease, cod oil: Hi, this is a very good question. you can let her keep taking cod liver oil. Latest scientific research suggests that Aspirin does not help in preventing heart disease and other problem to the extent as was supposed earlier. Stop aspirin and start taking...

Family, Internal Medicine, General Medical Questions: Asprin or Fish Cod Oil, low dose aspirin, cod liver oil
low dose aspirin, cod liver oil, dear madam: Hi Faisal, Personally I would alternate and take Fish Oil (which is different then Cod Liver Oil) every other day, and take the low-dose Aspirin every second day; this way you get the benefits of both without the risk. Like every medication, you should...

Family, Internal Medicine, General Medical Questions: Asprin and Fish Cord Oil, low dose aspirin, omega 3 fatty acids
low dose aspirin, omega 3 fatty acids, cod liver oil: Faisal, Low dose Aspirin (ASA) is a platelet inhibitor and Fish oil (Cod liver oil) or omega-3-Fatty Acids can also thin the blood. You run the risk of bruising or increased bleeding with an injury or during surgery, but the is NO contra-indication for...

Family, Internal Medicine, General Medical Questions: Bone Bruising?, hand grip, tennis ball
hand grip, tennis ball, ligament: There are a lot of structures that hold the hand together.... it is possible you cracked a bone or you bruised the ligament structure and you are left with some soreness... at this point, I would try an aggressive rehab, meaning strengthening, such as squeezing...

Family, Internal Medicine, General Medical Questions: Chronic Sore Throat, chronic sore throat, burning tongue
chronic sore throat, burning tongue, nasal drip: I would try and pin down a diagnosis.... I would do a mono test. Then, I would use a nasal steroid spray such as Flonase... it works slowly, so at least a month trial. If that doesn t work, I would consider reflux disease and try a course of an acid...

Family, Internal Medicine, General Medical Questions: Conditions caused by EBV/ear infection, chronic fatigue syndrome, borucki
chronic fatigue syndrome, borucki, ear infections: EBV and ear infections are completely different illnesses...... with that said... yes they can.... EBV can cause mono and may be linked to chronic fatigue syndrome. ear infections can spread and cause more serious infections in and around the brain....

Family, Internal Medicine, General Medical Questions: Daughter refuses to do a sample., daughter melissa, hospital tomorrow
daughter melissa, hospital tomorrow, correct category: Something in her pschye is there.. I am not implying sex abuse or anything but some event or sequence of events have left her with a phobia... Mine is dental chairs... Not a single incident that I remember but I can t help but tense up... Anyways... Glad...

Family, Internal Medicine, General Medical Questions: Drinking Sea Water, salt content, sea water
salt content, sea water, lot of water: The big problem is the very high salt content in sea water. When you drink it you are getting more behind the curve as far as having enough fluid in the body to excrete the appropriate amount of salt to keep the body salt stores in balance. You are taking...

Family, Internal Medicine, General Medical Questions: drug testing, illicit drug screening
illicit drug screening: Hi there Wendy. I m not sure what you mean by drug testing . If you mean taking a blood sample for the purposes of testing for illicit drugs then this is something that a doctor might occasionally wish to do. He/she might want to seek the patients consent...

Family, Internal Medicine, General Medical Questions: Elbow pain, enbrel injections, elbow pain
enbrel injections, elbow pain, alleve: It sounds like a nerve is being pinched/pressed on in that area. A doctor can often pinpoint where it is occurring based on your exact locations of pain or numbness but it is typically at the elbow or shoulder level. I would try taking an antinflammatory...

Family, Internal Medicine, General Medical Questions: Eye Bags, eye bags, excess skin
eye bags, excess skin, plastic surgery: if you are talking about the saggy skin under the eyes... some of it may be reversible if it is caused by excess drinking, not sleeping, etc. But the majority if eye bags are a result of aging and excess skin and best treated with plastic surgery. That...

Family, Internal Medicine, General Medical Questions: ekg, qrs duration, 73 bpm
qrs duration, 73 bpm, bundle branch block: because of your age.... I could probably answer---- don t worry without even looking... the chances of finding something on the ECG in a young healthy woman is pretty remote. (very very remote.) the computer over read is questionable.... The PR interval...

Family, Internal Medicine, General Medical Questions: ekg??, heart chamber, artial
heart chamber, artial, threating: I can see you are freaking out.... left atrial enlargement is simply that.... the size of that heart chamber is larger than seen on average... but that is only a suggestion when it comes from an EKG.... it probably doesn t mean anything but an echo would...

Family, Internal Medicine, General Medical Questions: ekg results, qrs duration, 73 bpm
qrs duration, 73 bpm, pr interval: the left atrium is the chamber of the heart tat receives blood from the lungs... it can enlarge from many causes.... you didn t specify the size but normal is typically less than 40 mm s... if it is close to that, you have to take the size in context.... are...

Family, Internal Medicine, General Medical Questions: elderly mother concerns, Discharge Support
Discharge Support : Hello Rebecca, It sounds to me that you are very aware and well able to articulate your concern for the issues your parents may face when she returns home which may interfere with her recovery or their ability to function in a healthy manner together. ...

Family, Internal Medicine, General Medical Questions: Finger numbness and tingling, finger numbness, sensory nerves
finger numbness, sensory nerves, guitar hero: That s what happens when you get old............ (halfway kidding) First, not carpal tunnel... that would involve the middle finger and half the index and ring finger. So if it is all index finger, probably not. But you are on the right track.... the...

Family, Internal Medicine, General Medical Questions: Flu?, afrin nasal spray, chest congestion
afrin nasal spray, chest congestion, sinus infection: the flu is more of a full respiratory infection, meaning a lot of chest congestion, cough, and fever over 102. This sounds more like a full blown sinus infection... I would try using some AFRIN NASAL SPRAY twice a day, and if not improving in 48 hours,...

Family, Internal Medicine, General Medical Questions: General Malaise, high risk group, inflammatory bowel disease
high risk group, inflammatory bowel disease, mild diarrhea: Interesting theory.... the puppy parasites, but that usually doesn t cause many symptoms. I would still focus on the GI tract.... a low level instestinal infection or could you be developing an inflammatory bowel disease (crohn s, ulcerative colitis) ...

Family, Internal Medicine, General Medical Questions: Gerd..., acid indigestion, stomach contents
acid indigestion, stomach contents, magnesium hydroxide: Your esophagus is the tube that carries food from your mouth to your stomach. Gastroesophageal reflux disease (GERD) happens when a muscle at the end of your esophagus does not close properly. This allows stomach contents to leak back, or reflux, into the...

Family, Internal Medicine, General Medical Questions: My grandfather, kidney failure, renal failure
kidney failure, renal failure, cause distress: Hello Dian and thanks for writing, I am so sorry to read about your Grandfather, it is always painful to watch someone we love slip away and naturally we want to “do something”. The doctor is correct that giving your Grandpa food or fluids at this point...

Family, Internal Medicine, General Medical Questions: HPV or what else can it be?, hpv, clear evidence
hpv, clear evidence, cauliflower: As per the info you have given, there appears to be no clear evidence of cancer. HPV realted growth are cauliflower like. for your pain problem, you can take the help of homeopathy. let me know if you need anything else. my email is medlifeasia@gmail.co...

Family, Internal Medicine, General Medical Questions: always hot, beta blockers, thyroid
beta blockers, thyroid, sweat: If your thyroid is not abnormal, then that may be the way you are. I would see your regular doc and discuss... If I had someone coming in with this, I would do a workup and maybe a trial of low dose beta blockers might help somewhat. I assume that...

Family, Internal Medicine, General Medical Questions: always hot, thirst, thyroid
thirst, thyroid, bp: mail me the answers to the folloeing to medlifeasia@gmail.com 1. since how long do you have this problem? 2. Get your BP checked in the evening and inform me 3. How much do you sleep daily 4. How much thirst do you feel? hoe much water you take in a...

Family, Internal Medicine, General Medical Questions: Increasing HDL, red yeast rice, lowering cholesterol
red yeast rice, lowering cholesterol, lower cholesterol: red yeast rice supplements. It depends on how high your LDL is and how low LDL is..... diet has some effect but the medicines work so much better. Gemfibrozil for HDL and Statins, like simvastatin for lowering cholesterol Otherwise, low fat foods,...

Family, Internal Medicine, General Medical Questions: Iron deficiency in toddler, low iron levels, red blood cells
low iron levels, red blood cells, iron fortified cereals: iron is needed to make red blood cells.... the body keeps making them until the iron is completely depleted.... until then you can have low iron that is completely asymptomatic. So, mostly, don t worry about it. Stick a chewable multivitamin with iron...

Family, Internal Medicine, General Medical Questions: kindly assist, black seed, turmeric powder
black seed, turmeric powder, seven month: her body immunity needs to be increased so she should do lot of exercise and sports, running etc. Give her black seed powder or oil one spoon daily. also give her turmeric powder one spoon in half cup of milk daily. let me know the result in a week. my email:...

Family, Internal Medicine, General Medical Questions: Low mpv and Petechiea rash, cataract surgery, fish oil
cataract surgery, fish oil, serax: that number by itself means nothing.... if your platelet count is relatively normal, then you are fine. Stopping fish oil will have no affect. I usually ignore that number on the blood count unless the others are abnormal so I don t mention it either...

Family, Internal Medicine, General Medical Questions: Lump/Bump on Back, scapular area, nasty smell
scapular area, nasty smell, black seed: Try to find a place where you can get bandage done at cheap cost without insurance. It is important. Is he getting fever? If yes, the infection is substantial. His body immunity needs to be increased so he should do lot of exercise and sports, running etc....

Family, Internal Medicine, General Medical Questions: Lung problems?, chest cold, cold season
chest cold, cold season, lung problems: I would first suspect that you are right at the beginning of a chest cold and that symptoms are going to progress over the next few days. This is the flu and cold season. So that is the most likely diagnosis. If it gets very painful, get it checked out...

Family, Internal Medicine, General Medical Questions: Manage fibromyalgia naturally, intact pth, calcium magnesium
intact pth, calcium magnesium, monocyte count: I titrate the patients calcium magnesium and vit D to the 90% and intact pth to the 15 % Plus get their HDL to 60 and crp to 0.50 plus their monocyte count to less than 6% and their fibromyalgia goes away usually in 6-8 weeks No currently published books...

Family, Internal Medicine, General Medical Questions: Mention a few things to my doctor?, internal medicine specialist, teeth sensitivity
internal medicine specialist, teeth sensitivity, cold things: My doctor believes I have a mild case of fibromyalgia, though I don t have any tender points and fatigue is more pronounced then pain. I m glad I have somebody to label my condition, but I m still on the lookout for possible underlying conditions. Answer:...

Family, Internal Medicine, General Medical Questions: Mild fibromyalgia, chronic sickness, tender points
chronic sickness, tender points, rheumatologist: Fibro is a tough diagnosis to make in a lot of people.... Pain is so subjective that one person t pain may cripple them and another person s similar pain may slow them down a little bit. Technically, you have to have tender points to make the book diagnosis...

Family, Internal Medicine, General Medical Questions: mother in ALF, roho cushions, long periods of time
roho cushions, long periods of time, primary nurse: Hi Joyce and thanks for writing, I always found the residents who have family that stay in touch with the care staff did generally receive more attentive care (as the staff knew the family was paying attention). If you don’t have time to visit during the...

Family, Internal Medicine, General Medical Questions: night sweats, adrenal gland disorders, medicine side
adrenal gland disorders, medicine side, thyroid disorders: There are many causes and having a cancer causing this is really low on that list...... This could be a medicine side effect. It could be some mild withdrawal symptoms if you are on pain medicine or drink moderately and didn t drink that night. Low...

Family, Internal Medicine, General Medical Questions: PH LEVEL, stomach acid, yeast infections
stomach acid, yeast infections, ph level: what an interesting question..... why would you want to change your pH level... that would surely result in things not working or death, depending on how fast and aggressively you change it. I don t know exactly what you are referring to, but if you...

Family, Internal Medicine, General Medical Questions: period questions, vrgin, hormone level
vrgin, hormone level, level tests: Hello Celinda and thanks for writing, I think you should at least speak to your family doctor and s/he may want to do some hormone level tests to see what’s going on with your cycles and ma be able to offer a simple treatment to help regulate you. It’s...

Family, Internal Medicine, General Medical Questions: please help with prickly pain..., fatty liver disease, tiny nodules
fatty liver disease, tiny nodules, chest xray: advice..... quit smoking for one. The pain in the back is not related to the breast. But I would get a chest xray, and if negative, treat the back pain as musculo-skeletal, meaning anti-inflammatories to help it. But the primary goal should be to...

Family, Internal Medicine, General Medical Questions: Relora, magnolia officinalis, natural dietary supplement
magnolia officinalis, natural dietary supplement, traditional chinese medicine: Sean, Relora is a patent (TCM combination herbal preparation) with main ingredients to include bark of Magnolia officinalis and Phellodendron amurense. It is used for stress reduction as well as weight loss apparently. There have been some trials......

Family, Internal Medicine, General Medical Questions: Soy-Good or Bad?, soy, health
soy, health, goiter: A, There is good and bad about soy. Moderation in all things, as too much soy is goiterogenic. Too much to elaborate here in this forum, but for in depth consultation on soy and diet and other factors you are welcome to telemedicine consultation. visit:...

Family, Internal Medicine, General Medical Questions: Soy-Good or Bad?, christie hospital nhs trust, human breast cancer
christie hospital nhs trust, human breast cancer, malignant breast disease: Am J Clin Nutr. 1998 Dec;68(6 Suppl):1431S-1435S. Effects of soy-protein supplementation on epithelial proliferation in the histologically normal human breast. McMichael-Phillips DF, Harding C, Morton M, Roberts SA, Howell A, Potten CS, Bundred NJ....

Family, Internal Medicine, General Medical Questions: jaw, neck, shoulder pain and headache, adrenal adenoma, temporal arteritis
adrenal adenoma, temporal arteritis, mid back pain: yes, fever is not a classic finding for arteritis, so no fever certainly does not mean it doesn t exist. You have a lot of symptoms that may not be from one cause.... you will need your regular docs to help sort this out.... I would only be guessing in this...

Family, Internal Medicine, General Medical Questions: back, scoliosis, curvature
scoliosis, curvature, nerve: You should tell your doctor and have a full examination next time you have a checkup. You might have a little curvature (scoliosis) and sometimes pinch a nerve a little...... To help, make sure you stay active, good daily stretching, to keep everything...

Family, Internal Medicine, General Medical Questions: My 1 Yr old daughter scared us, mild seizure, blank stare
mild seizure, blank stare, peds: that history suggests it was a mild seizure, without the shaking, which is sometimes hard to prove unless it happens again. On the good news side, esp if a child is sleeping or very tired, they may be pretty unresponsive. I would keep an eye on any recurrence...

Family, Internal Medicine, General Medical Questions: Abnormal bleeding, pain in the lower abdomen, synthorid
pain in the lower abdomen, synthorid, pap smear: it isn t unusual to have weird periods when hypothyroid or when correcting.... both are on a hormonal feedback loop and they are intertwined through the pituitary. Let your doctor know and hopefully correct the thyroid as soon as possible and see how the...

Family, Internal Medicine, General Medical Questions: als?, muscle twitches, bad taste in my mouth
muscle twitches, bad taste in my mouth, muscle cramps: ALS fortunately is pretty rare and there are many more possibilities.... I would have a full evaluation, not just EMG s.... thyroid, B12, basically a complete neuro workup.... ask to be referred to a regional neuro center..... there will be one within 200...

Family, Internal Medicine, General Medical Questions: Bleeding, advil, motrin
advil, motrin, 4am: No, not normal to have rectal bleeding.... This needs an eval, so tell your parents and get checked..... Possibilities... if you have taken a lot of advil/motrin/alleve/aspirin, you could have irritated your stomach and caused some upper bleeding. There...

Family, Internal Medicine, General Medical Questions: Bleeding Foreskin, penis smegma, vaginal yeast
penis smegma, vaginal yeast, mycolog ii: sounds like you have a yeast infection down there.... too bad about the not sexually active part. The goal is to keep the area clean and dry.... retract the foreskin, clean residue, use some powder. You can also use Monistat (women s vaginal yeast cream)...

Family, Internal Medicine, General Medical Questions: bleeding time, bleeding disorders.
bleeding disorders.: Patrica, this is a bit too complex to sort out through this forum. Yes, discontinue ALL OTC now because we know that none of them are essential or life supporting and at least you will have that out of the way. Then it will be a matter of going through...

Family, Internal Medicine, General Medical Questions: Carbohydrate intolerance?, chronic gasteritis, acid feflux
chronic gasteritis, acid feflux: Hi there Beaner, thank you for posting your question with Allexperts. My name is Dr Andrew Rynne. I am a medical doctor working in Ireland. I have ten years experience helping people Online sort out their medical concerns. I do not think that your problem...

Family, Internal Medicine, General Medical Questions: Childhood sickness, stomach contents, hematologist
stomach contents, hematologist, 5th birthday: I would ask that you get referred to an infection disease or hematologist for an immune system workup..... that certainly sounds abnormal..... The childhood stuff I might discount, but the adult repeat pneumonias..... I would want to know if you have reflux...

Family, Internal Medicine, General Medical Questions: confused, partial colectomy, many different things
partial colectomy, many different things, plan vacations: it could be if it were severe.... such as causing severe anemia requiring transfusion. And.... endometriosis will not cause vaginal bleeding... it could cause rectal or urinary bleeding but mostly just pain. But your GYN has to sell the case to the insurance...

Family, Internal Medicine, General Medical Questions: Costs, plastic surgery procedures, ethical boundaries
plastic surgery procedures, ethical boundaries, malpractice costs: I could not agree more.... I did liposuction for several years..... It cost me about 800 dollars in disposable stuff, probably 200 in depreciation and another 100 for staff. Takes about 4 hours. I typically charged 2500-3500, feeling that was reasonable.......

Family, Internal Medicine, General Medical Questions: Elevated LFT's, raised LFT
raised LFT: Hi there Sharon, thank you for posting your question with Allexperts. My name is Dr Andrew Rynne. I am a medical doctor working in Ireland. I have ten years experience helping people Online sort out their medical concerns. Cortisone, especially in large...

Family, Internal Medicine, General Medical Questions: ER, chest x ray, cardiac enzymes
chest x ray, cardiac enzymes, anterior infarct: I am at a loss, not knowing the details, but I agree with you.... I would have looked at cardiac causes, even without the BNP. The CXR does not necessarily have to show a pneumonia but that would also make someone look elsewhere for the problem. If his...

Family, Internal Medicine, General Medical Questions: Periods, toxic shock syndrome, frequent sex
Family, Internal Medicine, General Medical Questions: Periods, toxic shock syndrome, frequent sex, contraceptive pill

Family, Internal Medicine, General Medical Questions: Fibromyalgia, epstein barr virus, arnold chiari
epstein barr virus, arnold chiari, low immune system: arnold chiari can cause some weakness and neck pain/headaches. EBV is a separate entity from fibro and can be measured with specific antibody testing. The problem is the vague symptoms of fibro are attributable to many other diseases, including hypothyroidism...

Family, Internal Medicine, General Medical Questions: Fluzone High-Dose vaccine, fluzone vaccine, flu vaccine
fluzone vaccine, flu vaccine, strength version: With these kind of immunizations, you either respond or you don t.... all or none. Getting the higher dose will make you more likely to respond. The risk is an allergic reaction, which would be worse with the higher dose, but that would have happened immediately......

Family, Internal Medicine, General Medical Questions: general medicine, lymph glands, swollen glands
lymph glands, swollen glands, oxygen carrying capacity: swollen glands, fatigue, anemia..... I would get all that worked up.... is this mono? or another viral illness. The anemia is probably a separate problem and needs to be evaluated and treated.... that is about 40% low on oxygen carrying capacity.... I would...

Family, Internal Medicine, General Medical Questions: Headaches in children, headaches in children, sinus infection
headaches in children, sinus infection, serious things: No, obviously not normal.... at that age it is hard to localize a headache.... could be an ear infection, toothache, sinus infection..... I know it is easy to worry about the really serious things.... although those occur, they are very very rare.......

Family, Internal Medicine, General Medical Questions: Heart-beating in Stomach, heart beating, blood tests
heart beating, blood tests, 22 years: The first thing I would do is check your blood counts to make sure you are not anemic and check your thyroid blood tests..... that is easy to diagnose and fix if that is the problem. But if that is negative, you need to see someone for a good complete workup...

Family, Internal Medicine, General Medical Questions: HFMD, hand foot and mouth disease, hand foot and mouth
hand foot and mouth disease, hand foot and mouth, foot and mouth disease: It can... the only way to tell is to continue to check your BP as this resolves.... don t go crazy... 2-3 times per week is adequate.... often, people have elevated blood pressure and don t realize it until something happens... so check to be sure this is...

Family, Internal Medicine, General Medical Questions: hiv question, plasma donors, western blots
plasma donors, western blots, antibody tests: those tests are set to test positive whenever the disease is present with a sensitivity to try and catch everyone, so some people with mildly similar antibodies will test positive.... for this test, there isn t a specific reason.... some of the different antibody...

Family, Internal Medicine, General Medical Questions: hot flashes, hrt, menopause
hrt, menopause, hot flashes: Hi there Patty, thank you for posting your question with Allexperts. My name is Dr Andrew Rynne. I am a medical doctor working in Ireland. I have ten years experience helping people Online sort out their medical concerns. Sometimes it may take years and...

Family, Internal Medicine, General Medical Questions: iron supplements, iron absorbtion, serum level
iron absorbtion, serum level, iron rich foods: you cannot raise your iron too quickly with oral iron... from foods and vitamins.... there is a block in your intestines (as an adult) that limits iron absorbtion to protect from overdose. Just take the MVI and be patient..... also look at your periods......

Family, Internal Medicine, General Medical Questions: My Joints, rheumatic arthritis, unhealthy lifestyle
rheumatic arthritis, unhealthy lifestyle, pain meds: if you have rheumatoid or lupus or something else, this will not work. If you are simply way out of shape, then it may get worse before it gets better over a couple of weeks..... not a bad trial... but tell your mom if after 2-3 weeks, if you aren t improving...

Family, Internal Medicine, General Medical Questions: I would like to know about career in EM, emergency medicine residency, rewarding profession
emergency medicine residency, rewarding profession, gun shots: Haven t heard of him... has he written a book or something? My kids want to go into medicine... I think that s great, but I told them to volunteer in the hospital... to make sure that it is a good match..... why don t you go to your local hospitals thru...

Family, Internal Medicine, General Medical Questions: Las drogas, hepatitis c, addictive disease
hepatitis c, addictive disease, viral illness: tiene que translatar...... The biggest effect on the body is the emotional and mental development of the brain, especially when the person begins to use drugs in the teenage years. This can cause permanent damage and set someone up for long term addictive...

Family, Internal Medicine, General Medical Questions: listening to heart/lungs, ankle sprain, heart issues
ankle sprain, heart issues, internist: interesting question..... part is billing.... you don t have to pay extra, but insurance companies require a check of several different body systems for even a lower level of bill, but primarily it is what we are taught.... examine the patient.... look for...

Family, Internal Medicine, General Medical Questions: Microscopic Blood in the Urine, ct scan with contrast, left kidney
ct scan with contrast, left kidney, microscopic blood: the cysts can cause bleeding... a stone definitely will cause it and could explain recurrent UTI s.... it is very difficult to sterilize a kidney stone... they typically have to be removed... the urologist should be able to grab that with a cystoscope, but...

Family, Internal Medicine, General Medical Questions: Periods, urine pregnancy test, emergency pill
urine pregnancy test, emergency pill, lower abdomen: The timing is wrong to be pregnant, so that is less likely.... continue the pills and check a first morning urine pregnancy test in about 3 days. I would suggest no unprotected sex until this is settled or you have been on the pill for a month unless you...

Family, Internal Medicine, General Medical Questions: Scabies, fungus infection, oral steroids
fungus infection, oral steroids, contag: Well, that gives us some information.... so the next step would be a definitive answer through a punch biopsy. There are other skin inflammatory issues that won t respond to prednisone so don t put on blinders and say it has to be small bugs..... keep an...

Family, Internal Medicine, General Medical Questions: Scabies, skin mites, laundry detergent
skin mites, laundry detergent, fungus infection: Hello Eliz and thank you for writing, I know how frustrating Scabies can be and I am also very familiar with how frequently it can be misdiagnosed. I have two pieces of advice for you: 1) Make sure the doctor’s examine a skin scrapping under the microscope...

Family, Internal Medicine, General Medical Questions: What does a technician need to know?, kidney stone, regional rep
kidney stone, regional rep, gallbladder: That information is helpful because the tech may only get the order for the ultrasound based on do the test and not that you were having pain, bleeding, kidney stone, etc and it helps them focus on what to specifically look for and also to screen around...

Family, Internal Medicine, General Medical Questions: Are these things related?, hemochromatosis
hemochromatosis: Hi there Dustin, thank you for posting your question with Allexperts. My name is Dr Andrew Rynne. I am a medical doctor working in Ireland. I have ten years experience helping people Online sort out their medical concerns. I am not aware of a connection...

Family, Internal Medicine, General Medical Questions: throat, sinus symptoms, steroid sprays
sinus symptoms, steroid sprays, stomach acid: I would wonder whether you have reflux and are refluxing stomach acid into the throat at night when you lay down. Also allergies, cigarettes can cause this. If you have no sinus symptoms at all, then the nasal steroid sprays probably won t help. But when...

Family, Internal Medicine, General Medical Questions: Blood Pressure- Blood glucose, physical health conditions, blood pressure and blood sugar
physical health conditions, blood pressure and blood sugar, blood glucose: Your blood pressure is high. Read more her http://www.bbc.co.uk/health/physical_health/conditions/in_depth/heart/hypertension1.shtml Also the blood sugar needs to be controlled. the best treatment is walking for 30 minutes to 1 hour daily. this will reduce...

Family, Internal Medicine, General Medical Questions: Diabetes and Multi Vitamin, metal toxins, will find additional information
metal toxins, will find additional information, centrum silver: Faisal, YES and NO.... Yest to a multivitamin, with some trace elements being beneficial for diabetics. NO to Centrum products as they contain as trace elements Tin, Silica and Nickle. All of these I have mentioned are considered heavy metal toxins, as...

Family, Internal Medicine, General Medical Questions: No doctor, always tired, chronic nasal congestion, low thyroid
chronic nasal congestion, low thyroid, sinus infection: Being in a good place doesn t guarantee it isn t depression, but probably isn t. It sounds like the sinus stuff has not completely gone away.... it would be useful to use AFRIN nose spray twice a day for a week. (Don t use long term for chronic nasal congestion)...

Family, Internal Medicine, General Medical Questions: The effect and damages cause by untreated or prolong Anal Pile in the Human Body, herbal medication, fibre intake
herbal medication, fibre intake, highfiber: First, you need to increase the fibre intake. read about diet here http://thyroid.about.com/od/loseweightsuccessfully/a/highfiber.htm also read: http://www.healthlibrary.com/book16_chapter464.htm http://www.hemorrhoidshemroids.com/hemroids-hemorrhoids-diet-why-how.html...

Family, Internal Medicine, General Medical Questions: Family, liver problem, counseller
liver problem, counseller, health check: In this situation in the US.... we do an intervention which means get a counselor, and family members meet ahead of time... all have to agree that treatment for the alcoholism is needed and the counselor sets up a meeting where all family supports going...

Family, Internal Medicine, General Medical Questions: foot and ankle, back stretches, nerve problem
back stretches, nerve problem, left ankle: you are pinching a nerve somewhere.... possibly in your low back or possibly along the leg somewhere.... I think it is time to see your doctor.... alleve 2 twice a day and easy back stretches and time may help, but I would want to figure out where the nerve...

Family, Internal Medicine, General Medical Questions: Gallbladder removal and fatigue, gallbladder removal, school doctors
gallbladder removal, school doctors, heart doctor: Hi, you need to consult a gastroenterologist in a medical school. They have a much much better understanding as compared to non medical school doctors. I am sure you will be bask on a healthy life. the problem is somewhere in your GI tract. Get it identified....

Family, Internal Medicine, General Medical Questions: Gluten Free Diets, Celiac Disease, Gluten
Celiac Disease, Gluten: Barry, As with everything these days. What is health for a few, seems to be the trend for all. Those with true Celiac Disease (Gluten intolerance) must adhere to a very regimented diet of foods that are gluten free or suffer the consequences of bloating,...

Family, Internal Medicine, General Medical Questions: help, face rash, groin area
face rash, groin area, mosquito bite: psych is not the way to go.... and the ENT is probably not going to be too interested in your skin and I doubt whether this is causing nasal symptoms. I would nudge you again to work with a dermatologist and get a punch biopsy of one of the lesions, that...

Family, Internal Medicine, General Medical Questions: Help an elderly, healthier heart, cholesterol reduction
healthier heart, cholesterol reduction, heart work: Cardiac health is quite complex and may depend on underlying health issues (Diabetes, hypertension, etc.) However, if the major risk factors can be reduced, HTN control, lowering of Cholesterol, reduction of obesity, ... then one can take even more measures...

Family, Internal Medicine, General Medical Questions: Help an elderly, care of the eldery
care of the eldery: Hi there Pride, thank you for posting your question with Allexperts. My name is Dr Andrew Rynne. I am a medical doctor working in Ireland. I have ten years experience helping people Online sort out their medical concerns. All the things you mention here...

Family, Internal Medicine, General Medical Questions: Help an elderly, healthier heart, heart work
healthier heart, heart work, healthy heart: Sorry... not really... the exercise is what helps keep the heart conditioned.... but it isn t a lot... you don t have to run or pump iron.... simple walks, slow exer-cycle, simple calisthenics....... you can t scare or excite the heart into shape but temp...

Family, Internal Medicine, General Medical Questions: Hypothyroidism, rapid heart beat, tsh levels
rapid heart beat, tsh levels, synthorid: Personally, I think Armour is a waste and not really more natural. The bloating may be because you are correcting a hormone loop abnormality. You probably need 100 to 150 ug of synthroid daily ultimately, so if you can tolerate 100, I would take that and...

Family, Internal Medicine, General Medical Questions: Iron Deficiency, serum ferritin, serum iron
serum ferritin, serum iron, supplemental iron: This looks pretty reasonable..... the blood counts, Hb and Hct are normal.... and the serum iron is good... you store a lot of iron in your bone marrow that is unmeasurable but the serum ferritin ( an indirect measure of serum iron) is good..... so good numbers...

Family, Internal Medicine, General Medical Questions: Low Testosterone, llow testosterone
llow testosterone: Hi there Scott, thank you for posting your question with Allexperts. My name is Dr Andrew Rynne. I am a medical doctor working in Ireland. I have ten years experience helping people Online sort out their medical concerns. The diagnosis of low testosterone...

Family, Internal Medicine, General Medical Questions: lower abdominal referred pain, groin area, pelvic organs
groin area, pelvic organs, pain diagnosis: first, if you haven t seen the doctor, how do you know this is simply referred pain from the back..... it is unusual to have pain that way, more likely back pain from pelvic pain or low abd pain. If you have abdominal pain, I would start there and...

Family, Internal Medicine, General Medical Questions: multi, mold allergy, frequent headaches
mold allergy, frequent headaches, skin lesions: With the eye and nose symptoms I would worry about allergies, possibly mold. The getting mixed up... needs a full evaluation... if you have any respiratory symptoms, checking blood oxygen. Get back to your primary doctor so they can start from scratch...

Family, Internal Medicine, General Medical Questions: Nasal Cavity Burning Sensation, tiny nerves, nasal cavity
tiny nerves, nasal cavity, burning sensation: It sounds like an allergy.... something is setting it off. Another possibility is that you have a history of a nose injury, maybe a fracture and had damaged one of the tiny nerves that now is easily exciteable and fires for no reason sometimes. Those come...

Family, Internal Medicine, General Medical Questions: naseaus, upper gi, zantac
upper gi, zantac, milk products: I don t know what tecta is but I would try zantac or prilosec initially and if that doesn t work, you will have to keep pushing your GI for an answer.... some foods may precipitate this... like milk products, but try the stomach med then see... I hope this...

Family, Internal Medicine, General Medical Questions: night sweats, consecutive nights, back of my neck
consecutive nights, back of my neck, blood work: wow... that is a big jump to go from a sweaty neck to cancer.... There are very few cancers that occur in someone your age, so since you have been screened... you shouldn t worry about that. Sweating is a normal mechanism in general, if you get a little...

Family, Internal Medicine, General Medical Questions: nodules, birth control pills, fatty tissue
birth control pills, fatty tissue, nodules: if you had nodules that could be cancer, I can t believe they did not biopsy one. Now multiple cysts are pretty common, but nodules... if so, I would ask your doctor for some reassurance, although given your age, abdominal cancers are very very unlikely........

Family, Internal Medicine, General Medical Questions: Odd One, chimney flue, coal stove
chimney flue, coal stove, rabies vaccine: well.... tough question.... if it is a bat, then you need rabies vaccine.... but I would think you would have scared a bat away with a shopvac and going up the tube..... that would scare any critter away. So I would think you are ok.... hard to believe a...

Family, Internal Medicine, General Medical Questions: PLEASE KEEP QUIET, migraine headaches, migraine headache
migraine headaches, migraine headache, tension headaches: Hi Cameron, I assume you re asking what causes headaches, not what a headache is? Overall, the most common causes of headache are Tension Headaches and Migraines. Tension headache pain is often described as a constant pressure, as if the head were...

Family, Internal Medicine, General Medical Questions: PLEASE KEEP QUIET, sensory nerves, blood vessel
sensory nerves, blood vessel, migraine: headache is a general term describing pain in the head.... a migraine is a specific headache caused by a blood vessel relaxing, opening up and stretching... the stretch of the blood vessel causes nerves in the blood vessel to register pain. The brain itself...

Family, Internal Medicine, General Medical Questions: Recent mental health problems., mental health problems, paxil 20mg
mental health problems, paxil 20mg, xanax 1mg: The problem with xanax is developing tolerance (doesn t work as well as before) and dependence. That is a hefty dose of medicine. Be straight with your doctor.... there may be other combinations of medicines but all the xanax like drugs work similarly,...

Family, Internal Medicine, General Medical Questions: Shigellosis, gender disparity, drug resistance
gender disparity, drug resistance, mild illness: shigella can be a pretty bad disease and if not self limiting, ie, getting better by itself, it requires antibiotic treatment. If there is resistance, we will have less antibiotics to use if there is an outbreak. And that is one where it doesn t take a lot...

Family, Internal Medicine, General Medical Questions: Left-sided pleural effusion, pleurx catheter, pleural effusion
pleurx catheter, pleural effusion, tb test: Transudate versus exudate- sometimes a grey zone. Causes- many..... but obviously this is an active process since fluid being produced..... Infection is easy to eliminate since you have active fluid, CHF more difficult to exclude. I imagine she is seeing...

Family, Internal Medicine, General Medical Questions: Stinky Belching, annoying sounds, food intolerance
annoying sounds, food intolerance, roomate: This may be simply a combination of what your roomate eats and the time it has been rotting in their stomach, esp if forced, but, it also suggests infections like giardia, dental disease or a food intolerance (like milk) If the belching is simply...

Family, Internal Medicine, General Medical Questions: swollen lip, blood pressure medicine, new medicine
blood pressure medicine, new medicine, swollen lip: if you are on a blood pressure medicine, contact your doctor immediately and hold it until you talk it over with him/her. There is an allergic reaction that can occur, even if you have been on the meds for a long time. Other than that, a new medicine could...

Family, Internal Medicine, General Medical Questions: symptoms, working in ireland, medical concerns
working in ireland, medical concerns, theyve: Hi there John, thank you for posting your question with Allexperts. My name is Dr Andrew Rynne. I am a medical doctor working in Ireland. I have ten years experience helping people Online sort out their medical concerns. You probably have bronchitis. This...

Family, Internal Medicine, General Medical Questions: Thrombosed Hemi/Abscess, hemmorid, pencil eraser
hemmorid, pencil eraser, rectal wall: abscess healing.... depends on where.... the anus and rectum is pretty dirty in general, so it may take longer. That is a rare complication..... usually those lanced hemm s heal without infection but it sounds like you had a rectal wall abscess.... That...

Family, Internal Medicine, General Medical Questions: trying to get some ansews, liver surgery, deep penetration
liver surgery, deep penetration, scar tissue: one problem is that the liver surgery is massive, and you may have some scar tissue or a neuroma.... a nerve that was cut and healed but is hypersensitive. I don t know if I have any great treatment except to find what works for you sexually....... I don...

Family, Internal Medicine, General Medical Questions: trying to get ansews, dyspareunia, painful sex.
dyspareunia, painful sex.: Hi there Kimberly, thank you for posting your question with Allexperts. My name is Dr Andrew Rynne. I am a medical doctor working in Ireland. I have ten years experience helping people Online sort out their medical concerns. I really think that your dyspareunia...

Family, Internal Medicine, General Medical Questions: colonoscopy observation, gyn exam, body cavities
gyn exam, body cavities, medical appointments: yes, the same screen I am watching on in the room. I wouldn t want to watch my wife s GYN exam either.... I have faith in the doctor and don t think that I can add anything to either exam plus I just don t want to observe someone looking in body cavities....

Family, Internal Medicine, General Medical Questions: Coughing, auto thermometer, phlegm
auto thermometer, phlegm, secondary bacterial infection: most of these start as viral bronchitis.... if it continues to get worse, with fever, then it is worth getting evaluated for possible antibiotics for a secondary bacterial infection.... I usually have people wait 2-3 days unless something abruptly gets worse...

Family, Internal Medicine, General Medical Questions: discoloration of right leg, cold hands and feet, low blood pressure
cold hands and feet, low blood pressure, knee problems: a blue patch that blanches and returns sounds like an enlarged vein where you squeeze out the blood then it returns.... With the cold hands and feet, I would have your thyroid checked and checked for anemia also. But overall, don t panic on this one.... but...

Family, Internal Medicine, General Medical Questions: Diverticulitis ( HELP ), belly pain, loose stool
belly pain, loose stool, line time: well, you went to the ER and they said diverticulitis? If you can t keep the antibiotics down ( I assume they gave you some) then you have to go back, because you have to have the antibiotics in your system, whether oral or through an IV line..... time to...

Family, Internal Medicine, General Medical Questions: ear, ear blockage, pseudophedrine
ear blockage, pseudophedrine, hilly area: this could be an inner ear blockage or outer ear blockage from wax. You could try some pseudophedrine or some nasal afrin (oxymetazoline) spray and it should help if inner ear, or have someone look to see if there is an external blockage with wax..... good...

Family, Internal Medicine, General Medical Questions: Elbow pain from overuse, tennis elbow splint, elbow pain
tennis elbow splint, elbow pain, oral steroids: It sounds like tennis elbow.... or epitrochlear tendonitis.... Get a tennis elbow splint, ice it down at the end of the day, take the Alleve- (naprosyn) Sometimes oral steroids help like prednisone, sometimes we inject these with a steroid shot. Time...

Family, Internal Medicine, General Medical Questions: elderly parents cough at night, blood pressure medicine, dust mites
blood pressure medicine, dust mites, ace inhibitor: watch out for drug effects, especially ACE inhibitor blood pressure medicines.... they can cause a cough. This also could be allergic, such as house dust mites.... getting pillow and mattress plastic covers may help this. Keep bugging the family doctor to...

Family, Internal Medicine, General Medical Questions: GI symptoms for 6 months- maddening, gall bladder disease, pancreatic enzymes
gall bladder disease, pancreatic enzymes, upper abdominal discomfort: this could be gall bladder disease; another problem could be food intolerances.... some people lose the ability to digest certain foods..... milk products are a common one. A trial off milk/cheese/butter might give you some info. With the rice stuff, I would...

Family, Internal Medicine, General Medical Questions: Gift-Giving, bad hair day, working in ireland
bad hair day, working in ireland, medical concerns: Hi there Kelly, thank you for posting your question with Allexperts. My name is Dr Andrew Rynne. I am a medical doctor working in Ireland. I have ten years experience helping people Online sort out their medical concerns. Your doctor may just have been...

Family, Internal Medicine, General Medical Questions: Groin area, ace bandage, old text books
ace bandage, old text books, groin area: Hi there Pat, thank you for posting your question with Allexperts. My name is Dr Andrew Rynne. I am a medical doctor working in Ireland. I have ten years experience helping people Online sort out their medical concerns. I do not think that your taking...

Family, Internal Medicine, General Medical Questions: herniated disks, l5 s1, disc bulges
l5 s1, disc bulges, bulging disks: that pain is from another disc swelling... a true herniation gives you severe pain that doesn t quit, but few days, may mean a mild tear that swells a little and then the swelling subsides.... but you keep injuring those and they will herniate eventually....

Family, Internal Medicine, General Medical Questions: IBS & Anise Seed Tea, fennel tea, anise seed
fennel tea, anise seed, tea blends: Ken, Anise tea is recommended as a therapy (therapeutic) tea/beverage for the relief of IBS. and should relieve problems of diarrhea. However, moderation in all things. Too much of ANYthing is in no way good in the long term. I would say no more than...

Family, Internal Medicine, General Medical Questions: inner thigh tightness/hip, ace bandage, antibiotics for ear infection
ace bandage, antibiotics for ear infection, lifting weights: This sounds more mechanical to me, like a hip problem or low back problem that is radiating to the hip.... as opposed to the prostate...... You could try easy stretching of the low back, and some Alleve- 2 twice a day but if that doesn t help, you will...

Family, Internal Medicine, General Medical Questions: Insulin Level in Blood, insulin level, insulin levels
insulin level, insulin levels, funny test: insulin levels in blood is a funny test where it can give really hazy results.... someone with normal blood sugars can have high or low levels, depending on what they ate. It is used sometimes to identify pre diabetics, but testing the blood sugar is easier...

Family, Internal Medicine, General Medical Questions: Neural weakness, delayed onset muscle soreness, onset muscle soreness
delayed onset muscle soreness, onset muscle soreness, strength trainers: it is a sign of deconditioning.... a regular exerciser will increase the ability of the brain to tell that muscle to work. One problem is when the connection is not strong and you ask the muscle to do something it isn t used to... it can start and then tear-...

Family, Internal Medicine, General Medical Questions: Pain, ano rectal, heating pad
ano rectal, heating pad, excruciating pain: you want to make sure that your BM s are soft.... but you really need to get a full evaluation.... colonoscopy, etc. Sometimes rectal pain can be prostate, some ano-rectal abscesses, etc..... get it checked soon.... ask to be sent to the next town if you...

Family, Internal Medicine, General Medical Questions: Perirectal Abscess, hemmrhoid, sitz baths
hemmrhoid, sitz baths, size hole: if it doesn t heal, meaning the pinsized hole continues to drain occ, then it is a fistula.... but usually after surgery, packing, antibiotics it heals in a month or two. Have the surgeon relook at things to make sure...... the fact that you are pain free...

Family, Internal Medicine, General Medical Questions: Putting pieces together, medical explanation, medical evaluation
medical explanation, medical evaluation, direct evidence: 10 is a little young for periods. Most kids don t have vaginal issues as a young child either. That would make me think of abuse, but, there is no direct evidence of anything. You were saying you are trying to figure this out..... without medical records...

Family, Internal Medicine, General Medical Questions: Rash, lyme disease rash, lyme disease
lyme disease rash, lyme disease, inflammatory reaction: I hate looking at rashes that I cannot look at from different angles and touch..... I don t think so... that looks like a central dark area that has lighter red spreading out, not raised up. It looks more like a simple inflammatory reaction from something....

Family, Internal Medicine, General Medical Questions: Ridding Myself of Post-Concussion Symptoms?, post concussion symptoms, thick tongue
post concussion symptoms, thick tongue, mental fatigue: that sounds more like a concussion as opposed to just whiplash, unless you are still on any narcotic pain medicine or muscle relaxers.... those can cause symptoms like that. I don t know if there is a way to speed up resolution....a concussion is some sheering...

Family, Internal Medicine, General Medical Questions: Sex Headache, mri with contrast, coital cephalgia
mri with contrast, coital cephalgia, sex headache: why would a 16 year old be getting ministrokes? I assume there is no abuse of stimulants like cocaine, etc. You could stop masturbating and then you would not have any headaches... I would wait for the appointment and then bring it up.... no need...

Family, Internal Medicine, General Medical Questions: Shadowing a Doctor, emergency medicine, privacy issues
emergency medicine, privacy issues, discharges: you can do it now if the hospital allows it.... there are privacy issues but volunteering always worked for me... you have to do some of the errand work but sometimes can work with the doc... help them out, etc. You can always ask.... worst case... they say...

Family, Internal Medicine, General Medical Questions: skin tags, dermotologist, skin tags
dermotologist, skin tags, poppy: Hi Poppy, I have no personal experience with them, but I know friends who have had them removed. Here is a link to a site with some helpful information http://skintagremovals.net/ You might want to see a Dermotologist to assess your Skin Tags and ask if...

Family, Internal Medicine, General Medical Questions: slight discomfort, lisinopril hctz, right abdomen
lisinopril hctz, right abdomen, groin area: that list you had is reasonable, but it seems to be smoldering along..... I doubt appendicitis as usually it gets worse, but it is time to get it looked at after Christmas if it persists.... getting a blood count and urine and an exam...... it could be muscle,...

Family, Internal Medicine, General Medical Questions: Swollen legs, blood clot in the leg, swollen legs
blood clot in the leg, swollen legs, blood clot: it isn t unusual to get some swelling from prolonged sitting. You should take aspirin and get up and walk around every 2 hours (5 minutes or so) if you are in a sitting position for a long time. The worry is a blood clot in the leg..... if it goes away quickly...

Family, Internal Medicine, General Medical Questions: testosterone level, testosterone decanoate, working in ireland
testosterone decanoate, working in ireland, lack of concentration: I have no experience of using Sustanon but note that it does contain testosterone decanoate. In Europe we use Nebido injection which is 100% testosterone decanoate. But I have no doubt but that what your doctor gave you will also work well if testosterone...

Family, Internal Medicine, General Medical Questions: ulq pain, urinary tract symptoms, bowel obstruction
urinary tract symptoms, bowel obstruction, warning signs: these kind of pains are common and usually do not amount to anything.... a temporary problem in the colon that resolves.... the chances of something bad like pancreatic cancer is very very rare. Some other warning signs would be urinary tract symptoms, weight...

Family, Internal Medicine, General Medical Questions: Vitamin A Overdose, abnormal bone growth, mild dizziness
abnormal bone growth, mild dizziness, menstrual irregularities: stop the vitamin A.... if it goes away in 2 weeks, you can blame it on the medicine. I doubt if someone would do a vitamin A level in the emer room..... that is a specialty send out test. I would check your thyroid tests since you have hair loss, depression/apathy...

Family, Internal Medicine, General Medical Questions: Waferin, thin blood, blood count
thin blood, blood count, blood loss: Hi Sue, Warfarin is a blood thinner used to prevent strokes etc and it is usually held for three days prior to surgery or dental work as thin blood bleeds more easily and takes longer to clot. The surgeons worry as thinner blood leads to an increased risk...

Family, Internal Medicine, General Medical Questions: Bronchitis, green phlegm, residual problems
green phlegm, residual problems, short of breath: So it sounds like you took the antibiotics and finished about 4 d ago.... the rattle may still be there but you should be producing less yellow/green phlegm and no fever at this point. If those markers are getting worse, then get rechecked, but typically...

Family, Internal Medicine, General Medical Questions: blood sugar levels, blood sugar level, blood sugar levels
blood sugar level, blood sugar levels, thyroid levels: That does not sound like too much fruit.... that is a good amount and with a balanced diet with the rest of carbs and proteins, you are probably doing good. With constipation.... you should have your thyroid levels checked, then increase metamucil (or change...

Family, Internal Medicine, General Medical Questions: Chrons disease?, high white blood cells, white blood cells
high white blood cells, white blood cells, lower abdomen: I see.... what it may take is getting the cat scan with contrast while you are actively sick to try an isolate the problem, or getting a colonoscopy or small bowel GI series when you aren t sick to rule out crohn s or ulcerative colitis. I don t know if...

Family, Internal Medicine, General Medical Questions: Dangerous Pulse Ox?, pulse ox, nailpolish
pulse ox, nailpolish, chronic problems: 82% is really really low.... you have to have chronic problems to be able to tolerate numbers that low. First, you have to make sure the information is accurate... someome who is really anemic or heavy nailpolish or incorrectly fitting device might not read...

Family, Internal Medicine, General Medical Questions: How Do I Deal With The Aftermath Of Dramatic Weight Loss?, well balanced diet, upper thighs
well balanced diet, upper thighs, dramatic weight loss: Skin is living tissue and will recover somewhat, but when you are talking about over 100 pounds of weight loss, that was a lot of stretched skin. You won t know how much skin tone will recover for up to 12 months of stabilizing your weight. Also, make sure...

Family, Internal Medicine, General Medical Questions: death, excess oxygen, minutes to hours
excess oxygen, minutes to hours, strange one: Interesting question.... when does death occur? The excess oxygen is used up by the cells it is near... the cells continue to live for minutes to hours and die off when the oxygen is depleted... that is minutes for the brain, minutes to hours for other...

Family, Internal Medicine, General Medical Questions: I don't know what to do with my stomach, weird feelings, random movements
weird feelings, random movements, home feb: It sounds like you took enough Motrin to cause gastritis and esophagitis and bleed a little... you need to stay off all pain meds except tylenol, continue the Nexium and have your blood count checked to see if you have bled in the GI tract and become anemic....

Family, Internal Medicine, General Medical Questions: Fish oil supplement, fish oil supplements, statin drugs
fish oil supplements, statin drugs, carotid ultrasound: You didn t mention your age or smoking status, but with plaque, I would put more money on getting on a statin to lower your cholesterol significantly lower. I don t know that there is some more magic fish oil... you get much more bang for the buck from...

Family, Internal Medicine, General Medical Questions: flu/strep throat?, low grade fever, sinus congestion
low grade fever, sinus congestion, non productive cough: Too late for throat culture... it will be negative. This wasn t strep anyways.... probably influenza or another viral illness initially, now persisting secondary infection. Use the inhaler, finish zithromax. Get AFRIN NOSE SPRAY and use twice a day for...

Family, Internal Medicine, General Medical Questions: foot pain from Treadmill, foot ligaments, stress fracture
foot ligaments, stress fracture, workout schedule: This forum is not for the diagnosis or treatment of illness/disease. However what you are describing is worthy of a visit to your PCP or an orthopaedists. You may have one of the following: 1. A stress fracture due to deconditioned state and your body...

Family, Internal Medicine, General Medical Questions: Hair Loss, strength rogaine, hair loss pill
strength rogaine, hair loss pill, plant oil: how effective the pill would be on its own in general compared to Rogaine? A: about the same in my patients unless they remove all plant oil long omega 6 foods see http://efaeducation.nih.gov for multiple slide shows on where the plant oil is and how to...

Family, Internal Medicine, General Medical Questions: Heart/Pain in right arm, pain in right arm, heart issues
pain in right arm, heart issues, symptoms shortness of breath: the connection with shoulder arm pain and the heart is fairly specific.... it is in the left arm, a vague pain running down the arm, usually associated with other heart symptoms- shortness of breath, chest pain. Yours does not sound like heart related at...

Family, Internal Medicine, General Medical Questions: Hernia, oil gland, cyst
oil gland, cyst, back injury: This is not a hernia.... it sounds more like a small cyst... either a sebaceous (oil gland) cyst or a small abnormal vein that is a lump. It sounds like it is in the skin, as opposed to attached to the testicle.... the skin ones are not worth worrying about.......

Family, Internal Medicine, General Medical Questions: HIV Positive, cd4 counts, aids specialist
cd4 counts, aids specialist, hiv and aids: Nonhlanhla, Are you on any anti-HIV drug cocktail? There are many things to stimulate appetite, but HIV and AIDS comes with a wasting syndrome. Viral load and CD4 counts are important to monitor. Nutritional medicine is important aspect, but hooking...

Family, Internal Medicine, General Medical Questions: hiatal hernia and female orgasm, pressure in the digestive tract, female orgasm
pressure in the digestive tract, female orgasm, massive stroke: Hi MG, I certainly don t want you to go unsatisfied for the rest of your life, but the action you re describing is extremely dangerous and can lead to death - I kid you not - if you have any weakness in the walls of your veins or arteries (aneurysm) the...

Family, Internal Medicine, General Medical Questions: losing weight but feeling nauseous, weight loss and nausea
weight loss and nausea: Hi Barry. I do not know why you have nausea and are loosing weight. But quite honestly it does not sound right to me and it may have nothing to do with your dieting. You need a fasting blood glucose done to rule out diabetes and you are probably going to need...

Family, Internal Medicine, General Medical Questions: Rib Pain, burning sensation, nerve root irritation
burning sensation, nerve root irritation, nerve irritation: For some reason you have some nerve irritation to the area... burning pain like that is nerve root irritation.... it can be at the spinal cord level or further out along the nerve. Unfortunately, there is very little you can do except for local treatments...

Family, Internal Medicine, General Medical Questions: Stuck in throat, saline nasal spray, tonsil stones
saline nasal spray, tonsil stones, harsh chemicals: This is usually caused by some type of allergies..... the cigarettes are probably the biggest offender.... sometimes using some saline nasal spray twice a day washes the nasal tissue and can make that go away.... it may take a week of treatment. The cigs...

Family, Internal Medicine, General Medical Questions: Sudden lethargy and weakness, internal medicine specialist, seperate occasions
internal medicine specialist, seperate occasions, boniva: Your primary physician should be an internal medicine specialist. your secondary doctor should be a cardiologist. Get your blood sugar measured (HbA1c level is the best). Also get your blood pressure mesured in the evenings for three seperate occasions three...

Family, Internal Medicine, General Medical Questions: scarlet fever, small red bumps, streptococci bacteria
small red bumps, streptococci bacteria, colds flu: Hi, for good appetite , she needs to play daily for 1 hour. Also you can get a medicine-syrup Liv 52 (company-Himalayan drugs) and give her 1 spoon twice daily 1 hour before food. to find where to get it: www.himalayahealthcare.com/ Scarlet fever is caused...

Family, Internal Medicine, General Medical Questions: I cannot smell, chronic sinus infection, sinus problem
chronic sinus infection, sinus problem, zinc supplement: There are a couple of things.... you may have a low grade chronic sinus infection.... see a doctor for a course of antibiotics plus oral steroids..... plus afrin twice a day for 5 days. In the meantime, get some over the counter zinc supplement in the vitamin...

Family, Internal Medicine, General Medical Questions: suspicious bites, sinus infections, claritin d
sinus infections, claritin d, culture results: I don t see a connection between the two.... it sounds like two separate problems. You talked about your treatment with antibiotics.... sometimes, sinus infections need a little more...if you have pain, pressure in your face, teeth, sinus , then a decongestant...

Family, Internal Medicine, General Medical Questions: after a tubal, depo, dr andrew
depo, dr andrew, better solution: Hi there Nicole. There is no conflict between having had a TL and going on Depo. My only concern would be the high incidence of vaginal spotting and bleeding that is reported with depo. A better solution might be to take the BC pill non-stop for a while....

Family, Internal Medicine, General Medical Questions: urine test, drs office, confirmation test
drs office, confirmation test, pain meds: Well, that is pretty much what I expected.... as I said, sometimes there are false positives that would be cleared up with the confirmation test. But, if he took another kind of pain medicine or another class of controlled drug (like Valium) unknown to...

Family, Internal Medicine, General Medical Questions: Weird pain left arm/shoulder, range of motion exercises, shoulder blade pain
range of motion exercises, shoulder blade pain, arm shoulder: Shoulder blade pain is pretty common from shoulder strains or a mild neck injury. That is also the muscle that can spasm and become painful from stress.... being pregnant, not much to do except easy range of motion exercises, tylenol and heating pad intermixed...

Family, Internal Medicine, General Medical Questions: wanted to start a mobile x-ray company., cardiac reader, head coder
cardiac reader, head coder, ray company: I know exactly what you are asking... I have seen it done and the coding is similar to doctor office type coding. You will need to partner with a medical coding company. The coding stuff is really really complicated and you will spend 1/5 of your time...

Family, Internal Medicine, General Medical Questions: white hair process, white hairs, funny colors
white hairs, funny colors, head of hair: There will be some that might change to funny colors but most just stop the pigment and start coming out white (or grey, or silver....) For the individual hairs, the color change is pretty abrupt, however, hard to see the change when looking at the whole...

Family, Internal Medicine, General Medical Questions: Abnormal pap smears/HPV question, abnormal pap smear, hpv testing
abnormal pap smear, hpv testing, pap smears: This is always a tough subject because so many people are infected with HPV and don t show symptoms and there can be spontaneous regression and occ recurrence. Plus, the pap smear is not that sensitive, in that it may miss HPV pretty easily.... if it were...

Family, Internal Medicine, General Medical Questions: Anxiety? Or something else?, spirometry test, contact dermatitis
spirometry test, contact dermatitis, corticosteroid cream: I would wonder about arteritis nodosum with the toe lesions, although I can t see them. I assume you had basic tests.... thyroid, regular blood count and those were OK. If those come out normal, then I would consider could depression and/or anxiety...

Family, Internal Medicine, General Medical Questions: bloating or pregnancy?, urine pregnancy test, stomach virus
urine pregnancy test, stomach virus, omperazole: if the preg test was neg on 3/15, you definitely did not get pregnant on 2/13. One way to be sure is to recheck the preg test with a first morning urine tomorrow.... This sounds more like an abdominal issue.... urinary infection, stomach virus, etc...

Family, Internal Medicine, General Medical Questions: burning eyes, flowmax, omega 6
flowmax, omega 6, plant oil: in our patients this is from the plant oil in their diet, such as nuts, seeds, flax, soy, hummus, avocados, kiwi, bananas, chips, gluten, and poultry they find lower omega 6 plant oil foods by using the free download at http://efaeducation.nih.gov there...

Family, Internal Medicine, General Medical Questions: Car accident, bleeding in the brain, left side pain
bleeding in the brain, left side pain, rib pain: We do a cat scan in that setting to make sure there hasn t been serious bleeding in the brain that must be operated on. If it has been days or weeks, then time has proven that that wasn t the case. However, your injury was severe and it sounds like you suffered...

Family, Internal Medicine, General Medical Questions: Carbohydrates and Juicing, masticating juicer, fresh fruits and vegetables
masticating juicer, fresh fruits and vegetables, diet coke: The article sounds very plausible... I would not consider all the conclusions written in stone but it does sound logical medically. The conclusion I draw from it is not don t eat any carbs and you will live a long time but rather keep carbs/calories down...

Family, Internal Medicine, General Medical Questions: Couph that doesn't go away, chronic cough, dry cough
chronic cough, dry cough, classical symptoms: Often when someone has a cold, the cough may persist for weeks.... the airway tissue was damaged and as it repairs, it is hypersensitive. This can respond sometimes to asthma meds temporarily. You also mentioned your reflux.... this can cause a chronic...

Family, Internal Medicine, General Medical Questions: common cold, cough med, benydryl
cough med, benydryl, nasal congestion: typically, I pick the first couple bad symptoms and treat..... if nasal congestion.... get AFRIN nasal spray and use twice a day for 3-7 days. (No, your nose won t get addicted if used properly) Sore throat... lozenges, tylenol, motrin... I also like...

Family, Internal Medicine, General Medical Questions: costochondritis, shoulder and neck pain, lung problem
shoulder and neck pain, lung problem, stress test: lunesta and celebrex can be taken together. This may very well be costochondritis, but I would be much more comfortable if you had said he had a recent stress test or heart cath. Also, the trouble breathing concerns me.... if it is simply because of...

Family, Internal Medicine, General Medical Questions: Diabetes Inspidus?, oral steroids, asthma symptoms
oral steroids, asthma symptoms, diabetes insipidus: the bitter metallic taste is the biaxin..... this could be DI or could be DM or could be a side effect of the medicines, especially if they have you on oral steroids also. You have to get over this strep/bronchitis, etc before you can make a call...

Family, Internal Medicine, General Medical Questions: diaper rash, mycolog ii cream, jock itch
mycolog ii cream, jock itch, diaper rash: I think you have developed an allergy to something.... sanitary pads? Or have a low grade yeast infection (jock itch in men) that flares at times. Get your doctor to give you some Mycolog II cream and use it twice a day for a couple weeks, and use some...

Family, Internal Medicine, General Medical Questions: ears, wine cork, electrical currents
wine cork, electrical currents, electrical forces: Hi Gary, The popping sound is due to the manufacturing dysfunction of the earbuds. If there s an imbalanced and large electrical current, the electrical forces snaps and causes a very loud sound. It s like having two cars crashing into each other head to...

Family, Internal Medicine, General Medical Questions: Night sweats, acute bacterial endocarditis, london chest hospital
Family, Internal Medicine, General Medical Questions: Night sweats, acute bacterial endocarditis, london chest hospital, night sweats

Family, Internal Medicine, General Medical Questions: General Medical Question, hydatiform mole, stomach virus
hydatiform mole, stomach virus, medical illnesses: It depends on what you consider pregnancy symptoms...... there are lots.......... nausea, vomiting (morning sickness) -- ulcers, reflux, stomach virus , urinary tract infections belly enlargement-- plain old weight gain, hydatiform mole, tumors-...

Family, Internal Medicine, General Medical Questions: HIV, HIV, AIDS
HIV, AIDS: Richard, That is a loaded question. It really all depends on many factors: 1. Age 2. State of health 3. Attitude and mental health (keeping a positive attitude) 4. Diet 5. Drug cocktails and compliance with HIV meds. 6. Exercise 7. Avoidance...

Family, Internal Medicine, General Medical Questions: Hyoid Bone, abdominal crunches, collar bone
abdominal crunches, collar bone, cartilage: if you broke it, you would know it at the time of the injury... that you did something that injured it significantly. The clicking by itself, given a normal exam otherwise, doesn t necessitate doing anything more. Even if you had MRI s, etc, no doctor...

Family, Internal Medicine, General Medical Questions: Hypertension meds, stress job, lifestyle changes
stress job, lifestyle changes, condition thanks: If the medicine is no longer needed... then your BP will start getting a little low and you may get some dizziness when standing up... if your BP is normal, then great, but continue the BP meds. You are right... lifestyle has a lot to do with it and often...

Family, Internal Medicine, General Medical Questions: hyoid again, abdominal crunches, ear down
abdominal crunches, ear down, soft tissue: good news.... if you did serious damage, you would hav had a lift threatening event.... but you easily could have strained/tore a little soft tissue and tht should heal... you might have a little clicking but the pain should subside in a couple weeks.......

Family, Internal Medicine, General Medical Questions: knee injury, knee bursitis, inflammatory arthritis
knee bursitis, inflammatory arthritis, pain killers: Both knees suggest an inflammatory process as opposed to a single injury... I would do plain xrays then start the plan of prescription strength meds.... I don t think an MRI would add much at this point unless something weird came up on the examination...

Family, Internal Medicine, General Medical Questions: Long term topical steroid use., irregular periods, face lotion
irregular periods, face lotion, steroid cream: you probably aren t getting enough internal steroids to cause whole body symptoms but it will thin the skin slowly. if you are just putting a pea sized amount on the face, I doubt if you are absorbing enough to really matter internally but it will cause local...

Family, Internal Medicine, General Medical Questions: Lump on Ankle, achilles tendon, fitting shoes
achilles tendon, fitting shoes, nodule: It is most likely a nodule from overuse.... you didn t say what you walk in, but you may be getting some rubbing from the continuous walking. Not dangerous... getting rid of it is more difficult.... stop the rubbing... maybe with different fitting shoes and...

Family, Internal Medicine, General Medical Questions: lymphadenopathy, macrocytosis, lymph node, transverse process
lymph node, transverse process, mcv: I am not sure what is causing the MCV elevation..... but getting the chain of nodes requires a recheck, unless you have some scalp infection above it .... some sores on the scalp causing the nodes to enlarge. Get it looked at next week. Unless you...

Family, Internal Medicine, General Medical Questions: Mouth sores, migraine medication, sick to my stomach
migraine medication, sick to my stomach, thumb nail: I am not sure where you are from since I don t recognize those medications but in general, this should heal.... make sure you are on a zinc supplement and are working hard with good dental hygiene.... flossing and brushing. Also, make sure you didn t develop...

Family, Internal Medicine, General Medical Questions: migraine headaches, migraine headaches, headache pain
migraine headaches, headache pain, pattern changes: Anytime the pattern changes, it is worth having the big picture re-evaluated. It is really rare, but migraines, especially the ones with the aura... the symptoms that occur before the headache begins (flashing lights, blind spots, etc)can be dangerous. ...

Family, Internal Medicine, General Medical Questions: Night sweats, chest xray, thyroid disorder
chest xray, thyroid disorder, viral illness: I would not worry about cancer.... that is such a non-specific symptom.... almost all the time this does not indicate cancer..... I would be checked for a thyroid disorder, or for anemia. And if nothing shows up, I would follow your symptoms to see if...

Family, Internal Medicine, General Medical Questions: Odorful sweat, antibacterial soap, skin bacteria
antibacterial soap, skin bacteria, vitamin deficiencies: I don t see vitamin deficiencies as causing this. Usually, this means you are colonized with certain bacteria that produce the odors.... (we are all colonized with skin bacteria but different kinds..... A good antibacterial soap and deoderant.... sorry...

Family, Internal Medicine, General Medical Questions: Port-a-cath Removal/Replacement, scar tissue, glorious return
scar tissue, glorious return, jugular vein: It is a simple procedure to change one.... the pocket is around the muscle, in the soft tissue. The doc would make a cut down to the portacath, spread the tissue, and remove the unit, leaving the tube (in the vein) in place, then try and pass a guidewire...

Family, Internal Medicine, General Medical Questions: Post surgery question, urinary catheter, pain medicines
urinary catheter, pain medicines, pain pills: They had stuck a urinary catheter in his penis during the surgery. This irritates the area -- the prostate, the urethra. It is not unusual to have some pain post op. If it is getting worse though, he needs a urinalysis to check for an infection.... sometimes...

Family, Internal Medicine, General Medical Questions: Regarding vomiting, blood sugar test, hormone pills
blood sugar test, hormone pills, pain medicines: So she is done with chemo completely from your note.... The knee pain medicines can often cause stomach pain, stomach upset. If she is having stomach pain in addition to the vomiting, she should have a basic evaluation including a blood count and urine...

Family, Internal Medicine, General Medical Questions: Severe and constant stomach bloating, normal bowel movements, zantac 150
normal bowel movements, zantac 150, stomach bloating: At this age there can be many bad things causing this. At this point, he has to get in again to see his doctor for a good evaluation. It could be simple... gastritis if he is taking a lot of motrin/advil. Having normal BM s leads me to suspect that...

Family, Internal Medicine, General Medical Questions: Stroke Recovery, health care providers, stroke recovery
health care providers, stroke recovery, care giver: Hi Ashley, I think you need to remind him I am here to provide your care as your recuperate and you need to listen to me and work with me if you want to get better sooner . Maybe you can also meet with his physician and PTs/OTs on the side (confidentially)...

Family, Internal Medicine, General Medical Questions: Subclinical Hypothyroidism, subclinical hypothyroidism, blood transfusion
subclinical hypothyroidism, blood transfusion, red cells: Mike, There are no contraindications to a blood transfusion when a patient has any form of hypothyroidism, clinically present or subclinical. Managing the anemia with packed red cells is important for many reasons, and managing the hypothyroidism is also...

Family, Internal Medicine, General Medical Questions: sneezing, food allergy, claritan
food allergy, claritan, zyrtec: You are getting exposed to something that you are allergic to.... sometimes this can be a food allergy, but pay attention to what you may order there that you don t usually get at home. I would put money on it that you are having an allergic reaction to something...

Family, Internal Medicine, General Medical Questions: strange chest pain - not heart related, chest x rays, chest muscles
chest x rays, chest muscles, diamond drilling: coughing up phlegm makes me think of pneumonia or bronchitis.... even with a normal chest xray. ALso, if you are horsing around equipment, it is easy to strain the chest muscles. I would have treated you for both---antibiotics and some rest and pain medicine...

Family, Internal Medicine, General Medical Questions: strange taste in mouth/lack of appetite, strange taste in mouth, sustained ventricular tachycardia
strange taste in mouth, sustained ventricular tachycardia, serum albumin: taste in mouth makes me think of reflux, or sometimes a chronic low grade sinus infection. I would also have said get a urinalysis but you have already done so.... I don t have the ability to calculate, but I would disregard the albumin and the calcium...

Family, Internal Medicine, General Medical Questions: I am terrified, abnormal pap smear, flat warts
abnormal pap smear, flat warts, papanicolau test: HPV is very prevelant and it is pretty easy to get infected having sex with a person with it.... It doesn t always show up on pap smears, that is why they are done so often, since if it is missed one year, it can be picked up the next. Having sex with...

Family, Internal Medicine, General Medical Questions: unable to draw blood/veins in arms hardening, genetic reasons, blood clots
genetic reasons, blood clots, blood work: There are a lot reasons people get bad veins. If they have hardened, I wonder about blood clots in the veins... there are some genetic reasons that people get blood clots. There is no reason to worry except the next time that you have to have an IV or...

Family, Internal Medicine, General Medical Questions: urine, BPH, benign proatatye hyperplasia
BPH, benign proatatye hyperplasia: Hi there Peter. You have got Benign Prostatic Hyperplasia (BPH) with perhaps some urinary retention and low grade urinary tract infection. You need to see your doctor and get yourself on an alpha blocker . This measure alone will have you feeling a lot better...

Family, Internal Medicine, General Medical Questions: vitamin deficiency, vitamins, minerals
vitamins, minerals, nutrition: Katie, Besides poor diet, there are conditions that can lead to vitamin deficiency. There are medications that can inhibit absorption of B-complex vitamins, some that will inhibit absorption of the fat soluble ones too (A, D, E & K). Proton pump inhibitors...

Family, Internal Medicine, General Medical Questions: Wound, soap and water, future thanks
soap and water, future thanks, scab: that brown speck could be a foreign body or could be a scab or could be a vein, looking at it on end. Good soap and water cleansing and let it heal... if it gets infected, then we deal with it. Usually debriding (scraping cutting etc) causes more problems...

Family, Internal Medicine, General Medical Questions: warm face, high fever, thyroid disorders
high fever, thyroid disorders, prednisone: Some medicines can cause this but I assume you aren t on any since you have no health issues... steroids/prednisone, antibiotics, etc. If this were an infection... then it should have resolved. I would consider testing you for thyroid disorders, anemia,...

Family, Internal Medicine, General Medical Questions: weight gain, birth control pills, thyroid test
birth control pills, thyroid test, thyroid problems: Well, the first thing I would think of is that you have developed thyroid problems. If a repeat thyroid test is normal, then you need to do a calorie count... you may be getting too many calories without realizing it... some foods, especially fast foods are...

Family, Internal Medicine, General Medical Questions: My 14 year old daughter, lower abdomen pain, swollen lymph nodes
lower abdomen pain, swollen lymph nodes, spleen pain: Did she have a plain old mono test or did she get epstein barr antibody levels? This does sound like mono. If that doesn t pan out, I would ask her regular doctor to be referred to an infectious disease specialist/center for more testing..... I hope this...

Family, Internal Medicine, General Medical Questions: accidental death, southwest airlines, lack of oxygen
southwest airlines, lack of oxygen, time of useful consciousness: there is a chart depicting time of useful consciousness (TUC) at various altitudes and it is a matter of a few seconds when you are that high up.... so you go unconscious immediately then die from lack of oxygen pretty quickly assuming you are not killed from...

Family, Internal Medicine, General Medical Questions: adderall, blood pressure medication, blood pressure medicine
blood pressure medication, blood pressure medicine, medicine change: Usually if someone gets BP elevation from adderal, they have some underlying blood pressure problems anyways.... even if it looks borderline. Either way, you can t go on simply raising your blood pressure, so your choices are: decrease the dose add...

Family, Internal Medicine, General Medical Questions: breast health, sexual foreplay, breast exams
sexual foreplay, breast exams, breast health: inverted nipple development would be a sign of breast cancer, but can also be explained by gaining weight... but at your age, you should be having reqular breast exams anyways, so make sure that you mention to your doctor that the nipple inversion is new..........

Family, Internal Medicine, General Medical Questions: brown discharge during intercourse, dark brown discharge, bacterial vaginitis
dark brown discharge, bacterial vaginitis, cervical cancer: no... not cervical cancer. The brown discharge implies that there is a small amount of blood and that it may be knocked loose during intercourse. So, finding the source of the bleeding.... whether it is menstrual spotting or something bleeding a little...

Family, Internal Medicine, General Medical Questions: Cipro Side Effects - Bleeding, cipro side effects, nose bleeds
cipro side effects, nose bleeds, platelet count: Cipro for itching? I am not sure I follow you.... that is used to treat some bacterial infections. And a normal course should not disrupt normal blood clotting... I would look for another cause for the bleeding. I would order a cbc and look at a platelet...

Family, Internal Medicine, General Medical Questions: Cold Hands, knuckle area, extremeties
knuckle area, extremeties, cold hands: A lot of people worry about circulation..... not that.... Make sure you are not anemic or are not hypothyroid. Also, this can be caused by some medicines, especially B Blockers used for hypertension, migraines, etc. If none of that pans out, you...

Family, Internal Medicine, General Medical Questions: cat bite question, macrolide class, teeth and claws
macrolide class, teeth and claws, soap and water: if an animal has rabies... it is dying from that disease.... so assuming you didn t kill your cat, and the cat lives for 2 weeks, then you know it doesn t have rabies and therefore you don t have rabies. If the cat dies in the interim from any cause, then...

Family, Internal Medicine, General Medical Questions: Should I be concerned?, lingering cough, upper respiratory infection
lingering cough, upper respiratory infection, viral illnesses: If you took the antibiotics then you are probably cured from strep... but this sounded more like a viral upper respiratory infection.... The white spots surrounded by red rings could be strep (if that started after you were done with the antibiotics) Just...

Family, Internal Medicine, General Medical Questions: what is the DX?, pleural effusions, cystic areas
pleural effusions, cystic areas, cell carcinoma: clubbing is not a pure sign of COPD, so that makes me think of lung cancer. Same w/ pleural effusions. The cystic areas can easily be written off as COPD. The other symptoms can easily be attributed to copd.... weight loss, orthopnea, pnd. The decreased...

Family, Internal Medicine, General Medical Questions: Foot pain, pinky toe, sore foot
pinky toe, sore foot, achey: I would suspect a stress fracture.... I would get a baseline xray and then you will need to rest it.... meaning no running for a couple of weeks. With a stress fracture, it is likely the xr will be normal. Sometimes you can spot a stress fracture 2-3 weeks...

Family, Internal Medicine, General Medical Questions: fellowship trained
it means that they have completed the fellowship, but may not have sat for their formal boards yet.... some specialties require that they work for a year, prior to sitting for their speciality boards and taking them to become board certified. So, it doesn...

Family, Internal Medicine, General Medical Questions: gallbladder, gall bladder symptoms, gall bladder
gall bladder symptoms, gall bladder, protein meals: This may be an unusual gall bladder presentation.... it is hard to predict the future course, since we are not sure what it is... but gall bladder symptoms may come and go for years, typically aggravated by hi fat/hi protein meals. Or, the gall bladder can...

Family, Internal Medicine, General Medical Questions: grandmothers passing, aggressive measures, good doctors
aggressive measures, good doctors, bipap: It is always hard in those situations..... first... the technical side... bipap is a supportive measure that helps while the lungs/body is healing. If she can t heal, then it doesn t do any good. Doctors don t stop aggressive measures casually... they...

Family, Internal Medicine, General Medical Questions: helio-pyloric, h pyloric, h pylori
h pyloric, h pylori, reflux symptoms: H Pylori is a bacteria that lives in the stomach and MAY contribute to ulcers, reflux. It is debateable whether to even treat it. Especially in people with none to mild reflux symptoms. It is hard to cure, re-infection occurs often and the majority of people...

Family, Internal Medicine, General Medical Questions: hot flashes and longevity, Hot flashes, menopause
Hot flashes, menopause, bHRT: Deb, There is some article by Libo Li, MS, circulating the internet that states that menopause is beneficial to women and adds to their longevity by decreasing cancers. There is no scientific evidence I am aware of that establishes that as a fact. Contrary...

Family, Internal Medicine, General Medical Questions: my kid vomits traveling by road in car in hills, bus journey, stationary objects
bus journey, stationary objects, medicinenet com: read this fully. also give very little food before travel. http://www.medicinenet.com/motion_sickness/article.htm also some tips: Smelling a freshly cut lemon is a proven remedy from vomiting while travelling. You can also carry a bottle of lemonade and...

Family, Internal Medicine, General Medical Questions: knee pain in 11 year old, osgood schlatter, ace bandage
osgood schlatter, ace bandage, knee pain: You can wait a few days.... he is about the right age for Osgood Schlatter s disease (I may not have spelled it quite right) If there wasn t a specific injury, it is unlikely a torn cartilate (meniscus) but have it checked out next week... no need to run...

Family, Internal Medicine, General Medical Questions: Large Tonsil, enlarged tonsil, upper respiratory infections
enlarged tonsil, upper respiratory infections, night sweats: Tonsils are full of immune tissue and may swell, one more than another from upper respiratory infections, etc. A lymphoma would have caused a lot more symptoms over the last three years.... this is most likely a more functional problem.... if you are snoring...

Family, Internal Medicine, General Medical Questions: low Vitamin D levels, congenital heart defect, oophrectomy
congenital heart defect, oophrectomy, sinus infection: Vitamin D doesn t last long. I never understood the once a week formulation.... Just take 5000 IU daily and have it rechecked in 3 months. A bone density scan will not change significantly as soon as you increase D3 levels.... if it goes up or slows...

Family, Internal Medicine, General Medical Questions: Opened dairy question, tummy ache, 3rd trimester
tummy ache, 3rd trimester, question question: Do not pick on your husband.... he is obviously very caring about your well being!!!! :) The sell by date is arbitrary and definitely OK. A few days after that, the product is still just fine. If it smells OK and has not been allowed to sit around at...

Family, Internal Medicine, General Medical Questions: Perimenopause, no period, depo provera, vasectomy
depo provera, vasectomy, provera: You might be approaching menopause. It is safe to force the period.... I assume he is giving you 10 days of progesterone. If that doesn t work, you may have transitioned into menopause, so the more I think about it, it is a good idea... then you will know...

Family, Internal Medicine, General Medical Questions: Pimple? on inner thigh, dangerous bacteria, doxicycline
dangerous bacteria, doxicycline, oinment: this could easily be an early staph infection..... if it isn t healing, then have your doctor put you on doxicycline or septra. Don t worry.... these bacteria are all over our skin anyways..... if there is a family outbreak, it can be treated easily. everyone...

Family, Internal Medicine, General Medical Questions: Pregnant Chickenpox exposure, couple spots, light case
couple spots, light case, antivirals: Hopefully, you did not have a valid exposure this time... simply seeing him from a short distance. Almost everyone has had chicken pox (or now, the immunization) so even with your light case, you should be immune. At this point, you can only wait and...

Family, Internal Medicine, General Medical Questions: Protein Intolerance, frequent urination, pinto beans
frequent urination, pinto beans, apple a day: I am having trouble assigning blame to the atenolol. You didn t mention what your heart rate is.... that can sometimes slow the heart down too much.... check that. And, some atenolol tablets have a diuretic combined in .... atenolol/hctz and the diuretic...

Family, Internal Medicine, General Medical Questions: pregnancy and toxoplasma, nervous system damage, cat cats
nervous system damage, cat cats, dry food: I can understand your love for the cat. Cats do not need to go out or get exposed to outside food to get toxoplasmosis infection. They can get it in the house also. If a pregnant women contracts a toxoplasmosis infection the effects to the unborn baby...

Family, Internal Medicine, General Medical Questions: pregnancy and toxoplasma, rat poison, dry food
rat poison, dry food, dr andrew: Hi Manal. I do not think that you should worry about toxoplasmosis unduly. Millions of women get pregnant around cats every year and this remains a very rare human problem. If you want do do something extra set a little rat poison safely outside though personally...

Family, Internal Medicine, General Medical Questions: pregnant unknown blood exposure, red blotches, blood exposure
red blotches, blood exposure, wet sand: Skin is a great barrier against infection.... there is no need to worry about catching any virus through this exposure. Virus are very unhardy and don t last for more than minutes outside of a controlled environment plus skin protects against invasion.......

Family, Internal Medicine, General Medical Questions: protein and blood, white blood cells, protein in the blood
white blood cells, protein in the blood, chronic inflammation: Usually there are no blood cells in the urine as the kidney, but if there is an infection in the kidneys or bladder, or if there’s some inflammation due to the presence of stones, immune disorders, allergies or growths anywhere along the genitourinary system,...

Family, Internal Medicine, General Medical Questions: IT'S MAGIC, hick ups, nerve impulses
hick ups, nerve impulses, holding breath: There is not a definite answer to why it works, but the theory is that it disrupts this recurrent reflex by distracting the person s central nervous system by sending other nerve impulses. (like scaring someone or holding breath- increasing carbon dioxide...

Family, Internal Medicine, General Medical Questions: Staph Infections, warm soaks, back thigh
warm soaks, back thigh, staph infections: This is actually pretty common to get a few over several months.... it doesn t mean your immune system is off, etc. Sometimes it just happens. People can harbor the staph bacteria..... using a good antibacterial soap daily is important. I have seen this...

Family, Internal Medicine, General Medical Questions: Swollen Thumb, inflammatory arthritis, general idea
inflammatory arthritis, general idea, couple weeks: With that thumb always popping or clicking, it sounds like you already had some underlying arthritis. The hard question now is what kind of arthritis is causing this acute swelling.... is it plain old osteoarthritis or gout or some type of inflammatory arthritis...

Family, Internal Medicine, General Medical Questions: sensitive to sun? heat?, poor tolerance, low thyroid
poor tolerance, low thyroid, medical names: You might be a vampire..... or, there may be other possibilities.... the disease you may be thinking about is porphyria, but I would want to have you checked for low thyroid or anemia. If those are OK, then it may be your uniqueness... with a poor tolerance...

Family, Internal Medicine, General Medical Questions: spirolactone, chamomile tea, plant oil
chamomile tea, plant oil, herbal teas: While the main ones are seeds, nuts, flax, soy, granola, trailmix, avocado, hummus, chicken, turkey and all cooking oils except butter, lard and olive oil,you can go to the NIH site; http://efaeducation.nih.gov and review all the education segments there...

Family, Internal Medicine, General Medical Questions: tingling in fingers and hands, pinched nerve in the neck, tingling in fingers
pinched nerve in the neck, tingling in fingers, peripheral neuropathy: Don t take this the wrong way, but you are not right starting with the chiropractor. I like chiropractic medicine and it is a useful adjunct for physical health. BUT... this is a medical problem until proven otherwise... it should be evaluated wholistically...

Family, Internal Medicine, General Medical Questions: Use of oxygen for seniors, hemoglobin molecules, red blood cells
hemoglobin molecules, red blood cells, oxygen tension: Cyanosis is the term used when one is not getting adequate oxygen for any variety of reasons... poor lung function, COPD, emphysemia, collapsed lung, lung cancer, pneumonia, etc. So you mother probably needs O2 (oxygen therapy) to bring up her oxygen tension...

Family, Internal Medicine, General Medical Questions: unusual bruising, platelet production, barking up the wrong tree
platelet production, barking up the wrong tree, doorknob: The non-steroidal medicines, even small doses of motrin, aspirin, etc disrupts blood clotting and makes bruising more likely. It is worth getting a CBC to look at your platelet counts to make sure that there is not a platelet production problem. I hope...

Family, Internal Medicine, General Medical Questions: Water Purifier, mental retardedness, ro purifier
mental retardedness, ro purifier, multistage filter: Well, if you can afford, get a RO purifier as it not only removes bacteria and almost all viruses, it also greatly reduces dissolved groundwater chemicals like nitrates(found in Bangalore in groundwater) Nitrates cause mental retardedness in babies if pregnant...

Family, Internal Medicine, General Medical Questions: Adnexal cyst, ovarian cysts, stomach pain
ovarian cysts, stomach pain, pelvis: It probably is the same cyst.... but the pelvis has a lot of room for expansion, so a tiny cyst like that probably will not be causing all those symptoms. If you think about it, you can hold a 20 cm cyst in the pelvis wthout even showing and a 40 cm baby...

Family, Internal Medicine, General Medical Questions: Adult chicken pox, incubation period, shingles
incubation period, shingles, antibodies: What is the incubation period, plus odds that sis will get chicken pox. = 7 days Is there a test to confirm her chicken pox lack of immunity? = no Is there any vaccine she should take to prevent or lessen the impact of the C. P.? = can get immune...

Family, Internal Medicine, General Medical Questions: abdominal aortic fusiform ectasia, abdominal aorta, thoracic aorta
abdominal aorta, thoracic aorta, mural thrombus: hat is a little out of my league as far as what should be done. The minimum that should be done is a repeat examination in 6 months.... so it is time at least to have it re-evaluated. But the ordering physician should at least run that by a vascular surgeon...

Family, Internal Medicine, General Medical Questions: not able to administer antibiotics, classes of antibiotics, medication options
classes of antibiotics, medication options, cefadroxil: antibiotics are a broad range of chemicals.... if she has allergies to some classes of antibiotics, there is often another class that may be tolerable. With the symptoms she is getting, it may also be possible to co-administer steroids to suppress some of...

Family, Internal Medicine, General Medical Questions: Burning pelvic/ovarian pain, ovarian cysts, burning sensation
ovarian cysts, burning sensation, ovarian pain: Ovarian cancer does not present with pain until it is very very advanced and when you look at pelvic pain in general, cancers are very low on the list. Much higher are conditions such as urinary infections, uterine infections, ovarian cysts, endometriosis...

Family, Internal Medicine, General Medical Questions: birthcontrol, polycystic ovary syndrome, depo shot
polycystic ovary syndrome, depo shot, hormonal issues: you made a mis spelling..... is it birth or bitch? Sorry, just a joke..... If the facial hair is solely from the depo, then it can go away with stopping the depo..... but if there are other hormonal issues, such as PCOS - polycystic ovary syndrome.......

Family, Internal Medicine, General Medical Questions: breathing, brain tumor, nerve disorders
brain tumor, nerve disorders, water pills: Bell s palsy is a motor problem as opposed to a sensation problem, so definitely not that. There are some nerve disorders (trigeminal neuralgia) that can present as one sided sensation problems... I would have a thorough exam and then see if any testing needs...

Family, Internal Medicine, General Medical Questions: Concussions in Sports, temescal canyon high school, concussions in sports
temescal canyon high school, concussions in sports, hot topic: This is a very hot topic that is getting a lot of press and a lot of research..... 1) concussions are very common.... a lot more that we thought. 2) with the new press it is receiving, better guidelines are being developed.... the biggest being that...

Family, Internal Medicine, General Medical Questions: calf function/disc surgery, sensory nerves, loss of sensation
sensory nerves, loss of sensation, closing the gap: If you have surgery almost 2 years ago and the feeling is not returning then it is likely that is going to be permanent.... sometimes that disc presses on the nerves for long enough that they eventually stop functioning permanently. There isn t any specific...

Family, Internal Medicine, General Medical Questions: calf function/disc surgery, closing the gap, root pressure
closing the gap, root pressure, back of the knee: Will I ever get back feeling to the numbed areas? A: not in most people unless they replace their nutrient deficiencis and remove toxicities in their diet which requires an onsite exam and lab testing to know the extent of these. What is the cause of...

Family, Internal Medicine, General Medical Questions: calf function/disc surgery, closing the gap, back of the knee
closing the gap, back of the knee, disc surgery: Hi Ruben. Any chronic pressure on a nerve, even for a short period of time like a few days, can cause irreparable and irreversible damage -- neuropathy. And that s your situation. It may still come on a bit but there is no point in having unreasonable expectations....

Family, Internal Medicine, General Medical Questions: i cant even explain my many mental problems so solving more hard, proper medication, new brain
proper medication, new brain, abhishek: Hi Abhishek, Can you not see a psychologist or psychiatrist and talk to them about your symptoms? I would advise you at least talk to your family physician and ask for some antidepressant or anitpsychotic therapy and see how you feel after 3-4 months on...

Family, Internal Medicine, General Medical Questions: my cock is not stand, performance anxiety erectile dysfunction
performance anxiety erectile dysfunction: Hi there Fayyaz, thank you for posting your question. My name is Dr Andrew Rynne. I am an Irish medical doctor with ten years experience in helping men and women online with sexual difficulties. I also handle general medical questions online. I think you...

Family, Internal Medicine, General Medical Questions: Something to be concerned?, zantac 150, gastric pains
zantac 150, gastric pains, bloated feeling: You didn t give me any other info about family history, your age, whether eating helps or hurts, etc. I would try one of the acid suppressors like Zantac 150 mg twice a day for while. If you drink, hold off for a couple weeks, keep meals light at night,...

Family, Internal Medicine, General Medical Questions: cycle length?, home pregnancy test, bladder infection
home pregnancy test, bladder infection, birth control pill: when you stop the pills, your periods may be irregular for a while. If they were irregular prior to BCP s then they will probably be irregular again. The running to the bathroom thing is not reliable for anything except a possible urinary tract / bladder...

Family, Internal Medicine, General Medical Questions: Ear Infections, inner ear infection, internal auditory canal
inner ear infection, internal auditory canal, internal ear: I am not sure what you are asking... an inner ear infection is treated with antibiotics plus decongestants. The decongestant helps shrink the tissue so the normal drainage back through th eustachian tube can drain properly. Then the antibiotic actually fights...

Family, Internal Medicine, General Medical Questions: Excessive bleeding during periods, ultra sonography, baby boy
ultra sonography, baby boy, blood test: I would have expected this to stop by this time.... I wonder whether you could have a little bit of retained placenta causing the bleeding. I would talk to your OB/GYN again and explain what is happening and it might be time to have a D&C. Don t switch doctors...

Family, Internal Medicine, General Medical Questions: embarrasing question?, gentle soap, moist environments
gentle soap, moist environments, soap and water: Hi Zoe, You should change your pads more frequently for hygienic and comfort reasons; hygienically we need to change pads to avoid infection (bacteria love dark, moist environments). Everyone is a little different, and your flow is heavier on the first...

Family, Internal Medicine, General Medical Questions: H. Pyloric bacteria, h pyloric bacteria, upper abdomen
h pyloric bacteria, upper abdomen, acid blockers: You very well could have it. This is a weird infestation because often people have it with no symptoms and there is no need for treatment. It becomes complicated because re-infection is common and the treatment courses work, at best, about 75% of the time....

Family, Internal Medicine, General Medical Questions: HIV, wet paper towel, hormones and pregnancy
wet paper towel, hormones and pregnancy, hiv test: Your OB is wrong.... you will not get useful information thru that avenue. It is easy for me to say, but there is just no way that you got infected thru this kind of exposure. The best you are going to be able to do is to get re-tested in about 6 weeks...

Family, Internal Medicine, General Medical Questions: hearing, deafness
deafness: Hi there. Thank you for your question. The answer depends on the type of deafness you are talking about. If it is caused by nerve or structural damage to the inner or middle ear then the sufferer may not hear their own voice. If it is conduction deafness...

Family, Internal Medicine, General Medical Questions: impetigo, diaper rash, antifungal cream
diaper rash, antifungal cream, grandaughter: It sounds like yeast.... yeast likes warm and wet, which is why kids get these diaper rashes.... sometimes it can get secondarily infected with bacteria and become impetigo. So.... treat for diaper rash.... keep clean and dry and use an antifungal cream....

Family, Internal Medicine, General Medical Questions: Legs collapsing, lumbar disc disease, back nerves
lumbar disc disease, back nerves, medical issue: well, that would be my concern that you have some disc disease and laying down exerts some pressure on the low back nerves and it takes a while to recover. So, you should get a good evaluation by your doctor to look for lumbar disc disease and nerve inpingement.........

Family, Internal Medicine, General Medical Questions: Lymph node issues...amongst others., ear nose throat doctor, swollen lymph nodes
ear nose throat doctor, swollen lymph nodes, ear nose throat: The lymph node near your ear could be a cyst also, it is really hard to tell sometmes, but with your syptoms, I would probably take out one of the lymph nodes and have it analyzed.... keep up with your doctor and push them to do something, even if it is...

Family, Internal Medicine, General Medical Questions: narcotic contracts, kidney stones, emergency changes
kidney stones, emergency changes, broken bones: Well, what a great question.... First, the technical answer... unless it has an expiration date, the contract continues while you are receiving care from that doctor. Now the practical answer.... Those contracts are in place for a few reasons......

Family, Internal Medicine, General Medical Questions: osteoporosis, intact pth, osteopenia
intact pth, osteopenia, folate: non medical treatment is based on getting your magnesium, calcium, and vit D levels to the 90% of the reference range and your intact PTH to less than 12 So you need to get the labs and work with your doctors Also need to get all gluten out of diet since...

Family, Internal Medicine, General Medical Questions: Pelvic Pain, groin pain, pelvic ultrasound
groin pain, pelvic ultrasound, green discharge: pelvic pain is a tough problem.... he is treating you for a urinary infection and for PID-pelvic inflammatory disease. If this treatment doesn t help, then further workup is needed to look for the other causes (there are many) of pelvic pain- endomtriosis,...

Family, Internal Medicine, General Medical Questions: Possible spider bite, joint stiffness, bactrum
joint stiffness, bactrum, chronic bronchitis: Those are tough.... I get a lot of presentations like this.... we like to assign some cause to these skin lesions, but often we can t.... You obviously have a skin infection, probably a staph infection and Bactrim is the appropriate treatment.... so basically...

Family, Internal Medicine, General Medical Questions: Pulled Muscle?, right iliac crest, hip bursitis
right iliac crest, hip bursitis, pelvic disease: pain like that makes me think of possibly some hip bursitis... the pain can feel like it is in a slightly different area. Also a low back disc syndrome can do that. Either way, that would be treated with stretching and anti-inflammatories. Also pelvic disease...

Family, Internal Medicine, General Medical Questions: Pulled Muscle?, nerve root compression
nerve root compression: Hi there Michelle, thank you for posting your question. My name is Dr Andrew Rynne. I am an Irish medical doctor with ten years experience in helping men and women online with sexual difficulties. I also handle general medical questions online. I think...

Family, Internal Medicine, General Medical Questions: i have had a past history of osteyomilites, reflex sympathetic dystrophy, significant health
reflex sympathetic dystrophy, significant health, heart rate: This sounds like a significant health problem.... you need to go to your doctor or to the hospital. You may have RSD- reflex sympathetic dystrophy in the leg... the nerves that control the blood vessels can go crazy and cause the blood vessels to spasm...

Family, Internal Medicine, General Medical Questions: poisioning, home cleaning, lot of water
home cleaning, lot of water, emergency room: I don t know exactly what she drank. In general, if someone does this for an attempt at suicide, then you should call the police or at least get her to go to the emergency room. 5 hours after ingesting some cleaning fluids is way too late to help someone.......

Family, Internal Medicine, General Medical Questions: Question on wireless safety, blue tooth earpiece, wireless safety
blue tooth earpiece, wireless safety, cancer risk: There is a theory that cellphones to the ear can give enough radiation to the brain over a period of many years to increase risk of cancer.... that is not proven by any means. Using a blue tooth earpiece or speaker/hands free function when you can is a reasonable...

Family, Internal Medicine, General Medical Questions: Rash, yeast rash, itchy rash
yeast rash, itchy rash, chronic yeast: I tend to over think these things.... but I guess you could elevate your blood sugar and get a chronic yeast rash. YOu can also be allergic... and if the rash comes and goes, it can be from virtually anything. But small amounts of the offending substance...

Family, Internal Medicine, General Medical Questions: Sore Throat, strange bumps, bumps on the back of my tongue
strange bumps, bumps on the back of my tongue, throat pain: You could still have strep without tonsils. But, often someone gets a sore throat and notices bumps back there that have been there... the tongue structure has a lot of different things in it and is pretty irregular. If you have trouble swallowing, throat...

Family, Internal Medicine, General Medical Questions: Stomach Pain, bladder stone, intestinal virus
bladder stone, intestinal virus, ovarian cysts: Under your stomach sounds like below your belly button..... if that is true, you should be on the look out for: intestinal virus- if some vomiting and diarrhea occurs. a urinary tract infection kidney or bladder stone pregnancy uterus infections...

Family, Internal Medicine, General Medical Questions: Back and tailbone question, butt cheek, nerve irritation
butt cheek, nerve irritation, pinched nerve: When you say is this serious I am not sure what you mean.... it sounds like you damaged that area and are now getting some nerve irritation symptoms.... Since the injury is so old and still causing symptoms, it is probably going to continue to irritate...

Family, Internal Medicine, General Medical Questions: Vitamins, hair skin, multivitamin
hair skin, multivitamin, thinning hair: You won t get into problems taking an extra vitamin but there is no need to. Most vitamins are urinated out so some extra will do no good, just turn your urine bright yellow. Most people remain deficient in Vitamin D-3 without supplementing 2000 IU s per...

Family, Internal Medicine, General Medical Questions: WELL WOMEN EXAMS, preventing pregnancy, cancer causing virus
preventing pregnancy, cancer causing virus, upper legs: First of all, condoms do a great job of preventing pregnancy and also preventing transmission of sexually transmitted diseases, including HPV (cervical cancer causing virus) So you should use condoms if you are going to be sexually active. It will be...

Family, Internal Medicine, General Medical Questions: Abnormal Lab Results, liver enzymes, liver tests
liver enzymes, liver tests, liver damage: The creatinine/bun is OK The liver being slightly elevated... it could mean your statin is elevating it, however diabetics sometimes will have elevated liver enzymes from other causes... if your liver tests, alt, ast were normal prior to statins, we have...

Family, Internal Medicine, General Medical Questions: about blood pressure, blood sugar level, low blood pressure
blood sugar level, low blood pressure, symptoms of low blood pressure: Low blood pressure is OK provided that you are not getting dizzy, especially when going from sitting to standing, etc. But, if you are getting dizzy, that is a sign of low flow of blood to the brain (for a few seconds) So, if that is occurring, you need...

Family, Internal Medicine, General Medical Questions: Blood Sugar, fasting blood sugar, orthopedist
fasting blood sugar, orthopedist, prednisone: prednisone can raise blood sugar while you are taking it but a few months after you stop, it should return to normal, unless you have changed other stuff... gained weight, changed diet, etc. But all other things being equal, you should go back to normal,...

Family, Internal Medicine, General Medical Questions: Blood Sugar Issues?, blood glucose test, fasting blood glucose test
blood glucose test, fasting blood glucose test, fasting blood glucose: Those are very good numbers.... so there is not overt diabetes... but I still suspect that your blood sugar is droppingfor a bit prior to the food load.... try the little bit of juice when it happens and if it helps, you may try a little before you expect...

Family, Internal Medicine, General Medical Questions: Blood type, blood type test, rhogam shot
blood type test, rhogam shot, rhogam: No, that is not bad.... not having antibodies is very good, assuming you will have children in the future. The antibodies refer to the (-) part of the A- blood type.... some people who are A- or O- or AB- or B- develop antibodies against the protein that...

Family, Internal Medicine, General Medical Questions: BP medication for kidneys, cholesterol medication, type two diabetes
cholesterol medication, type two diabetes, ldl cholesterol: Yes, to both questions unless you get his magnesium, calcium, and Vit D levels and add cal mag d tabs 4 times a day to raise his mag to 2.5, cal to 9.9 and Vit d to 90 At these levels there is no type II diabetes especially if takes 2 500 mg cinnamon bark...

Family, Internal Medicine, General Medical Questions: Breast Health, scar tissue, breast health
scar tissue, breast health, good luck with everything: Well, mammograms are weird... it is a pure screening test, so anything that is not completely normal will be looked into further. That call you got does not mean cancer.... in fact usually it doesn t, but they have seen something... scar tissue, mild calcification,...

Family, Internal Medicine, General Medical Questions: Child exposure to possible droppings, diarrhea fever, upstairs hallway
diarrhea fever, upstairs hallway, pointer finger: Fortunately that is very rare despite the prevalence of animal droppings... I hate to gross you out but here are a lot more animal waste that we never see and the risk of contracting those illnesses is very very low despite...... so with the exposure you...

Family, Internal Medicine, General Medical Questions: chronic pain in left hip and groin area, elk grove ca, groin pull
elk grove ca, groin pull, groin area: It is hard to get a picture of the injury from that description but the hip joint itself or one of the many groin supporting muscles may have been injured... rehab depends on good stretching and strengthening of the muscles or figuring out if there is hip...

Family, Internal Medicine, General Medical Questions: colonoscopy prep, upper abdominal pain, colonoscopy prep
upper abdominal pain, colonoscopy prep, groin pain: I have done colonoscopies for a couple decades... I have seen this happen.... There is no medical evidence that colon cleansing does anything, however, sometimes it is hard to diagnose some of the parasitic problems, like giardia. And you can t sterilize...

Family, Internal Medicine, General Medical Questions: emergency medicine, medical school graduates, foreign medical graduates
medical school graduates, foreign medical graduates, emergency room physicians: I don t have any knowledge of training tracks outside of the United States. There are standard 4 year residency programs in the US for ECFMG s (foreign medical graduates that have been licensed in the US). Often, many medical school graduates can also do...

Family, Internal Medicine, General Medical Questions: eyes, light perception, light stimulation
light perception, light stimulation, eye exam: sometimes you can see trails of previous light stimulation when you close your eyes.... I don t see that as a problem, just something that is there.... the light perception should fade away over a couple of minutes when you close your eyes, but if your eye...

Family, Internal Medicine, General Medical Questions: Fibroids, lupron depot, leep surgery
lupron depot, leep surgery, pap smear: This is a complicated problem, especially since you are planning for a bigger family. Fibroids are hard to treat without affecting fertility..... lupron, surgery, etc. Also, if the IUD made it worse, you could have some low grade endometritis... a course...

Family, Internal Medicine, General Medical Questions: flesh in body cavity, necrotic debris, body cavity
necrotic debris, body cavity, necrotic tissue: Hi Richie. Thanks for your question. You must be writing a novel! Muscle mass that becomes separated from its blood supply through accident or trauma becomes necrotic tissue. Separated bone fragments may also necrose. All necrotic debris needs to be surgically...

Family, Internal Medicine, General Medical Questions: general symptoms, thyroid levels, ultrasound results
thyroid levels, ultrasound results, hysterctomy: First of all, you said thyroid level around 8.... the money test is the TSH and that number should be between 0.5 and 1.5... even tho the range goes up to about 5.5, you should increase the dose of synthroid until it is around 1.0, then you know you have proper...

Family, Internal Medicine, General Medical Questions: Gland issues, swollen lymph node, salivary glands
swollen lymph node, salivary glands, lympoma: Since you had blood tests... you have been screened for HIV and lympoma. Sometimes scalp sores, even minor can cause some glands to enlarge. Some dental or gum disease can do it. Salivary glands can get infected or clogged but there is usually other...

Family, Internal Medicine, General Medical Questions: Heart cath and stabbing pain in left calf, heart catherization, heart cath
heart catherization, heart cath, heart catheterization: This far out, it would be unusual to have a clot complication of a heart catheterization. I think the chance is really low that it is from the cath. I am not sure how to tie all of this together (the dizziness and numbness) Have the calf looked at though.......

Family, Internal Medicine, General Medical Questions: hemorrhoids, vitamin d deficiencies, calcium magnesium
vitamin d deficiencies, calcium magnesium, wheat gluten: In my experience with 31,000 nutrigenomic patients this is due to the gluten in your diet and the severe calcium magnesium and vitamin d deficiencies but need to be evaluated and have the complete testing. Hemorrhoids are a result of this but can be fixed...

Family, Internal Medicine, General Medical Questions: hemorrhoids, wheat gluten, citrucel
wheat gluten, citrucel, miralax: I tell people to not consider surgery for hemorrhoids until you are tripping over them... it tends to scar that area. Getting un-constipated will resolve them at least partially. How about another bulk fiber, even artificial like Miralax... that can soften...

Family, Internal Medicine, General Medical Questions: It hurts when i poop it feel like something sharp is cutting me also theres little blood. is it just a cut?, rectal fissure, hemorrhoid cream
rectal fissure, hemorrhoid cream, miralax: It sounds like you have developed a rectal fissure, but to be sure, someone would look. Sometimes people get a little constipated and try to pass a really big stool and the tissue at the anus tears a little bit.... it should heal, but try and keep from...

Family, Internal Medicine, General Medical Questions: isthmus gland, needle biopsy, collar bones
needle biopsy, collar bones, thyroid gland: That could be at the bottom of the thyroid gland and it may be a cyst. I would think if it can be felt, that your doctor or a specialist that you will be referred to might want to do a needle biopsy of it... that is a very safe, pretty easy, relatively painless...

Family, Internal Medicine, General Medical Questions: Low Testosterone, low testosterone and metabolic syndrome, loss of libido and low testosterone
low testosterone and metabolic syndrome, loss of libido and low testosterone, testosterone replace: Hi again. Thanks for this. Have read it and am not too impressed. I would have maybe fifty men on TRT currently and raised haematocrit is certainly not one of my worries. Testosterone replacement therapy for men with Metabolic syndrome is very interesting...

Family, Internal Medicine, General Medical Questions: lumps in throat, gargling with salt water, lumps in throat
gargling with salt water, lumps in throat, tonsil: The tongue has a lot of small immune organs on it.... all are bumpy esp in the back. If gargling with salt water doesn t fix it in a week, then it may just be you.... you could get it looked at but this is a common complaint that usually winds up.... that...

Family, Internal Medicine, General Medical Questions: I'm having strange symptoms, strange symptoms, art smith
strange symptoms, art smith, mild stroke: There are a lot of questions I would want to know prior to answering..... The dilantin level would have been one of them.... I would also want to know your risk factors for a stroke.... age, cigarettes, cholesterol, family history, diabetes. This...

Family, Internal Medicine, General Medical Questions: NEED TO GO, cold temperatures, blood volume
cold temperatures, blood volume, cold weather: Hey Cameron, It is true that exposure to cold temperatures causes a reduced blood flow to the skin by constricting the blood vessels. This reduces the blood volume thereby increasing the blood pressure. The body s then wants to reduce the volume by getting...

Family, Internal Medicine, General Medical Questions: Period lasting too long?, urine specimen, morning urine
urine specimen, morning urine, pregn: There are a couple possibilities.... one, you could be pregnant, so check a first morning urine specimen with a pregnancy test. You may have skipped an ovulation and didn t shed the uterus lining properly and then you get over production and slow sloughing....

Family, Internal Medicine, General Medical Questions: pain & cramping 2 different issues, birth control pills, xiphoid process
birth control pills, xiphoid process, left breast: those two things sound like separate issues.... the sharp pain when bending over, feeling like something caught... sounds like your abd muscle spasms a little... keeping those in good shape (crunches/situps) should help. The first problem... sharp stab...

Family, Internal Medicine, General Medical Questions: pain in right arm, pinched nerve in the neck, pain in right arm
pinched nerve in the neck, pain in right arm, shoulder problem: You said your arm.... if symptoms go down into your fingers, especially 2nd, 3rd, 4th, then it is possibly you have carpal tunnel syndrome. This kind of ache can also be a shoulder problem, bursitis and the pain can radiate down the arm. It can also be a...

Family, Internal Medicine, General Medical Questions: How is this possible (and what should I do about it?), swollen legs, feet legs
swollen legs, feet legs, retaining water: It seems like you weighed on two separate scales... the one at the office may be off.... weigh consistently on your scale and it should at least accurately reflect changes.... it is unlikely you gained that much weight in 2 days unless you stopped urinating,...

Family, Internal Medicine, General Medical Questions: Possible Gallbladder issues with pregnancy, added component, second trimester
added component, second trimester, gallbladder: the tumor is very very unlikely.... if you have gallstones already, symptoms are probably a recurrence but you still do have symptoms... the throwing up, etc, so I would get it evaluated and stop putting it off when it subsides..... then you will be rid of...

Family, Internal Medicine, General Medical Questions: Pregnancy/bowel movements, stomach virus, colon cancer
stomach virus, colon cancer, stomach pains: This may still be some gall bladder or simply intermittent stomach virus or food intolerances.... some people temporarily lose the ability to digest milk products. There isn t much to do at this point until after delivery unless you start developing fever,...

Family, Internal Medicine, General Medical Questions: Question, inner ear problem, sinus congestion
inner ear problem, sinus congestion, rocking sensation: I would just lay the information out for them.... if he/she is looking at inner ear, MRI with contrast, some nerve tests called evoked potentials.... but it is always best to simply lay out the signs and symptoms and let them decide on the next step.......

Family, Internal Medicine, General Medical Questions: Rabies, immunization schedule, rabid animal
immunization schedule, rabid animal, open wound: you technically could... the best way to tell is to find the dog and make sure it stays alive for 10 more days. When an animal is rabid, it is dying and if it continues to live, then no rabies. If you cannot find it or it does die (from any reason) then...

Family, Internal Medicine, General Medical Questions: Reoccurring strep throat, strep throat, handwashing
strep throat, handwashing, garden variety: Get your close family members checked to make sure they are not carriers (people who have the bacteria but not the disease) and then good handwashing to prevent transmission.... there isn t any magical prevention. If you had difficult to get rid of strep,...

Family, Internal Medicine, General Medical Questions: Serum Ferritin, serum ferritin, iron storage disease
serum ferritin, iron storage disease, iron stores: depending on the lab, strictly in the normal range. It doesn t change over time and it is a reflection of your body s iron stores.... if it is in the normal range and your CBC (Hb and Hct) are normal, then that is the end of it. If it is really really...

Family, Internal Medicine, General Medical Questions: Side Pain, right sided abdominal pain, iliac crest
right sided abdominal pain, iliac crest, abdominal exploration: this is done under general if they are looking in the belly.... if he does it with laparascope, then the scars are really tiny and should heal almost invisibly...... but... if you got something bad down there, you need to deal with it... tell them to be careful...

Family, Internal Medicine, General Medical Questions: Subclinical Hyperthryoidism, neuro opthomologist, symptoms of hyperthyroidism
neuro opthomologist, symptoms of hyperthyroidism, eyesight problems: This is a complicated subject that is full of personal bias. I will give you my read on it. (There are controversial medical books written on this subject) If the thyroid is going to go crazy and become disconnected from the normal feedback regulation...

Family, Internal Medicine, General Medical Questions: thyroid disease, thyroid scan, t3 t4
thyroid scan, t3 t4, antibody tests: that is not enough specific information..... mild diffuse disease suggests you had a thyroid scan. I would want to see all the thyroid blood tests... did you have antibody tests in addition the the TSH and T3/T4? Did you have an ultrasound. But mild diffuse...

Family, Internal Medicine, General Medical Questions: Being treated 4 abcess (waited to long2 get looked at!, low grade fever, pain pills
low grade fever, pain pills, belly pain: This is worrisome that you are getting systemic (whole body) symptoms of infection from an infected cyst.... at this point you need to be re-seen and consider more aggressive antibiotics, more aggressive drainage if needed. Possibly IV fluids, possible culture...

Family, Internal Medicine, General Medical Questions: unexplained symptoms, v tach, bad taste in mouth
v tach, bad taste in mouth, outflow tract: You have a lot of diverse symptoms and I don t know if I can tie them all together.... that is a LOT of beer.... you need to put that in perspective and make sure there isn t a problem there. Bad taste in mouth- in general, I worry about dental disease,...

Family, Internal Medicine, General Medical Questions: Warafin, warafin, mg tablets
warafin, mg tablets, warfarin: the warfarin and alcohol has no interaction and did not affect your mental state. You may have drank too much or another drug was involved but this combination by itself should not cause the blackout..... doubling up by accident really should not do...

Family, Internal Medicine, General Medical Questions: what could this be?, thyroid tests, pulmonary embolism
thyroid tests, pulmonary embolism, light a fire: That is a possibility.... people your age don t get heart attacks but this could be a problem with the neuro-electrical system that tells your heart to beat regularly.... I can see you are worried.... so get it checked... and motivate your doctor to keep...

Family, Internal Medicine, General Medical Questions: 11 year old boy peeing often, stomach pain, diabetes insipidus
stomach pain, diabetes insipidus, rare condition: In general, I am not alarmed by this but..... he should have a urinalysis to look for sugar or infection in the urine. There is also a fairly rare condition diabetes insipidus where hormonally, he is dumping too much water into the urine. You can get...

Family, Internal Medicine, General Medical Questions: Abdominal pain, gall bladder surgery, incisional hernia
gall bladder surgery, incisional hernia, gall bladder: That is a pretty good test, but not perfect for diagnosing a hernia. There can be different levels of muscle injury.... a strain that will be painful, or a big strain that produces a hernia. Since the CT was normal, I think the reasonable choice is to wait...

Family, Internal Medicine, General Medical Questions: arm pain/numbness in thumb, numbness in thumb, wrist elbow
numbness in thumb, wrist elbow, pain meds: I really doubt whether this is related to Avelox.... I have never seen it and have not seen it reported. Some people have big tonsils to start with, so it is possible they are just large, or have enlarged from the infection, but should go down in less than...

Family, Internal Medicine, General Medical Questions: Balance, correct balance, immune systems
correct balance, immune systems, chromosomes: interesting theory... there are other similar theories, but in general, aging is very complicated and one aspect has to do with the limited longevity of cells, ie their ability to reproduce ends over time. Has to do with telomeres (ends of chromosomes) and...

Family, Internal Medicine, General Medical Questions: Bloated, low calorie diet, bearer of bad news
low calorie diet, bearer of bad news, lower back pain: Sorry to be the bearer of bad news, but 15# weight gain and increasing girth spells gaining fat weight..... But the bloating may have several causes... a food intolerance, like you have tried to fix.... lactose being obvious and the grains. I assume...

Family, Internal Medicine, General Medical Questions: bump on leg, skin abscess, insect bite
skin abscess, insect bite, inflammatory reaction: right now, it looks like an inflammatory reaction from something, like an insect bite.... if it becomes soft, fluid filled, painful, then it could become a staph skin abscess and may need drainage and antibiotics, but for now, it looks like you could simply...

Family, Internal Medicine, General Medical Questions: GOING CRAZY, sexual difficulties, dr andrew
sexual difficulties, dr andrew, medical questions: Hi there Cameron, thank you for posting your question. My name is Dr Andrew Rynne. I am an Irish medical doctor with ten years experience in helping men and women online with sexual difficulties. I also handle general medical questions online. It is not...

Family, Internal Medicine, General Medical Questions: discomfort in abdomen (side), online symptom checker, right abdomen
online symptom checker, right abdomen, colon cancer: Well, good timing.... I just had my age related colonoscopy yesterday.... In general, it sounds like you have had good health, but I guarantee that your good health will not last forever. It is probably about time to.... like you said, see the doctor. ...

Family, Internal Medicine, General Medical Questions: Don't know what is causing this., hair follicle infection, sleep in the eyes
hair follicle infection, sleep in the eyes, suntan lotion: around both eyes sounds like some type of allergic reaction, possibly from a cream/suntan lotion? Or eczema.... allergic skin Try one of the steroid creams like cortaid, but if not better, get it looked at..... The sleep in the eyes may be an eyelash...

Family, Internal Medicine, General Medical Questions: eating induced(diabetic) iregular heart beats problem, irregular heart beat, heart discomfort
irregular heart beat, heart discomfort, thyroid tests: You did not specify what heart rythym irregularity occurred.... bradycaria... beating too slow, or tachycardia- beating too fast. In general, when this occurs, unless the office is equipped and trained to deal with these problems (defibrillator, trained in...

Family, Internal Medicine, General Medical Questions: Fat malabsorption, stomach ache, pancreatic enzymes
stomach ache, pancreatic enzymes, creon: This will not jump start the pancreas... if it is not working appropriately, then the replacement is needed to absorb some of the fat soluoble vitamins and nutrients. You might be on it for a long time depending on your response and whether your pancreas...

Family, Internal Medicine, General Medical Questions: Injected liquid b12 over the counter and now knot under skin, b12 shots, abscess
b12 shots, abscess, vials: there probably isn t bacteria but there are ingredients for taste that don t absorb well and you may get an abscess there because of retained solids.... it probably will go away but if it gets red or painful.... you will need that treated...... B12 in general...

Family, Internal Medicine, General Medical Questions: Insect Bite Fears, insect bite, mosquito bites
insect bite, mosquito bites, insect bites: well, you spelled it out in your note... rabies is incredibly rare. And you also describe a situation where it is most plausible that there was no exposure at all. There is an option of getting the rabies vaccine when you get back (you have weeks to...

Family, Internal Medicine, General Medical Questions: Kiddie spa and same lip gloss tube, meningococcal meningitis symptoms, cosmetology board
meningococcal meningitis symptoms, cosmetology board, pneumococcal meningitis: I would not have kids share a lip gloss tube either but you would have had to have a sick child get it applied one or two people before your child, so risks are low in general. As far as meningitis, that type of transmission has never been reported and...

Family, Internal Medicine, General Medical Questions: Legs and Feet Swelling suddenly, calcium level, swelling feet
calcium level, swelling feet, legs and feet: this is usually mineral deficiency disease and a sign of low magnesium so get magnesium level plus calcium level plus vit D level since likely to need all three but amount depends on the numbers you can also take diuretics for lifetime as an alternative ...

Family, Internal Medicine, General Medical Questions: Lipoma, right abdomen, gain weight
right abdomen, gain weight, incision: You had the lipoma forever, but it behaves separately from the rest of your fatty stores.... it has a sheath and will grow if you gain weight and sometimes won t shrink when you lose weight so it can become more noticeable with either..... when removed,...

Family, Internal Medicine, General Medical Questions: Lipoma, right abdomen, sexual difficulties
right abdomen, sexual difficulties, family dr: Michelle, I m sorry to hear that this thing is still giving you grief. There are a few things that I do not understand about it though. Lipoma are classically painless collections of fatty matter. And yet yours was so painful they thought it was appendix!...

Family, Internal Medicine, General Medical Questions: Lipoma Problems, penrose drain, sterile bandage
penrose drain, sterile bandage, right abdomen: in our practice lipomas come from seeds, nuts, flax, soy, granola, trail mix, avocado, hummus and poultry which all contain excess omega 6 plant oils which increase inflammation. the fluid collection is needing a penrose drain inserted and covered with a...

Family, Internal Medicine, General Medical Questions: Lump on ear, bottom portion, lymph nodes
bottom portion, lymph nodes, earlobe: there are many many lymph nodes all around the ear. If the lump is on the ear, that sounds more like a simple cyst--- a fluid filled sac that can be fairly firm. If it isn t red or painful, you can leave it alone unless it is disfiguring. They are at risk...

Family, Internal Medicine, General Medical Questions: Lump near Labia, bartholin gland, t drain
bartholin gland, t drain, sized lump: It sounds like a bartholin gland infection. Sometimes (remember, sometimes) it can be associated with sexually transmitted diseases, like gonorrhea) But in general, I would treat with antibiotics since it is draining. If it doesn t drain and you have a...

Family, Internal Medicine, General Medical Questions: Lung medicine, inhaled steroids, lung medicine
inhaled steroids, lung medicine, mild asthma: There aren t good long term maintenance medicines for asthma that are really cheap.... advair or symbicort are the cornerstones but both kinda pricey. Spiriva helps also.... but that would be the first one I would try without if money is tight, but for someone...

Family, Internal Medicine, General Medical Questions: Who could have made me pregnant, last period, 28 days
last period, 28 days, 22 june: Much better.... if your periods come every 28 days, then it is likely that you ovulated on June 5th, so most likely you got pregnant by your boyfriend on June 6th. There is a small possibility that the June 3rd, even with the pull out, may have caused the...

Family, Internal Medicine, General Medical Questions: ms home remedies, testicle swelling, home remedies
testicle swelling, home remedies, catheter: by MS I assume you mean multiple sclerosis.... there have never been any documented benefit from home remedies. If they self cath and have pain/swelling, I would worry about infection and get them evaluated immediately so it doesn t progress to a serious...

Family, Internal Medicine, General Medical Questions: Nausea/prostititus, gall bladder, cystoscopy
gall bladder, cystoscopy, stress test: despite being a runner, I would wonder if that is an atypical heart presentation.... if you haven t had a cardiac workup.... stress test or more, then I would have that done right away. The nausea may have been related to low grade prostatitis. Also,...

Family, Internal Medicine, General Medical Questions: Numbness in hands/arms when in chest deep water, b12 vitamins, purplish tinge
b12 vitamins, purplish tinge, thyroid hormones: fingertips numb and purple sounds like Raynaud s phenomena where the artery (inflow of blood) spasms and slows down blood flow to the hands and/or feet. Sticking a hand in pretty warm water for 2 minutes or so should reverse it if that is occurring. But,...

Family, Internal Medicine, General Medical Questions: Pcos, birth control pills, half marathons
birth control pills, half marathons, fertility treatments: you said thyroid level was 4.4 if that was your TSH.... I would consider you low.... the important number for thyroid is the TSH... that number should be 0.5 up to 1.5. If it is above that, it is abnormal despite what the ranges come back as. I think...

Family, Internal Medicine, General Medical Questions: Questions about blood test, adrenal glands, hormone disorders
adrenal glands, hormone disorders, challenge test: different labs have different standards, but that sounds pretty normal to me.... it should go up significantly from the trial... it tests to make sure your adrenal glands can respond to the challenge.... and yours has... there are some hormone disorders where...

Family, Internal Medicine, General Medical Questions: What can I say to doctor if I'm simply tired?, thyroid tests, medical disease
thyroid tests, medical disease, hypothyroidism: well, being young and healthy doesn t protect you against some things..... I agree- go to your primary doctor.... Some considerations.... depression... even if you don t have anything to be depressed about, the medical disease of depression can give...

Family, Internal Medicine, General Medical Questions: Skin irritation, sinus problem, allergy attack
sinus problem, allergy attack, hair dye: it isn t unusual to still have a skin crawling feeling... if there are no rashes or hives, you don t really have to take any of the antihistamines but you could if you wanted to. Sometimes that feeling may last for a couple of weeks, but should fade away...

Family, Internal Medicine, General Medical Questions: Stapphylococcus in my throat, staphylococcus bacteria, ent surgeon
staphylococcus bacteria, ent surgeon, throat culture: Hi there Adarsh, thank you for posting your question. My name is Dr Andrew Rynne. I am an Irish medical doctor with ten years experience in helping men and women online with sexual difficulties. I also handle general medical questions online. You probably...

Family, Internal Medicine, General Medical Questions: STD question, penile papules, incubation time
penile papules, incubation time, genital warts: sometimes you can have BPP- benign penile papules at the crown.... the base of the head of the penis. This is not HPV. If at the base of the penis where it attaches to body, this could be. Probably 90% of sexually active adults have HPV, most don t...

Family, Internal Medicine, General Medical Questions: throat problems, upper respiratory infection, paternal grandmother
upper respiratory infection, paternal grandmother, ent doctor: smoking raises that risk considerably... these easily could be allergies or an upper respiratory infection but I agree, it is worthwhile to have a thorough exam to not miss anything. Although ENT cancer is a possibility, much more likely is reflux, allergies,...

Family, Internal Medicine, General Medical Questions: Uterine fibroid, endometrial stripe, frequent urination
endometrial stripe, frequent urination, lower back pain: well, I was applying it to your symptoms of incontinence and frequency. As far as working that condition up, an MRI wouldn t help much. The question is, has your bladder dropped meaning have the suspending muscles weakened and might need tightening or...

Family, Internal Medicine, General Medical Questions: Viruses and bacteria on stuffed animals and fabric, viruses and bacteria, top of the stack
viruses and bacteria, top of the stack, lcmv: Have you ever heard of a case of LCMV or Hanta in your state? One of the problems with the net is that you don t know what to believe and what not to believe. Children don t drop dead like flies and you obviously are a lot cleaner than most.... they are...

Family, Internal Medicine, General Medical Questions: abdominal issues, inflammatory bowel disease, lower abdomen
inflammatory bowel disease, lower abdomen, milk cheese: It sounds like a more functional problem... a food intolerance... like milk products.... try avoiding milk/cheese/butter for a month and see if it changes. It isn t something bad, since it has been going on for years. The only big concern would be inflammatory...

Family, Internal Medicine, General Medical Questions: Cat Bite, Cat bite
Cat bite: Hi there Pete, thank you for posting your question. My name is Dr Andrew Rynne. I am an Irish medical doctor with ten years experience in helping men and women online with sexual difficulties. I also handle general medical questions online. I think you...

Family, Internal Medicine, General Medical Questions: Clarification of biopsy result needed, invasive breast cancer, ruptured cyst
invasive breast cancer, ruptured cyst, medical oncologist: You want to get your information from an oncologist primarily, but... you described something on the uterus wall and then described tissue taken from inside the uterus, with essentially negative results. Tamoxifen produces a partial medical menopause...

Family, Internal Medicine, General Medical Questions: what's the deal with haemmorheaging?, traumatic stress disorder, postpartum hemorrhage
traumatic stress disorder, postpartum hemorrhage, lining of the uterus: that is an impressive placenta.... 13 lbs. I have never heard of ripping, etc causing a physical problem with the uterus, putting someone at risk for hemmorhage/death from a period. People menstruate because of a physiologic cycle and that varies...

Family, Internal Medicine, General Medical Questions: Dehydration, low sodium level, atenenol
low sodium level, atenenol, home nurse: This is a tough situation... when someone has dementia, they cannot feel thirsty, hungry, etc and there has to be a best guess as to fluid requirements, etc. I would consider adding some salt to the free water, but if the kidneys are normal, and she is not...

Family, Internal Medicine, General Medical Questions: dizziness, scopolamine patches, sensory nerves
scopolamine patches, sensory nerves, fellow travelers: Motion sickness occurs when the inner ear, the eyes, and other areas of the body that detect motion send conflicting messages to the brain. One part of your balance-sensing system (your inner ear, vision, and sensory nerves that help you keep your balance)...

Family, Internal Medicine, General Medical Questions: excessive neck popping, saliva glands, prevention drugs
saliva glands, prevention drugs, medical issue: there isn t connection between the bones and your throat, although you may be compressing one of your saliva glands when you torque your neck. Popping the neck probably isn t a big deal unless you pull one of your supporting muscles and strain it. There...

Family, Internal Medicine, General Medical Questions: My Father's Cough/Bronchial nfection, chest x ray, cough syrup
chest x ray, cough syrup, bronchial infection: Hi there Zent, thank you for posting your question. My name is Dr Andrew Rynne. I am an Irish medical doctor with ten years experience in helping men and women online with sexual difficulties. I also handle general medical questions online. To answer your...

Family, Internal Medicine, General Medical Questions: Gluten, gluten free diet, abdominal distension
gluten free diet, abdominal distension, night blindness: it certainly does... the tests for celiac are not that accurate, the real test is the actual trial of a gluten free diet, which confirmed it for you.... Losing weight and taking something for the reflux.... I always try Zantac first, since it is so inexpensive....

Family, Internal Medicine, General Medical Questions: Headache, temporal arteritis, headache migraine
temporal arteritis, headache migraine, tension headache: Hi PRM My apologies for delayed reply. I am sorry to hear about your wife s symptoms. I hope by now your wife has been seen by a doctor or better still her symptoms resolved. In short you described to me young lady with though mild but new onset headache...

Family, Internal Medicine, General Medical Questions: Headache and eye pain, afrin nasal spray, sinus drainage
afrin nasal spray, sinus drainage, sinus congestion: it is hard to come up with a hard diagnosis for this.... but I would wonder about a sinus infection.... even without a lot of fever/sinus drainage. Also an atypical migraine headache. It might be reasonable to try some AFRIN nasal spray for 2-3 days to...

Family, Internal Medicine, General Medical Questions: healthcare costs, magic answers, wife husband
magic answers, wife husband, medicaid: Well, you fall into the same category as about 30% of other US adults.... Getting on a policy with your wife/husband who has employer offered insurance is an option. If financially you don t have assets, would you qualify for medicaid? The other option...

Family, Internal Medicine, General Medical Questions: help, laundry detergent, heart palpitations
laundry detergent, heart palpitations, bad taste in my mouth: I am gonna sound like a broken record thru a lot of this because I think a fair amount may be related back to the excessive alcohol usage.... but.... The taste in the mouth... a bad tooth, even one that isn t painful can be causing this... it is worth...

Family, Internal Medicine, General Medical Questions: hemorrhoids, external hemorrhoids, teeth braces
external hemorrhoids, teeth braces, pain meds: keep non-constipated and keep them inside as much as you can and they will shrink down to an extent.... then if they are still hanging... you will have to have surgery.... you actually can have surgery and take pain meds and breast feed.... that isn t optimal...

Family, Internal Medicine, General Medical Questions: Hemorroids, proctosol hc, hydrocortizone
proctosol hc, hydrocortizone, hemorrhoid: The most important thing is to push the hemorrhoid back inside, if you can. If it becomes really hard and really painful, that may mean it has thrombosed, meaning the blood inside it has clotted... those are then opened with a nick and the clot removed and...

Family, Internal Medicine, General Medical Questions: Irritation on inner labia, triamcinolone acetonide cream usp, triamcinolone acetonide cream
triamcinolone acetonide cream usp, triamcinolone acetonide cream, nystatin and triamcinolone acetonide: The inner lower labia lips is where those glands are, but I would be concerned about STD s, such as herpes also. A bartholin gland usually feels like a soft marble when it gets clogged, so if this is on the tissue surface, probably not that. The cream will...

Family, Internal Medicine, General Medical Questions: itchy ears, fluid in the ears, sinus trouble
fluid in the ears, sinus trouble, itchy ears: Some people have a low level infection in their ear canal... swimmers ear, some people have eczema or psoriasis really mildly and have symptoms like that. Do not use cutips in the ear..... let the wax be, and pick out what you can with a finger.... If...

Family, Internal Medicine, General Medical Questions: Lipoma, right abdomen, pain meds
right abdomen, pain meds, seroma: These can be a pain when you have a seroma in the place where the lipoma was removed... there is now a cavity that has to scar down and it sometimes doesn t cooperate... the slower way is to drain it as it is being done, then keep some pressure on the area...

Family, Internal Medicine, General Medical Questions: low Vitamin D levels, congenital heart defect, oophrectomy
congenital heart defect, oophrectomy, sinus infection: it is unlikely that your symptoms are from vitamin D deficiency, but everyone needs a supplement... we just can t get enough from food. I don t understand why people prescribe megadoses weekly instead of 2000 daily.... although it is safe.... there are no...

Family, Internal Medicine, General Medical Questions: Multivitamins, iron storage disease, hemachromatosis
iron storage disease, hemachromatosis, falsehood: That is a falsehood.... no problem, unless you are one of the rare people with an iron storage disease, hemachromatosis.... but otherwise, you only absorb the iron you need even if you take a whole lot of it, as an adult. Young children, on the other hand,...

Family, Internal Medicine, General Medical Questions: nausea, zantac 150, pregnancy check
zantac 150, pregnancy check, liver enzyme: obviously you had a urine check and pregnancy check.... If you have been on any pain recent medicines.... pain meds sometimes cause these symptoms. Otherwise, the workup seems OK so far. I would also give you a trial of zantac 150 twice a day to see if...

Family, Internal Medicine, General Medical Questions: Back pain, deep knee bends, ultasound
deep knee bends, ultasound, back muscles: I assume the MRI was of your low back... with GI symptoms- bloating, etc, I would ask for a full GI workup... colonoscopy, and then possibly CT of the abdomen/pelvis with contrast..... that will eliminate typical cancers as the cause. If I took 100 people...

Family, Internal Medicine, General Medical Questions: Perspiration Question, prescription antiperspirants, sweating problems
prescription antiperspirants, sweating problems, thyroid problems: there are a lot of variables involved... how much you eat... if you ate more, you may be burning off excess calories and the body system needs a little more cooling. When it happens a lot, we worry about thyroid problems. Some meds can increase or decrease...

Family, Internal Medicine, General Medical Questions: Back problems and balance, surgical decompression, motor nerves
surgical decompression, motor nerves, oral steroids: Sounds like you have some neuropathy... nerves not working so well.... I would start with your regular doc and maybe a neurosurgeon.... when I have someone with this I treat pretty aggressively.... I assume you have been thru Motrin type meds and pain medicine...

Family, Internal Medicine, General Medical Questions: Seroma/Lipoma, wheat barley, right abdomen
wheat barley, right abdomen, pain meds: not a simple answer, your immune functions need testing and like to need to avoid gluten in oats, soy, all seeds, wheat barley rye sorghum buckwheat, millet etc, plus avoid latex foods like bananas, avocado, hummus, figs, kiwi and stone fruits plus avoid plant...

Family, Internal Medicine, General Medical Questions: Sinus problems, post nasal drip, sinus pressure
post nasal drip, sinus pressure, sinus problems: you may have sinusitis but the incidence is only one in hundred taking this as a side effect. Most probably you have this as an individual problem which needs seperate treatment. I suggest you go to a naturopathic practitioner since they have some great treatments...

Family, Internal Medicine, General Medical Questions: suicide, woman nature, sex age
woman nature, sex age, suicide: Not true at all... statistically, men use hanging as a method, women more likely to overdose, but any sex can use any method to kill themselves.......... That has been well studied and there are tables that break down sex, age, socioeconomic status, etc,...

Family, Internal Medicine, General Medical Questions: sweat, month old baby, sweat glands
month old baby, sweat glands, good answer: As long as there is no fever or other symptoms, no big worries, but I would wonder if the baby sleeps a certain way and gets part of him hot from laying on that side? Otherwise, I don t have a good answer... sweating is a whole body phenomena, although some...

Family, Internal Medicine, General Medical Questions: throat & chest infection?, afrin nasal spray, yellow sputum
afrin nasal spray, yellow sputum, fever chills: the book says these are viral and the treatment you listed is appropriate... meaning antibiotics don t help, but if there is any sinus pressure/pain/congestion, I tend to acquiese and give antibiotics and use some afrin nasal spray twice a day for 5 days....

Family, Internal Medicine, General Medical Questions: Trigger Finger Surgery, trigger finger surgery, scar tissue
trigger finger surgery, scar tissue, keloid: vertically is actually better because the incision is not pulled on when you bend your finger.... that is the way I would do it if I did that surgery... most people judge a surgeon on what the scar looks like... but the important thing is what happens...

Family, Internal Medicine, General Medical Questions: Typhus, typhus, body fluids
typhus, body fluids, plagues: you better believe it.... it is a bacteria and extremely contagious... many wars were lost in the old days because of plagues of typhus killing off soldiers.... nowadays, fairly rare, usually gets better without treatment other than fluid replacement. But...

Family, Internal Medicine, General Medical Questions: Unexplained Fevers, common bile duct, liver enzymes
common bile duct, liver enzymes, hidden infections: well, obviously we think of hidden infections with the repetitive fevers... I assume everything else has been looked at... urine, lungs... there are also some nuclear medicine scans that can help identify hidden abscesses that I would consider doing........

Family, Internal Medicine, General Medical Questions: Anal damage, anal muscles, heat of passion
anal muscles, heat of passion, going to the bathroom: well, the anus is made for things to come out of, not for things to go in and out, in and out, in and out. It is easy to tear those muscles in the heat of passion. Plus, all the sexually stimulated organs for a woman are in the front/top, away from the...

Family, Internal Medicine, General Medical Questions: My daughter writhes in pain, h pylori, upper abdomen
h pylori, upper abdomen, barium test: - Knowing we have no option but to wait till a specilist sees my daugher, what do we do to alleviate her pain? need to know the cause and need to see the actual results to do that 2- Is our family doctor on the right track in terms of diagnosis? no way...

Family, Internal Medicine, General Medical Questions: Fatigue/exhaustion in mid pregnancy., online medical advise, extra beats
online medical advise, extra beats, working in ireland: Hi there, thank you for posting your question with Allexperts. My name is Dr Andrew Rynne. I am a medical doctor working in Ireland. I have ten years experience helping people Online sort out their medical concerns. Fatigue and general exhaustion is not...