About Experts Sitemap - Group 21 - Page 12 2014-10-28

Family, Internal Medicine, General Medical Questions: heart rate, left side chest pain, heart rythm
left side chest pain, heart rythm, dull ache: at your age you won t have a heart attack, but the rythm problem should be looked at with a heart monitor for a day to see if it can be reproduced then analyed. The pain is not coming from the heart and the two issues are probably unrelated. Let your doc...

Family, Internal Medicine, General Medical Questions: heart rate, left side chest pain, rhythm disturbances
left side chest pain, rhythm disturbances, dull ache: Hi Michael, Sleep apnea may be exactly what you are experiencing. It isn’t uncommon for the blood pressure and heart rate t go up durng sleep. Add sleep apnea to this and you have an issue. A sleep study would be a good idea. I wouldn’t worry about your heart...

Family, Internal Medicine, General Medical Questions: hepatitis, hepatitis c, liver damage
hepatitis c, liver damage, private issue: He (the patient) should have been informed, but the family or spouse would not have been informed of a private issue like that, even if he signed consent for you to be informed about his general treatment. To see if he was informed at the time, he can request...

Family, Internal Medicine, General Medical Questions: high cholestrol and left side chest pain, hdl ldl ratio, left side chest pain
hdl ldl ratio, left side chest pain, high cholesterol levels: Hi Michael, I would agree that you are consuming way to much alcohol. Yes, alcohol does contribute to high cholesterol levels. It also can cause a condition called fatty liver, which if not corrected, can lead to other more serious problems. Are you at risk...

Family, Internal Medicine, General Medical Questions: high cholestrol and left side chest pain, tilt table testing, left side chest pain
tilt table testing, left side chest pain, high cholestrol: Could be narrowing of arteries that lead to the heart, causing low oxygen which translates to your brain as pain in the chest. One other thing, Michael--it could be anxiety. Anxiety attacks can feel like tightening in the chest and are unpredictable and...

Family, Internal Medicine, General Medical Questions: high cholestrol and left side chest pain, left side chest pain, high cholestrol
left side chest pain, high cholestrol, holter monitor: I think I answered this one already... at your age, even with bad cholesterol, you wouldn t have clogged up arteries, but this should be a wake up call to clean up your lifestyle... also, look for other causes of the chest pain other than cardiovascular disease...

Family, Internal Medicine, General Medical Questions: high cholestrol and left side chest pain, left side chest pain, high cholestrol
left side chest pain, high cholestrol, holter monitor: How bad is this and is that enough to cause my chest pain and am I at risk for a heart attack?? Yes If I m more active could I get this lowered? Yes and does the beer I drink affect cholesterol levels? Yes Thanks so much. could i have significant...

Family, Internal Medicine, General Medical Questions: high cholestrol and left side chest pain, left side chest pain, high cholestrol
left side chest pain, high cholestrol, coronary artery disease: You list a couple different issues... yes, you should work on lowering the cholesterol, especially with the low HDL. You drink way too much and should consider that you might have an alcohol dependence problem with that amount. If you can quit, then...

Family, Internal Medicine, General Medical Questions: Intercostal depomedrol, depomedrol, medrol
depomedrol, medrol, glucocorticoid: DEPO-MEDROL is an anti-inflammatory glucocorticoid for intramuscular, intra-articular, soft tissue or intralesional injection. some people s body reacts to it negatively. At the moment its best for you not to take any more injections of any kind. Just keep...

Family, Internal Medicine, General Medical Questions: Iron Deficient Anemia Low Ferretin Levels, small bowel obstruction, iron deficient anemia
small bowel obstruction, iron deficient anemia, kidney donor: if you start oral iron and use a stool softener like miralax, you won t have a problem.... sometimes with these surgeries, iron isn t absorbed well, and you might wind up needing iron shots. But if your iron is low, start replacement and also, with the tingling,...

Family, Internal Medicine, General Medical Questions: injection site swelling and heat, school shots, cefadroxil
school shots, cefadroxil, antibiotics: It appears to be a case of infection due to injection. It may rarely happen. Please get proper treatment through a dcoctor and get it monitored. he needs antibiotics for a 5 days to 1 week. You can give him cefadroxil 500 Mg twice a day for five days...

Family, Internal Medicine, General Medical Questions: One instance of young alcoholism, term alcohol, brain cells
term alcohol, brain cells, hard liquor: My question is, can one instance of drinking like that, underage (14) as she was, cause a permanent intelligence loss? Yes, if severe What kind of damage does it cause? Chemical injury to the brain cells Irreparable long-term damage to reasoning/awareness/cogitative...

Family, Internal Medicine, General Medical Questions: itchy, but not sure, yeast infection, maggie smith
yeast infection, maggie smith, seasonal allergy: Marie, My assumption is that you are not breastfeeding right now, or you would have mentioned it. Did it start itching after a course of antibiotics? It could be as simple as a yeast infection on the skin that you can t see. I would go to a doctor...

Family, Internal Medicine, General Medical Questions: LHS jaw neck area, salt water gargle, intact pth
salt water gargle, intact pth, lack of calcium: They are huge in their results and missing in our food and water supply due to changes in agribusiness that is now worldwide. Intact PTH is the hormone the pituitary puts out in response to low magnesium, calcium and vit D levels, so all three need to be...

Family, Internal Medicine, General Medical Questions: Male abdomen, male abdomen, daily caloric intake
male abdomen, daily caloric intake, couple beers: Hi. Thank you for the additional information. I believe the answer may be twofold. The decrease in gas/symptoms with withdrawal of red meat certainly points to the possibility of food allergy and the smart thing to do would be to avoid it. Remember that meat...

Family, Internal Medicine, General Medical Questions: Medicine and supplement with grapefruit as one ingredient, diovan hct, amlodipine
diovan hct, amlodipine, absorbtion: it is the acidic juice that screws up absorbtion... so if it is a capsule, no problem. If it is liquid, just take it separate from the time you take your amlodipine. You can take Amlodipine morning or night, so just use one at one time, one at the other....

Family, Internal Medicine, General Medical Questions: MRSA, wash hands, old baby
wash hands, old baby, ventilator: Hi Jen, Chances are sligh that she has been contaminated. I would say that her doctors are playing it safe. The mask is for her protection as well as your sister’s. They don’t want your Mom to catch this nor do they want your sister contaminated by anything...

Family, Internal Medicine, General Medical Questions: mens health, fingers tips, fingers and toes
fingers tips, fingers and toes, thyroid tests: If there is any swelling in your ankles, that should be checked... that can cause fingers and toes to throb. It would be reasonable also to have thyroid tests done... a lot of people have low thyroid without knowing it. But this doesn t raise any thoughts...

Family, Internal Medicine, General Medical Questions: menthol, tongue redness, cough drop
tongue redness, cough drop, cough drops: No COMMON side effects have been reported with Menthol. Seek medical attention if any of these SEVERE side effects occur when using Menthol Cream: Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of...

Family, Internal Medicine, General Medical Questions: nail fungus, nail fungus, fitting shoes
nail fungus, fitting shoes, podiatrist: Hi Gail, Fungus is notoriously hard to treat and irradicate. You may need long term antifungals. Keep your feet dry, spray your shoes to kill fungus that live in them and be sure to wear loose fitting shoes so the toe doesn’t continue to hit the end of the...

Family, Internal Medicine, General Medical Questions: narcotics contract, narcotic medication, contract question
narcotic medication, contract question, vantage point: Hi Matt, there are a number of endocrinologic reasons for low testosterone. The cause needs to be determined as in a primary vs secondary low level. The sudden surge of testosterone is not uncommon after taking a supplement. Testosterone supplements are not...

Family, Internal Medicine, General Medical Questions: Plavix diet and other restrictions, Plavix
Plavix: Hi Rosemarie, Administration of Plavix (clopidogrel bisulfate) with meals did not significantly modify the bioavailability of clopidogrel as assessed by the pharmacokinetics of the main circulating metabolite. Aspirin did not modify the clopidogrel-mediated...

Family, Internal Medicine, General Medical Questions: Pregnancy detection, home pregnancy tests, routine blood tests
home pregnancy tests, routine blood tests, home pregnancy test: No that wouldnt help. You can take a pregnancy test. There are 2 kinds: * Urine test: These tests are also called home pregnancy tests. You can buy them at most drug stores, grocery stores and discount stores. Most home pregnancy tests can tell if...

Family, Internal Medicine, General Medical Questions: pimples, Rosacea
Rosacea: Hi Marilyn and thanks for writing, I really do not think what your describe are “pimples”, you most likely have a type of Rosacea and should go see your family doctor this week. They are nothing to be concerned about, but you do want to have them properly...

Family, Internal Medicine, General Medical Questions: Question about gastro ulcers and effects on the body..., prilosec otc, flare ups
prilosec otc, flare ups, stomach ulcers: Can having ulcers cause you to super-absorb nutrients or instantly feel effects of...say, Potassium or Magnesium, etc. ? For example, I know Bananas are full of potassium and sometimes when I eat them, I become woozy for a few minutes. Answer: Bananas,...

Family, Internal Medicine, General Medical Questions: returning customer, upper respiratory infection, inner ears
upper respiratory infection, inner ears, swollen throat: Hi Andrea, I wouldn’t put a lot of faith in a pharmacist‘s opinion. They are not trained in diagnosis and treatment although many of them give advice. Your symptoms could be either from an upper respiratory infection or from allergies. Not being able to see...

Family, Internal Medicine, General Medical Questions: WHAT'S GOOD FOR YOU, Alcohol and medications
Alcohol and medications: Hi Cameron, It really depends on the medication. Alcohol has it s own side-effects like dehydration, blood thinning and sedation etc and when mixed with certain medications it can lead to potentially lethal consequences. If you mix booze and narcotic analgesics...

Family, Internal Medicine, General Medical Questions: WHAT'S GOOD FOR YOU, harmful interactions, sleeping pills
harmful interactions, sleeping pills, central nervous system: Hi Cameron. You pose a good question that people often ask in the doctor s office. Many medications interact harmfully with alcohol. These interactions may result in increased risk of illness, injury, and even death. Alcohol s effects are heightened by medicines...

Family, Internal Medicine, General Medical Questions: Scarlet Fever symptoms? (15 days and no treatment), scarlet fever symptoms, extreme tiredness
scarlet fever symptoms, extreme tiredness, heat rash: Hi Lauren. Thank you for your question. I have a few questions for you to help clarify. What does the rash feel like when you run your hand over it? Are the red bumps raised and how big are they. What were you doing in the week prior to the sore throat (travel,...

Family, Internal Medicine, General Medical Questions: Single instance of young alcoholism, term alcohol, hard liquor
term alcohol, hard liquor, liver damage: can one instance of drinking like that, underage (14) as she was, cause a permanent intelligence loss? ---No What kind of damage does it cause? --- liver damage- only when used for about six months thrice a week. Irreparable long-term damage to...

Family, Internal Medicine, General Medical Questions: Strep?, heart valve problems, kidney problems
heart valve problems, kidney problems, death situation: that sounds like it could be strep throat which needs treatment with antibiotics... those are cheap ones, like Amoxil, but necessary if you have strep. It isn t life and death but untreated can lead to heart valve problems or kidney problems. If you do...

Family, Internal Medicine, General Medical Questions: Stroke, pace maker, stroke victims
pace maker, stroke victims, massive stroke: Hi Mike, You can have him transferred to any hospital you like if you are his medical surrogate or power of attorney. If he is compitent to make his own decisions then he will have to be the one to request a transfer. A transfer like this will be, unfortunately,...

Family, Internal Medicine, General Medical Questions: systemic infection, green nipple discharge, hypo thyroid
green nipple discharge, hypo thyroid, low blood pressure: Hi Kim, All this information is measured in a moment in time. To know if these represent serious issues, a follow up lab is adviseable. Normal ranges are just that. Slight variations up or down do not necessarily indicate problems. It sounds like all your...

Family, Internal Medicine, General Medical Questions: taking Nardil (mao inhibitor), mao inhibitor, good drugs
mao inhibitor, good drugs, theoretical risk: That is why I hedged on the answer.... Those are good drugs, but with so many newer antidepressants, I have not seen anyone on Nardil so haven t had to worry about any possible interactions.... sorry. I don t know if there is an anesthesia AllExpert specialist...

Family, Internal Medicine, General Medical Questions: thyroid question, symptoms of hypothyroid, free thyroxine
symptoms of hypothyroid, free thyroxine, pin pricks: The TSH is perfectly normal.... you want it on the low side, .5-1.5 typically. The Free T4 (free Thyroxine) is also OK... the symptoms of low thyroid are so general and vague that I don t think your symptoms are due to low thyroid, so nothing else to do with...

Family, Internal Medicine, General Medical Questions: Use of polymaltose ferric hydroxide Iron (III) for six months+side effects to zinc levels??, symptoms of zinc deficiency, ferric hydroxide
symptoms of zinc deficiency, ferric hydroxide, iron supplements: I would have only expected a mild change in iron stores with therapy... you don t absorb much iron, no matter how much you take... there is a block except in young children that limits how much iron you can take. I doubt if there was a zinc problem... this...

Family, Internal Medicine, General Medical Questions: urinalysis, protein in the urine, vaginal fluid
protein in the urine, vaginal fluid, spot test: yes, the exercise can cause some protein in the urine... I would check it when you haven t exercised the prev day. The wipe probably didn t prevent or cause anything. I would think it is probably the exercise causing it since you have had some with and some...

Family, Internal Medicine, General Medical Questions: weak, tired voice with some hoarseness, voice hoarseness, care doctors
voice hoarseness, care doctors, voice changes: Hello TH. Thank you for your interesting question. I know it is hard when a doctor does not recognize you concern. Sometimes as a doctor when someone comes in with a problem and everything looks normal to us we may not address it adequately. In your...

Family, Internal Medicine, General Medical Questions: weight gain for seniors, thyroid dysfunction, smoking cessation
thyroid dysfunction, smoking cessation, medical problem: Hi Salvatore, Weight gain after smoking cessation is common. At age 62 weight loss is very difficult. You may only hope to keep your weight stable. If you think you may have an issue with a medical problem that causes continued weight gain or inability to...

Family, Internal Medicine, General Medical Questions: Abdominal Discomfort, Ovarian Cancer?, irregular menses, cancer question
irregular menses, cancer question, lower abdomen: Hi Erin, Thank you for your follow-up answers to my questions. Based on your information provided, there is a high possibility of an abdominal cutaneous nerve entrapment. This is when nerves which supplying the lateral layer of your abdominal rectus muscle...

Family, Internal Medicine, General Medical Questions: Bloody vaginal discharge, bloody discharge, antifungals
bloody discharge, antifungals, vaginal discharge: Could be a yeast or bacterial infection. Get to the doctor to get swabbed and find out for sure. Treating yourself with OTC yeast (antifungals) medication will make a vag infection worse if it s bacterial instead of yeast in origin, which is why I suggest...

Family, Internal Medicine, General Medical Questions: Breast Pain, history of breast cancer, breast pain
history of breast cancer, breast pain, breast size: I doubt if that finding is causing the pain.... that should be followed but I would be shocked if that were canccerous... I don t have a great answer as to what is causing the pain. I would keep up with the doctor, make sure it isn t a chest/lung problem...

Family, Internal Medicine, General Medical Questions: black stool, stomach ache, black stool
stomach ache, black stool, viral infection: Hi Garrett, The diarrhea may be black because of the viral infection that caused the symptoms. There is of course the possibility that this could be blood. I would have your doctor check this out. I’d mention the tachycardia too. I do not think it is connected...

Family, Internal Medicine, General Medical Questions: black stool, zantac 150, stomach ache
zantac 150, stomach ache, pepto bismol: at your age, it is unlikely, if not impossible for it to be from cancer. It could be some stomach bleeding from an ulcer or irritation from whatever caused the diarrhea. It is unlikely to be a rectal area tear, otherwise, it would be bright red blood colored....

Family, Internal Medicine, General Medical Questions: black stool, stomach ache, black stool
stomach ache, black stool, hematochezia: This is called malena and can be due to many reasons which are fully treatable. Blood in stool can refer to multiple conditions: Melena, with more blackish appearance, originating in upper parts of the GI tract Hematochezia: with more red color,...

Family, Internal Medicine, General Medical Questions: black stool, stomach ache, black stool
stomach ache, black stool, dehydration: go to the doctor as soon a possible--sounds like you have a bleed in your stomach. I d go to the ER if you are still having these symptoms (the dehydration and bleeding is a terrible combination). Go to the doctor if it has subsided, because the black stool...

Family, Internal Medicine, General Medical Questions: black stool, Black Stools
Black Stools: Hi Garrett and thanks for writing, I strongly suggest you go see a doctor today, and try to take a small stool sample with you (scoop up a bit in a old prescription bottle, boil it if possile or at least rinse it with hot water first). Black stools always...

Family, Internal Medicine, General Medical Questions: blod clots, fear of blood, type of drugs
fear of blood, type of drugs, posibility: those symptoms do not sound like blood clots... and even tho that is a risk, it is still a very very small risk.... a blood clot would be pain or swelling or redness or a hard spot in one leg... it wouldn t be both, or general symptoms like heaviness........

Family, Internal Medicine, General Medical Questions: blood in urine, blood in urine, urine sample
blood in urine, urine sample, emergency room: It should be evaluated in the office with a urine sample... with no pain, it could be a stone in the kidney, but basically, should be followed by the doctor... if there isn t pain, skip the emergency room and just do it in the office... it will be cheaper...

Family, Internal Medicine, General Medical Questions: after breast feeding, weird reason, breast enlargement
weird reason, breast enlargement, 34b: I have not heard of that before... I wonder if you stretched the nerves through the breast enlargement and now they have been injured... if that is the case, and they weren t torn, then the feeling should come back in 6 months or so... I will do some checking...

Family, Internal Medicine, General Medical Questions: Chemical poisoning?, memory foam mattress, craving sweets
memory foam mattress, craving sweets, loss of libido: Hi Dave, i have to dismiss any chemical poisoning based on the information you ve provided. there is a possibility of an early stage of adrenal insufficiency may be a factor. your adrenal glands located on top of your kidneys produce hormones - glucocorticoids,...

Family, Internal Medicine, General Medical Questions: Constipation, Constipation, Constipation in seniors
Constipation, Constipation in seniors: Constipation, like asthma, is caused by opioid peptides in wheat- and dairy products and beta-carbolines in prepared food, (proteinous prepared food in particular) To get rid of constipation totally, you should consume as little prepared food, dairy and...

Family, Internal Medicine, General Medical Questions: chemstry, nobel prize in chemistry, nobel prize in physics
nobel prize in chemistry, nobel prize in physics, pierre curie: Marie Curie (1867-1934), Polish-born French chemist and physicist who twice won the Nobel Prize and is best known for her investigations of radioactivity with her husband Pierre Curie. The Curies shared the 1903 Nobel Prize in physics with a colleague, and...

Family, Internal Medicine, General Medical Questions: chill, then digestive problem, sudden chill, digestive problem
sudden chill, digestive problem, heating pad: Hi David, Frankly, I have never herd of “a chill” to a local part of the abdomen. Nor can I say that I can explain why you sense that there is food “stuck” in this one spot. As a rule you can not really tell where food is from one point to the next due to...

Family, Internal Medicine, General Medical Questions: ck level, signs and symptoms of a heart attack, symptoms of a heart attack
signs and symptoms of a heart attack, symptoms of a heart attack, muscular weakness: Hi, acid reflux does not increase CK levels. It is done to determine if you have had a heart attack or if other muscles in your body have been damaged. if you have signs and symptoms of a heart attack (e.g., chest pain) or if you have muscle pain or muscular...

Family, Internal Medicine, General Medical Questions: Dark Bruises or Blood under skin of Elderly, Alcohol and thin blood
Alcohol and thin blood: Hi Patty and thanks for writing, You should have your Dad go see his family docotr and have regualr blood tests (every few months) to ensure his blood doesn t get too thin. Alcohol is a natural blood thinner, as is several foods and some medications and...

Family, Internal Medicine, General Medical Questions: Diarrhea, brain mri, bleeding ulcer
brain mri, bleeding ulcer, mini strokes: Dear Patty, In this case, it has to be confirmed as to what is the cause of diarrhoea. for that, you need to be in touch with a Geriatrician as well as a gastroenterologist. Also there are some good herbal remedies. I can send you some material if you mail...

Family, Internal Medicine, General Medical Questions: diagnostic tests for 8yr old, cholesterol screening, rare diseases
cholesterol screening, rare diseases, stool samples: The typical recommendations for a well child check do not include screenings for lead, parasites, etc. A baseline cholesterol is recommended but not annually... to identify children with genetic cholesterol abnormalities. Even with a dog... if your daughter...

Family, Internal Medicine, General Medical Questions: disk herniations, pain management program, shoulder arm
pain management program, shoulder arm, ruptured disc: Sorry if it was not clear but these are the items we use in our pain management program to remove all pain in degenerative and ruptured disc disease but need to know the levels to properly advise our patients. Sorry the correct answwer up set you Hope...

Family, Internal Medicine, General Medical Questions: Elder with Nightly Blood Pressure Spike, high blood pressure, coumadin
high blood pressure, coumadin, blood clots: there are a lot of possibilities, but most likely is that her arteries are stiff due to age and any increase in BP is magnified greatly. She needs to see a doctor that will take her seriously... sometimes the meds need a few weeks to work but I would follow...

Family, Internal Medicine, General Medical Questions: Very Elderly Parent, irrational fear, elderly parent
irrational fear, elderly parent, adult protective services: The laws on this vary from state to state and I am in South Carolina. You will have to contact someone in your state... I might suggest that you contact the adult protective services department in your area for advice on the procedures. You may have to...

Family, Internal Medicine, General Medical Questions: "Epidermolysis Bullosa" Skin condition., skin biopsy, referral center
skin biopsy, referral center, memphis tennessee: This is a rare enough condition that I don t really know what the best treatment is.... have you tried topical patches like Lidoderm? I would suggest going to a big referral center if the one in Memphis is not.... this illness is rare enough that not a lot...

Family, Internal Medicine, General Medical Questions: ear, q tip, bad move
q tip, bad move, decongestant: Hi Michelle, This sounds like eustacheon tube dysfunction. The tube will swell shut and impede drainage from the middle ear causing pain. The burping forces air up the tube , popping it open and relieving the symptoms till it shuts again. Sometimes something...

Family, Internal Medicine, General Medical Questions: ear, afrin nose spray, inner ear infection
afrin nose spray, inner ear infection, wax buildup: this may be an external ear problem, like an infection or a wax buildup blocking the canal. I don t know what the burping is about... sometimes an inner ear infection can block the pressure relieving side on the inside of the eardrum, like going up in a plane....

Family, Internal Medicine, General Medical Questions: ear fluid, dristan nasal spray, ear drainage
dristan nasal spray, ear drainage, oral steroids: You said decongestants... I would try Afrin or Dristan nasal spray (over the counter) twice a day for 3-5 days.... after that, I might try a course of oral steroids (prednisone) and see if the inflammation can be blocked and allow the ear drainage system...

Family, Internal Medicine, General Medical Questions: After-effects of surgery?, abdominal hernia, abdominal muscles
abdominal hernia, abdominal muscles, huge expanse: I d get a physical or go to the doc just for a check hernia visit. Have him palpate the area (feel) just to see if you still have a split in the muscles that you are perceiving around the umbilicus. I don t think it hurts your ability, either way, to...

Family, Internal Medicine, General Medical Questions: Freaked out!, alien infestation, std check
alien infestation, std check, bubble gum: it sounds like this could have been a blood clot... it doesn t sound like you had another foreign body in the vagina except for the Nuvaring... no chance of lost condom? But overall, don t equate this to some horror movie with an alien infestation..... hope...

Family, Internal Medicine, General Medical Questions: hemorrhoid treatment
Family, Internal Medicine, General Medical Questions: hemorrhoid treatment

Family, Internal Medicine, General Medical Questions: female question, birth control pills, pap smears
birth control pills, pap smears, regular period: Since you became sexually active, did you start or restart birth control pills? A little abnormal bleeding doesn t worry me as long as you are sure you aren t pregnant and that you get regular pap smears and pelvic exams.... a lot of times, it is the hormone...

Family, Internal Medicine, General Medical Questions: fractured spleen, Spleen Injuries
Spleen Injuries: Hi Kimberley and thanks for writing, A fractured spleen is caused by a trauma to the spleen resulting in its division into two halves. The spleen filters out infection and other unwanted particles from the blood; as part of the lymphatic system, it plays...

Family, Internal Medicine, General Medical Questions: G-spot damage?, female g spot, urethral meatus
female g spot, urethral meatus, female ejaculation: Hi Sara, First of all, there has never been any substatiation of a “G spot”. You may indeed be urinating and that is accounting for the wetness. He probably roughed up your urethral meatus which is just behind the vaginal opening. This is where the so called...

Family, Internal Medicine, General Medical Questions: Health problems, pain during intercourse, thyroid tests
pain during intercourse, thyroid tests, laparascope: it is pretty common to have unusual bleeding after the morning after pill. So I wouldn t worry about that one. But if she continues to be dizzy, she should have a blood count to make sure she hasn t become anemic, and also possibly thyroid tests. The...

Family, Internal Medicine, General Medical Questions: Health problems, birth control pills, deep thrust
birth control pills, deep thrust, ovarian cysts: Hi Alex, Pain with intecourse is not normal. I am assuming that the pain was pelvic and not vaginal. If the pain came from deep thrust, it may mean that she has ovarian cysts that are painful. Provided she has no discharge, fever, nausea or vomiting, it is...

Family, Internal Medicine, General Medical Questions: High fever with tummy issues, high fever, lung problem
high fever, lung problem, urinary infection: you didn t give me a lot of info.... age, how high the fever is and what tummy issues means.... if you mean diarrhea, then increase fluids and suppress the fever.... it could be a urinary infection... if pain is involved then it should be checked. Otherwise...

Family, Internal Medicine, General Medical Questions: heart beating strong and fast, resting heart rate, sleep deprivation
resting heart rate, sleep deprivation, annoyance: this is probably not a big deal.... but it should be evaluated... talk with your doctor, get a heart monitor overnight to quantitate it to see if it is just an annoyance. Watch caffeine, cigs, nicotine and stress and sleep deprivation which can aggravate...

Family, Internal Medicine, General Medical Questions: hemorrhoid treatment, external hemorrhoid treatments, treatment question
external hemorrhoid treatments, treatment question, last resorts: well, having it there bothering you might be the best thing... some of the treatments are painful and can scar the area down. Ones that size have a good chance of shrinking down on it s own over a few weeks. Unless it is repeatedly bleeding or severe pain,...

Family, Internal Medicine, General Medical Questions: Inner Ear Problem, inner ear problem, ear pains
inner ear problem, ear pains, sour food: Answer these questions : Do you feel headaches when this problem strikes? Do you feel more thirsty as compared to others? Do you wear winter wear early as compared to others? Are you fond of sweet food? Are you fond of sour food? In the past five years,...

Family, Internal Medicine, General Medical Questions: inflammation, fatigue, medical test results, iron deficient anemia
medical test results, iron deficient anemia, parotid glands: wow... you have given a pretty concise history on a very complicated disease process and workup.... Sarcoid can present this way and it isn t easy to diagnose in some people. It is less likely not being black... but still possible. The CPK has me concerned...

Family, Internal Medicine, General Medical Questions: Knee Symptom, indian style, left knee
indian style, left knee, numbness: you are kinking a nerve or a small blood vessel to a nerve with the positioning, most likely... then when you unkink it, and blood flow returns, the nerve returns to normal function. The big question would be is there something there pressing on the nerve,...

Family, Internal Medicine, General Medical Questions: Lymph nodes with unknown cause, swollen lymph nodes, dizzy light
swollen lymph nodes, dizzy light, ceftin: The lymph nodes are a response to an infection almost all the time. It could be an ear infection, scalp, cold, mono.... they usually go away on their own over a couple of months. If you have a chain of these on one side and they don t go away in 3 months,...

Family, Internal Medicine, General Medical Questions: line down chest, lower abdomen, abdominal muscles
lower abdomen, abdominal muscles, fibrous structure: Hi Deedee, That is normal. That line is call linea alba. it is a white fibrous structure that divides the right and left abdominal muscles. the darker a lean child s skin tone, the more visible it is. Parents usually notice it more often after their child...

Family, Internal Medicine, General Medical Questions: Mosquito Bites, eastern equine encephalitis, mosquito bites
eastern equine encephalitis, mosquito bites, citronella spray: well, there isn t much you can do except prevention... if you are worried about in the house, treat the house... I think the new product, that little blue fan type unit that you can wear or keep in the area to prevent bites is a neat product.. that would be...

Family, Internal Medicine, General Medical Questions: MRI and hormones, thyroid hormones, reproductive hormones
thyroid hormones, reproductive hormones, elevated prolactin: Hi Elaine, All this hormonal activity is primarily pituitary mediated. The reproductive hormones and thyroid hormones depend on a normally functioning pituitary. This is a very complex issue and can’t be delved into in this forum. An MRI of your brain is...

Family, Internal Medicine, General Medical Questions: Neurological Issue??, pnv, epidural
pnv, epidural, left leg: Hi Deborah, I’m afraid I’m as confused as you. If you’ve had it for 6 months and nothing has come of it, I would probably not worry about it. If it is a real nuisance for you, discuss it with your doctor. Sometimes anxiety can present as unusual sensations...

Family, Internal Medicine, General Medical Questions: Old injury of thigh muscle, broken capillaries, baseball game
broken capillaries, baseball game, muscle damage: Hi Mari, This could be something called Myositis ossificans. This is when traumatized muscle turns to a bone like substance. It can cause pain ans intermittent swelling. I would have an ulrasound or MRI of the muscle involved to see just what‘s going on....

Family, Internal Medicine, General Medical Questions: Pituitary cyst, anxiety panic attacks, cleft cyst
anxiety panic attacks, cleft cyst, pituitary cyst: I doubt whether there is a direct relationship between panic/anxiety and the cyst.... however there could be a secondary relationship.... possibly the hormone replacement.. or it could be completely unrelated. I would have thyroid tests evaluated as that...

Family, Internal Medicine, General Medical Questions: Pregnancy?, little thumb, pregnancy question
little thumb, pregnancy question, regular periods: From what you told me, pregnancy is not possible. It does disturb me that you are 13 and having any type of sexual/intimate relationship with someone just a year older than me.... You need to think about that and your safety... I would be slow to trust a...

Family, Internal Medicine, General Medical Questions: Pregnancy?, irregular periods, last period
irregular periods, last period, intercourse: it s impossible for you to be pregnant since you have not had intercourse. it s very normal to have irregular periods at your age. watch for soaking more than 2 pads in 4 hours, though. that might mean you have a blood problem. you d need to see the doctor...

Family, Internal Medicine, General Medical Questions: Pulomonary Embolism, inr levels, decent reason
inr levels, decent reason, genetic problem: if you have a decent reason for having a PE.... such as being immobile for a month... then chances are less that you have it than if it happened just out of the blue, with no aggravating factors.... so chances are, you don t have a genetic problem, but the...

Family, Internal Medicine, General Medical Questions: Puncture wound - foot, drywall screw, chicken pen
drywall screw, chicken pen, bone involvement: I would worry about having nicked the bone and introducing infection in the deep tissues or bone.... get it checked again... a lot of times in the office, I will do a baseline xray when it first happens and if something like this happens, I will repeat the...

Family, Internal Medicine, General Medical Questions: If not peristalsis...other possibilities ???, silent phenomenon, coccyx injury
silent phenomenon, coccyx injury, sinus infection: Hi Jamie, Sounds like you’re describing the sensation of your pulse. That isn’t unusual at all. You can be aware of your pulse in various parts of you body. Most commonly you can “hear it” in your ears when you lie down. I wouldn’t worry about this, but it...

Family, Internal Medicine, General Medical Questions: please help!!!, strange question, plunger
strange question, plunger, maggots: well, that is one of the more disgusting stories I have heard in a while.... fortunately, the bacteria that was in that mess in the toilet and spread to the carpet, etc., is long since dead... when it dries out, that will kill off the germs... and with you...

Family, Internal Medicine, General Medical Questions: prickly heat sensation, prickly heat, exertions
prickly heat, exertions, sensations: I am not sure exactly what sensation you are experiencing... if it is tingling... I am not really concerned about a very short lived sensation... you should have they thyroid level checked at least yearly to make sure your requirement for replacement hasn...

Family, Internal Medicine, General Medical Questions: prolapse?, bladder leakage, vaginal prolapse
bladder leakage, vaginal prolapse, gynocologist: this could be a prolapse.... and the bladder, rectum or uterus can prolapse. It is hard to tell over the internet.... getting an exam is the easiest way to tell, but I understand the $$$ issue. Assuming you don t have something stuck inside your vagina,...

Family, Internal Medicine, General Medical Questions: Question on sanitary issue, hygienic habits
hygienic habits: Hi Julian, It does sound like your Dad has pretty lax hygienic habits and you do have wonder what else he might do that you don t see. I m not sure there s much you can do about it, if he s older he may be quite set in his ways, but you could try talking...

Family, Internal Medicine, General Medical Questions: Quicken the proces of healing, stress diagnosis, taking medicine
stress diagnosis, taking medicine, married with children: Hi Lisa, I would love to suggest something but I haven’t got a clue to the diagnosis of these bumps. Unfortunately the term you use to describe this issue means nothing specific and the coloration can indicate any number of possibilities. Did you get a specific...

Family, Internal Medicine, General Medical Questions: Severed extensor hallucis longus, proximal phalanx, extensor hallucis longus
proximal phalanx, extensor hallucis longus, 5th of july: I would bite the bullet, go to the ER and get referred for repair.... you don t have much more time left before the tendon retracts and you lose the ability to repair... this will plague you with a clumsy foot because that toe will catch on things.... there...

Family, Internal Medicine, General Medical Questions: Slowing down a speedy metabolism??, thyroid levels, anabolic steroids
thyroid levels, anabolic steroids, strength gains: You don t want to slow down metabolism... you might get thyroid checked to make sure your thyroid levels aren t too high, but teens, esp ones growing and active are known for big appetites. If your thyroid isn t abnormal, you won t talk any reputable doctor...

Family, Internal Medicine, General Medical Questions: Sore Gums, apthous ulcer, sore gums
apthous ulcer, sore gums, grinding my teeth: it may be, esppecially if you see a small 2-3 mm very shallow whitish or greyish ulcer... that could be an apthous ulcer... there are some prescription liquids that can help it. Past that, assuming the dentist has ruled out gum or teeth infections... I am...

Family, Internal Medicine, General Medical Questions: Spider Bite, spider venom, spider bite
spider venom, spider bite, dead tissue: It probably isn t infected.... but the spider venom will cause tissue destruction locally, so the dead tissue has to slough off and then the new skin has to grow over the wound, so it can be a several week process, if it were a brown recluse that injected...

Family, Internal Medicine, General Medical Questions: MAKE IT STOP, breath holding, holding your breath
breath holding, holding your breath, hiccups: hiccups are spasms of the diaphragm and there are a lot of home remedies.... the theory on breath holding is that by increasing carbon dioxide in the blood, it makes that muscle stop spasming.... the drinking water causes some of the other muscles in the...

Family, Internal Medicine, General Medical Questions: Stuffed nose with no relief, left nostril, green discharge
left nostril, green discharge, doctors office: it sounds like you have some allergies, having to get ears drained in the past. If you have a cold, then using Afrin nose spray (the 12 hour nose spray) is appropriate for 3-5-7 days or so. If it continues, then it is probably allergies or you have become...

Family, Internal Medicine, General Medical Questions: Swollen Lymph nodes., swollen lymph nodes, proceding
swollen lymph nodes, proceding, ceftin: Hi Caitlyn, he is just waiting to see how the antibiotics work before proceding. He is probably talking about a cat scan as a next step. A biopsy of one of these nodes would also be a good idea. Swollen lymnodes is someone your age can indicate a chronic...

Family, Internal Medicine, General Medical Questions: serious mystery illness, swollen lymph glands, red blood cell
swollen lymph glands, red blood cell, bone marrow test: Hi, I will be glad to help. It is not a matter of parasite/swine flu. it appears to be blood cancer by all symptoms. Have they done biopsy or FNAC ? send me the result at khalid2277@rediffmail.com also send me the results of bone marrow test. Ask him to...

Family, Internal Medicine, General Medical Questions: skin irritation, peroxide applications, hydrogen peroxide
peroxide applications, hydrogen peroxide, hair removal cream: These are chemical burns from the removal cream on the skin areas which the bikini wax pulls the hair and some of the top layers of skin. Call you doctor to see how they want to proceed. Some use silvadene cream others find it does best if treated as a burn...

Family, Internal Medicine, General Medical Questions: My son fell of the bunk bed and smashed his chin, bone fragment, sized lump
bone fragment, sized lump, hi doc: it is probably blood that has hardened now.... that may slowly resolve over several months.... sometimes it won t go away completely and he may be left with a little bit of a lump... You can wait for now and see how well it resolves.... It is very unlikely...

Family, Internal Medicine, General Medical Questions: swelling, nerve problem, insect bite
nerve problem, insect bite, shold: tingling and swelling were the symptoms... were you bending your ne k in a certain way where you could have pinched a nerve in the neck? Like looking up the hill during hiking? An allergic reaction to a food or an insect bite shold have lasted longer...

Family, Internal Medicine, General Medical Questions: Test?, bacterial vaginosis, bladder infection
bacterial vaginosis, bladder infection, yeast infection: under the microscope, you can see trichomonas, a an STD... otherwise we lookd for yeast or bacterial vaginosis (not STD s) If someone has no symptoms, then yes, screening for those tests are appropriate.... someone who doesn t have or never had symptoms...

Family, Internal Medicine, General Medical Questions: Toddler and exposure to others, stomach infection, mild stomach
stomach infection, mild stomach, swine flu: this doesn t sound like the flu and with no contact there can t be any diseases passed. The child vomiting once a day, maybe a mild stomach infection... if the child is getting proper fluids and nutrition but throwing up a little, you can wait, but if...

Family, Internal Medicine, General Medical Questions: what would you think?, migraine headaches, sister age
migraine headaches, sister age, abdominal pains: I am not sure exactly what your question is, but I will give you my thoughts on this.... What a tragedy first of all. The stroke could have been caused by and certainly was worsened by the bleeding and anemia. There was a big lapse in delivering medical...

Family, Internal Medicine, General Medical Questions: Uncomfortable Pressure in Right Chest, liver function test, chest x ray
liver function test, chest x ray, chest xray: bronchitis really doesn t show up on chest xray, that is mostly to prove pneumonia isn t present. The uncomfortable feeling has a lot of possibilities... it could be gall bladder, but symptoms should be worse with a big fatty rich meal. This sounds to me...

Family, Internal Medicine, General Medical Questions: Urology, vaginal canal, ejacuation
vaginal canal, ejacuation, seminal fluid: Hi Yasheva, The more often you have sex the thicker the ejaculate. If you wait long periods, the ejaculate gets thinner as there is more seminal fluid mixed with sperm. It isn’t unusual to have ejaculate run out, It is a matter of your anatomy. You can always...

Family, Internal Medicine, General Medical Questions: vaginal discomfort, birth control pills, bacterial vaginosis
birth control pills, bacterial vaginosis, yeast infection: maybe you misunderstood me... I didn t say you had an STD... that it could be trich. The bacterial vaginosis (bacterial infection) can re-occur without sex, but if it does with sex, the partner should be treated. And the bacterial infection is not considered...

Family, Internal Medicine, General Medical Questions: vitamin deficiency, mood swings, vitamin deficiency
mood swings, vitamin deficiency, fibro: It is hard to tell which symptoms might be helped with Vit D... it turns out pretty much everyone is deficient at this point, so everyone should be on some replacement schedule. The only was to tell is to take it regularly... after the loading doses, I recommend...

Family, Internal Medicine, General Medical Questions: vitamins, calcium tablets, breast milk
calcium tablets, breast milk, vitamin d: good question.... I would doubt that you taking dairy will affect him, since you process everything and then create breast milk from scratch... but we are finding more and more about vitamin D. The general recommendation now is 1000-2000 per day. You get...

Family, Internal Medicine, General Medical Questions: Wierd dizziness!!!, echo cardiogram, upper respiratory infection
echo cardiogram, upper respiratory infection, heart tests: I don t know why a 13 year old needs to have all those heart tests... but I would look at normal things, like getting a blood count checked, CBC and blood glucose... also this could be an upper respiratory infection like an ear infection.... since it has gone...

Family, Internal Medicine, General Medical Questions: 15 mon. old with white stools, white, curd like emesis, health status changes, rn msn
health status changes, rn msn, maggie smith: I would absolutely +not wait+ to get to a doctor with white stools/vomiting in a child that age. No matter the distrust in the russian system, I d get her to a doctor. Babies can get dehydrated so fast. Pediatricians worry about white, black or red stools....

Family, Internal Medicine, General Medical Questions: Arm injury, nerve conduction studies, pinky fingers
nerve conduction studies, pinky fingers, ulnar nerve: it sounds like you had an injury to the ulnar nerve from the sign.... you can verify that with nerve conduction studies.... if there is some soft tissue pressing on the nerve, sometimes surgery can relieve it.... if it is still bad, get the nerve conduction...

Family, Internal Medicine, General Medical Questions: AST/ALT, viral illnesses, hepatitis c
viral illnesses, hepatitis c, statin: something is irritating your liver... causes can be statins, can be viral illnesses, like Hepatitis C, can be from other drugs, alcohol included. Should you be concerned.... yes, by paying attention to it and following up with the workup. Should you be worried.......

Family, Internal Medicine, General Medical Questions: Blackouts (?), orthostatic hypotension, low blood pressure
orthostatic hypotension, low blood pressure, vision blurs: Hi, this is postural hypotension or Orthostatic hypotension which can happen to anyone but is more common in older adults. Orthostatic hypotension is often mild, lasting a few seconds to a few minutes at most after standing. However, long-lasting orthostatic...

Family, Internal Medicine, General Medical Questions: Bowel Problems, Constipation
Constipation: Hi Angel and thanks for writing, Constipation is a common challenge with older adults and it helps to understand what it is to help treat it. Constipation is simply dehydrated stools which are difficult and often painful to pass as they are dry and hard;...

Family, Internal Medicine, General Medical Questions: Broken big toe, Broken Toe
Broken Toe: Hi Sarah, I have broken several toes and never had a cast or treatment for any of them, and they re all fine now. I usually just put some tape around the affected toe and the ones next to it for support, wore proper shoes whenever I was awake for support...

Family, Internal Medicine, General Medical Questions: My baby shot effects, Allergic reaction to shots
Allergic reaction to shots: Hi Meche, It sounds like your son is having an allergic reaction and you need to give him an antihistamine (like Benadryl at the safe recommended dose for his weight) and take him to see a doctor today. Maybe take a picture of his swollen leg now on your...

Family, Internal Medicine, General Medical Questions: bite, pressure bandage, scar tissue
pressure bandage, scar tissue, crush injury: you probably had bleeding under the skin that clotted and stayed there.... it probably shrunk a little, but not completely.... also, the nerves get damaged by the crush injury of the jaw.... and some were damaged, torn or crushed and come back slowly.... after...

Family, Internal Medicine, General Medical Questions: blood thickness, research fish, pt test
research fish, pt test, pt inr: Is there a way I can self test my blood to see if it not too thick or too thin? PT/INR 2. Is the PT test vaild if a person is NOT on blood thinners? Yes, plus Hemoglobin and hematocrit 3. How long before the Coumadin is out of my system? 60-120 hours...

Family, Internal Medicine, General Medical Questions: Cellulitis and soar throat, Broad Spectrum Antibiotics
Broad Spectrum Antibiotics: Hi Jane and thanks for writing, Cellulitis is a powerful infection and can take time to clear. I recommend you go back and have the doctor assess your ankle again and see if another round of Antibiotics are warranted; if you do require a second round then...

Family, Internal Medicine, General Medical Questions: Child and or possible mouse exposure, bar soap, mouse droppings
bar soap, mouse droppings, cold symptoms: oh yeah... I remember now..... that is an incredibly rare disease... somewhere in the southwest there was an outbreak 15 years ago or so. With virus the only thing we can do is prevent through hygiene... there aren t any medications. Any cold symptoms that...

Family, Internal Medicine, General Medical Questions: chest, internal medicine doctor, pulmonary function tests
internal medicine doctor, pulmonary function tests, pulmonologist: I answered this question, but my computer became disconnected. Here are my suggestions: Go to either a pulmonologist or internal medicine doctor Ask for pulmonary function tests, of course describe your symptoms Write down where you are when it happens--what...

Family, Internal Medicine, General Medical Questions: coughing, lingering cough, al brown
lingering cough, al brown, throat infection: The cause is 90% in the throat. It may be simply irritation due to loud voice or throat infection. An ENT specialist can greatly help. Better get the problem identified by a doctor of modern medicine and then take naturopathic treatment is it is not something...

Family, Internal Medicine, General Medical Questions: cyst on cervix painful, cyst on cervix, nabothian cyst
cyst on cervix, nabothian cyst, pain during intercourse: I think you need to read yourself about this condition: www.nlm.nih.gov/medlineplus/ency/article/001514.htm Also not that they do not go away by themselves, but the cysts can be easily removed at the doctor s office using electrocautery or cryotherapy....

Family, Internal Medicine, General Medical Questions: Dysfunctional Uterine Bleeding and 2 Large Clots, symptoms of dizziness, extreme nausea
symptoms of dizziness, extreme nausea, hospital gowns: I see this a lot in the ER. It is hard to tell what happened... you may have missed an ovulation and the uterine lining overgrew and then shed with a very heavy period. With no sex in 4 months, if you were pregnant, it would have shown up in the urine....

Family, Internal Medicine, General Medical Questions: depression &alcohol, cause liver damage, self medicate
cause liver damage, self medicate, l tyrosine: I doubt if the supplements will add much.... if the alcohol was a problem, then stopping may help with the mood but may take a few months. If you have clinical depression, you should pursue treatment... the anti depressants are safe and they should be able...

Family, Internal Medicine, General Medical Questions: ...as a dog., stomach flu, normal body temperature
stomach flu, normal body temperature, teachers room: Hello Tegan, Wow, you do sound like your body is fighting a strong virus or bacteria. I am glad you re going to the doctor as that would be my first recommendation. I am concerned about your stiff neck however, does it hurt if you try to put your chin...

Family, Internal Medicine, General Medical Questions: Ear pain, ear congestion, upper molar
ear congestion, upper molar, sinus infection: sharp pains sounds like either the eardrum has pressure on it (which you probably should be able to see if you are looking in with a scope) or could be nerve related pain. Something like trigeminal neuralgia comes to mind. Also worthwhile checking the teeth,...

Family, Internal Medicine, General Medical Questions: ear aspirator, ear wax, ear aspirator
ear wax, ear aspirator, cerumen: Al, From this description and ear aspirator would be a suction device used in the ear canal that would be used to evacuate water, cerumen (wax), or any other foreign body (bead, insect, etc.). In the ER we would use such a device hooked up to low wall...

Family, Internal Medicine, General Medical Questions: eye, wet washcloth, warm compresses
wet washcloth, warm compresses, boiling an egg: it sounds like a stye, a blocked oil gland... if it gets red, it may be infected. Warm compresses may help it drain, try hard boiling an egg and put it in a wet washcloth... it fits well and stays warm a while. If it won t drain on it s own, you may have...

Family, Internal Medicine, General Medical Questions: eye, sebaceous cyst, warm compresses
sebaceous cyst, warm compresses, washcloths: Warm compresses (warm washcloths) to the eye should help. It sounds like a sebaceous cyst, but since I can t see it (and I m a nurse, besides) I can t make any sort of diagnostic claims. Try the warm washcloths, but get to an eye doctor (even the kind that...

Family, Internal Medicine, General Medical Questions: Frequent adult respiratory illnesses?, upper respiratory illnesses, colds flu
upper respiratory illnesses, colds flu, cold virus: somehow you are getting exposed to respiratory/cold virus ... maybe where you work, where you play.... it isn t your immune system as much as exposure.... careful hand washing and not getting in people s faces that are sick.... it is worthwhile going thru...

Family, Internal Medicine, General Medical Questions: face flushing, face flushing, angioedema
face flushing, angioedema, mild case: I don t believe anxiety either..... this could be a mild case of angioedema... you didn t say how often it occurs or how old you are... whether this is hot flashes from menopause... if it occurs often, try a regular course of benadryl to see if it is blocked......

Family, Internal Medicine, General Medical Questions: feel very ill, thyroid function tests, fentanyl patches
thyroid function tests, fentanyl patches, fentanyl patch: This does not sound like opiate withdrawal, especially since you still had a viable pain patch on.... you need to fix the constipation.... it is partially because of the fentanyl patch. I assume you have had recent thyroid function tests. You should try...

Family, Internal Medicine, General Medical Questions: flu?, sinus infection, nose spray
sinus infection, nose spray, afrin: sounds like a sinus infection.... the sore throat and fever could be strep throat also. It sounds like you need a course of antibiotics.... it would be worth going to the doctor to get those. Also with the blocked nose, use Afrin nose spray twice a day for...

Family, Internal Medicine, General Medical Questions: Growth and development, balanced diet, high protein
balanced diet, high protein, birth weight: Hi, the birth weight and height appear to be OK. Tell him to do regular active exercise or take part in outdoor games and also take a balanced diet having high protein and calcium. He may have good chance to grow in height till about 18 to 20 years of age....

Family, Internal Medicine, General Medical Questions: growth and development, growth horomone, human growth hormone
growth horomone, human growth hormone, controversial treatment: he has probably gotten most of his height... hormonal therapy - human growth hormone - is a controversial treatment... it definitely works and would have to be done pretty quickly to get the benefit. You can talk to your primary doc or an endocrinologist......

Family, Internal Medicine, General Medical Questions: Heartbeat in your stomach?, abdominal aneurysm, epilepsy medication
abdominal aneurysm, epilepsy medication, classic symptom: Gt to the hospital as soon as possible! This is a medical EMERGENCY!!!! You may have an abdominal aneurysm. In fact, if you are in the US, ****call 911 for an ambulance.***** Please followup to let me know how you are doing after you ve been to the emergency...

Family, Internal Medicine, General Medical Questions: Homocysteine and TMG, Homocysteine, Betaine
Homocysteine, Betaine, TMG: Van, Traditionally hyperhomocysteinemia is treated with Vit. B6, B12 and folic acid and this should still be the mainstay of therapy. Betaine Lowers Homocysteine Levels Betaine aka trimethylglycine (TMG) , a vitamin-like compound that occurs...

Family, Internal Medicine, General Medical Questions: Hypoglycemia / Endometriosis, nutrigenomics, surrogate mother
nutrigenomics, surrogate mother, hypoglycemia: If a woman has hypoglycemia as well as endometriosis are her eggs still viable? Yes or are they negatively affected by these conditions. Yes, but viable Could her eggs be harvested, fertilized and successfully implanted in a surrogate mother? Yes Keep...

Family, Internal Medicine, General Medical Questions: heart failure, congestive heart failure, rheumatic heart disease
congestive heart failure, rheumatic heart disease, disease as a child: CHF-congestive heart failure is not a specific disease, it is a condition that results from any number of diseases, some with the heart, blood, kidneys, etc. So you can t make a general rule if you don t know what the underlying disease is.... if it is coronary...

Family, Internal Medicine, General Medical Questions: hematoma, stairs, diameter
stairs, diameter, shape: that is probably a bit of blood that has hardened... if the skin is intact, there shouldn t be an infection. Sometimes that lump may not resolve, sometimes you are left with a fluid collection that can be drained.... it may take 2-3 months sometimes......

Family, Internal Medicine, General Medical Questions: Kidney tumor?, kidney cyst, kidney tumor
kidney cyst, kidney tumor, cyst in the kidney: when you say stomach, I assume you mean abdominal pain... if he also has stomach issues that would be a separate complicating issue. Surgery soon after a recent heart attack puts him at high risk. If it is that urgent, it has to be done... usually, for...

Family, Internal Medicine, General Medical Questions: Loss of Voice, silent reflux, ear nose and throat
silent reflux, ear nose and throat, acid reflux: I m surprised the ENT didn t do more. I d follow up with him. Also, you could have nightly reflux (silent reflux) that you aren t perceiving as pain and you don t otherwise notice. Maybe your ENT saw corrosion of your esophagus when he examined you...

Family, Internal Medicine, General Medical Questions: Loss of Voice, ear nose and throat, acid reflux
ear nose and throat, acid reflux, muscle disorder: do the reflux med for 3 months.... you would be surprised how many people have it but don t have symptoms. Light meals at night, go to sleep with a less than full stomach. Other possibilities are allergies, or a muscle disorder in the throat that may...

Family, Internal Medicine, General Medical Questions: low blood pressure, low blood pressure, flight of stairs
low blood pressure, flight of stairs, emergency doctor: well, you need to have a thorough workup and at least have your medications adjusted. It sounds like you have maintained for a while, but this is probably causing your lightheadedness.... it is best to go thru some doctor that knows you and not an emergency...

Family, Internal Medicine, General Medical Questions: Masturbation, mail id, stress work
mail id, stress work, kind answer: you mentioned both your girlfriend and your wife.... the masturbation doesn t have anything to do with erections at this point, except that if you masturbate, you may have a little less sex drive for a day or two. Most of the time, young men with erection...

Family, Internal Medicine, General Medical Questions: Monen's Health, unprotected intercourse, pap smears
unprotected intercourse, pap smears, girls women: for pap smears and sexually transmitted diseases... cervical ca is almost always caused by HPV virus, gotten thru unprotected intercourse, and it is crucial to find it early to easily protect against cervical ca.... too many people have HPV and don t know...

Family, Internal Medicine, General Medical Questions: medical scenario, medical scenario, emesis
medical scenario, emesis, childbirth: I would check the child at that age, monitor weight carefully, make sure there isn t any fever... this could be nothing but infants that age can get let complications of childbirth and can t vocalize anything.... Basically, I would check them pretty urgently,...

Family, Internal Medicine, General Medical Questions: Need info about head injuries and concussions, brain nerves, mild head injury
brain nerves, mild head injury, mild concussion: prior to cat scans, we had to observe people and do serial neurological checks.... now with cat scans, a negative scan precludes the need to do this.... a bad concussion may be oberved overnight and also to make sure something that was missed is not getting...

Family, Internal Medicine, General Medical Questions: Numbness in fingertip, tips of my fingers, dumb move
tips of my fingers, dumb move, middle finger: there was damage to the nerves on each side of your finger.... if the nerves were completely cut, then the feeling might not come back... if they were only mildly damaged, the nerves can come back, usually at a rate of about 1 mm per month, so may take several...

Family, Internal Medicine, General Medical Questions: Nutritional supplements for someone with digestive health issues, fat soluble vitamins, optimal digestive health
fat soluble vitamins, optimal digestive health, water soluble and fat soluble vitamins: Linda, This is obviously not a simple question and cannot be answered with a simple reply. If you need comprehensive advice I would suggest you obtain it by an online telemedicine physician such as myself (www.saleeby.net) or another off the web sites...

Family, Internal Medicine, General Medical Questions: neurology-neurosurgeon, lumbar puncture, al brown
lumbar puncture, al brown, disorders of the brain: Hi Al, A neurologist is a physician who specializes in the brain, spinal cord, and its associations. Their specialty involves investigating, diagnosing and treating disorders of the brain, spinal cord, and its associations. They do not train nor do they...

Family, Internal Medicine, General Medical Questions: neurology-neurosurgeon, diseases of the nervous system, brain tumor
diseases of the nervous system, brain tumor, nerve tissue: Neurosurgeon operates on nerve tissue.... brain, spinal cord, etc. A neurologist is the medical doctor for diseases of the nervous system and does more diagnosing and treating of diseases of these organs..... he would treat a stroke or parkinson s disease...

Family, Internal Medicine, General Medical Questions: getting older/joint pain, square dancing, kneecap
square dancing, kneecap, working from home: Hi Terry, I think you know what I m going to say - you do need to have a qualified physician examine your knee; without an exam we will never know if it s just normal wear and tear from weight-bearing movements and Square Dancing may speed up its deterioration,...

Family, Internal Medicine, General Medical Questions: omega 3/6 & Cholesterol, Omega 3, Omega 6
Omega 3, Omega 6, Fatty Acids: John, Not sure why you want to eliminate diary products in the first place, but note that all that is soy is not fantastic. For instance in addition to the n-3,6 FA ratios there is the fact that too much soy is goiterogenic. My suggestion is to have a...

Family, Internal Medicine, General Medical Questions: ovarian cyst and abnormal smear, labia majora, labia minora
labia majora, labia minora, pap smears: the ovarian cyst has nothing to do with pap smears... the pap smears suggest there is a vaginal infection, possibly an HPV infection.... this is slow progressing, so make sure you keep up with the pap smears and see if any additional treatment is indicated.......

Family, Internal Medicine, General Medical Questions: Pleim At Night, house dust mite, dust allergy
house dust mite, dust allergy, k mart: I don t see a connection with anxiety unless you are self treating with a lot of sudafed. It sounds like you might have a house dust allergy.... try getting some cheap pillow and mattress covers (very sheer plastic with zippers... wal mart, K mart has them...

Family, Internal Medicine, General Medical Questions: pelvic pain and blood in semen, prostate infection, vigorous activity
prostate infection, vigorous activity, old blood: the injury isn t related. I always wonder how people find blood in semen? The pain suggests a prostate infection or urinary infection.... he should get checked pretty quickly especially if he has not had routine physicals. Blood is pretty common and...

Family, Internal Medicine, General Medical Questions: puncture wound, orthopedist, knee joint
orthopedist, knee joint, rest of the day: that causes a lot of worries... if the nail invaded the knee joint and is causing an infection, that can be a real mess... that should be evaluated by an orthopedist, no matter how he feels now.... don t waste time on this one seeing how it goes.... I am usually...

Family, Internal Medicine, General Medical Questions: Question about flu, pneumococcal pneumonia, bacterial pneumonia
pneumococcal pneumonia, bacterial pneumonia, flu shot: sometimes people develop a secondary bacterial pneumonia when they get influenza... this would provide some protection against that kind (pneumococcal) I don t give it to all healthy adults, usually older people and people with diseases that may affect their...

Family, Internal Medicine, General Medical Questions: query, combined pill, morning urine
combined pill, morning urine, pregnancy test: check another preg test using a first morning urine sample, and if negative, you can start the next pack right away, but you won t be covered for birth control until the first pack is gone... so you have to use alternate methods initially like condoms.......

Family, Internal Medicine, General Medical Questions: Reasons for Low Hormones, symptoms of perimenopause, normal hormone levels
symptoms of perimenopause, normal hormone levels, low testosterone: This is a difficult problem because there are psychological factors involved, usually and sometimes some hormonal factors.... sometimes supplementing some hormones may help and some of the anti-anxiety meds may make the problem worse. The serotonin drugs...

Family, Internal Medicine, General Medical Questions: Recurring Shingles, general malaise, recurring shingles
general malaise, recurring shingles, yoga classes: recurrent episodes of chickenpox are incredibly rare... I would think it is more likely a herpes simplex recurrence.... there is a lot of crossover on appearance. I would question whether the test was truly a chicken pox culture... and it would be reasonable...

Family, Internal Medicine, General Medical Questions: Could it really be MS?, low b12, motrin 800
low b12, motrin 800, fatty liver: I am not sure what your question is, but the B12 should be replaced... often people with low B12 can t absorb it in their intestine so it has to be given in a shot or a nasal gel.... that can cause the numbness symptoms. The thyroid looks OK, with a TSH of...

Family, Internal Medicine, General Medical Questions: recuperation in elderly, Post operative confusion in the elderly
Post operative confusion in the elderly: Hi Elaine and thanks for writing, Two things jump to mind: (i) has she fully recovered from the General Anaesthesia yet, and (ii) is she being given anything for pain like Tylenol #3? Elderly people can really be knocked for a loop by all the powerful...

Family, Internal Medicine, General Medical Questions: Side effect of Zoloft, side effect of zoloft, milk products
side effect of zoloft, milk products, zoloft: diarrhea from those meds should be mild, if any.... if it is bad, I would look for another cause. Otherwise, it is hard to fix that unless you go off zoloft. But, like I said, it is mild, so look for other contributing factors, at least, such as milk products,...

Family, Internal Medicine, General Medical Questions: Swine flu and upcoming season, swine flu, flu season
swine flu, flu season, american articles: well, the flu will not be any worse this season than it usually is.... the swine flu has caused a lot of add l worry. They are right about ER s... when flu is bad, a lot come to the ER and hang out in the waiting room and it is contagious... if you have...

Family, Internal Medicine, General Medical Questions: Swollen glands in neck / armpits for years. Recently right before a miscarriage, swollen glands in neck, irritable bowl syndrome
swollen glands in neck, irritable bowl syndrome, swollen lymph nodes: You have a complicated situation that I can t answer or fix in this forum. But I can make a few suggestions.... first of all, don t lump all doctors in the same category as not caring or not listening. There is someone in your area who will listen. So look...

Family, Internal Medicine, General Medical Questions: left side chest pain, left side chest pain, flight of stairs
left side chest pain, flight of stairs, fibb: 1. What could cause that type of pain, and the nature of it, does it sound cardiac? Answer: it sounds like esophageal reflux or magnesium deficiency 2. What could cause the feelings I have when it wakes me during the night? Answer: it sounds like esophageal...

Family, Internal Medicine, General Medical Questions: left side chest pain, left side chest pain, flight of stairs
left side chest pain, flight of stairs, fibb: First, if you don t like the way you feel, why not work into an exercise routine, even if it is walking 30 min a day. I didn t see where you had a stress test.... that is a goo functional test to see how your heart and lungs work together. Your chances of...

Family, Internal Medicine, General Medical Questions: slight dark patches on face, dark patches, fruits and vegetables
dark patches, fruits and vegetables, iron tablets: If your hemoblobin level came out to be low, then only you need iron tablets. fo patches, you can use potato paste to be applied on the face for one hour daily. Also apply vicco turmeric cream at night daily. regarding diet, do adequate walking daily and you...

Family, Internal Medicine, General Medical Questions: superficial blood clot, birth control pills, superficial blood clot
birth control pills, superficial blood clot, diana 35: I would talk to your doctor and consider some type of anti-coagulation for the trip.... Novasen is basically aspirin.... there are several others that can be used and you should consider getting off the birth control pills.... from your description, it...

Family, Internal Medicine, General Medical Questions: swelling in front of ear, upper jawbone, naphazoline hydrochloride
upper jawbone, naphazoline hydrochloride, eyedrops: it could be a cyst from acne... a deep infection... there are also lymph nodes there that can swell in response to a respiratory infection. If it is painful, it is probably acne and he should be on some antibiotics, otherwise, give it a few weeks to resolve.........

Family, Internal Medicine, General Medical Questions: Tea - Green vs Oolong, Tea, Green tea
Tea, Green tea, Oolong tea: Richard, Not exactly sure where the difference is coming from. Green tea (depending on where is is grown, processed, etc.) differs from Oolong tea (again depending on region grown, etc.) by the process of partial oxydation. Oxydation of the tea leaves...

Family, Internal Medicine, General Medical Questions: Testicular and Lower Right Abdominal Pain with Chronic Bleeding in Semen, ct scan of abdomen, lower right abdominal pain
ct scan of abdomen, lower right abdominal pain, right abdominal pain: sounds like a complicated situation.... the kidneys need further evaluation... you may have bruised/torn them and you need to have that rechecked. The mass parasitic infection finding has me confused, but that has to be further evaluated also.... basically...

Family, Internal Medicine, General Medical Questions: Thyroid, blood test results, cold hands and feet
blood test results, cold hands and feet, calcium carbonate: They missed the TPO thyroid test which shows the gluten in your diet and your antigliadin test which confirms either HLA DQ 2,8 or Autosomal celiac disease. That causes you further malabsorption of Vit A, D, E, C, B-100 time released, magnesium oxide and...

Family, Internal Medicine, General Medical Questions: Tingling/twitching in right foot, right foot, first thought
right foot, first thought, whole life: The first thought that comes to mind is a disc in the low back pressing on a nerve or a nerve being pinched a little around the ankle/foot from shoes, etc. If it is either, it probably will fade away in a couple of weeks.... if it persists you need to get...

Family, Internal Medicine, General Medical Questions: what type of health screening my mom should have, complete physical exam, colon cancer
complete physical exam, colon cancer, ca 125: it depends on how much you want to spend.... In general, a complete physical exam, labs including urine, cbc, thyroid, liver, cholesterol panel. Chest xray. Possibly a colonoscopy for colon cancer ($$$) There are some markers for cancers, like CA-125...

Family, Internal Medicine, General Medical Questions: Unusual Vaginal Discharge, thick white discharge, g spot stimulation
thick white discharge, g spot stimulation, yeast infection: Sounds a lot like a yeast infection. Get swabbed by your gynecologist just to make sure, because a bacterial infection can be similar. If you treat a bacterial infection with antifungals (over the counter), you may make it worse. There are vaginal infections...

Family, Internal Medicine, General Medical Questions: vaginal length, total abdominal hysterectomy, exact measurement
total abdominal hysterectomy, exact measurement, index fingers: With sexual activity the area may stretch somewhat.... after a hysterectomy, the tissue that is oversewn where the cervix used to be will shrink slowly, but with gentle stretching, it can enlarge... I don t know if I have any exact measurement... during sex...

Family, Internal Medicine, General Medical Questions: vitamin D defiency, rapid weight gain, nurse practioner
rapid weight gain, nurse practioner, vitamin d defiency: everyone is low in vit D.... that is the hot new topic... there are very compelling studies saying that our levels need to be normal... so make that a part of your diet... we just don t get enough from diet and very little from sun. I don t know if that explains...

Family, Internal Medicine, General Medical Questions: wheat allergy, wheat allergy, free lifestyle
wheat allergy, free lifestyle, gi problems: hi mariah, thank you very much for your kind words. it is very much appreciated. as with all physicians, we tend to overlook the patient as a human being and their will for knowledge. poor interpersonal communication skills inadvertently cause inappropriate...

Family, Internal Medicine, General Medical Questions: SO YELLOW 2, external ear canal, ear wax
external ear canal, ear wax, waxy substance: Do you mean what is it made of? Ear wax is formed from wax glands in the external ear canal as well as other components such as dead skin, sweat, and oil; the primary component of ear wax is keratin (derived from dead skin). I hope that answers your...

Family, Internal Medicine, General Medical Questions: Ab Pain follow up, pain signals, hollow organ
pain signals, hollow organ, cat scan: when the colon stretches, it sends pain signals... as with any hollow organ (heart, stomach, intestine and others) the pain is referred meaning it is vague and in one general area.... the right side of the colon is around the belly button, the left side,...

Family, Internal Medicine, General Medical Questions: Antibiotics side-effects and duration of taking them, sinus pressure, nasal rinse
sinus pressure, nasal rinse, sinus infection: It is rare to get diarrhea after one dose... it usually is a few days of the antibiotic.... and almost always, it resolves when you stop the antibiotic. The problem with stopping early, is, you may have suppressed the infection but not cured it, and if...

Family, Internal Medicine, General Medical Questions: abnormal lab results, low anion gap, thalessemia
low anion gap, thalessemia, hepatitis c: It is harder without the absolute lab results... but If the Hb is normal, the RBC, RDW, MDH, MCHC and MPV don t matter. The MCV is low is consistent with a few things... like iron deficiency, lead poisoning, or a genetic problem like thalessemia, but a little...

Family, Internal Medicine, General Medical Questions: Blood clots, push ups and sit ups, pig valves
push ups and sit ups, pig valves, ascending aorta: I assume you meant the titanium valve instead of pig because of the size of the valve, not the embolixm.... blood clots can and probably do occur a lot more than we know, unless they hit a specific target organ, there may be little or no symptoms. And...

Family, Internal Medicine, General Medical Questions: Blood Products, red blood cells, abo blood type
red blood cells, abo blood type, white blood cells: I d like to pose you some questions about blood products. I ve done some research on the Internet, and I was left with a few doubts. First of all, I understand that you don t use whole blood for transfusions anymore, these days. But is this absolutely true...

Family, Internal Medicine, General Medical Questions: bad breath, teath, sphincter muscle
teath, sphincter muscle, jaw bone: The heartburn was the key thing you said, as far as I m concerned. Please see your family/general doctor. I wonder if you have a loose sphincter muscle in your esophagus creating back up from your stomach into your throat, and a consequence of which is...

Family, Internal Medicine, General Medical Questions: chronic diarrhea, crohn s disease, chronic diarrhea
crohn s disease, chronic diarrhea, milk cheese: I would worry about ulcerative colitis/crohn s disease, unfortunately that is diagnosed with an expensive colonoscopy. In the mean time, avoid all milk/cheese butter and see if that helps, and also try adding in fiber (I know it sounds backwards) that can...

Family, Internal Medicine, General Medical Questions: My Daughters Health, tilt table test, joan pearson
tilt table test, joan pearson, infectious desease: I assume she is at a good center.... I would consider having her go to the Mayo Clinic or Cleveland Clinic.... this is more likely a metabolic problem (as opposed to an infection) and it may take some testing for rarer illnesses and she would be best served...

Family, Internal Medicine, General Medical Questions: Diagnosis., low potassium levels, acid reflux
low potassium levels, acid reflux, bouts: I assume they did a lot of tests... I would look at her thyroid and if on any meds, she needs to have these looked at for possible side effects. It doesn t sound like they resolved the stabbing pain... something caused it and she needs more to determine the...

Family, Internal Medicine, General Medical Questions: Sinus/Antibiotics fiasco, sinus antibiotics, cheek bones
sinus antibiotics, cheek bones, allergy asthma: With the hole in the septum... presumeably from past use of ... it may be not a great thing to use afrin... but it is safe in general, if used twice a day for 3-5 days for swelling from some short term infection. Using it chronically isn t good. Zithromax...

Family, Internal Medicine, General Medical Questions: diabetes, low blood pressure, peripheral neuropathy
low blood pressure, peripheral neuropathy, definite cause: if the sugar is normal... that is not diabetes related directly. the dizziness may be related to low blood pressure or may be related to peripheral neuropathy, if he has that. The cardiologist or neurologist is in the best position to do the proper evaluation...

Family, Internal Medicine, General Medical Questions: flu shot, rn msn, flu shot
rn msn, flu shot, flu season: Robin, Great question, and as it turns out, you did NOT get the flu shot too early! Now you can tell your friends: avoid the crowds, get it sooner than later! I am so glad I know the answer to this now. Here s a link below, but I also found other sources...

Family, Internal Medicine, General Medical Questions: Greenish tinge, mach 3 razor, greenish tinge
mach 3 razor, greenish tinge, looking in the mirror: That doesn t ring any specific bell for me.... I am assuming south asia means oriental, korean, vietnamese area? Is the greenish tinge in looking in the mirror or something rubbing off? The shave gels have some pigments in them... you might try just a plain...

Family, Internal Medicine, General Medical Questions: Heart rate question... torturing me, resting heart rate, dealing with anxiety
resting heart rate, dealing with anxiety, chronic alcohol: If your pulse responds to exercise, it doesn t worry me that your resting pulse is low. This may be a result of your previous physical activity. And you already had the heart testing showing there wasn t some nerve conduction problem in the heart. The resting...

Family, Internal Medicine, General Medical Questions: Herniated disc & spinal stenosis, thecal sac, pain management specialist
thecal sac, pain management specialist, facet joints: It is hard to equate MRI findings with a clinical course... some people have horrible disc disease and no symptoms and vice versa. Since surg isn t an option, if you are in pain, consider a pain management specialist who might be able to improve things with...

Family, Internal Medicine, General Medical Questions: Hiatus Hernia, hiatal hernias, hiatus hernia
hiatal hernias, hiatus hernia, chest side: Hiatal hernias are common, especially in people over age 50. Eating small meals, avoiding certain foods, not smoking or drinking alcohol, and losing weight may help. Your doctor may recommend antacids or other medicines. If these don t help, you may need surgery...

Family, Internal Medicine, General Medical Questions: my health problem, high carb food, allergic response
high carb food, allergic response, low carb food: it sounds like you are having some type of allergic response, not necessarily from a high carb but something specific, like a certain type of grain... rice, wheat, etc.... your job is to try to figure out specifically which type of food it is... good luck...

Family, Internal Medicine, General Medical Questions: high blood pressure, framingham study, litmus test
framingham study, litmus test, high blood pressure: when you say litmus test.... it is hard to prove direct cause and effect... but several long term studies show that even with removing other variables, such as chol, etc. that the rates of heart attack and stroke go up with untreated HTN.... one of the biggest...

Family, Internal Medicine, General Medical Questions: internal medicine question, gall bladder disease, stress fracture
gall bladder disease, stress fracture, gall bladder: I am trying to put all the symptoms together and I don t come up with anything. The big concern is the weight loss and GI symptoms (without trying.) I think you need a complete workup for this, by a gastro... I would be concerned that there is something...

Family, Internal Medicine, General Medical Questions: Lower abdominal Pain, intestine problem, stomach cramps
intestine problem, stomach cramps, groin area: a blood test can suggest an infection, but can t pinpoint an appendicitis. It sounds like a lower intestine problem with that pain below the belly button. I would have expected you to say the pain occurred then an episode of diarrhea..... It could be...

Family, Internal Medicine, General Medical Questions: Men, hormone fluctuations, google
hormone fluctuations, google, time of the month: In my humble opinion, the grouchiness comes with age. I think it s a decline in testosterone making them irritable, more likely to get in arguments over petty things. Have not heard of monthly hormone fluctuations but you could certainly google it :-...

Family, Internal Medicine, General Medical Questions: Mystery illness, easy brusing, tingling in arms
easy brusing, tingling in arms, throat discomfort: this is a tough one... you said you had a lot of tests, but not which ones.... for hashimotos, I assume you had thyroid antibiodies done... I would also like to know if you had a sed rate done and if you have gained weight with these occurring. Sometimes...

Family, Internal Medicine, General Medical Questions: New born Low Heart Rate, low heart rate, vacuume
low heart rate, vacuume, brain damage: Critical care treatment for newborns is tough because they can t say what is wrong... the low heart rate could be from an infection and the turning blue could be from infection also. If not, usually newborns grow out of the turning blue when eating thing...

Family, Internal Medicine, General Medical Questions: odor, fatty liver disease, alcoholic fatty liver
fatty liver disease, alcoholic fatty liver, non alcoholic fatty liver disease: I would ask your doctor about it. I wonder if you are passing protein in the urine? Important to get that checked out--could be a kidney problem. It s common to have sweet breath (almost sickeningly sweet) with diabetes, but the protein smell I m unfamiliar...

Family, Internal Medicine, General Medical Questions: Pain and other things in left arm..., shoulder bursitis, elbow area
shoulder bursitis, elbow area, alleve: It sounds like some shoulder bursitis... you can get pain radiating down. I would try ice, 20 min on, 2 hours off and try some full strength anti-inflammatory like alleve 2 twice a day. Try that for a few days, then you may need to have it checked if not...

Family, Internal Medicine, General Medical Questions: Pain and pressure under right ribs, internal medicine doctor, liver pain
internal medicine doctor, liver pain, milk thistle: I m wondering if it s really muscular, when it may be liver related, as you are thinking it might be, too. I ve had liver pain before and it can be constantly on your mind, dull painful ache no matter how you move or what you do....I would ask my doctor how...

Family, Internal Medicine, General Medical Questions: Paralysis, complete body, initial stage
complete body, initial stage, physiotherapist: Hi Vani and thanks for writing, With any paralyis the concern is that she may hurt herslef as she doesn t have normal feeling on the affected side and she could burn herslef by drinking tea or coffee that s too hot. Has she had a second opinion? How...

Family, Internal Medicine, General Medical Questions: my period., irregular periods, period cycle
irregular periods, period cycle, gr 10: Thanks for your question. I get asked this from time to time. Need to get your hormones checked out at a family practice doctor or a gynecologist. It s not normal to have irregular periods for 3 years--that s too long. Periods lasting longer than 2 weeks...

Family, Internal Medicine, General Medical Questions: peripheral neuropathy, nerve conduction studies, peripheral neuropathy
nerve conduction studies, peripheral neuropathy, tingling sensation: in one foot, I would worry that a nerve is being pinched, usually in the low back or sometimes from a shoe that fits differently.... I wouldn t write it off as perip neuropathy yet... I would consider nerve conduction studies to see if there is a specific...

Family, Internal Medicine, General Medical Questions: postherpetic neuralgia, lidoderm patches, nerve blocks
lidoderm patches, nerve blocks, minimal benefit: acupuncture may be of help.... I don t think this is the appropriate problem for the chiropractor. I would also continue with the nerve blocks, if they can hit the right nerves, it should help. You have almost finished all the normal treatments... the only...

Family, Internal Medicine, General Medical Questions: Recurrent strep in infant, liver function, antibiotic sensitivity
liver function, antibiotic sensitivity, bactroban: I would be tempted to test all family members again, or treat all family members with ab, and with bactroban in the nose. If this is culture proven strep, then it should be grown out and get antibiotic sensitivity... this has already probably been done. ...

Family, Internal Medicine, General Medical Questions: Reduce dietary fat?, massive heart attack, bacon and eggs
massive heart attack, bacon and eggs, family history of heart disease: the salt issue refers to the hypertension... the fats are indirectly linked to blood pressure if they make you fat... but if you aren t overweight, not an issue with respect to hypertension, BUT, it is a factor in your risk for heart disease, stroke, etc....

Family, Internal Medicine, General Medical Questions: Reflux, pathological increase, hi jill
pathological increase, hi jill, excess gas: hi jill, as stated before, there may be an abnormal production of gastric juices. reflux is not a timed process. it is due to a weakened or malfunctioned closure of the esophageal sphinters; thus allowing stomach contents to retrograde. gastric juices normally...

Family, Internal Medicine, General Medical Questions: STDs, recurrent fever, sex masturbation
recurrent fever, sex masturbation, hiv from receiving oral sex: The virus is present in some saliva, but it needs a way to get into the blood stream.... so agressive kissing which may split some tissue on a lip, etc could introduce it. It is hard to prove exactly what absolutely doesn t transmit HIV. With all the testing,...

Family, Internal Medicine, General Medical Questions: left side chest pain and test results, target heart rate, left side chest pain
target heart rate, left side chest pain, holter monitor: it is typical for young people to exceed the target heart rate... a lot has to do with your inactivity and deconditioning. That test shows there are no significant blockages. You could have a 20% block that wouldn t show up. With a normal stress, it...

Family, Internal Medicine, General Medical Questions: left side chest pain and test results, target heart rate, left side chest pain
target heart rate, left side chest pain, holter monitor: Hi, You need to avoid taking beer. your weight ahould also get reduced by 30 to 50 pounds. a the present state, you are at high risk heart diseases. You should increase activity and take lots of salad with food. try to take half salad and half food. also...

Family, Internal Medicine, General Medical Questions: left side chest pain and test results, target heart rate, left side chest pain
target heart rate, left side chest pain, holter monitor: Hi Michael, Your echo certainly pinpoints to one specific problem - how much stimulants did you ingest prior to the echo? Stimulants like coffee, alcohol, tobacco, or caffeinated drinks certainly can induce premature atrial and ventricular beats. When there...

Family, Internal Medicine, General Medical Questions: stomach problems, upper gi series, chinese herbalist
upper gi series, chinese herbalist, stomach problems: these are tough problems.... there is no specific test for IBS and we often use that as a diagnosis when everything else is negative. I don t know who you saw initially, but you might ask your doctor to send you to one of the bigger gastrointestinal centers...

Family, Internal Medicine, General Medical Questions: Tetanus, Tetanus
Tetanus: Hi Michael, Just keep an eye on the spot, as long as it doesn t show signs of infection (redness, swelling, tenderness) you ll be okay. Tetanus shots are good for five years so you should get another some time this year, but don t panic about it; I m a...

Family, Internal Medicine, General Medical Questions: Had a wisdom tooth out, circulation issue, leg veins
circulation issue, leg veins, wisdom tooth: I would go to an internal medicine or cardiovascular doctor. You are right, it could be a jaw infection, but--The neck pressure may be some obstruction in your neck artery. And your leg veins--it just sounds like a circulation issue. Get checked out again--infection...

Family, Internal Medicine, General Medical Questions: should I worry, hurnia, muscle wall
hurnia, muscle wall, repair surgery: that is hard to tell.... he has a problem with the muscle wall to start from, he is a setup for these hernias... and with the infection complication, it can be a prolonged recovery. I don t see how someone can say he can never work... people are resourceful...

Family, Internal Medicine, General Medical Questions: Over 50, fitness buff, hormone replacement therapy
fitness buff, hormone replacement therapy, nutrition supplements: Terry, Don t give up on exercise. That is the fountain of youth believe it or not... along with good nutrition and balanced hormone replacement therapy when indicated. After 40 men s testosterone levels drop as do other hormonal axis and that is a BIG...

Family, Internal Medicine, General Medical Questions: Abdominal pain, high white blood cells, lower abdominal pains
high white blood cells, lower abdominal pains, low grade fever: yeah..... (to the first sentence) Frequent sex, maybe a little pain, inflammation, but not white cells/fever. In the prostate, people can get chronic prostatitis where is does go dormant then recurs. The more I think about it, the more I would definitely...

Family, Internal Medicine, General Medical Questions: Attack under rib cage, gallbladder attack, focal seizures
gallbladder attack, focal seizures, strength tylenol: It is possible to still have gallstones post surgery. There also could be scarring in that area. This also could be musculo-skeletal. It is unlikely kidney--- wrong area. It is important to get an evaluation when you are having the attack... it is probably...

Family, Internal Medicine, General Medical Questions: Bleeding, endometrial stripe, ultrasound findings
endometrial stripe, ultrasound findings, echotexture: You have to take findings on a test in context... the ovaries may be enlarged but not from disease... they probably have always been enlarged. It isn t unusual to bleed irregularly and heavily following a provera challenge. So, the missed period is probably...

Family, Internal Medicine, General Medical Questions: birthmark, brown birthmark, dermatologic surgeons
brown birthmark, dermatologic surgeons, cosmetic reasons: if it is a lot darker, then it probably can be improved significantly. an oval that size might be able to be excised (cut out) also, leaving a thin line. A plastic surgeon is the person you want to consult with, sometimes dermatologic surgeons that specialize...

Family, Internal Medicine, General Medical Questions: bladder infections, recurring bladder infections, wear cotton underwear
recurring bladder infections, wear cotton underwear, frequent bladder infections: I don t know if you have had any tests, but sometimes people have a structural problem causing recurrent infections or possibly a retained kidney stone.... I would ask for a workup or a referral to a urologist so you don t have to keep going thru this...

Family, Internal Medicine, General Medical Questions: Cholesterol, cholesterol, HDL
cholesterol, HDL, TC: Kevin, Your lipid profile based on just the total-Cholesterol (TC) and your HDL-C appears to be OK from a cardiac risk perspective. Yes we like to keep TC under 200. We would like our HDL to be above 40. Actually a HDL-C equal or greater to 60 is considered...

Family, Internal Medicine, General Medical Questions: Continue Antibiotics???, heart valve problems, complications of strep throat
heart valve problems, complications of strep throat, swollen glands: take the antibiotics.... the full course. This easily could be strep and a partial treatment sets you up for the complications of strep throat... heart valve problems..... I agree with not using antibiotics if appropriate, however, this time it is appropriate...

Family, Internal Medicine, General Medical Questions: cbc, liver problem, hmo plan
liver problem, hmo plan, screening tool: There are two parts to this.... if someone hasn t had a problem with statins, then I only check them yearly... it is very very unusual to have a liver problem from them if you have tolerated them for a while. The CBC is a diagnostic help when someone is...

Family, Internal Medicine, General Medical Questions: cbc suggestions, iron deficiency anemia, neutrophilis
iron deficiency anemia, neutrophilis, billirubin: If the hemoglobin or hematocrit are low, then the low MCV suggests iron deficiency anemia, so iron suplement and figure out why you are becoming anemic are indicated. Bili high means nothing by itself. Glucose low if you aren t diabetic, is probably...

Family, Internal Medicine, General Medical Questions: dizziness with eye movement, inner ear disorder, tongue numbness
inner ear disorder, tongue numbness, ringing in the ears: I expect it is simply labyrinthitis, an inner ear disorder that should go away in a week, sometimes up to three weeks. As long as you don t have ringing in the ears or hearing loss, that is OK. I am not sure what to make of the tongue numbness. I would...

Family, Internal Medicine, General Medical Questions: elbow clicking, elbow joint, back workout
elbow joint, back workout, bicep: you prob did stretch lig s but you have some cartilage inflammation now... it will probably subside, maybe sooner if you take motrin or another drug like that. If you don t mind it, you can continue the workouts, if you want it to go away sooner, hold the...

Family, Internal Medicine, General Medical Questions: bladder infections, renal ultrasound, nephrologist
Family, Internal Medicine, General Medical Questions: bladder infections, renal ultrasound, nephrologist, urologist

Family, Internal Medicine, General Medical Questions: post concussion syndrome
Family, Internal Medicine, General Medical Questions: post concussion syndrome

Family, Internal Medicine, General Medical Questions: High Blood pressure, Nosebleeds and Headaches..., nosebleed treatment, low blood sugar
nosebleed treatment, low blood sugar, mild headache: the blood pressure is not causing the nosebleeds.... it may be the reverse. You need an evaluation to have your blood ocunts checked. Also a review of your meds to make sure you aren t taking any that make you prone to bleed, then standard recurrent nosebleed...

Family, Internal Medicine, General Medical Questions: internal med or family practice?, internal medicine doctor, outpatient medicine
internal medicine doctor, outpatient medicine, medicine doctors: I am family practice so I might be biased.... there is not a lot of difference in the training... each is 3 years long, there is more emphasis in internal medicine with inpatient medicine and ICU type medicine. There is more emphasis on the family as a whole,...

Family, Internal Medicine, General Medical Questions: MEDICATIONS, Too many medications
Too many medications: Thanks, Ken, that’s quite a pile of meds she’s on. I’ll share with you what I’d be asking if she was my Mom … First of all it of course makes a significant difference what her actual medical diagnoses are and which are secondary issues (ie: side-effects...

Family, Internal Medicine, General Medical Questions: magic mouth wash formula, Magic Mouth Wash, Formulations
Magic Mouth Wash, Formulations, Ulcers: Judy, Magic MW and Dukes MW and Comfort MW are all variations of a medicinal mouthwash and even within the same named formula there is variation depending on the compounding pharmacy. Typically however the Magic MW formula is: 28cc Mylanta (or Maalox)...

Family, Internal Medicine, General Medical Questions: memory problems, memory problems, dementia
memory problems, dementia, nurse: You have already made sure that her doctor knows about it and can do some short easy tests during the office visit to confirm. Otherwise, there isn t a lot you can do that will help, and will only push her away. If anyone lives with her, enlist their help....

Family, Internal Medicine, General Medical Questions: nursing home's responsibility in feeding elderly when they refuse, Feeding tubes for decreased appetite
Feeding tubes for decreased appetite: Hi Joni and thanks for writing, I apologise for my slow response, I have been ill all week. As you are well aware, the PD ids a progressive disease that eventually makes the patient require help with every aspec of daily life, including feeding. It sounds...

Family, Internal Medicine, General Medical Questions: odd symptoms, low blood pressure, thyroid levels
low blood pressure, thyroid levels, odd symptoms: rarely is there NO possibility of pregnancy... but that would have been my first concern. I would also have your thyroid levels checked and your hemoglobin. The dizziness in the shower may be the bp going lower... low blood pressure is good, except you don...

Family, Internal Medicine, General Medical Questions: Painful Armpit bumps, vomiting, feel feverish without the fever, thumbnail size, septra
thumbnail size, septra, deoderant: I assume you are african american.... these bumps are folliculitis... little infections... when you have it for a while, it is hydradenitis..... sometimes really hard to get rid of completely. At this point, you need to be on antibiotics and followed by...

Family, Internal Medicine, General Medical Questions: Pure Cod Liver Oil (Seven Seas), cod liver oil, high cholesterol levels
cod liver oil, high cholesterol levels, omega 3 fatty acids: Lawrence, Omega 3-Fatty Acids in Marine Fish Oil has been proven by reputable scientific studies to lower bad cholesterol and triglycerides and thus impact the long term untoward effects of elevated lipids on cardiovascular health. That being said, it...

Family, Internal Medicine, General Medical Questions: pancreatitis, gallstone pancreatitis, right abdomen
gallstone pancreatitis, right abdomen, binge drinker: abdominal pain is tough to diagnose sometimes... we have several tools... blood tests like lipase/amylase for pancreatitis and cat scans.... The blood tests are high in acute pancreatitis almost all the time, but in chronic, the pancreas may have been damaged...

Family, Internal Medicine, General Medical Questions: post concussion syndrome, post concussion syndrome, loss of memory
post concussion syndrome, loss of memory, brain power: I don t think you are a hypochon and I agree that I don t put much faith in the childhood abuse .... there has been a lot in the news about cumulative concussions.... the CT is always negative in a concussion... so there is no bleed but neurons have been...

Family, Internal Medicine, General Medical Questions: Recurring DVT, cause blood clots, hematologists
cause blood clots, hematologists, coumadin: you obviously have a genetic clotting disorder (most likely) unless there is some other predisposing factor like being massively overweight. In any event, yes, low plasminogen is one thing that can cause it but the bottom line is that you need lifelong coumadin...

Family, Internal Medicine, General Medical Questions: Swollen finger with pain, thyroid tests, doxicycline
thyroid tests, doxicycline, dominant hand: gout would also be my first choice, also pseudogout. It is possible it is a low grade chronic infection, it is possible to be RA but less likely since other joints are not affected. It could have been an injury that is just smoldering along. I would...

Family, Internal Medicine, General Medical Questions: sticky lips, minocycline tablets, minocin
minocycline tablets, minocin, minocycline: we have to know what causes it first, in order to figure out a cure.... I don t see a direct relationship with the minocin but I would stop it for now and see if the lips get better. I would also suggest you have a general checkup with some labs, including...

Family, Internal Medicine, General Medical Questions: sticky lips, minocycline tablets, cold medicines
minocycline tablets, cold medicines, thyroid problems: for now, I would push the liqiuids.... basically double the amount of fluids you are taking in a day, and avoid the sugary ones. If you haven t, get your doc to checkk a blood sugar on you. and I assume you didn t get on acutane. Also, I would stop the...

Family, Internal Medicine, General Medical Questions: after tattoo, MRSA, staph infections
MRSA, staph infections, strep infections: Alexia, You are probably getting furuncles (or staph/strep infections of the skin)... could be superficial like a folliculitis or more serious like an abscess (furuncle/carbuncle). Because the skin was broken by the tattoo needle it allowed bacteria from...

Family, Internal Medicine, General Medical Questions: turkey baster feeding!, Force feeding
Force feeding: Hi Linda and thanks for writing, I apologise for my slow response, I have been ill all week myself with a stubborn virus. I am so very sorry to read about your Moms condition. I can tell you that yes standards of care do vary widely from home to home even...

Family, Internal Medicine, General Medical Questions: Undigested food or worms in stool?, worms in stool, intestinal virus
worms in stool, intestinal virus, thin pieces: they aren t worms.... (unless they were wiggling!!) When someone has an intestinal virus or problem... things move through so fast that they can t get digested well, so it is the noodles... you won t see any more, provided you don t eat any more noodles......

Family, Internal Medicine, General Medical Questions: viagra/generic viagra, generic viagra, generics
generic viagra, generics, internet site: There technically is no generics. You can get it cheaper online... pharmacy cost about $17 per pill. I find it really hard to believe that you can get it for $1-2 per pill at some of these sights. Like this one http://www.thecanadianpharmacyone.com/item.php?id=188&said=MSN...

Family, Internal Medicine, General Medical Questions: walk after supper?, gas and bloating, saleeby
gas and bloating, saleeby, brisk walk: Barry, There is no harm in a walk (even a brisk walk) after dinner. There may be issues with jogging or running or even swimming after a big meal, but not walking. In Europe that is the norm.. after an evening meal, many will go for a walk about town....

Family, Internal Medicine, General Medical Questions: What could this be?, neck ache, flu shots
neck ache, flu shots, flu vaccine: If you had the immunizations a day or two before the symptoms, they are from the immunizations... it doesn t mean the shots got you sick. But it is very common to get an inflammation reaction to the foreign proteins injected.... it makes sense that you are...

Family, Internal Medicine, General Medical Questions: 4 day fever, infulenza
infulenza: Hi there Michael. This sounds like your classical influenza. The nature of it is for the temperature to fluctuate as you describe. It does not matter what medicine you take. It will run its course. Temperature is part of your body s defence mechanism. It will...

Family, Internal Medicine, General Medical Questions: Animal bites/scratches and infection, rabies vaccination, post exposure prophylaxis
rabies vaccination, post exposure prophylaxis, incubation period: You are mixing potential treatments.... post exposure prophylaxis would not be helpful for rabies... it would be for bacterial infections in some situations. Re: Rabies... it is very unlikely in general that you were bitten by an animal at all. If this...

Family, Internal Medicine, General Medical Questions: Bronchial sounding cough, normal?, coughing up mucus, strong immune system
coughing up mucus, strong immune system, nasal congestion: so you have a little rattle but no other symptoms.... since it is longstanding and isn t changing... I don t think you need any workup assuming you have no other respiratory symptoms like nasal congestion or shortness of breath...... I hope this helps......

Family, Internal Medicine, General Medical Questions: on going breathing problems, restless leg syndrome, post nasal drip
restless leg syndrome, post nasal drip, netti pot: I always wonder when we try to come up with a reason to explain a particular sign or symptom, like the blood oxygen... they were right of course to look for the PE, but now that it is 100, I see this as normal, not hyperventilating. This could easily be a...

Family, Internal Medicine, General Medical Questions: Cyst? Boil? Ingrown hair?, general good health, ingrown hairs
general good health, ingrown hairs, inner thighs: these sound like multiple sebaceous cysts... you said your cholesterol was normal, but were your triglycerides normal also? These are easy to remove surgically with minimal scarring (in the office) when they are not infected. I am not sure why they would...

Family, Internal Medicine, General Medical Questions: confused help, birth control pills, pregancy tests
birth control pills, pregancy tests, forms of birth control: you have to decide whether you are going to take the pill or not. IN the meantime.... you need to use other forms of birth control. Your stop/start program on the pills is messing up your cycle... you either have to control it internally (where you are...

Family, Internal Medicine, General Medical Questions: enlarged ovary, enlarged ovary, ovary
enlarged ovary, ovary, radiologist: this is a hard concept, but ovaries can grow really really large in the pelvis without causing any problems.... even at 10 cm, the pain you are having may be from another cause. There is a lot of space in the pelvis.... I have seen ovarian tumors that were...

Family, Internal Medicine, General Medical Questions: Foot, alleve, pack ice
alleve, pack ice, ice cubes: ok........ I didn t see a question there, but, The sole of the foot is very complicated with a lot of crosslinked bones and muscle. It is very easy to strain something in that area. If you haven t done anything really out of the ordinary... a fall,...

Family, Internal Medicine, General Medical Questions: flu shot, flu shot, flu vaccine
flu shot, flu vaccine, flu jab.: Hi there Al. Thank you for your question. The typical Flu Shot is not a drug as such but are attenuated (or modified) viruses. The manufacturers try to predict which flu viruses will be prevalent during the coming season and make up their vaccines accordingly....

Family, Internal Medicine, General Medical Questions: flu shot, Flu Vaccines
Flu Vaccines: Al, The following information may be helpful in understanding the flu vaccines and your desire to obtain it. Remember the multi-dose vials have thimerosal (Hg) in them as a preservative. Hg should be avoided. http://www.jfponline.com/Pages.asp?AID=4453&UID...

Family, Internal Medicine, General Medical Questions: flu like symptoms for 4 days, mild fever, viral illness
mild fever, viral illness, flu like symptoms: The flu hasn t happened yet this year, so it isn t that. We never see the flu before mid december in the United States. This could be another viral illness, but appears to be a little more severe than can be explained simply by that. If you had a sore...

Family, Internal Medicine, General Medical Questions: fluid behind ear drum, ent doctors, ear tubes
ent doctors, ear tubes, sinus infections: different ENT doctors have different thresholds, but if the ear problems don t completely go away in between infections, then tubes are necessary. Then, it depends on how often the infections occur.... if those were true ear infections, then he probably...

Family, Internal Medicine, General Medical Questions: Gastro problems, rare digestive diseases, gal bladder
rare digestive diseases, gal bladder, gal stones: the frequent chalky stools are not consistent with simple indigestion. If you take Zantac or Prilosec, and the symptoms completely go away after a few days, then it is heartburn. But this may very well be gall bladder.... an ultrasound would answer that...

Family, Internal Medicine, General Medical Questions: guidance for E D medicines, safe medicine, mild dose
safe medicine, mild dose, sex activity: trying to adjust heart rate with beta blockers are counterproductive as that may inhibit your erection. Assuming you have a good heart, ie, a stress test or other testing, then simply take the viagra and put up with the tachycardia. (Fast heart rate) ...

Family, Internal Medicine, General Medical Questions: hemorrhoids, hemorrhoid, fiber supplement
hemorrhoid, fiber supplement, bowel movement: this sounds like a hemorrhoid. If you are constipated at all, get on some type of fiber supplement. Otherwise, you can use some of the hemorrhoid cvreams and allow it to heal. Is this supposed to happen? No, but it does often, especially after delivery...

Family, Internal Medicine, General Medical Questions: Joint soreness after activity, sore joints, joint soreness
sore joints, joint soreness, moderate activity: unfortunately, yes, it is a matter of age.... the muscles de-condition easier and complain when you re-activate them. After the initial aches, with continued regular activity, the symptoms should go away...... maybe after 3 weeks. If it continues... that...

Family, Internal Medicine, General Medical Questions: Laceration - Concern with Scarring
you will have to be patient to see if anything needs to be done...... No matter what it looks like now, no one would consider revising it until it is stable... a minimum of 6 months.... and with the dermabond still on it, leave it alone. The body has a...

Family, Internal Medicine, General Medical Questions: Low thyroid, thyroid medication, low thyroid
thyroid medication, low thyroid, hair breakage: starting at a low dose, you should not have any side effects. If you want a trial off, you can try it, but the tests are slow to change, so it takes several months to see if you still need it, but, chances are that if you need it now, you will continue...

Family, Internal Medicine, General Medical Questions: LUNG XRAY, lobes of the lung, southeast asia
lobes of the lung, southeast asia, tb: fissure is the space between the lobes of the lung, sometimes visible if there is some fluid in there. If it is scarred from an old infection, it may be thickened. You didn t say where you were from but if you were from southeast asia, you may have had TB...

Family, Internal Medicine, General Medical Questions: low thyroid - natural things to do before replacement therapy, thyroid, goiter
thyroid, goiter, goitrogenic foods: Mandy, Treating folks for subclinical or lab normal hypothyroidism is my forte. A few things you should know you will find at the following links. The powerpoint hits on a few things you can try prior to taking prescription whether it be synthetic or...

Family, Internal Medicine, General Medical Questions: Menstrual cycle, menses, menstrual cycle
menses, menstrual cycle, 28 days: you start counting from the first day of your menstrual cycle... then you ovulate exactly 14 days before the next cycle. If your period is 28 days it is always 14 days after your first day of menses. If your period is 30 days, it is 16 days after your first...

Family, Internal Medicine, General Medical Questions: meaning of blood test terrm, red flags, breast cancer
red flags, breast cancer, lymph nodes: you are right, flagged means outside of the normal range. The normal range means what 95% of normal people fall into. The flipside means that 5% of normal people are outside of that range. L does mean low... having a mildly low value there really does...

Family, Internal Medicine, General Medical Questions: Overmasturbation
I would consider that these side effects are not directly related to the over masturbation..... you didn t quantify, but guys masturbate more frequently than you think..... With all those symptoms, I would have an exam including thyroid function tests.......

Family, Internal Medicine, General Medical Questions: Painful lump on lower leg, lump under the skin, painful lump
lump under the skin, painful lump, nurse practitioner: This sounds like more of a cyst/abscess than cellulitis, but if you still have a lump, I would have that removed. You said it wasn t improving much, but it started red and now is just discolored... so the treatment did something, but often, these lumps...

Family, Internal Medicine, General Medical Questions: pain and hypermobility, pediatric orthopedist, regional pain syndrome
pediatric orthopedist, regional pain syndrome, rib fracture: I would look for a pediatric orthopedist... there are not a lot around in smaller cities. Your best bet would be to talk to her regular doctor about a referral to a teaching institution to get to one of the professors in the orthopedic program that specializes...

Family, Internal Medicine, General Medical Questions: question about flu vaccine and my son, flu vaccine, strep infection
flu vaccine, strep infection, vaccinated: The first question is a valid one.... we don t give during an illness because it might be less effective and also, it is harder to tell if someone has a reaction if they are physically sick from something else. With all that said, it is very easy to convert...

Family, Internal Medicine, General Medical Questions: Rapid hair fall, thyroid tests, seasonal occurrence
thyroid tests, seasonal occurrence, seasonal allergy: I would start from scratch and take a hormonal look at you... specifically thyroid tests and testosterone tests. Sometimes we don t come up with an answer to hair loss and wind up only treating the symptom, but occasionally it is caused by thyroid or...

Family, Internal Medicine, General Medical Questions: Rash On Neck, rash on neck, topical steroid cream
rash on neck, topical steroid cream, benzoyl peroxide: you could be right.... to test this, put a dab of the cream on your inner upper arm, just below the armpit... the skin is pretty thin and sensitive there, so if you are going to react, you would do it there. If it is, you can try some topical steroid...

Family, Internal Medicine, General Medical Questions: Recurring Yeast, recurrent yeast infections, gentian violet
recurrent yeast infections, gentian violet, prescription pills: the term is colonized.... just a few additional things... eat a big meal and have your blood sugar checked 2 hours afterwards... this is the best screen for diabetes.... diabetics get yeast infections regularly. Do not douche.... I would treat...

Family, Internal Medicine, General Medical Questions: rectal bleeding, low grade fever, menstral cycle
low grade fever, menstral cycle, blood in the water: My question is, are these things possible normal side effects? Side effects from what? Ibuprofen? Possibly, but you have something else going on with the chills, etc. The albumin levels don t matter right now during an acute illness. Get a general...

Family, Internal Medicine, General Medical Questions: sick after carbs, thyroid problems, food allergy
thyroid problems, food allergy, miralax: First, I would deal with the constipation and re-evaluate things. To do so, start Miralax powder, 1 capful daily... .it may take a few days to normalize. This collection of symptoms makes me think of thyroid problems. But there are several others.......

Family, Internal Medicine, General Medical Questions: smoking, nicotine cravings, nicotine gum
nicotine cravings, nicotine gum, lozenges: I think that you are more addicted to the rush of nicotine from the act of smoking, not the act itself..... sometimes it takes repeated trials of attempts to quit and sometimes the stars are aligned where all of a sudden it works. If you want to get past...

Family, Internal Medicine, General Medical Questions: Td/Tdap and newborn exposure pertussis, cdc guidelines, pertussis
cdc guidelines, pertussis, health dept: I can t talk about all, but our hospital uses TDAP. Re: risk until the vaccine kicks in .... you may still have immunity. It is a low frequency illness (doesn t happen much) so the chance of it occurring right when you are vulnerable is really really...

Family, Internal Medicine, General Medical Questions: trapezius muscle, alleve, stress reduction
alleve, stress reduction, nsaid: tough one... that tends to be the stress muscle Acupuncture helped me a lot It is annoying because it hurts every time you turn your head, which is often. Basic treatment is NSAID s.... like alleve, 2 twice a day. Muscle relaxers occasionally...

Family, Internal Medicine, General Medical Questions: UTI, BPH, urinary tract infection
BPH, urinary tract infection: Hi there Ron, thank you for posting your question. My area of expertise is in human sexual dysfunction. But I hope I can be of some small help to you. This all sounds very reasonable to me. At 65 all of us, and that includes this writer, will have some...

Family, Internal Medicine, General Medical Questions: 3 days periods then stop and again start, poly-cystic disease, polymenorrhagia
poly-cystic disease, polymenorrhagia: Hi Swapnil. Thanks for further information.Yes, a lot of stress and lack of sleep can cause polymenorrhagia as you describe. But if it continues you will need to have yourself checked out because poly-cystic ovarian disease is another possibility. It is...

Family, Internal Medicine, General Medical Questions: Antibiotic Reaction, doxicycline, kidney infection
doxicycline, kidney infection, acceptable substitute: doxicycline is a great antibiotic for some things.... unfortunately, a kidney infection is not one of them. It is not concentrated or excreted in the urine, so doesn t work. SMZ/TMP is Septra or Bactrim.... a pretty good antibiotic for the kidneys.... there...

Family, Internal Medicine, General Medical Questions: Belly Button Piercing Infection?, belly button piercing infection, belly button ring
belly button piercing infection, belly button ring, saline solution: you don t need antibiotics.... it is a minor infection but will correct as the skin grows from the visible skin along the ring line inside the hole. that is called epithelialization and takes several months..... as long as not red and painful, you are...

Family, Internal Medicine, General Medical Questions: Bladder infection?, stomach ache, bladder infection
stomach ache, bladder infection, kidney stone: It isn t ovarian cancer. The stress can cause colon cramping, but I would have expected some diarrhea. The pain sounds more like a urinary infection or kidney stone. It would pay to get the urine checked, or at least keep pushing the liquids. Some urinary...

Family, Internal Medicine, General Medical Questions: bleeding, white blood cells, burning sensation
white blood cells, burning sensation, al brown: What I meant, is that if the new injury is cleaned right away, not leaving it for a few hours so the bacteria can grow into the edges of the cut. Washing it well right away will prevent this and lower the risk of an infection. So front end, means sooner...

Family, Internal Medicine, General Medical Questions: bleeding, Cellulitis, Wound
Cellulitis, Wound, Cut: The skin, our largest organ, is our first line of defense against infection. Once it is broken by what ever means cut, burn, puncture, etc. we are susceptible to infection. If you are prone to bleeding and bruising, see your doctor, you may have a low platelet...

Family, Internal Medicine, General Medical Questions: bleeding, fever chills, burning sensation
fever chills, burning sensation, al brown: Hi Al, A local infection (only one site is affected) will appear pink/red, feel warm, may be swollen and may have a bad odor or pus-like drainage. If an infection spreads through the blood stream and becomes systemic then you ve commonly experience...

Family, Internal Medicine, General Medical Questions: charlie horse in toes, circulation problem, low potassium
circulation problem, low potassium, muscle cramps: Well... to start... drinking and epilepsy just do not go well together. With the pain being in both feet, it makes me worry about a circulation problem to the legs. This can also be muscle cramps from low potassium, low magnesium (which occurs in drinkers...

Family, Internal Medicine, General Medical Questions: chest injury, coughing up blood, pain in the left side
coughing up blood, pain in the left side, chest injury: I did that skiing and fell on a small video camera and cracked my rib which bugged me for a solid month. Yu might have done the same... if you are not short of breath or coughing up blood, you can wait it out, but if the pain gets worse or is just too bad...

Family, Internal Medicine, General Medical Questions: chlordiazepoxide hydrochloride, physical dependence, uncomfortable symptoms
physical dependence, uncomfortable symptoms, withdrawal symptoms: by the physical dependence... part of that is the feeling of nervous. If you want off the medicine completely, then you need to stop and you may have that nervous feeling for a few months. It takes 6 months to a year for the brain to go back to normal...

Family, Internal Medicine, General Medical Questions: constantly ill, iron deficiency anemia, headaches and nausea
iron deficiency anemia, headaches and nausea, iron pills: You say that you are anemic but you don t think that is the cause. The way to prove that, is to reverse the anemia, at least temporarily, and see if you feel better. Some people simply cannot absorb iron in their intestines.... and if you have iron deficiency...

Family, Internal Medicine, General Medical Questions: constipation, milk cheese, miralax
milk cheese, miralax, food intolerance: did you try Miralax powder, 1 capful daily? This takes a while to work.... if you take too much (diarrhea) then half the dose... if it doesn t work in 3 days, double the dose. It will work if your problem is constipation. It may be a food intolerance...

Family, Internal Medicine, General Medical Questions: coughing up a piece of tissue, chest xray, brushing teeth
chest xray, brushing teeth, gargle: well, that does not point me directly to one of the bad diagnosis but you need this checked. Talk to your doctor.... I would start with a chest xray and if negative, go on to a cat scan of the chest. If insurance/$$ is an issue, paying a discounted cash...

Family, Internal Medicine, General Medical Questions: Doctor's faux pas?, adult children, care physician
adult children, care physician, young adult: Ouch.... I am sorry that happened.... I know nothing of the details..... and don t jump to conclusions.... but if your doc did mention something, that is clearly inappropriate. Sometimes, though, somebody else mentions something, etc. But the good...

Family, Internal Medicine, General Medical Questions: diarrhea and medication, adderall, narcolepsy
adderall, narcolepsy, diarrhea: the diarrhea you have is coming from your lower intestine, not your stomach, so with immediate release adderal, you will still absorb the medication. Some slow release once a day medicines may be pushed through the itnestines too fast, but typically not the...

Family, Internal Medicine, General Medical Questions: ear and navel redness, oral antibiotics, skin cancer
oral antibiotics, skin cancer, sun exposure: you didn t list age or race, but a non-healing sore on the ear makes me think of a small skin cancer.... the ears get a lot of sun exposure. These are almost always really easy to cure, but needs to be checked. The naval soreness makes me think there is...

Family, Internal Medicine, General Medical Questions: GOUT and travel, high protein meals, uric acid crystals
high protein meals, uric acid crystals, flare ups: Eva, There are meds to prevent gout and those that treat the intermittant flare ups. Best advice on a natural way to prevent a flare up is to: 1. Keep well hydrated with non carbonated and non caffeine beverages (water is the best) 2. Limit the...

Family, Internal Medicine, General Medical Questions: Itching, latex allergies, vaginal itching
latex allergies, vaginal itching, hydrocortisone: There are a lot of possibilities.... could be yeast, but I would expect some thick discharge. Obviously you are not using condoms as some women develop latex allergies. Some women can develop an allergy to semen. A practical way to evaluate this...

Family, Internal Medicine, General Medical Questions: Lab Testing Comprehensive Enough?, proton pump inhibitor, pro biotic
proton pump inhibitor, pro biotic, calcium absorption: Hi Michael, I understand your concerns. First of all get in touch with a geriatric specialist. these are doctors trained to treat the aged. you can have more information from some research on the internet. secondly, start giving her garlic capsules and...

Family, Internal Medicine, General Medical Questions: Leg pain, mild heart attack, knee area
mild heart attack, knee area, calcium magnesium: we would have doctor check the calcium magnesium vitamin D level and replace to he 90 percentile range, plus use cinnamon four times a day to clear the arteries plus triple strength fish oil to clear arteries plus b-100 time released b complex before each...

Family, Internal Medicine, General Medical Questions: Liver Pain, fatty liver syndrome, alcoholic liver disease
fatty liver syndrome, alcoholic liver disease, liver pain: Sounds like the fatty liver syndrome from too many carbs and alcohol so may be getting ready for a liver transplant and 10 drugs for the rest of your life. Now is a good time to check into the hospital for detox and quit permanently Milk thistle is for alcoholic...

Family, Internal Medicine, General Medical Questions: lower GI xrays but most symptoms in upper area, inflammatory bowel disease, persistent diarrhea
inflammatory bowel disease, persistent diarrhea, upper abdominal discomfort: No, it wouldn t be a waste of time.... I hope you have someone looking at this problem as a whole.... upper GI s show ulcers or masses, but don t show excess acid. With a few things going on... gas pain, diarrhea, you should have a full eval. You will...

Family, Internal Medicine, General Medical Questions: Mysterious Sluggish bowels/Constipation, time and seasons, colon cancer
time and seasons, colon cancer, crohn s disease: The stool softener is pretty worthless... they don t work well. I assume you have had your thyroid tests done and your TSH level is normal, meaning between 0.5 and 1.5. If that is so, I would add chronic Miralax daily, start with 1 capful daily..... adjust...

Family, Internal Medicine, General Medical Questions: medical history, history or surgery.
history or surgery.: Hi there Gerri. They would have scrubbed for ten minutes using nail brushes and carbolic soap. They would have had thin sterile rubber gloves. They would have understood the importance of sterile technique Good luck with the novel. Dr Andrew Rynne....

Family, Internal Medicine, General Medical Questions: multiple symptons in 7 year old child, pain in the lower abdomen, high hematocrit
pain in the lower abdomen, high hematocrit, distended stomach: While she is clinically ill with mono, you can t rely on the thyroid tests.... those have to be rechecked at least a month, maybe 2-3 months after she has fully recovered from the mono. The liver and spleen (and lymph nodes) enlarge, but almost always,...

Family, Internal Medicine, General Medical Questions: Needlestick injury, insulin pen, small bore
insulin pen, small bore, hepatitis c: So this needle had just stuck the patient, and you felt it but didn t see bleed when you squeezed the area. Those are very small bore needles and hepatitis C doesn t transmit very easily. Unfortunately, I (or anyone else) can t give you a percentage/number,...

Family, Internal Medicine, General Medical Questions: Prostatitis, prostatitis, pelvic pain syndrome
prostatitis, pelvic pain syndrome: Hi there Maday, thank you for posting your question. My area of expertise is in human sexual dysfunction. I hope I can be of some small help to you. Prostatitis is a big subject. Bottom line is though that there is not a great deal known about it nor a great...

Family, Internal Medicine, General Medical Questions: please answer i dont understand, sign of pregnancy, morning urine
sign of pregnancy, morning urine, pregnancy test: why would someone ejaculate on your trousers? In any event.... all it takes is one little sperm to get in at the wrong time and someone is pregnant.... when there is a question, I always recommend doing a pregnancy test.... and when you do, use the first...

Family, Internal Medicine, General Medical Questions: possible iron deficiency, iron saturation, thyroid replacement
iron saturation, thyroid replacement, long distance runner: Since your Hb is normal, even though iron is low, you are compensating, so iron deficiency is not causing your symptoms. You should be on an iron replacement regiment. Your thyroid is way off..... despite the upper limit of TSH being up to 5.5 in some...

Family, Internal Medicine, General Medical Questions: Sacrum injury, pudendal nerve, bike seat
pudendal nerve, bike seat, sacrum: certainly at this age, your prostate is enlarged.... and that is probably some of the decreased urination symptoms. I would consider treating that with one of the alpha blockers and see if that has effect not only on the prostate but the whole area as well...

Family, Internal Medicine, General Medical Questions: Sinus pain, chronic sinus infection, broken blood vessels
chronic sinus infection, broken blood vessels, sinus pain: This easily could be a chronic sinus infection/sinus block. Sometimes people with have cysts in their sinus that block it.... One way is to get a cat scan of sinus to check.... a less radioactive way would be to try AFRIN NOSE SPRAY twice a day for...

Family, Internal Medicine, General Medical Questions: Swallowing concerns, gastroenterologist, problem thanks
gastroenterologist, problem thanks, glass of water: firstly the diagnosis needs to be made accuratly. If it is acidity, allopathic treatment will work. If it is GERD, you better go for homeopathy For both these conditions, she should avoid taking more than half a glass of water: 1. before meal within...

Family, Internal Medicine, General Medical Questions: scale, Fat versus Muscle, Weight Loss
Fat versus Muscle, Weight Loss: Gord, Yes, at 52 it is hard to fight the midsection bulge. Mostly due to changes in metabolism surrounding a decline in Testosterone and other factors. Fat is less dense than muscle that is true and even stationary bike work will promote more muscle growth/tone...

Family, Internal Medicine, General Medical Questions: tension, nurologist, lump on the head
nurologist, lump on the head, headace: Spellcheck might be helpful for you...... aged 20 had fear headace..... I don t know what that means.... fever? Any lump on the head is outside the skull, so is not related to anything going on inside, ie, the brain. A lump that changes in size may be...

Family, Internal Medicine, General Medical Questions: ultrasound for groin, pain in the groin, mild pain
pain in the groin, mild pain, hernias: Ordering it as a RLQ US is kind of weird. We will do appendix ultrasounds to look for an appendicitis. An ultrasound will not detect small hernias... it may give a little bit of information for very large hernias. So if your doc is simply looking for a...

Family, Internal Medicine, General Medical Questions: water - Calcium, Water Filters, Calcium
Water Filters, Calcium, Osteoperosis: Marie, Unless your only oral intake is nothing but pure water from your filter system then it is impossible for that to leach out anything. You diet will consist of minerals in the food you eat, so rest assured an adequate diet high in Calcium containing...

Family, Internal Medicine, General Medical Questions: 10 week old daughter, corneal abrasion, tummy ache
corneal abrasion, tummy ache, reflux disease: I am not sure what hip mineral water is but assuming it has rose hips in it, it is not what caused your 10 month old to scream.... at that age, intermittent screaming is usually from colic/constipation. When we see a child screaming that age, I think...

Family, Internal Medicine, General Medical Questions: Acne Cyst, aspirin mask, benzoyl peroxide
aspirin mask, benzoyl peroxide, oral antibiotics: I know, these can be traumatic for a teen. Some things you can t solve overnight. If he is getting cysts, I would consider having him on oral antibiotics... something like doxicycline. The injections help a little but repeated ones will may create some...

Family, Internal Medicine, General Medical Questions: ALT Serum, elevated liver enzymes, lab test results
elevated liver enzymes, lab test results, cholesterol lowering medication: We get a lot of elevated liver enzymes like that.... that is a minimal elevation.... if someone gets hepatitis, those numbers go up into the thousands...... but it could mean that your liver doesn t like the simvastatin. If I were monitoring you, I...

Family, Internal Medicine, General Medical Questions: embarrassing stains, loose stools, embarrassing problem
loose stools, embarrassing problem, wet ones: I would need more info to give a complete answer, but.... if he is having loose stools and passing a lot of gas, he may be passing wet ones. There are structural problems sometimes if someone has had big hemorrhoids or hemorrhoid surgery or other rectal...

Family, Internal Medicine, General Medical Questions: enlarged prostate, BPH, Prostate
BPH, Prostate: Al, There is a lot of information out there on BPH... here are a few links to sites that will inform you of surgical, non-surgical and natural ways to treat BPH: http://www.uroxatral.com/doctor-discussion/useful-websites.aspx http://www.cornellurology.com/BPH/treatments/surgical.shtml...

Family, Internal Medicine, General Medical Questions: enlarged prostate, enlarged prostate gland, uroxatrol
enlarged prostate gland, uroxatrol, taking pills: I have an enlarged prostate gland. Don t we all..... (speaking for men of course) If I were to go to a doctor and tell him that I urinate excessively, what are some of the cures for this condition WITHOUT having to take pills the rest of my life?...

Family, Internal Medicine, General Medical Questions: enlarged prostate, enlarged prostate gland, calcium magnesium
enlarged prostate gland, calcium magnesium, traditional doctors: Traditional doctors use drugs for life NutriGenomic doctors change your diet to eliminate all seeds, nuts , flax, soy, poultry, and farm fed fish PLUS get your calcium magnesium and vitamin D in the 90th % range Here I have developed a new NutriGenomic...

Family, Internal Medicine, General Medical Questions: enlarged prostate, BPH, benign prostate hypertrophy
BPH, benign prostate hypertrophy, cialis: Hi there Al, thank you for posting your question. My area of expertise is in human sexual dysfunction. I hope I can be of some small help to you. If you have benign prostate hypertrophy (BPH) and urinary frequency you doctor might suspect a low grade urinary...

Family, Internal Medicine, General Medical Questions: gout, high uric acid, beer consumption
high uric acid, beer consumption, several attacks: The beer is only part of it..... there are millions of people that drink beer that don t get gout. There are genetic tendencies that make someone more likely and it is the diet, beer, etc that can set off the attacks in the at risk people. With all...

Family, Internal Medicine, General Medical Questions: H Pylori, bleeding ulcer, penicillian
bleeding ulcer, penicillian, dental issues: In theory, it could be a way to contract H Pylori. Your stomach issues should be evaluated at face value.... did the prolonged antibiotics disrupt things? Are you taking NSAID s like Motrin/Alleve or similar prescription meds? Cigarettes, alcohol make...

Family, Internal Medicine, General Medical Questions: HDL cholesterol and beyone, cholesterol, HDL
cholesterol, HDL, TC: Al, Most reference labs will give a range over 41 as beneficial. However, there is no upper limit per se for HDL-C (good cholesterol). So the higher you have the better shape you are in. Over 60 may actually represent a NEGATIVE risk factor for CADz....

Family, Internal Medicine, General Medical Questions: High Bun, inflammation, high WBC, c reactive protein, sedimentation rate
c reactive protein, sedimentation rate, blood cancers: Wow... I don t know what the cause is but I think you have to keep digging. If your regular doctor hasn t, he/she needs to refer to a bigger center. This is obviously not easy to solve but inflammatory process (probably infectious) is causing this and...

Family, Internal Medicine, General Medical Questions: Kidney infection On going, kidney infection, kidney infections
kidney infection, kidney infections, kidney stone: With these recurrent problems you need a workup to make sure you don t have a kidney stone that keeps the infection going or on the wrong antibiotic. Cipro is good but there are resistant bacteria to Cipro. Hopefully one of the times the urine was checked,...

Family, Internal Medicine, General Medical Questions: Lab Result, chronic constipation, thyroid tests
chronic constipation, thyroid tests, iron supplementation: you have several questions.... easy ones first.... yes, iron causes constipation.... if you have chronic constipation, make sure your thyroid tests are normal. Then, treat with Miralax powder, 1 capful daily. It takes 3 days to normalize.... if you get...

Family, Internal Medicine, General Medical Questions: Lab Results, iron deficiency anemia, low ferritin
iron deficiency anemia, low ferritin, iron absorbtion: I can t tell if you are male or female... most females who are menstruating chronically play catch up with their iron stores and that is reflected by the Ferritin blood test. When it gets really low, then the Hb starts dropping and the MCV goes down. Then...

Family, Internal Medicine, General Medical Questions: lab results, creatine kinase, alk phosphatase
creatine kinase, alk phosphatase, feel 100: nothing on these labs indicate anything.... you need to have the big picture looked at... this is only a smattering of labs..... big ones are is your Hb normal, is your TSH between 0.5 and 1.5 and others. Non-physical disease causes.... depression???...

Family, Internal Medicine, General Medical Questions: nerve damage, unwanted signals, tingling sensation
unwanted signals, tingling sensation, flu shot: You had the bad luck to have a direct hit to one of the skin nerves and the damaged nerve is sending unwanted signals to your brain. The most practical way is to make your way to a specialist who may be able to inject the nerve and destroy it. You might...

Family, Internal Medicine, General Medical Questions: Pregnancy 6 weeks?, yolk sac, pregnancy 6 weeks
yolk sac, pregnancy 6 weeks, spotting after intercourse: No, this isn t definitely a miscarriage. You are catching this pregnancy super early... you prob got her on Nov 27th given the period. An ultrasound, even a vaginal one has to penetrate several layers of tissue.... and the gestational components are...

Family, Internal Medicine, General Medical Questions: Prostate/pendendal pain/rectum, pain in the abdomen, having a bad day
pain in the abdomen, having a bad day, anxious person: well, you might have to get over the fear or at least try a different doctor...... This sounds like prostatitis (from the symptoms 3 months ago) Now, it sounds like prostate enlargement BPH or prostatitis now. I would get a full exam plus a workup...

Family, Internal Medicine, General Medical Questions: pain in lower left abdomen, pain in lower left abdomen, digestive track
pain in lower left abdomen, digestive track, large bowel: I would worry about the large bowel... either mild diverticulitis or colitis (inflammation of the large bowel) If there is no fever and the pain is annoying as opposed to severe, see if it will fade, otherwise, if fever, getting worse, etc, that needs to...

Family, Internal Medicine, General Medical Questions: recent pregnancy/ miscarriage, molar pregnancies, trophoblastic proliferation
molar pregnancies, trophoblastic proliferation, trophoblastic cells: The cells forming in the uterus during a pregnancy are undergoing a lot of transition.. they are changing rapidly. The distinctive differences between normal and abnormal cells in this environment is pretty vague. To summarize, I would not think that a...

Family, Internal Medicine, General Medical Questions: strep throat, viral respiratory infection, throat symptoms
viral respiratory infection, throat symptoms, childrem: The slight aberration in your antibiotic schedule doesn t matter..... 90% of sore throat symptoms are not strep. If you started with symptoms on the antibiotics or very soon after, chances are that this is a viral respiratory infection and not strep. ...

Family, Internal Medicine, General Medical Questions: Trauma Question, ruptured spleen, low blood pressure
ruptured spleen, low blood pressure, writing a short story: 1) The baby is very small and very well protected, so even with major trauma, it is very believable that the fetus survives. 2) With those injuries, it would have meant quick surgery in the old days, now we try to treat spleen injuries conservatively,...

Family, Internal Medicine, General Medical Questions: v-tach and left side chest pain, right ventricular dysplasia, left side chest pain
right ventricular dysplasia, left side chest pain, v tach: You got it right in the first paragraph.... you might be more prone to sudden cardiac death. You need to be evaluated for Brugada s Syndrome and others via that EP study. Idiopathic means we don t know the cause. VT of any type can erode into FV. ...

Family, Internal Medicine, General Medical Questions: Weird Flushing, burning sensation, diahrea
burning sensation, diahrea, weezing: It sounds like your doctors are on the right track to evaluate you for possible hormonal problems. If your ESR was normal, that lowers the chance of you having something big. These syndromes like carcinoid may intermittently release hormones so it may...

Family, Internal Medicine, General Medical Questions: Woke up with pain in chest, mild anxiety, underactive thyroid
mild anxiety, underactive thyroid, racing heart: you have mentioned several appropriate causes throughout your description. This isn t a heart attack. (age, risk factors, etc) Irregular heart beat... possibility.... 24 hour HOLTER monitors are OK but you don t have abnormal rhythms every day and they...

Family, Internal Medicine, General Medical Questions: what could be wrong with my inner lips?, labia minora, latex condom
labia minora, latex condom, latex allergy: you have a yeast infection and you have some inflammation in that tissue..... use monistat and it will go down. Other possibilities... latex allergy (in addition to yeast) if you used a latex condom. If you didn t use a condom, I hope you are on BCP...

Family, Internal Medicine, General Medical Questions: 10 yr old with pink cheeks, pink cheeks, eye symptoms
pink cheeks, eye symptoms, bacterial infection: There are a couple possibilities... a smoldering bacterial infection (erysipiles type) (Not sure about spelling there) OR allergies developing. We call the cheeks and eye symptoms shiners when the allergies get them inflamed. Having it for 2 months,...

Family, Internal Medicine, General Medical Questions: 2 yr old, word vocabulary, proper environment
word vocabulary, proper environment, time kids: well, this may be developmentally delayed... if it is, and the child is being cared for and stimulated now, there isn t much to do but wait to see if he catches up. Even with some problems with mental stimulation early on and some delays, most of the time,...

Family, Internal Medicine, General Medical Questions: Abdomen pain, abdomen pain, ovarian cyst
abdomen pain, ovarian cyst, lack of appetite: if you aren t pregnant... then probably not... it may be an ovarian cyst. If you get sicker, you have to worry about uterus infections. It is rare to get a colon problem at your age. Another possibility if it doesn t get better is a urinary tract infection....

Family, Internal Medicine, General Medical Questions: Alcohol/constipation/arthritis, water enemas, probiotic drinks
water enemas, probiotic drinks, liver dysfunction: hi sue, there are patient privacy laws! there should be no harm taking him to see a physician. it is not the duty of a physician to contact immigration. just doing that can land a physician in a nasty civil lawsuit. all physicians must practice with due...

Family, Internal Medicine, General Medical Questions: antibiotic resistant sinus infection, post nasal drip, sinus infection
post nasal drip, sinus infection, nose pain: I prescribe using Afrin nasal spray twice a day for up to 7 days along with the antibiotics... if you haven t used a decongestant... you should. If both of those don t work together, sometimes I will use another antibiotic and sometimes use an oral steroid...

Family, Internal Medicine, General Medical Questions: around my eyes, pigment cells, low thyroid
pigment cells, low thyroid, vision problems: sometimes that can be from low thyroid. It can also be the bodies reaction where it attacks some pigment cells in an area. Not related to age. In any event, the first objective is to make sure it isn t from some type of reversible issue like thyroid. I...

Family, Internal Medicine, General Medical Questions: aspirin replacement, Natural blood thinners
Natural blood thinners: Hi Paul, There are a number of foods and supplements that are known to thin the blood. These include foods with high amounts of aspirin like substances called salicylates, omega-3 fatty acids, foods with natural antibiotic properties and vitamin E supplements....

Family, Internal Medicine, General Medical Questions: aspirin replacement, low dose aspirin, cause ulcers
low dose aspirin, cause ulcers, heart heart: There is no such thing as a blood thinner that doesn t cause bleeding..... that is exactly what the goal of taking a blood thinner is... to prevent blood from clotting in a critical artery in the head (stroke) or in the heart (heart attack) Unformtunately,...

Family, Internal Medicine, General Medical Questions: bad circulation, bad circulation, head pillow
bad circulation, head pillow, warm environment: This isn t a problem with circulation as much as it is a problem with the nerves... if the nerve is crimped, bent, the area it supplies goes numb. The night time stuff is often due to a little bulging disc in the neck or a narrow space in the shoulder so...

Family, Internal Medicine, General Medical Questions: bleeding internal, Rectal bleeding after colonoscopy
Rectal bleeding after colonoscopy: Hi Donna, I agree with the doctor and wouldn’t be too concerned about it recurring. Keep taking the stool softeners for the rest of the week to be on the safe side. If you have suffered from constipation (especially considering your history of Hirschsprung...

Family, Internal Medicine, General Medical Questions: Chest Pain, emergency visit, stress test
emergency visit, stress test, musculoskeletal pain: Well, it could be some reflux or simply musculo skeletal. As your age increases, the risk of heart problems increase. A plain EKG is not a great screening tool for evaluating chest pain... it should be a stress test. There are ways to walk thru the...

Family, Internal Medicine, General Medical Questions: Chest Pain, coronary artery blockage, coronary artery spasms
coronary artery blockage, coronary artery spasms, left ventricle: in this setting, chest pain (heart pain) doesn t have to be from coronary artery blockage or spasm. If the heart (left ventricle) is dilating... getting stretched, there may be some other technical reasons to have chest pain. You need to keep in close contact...

Family, Internal Medicine, General Medical Questions: cholesterol, Hypercholesterolemia, High Cholesterol
Hypercholesterolemia, High Cholesterol: Hi Sue, I’m guessing that your doctor knows you are a normally fit person with a sensible diet so he’s saying that your cholesterol is not due to a bad diet but more likely caused by “Familial hypercholesterolemia” which is the most common inherited type...

Family, Internal Medicine, General Medical Questions: cholesterol and diabetes, frequent urination, saturated fats
frequent urination, saturated fats, bodily functions: yes, the body produces cholesterol... when measured usually about 2/3 of the cholesterol you have in your blood is manufactured by the fats you eat. Saturated fats are good precursors of cholesterol and therefore bad in your diet. The test for diabetes...

Family, Internal Medicine, General Medical Questions: My Daughter's stomach, carbonated drinks, stomach problems
carbonated drinks, stomach problems, blue moon: You didn t get in to the major stomach problems part. The burping problem isn t that unusual and not really related to the gas problem. People produce gas because of fermenting of the food and gas is produced... some foods do it more than others and some...

Family, Internal Medicine, General Medical Questions: dizziness, brain cerebellum, low blood pressure
brain cerebellum, low blood pressure, ministroke: this could be due to a low blood pressure episode and could be an inner ear episode. Rarely, these are from a ministroke to the back of the brain (cerebellum) from the rear circulation. I would want to try to find out what your pulse and blood pressure were...

Family, Internal Medicine, General Medical Questions: Epididymitis and sore throat, swollen testicle, epidid
swollen testicle, epidid, viral illnesses: The symptoms could be consistent with gonorrhea, but you usually have a lot of symptoms... dripping pus. Epidid is a later finding with this infection. Re: HIV... the testicle symptoms don t fit, the sore throat could, but could also fit 10,000 other viral...

Family, Internal Medicine, General Medical Questions: Foot/Calve/Knee Pain, socks and slippers, charley horses
socks and slippers, charley horses, burning sensation: I am concerned that it isn t simply working in the restaurant for a couple days and that some other problem is going on. It would be reasonable to get this checked with some lab work, esp. CBC, thyroid and a sed rate. a trial of alleve is reasonable also....

Family, Internal Medicine, General Medical Questions: Foreign Body in Foot now moving and tenting, needle nose pliers, tetanus shot
needle nose pliers, tetanus shot, sewing needle: if it is infected or causing a fair amount of symptoms it should come out. I have done these, even under continuous xray (flouro) and they are incredibly hard... they go past a certain plane of tissue and just are not where they look like they are. But if...

Family, Internal Medicine, General Medical Questions: Chest Pain, oxygen test, google
Family, Internal Medicine, General Medical Questions: Chest Pain, oxygen test, google, deep breaths

Family, Internal Medicine, General Medical Questions: Nervous Rash
Family, Internal Medicine, General Medical Questions: Nervous Rash

Family, Internal Medicine, General Medical Questions: not feeling well, low thyroid, sore muscles
low thyroid, sore muscles, getting insurance: These are generalized symptoms that could be indicative of several problems... anemia, low thyroid come to mind immediately. Possibly one of the different kinds of arthritis. Sometimes people with depression will have these kind of symptoms. This should...

Family, Internal Medicine, General Medical Questions: Hantavirus, surry co nc, furnance
surry co nc, furnance, hanta: aerosol means someone coughs it into someones face and they inhale it... not minutes apart. Also won t be caused by him touching something that is then touched by someone else. Have you ever heard of someone having Hanta in your community? Believe me,...

Family, Internal Medicine, General Medical Questions: Hypothyroidism, thyroid hormones, symptoms of fatigue
thyroid hormones, symptoms of fatigue, cough syrup: hi robyn, hypothyroidism is a result of a deficiency of thyroid hormones. it is a common disorder which affects more women than men. your cold-like symptoms are more align with sinusitis versus hypothyroidism. i would recommend stopping the buckley s cough...

Family, Internal Medicine, General Medical Questions: health, yeast infection, lactobicilli, pro biotics, good bacteria
pro biotics, good bacteria, yeast infection: Shina, You pay for what you get. A higher bio-load of bacteria costs more to produce but will give you better results. However, the lower dose pills, given good pre-biotics and a normal healthy gut (with the abscense of Antibiotics in the system) will...

Family, Internal Medicine, General Medical Questions: maybe you could help?, pilonidal cyst surgery, pilonidal cysts
pilonidal cyst surgery, pilonidal cysts, nerve damage: typically the surgery is pretty extensive to clean out an infected pilonidal cyst. (They are very likely to reoccur if the 100 s of glands are not removed. So there is nerve damage to the skin and you may be left with numbness. If it doesn t come back in...

Family, Internal Medicine, General Medical Questions: hip pain, orthopedic training, indigent healthcare
orthopedic training, indigent healthcare, orthopedic surgery: I don t know where you live or what state requirements are for medicaid... indigent healthcare. Most doctors that do orthopedic surgery don t accept payment plans if they are in private practice. However, the university hospital programs with an orthopedic...

Family, Internal Medicine, General Medical Questions: hirsutism and strawberry birth marks -possible connection?, strawberry hemangiomas, shirley strawberry
strawberry hemangiomas, shirley strawberry, systemic corticosteroids: hi shirley, strawberry hemangioms are very common. in fact, it occurs in approximately 5-10% of infants. there is no relationship between strawberry hemangiomas and hirsutism. decades ago, however, pediatricians have used systemic corticosteroids in infants...

Family, Internal Medicine, General Medical Questions: Internal dehydration, kidney function, doctors office
kidney function, doctors office, retention problem: I wish it were that simple, but the cause and effect are a lot more complicated. It also has to do with her underlying kidney function and other medications. Some people are very sensitive to the strong loop diuretics (Lasix) and have trouble tolerating...

Family, Internal Medicine, General Medical Questions: Leg pain., intense workout, weird positions
intense workout, weird positions, random shooting: I first thought of DVT when you were describing it. Sciatica is a possibility but there is usually some butt pain on that side or some down the back of the leg. It also can be a muscle pull, not necessarily something you would notice right away. If there...

Family, Internal Medicine, General Medical Questions: Mono Nucleosis, herpes family, liver involvement
herpes family, liver involvement, chronic infection: That is a tough question to answer... it probably can t be gotten twice but it is one of the virus in the herpes family that may not be able to be cleared completely and there can be relapses of a chronic infection. It is also possible that the EBV remained...

Family, Internal Medicine, General Medical Questions: Nervous Rash, nervous rash, allergy medication
nervous rash, allergy medication, allegra d: This is kind of like an allergy.... it isn t that uncommon. With any stress, the skin gets a larger blood supply and turns red and hot. Sometimes meds like Allegra can help. Sometimes benadryl can help. But mostly, when it is severe, counseling/therapy...

Family, Internal Medicine, General Medical Questions: nose problems, nasal septal perforation, nasal septum
nasal septal perforation, nasal septum, bad habit: hi nev, nasal septal perforation can be caused by compulsive nose picking. it is called rhinotillexomania. it can heal over time. if there are active symptoms, you may benefit from medical treatment or surgical intervention. if you feel your behavior cannot...

Family, Internal Medicine, General Medical Questions: orange oil in BM, nih program, orange oil
nih program, orange oil, omega 6: Yes, that is the omega-6 plant oil excess in those sorts of foods which sets up heart attacks, stroker per the NIH see http://efaeducaton.nih.gov for a downloadable FREE NIH program to help you choose better food see www.medicalcenter.osu.edu/go/integrativ...

Family, Internal Medicine, General Medical Questions: predisone, prednisone, steroids
prednisone, steroids, URI: Jan, This is not truly ideal to answer a personal health question via this forum. However as a general rule: 1. Always complete and Antibiotic course once you start it. 2. Steroids help with bronchospasm and asthma like symptoms of respiratory...

Family, Internal Medicine, General Medical Questions: Regarding Question about my Son, rice cereal, attention span
rice cereal, attention span, biological father: The belly button is not an issue. The blood may be. But the whole combination suggest some illness, mild pyloric stenosis could be one but there are many many others. Your child needs to be evaluated by a pediatric gastroenterologist to have this fully...

Family, Internal Medicine, General Medical Questions: Rubella IgM detection in pregnancy., early miscarriages, pregnancy check
early miscarriages, pregnancy check, weeks pregnancy: You are not going to get a 100% answer... you are right... IGM is the short term antibody in response to an infection, however, you may elevate it for a long time from the vaccine. You were immunized with the vaccine.. it is very unlikely (I never say impossible...

Family, Internal Medicine, General Medical Questions: Left Side Abdominal sore after ejaculation, prostate symptoms, urine stream
prostate symptoms, urine stream, rectal examination: I guess will have to stop ejaculating..... Just a joke... This could be prostate symptoms, maybe an infection. Some people feel a vague but severe ache around their rectum or in the very low abd area. Especially with the decreased urine stream, I would...

Family, Internal Medicine, General Medical Questions: Sinus Confusion/Diagnosis, nasal lavage, saline nasal spray
nasal lavage, saline nasal spray, zpac: yes, that is the order, yes, there are some black box warnings... if taken with food, biaxin gives a funny taste in the mouth, otherwise, pretty low risk. stronger doesn t mean better, you want to target the specific bacterial types that are most likely to...

Family, Internal Medicine, General Medical Questions: Spleen on CT & Low WBCC, hypodense lesion, wbcc
hypodense lesion, wbcc, kidney stones: a 1.2 lesion is a 1.3 lesion on a cat scan... they are not good enough to detect that small of a change. White blood count slightly low doesn t really raise any red flags in an otherwise healthy person. Spleen cysts are pretty common... I probably...

Family, Internal Medicine, General Medical Questions: Supplements/latex, fruits and vegetables, regional warehouse
fruits and vegetables, regional warehouse, seed stage: All plants store their sugar and protein as latex in the green stages which is bitter and keeps animals from eating the plant stores until the plant has matured to the seed stage and is ready for the seeds to be distributed, then it puts out a hormone ethylene...

Family, Internal Medicine, General Medical Questions: Swelling?, bad circulation, legs and feet
bad circulation, legs and feet, blanching: circulation and falling asleep don t have anything to do with each other. I am not sure I understand the question though. The blanching is normal and should return to normal color in 3 seconds or less. If you have fluid retention, you usually see it...

Family, Internal Medicine, General Medical Questions: shock, cause shock, good blood
cause shock, good blood, blood supply: yes, this was shock which is defined as failure to have good blood supply to your organs (brain in this case) It doesn t have anything to do with your stomach... it was a reaction (called vagal reaction) where your heart slows down and your blood pressure...

Family, Internal Medicine, General Medical Questions: sick, ear infections, shaking hands
ear infections, shaking hands, ear infection: worried from a standpoint of having an immune system problem.... no. But you are getting colds for some reason.... either you are a teacher around kids, or have several kids in dayschool or school or have bad habits of touching your face after shaking hands...

Family, Internal Medicine, General Medical Questions: sinus infection and clogged ears, sinus infection and clogged ears, cough syrup with codeine
sinus infection and clogged ears, cough syrup with codeine, sinus infection: it is a sinus infection... I would have you get Afrin nasal spray and use it twice a day for 3 days... if no better, add Augmentin antibiotic (Amoxicillin plus another drug) and continue the afrin and if that doesn t work, add prednisone for a week. One of...

Family, Internal Medicine, General Medical Questions: vaginal discharge 3 weeks post op, dark brown vaginal discharge, brown vaginal discharge
dark brown vaginal discharge, brown vaginal discharge, anti biotics: even though it is possible to have an infection that far out, this may just be some irregular uterine bleeding. I would look for fever, possibly check a blood count and monitor your symptoms. Infection should be complicated by significant pain. Why...

Family, Internal Medicine, General Medical Questions: Yes or no?, home pregnancy test, hormone progesterone
home pregnancy test, hormone progesterone, cold baths: Theoretically, you got pregnant on 12/29/09. By having a positive test on Jan 17th, you had been pregnant at least 9 days, so it is probably correct. The US on Feb 4th represented a 4-5 week gestation which may or may not show heart... I don t know what...

Family, Internal Medicine, General Medical Questions: ANTIBIOTICS, borucki, afrin
borucki, afrin, bacterial infection: When any drug is used inappropriately, there are problems, but it works well (Afrin) if used appropriately in the right circumstance. Nasonex is great for allergies, polyps, but does nothing for inflammation caused by a bacterial sinus infection. You...

Family, Internal Medicine, General Medical Questions: Broken Hip, Broken hip with dementia
Broken hip with dementia: Hi Laura, Broken hips are most often repaired by a procedure known as “pinning” whether the broken bone is literally pinned back in place on the femur; more serious or unstable fractures may require total hip replacements (replace it with an artificial...

Family, Internal Medicine, General Medical Questions: breast pain, chest x ray, illegal stimulant
chest x ray, illegal stimulant, dense breasts: a 37 year old is very unlikely to have heart disease unless there is diabetes or illegal stimulant use. So this is most likely musculoskeletal or stomach/gall bladder related.... I would have the gall bladder checked... (ultrasound) and try an acid reducing...

Family, Internal Medicine, General Medical Questions: Canker Sores, sodium lauryl sulfate free toothpaste, small pox vaccination
sodium lauryl sulfate free toothpaste, small pox vaccination, canker sores: that sounds nasty.... You said meds, but, have you used the antivirals such as........... Valtrex 1000 mg three times a day for 2 days Acyclovir / Zovirax 800 mg 5 times a day for 3-4 days Or famvir. Use one of these when you first feel the...

Family, Internal Medicine, General Medical Questions: Colonoscopy, phospho soda, silax
phospho soda, silax, colyte: normal diet until lunch, the day before the procedure, the day starting the prep. Metamucil can be stopped, the prep will clean you out. You should get clear instructions with the prep kit. I am not familiar with Pico-silax.... I use Colyte or Visicol...

Family, Internal Medicine, General Medical Questions: carotid artery disease, fatty deposits, hya
fatty deposits, hya, blockages: with carotid blockages, the bigger they are the more likely someone is to have a stroke. The strokes by themselves normally don t kill but they leave people unable to use one arm/leg or unable to speak or both. The surgery carries a risk of stroke or complications...

Family, Internal Medicine, General Medical Questions: cheez-its, cheez, blood work
cheez, blood work, longevity: I get asked variations of this question a lot. Unless he has suddenly developed alzheimer s, I tend to tell families to let them eat what they want. There are two main reasons.... 1) They have gotten to an old age making good decisions about their health...

Family, Internal Medicine, General Medical Questions: chf in senior, family watches, survival rate
family watches, survival rate, pushing the envelope: well compensated CHF can stay stable if the underlying cause is not progressing.... but usually, the underlying cause progresses so everything gets worse. And at 75, someone is pushing the envelope already. The survival rate goes down significantly for a...

Family, Internal Medicine, General Medical Questions: constipation, personal kind, lot of water
personal kind, lot of water, intestine: by drinking more water, the stool has more in it and therefore when the intestine soaks some of it up, it doesn t soak up too much. When you are somewhat dehydrated, it can cause constipation. Basically, you want to stay hydrated (enough water). Too much...

Family, Internal Medicine, General Medical Questions: cooking and germs?, chicken leg quarters, dark meat
chicken leg quarters, dark meat, food poisoning: you overcooked it significantly, which will clearly get all the bacteria out of it, both with the boiling and then with the microwaving.... the blood looking matter was blood... there are veins around there with some blood in them... even with that, it is...

Family, Internal Medicine, General Medical Questions: DIABETES, health suppliments, uncontrolled diabetes
health suppliments, uncontrolled diabetes, diet control: if your A1C is that low, then your overall control is pretty good with the exception of your PPBS s being up. I wouldn t change anything providfed you can keep your A1C that low. You can probably decrease your PPSB by improving your diet, but chronic side...

Family, Internal Medicine, General Medical Questions: digestion of heavy metals, calcium magnesium, metal accumulation
calcium magnesium, metal accumulation, heavy metals: No your water is empty, so supplementation is required to be healthy today and to prevent heavy metal accumulation but your doctor has to order the calcium magnesium vit D and intact PTH tests they you have to work with your doctor on the correct dose for...

Family, Internal Medicine, General Medical Questions: I dont know whats wrong, right abdominal pain, bladder infection
right abdominal pain, bladder infection, tiny red spots: I hope you are going to the same doctor with these symptoms, because they will have to build a case to see if there is some less frequently seen problem. The blood counts and thyroid are a great idea. Your symptoms are all over the place with some recurrent...

Family, Internal Medicine, General Medical Questions: New Birth Control, birth control pills, legs and thighs
birth control pills, legs and thighs, birth control pill: If all the fluid is gone, then what is left is body mass... again, that is a lot of fat weight to gain (a lb a day) There still may be some re-distribution of fluids, but I would work this up with a different slant.... looking for low thyroid (check a...

Family, Internal Medicine, General Medical Questions: Feeling a twinge, borucki, discharge papers
borucki, discharge papers, mild symptoms: polyp removals cause NO symptoms unless the bleed or unless there was a perforation, and then it would be really really bad. It may be due to the harsh prep and should get better or completely unrelated but mild symptoms aren t from the study. I hope this...

Family, Internal Medicine, General Medical Questions: Finger Lacerations, stiches, and swelling, tendon sheath, glass jug
tendon sheath, glass jug, ring fingers: The antibiotics probably didn t do anything.... using them in this setting isn t necessary and doesn t help, but probably didn t hurt. There will always be some swelling and a little infection along the wound edges... what to look for is a rapid increase...

Family, Internal Medicine, General Medical Questions: Follow Up on Sinus Treatments, green discharge, rule of thumb
green discharge, rule of thumb, afrin: The bottle will have precautions... you can easily use this 7 days without the addiction. If you use it for 3 days and aren t getting better or have bloody green discharge, then it is reasonable to consider adding antibiotics. you should improve slowly...

Family, Internal Medicine, General Medical Questions: FUMES, smoke inhalation, noxious odor
smoke inhalation, noxious odor, pots and pans: It is called off gassing and it has potential harmful long term effects. Lots of appliances and pots and pans off gas when they get too hot. Check out my article on my blog about teflon and the problems it causes when it gets too hot. If it is smoke inhalation...

Family, Internal Medicine, General Medical Questions: Unknown pain, apendectomy, explaination
Family, Internal Medicine, General Medical Questions: Unknown pain, apendectomy, explaination, pee

Family, Internal Medicine, General Medical Questions: Horrible Pain!, esophageal spasm, heart contract
esophageal spasm, heart contract, reflux disease: I don t believe that it was your heart contracting.... it sounds more like an esophageal spasm... the esophagus normally is a muscle that involuntarily works when you swallow... the top contracts and pushes food down then the next segment then the next, etc....

Family, Internal Medicine, General Medical Questions: help, testicular cancer, testicle
testicular cancer, testicle, 5 months: take your time.... what matters as far as risk for testicular cancer is if the testicle doesn t descend over a period of years of childhood... undescended for several months or a year doesn t matter. Most will come down on their own, some have to be surgically...

Family, Internal Medicine, General Medical Questions: hot flashes in foot, internal temperatures, thyroid problems
internal temperatures, thyroid problems, soled shoes: I am not sure... hot flashes for menopause occur because blood is sent quickly to the skin, warming it up to internal temperatures and then the skin perceiving it is too hot and starting to sweat. At your age you could be having some premature menopausal...

Family, Internal Medicine, General Medical Questions: Iron Deficiency?, iron rich foods, lack of iron
iron rich foods, lack of iron, iron intake: good that you are taking Vit D-3, at least 2000 iu per day. Some people don t absorb iron properly, so even taking extra doesn t make it into the blood. This takes direct iron levels in the blood after you are taking an appropriate iron supplement. The...

Family, Internal Medicine, General Medical Questions: Iron Supplements, Anemia, Iron
Anemia, Iron, Iron replacement: Frank, Higher doses of Iron will cause constipation. A trick I use is to take concomitant doses of Vitamin C. Vitamin C will help absorb Fe. Higher doses of Vitamin C are useful as an antioxidant as well as having anti-cancer properties. Also when you...

Family, Internal Medicine, General Medical Questions: insommnia, desryl, sleeping pills
desryl, sleeping pills, titantic: melatonin is worth a try but fairly weak in the big picture. If there is a disease process causing it, treat the underlying problem (for example, peripheral neuropathy causing leg burning). There are a lot of sleep meds... the classic ones like Ambien,...

Family, Internal Medicine, General Medical Questions: insomnnia, gabitril, weird one
gabitril, weird one, remeron: what a fascinating question... I didn t even know that gabitril was used off label for sleep... Ii didn t think it was sedating enough. So therefore, I would vote for Remeron. That is a weird one in that the higher dose will not work as well for sleep. ...

Family, Internal Medicine, General Medical Questions: Knowing the right questions to ask regarding my daughter, involuntary body movements, brain burst
involuntary body movements, brain burst, brain waves: there are many different sub strains of all bacteria and vaccines can t cover them all. A lot of the questions I simply can t answer because your child has a complicated medical history. It is always good to have one quarterback managing the specialists......

Family, Internal Medicine, General Medical Questions: Longeninex, dietary supplementation, sedentary lifestyle
dietary supplementation, sedentary lifestyle, drinking wine: Michael, There are a lot of products out there touting health benefits and stating that they are the BEST dietary supplement. Early in my career I was recommending mega doses of supplements, herbals, adaptogens, vitamins, etc., but in my old age and...

Family, Internal Medicine, General Medical Questions: Mumps, bringing it home, mild case
bringing it home, mild case, puberty: good questions..... if you or your husband had the mumps, you can t get it or carry it or transmit it again. I assume you have simply been immunized (MMR) so you probably are immune. You could be partially immune which would mean a very mild case at worst....

Family, Internal Medicine, General Medical Questions: medication problems vs mental health, blood pressure medication, black bugs
blood pressure medication, black bugs, medication problems: I don t know what your state law says about commitment... but she needs help before a crisis develops. She is having hallucinations definitely, and delusions probably. It could be medication related, it could be alcohol related, it could be primary psychiatric...

Family, Internal Medicine, General Medical Questions: metformin, glucophage, HbA1C, metformin, glucophage
metformin, glucophage, Hba1c: Edward, By 6.0 I am assuming you are referring to the HbA1C test (glycoselated hemoglobin). Are you concerned that this test determines if Metformin is beneficial? The test checks to see if certain elements of RBCs have been affected by high serum glucose...

Family, Internal Medicine, General Medical Questions: New mole and pregnant, new mole, skin tumor
new mole, skin tumor, tissue diagnosis: can t see directly, but often, we excise the skin then look for additional pigment, but we have to get a several mm margin, so realistically we just take out a larger amount of skin and it is doesn t happen that there are long fingers of mole sticking down....

Family, Internal Medicine, General Medical Questions: Norwalk Virus, norwalk virus, low blood pressure
norwalk virus, low blood pressure, diahrea: I don t know if you take a water pill to start, but if so, that leaves you mildly dehydrated all the time. Other than that, I am not sure why you were so symptomatic originally unless it was simply the dizziness and low blood pressure that could have been...

Family, Internal Medicine, General Medical Questions: is this normal, gas and bloating, disese
gas and bloating, disese, bacterias: is it normal... no... does it indicate a bad disese... prob not. If the diet hasn t changed, then there are a few possibilities... most likely, developing an intolerance to milk/cheese/butter OR simply a realignment of your intestinal bacterias.... most...

Family, Internal Medicine, General Medical Questions: PRIORITY:HIGH Prevention of pseudomembranous colitis/SACCHAROMYCES BOULARDII/, oral meds, pseudomembranous colitis
oral meds, pseudomembranous colitis, adams apple: My feelings are that you need to talk to the ENT about it... it sounds like you have enough antibiotics, so I would continue their plan and discuss it when they get back. I would think it is inappropriate for me to jump in and make a recommendation over a...

Family, Internal Medicine, General Medical Questions: PRIORITY~Pain/tightness when swallowing ~Adams Apple, cod liver oil, nasal lavage
cod liver oil, nasal lavage, antiboitics: I don t know why someone would suggest that people should move to be healthy unless there are some severe allergies, so no, this doesn t make sense to me. If someone has a severe sinus infection, then they won t mind side effects from antibiotics to get better.........

Family, Internal Medicine, General Medical Questions: Protonix, proton pump inhibitor, acid reflex
proton pump inhibitor, acid reflex, prevacid 30 mg: protonix is a PPI-proton pump inhibitor... there are several and they all work pretty good Try Prilosec 20 mg daily or Prevacid 30 mg daily... those are equivalent to Protonix 40 mg. Make sure you take either on an empty stomach, if you take with food,...

Family, Internal Medicine, General Medical Questions: pneumonia, laryngitis, bacterial infection
laryngitis, bacterial infection, antibiotic: OK, I see.... The amount of times you have had an antibiotic doesn t matter with respect to a particular illness at a particular time, unless you have had a lot of antibiotics just before it. In someone with normal lungs, (nonsmoker, no asthma, etc) getting...

Family, Internal Medicine, General Medical Questions: pregnacy after surgery, fallopian tubes, pregnacy
fallopian tubes, pregnacy, ovaries: no. you still make eggs monthly, but there is no connection between the vagina and the ovaries or anywhere an ovulated egg will go. With a uterus, the sperm travels into the vagina, up the cervix, into the uterus, sometimes further down fallopian tubes....

Family, Internal Medicine, General Medical Questions: pregnancy, iron deficiancy, dignosis
iron deficiancy, dignosis, lmp: if the first day of your period is 3/17/10 and your periods are 28 days, then the time to have sex is 3/31/10 and one shot can do it. Many people are anemic going into pregnancy... the more anemic you are, the less oxygen to the baby. So you wan t to maximize...

Family, Internal Medicine, General Medical Questions: prevention, fruits and vegetables, flu shots
fruits and vegetables, flu shots, obsessiveness: pneumonia is not caught as much as it is a complication of a viral infection with overgrowth of bacteria that is sitting around anyways, not causing a disease. Not smoking is a must. Decent diet, not obsessive, just decent. Good precautions to avoid...

Family, Internal Medicine, General Medical Questions: Question, low thyroid, younger body
low thyroid, younger body, heaps: I don t think so... some people don t get tired, so I would not blame it simply on aging. The younger body does have better stamina though. You also have to make sure there isn t some other complicating disease, such as low thyroid. But I wouldn t blame...

Family, Internal Medicine, General Medical Questions: Re:infected pimple or Boil on upper left cheek, oil of olay, cleocin hcl
oil of olay, cleocin hcl, doxicycline: you weren t following my initial instructions........ don t panic..... You will not need it lanced, it will drain on it s own. Cleocin is an appropriate med, a much better choice than zithromax or cipro, about equal to doxi and septra. Other choices,...

Family, Internal Medicine, General Medical Questions: Ring Ears and Thick Tongue, thick tongue, neurological evaluation
thick tongue, neurological evaluation, ear ringing: I am not sure. Did you mention this during the physical? I think a neurological evaluation is warranted... no definite disease pops up but obviously this isn t normal..... get your regular doctor interested and either they or a specialist can evaluate it...

Family, Internal Medicine, General Medical Questions: SIDE-EFFECTS ANTIBIOTICS -TIME SENSITIVE, sinus infection, health matter
sinus infection, health matter, dietary suggestions: #1-Would this include but not be limited to Keflex or Ceftin or Biaxin or Zpacs? Keflex does not work for anything anymore, Zpak is narrow spectrum and isn t good for a lot of infections that it is prescribed for. less side effects, but over prescribed...

Family, Internal Medicine, General Medical Questions: Sinus Problem Briefly, nasal lavage, sinus problem
nasal lavage, sinus problem, nasal passages: Please read carefully and there is no need to answer.... This is a medical question forum, we aren t working out a treatment plan for you. You will get an answer from the CT-- the ENT or primary doc can order it and I would think since it is such an...

Family, Internal Medicine, General Medical Questions: Spleen, enlarged spleen, viral infections
enlarged spleen, viral infections, blood tests: The hard part of this evaluation is not having a reference to the size of your spleen. There is an average size and yours is larger. Has it been large for a long time or just got that way from a disease recently. Those are hard questions to answer. It...

Family, Internal Medicine, General Medical Questions: Spontaneous Bleeding in Arms, blood blisters, pain meds
blood blisters, pain meds, calories per day: people who are on chronic steroids, even if on and off, can develop these syndromes with thin, easily bruised skin. This is made worse by some meds, that she isn t on, but also pain meds, like aspirin, even small doses, motrin, etc. Although this is common...

Family, Internal Medicine, General Medical Questions: Subsequent Period after abortion, gynec, hormonal cycles
gynec, hormonal cycles, heavy bleeding: nothing was remaining inside the ovary. I hope you meant nothing inside the uterus. When you manipulate the hormones like this, it is probably normal to have irregular bleeding. The system has to resent itself and it may take 1 or 2 cycles. You...

Family, Internal Medicine, General Medical Questions: severe stomache pain after gallbladder surgury, ehlers danlos syndrome, stomach damage
ehlers danlos syndrome, stomach damage, severe stomach pain: first of all, tylenol is not an nsaid. The big problem with that one is if you take just over the critical amount, you will have complete liver failure.... if you take a little less, there will be no damage. Once you cross that threshold, you will know....

Family, Internal Medicine, General Medical Questions: tongue bite, pus formation, warm salt water
pus formation, warm salt water, oral injuries: Al, This forum is not for the diagnosis and treatment of illness or injury. I do however recommend to my patients with minor oral injuries and a healthy immune system to swish and spit with warm salt water. If there is severe swelling, pus formation...

Family, Internal Medicine, General Medical Questions: Unknown pain, menstrual cramp, pain diary
menstrual cramp, pain diary, tight pain: It is going on long enough where you should pursue an answer... you should keep a pain diary... write down when it comes, how long it lasts, whether you just ate, drank, exercises, etc. I would get a workup, including labs and an ultrasound initially. So,...

Family, Internal Medicine, General Medical Questions: UTI, Confusion due to UTI
Confusion due to UTI: Hi Tee and thanks for writing, It sounds like your Mother is having Delusions or Hallucinations, and these can caused by many things. Usually when we see someone start to get delusional we look for treatable causes and don’t right away right it off as Dementia....

Family, Internal Medicine, General Medical Questions: ultrasound results, ultrasound results, femoral vein
ultrasound results, femoral vein, incidental findings: Rachael, The wall thickening is actually the incidental finding.. and of no consequence. The major issues to be ruled out are DVT... and you did not have any clots and that is good because that is a serious condition. What they reported as a Bakers Cyst...

Family, Internal Medicine, General Medical Questions: weakness, dizziness after ovarian cyst rupture, inner ear problem, sinus pain
inner ear problem, sinus pain, sinus infection: I don t see why a cyst ruptured or unruptured would cause dizziness if the blood pressure is normal (or a little high). They do cause pain when ruptured but if there isn t pain, then the dizziness is from something else. Hopefullly it is some inner ear problem...

Family, Internal Medicine, General Medical Questions: whats wrong with me?? its serious, tsh irma, drugs prescribed by doctor
tsh irma, drugs prescribed by doctor, erythromicine: that was fast... yes, thyroid is low normal but the take home point is normal... you aren t going to have any big noticeable symptoms at that level... you will have to keep plugging along looking, although I might nudge up the levothyroxine dose a little.......

Family, Internal Medicine, General Medical Questions: not sure, bmr basal metabolic rate, economics supply and demand
bmr basal metabolic rate, economics supply and demand, thyroid replacement: wow... that is an impressive weight gain. I am assuming your thyroid replacement is normal... you aren t under treated. You have been screened for diabetes, etc so the workup was appropriate. It gets somewhat academic but directly testing the BMR......

Family, Internal Medicine, General Medical Questions: zoloft side effect, Zoloft side-effects
Zoloft side-effects: Hi Terrie, Zoloft can have some GI upset side-effects like constipation or black stools so it’s not inconceivable to think it may be responsible for the change you have noticed in your bowel movements. I would call your Pharmacist and ask them – I always...

Family, Internal Medicine, General Medical Questions: 101 years old and dizziness, Dizziness
Dizziness: Hi Mary, Of course I cannot diagnose over the internet, but I can tell you I ve known several people who have had dizzy issues in the past few years and most found it was related to their inner ear. Read the article in this link and try assisting your...

Family, Internal Medicine, General Medical Questions: Anal hardness,burning, pressure, tummy bulge, chicken nuggets
tummy bulge, chicken nuggets, burning sensation: that indurated area on your buttocks may be a large hemorrhoid or possibly a peri-rectal infection. I think with those symptoms, you should have it looked at by your doctor. It doesn t really sound like it, but anal cancers do occur (Farrah Faucet) so I...

Family, Internal Medicine, General Medical Questions: Appendicitis related, pain in lower abdomen, ayurvedic medicines
pain in lower abdomen, ayurvedic medicines, colon disease: an appendicitis can produce symptoms that come and go but if the diagnosis is correct, it will need to be removed... someday it will get bad anough and rupture and cause some bad symptoms. This would not complicate pregnancy if done several months before...

Family, Internal Medicine, General Medical Questions: acute earaches and soar throats, middle ear infection, sinus infection
middle ear infection, sinus infection, bad tooth: you don t get immune to antibiotics but theoretically the bacteria can. But something like strep is usually eradicated 100% each time. I assume sometimes the diagnosis was clinical and not with a culture.... (90% of sore throats are viral) Sometimes someone...

Family, Internal Medicine, General Medical Questions: adolescent with many telangiectasias, pigment cells, fungus infection
pigment cells, fungus infection, pale spots: I can t tell anything from the picture, infortunately... I can t see well enough. But, the halo around it sounds like it is different from just a telangiectasia. It could be tinea versicolor, a fungus infection. It could be simple moles that the body attacks...

Family, Internal Medicine, General Medical Questions: black spells, nasal steroids, reynauds
nasal steroids, reynauds, ear ringing: the room spinning sounds like vertigo... if accompanied by hearing loss or ear ringing, let your doctor know. It could be allergies, sinus stuff now and may get better with treatment... nasal steroids, claritan, etc. With your other problems with the...

Family, Internal Medicine, General Medical Questions: bloat and weight gain, high bood pressure, rapid weight gain
high bood pressure, rapid weight gain, month today: this type of weight gain is not fat.... you can t eat 10000 calories a day. This is water weight because there is a problem with your meds, or a new development with your heart or kidneys. Glimeride can lead to weight gain but not this much so you need to...

Family, Internal Medicine, General Medical Questions: Digestion going downhill, digestive enzyme supplement, pepsin or trypsin
digestive enzyme supplement, pepsin or trypsin, enzyme lipase: Hi Van, Fat digestion and absorption requires that the complex fat molecules be broken down into smaller more manageable molecules. This is done by mixing the fat with the digestive enzyme lipase, which enters the duodenum from the pancreas - the main source...

Family, Internal Medicine, General Medical Questions: Flu-like symptoms for weeks, hepatitis hiv, sedimentation rate
hepatitis hiv, sedimentation rate, viral illnesses: from your name, I can t tell if you are male or female, but either way, you need a full evaluation.... there are several viral illnesses that can cause these symptoms..... mono, hepatitis, HIV and many others.... you can test for several and then some general...

Family, Internal Medicine, General Medical Questions: Foreskin Issue., antifungal cream, steroid cream
antifungal cream, steroid cream, fungal infection: you may have to have your penis removed...... just kidding This is probably a mild fungal infection... it happens when uncircumcised (or poorly circumcised) guys get moisture trapped in the folds. The long term fix is to have it circumcised.... the...

Family, Internal Medicine, General Medical Questions: Full Physical at age 50, chest xray, occasional trips
chest xray, occasional trips, stress test: Family practice or internal medicine. Routine physical should be labs... CBC, CMP, Lipids, thyroid, urine, PSA. Full exam including rectal examination. EKG. Chest xray if symptoms or if you ever smoked. Colonoscopy screening (usually done on different...

Family, Internal Medicine, General Medical Questions: Anal hardness,burning, pressure, bowel habits, 5 months
Family, Internal Medicine, General Medical Questions: Anal hardness,burning, pressure, bowel habits, 5 months, stools

Family, Internal Medicine, General Medical Questions: facial pain, enlarged adenoids, cheek area
enlarged adenoids, cheek area, chronic sinusitis: the facial bone cat scan is the money test when thinking about sinusitis or traumatic injury to the facial bones..... it would be worthwhile seeing a dentist to make sure you don t have an occult infection. Otherwise, the ENT is the appropriate specialist....

Family, Internal Medicine, General Medical Questions: Gout Attacks, copper proteins, copper metabolism
copper proteins, copper metabolism, copper pipes: Alex, I have never prescribed Cu (copper) for gout. Copper is an element essential to human function but in very small doses. The amount of copper you take in with routine tap water use if you have copper pipes in your home is most likely sufficient...

Family, Internal Medicine, General Medical Questions: My Grandma is sick, Sick Grandma
Sick Grandma: Hi Rebecca, I will try to make some suggestions for you, but I need more information. Can you please try to get the following info for me from your Grandma over the next week? Has she had stomach/bowels problems before (and if yes, what were they and...

Family, Internal Medicine, General Medical Questions: HGH (Human Growth Hormone), hgh releasers, cancer genes
hgh releasers, cancer genes, potent hormone: lots of questions there.... so I will give a general answer.... You may have trouble finding a doctor to prescribe because ethically, is it right to give someone a potent hormone so they will be taller? We don t know the long term implications of HGH......

Family, Internal Medicine, General Medical Questions: high temperature / infections, hornet stings, bed bugs
hornet stings, bed bugs, block radius: repeated superficial insect bites realistically do not cause a whole body inflammatory process like a high fever. It is likely that you had another illness along the way such as a viral illness, strep throat, urinary infection, prostate infection, etc....

Family, Internal Medicine, General Medical Questions: immune function, recurrent sinus infections, allergist immunologist
recurrent sinus infections, allergist immunologist, mold allergies: an immunologist is typically trained in allergy and immunology and unless at a medical center, 95% of their work is in allergy. Your sinus/strep/allergy problems don t mean you have an immune system deficiency... the child in daycare part carries more weight...

Family, Internal Medicine, General Medical Questions: low fever and bladder pain..related?, low grade fever, nurse practioner
low grade fever, nurse practioner, colon infections: with those symptoms, I would worry about a urinary tract infection or bladder inflammatory disease (interstitial cystitis and others) or a gynecological infection, sexually transmitted, or otherwise. Colon infections like diverticulitis? The temp is indicating...

Family, Internal Medicine, General Medical Questions: Medicinal Conflicts, medicine conflict, heart lung
medicine conflict, heart lung, lansoprazole: You should focus your energy on getting him a nice fresh look at this heart/lung system, especially with the fainting..... The meds don t have any direct interaction. With his problems, it is hard to feel really good but there may be some things he...

Family, Internal Medicine, General Medical Questions: Why do some medicines seem to do nothing at all?, oral steroids, poison ivy
oral steroids, poison ivy, worse than yesterday: this gets into a big discussion... but I will summarize.... sore throat.... 90% of these are viral which means antibiotics don t help them anyways... they run their course with or without treatment in 10 days or so. Poison ivy... oral steroids help,...

Family, Internal Medicine, General Medical Questions: Numbness in face due to black eye, numbness in face, pins and needles
numbness in face, pins and needles, blood in the eye: it sounds like one of the nerves is being crimped, possibly by swelling/inflammation around the area. You also may have broken your nose. (If it is straight, don t worry about that) I would use an anti-inflammatory like Alleve. It is a little late to...

Family, Internal Medicine, General Medical Questions: personality, cancer problem, brain tumor
cancer problem, brain tumor, things gifts: it could be several things... in someone that is 70 years old, there are a lot of things that can happen... this can be early dementia, or some physical problem (brain tumor, thyroid, etc), a cancer problem (paraneoplastic syndrome) or a weird presentation...

Family, Internal Medicine, General Medical Questions: protruding ribs stopping me sleeping, protruding ribs, pain discomfort
protruding ribs, pain discomfort, spoon: The easiest way would be to take pressure off that area, by supporting the side, above and below the ribs. Or sleeping in a completely different position. There isn t some operation to correct this. It is going to be a functional fix, probably. I hope...

Family, Internal Medicine, General Medical Questions: question, loose bowel movements, hard to take a deep breath
loose bowel movements, hard to take a deep breath, liquid diet: Hi kaycie, I do recommend you seek advisory from your doctor as soon as possible. Were your symptoms aggrevated after a night of alcohol use? If so, your pancreas might be inflamed. An inflammation of your gallbladder may also need to be ruled out. Please...

Family, Internal Medicine, General Medical Questions: Rippled nail, pth level, monocor
pth level, monocor, hdl cholesterol: It can be in line with the heart problem so ask your doctor to do a magnesium, calcium, vit D and intact PTH level to see if that is the answer If your CRP is not zero and or your HDL cholesterol is not 60 then it could also be a need for time released b...

Family, Internal Medicine, General Medical Questions: RLS, restless leg syndrome, testicle infection
restless leg syndrome, testicle infection, worst case scenerio: if it is a low grade testicle infection, then antibiotics would be best... but usually these get worse or better, don t linger for months. It is worthwhile to have it looked at once.... usually you can negotiate a lower cash price for the office visit at...

Family, Internal Medicine, General Medical Questions: Semen consistency, strange question, definite answer
strange question, definite answer, taste test: I don t know of any research indicating that a taste test can tell if someone has an infection but theoretically it could.... it can also vary due to when the last ejaculation was, whether the man is well hydrated or dehydrated, and some foods or meds may...

Family, Internal Medicine, General Medical Questions: Serious Complications of Sinus Infections, acute sinusitus, sinus pain
acute sinusitus, sinus pain, sinus infections: I didn t have a mother most of my childhood due to mental health and other issues. Which may have left a void that even God hasn t been able to fill. Wow.... what a strong statement.... God hasn t been able to fill it? I hate to get overly religious,...

Family, Internal Medicine, General Medical Questions: Surgery for Sinus Problems, broad spectrum antibiotic, sinus cavity
broad spectrum antibiotic, sinus cavity, sinus surgery: When you say proven I m presuming you have either cultured/done some CT scans/MRI s and verified the type of infection and it s location/possible causes. that would be optimal but some diagnosis are made clinically... how the person describes it and looks......

Family, Internal Medicine, General Medical Questions: Always sick in some way, grade school teachers, blood work
grade school teachers, blood work, gallbladder: there isn t a specific immune system check.... a general CBC will tell a little bit. Some people are likely to catch colds, like grade school teachers, doctors/nurses, other people who have contact with a lot of people. She should have a good basic exam...