About Experts Sitemap - Group 21 - Page 12 2014-11-25

Family, Internal Medicine, General Medical Questions: help me please, ovarian problems, abdominal pain
ovarian problems, abdominal pain, irritable bowel: You need to be seen before 2 weeks. Could be the liver or ovarian problems, could be irritable bowel. There s just no way to know without getting seen. Why are they having you wait so long? Usually abdominal pain is considered urgent and treated and diagnosed...

Family, Internal Medicine, General Medical Questions: hemoglobin a1c, hemoglobin a1c, hemolysis
hemoglobin a1c, hemolysis, gm: there was an error in the lab.... it can t change that rapidly.... it may be on the machine... it could also be a partially filled tube that had more anticoag in it... they all have about 1/2 cc of a liquid in them and a partially filled tube might dilute...

Family, Internal Medicine, General Medical Questions: herpes and strep vagina, antiviral drugs, famvir
antiviral drugs, famvir, lesions: vaginal strep--- yes. that can be treated with mult antibiotics.... herpes 1 is typically oral, but that is a virus and if you have been infected vaginally, then that is not curable, but it is treatable. There are antiviral drugs like acyclovir/valtrex/famvir...

Family, Internal Medicine, General Medical Questions: high cholestrol, liver function test, liver function tests
liver function test, liver function tests, liver enzymes: Exactly... total cholesterol is NEVER the whole story... it depends on what your HDL (good) and LDL (bad) cholesterol is. For more read my article published in my blog: Beyond Cholesterol By JP Saleeby, MD Cardiovascular disease the number one...

Family, Internal Medicine, General Medical Questions: high cholestrol, liver function test, alcohol content in drinks
liver function test, alcohol content in drinks, high cholestrol: Michael, Yes, that is definitely high. See this chart as a guide (http://www.vaughns-1-pagers.com/medicine/cholesterol-range.htm) The thing is that your liver needs a break from alcohol, it needs a rest. It sounds like you have a drinking problem, and...

Family, Internal Medicine, General Medical Questions: high cholestrol, liver function test, normal cholesterol
liver function test, normal cholesterol, pack a day: Hi Michael, Your HDL is very good. The LDL is high. There is an elevation of total cholesterol which is not good. The other sources of this elevation are sub groups of lipids that most doctors don t routinely test for. These are apolipoprotein A and B. There...

Family, Internal Medicine, General Medical Questions: high cholestrol, liver function test, high cholestrol
liver function test, high cholestrol, heart attack rate: Yes, that is high In our work it often comes from a diet of high carbs and high omega-6 plant oil foods. To better understand the bad effects of omega-6 plant oil foods, see http://efaeducation.nih.gov and review all the powerpoint presentations, download...

Family, Internal Medicine, General Medical Questions: INTESTINE POLUPS, cancerous polyps, benefit ratio
cancerous polyps, benefit ratio, two doctors: Hi Ken, Poylps can turn cancerous. As you wisely said, her age and general health really determine whether she should go through with this procedure. If she is otherwise healthy and is active and there are no other risk factors, she might do well to have...

Family, Internal Medicine, General Medical Questions: Intervenous, bronchopneumonia, pneumonia
bronchopneumonia, pneumonia, hydration: Hi Patricia, Someone in a coma with pneumonia should be getting IV antibiotics and also supplemental feeding and hydration UNLESS a decision has been made not to be aggressive with their care. Pneumonia can kill anyone but someone in this situation has a...

Family, Internal Medicine, General Medical Questions: SO ITCHY, viruses and bacteria, chemical mediators
viruses and bacteria, chemical mediators, white blood cells: Cameron, Sun damage to the skin will spark an acute inflammatory injury reaction. This is outlined in my blog on a recent article I wrote about inflammation. Inflammation chemical cascades cause a release of histamine which causes itching . http://docsaleeby3.blogspot.com/2008/11/inflammation.html...

Family, Internal Medicine, General Medical Questions: Lower Stomach Issues After Eating, poor blood supply, diabetic gastroparesis
poor blood supply, diabetic gastroparesis, microvascular disease: Hi Darcy, On the face of it, this sounds like something called diabetic gastroparesis . In essence, this is a problem of slow emptying due to poor blood supply to the stomach from the microvascular disease caused by your diabetes. There are treatments for...

Family, Internal Medicine, General Medical Questions: Lymph Nodes 14 year old Boy, swollen lymph nodes, swollen lymph node
swollen lymph nodes, swollen lymph node, random tests: Hi Mischa, Given this history, he should go straight to biopsy. He has had a long history of enlarged nodes that HAVE already been treated with antibiotics to no avail. Remember, the doctors are doing YOU a service and you should force the issue and get a...

Family, Internal Medicine, General Medical Questions: Do labs & symptoms indicate MS and/or kidney disease?, high eosinophils, high lymphocytes
high eosinophils, high lymphocytes, low neutrophils: the urine with leuk est indicates a urinary tract infection.... the other lab tests don t real help us at all. Fibromyalgia is not diagnosed by any specific test, it is basically the diagnosis after other things are ruled out... to get an MS diagnosis......

Family, Internal Medicine, General Medical Questions: This is a little complicated., birth control pills, low dose birth control pills
birth control pills, low dose birth control pills, irregular menstrual bleeding: I don t know if there is a connection... with proper BCP use, it is unlikely to get pregnant, but worth a first morning urine check to make sure you aren t pregnant.... otherwise, some breakthru bleeding isn t that unusual with the low dose birth control pills...

Family, Internal Medicine, General Medical Questions: loss of hand movement, nerve conduction studies, 5 fingers
nerve conduction studies, 5 fingers, finger and thumb: this sounds like a nerve being pinched, blocked.... this needs to be looked at very quickly..... it is a holiday, so he should contact his primary doctor and get referred to a neurologist for nerve conduction studies to isolate where the nerve is being pinched..........

Family, Internal Medicine, General Medical Questions: lump in breast, lump in breast, hystrectomy
lump in breast, hystrectomy, mammagram: I know you are scared, but you have to have this evaluated via a thorough examination and mammogram. There is no way to let this go on for a while.... if this does turn out to be a breast cancer, the earlier you get it treated, the more likely you are to...

Family, Internal Medicine, General Medical Questions: I'm so confused!, degenerative disc disease, hemoglobin a1c
degenerative disc disease, hemoglobin a1c, medicated stents: I understand your frustration with the system. Medicaid doesn t do all that it was designed to do. It pays so poorly that a lot of doc s feel they have to see twice as many patients when they accept Medicaid. I am not sure exactly what your question...

Family, Internal Medicine, General Medical Questions: mesenteric adenitius, pediatric gi, referral center
pediatric gi, referral center, s hospital: I think you need the diagnosis re-evaluated.... I have not seen this illness last this long... I am sorry I don t have add l possibilities, but if it were my child, I would be back at a referral center seeing one of the pediatric GI doctors..... I hope this...

Family, Internal Medicine, General Medical Questions: NEED TO GO, balanced diet, intestines
balanced diet, intestines, constipation: Its not easy to understand this in simple language but you can imagine that the body has two mechanisms, one which reduces the movements of the material in intestines and other which increases it. Cofee, smoking stimulate the latter. people use these to control...

Family, Internal Medicine, General Medical Questions: Neurological issues in infant?, uneventful pregnancy, neurological issues
uneventful pregnancy, neurological issues, sweetspot: at this stage, keep consulting a pediatrician. looks like some abnormality in the eyes. I dont think the tremors are abnormal. what is the freqeuncy? after she is an year old, treatmetn can be started if required. maybe the problem would go away in six months...

Family, Internal Medicine, General Medical Questions: Numb Left Leg, nerve damage, left leg
nerve damage, left leg, numbness: sounds like you got some neuropraxis... nerve damage from some unusual position or overuse..... most of the time those recover but may take several weeks.... I had similar and it took mine about 6 weeks to go away, but most are faster... if it doesn t improve...

Family, Internal Medicine, General Medical Questions: Numbness in left hand, numbness in left hand, rn msn
numbness in left hand, rn msn, cold and flu season: Firstly, I m a registered nurse, not a doctor, wanted to clarify. Please get to a doctor. These could be completely unrelated or related. There s just no way to know without an exam. I know your primary concern is the constant tingling/numbness of your...

Family, Internal Medicine, General Medical Questions: noro virus, virus influenza, norwalk virus
virus influenza, norwalk virus, flu virus: the noro virus (or norwalk virus) is an intestinal virus that causes nausea, diarrhea, vomiting..... that is completely separate from the flu virus (influenza) and has nothing to do with a flu shot to prevent it..... so, yes, you can still get noro virus with...

Family, Internal Medicine, General Medical Questions: numbness in side of head, drooping eyelids, tight pair
drooping eyelids, tight pair, neurological problems: There are certain temporary neurological problems (Bell s Palsy is the one I m thinking of here) that can start with numbness that is one sided, on your face. (It starts with that, and then moves progressively to drooping eyelids.) I d get a quick test done...

Family, Internal Medicine, General Medical Questions: Osteoporosis, low bone density, bone density scan
low bone density, bone density scan, boniva: can you reverse it.... NO.... can you help it... absolutely... I was a male, a wrestler from high school where we would not eat for weeks to make weight... I developed osteoporosis also and am on meds. The bisphosphonates like Boniva, Fosamax, Actonel work...

Family, Internal Medicine, General Medical Questions: Osteoporosis, low bone density, diet exercise
low bone density, diet exercise, boniva: Hi KC, I think you can easily with proper diet, exercise and taking the supplements you are currently on. If this number does not come up in a years time you would be a good candidate for one of the bone hardening agents (Fosamax, Actonel or Boniva). I would...

Family, Internal Medicine, General Medical Questions: Overall growth concern, growth concern, morsel of food
growth concern, morsel of food, birth weight: Hi Babita, Based on average weight/height charts, her height is within normal range. Her weight is slightly lower that average. She should have quadrupled her birth weight by age two, or in her case roughly 13 kg. Eating habits at this age can vary between...

Family, Internal Medicine, General Medical Questions: Overdose insulin, calorie intake, doses of insulin
calorie intake, doses of insulin, glucose: Hi Nihat, He responded quickly because the sugar goes to the brain. It uses up all the insulin and the overdose effect is immediately canceled out. Insulin “overdosing” is the result of taking regular doses of Insulin and not eating enough to off set the...

Family, Internal Medicine, General Medical Questions: Overdose insulin, lantus, insulin
lantus, insulin, glucose: it depends on which insulin he got too much of... short acting insulin should only be a worry for 6-12 hours; if it is Levimir or Lantus, you have to monitor for at least 24 hours if not 36 hours... but if the sugar got low, the glucose should immediately...

Family, Internal Medicine, General Medical Questions: Painful red spots on roof of mouth, oral tissue, roof of mouth
oral tissue, roof of mouth, oral cancer: people can get viral ulcers on their oral tissue.... if it lasts over 10 days, then it needs to be evaluated by a doctor.... but I wouldn t do anything until that time because 99% of the time it will simply go away..... hope this helps. PS... stop cig...

Family, Internal Medicine, General Medical Questions: pain in right leg, pain in right leg, alleve
pain in right leg, alleve, antiinflammatory: if it just started yesterday, I would look for a possible injury and also try some antiinflammatory like Alleve or Advil for a few days to see if it will fade on it s own.... then if not better, see the doc...... blood clots are in the back, inner side as...

Family, Internal Medicine, General Medical Questions: period, hormone pills, contact sports
hormone pills, contact sports, motrin: There could be something wrong inside your uterus that is making you continue to bleed. EVEN THOUGH it s light bleeding, you should go to your doctor. Because you ve been bleeding for so long, you may already be anemic (low iron, low ability to clot off...

Family, Internal Medicine, General Medical Questions: please help me..:(, nerve test, nerve entrapment
nerve test, nerve entrapment, pains in my hands: Hi April, Numbness of the hands and arms can have many causes. Did the recent nerve test on your hands show anything? One must consider nerve entrapment syndromes in the hands,forearms, elbows and even the neck.Certain diseases can cause this too such as...

Family, Internal Medicine, General Medical Questions: pneumonia, balanced nutrients, cold virus
balanced nutrients, cold virus, pulmonary diseases: Transmission happens only if infected material like sputum comes in contact with someone. If he is not having cough/sneezing, he will not transmit infection. Sputum should be disposed with care. Advice for him should also include good deit containing fruits...

Family, Internal Medicine, General Medical Questions: post viral immobility, blood test for liver, gall bladder
blood test for liver, gall bladder, deep breathing: Hi Amy, How high up on the right side is the pain? Is it related to deep breathing? If she had a severe case of Mono, even though she s feeling better she could have lingering weakness and lethargy is she does too much. Symptom relapses have been known to...

Family, Internal Medicine, General Medical Questions: postpartum joint pain, bad fingers, omega 6
bad fingers, omega 6, plant oil: check with your doctors of course but in our work this is the toxic levels of omega-6 plant oil you are eating, see http://efaeducation.nih.gov for more explanation of the toxic effect of the plant oil in modern foods Also magnesium deficits in our water...

Family, Internal Medicine, General Medical Questions: prevention, desk tops, exercise induced asthma
desk tops, exercise induced asthma, zicam: Jan, Beta-agonists (Albuterol for example) when used correctly and when needed should not cause problems long term. What you may have heard or read about was long term use of inhaled corticosteroids that have issues with osteopenia, etc. But Albuterol...

Family, Internal Medicine, General Medical Questions: question re: osteopenia and exercise, breast cancer survivor, organic dairy products
breast cancer survivor, organic dairy products, adult ballet: Liza, Congrats at being a cancer survivor. My 1st wife is 6 years out from her Br. CA surgery and chemo. Getting on top of bone loss before it becomes a problem is very smart. Obviously the estrogenic compounds OTC supplements are out of the question......

Family, Internal Medicine, General Medical Questions: red pimple-like bumps, tea tree oil, care doctors
tea tree oil, care doctors, 2xs: if the permethrin didn t work, then it isn t scabies.... I would ask for a dermatology referral to get this diagnosed once and for all... I hate to say this, but I am not great at rashes... and a lot of primary care doctors aren t, so if this is not improved,...

Family, Internal Medicine, General Medical Questions: Do results/symptoms indicate MS and/or kidney disease?, high eosinophils, high lymphocytes
high eosinophils, high lymphocytes, low neutrophils: Hi Amie, This doesn’t sound like MS to me. In any event, an MRI of your brain would have shown the tell tale signs. This is also not really a sign of fibromyalgia either. Chronic fatigue on the other hand copuld be responsible for some of your symptoms. The...

Family, Internal Medicine, General Medical Questions: Serious Forgetfulness, hands and fingers, difficult words
hands and fingers, difficult words, forgetfulness: no tests to rule it out.... if memory loss presents... then you have standardized tests to check memory and if abnormal, more workup is indicated.... if you are really worried... it would be worthwhile seeing a neurologist once to get some reassurance... hope...

Family, Internal Medicine, General Medical Questions: Severe groin pain, medication regimen, right groin pain
medication regimen, right groin pain, kidney stone: wow... this is a complicated situation..... groin pain can be bowel problems from mult surgeries, could be a kidney stone, could be an appendix if on the right. Make sure he gets followup, but I can t tell what it is with this complicated history over the...

Family, Internal Medicine, General Medical Questions: Shingles in eye, Shingles, Herpes Zoster
Shingles, Herpes Zoster: Hi Sara and thanks for writing, Most people are infected with this virus as children, and suffer from an episode of chickenpox. The immune system eventually eliminates the virus from most locations, but it remains dormant. Herpes zoster occurs only in...

Family, Internal Medicine, General Medical Questions: Signs & Symptoms Liver Disease, liver disfunction, skin ulceration
liver disfunction, skin ulceration, liver problem: you have only so much power over a parent.... you can advise but can t force anything.... it sounds like he has many more problems than simply a liver problem or skin problem.... urge him to get medical help, but realistically, he has to be the one to say...

Family, Internal Medicine, General Medical Questions: Sinus Infection?, sinus infection, sinus infections
sinus infection, sinus infections, bad tooth: Hi Tonya, Pain is not always a sign of infection perse. As long as you aren t blowing greenish-gray mucous you probably don t have a bacterial infection. You can have a viral sinus infection which can cause symptoms but for which there is no treatment except...

Family, Internal Medicine, General Medical Questions: Stomach Flu or Flu Flu?, family christmas photos, stomach flu
family christmas photos, stomach flu, watery diarrhea: Hi mayu, It sounds like you have a gastroenteritis (viral illness). Just drink fluids and avoid food till all this quiets down. If you aren’t well enough to go to school then you should stay home and rest. There is a good chance that this will pass in the...

Family, Internal Medicine, General Medical Questions: Stomach virus, stomach virus, clear liquids
stomach virus, clear liquids, milk cheese: often when you get the virus, the intestinal layer sloughs off and has to regenerate.... sometimes it is slow to regenerate to digest complicated proteins like milk products.... keep the diet bland, avoid milk/cheese/butter. Initially go on clear liquids...

Family, Internal Medicine, General Medical Questions: Swelling, signs of menopause, calfs
signs of menopause, calfs, bloodwork: as long as you are sure the labs were normal.... then you can wait. If the swelling goes down in the morning, you can prevent it with support hose that you can get at any clothing store, walmart, etc, up to the calf. those must be put on first thing in the...

Family, Internal Medicine, General Medical Questions: Swollen Lymph nodes, swollen lymph nodes, dentist visit
swollen lymph nodes, dentist visit, swollen nodes: Hi Ralph, Not likely Mono and Lymphoma is a real stretch. I wouldn t want to presuppose what you DDS would or wouldn t consider a emergency. Ibuprofen would be just fine to try. Nodes usually are slow to decrease in size so don t expect a few doses of Ibuprofen...

Family, Internal Medicine, General Medical Questions: Swollen lymph nodes, viral throat infection, swollen lymph nodes
viral throat infection, swollen lymph nodes, insect bite: persistent tooth problem means persistent dental pain or infection.... most of the time fixing a tooth fixes the problem, sometimes not.... I would doubt the insect bite and the viral infections should go away in less than 2 weeks.... yes, motrin/ibuprofen...

Family, Internal Medicine, General Medical Questions: skin breaking out, cold weather, detergents
cold weather, detergents, dry skin: this sounds more allergic with red burning skin.... the hard part is figuring out what is causing the reaction.... it is a difficult detective hunt... could be clothes, detergents, lotions, foods, medications...... keep track when it gets worse or better to...

Family, Internal Medicine, General Medical Questions: stomach, milk of magnesia, stomach fullness
milk of magnesia, stomach fullness, upper stomach: Hi Tiffany, I wouldn t think it s your Pancreas. I would, though, stop taking over the counter medicines too because you are treating an unknown problem and might make it unitentionally worse. Try staying on a liquid diet for the next few days and see what...

Family, Internal Medicine, General Medical Questions: strep throat, swollen lymph node, chicken noodle soup
swollen lymph node, chicken noodle soup, health female: I didn t see where you said you def had strep throat, but it sure sounds like it.... rapid onset, bad symptoms.... ceftin will cover it.... as long as you can swallow the pills..... if you give it 36 hours, things will start to get better.... it knocked me...

Family, Internal Medicine, General Medical Questions: strep throat, swollen lymph node, chicken noodle soup
swollen lymph node, chicken noodle soup, oral antibiotics: Hi Jen, By consulted do you mean being seen or was this just a phone call? The antibiotics may take a day or two to work so I d wait at least one more day. The lymphnode is only draining the infection so it s size and the pain are nothing that needs treatment....

Family, Internal Medicine, General Medical Questions: swollen ankles and feet, signs of menopause, swollen ankles and feet
signs of menopause, swollen ankles and feet, compression stockings: Hi Diana, First, I would limit or completely exclude salt from your diet as recommended. Fluid collection is not uncommon with menstruation. Also summer is a common time for legs to swell. Sitting with your legs down will also make swelling worse. Try wearing...

Family, Internal Medicine, General Medical Questions: Type 1 Diabetes, oral meds, type 1 diabetes
oral meds, type 1 diabetes, typical age: it is not written in stone that you are Type I at this point... some people with type II can develop ketosis and Type I symptoms.... but when under good control, can be managed on oral meds or simply diet.... without seeing all records, it is hard for me to...

Family, Internal Medicine, General Medical Questions: testosterone, free testosterone, testosterone injections
free testosterone, testosterone injections, pituitary dysfunction: there are different protocols.... some are mixed with testosterone injections..... you might look up Hawthorne Pharmacy in Columbia.... they do formulating and do a lot of that and can give you specifics, but you will still have to go through someone locally...

Family, Internal Medicine, General Medical Questions: tingling in shoulder muscle, shoulder muscle, blood flow
shoulder muscle, blood flow, old woman: Hi Michelle, This could simply be an irritation of a branch of a cutaneous nerve (one that serves the skin) in that area. The other and more significant possibility is that one of the major nerves that exit the neck and upper back could be pinched. I m glad...

Family, Internal Medicine, General Medical Questions: no white cells, routine blood tests, white blood cells
routine blood tests, white blood cells, white cells: NO WHITE CELLS? I find that hard to believe.... a low count is one thing.... but no cells is a problem..... let me know this information is correct...... and also specify which enzyme was high... there are multiple enzymes typically checked on routine blood...

Family, Internal Medicine, General Medical Questions: Zocor and Tricor treatment, osu center for integrative medicine, complex carbs
osu center for integrative medicine, complex carbs, liver problem: While safe to take together your real problem is the no-carb gene you have that lets your liver convert your non complex carbs into lipids so the real answer is a no carb diet and nutritional lipid control system used at the OSU Center for Integrative medicine...

Family, Internal Medicine, General Medical Questions: 16 month old, mustard yellow, red dots
mustard yellow, red dots, brown hue: there are a few concerns about her.... she might have some digestive abnormality where she can t absorb food properly..... taking a laxative is not normal for a child her age.... she needs a full eval from her pediatrician. the nose running doesn t worry...

Family, Internal Medicine, General Medical Questions: Abnormal CBC results, absolute neutrophils, c reactive protein
absolute neutrophils, c reactive protein, cbc results: It is important that he gets CMV test done. What is the test mono ? for futher communication use my email: medlifeasia@gmail.com The pregnant lady needs lot of routine tests you can read them on my wite http://drhalidmunir.googlepages.com The doctor...

Family, Internal Medicine, General Medical Questions: Amoxicillin, bacterial resistance, amoxicillin
bacterial resistance, amoxicillin, room temperature: Hi jerri, One year if they’ve been kept in the dark at room temperature. Just remember, If you chose to use these anyway and if you don’t have a full course of antibiotics, in this case a minimum of twenty-one capsules, they will be of no value and may do...

Family, Internal Medicine, General Medical Questions: abnormal eeg, eeg, mri
eeg, mri, specifics: Hi Anne, The term “abnormal” is ambiguous and doesn’t specifically tell the problem. You’ve left a lot of your history out as to why you had an EEG in the first place. I can’t offer any comment based on the limited information you’ve so far provided. I’d...

Family, Internal Medicine, General Medical Questions: amoxicillin: Shelf life, antibiotic use, definite indication
antibiotic use, definite indication, chemical changes: Hi Steve, Well, first, you should never have “left over antibiotics”. That usually means you didn’t finish the course. I would never take any antibiotic just because you have a fever. Not all fevers are due to bacterial infections and taking antibiotics without...

Family, Internal Medicine, General Medical Questions: Baby Oil that won't cause an irritation to a womens private areas, vaginal irritation, pleaseure
vaginal irritation, pleaseure, hi adam: Hi Adam, There are massage oils for that specific purpose that are sold in Adult Book and Toy stores. I don’t know where you live, but most bigger cities have these types of stores. In fact if I’m not mistaken, Malls often have a chain store called Spencer’s...

Family, Internal Medicine, General Medical Questions: Bloodwork, hepatitis b surface antigen, antigen hepatitis b
hepatitis b surface antigen, antigen hepatitis b, hep c: some of the tests are really out of line, specifically from what you told me....... Part thrombop time, Factor VIII, Heb B testing, Hep C testing, the others you listed are probably defensible.... but those, without any specific symptoms are kind of bogus........

Family, Internal Medicine, General Medical Questions: Boils on feet, fungus infections, footware
fungus infections, footware, abscesses: Hi Dan, It is exceedingy rare to have true “boils” on the sole of your feet. Are you talking about blisters? If so, it could be from a number of things from poor footware to fungus infections. Boils to me means abscesses and I doubt that is what you have....

Family, Internal Medicine, General Medical Questions: blood test results, blood test results, alk phos
blood test results, alk phos, basophils: RBC and Hematocrit... mildly low... probably not a big deal but should be worked up, especially if you don t have periods anymore. The Alk Phos means nothing. The potassium prob doesn t mean anything either.... if the reflux doesn t respond to treatment,...

Family, Internal Medicine, General Medical Questions: How to boost the immune system, omega 3 6 9 fatty acids, viral throat infection
omega 3 6 9 fatty acids, viral throat infection, bacterial throat infection: Hi Susanna, You are doing everything you can right now. You might also try multivitamis and taking Omega 3-6-9 fatty acids. Just because you are having repeated upper respiratory infections doesn’t necessarily mean that your immune system is not working....

Family, Internal Medicine, General Medical Questions: Colds?Sinusitus/Allergies???, allergies to dust mites, pollen bees
allergies to dust mites, pollen bees, nasal polyps: Hi Ralph, I disagree with this statement. Antibiotics are too often given at the first sign of a runny nose and as such are over kill. The comment about Afrin is a dangerous one as Afrin can be addictive. Just treat it as a cold and let nature heal you...

Family, Internal Medicine, General Medical Questions: Concerns about muscle jerks---myoclonus and related?, essential tremor, borucki
essential tremor, borucki, frova: this certainly could be related to medications. You have such a complicated medical history that I wouldn t even think about offering advice over the internet.... you need to see your primary doctor or get referred to a neurologist to evaluate this. You...

Family, Internal Medicine, General Medical Questions: cardio excersize, tae bo fitness, fatty liver
tae bo fitness, fatty liver, heavy drinker: fatty liver doesn t mean much esp if you are overweight even a little bit. I would do both exercise and work towards stopping cigs together... you won t hurt yourself by trying to work out at your age.... consider the nicotine supplements like the gum or...

Family, Internal Medicine, General Medical Questions: cardio excersize, tae bo fitness, fatty liver
tae bo fitness, fatty liver, weight loss exercise: Hi Tiffany, The fancy word is “hemangioma”. Those are not uncommon and as a rule are not anything to worry about. Fatty liver can be made better by weight loss, exercise and eating healthier. As for cardio, I would just start slow and work your way u...

Family, Internal Medicine, General Medical Questions: chest x ray, chest xray, chest x ray
chest xray, chest x ray, coronary artery disease: a chest xray report gives minimal good information cardiac fullness means his heart is at the upper limit of size based on that test..... depending on his age, he might have a stress test to make sure there is no coronary artery disease, but that simple...

Family, Internal Medicine, General Medical Questions: chronic illnesses, third world countries, magnesium oxide
third world countries, magnesium oxide, chronic illnesses: While these may contribute some the real underlying cause of chronic disease in the non-third world countries are; 1)omega-6 plant oil excess, see http://efaeducation.nih.gov 2)magnesium oxide deficiency,go to http://www.ncbi.nlm.nih.gov/sites/entrez search...

Family, Internal Medicine, General Medical Questions: congestion, capillary resistance, mechanism of fever
capillary resistance, mechanism of fever, systolic and diastolic pressure: Hi Sasso, The reason for edema is that venous blood flow is passive and totally reliant on arterial pressure based on the end capillary resistance from the arterial side. If the aterial side is the source of the problem (poor pump function or arterial wall...

Family, Internal Medicine, General Medical Questions: D.O., doctor of osteopathy, ve don
doctor of osteopathy, ve don, quackery: Hi Mark, An MD and a DO (Doctor of Osteopathy) are trained the same, have the same knowledge base.They are as qualified as MD’s to render medical care. The only difference is that DO’s are further trained in musculoskeletal manipulation, not to be confused...

Family, Internal Medicine, General Medical Questions: Effects of alcohol on my body, oil education, heart doctor
oil education, heart doctor, omega 6: You could have an arterial block so see your heart doctor since your overall problem is the lack of magnesium oxide in the water and food supply plus the high level of omega-6 plant oil in your diet. see http://efaeducation.nih.gov for the plant oil education...

Family, Internal Medicine, General Medical Questions: Extreme fatigue and leg weakness, chronic fatigue syndrome, borderline personality disorder
chronic fatigue syndrome, borderline personality disorder, thyroid test: Hi Candice, Well, this could be from a number of things. Thyroid doesn’t sound to me like a likely cause. If you haven’t had a brain MRI, I would suggest that. Chronic fatigue syndrome would be another possible cause and even worsening depression can bring...

Family, Internal Medicine, General Medical Questions: ears, cartilige, outer ear
cartilige, outer ear, random question: There s no reason to worry that they ll get stuck that way. Boxers sometimes get blows to the ears that deform them, but that is not normal. Sleeping on your ears or yanking or accidentally bumping them won t affect the outer ear s appearance or function...

Family, Internal Medicine, General Medical Questions: A Few Medical Questions, glass fragments, meticulous work
glass fragments, meticulous work, riding in the car: 1) usually we don t shave heads unless we have to do laceration repair that requires meticulous work. The glass comes out on it s own usually. 2) i have seen it both ways.... I have told people, or I have had family in when I told them, but usually the...

Family, Internal Medicine, General Medical Questions: How to boost the immune system, soft palate, tonsils
Family, Internal Medicine, General Medical Questions: How to boost the immune system, soft palate, tonsils, sleep

Family, Internal Medicine, General Medical Questions: general feel, premature ventricular contractions, abscessed tooth
Family, Internal Medicine, General Medical Questions: general feel, premature ventricular contractions, abscessed tooth, tooth infection

Family, Internal Medicine, General Medical Questions: facial nerve damage, pena jm, hospital la paz madrid
pena jm, hospital la paz madrid, hospital la paz: Actas Dermosifiliogr. 2007 Jan-Feb;98(1):45-6.Related Articles, Links [Frey s sydrome in childhood] [Article in Spanish] Díez E, Boixeda P. Servicio de Dermatología, Hospital General Universitario de Guadalajara, Guadalajara, Universidad de Alcalá...

Family, Internal Medicine, General Medical Questions: general feel, nuclear stress test, 100 bpm
nuclear stress test, 100 bpm, mri brain: Hi Matt, Parkinsons at your age would be the last thing I would consider. It sounds like you have had a good evaluation so far. You said you’ve tried antidepressants with no help. Was that just one or many? This sort of sounds like anxiety realted based on...

Family, Internal Medicine, General Medical Questions: H Pylori, h pylori, stomach ulcers
h pylori, stomach ulcers, stomach pain: if there is no stomach pain, reflux, gerd, stomach ulcers, then don t test for H Pylori in family..... if you have it and have the above symptoms, get treated and see if it helps.... not all stomach pain (or even a big percentage) is due to H Pylori...........

Family, Internal Medicine, General Medical Questions: Hemmorhoids and Vitamin Supplements, protruding hemorrhoid, low blood pressure
protruding hemorrhoid, low blood pressure, cholesterol level: Hi David, Hemorrhoids will be an intermittent life long problem and get worse with age. Keep your stool soft (not runny or hard) with daily fiber intake and plenty of water. Avoid strenuous activity that causes a lot of grunting as that causes intrabdominal...

Family, Internal Medicine, General Medical Questions: Hemmroids, external hemmroids, ebay
external hemmroids, ebay, venapro: venapro is garbage.... if the hemm s don t hurt, leave them alone... surgery tends to scar the area unless you have a simple rubber banding procedure.... talk to your doc about it but the full surgery is painful and it really scars that area up and may make...

Family, Internal Medicine, General Medical Questions: Hemmroids, external hemmroids, external hemorrhoids
external hemmroids, external hemorrhoids, ebay: Hi Ruthel, I know nothing about venapro. As a rule, I would not trust or take any medicines sold on eBay. There is nothing you can do about the appearance of the external hemorrhoids. They are going to stay that way. If you really want them gone, sometimes...

Family, Internal Medicine, General Medical Questions: Humerus Bone, mid shaft, humerus bone
mid shaft, humerus bone, pins: humerus is the upper bone in the arm..... it depends where it breaks... if it is in the mid shaft, it has to be stabilized with pins, etc.... if it is right at the joint, often it only needs to be splintet or slinged.... without the details, I can t give you...

Family, Internal Medicine, General Medical Questions: Husbands testicular pain, prostate infection, testicular pain
prostate infection, testicular pain, testicle: you didn t give an age, but the younger someone is (in 20 s) the more likely there possibly could be testicular ca. But probably from chronic trauma or a low level testicle or prostate infection...... I would get him followed by a good primary care doc who...

Family, Internal Medicine, General Medical Questions: ileostomy bloating, bile salts, pelvic floor reconstruction
bile salts, pelvic floor reconstruction, reconstruction surgery: watch out for inability to digest certain foods.... especially milk products---- milk/cheese/butter/ice cream, etc; The water should get absorbed. This will be diet related, or you might try some oral cholestyramine (prescription powder for chol) that can...

Family, Internal Medicine, General Medical Questions: increased iron, iron deposition, iron skillets
iron deposition, iron skillets, finger joints: Hi Brinz, Given the sudden increase in iron levels I would ask your doctor to do a Ferritin and TIBC level. You want to make sue that you are not developing iron deposition disease as that can be a problem and needs treatment. I’m not sure I buy the “iron...

Family, Internal Medicine, General Medical Questions: infant acid reflux, acid production, ranitidine
acid production, ranitidine, burps: yes, if she gets a big burp or two small burps, you can put her down before 20 minutes . and I think its not fair to give a small child ranitidine. you may give her HOMEOPATHIC- natrum phos 12x (or 30x) one drop twice a day and stop it when her problem...

Family, Internal Medicine, General Medical Questions: inhury to lower leg, periosteum, heating pad
periosteum, heating pad, steel bar: if the skin was not broken, you could have bruised the bone and separated the bone covering (periosteum) from the bone with the bruise... you might not see it externally.... at this point, motrin and a heating pad might help. Other possibility is a small...

Family, Internal Medicine, General Medical Questions: Jaw pain/Lymph node, water pot, lymphnode
water pot, lymphnode, tender spot: Hi Ralph, I have no explanation for this lingering respiratory condition other than what I’ve already said. What I would be doing is getting on with my life and not focusing on this. I have had an upper respiratory illness that has been “hanging on” for 6...

Family, Internal Medicine, General Medical Questions: jock itch, jock itch, cotton underwear
jock itch, cotton underwear, sexual intercourse: it is hard to transmit.... but can be.... it is usually self inflicted meaning if there is a warm wet area, then yeast can grow.... we are colonized with yeast and it takes something to set it off.... it is slow to come on and slow to resolve..... use Lamisil...

Family, Internal Medicine, General Medical Questions: joint pain fatigue, high prolactin level, anxiety and panic attacks
high prolactin level, anxiety and panic attacks, bladder surgery: wow.... that is quite a list of medical problems.... I am glad you are on the right track. I would encourage you to make sure the prolactin (pituitary gland) has been properly evaluated and that your thyroid has been properly evaluated. You should have a...

Family, Internal Medicine, General Medical Questions: Would KY Make it Impossible To Concieve?, grape seed extract, water soluable
grape seed extract, water soluable, life span: Hi Ayelet, KY JELLY is water soluable and as such would not hinder sperm activity or life span. If you use too much it could slow down sperm travel and THAT might prevent successful fertilization. Grape seed extract is a good lubricant and not much is needed....

Family, Internal Medicine, General Medical Questions: Liquid going 'down wrong way' when swallowing, windpipe, wrong way
windpipe, wrong way, lungs: Hi James, This phenomena is due to a problem with the epiglottis closing in time to co-ordinate with swallowing. It is not an uncommon thing. Most people will do this a number of times in a lifetime. The second swlllow you described has nothing to do with...

Family, Internal Medicine, General Medical Questions: lipitor/liver testing, liver enzymes, lipitor
liver enzymes, lipitor, meds: Hi Lee, No, the guidelines haven’t changed. If there is no paticular reason to check liver enzymes more than once a year, annual testing is the norm. I don’t know if the doctor has other reasons for every 6 month labs (there are reasons for that if you are...

Family, Internal Medicine, General Medical Questions: does it have something to my liver or what?, gall bladder disease, frequent urination
gall bladder disease, frequent urination, ultrasound imaging: Hi Matin, You might have knocked out much of the normal fora in your gut with all those antibiotics. That could impede digestion. Try a product called LACTINEX and see if your symptoms resolve. If not, then it might be a gastritis or gall bladder disease...

Family, Internal Medicine, General Medical Questions: loss of appetite, barium swallow test, loss of appetite
barium swallow test, loss of appetite, protein shake: i strongly feel its purely psychological. give him semisolid food after keeping him hungry for five hours. counseling is also needed. you need to be little strong in this matter. what is the nature/behaviour of the child generally? is he stubborn in other...

Family, Internal Medicine, General Medical Questions: MEDICATIONS, family dr, adipex p
family dr, adipex p, coumadin: YOur family doctor who is responsible for coordinating your care and knowing what other consultants are telling you should be told about the adipex. I am not familiar with this drug and would strongly advise you to keep the coumadin prescribing doctor in...

Family, Internal Medicine, General Medical Questions: Mother's Health., natural calcium, liquid calcium
natural calcium, liquid calcium, high potency: She needs to get checked for anemia at her doctor s office. In the meantime, a multivitamin with IRON is key, to take with orange juice, which improves the iron s absorption in the body. Double check with her doctor that this is fine. Iron is best absorbed...

Family, Internal Medicine, General Medical Questions: Do I ned to be worried?, body temp, circulatory problems
body temp, circulatory problems, physical fitness: There are a few circulatory problems of the hands/feet that are not age dependent and can affect healthy people. I d get to the doctor to find out if you may have one of these conditions. Unfortunately physical fitness and age don t help, but if you smoke,...

Family, Internal Medicine, General Medical Questions: Odd symptoms, diabetes a1c, borderline diabetes
diabetes a1c, borderline diabetes, blood sugars: with all these headaches, it is going to require a workup, unless this is a simple sinus infection that will pass over the next week. you might try a little decongestant, like afrin nasal spray for a day or two but after that, you may need to have a workup...

Family, Internal Medicine, General Medical Questions: office visit, ingrown toenail, copay
ingrown toenail, copay, sliver: That is an insanely high fee. Good thing you didn t pay or else your insurance may have never reimbursed you for paying cash. I think you did the right thing and if your insurance doesn t pay, you need to write a letter to the office manager complaining...

Family, Internal Medicine, General Medical Questions: Participating in TMS study for OCD, obsessive compulsive disorder, peer reviewed journals
obsessive compulsive disorder, peer reviewed journals, sound group: Your question took some reading and thought, so I m so very sorry it took me so long to finish thinking about it. About the clinical trial, it appears to be a sound group of researchers, but I would ask who is funding it and I would ask to read PEER REVIEWED...

Family, Internal Medicine, General Medical Questions: Patch on penis., nappy rash, cotrimoxazole
nappy rash, cotrimoxazole, mometasone: You are most welcome. You can also read about prevention and care of medical problems and common care of children on my site. I also have a centre for providing immunotherapy of cancer at cheapest rates in the world which is also given in detail on my site....

Family, Internal Medicine, General Medical Questions: pain in left lung under left arm and left upper breast bone, upper breast, breast area
upper breast, breast area, breast bone: I don t understand run over ... if by a car... then get it checked... if being hit.... then give it a couple weeks then you may need to get checked to make sure nothing is seriously bruised.... gabapentin is for seizures and chronic pain.... not simply for...

Family, Internal Medicine, General Medical Questions: panic or fibromyalgia, panic attack symptoms, hormonal fluctuations
panic attack symptoms, hormonal fluctuations, facial muscles: Hi Gina, You seems to equate these occurrences with your cycle, so there would seem to be a connection. I would not think fibromyalgia given what you have said. Anxiety or panic is a good thought especially given the description. The hormonal changes themselves...

Family, Internal Medicine, General Medical Questions: post pregnancy weight loss, high carb foods, breast feed
high carb foods, breast feed, breast feeding: Several things happen during pregnancy to increase the diet and body mass so the pregnancy is safe. After the pregnancy is over the mother continues to eat at the same rate and selects the high carb foods that continue the weight problems Ask your doctor...

Family, Internal Medicine, General Medical Questions: question, protein lab, c reactive protein
protein lab, c reactive protein, ovarian cysts: Hi Traci, C-reactive protein is a marker of inflammation but not a specific marker for heart disease. It’s hard to know just why it is elevated. If your cardiologist isn’t worried, I wouldn’t be either. As for the “EGFR“, please spell out the entire test....

Family, Internal Medicine, General Medical Questions: re immunization for twinrix, dose one, twinrix
dose one, twinrix, immunization: I am estimating the numbers, but about 65% are immune after the first dose and about 87% after the second and 95% after the third.... the easy way is to test for Hep B Surface AB and if your husband is positive, he is immune.... Hep A is kind of a non-issue.......

Family, Internal Medicine, General Medical Questions: Sinus~Colds~Allergies, what's what?, sinus congestion, nasal lavage
sinus congestion, nasal lavage, allevert: Hi Ralph, The bacterial infection is accompanied by fever, facial pain and what is called “mucopurulent” nasal discharge. This is essentially pus. You have to realize that the treatments won’t “cure” this stuff. They are only meant to TRY to manage the symptoms....

Family, Internal Medicine, General Medical Questions: Sinusitus/Cold/Allergies???, allergies to dust mites, pollen bees
allergies to dust mites, pollen bees, nasal polyps: it sounds like an early sinus infection... you could try Afrin nasal spray twice a day for a day or two, but if not better, you might need antibiotics for a sinus infection....... claritan and nasonex work well for allergies, and they don t work for infections...

Family, Internal Medicine, General Medical Questions: Statins and AF, general good health, cholesterol profile
general good health, cholesterol profile, oil education: Yes, but check with your betablocker doctors since your overall problem is the lack of magnesium oxide in the water and food supply plus the high level of omega-6 plant oil in your diet. see http://efaeducation.nih.gov for the plant oil education see www.pubmed.gov...

Family, Internal Medicine, General Medical Questions: Been sick for four weeks, blood streaked phlegm, moderate fever, cough syrup
moderate fever, cough syrup, minute breaks: you need to get on antibiotics at least, the best is to get a chest xray to make sure you don t have pneumonia..... often these are viral early on but if they last like this, you probably need antibiotics for a bacterial infection, either bacterial bronchitis...

Family, Internal Medicine, General Medical Questions: left side chest pain, palpatations, skipping heart beats, left side chest pain
skipping heart beats, left side chest pain, triglycrides: Hi Michael, If you are having pain everyday and is described by pinching, it is probably not your heart given the negative cardiac workup you have had. The elevated blood pressure and skipping heart beats can be from anxiety over the chest pain. it’s hard...

Family, Internal Medicine, General Medical Questions: left side chest pain, palpatations, left side chest pain, zantac 150
left side chest pain, zantac 150, chest wall pain: Given your age and I assume you aren t abusing speed or cocaine, it is incredibly unlikely that this is coronary disease... you had all the heart tests, so this leaves us mostly with reflux disease (esophagus irritated and spasms) or chest wall pain. I...

Family, Internal Medicine, General Medical Questions: my sons testicle, testicular torsion, step brother
testicular torsion, step brother, internal med: This sounds A LOT like epididymitis, a condition that makes the testicle feel like it is unraveling or stringy, like you say. I can t diagnose, of course, since I m a nurse and neither oculd a doctor diagnose via the internet. He needs to see a family practice/internal...

Family, Internal Medicine, General Medical Questions: sore throat + low grade fever, low grade fever, nasal congestion
low grade fever, nasal congestion, night today: I don t know your medical history or if you ve been exposed to anyone with the flu, strep throat, etc, but assuming you have no major medical problems and have no reason to think you have anything besides a cold, if I were you, I might increase my fluid intake...

Family, Internal Medicine, General Medical Questions: toddler tonsillitis, recurrent strep throat, high fever
recurrent strep throat, high fever, tonsillectomies: the antibiotics aren t hurting him..... when he gets tonsillitis, get his strep test checked and if he gets recurrent strep throat, find out if one of the family is a carrier or if he gets it at day care, etc? and ask the peds doc... we don t usually do...

Family, Internal Medicine, General Medical Questions: Under arm pain, routine blood test, care physican
routine blood test, care physican, medical abortion: blood clots are arare... but arm pain makes me worry about infections, usually in the R armpit..... but with these symptoms, you may need to have the CBC/bloodwork repeated if you aren t feeling better. I doubt blood clot but it could be a primary shoulder...

Family, Internal Medicine, General Medical Questions: undiagnosed pain in torso, arm numbness, pinched nerve
arm numbness, pinched nerve, allergic response: yes, the arm numbness could be shoulder/neck... I would tend to diagnose it first as opposed to having it treated through chiropractice medicine. The lung symptoms... it is too much of a stretch for me to guess without seeing someone.... sorry... hope...

Family, Internal Medicine, General Medical Questions: Arm pain after shingles, herpes zoster, shingles vaccine
herpes zoster, shingles vaccine, desk job: Hi Pam, This is not unusual after a Herpes Zoster episode. This kind of pain can potentially last for months and even years. There are treatments to help with pain. I would ask your doctor about this. I would also look into getting the Shingles vaccine...

Family, Internal Medicine, General Medical Questions: antibiotic allergies, chronic ear infections, connective tissue disorders
chronic ear infections, connective tissue disorders, heart attack risk: We look at the 1)ESR which measure the inflammatory proteins coating the red cells, 2)monocyte count which reflects the plant oil toxicity from foods see http://efaeducation.nih.gov which shows the heart attack risk but correlates with connective tissue...

Family, Internal Medicine, General Medical Questions: atrial flutter, urine specific gravity, right atrium
urine specific gravity, right atrium, sa node: urine sp gravity varies by so many things that it can t be used as a marker in heart failure.... in the absence of kidney disease, a BNP, basic naturetic peptide is a great marker for heart failure. as far as your last statement, there are too many variables...

Family, Internal Medicine, General Medical Questions: Based on tests and info, is ERCP warranted? Other suggestions?, colon cleansing products, common bile duct
colon cleansing products, common bile duct, gastric biopsy: the second opinion should come from another gastroenterologist.... and it should depend on your symptoms.... if they aren t that bad and you can live with it, wait a while... if they are bad, and you are worried about complications, then ask for a referral...

Family, Internal Medicine, General Medical Questions: Black eye, tear duct, black eye
tear duct, black eye, blood vessel: prob had some irritation or a small blood vessel opened up and bled... if irritated, you might have rubbed it and caused a little bleeding..... but if it is only around the eye and not the eye itself, it will go away in 3 weeks and not cause you any further...

Family, Internal Medicine, General Medical Questions: Brain damage due to drug overdose., bystander cpr, hypoxic brain injury
bystander cpr, hypoxic brain injury, alcohol overdose: Sandy, The statistics are pretty sad on in the field cardiac arrest. Less than 5% of victims of cardiopulmonary arrest out side of the hospital will survive a month after the episode or make it out of the hospital. In-house CP arrest is a little better....

Family, Internal Medicine, General Medical Questions: Broken blood vessel in thumb without any trauma, broken blood vessel, vessel rupture
broken blood vessel, vessel rupture, purple mark: Hi Angela, This sounds serious and I would ask your doctor about it. If it IS a broken blood vessel and it has happened before, something is not right and needs to be addressed. Spontaneous blood vessel rupture is common but more that once makes it mose concerning...

Family, Internal Medicine, General Medical Questions: Bruised Penis, minor discomfort, hickey
minor discomfort, hickey, erection: Hi Larry, You need to nothing.This is the result of excess suction. It drew blood into the penis and caused, for want of a better term, a super hickey. It will disipate on it s own. I would recommend avoiding oral sex till this has cleared up. If this occurs...

Family, Internal Medicine, General Medical Questions: BULIMIA, swollen glands, foremost concern
swollen glands, foremost concern, binge: Hi King, Bulemia can lead to rupture of the esophagus which can be fatal. I’m surprisd your doctor hasn’t suggested psychotherapy rather than just commenting the health of your teeth. It is time to do something substantive to end this behavior. This is a...

Family, Internal Medicine, General Medical Questions: bartholin cyst-pregnant, word catheter, warm compresses
word catheter, warm compresses, recurrence rates: recurrence rates are questionable.... it depends how good the word cath works, ie, how long it stays in... I think it should stay in something like 6 weeks or 9 weeks.... it has to completely create a new opening that won t close up... and that takes time.......

Family, Internal Medicine, General Medical Questions: how to become a doctor in usa as a foreigner, studying medicine, medical graduate
studying medicine, medical graduate, how to become a doctor: I don t know all the steps, but you have to finish medical school; then take the FMG test (foreign medical graduate) then do a united states residency program in a specialty. I would search the FMG test and see what the requirements are for that..........

Family, Internal Medicine, General Medical Questions: Where my body goes wrong?, iron infusion, stomach ache
iron infusion, stomach ache, fatty liver: Yes you lack magnesium oxide which was in our water before we went to city, soft and bottled water so ask your doctor about taking it four times a day. Curr Opin Lipidol. 2008 Feb;19(1):50-6.Related Articles, Links Role of dietary magnesium in cardiovascular...

Family, Internal Medicine, General Medical Questions: brain, brain cells, brain damage
brain cells, brain damage, soccer ball: Hi Nick, That is not entirely true. Getting hit in the head hard enough to alter consciousness can cause microhemorrhages in the brain. This can lead to problems if it is done regularly as in boxing and football. I have also heard that there is now concern...

Family, Internal Medicine, General Medical Questions: brain injury possible, brain cells, brain damage
brain cells, brain damage, brain injury: it is very hard to evaluate how much brain damage there is... there aren t good studies to see if IQ has been decreased... just try to decrease the amount of injury for long term success.... if you measured IQ day to day, it would vary, so using it...

Family, Internal Medicine, General Medical Questions: Chromium, chromium picolinate, mcgs
chromium picolinate, mcgs, saleeby: Ada, 120 mcg (micrograms) of Chromium is a rather conservative dose. 25mcgs is even lower. Routinely doses as high as 200mcg of elemental chromium are given. Higher if it is Chromium picolinate. So a dose of 120 mcgs is just fine and non-toxic. http://www.fda.gov/ohrms/dockets/dockets/04q0144/04Q-0144_emc-000003-01.pdf...

Family, Internal Medicine, General Medical Questions: chlorine taste when coughing, sinus drainage, flu vaccines
sinus drainage, flu vaccines, chlorine taste: Hi Greg, I have heard the rumors surrounding Splenda but I have been withholding reservations as none have been studdied extensively. So, to blame that would be premature. As for your sinus issue, anything that infects aand or changes the normal flora in...

Family, Internal Medicine, General Medical Questions: Dizzy when I move my eyes..., sinus pressure, sinus infection
sinus pressure, sinus infection, anti convulsant: Hi Paul, Thanks for those posts. If your dizziness occurs when moving your eyes, it may simply be an inner ear dysfunction brought on by the repiratory virus. I would doubt that Klonopin would cause that at this point. There may also be an anxiety component...

Family, Internal Medicine, General Medical Questions: depression, diagnosis of depression, appetite loss
diagnosis of depression, appetite loss, loss of sleep: Hi Kellie, Firstly, everybody has “blue days” and a diagnosis of depression really requires a continuous sad feeling for 6 months. Also there are what are called “losses”. Loss of appetite, loss of sleep, loss of pleasure, loss of interest in things that...

Family, Internal Medicine, General Medical Questions: diabetes, glucose tolerance test, blood glucose levels
glucose tolerance test, blood glucose levels, c peptide: Al, A fasting (8hrs) blood glucose over 124 is somewhat diagnostic of DM (cannot determine type I or II) and is called insulin resistance if patient is obese and insulin levels or c-peptide is high. If c-peptide is very low and insulin levels are low with...

Family, Internal Medicine, General Medical Questions: earlobe infection, warm compresses, free earrings
warm compresses, free earrings, steroid cream: I wouldn t worry about a topical cream hurting you or the baby if nursing. I would wonder whether this is an infection or a reaction to the earring and the polysporin... a good 20% of people react to the polysporin.... you might take a step back, stop everything...

Family, Internal Medicine, General Medical Questions: earlobe infection, warm compresses, free earrings
warm compresses, free earrings, oral antibiotics: Hi Mar, I wouldn t ever use neosporin for anything as that can make infections worse. Polysporin is OK but Bactroban might be a better choice along with the warm moist compresses. You can probably use amoxicillin even though you are nursing if oral antibiotics...

Family, Internal Medicine, General Medical Questions: elderly aunt, elderly aunt, wonderful life
elderly aunt, wonderful life, liquids: kay; well it would do you better if you talk with the social working at the nursing home,and talk to him or her about your concerns,you most likely get to the answer you need. i know how hard it is to see your aunt going down hill,but remember she is...

Family, Internal Medicine, General Medical Questions: chlorine taste when coughing, chlorine taste, sputum production
Family, Internal Medicine, General Medical Questions: chlorine taste when coughing, chlorine taste, sputum production, daily routine

Family, Internal Medicine, General Medical Questions: Dizzy when I move my eyes..., cymbalta, exact same thing
Family, Internal Medicine, General Medical Questions: Dizzy when I move my eyes..., cymbalta, exact same thing, withdrawal symptoms

Family, Internal Medicine, General Medical Questions: Could my symptoms be side effects of Levaquin?, levaquin, physical therapist
Family, Internal Medicine, General Medical Questions: Could my symptoms be side effects of Levaquin?, levaquin, physical therapist, tendons

Family, Internal Medicine, General Medical Questions: flu vaccine, flu vaccines, flu shots
flu vaccines, flu shots, flu vaccine: I have two young daughters ages 3 and 5. If we get the flu, is it likely they will get serious complications from it since they are so young? Can be more severe for the young and elderly How do most children their age do with the flu? My 3 year old...

Family, Internal Medicine, General Medical Questions: flu vaccine, flu vaccines, flu vaccine
flu vaccines, flu vaccine, flu shots: Hi Michelle, You should get a Flu vaccine booster ASAP as it takes up to 6 weeks for immunoity to be established. Kids and old people do the worst with Flu. I would be especially careful with your asthmatic child. Get in the habit of hand washing and not...

Family, Internal Medicine, General Medical Questions: Gerd Ulcer, stomach ulcers, abcesses
stomach ulcers, abcesses, mirablis: Hi Lynn, It is hard to say that the MRSA was directly related to the pneumonia but with your immune system down from fighting the pneumonia, you may have been more suceptable to the MRSA. You probably should be treated as a staph carrier. This is done by...

Family, Internal Medicine, General Medical Questions: Graves' or RSL, restless leg syndrome, extreme restlessness
restless leg syndrome, extreme restlessness, enlarged thyroid: I don t know that I have heard of anyone having restless leg syndrome at this young age.... I would always look at a possible side effect to medications or thyroid or anemia, or some other disease process masquerading as RLS..... I would have a general evaluation...

Family, Internal Medicine, General Medical Questions: High Blood Pressure or vertigo?, cause of vertigo, nasal passages
cause of vertigo, nasal passages, high blood pressure: dee; most likely something inside your body is causing this to happen to you. indeed it could be your blood pressure, ear infections,the common cold,flu,see there is so many things it can be. so your best bet at this point is,to have a complete exam,from...

Family, Internal Medicine, General Medical Questions: Hives, chronic urticaria, levaquinn
chronic urticaria, levaquinn, leg area: Hi Ralph, Certainly exposure to an initiator can bring on chronic urticaria. These cases usually resolve spontaneously in 1-2 years. If this continues and the hives become more painful that itchy, there may be underlying diseases that need to be looked for...

Family, Internal Medicine, General Medical Questions: hair loss, saleeby, treatable illness
saleeby, treatable illness, serious things: Dawn, I cannot make diagnosis or give medical advice in this forum. However, with the symptoms you state (and no lab testing) I would say see your personal physician right away for a work up. Alopecia (hair loss) and weight loss could spell some serious...

Family, Internal Medicine, General Medical Questions: hi, medical standpoint, malpractice suits
medical standpoint, malpractice suits, having an abortion: complicated question.... why can t the women describe her rapist? You can only tell who the father is by getting blood from the baby and from the potential father and see if the DNA is a match. If these prople are mentally ill, then they probably cannot...

Family, Internal Medicine, General Medical Questions: hi, risky sexual behavior, surgeon generals
risky sexual behavior, surgeon generals, drugs and alcohol: Hi Dana, Every state has their own laws. If a mother knowingly puts her fetus in danger through behavior that is criminal or is negelgent, some states can intervene. The level of that intervention depends on existing laws. Unfortunately, you can not compel...

Family, Internal Medicine, General Medical Questions: hi, risky sexual behavior, surgeon generals
risky sexual behavior, surgeon generals, drugs and alcohol: you are talking about state laws and no state agency has the power to mandate an abortion or even advise one. Some states will arrest and prosecute a pregnant woman for using drugs and therefore giving her unborn child drugs.... (like here in SC with cocaine)...

Family, Internal Medicine, General Medical Questions: Infection from Arm Cut, kidney infections, kidney infection
kidney infections, kidney infection, bladder infection: Hi John, The answer is no. These are two separate infections and have no connection with each other. On an other note, Men usually don’t get kidney infections; prostate in fections, yes, but actual kidney infections, no. This needs to be evaluated further...

Family, Internal Medicine, General Medical Questions: Interesting question..., vaginal wall, waste materials
vaginal wall, waste materials, urinating: Usually the best approach to considering interactions is to examine whether this ever occurs in nature or would have ever occured naturally over history with men and women, and the answer is no. While the urine is never sterile it contains waste materials...

Family, Internal Medicine, General Medical Questions: Kidney stone pain, kidney stone pain, loss of kidney function
kidney stone pain, loss of kidney function, bladder stone: pain comes from the ureter spasming from the stone scraping along, but if it forms in the bladder, it doesn t cause pain unless it can pass thru the penis.... often they enlarge to be too large to pass so no pain....... as far as kidney damage, the creatinine...

Family, Internal Medicine, General Medical Questions: Leg Pain, superficial blood clot, foot and leg pain
superficial blood clot, foot and leg pain, collapsed vein: if someone has a blood clot previously they are much more likely to get another blood clot in the same area.... the dopplers detect big clots in big veins, so she still may have had a smaller one.... esp with the immobility.... so I would suspect she did have...

Family, Internal Medicine, General Medical Questions: Leg Pain, scar tissue pain, foot and leg pain
scar tissue pain, foot and leg pain, collapsed vein: Hi Christy, Like you I would be suspicious that this is the cause of her leg pain. Just what it is, is unclear. One thing that can help scar tissue pain is to massage the scar tissue. This can desensitize it and break it up. This might take a few weeks to...

Family, Internal Medicine, General Medical Questions: Lump, benign fatty tumor, lipoma
benign fatty tumor, lipoma, upper arm: you never know for sure.... one thing I look for is.... is it part of the skin, ie attached, or is it below the skin. Soft or hard.... soft is usually a lipoma, a benign fatty tumor, but hard lumps, esp if enlarging need to be removed or biopsied.... you...

Family, Internal Medicine, General Medical Questions: leg pain and hematoma, mid thigh, leg pain
mid thigh, leg pain, blood clot: I am not a doctor so I can not advise you what medical care to undertake- insurance or not you need to have you leg checked for a blood clot which could turn out to be very serious. That is my advice. Wish I could be more helpful but you need to have that...

Family, Internal Medicine, General Medical Questions: Medical field, dental specialties, medical field
dental specialties, medical field, tme: Hi Derek, You won’t find any of that in medicine. There are never any steady schedules and pay depends on what you specialize in and where you set up shop. And you can forget about controlling your life in medicine especially. The mjority of the tme, in most...

Family, Internal Medicine, General Medical Questions: Mono and Strep C, mono virus, kissing disease
mono virus, kissing disease, wrong person: yes, it is more than possible.... it is pretty common..... 25% of mono people have concurrent strep..... no matter how anal.... he got the mono virus from someone.... usually called the kissing disease. so despite how anal he is, he must have kissed the...

Family, Internal Medicine, General Medical Questions: Mystery Ilness, ear nose throat doctor, low grade fever
ear nose throat doctor, low grade fever, fever blisters: I don t know if I can offer much except I would try a course of antibiotics, even though nothing has shown up.... she has seen appropriate specialists that should pin down something.... I assume she had a cat scan with contrast of her abdomen and pelvis.......

Family, Internal Medicine, General Medical Questions: is margarine safe for health, table spoon, unsaturated fats
table spoon, unsaturated fats, margarine: Hi Jabs, There is less fat in margarine but there are also oils that may not be totally healthy-unsaturated fats. I consider occasional use of either as healthy as long as there is no excess use. Most health problems related to these products have to do with...

Family, Internal Medicine, General Medical Questions: medication's and herb's, driven person, high cholesterol
driven person, high cholesterol, high blood pressure: Hi Mike, You can mix those. The erectile dysfunction and drop in Libido is more likely the metoprolol. I’d talk this over with your doctor so maybe you can switch medicines a long as there isn’t a specific reason to be on the metoprolol other than high blood...

Family, Internal Medicine, General Medical Questions: medication for osteoporosis, saleeby, living in china
saleeby, living in china, last winter: Selena, For osteoporosis medications to help fight and put off this disease are by prescription such as the bisphosphinate drugs (Actonel, etc.). Additionally it is recommended rather high doses of Calcium, Vitamin D, Magnesium and Vit. K. It is...

Family, Internal Medicine, General Medical Questions: numbness during menstral cycle, nerve pathway, herpes outbreak
nerve pathway, herpes outbreak, menstral cycles: Hi Tricia, The only thing that comes to mind, and I certainly hope this isn’t the case, is the surfacing of a herpes outbreak brought on by the stress of your menstrual cycle. What you are describing is an irritation of a nerve pathway from your spinal cord...

Family, Internal Medicine, General Medical Questions: Am I Okay., pot belly, potbelly
pot belly, potbelly, psyllium: Hi Davy and thanks for writing, I am not a Dietician, but from the information you have provided I would say you sound quite fit and at a healthy size and weight for your age and height. A pot belly is not a concern as long as there is nothing sinister...

Family, Internal Medicine, General Medical Questions: Am I Okay., pot belly, alcohol intake
pot belly, alcohol intake, potbelly: there is a lot more to health than height, weight, and BMI.... which is 19.5 (low) by the way. if you have a pot belly, I would wonder about alcohol intake.... also, wonder about cholesterol, blood pressure, etc. So simply height and weight are only small...

Family, Internal Medicine, General Medical Questions: o2 Levels?, blood oxygen levels, red corpuscles
blood oxygen levels, red corpuscles, oxygen saturation: J, The device is a pulse oximeter. It measures via red diodes passing through tissue (usually the finger) oxygen saturation in the red corpuscles (RBCs). Normal O2 Sats as they are called range from 95%-100%. Usually folks with low O2 sats.. in the 90%...

Family, Internal Medicine, General Medical Questions: Panic, abusive stepfather, drug addictions
abusive stepfather, drug addictions, neck muscles: Thank you for your question, and I hope I m answering this quickly, because your concerns are important. You aren t crazy, first. Sounds like you might be one of the only sane people around you. You are trying to cope with some very stressful, violent people,...

Family, Internal Medicine, General Medical Questions: Panic, abusive stepfather, drug addictions
abusive stepfather, drug addictions, neck muscles: you have a complicated situation.... you didn t mention whether you get these at other times other than when your father is abusive..... but, if it happens then, you should be able to get thru them with counseling, confronting your father about his behavior,...

Family, Internal Medicine, General Medical Questions: PLEASE EXPLAIN, barwick, cerebral palsy
barwick, cerebral palsy, brains: Hi Cameron and thanks for writing, People who have CP may have grown a bit slower as babies before they were born so their brains didn t get a chance to develop completely. So because the brain grew a little bit slower it works a little bit slower, this...

Family, Internal Medicine, General Medical Questions: PLEASE EXPLAIN, functions of the brain, motor functions
functions of the brain, motor functions, parts of the brain: Just guessing, CP is due to an injury to the brain, usually at birth or slightly before birth and it can affect the motor functions or the normal processing functions of the brain.... so you might have had an injury to the parts of the brain that process information...

Family, Internal Medicine, General Medical Questions: Positive TB Test, positive tb test, judgement call
positive tb test, judgement call, tb treatment: sometimes the TB treatment can mess up the liver.... the risk goes up slightly at age 35 so it becomes a judgement call as you get older... if you are healthy with a normal liver, no alcohol abuse, then we treat over age 35... the risk of getting tb is something...

Family, Internal Medicine, General Medical Questions: Possibility of a miscarriage?, kind of birth, pregnancy tests
kind of birth, pregnancy tests, mucus: aleina; so you dont have to worry all over again about this,use protection ever time you have sex,and then you wont have to worry at all. you on some kind of birth-control and you partner using condoms would help your body from getting pregnant and STD...

Family, Internal Medicine, General Medical Questions: positive pregnancy test, pregnancy test, warfarin
pregnancy test, warfarin, blood clots: Hi Vanessa, I would get a “Beta Serum HCG-Quantatative“ done. This more reliable as a detrmining factor of pregnancy. Condoms are for the most part a good form of birth control but nothing is 100% guaranteed. If you are pregnant, then you need to see your...

Family, Internal Medicine, General Medical Questions: post cholecystectomy symptoms, laproscopic cholecystectomy, gall bladder
laproscopic cholecystectomy, gall bladder, lung problem: pain in that area can be referred from the gall bladder area, could also be a primary lung problem. If you have fever, or shortness of breath, that needs to be looked at immediately, otherwise, try an antiflammatory like Alleve, 2 pills twice daily, but if...

Family, Internal Medicine, General Medical Questions: post-flu leg and arm numbness, anti viral drugs, arm numbness
anti viral drugs, arm numbness, pulmonary specialist: I don t know if I can put all the picture together from what you told me... but obviously, you do need a specialist.... a neurologist may help, with flu may need pulmonary specialist.... I don t know what is available out there...... but I would push for...

Family, Internal Medicine, General Medical Questions: psoriasis on scalp only..., plaque psoriasis, psoriasis on scalp
plaque psoriasis, psoriasis on scalp, dermatis: Hi Nick, While it is always possible to have localized Psoriasis, my bet is that it IS seborrheic dermatitis. The easiet way to know is to have a tissue biposy sent in to a lab. Then you will have a focus of treatment and no longer wonder which it is...

Family, Internal Medicine, General Medical Questions: Question about eyes., logistic regression models, female health professionals
logistic regression models, female health professionals, dry eye syndrome: This is one form of treatmeent for dry eyes and floaters we have found effective. 6: Am J Clin Nutr. 2005 Oct;82(4):887-93.Related Articles, Links Relation between dietary n-3 and n-6 fatty acids and clinically diagnosed dry eye syndrome in women....

Family, Internal Medicine, General Medical Questions: Really Scared, hernia strangulation, hiatal hernia
hernia strangulation, hiatal hernia, h pylori: It is hard to tell from here what the problem is, but my primary concern is that it is worsening reflux, gastrtitis, ulcers that are inflaming the esophagus and stomach; Of course worrying only makes it worse. Usually the cancers in that area don t cause...

Family, Internal Medicine, General Medical Questions: recurrent intermittent localized head pain, chronic sinus infection, sinus infection
chronic sinus infection, sinus infection, anuerism: an aneurysm causes pain if it leaks a little or opens up, not just from being there. A pretty definitive test is an MRI angiogram.... but with the symptoms as you describe, without ringing in the ear or hearing loss makes me think more about a chronic sinus...

Family, Internal Medicine, General Medical Questions: recurrent intermittent localized head pain, occipital nerve, anuerism
occipital nerve, anuerism, intermittent pain: Hi Michael, To really know if an aneurysm is the cause, you would need to have a Brain MRI Angiogram. The other possibility could be an atypical or neurologic migraine. In any event, this seems to have you quite worried, so I’d ask your doctor about the MRI...

Family, Internal Medicine, General Medical Questions: Any relationship ?, sudden hearing loss, ringing in ears
sudden hearing loss, ringing in ears, mri with contrast: no, I haven t heard of cataracts surgery affecting the ear..... but with hearing loss and ringing in ears, he should have had an MRI with contrast to look for a possible tumor on the ear nerve..... that is probably what the specialist ordered instead of a...

Family, Internal Medicine, General Medical Questions: strep throat, amoxicillin, perfect time
amoxicillin, perfect time, kidneys: Hi Melanie, Perfect time for education. You do not take antibiotics to “kill” strep throat. It lives there all the time. If left untreated Strep would go away on its own. You treat the infection to protect your heart and kidneys from the strep toxin. Oh,...

Family, Internal Medicine, General Medical Questions: sudden hearing loss in dad, sudden hearing loss, cataract surgury
sudden hearing loss, cataract surgury, acoustic nerve: Hi Marc, The two drugs do not have ototoxic effects. If they did, both ears would have been affected. A sudden hearing loss can be fom localized stroke, sudden death of the acoustic nerve, an acoustic neuroma (tumor of the nerve), wax (which I’m sure they...

Family, Internal Medicine, General Medical Questions: Could my symptoms be side effects of Levaquin?, sinus congestion, sinus pressure
sinus congestion, sinus pressure, muscle stiffness: it sounds like your problems were primarily allergic, since the saline wash worked so well... if you can keep it up, fine. If not, then a nasal steroid spray might help. I don t think you have a side effect to Levaquin; you probably still have some swelling...

Family, Internal Medicine, General Medical Questions: Tingling in the Urinary Tract, difficulty ejaculating, sex transmitted disease
difficulty ejaculating, sex transmitted disease, chlamydia: I would be concerned about the possibility of a sex transmitted disease, specifically something like chlamydia, esp if you noticed any drainage or discoloration in the shorts..... guys can have this without a lot of drainage/pus. if it doesn t go away, I...

Family, Internal Medicine, General Medical Questions: Viagra/Cialis, viagra cialis, performance anxiety
viagra cialis, performance anxiety, physiological causes: Ryan, First of all at age 19, I find it rather difficult to believe there is just cause for Viagra/Cialis. These drugs are for Erectile Dysfunction (ED) and not to be used for performance anxiety . ED usually has physiological causes from HTN or DM that...

Family, Internal Medicine, General Medical Questions: venous stasis, venous stasis, ankle area
venous stasis, ankle area, support hose: that sounds like a reasonable diagnosis.... allergies are a possibility also. if you are on your legs a lot, sometimes good cheap support hose may be helpful in this situation.... not expensive prescription type but simply the kind you can get at any walmart......

Family, Internal Medicine, General Medical Questions: Wife passed out, fainting spell, strange face
fainting spell, strange face, puckered lips: Hi Joe, Severe coughing can, in some people, cause what is known as post tussive syncope (fainting after coughing). It isn’t serious in itself, but the cough needs to be adddressed so she doesn’t continue to cough that hard. Side effect can be broken ribs...

Family, Internal Medicine, General Medical Questions: Alcohol, heavy drinker, beer drinker
heavy drinker, beer drinker, alcohol consumption: Hi Susan, Your question was referred to me to answer. Decreasing the amount of alcohol consumption may cause the intolerance level to decrease overtime. This is because the liver constantly repairs itself overtime. Thus, his reaction to alcohol now versus...

Family, Internal Medicine, General Medical Questions: Anemia, iron infusion, iron pills
iron infusion, iron pills, hemaglobin: iron infusion is a great way to jumpstart anemic, very iron def patients.... there is a small small risk of allergic reaction, so usually, a small amount is given then the patient watched for a couple of minutes then the rest is infused, but that will help...

Family, Internal Medicine, General Medical Questions: Blood test, thyroid tsh, complete blood count
thyroid tsh, complete blood count, lipid profile: Dear Beth, If we are talking adult over say...25-30, it would probably include a lipid profile (cholesterol total, good cholesterol-HDL, bad cholesterol-LDL, triglycerides), thyroid (TSH), complete blood count (CBC), blood sugar, electrolytes, BUN and creatinine...

Family, Internal Medicine, General Medical Questions: bleeding ulser diet, abdominal bloating and pain, symptoms of dumping syndrome
abdominal bloating and pain, symptoms of dumping syndrome, bile reflux: Hi Maureen and thanks for writing, Surgery for peptic ulcer is effective, but it may result in a variety of postoperative complications. After gastrectomy, as many as 30% of patients have significant symptoms. An operation called highly selective vagotomy...

Family, Internal Medicine, General Medical Questions: blood in urine, hollow tubes, urinary tract infections
hollow tubes, urinary tract infections, immune disorder: Could be prostrate problem...I have no idea what type of testing your doctor did- here is some info from the Mayo Clinic website- you really need to discuss this with your doctor- I know you are concerned but you did wait a year to seek medical attention....

Family, Internal Medicine, General Medical Questions: brain damage following cardiac arrest, brain waves, brain swelling
brain waves, brain swelling, brain damage: that is a tough question to answer if I were at the bedside, let alone here..... sometimes following cardiac arrest, there is brain swelling and if there wasn t a lot of brain damage, then it could get better, but there is a fine line between causing enough...

Family, Internal Medicine, General Medical Questions: bump on pinky side of hand, pinky side, gouty arthritis
pinky side, gouty arthritis, accurate diagnosis: I am not a physician so I can not diagnose- but this may be a form of gout or gouty arthritis- your physician should be able to help with an accurate diagnosis- perhaps with a simple blood test and/or x-ray-a rheumatologist or hand specialist would be my...

Family, Internal Medicine, General Medical Questions: chest pains, manner exercises, gallbladder pain
manner exercises, gallbladder pain, heart murmur: Dear Sarah, First of all, this sure doesn t sound like growing pains . Since this happens when he eats, it might be esophageal spasms, a hiatal hernia, esophagitis, reflux, gallbladder pain (although usually that is right side). I cannot, however,...

Family, Internal Medicine, General Medical Questions: chest pains, chest x rays, muscle relaxors
chest x rays, muscle relaxors, history of heart disease: Hi Patrick, Costochondritis can last for months. Unfortunately there is no tried and true treatment. Costochondritis is slef limited and will just one day be gone even without treatment. Anxiety can heighten this problem for sure. I say all this as years...

Family, Internal Medicine, General Medical Questions: constant stomach pain, gall bladder disease, h pylori infection
gall bladder disease, h pylori infection, constant nausea: Hi Sharilyn, Those symptoms could be from pancreatitis, stomach ulcers, H. Pylori infection (which it sounds like you were treated for), or gall bladder disease. Sounds like you have had the majority of testing for these things but with the symptoms worsening,...

Family, Internal Medicine, General Medical Questions: cough medicine, cough medicine, cough suppressant
cough medicine, cough suppressant, delsym: if it has been 12 hours since the overdose, then you are OK now. We worry about constipation or slowing breathing, or disorientation, or lethargy and vomiting. This far out you are probably OK but need to be very careful with different medications, esp when...

Family, Internal Medicine, General Medical Questions: Decreased urination, kidney stone, kidney disease
kidney stone, kidney disease, oral intake: Dear Kira, You don t state in your question how long this has been going on, how old you are, if you have other health problems, what your oral intake is. I would for sure call your physician. I am concerned if this is something new that maybe you...

Family, Internal Medicine, General Medical Questions: daughter with indented thumb nail, thumb nail, mild injury
thumb nail, mild injury, chronic injury: sometimes that is the result of an acute or chronic injury- a damage to the nail plate so it grows out funny.... it may be a real mild injury.... the thumb sucking I would have suggested, but even some mild thing like tapping it..... the problem is, if you...

Family, Internal Medicine, General Medical Questions: diabetes testing, blood sugars, improper diet
blood sugars, improper diet, incomplete treatment: Hi Arlea, As a rule morning blood sugars are higher. Improper diet and Stress can raise blood sugars as can certain medicines. Incomplete treatment or ineffective treatment can cause elevation of blood sugar as can infections. There are other rarer causes...

Family, Internal Medicine, General Medical Questions: external ear pain ( auricle), outer ear infection, white vinegar
outer ear infection, white vinegar, intermittent pain: not sure unless you have a pierced ear and a mild infection..... otherwise, it could be an outer ear infection (in the canal) but hurting more on the outside...... may try white vinegar/water 50-50 drops for a few days, otherwise, needs to be looked a...

Family, Internal Medicine, General Medical Questions: external hemmroids, external hemmroids, hemm
external hemmroids, hemm, major surgery: usually outpatient, but don t do it unless they are really really bad..... the surgery is often worse than the hemm s..... there can be scarring and pain and they may reoccur..... if you have a big hanging one, have it banded but try to avoid major surgery...

Family, Internal Medicine, General Medical Questions: external ear pain ( auricle), nerve pain, intense pain
Family, Internal Medicine, General Medical Questions: external ear pain ( auricle), nerve pain, intense pain, fibromyalgia

Family, Internal Medicine, General Medical Questions: fatigue, bloodtest, viral disease
Family, Internal Medicine, General Medical Questions: fatigue, bloodtest, viral disease, virus

Family, Internal Medicine, General Medical Questions: fatigue, folic acid levels, hematologist oncologist
folic acid levels, hematologist oncologist, antioxidant supplements: folate ( folic acid ) won t mask a B12 def; they can both produce the same abnormal lab result, (elevated MCV on a CBC) but taking one won t correct it if it was due to a deficiency of the other. Any good doc should know how to work this up but a hematologist/oncologist...

Family, Internal Medicine, General Medical Questions: flu, and rash?, viral exanthem, viral rash
viral exanthem, viral rash, questioners: Hi Carly, This sounds like a “viral exanthem.” In essence, it is a viral rash that we not uncommonly see during these illnesses. There is really nothing to do for it. It will go away by itself. Certainly if it does not improve in a few more days, you might...

Family, Internal Medicine, General Medical Questions: GENERAL QUESTION BOWEL, loose stools, anal area
loose stools, anal area, persistent problem: Hi Ken, Hard to say exactly. It may just be that she is having loose stools which can be irritating to the anal area; other possibilities include anal fissure and hemorrhoids which can burn during bowel movements. If this is a recent and persistent problem,...

Family, Internal Medicine, General Medical Questions: General Medical Question on my health, worse case scenario, left upper quadrant
worse case scenario, left upper quadrant, barium swallow: sounds like you had most of the tests.... no gallstones, I assume no urinary infection or kidney stone. I would take an acid supressor like prilosec or zantac for a month and see if it helps, otherwise, sounds like you need a referral to a GI doctor.......

Family, Internal Medicine, General Medical Questions: Gynecomastia, smoke marijuana, smoke pot
smoke marijuana, smoke pot, breast tissue: Hi Michael, Although is theory that makes sense, you probably have enough testoterone. It’s just that the breast development took off more aggressivley that is ordinary. I would talk to your doctor about removing the breast tissue. Adding more testosterone...

Family, Internal Medicine, General Medical Questions: HELP, reflux symptoms, anxiety problem
reflux symptoms, anxiety problem, hiatal hernia: yes, it can; take the nexium once a day on an empty stomach (30 min before breakfast, first thing in the AM) and then if recurrent symptoms, take Gaviscon liquid or tablets. If that doesn t work, consider gall stones. then, if it continues.... work on the...

Family, Internal Medicine, General Medical Questions: Hypoglycemia, symptoms of dizziness, dizziness and fatigue
symptoms of dizziness, dizziness and fatigue, simple sugars: that test is borderline.... going down to 59 is on the edge of abnormal..... if your dizziness and fatigue are helped (even temp) with sugar, then you have an answer. Insulin levels vary with meals, and aren t that useful either. There isn t a direct correlation...

Family, Internal Medicine, General Medical Questions: Hypotension, balanced diet, hypotension
balanced diet, hypotension, blood flow: Hi Mel, That is entirely too low- low bp is a concern because of blood flow to the brain and this can cause you to become dizzy or faint. It will definitely cause you to fell the way you are describing. Sometimes increasing your fluid intake will help...

Family, Internal Medicine, General Medical Questions: Leg Pain, bad blood circulation, bad circulation
bad blood circulation, bad circulation, nighttime pain: Hi Liz, Bad circulation at your age is very unlikely. I trust you have no other medical condition, don’t take herbal supplements and are on no medicines? Is the pain in each leg the same and is the entire leg involved? Are there any activities that seem to...

Family, Internal Medicine, General Medical Questions: Low Blood pressure, low blood pressure, heart murmur
low blood pressure, heart murmur, perfect health: yes, it could.... you also may be more susceptible to anemia, due to your baseline low blood pressure.... the BP low is good unless it is caused by other problems like thyroid or anemia.... so with the dizziness, you need to have those things checked.........

Family, Internal Medicine, General Medical Questions: Lymph Node Confusion, swollen lymph nodes, swollen nodes
swollen lymph nodes, swollen nodes, initial problem: Hi Marie, Lymphnodes that swell do so as a result of infection or inflammation. ANY of the things that you mentioned can cause that sort of reaction. Thes nodes sound like they are in the anterior cervical chain . As a rule after the infection or inflammation...

Family, Internal Medicine, General Medical Questions: large bump, sebaceous cyst, bump on
sebaceous cyst, bump on, grease: probably a sebaceous cyst, a collection of grease that normally keeps your skin soft, but was trapped and is accumulating.... if you pop it great, but, if the back ruptures, then the stuff goes into your tissue and causes an infection..... let your doc check...

Family, Internal Medicine, General Medical Questions: leakage and sore nipples had it along time how can i do, mamagram, sore nipples
mamagram, sore nipples, chemical imbalances: Hi Linda and thanks for writing, I am guessing as I am not familiar with your medical history but I would suggest you have a complete physical by a qualified physician; make sure you have blood-work done as well. Speak to the doctor about what chemical...

Family, Internal Medicine, General Medical Questions: Mother/Possible mini-stroke, blood pressure medicine, mini stroke
blood pressure medicine, mini stroke, ski hi: you want to lower bp slowly, so if it was ski hi, that sounds like it is improving and most bp meds lower it slowly over a month or so, so she should keep her followup if she is feeling OK and may have to be on more meds, the goal is 120/80 usually.........

Family, Internal Medicine, General Medical Questions: Nerve, nerve injury, axonotmesis
nerve injury, axonotmesis, severity level: Hi Tim, There are three main types of nerve injury as it pertains to your scenario: neurapraxia, axonotmesis and neurotmesis. The severity level is from mild to bad respectively. Nerves will heal as a rule if given enough time. Mild damage usually heals within...

Family, Internal Medicine, General Medical Questions: Nerve damage, nerve damage, healing process
nerve damage, healing process, numbness: if the nerve is just injured and not cut completely and separated, then it often heals..... if it is separated, it won t... if the ends are together, but cut, sometimes it will heal at the rate of about 1cm per month, so often a healing process takes 6 mo...

Family, Internal Medicine, General Medical Questions: Pain in right side, gall bladder disease, upper gi series
gall bladder disease, upper gi series, h pylori infection: Hi Sharon, Here are a couple of ideas. This could be Gall Bladder disease even wth a normal CT. You can have a “lazy” gall bladder that can cause discomfort (no stones on CT, no Gall Bladder wall thickening on CT). A HIDA scan will rule out this problem....

Family, Internal Medicine, General Medical Questions: Purple Feet, poor circulation, cirulation
poor circulation, cirulation, blood vessels: Dear Tina, You don t say in your question if your physician is aware of your purple feet. If not, please call! Second, if you HAVE poor circulation, by all means, stop smoking! Smoking constricts blood vessels, hence impairing cirulation. Since the...

Family, Internal Medicine, General Medical Questions: persistant viral infection, warm liquids, theory works
warm liquids, theory works, heating pad: Martha, Viral infections are very tough and take a long time to get rid of. Try a heating pad on you chest and drinking warm liquids, taking a mixture of honey and lemon in equal amounts, believe it or the the old fashioned chicken soup theory works-...

Family, Internal Medicine, General Medical Questions: ra, living with rheumatoid arthritis, burning sensation
living with rheumatoid arthritis, burning sensation, hot pepper: Hi Ali, Your question was referred to me to answer. Your problem is call paresthesia. This is a common problem affecting individuals living with rheumatoid arthritis. My best advice would be to present this problem to your physician. John Thai, M...

Family, Internal Medicine, General Medical Questions: red spots, alcohol swabs, hydrogen peroxide
alcohol swabs, hydrogen peroxide, nw ohio: Hi Lora, I would say that this is definitely not shingles. It could simply be a folliculitis from irritation of clothes. I would caution against using Neosporin or any triple antibiotic on your skin. That stuff can be toxic. Hydrogen peroxide as well has...

Family, Internal Medicine, General Medical Questions: retaining water, normal kidney function, fluid restriction
normal kidney function, fluid restriction, drink alot: I would need more info..... if his kidney function is normal, then he doesn t need fluid restriction...... this is tempered by how bad his heart function is..... but if he has normal kidney function and his heart beats normally, then it becomes a balance...

Family, Internal Medicine, General Medical Questions: routine blood test results, routine blood test, blood test results
routine blood test, blood test results, routine physical examination: Hi Stephanie, Well, it really depends on what your doctor deems as “routine.” I couldn’t speculate and it wouldn’t be fair to you to cause unnecessary worry. I’m sure that what ever it is can wait till next week. Relax-don’t fret over the unknown :-)...

Family, Internal Medicine, General Medical Questions: Sprained Ankle, ankle bone, brusing
ankle bone, brusing, medicine physician: Phillip, You may want to try some physical therapy to strengthen the ankle and use an ankle support. You may want to seek the opinion of a Sports Medicine physician since they deal with this sort of injury often. I can empathize with that problem but...

Family, Internal Medicine, General Medical Questions: STANDING UP, hair follicles, dangerous situations
hair follicles, dangerous situations, barwick: In animals (and humans) there is a small muscle at the base of the hair follicles that make the hair stand up in dangerous situations presumambly to make the animal look bigger to the attacker. In humans these are not well developed so we only feel them acting...

Family, Internal Medicine, General Medical Questions: Symptoms, coughing up mucus, respiratory viruses
coughing up mucus, respiratory viruses, whooping cough: Hi Mae, From what you say, you have probably contrated one of the numerous upper respiratory viruses going around. At your age, whooping cough is not possible based on your immunization. This sort of whooping coug risk pertains to older folks who were immunized...

Family, Internal Medicine, General Medical Questions: seroma following hernia repair, gall bladder attack, incision line
gall bladder attack, incision line, left flank: if there is a possibility of a persistent seroma, I would consider having the family doc numb the skin and stick a needle into it and see if it can be sucked out and then wear a rib binder for a week..... that is the cheap easy way to do it.... more expensive...

Family, Internal Medicine, General Medical Questions: strange medical problem, mid back pain, chemistry profile
mid back pain, chemistry profile, frequent urination: Hi Jennifer, This certainly is unusual. The white blood count should be followed to be sure that it comes down. A chemistry profile would be a good thing to do as well. I can’t imagine what the other “passing out” symptom might be. It doesn’t follow and sort...

Family, Internal Medicine, General Medical Questions: systemic cell mast disease, systemic mastocytosis, mast cells
systemic mastocytosis, mast cells, centre hospitalier universitaire: Here are some articles that explain what it is and also the treatment Br J Haematol. 2008 Feb 23 [Epub ahead of print]Related Articles, Links Thalidomide in advanced mastocytosis. Damaj G, Bernit E, Ghez D, Claisse JF, Schleinitz N, Harlé JR, Canioni...

Family, Internal Medicine, General Medical Questions: SOMETHING IN THROAT, esophageal muscles, ears nose and throat
esophageal muscles, ears nose and throat, heart medications: Hi Ken, Your question was referred to me to answer. I highly recommend that you have your physician refer her to a gastroenterologist for evaluation. Her symptoms may be due to a dysfunction of her esophagus. This would present as feelings of food being...

Family, Internal Medicine, General Medical Questions: Tingling, nerve conduction test, peripheral neuropathy
nerve conduction test, peripheral neuropathy, support hose: it is called peripheral neuropathy that can have many many causes. you need a complete blood workup for it which is extensive and there are prescribed meds that can help. If you get swelling in your ankles, try support hose prior to your next visit, but...

Family, Internal Medicine, General Medical Questions: tablets, serequel, quetiapine
serequel, quetiapine, seroquel: some of these drugs can cause movement disorders like Parkinson s disease.... the older ones did it more, seroquel doesn t do it very much at all.... but, the older ones did it and the movement disorder was permanent.... it affects the brain and the changes...

Family, Internal Medicine, General Medical Questions: Unwell..not sure why, stomach gas, upset stomach
stomach gas, upset stomach, viral illness: Hi Maria, This is quite a constellation of symptoms. They do sound like those of a viral illness given your good health prior to onset. I d give it a few more days to see if it clears by itself. Clearly if it continues past a couple of weeks, your doctor...

Family, Internal Medicine, General Medical Questions: uterine fibroids, cervix length, nabothian cyst
cervix length, nabothian cyst, dysfunctional bleeding: Hi Sharon, None of this is serious except for the pain and dysfunctional bleeding fibroids are associated with. A nabothian cyst is simpy a sub serosal cyst and of no significance. There is no need to rush to hysterctomy unless you begin to have problems...

Family, Internal Medicine, General Medical Questions: uterine fibroids, osu center for integrative medicine, monocyte count
osu center for integrative medicine, monocyte count, c reactive protein: Anteverted uterus, intramural fibroid 16x15x18mm, subserosal posterior 15x18x19mm, probable adenomyosis. Can you tell me what this is? Answer: As you know adenomyosis is non-cancerous growth of endometrial lining cells into the muscle layer of the uterus...

Family, Internal Medicine, General Medical Questions: Worried about elevated liver enzymes?, elevated liver enzymes, mgs
elevated liver enzymes, mgs, rare cases: Hi Debbie, IF your liver enzymes are slightly elevated from the Lipitor, simply stopping it will reverse the process. That s why the recheck in 3 months. Lexapro can in very RARE cases affect the liver but it is not at all common. I d wait to see the results...

Family, Internal Medicine, General Medical Questions: wrist, carpal bones, mri scan
carpal bones, mri scan, saleeby: Imani, It is not uncommon not to find fractures on initial x-ray examination. They are called occult fractures or hidden fractures ... it is advised that when the pain persists to have it re-x-rayed or have a bone scan or CT/MRI scan to make sure a fracture...

Family, Internal Medicine, General Medical Questions: GO AWAY, low blood sugar, low blood pressure
low blood sugar, low blood pressure, blood pressure medications: Cameron, Headaches come from several sources- tension, migraine, tumors in the brain- this is too broad a question to give a specific answer- hypoglycemia (low blood sugar) or hyperglycemia (high blood sugar), high blood pressure, too low blood pressure,...

Family, Internal Medicine, General Medical Questions: GO AWAY, tension headaches, blood vessels in the brain
tension headaches, blood vessels in the brain, barwick: headaches are caused by multiple multiple things..... there are many different kinds.... typical tension headaches are muscle aching in nature, while migraines are blood vessels in the brain that dilate, stretch and the stretch causes the throbbing pain......

Family, Internal Medicine, General Medical Questions: 22 month old son, immunoglobins, immunologist
immunoglobins, immunologist, viral infections: Most likely he doesn t have any severe immune system problem. If he is in day care, it isn t unusual to be sick as much as he is well. If he goes back to normal between illnesses, that is also evidence that his immune system is OK... someone with a bad immune...

Family, Internal Medicine, General Medical Questions: my 6 year old son has frequent nosebleeds., ear nose and throat specialist, sinus infection
ear nose and throat specialist, sinus infection, ear nose and throat: Sandra, I would be more inclined to take him to an otolaryngologist (ear, nose and throat specialist. You did not say where you live.....I do know in the southwest area the weather is rather dry but nose bleeds that frequently should be re-investigated....

Family, Internal Medicine, General Medical Questions: ankle pain, bone infections, ankle bone
bone infections, ankle bone, ankle pain: it is probably nothing.... but... sometimes kids that age can get bone infections, so it is worth a trip to the pediatrician. Also, always check the joint above and below... meaning the knee and the foot if there was any injury. But is is persists past...

Family, Internal Medicine, General Medical Questions: arm, shoulder blade, medicine physician
shoulder blade, medicine physician, luck john: Hi B, Your question was referred to me to answer. I highly recommend that you seek the advisory of your physician. He/She will perform an MRI to determine if you have injured your shoulders resulting in problems with muscles and tendons surrounding your...

Family, Internal Medicine, General Medical Questions: Blood Pressure, cold medicines, head cold
cold medicines, head cold, mucus: Hi Helen, Thank you. Your blood pressure goes up and down all day long sick or not. If you are taking over the counter cold medicines, they can raise blood pressure also. Be sure you drink plenty of fluids, unless you are not supposed to for some reason,...

Family, Internal Medicine, General Medical Questions: Blood in urine and late period, late period, blood in the urine
late period, blood in the urine, blood in urine: cystitis can t cause a late period. It is often hard to tell if blood in the urine is from period contamination but if you truly have blood in the urine, you should be evaluated for cystitis and other potentially more serious urinary tract conditions.......

Family, Internal Medicine, General Medical Questions: Bone density tests, metabolism question, bone density tests, brittle bones
bone density tests, brittle bones, health options: Bone density studies are usually not considered preventative at this time- mainly because less costly blood tests and x-rays can usually detect bone loss at which time if deemed necessary a bone density would be ordered- not a standard test. Unfortunately...

Family, Internal Medicine, General Medical Questions: Breathing, lack of oxygen, inquisitiveness
lack of oxygen, inquisitiveness, short period: Breathing is involuntary however you can control to some extent the rate and depth of your breathing. No- one would pass out first and then begin to breathe again, if nothing is blocking the airways If someone stops breathing and death occurs- within...

Family, Internal Medicine, General Medical Questions: baby poop, vegetables and fruits, acid reflux
vegetables and fruits, acid reflux, fezes: First may I start out by saying I am not a doctor. You may want to make sure your child is drinking enough fluid and eating enough vegetables and fruits. If the problem continues with the hard stools you may want to consult his pediatrician for something...

Family, Internal Medicine, General Medical Questions: bump on my butt near my tail bone, surgical drainage, cyts
surgical drainage, cyts, tail bone: those cysts can come and go.... it is a fluid filled sack that can enlarge, sometimes opens up on it s own, internally or externally and drain, or can become infected.... I would apply heat to the area, and if it turns red/painful, then antibiotics and possibly...

Family, Internal Medicine, General Medical Questions: burning off alcohol, liver health, body burn
liver health, body burn, addiction problems: Hi RJ, Alcohol can be metabolized differently by different people. A lot has to do with liver health and amount consumed. Exercise does not burn it off . I think, if you have addiction problems, the issue shouldn t be about burning it off as much as how...

Family, Internal Medicine, General Medical Questions: carotid artery disease, nuclear stress test, heart palpitations
nuclear stress test, heart palpitations, warm sensation: Hi Kimberly, The 60% blockage is not as severe as it would appear. There is nothing to do other than what is currently being done. Surgery to open the artery is not even contemplated until the blockage is greater than 75%-80%. The other symptoms you describe...

Family, Internal Medicine, General Medical Questions: Dehydration, symptoms of severe dehydration, saliva production
symptoms of severe dehydration, saliva production, low blood pressure: Hi Karen, There are many factors that are associated with dehydration - age, temperature, physical activity, respiratory rate, bodily fluid loss due to sweat/urination/defecation/blood loss, and state of health. In a normal adolescent not engaging in any...

Family, Internal Medicine, General Medical Questions: Facial nerve damage, facial nerves, facial nerve
facial nerves, facial nerve, nerve function: I would see a nerve plastic surgeon.... if you have partial use, chances are that the symptoms will go away, but I would feel more comfortable with you being followed by someone who can monitor progress and intervene if it is needed.... it may take 3-6 months...

Family, Internal Medicine, General Medical Questions: Foot Spur, foot spur, plantar fascia
foot spur, plantar fascia, heel spur: Hi John, Plantar fascitis is an inflammation of the tissue on the bottom of the foot, deep to the skin. The Plantar fascia attaches on the heel and the constant traction and irritation causes the spur. The injection, which is usually the last of the treatment...

Family, Internal Medicine, General Medical Questions: my 6 year old son has frequent nosebleeds., mid 20s, nosebleeds
Family, Internal Medicine, General Medical Questions: my 6 year old son has frequent nosebleeds., mid 20s, nosebleeds, lifetime

Family, Internal Medicine, General Medical Questions: Twitching, magnesium supplements, twitches
Family, Internal Medicine, General Medical Questions: Twitching, magnesium supplements, twitches, neurologist

Family, Internal Medicine, General Medical Questions: fosamax, fracture risk, heart failure
fracture risk, heart failure, coronary disease: Hi Jessie, You are correct about this information. I read the report myself and found that there is risk of atrial fibrillation. I have included the caveat from the study s authors below: ----- But physicians should be more cautious about prescribing the...

Family, Internal Medicine, General Medical Questions: gasritis, pain meds, hello doctor
pain meds, hello doctor, post op pain: I am having trouble following the line of reasoning with your symptoms.... pain in chest and back and attributing that to constipation has me uneasy then saying it is gastritis...... if you are being treated for same with Prilosec (omeprazole) then it should...

Family, Internal Medicine, General Medical Questions: general feeling..., crushed red pepper, bladder infection
crushed red pepper, bladder infection, water pill: it is important to tell the difference between urinary bleeding and rectal bleeding because each has it s own set of causes.... it is important to get a full evaluation. Is it normal to drink 11 beers with a sub? that may be the cause of the blood pressure...

Family, Internal Medicine, General Medical Questions: Health Problems, birth control pills, cold fingers and toes
birth control pills, cold fingers and toes, fingers and toes: it may or may not be related to the surgery..... this still could be some illness, like Mono... I would have a full eval including blood testing so it can be identified. It is incredibly rare to have a reaction to the actual implants..... Good luck, hope...

Family, Internal Medicine, General Medical Questions: High CPK and Muscle Soreness, elevated cpk, medication side effects
elevated cpk, medication side effects, sure what type: I am not sure what type of doctor your father is seeing but I qwould suggest having your Dad be seen by a specialist. His doctor should be explaining things and answering any questions you may have. I personally am never comfortable with a physician who...

Family, Internal Medicine, General Medical Questions: Can you help?, nerve conduction studies, pins and needles
nerve conduction studies, pins and needles, nerve problem: There are a lot of possibilities, but if we are looking for a nerve problem, the definitive testing would be nerve conduction studies, and also a thorough workup including blood tests for thyroid and other illnesses. Best to start with your primary doctor......

Family, Internal Medicine, General Medical Questions: increasing pain after having 9th rib removed over 2+ years agi, traumatic stressors, primary biliary
traumatic stressors, primary biliary, pain killers: Many questions here.... we focus on addiction because we are all scared of monitoring agencies, getting sued, and all that crap. In Europe, they are much more relaxed in treating chronic pain, but we are panicked here. I can t tell what was appropriate...

Family, Internal Medicine, General Medical Questions: infection risks from a colonscopy when patient has low WBC count, colon cancer, colonscopy
colon cancer, colonscopy, routine visit: if there isn t a reason for the low WBC, esp being on steroids, then it is OK to continue with the colonoscopy for health screening... there is no evidence that there are increased side effects in patients with low WBC who undergo colonoscopy... hope this...

Family, Internal Medicine, General Medical Questions: jolivette, birth control pills, excruciating cramps
birth control pills, excruciating cramps, femcon fe: Hi Britt, You should find some relief from the Progesterone. if that isn t enough, you might try Ponstel as an aid for relief of cramps. Some women just have more symmptoms with their periods than others and often there isn t much that will relieve ALL the...

Family, Internal Medicine, General Medical Questions: jolivette, birth control pills, excruciating cramps
birth control pills, excruciating cramps, femcon fe: it is extremely variable on how well any birth control pills, let alone progesterone only pills help with cramps.... their original design was to help to prevent pregnancy and the other side effects, such as period regulation were just extra benefit.... but...

Family, Internal Medicine, General Medical Questions: Keeping good bone mass, bone mineral density, bone density loss
bone mineral density, bone density loss, muscles and bones: Alan, Dancing or walking about is considered an aerobic type of exercise and while that is great for the cardio-respiratory system, it probably has little or no impact on bone density. For arresting or correcting of osteoporosis or bone density loss, rather...

Family, Internal Medicine, General Medical Questions: Kleen Prep, normal bowel movement, irritable bowel syndrome
normal bowel movement, irritable bowel syndrome, normal kidney function: if you take it with water, that is fine... some people get grossed out by taste or texture, so if are one of those people, use tomato juice and you won t even know you are taking it (miralax) so, many ways to take it, and if you aren t picky, all will work...

Family, Internal Medicine, General Medical Questions: Large lump from bruise, pain meds, intravenous fluids
pain meds, intravenous fluids, bruise: you didn t say when but if over 3 d ago, apply heat, otherwise ice for the first 3 days... ice to slow bleeding then heat to promote removal of the blood products after bleeding stopped and then symptoms will resolve over time no matter what you do but heat...

Family, Internal Medicine, General Medical Questions: Very late period, late period, abscesses
late period, abscesses, gynecologist: something is obviously wrong... pelvic diseases in women are very difficult to sort out. You shouldn t be worried... you should be getting in with a good gynecologist to help them work thru this with you.... I don t have enough info with abscesses and periods,...

Family, Internal Medicine, General Medical Questions: lump in my scrotum, sebaceous cyst, oil gland
sebaceous cyst, oil gland, borucki: this sounds like a simple clogged oil gland... sometimes those have to be drained.... the risk of trying to pop it is it rupturing on the inside and the mildly infected fluid might cause a local infection.... it is worth having the doctor numb it up and drain...

Family, Internal Medicine, General Medical Questions: Medicinal induced coma & recovery, types of antibiotics, ventilater
types of antibiotics, ventilater, coma recovery: there is such a wide variety of possibilities.... the brain is incredibly resilient so hopefully she will recover a lot of her function.... I don t know if I can predict anything.... they have to sedate people very heavily while on a breathing tube and these...

Family, Internal Medicine, General Medical Questions: Menstral Cycle Issues, birth control pills, thyroid surgery
birth control pills, thyroid surgery, ovarian cysts: pelvic pain is very complicated and I can t give you a definite answer... you could have ovarian cysts, endometriosis, simply bad periods, etc. I don t know why you couldn t take birth control pills.... sometimes thyroid meds have to be readjusted, but I...

Family, Internal Medicine, General Medical Questions: Multiple Sclerosis, neck spine, low thyroid
neck spine, low thyroid, pain behind the eyes: with all these symptoms you need a doctor, but, you can t pinpoint MS... the symptoms are too vague and broad.... I would look towards other illnesses first, like diabetes, low thyroid, anemia, and if those are negative, then towards the rarer diseases like...

Family, Internal Medicine, General Medical Questions: Mystery illness, epstein barr virus, scalp hair loss
epstein barr virus, scalp hair loss, long heavy periods: Hi Savannah, This is a large symptom complex. Off hand, I can not think of a medical problem that would include them all. Has Irritable bowel, thyroid disease, a check for celiac disease and Epstein Barr virus been excluded? As much as you may not want to...

Family, Internal Medicine, General Medical Questions: some medical problems, arnold chiari syndrome, chicken coupes
arnold chiari syndrome, chicken coupes, second hand smoke: you are asking me tough questions.... it is hard to tell what is causing your asthma type symptoms..... I have trouble saying it is from your A-C syndrome... I would have full resp function testing to measure (objectively) your ability to breathe and then...

Family, Internal Medicine, General Medical Questions: Need some more advice, gall bladder, upper gi
gall bladder, upper gi, scoping: if reflux meds like Gaviscon and Aciphex don t help, then you need to look at other causes.... stress can be one... I can t remember whether you had your gall bladder looked at by ultrasound.... if you didn t, get that, if you did, then you might need a referral...

Family, Internal Medicine, General Medical Questions: Oral Vitamin K at birth, childhood leukemia, source of vitamin k
childhood leukemia, source of vitamin k, oral vitamin: there is no evidence that the trace amounts of preservatives in the Vit K cause any problems... this has been tracked long term. Oral Vit K can be obtained thru green veg and supplements but it is difficult to get enough in an infant at birth, so the injection...

Family, Internal Medicine, General Medical Questions: objects in child's ears, blow dryer, foreign bodies
blow dryer, foreign bodies, better tools: crayon (wax) is pretty harmless, I would go to the ENT... they have better tools to remove foreign bodies. I work in the ER and have removed them, but it sometimes is tough.... and sometimes the child has to be put to sleep if he won t hold still. But it...

Family, Internal Medicine, General Medical Questions: objects shoved in ears, mother and grandmother, appt
mother and grandmother, appt, crayon: Just my personal opinion - I would call the ENT and tell them exactly what the story is- if they cannot see you then I would attempt to obtain another ENT..I would not wait 3 weeks- the er would be my next step but be aware there is an er charge- depends on...

Family, Internal Medicine, General Medical Questions: objects shoved in ears, crayon, appt
crayon, appt, warm water: Hi Shelley, How about simply irrigating the ear with some luke warm water and an ear bilb syringe? Do it gently. The piece of crayon might come out. On the other hand, a crayon is only wax with non toxic dye so I m not sure that it would do irreversable damage...

Family, Internal Medicine, General Medical Questions: Pleurisy and exercise?, water aerobics, exercise one
water aerobics, exercise one, omega 6: Exercise does not cause pleurisy and pleurisy is not affected by exercise. Both are cause by inflammation due to omega-6 plant oil foods see http://efaeducation.nih.gov for more lectures and details on how to get well and lose huge amounts of weight by eliminating...

Family, Internal Medicine, General Medical Questions: phentermine, hypetension, old mom
hypetension, old mom, heart valve: Hi Shelly, There are indeed health risks with phentermine use, specifically heart valve dysfunction and development of secondary pulmonary hypetension. To use this drug, the benefits really do have to outweigh the risks. Will YOU have these side effects?...

Family, Internal Medicine, General Medical Questions: post herpetic trauma, omega 3 fish oil, fish oil capsules
omega 3 fish oil, fish oil capsules, omega 3 fish oil capsules: We have found success with high dose acyclovir, B-100 and high dose omega-3 fish oil capsules four times a day plus stopping all latex containing foods like bananas, figs, kiwi and nuts plus the plant oil foods like poultry, chips, granola, flax and so...

Family, Internal Medicine, General Medical Questions: Rash or something??, viral rash, viral illnesses
viral rash, viral illnesses, high fever: Hi Josselyn, Rashes secondry to viral illnesses are quite common in children. Flu does not charactaristically involve vomiting and diarrhea at all. It sounds like your daughter has a viral exanthum (viral rash) and it will fade as her fever and symptoms decline....

Family, Internal Medicine, General Medical Questions: Regarding My Pregnency, pregnancy test kit, home pregnancy test
pregnancy test kit, home pregnancy test, urine pregnancy test: 1 no, if the blood is positive, then the urine is positive... 2) I don t know what you mean, but if you are 8 weeks pregnant, both urine and blood preg tests will be positive 3) if that drug doesn t make your period come then you have to look at further...

Family, Internal Medicine, General Medical Questions: Son has pain in right shoulder, itchy rash, blade area
itchy rash, blade area, pain in right shoulder: Hi Lynn and thanks for writing, Has your son had or recently been exposed to Chicken Pox? I ask because the itchy rash you describe sounds a lot like Herpes Zoster which usually shows in children as Chicken Pox [CP] but can also appear as Shingles in older...

Family, Internal Medicine, General Medical Questions: Splenic Varicosities, beta blocker medication, pediatric gastroenterologist
beta blocker medication, pediatric gastroenterologist, portal hypertension: Any contact sports should be avoided at this time. Varices do enlarge overtime at approximately 10-15% larger each year based on the severity of the underlying liver disease. He should continue eating healthy. There is currently no recommendations on dietary...

Family, Internal Medicine, General Medical Questions: Spots on Lungs, survival rate for lung cancer, spots on lungs
survival rate for lung cancer, spots on lungs, open biopsy: Lung spots are always scary.... CT can suggest whether they are scars or cancer, but ultimately, a biopsy is needed.... sometimes they do a needle biopsy or sometimes an open biopsy. The survival rate for lung cancer is pretty low, but definitely not...

Family, Internal Medicine, General Medical Questions: self medicating with synthroid?, metabolism syndrome, l tyrosine
metabolism syndrome, l tyrosine, natural metabolism: I don t know any specific site, you might google it with synthroid and metabolic syndromes.... I do know that several non-chain weight loss clinics supplement their weight loss meds and diets with low dose synthroid or cytomel, but you have to be careful,...

Family, Internal Medicine, General Medical Questions: small lumps on neck, lumps on neck, freak out
lumps on neck, freak out, little kids: Hi Jennifer, Don t freak out. It is not unusual for little kids to have enlarged lymphnodes even if they aren t sick. These will remain for years and one day will be gone. If you feel you need to have his pediatrician look at these to reassure you, I would...

Family, Internal Medicine, General Medical Questions: spitting up bloob with sputum, bloody sputum, gastrointestinal tract
bloody sputum, gastrointestinal tract, tb infection: Hi Safla Mustafa, With a Hgb of 10.5, I d be worried about blood loss from another site, such as the gastrointestinal tract. The blood in her sputum may also be due to heart disease. Sometimes valvular diseases causes bloody sputum. Anemia such as your Mother...

Family, Internal Medicine, General Medical Questions: swollen ankel, pelvic organs, kidney problems
pelvic organs, kidney problems, ankle swelling: Hi Doris. Thanks for the info. Ankle swelling can have a number of causes. Most commonly it is from poor vein system in the legs preventing fluid from getting out of the leg. Other considerations can be a heart or kidney problems. Rarely there can be obstructions...

Family, Internal Medicine, General Medical Questions: Twitching, lip twitch, nerve fibers
lip twitch, nerve fibers, nerve fiber: Hi Sue, All individuals muscles will twitch now and then. However, ALS can involve twitching due to a pathological setting. The involvement of the body varies amongst different individuals with ALS. We term these twitching events as fasciculations. In...

Family, Internal Medicine, General Medical Questions: I can't stand being sick anymore!, allergist immunologist, time college student
allergist immunologist, time college student, stomach flu: it is hard to say whether you truly have an immune system problem or why you are repeatedly getting sick. But, I would request a full evaluation, possibly a referral to an allergist, immunologist. Also, keep a calender track of exactly all your ongoing illnesses,...

Family, Internal Medicine, General Medical Questions: your thoughts on this, doxicycline, cardura
doxicycline, cardura, flomax: that is a tough question..... when people have prostatitis and they biopsy.... and it comes back negative, people still have a good response to antibiotics.... I usually just treat with something like Doxicycline or cipro or levaquin for a few weeks and it...

Family, Internal Medicine, General Medical Questions: thyroid test, hashimoto s thyroiditis, general practioner
hashimoto s thyroiditis, general practioner, thyroid tests: that is only one part of the thyroid testing panel.... if your TSH is below 1.5, and above .3, then don t worry about it.... if it is above 1.5, and the TPO is high or other antibody tests are high, that suggests hashimoto s thyroiditis and probably should...

Family, Internal Medicine, General Medical Questions: Unexplained High Fevers, definite cause, lung infections
definite cause, lung infections, brain damage: these are always complicated.... fevers without a definite cause have many possibilities.... one being that the part of the brain that regulates temperature had been damaged or that he has recurrent localized lung infections from probable scarring due to prematurity....

Family, Internal Medicine, General Medical Questions: Alzheimer's/dementia, Demenita, Alzheimers
Demenita, Alzheimers, Dementia prevention: Hi Caroline and thanks for writing, Although I have not read the latest research articles, I do know that common theory says taking an Anti-inflammatory (Ibuprofen) daily may prevent the onset of Dementia. The other big thing is the old adage “use it or...

Family, Internal Medicine, General Medical Questions: Arm Spasms, Nocturnal Spasms, Muscle Spasms
Nocturnal Spasms, Muscle Spasms: Hi Mary and thanks for writing, Nocturnal Spasms are the muscle cramps that locate in the calves, soles of the feet at night or at the time of rest. They can happen due to low levels of magnesium, calcium, potassium, and sodium and prolonged sitting. ...

Family, Internal Medicine, General Medical Questions: Me Again Believe or Not, post nasal drip, zantac 150
post nasal drip, zantac 150, food allergies: ears don t clog from reflux. Indigestion from those kind of foods can mean food allergies... intolerance to diff foods like soy products.... I would try Zantac 150 bid and avoid offending foods for the most part..... the ear is probably a separate issue...

Family, Internal Medicine, General Medical Questions: blood thinner, heparin injection, saleeby
heparin injection, saleeby, lovenox: Wendy, I will assume that by the blood thinner shot you mean Lovenox. This is a fractionated heparin injection usually given SQ (subcutaneously) and has an effective life of about a day. It is used for the prevention of DVT (clots in the legs) in sedentary...

Family, Internal Medicine, General Medical Questions: TO COLD - Piloerection, piloerection, goose bumps
piloerection, goose bumps, horripilation: Cameron, Goose Bumps are caused by a neurological reaction or reflex that will stimulate the small muscles at the base of the hair follicle... piloerection or horripilation is the medical term. When you get scared or cold this is a normal reaction. Our...

Family, Internal Medicine, General Medical Questions: Coumadin, heart attack rate, nih website
heart attack rate, nih website, omega 6: This is not good so should be on coumadin for life. Should also lower your omega-6 plant oil intake to ancestral levels, see http:/efaeducation.nih.gov for information on doing this since the omega-6 plant oil foods are what cause increased clotting. This...

Family, Internal Medicine, General Medical Questions: colon cleanser - BUNK, colon cleansers, colon wall
colon cleansers, colon wall, colon cleanser: Scott, According to good clinical research studies and the decades of work by gastroenterologist (using colonoscopy and other methods of evaluating the colon wall) this is all BUNK. Totally unfounded and ridiculous. Some of the marketing shows clients...

Family, Internal Medicine, General Medical Questions: cutting weight, natural laxitive, risking your health
natural laxitive, risking your health, losing 10 pounds: Hi Tony, I apologize about the delay. I was on call for the 3 practices and the hospital ER. Very busy weekend. This sort of artificial weight manupulation worrys me greatly. You have no idea what 10 pounds of water weight loss can do to you. Laxatives are...

Family, Internal Medicine, General Medical Questions: dizziness, benign postural vertigo, differential diagnosis
benign postural vertigo, differential diagnosis, brain tumor: This forum is not the place for a diagnosis or treatment. See your local healthcare provider. There are lots of reasons for dizziness. A few in the differential diagnosis are: Benign Postural Vertigo, Vestibular Neuronitis, Vertigo, Electrolyte Imbalance,...

Family, Internal Medicine, General Medical Questions: gasritis cure, upper bowel, h pylori
Family, Internal Medicine, General Medical Questions: gasritis cure, upper bowel, h pylori, mininum

Family, Internal Medicine, General Medical Questions: recurrent localized intermittent head pain, tension headache, sinus infection
Family, Internal Medicine, General Medical Questions: recurrent localized intermittent head pain, tension headache, sinus infection, panadol

Family, Internal Medicine, General Medical Questions: Is it Gout or something else?, uric acid test, arthritis problems
uric acid test, arthritis problems, symptoms of gout: sounds like a complicated situation..... I am not sure I believe you have gout (yet)...... an elevated Uric Acid would convince me.... that is a clinical diagnosis ( from your description and physical exam ) and supported by an elevated uric acid. However,...

Family, Internal Medicine, General Medical Questions: gas, cottage cheese, french bread
cottage cheese, french bread, beano: You may want to try activa- it is a yogurt that is designed to aid the digestive system and it contains some essential cultures that may assist you with this problem. Sounds as though your diet is quite healthy- you may be lactose intolerant- may want to...

Family, Internal Medicine, General Medical Questions: gasritis cure, upper endoscopy, h pylori
upper endoscopy, h pylori, gall bladder: the drugs like Nexium should help gastritis/GERD (take them on empty stomach) but if it persists, then you might look at gall bladder or food allergies. I assume you have had the upper endoscopy in the past. But there may be other problems going on also.......

Family, Internal Medicine, General Medical Questions: HELP, post partum depression, tubal ligation
post partum depression, tubal ligation, low thyroid: You should be evaluated for a few medical conditions... possible low thyroid, possible anemia and possible post partum depression.... it isn t a result of your tubal ligation. But, you need to see your regular doctor and get evaluated..... hope this helps......

Family, Internal Medicine, General Medical Questions: HELP! What's wrong with me?? I keep choking on my saliva., thick mucus, guafenisen
thick mucus, guafenisen, allergy symptoms: It sounds like you have an infection in the throat, or are having allergy symptoms... you might try an over the counter antihistamine like Claritan. If the nose is clogged, try Afrin nasal spray for a few days....... personally, I don t think mucodyn (mucinex/guafenisen)...

Family, Internal Medicine, General Medical Questions: Headaches, neck spasm, improper posture
neck spasm, improper posture, muscle spasm: Hi Connie, A runny nose with this sort of headache, especially if it comes on in the afternoon or evening could be something called a cluster headache. Hemicrania Continua is simply a migraine variant. Headaches are hard to actually diagnose with out an exam...

Family, Internal Medicine, General Medical Questions: my health, low blood sugar, sinus infections
low blood sugar, sinus infections, sinus infection: I am not sure what happened... non responsive implies something like a seizure or a low blood sugar reaction.... I hope you have a primary doctor, because it is probably going to take a long evaluation to try and sort things out.... simple sinus infection...

Family, Internal Medicine, General Medical Questions: hypertension drugs, calcium channel blocker, hypertension drugs
calcium channel blocker, hypertension drugs, drugs work: both those drugs work on the renin-angiotensin system in the kidneys..... it is used.... however, that isn t my usual starting protocol... I would use one or the other, then possibly a water pill, then possibly a calcium channel blocker, then consider adding...

Family, Internal Medicine, General Medical Questions: Was this a hypoglycemic reaction?, basal cell carcinoma, hershey medical center
basal cell carcinoma, hershey medical center, haagan dazs: it may very well have been hypoglycemia, but, people like him who are reluctant to go to doctors minimize their symptoms even to themselves...... If it was low sugar, the treatment was giving sugar, but he needs a full eval including a stress test..... urge...

Family, Internal Medicine, General Medical Questions: I know this isn't the place to ask this question, but.., general medicine, new insurance
general medicine, new insurance, care doctor: Hi Triva, At age 20 you certainly do NOT want a Pediatrician. A Family Doctor (Same as general practice) will treat for all illnesses. An Internist, specializes in more complex medical problems although they do general medicine as well. Start out with a...

Family, Internal Medicine, General Medical Questions: Low Carb Diet, low carb diets, low carb diet
low carb diets, low carb diet, appropriate diet: I would suggest getting the paperback book... the Adkins Diet Revolution.... he had done more to support and explain low carb diets than anybody and that is a valid appropriate diet for people with other health conditions.... and it is only a few bucks...

Family, Internal Medicine, General Medical Questions: lumbar spine mri, lumbar spine mri, nerve roots
lumbar spine mri, nerve roots, l5 s1: Hi Ramani, What this means in essence, is that you have arthritic changes of your spine, a small amout of disc material is bulging and pressing on the spinal cord, but not enough to do damage. The reference to nerve roots means that some of the disc material...

Family, Internal Medicine, General Medical Questions: Methadone for pain, acute myocardial infraction, fatal arrhythmia
acute myocardial infraction, fatal arrhythmia, pulmonary edema: Hi Terry, That s hard to say. Sudden death can be from a number of things. It may have been respiratory supression and subsequent failure from the narcotic; pulmonary edema is also possible with the froth issue. Myocardial infarction is not likely but a...

Family, Internal Medicine, General Medical Questions: Mucous seal, ear nose and throat specialist, mucocoele
ear nose and throat specialist, mucocoele, local anesthetic: I can t tell what it would take without a picture, but probably can be removed in the office under local anesthetic.... an aggressive family doctor can do it ( I do them ) or an ENT should be able to do it in the office.... numb the throat, some novacaine...

Family, Internal Medicine, General Medical Questions: Muscle Enzyme, muscle enzyme, daugter
muscle enzyme, daugter, face value: a cpk high doesn t much at face value if someone was exercising or running, it could be up... I would have it checked again, after a day of no significant exercise and good fluid intake and if elevated, then further evaluation is required.......... Hope...

Family, Internal Medicine, General Medical Questions: meningitis (i think i spelled it wrong), scary place, phobia
scary place, phobia, nephew: you already know the answer to your question..... you have examined the situation... you have to get this evaluated.... it might be strep throat also which has to have antibiotics to protect against the long term severe complications..... tell your mom about...

Family, Internal Medicine, General Medical Questions: Nut oils - Cis vs Trans -Fatty Acids, trans fatty acids, trans isomers
trans fatty acids, trans isomers, roasted nuts: Donna, To my knowledge it requires heat to a specific temperature (very very high temps) to turn cis-isomers to trans-isomers or trans-fatty acids. hydrogenated processing is another process entirely. Cis is good, while trans is bad. Some oils are stable...

Family, Internal Medicine, General Medical Questions: Pilonidal cyst in a young man, gmx de, pilonidal cysts
gmx de, pilonidal cysts, pilonidal sinus: This may help, Dis Colon Rectum. 2007 Nov;50(11):1928-34. Links Timeline of recurrence after primary and secondary pilonidal sinus surgery.Doll D, Krueger CM, Schrank S, Dettmann H, Petersen S, Duesel W. Department of Surgery, Bundeswehrkrankenhaus Berlin,...

Family, Internal Medicine, General Medical Questions: possible anuerysm?, headache, circle of willis
headache, circle of willis, migraine: Michael, A headache anywhere on the skull can be a sign of an aneurysm or other type of headache (tension, migarine, cluster, tumor, ...) For a picture of the Circle of willis visit: http://www.nlm.nih.gov/medlineplus/ency/images/ency/fullsize/18009.jpg...

Family, Internal Medicine, General Medical Questions: protien in urine 1+, protien in urine, blood sugar monitor
protien in urine, blood sugar monitor, question the answer: He needs to be carefully monitored by his doctor with repeated urine and blood sugar checks. I hope he was issued a blood sugar monitor. Now is not the time to go on an extreme diet, but if he is obese he may be able to slow the progression by losing weight....

Family, Internal Medicine, General Medical Questions: question re: sleeping, thyroid replacement, medical insight
thyroid replacement, medical insight, depression anxiety: Yes, it could be any of the things you suggest. Depending on your integrative intake findings we might have you seen and followed by our psychologist to remove those factors then give you a B-100 b complex in the morning to make melatonin for the next evening,...

Family, Internal Medicine, General Medical Questions: rectal bleeding..., rectum and anus, red pepper flakes
rectum and anus, red pepper flakes, pepper sandwich: I am not sure why you had the sigmoidoscopy and not the colonoscopy... but bleeding from the anus implies that it is hemorrhoids.... first would be food avoidance, like the peppers, and also if there is any constipation, take some low dose miralax (over the...

Family, Internal Medicine, General Medical Questions: recurrent localized head pain, mra magnetic resonance, magnetic resonance angiogram
mra magnetic resonance, magnetic resonance angiogram, ringing ears: You raise a few concerns, especially the ringing.... we also look for balance problems, dizziness and hearing loss. If you want a better test, an MRA- magnetic resonance angiogram is the money test to detect aneurysms over 1/2 cm. (under that, it is incredibly...

Family, Internal Medicine, General Medical Questions: recurrent localized head pain, ringing ears, anuerism
ringing ears, anuerism, pain thanks: I think you should see a neurologist (and try your best to get health insurance, whatever it takes.) The good news is that, though of course I can t diagnose you, sometimes migraines cause ptosis and vomiting, or drooping of the eyelids. I m a nurse, not...

Family, Internal Medicine, General Medical Questions: recurrent localized head pain, occipital neuralgia, muscle spasm
occipital neuralgia, muscle spasm, vascular headache: Hi Michael, if you can touch this painful area and repoduce the headache this could be an occipital neuralgia brought on by muscle spasm. If it is deeper in the head and not reproducible by pressing on it, you have to think migraine or vascular headache which...

Family, Internal Medicine, General Medical Questions: recurrent localized intermittent head pain, anuerism, intermittent pain
anuerism, intermittent pain, exact spot: Hi Michael, An aneurysm is always a considerartion , although a RARE one, when headaches are severe and recurrent. If you get some immediate, albeit, brief relief with head turning and neck popping, this may be a muscle tension headache. These can be...

Family, Internal Medicine, General Medical Questions: Very Severe Sore Throat, viral croup, soft pallet
viral croup, soft pallet, tender lymph nodes: Hi Karen, I think the mutiple doses of antibiotics will ultimately do more harm than good. All those drugs are not very specific to killing the bad bugs as they kill the good ones as well. That can lead to what are called super infections and sometimes...

Family, Internal Medicine, General Medical Questions: Skin Rash, open angle glaucoma, alphagan p
open angle glaucoma, alphagan p, calcium with vitamin d: Hi Debbie, This rash sounds like a fungal/candida rash. You might get relief from over the counter antifungals. Ringing in the ears is not a know side effect of either of these drugs. I would question your doctor about the ringing when he or she gets back...

Family, Internal Medicine, General Medical Questions: Superficaial Vein in leg, superficial thrombophlebitis, cause blood clots
superficial thrombophlebitis, cause blood clots, vein problems: that sounds like superficial thrombophlebitis...a surface vein getting inflamed.... it goes away in a couple of weeks and doesn t cause blood clots to the lung like the deep vein problems can..... we usually prescribe aspirin, elevation and some time.......

Family, Internal Medicine, General Medical Questions: Switching Doctors, family friend, bacteria
family friend, bacteria, doctors: Hi Nicole, Is she now in the hospital? if so, she may not be stable enough to be transferred right now. If she isn t, she can see whomever she wants. It is her right to change doctors if she chooses but if she is seriously ill and in the hospital, it is...

Family, Internal Medicine, General Medical Questions: Swollen Ankle, ankle sprain, ankle fracture
ankle sprain, ankle fracture, swollen ankle: I have no idea what type of testing that was done to confirm that this is an ankle sprain- however, it may take several months to subside and in some cases it may remain. You may want to seek the advice of an orthopedic physician for his input. You may have...

Family, Internal Medicine, General Medical Questions: silvia gland, saliva gland infection, dill pickles
saliva gland infection, dill pickles, sour candy: people can have a saliva gland infection or a stone blocking the passage of fluid.... since it is lasting so long, you need further workup and probably a referral to an ENT specialist. This may hurt, but you could try sucking on sour candy or dill pickles...

Family, Internal Medicine, General Medical Questions: spotting and cramping, thyroid disorder, metabolic diseases
thyroid disorder, metabolic diseases, llq: ovulation occurs 14 days prior to the beginning of menses... so it isn t from ovulation. I would worry about endometriosis... uterus tissue outside of the uterus, also other metabolic diseases like a thyroid disorder.... those are the first that come to mind........

Family, Internal Medicine, General Medical Questions: It's still Me :), zantac 150, esophageal mucosa
zantac 150, esophageal mucosa, mild inflammation: no, mild esoph is not serious.... it should be able to be treated with drugs such as Zantac, or Prilosec. Smoking and alcohol worsen the situation. if you stay on a decent diet, stop cigs and alcohol, and take a drug like zantac 150 twice a day or Prilosec...

Family, Internal Medicine, General Medical Questions: testi, sexual maturation, varicocoele
sexual maturation, varicocoele, testicle: that is called a varicocoele.... a cluster of veins.... it is no big deal, pretty common overall. it is usually only on one side and can theroretically affect sperm production on that side, but because we have two, it doesn t affect your overall fertility...

Family, Internal Medicine, General Medical Questions: My 2 year olds ribs, global developmental delays, gross motor skills
global developmental delays, gross motor skills, 2 year olds: I would first look for some scoliosis on his spine... this can splay out ribs, because the spine not only curves, but it can rotate somewhat..... Look at him from the back while seated or standing and see if his spine is straight and his shoulder blades,...

Family, Internal Medicine, General Medical Questions: 5 month old with persitent fever for 2 wks, chronic ear infections, ear tube surgery
chronic ear infections, ear tube surgery, bulb syringe: he has not had enough ear infections to warrant an ear tube.... don t take that lightly.... all that does is prevent chronic ear infections from causing hearing problems.... it doesn t prevent them. I would not admit the child unless I had more indications...

Family, Internal Medicine, General Medical Questions: Arthritic Thumb Joint, dear sirs, hand thumb
dear sirs, hand thumb, hand specialist: I don t know much about the fusion procedure... that is a hand specialist thing and I haven t seen it in a finger. But, common sense wise... I would put a splint on it that prevents movement and see if it interferes with your daily activities... because...

Family, Internal Medicine, General Medical Questions: armpit rash, armpit rash, fungal rash
armpit rash, fungal rash, groin area: that is a fungal rash (tinea corporis) Fungus likes warm and wet, so the goal is to keep that area cool and dry.... use powder during the day and use lamisil cream twice a day, it may take 4 weeks to see improvement... also treat the groin if you have...

Family, Internal Medicine, General Medical Questions: Blow to the back of hand, blood vessel, golf ball
blood vessel, golf ball, tylenol: Hi Terry, What probably happened is that the trauma ruptured a blood vessel and she bled under the skin forming this large lump. Treatment should be ice, tylenol (not aspirin or ibuprofen) and patience. The lump will shrink, turn all sorts of colors and may...

Family, Internal Medicine, General Medical Questions: Bone pain, tick borne disease, sythroid
tick borne disease, sythroid, change in the weather: Hi Jill, I would be very concerned about petechiae especially on your face. A negative RA test does not mean that you don t have it. You can have what is called seronegative RA . I think you should have a more thorough workup including clotting studies,...

Family, Internal Medicine, General Medical Questions: Broken Pinkie Toe on Growth Plate, broken pinkie toe, novacaine
broken pinkie toe, novacaine, second opinion: You didn t list your age, but I would consider local anesthesia (a shot of novacaine to numb the toe) and then try to do a closed reduction.... meaning push it back in place and tape it. You don t have anything to lose at that point and if it works, you...

Family, Internal Medicine, General Medical Questions: bio, fellow scientists, chromosones
fellow scientists, chromosones, fruit flies: I can make something up, but my area is general medicine and it has been a long time since basic biology.... I would guess that it would involve microscopic evaluation of chromosones and evaluation of off spring of fruit flies or plants or other species that...

Family, Internal Medicine, General Medical Questions: bleeding, bleeding during intercourse, abnormal vaginal bleeding
bleeding during intercourse, abnormal vaginal bleeding, emergency contraceptive: a little abnormal vaginal bleeding isn t necessarily a serious medical problem, especially if there is some birth control pill or morning after pill use... that can cause it... I would wait but if it persists, then she needs to be checked... hope this help...

Family, Internal Medicine, General Medical Questions: Concerned, bowel movement, warning signal
bowel movement, warning signal, time thing: yes, he needs to see a doctor, and depending on age, needs that evaluated via colonoscopy.... this may be a warning sign and cannot be written off with too much alcohol or central amer food, etc So, he does need to confess and see what his doc recommends...

Family, Internal Medicine, General Medical Questions: Never had cold, viral illnesses, cold flu
viral illnesses, cold flu, running nose: no, of course not... you have been lucky, because no one is immune to viral illnesses... you are just fortunate and have good hand/face hygiene No, you don t need to be sick, but you will always be susceptible to these virus (over 120 of them) and people...

Family, Internal Medicine, General Medical Questions: Never had cold, strong immune system, saleeby
strong immune system, saleeby, cold flu: Anne, I personally have never heard the claim that there is mental illness associated with the lack of acquiring a cold. Count yourself lucky as having a strong immune system. JP Saleeby, MD Read my book on how to live healthy: Wonder Herbs:...

Family, Internal Medicine, General Medical Questions: confused and frustrated, mitral valve prolapse, low grade fever
mitral valve prolapse, low grade fever, chronic kidney disease: You have a long complicated case... any observations would involve a lot of guessing on my part.... If you had PE s in past, you obviously have some venous disease in the legs which may set you up for swelling, along with the COPD. If you creatinine is...

Family, Internal Medicine, General Medical Questions: confused :(, thyroid dysfunction, body signals
thyroid dysfunction, body signals, homeopathic medicines: Hi xyz, First, I would NEVER use homeopathic medicines to treat serious medical conditions such as thyroid disease. I am a little confused by your statement. If you are only LOOKING at men an women sexually, how is it that they can take you for anything...

Family, Internal Medicine, General Medical Questions: Dull pain in right chest back area..., worse case scenario, pulmonary embolus
worse case scenario, pulmonary embolus, leg swelling: it could be a pulled muscle.... on the right side, I don t think about heart problems. Worse case scenario, despite being rare, can occur... a blood clot to lung... pulmonary embolus.... especially if you have leg pain/leg swelling, or have been immobile...

Family, Internal Medicine, General Medical Questions: Dupuytren’s Contracture, invasive surgery, recovery time
invasive surgery, recovery time, tendon: it is scarring of the tendon cause unknown... treatment is surgery to lengthen the tendon... .there is a newer less invasive surgery that is done in some clinic in Fla where they stick the tendon multiple times to help.... I don t know where, but apparently...

Family, Internal Medicine, General Medical Questions: dog bite (that won't heal), clindamycin hcl, thumb pad
clindamycin hcl, thumb pad, bone damage: Hi Nancy, Seems a little long for a bite not to heal. The antibiotic choices were not what I would have chosen first line. If the joint is swollen then you have to consider that the joint has been breached by the bite. Letting the blood under the nail out...

Family, Internal Medicine, General Medical Questions: ears, afrin nasal spray, sinus symptoms
afrin nasal spray, sinus symptoms, shoe laces: sounds like some sinus symptoms with the ear problem.... you might need some afrin nasal spray for a couple of days (over the counter) and if that doesn t work, you might need some antibiotics.... the rib problem.... now sure unless you were coughing and strained...

Family, Internal Medicine, General Medical Questions: exelon, Rivastigmine, Exelon
Rivastigmine, Exelon: Hi Avais and thanks for writing, Rivastigmine [ Exelon ] transdermal (skin patch) is used to treat mild to moderate dementia caused by Alzheimer s or Parkinson s disease. Like many medications is does have potential side effects including confusion, but...

Family, Internal Medicine, General Medical Questions: Strange throat issues, throat conditions, diverticulum
Family, Internal Medicine, General Medical Questions: Strange throat issues, throat conditions, diverticulum, muscles

Family, Internal Medicine, General Medical Questions: food poisoning, panicked, crab salad, botulism
crab salad, botulism, favorite restaurant: Hi Carol, Botulism is very rare and more likely if it is food poisoning it is Salmonella. This is usually self limiting in healthy adults. MOST likely it may have been slightly tainted food and not bacterial at all. If the symptoms persist, you should be...

Family, Internal Medicine, General Medical Questions: Gallbladder, HIDA scan, surgery?, gallbladder polyp, gallbladder pain
gallbladder polyp, gallbladder pain, liver enzymes: there are many possibilities... yes, people can have an abnormal HIDA in a normal gall bladder. People have symptoms moreso with eating high protein, high fatty meals which causes the gall bladder to contract. If no stones, I am not sure what would cause...

Family, Internal Medicine, General Medical Questions: grow taller, viable option, growth hormone
viable option, growth hormone, 24 years: it is very tough at your age to fool mother nature..... sometimes growth hormone can do it, but that is controversial.. but the junk on websites is just that... junk to take your money. There are theoretical risks to the growth hormone but that is the best...

Family, Internal Medicine, General Medical Questions: grow taller, magic pills, growth hormones
magic pills, growth hormones, dangerous surgery: Hi Rob and thanks for writing, At 24 you have already pretty much stopped growing and probably won’t get any taller. Those ads are just trying to get your money – there are no magic pills that will make you grow and growth hormones are very dangerous. ...

Family, Internal Medicine, General Medical Questions: Head neck injury, mild concussion, spine specialist
mild concussion, spine specialist, definite diagnosis: It can take several weeks or even months - depending on the injury itself. Since I am not a physician I can not advise you what to do- physical therapy is sometimes helpful. You really should have a definite diagnosis for proper treatment. There are over...

Family, Internal Medicine, General Medical Questions: Headache and dizziness, headache and dizziness, brain tumors
headache and dizziness, brain tumors, alleve: that sounds like a migraine.... depending on how bad it is, you can take 2 alleve, or 4 motrin or one of the combination migraine preps and if it doesn t get better, then you need an evaluation.... it is very very rare for this to be brain tumors, etc, most...

Family, Internal Medicine, General Medical Questions: High muscle enzyme level -- teenager, high muscle enzymes, marathon runners
high muscle enzymes, marathon runners, allergy medicine: muscle enzymes, specifically CPK creatinine phospho kinase are breakdown products of muscle, also myoglobin can be measured, and that one cross reacts with hemoglobin (blood) on a urine dipstick check. when you work muscles hard, there is some breakdown and...

Family, Internal Medicine, General Medical Questions: high blood pressure??, blood pressure machine, high blood pressure
blood pressure machine, high blood pressure, cigs: that is clearly above normal.... don t panic.... but, that should be further evaluated.... in the short run, no risk, but having mild elevation of BP over years wouldn t be good... talk to a doc, get a workup and see if you need some lifestyle mods.... alcohol,...

Family, Internal Medicine, General Medical Questions: high blood pressure??, blood pressure machine, chicken turkey
blood pressure machine, chicken turkey, high blood pressure: is this high? Yes, anything above 120/70 needs evaluation and treated is it dangerous? Yes should i do something about it? Yes i think the top number is high, can it lead to some health problems? Yes, more important is the reason it is high, cut out...

Family, Internal Medicine, General Medical Questions: high blood pressure - HTN, BP, HTN
BP, HTN: Michael, The JNCA-7 came up with new guidelines for HTN (hypertension/ high blood pressure).... in that it lowered the acceptable systolic (upper number) and diastolic (bottom number). 120/80 being normal 130/85 is acceptable and will not usually warrant...

Family, Internal Medicine, General Medical Questions: Inhaling Cigars, head and neck cancer, nicotine gum
head and neck cancer, nicotine gum, inhaling cigars: I don t understand in this day and age how anybody could seriously believe that cigars and/or cigarettes are not dangerous. Tobacco is tobacco and burning it releases several carcinogens as well as other damaging agents to the lungs and blood vessels. The...

Family, Internal Medicine, General Medical Questions: Knee, alleve, knee cap
alleve, knee cap, bursitis: you got bursitis from kneeling... I have had that... take 2 alleve twice a day, ice on for 20 min, off for 2 hours, some rest, and it should get better. I had it last year and it didn t after 6 weeks and I got a steroid shot that fixed it, but most do get...

Family, Internal Medicine, General Medical Questions: Lipitor, rheumatologist, muscle pain
rheumatologist, muscle pain, podiatrist: interesting question.... I am not sure how to answer that... I may be guilty of times at getting complacent when someone is on autopilot but, that should have been picked up, if you were on Lipitor, and complained of muscle pain/weakness, that should have...

Family, Internal Medicine, General Medical Questions: leg cramps, leg cramps, exercise program
leg cramps, exercise program, magnesium oxide: Not usually good to exercise with bursitis but if you must ask your doctor if you can take magnesium oxide 250 mg four times a day to clear your symptoms and improve your weight loss. see www.medicalcenter.osu.edu/go/integrative for more ideas on nutrigenomic...

Family, Internal Medicine, General Medical Questions: localized intermittent headache, headache treatments, complete physical exam
headache treatments, complete physical exam, anuerysm: typically aneurysm pain is severe worst headache in my life or thunderclap but, if you continue to have this, an MRA magenetic resonance angiogram is the best test to look for aneurysms over 1/2 cm (smaller ones don t rupture and therefore don t matter)...

Family, Internal Medicine, General Medical Questions: Medical Question, enlarged bladder, bladder stone
enlarged bladder, bladder stone, cystoscope: hard to tell with just that bit of info.... protein and blood can be there from multiple things, like aggressive exercise, urinary infection, kidney or bladder stone, injury.... the ultrasound will tell if you have a cyst or stone or mass on the kidney and...

Family, Internal Medicine, General Medical Questions: Migraine, rebound headache, pain meds
rebound headache, pain meds, frova: It sounds like you have had headaches for a while, being on those meds.... the Frova only works on migraines, and there is a problem with rebound if you take repeated doses.... how do you know? usually when the headache responds to Frova, and then comes back...

Family, Internal Medicine, General Medical Questions: Mother-in-laws earlobes, Infected Ear Lobes
Infected Ear Lobes: Hi Helen and thanks for writing, You did not mention, but does she still wear earrings? I will assume that she does and make the most obvious assumption that she is reacting to the earrings and the constant exposure is causing the ears to literally dissolve...

Family, Internal Medicine, General Medical Questions: MRI/MRA, anuerysm, mra
anuerysm, mra, physical exam: an MRA is an MRI where they give you this IV stuff that shows up on the scan.... it isn t like dye that people have allergic reactions from.... so no worries about that.... it is easy, just takes a long time... you have to sit still for 30-40 minutes.... hope...

Family, Internal Medicine, General Medical Questions: normally strong boy, suddenly constantly ill..., febrile seizure, nasal cavity
febrile seizure, nasal cavity, strong boy: I am not convinced about the febrile seizure... definition-wise, it was too long. But it sounds like he had a significant infection, whether it was sepsis meaning bacterial or viral; both of which should resolve.... he may have had bad luck with the sequential...

Family, Internal Medicine, General Medical Questions: Possible Spine Infection or Menningitis?, epidural steroid injections, spine infection
epidural steroid injections, spine infection, lumbar spine: it is pretty rare, but I would still worry about an infection from the epidural... you might need another tap to look at the fluid or an MRI of the area to look for a focus of infection..... talk to the doctor that did the epidurals and to your regular doc...

Family, Internal Medicine, General Medical Questions: PSA Increase, many different ways, absolute number
many different ways, absolute number, doubling time: the two things we look at are the absolute number (less than 4.0) and the increase over time.... we talk about doubling time and increase over the prev year.... that one has my attention, but if your prostate digital exam was normal... the most I would do...

Family, Internal Medicine, General Medical Questions: question, blood spatter, public restroom
blood spatter, public restroom, contract hiv: Hi Melanie, The likelihood of catching an STD is miniscule but not 100% impossible. As long as the kids don t have any cuts or breaks in the skin, contact with blood shouldn t be a problem. They just have to try to remember to wash the seat before and hands...

Family, Internal Medicine, General Medical Questions: question re: something on lip, abreva, shelf product
abreva, shelf product, cold sore: it could be a cold sore... I would give it another week... after a week the meds like abreva prob don t do much. If it isn t gone in a week or ten days more, get it checked. By the way, if it is a cold sore, taking one of the oral antiviral pills like zovirax,...

Family, Internal Medicine, General Medical Questions: Reaccuring Thrush, nystatin suspension, thrush
nystatin suspension, thrush, swab: I would get checked for diabetes first with a 2 hour after a meal blood sugar. Then, get some oral nystatin suspension and take one teaspoon 4 times a day, swish it around then swallow it for a week. You will need at least 150 cc of it. That should work.......

Family, Internal Medicine, General Medical Questions: rash, lamisil cream, jock itch
lamisil cream, jock itch, cause yeast infections: yeast is a fungus that likes to grow in warm wet places.... it is treated with anti-fungal creams or sometimes pills. The goal is to keep the area cool and dry to block growth to get rid of it.... these fungus cause yeast infections, jock itch, athlete s...

Family, Internal Medicine, General Medical Questions: rib dysfunction and pneumonia, intense exercise, dry weather
intense exercise, dry weather, viral illness: Prolotherapy doesn t work in my opinion. If you get a viral illness, you will cough for a while.. most of the time it resolves, occasionally it could turn into a worse bacterial infection... that is rare, but can t be prevented.... the good news it that it...

Family, Internal Medicine, General Medical Questions: Shingles, chicken pox virus, stress and illness
chicken pox virus, stress and illness, lidoderm: Hi Larry, Shingles is tough. Pain can be long lasting after the blisters go away. A couple of things that may hel: Lidoderm Patches and Neurontin. Both have to be prescribed. It is not too late to get the vaccine as recurrence is always possible. Shingles...

Family, Internal Medicine, General Medical Questions: Shingles, chicken pox virus, pain specialist
chicken pox virus, pain specialist, persistent pain: vaccine won t help now.... I assume the rash is gone... it is from varicella zoster (chicken pox virus) the vomiting is not related.... she needs a full eval for the vomiting because that is not part of the shingles... at this point, if she still has pain,...

Family, Internal Medicine, General Medical Questions: Strange throat issues, throat discomfort, high fever
throat discomfort, high fever, throat pain: this sounds more like allergies than anything else... strep throat... typically has high fever, severe throat pain.... viral sore throats come and go.. allergies tend to cause low level throat discomfort without obvious signs...... this ball feeling is probably...

Family, Internal Medicine, General Medical Questions: Swollen face, salivary stone, tooth infection
salivary stone, tooth infection, swollen face: maybe a tooth infection... possibly a gland infected or blocked by a salivary stone, possibly a cyst, like a deep acne infection..... treatment, warm pack to area, and if it starts hurting, see someone for some antibiotics... if a tooth is sore, off to the...

Family, Internal Medicine, General Medical Questions: Synthroid, symptoms of hypothyroidism, tsh levels
symptoms of hypothyroidism, tsh levels, t3 and t4 levels: Not really. It sounds like you could even have the celiac disease based hashimoto s thyroiditis so need the TPO blood test. The problem with online meds are that they often do not contain the medications so better to use an Rx for this see www.medicalcenter.osu.edu/go/integrative...

Family, Internal Medicine, General Medical Questions: sciatic nerve???, nerve pain, extreme pain
nerve pain, extreme pain, buttocks: Hi Lolita, This sounds like sciatic nerve pain. An MRI would show your discs and if nerves are being pressed upon and causing pain. An MRI of your thigh and buttock would probably not be very helpful as this pain sounds like it is referred from above...

Family, Internal Medicine, General Medical Questions: severe bruising, repetitive trauma, fastpitch softball
repetitive trauma, fastpitch softball, motrin: I assume you mean the elbow is getting bruised... she may be more prone to bruising if she is taking motrin type meds, but probably it is just related to repeated trauma from hitting it.... she should ice it down, hold the Motrin and figure out a new technique...

Family, Internal Medicine, General Medical Questions: strange symptoms after period, strange sensations, strange tastes
strange sensations, strange tastes, groin area: I would check a first morning urine sample for pregnancy.... otherwise, you may be partially supressing ovulation thru your prev breast feeding and still recovering from the delivery. there is also a possibility of another hormonal problem coming up,...

Family, Internal Medicine, General Medical Questions: surgical incision inflamation, heart bypass surgery, incision line
heart bypass surgery, incision line, surgical incision: Hi Laurel, Unfortunately steroids can cause elevation in blood sugar, not a great thing for diabetics. A topical cream probably isn t going to be enough. If you are using a triple antibiotic or Neosporin cream, I would stop that as it can be a significant...

Family, Internal Medicine, General Medical Questions: sweling and tingling in both hands, clear liquids, intestinal virus
clear liquids, intestinal virus, bland diet: it sounds like you might have had an intestinal virus or food poisoning.... the treatment is going on clear liquids for 24 hours.... juice, water, soda, then going back on a bland diet for a day or two. There may be a delay in the hand swelling. If it doesn...

Family, Internal Medicine, General Medical Questions: swollen gland above vagina, bartholin gland cyst, vagina lips
bartholin gland cyst, vagina lips, sebaceous cyst: Hi Britt, OK, now we re talking. This is what I was trying to get you to tell me. This knot is a sebaceous cyst and can get inflammed. Moist warm packs applied to the area 20 minutes on and an hour off as regularly as possible can help resolve this. If it...

Family, Internal Medicine, General Medical Questions: Tingling, high heels shoes, nerve damage
high heels shoes, nerve damage, moist heat: SOunds as though you may have some residual nerve damage. I am not a physician.....it may have been inflammed and may take some time to resolve. Moist heat may help increase the circulation. If it does not resolve you may want to have it checked out. Tylenol...

Family, Internal Medicine, General Medical Questions: tryglycerides, omega 3 fish oil, magnesium oxide
omega 3 fish oil, magnesium oxide, omega 6: This is from your metabolic disorder so you need to eliminate starches, gluten, sugars, alcohol and omega-6 plant oils. Ask your doctors if cinnamon, B-50, magnesium oxide, and omega-3 fish oil; each four times a day, in a gluten free and omega-6 lowered...

Family, Internal Medicine, General Medical Questions: tubal ligation, BTL, Tubal Ligation
BTL, Tubal Ligation, Pregnancy: Rasheda, I am NO OB/GYN, but as an ER physician I have seen at least one case (in recent history) of a woman with a bilateral Tubal Ligation who became pregnant. BTL is pretty good form of birth control, but nothing is 100%.... If you suspect pregnancy,...

Family, Internal Medicine, General Medical Questions: Unusual late period, negative pregnancy test and spotting?, late period negative pregnancy test, negative pregnancy test
late period negative pregnancy test, negative pregnancy test, morning urine: if you do a first morning urine for the pregnancy test (most concentrated) then it should test positive at this time, as it would be about 15 days after conception (usually works after 9 days) and since your are spotting, it is probably a missed ovulation.......

Family, Internal Medicine, General Medical Questions: weight, sick euthyroid, thyroid medication
sick euthyroid, thyroid medication, saliva testing: Hi Lisa, There is a condition called “sick euthyroid” that can appear as a normal thyroid tes but still have a thyroid that is not doing what it is supposed to. Some alternate thyroid testing may have to be done to check all the parameters to be sure that...

Family, Internal Medicine, General Medical Questions: weight, thyroid medication, saliva testing
thyroid medication, saliva testing, low fat low carb: You appear to have several problems, including hashimoto s thyroiditis caused by the gluten that causes your celiac disease and the further malabsorption of magnesium oxide plus that missing in the soft water, bottled water and city water supplies all documented...

Family, Internal Medicine, General Medical Questions: weight, Adaptogen Herbs, Hypothyroidism
Adaptogen Herbs, Hypothyroidism, Adrenal Depression: Lisa, This forum does not allow for the diagnosis and treatment of illness and disease. However, doctors should look into other hormone axis abnormalities... adrenal and growth hormone. You can read about adrenal fatigue on my blog: http://docsaleeby.blogspot.com/2005/04/adrenal-crisis.html...

Family, Internal Medicine, General Medical Questions: weight gain, thyroid medication, saliva testing
thyroid medication, saliva testing, hormone estrogen: Unfortunately, I am in South Carolina... I do it also, but I always cringe when someone said the doctor said it was normal and not knowing the absolute numbers, because, esp with thyroid, some doctors misinterpret the results and go by the suggested ranges,...

Family, Internal Medicine, General Medical Questions: 6 year old boy, fetal alcohol syndrome, magines
fetal alcohol syndrome, magines, proper guidance: We better focus on what is to be done now. Treatment is not curative even if we know the reason. If he is more or less normal as far as intellectual development is concerend dont worry. If you feel he is not, it is not an uncommon thing in the world we...

Family, Internal Medicine, General Medical Questions: Abnormal bowel movements, bran cereal, inflammatory bowel disease
bran cereal, inflammatory bowel disease, milk of magnesia: this could be IBS, it could also be inflammatory bowel disease (crohn s or ulcerative colitis) or could be diverticulitis. It is unlikely at your age that you have colon cancer. It could simply be an intestinal infection that would improve in a few days....

Family, Internal Medicine, General Medical Questions: Acne without Birth Control, birth control pills, doxicycline
birth control pills, doxicycline, cystic acne: You could go on birth control pills if you had to for the acne, but... first, I would do standard acne like treatment, such as going on some antibiotics like doxicycline for a week or two. If you have some cystic acne, that tends to build on itself so you...

Family, Internal Medicine, General Medical Questions: Arm & Chest Pains, dull pain, chest pains
dull pain, chest pains, heart problems: it could be nothing or could be heart problems.... it is hard for me to tell over the internet.... I am not, and I am sure you aren t willing to trust a diagnosis made over the internet... if you have chest pains, get it checked out at the ER or at least with...

Family, Internal Medicine, General Medical Questions: abdominal pain, gall bladder disease, zantac 150
gall bladder disease, zantac 150, upper abdominal pain: the colon polyp stuff is probably a non-issue since they were removed..... further testing.... without a gall bladder? possibly an upper GI endoscopy (scope down throat) if you don t respond to zantac, or possibly increasing from zantac to Prilosec or another...

Family, Internal Medicine, General Medical Questions: Blood Work, crest syndrome, sore legs
crest syndrome, sore legs, inflammatory arthritis: I don t know what 117, 130 means..... Did you have an ESR (sed rate) if that is normal, it tends to give less credibility to an active inflammatory arthritis disease.... It is good you had thyroid eliminated as a cause (TSH below 1.5) But it sounds like you...

Family, Internal Medicine, General Medical Questions: Blue Veins under/around eyes, unsightly veins, blue veins
unsightly veins, blue veins, allergy medications: the BP meds are a non issue... the veins that are apparent can be ablated (injections with hypertonic saline) that will get rid of them... the rosacea may may that problem a little worse, but usually, those little cosmetic procedures are safe and effective...

Family, Internal Medicine, General Medical Questions: blender/nutrition, nutritive value of fruits, dairy protein
nutritive value of fruits, dairy protein, fruits and vegetables: I mix soy protein, Caution soy rotein leads to breast cancer, so may want to use whey dairy protein a variety of fruits OK little canola oil, Caution canola is omega-6 plant oil and leads to cancer and many diseases. see http://efaeducation.nih.gov for just...

Family, Internal Medicine, General Medical Questions: blender/nutrition, Diet, Nutrition
Diet, Nutrition, blender: Diana, The notion that blending veggies or fruit will lessen their nutritional value is total hogwash. Not so sure what you are doing is necessarily healthy however, would shy away from Canola and maybe use light extra virgin Olive Oil (the only oil in...

Family, Internal Medicine, General Medical Questions: brain abscess, brain abscess, ear drainage
brain abscess, ear drainage, ear discharge: wow, interesting question.... what are you driving at? I will be happy to give you my opinion, but I don t know what you are even asking? If someone has a brain abscess, I would worry about fever, headaches, or neurological symptoms... ear drainage? I still...

Family, Internal Medicine, General Medical Questions: burning in upper back & arms, nerve conduction studies, nerves in the neck
nerve conduction studies, nerves in the neck, mri brain: I don t know why pituitary enters into this.... but thyroid should be checked also. If those are normal, then you should look at the nerves in the neck/shoulder/elbow via nerve conduction studies to get the next appropriate evaluation..... hope this helps........

Family, Internal Medicine, General Medical Questions: Cardio CT Scans, Cardiac CT, EBCT
Cardiac CT, EBCT: Sam, I had one done for my 40 s birthday. Cardiac CT Calcium Scores are helpful in diagnosing of well formed mature plaque as they hold calcium. Don t need to do it annually, but every 2 or 3 years perhaps (not sure what the studies show). Is a good...

Family, Internal Medicine, General Medical Questions: Chewing, problem thanks, eating disorder
problem thanks, eating disorder, weird thing: This is the other half of your problem called an eating disorder so ask your doctor for a referral to a person that specializes in this. We use relaxation, hypnosis and acupuncture for this condition but need to see what your parents and doctors think first...

Family, Internal Medicine, General Medical Questions: Child's Health, sore throat ear ache, forehead neck
sore throat ear ache, forehead neck, daughter emily: Hi Sarah, As a rule, these symptoms in a child he age suggest a viral illness. Any sore throat, ear ache, nausea, vomiting or diarrhea? If so, a visit to her pediatrician is in order, otherwise let this pass. Be sure she drinks plenty of fluids to prevent...

Family, Internal Medicine, General Medical Questions: Child Shoulder and Humorous bone injury, hyperbaric oxygen treatments, exersices
hyperbaric oxygen treatments, exersices, bone injury: I havent seen a case where this is cause of much concern to any docotr. This condition is ery rare. The patient should try to do some movement with the hand. I think he must be doing some exersices. This is adequate for getting oxygen in and around the area....

Family, Internal Medicine, General Medical Questions: Always Cold, gluten free diet, fingers and toes
gluten free diet, fingers and toes, calcium magnesium: Yes sounds like you have a gluten intolerance called celiac disease with malabsorption of b vitamin, calcium, magnesium etc. Ask your doctor if your insurance covers the HLA DQ 2,8 celiac typing test and if you can go on a high calorie gluten free diet with...

Family, Internal Medicine, General Medical Questions: Constant Headache, armour thyroid, constant headache
armour thyroid, constant headache, natural thyroid: Hi Chris, First I’d get off Armour thyroid. It is a poor way to treat thyroid disease. As for the headache, it sounds like either a cervical or tension headache. This brings the chicken and the egg scenario; headache first, brings on depression which worsens...

Family, Internal Medicine, General Medical Questions: chelation therapy for heavy metals toxicity, heavy metal toxicity, thyroid cancer
heavy metal toxicity, thyroid cancer, savannah ga: I only work infrequently in Savannah, GA. I will be in town on July 7th but see existing patients and occasionally new patients once a quarter. If you wish to become a patient and go through oral detox for heavy metals, plan on seeing me on the 7th. You...

Family, Internal Medicine, General Medical Questions: cuts and scrapes, how to roller blade, cuts and scrapes
how to roller blade, cuts and scrapes, roller bladding: Hi Michelle, Scrapes usually heal in a week or two. A scrape over a tattoo may leave a pigment change on the tattoo itself. Just keep the areas clean with soap and water. Do NOT use triple antibiotic or neosporin as this could lead to serious skin reactions...

Family, Internal Medicine, General Medical Questions: cystocele, low cholesterol, pelvic muscle
low cholesterol, pelvic muscle, pessary: Hi Dona, At this point in your life, there is not much left of pelvic muscle that will be aided by kagel’s. I don’t think it would hurt but I wouldn’t expcect much. If you still have a uterus, a pessary may help. Otherwise, surgery is the only choice if this...

Family, Internal Medicine, General Medical Questions: Diagnos me!, thyroid tests, hair line
thyroid tests, hair line, panic attacks: the first thing to do is to explain this to a doctor that you are comfortable with.... they will check thyroid tests and hormones and if it isn t that , they can do additional tests or trials to see what helps you.... Get a CBC and thyroid tests initially...

Family, Internal Medicine, General Medical Questions: DNA, type mother, o father
type mother, o father, blood type: Is it possible for a mother with A+ blood and a father with AB blood to have a child with B+ blood type? Mother is A + O Father is A + B Then children can be AA, AB, OA, BO which is B+ is it true you can get your grandparents blood type? Yes using...

Family, Internal Medicine, General Medical Questions: dehydration?, accidental ingestion, thyroid problem
accidental ingestion, thyroid problem, cardiac problem: I am sorry... I don t buy the dehydration diagnosis... I would have her followup with her doctor and have additional testing.... this can have other causes... primary cardiac problem are rare in children but not impossible (not heart attacks, but rhythm...

Family, Internal Medicine, General Medical Questions: diabetes, control blood sugar, lowering triglycerides
control blood sugar, lowering triglycerides, trigliserides: Hi Pamela, Triglycerides are basically “fat” that floats around in the blood. In some people their triglycerides are so high that the blood is actually milky. I notice your header mentions Diabetes. In Diabetics , triglycerides tend to be higher. Lowering...

Family, Internal Medicine, General Medical Questions: Ears and Dizziness, inner ear infection, ear discomfort
inner ear infection, ear discomfort, ear problem: it is hard to tell over the internet... but if you have no hearing loss and not ringing, that is a good sign. If intermittent fluid is on the ear or ears, you can get some dizziness, and if afrin nasal spray twice a day for 1-2 days doesn t help then you...

Family, Internal Medicine, General Medical Questions: EPIDIDIMYTIS, peak age, epididimytis
peak age, epididimytis, family practice: interesting question... I just took my family practice boards again for the 4th time and we didn t have a question on that.... peak age.... no, Ultrasound.... NO.... scrotal contents.... could be normal.... typical pain..... not really... I would go with E.......

Family, Internal Medicine, General Medical Questions: Facial Nerves, facial nerves, mild concussion
facial nerves, mild concussion, sensory nerves: you may have cracked a bone in your face or have a bruise that is pressing on one of the sensory nerves on the face. Also, you probably did have a mild concussion if you got nausea and pain. It is worth getting that checked out because if it is a cracked...

Family, Internal Medicine, General Medical Questions: Fatty Liver, fatty liver disease, elevated liver enzymes
fatty liver disease, elevated liver enzymes, elevated enzymes: You may be correct but stopping the androgel would remove one metabolic burden from your liver while your doctor finds out the real reason which from our experience is the nutrigenomic food mismatch with your genes. see www.medicalcenter.osu.edu/go/integrative...

Family, Internal Medicine, General Medical Questions: Constant Headache, thyroid hormone levels, armour thyroid
Family, Internal Medicine, General Medical Questions: Constant Headache, thyroid hormone levels, armour thyroid, thyroid disease

Family, Internal Medicine, General Medical Questions: LISINOPRIL & COUGH, benicar, numbness
Family, Internal Medicine, General Medical Questions: LISINOPRIL & COUGH, benicar, numbness, saliva

Family, Internal Medicine, General Medical Questions: Medical, egg white discharge, lupron
Family, Internal Medicine, General Medical Questions: Medical, egg white discharge, lupron, laparoscopy

Family, Internal Medicine, General Medical Questions: Prolotherapy/Rib Dysfunction, repetitive injuries, movement patterns
Family, Internal Medicine, General Medical Questions: Prolotherapy/Rib Dysfunction, repetitive injuries, movement patterns, muscle strength

Family, Internal Medicine, General Medical Questions: facial numbness, orbital decompression surgery, facial numbness
orbital decompression surgery, facial numbness, sinus infection: I don t know of any hereditary conditions with this... But... I would be worried about persistent numbness/motor weakness that was prolonged and writing that off as a complex migraine... a migraine weakness or numbness should last a few hours then completely...

Family, Internal Medicine, General Medical Questions: female sexual, partner climaxes, premature ejaculation
partner climaxes, premature ejaculation, satifaction: you should consider yourself fortunate that your partner climaxes well..... there isn t a specific med to use. Sometimes in men, we will use serotonin antidepressants, like Prozac if you had premature ejaculation, but I am not sure that would work in this...

Family, Internal Medicine, General Medical Questions: female sexuality, female ejaculate, female sexuality
female ejaculate, female sexuality, woman ejaculating: Hi John, You are of course entitled to your opinion. The fact is that there is no substantive proof of the exisitence of female ejaculate or the “female prostate” as some would have you believe. Be that as it may, I would celebrate the fact that you have found...

Family, Internal Medicine, General Medical Questions: general, fertility drug, thyroid function
fertility drug, thyroid function, having a second child: Hi Hayley, Provided you have normal ovarian function, your fertility will be OK. Clomid is used to treat infertility but that hasn’t been established for you yet. After you miss a couple of periods, you may want to ask your GYN if he or she wants to try to...

Family, Internal Medicine, General Medical Questions: grandsons feet, peripheral vascular disease, grandsons
peripheral vascular disease, grandsons, pediatrician: black and cold are not good, especially for an infant....this needs to be evaluated by his pediatrician right away. We don t worry about peripheral vascular disease at this age, but this could be another circulatory problem and needs to be looked at.......

Family, Internal Medicine, General Medical Questions: Hemorrhoid, milk of magnesia, local chemist
milk of magnesia, local chemist, external hemorrhoid: if it isn t bleeding, make sure you aren t constipated... use miralax or milk of magnesia to prevent that and hemorrhoids usually resolve in a few weeks........ if bleeding, you may have to have further evaluation, depending on your age and your risk factors...

Family, Internal Medicine, General Medical Questions: Higher Pulse, Lower Blood Pressure, Lump in Stomach, Headaches, west nile virus, h pylori infection
west nile virus, h pylori infection, lump in stomach: Hi Christine, This could be any number of things. I do not think any of this is due to the virus or meningitis. A blood pressure like hers in a healthy 26 year old may be normal (unless you know that here to fore it has been regularly higher). This lump...

Family, Internal Medicine, General Medical Questions: Hydration question..., hind brain, stomach upset
hind brain, stomach upset, medical diagnosis: If it were me, I would ask for a referral to an endocrine specialist before I simply started Forinef. There are a lot of potential side effects and it is difficult to comply with the water drinking requirements..... giving you IV s is not an answer because...

Family, Internal Medicine, General Medical Questions: histamine shock, spicy pizza, epi pen
spicy pizza, epi pen, old chicken: yes, when someone is bitten, there can be histamine produced.... eating it probably doesn t do much... but if you are allergic to a food, it can release histamine. I don t know if I buy the theory about the chicken being old. If he has had severe reactions,...

Family, Internal Medicine, General Medical Questions: how do humidifiers effect COPD, COPD, humidifiers
COPD, humidifiers: Judith, Moist air produced by a typical home humidifier should have no untoward effects on anyone in close proximity with COPD. Smoking cigarettes or second hand smoke to anyone with COPD / Emphysemia on the other hand would be a different story. So...

Family, Internal Medicine, General Medical Questions: hypoxia, difussion, carbon dioxide
difussion, carbon dioxide, oxygen: hypoxia technically is decreased oxygenation (hypoxemia) decreased oxygen in the blood... hypoventilation can result in hypoxemia/hypoxia but also can cause hypercarbia (increased carbon dioxide) in the blood...... not sure where you are going with this, but...

Family, Internal Medicine, General Medical Questions: ileus in 18-year-old son concerns, reddish fluid, serial examinations
reddish fluid, serial examinations, work cat: when someone has these symptoms, they need serial examinations, usually every 12-24 hours. No test is 100% effective at diagnosing appendicitis, and a cat scan can miss that about 5-10% of the time. He should have a repeat examination, repeat labwork, and...

Family, Internal Medicine, General Medical Questions: internal injury?, soft tissue injury, pain meds
soft tissue injury, pain meds, intestines: it is really hard to cause some organ rupture like stomach or intestines... more likely it is an abd wall / muscle / soft tissue injury. Ice pack, standard pain meds. If, however, you did hurt an organ, you will get pretty sick in 24 hours, fever, vomiting,...

Family, Internal Medicine, General Medical Questions: Jaw pain swelling, swollen lymph node, herpes simplex type
swollen lymph node, herpes simplex type, skin abscess: this may be a cold sore (herpes simplex type I) infection or could be a swollen lymph node or could be a simple skin abscess/infection. It sounds more like a cold sore at this point from your description and will go away in 10-14 days without treatment, sooner...

Family, Internal Medicine, General Medical Questions: Leg swelling, fluid leaks, heel spurs
fluid leaks, heel spurs, water pill: swelling has multiple causes, and if they can t find a specific one, it is probably more of a vein problem in the legs where they stretch and build up pressure and fluid leaks out into surrounding tissue. If it goes down in when you lay down at night, put...

Family, Internal Medicine, General Medical Questions: LISINOPRIL & COUGH, ACE inhibitors, Lisinopril
ACE inhibitors, Lisinopril, bradykinins: Vivian, Lisinopril is an ACE-inhibitor and as such it works on not allowing the conversion of bradykinins to Angiotensin by the enzyme Angeotensin Converting Enzyme (ACE) in the lung. Angiotensin is what can make blood pressure rise. With a build up of...

Family, Internal Medicine, General Medical Questions: Medical, birth control pills, bacterial vaginosis
birth control pills, bacterial vaginosis, pap smear: I would have a vaginal exam with the discharge so that they can identify whether it is yeast, bacterial vaginosis, or trichomonas.... the abnormal bleeding is another issue with the uterus, as opposed to the vagina and your gyn will either cycle you on birth...

Family, Internal Medicine, General Medical Questions: male odor, sex transmitted disease, fungal infection
sex transmitted disease, fungal infection, bacterial infection: sometimes it can be a bacterial infection, possibly trichomonas (a sex transmitted disease, but unlikely), or a fungal infection. If the skin looks red or raw, treat it as fungal with Lamisil cream and lots of powder to keep the area dry. If there is no...

Family, Internal Medicine, General Medical Questions: mis-set tibia fracture?, exact rules, angulation
exact rules, angulation, left fibula: I don t know the exact rules, but orthopedic docs have guidelines on the long bones, that if they are within a certain distance from each other, and within a certain angulation and within a certain amount offset, that they heal adequatetly without having to...

Family, Internal Medicine, General Medical Questions: Need Reassurance, cardiolyte stress test, acid reflux
cardiolyte stress test, acid reflux, left breast: the best reassurance that I have is that you passed the nuclear stress test well... you didn t say how long you stayed on the machine, but if they said it was an adequate test, then that is excellent reassurance against coronary disease and you had a good...

Family, Internal Medicine, General Medical Questions: nerve damage, gabapetin, pain meds
gabapetin, pain meds, pain specialist: chronic pain is a tough problem in person, let alone over the internet.... a pain specialist is essential... but you are already on a lot of good pain meds at this point (from all aspects) so I don t have any earth shattering ideas.... other than sometimes,...

Family, Internal Medicine, General Medical Questions: ovarian cancer, chemotherapy regimen, cancer question
chemotherapy regimen, cancer question, fluid accumulation: Hi Colleen, That is no mystery. That fluid would otherwise be produced at a much lower level and disposed of. More fluid = more weight. There will be over all weight loss ans themetabolism of thecan cer eats up her fat and muscle tissue. She can t (or won...

Family, Internal Medicine, General Medical Questions: Pap smears, viral warts, letter in the mail
viral warts, letter in the mail, pap smear: it prob isn t because of the vaginal bleeding.... it is either an inflammation in the vagina from a bacterial or yeast infection or possibly a precursor to viral warts, HPV..... don t panic... just keep up with your GYN healthcare... and you will be fine...

Family, Internal Medicine, General Medical Questions: Potassium Limits, sodium potassium, potassium imbalance
sodium potassium, potassium imbalance, heart contraction: Hi Mike, Potassium metabolism is not as clear cut or straight forward as these other folks imply. There are a host of reasons for potassium to be high or low. Under normal circumstances, we get enough Potassium daily in our diet and given a normal physiology,...

Family, Internal Medicine, General Medical Questions: Getting Pregnant on The Pill, birth control pills, getting pregnant on the pill
birth control pills, getting pregnant on the pill, pregnant on the pill: Hi Ayelet, If you miss the pill, you can ovulate and potentially become pregnant in a 24 hour period. If you don t know you are preganant and continue the pill, it is possible to do harm to the fetus. Your body starts to produce a hormone that only shows...

Family, Internal Medicine, General Medical Questions: Prolotherapy/Rib Dysfunction, latex mattress, gentle manipulation
latex mattress, gentle manipulation, prolotheraphy: I don t really have a lot of faith in prolotherapy.... I would recommend an aggressive chest/abd muscle strengthening program and then if local problems persist, possible injections to those areas.... I am worried that some other condition exists, causing...

Family, Internal Medicine, General Medical Questions: pharmacology, bee sting, emergency rescue
bee sting, emergency rescue, benadryl: first would be to mobilize emergency rescue... then administer benadryl and an epinephrine shot to buy some time then establish an IV if possible and get someone to a facility as soon as possible. And remove whatever is causing the anaphylaxis, such as a...

Family, Internal Medicine, General Medical Questions: possible appendicitis, red blood cells, symptoms of appendicitis
red blood cells, symptoms of appendicitis, boss lady: yes, a classic case of appy, (if there is one) is vague pain around the belly button, sometimes fever, sometimes elevated white count, almost always, loss of appetite. The diarrhea doesn t quite fit and it may be an intestinal infection but the first thing...

Family, Internal Medicine, General Medical Questions: Qiuck Question, neck manipulation, neck pains
neck manipulation, neck pains, allexperts: Hi Skyler, Personally, I feel it is very risky to be manipulating the neck of an 86 year old. There are so many possibilities that chiropractic can’t “fix” and may even worsen. If he feels the compulsion to have a neck manipulation, I would opt for an Osteopath....

Family, Internal Medicine, General Medical Questions: Question regarding Graves Disease, orbital decompression surgery, radio iodine
orbital decompression surgery, radio iodine, hyper thyroid: obviously you have a severe Graves disease condition.... with radioactive ablation, sometimes not all the thryoid is destroyed and with the thyroiditis, the remaining thyroid can get very overactive.... we sometimes use thyroid to suppress it as in your case,...

Family, Internal Medicine, General Medical Questions: Quick Question, neck pains, chiros
neck pains, chiros, allexperts: when an elderly patient gets joint pain but previously had none, I always worry about another process like a cancer causing it.... he should see a regular doc and get xrays of the neck or further evaluation..... nothing wrong with chiros but if he is 86 and...

Family, Internal Medicine, General Medical Questions: Reflux, nausea, vomiting after gallbladder surgery, elevated liver functions, low fat high fiber diet
elevated liver functions, low fat high fiber diet, liver enzymes: Yes... I don t think all the diagnosis/issues have been identified. It is not that common to obstruct after a gall bladder removed and the GI specialist should look for other causes of the elevated liver functions also, like viral hepatitis or scar tissue...

Family, Internal Medicine, General Medical Questions: re: how much glucphage you can take, detail message, glucophage
detail message, glucophage, fbs: I doubt if that dose of Glucophage really changed things that much. Glucophage tends to max out effectiveness at 2000 mg/daily, and side effects go up after that. It is cheap, safe and effective.... you might want to change your evening dose of Glucophage...

Family, Internal Medicine, General Medical Questions: reaction to medicine, swollen feet, benadryl
swollen feet, benadryl, cephalexin: if someone gets a rash and has other symptoms then we have to worry about an allergic reaction. If that occurred, then she needs to report that to her doctor so that can be documented, because next time, the reaction can be worse, if that truly was an allergic...

Family, Internal Medicine, General Medical Questions: Severe stomach / intestinal problems, irritable bowel symptoms, zantac 150
irritable bowel symptoms, zantac 150, google search: sounds like some irritable bowel symptoms or some type of food intolerance.... sometimes celiac disease... (that is helped with diet, try a google search) I would try that, or try Zantac 150 mg twice a day or consider getting your glaa bladder checked by...

Family, Internal Medicine, General Medical Questions: Shingles, female hormones, case of shingles
female hormones, case of shingles, uterine cancer: if you have vaginal bleeding 20 years after menopause, then that has to be evaluated to make sure it isn t uterine cancer or other problems. The shingles will not cause menstrual bleeding or affect hormones. This kind of problem should be evaluated by a...

Family, Internal Medicine, General Medical Questions: MAKE IT STOP 2, hick ups, diaphragm muscle
hick ups, diaphragm muscle, phenergan: we aren t sure... sometimes people will have a cancer/tumor on the diaphragm, usually esophagus or lung cancer, but, intermittent hiccups are annoying and we don t know why they occur, just that the diaphragm muscle starting twitching abnormally by itself....

Family, Internal Medicine, General Medical Questions: Sudden Chills, Chills
Chills: Hi Mary Ellen and thanks for writing, Your Dad needs a complete physical check-up including blood-work so you should have him seen by his family doctor as soon as possible. I’m sure the physician will be able to quickly identify the cause of his “chills”...

Family, Internal Medicine, General Medical Questions: schitzophrenia, paranoid schitzophrenia, pacific uop
paranoid schitzophrenia, pacific uop, university of the pacific: I don t know what the state laws are in CA, but you would be best served by getting him to a specialist, either taking him to the emergency room, or getting a court order to have him evaluated, or if he is willing, take him to a doctor who can refer him to...