About Experts Sitemap - Group 21 - Page 12 2014-09-09

Family, Internal Medicine, General Medical Questions: bloating during a gall bladder attack, gall bladder attacks, gall bladder attack
gall bladder attacks, gall bladder attack, small and large intestine: There isn t extra fluids and gas what happens is there is less movement of fluids and gas thru the intestines... during the attack there is less large intestine movement and more stomach contents move thru to the small and large intestine and then hang out...

Family, Internal Medicine, General Medical Questions: bloating during a gall bladder attack, gall bladder attacks, gall bladder attack
gall bladder attacks, gall bladder attack, small bowel obstruction: What during a gall bladder attack makes the extra gas or liquids in the intestines ? In other words what actually causes the bloating to occur during the gall bladder problem? Actually when one has a gallbladder attack the small bowel shuts down due to the...

Family, Internal Medicine, General Medical Questions: bloating with new meds, blood pressure meds, bloating and gas
blood pressure meds, bloating and gas, new medicine: Dear Gary, Yes, it could be a side effect of the Diovan and you should let your doctor know because he may need to reduce the prescription or advise you on a different approach of taking it.... I too take Diovan and have since December since all other...

Family, Internal Medicine, General Medical Questions: blood circulation in feet, poor blood circulation, numb toes
poor blood circulation, numb toes, chemotherapy drugs: Usually most causes for numb toes are from damage to the nerves, or neuropathy. Circulation can be an issue, but based on your description, it sounds more like a neuropathy. Common things that can cause this are diabetes, vitamin B12 deficiency, thryoid...

Family, Internal Medicine, General Medical Questions: blood clots in period, heavy periods, blood clots in period
heavy periods, blood clots in period, table spoon: christine; heavy periods are common,especially in young women who arent ovulating regularly .the clotting is normal as well,believe it or not. about 30% of women complain of this,but only 10% experience blood loss severe enough to be worried about and...

Family, Internal Medicine, General Medical Questions: blood in daughters urine, several different ways, daughter age
several different ways, daughter age, xrays: Well, she should have a full evaluation on the kidneys and bladder, once.... there are several different ways to do it... the kidneys can be looked at with ultrasound, or cat scan or an IVP- a shot of dye and plain xrays. Then the bladder gets evaluated separately,...

Family, Internal Medicine, General Medical Questions: blood pressure, calcium channel blocker, calcium blocker
calcium channel blocker, calcium blocker, dietary calcium: I have heard that calcium helps keep the muscles of the blood vessels smooth and diets lower in calcium can cause high blood pressure. Actually a calcium channel blocker blocks the uptake of calcium to the heart muscle and blood vessel muscle cells which lowers...

Family, Internal Medicine, General Medical Questions: blood pressure, calcium blocker, vascular smooth muscle
calcium blocker, vascular smooth muscle, calcium intake: Hi Allen, There is no real evidence that calcium intake through normal diet has any effect on blood pressue. The calcium channel blockade does not relate to calcium intake. It has to do with how the muscular layer of vessels USE calcium. Calcium, magnesium,...

Family, Internal Medicine, General Medical Questions: blood pressure, signs of low blood pressure, normal blood pressure
signs of low blood pressure, normal blood pressure, chronic kidney disease: You should aim for BELOW 120/80 blood pressure, that is the new guideline. However, technically, A diagnosis of high blood pressure is given if repeated readings are 140/90 mmHg or higher, or 130/80 mmHg or higher if you have diabetes or chronic kidney disease....

Family, Internal Medicine, General Medical Questions: blood pressure, school nurse, docters
school nurse, docters, docter: i have learned... never say never in medicine.... some people, with nervousness, or adrenalin can escalate their BP.... so, I am not 100% sure that there is a problem.... if your home BP meds are OK over the long run (there are some disorders that elevate...

Family, Internal Medicine, General Medical Questions: blood pressure reading, taking blood pressure, snug fit
taking blood pressure, snug fit, upper arm: Hi Deanna and thanks for writing, Yes, you absolutely can have a BP Cuff that is too small or large for your arm. I would suggest you ask people to try a pediatric or small cuff with you to ensure a snug fit and a proper reading. All the best, Margo...

Family, Internal Medicine, General Medical Questions: blood pressure test, bp cuffs, rn msn
bp cuffs, rn msn, office nurse: Hi Al, Thanks for your question. I can picture a scenario in which a doctor s office nurse or aid did not ask you to remove/raise your sleeves. . . A sweater--that might be a bit too much between the cuff and the skin. The most accurate bp cuffs are the...

Family, Internal Medicine, General Medical Questions: blood pressure test, undergrad projects, dear al
undergrad projects, dear al, al brown: Dear Al, Thank you for visiting again. To take a more accurate bp the cuff should be placed on the bare skin. This allows more accurate reading as the cuff can be properly fit to the person. http://www.medphys.ucl.ac.uk/teaching/undergrad/projects/2003/group_03/how.html...

Family, Internal Medicine, General Medical Questions: blood pressure test, taking a blood pressure, medical supply stores
taking a blood pressure, medical supply stores, blood pressure readings: Dear Al, I have found in my experience, that taking a blood pressure over a sleeve or not makes no difference as long as the sleeve is thin, there are no wrinkles, and the cuff is placed properly. The following is from WebMD: You should not eat, use...

Family, Internal Medicine, General Medical Questions: blood pressure test, saleeby, al brown
saleeby, al brown, pressure test: Al, It is much better to have the cuff on bare skin. Important to remember with either manual or automated BP machines is that the proper cuff size is very important. A size too small will give falsely elevated BP readings. Also automated cuffs read...

Family, Internal Medicine, General Medical Questions: blood pressure, lisinopril, diovan
lisinopril, diovan, bp: Do you think I have some other problem that keeps my BP high? Increasing this high dosages are not reducing my BP. Yes, you are magnesium deficient. Also you doctor could have added HCTZ 25 mg daily to the lisinopril to accurately control the blood pressure...

Family, Internal Medicine, General Medical Questions: I have blood in my semen but..., acute bacterial prostatitis, bladder outlet obstruction
acute bacterial prostatitis, bladder outlet obstruction, bacteria escherichia coli: This is called hematospermia and can be serious enough to see your doctor for tests. Most of the time it is prostate in origin and is treated with antibiotics but cancer has to be checked out just to be sure. OK? more information.. One of several inflammatory...

Family, Internal Medicine, General Medical Questions: blood sugar, fasting blood test, fasting blood sugar
fasting blood test, fasting blood sugar, tetanus shot: Dear Mary, What kind of blood work did your doctor do? Was it a fasting blood sugar only, or did he include a test called a glycohemoglobin, or HbA1C? That is a test that basically gives a ball park figure on how well your blood sugar has been controlled...

Family, Internal Medicine, General Medical Questions: blood sugar level, fasting blood glucose, blood sugar level
fasting blood glucose, blood sugar level, perfect blood pressure: Erin, Depending on which reference laboratory was used normal ranges can vary. Upper limits of normal are from 99 to 112. Any fasting blood glucose over 124 is reason for concern. If it runs in the family a 3 or 5 hour glucose challenge (type of test)...

Family, Internal Medicine, General Medical Questions: blood sugar levels, blood sugar level, blood sugar tester
blood sugar level, blood sugar tester, blood sugar levels: Erin, For an hour or so after a large sugar load, like your ice cream sundae you can experience very high sugars. 350 is a bit higher then one would expect. The best screening for diabetes is a FASTING blood sugar. Take your blood sugar level after 8...

Family, Internal Medicine, General Medical Questions: blood sugar test, perfect blood pressure, blood sugar test
perfect blood pressure, blood sugar test, cholesterol levels: not to be concerned. The new guidelines have tightened up what we consider normal. It used to be 130, then 120, then 110, now 100. We have created millions of diabetics overnight. Since you are healthy overall, this number does not concern me at all......

Family, Internal Medicine, General Medical Questions: blood sugar test, glucose tolerance test, perfect blood pressure
glucose tolerance test, perfect blood pressure, blood sugar test: But when I looked up online what the normal range was, everything I saw said under 100 was normal and anything from 100-125 was prediabetes. Can you shed some light into this? Should I be concerned? Yes, it is prediabetes because the standards changed a few...

Family, Internal Medicine, General Medical Questions: blood test, blood test results, physical examination
blood test results, physical examination, second opinion: Hi Cheryl, Your question is very vague. Without a proper medical history, physical examination, and ability to examine her blood test results, I am unable to provide you with any advisory. Your mom has every right to demand answers from her physicians....

Family, Internal Medicine, General Medical Questions: blood test results, nader rifai, dariush mozaffarian
nader rifai, dariush mozaffarian, tumor necrosis factor: Please help me to understand what plant oil toxic has to do with a low white cell count. It affects the bone marrow, and depresses the WBC, raises the monocyte count, platelet count and RBC distribution by it inflammatory effect since we have 20-30 times the...

Family, Internal Medicine, General Medical Questions: blood tests, protein in the blood, protein levels
protein in the blood, protein levels, dear mike: Dear Mike, There are different types of protein in the blood and I would have to know the exact test they took inorder to specifically answer this question.... Having said this, usually when a doctor tells you you have high protein levels in your blood...

Family, Internal Medicine, General Medical Questions: blood thickness, blood thinners, coumadin
blood thinners, coumadin, blood clots: Hi Jeanette and thanks for writing, Yes, it is called Prothrombin Time or PT and measures blood thickness an must be tested regularly for people on blood thinners (like those on Coumadin at risk for Blood Clots or Strokes). Hope this helps, Margo...

Family, Internal Medicine, General Medical Questions: blood thinners, plavix, blood thinners
plavix, blood thinners, blood clot: If a person who has not had a heart attack switches from a blood thinner to Plavix, is he in danger of his blood getting too thick, and possibly causing a heart attack, blood clot or stroke? yes, that could happen Or does Plavix also thin the blood? No,...

Family, Internal Medicine, General Medical Questions: blood tranfusion, low blood counts, acute blood loss
low blood counts, acute blood loss, chronic anemia: Angel, Quite simply... receiving a blood transfusion when warranted will SAVE YOUR LIFE. If you have acute blood loss and your Hemoblobin (Hb) drops below 8.0 receiving blood can save your life. Chronic anemia is another thing, but in certain situations...

Family, Internal Medicine, General Medical Questions: blood in urine, cysts on kidneys, bladder cancer
cysts on kidneys, bladder cancer, kidney cancer: multiple causes.... kidney stones, bladder cancer, kidney cancer, cysts on kidneys.... basically, this has to be evaluated, both the kidneys and the bladder... the easy way is to cat scan the kidneys and to squirt dye into the bladder and do xrays.... hope...

Family, Internal Medicine, General Medical Questions: blood work results, bacteria infection, health care provider
bacteria infection, health care provider, white cell count: Hi Lynne, First, I always recommend you go over the labs with the health care provider who ordered them. A low white count can be from a number of things. A bacteria infection should have made it go up. A viral infection will make it go down. Remember that...

Family, Internal Medicine, General Medical Questions: blood work, excessive hair loss, low wbc
excessive hair loss, low wbc, thyroid deficiency: well, the cause, or pathology of the hair loss is not due to a thyroid deficiency. So, assuming that, you look for other caues, like a serum blood test for testosterone.... even thoyu not all hair loss is from thryoid... so, if the tyroid is normal,...

Family, Internal Medicine, General Medical Questions: bloodwok, form letters, personal opinion
form letters, personal opinion, viewpoint: Hi Linda, I am so sorry I didn t answer you sooner. I have been working, and just didn t get a chance. Every physician is different. They ARE required to view lab work when it comes in. I cannot imagine an office that the physician doesn t view incoming...

Family, Internal Medicine, General Medical Questions: How does the body and brain..., branches of medicine, brain and body
branches of medicine, brain and body, saleeby: Joanna, Not sure what you mean by deplete . That is probably a very complex and expansive explanation that covers many branches of medicine... neuro, endocrine, nutrition, etc. But you may find some answers to questions on subjects I have written on...

Family, Internal Medicine, General Medical Questions: Will my body get rid of it?, cancer of the liver, long periods of time
cancer of the liver, long periods of time, drugs and alcohol: Hello and thanks for writing, Well I think you ve learned your lesson, but let me stress again to NEVER take drugs that are not prescribed to you, it s just not worth the risk - a little rush today can leave you with damage for the rest of your life....

Family, Internal Medicine, General Medical Questions: Will my body get rid of it?, cancer of the liver, long periods of time
cancer of the liver, long periods of time, drugs and alcohol: Hello and thanks for writing, Well I think you ve learned your lesson, but let me stress again to NEVER take drugs that are not prescribed to you, it s just not worth the risk - a little rush today can leave you with damage for the rest of your life....

Family, Internal Medicine, General Medical Questions: bone, orthopaedist, x ray
orthopaedist, x ray, broken arm: Hi Alex, At your age when the bone was broken, there should be signs that the bone was broken and has healed. However, there should be no gap in the healing site unless there was a non or malunion of the bone. At this point, there isn t much to do about this...

Family, Internal Medicine, General Medical Questions: bone, fibrous union, deficiency of calcium
fibrous union, deficiency of calcium, broken arm: Is it normal that after a broken arm mends the new bone does not show and it still appears disjointed even though it is not? No, that would be called a non-union although yours sounds like a fibrous union so may be OK. This can be caused by a deficiency of...

Family, Internal Medicine, General Medical Questions: bone, bone density loss, absorption of calcium
bone density loss, absorption of calcium, magnesium oxide: Yes, it appears to have a very mild effect on all these due to its estrogenizing effect but no reports are available showing this to be significant. If a person were to take a standard dose of calcium with vit D, and magnesium oxide twice daily the effect...

Family, Internal Medicine, General Medical Questions: bone scan, saleeby, bone density
saleeby, bone density, bone scan: Pat, DEXA studies are usually performed on an open machine... a table with an arm that swings over you (not like a CT or MRI)... the LE probably refers to Lower Extremity ... hip, leg, etc. and B/I Knee.. probably means bi-lateral knees. The arm is small...

Family, Internal Medicine, General Medical Questions: bone spurs, heel spur, bone spurs
heel spur, bone spurs, heel spurs: Hi Robin, Heel spurs are not the problem; they are the result of another problem called plantar fascitis. Removing a heel spur will not fix the condition. The primary problem needs to be resolved and then the heel pain will go away. There is a nighttime...

Family, Internal Medicine, General Medical Questions: bone, humerus fracture, saleeby
humerus fracture, saleeby, anomoly: Alex, I am not sure what they are seeing on x-ray. However when bones heal it is a result of breakdown (osteoclast) and rebuild (osteoblastic activity) as this process happens to our whole skeletal system every 3 to 5 years. Not sure what is going on...

Family, Internal Medicine, General Medical Questions: bones, bowel problem, hip bone
bowel problem, hip bone, bursitis: No, this doesn t have to do with oral calcium. It has to do with some bursitis, inflammation in the joints. A trial of one of the over the counter meds, like Alleve, 2 pills twice a day for a couple weeks should help, if not, may be worth getting an xray....

Family, Internal Medicine, General Medical Questions: borderline hypothyroid, thyroid disorder, thyroid disease
thyroid disorder, thyroid disease, saleeby: Connie, Managing thyroid disorder (especially hypothyroidism) is an art form. It can be tricky and working with just the numbers is not managing the patient but rather lab values. For more on thyroid disease read my article on my blog. You can do an...

Family, Internal Medicine, General Medical Questions: How can both of these be true?, gum line, hiv aids
gum line, hiv aids, aids research: Good question. Would a person have to use the toothbrush RIGHT after the infected person? yes, but even a few hours would be bad. Would the blood need to be visible? Not really since the blood does not have to be visible for the virus to be present then...

Family, Internal Medicine, General Medical Questions: How can both of these be true?, heart valve problems, hiv virus
heart valve problems, hiv virus, toothbrush holder: I am not sure I explained it properly the first time.... When you brush teeth, the gums will bleed a little bit... in fact, you usually drive a little bacteria into the blood with teeth cleaning at the dentist and with brushing. That is why people with...

Family, Internal Medicine, General Medical Questions: bp help for mom, drug to drug interactions, navane
drug to drug interactions, navane, rbbb: Hi Marc, She can safely take cardiac specific beta blockers with Norvasc. There are no known contradictory side effects or drug to drug interactions with Toprol, Navane and Lithium. Her RBBB alone is not a reason not to take Toprol either. It would be wise...

Family, Internal Medicine, General Medical Questions: bp Medications, ace inhibitor, tests results
ace inhibitor, tests results, creatine: Can you tell me if adding an ace inhibitor will be bad for her creatine? Yes, the ace inhibitor can raise the creatinine higher so her doctor needs to be involved and follow the creatinine tests results after she starts the drug. OK? And could the creatine...

Family, Internal Medicine, General Medical Questions: braces, x ray, bone growth
x ray, bone growth, broken arm: Sometimes the bone does not heal as well as we would like, and it creates a pseudojoint meaning a movable area between bones that shouldn t be there. If there is non-union there, you should see an ortho, and there are tricks to stimulate better bone growth,...

Family, Internal Medicine, General Medical Questions: brain circulation, productive cough, cardiac issues
productive cough, cardiac issues, eye doctors: I don t believe that MRI finding has anything to do with double vision.... if he doesn t have a right vertebro-basilar artery then he never had one and that part of the brain gets it s blood supply from another artery.... double vision has many causes one...

Family, Internal Medicine, General Medical Questions: brain damage?, head blows, brain damage
head blows, brain damage, possibilty: Do you find it possible that just the impact of the body such as back or feet landing on a surface from an airborne height, can cause brain damage..? No, that is not possible without a blow to the head in teenagers or adults. I was reading up on this,...

Family, Internal Medicine, General Medical Questions: brain damage, brain damage, anti depressants
brain damage, anti depressants, ocurred: nick; well coming off anti-depressants has to be done at a slow rate,going down in doses. you should never just stop. under a doctor care as well. MRI s will show anything wrong with the brain it self.now they have a 3-D MRI, which is better all around....

Family, Internal Medicine, General Medical Questions: brain injury scans, rn msn, msn community
rn msn, msn community, maggie smith: Why don t you call your doctor s office, if you are not sure whom to believe--me or the other health professional experts. I see you have asked several people, which is wise, but I can promise you that even if you turn out fine, you will never regret getting...

Family, Internal Medicine, General Medical Questions: breast milk??, mamogram, birth control pill
mamogram, birth control pill, breast milk: Is it normal to still have breast milk? It can be normal to get a few drops this long after breast feeding. Does this require a mamogram? Usually not unless there is a mass noted. Could this be why I still have the extra weight? Yes Could this be...

Family, Internal Medicine, General Medical Questions: breast pain, breast changes, left breast
breast changes, left breast, breast pain: connie; when was your last mammography? i do suggest getting one,rsvp....not knowing what is causing this is a good reason to have one. i had problems with my breast oct 2003,my left breast was feeling funny,a burning feeling,plus pain,not knowing what...

Family, Internal Medicine, General Medical Questions: breast soreness, self breast exams, breast ultrasound
self breast exams, breast ultrasound, breast soreness: Pregnancy would be my first choice if your husband had not had the operation. Operations do fail so you may want to do the test anyhow. Otherwise it may be a temporary hormone imbalance so you can try Vit B 6 at about 50 mg three times a day for a week then...

Family, Internal Medicine, General Medical Questions: breast tenderness, breast ca, low thyroid
breast ca, low thyroid, breast tenderness: should you panic... no... this is most likely not breast ca... fibrocystic breast tissue, or a small infection, or sometimes a metabolic problem like low thyroid, pregnancy can cause it... I would keep track for a couple weeks and if it doesn t resolve thru...

Family, Internal Medicine, General Medical Questions: breast, food suppliment, noticeable difference
food suppliment, noticeable difference, muscle tone: Hi Joseph and thanks for writing, Both men s and women s bodies lose body fat and muscle tone as we age, and this makes breasts droop and sag – there is no cure for the affects of ageing, especially after you ve had children. Exercise can help a little,...

Family, Internal Medicine, General Medical Questions: breastfeeding studies, consent form, paperwork
consent form, paperwork, medical school: Dear User, These are some questions to ask before doing any research study: 1) Is it IRB approved? if not, do not continue or consider this study. 1a) If yes, then you need to get your hands and eyes on their consent form. This will answer the following...

Family, Internal Medicine, General Medical Questions: breathing, vena cava filter, brittle asthma
vena cava filter, brittle asthma, pulse oximetry: I would worry how much lung function was lost from the Pulmonary embolisms.... how big they were and whether you need a vena cava filter to protect you from more. That is too young to have that many. also, should check and make sure you aren t anemic. sometimes...

Family, Internal Medicine, General Medical Questions: breathing trouble by a 78 days old baby, breathing rate, respiratory effort
breathing rate, respiratory effort, respiratory rate: Hello, The symptoms you are describing suggest that the baby may be in respiratory distress. In newborns (I know he s almost three months) the big concern in a scenario like this is the possible presence of a congenital defect. Various malformations such...

Family, Internal Medicine, General Medical Questions: breathing, proper diagnosis, sleep apnea
proper diagnosis, sleep apnea, watching tv: tammy; this sounds like obstructive sleep apnea; this is a potentially serious disorder in which your airway is repeatedly obstructed while you sleep. often,your breathing stops altogether,but sometimes it may be only partially restricted. in addition,you...

Family, Internal Medicine, General Medical Questions: brittle nails, splitting fingernails, john ferris
splitting fingernails, john ferris, brittle nails: Hi John, Brittle nails are commonly the result of vitamin deficiencies. A good multi-Vitamin is important for this and over all health as one ages. There are other diseases that nails can fortell. It might be a good idea to see your healthcare provider for...

Family, Internal Medicine, General Medical Questions: broken pinkie toe, broken pinkie toe, doctor didn
broken pinkie toe, doctor didn, ishow: I have done the same thing... assuming it is broken, but now is fairly straight, then there isn t anything to do but just let it heal. It is common to swell, turn funny colors and then the bruise spreads out. Also, it will heal faster than 6 weeks... that...

Family, Internal Medicine, General Medical Questions: broken pinkie toe, broken pinkie toe, doctor didn
broken pinkie toe, doctor didn, ishow: I ve heard it could take 6 weeks to heal, is that true? Usually the pain is less in 1-2 weeks if you elevate the foot for 15 minutes each hour and splint the toe to the next toe with tape, easy at first. Ibuprofen or willow bark orally should help if OK...

Family, Internal Medicine, General Medical Questions: broken pinkie toe, broken pinkie toe, doctor didn
broken pinkie toe, doctor didn, ishow: Hi Erica, Unfortunately there isn t much to do for a broken toe. Icing is a good idea for the first 48 hours. Elevate the foot when possible to avoid pain and swelling. Once you can wear a shoe, do so. It will help support the toe. Taping it to the other...

Family, Internal Medicine, General Medical Questions: broken toe, calcium carbonate, magnesium oxide
calcium carbonate, magnesium oxide, high potency: Yes, if you can get your foot up frequently or lay down with your foot up on a pillow or two for 30 minutes each 2 hours you are up to decrease the swelling and speed healing. There is nothing to do for this type of injury except ice pack and tylenol PLUS...

Family, Internal Medicine, General Medical Questions: broken toe, calcium supplements, broken toe
calcium supplements, broken toe, doctor didn: Erica, Unfortunately we don t do much for a broken toe except symptom relief. I am actually a big fan of antiinflammatory madication (motrin, advil, naprosyn, etc) in addition to the ice since the swelling and pain is often the biggest issue. While I...

Family, Internal Medicine, General Medical Questions: broken wrist, little bones, xray
little bones, xray, margot: Hi Jim and thanks for writing, It s really hard to say if you have broken your wrist or not as there s eleven little bones in a wrist. Moving your fingers is a good sign, but you should get an xray to be sure. If it is broken you want to have it set properly...

Family, Internal Medicine, General Medical Questions: broken wrist, navicular fractures, instability problems
navicular fractures, instability problems, hand surgeon: Hi Jen, Navicular fractures can, in some cases, take up to a year to heal. In rare cases they can go on to a non-union (the fracture edges heal but the bone doesn t unite). This can cause possible chronic pain and wrist instability problems. If you aren t...

Family, Internal Medicine, General Medical Questions: brother is 35 and has bllod in stool somtimes what could thatmean, anal fissure, somtimes
anal fissure, somtimes, anus: It could mean many things. If he has been constipated it could be an anal fissure. (a tear in the anus) If he has hemmroids those could be bleeding. It could be from a tumor such as cancer! There are several things, I can only give you possibilites...

Family, Internal Medicine, General Medical Questions: My brothers baby, false hope, slim chance
false hope, slim chance, intestines: Hi Heather, This is a very complicated case. I am unable to offer very much as I don t have a good handle on everything that was done and why. It s hard to assess the medical staff s responsibilities and whether or not they are carrying them out as they ought...

Family, Internal Medicine, General Medical Questions: brown recluse, brown recluse spider, brown recluse bites
brown recluse spider, brown recluse bites, pioson: Hi Melissa, The poison will not spread beyond the bite site. It s OK to use heat. Brown Recluse bites are nasty and your Dad needs to be ready for this to get much worse looking before it heals. The problems are all local and don t spread to other parts of...

Family, Internal Medicine, General Medical Questions: bruises, idiopathic thrombocytopenic purpura, complete blood count
idiopathic thrombocytopenic purpura, complete blood count, low platelet: Yes, you need to see your doctor. To get bruises spontaneously makes me think that you may have low platelet counts. (One of the ways the body stops bleeding.) There are conditions where the body doesn t make them well, or they get taken out of the circulation...

Family, Internal Medicine, General Medical Questions: bruising/popped blood vessels, candy bar wrapper, burst blood vessel
candy bar wrapper, burst blood vessel, symptoms of circulatory problems: This has happened to me before, in my thumb also. It s normal. It s just a small burst blood vessel. Symptoms of circulatory problems in the hands will be very obvious to you (extreme sensitivity to cold or heat, finger pain, numbness), and won t just be...

Family, Internal Medicine, General Medical Questions: bruising tired/weak, nutritional deficiencies, bee sting
nutritional deficiencies, bee sting, thyroid function: Hi Cara, Sorry for the delay. My regular practice has been unbelievably busy. It sounds like you are undergoing so some significant changes in your body. I would suggest a thyroid function, diabetes testing and a blood count. Unfortunately some women have...

Family, Internal Medicine, General Medical Questions: bug bite, brown recluse spider, bug bite
brown recluse spider, bug bite, skin infection: From your description, it appears to have been a flying insect. The reason I ask, is to make sure it wasn t a brown recluse spider, which carries some bad consequences. But, assuming it was a flying insect, sounds like a wasp or one of the fly variations...

Family, Internal Medicine, General Medical Questions: bulimia and damage done, first thing monday morning, hemorrhage
first thing monday morning, hemorrhage, bulimia: Hi Michelle, Based on what you ve told me, I seriously doubt that you ve done any permanent metabolic damage. I would however, be more concerned about damage to your esophagus and stomach from this behavior. I am glad that you plan to contact your doctor....

Family, Internal Medicine, General Medical Questions: bumps on leg, muscle injuries, blood clots
muscle injuries, blood clots, doctor who: Dear Asks, Since I can t see these bump I really can t even guess as to what they are... Since the ultrasound showed NO blood clots etc, then this could just be damaged tissue and this could take a while to heal... At this point you are basically in...

Family, Internal Medicine, General Medical Questions: bumps, small red bumps, outer edge
small red bumps, outer edge, family doctor: Hi Emily and thanks for writing, I recommend that you go see your family doctor. I m guessing of course, but you may have Herpes which can come and go and be very itchy and painful - but the good news is it s treatable. Youb really want to treat it as it...

Family, Internal Medicine, General Medical Questions: bumpy rash, blistery rash, cortizone
blistery rash, cortizone, skin reaction: Hi Heather, Were you wearing a sun screen? This can cause a skin reaction when exposed to sunlight (that may explain why it didn t affect your legs when wearing pants). Sometimes medicines that you take regularly can also be sun sensitive and cause reactions...

Family, Internal Medicine, General Medical Questions: bupropion and dark circles, eye dark circles, dark circles under the eyes
eye dark circles, dark circles under the eyes, dark circles under your eyes: cathy; if you have dark circles under your eyes,its a good bet that your father,mother and sibling have them as well. the most common type of under-eye circles are usually an inherited trait like varicose veins and have nothing to do with underlying disease...

Family, Internal Medicine, General Medical Questions: burn, chemical burn, careful inspection
chemical burn, careful inspection, buttocks: typically a submersible burn involves the buttocks and spares the front because the child gets out immediately. A burn from a diaper containing a lye cleaner would probably be all over. Lye burns are bad because they continue to burn even when they have...

Family, Internal Medicine, General Medical Questions: burn on 6 year old, 3rd degree burns, 2nd degree burns
3rd degree burns, 2nd degree burns, 3rd degree burn: 3rd degree burns don t hurt, the problem is there is 2nd degree burns around it that do hurt. If there is one place in the center that isn t sensitive to touch, then it may be a third degree burn, but, like I said, the only thing to do at this point is to...

Family, Internal Medicine, General Medical Questions: burn on 6 year old, 3rd degree burn, soap and water
3rd degree burn, soap and water, skin thickness: Hi Jen, A third degree burn is a full thickness burn. It goes all the way through the entire skin thickness. Scaring is common with these burns. There isn t a good way to tell if it was third. Time will tell. The good news is that the lip has a good blood...

Family, Internal Medicine, General Medical Questions: burn, scabs, blisters
scabs, blisters, lip balm: Will this heal fully on the lip? Yes, in time will this scar? Yes, unless you keep it coated with a lip balm 24 hours a day and do not allow it to get hard crusts. what is the best way to take care of this? see above will the skinm be discoled? usually...

Family, Internal Medicine, General Medical Questions: burning calves, calf muscles, burning sensation
calf muscles, burning sensation, arterial insufficiency: Hi Penelope and thanks for writing, Frequently, however, calf pain has nothing to do with wear and tear. The calf muscles are hot spots for circulatory problems. Sudden pains that show up during physical activity, such as walking, are usually a sign of...

Family, Internal Medicine, General Medical Questions: burning pain, nerve conduction study, rhuematologist
nerve conduction study, rhuematologist, small intestine: this is a complicated set of signs and symptoms and will be impossible for me to diagnose over the internet... however, I would be looking for a whole body metabolic or neurologic problem, such as thyroid disease or calcium abnormalities. It sounds like...

Family, Internal Medicine, General Medical Questions: burning after urination, untreated yeast infection, lower abdomen
untreated yeast infection, lower abdomen, pap test: jamie; most likely its due to the untreated yeast infection. i suggest treating the yeast infection now,just because you didnt have any symptoms doesnt mean you didnt have one. most likely it was the start of one,and higher up inside of your vgaina. ...

Family, Internal Medicine, General Medical Questions: CARPAL TUNNEL SURGERY, traditional open surgery, scar tissue
traditional open surgery, scar tissue, driving a car: Hi Tammy, I think that you should tell him that your symptoms have recurred. It sounds like you had the scope procedure done (with which I am familiar and have done in the past). It is possible that there is a developing scar tissue which is bringing back...

Family, Internal Medicine, General Medical Questions: CAT SCAN, atomic bombs dropped in japan, full body scans
atomic bombs dropped in japan, full body scans, chest x rays: Hi Ken and thanks for writing, Most full-body scans are roughly equivalent to 68 chest X-rays. That sounds like a lot, but to most doctors it s not, Richman says. The only documented cases of radiation causing cancer are from exorbitant amounts, such...

Family, Internal Medicine, General Medical Questions: Calcifications, hashimoto s thyroiditis, calcium level
hashimoto s thyroiditis, calcium level, thyroid gland: I was dx with four 3-5 mm eccentric echogenic focus characteristic for benign adenomatous colloid nodules on my thyroid gland. What exactly does this mean in patient terms? Answer: most likely a goiter where the gland fills with throid storage hormone, but...

Family, Internal Medicine, General Medical Questions: Calcium, calcium oxalate stones, calcium channel blocker
calcium oxalate stones, calcium channel blocker, natural calcium: Lynnette, Calcium and Magnesium should be supplemented together with a few other things like Vit. D and Vit. K, boron, for good bone health. Blood pressure control can be maintained by Magnesium as it is a natural calcium channel blocker and vaso/bronchodilator....

Family, Internal Medicine, General Medical Questions: Calcium, calcium carbonate, osteoporosis prevention
calcium carbonate, osteoporosis prevention, treatment of osteoporosis: Bill, Calcium with Vit. D and Vit K alone is not enough for a well rounded calcium supplement. I would suggest that along with 1200 mg of Mixed Calcium (carbonate, citrate) that she takes in Magnesium, Vitamin D, Vitamin K (unless she is on blood thinners...

Family, Internal Medicine, General Medical Questions: Calcium, blood condition, gibe
blood condition, gibe, happy holidays: Hi Bill and thansk for writing, There is no problem taking the Schiff Calcium along with her daily MutliVits - 800 units Vit D is within the safe recommended daily dosage of 1000 IU. As for ther Vitamin K - it really depends on WHY she was taking it....

Family, Internal Medicine, General Medical Questions: Calcium and blood pressure, calcium blocker, calcium channels
calcium blocker, calcium channels, muscle contraction: You are over simplifying things... it is smooth muscle that controls your blood vessels... (unlike your skeletal muscle that you can control) and the calcium channels that allow calcium in are blocked by Norvasc ..... now, when the ca comes in, it causes muscle...

Family, Internal Medicine, General Medical Questions: Calcium supplements and Vitamin D, calcium absorption, calcium supplements
calcium absorption, calcium supplements, calcium supplement: It is generally better if you take some vit D with the calcium dose to improve absorption of calcium and phosphorus and even better if you take 250mg or more of magnesium to improve the calcium s chance of getting into the bones and prevents the constipation...

Family, Internal Medicine, General Medical Questions: Too much Calcium, blood pressure medication, dear maggie
blood pressure medication, dear maggie, calcium levels: Dear Maggie, Too much calcium in the blood can be very dangerous to the body and the health of the person... It could be that your mother s blood pressure medication is causing this, but without knowing what type she is taking I can t say for sure, but...

Family, Internal Medicine, General Medical Questions: Could it be Cancer?, tissue diagnosis, pathologic diagnosis
tissue diagnosis, pathologic diagnosis, throat area: Hi Dennis, The best thing I can say is that these should have been sent off for a tissue diagnosis at the time that they were removed. THAT will give you the diagnosis. If none of these were sent off, you should have another removed and insist that it be...

Family, Internal Medicine, General Medical Questions: Cancerous or not?, lump behind the ear, lymph nodes
lump behind the ear, lymph nodes, glands: There is NO way for me to tell you if you have cancer or not. There are lymph nodes behind your ear and all through out your neck. They will swell if you are ill or have a cut in that area. They will usually be tender if they are swollen do to illness....

Family, Internal Medicine, General Medical Questions: Career in medicine, national public radio, staff salaries
national public radio, staff salaries, internal med: that is a long answer, but IM is taking care of adults, in and out of hospital, more intense training for in the hospital and intensive care work, and also this is the precursor training program before a jump to a subspecialty like cardiology, gastroenterology,...

Family, Internal Medicine, General Medical Questions: Career as a PA, medical school environment, nurse practicioner
medical school environment, nurse practicioner, pa profession: Hi Crystal, I ve been a PA for 29 years and have no desire to become a doctor. I m quite happy with my current situation. I do all that a doctor does and enjoy the same benefits and responsibilities. I do not have all the headaches a doctor does however and...

Family, Internal Medicine, General Medical Questions: Caring for a stroke vicitim, drug addict, private areas
drug addict, private areas, backround: Deborah, You have undertaken a very trying situation and you are to be commended for your efforts. First of all she may not be doing as well as she was in the convalescent center because the people there were strangers and also they would not put up...

Family, Internal Medicine, General Medical Questions: Castration, voice change, voice box
voice change, voice box, sexual characteristics: Without testosterone, the boys didn t develope secondary male sexual characteristics. These include a larger voice box (deep voice), pubic hair, chest hair, and beards. Castration would prevent the voice change because the voice box would not become...

Family, Internal Medicine, General Medical Questions: Catheterization - Erection, urodynamic testing, naked person
urodynamic testing, naked person, medical procedures: yes, they can do it w/ an erection.... the only naked person around will be you, though.... and usually, with medical procedures, it is very rare for a guy to get an erection... I have had a lot of people state this worry and all of them said it didn t happen...

Family, Internal Medicine, General Medical Questions: Cause of Numbness, poor posture, pinched nerve
poor posture, pinched nerve, shoulder problem: My question to you is, does this sound serious or would you agree that a few adjustments can probably fix me up? Answer: the Chiro will help temporarily but will not hold because the underlying cause in B complex deficiency which would require B-100 taken...

Family, Internal Medicine, General Medical Questions: Cause of numb feeling?, poor posture, pinched nerve
poor posture, pinched nerve, case hi: Hi Numb, This may be all positional based on what you ve said. It probably isn t from your back because the nerve distribution doesn t fit the numbness pattern. I can t comment on anything chiropractors say. If you continue to have this issue, I d see a medical...

Family, Internal Medicine, General Medical Questions: Causes of Black Eyes, soft skin, black eyes
soft skin, black eyes, blood vessels: black eyes are typically blood that has settled down in the soft skin around the eyes; or it can be allergies, that give the skin a greyish hue. You can break blood vessels by rubbing, coughing, vomiting and get some blood around the eyes. Yes, rubbing can...

Family, Internal Medicine, General Medical Questions: Causes of Cervical Cancer--only HPV?, causes of cervical cancer, human papilloma virus
causes of cervical cancer, human papilloma virus, cervix cancer: charlize; cervix cancer; -a common but treatable cancer of the female reproductive system; signs&symptoms; in the early,easily treatable stages; -no symptoms in later stages; -unexplained vaginal bleeding -persistent vaginal discharge -pain and...

Family, Internal Medicine, General Medical Questions: CBC count, lymth nodes, long term health
lymth nodes, long term health, grion: the cbc is normal. Even with the neutrophil count... so I would not worry about cancers.... I think the real issue is your stress. Also, your best bet about long term health would be the smoking. there are lots of things out there to help quit, like Welbutrin...

Family, Internal Medicine, General Medical Questions: CELLULITIS WITH STRANGE PAINFULL RASH, chronic fatigue syndrome, low grade fever
chronic fatigue syndrome, low grade fever, strange rash: Hi Delores and thanks for writing, I really can t guess what s going on with you, but it does sound like Cellulitis to me. I have seen severe and difficult to treat cases in the past. My best advice is to get a referral to a specialist who IS interested...

Family, Internal Medicine, General Medical Questions: Celebrex, law suits, daypro
law suits, daypro, mobic: Hi Michael, This is a dicey situation right now. All the bad press about these drugs has doctors running scared. Even if patients have been doing well on the drug, many providers are pulling people off these meds for fear of illness to you and law suits against...

Family, Internal Medicine, General Medical Questions: Cellulitis, cellulitas, fever and chills
cellulitas, fever and chills, parasite infection: fever, redness, swelling sounds like cellulitis, but the recurrences may be a parasite infection that recurs... this is a complicated situation and I would encourage him to seek out an infectious disease doctor because of the recurrences.... it could still...

Family, Internal Medicine, General Medical Questions: Cervical MRI, neural foramina, nerve roots
neural foramina, nerve roots, constant headaches: The spinal cord comes down from the brain, then sends off nerves which travel thru the foramina to the areas they supply sensation or motor function. When there is arthritis and disc disease, what matters is whether the structures start pinning down a nerve...

Family, Internal Medicine, General Medical Questions: Cervical MRI, neural foramina, constant headaches
neural foramina, constant headaches, disc degenerative disease: Hi Debbie, This report suggests significant thinning of the discs and arthritis of the cervical spine. The narrowing can cause the symptoms you describe. It may be past time for medications and physical therapy, but a question of surgery needs to be left...

Family, Internal Medicine, General Medical Questions: CHILD LOW WHITE BLOOD CELL COUNT, bone marrow biopsy, pediatric hematologist
bone marrow biopsy, pediatric hematologist, low white blood cells: To be ongoing for 2 years without seeing signs of cancer or leukemia make me less concerned. In addition, even though there are a low number of white blood cells in the test results, they are obviously doing a pretty good job, since your son has not had any...

Family, Internal Medicine, General Medical Questions: CHILD LOW WHITE BLOOD CELL COUNT, pediatric hematologist, low white blood cell
pediatric hematologist, low white blood cell, white blood cell: A white count below the normal limits is not necessarily abnormal. The range that is given is blood counts were taken from 1000 people the were healthy and they threw out the bottom 5% and the upper 5%. So, if he is close, it is likely those numbers are...

Family, Internal Medicine, General Medical Questions: Chelation, serum cholesterol concentrations, oxford textbook of medicine
serum cholesterol concentrations, oxford textbook of medicine, low dose aspirin: There is not much support for effectiveness in removing cholesterol but it does work well for heavy metal poisoning such as lead or copper. It now looks like 1/4 tsp of cinnamon daily is more effective than either oral or IV chelation for lowering cholesterol...

Family, Internal Medicine, General Medical Questions: Chelation, internal medicine doctor, pulmonary embolism
internal medicine doctor, pulmonary embolism, oral chelation: Hi Dan, Chelation Therapy is controversial to say the least. I know people who swear by it and others who warn never to go near it. As I ve never had it (but I have considered it) my best advice would be to RESEARCH VERY CAREFULLY: the person who will do...

Family, Internal Medicine, General Medical Questions: Chest Hair, rogain, omega 3
rogain, omega 3, chest hair: Is there anything that I can do to get more chest hair like using something like Rogain on it? Yes, some If I shvae my chest often will that make it appear thicker? Yes, somewhat Also my beard is not that heavy is there anything I can do to make it...

Family, Internal Medicine, General Medical Questions: Chest infectoin with assosiated muscle pain, intercostal muscles, gtn spray
intercostal muscles, gtn spray, atenolol 25mg: It sounds like he has a chronic respiratory infection... since he was hospitalized, and on multiple antibiotics, it is likely that he has a bacterial infection from a resistant bug, like some MRSA, or pseudomonas... basically a bacteria that may require specialized...

Family, Internal Medicine, General Medical Questions: Chest pain, upper endoscopy, alcahol
upper endoscopy, alcahol, bill of health: You need to discuss this with your physician and maybe have an upper endoscopy to see if you have some type of gastritis. Alcohol and fuirt sometimes cause an acid type reaction and this may be a sort of heartburn or irritation within your esophagus . Please...

Family, Internal Medicine, General Medical Questions: Chest pains, inflammation of the ribs, thoracic cavity
inflammation of the ribs, thoracic cavity, adolescent girls: Hello Sophie, Thank you for the question. I apologize for the delay in my response, I have been out of town and forgot to notify the site. Adolescent chest pain is common, particularly in girls. Of those patients who experience it greater than 50%...

Family, Internal Medicine, General Medical Questions: Is this Chest X-ray Result Suggestive of CHF?, chest x ray, non productive cough
chest x ray, non productive cough, pulmonary infiltrates: It is too hard to try and diagnose over the internet.... It is hard enough when I work in the ER and see someone for the first time. If you are unsure, tell his doctor, or take him to the ER... But at that age with multiple problems, anything can happen.......

Family, Internal Medicine, General Medical Questions: Child with no appendix???, low grade fever, ovarian cysts
low grade fever, ovarian cysts, teen daughter: those tests are not even close to 100% in diagnosing an appendicitis let alone always seeing it. She has one, and yes, it still could be appendicitis even with neg tests. If the pain improves over the next few days then it isn t. It is esp hard in women...

Family, Internal Medicine, General Medical Questions: Child eczema, regional referral center, fever blister
regional referral center, fever blister, skin rashes: eczema should not cause fever or headaches, simply skin rashes... if these are occurring, then something else in addition to eczema is occuring... i am sure you already tried elidel and steroid creams. I would encourage your pediatrician to consult more dermatology...

Family, Internal Medicine, General Medical Questions: Child neglect, physical neglect, child neglect
physical neglect, child neglect, physical signs: Hey Keli, The big one is bruising. Especially if the bruises are different colors. Kids don t bruise that easily, and when they have bruises of different color, we should suspect abuse. Having re-read the question, you asked about neglect. Those...

Family, Internal Medicine, General Medical Questions: Child vomiting frequently, sinus infections, sinus infection
sinus infections, sinus infection, bladder infection: When she vomits, is it ALWAYS when she has a sinus infection or could the vomiting episodes be completely unrelated to the upper respiratory infectios? Another thing to consider is whether she has a recurrent bladder infection... so she should have a...

Family, Internal Medicine, General Medical Questions: Childhood Diseases, celiac sprue, small intestine
celiac sprue, small intestine, non infectious diseases: Gastroesophageal reflux disorder leading to asthma Celiac disease Failure to thrive ................. What is celiac disease? Celiac disease is a digestive disease that damages the small intestine and interferes with absorption of nutrients from food....

Family, Internal Medicine, General Medical Questions: Children's night crying, pediatric neurologist, muscle pains
pediatric neurologist, muscle pains, short periods: Yes, these night screams are usually neurologic so ask your doctor to see a pediatric neurologist since they have been going on for so long. Growing pains are usually joint and muscle pains and even these usually needs laboratory testing to be sure they are...

Family, Internal Medicine, General Medical Questions: Childrens Immunizations, heavy metals, recomendation
heavy metals, recomendation, immunizations: There are minimal if any amounts of heavy metals in immunizations. As far as laws, it will be difficult to get and keep your child in school without them, as they are required prior to entrance. I wouldn t use this as a reason not to immunize your children....

Family, Internal Medicine, General Medical Questions: Childrens Immunizations, health regulation, health authorities
health regulation, health authorities, recomendation: I am worried about the presevatives in immunizations such as mercury, aluminum etc accumulating in the body. Are the actual laws that children have to have immunizations or is it just the recomendation of the Drug Companies and Doctors? It is a health...

Family, Internal Medicine, General Medical Questions: Childrens Immunizations, immunization recommendations, universal immunization
immunization recommendations, universal immunization, chairman dan burton: Hi John, I am aware of this issue, however, it is anecdotal and no guidelines have been issued as yet to remove this preservative. Unfortunately it is all that we have. There are any number of theory s as to the cause of autism. I think you have to weigh...

Family, Internal Medicine, General Medical Questions: Chiropractors, allergy problems, life threatning
allergy problems, life threatning, free screening: R, You wrote:I continued, wondering if this was something serious or just a ploy to get me in his office so I asked him, well is this life threatning? He said it would not be professional to tell me that. I am curious on your take on chiropractors....

Family, Internal Medicine, General Medical Questions: Chiropractors, allergy problems, life threatning
allergy problems, life threatning, free screening: Hi R, Let s see, my take on chiropractors---much like mosquitos and flys--useless except for a meal for something higher up on the food chain. You are right to question all this. What kind of healthcare provider sets up on the side of the road for a free...

Family, Internal Medicine, General Medical Questions: Chiropractors, allergy problems, life threatning
allergy problems, life threatning, competent professionals: Generally from my experience some Chiropractors do contribute in people with musculoskeletal problems but little else. I doubt if the road-side analysis is anything other than an effort to scare up business which it has certainly done in your case. Pretty...

Family, Internal Medicine, General Medical Questions: Chiropractors, tricep muscles, gentle treatments
tricep muscles, gentle treatments, allergy problems: Hi R and thanks for writing, I would say Free Roadside Assessments are a good thing to stay clear of; I m quite sure every person who drops by is advised the same thing we see something but we can t tell you until you come back and spend money . I...

Family, Internal Medicine, General Medical Questions: Chlamydia, ofloxin, curable disease
ofloxin, curable disease, chlamydia: 1) Whether it was possible to still have chlamydia even after being treated for it? Yes, since you need the ofloxin with the azithromycin 2)I was treated for a UTI one week before being treated for chlamydia. And now my UTI is back. I was wondering if azithromycin...

Family, Internal Medicine, General Medical Questions: Cholesterol, omega 3 fish oil, mg caps
omega 3 fish oil, mg caps, mg tabs: It is certainly worth a try as long as you repeat the labs in 6-8 weeks to make sure it is being as effective as you desire. Remember that the following nutrient list often does away with the need for zocor if OK with your doctor. The Nutrient Replacement...

Family, Internal Medicine, General Medical Questions: Cholesterol, red grape juice, lipid panel
red grape juice, lipid panel, essential fatty acids: Hi Mike! What a timeless question. In this age of sedentary lifestyles, restaurants meals, increased weight and stress (and don t think I haven t been guilty of all of them), we really have a problem with the cholesterol. Some things you can change, some...

Family, Internal Medicine, General Medical Questions: Cholesterol Help, hdl ldl ratio, cholesterol treatment
hdl ldl ratio, cholesterol treatment, lowering cholesterol: Mike, Cholesterol Support with from VSN (www.vitasanus.com) it is not advertised on the web site but they stock it. Policosanol is perhaps one of the most exciting additions to cholesterol treatment. Derived from the coating on sugar cane, policosanol...

Family, Internal Medicine, General Medical Questions: Cholesterol related, low hdl, cholesterol numbers
low hdl, cholesterol numbers, good cholesterol: Dear David, Your HDL which is the GOOD cholesterol is too low.... If it not good to have low HDL and this is where the megativity comes in.... You need to talk to your doctor about raising the HDL to a within normal range.... All in all the other...

Family, Internal Medicine, General Medical Questions: Cholesterol (I wish I knew how to spell that word), cholesterol number, reducing sugar
cholesterol number, reducing sugar, starches: There are 4 basic kinds of cholesterols: Cholesterol total which we eat and inherit the ability to make from sugar and starches. Triglycerides which we make from sugar, starches and alcohol HDL cholesterol(good) which we make with exercise LDL(bad) which...

Family, Internal Medicine, General Medical Questions: Cholesterol, high cholesterol levels, cholesterol lowering diet
high cholesterol levels, cholesterol lowering diet, dietian: Dear Asks, I am not into supplements and you should not take any supplements when/if you are on cholesterol lowing medication unless you check with your doctor first.... If you have high cholesterol levels that can not be brought down by diet and exercise...

Family, Internal Medicine, General Medical Questions: Is it Chronic Fatigue/Epstein Barr??, epstein barr virus, fish oil tablets
epstein barr virus, fish oil tablets, loose bowel movements: The 1/2 box of jello water, can that be regular or sugar free - which is best? for this purpose,both are the same. any nutritional advice on tightness in chest due to bronchial asthma that happens sporadically. I have chest tightness and clear cough and...

Family, Internal Medicine, General Medical Questions: Chronic Hiccups, knox gelatin, calcium carbonate
knox gelatin, calcium carbonate, cholesterol problem: It would require some work on his part but we assist patients getting stabilized then better doing this every day at our center, The Ohio State University Center for Integrative Medicine, in Columbus, Ohio. Laura Kunze, Center Coordinator s phone is 614-293-3944....

Family, Internal Medicine, General Medical Questions: Chronic Lymphocytic Leukemia and disability, american cancer society, chronic lymphocytic leukemia
american cancer society, chronic lymphocytic leukemia, medical assistance programs: Mike, I am very sorry to hear about your sister. I am not sure about the medical assistance programs as far as health insurance in RI, however, you can check with your health and welfare department regarding assistance through medicaid (this is what...

Family, Internal Medicine, General Medical Questions: Chronic Back Problem, foam mattress pads, memory foam mattress pads
foam mattress pads, memory foam mattress pads, memory foam mattresses: Hi Susan, You might have tried too much to quickly. Back pain that is worse in the morning or after a day of activity, is usually mechanical in nature and should respond well to a gentle but persistent exercise program. The jury is still out on those memory...

Family, Internal Medicine, General Medical Questions: Follow up to "chronic rib pain", cod liver oil, calcium pills
cod liver oil, calcium pills, menopause treatment: When bones tend to fracture so easily it s usually osteoporosis. Although more common in women after the menopause a chronic hormone deficiency, specifically estrogen can cause it in younger women. Hence the herbs I recommended supply natural plant estrogens....

Family, Internal Medicine, General Medical Questions: Chronic Sinus Infections, chronic sinus infections, recurring sinus infections
chronic sinus infections, recurring sinus infections, pneumonia vaccine: QUESTIONS: HOW long can she take BIAXIN, safely??? Another 7-10 or more days? Yes, that would not be a problem but it might be better to switch to Ketec or Augmentin, even Bactrim for 6-8 weeks would be good. Next: I am thinking about asking for a CT scan...

Family, Internal Medicine, General Medical Questions: CIRROHSIS AND HEP C, knox gelatin, calcium carbonate
knox gelatin, calcium carbonate, epa dha: Yes, but he may want to use our progam to restore his liver as outlined below. There is much to learn and much to do to regain his liver health but we help people do this every day at our center, The Ohio State University Center for Integrative Medicine....

Family, Internal Medicine, General Medical Questions: Cigar smoking side effects, cigar smoking, throat symptoms
cigar smoking, throat symptoms, risky proposition: Yes, while they vary from person to person, these are the symptoms to indicate some changes starting already. Since most people are nutrient deficient, the use of tobacco is a risky proposition. go to www.nih.gov and search for tobacco mouth and throat...

Family, Internal Medicine, General Medical Questions: Cinnamon for Health, beltsville human nutrition research, ldl cholesterol levels
beltsville human nutrition research, ldl cholesterol levels, beltsville human nutrition research center: Yes, some us a level 1/2 tsp in oatmeal for breakfast and in hot applesauce or in coffee before dinner. Clinical Care/Education/Nutrition Original Article Cinnamon Improves Glucose and Lipids of People With Type 2 Diabetes Alam Khan, MS, PHD1,2,3,...

Family, Internal Medicine, General Medical Questions: Ciproflaxin, dizziness blurred vision, joint stiffness
dizziness blurred vision, joint stiffness, medication interactions: Dear David, By allergies to cipro, I am guessing you mean medication interactions? Interactions: any allergic reactions to floxins Videx, Carafate, Tums, Rolaids, antacids, supplements containing iron/calcium/zinc....

Family, Internal Medicine, General Medical Questions: Ciproflaxin - Long Term Use, barium enema, minor constipation
barium enema, minor constipation, chronic prostatitis: The first thing I always question is .... is the diagnosis correct... has it been proven that you really have diverticula, via a colonoscopy or barium enema? If so, then you must have a diet that has enough fiber to keep your bowel mvmts soft and frequent......

Family, Internal Medicine, General Medical Questions: Ciproflaxin, omega 3 fish oil, chronic prostatitis
omega 3 fish oil, chronic prostatitis, mg caps: Actually, I use the following list but would doubt your doctor would be comfortable with the holistic nature of the list but it has been effective for my patients. So you need to ask your doctor if this would be OK for you. The Nutrient Replacement List:...

Family, Internal Medicine, General Medical Questions: Circulation / Nerves?, moderate exercise, exercise 3
moderate exercise, exercise 3, constant thing: it sounds like sciatica, meaning the nerve going to your leg is being pinched a little, usually at the level of the low back, sometimes by a bulging disc... most of the time, it gets better if you take care of your low back (no heavy lifting) and take an anti-inflammatory...

Family, Internal Medicine, General Medical Questions: Circulation prob. and headaches, omega 3 fish oil, b comlex
omega 3 fish oil, b comlex, calcium carbonate: he has a magnesum oxide and B-100 b complex vitamin deficiency so could try magnesium oxide at 250mg four times a day, B-100 b comlex four times a day, calcium carbonate with Vit D two times a day and omega-3 fish oil 3000mg four times a day but should check...

Family, Internal Medicine, General Medical Questions: Circulation problem?, circulation problem, blood clots
circulation problem, blood clots, beta blockers: We worry about blood clots from atrial fib, but it would be very unlikely to get blood clots traveling to both big toes only... this needs to be looked at but I would think it is more likely the arteries clamping down, sometimes in response to some of the...

Family, Internal Medicine, General Medical Questions: Clinical studies, ramifications, drugs
ramifications, drugs, college student: Hi Jo, Yes, there should be some kind of monitoring device in place. More importantly, he should be turned in so he can be dropped from the study. Think of the ramifications of this behavior if you or some one you love are started on a drug based on this...

Family, Internal Medicine, General Medical Questions: Clot, greenfield filter, pulmonary embolism
greenfield filter, pulmonary embolism, definite answer: Hi Don, I would consult with your surgeon for a definite answer. My common sense tells me that it would be wise to avoid activities with G-Force pressures as you don t want to risk further embolisasion or dislodgment for the GF Filter. Glad to hear you...

Family, Internal Medicine, General Medical Questions: Clot, greenfield filter, pulmonary embolism
greenfield filter, pulmonary embolism, g forces: Since this was done a few years ago, I don t think that it hurt you. But, in general, I wouldn t submit my body to excessive G forces if I were in my 50 s in general, but you are not going to shake loose the filter or cause other problems. Hope this helps.....

Family, Internal Medicine, General Medical Questions: COLONOSCOPY, virtual colonoscopy, colonoscopy
virtual colonoscopy, colonoscopy, elderly parent: Hi Ken, There is always a possibility to taumatize the colon during a colonoscopy. Fortunately it is rare. Symptoms would be severe enough that any trauma would be quickly recognized. Virtual colonoscopy is still in its infancy and its value has not been...

Family, Internal Medicine, General Medical Questions: COPD and Lung Calcifications, lung calcifications, lack of oxygen
lung calcifications, lack of oxygen, dangerous chemicals: Hi Melanie, The only way to tell if this is due to asbestos or silicosis is to biopsy the lung. There is no treatment for a cure if it is either of these causes. Lack of oxygen could potentially cause a stroke, but is more likely to cause death of brain...

Family, Internal Medicine, General Medical Questions: Always Cold with Chills Lately, stomache ache, consultation visit
stomache ache, consultation visit, private consultation: Donna, Wow... a lot of thing could be going on. I would certainly have the Thyroid functions read by someone adept at reading the test results for subclinical or euthyroid hypothyroidism (see my article on thyroid on my blog). Also would check for anemia...

Family, Internal Medicine, General Medical Questions: Cold knees, tendons and ligaments, hot days
tendons and ligaments, hot days, cartilage: jenny; this disease can damage the cartilage,bones,tendons and ligaments of affected joints. its hard to say why is happens,its with me to,my feet,ankles. and the doctor cant explain why..... so as long as your feeling ok,then its just another day,with...

Family, Internal Medicine, General Medical Questions: Cold Soar Breakouts, high potency, omega 3
high potency, omega 3, breast feeding: Ask her doctor if she can take high potency B Complex like B-50 before breakfast and dinner to improve her resistance and 3000mg of omega 3 at the same times. Also ask her doctor if an Rx for Acyclovir 800mg four times a day would be helpful and clear the...

Family, Internal Medicine, General Medical Questions: Cold Virus, sinus cavities, germ theory
sinus cavities, germ theory, cold virus: Debbi, If you believe in the germ theory then yes you are correct in stating that germs cause colds. Rhinovirus and dozens of other viruses cause colds, etc. and are not related to temperature. HOWEVER, if you shock the body by exposure to low temperatures...

Family, Internal Medicine, General Medical Questions: Cold, healing power of herbs, health food stores
healing power of herbs, health food stores, slippery elm: amy; well theres all kinds of things on the market today,in this day & time,as you well know. but heres something thats a healing power of herbs; suck some slippery elm-another soothing treatment for a dry,scrachy sore throat is slippery elm in the...

Family, Internal Medicine, General Medical Questions: Colds & Flu in young children, colds and flu, colds flu
colds and flu, colds flu, immunities: Hi Elaine, In a word, NO. There is no evidence to support that exposure to these viruses confers any immunity whatsoever. Flu in young children can be deadly. I would STRONGLY suggest that he not do this. In fact, legally, that sort of behavior borders on...

Family, Internal Medicine, General Medical Questions: Colds, sore throat pain, nasal congestion
sore throat pain, nasal congestion, honey and vinegar: you can t speed up healing, but you can help with symptoms.... use Afrin nasal spray twice a day for 3-5 days and that will help with nasal/head congestion, otherwise, simply treating symptoms.... tylenol, etc for throat pain in addition to lozenges like chloraseptic...

Family, Internal Medicine, General Medical Questions: Colon Redundancy, colon polyps, diverticulous
colon polyps, diverticulous, barium enema: Exactly. Redundancy may make you retain some of the prep fluid along some of the loopy columns of colon. Polyps are not a normal finding in the colon. They may be common (30% of colonoscopy exams find some) but are not normal. Hopefully, their nature will...

Family, Internal Medicine, General Medical Questions: Colon Redundancy & Diverticulous, air contrast barium enema, colon wall
air contrast barium enema, colon wall, animal proteins: Diverticulosis diet simply involves fiber, fiber, and more fiber. The goal is to have bulky soft BM s that will not put stress on the colon wall as they move through, lowering the chance of bleeding or infection. IBS diets involve fiber, but also food...

Family, Internal Medicine, General Medical Questions: Colon Redundancy - Diverticulous, air contrast barium enema, end of the small intestine
air contrast barium enema, end of the small intestine, diverticulous: Can you advise me what this is and is it just related to divertculous or could it also be related to colon cancer? Yes, get it done. It is a very small caliber flexible tube they look up your rectum into the colon and remove polyps. Ask for conscious sedation...

Family, Internal Medicine, General Medical Questions: Colon Redundancy, air contrast barium enema, diverticulous
air contrast barium enema, diverticulous, clinical significance: Colon redundancy refers to the anatomy of the colon. It means the colon has a couple extra turns and is a little longer than normal. It may make it a little more difficult to do the colonoscopy, but otherwise, that has no clinical significance. Hope this...

Family, Internal Medicine, General Medical Questions: Coma after Anesthesia, fentenyl, maternal grandmother
fentenyl, maternal grandmother, nuerologist: Hi Annette, Thanks for the additional info. I m afraid that this is way out of my area of expertise. I appreciate your frustration and concern for all of this. I really have nothing more to offer. I would certainly get whatever testing is indicated so this...

Family, Internal Medicine, General Medical Questions: Combination of Medicines, allergic skin reaction, knox gelatin
allergic skin reaction, knox gelatin, diet problem: G, Can t really speak to the supplements that you want to take. Frankly, if your diet is good, you shouldn t need them. I have patients that swear by plain old Knox gelatin for their nails, but that anecdotal. Far as your husband, it sounds like a contact...

Family, Internal Medicine, General Medical Questions: Coming off birth control, birth control pills, appetite changes
birth control pills, appetite changes, painful periods: some hormone changes can cause appetite changes, but birth control pills on or off have no calories.... the weight gain or loss depends on what you eat..... other side effects...... any problems you had prior to birth control pills, like heavy or painful periods...

Family, Internal Medicine, General Medical Questions: Concerned about 17 yo daughter, congestive heart failure, rapid heart rate
congestive heart failure, rapid heart rate, broken bones: Yes, she and your whole family would benefit from attending classes at our center, see www.medicalcenter@osu.edu/go/integrative. Would benefit from avoiding all poultry, peanut products, chips, gluten, flax and soy for life. Ask the doctors about adding...

Family, Internal Medicine, General Medical Questions: Should I Be Concerned?, breast bone, breast pain
breast bone, breast pain, costochondritis: Hi Angie, Given the informtion provided, this sounds like Costochondritis. There is no known cause and no known treatment. The good news is that it will stop happening eventually. One more question. Do you have problems with nervousness or anxiety? This condition...

Family, Internal Medicine, General Medical Questions: Concerta and Appetite, loss of appetite, concerta
loss of appetite, concerta, good health: Dear Adam, I was unable to find that missing a dose of Concerta may increase your appetite. Mostly, what I found is that you get the loss of appetite when taking Concerta. I am sorry I couldn t give you any information about why it seems you are ravenous...

Family, Internal Medicine, General Medical Questions: Conflicting fertility information, basal temp, fallopian tube
basal temp, fallopian tube, betwen: Hi HPC, You are fertile in the interim betwen periods; in essence 2 weeks out of four. You need to take basal temperatures in the AM prior to getting out of bed. When the basal temp rises, you are at peak. The egg is fertilized in the tube and then descends...

Family, Internal Medicine, General Medical Questions: Conflicts between medication and vitamins, adderal xr, bactrim ds
adderal xr, bactrim ds, wellbutran: I don t see a direct conflict, but people can get weird reactions to the antibiotics... esp flagyl if mixed with even a small amount of alcohol, or Bactrim and sun exposure. I don t see any other interactions from the other meds. these symptoms could also...

Family, Internal Medicine, General Medical Questions: Conflicts between medication and vitamins, adderal xr, bactrim ds
adderal xr, bactrim ds, wellbutran: Very unlikely that the MVM and the other supplements have an untoward effect in combination with Flagyl and Bactrim. However, this matter deserves to be discussed with your MD. You could stop your MVM and other supplements until your Rx if finished just...

Family, Internal Medicine, General Medical Questions: Confused and Scared, upper outer quadrant, local health department
upper outer quadrant, local health department, quandrant: Hi Marie, So far, none of this sounds ominous. The sonogram will show if there are nodules or cysts in the breast tissue. The term UOQ-means upper-outer-quadrant. It s the location that she felt the thickening. Nodularity means that the tissue feels like...

Family, Internal Medicine, General Medical Questions: Confused, hgb a1c, hunger and thirst
hgb a1c, hunger and thirst, insatiable hunger: Hi Marie, Based on the tests you ve provided, he would technically have diabetes. His blood sugar should be tested about 2 hours after a meal and my guess is that his sugar will be elevated. The Hgb A1C is used to monitor the body s handling of sugar over...

Family, Internal Medicine, General Medical Questions: Constantly hoarse, mycelex troche, upper respiratory infection
mycelex troche, upper respiratory infection, asthma medicine: hoarseness has a few causes.... gastric reflux, esp some acid coming up at night. Also allergies, as you are treated for.... I would check a mini cat scan of sinus . Also, could be a mild fungal infection from the advair use... the steroid sometimes suppresses...

Family, Internal Medicine, General Medical Questions: Constantly Sick, mild fever, stuffy head
mild fever, stuffy head, chronic diseases: Your symptoms and recurrent infections are a bit out of the ordinary. It may be worth a trip to your doctor, perhaps to have some bloodwork done to help look for a potential cause. I would certainly agree that he/she should focus on issues surrounding your...

Family, Internal Medicine, General Medical Questions: Contact Lense, massachusetts eye and ear infirmary, schepens eye research
massachusetts eye and ear infirmary, schepens eye research, harvard school of public health: Your eye doctor would have to explain why one eye is more affected than the other, but here is the reference that expains the relationship between omega 6 and dry eyes in women. American Journal of Clinical Nutrition, Vol. 82, No. 4, 887-893, October...

Family, Internal Medicine, General Medical Questions: Convalescence, fresh juices, viral fever
fresh juices, viral fever, fruit juices: fruit juices are great except then, the fiber content of the products are removed.... I would try to use fresh fruits in addition to the regular juices... I think that is what you are asking... the whole fruit and vegetable is better than the condensed juice......

Family, Internal Medicine, General Medical Questions: Convertor, liver problems, skin test
liver problems, skin test, antibodies: What that means is the the person was exposed to TB, and it got into his lung and the lung walled it off, but created antibodies against it, and there for the skin test is always positive. It you want to know if their TB is infection, the will need an XR....

Family, Internal Medicine, General Medical Questions: Coronary Artery Disease After MI, coronary artery disease, lowering ldl cholesterol
coronary artery disease, lowering ldl cholesterol, aggressive treatment: yes, absolutely, this disease can not only be arrested, but it can be reversed... that takes aggressive treatment of risk factors... stopping cigs, lowering ldl cholesterol to under 70, BP, etc.... but there are cases that clearly show regression of disease....

Family, Internal Medicine, General Medical Questions: Costocondritis, anxiety problem, rhuematologist
anxiety problem, rhuematologist, pediatrican: Hi Claudia, Unfortunately there is no good treatment for Costochondritis. Her vomiting associate with this makes me believe she has a severe anxiety problem and low pain threshold. There is no reason for vomiting with this except for her exaggerated response...

Family, Internal Medicine, General Medical Questions: Cough, chest x rays, acid reflux
chest x rays, acid reflux, history of asthma: A chronic cough is either a chronic infection, allergies, or reflux. It can also be a wierd reaction from a group of BP meds, called ACE inibitors. Since it has persisted so long, it sounds like allergies or reflux, and laying down making it worse leans...

Family, Internal Medicine, General Medical Questions: Coughing driving me mad, lescol xl, chest congestion
lescol xl, chest congestion, extra beats: What my question is what can I do to loosen my chest congestion? Guaifenisen generally works well if you drink a lot of non dairy liquids with it, preferably hot. OK? Is there something I can do to speed the loosening up. Do you believe in breathing steam...

Family, Internal Medicine, General Medical Questions: CPK elevation, elevated cpk, pain thanks
elevated cpk, pain thanks, muscle pain: That is a minimal elevation.... sometimes exercise can do that to someone. We do it often to make sure a medicine is not affecting muscles, like cholesterol medicines rarely do. I would not get excited about a number that low.... it goes into the thousands...

Family, Internal Medicine, General Medical Questions: CRP, nearby university, high sensitivity
nearby university, high sensitivity, risk factors: It came in at .402, which is near the upper limit of their Reference Range. However, other sources that I have found on the Internet indicate that this is unacceptably high. Actually, each test has its own normal value so I would go by what the reference...

Family, Internal Medicine, General Medical Questions: Cracked skin on thumbs due to computer space bar (keyboard) use, skin cracks, brittle nails
skin cracks, brittle nails, poor hygiene: Updated comments: Due to Pat s poor inability to comprehend my answer, I have no choice but to respond to her malicious comments. Computer keyboards CANNOT cause your fingernails to become brittle and crack! It is due to POOR HYGIENE! Original Comments:...

Family, Internal Medicine, General Medical Questions: Creatine supplement, creatine supplements, possible adverse effects
creatine supplements, possible adverse effects, bruxelles belgium: This is all I can see in the literature about risk in elderly, Adverse effects of creatine supplementation: fact or fiction?Poortmans JR, Francaux M. Physiological Chemistry, Higher Institute of Physical Education and Readaptation, Free University of Brussels,...

Family, Internal Medicine, General Medical Questions: Croup, asthma in childhood, rsv
asthma in childhood, rsv, asthma: with his asthma... his airways are more reactive meaning they will narrow down... the muscle in the airways works too much in him, one of the components of asthma. RSV is probably a setup for asthma in childhood also. The good news is he should grow out...

Family, Internal Medicine, General Medical Questions: Croup, barking cough, upper respiratory infections
barking cough, upper respiratory infections, lung inflammation: No, not genetic, and most kids get croup (which is a viral illness) and get over it without any damage. We have found that young children that get another virus, RSV-respiratory syncitial sp? virus can damage the lungs and cause scarring and may set someone...

Family, Internal Medicine, General Medical Questions: CT Scan, lower abdominal pain, abnormal result
lower abdominal pain, abnormal result, terminal ileum: remicaide is magical and a lot of the time there is full remission.... obviously not the case with you. We worry about surgery because of crohn s healing improperly, but if pain is too bad then that will have to be considered. It is not out of the question,...

Family, Internal Medicine, General Medical Questions: CT scan, radiation physicist, chest xray
radiation physicist, chest xray, roentgens: Hi Jo, I can not be more specific as there are many variables to consider. This is less a medical question and more a Radiation Physicist question. Suffice it to say, A CT will always have more radiation than corresponding test using conventional xrays...

Family, Internal Medicine, General Medical Questions: CUT TONGUE, weird question, side edge
weird question, side edge, topical antiseptic: The tongue often heals rather quickly. I would expect it to be much better in 5-7 days. Not much else you can do except what you re doing. The mouth is inherently the dirtiest part of the body. Topical antiseptic is fine, as is salt water gargles. ...

Family, Internal Medicine, General Medical Questions: CUT TONGUE, natural acids, weird question
natural acids, weird question, side edge: Hi Dan and thanks for writing, Yes tongues can take a while to heal as they tend to become quite swollen due to their texture, large venous supply and the fact we can hardly immobilize it once injured. The mouth is actually the dirtiest part of our body...

Family, Internal Medicine, General Medical Questions: CUT TONGUE, high potency, weird question
high potency, weird question, side edge: Yes, it takes about 5-7 days depending on your nutrition. If you add 1000mg of Vit C and high potency B complex twice a day for at least the healing time if will seem less sore and heal a few days sooner. Some people take these daily and their wounds heal...

Family, Internal Medicine, General Medical Questions: Curious, glutamine supplement, intermittent bouts
glutamine supplement, intermittent bouts, l glutamine: I realize the cause(s) for such symptoms could be broad, but what might cause a person to feel nauseous, weak, a bit lightheaded and intermittent bouts of a sensation of feeling hot, and occassional headaches on the left side of the head, over the course...

Family, Internal Medicine, General Medical Questions: Curious, scoliosis, x ray
scoliosis, x ray, x rays: certain tests will only screen for certain diseases.... an easy example is that if someone has lung cancer, they might have a normal blood count..... medical tests are not all telling and only give us limited information..... we are taught that 90% of the...

Family, Internal Medicine, General Medical Questions: Curious, x ray, accident victim
x ray, accident victim, blood work: Hi Diane and thanks for writing, No, I can not think of any serious health conditions that would not show up on the blood work. As long as the doctor ordering the right tests, then a disease will show up as an abnormal reading. I guess it depends on...

Family, Internal Medicine, General Medical Questions: Curious, ana titer, kidney enzymes
ana titer, kidney enzymes, hiatal hernia: Dear Diane, No, segs are part of the CBC. They are one portion of the total white blood cell count. You will hear doctors refer to segs with another portion called bands. They may say shift to the left or shift to the right in regards to segs and...

Family, Internal Medicine, General Medical Questions: Curious, maintenance dialysis, meniere s disease
maintenance dialysis, meniere s disease, manic depression: The approved abbreviation, M.D. means all the following; meniere s disease macular degeneration maintenance dialysis maintenance dose major depression mammary dysplasia manic depression mean deviation medical doctor mesiodorsal movement disorder...

Family, Internal Medicine, General Medical Questions: Cut Thumb, serrated knife, flap
serrated knife, flap, stitches: Hi Nick, At five days, it is too late to sew the flap back on. Super glue is a good choice at this point and time will tell if it will heal back---probably not. Skin below the flap will heal and the flap will probably need to be cut away down the road. Cutting...

Family, Internal Medicine, General Medical Questions: Cystitis, frequent urinating, blood discharge
frequent urinating, blood discharge, urine cultures: that disease has many presentations, from mild symptoms to severe disabling symptoms; so you are lucky that you don t have a lot of symptoms... I assume the diagnosis was made accurately... there are some treatments, no cures though, but the symptoms, when...

Family, Internal Medicine, General Medical Questions: c-reactive protien, heart disease risk, c reactive protein
heart disease risk, c reactive protein, health panel: Hi Jo, A C-Reactive Protien is a marker for inflammation somewhere in your system. If it was a cardiac specific CRP, then it has been shown to be a reasonablly reliable marker for heart disease risk. This just needs to be put in perspective with other factors...

Family, Internal Medicine, General Medical Questions: calcium supplements, calcium carbonate, calcium supplements
calcium carbonate, calcium supplements, elemental calcium: Patricia, True there are many on the market, some with merrit. The cheapest and least bio-available is TUMS.. Calcium carbonate is just not well absorbed. Best to take Mg, Boron and some vitamin D & K along with the Calcium. AND A MUST.. you must have...

Family, Internal Medicine, General Medical Questions: calcium supplements, dolores ca, calcium carbonate
dolores ca, calcium carbonate, calcium supplements: Ca is Ca is Ca is Ca. One is not better than another. Coral calcium is B-S.... no better than cheap old ca. Calcium carbonate has a nice side effect of helping with indigestion/heartburn. But they are all the same, and with a normal diet, 500 mg daily...

Family, Internal Medicine, General Medical Questions: calcium supplements, calcium supplements, coral calcium
calcium supplements, coral calcium, matter what kind: Calcium is calcium is calcium. Coral Calcium is the hot new stuff.... it is still Calcium. Doesn t work any better. If you eat tums, you can treat indigestion at the same time you treat Calcium. So, in essence, it doesn t matter what kind of Calcium you...

Family, Internal Medicine, General Medical Questions: calf pain which only occurs at night, magnesium oxide, caltrate
magnesium oxide, caltrate, calf pain: I wonder if it s a potassium or magnesium deficiency, since starting the Calcium WITH the magnesium did seem to help a little. Yes, ask your internist if you could take Caltrate with D twice a day and 400mg of magnesium oxide twice a day plus B-150 twice a...

Family, Internal Medicine, General Medical Questions: calf pain, glusamine, proper medical attention
glusamine, proper medical attention, dear inez: Dear Inez, I am so sorry to hear about the pain you are experiencing. Taking Aleve helps your pain this tells me there may be some type of an inflammation, of some sort. Has your physician done doppler studies on your legs. Some of your medications can...

Family, Internal Medicine, General Medical Questions: cancer..., inflammatory breast cancer, whole wheat bread
inflammatory breast cancer, whole wheat bread, non hodgkin s lymphoma: Hi Maria, First, thank you for your kind words. Unfortunately stage 4 melanoma with spread to the brain leaves little in the way of therapy. His chances for survival are essentially nil. You have a significant family history of cancer. You seem to be doing...

Family, Internal Medicine, General Medical Questions: cancer and insurance, social security disability, cindy cindy
social security disability, cindy cindy, stomach cancer: Cindy, My thoughts and prayers are with your through this most difficult and trying time. Your mom must first check with her HR (human Resources) Dept to see if she can continue her life insurance if she leaves work- some policies have that ability...

Family, Internal Medicine, General Medical Questions: cancer, bile duct blockage, blood test results
bile duct blockage, blood test results, liver enzymes: it doesn t look like there is a cancer in the bile duct or pancreas, which is good.... if there isn t a cancer, then the stent should fix things up... if there is a cancer, then these are usually very bad. I can t commit to a diagnosis, but it looks like...

Family, Internal Medicine, General Medical Questions: career in family medicine, jennifer reese, continuity of care
jennifer reese, continuity of care, family medicine: I was hoping that you could tell me whether or not FP is really as bad as they say? I have never had a bad day in 40 years, of which 26 years were rural private practice and 14 year have been academic. I would recommend do a specialty of Family Medicine in...

Family, Internal Medicine, General Medical Questions: carpal tunnel/follow up, cortisone shots, physical therpay
cortisone shots, physical therpay, orthopaedic physicians: Hi Christopher, Orthopaedic physicians can give these shots. Physical therapy is OK to try, but rarely helpful. The shots can be given only about 3-4 times a year. As a rule if you need a second shot, it may be time for surgical intervention if that doesn...

Family, Internal Medicine, General Medical Questions: carpal tunnel, injecting steroids, oral prednisone
injecting steroids, oral prednisone, laparascope: standard treatment are cock up wrist splints, using motrin like drugs; if that doesn t work, then a trial of oral prednisone (steroids) or injecting steroids in the wrists.... if that doesn t work, then surgery, via a laparascope by an orthopedic hand surgeon......

Family, Internal Medicine, General Medical Questions: cat bit, oral antibiotics, puncture wounds
oral antibiotics, puncture wounds, kittens: Yes, that is the initial appropriate treatment, but, cat bites almost always get infected, and they are puncture wounds, meaning the bacteria get injected deeply into the tissue, so topical treatment with cleansing won t get down deep enough. You will most...

Family, Internal Medicine, General Medical Questions: causes, excessive perspiration, vagus nerve
excessive perspiration, vagus nerve, sweaty palms: Anxiety or Fight or Flight response can be a cause of sweaty palms... also there is a chronic condition called hyperhydrosis which causes excessive perspiration and has to do with over stimulation of the vagus nerve. Not an expert on this subject however....

Family, Internal Medicine, General Medical Questions: what causes this?, cyst on the liver, barium swallow
cyst on the liver, barium swallow, agoraphobia: I would not write this off as panic disorder. It sounds like a medical problem. I would worry about thyroid and anemia. Also, the ear pain with the zap feeling could be a disorder called trigeminal neuralgia, which is an inflamed nerve causing bad pain....

Family, Internal Medicine, General Medical Questions: celiac's disease, auto immune disease, celiac disese
auto immune disease, celiac disese, vitamin deficiencies: Hi Britt, Celiac Disease or SPRUE can not be diagnosed by the blood work you had done. If you have these symptoms after eating grains, then you may very well have Celiac disease. The specific blood tests needed to determine this are: Endomysial Antibodies...

Family, Internal Medicine, General Medical Questions: cellulitis, rn msn, long john silver
rn msn, long john silver, ranger silver: Duh, it took me a minute, now I get it--the pirate. I was thinking about the Lone Ranger & Silver....If you have only one foot, then it would be hard to tell if you have generalized swelling, and I am surprised you are not also on any diuretics. Please ask...

Family, Internal Medicine, General Medical Questions: cellulitis, baby toes, running a fever
baby toes, running a fever, depth evaluation: I am worried too, about a lip infection that is that bad.... I would wonder whether there is another infection, because a lip infection should not cause all those symptoms.... I would have her go back to the ER right away for a more in depth evaluation........

Family, Internal Medicine, General Medical Questions: cellulitis, intravenous antibiotics, long periods of time
intravenous antibiotics, long periods of time, diabetic neuropathy: Elizabeth, You need to see a doctor who specializes in infectious disease. If they cannot help you than I would suggest getting a referral to someplace like Mayo Clinic or one of the University Schools like Duke. This is nothing to fool around with and...

Family, Internal Medicine, General Medical Questions: cellulitis???, swollen lymph glands, streptococcus bacteria
swollen lymph glands, streptococcus bacteria, bacteria infection: elaine; cellulitis[erysipelas] -a non-contagious infection of connective tissue beneath the skin; signs & symptoms; -sudden tenderness,swelling and redness in an area of the skin. the areas of cellulitis is initially 5cm to 20cm in diameter and grows...

Family, Internal Medicine, General Medical Questions: ceratonin, omega 3 fish oil, extreme mood swings
omega 3 fish oil, extreme mood swings, mg caps: There are not any quantitative lab tests for serotonin, but most persons with your symptoms have low serotonin from research studies. OK? These following supplements may help you if OK with your doctor. OK? Suggested Nutrients based on symptoms of deficiencies:...

Family, Internal Medicine, General Medical Questions: cervical ectropion, cervical ectropion, cervical erosion
cervical ectropion, cervical erosion, endocervical canal: i have read that these and cervical erosion are not the same and the erosion can cause cancer. is this true? Yes. how does my doctor know i have an ectropion and not an erosion? are there distinct differences? Yes, the erosion is like an open sore and...

Family, Internal Medicine, General Medical Questions: Having a cervical MRI, pain in lower abdomen, cervical spine
pain in lower abdomen, cervical spine, cervical cancer: cervical mri... the cervix is a part of the uterus, but usually a cervical MRI pertains to the cervical spine which is the neck portion of the spine...so I am not sure what he is ordering.... usually we do a cat scan of the uterus to look for abnormalities...

Family, Internal Medicine, General Medical Questions: cervix, poor muscle tone, bladder dysfunction
poor muscle tone, bladder dysfunction, vaginal cuff: Hi Savannah, The cervix offers no support to the vaginal cuff. Vaginal prolapse is not a common occurrence and is not related to cervix removal. No urinary problem comes from a cervix removal in its own right. Urinary problems come from bladder dysfunction...

Family, Internal Medicine, General Medical Questions: change of dominant hand, head brain, dominant hand
head brain, dominant hand, brain injury: Without a brain injury, I would suspect you are actually ambidexterous. As such you will experience phases in your life where one then the other hand appear to be more comfortable. Not to worry, in a few months or years you may tend to be more right handed...

Family, Internal Medicine, General Medical Questions: charly horse, calcium carbonate, magnesium oxide
calcium carbonate, magnesium oxide, charly horse: What causes them? usually a pull or magnesium oxide deficiency How can they be prevented? magnesium oxide and calcium carbonate if OK with your doctor. What is the best relief for it? magnesium oxide and calcium carbonate if OK with your doctor. ...

Family, Internal Medicine, General Medical Questions: chelation - lymphoedema, heavy metals, breast cancer
heavy metals, breast cancer, lymph nodes: Hi Ann, The reason it is inadvisable is that once lymph nodes are removed, out flow of lymph is compromised. That can cause fluid collection in the arm as well as limit the ability of disease fighting organisms egress. If that occurs an infection or inflammatory...

Family, Internal Medicine, General Medical Questions: chelation therapy, heavy metal toxicity, ken babal
heavy metal toxicity, ken babal, habersham st: Ken, Yes, I still perform provocation tests and Detox with DMSA, DMPS according to ACAM protocols. I have also written shorts for lay publication on the subject of heavy metal toxicity and detox. You can certainly use the updated information (contact...

Family, Internal Medicine, General Medical Questions: chelation, dmps dmsa, hg pb
dmps dmsa, hg pb, migraine headaches: Maureen, Chelation therapy by the nature of the chelating agents used will only detoxify heavy metals. Chelation agents such as EDTA, DMPS, DMSA and D-pen. are chemical structures that bind and excrete heavy metals such as Hg, Pb, As, etc. For volatile...

Family, Internal Medicine, General Medical Questions: chemicals in lungs, lung cancer patients, radon levels
lung cancer patients, radon levels, public health department: probably both.... the levels would be highest in the basement, and my previous referral to basements meant that most single homes in high radon areas have basements which is where kids tend to play and get exposed over years. So, if you are in an apartment,...

Family, Internal Medicine, General Medical Questions: chest/back, upper back and neck pain, inflammation of the joints
upper back and neck pain, inflammation of the joints, breast bone: Hi Jennifer, Well, it s quite a jump to suggest Lupus or arthritis without a workup (I assume that this wasn t done). The pain between your breasts, (if on the breast bone or the joints where the ribs connect) may only be something called costochondritis....

Family, Internal Medicine, General Medical Questions: chest/back, zantac 150, pain meds
zantac 150, pain meds, gaviscon liquid: Chest pain in a young person is often reflux... and esophagitis... I would try zantac 150 mg twice daily and some gaviscon liquid for a few days without the alleve or other pain meds... if this doesn t help over a week period, then try the alleve, 2 pills...

Family, Internal Medicine, General Medical Questions: chest, pulmonary embolus, skeletal injury
pulmonary embolus, skeletal injury, left breast: just due to your age, it is unlikely to have a severe cardiac (heart) problem.... I would think about blood clots to the lung (pulmonary embolus) as the most serious possibility, but otherwise, we would be left with musculo-skeletal injury/strain causing the...

Family, Internal Medicine, General Medical Questions: chest, left breast, heart pain
left breast, heart pain, chest xray: Hi Tiffany, This sounds exactly like what you are thinking it is---muscular. The muscles are attached all along the rib cage and the ribs and breastbone itself could be tender as well. Heart pain is usually very severe and you can become short of breath...

Family, Internal Medicine, General Medical Questions: chest discomfort?, dermoid cyst, types of cysts
dermoid cyst, types of cysts, breast plate: To Leo, From your explanation, it sounds like a cyst. There are various types of cysts that may present at the substernal (in the lower midsection of chest). Please do not squeeze it! The various types include a very simple primary dermoid cyst, bronchogenic...

Family, Internal Medicine, General Medical Questions: chest pain?, gastroesophageal reflux disease, ulcer disease
gastroesophageal reflux disease, ulcer disease, transferrence: Hi Sherry, I would feel safe in saying that at age 22, heart disease is not high on the list of things causing her problem. This may be gastroesophageal reflux disease, ulcer disease or Helicobacter Pylori infection in her stomach. As for her heart, there...

Family, Internal Medicine, General Medical Questions: chest pain or nothing?, tobacco habit, mild hypertension
tobacco habit, mild hypertension, nuclear image: Yes, hypertension can create chest pain as can esophageal reflux disease and even muscles from too little magnesium oxide in the diet so ask your doctor if you can take 500mg before each meal and at bed to see if that improves it. You can request a nuclear...

Family, Internal Medicine, General Medical Questions: chest pain and only 25, shoulder blade, lung involvement
shoulder blade, lung involvement, best guess: Hi Sarah, Chest pain in a young woman rarely indicates heart disease. It may be related to ribs or rib muscles and nerves. Lung involvement is a possible but unlikely cause. It is also possible that this is anxiety related. Unfortunately, without an exam...

Family, Internal Medicine, General Medical Questions: Back/chest pain and yawning, muscle tension, muscle pain
muscle tension, muscle pain, rib cage: Hi Rae, Back pain can be from any number of things. The yawning seems to suggest anxiety. You may simply have some muscle tension of the inner muscles around the spine or rib cage. I would see your doctor if things don t get better by themselves in a couple...

Family, Internal Medicine, General Medical Questions: chest pain?, normal lipid profile, heart tests
normal lipid profile, heart tests, rest pain: Hi Vanita, Chest pain that stays for only a few SECONDS is not heart related. It would be hard to say what it is exactly but this does not sound cardiac. Heart pain is gradual in onset, stays from 5 to 30 minutes and gradually clears. The er may be radiation...

Family, Internal Medicine, General Medical Questions: Is this chest x-ray result an indication of possible congestive heart failure?, congestive heart failure, chest x ray
congestive heart failure, chest x ray, pulmonary infiltrates: The standard of care would be to control the BP without weakening the heart muscle. In addition, we would look at the patient s overall nutritional status including giving high potency B complex (B-50) twice a day, cutting out omega 6 and gluten from the...

Family, Internal Medicine, General Medical Questions: chest/back, care attitude, empty stomach
care attitude, empty stomach, costochondritis: Dear Jennifer, I am sorry you are not feeling well. I am also very sorry that your doctor took such an i don t care attitude If he thinks it is Lupus, there are tests to confirm this diagnosis. Pains in the upper chest and back can be from gallbladder,...

Family, Internal Medicine, General Medical Questions: chicken pox marks, magic medicine, oral antibiotics
magic medicine, oral antibiotics, chicken pox: There isn t any magic... the key is to keep the skin moisturized, don t pick at the scabs, and if any get a secondary bacterial infection, to get on oral antibiotics right away. No, there isn t a magic medicine or cream. There are several anti-scar medications,...

Family, Internal Medicine, General Medical Questions: chicken pox marks, topical treatments, chicken pox
topical treatments, chicken pox, tv presenter: Hi Savi, I am not familiar with a cream of this sort. These marks will fade in time and should leave small scars that can be adequately covered with make up. A visit to a Dermatologist might be a good idea to see if there are any topical treatments that will...

Family, Internal Medicine, General Medical Questions: chickenpox low platlet, low platelet count, little red dots
low platelet count, little red dots, platlet: Hi Jamie and thanks for writing, Bleeding disorder testing is a step-by-step investigative procedure. You usually cannot tell the cause of the bleeding by its location, timing, or severity. If someone presents with a bleeding episode, a doctor may order...

Family, Internal Medicine, General Medical Questions: chickenpox?, chickenpox vaccine, red blotches
chickenpox vaccine, red blotches, varicella vaccine: Yes, you each should get them plus do the following yourself to improve your resistance. Our resistance is suppressed from the omega-6 plant oil toxicity from too much poultry, chips, peanut products, flax or gluten in your diet. see http://efaeducation.nih.gov...

Family, Internal Medicine, General Medical Questions: my child, chronic bronchitis, children chances
chronic bronchitis, children chances, immune problems: the first thing I ask is whether he is in daycare. If so, this is not unusual.... I would ask the doctor about this, but it sounds like your child probably has some allergies and chronic bronchitis and this is alway made worse by repeated exposures to other...

Family, Internal Medicine, General Medical Questions: chills fevers, chest x ray, change doctors
chest x ray, change doctors, reocurring: Dear Corry, It could be bronchittis, but the doctors would have to take a chest x-ray or at least hear something in the lung area with the stethascope inorder to make that diagnosis.... I would suggest that you have the doctors do the following blood...

Family, Internal Medicine, General Medical Questions: chills, blood test results, low platelets
blood test results, low platelets, blood cell count: francis; well for sure there is something going on. now i dont think its lyme disease,due to where you live. but some- thing is going on. well i have a few more question for you; have you been tested for HIV? sorry but i need to ask; how about...

Family, Internal Medicine, General Medical Questions: choking, allergy symptoms, dial 911
allergy symptoms, dial 911, suden: mary; this all could be due to allergies. the body reacts in so many ways when it comes to allergies. for most people,allergies are a real medical condition. however,allergy symptoms may be aggravated by stress and emotions. to determine if you have...

Family, Internal Medicine, General Medical Questions: cholestasis?, strep b infection, liver enzymes
strep b infection, liver enzymes, bile acid: dear waterlilie: my guess is that this *is* cholestasis of pregnancy. the itching can precede abnormal bile acid levels and liver enzymes by weeks and months. i suggest that you show my webpage to your treating physicians and go on ursodeoxycholic acid (natural...

Family, Internal Medicine, General Medical Questions: cholesterol, lovastatin, zocor
lovastatin, zocor, generic drug: There is a generic drug called lovastatin that may be equivalent. Taking the drug every other day has not been studied, though some doc s do suggest this a cost savings (I do not, however). Zocor is flat priced, meaning that the cost does not increase...

Family, Internal Medicine, General Medical Questions: cholesterol, omega 3 oil, zocor
omega 3 oil, zocor, last test: Niacin was an alternative to medication which is prescribed??? Yes, but can not be uses with Zocor. if I could take Zocor every other day with out having any effect. yes, zocor is there any generic I should ask my Dr. to substitute? no and do you...

Family, Internal Medicine, General Medical Questions: cholesterol, prescription drug insurance, cholesterol count
prescription drug insurance, cholesterol count, great shape: Dear Ed, The answer to all of your questions is NO!!!!! Your Zocor regimin that you are on now is doing just fine and controling your cholesterol just right.... Another thing is that you do NOT know what this generic really is so you could be putting your...

Family, Internal Medicine, General Medical Questions: cholesterol, lower cholesterol, proper diet
lower cholesterol, proper diet, high cholesterol: Dear Neil, It is VERY important to get high cholesterol LOWERED because if you don t the plaque will clogg up the arteries and you WILL have a heart problem.... You can lower your cholesterol by proper diet meaning NO fat of any kind, NO red meat, fish...

Family, Internal Medicine, General Medical Questions: cholesterol, cholesterol hdl ratio, bad cholesterol
cholesterol hdl ratio, bad cholesterol, good cholesterol: Actually, you are both correct. You, in that you know you can do better with your diet and life style, so you should. Her, in that the risk ratio is very reliable but like other tests it is not good for predicting what will happen to single persons, only...

Family, Internal Medicine, General Medical Questions: cholesterol, free weights, intelligent questions
free weights, intelligent questions, adult life: Am I helping or hurting my cholesterol with low fat, sugar enriched foods? Yes, but you should do both. Quit eating manufactured or preprepared foods. What can I do to get my cholesterol down below 200? Cinnamon 1/4tsp in hot oatmeal for breakfast and...

Family, Internal Medicine, General Medical Questions: cholesterol, familial predisposition, liver functions
familial predisposition, liver functions, choleserol: Hi Bryan, There has been much said about cholesterol and elevated lipids being partially due to familial predisposition and partially to diet and exercise. I would certainly discuss your concerns with your doctor and I would never advise against the...

Family, Internal Medicine, General Medical Questions: cholesterol test, trigl, cholesterol tests
trigl, cholesterol tests, cholesterol test: The total cholesterol is relatively stable, with or without fasting. It is the triglycerides that vary widely with meals. And, the LDL or HDL is calculated from the total, the other (HDL or LDL) and the triglycerides. So, depending on the test that is used,...

Family, Internal Medicine, General Medical Questions: cholesterol test, cholesterol tests, cholesterol test
cholesterol tests, cholesterol test, ldl cholesterol: If the person waits only only one hour after eating a full meal to have his blood drawn, will the error be on the high side or low side? It tends to raise the triglycerides which come from the sugar and starch in the diet but does not affect the rest of...

Family, Internal Medicine, General Medical Questions: cholesterol test, cholesterol test, blood is blood
cholesterol test, blood is blood, al brown: Yes it will.... blood is blood.... if it is a reliable machine that will yield accurate results.... we have one in the office that is very good, and only requires a small amount of blood,but we do draw a tube because trying to get 5 drops of blood out is...

Family, Internal Medicine, General Medical Questions: cholesterol test, cholesterol tests, cholesterol test
cholesterol tests, cholesterol test, blood cholesterol: Hi Al, Taking these test one hour after eating will artificially raise the levels of Cholesterol and Triglycerides. You will not get a true picture of how your body handles these things. Fasting allows the body to do its best at metabolizing these and a reading...

Family, Internal Medicine, General Medical Questions: cholesterol, impulsivity and aggression, cholesterol levels
impulsivity and aggression, cholesterol levels, low cholesterol: Dear Gerry, Research studies have shown that having low cholesterol levels can possibly lead to the following medical problems.. depression impulsivity and aggression increased risk of suicide some types of cancer hemorrhagic stroke respiratory diseases...

Family, Internal Medicine, General Medical Questions: chromium picolinate??, chromium picolinate, applesauce
chromium picolinate, applesauce, tsp: Actually it does not work. There is no evidence published of any value in weight loss. Eliminating all gluten for life and adding cinnamon 1/4 tsp in hot oatmeal for breakfast and hot applesauce before dinner is the only things we have found effective. Exercise...

Family, Internal Medicine, General Medical Questions: chronic cystitis, chronic cystitis, calcium carbonate
chronic cystitis, calcium carbonate, epa dha: You can clear this with daily yogurt and the following: Ask your doctor but this is what I use for my patients who desire to regain their health: 1) Limit gluten, chips, chicken, turkey, farm-fed fish, peanut products and granola products because they...

Family, Internal Medicine, General Medical Questions: chronic inflammation, cervical biopsy, chylamdia
cervical biopsy, chylamdia, chronic inflammation: Hi Shara, The elusive nature of cervical inflammation is that it can be very difficult to pinpoint the exact cause. What is clear is that there is an inflammatory process of the cervix and that process causes a constellation of symptoms which include lots...

Family, Internal Medicine, General Medical Questions: chronic pain, right on target, endocrine glands
right on target, endocrine glands, extreme stress: I think you insight into the relationship between his pain and his depression is right on target. Though I don t feel he has an endocrine problem, there is no question that chronic stress can affect his health, both physical and emotional. Realizing that...

Family, Internal Medicine, General Medical Questions: cinammon, omega 3 fish oil, cholesterol problems
omega 3 fish oil, cholesterol problems, magnesium oxide: Yes, it is useful for diabetes and cholesterol problems. If you search the web for diabetes, cinnamon you will see the research papers and that there is little or no side effects. We use the cooking spice in the grocery store and the dose is 1/4 teaspoon...

Family, Internal Medicine, General Medical Questions: ciproflaxin alternative, many different things, definitive answer
many different things, definitive answer, sahib: Dear Sahib, First of all, let me explain that if you look at the side effects for any medication, it will make you drop your chin to the floor. Check out Tylenol s side effects! That being said, Cipro is a very safe drug. It is very effective in certain...

Family, Internal Medicine, General Medical Questions: cleanliness, fecal incontinence, logical answer
fecal incontinence, logical answer, skid marks: I would be cautious how you generalize. Not all men have skid marks in their drawers. Overall, I think it has to do with how well they wipe after a BM, plain and simple. That could be that they can t reach well enough, aren t bothered enough, or generally...

Family, Internal Medicine, General Medical Questions: cleanse, list of doctors, bowel cleansing
list of doctors, bowel cleansing, nutritional medicine: Leah, This is tricky stuff. You need to see either an ND or an MD specializing in nutritional medicine. Internal bowel cleansing can be dangerous if you do not know what you are doing or treating. My suggestion is to find a practitioner and seek advice....

Family, Internal Medicine, General Medical Questions: cleansing, red clover blossom, chronic fatigue syndrome
red clover blossom, chronic fatigue syndrome, yellow dock root: While there are oral and intravenous methods, you should consult with your doctor to be sure you do not do more damage since cleansing does move a lot of fluids and chemicals into the urine and bowel from the blood. OK? more information... Cleansing Herbs...

Family, Internal Medicine, General Medical Questions: clinical studies, vital signs, irbs
vital signs, irbs, legal trouble: Jo, Yes, there are some studies that draw blood levels of certain drugs, some use other tests, vital signs, etc. to tell if a subject is taking the medication or placebo. He actually may not even be given active drug, it could be placebo. While studies...

Family, Internal Medicine, General Medical Questions: clomid, omega 3 fish oil, home insemination
omega 3 fish oil, home insemination, multiple pregnancies: how much does Clomid improve your chances of becoming pregnant? Would it be like %25 or %30? Maybe 5-10% and only if you are taking 3000mg of omega-3 fish oil four times a day for at least 3 months to improve your egg quality and the same with your partner...

Family, Internal Medicine, General Medical Questions: coated tounge, high potency, coated tounge
high potency, coated tounge, science ed: This is due to poor resistance and gastrointestinal imbalance which would improve with a high potency B complex daily and acidophilus bifidus three times a day possibly as yogurt. Also stop all sugar and wheat in the diet for 3 months and drink more water...

Family, Internal Medicine, General Medical Questions: cock rings for elderly, rubber cock, nerve disease
rubber cock, nerve disease, cock ring: Hi Wanda and thanks fo writing, According to www.babeland.com, they recommend removing the cock ring after a maximum of 20 minutes. Spending too long with a cock ring on can damage the capillaries and bruise the penis, leaving you sore for a few days....

Family, Internal Medicine, General Medical Questions: coconut, healthy food, health benefits
healthy food, health benefits, coconut: Coconut is a good food, somewhat high in some fats, but in general is a healthy food. There isn t any reason to avoid it unless you are allergic to it. In general, people don t eat large amounts, usually small amounts as an add-in to cakes, etc. But, no...

Family, Internal Medicine, General Medical Questions: what codine can do to your stomach, anti inflammatory drugs, alleve
anti inflammatory drugs, alleve, codiene: I don t understand the term stripped the stomach but codiene is notorious for causing nausea in people. It is not an allergic reaction, but simply a side effect of all narcotics, but codiene tends to be a worse offender. The Vioxx is not prescribed to...

Family, Internal Medicine, General Medical Questions: always cold!, core body temperature, palm springs desert
core body temperature, palm springs desert, milk yogurt: Erin, Are you speaking of a subjective feeling of being cold or are you actually cooler than the average person. Have you measured your core body temperature? By oral or rectal thermometer? The thyroid hormone can sometime be out of balance and with...

Family, Internal Medicine, General Medical Questions: cold, cold eeze, running nose
cold eeze, running nose, rhinovirus: Hi Ruthel, A cold is a rhinovirus. The only treatment is over the counter medicines and even at that, not all the symptoms will be controlled. You can expect to have symptoms from anywhere to 2-4 weeks. I ve found that generic nyquil /dayquil (provided...

Family, Internal Medicine, General Medical Questions: cold, steam baths, second hand smoke
steam baths, second hand smoke, history of asthma: Hi Tiffany, Various individuals respond to illnesses differently. Most colds are due to viral infections, not bacterial. Thus, treatment is usually self-limited to management of symptoms and not the disease itself. From your description, you may have a...

Family, Internal Medicine, General Medical Questions: cold?, sinus ct, mild cough
sinus ct, mild cough, nasal steroids: if it has gone on this long, it is allergies, not infection.... that should have long since gone... I would use oral antihistamines (claritan) and nasal steroids like flonase for symptoms.... but it sounds like this is more like chronic allergies.........

Family, Internal Medicine, General Medical Questions: cold and excess salivation, excess saliva, calcium carbonate
excess saliva, calcium carbonate, magnesium oxide: Usually a form of mild long standing malnutrition. Ask your doctor but this is what I use for my patients: 1) Fish oil 3000mg before each meal and at bedtime 2) High Potency B complex, (B-100) before each meal 3) Magnesium oxide 250 mg before each meal...

Family, Internal Medicine, General Medical Questions: cold medicine for people with high bp, cough medicine, cold medicines
cough medicine, cold medicines, cold ride: Dear Kimberly, If this is just the basic cold, then as my doctor tells me, REST, drinks lots of fluids, take Vitamin-C and let the cold ride its course.... There are medications out there that are ADVERTIZED they are SAFE for people to take who have high...

Family, Internal Medicine, General Medical Questions: cold sores, herpes type 1, herpetic gingivostomatitis
herpes type 1, herpetic gingivostomatitis, pretend food: every child or teen gets cold sores, caused by herpes type 1, not to be confused with the genital kind. getting it that young... the risk would be transfer to the eye, but that is rare. when and if he gets it, getting on a course of antiviral medicine, liquid...

Family, Internal Medicine, General Medical Questions: cold sores, hand sanitizer, high potency
hand sanitizer, high potency, chlorox: Then you may want to do this nutrient replacement program to improve your resistance and if OK with your doctor is supposed to be OK for nursing. 1) 2000mg omega 3 twice a day 2) high potency B complex twice a day 3) multivitamin daily (prenatal) 4)...

Family, Internal Medicine, General Medical Questions: cold urticaria, cold urticaria, histamine blockers
cold urticaria, histamine blockers, h2 blockers: There isn t a lot on cold urticaria... typically, the model that is most accepted is that the patient has hyperactive skin in that there are certain stimuli that cause the skin to release histamines and cause the reaction. It is typically pretty well treated...

Family, Internal Medicine, General Medical Questions: always cold!, palm springs desert, milk yogurt
palm springs desert, milk yogurt, b complex vitamins: Actually, it sounds like you could be having two problems, not having enough B complex vitamins in your diet and maybe being low body fat which tends to chill out quicker. The current crop supply is 38% deficient in B vitamins so we usually recommend a B-50...

Family, Internal Medicine, General Medical Questions: colon cleansing, high colonics, high fiber foods
high colonics, high fiber foods, colon cleansing: Eva, I wrote an article entitled Forget those Crystals and it is on my blog at www.docsaleeby.blogspot.com for your review. Essentially Colon cleansing via oral methods or by high colonics should be reserved for the very ill and/or for preparations for...

Family, Internal Medicine, General Medical Questions: colon cleansing, colon cleansing kit, health food stores
colon cleansing kit, health food stores, colons: Don t much understand the need for colon cleansing, and don t know of any scientific evidence that would argue people with cleansed colons are healthier or live longer. Only thing I do think is important are regular screening colonscopies after the...

Family, Internal Medicine, General Medical Questions: colon hydro theorapy to clear colon, colon hydro, bangalore india
colon hydro, bangalore india, colon hydrotherapy: They usually would like to see some evidence it is helpful for your health. There is no doubt it makes people feel better for a short period of time. Do you know of any scientific evidence of it being helpful? See www.nig.gov and search colon hydrotherap...

Family, Internal Medicine, General Medical Questions: colonoscopy, omega 3 fish oil, auto immune diseases
omega 3 fish oil, auto immune diseases, mg caps: Whe they take a biopsy is it tested just for cancer or will it show anything else like infection or immune disease? They test for both infection and cancer. I have an infamed bladder as well and had Scleritis of one eye which was also an inflamartory...

Family, Internal Medicine, General Medical Questions: colonoscopy, wisdom dictates, colon cancer
wisdom dictates, colon cancer, rampant disease: You are a good and wise friend to suggest this to this person. I have to qualify my answers: I practice nursing in Texas. But, his best bet is going to be a County health clinic or simply calling your doctor s office and asking which local clinics have...

Family, Internal Medicine, General Medical Questions: colonoscopy, small intestine, nulytely
small intestine, nulytely, nausea and vomiting: people get nauseated from it because they drink it too fast and it stretches their small intestine as it is moving thru.... When I do colonoscopies, I use half-litely, which is 4 laxative pills after a light lunch, then 1/2 gallon of the liquids prep, which...

Family, Internal Medicine, General Medical Questions: colonoscopy, high fiber diet, chronic constipation
high fiber diet, chronic constipation, academy website: diverticulosis is the condition of little outpouchings in the colon. They are caused by our diets, chronic constipation and genetics (inherited.) They can bleed, or they can get infected or they can perforate. The treatment would be a high fiber diet to...

Family, Internal Medicine, General Medical Questions: coma, drug induced coma, proper terminology
drug induced coma, proper terminology, terminal patients: Drug induced comas are generally related to head injuries to allow the brain swelling to be reduced and to eliminate the patient being stressed and too active. While this is occasionally used in terminal patients, most do recover in time. It is not the last...

Family, Internal Medicine, General Medical Questions: communication devices for aphasia patients, spinal cord injury association, lynn mcdonald
spinal cord injury association, lynn mcdonald, voice simulator: Hi Lynn and thanks for writing, I would contact the local Spinal Cord Injury Association in your area as quadeplegics often use a Voice Simulator which invloves the client typing on a simple, large-type faced keyboard which can speak or print for them....

Family, Internal Medicine, General Medical Questions: compound fracture, compound fracture, operating room
compound fracture, operating room, forearm: compound means open, or thru the skin... so, typically, the bone and muscle and other tissues are dirty, so the person is usually taken to the operating room and the wound washed out thoroughly, then the person receives antibiotics. Now, different areas are...

Family, Internal Medicine, General Medical Questions: conception, clearblue fertility, aerobics
clearblue fertility, aerobics, infertility: I bought the Clearblue fertility monitor the first month i peaked on it and then the second and third i only had high fertility no peak does that mean I am not ovulating? Yes, you need to peak also during those 2 months i didn t peak I travelled every time...

Family, Internal Medicine, General Medical Questions: concern for mom, interstitial cystitis, uroligist
interstitial cystitis, uroligist, dilation: I agree... I am not sure what the first urologist says is the underlying issue, but I would get a second opinion re: the diagnosis and treatment... I assume there is defintely not an infection, so this could be interstitial cystitis.... but I haven t heard...

Family, Internal Medicine, General Medical Questions: concern?, thumb print, blood stain
thumb print, blood stain, table tops: Caroline, There are certain bloodborne pathogens such as hepatitis that can linger for weeks on fomites (pieces of pater, door knobs, table tops, etc.) that can transmit an illness from one person to another. The chances that this occured from a blood...

Family, Internal Medicine, General Medical Questions: Should I be concerned about PCOS?, irregular periods, masculine characteristics
irregular periods, masculine characteristics, three labs: lindsay; Polycystic Ovarian Syndrome-ovary enlargement from many small cysts. the surface of the ovaries becomes too thick to allow ovulation[the monthly release of the egg from the ovary]. women with this problem cannot become pregnant without treatment....

Family, Internal Medicine, General Medical Questions: concerned, counting calories, pregnancy test
counting calories, pregnancy test, sexual relations: Lerin; well its possible you could be pregnant,have you had sexual relations in the last 2-3 weeks? unprotected? but i have a feeling this is from you dieting and exercising. this could change your cycle all together,by not having one,to having one...

Family, Internal Medicine, General Medical Questions: concerns about feet, pointy toe shoes, podiatrist
pointy toe shoes, podiatrist, big toe: The pointy toe shoes, especially with high heels, tend to jamb the toes together from the sides and chronically turns the big toe inward at its tip. Some people are more affected than others. If you have already been doing it for years, but your toes are...

Family, Internal Medicine, General Medical Questions: confusing symptoms, severe abdominal cramps, ortho tricyclen
severe abdominal cramps, ortho tricyclen, leg cramps: I would worry about several problems... I always worry about thyroid problems... you could have anemia and could have hypertension or it could be secondary to the other above problems..... overall, you need to check with your doctor for a full workup...........

Family, Internal Medicine, General Medical Questions: constantly ill, chronic mononucleosis, missing periods
chronic mononucleosis, missing periods, weight doctors: I would get some lab work done by my PCP if I were you. Things they could look for are lyme disease, chronic mononucleosis (forgot the common name--it s what Cher suffers from) and anemia. Being tired and missing periods make me think you ve got a physical...

Family, Internal Medicine, General Medical Questions: constantly ill, poly cystic ovarian syndrome, perfect blood pressure
poly cystic ovarian syndrome, perfect blood pressure, stomach flu: Can you tell me what could possibly cause me to be deficient in omega 3, b complex and magnesium oxide? The B complex and magnesium oxide are no longer in our food and the Omega 3 is to compensate for having 15 times more of the plant oils (omega 6 ) in...

Family, Internal Medicine, General Medical Questions: constipation, omega 3 fish oil, gluten free diet
omega 3 fish oil, gluten free diet, magnesium deficiency: Yes the citrate form is advertised more but the oxide form it the one to see if your doctor will approve for lifetime daily use to correct her long term problem. In our experience the citrate does not work as well in the tablet form as the oxide but is...

Family, Internal Medicine, General Medical Questions: constipation ????, omega 3 fish oil, wheat barley
omega 3 fish oil, wheat barley, calcium carbonate: Check with your doctor, but my patients find relief with the following suggestions: 1) magnesium oxide 500mg before Breakfast and at bedtime 2) calcium carbonate 600mg with Vit D 3) 3000mg of omega 3 fish oil before dinner ...

Family, Internal Medicine, General Medical Questions: controlling urine, nose congestion, frequent urine
nose congestion, frequent urine, doctor appointment: faye; well this is left over from when you went to the bathroom before,its left over,meaning you didnt totally empty your bladder,and that is way the ordor is so strong. now, when you go to the bathroom,make sure you empty all,meaning you will have to...

Family, Internal Medicine, General Medical Questions: conversions, insulin syringe, exact dose
insulin syringe, exact dose, micrograms: that is not an easy question because there are multiple strengths of this medication.... it comes in 50, 100, 200, 500 and 1000 micrograms per milliliter. I don t know how many micrograms (ug or mcg) per dose. I will need the exact dose and the exact strength...

Family, Internal Medicine, General Medical Questions: cortisone injectons, cortisone injections, facet injections
cortisone injections, facet injections, retaining fluids: Dear Sue, I was not able to find any information regarding Medrol causing weight gain, or cessation of weight loss, in gastric bypass patients. Congratulations on a successful surgery! However, Medrol will cause increased appetite, and retention of...

Family, Internal Medicine, General Medical Questions: cough, broad spectrum antibiotic, yellow sputum
broad spectrum antibiotic, yellow sputum, streaks of blood: it is always hard to tell if someone needs antibiotics..... production of green/yellow sputum, (plus blood) plus fever, it is reasonable to use a good broad spectrum antibiotic... for it to come on so fast implies that it is a virus, (like the flu) but if...

Family, Internal Medicine, General Medical Questions: cough, green mucus, pnemonia
green mucus, pnemonia, short of breath: Hi Tiffany, This is not likely to be pneumonia based on what you say. It sounds viral and the fact that the sputum is clearing means that the illness is going away. Cough is the LAST symptom to disappear after one of these infections. If anything changes...

Family, Internal Medicine, General Medical Questions: cough, green mucus, types of pneumonia
green mucus, types of pneumonia, chlamydia pneumoniae: Hi Tiffany, I would definitely recommend that you seek medical attention. There are over 20 types of pneumonia. Your description basically pinpoints to one type of infection - chlamydia pneumoniae. It is not associated with the sexually transmitted infection...

Family, Internal Medicine, General Medical Questions: cough, tonsil area, pulmonary rales
tonsil area, pulmonary rales, nasal mucosa: Hi Mark, I am so happy to hear my colleagues are not treating viruses with anti-biotics, that is great news. Because if we keep doing what we re doing, we ll have no Abx left you and I get old and need them. My assessmant is viral syndrome. Without...

Family, Internal Medicine, General Medical Questions: coughing in children, cough mixtures, post nasal drip
cough mixtures, post nasal drip, exercise induced asthma: Hi, A difficult problem. I think you should continue to follow the doctor s advice. Two weeks is probably too soon to expect complete resolution. In time it is likely to resolve on its own. There are many causes of pediatric cough. The more common...

Family, Internal Medicine, General Medical Questions: coughing and gaging but not throwing up, chest x ray, gag
chest x ray, gag, cough: Dear Jeanne, As long as the mucuos orliquid that is coming up is clear, then you do not have an infection in your lungs.... However, if you have not had a chest x-ray done lately, you should have one done.... You should also have your thyroid examined...

Family, Internal Medicine, General Medical Questions: coughing, cough medicine, robitussin
cough medicine, robitussin, tussionex: These cough meds contain hydrocodone, which is a moderately strong narcotic. There are no stronger cough meds made, but there is Tussionex, which is Hydrocodone in a slow relief fashion, so it lasts 12 hours. Otherwise, there aren t any other magic cough...

Family, Internal Medicine, General Medical Questions: coumadin, heart valve, coumadin
heart valve, coumadin, fibrillation: Usually the protime (PT/INR) should be normal, which will take about 5 days off medication... it can be reversed very quickly with a shot of vitamin K. (overnight) It depends on why someone is taking the med,as to how safe it is to get off it for surgery....

Family, Internal Medicine, General Medical Questions: A couple things I need to know, please., osu center, center for integrative medicine
osu center, center for integrative medicine, blood markers: If you have any serious condition developing, for years in advance I have been able to notice there are blood markers your doctor may not recognize on the differential and CBC but it needs reported completely in detail. No, if you order an xray, they will...

Family, Internal Medicine, General Medical Questions: About my cousin !, doctor dear, bedtime
doctor dear, bedtime, cousin: Dear Esmeralda, This probably do to the loss of her father and her emotions... The proper thing to do is just like you would do prior to his death in not allowing her anything to drink 2 hours before bedtime, making her go to the bathroom before bed etc.......

Family, Internal Medicine, General Medical Questions: coxsackie virus, hepatitis a virus, human digestive tract
hepatitis a virus, human digestive tract, coxsackievirus infections: alba; coxsackie-viruses are part of the enterovisuses[which also includes polioviruses and hepatitis A virus] that live in the human digestive tract. they can spread from person to person,usually on unwashed hands and surfaces contaminated by feces,where...

Family, Internal Medicine, General Medical Questions: cpk evaluation, carla johnson, upper back pain
carla johnson, upper back pain, free weights: high cpk can be from muscle damage if you over did it... it could come from other causes that can damage the kidneys.... if you are on any cholesterol meds, stop them; hold off on weights and get the CPK rechecked in a couple of days. Hope this helps.....

Family, Internal Medicine, General Medical Questions: cracked calloused thumb, crazy glue, home remedy
crazy glue, home remedy, thick skin: Hi Gerry, Oddly enough what works wonders is crazy glue or one of the like glues. I use it myself for this as I do a lot of hand washing and have this problem regularly. Just apply a small bead of this glue to the crack--it might burn-- every day and the...

Family, Internal Medicine, General Medical Questions: cracked calloused thumb, dry cracked heels, medical supply store
dry cracked heels, medical supply store, saran wrap: Hi Gerry and thanks for writing, As long as the crack is dry and not infected, the main thing you need to do is remoisturize it (not always as simple as it sounds). One successful method I am aware of which works well with dry cracked heels is to apply...

Family, Internal Medicine, General Medical Questions: cramping after sex and weight loss. 2 diff. questions., whole foods market, gallbladder attack
whole foods market, gallbladder attack, cramping after sex: Dear IB, I am proud of you for loosing all that weight and yes, stress of the marriage may have been one of the causes that you gained so much.... However, your weight loss may NOT all be contributed to better eating, more exercise etc... I do NOT like...

Family, Internal Medicine, General Medical Questions: creatine, weight lifters, creatine
weight lifters, creatine, triceps: Hi Brian, The creatine in your body is long gone by now. It was metabolized and either used or excreted within hours after taking it. My guess is that your description of flabby triceps is due to fat replacing muscle. This is not an uncommon side effect...

Family, Internal Medicine, General Medical Questions: critical thinking question, glucose solution, excess glucose
glucose solution, excess glucose, normal saline: this one is too tough for me.... it prob will raise ADH and produce marked increase in urine volume by inducing false hyperglycemia and pulling a lot of fluid and glucose out of the blood. The excess glucose basically is filtered in the kidneys and drags...

Family, Internal Medicine, General Medical Questions: critical thinking question, metabolic acidosis, anaerobic metabolism
metabolic acidosis, anaerobic metabolism, stone quarry: he has both a resp acidosis and lactic (metabolic) acidosis along with hypoxemia. The first goal is to hyperventilate him to restore oxygen and blow off extra CO2. As his body gets oxygen, his tissues will not be forced to metabolize glucose thru anaerobic...

Family, Internal Medicine, General Medical Questions: cubital carpal subluxation, strength exercise, pisiform
strength exercise, pisiform, broken bones: Hi Stephane, This sounds like a Triangular Fibro Cartilege Complex tear. This can leand to pain and dysfunction later in life. I did this to myself in both wrists in 1980 and am now starting to have pain with hand shaking and extreme ranges of motion. Post...

Family, Internal Medicine, General Medical Questions: Just curious, cryptic tonsillitis, tonsillar crypts
cryptic tonsillitis, tonsillar crypts, ent doctor: She has cryptic tonsillitis so needs to see an ENT doctor. Cryptic in the case of the tonsils refers simply to the tonsillar crypts which are little pitlike depressions in the tonsils. The causes and treatment of cryptic tonsillitis are basically no different...

Family, Internal Medicine, General Medical Questions: D&E, fetal demise, caltrate
fetal demise, caltrate, omega 3: It will take at least 30-60 days depending on your health. You need to better prepare your nutrients before you try again by taking a prenatal, PLUS a B-100 before each meal, magnesium oxide before each meal, 1000 mg of VBit C before each meal, a caltrate...

Family, Internal Medicine, General Medical Questions: Dark Circles, dark circles under the eyes, sinus infections
dark circles under the eyes, sinus infections, high potency: Whats up with dark circles under the eyes? This is usually due to either sinus infections, allergy, chronic nutrient deficiency, metabolic disorder or kidney disease. is there anything at all, that can at least reduce it? Yes, if you stop all latex containing...

Family, Internal Medicine, General Medical Questions: Daughter has severe wrist pain, omega 3 fish oil, calcium carbonate
omega 3 fish oil, calcium carbonate, last trimester of pregnancy: This is due to the demineralization of bone and ligament attachement by the pregnancy plus a lack of magnesium oxide, calcium carbonate with Vit D and omega-3 plant oil. Make sure she avoids poultry, chips, peanut products, soy, flax and granola products...

Family, Internal Medicine, General Medical Questions: My Daughter Yawns All the Time, blood oxygen, service business
blood oxygen, service business, low blood: yawning is an interesting subject... there are people who yawn repeatedly, if she is heavy, check for low blood oxygen, check for thyroid, but it usually isn t a big indicator of a disease...... I see that it could be a problem in the service business........

Family, Internal Medicine, General Medical Questions: Daughter, seizure disorder, parasitic diseases
seizure disorder, parasitic diseases, retarded individuals: Please let me know how concerned I need to be and what can be done. You do not need to be overly concerned especially if your child is not in classes or day care with mentally retarded individuals who as a group tend to harbor and spread parasitic diseases...

Family, Internal Medicine, General Medical Questions: DayCare, difficult transition, wife claims
difficult transition, wife claims, grand parents: Hi Jon, Given the circumstances and were he my son, I don t think it would be at all disruptive to have him at day care three days and to his grand parents three days. Remember, he doesn t have any concept of what a week is, hence he can t get confused. All...

Family, Internal Medicine, General Medical Questions: Dear Catherine,Hi, Every..., excruciating cramps, verginity
excruciating cramps, verginity, menstrual cramping: betty; menstrual cramping is one of the few symptoms a women deals with before and during the menstrual cycle. each women is different,some have the cramps and some dont. woman s body produces hormones known as prostaglandins to help the uterus contract...

Family, Internal Medicine, General Medical Questions: Dear Doctor,Why is it that..., calcium channel blocker, serious heart condition
calcium channel blocker, serious heart condition, norvasc 5mg: Dear Antonia, You are on a HIGH doseage of Diovan at 320... I too take Diovan, but my doseage is only 80 and it controls my high blood pressure (before Diovan 220/110), and the Cartia is a calcium channel blocker and that is a mid range doseage, the water...

Family, Internal Medicine, General Medical Questions: Death By Hanging, morbid curiosity, crimes against humanity
morbid curiosity, crimes against humanity, irreparable loss: there are a lot of functions that continue well past death which I would define (humbly) as irreparable loss of brain function. Someone who is hanged and their brain has no blood supply for 30 seconds or less cannot sense anything... now the heart has back...

Family, Internal Medicine, General Medical Questions: Decrease in Sex Drive, psychological stressors, obgyn doctor
psychological stressors, obgyn doctor, testosterone levels: Libido is a complex emotion and is influenced by not only drugs and hormones, but emotions and stress levels. I don t know much about Avlimil, but would not usually advise using drugs without looking into potential causes (including emotional and psychological...

Family, Internal Medicine, General Medical Questions: Deep vein blood clots, green leafy vegetables, pt inr
green leafy vegetables, pt inr, routine diet: There isn t a routine diet for people with blood clots. The only thing you have to do, is that if you are eating a lot of green leafy vegetables, it can give you too much Vitamin K and will mess up the anticoagulation that coumadin provides. PT/INR is...

Family, Internal Medicine, General Medical Questions: Dementia, dementia, treatable
dementia, treatable, jsessionid: Dementia and Alzheimer s Disease are essentially equivalent. They are diseases that unfortunately, continue to cause a decline in memory and function. There are medications that can be used to slow the progression and improve someone s functioning and behavior,...

Family, Internal Medicine, General Medical Questions: Dengue fever, shock syndrome, viral illness
shock syndrome, viral illness, second chance: Dengue is a viral illness, so, there aren t antibiotics that work for it. Your body fights the virus with antibodies and gets rid of it. The mortality is virtually zero unless you get the shock syndrome associated with it. There are 4 subtypes, but you can...

Family, Internal Medicine, General Medical Questions: Dengue, muscle and joint pain, degree fever
muscle and joint pain, degree fever, antibody tests: ST, fever, sounds more like strep throat... Dengue is sooooooo rare, that I would seriously doubt that. It is rarely seen outside the Caribbean or SE asia. There are antibody tests that can confirm a primary diagnosis, which may be harder, since you had...

Family, Internal Medicine, General Medical Questions: Dental Work- possible nerve damage, nerve damage, pain signals
nerve damage, pain signals, back tooth: interesting question.... that is more of a legal question than a medical question.... I don t know if what you have is a neuroma, it is only a theory from someone who has never examined you..... are they obligated to take care of damages?..... no... but...

Family, Internal Medicine, General Medical Questions: Deodarant spray in classroom, deoderant, inhalant
deoderant, inhalant, propellant: This could have been an allergic reaction to the ingredients in the deoderant or the ingredients in the propellant in the can..... it won t do serious harm to breathe it in that fashion, it will just be annoying with the migraine like reaction you got from...

Family, Internal Medicine, General Medical Questions: Deodarant spray in classroom, lack of oxygen, inhalant
lack of oxygen, inhalant, half of the day: Oh I see, so inhaling the spray throughout the half of the day wouldn t be something that would be much to worry about as far as this being harmful to me? Correct. The blood vessel spasms don t have the potential of causing any lasting affects such as brain...

Family, Internal Medicine, General Medical Questions: Deoderants, health food stores, mineral rocks
health food stores, mineral rocks, antibacterial soap: Don, Many suffer the same problem. The more effective anti-perspirants tend to dry out the skin. Deoderants only mask body odor and do nothing really to prevent perspiration. Lotion will soften and moisterise the skin. You may wish to try an antiperspirant...

Family, Internal Medicine, General Medical Questions: Depo Medrol Injection, foot arch supports, birth control pills
foot arch supports, birth control pills, nerve tissue: Hi Sandy, What a good question. I have found over the years that women forget about mentioning they are on birth control (BCP), and it can cause a myriad of problems. Thank you so much for considering that in the course of your medical treatment. ...

Family, Internal Medicine, General Medical Questions: Depo Medrol Injection, birth control pills, control interaction
birth control pills, control interaction, immune system function: no birth control interaction.... there are disadvantages and risks to using steroids, oral or injected... bone loss (osteoporosis), depressing your immune system function, weight gain, mood swings..... If you require multiple repeat steroid injections, you...

Family, Internal Medicine, General Medical Questions: Depo Medrol Injections, birth control pills, calcium carbonate
birth control pills, calcium carbonate, epa dha: Yes, generally safe if used locally but avoid shots in the muscles. May want to consider the following which I use for my patients if OK with your doctors; 1) Fish oil 3000mg (900 mg EPA/DHA) before each meal and at bedtime 2) High Potency B complex, (B-100)...

Family, Internal Medicine, General Medical Questions: Depo Medrol Injections, birth control pills, depo medrol injection
birth control pills, depo medrol injection, osteoporisis: sandy; well you will be under your doctors care and he or she will be watching for any reactions.[side effects]; more or less the side effects are for someone who is taking this medication for long-period of treatments. i suggest talking with your...

Family, Internal Medicine, General Medical Questions: Diabetes, diabetic educator, cakes and cookies
diabetic educator, cakes and cookies, type 2 diabetes: Hi Kathleen, Sweet craving isn t unusual. You can replace pure sugars with fruits. Too much of anything with sugars aren t good but fruits are less a serious breach than candies,cakes and cookies. Once diagnosed, you should have been sent to a Diabetic Educator...

Family, Internal Medicine, General Medical Questions: Diabetes, loratab 10, humalin r
loratab 10, humalin r, humilin n: His mom want s him to go to a diabetic specialist. What would you suggest?? What would be the benifit of seeing one?? What would/could they do for him?? Why should he go to one(medically speaking?? Yes, his mother is correct. While his doctor appears to...

Family, Internal Medicine, General Medical Questions: Diagnosing infection, urine specimen, nitrites
urine specimen, nitrites, urine culture: Hi Margaret, With this information, I would do a urine culture next. A blood test won t tell you anything. Nitrites and leukocytes are hallmarks of a urinary tract infection. Just because there are no symptoms, it doesn t mean that there isn t an infection...

Family, Internal Medicine, General Medical Questions: Diarreah, local drug store, stomach bug
local drug store, stomach bug, doctor asap: Hello Erin. Right now you need to be most worried about keeping yourself drenched with fluids. Are you feeling ill? You may just have a stomach bug . If you are concerned about there being something underlying you can purchase a test at your local drug...

Family, Internal Medicine, General Medical Questions: Diarreah, causes of diarrhea, artificial sweetener
causes of diarrhea, artificial sweetener, stomach problems: erin; diarrhea may very well be the thunderstorm of stomach problems,it could be soemthing simple to something serious. sorting out the causes of this distress is a little bit trickier than defining it. if your stomach lacks an enzyme needed to properly...

Family, Internal Medicine, General Medical Questions: Diarrhea, best juices, karo syrup
best juices, karo syrup, large intestines: Hi Jo, Stop taking Imodium-AD. Your symptoms suggest chronic constipation. When stool is compacted in the small and upper portions of the large intestines, it tends to cause leaky small bouts of stool. This is not diarrhea as diarrhea is a large bout of...

Family, Internal Medicine, General Medical Questions: Diet - Diverticulous versus IBS, bran muffins, bran cereal
bran muffins, bran cereal, diverticulous: The safe answer is fiber, fiber and more fiber. This can be obtained several ways... natural- bran muffins, bran cereal. You can also use metamucil, now the capsules are much less messy... 3 capsules twice a day. Also, can use one of the synthetic bulking...

Family, Internal Medicine, General Medical Questions: Dieting, low carb high protien diet, high protien diet
low carb high protien diet, high protien diet, low carb diets: I think you ve answered your own question: low carb diets are not for you. Frankly, any diet is doomed for failure. You need to change how much and what you eat, and then increase your activity level. While that may sound simplistic, it s what will work...

Family, Internal Medicine, General Medical Questions: Digestive Problems after Gall Bladder has been removed, calcium carbonate, epa dha
calcium carbonate, epa dha, magnesium oxide: Yes, go on a gluten free sugar free diet with no peanuts, flax, soy, or poultry to clear your problem in 3-4 weeks. Ask your doctor but this is what I use for my patients: 1) Fish oil 2000mg (600 mg EPA/DHA) before each meal and at bedtime 2) High Potency...

Family, Internal Medicine, General Medical Questions: Digestive question, odd question, digestive problems
odd question, digestive problems, caplets: Some of the caplets or meds will have a casing that slowly opens up and lets out the meds, but does not dissolve and may come out swollen and distorted. The real way to tell would be to grab one, clean it off and inspect it closely. But, it doesn t cause...

Family, Internal Medicine, General Medical Questions: Digetive problem or should I have tests done?, diarhhea, nauseus
diarhhea, nauseus, diverticulitis: melanie; this sounds like it could be diverticulosis/diverticulitis; but its hard to say,there so many it could be. the digestive system is a large area. i suggest you see your doctor to be checked out,and take it from there; i am sorry,i dont want...

Family, Internal Medicine, General Medical Questions: Dilantin For epilepsy, gall bladder surgery, substantial weight loss
gall bladder surgery, substantial weight loss, gall bladder: overdose (over the upper limit) ours is 20 ng/ml... mostly sedation, off balance.... some people are fine when they are a little above normal you were mildly above nl (10% or so) but the effects don t increase past the upper limit of nl, but the side...

Family, Internal Medicine, General Medical Questions: Dilantin, lomotil, lactulose
lomotil, lactulose, diverticulosis: that is true... colons can become dependent on lomotil and people may get some diarrhea or cramps if stopping it quickly, but it is such a mild one, that the symptoms would be mild. You also have to be concerned about timing... if you take Lactulose along...

Family, Internal Medicine, General Medical Questions: Dilated small intestine, small intestine, radiographer
small intestine, radiographer, x rays: Hi Veronica, On the surface, this appears to be a complicated issue. You don t mention why you have the tube or what sort of surgery you had. For me to jump into this cold right now is probably not in your best interest. I suggest that you discuss this...

Family, Internal Medicine, General Medical Questions: Diminished sense of taste and smell, upper respiratory infection, sense of taste
upper respiratory infection, sense of taste, flavors: Hi Nirmala, There are a host of reasons why taste and smell change. Considering that you ve had this develope after an upper respiratory infection, it is probably due to that. For it to last longer than usual, deserves a visit to a healthcare provider to...

Family, Internal Medicine, General Medical Questions: Discolored and Painful Skin, medical support hose, water blisters
medical support hose, water blisters, inflammatory change: Hi Candy, This represents a post -cellulitic inflammatory change in the skin. This is not uncommon especially in dependent areas such as ankles and feet. During the illness, there may also have been compromise of the veins in your legs from the cellulitis...

Family, Internal Medicine, General Medical Questions: Discolored and Painful Skin, water blisters, insurance reasons
water blisters, insurance reasons, darkened area: if it is swollen, and it hurts, and it is discolored and flaking, then there is some process continuing to annoy you. I would recommend elevation when possible, keep the area clean and dry and make sure all these lesions have been covered. As long as the...

Family, Internal Medicine, General Medical Questions: Diseases from the Dr?, chest x rays, drs office
chest x rays, drs office, annual physicals: Hi again, sorry I didn t understand what you meant. I do know people do catch infections in hospitals: The Centers for Disease Control and Prevention estimates about 90,000 people die each year from hospital-acquired infections - more than from auto...

Family, Internal Medicine, General Medical Questions: Diseases at the Drs. office, drs office, curious person
drs office, curious person, short periods: Doctors are required to use new syringes and sterilise all instruments to perform minor surgery. It has been discovered that some viruses such as HIV can survive the autoclave if instruments are in it for only short periods, so they must cook everything...

Family, Internal Medicine, General Medical Questions: Diverticulitis Pain vs. Prostatitis pain, pain in the lower left abdomen, chronic prostatitis
pain in the lower left abdomen, chronic prostatitis, colon problems: It could be either, but prostate tends to give low rectal pain andbackpain, as well as dysuria. Colon problems tend to lateralize more on the abdomenal sides.....but,hollow organ pain is weird....itis referred,meaning if it hurts, the pain nmay not be over...

Family, Internal Medicine, General Medical Questions: Diverticulosis and Constipation, pre cancerous polyps, glycolax
pre cancerous polyps, glycolax, miralax: if you had a colonoscopy and no pre-cancerous polyps, I would go with the advice of the gastro, prob every 5 years..... I would try glycolax or miralax daily.... (a powder) 1 capful daily and see if that helps the symptoms... if you take too much, you will...

Family, Internal Medicine, General Medical Questions: Diverticulosis & Metamucil, metamucil, diverticulosis
metamucil, diverticulosis, looseness: 2 tsp daily is a pretty low amount.... if you are getting a little loose in the BM dept, I would have you consider trying to increase it to 2 tsp twice a day. I don t think the Metamucil is causing the looseness... that is too small of an amount... remember,...

Family, Internal Medicine, General Medical Questions: Diverticulosis And Sluggish Movements, chronic constipation, golytely
chronic constipation, golytely, colyte: I know what you mean.... with diverticula, you can t eat enough fiber. You could take 4 metamuc capsules twice a day. Sometimes, if that doesn t work, we use Miralax, in smaller doses than the stuff that is used to prep you for a colonoscopy (colyte or golytely).......

Family, Internal Medicine, General Medical Questions: Diverticulosis, chronic prostatitis, chronic constipation
chronic prostatitis, chronic constipation, miralax: Diverticulosis is kept from being diverticulitis, or bleeding by keeping the bowel movements soft and moving along. Fiber via metamucil, a lot of fluids are a good way. There is another drug, Zelnorm, that helps with chronic constipation also, but you have...

Family, Internal Medicine, General Medical Questions: Dizziness and tingling after eating, low blood sugar, unexplained periods
low blood sugar, unexplained periods, low blood pressure: if the hypoglycemia is undiagnosed... how do you know that is the problem? The general dizziness sounds like it is from either low blood pressure or low blood sugar..... when you get an episode, it would be nice if you could check the blood sugar or blood...

Family, Internal Medicine, General Medical Questions: Dizziness, low blood pressure, heavy periods
low blood pressure, heavy periods, yesterday afternoon: Sometimes people have low blood pressure, for various reasons... medications, some type of illness... but dizziness is such a tough symptom to simply diagnose because it has so many causes, chronically, can be from anemia, from heavy periods, but short term,...

Family, Internal Medicine, General Medical Questions: Dizzy Spells, gall bladder disease, low blood sugar
gall bladder disease, low blood sugar, gall bladder: Dizzy/nausea after eating.... if it is right after, makes me think of gall bladder disease, or significant anemia, made a little worse by blood shunting to the gut to absorb food. If it is an hour or two after eating, esp. sugary meals, then makes me think...

Family, Internal Medicine, General Medical Questions: Dizzy, blood vessel system, giant cell arteritis
blood vessel system, giant cell arteritis, peripheral nervous systems: Yes,call your doctor now since this could be serious like temporal arteritis. OK? more information... What is Vasculitis including Temporal Arteritis? Vasculitis is an inflammation of the blood vessel system, which includes the veins, arteries, and capillaries....

Family, Internal Medicine, General Medical Questions: Dizzyness, inner ear problem, adrenalin rush
inner ear problem, adrenalin rush, acute anxiety: since it just tends to occur with flying, it doesn t appear to be inner ear, since those should occur randomly.... if it happens just in response to an event, like flying, then I still think it is panic/anxiety. I would get your doctor to give you a little...

Family, Internal Medicine, General Medical Questions: DOG BITE, hydrogen peroxide, soap and water
hydrogen peroxide, soap and water, wound infection: Dog bites in general get infected, usually. The dog s mouth is anything but sterile, and a bite is like a dirty puncture wound. It appears you don t have to worry about rabies, but you are getting a little infecion. The treatment should be initially, good...

Family, Internal Medicine, General Medical Questions: Doctor, family practitioner, doctor finder
family practitioner, doctor finder, pediatric patients: Hi Jamie, Pediatric patients should start to look for a Family Practitioner at age 13. You can look in the phone book or sometimes hospitals have a doctor finder service . If you are a minor, and I assume that you are, your parents have to be involved in...

Family, Internal Medicine, General Medical Questions: Doctor, family practitioner, internal medicine
family practitioner, internal medicine, pediatrician: I would ask friends and family for recommendations for a family practitioner in your area.... I am family practice and am biased towards FP, as opposed to internal medicine, but the best info comes from recommendations... Hope this helps.......................

Family, Internal Medicine, General Medical Questions: Dr. Martin,I am 38 yrs..., wet heat, heating pad
wet heat, heating pad, upper thigh: kim; yes indeed there related,and your leg need some rest or it wont heal. rest the leg,up on some pillows,for a least half-hour twice a day if possible. try using a heating pad,or some warm-wet-heat,to help in the healing. should be better in a week...

Family, Internal Medicine, General Medical Questions: Driving, cobra laws, strange symptoms
cobra laws, strange symptoms, blood studies: No, you aren t over reacting. If you are having the migraines with the atypical (strange) symptoms, and those symptoms are severe enough to impair your driving, you probably shouldn t drive until this is resolved. Not having insurance makes it much more...

Family, Internal Medicine, General Medical Questions: Drs. and diseases, drs office, doctors office
drs office, doctors office, curious person: Hi Curious, Of course you would rightly think it is possible to catch a disease at a doctors office. Oddly enough it rarely happens. We use universal precautions and are careful to clean instruments and sterilize others. Many tools are disposable so no problem...

Family, Internal Medicine, General Medical Questions: Drs and illness, drs office, hepatitis c
drs office, hepatitis c, curious person: In theory, yes. In practice, the chances are very unlikely, but are real. A perfect example is the spread of HIV or hepatitis C by blood transfusions before we discovered the viruses. Instruments are usually sterilized after procedures, but the chance...

Family, Internal Medicine, General Medical Questions: Dry cough, calcium channel blocker, dry cough
calcium channel blocker, dry cough, iron tablet: Yes, this Lotrel is a combination of a calcium channel blocker and and ACE I which causes this dry cough. If OK with her doctor she can take an iron tablet 1 hour before each dose to block the cough or the doctor can switch her to an ACE II like Hyzaar which...

Family, Internal Medicine, General Medical Questions: Dry Eyelids, inflammation of the eyelids, dry eyelids
inflammation of the eyelids, dry eyelids, warm compresses: Dear Sarah, There is actually a name for your husband s condition. It is called blepharitis, or inflammation of the eyelids. Blepharitis can be caused by staph infections, seborrhea, and eczema. There are many things you can try at home. My first...

Family, Internal Medicine, General Medical Questions: Dry humping no ejaculation and pregnant?, irregular periods, symptoms of pregnancy
irregular periods, symptoms of pregnancy, late period: Hi Steve, She s not pregnanat based on what you tell me. A late period is not all that unusual. It may be strees on your girlfriends part. If she misses her period, wait ten days and then take a pegnancy test. If positive, then you have to ask yourself some...

Family, Internal Medicine, General Medical Questions: During a recent blood test..., high neutrophils, low lymphocytes
high neutrophils, low lymphocytes, absolute neutrophil count: What you are referring to is the percentage of neutrophils- typical subset of white blood cells that fight infection. Lymphocytes are white blood cells that tend to fight viral infections, primarily. The percentage doesn t mean much by itself... you have...

Family, Internal Medicine, General Medical Questions: During a recent blood test..., high neutrophils, low lymphocytes
high neutrophils, low lymphocytes, white blood cells: Neutrophils are white blood cells that usually respond to acute infection or inflammation. They would be high (total number, as well as percentage) in an infection or inflammation (e.g. gout, rheumatoid arthritis). They can also increase with certain medications....

Family, Internal Medicine, General Medical Questions: During a recent blood test..., high neutrophils, low lymphocytes
high neutrophils, low lymphocytes, white blood cells: However, could you tell me some of the possible conditions this could point to? With the protein you should have a urine culture at least to rule out kidney or bladder infection. OK? What exactly are neutrophils and lymphocytes? Neutrophils are white...

Family, Internal Medicine, General Medical Questions: DVT, pt ptt, leg color
pt ptt, leg color, lovenox: My answer to that is to never take a chance if there is a previous history of DVT especially since it is very recent. At least see an urgent care physician not necessarily at the er but at least see someone. Since he is on lovenox and coumadin it may have...

Family, Internal Medicine, General Medical Questions: DVT, resting pulse rate, factor v leiden
resting pulse rate, factor v leiden, greenfield filter: Have you heard of this? No, I have not heard of repairing the vein but rather getting rid of the risk by vein destruction by radiofrequency ablation or vein stripping and ligation if the vein is greater than 1 cm wide. And, if so, what is the procedure...

Family, Internal Medicine, General Medical Questions: dark stools, dark stools, kidney area
dark stools, kidney area, lower back pain: dark stool suggests gastrointest bleeding, could also be iron supplements or pepto bismol. With the abd symptoms, you have to have this checked out. I don t see the low back pain as related, though. You need a good primary doctor to put the pieces together....

Family, Internal Medicine, General Medical Questions: My daughter's hand, pathologic diagnosis, 2 bumps
pathologic diagnosis, 2 bumps, pinky: Hi Sophie, Again, and this is through no fault of yours, Dermatologic description needs to be very specific. I would think just from the general statement that these are abnormal for a girl her age and it might be useful to remove one and have it sent off...

Family, Internal Medicine, General Medical Questions: my daughter, medicare medicaid, musc charleston
medicare medicaid, musc charleston, ins: take a job with a company that has no pre-x in their insurance for at least 1 year to establish credible insurance base, then always check the pre-x insurance on any job you take. The other possibility is to get her declared disabled by Social Security...

Family, Internal Medicine, General Medical Questions: dawnv5@sbcglobal.net, calcium channel blocker, proton pump inhibitors
calcium channel blocker, proton pump inhibitors, blood potassium levels: Hello Dawn, Lotrel is a combination agent, consisting of benazepril (an ACE inhibitor) and amlodipine (a calcium channel blocker). Typically these two agentsare not implicated in gastro- esophageal reflux. Individually the incidence is quite low with...

Family, Internal Medicine, General Medical Questions: decaf tea, hemoglobin a1c, blood sugar test
hemoglobin a1c, blood sugar test, red cells: First, I know that decaf coffee has some amounts of caffeine in it, but is the same true for decaf tea? Yes. If so, how much caffeine is in decaf tea? It varies by product so you need to look on the package on contact the manufacturer. Also, what is...

Family, Internal Medicine, General Medical Questions: dementia, niece and nephew, signs of depression
niece and nephew, signs of depression, rational behavior: paranoia in general may be a sign of dementia, and it may be not directly specifically at you, but at you as someone she doesn t see regularly... this does sound like dementia, but could also be signs of depression.... we call that pseudo-dementia... either...

Family, Internal Medicine, General Medical Questions: dementia, physical health problems, niece and nephew
physical health problems, niece and nephew, rational behavior: Is there a form of dementia in which the victim behaves rationally most of the time around everyone but one person? Not really. In the meantime, can dementia take the form of rational behavior most of the time and irrationality around only one person? Not...

Family, Internal Medicine, General Medical Questions: density, loss of voice, breast cancer
loss of voice, breast cancer, x rays: lee; more or less there having a hard time seeing with just an x-ray,so now they need to have a CT scan to see more clearly. it doesnt mean she has more cancer at all. so she needs to relax. example; like when its foggy,you can see clearly ahead...

Family, Internal Medicine, General Medical Questions: dental nerve damage, dental nerve, wisdom teeth
dental nerve, wisdom teeth, nerve damage: teresa; well this happens alot,and sometimes it stays that way. its all got to do with the nerves. this may wear off on its own.i cant think of anything to help this situation. i have a phobia with dentists,it is hard just trying to answer this question....

Family, Internal Medicine, General Medical Questions: diabetes and impotance drug, omega 3 fish oil, mg caps
omega 3 fish oil, mg caps, mg tabs: Omega 3 Fish Oil 1000 mg caps Start with two (2) caplets twice daily. e.g. TriOmega, Nordic Naturals (goal is 1000-2000 mg of total EPA and DHA daily) High Potency B Complex (B-50, B100 or B150), Start with one (1) tablet twice daily. Multivitamin (for...

Family, Internal Medicine, General Medical Questions: diabetes testing, glucose tolerance test, diagnosis of diabetes
glucose tolerance test, diagnosis of diabetes, fasting blood sugar: Hi Char, Good question. Usually a diagnosis of diabetes is made by doing a fasting blood sugar. The elevation of that number very strongly suggests Diabetes. The A1C is used as a measure of how well he has handled his sugar over a 3 month period. So, even...

Family, Internal Medicine, General Medical Questions: diabetes, glucose tolerance test, blood glucose level
glucose tolerance test, blood glucose level, a1c blood test: Dear Char... The a1c blood test is NOT normally used to diagnose diabetes.... The normal blood test for the actual diagnosis of diabetes is the glucose tolerance test .... However, the a1c blood test is referred to as the blood test with a memory ........

Family, Internal Medicine, General Medical Questions: diareah, stomach cramps, clear liquids
stomach cramps, clear liquids, nausia: don t go to the ER..... treatment should be----- don t eat any food... just juice, water, soda... no milk, no solid food. Immodium AD if cramps persist, but this will pass over 24-36 hours if you go on clear liquids for 24 hours.... then advance your...

Family, Internal Medicine, General Medical Questions: diarreah, clear liquids, intestinal virus
clear liquids, intestinal virus, bland diet: It is either an intestinal virus or a food intolerance. I would have you go on clear liquids- juice/water/soda for 24 hours, then restart a bland diet. Also, you may be developing an intolerance to certain foods... the classic one is milk products... milk...

Family, Internal Medicine, General Medical Questions: diastati recti, striated muscles, rectus muscles
striated muscles, rectus muscles, pregnancy 9 months: Yes, most if not all can clear if you are able to do abdominal curls which start for the first 3 months just tightening up the abdominal muscles, then for 3 months doing a light curl with twisting to the left then right to get the cross striated muscles involved...

Family, Internal Medicine, General Medical Questions: diet after surgery, omega 3 fish oil, magnesium oxide
omega 3 fish oil, magnesium oxide, high potency: What are some foods that he should be eating and when do we introduce new foods? When OK with the surgeon, he should increase his fibers and fats in the diet, like oatmeal with raisins and cinnamon with hot coffee and alternate with 2 eggs, bacon, buttered...

Family, Internal Medicine, General Medical Questions: diethyl carbamazine citrate-as preventive medicine-elderly patients-died-what is the reason., acute inflammatory response, retinal hemorrhage
acute inflammatory response, retinal hemorrhage, medical histories: Hello Nagarjan and thanks for writing, Obviously I can not tell you why people died without their full medical histories and lab results, but I can guess at some possible causes. Pharmacology information on Diethylcarbamazine state: No information...

Family, Internal Medicine, General Medical Questions: What is the difference?, rn msn, medical illnesses
rn msn, medical illnesses, nurse practioner: I would get a second opinion from an MD, (who has the most training of all these 3 professions in diagnosis). If you feel the diagnosis is wrong, get a second opinion, no matter what kind of person gave you the first opinion-an MD, NP or PA. The differences:...

Family, Internal Medicine, General Medical Questions: difference, sacroiliac joints, chronic inflammatory disorder
sacroiliac joints, chronic inflammatory disorder, rheumatism arthritis: Pradeep, Making me work hard today, are you? :-) I hope my layman s terms seem clear to you. Here s the answer to your question: First of all, all these problems involve swelling/inflammation of the joints. Rheumatism -- this is a lay term that...

Family, Internal Medicine, General Medical Questions: digestion in seniors., coffee cola, sensible diet
coffee cola, sensible diet, tea coffee: Hi Nancy and thanks for writing, If our bodies worked perectly we would have a BM after each meal, but there are so many things in this modern busy world that interfere with our natural systems. The best thing to do is to drink as much water as you can...

Family, Internal Medicine, General Medical Questions: digestive issues w/ 1 year old, pediatric gastroenterologist, wheat allergy
pediatric gastroenterologist, wheat allergy, ear tubes: I am not sure whether all these symptoms can be pigeon-holed into one diagnosis, but I am concerned about the GI symptoms and wonder if he has a food intolerance or GI disease like Sprue..... I would talk to the family doc and see if you can get an eval by...

Family, Internal Medicine, General Medical Questions: digestive problems - please help, gall bladder surgery, upper right quadrant pain
gall bladder surgery, upper right quadrant pain, gall bladder: Hi Meg, Firstly, it is common to have problems with diarrhea and some abdominal pain and cramping after gall bladder surgery. The symptoms that you mentioned sounded immediately like either gall bladder or pancreas. Sounds like the gall bladder is now no...

Family, Internal Medicine, General Medical Questions: dignosis and medicine advice, dignosis, medicine advice
dignosis, medicine advice, search the web: pl give me dignosis by diabetologist and advice whether without medication I should stay or not? Sounds like you have type II diabetes but we do not make diagnosis or treat by this email service. However, most doctors would treat with exercise, metformin...

Family, Internal Medicine, General Medical Questions: dignosis, gluten free diet, insulin resistance
gluten free diet, insulin resistance, lipid profile: AM I DIABETIC? Yes, you are prediabetic but soon will be diabetic if you are unable to decrease your insulin resistance. OK? whether I should take medicines particularly-metformin? you could but I would try some more holistic treatments first if OK with...

Family, Internal Medicine, General Medical Questions: disease/infection?, birth control pills, white vaginal discharge
birth control pills, white vaginal discharge, bacterial vaginosis: To answer your first question about STD testing--I don t know which STD they were looking for, but I doubt it would be related to the abortion. You might ask an ob/gyn expert about that. The second question: it sounds like you have a yeast infection or a...

Family, Internal Medicine, General Medical Questions: diseases from water, sea creatures, little sea
sea creatures, little sea, strange question: From the standpoint of acquiring a skin infection from the water, there is no difference if your suit is on or off. You are a little more exposed and get scratched from some plants or nipped at by some little sea creatures. But, it is as sanitary (or unsanitary)...

Family, Internal Medicine, General Medical Questions: this is disgusting!, female body builders, anabolic steroids
female body builders, anabolic steroids, anabolic agents: Hello Robin, I am not sure exactly what you saw, and I m certain I want to, given your reaction, but... You are describing the most common symptoms of anabolic steroid use. There are significant masculinizing effects on women who use them, and feminizing...

Family, Internal Medicine, General Medical Questions: dislocated shoulder, upper arm bone, dislocated shoulder
upper arm bone, dislocated shoulder, asessment: The period of time for the shoulder to obtain normal range of motion depends upon the injury and it s relation to impairments affecting the muscles and tendons involved with the shoulder and the degree of motion impairment. Also, pain is a factor. The length...

Family, Internal Medicine, General Medical Questions: diverticulitis, diverticullitis, colonscopy
diverticullitis, colonscopy, bowels: If he has diverticulitis, he will have more symptoms than just bleeding. Often there is pain, fever, and other bowel complaints (usually diarrhea). Simple bleeding could be hemorroids, or some irritations around the rectum. I would feel comfortable that...

Family, Internal Medicine, General Medical Questions: divictulitus, red blood cells, chills and fever
red blood cells, chills and fever, flexible sigmoidoscopy: Diverticulitis... Diverticulitis - Topic Overview straight from WebMD.com What is diverticulitis? Diverticulitis is a sometimes painful condition that develops when pouches (diverticula) that form in the wall of the colon, part of the large intestine,...

Family, Internal Medicine, General Medical Questions: dizzie spells, thyroid problems, harmless condition
thyroid problems, harmless condition, blood pressure problems: that sounds like orthostatic hypotension meaning the body plays catch up when he gets up and the pooling blood has to re-circulate.... that is a harmless condition in general, but given those symptoms, there are a lot of possible problems (very unlikely,...

Family, Internal Medicine, General Medical Questions: dizziness, funny in the head, mcgs
funny in the head, mcgs, cytomel: Some people use cytomel along w/ synthroid... it isn t right or wrong, but I don t because of the difficulty of regulating the thyroid. Also, use brand name only Synthroid because the dose fluctuates up and down in generics. Blood sugar may be an issue......

Family, Internal Medicine, General Medical Questions: dizzy spells +, symptoms of anemia, seizure disorder
symptoms of anemia, seizure disorder, annoying habit: i just started shaking, hearing weird and sweating. then an impulse to defecate came on. i had to hold on really hard to a pole i had found since i felt like i was going to lose all control. and then this happened 3 more times. i never know when to expect...

Family, Internal Medicine, General Medical Questions: dizzy spells at work, inner ear infection, bood pressure
inner ear infection, bood pressure, dizzy spells: Hi Dwight, This might be simply a case of dehydration; not enough water on a daily basis. Does this dizziness get worse with head movement and better when you head is held still? If so, it might just be an inner ear infection. Is there an irregular heart...

Family, Internal Medicine, General Medical Questions: dizzy spells, low blood counts, low blood sugar
low blood counts, low blood sugar, hypoglycemic reactions: The sweat part is a response to adrenaline. That leads me to suspect that this is a low blood sugar (hypoglycemic) reactions. You can verify it by checking the blood sugar when it is happening or if you can t, then drinking some sugared soda or juice and...

Family, Internal Medicine, General Medical Questions: doctor, bone density, physical exam
bone density, physical exam, magnesium: What s the name for the test that measures bone density to make sure a person is normal. Dexa scan If a male 38, does not have good bone density what would normally be recommended?. calcium and magnesium 500mg each twice daily with some vit D In General,...

Family, Internal Medicine, General Medical Questions: doctor or nurse?, medical school program, nurse practice
medical school program, nurse practice, physician internist: Yes, unless she becomes a primary care physician like a family physician, internist, or pediatrician. She should talk with a nurse practitioner since many nurses eventually get dissatisfied with the lack of control in their lives and use the nurse practice...

Family, Internal Medicine, General Medical Questions: doctor, chemistry profile, bone density
chemistry profile, bone density, poor bone: Hi Joe, The exam of choice for checking bone density is a DEXA Scan. A male at age 38 should not have poor bone density unless there is an underlying process causing it. As a rule, a physical exam is just that. You are examined from head to toe including...

Family, Internal Medicine, General Medical Questions: doctors and prevention, germ theory, contagious diseases
germ theory, contagious diseases, fomites: Doug, Who says we are not? Physicians and Nurses and other healthcare workers may be as sick or sicker per capita as the average joe on the street. However, we tend to know when to seek treatment and may do so earlier. Also we know about the germ...

Family, Internal Medicine, General Medical Questions: don't feel right, mild stomach ache, cbc complete blood count
mild stomach ache, cbc complete blood count, zantac 150: the nice thing, is that, if it is something serious, the symptoms will persist and then get worse... if it is a simple illness, like a viral syndrome, then it will go away. You give me pretty vague symptoms.... if you came to my office, I would consider getting...

Family, Internal Medicine, General Medical Questions: I don't know what is going on?, serious decision, hot scene
serious decision, hot scene, saddness: thee_mad; dont blame the women for your health problem,its not her,its you. but theres help out there,you need to see a doctor about this problem. did you know this happens alot to men,your not the only one. heres a web site,that may help you. ...

Family, Internal Medicine, General Medical Questions: we dont know what is wrong, intestine problems, stomach problems
intestine problems, stomach problems, suffering from depression: Hi Stacey, Has anyone suggested that he might be suffering from depression? He could be having partial/breakthrough seizures despite his medication or possibly be in pain that he can t relay to you. These are just thoughts but deserve some consideration...

Family, Internal Medicine, General Medical Questions: drainage at corner of eye, warm compresses, eye lids
warm compresses, eye lids, tear duct: Hi Terry and thanks for writing, It sounds like you could have a blocked tear duct (but of course no one can diagnose this without actually seeing you). If you do, the usual case is some sort of infection (eye, sinus, bacterial, etc...) which would respond...

Family, Internal Medicine, General Medical Questions: draining a cyst, infected hair follicle, poor hygiene
infected hair follicle, poor hygiene, pilonidal cyst: Hi Casey! Thank you for clarifying for me. A pilonidal cyst is an infection, almost always on the tailbone, right at the crease of the buttocks. Usually it is either an infected hair follicle, or a hair that has fallen into a cyst. The area becomes...

Family, Internal Medicine, General Medical Questions: Is dried blood still infectous?, viral illnesses, wrecked vehicle
viral illnesses, wrecked vehicle, disinfectant: I would clean the blood off the carpet with gloves on, with a disinfectant as well as a cleaner. Bleach would work, but may fade the color of the carpet. Once blood dries, it is typically not infectious for the viral illnesses. But, to be sure, I would...

Family, Internal Medicine, General Medical Questions: driving, caltrate, blurry vision
caltrate, blurry vision, magnesium oxide: My concern is the safeness of my driving. As of late I have been experiencing severe dizziness and lose my balance often. I also get tingling in my legs (sometimes while driving) and blurry vision or sometimes I can t see out of one of my eyes. Should I be...

Family, Internal Medicine, General Medical Questions: Is there a drug I can take to delay my period, pre menopausal, heavy periods
pre menopausal, heavy periods, iud: Hi Yvette, I would not take any additional hormones with an IUD in place without first checking with the doctor that inserted the device. I am a little surprised though, that you have been put on hormone therapy at your age for heavy periods. Have you been...

Family, Internal Medicine, General Medical Questions: drug interaction, liver function tests, milk thistle
liver function tests, milk thistle, oral contraceptives: Hi Amanda, Milk Thistle and Yasmin may have an interaction that could alter the contraceptive effect of the yasmin. Also, it is possible that Milk Thistle itself can cause or enhance estrogen side effects. Probably not a good idea to use the Milk Thistle...

Family, Internal Medicine, General Medical Questions: dry mouth, blood pressure medication, epa dha
blood pressure medication, epa dha, magnesium oxide: Yes, these can all cause dry mouth as can diabetes but the most common cause is vitamin and mineral deficiency and the premature aging effects of high levels of omega-6 plant oils. There is much to learn and much to do to regain your health but we help...

Family, Internal Medicine, General Medical Questions: dryness in vagina, good sources of vitamin e, wheat germ
good sources of vitamin e, wheat germ, water based lubricant: julie; many women of all ages run into vaginal dryness now and then. but common or not,a dry vagina feels uncomfortable and can make sex downright pianful. the amount of vaginal lubrication varies from woman to woman,with a wide range of normal. the fluid...

Family, Internal Medicine, General Medical Questions: dull painin right back under ribs, lots of belching, impact trauma, bladder problem
impact trauma, bladder problem, torn cartilage: The pain easily could be gall bladder... it should typically get worse with a big high fat meal. I would try zantac twice a day or prilosec once a day for a few weeks to make sure it isn t stomach. I don t know if you are taking any advil type meds, but...

Family, Internal Medicine, General Medical Questions: E D drugs, serum testosterone, abnormal function
serum testosterone, abnormal function, saleeby: Erectile Dysfunction medication like Viagra, et al enhance erection. Their use will not cause abnormal function in the future nor will it guarantee better function without the drug in the future. He should have his serum Testosterone level checked especially...

Family, Internal Medicine, General Medical Questions: Ear infection, Adult, inner ear infection, bulb syringe
inner ear infection, bulb syringe, pain pills: What can I do for the pain? You need to get the pus and wax out of that ear canal first then the drops can work. How long should this take to clear up? 24 hours at most after the ear is cleaned out. Is there anything I can do to remove some of the pus?...

Family, Internal Medicine, General Medical Questions: Ear infections, middle ear infection, peak level
middle ear infection, peak level, amoxil: The medication should begin working within a few days. Antibiotics usually have to reach a peak level in your system to act upon the infection. It is very important to take your medication as prescribed. Unfortunately the vertigo may take a little bit longer...

Family, Internal Medicine, General Medical Questions: Ear lobe infection, swollen ear lobe, ear lobe infection
swollen ear lobe, ear lobe infection, ear lobes: Hi Lora, Avoid neosporin and peroxide like the plague. That may be most of your problem. Wash the ear lobes well and use POLYSPORIN ointment. Keep the earring out of the hole until this all settles down. If it doesn t get to looking better in a few more days,...

Family, Internal Medicine, General Medical Questions: Ear Pain, eustachian tube dysfunction, time curtis
eustachian tube dysfunction, time curtis, ear pain: Hi Curtis, Well, this sounds like a Eustachian Tube Dysfunction. During sleep, many people sleep with their mouths open. This dries the throat and irritates the opening of the ET. The opening closes off and pressure builds in the middle ear. This can be quite...

Family, Internal Medicine, General Medical Questions: Ear Pain, allergy season, time curtis
allergy season, time curtis, ear pain: Yes, this is fairly common when the person sleeps in just the right position to compress/ torque the ear canal. It seems to occur more frequently during allergy season which makes one wonder if the canal is more swollen then and therefore more prone. OK...

Family, Internal Medicine, General Medical Questions: Ear Wax Maintenance, bulb syringe, rubber bulb
bulb syringe, rubber bulb, q tip: The safest way is with warm water and a rubber bulb syringe, though this has the potential to push the wax deeper as well. Another way is to use a small drop of mineral oil 2-3 x a week in the ear and then warm water or a hot shower. The mineral oil helps...

Family, Internal Medicine, General Medical Questions: Echo question, left ventricle, right ventricle
left ventricle, right ventricle, peak velocity: Hi J, Although I would defer to a cardiologist for the specifics, the Left Atrium appears to be getting larger meaning that it is working harder to overcome the mitral valve disease. I would say that the problem has progressed. You should discuss this with...

Family, Internal Medicine, General Medical Questions: Echo question-- I gave wrong address on other question, left ventricle, right ventricle
left ventricle, right ventricle, peak velocity: Sorry but I would have to see the actual test results side by side PLUS your symptoms before and after each change in medications and dose. This is best done by your personal doctor who can examine the valve sounds. This service is not able to provide this...

Family, Internal Medicine, General Medical Questions: Echo question, left ventricle, right ventricle
left ventricle, right ventricle, peak velocity: this is not going to give you your answer.... your MVP is mild, even though it is stretching your left atrium a little, which may be causing the tachycardia, it doesn t account for the swelling, cyanosis (blue), or chest pain... you didn t mention your age,...

Family, Internal Medicine, General Medical Questions: Echo Term, borucki, valve prolapse
borucki, valve prolapse, mechanical problem: it has no relationship to CAD.... this is a valve problem (a mechanical problem) that can be related to blood pressure but the two things are not related. Your risk of heart disease is independent of the valve, so you need to look at those risks to get your...

Family, Internal Medicine, General Medical Questions: Echocardiogram, right ventricle, peak velocity
right ventricle, peak velocity, echo report: I can t answer that question without a lot of other information. I would need the whole echo report along with the history of why you had an echo in the first place and then had to have one 5 months later... has to be taken into context. sorry.......

Family, Internal Medicine, General Medical Questions: Edema, birth control pills, ankle edema
birth control pills, ankle edema, swollen ankles: Kaytlyn, There very well could be a correlation between your birth control pills and the ankle edema. My suggestion is that you do not do anything without speaking to the doctor that prescribed the medication and also there may be other things going...

Family, Internal Medicine, General Medical Questions: EEG, mental health therapists, biofeedback techniques
mental health therapists, biofeedback techniques, dear al: Dear Al, Most of the time your physician would have to provide you with a referral for a EEG with biofeedback. There are also mental health therapists that can provide you with biofeedback techniques. If you work for a company that has EAP (an employee...

Family, Internal Medicine, General Medical Questions: EFFECTIVE SLEEP, homework question, saleeby
homework question, saleeby, sleep at night: Hafidz, This sounds like a homework question. AllExperts is not a forum for answering these types of questions. However, I did write an article on the very subject of sleep. It may answer some of your questions. References are not given on this site....

Family, Internal Medicine, General Medical Questions: Effexor and pregnancy, omega 3 fish oil, effexor and pregnancy
omega 3 fish oil, effexor and pregnancy, anxiety and depression: While we do not advise or treat, it is always best to consult the doctor who prescribed the Effexor, since it takes at least 2 weeks to safely taper off this drug and pregancy is usually safe after 3 months. Ask your doctor about taking omega-3 fish oil at...

Family, Internal Medicine, General Medical Questions: Effexor xr, effexor xr, serotonin
effexor xr, serotonin, effexor: Hi Tony, Doctors tell you that they don t know HOW it works but it is more like they don t know WHY it works. We know how it works. It blocks receptors of Epinephrine and Serotonin in the brain thereby letting more of these chemicals float around. Studies...

Family, Internal Medicine, General Medical Questions: Egg Donation, being an egg donor, egg donation
being an egg donor, egg donation, precious thing: not a problem, but see the various references at the following web site. http://search2.google.cit.nih.gov/search?q=being+an+egg+donor&output=xml_no_dtd&sort=date%3AD%3AL%3Ad1&site=NIH_Master&ie=UTF-8&client=NIH_frontend&oe=UTF-8&proxystylesheet=NIH_fronten...

Family, Internal Medicine, General Medical Questions: Eggs, egg donors, egg donation
egg donors, egg donation, com donors: Hi Jamie and thanks for writing, Egg donation is a well established form of assisted conception treatment. It offers hope for a large number of women who previously thought they could never become pregnant and have children. In the United Kingdom at is...

Family, Internal Medicine, General Medical Questions: ELDERLY AUNT NOT DRINKING OR EATING, hospice care, medical emergencies
hospice care, medical emergencies, progressive series: Hello again Tina, It s really hard for me to guess what s going on with your Aunt as I am not familiar with her medical history. Everybody is an individual and you need to take this day by day; she may in fact be getting better, she may have a good day...

Family, Internal Medicine, General Medical Questions: Elder Dad -- Chronic Vicodin Use, intermittent claudication, sciatic nerve
intermittent claudication, sciatic nerve, rx drugs: Hi Amy and thanks for writing, You could try pointing out: -Avoid alcohol while taking acetaminophen and hydrocodone. Alcohol can increase drowsiness and dizziness caused by the medication, possibly resulting in unconsciousness and death. Also, acetaminophen...

Family, Internal Medicine, General Medical Questions: Elderly father wishing to die, mental stamina, irrelevant detail
mental stamina, irrelevant detail, visual person: Hello Lin ad thanks for writing, You do not need to force your Father to extend his life, but you may not assist him to end it either. You need to protect yourself though so I do advise you involve a physician; if your Dad doesn’t have one, or won t see...

Family, Internal Medicine, General Medical Questions: Elderly Mother, sudden personality changes, personality change
sudden personality changes, personality change, urinary tract infections: Hi Jaclyn and thanks for writing, I have seen sudden personality changes with seniors many times and there are many possible causes. She may well feel fortunate and safe in your home and is settling down, or she may be letting go and has given up on the...

Family, Internal Medicine, General Medical Questions: Elderly and medical induced delirium, unpleasant experiences, floor staff
unpleasant experiences, floor staff, elderly mother: Hi Cindy and thank for writing, If your Mother is delerious then she can be having hallucinations and illusions and will be disoriented; unfortunatley people who suffer hallucinations often talk about unpleasant experiences so you can not take what they...

Family, Internal Medicine, General Medical Questions: Elderly Stroke Victim -- Stubborn!, stroke victim, week ago today
stroke victim, week ago today, swallowing problems: Hi Rickey and thanks for writing, Generally if a patient can not care for themselves the Doctors and Social Workers will do the dirty work so to speak with difficult or reluctant patients and just tell them straight out that they will not be discharged...

Family, Internal Medicine, General Medical Questions: Elderly woman hearing "music" that's not there, sensitive ears, hearing voices
sensitive ears, hearing voices, ear specialist: Steve, This is the most unusual question I have answered on this site. If she does not appear psychotic then I would think she should see an ear specialist (ENT) or a generalist for workup of her hearing problem. If she is a bit on the odd side as far...

Family, Internal Medicine, General Medical Questions: Electricution, cause brain damage, electrical shocks
cause brain damage, electrical shocks, radio antenna: Hi Nick, A radio antenna will not shock you. As for low grade exposure to electrical current, if done over a long enough time, it could cause trouble. You might not be aware that there was anything wrong with low voltage exposure. Minor electrical shocks...

Family, Internal Medicine, General Medical Questions: Elevated CK levels, routine blood test, low blood sugar
routine blood test, low blood sugar, muscle enzymes: Would probably see a sports med doctor who may be able to advise you to prevent this. We do this type of care but do not advise specific treatments on this website and not without examining the person. Sports med would be the best not knowing your location...

Family, Internal Medicine, General Medical Questions: Elevated CPK, Protein and blood in urine, kidney problems, blood in the urine
kidney problems, blood in the urine, muscle breakdown: if someone has protein and blood in the urine, you look for a primary kidney filtering problem... it doesn t have anything to do with what you are eating. Elevated CPK suggests there is muscle breakdown and the first thing we do is look at any medications...

Family, Internal Medicine, General Medical Questions: Elkderly woman hearing "music" that's not there, community health department, auditory hallucinations
community health department, auditory hallucinations, sensitive ears: Hello Steve and thank you for writing, It sounds like the lady is experiencing auditory hallucinations which can have many causes including serious psychiatric disease. If the woman does not want to believe the noises don t exist – which is likely – she...

Family, Internal Medicine, General Medical Questions: EMG TEST, degenerative disc disease, nerve test
degenerative disc disease, nerve test, pinched nerves: This is too complicated to answer without a lot of additional information. What they were looking for was evidence of a bad pinched nerve, probably. The muscles will develop weaking and shrinking if there is less nerve stimulation over time, but this is...

Family, Internal Medicine, General Medical Questions: Embarrassing set of questions, ob gyn exam, urinary incontience
ob gyn exam, urinary incontience, rn msn: I d go ahead and get a vaginal exam. Could be that you have a cystocele (perforation in the bladder wall) or just simply urinary incontinence. An ob/gyn exam could tell you for sure what is going on. Thanks for your question, and this is a great place to...

Family, Internal Medicine, General Medical Questions: Embarrassing set of questions, urinary incontience, jock itch
urinary incontience, jock itch, urinary incontinence: The wetness may be a vaginal discharge. It may be jock itch with fungal infection in the skin in that area-often people feel wet down there with the fungal infection- that would be treated with anti-fungal cream and powder... a doctor should know with a...

Family, Internal Medicine, General Medical Questions: Embarrassing set of questions- uretra vs. vagina, urinary incontience, urinary incontenence
urinary incontience, urinary incontenence, saleeby: Anon, Certainly this could be the result of changes in your hormone levels and thus from a vaginal source. However, with lower back problems (pain I am assuming) the symptom of urinary incontenence is of concern. My strong recommendation is to visit your...

Family, Internal Medicine, General Medical Questions: Embarrassing set of questions........., urinary incontience, vaginal flora
urinary incontience, vaginal flora, leg problems: Hi Anon, Coming of BCP s does change hormnes and can alter vaginal flora. As a rule though you shouldn t feel extremely wet. If it is urine, it will be a straw colored discharge in your underware. If it is vaginal it may be anything from clear to bloody....

Family, Internal Medicine, General Medical Questions: Emphysema treatments, chronic lung disease, qvar 80
chronic lung disease, qvar 80, albuterol inhaler: Hi Glen, Thanks for the additional info. You still should ask your doctor to look into Spiriva and Singulair. Thes two drugs, in my experience in treating patients like yourself, have shown significant improvement in lung function and symptom relief. You...

Family, Internal Medicine, General Medical Questions: Emphysema, oral hygiene program, yeast problem
oral hygiene program, yeast problem, handihaler: Hi Glen, Steroids provide a unique benefit to people with COPD. There is nothing that really substitutes for the inhaled type of steroids. There are oral, but the side effects can be severe and long term use can be hazardous. I trust that you vigorously rinse...

Family, Internal Medicine, General Medical Questions: Endo metirosis and HRT treatment, content ie5, holistic approaches
content ie5, holistic approaches, refernce: My question are: 1. should she take HRT? If yes for how long? (since HRT is linked to cancer recently). Some feel the low dose forms are safer and then there are the herbal and holistic approaches 2. Can she be off HRT from now itself (start)? Will this...

Family, Internal Medicine, General Medical Questions: Energy Levels, lack of energy, excedrin
lack of energy, excedrin, magnesium oxide: Could that be causing my lack of energy?? probably not since generally from low magnesium oxide, and B-100 b complex which are low in currently available foods I have also taken Ginkoba and excedrin off and on but should I be taking both or either on a...