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

Family, Internal Medicine, General Medical Questions: fibromyalgia, milwaukee metro area, ambien cr
milwaukee metro area, ambien cr, physical exertion: Hi Bev, Congrats to your Daughter for picking a wonderful profession. If you truly HAVE fibromyalgia (diagnosis made by a specific list of symptoms and physical findings) and not some other neuromuscular disease, there is a drug called Lyrica that might...

Family, Internal Medicine, General Medical Questions: forehead veins, spf 15, hello doctor
spf 15, hello doctor, realted: Hi, This is an age realted chage. The protein named elastin and fat in the skin reduces in percentage as we grow old and so the underlying structures become prominent. Also Sunlight is a major cause of skin aging. You can protect yourself by staying out...

Family, Internal Medicine, General Medical Questions: General Health, blue cheese dressing, chemical toxicity
blue cheese dressing, chemical toxicity, medical recommendation: Can you please tell me if the medical recommendation also includes blue cheese dressing from a restaurant? This depends on why you were told to stay away from unpasturized dairy products and even if that made any sense I was under the impression that...

Family, Internal Medicine, General Medical Questions: Hearing Music, dental filling material, radio waves
dental filling material, radio waves, retirement center: MaryAnne, While I am no electrical engineer or radio expert, it appears that certain dental filling material and/or braces when in contact with the saline nature of saliva will act as a radio wave receiver. The metal and saline nature have been shown to...

Family, Internal Medicine, General Medical Questions: Help! - answers for those with Hypothroidism, hypothyroidism, Armour Thyroid
hypothyroidism, Armour Thyroid, Adrenal Fatigue: Kari, This forum prohibits me from making a diagnosis and recommending care. however, if you are seeking consultation, I am available via my web site at www.saleeby.net (the consultation icon). You may wish to visit and read these links as they have...

Family, Internal Medicine, General Medical Questions: Hernia, risk
risk: this will not go away on it s own. The risk is the hernia popping out and getting stuck. You will know when this happens because you will get very sick, very fast. So, get it checked in the next few weeks and consider getting it fixed.... hope this helps...

Family, Internal Medicine, General Medical Questions: Hernia, surgical emergency, hi bob
surgical emergency, hi bob, baseline: Hi Bob, As long as it can be pushed back in without pain, it is probably safe to leave it. If it becomes painful or stuck out, that becomes a surgical emergency. There is some thought to fixing them before they become too big but that is usually up to the...

Family, Internal Medicine, General Medical Questions: HPV confusion?, hpv virus, pap test
hpv virus, pap test, birth control pill: Hi Eva, HPV can lie dormant for some time. There is nothing to do now as far as treatment is concerned. You should continue to have an annual PAP test and be checked for HPV every time.If it is possitive, then it needs to be identified so necessary treatment...

Family, Internal Medicine, General Medical Questions: HPV transmission, skin friction, genital warts
skin friction, genital warts, hpv test: Hi Erin, I would doubt that it was HPV. The lesion could have been scraped and tested for HPV. One can t be 100% sure but as a rule, if it doesn t appear like a wart, it probably isn t. Be that as it may, just use protection and this is a moot point...

Family, Internal Medicine, General Medical Questions: Have you ever heard of Dupuytren's Contracture, tendons in the hand, dupuytren
tendons in the hand, dupuytren, invasive surgery: yes, it is a shortening and scarring of tendons in the hand, usually in the palm.... those tendons can be cut, stretched when it gets bad. There is an ortho group in florida, you would have to do a search to find them that does less invasive surgery where...

Family, Internal Medicine, General Medical Questions: hearng, ear lavage, water faucet
ear lavage, water faucet, cleaning the ear: Dear Betty, This procedure is generally not needed for cleaning the ear. You can use a medication containing paradichlorobenzene to loosen the wax and then clean your ear. Regarding the hearing dificulty, if the precedure has caused a injury, you will feel...

Family, Internal Medicine, General Medical Questions: hi, whole wheat bread, corn flakes
whole wheat bread, corn flakes, snaks: Hi Jabsvet, Granola bars are just fine. It isn’t unusual for a 14 month old not to like vegitables and some fruits. That will eventuaslly change. Whole Wheat bread is OK and cornflakes are OK without much sugar. He should also be taking a multivitamin if...

Family, Internal Medicine, General Medical Questions: Inguinal Hernia, nerve damage, post op pain
nerve damage, post op pain, left leg: if he is not having testicle swelling, then there is not an emergency, although sometimes people can have post op pain from things being too tight. He is 5-6 weeks out so he should be feeling a lot better, if not, then he needs to see the surgeon early...

Family, Internal Medicine, General Medical Questions: Do i have a kidney problem, pus cells, kidney problem
pus cells, kidney problem, kidney stone: I don t see a definite infection, just a few pus cells with a lot of blood cells... this could be a kidney stone, could be some inflammation around the bladder such as an appendicitis. If depends on how sick someone is, but I may tend (if not too sick) to...

Family, Internal Medicine, General Medical Questions: leg burning, Cellulitis
Cellulitis: Hello M and thank you for writing, I cannot really say without seeing your Mother’s leg, but my first fear when I hear “burning” is infection, specifically Cellulitis. If you are not satisfied with her current doctors assistance then I encourage you...

Family, Internal Medicine, General Medical Questions: leg pain/numbness and dizziness, little fingers, heart problems
little fingers, heart problems, leg pain: Hi Ricky, First, stay off the internet. You will get a lot of information that may make little sense and unecessarily worry you. These symptoms may be related but as easily not related at all. Rather than me giving you a whole host of “possible” diagnoses,...

Family, Internal Medicine, General Medical Questions: menstrual cycle Issue Qustions, menopause symtoms
menopause symtoms: Hi Lynn thanks for writing, I am concerned why your flow has suddenly become so heavy in your 40s … have you made any changes that could exp0lain this – stopped taking The Pill, increased Iron intake, etc … ? I have two pieces of advice (i) get a 2nd...

Family, Internal Medicine, General Medical Questions: Painful vertebra., osteoporosis detection, osteopaenia
osteoporosis detection, osteopaenia, backbend: Hi Claire, By bone scan do you mean Dexa scan for osteoporosis detection? If so that will not give any useful information regarding the cause of pain in that vertebra. Osteopoenia is NOT a painful disease. I would recommend either an xray of the spine or...

Family, Internal Medicine, General Medical Questions: painting, stress test, sternum
stress test, sternum, chest pain: yes, I would be concerned... I would get a stress test if it does not re occur... and I would go to the hospital if it does re occur... this could be cardiac and if it is, use it as a warning that this is a precursor to something more severe..... hope this...

Family, Internal Medicine, General Medical Questions: Is this possible?, mysterious rash, elevated white cell count
mysterious rash, elevated white cell count, chronic back pain: Hi Marc, Any rash that sets off an immune response can cause an elevated white cell count. Medicines can cause rshes even after you have been taking them for a while with no problems. You might have to do a little detective work to see if one of your meds...

Family, Internal Medicine, General Medical Questions: post surgery incision problem, gall bladder removal, bile duct
gall bladder removal, bile duct, gall bladder: this could indicate an infection and there could be a track from a pocket of fluid or a track from the bile duct. This needs to be re-evaluated over the next few days, immediately, if there is significant pain or fever. So, if you aren t in crisis, call...

Family, Internal Medicine, General Medical Questions: Right eye swells when I run., sinus infection, nasal steroid spray
sinus infection, nasal steroid spray, sport activity: that sounds like you might have a sinus infection or inflammation in that area.... I would try using Afrin Nasal Spray prior to running on that side and see if it reoccurs.... if it doesn t then you might need a nasal steroid spray to help with the problem.......

Family, Internal Medicine, General Medical Questions: recurring pneumonia?, recurring pneumonia, chest x ray
recurring pneumonia, chest x ray, bacterial pneumonia: It may just be bad luck.... also, could be a small foreign body in there that keeps it occurring... I don t know if you have had a cat scan, but if you get another episode of pneumonia, you should get a cat scan and a referral to a lung specialist for a bronchoscopy...

Family, Internal Medicine, General Medical Questions: redness, discharge from scrotum and burning, skin maceration, soap and water
skin maceration, soap and water, skin to skin: Hi Savarn, This sounds either skin to skin maceration which will cause a discharge. The other possibility is a fungal infestation. Try cleaning it well with soap and water and applying an antifungal powder to the area an see if it clears up. Do this twice...

Family, Internal Medicine, General Medical Questions: Sore Throat, sinus treatment, stress anxiety
sinus treatment, stress anxiety, stomach acid: yes, with continued globus or allergies, you can cause irritation and get a sore throat... most sore throats are viral in nature which means antibiotics don t work, and about 10% of the time, it is a strep throat, meaning a bacterial infection that requires...

Family, Internal Medicine, General Medical Questions: safe vitamin taking, beta carotene, smoking
beta carotene, smoking, adaptogen herbs: Maria, It is good to see that you have quit smoking and are on a healthy trend towards improving your health and lowering your risk for cancer and heart disease. There was a study some years ago showing an increase in cancer risk in smokers taking large...

Family, Internal Medicine, General Medical Questions: spider veins, osu center for integrative medicine, spider veins
osu center for integrative medicine, spider veins, zero carb diet: Varicose veins and spider veins are actually due to the hydrostatic pressure on the venous system caused by the swollen inflammed small bowel acting as a ballast against the iliac veins, all this caused by the gluten in your diet. While panty support hose...

Family, Internal Medicine, General Medical Questions: stents and food restrictions, plavix and aspirin, neck arteries
plavix and aspirin, neck arteries, leg arteries: Hi Dee, If she is on a blood thinner, that may be the reason for the dietary restrictions. As for diet in general in someone who has arterial plaque, she should avoid cholesterol laden foods. She should also take antioxidants (fish and flax oil). She should...

Family, Internal Medicine, General Medical Questions: Tourettes, adaptogen herbs, amazon
adaptogen herbs, amazon, saleeby: Michelle, I am not a psychiatrist but did write up a case study of using the Myers Cocktail for a schizophrenic patient in my practice. There were amazing results on resolution of her paranoid behavior, but alas, short lived. I cannot speak of how supplements...

Family, Internal Medicine, General Medical Questions: tailbone pain, pilonidal cysts, pilonidal cyst
pilonidal cysts, pilonidal cyst, initial pain: they can come and go (pilonidal cysts) sometimes some motrin helps. But they can also get infected and then need drainage. It depends on how bad the symptoms are... if it is nagging, I would take some motrin and wait it out, if it really hurts, then get...

Family, Internal Medicine, General Medical Questions: tingeling of hands and feet, tingling in the hands, tingeling
tingling in the hands, tingeling, careful history: Hi Eleanor, These symptoms are non specific and could all be connected or they could represent two totally different processes. Tingling in the hands and feet could have a half dozen dffrent causes. Clearly this isn’t normal and you should see your doctor...

Family, Internal Medicine, General Medical Questions: urine analysis, UA, Annual Physical
UA, Annual Physical: A UA is considered a must annually and should be a part of routine lab work. There is much to be gained by the analysis of a clean catch fresh urine. Things that often time blood work can miss. It is standard procedure or standard of care for your annual...

Family, Internal Medicine, General Medical Questions: uti, bladder infections, blood in the urine
bladder infections, blood in the urine, septra: if you truly have a urinary infection then antibiotics are the best thing, even if a couple of doses of Bactrim, Septra, Cipro, Levaquin.... you can also increase fluids, and drink a lot of cranberry juice (acidifies urine) for a couple of days and see if...

Family, Internal Medicine, General Medical Questions: what is wrong with me, Chronic Fatigue Syndrome, Depression
Chronic Fatigue Syndrome, Depression: Hi thanks for writing, My first instinct is to suggest that you may be suffering from Depression and recommend you speak to your doctor about trying a few months on a good Anti-depressant. At the same time you should also ask time to test and rule out...

Family, Internal Medicine, General Medical Questions: 14 day headache, doctor internist, progressive fashion
doctor internist, progressive fashion, sinus infection: the cat scan should have excluded a sinus infection or anything worse like a tumor or bleed in the brain. He needs to get a primary doctor to work this up in a progressive fashion. He should not jump to a neurologist initially, start with a primary doctor....

Family, Internal Medicine, General Medical Questions: 2 quick questions, bum knee, patella femoral
bum knee, patella femoral, cartiledge: Hi Marc, Actually the MRI is more sensitive test for these kinds of knee problems. As for the carpal tunnel surgery, I would simply ask the doctor what his experience has been. After all you are paying him for his service and you have a right to know his...

Family, Internal Medicine, General Medical Questions: Abdominal pain/diarhea, alk phos, gram stains
alk phos, gram stains, high heart rate: Hi Christine, This could be Gastroenteritis yet. Diverticulitis could still be a possibility despite the “negative” CT Scan. Were stool cultures and gram stains done? Also one must consider food poisoning with Salmonella. Another possibility is C. Diff Colitis....

Family, Internal Medicine, General Medical Questions: Allergy/Virus/InfectionI can't shake this thing..., sinus infection, nasal rinse
sinus infection, nasal rinse, upper teeth: I would try Afrin nasal spray twice a day for 5 days, if that doesn t help, then see another doctor and get a CT of your sinus to see if there is an infection, and possibly add in antibiotics and possibly some oral steroids.... this has been going on long...

Family, Internal Medicine, General Medical Questions: abuse, cant orgasm, psychologist psychiatrist, psychological problem
psychologist psychiatrist, psychological problem, rest of your life: Hi Shelly, I don’t think your problem with orgasm is physical. Unless you suffered such sever trauma that there isn’t any sensitive tissue left, (which I highly doubt) it is probably a psychological problem and would not be surprising. I would seek the help...

Family, Internal Medicine, General Medical Questions: aching/tingling sensation in foot, leg and arms, weird sensation, poor circulation
weird sensation, poor circulation, tingling sensation: Hi Caroline, Thanks for the additional info. Once again, this doesn’t sound like a blood clot issue. Tingling/numbness and cold extremities can come from circulatory problems but also from neurologic diseases. I don’t want to scare you but sometmes this is...

Family, Internal Medicine, General Medical Questions: allergy to peanuts, peanut allergy, medical tv
peanut allergy, medical tv, toxic mold: Peanuts and most nuts have high levels of omega-6 plant oil which enhances the immure reactivity plus the allergic nature of that patient combine for a disaster. Peanuts are not healthy for human consumption because of the toxic plant oil and are often contaminated...

Family, Internal Medicine, General Medical Questions: Biliurubin, sore ankles and more..., elevated bilirubin, high bilirubin
elevated bilirubin, high bilirubin, forehead thermometers: Hi Mary, A temp of 99.4 is not technically considered a fever. The elevated bilirubin without any other findings is very likely Gilbert’s diseas. There are other more rare causes for an isolated bilirubin but I’m sure your doctor considered this. I’m not...

Family, Internal Medicine, General Medical Questions: Blood test, chemistry panel, kidney problems
chemistry panel, kidney problems, liver problems: Hi Kim, Well, it could mean a lot of things including a temporary shift in normals. A blood test is a mesure of one point in time and the best way to know if it is a serious problem is to get a follow up test to see which directions the numbers are going....

Family, Internal Medicine, General Medical Questions: Bulimia, bulimic patients, hmo insurance
bulimic patients, hmo insurance, care physician: Hi Jane, It is very simple. You know you have a problem, you want treatment so just go to your regular doctor and explain the whole thing. You needn’t feel ashamed or embarrassed. Doctors are trained for this sort of thing and will make you feel comfortable...

Family, Internal Medicine, General Medical Questions: bartholin abscess during pregnancy, bartholin cyst, bartholin abscess
bartholin cyst, bartholin abscess, pregnancy question: I don t know if I buy this Tissue reaction theory, but you might have to have it redone.... cephalosporins are very safe at your stage of preg..... but when someone has an abscess, the definitive treatment is surgery.... if it is big enough, can they place...

Family, Internal Medicine, General Medical Questions: Child has not eaten for 7 days, medical one, favorite foods
medical one, favorite foods, losing weight: Nothing to worry. Check the normal range of weight for her age on my site: http://drkhalidmunir.googlepages.com If it is within normal, nothing to worry. You need tips from some moms who have experience of three or four children. discuss things with them....

Family, Internal Medicine, General Medical Questions: Chronic Constipation, Bicornuate Uterus, Frequent UTI's, emergency hysterectomy, bicornate uterus
emergency hysterectomy, bicornate uterus, chronic constipation: I would treat each item individually and see if you could feel better... treat the constipation with miralax powder, typically 1/2-1 capful daily. also, get labs to make sure your thyroid is normal. the bicornate uterus is a non-issue because it is removed....

Family, Internal Medicine, General Medical Questions: carpal tunnel surgey, nerve tissue, nerve function
nerve tissue, nerve function, thumb index: Hi Dale, Unfortunately this can be a post operative complication with this type of surgery. I would recommend vigorous massage of the scar with enough pressure to affect the deeper tissue. Sometimes this can desensitize the area and lessen the synptoms. Carpal...

Family, Internal Medicine, General Medical Questions: chronic epstein barr diagnosis, chronic epstein barr, chronic ebv
chronic epstein barr, chronic ebv, arnp: The EBV may or not be related to your symptoms.... there are a lot of people with NO symptoms that have elevated EBV..... I would consider seeing a rheumatologist to sort this out to see if the EBV is significant or not.... I would want to see a sed rate and...

Family, Internal Medicine, General Medical Questions: chronic epstein barr diagnosis, chronic epstein barr, chronic ebv
chronic epstein barr, chronic ebv, arnp: Hi Allison, I’m not sure that you could have had “active” Mono three times. One time confers immunity and recurrence is highly unlikely. As for your irregular periods and facial hair, that would point to Pituitary/Ovarian dysfunction. That should be looked...

Family, Internal Medicine, General Medical Questions: complicated situtation, yeast infection, situtation
yeast infection, situtation, testicles: Sounds like a case of a yeast infection of the skin around the groin, but of course you need to see a doctor who can swab it and will be able to tell you for sure. This is not a diagnosis, as I m a nurse and this is via the internet, so I would see your doc...

Family, Internal Medicine, General Medical Questions: Why do I have extreme fatigue BEFORE a bowel movement?, magnesium oxide, extreme fatigue
magnesium oxide, extreme fatigue, high potency: It can be caused by a low magnesium oxide level since it is not in soft, city or bottled water for the last 25years and foods so requires 250mg of magnesium oxide in the am, noon, and 4 pm to restore sleep and improve stamina and improve bowel funtions. That...

Family, Internal Medicine, General Medical Questions: Facial Tightness, heart palpitations, impending doom
heart palpitations, impending doom, anxiety panic: Hi Katie, Unfortunately, that is the penalty, if you will by having anxiety and generalized worry. I am speaking from personal experience as I had severe panic and anxieety while in med School, So I certainly know of what you speak. In fact what made it worse...

Family, Internal Medicine, General Medical Questions: Foot Swelling, stress fracture, grasping at straws
stress fracture, grasping at straws, fitting shoes: Hi Pamela, Edema caused by a systemic illness wouldn’t just pick one foot on which to show up. There is not really an entity called “age related edema”. Edema is caused by a number of conditions, all related to some sort of organ dysfunction, but again it...

Family, Internal Medicine, General Medical Questions: FREEZING, Brain Freeze
Brain Freeze: So what actually causes brain freeze? Researchers suggest it is a combination of your body s overreaction to cold stimuli, freezing of a cluster of nerves above the palate and a sudden influx of warm blood to the brain. Eating all of that ice cream or slushy...

Family, Internal Medicine, General Medical Questions: FREEZING, brain freeze, cold environment
brain freeze, cold environment, cold ice: Brain freeze is the pain sometimes inflicted by devouring something cold like ice cream or a cold beverage, often very quickly. The reaction is (obviously) triggered by the cold ice cream or beverage; coming into contact with the roof of the mouth. It...

Family, Internal Medicine, General Medical Questions: Blood test, iron overload disorder, iron saturation
Family, Internal Medicine, General Medical Questions: Blood test, iron overload disorder, iron saturation, rbc

Family, Internal Medicine, General Medical Questions: Chronic Constipation, Bicornuate Uterus, Frequent UTI's, rare disorder, spelling
Family, Internal Medicine, General Medical Questions: Chronic Constipation, Bicornuate Uterus, Frequent UTI's, rare disorder, spelling, doctors

Family, Internal Medicine, General Medical Questions: perioral dermatitis, antibiotic ointments, petrolatum
Family, Internal Medicine, General Medical Questions: perioral dermatitis, antibiotic ointments, petrolatum, hydrocortisone

Family, Internal Medicine, General Medical Questions: Sick feeling that won't go away, kidney, diagnosis
Family, Internal Medicine, General Medical Questions: Sick feeling that won't go away, kidney, diagnosis, mystery

Family, Internal Medicine, General Medical Questions: Gallbladder, gallbladder pain, abdominal ct scan
gallbladder pain, abdominal ct scan, gallbladder disease: Actually gallbladder pain is upper right side and into the back. If lower side need to think appendix, ovary, or bowel and see your doctor for tests, abdominal CT scan and CBC differential and possibly ultrasound for gallbladder disease if the doctor is uncertai...

Family, Internal Medicine, General Medical Questions: Gallbladder, cholecystostomy, gallstones
cholecystostomy, gallstones, gallbladder: I assume they will do it with a scope.... go home that night..... up and around the next day, just moving slowly, but the recovery is nice.... take it easy on food after .... they will give you a list.... the big issue tends to be diarrhea early after GB removal....

Family, Internal Medicine, General Medical Questions: Grey Hair, type of skin cancer, saleeby
type of skin cancer, saleeby, xlibris: Holli, Unusual but not rare to not have gray at 50. Some prematurely gray... as myself with the first few evident while I was in college. Some figure it as a great thing not to turn gray but in actuality the incidence of melanoma is greater as those...

Family, Internal Medicine, General Medical Questions: gas, gall bladder disease, intestinal flora
gall bladder disease, intestinal flora, gall bladder: Hi Cindy, Gas can be caused by disruptions in intestinal flora as well as in some cases gastric irregularity or even gall bladder disease. Have you been able to assocciate this with any particular foods? A trial of a probioric such as lactinex, may help....

Family, Internal Medicine, General Medical Questions: Hair Loss Due To High Blood Pressure Medication, cause hair loss, blood pressure medication
cause hair loss, blood pressure medication, high blood pressure medication: Hi Susan, That is a rare side effect. There are many medicines that (rarely) can cause hair loss. If her thyroid hasn’t been checked , it should be as this is another cause of hair loss. She should talk this over with her doctor about switching medicines...

Family, Internal Medicine, General Medical Questions: High Cholesterol, mash potatoes, cholesterol lowering meds
mash potatoes, cholesterol lowering meds, weight lifter: you didn t list the values of the cholesterol.... there are some people that inherit bad cholesterol genes and have bad cholesterol despite a good diet... there are some on the contrary that can eat bacon/eggs/steak all day long and have excellent cholesterol.......

Family, Internal Medicine, General Medical Questions: High Cholesterol, high cholesterol levels, mash potatoes
high cholesterol levels, mash potatoes, weight lifter: Hi Richard, It may simply be a lack of exercise. The best thing to do is get on an exercise program (simple walking will do) and recheck your levels in 6 months. Keep to your current diet. If the levels are high, then it may be that you have a recessive gene...

Family, Internal Medicine, General Medical Questions: high blood pressure, hand tremors, high blood pressure
hand tremors, high blood pressure, reccomendation: Without a thought- please go to your physician and relay this message. My reccomendation is this could be a very serious problem and I would never leave it to chance . I am not a physician. Better to have this checked out sooner than later. Happy HEALTHY...

Family, Internal Medicine, General Medical Questions: hippa law, local public health, hippa law
local public health, hippa law, health police: that isn t part of hippa..... that pertains more to records release and keeping records private and confidential.... the food and meds rules are more related to your local public health police for us, it is DHEC.... Dept of Health, and something else........

Family, Internal Medicine, General Medical Questions: Itchiness at night, differential count, histamine causes
differential count, histamine causes, b complex vitamins: Actually this can be quite challenging so, in my work I would look at the CBC and differential count lab results to see if there are abnormalities in the following: 1) granulocytes indicating infectious cause 2) lymphocytes indicating viral cause 3) monocyte...

Family, Internal Medicine, General Medical Questions: incontinence, hip and leg pain, old dad
hip and leg pain, old dad, incontinent: No, and I m thankful you asked because incontinence is never normal. I would tend to think she needs to be scoped (intestines), but of course her doctor would know better and could give much more insight. Don t just let this go without getting her examined....

Family, Internal Medicine, General Medical Questions: MRI Contrast, normal kidney function, mri with contrast
normal kidney function, mri with contrast, kidney problems: Hi Marie, Not totally. Anyone can get it although a healthy person is much less likely. If you had normal kidney function testing, I wouldn’t worry about it. Statistically that complication is rare. The problem is that negative news makes better headlines...

Family, Internal Medicine, General Medical Questions: Which medical school to attend, tennessee resident, saleeby
tennessee resident, saleeby, poor grades: Don t get too caught up in marque... unless you plan to become an academician. In my 16 years of practice very very few people have ever asked me what Med School I graduated. What is truly important is that you find the school friendly and supportive....

Family, Internal Medicine, General Medical Questions: missing of spermatogenesis, immune system response, sperm antibodies
immune system response, sperm antibodies, vasectomy reversal: Although in many cases the exact cause isn t always clear, possible reasons for low sperm count include: Varicocele- This is a swollen vein inside the scrotum that can affect sperm production. This common cause of male infertility can be repaired with...

Family, Internal Medicine, General Medical Questions: Need opinion, low sodium diet, adaptogen herbs
low sodium diet, adaptogen herbs, lipid profile: Hendri, With a BP of 140/90 you really don t need an pharmaceuticals in my opinion, rather low sodium diet, exercise should manage this mildly elevated pre-HTN state. There is new data that chasing around BPs until they are at 120/80 is ridiculous and...

Family, Internal Medicine, General Medical Questions: numbing in left arm, b vitamin deficiency, nerve entrapment
b vitamin deficiency, nerve entrapment, median nerve: Elbow down is usually ulnar nerve entrapment if affecting the 4th and 5th fingers the most, median nerve if affecting the thumb, 1st and 2nd fingers the most. If not doing that need to think degenerative disc in neck since only one arm. Can always try B-100...

Family, Internal Medicine, General Medical Questions: PCOS, dizzy spells, sexual intercourse
dizzy spells, sexual intercourse, ovulate: Hi Courtney, If this was your first intercourse (you didn’t specify) then this could be from tearing of the hymen. If it isn’t you may have simply dislodged some uterine blood. The cramping may be from your uterus trying to expell the blood, as in a period....

Family, Internal Medicine, General Medical Questions: painful forearms and hands, numbness in little finger, ganglion cyst
numbness in little finger, ganglion cyst, ulnar nerve: Hi Tom, This sounds like a combination of things but without being able to examine you, this is only a guess. I believe you have tennis elbow AND carpal tunnel syndrome based on your symptoms. Ganglion cysts are a result of degeneration of the joints in...

Family, Internal Medicine, General Medical Questions: perioral dermatitis, cortisone cream, antibiotic ointment
cortisone cream, antibiotic ointment, serious skin: Hi Melanie, If the “antibiotic” you are using is a triple antibiotic or Neosporin (these are serious skin toxins), stop using it altogether as these can make skin problems worse. You can try over the conter cortisone cream applied twice daily. If this fails,...

Family, Internal Medicine, General Medical Questions: phenomena, Bronchitis, pneumonia
Bronchitis, pneumonia, COPD: Beth, COPD or emphysema is a chronic lung disease usually the result of heavy smoking. Pneumonia and/or bronchitis are usually acute lung diseases that can be superimposed upon COPD. The are infections usually the etiology is bacteria but sometimes viruses...

Family, Internal Medicine, General Medical Questions: post nasal drip, post nasal drip, incubation period
post nasal drip, incubation period, dental checkup: Hi Chris, Post nasal drip is an every day affair. Most people don’t notice it because it’s in very small amounts. When it becomes noticeable, it is usually from some sort of inflammation be it allergic, viral or bacteria. The onset of increasing drip is a...

Family, Internal Medicine, General Medical Questions: pregnanalone?, Pregnenalone, Aging
Pregnenalone, Aging, Nutrition: Bud, It is actually spelled pregnenolone. It happens to be a precursor hormone to DHEA and Testosterone / Progesterone or the sex hormones. While I don t recommend just taking it because , I do recommend being tested for DHEA and sex hormone deficiencies...

Family, Internal Medicine, General Medical Questions: quick question..., hernia, mahler
hernia, mahler, emphysema: there are a lot of possibilities... when things get this complicated, I am only speculating.. if the EGD camera showed nothing, then her stomach is OK... but there still could be a lower blockage or some other kind of blockage... you will need to keep up...

Family, Internal Medicine, General Medical Questions: Red wine, prevention of heart disease, saleeby
prevention of heart disease, saleeby, alcohol intake: Mark, I have written on resveratrol (res) on occasion and answered questions made by the press for articles they have written recently. Essentially researchers have used superphysiological amounts of res in their research to obtain antiaging effects....

Family, Internal Medicine, General Medical Questions: When to retire, desk job, adaptogen herbs
desk job, adaptogen herbs, saleeby: Bud, Not an expert on bus driving, but if you pass a DOT physical there should be no problem. Where I work in the ER we have one doctor who is 72 years old and still working 12-hr intense ER shifts seeing 40+ patients per day. JP Saleeby, MD live longer...

Family, Internal Medicine, General Medical Questions: Having Sex While Pregnant, vaginal sex, sex with a man
vaginal sex, sex with a man, multiple partners: Hi Catherine and thanks for writing, I’m not too concerned about you getting pregnant, but what about diseases?!? How do you ensure all the people you have intercourse with are 100% healthy and disease-free? Obviously if you catch an infection or STD...

Family, Internal Medicine, General Medical Questions: Sick feeling that won't go away, physical manifestation, ulcer disease
physical manifestation, ulcer disease, exam stress: Hi Paige, Based on what you have written (age 22, in college, exam stress etc) I would say your symptoms are a physical manifestation of anxiety. That is not to say that your symptoms are all “in you head”. It’s just that this is how your body is telling...

Family, Internal Medicine, General Medical Questions: Sluggish Bowels, constipating foods, stool softners
constipating foods, stool softners, cathartics: Hi Ralph, Constipating foods can be meats and cheeses. Color and odor can change depending on what foods you eat. I would definitely have a colonoscopy. If you are age 55, that would be a good time to have a screening colonoscopy and then have a follow up...

Family, Internal Medicine, General Medical Questions: STDS?, Teenage sexual thoughts and feelings
Teenage sexual thoughts and feelings: Hi and thanks for writing, No I do not think you were molested and I do not think you have a STD I think you are normal teenager trying to sort out all the hormonal thoughts and feelings you are experiencing as your body goes through puberty. I don’t...

Family, Internal Medicine, General Medical Questions: STDS?, sex bondage sex, abstience
sex bondage sex, abstience, barbie doll: Hi CGLLR, You are quite correct. You should see a doctor and tell this story. You deserve to know if everythng is OK so you don’t have to live under a cloud of doubt. From what you said, and you seem to know an awful lot about sexuality for your age, this...

Family, Internal Medicine, General Medical Questions: Stomach problems, intestine blockage, stomach problems
intestine blockage, stomach problems, gall stones: this could be a lot of things... the one big thing I would look at is gall stones... if she has those... that can cause these symptoms... otherwise, she could have a lower intestine blockage causing the vomiting..... you need to keep up with her doctors.......

Family, Internal Medicine, General Medical Questions: scan of chest, rn msn, maggie smith
rn msn, maggie smith, emergency symptoms: It would be impossible to guess what they thought they saw. A CT will be much more conclusive than any xray could be. Here is a good discussion of atalectasis: http://www.mayoclinic.com/health/atelectasis/AN00775 Emergency symptoms: If between now...

Family, Internal Medicine, General Medical Questions: shingles, adaptogen herbs, shingles vaccine
adaptogen herbs, shingles vaccine, saleeby: Al, I have not read any relative or strict contraindications to the use of the varacella (shingles) vaccine in those with asthma or COPD. For more visit this reference: www.usuhs.mil/fap/capcon07/Immunizations.ppt JP Saleeby, MD www.saleeby.net ...

Family, Internal Medicine, General Medical Questions: sister's small intestine removal, small intestine, referral center
small intestine, referral center, bowel obstruction: that is a complicated issue.... with tha diagnosis.... she will have to see a specialist and I would recommend someone at a big referral center....... MUSC, DUKE, Augusta, depending on where you live... let me know if I can help you regarding the location...

Family, Internal Medicine, General Medical Questions: stomach bug, brat diet, stomach bugs
brat diet, stomach bugs, signs of severe dehydration: It sounds like a food borne illness, and if you are asking about how long it takes to come down with one, it depends on the bacteria or toxin in the food---some are really fast, and some are hours and hours to form a reaction in the body. You are absolutely...

Family, Internal Medicine, General Medical Questions: stomach problems, proton pump inhibitor, stomach cramps
proton pump inhibitor, stomach cramps, h pylori: Hi Tanya, It may be the combination of meds that are causing the problem. Nexium is not the recommended proton pump inhibitor in the ttreatment plan. Aciphex is the drug of choice along with Biaxin and Amoxicillin. The regimen is for 7 days. Recurrence is...

Family, Internal Medicine, General Medical Questions: Tonsillectomy/Adenoidectomy, iv fluids, phenergan
iv fluids, phenergan, amoxil: tonsillectomies hurt.... he is still early in it and probably will turn the corner... to be safe, get his labs to assess his dehydration and give the IV fluids if he needs them, but he should improve day by day now that he has gotten far enough out of surgery....

Family, Internal Medicine, General Medical Questions: type of Doctor to see, cold hands and feet, low blood pressure
cold hands and feet, low blood pressure, constant fatigue: It sounds like a deficiency of magnesium oxide and b complex vitamins like a B-50 four times a day if OK with your family physician. Either will do but need to be holistic or integrative or they will miss the diagnosis if they do not do magnesium, calcium,...

Family, Internal Medicine, General Medical Questions: Unexplained symptoms., neoropathy, fluid in the lungs
neoropathy, fluid in the lungs, peripheral neuropathy: Her sleepiness and leg swelling are very worrisome symptoms--she clearly has fluid buildup, and the question is, has it backed up into her lungs? I would get her to a doctor right away. In other words, she could have pneumonia (fluid in the lungs). The fatigue,...

Family, Internal Medicine, General Medical Questions: Vomitting and Nuasea, viral gastroenteritis, raw carrots
viral gastroenteritis, raw carrots, relevant table: Hi Osman, Motilium and Loprin are not drug names that are used in the USA. I don’t konw what they are for. The Xanax is for anxiety and the Zantac is of course for your stomach. You didn’t mention if you had lab work. This may only be a viral gastroenteritis,...

Family, Internal Medicine, General Medical Questions: vitamins, Discontinuing Vitamins
Discontinuing Vitamins: Hi Al and thanks for writing, I am not aware of any problems associated with discontinuing Vit B or Folate but I would recommend you play it safe anyway and decrease a little slower than Cold Turkey. Cut your doses in half every 72 hours until you re down...

Family, Internal Medicine, General Medical Questions: Weird smell in nose, vicks vaporub, sick to my stomach
vicks vaporub, sick to my stomach, q tip: Hi Anonymous, This is an alteration in your sense of smell from the illness. There is nothing to do but to wait till the illness passes. If you want, you could try putting a little Vick’s Vaporub on a q-tip and swabbing the inside of your nostrils. This might...

Family, Internal Medicine, General Medical Questions: whats the cause?, hand veins, ultrasound images
hand veins, ultrasound images, gassiness: Hi Matin, Your creatinine and BUN are fine. The skin becoming pale with pressure and then red, is normal. As for the joint pain, this could be from anything really. If you’re not urinating as much it may be that you aren’t drinking as much. The gassiness...

Family, Internal Medicine, General Medical Questions: 2 yr old very low body temperature, cold sweats at night, low body temperature
cold sweats at night, low body temperature, good answer: Some people have chronically low temps but not that low. I would make sure his doctor has checked him for hypothyroidism and also check for anemia. Otherwise, I am not sure I have a good answer as to why his temp is low... I would be hesitant to just blame...

Family, Internal Medicine, General Medical Questions: arm and leg throbbing, nerve impingement, cervical spinal fusion
nerve impingement, cervical spinal fusion, thyroid problems: The shaking doesn t really surprise me... with all that vascular disease that he has, he has probably had mini stroked in the brain and if the one part of the brain has had some injury (the part that controls fine motor function) he can get a parkinson s like...

Family, Internal Medicine, General Medical Questions: bleb on lung, Lung bleb
Lung bleb: Hi Sondra, According to the National Jewish Health, Aug 19, 2008: Blebs are small collections of air on the pleural surface of the lung that are associated with an increased risk of pneumothorax, which is leakage of air out of the lung into the pleural...

Family, Internal Medicine, General Medical Questions: Chest, zantac 150, antibiotic doxycycline
zantac 150, antibiotic doxycycline, doxi: that is a classic problem with doxi.... if you don t wash that pill down into the stomach with a full glass of something, it can stick and open in the esophagus and burn that tissue.... too late now, but do that in the future. Now for this.... the burn...

Family, Internal Medicine, General Medical Questions: Chickenpox, chickenpox vaccine, antibody levels
chickenpox vaccine, antibody levels, chickenpox: If you did not have chickenpox as a child, or did not get the chickenpox vaccine (at your age, that is about the time they started it... but, it may need a booster, so even if you did... you may be able to get CP) It is kinda late now, but you oculd have...

Family, Internal Medicine, General Medical Questions: Cholesterol, cholesterol level, hdl
cholesterol level, hdl, triglyceride: HDL (HLD?) is 179? Wow, I have seen it 110 very rarely, I didn t think it could ever go that high. From what we know, having an HDL of 100 means that your cholesterol alone will not clog up arteries in the heart, brain, etc. You could assume that even...

Family, Internal Medicine, General Medical Questions: candida infection, h pylori, stomach bloating
h pylori, stomach bloating, sinus infections: I don t follow you... you said stomach problems then yest infections and some GI symptoms.... If you have heartburn, a GI doctor can test you for H Pylori with an upper endoscope or a breath test. Personally, I don t put much stock in these theories...

Family, Internal Medicine, General Medical Questions: Do I have carpal tunnel syndrome, full time job, burning sensation
full time job, burning sensation, muscle tension: That doesn t sounds like CPTS to me.... typically that will be numbness and tingling going down the lower wrist to the palm, limited to the 2, 3, 4 fingers. Tapping on the center of the wrist with your palm pointed towards you should cause some uncomfortable...

Family, Internal Medicine, General Medical Questions: cold hands after running, resting heart rate, heart test
resting heart rate, heart test, cholesterol levels: the benicar won t cause that..... The biggest concern I have is that your thyroid is too low... Your heart rate may be just good conditioning but make sure your thyroid is OK... that would also cause the hand symptoms. If the thyroid is normal.... gloves,...

Family, Internal Medicine, General Medical Questions: cut tongues/holes looking., Sore tongue
Sore tongue: Hey Jeremy, I think she is having a severe allergic reaction to something, possibly even citric fruits. My advice is to tell her to try taking an anti-histamine for now to help the sores settle down a bit, and tell her to go see a doctor as soon as she...

Family, Internal Medicine, General Medical Questions: Diarrhea in 5 year old son, probiotic supplements, stomach ache
probiotic supplements, stomach ache, milk cheese: I might try a few things before the gastro.... have you eliminated milk cheese and butter 100%? Can you identify any foods that make it worse. I would consider one dose of a quinolone like Cipro... they are not to be used in full courses in children,...

Family, Internal Medicine, General Medical Questions: Diverticulitis diagnosis, large intestine problems, blood cell count
large intestine problems, blood cell count, white blood cell: There isn t much in the left lower quad except urinary tract and large intestine problems. Prostatitis usually is central. The urine is easily checked. The info you didn t give me was how the initial cat scan was read... did it say maybe divertic because...

Family, Internal Medicine, General Medical Questions: Elderly - Lung cancer and osteoporosis, How much time?
How much time?: Hi Chantel, I am sorry to read about your Granny’s deteriorating health, but it sounds like she lived a full life and really wouldn’t have much quality of life if she did survive another few years. She is being treated the way I would treat anyone I...

Family, Internal Medicine, General Medical Questions: establish and maintain professional relationships, other interested parties, jot down
other interested parties, jot down, professional relationships: Usually, I answer medical questions in this forum.... I see the psychological aspect here, but I think you want more of a marketing, or sociology expert here in order to get ideas on how to present and interact with a new client.... Sorry I couldn t help...

Family, Internal Medicine, General Medical Questions: Fatigue, fluid on the lungs, lung problem
fluid on the lungs, lung problem, alternate days: Fatigue isn t a good sign. I think you need a doctor to examine you soon. You could have a lung problem causing fatigue. The lungs don t work as well to clear infection, mucous out when you smoke. I d get to a doctor. Fatigue frequently means poor oxygenation:...

Family, Internal Medicine, General Medical Questions: Fever for 15 days, protein s deficiency, retinal detachment
protein s deficiency, retinal detachment, fever reducers: some of the tropical sites may be involved, but some of the fungal infections don t usually cause the high fever. With this high fever for so long, I don t think it is just a viral infection.... it should not last this long. I think they may have to start...

Family, Internal Medicine, General Medical Questions: fertility, ovulation test kits, trying to have a baby
ovulation test kits, trying to have a baby, ovulating: What I referred to was mumps and sterility and long term chronic use of prednisone (months to years of continued use) may put you at risk for sterility. The chicken pox.... not sure where that ever came from... I don t see the relationship there. And, I...

Family, Internal Medicine, General Medical Questions: flu, H1N1
H1N1: Hi Jan and thanks for writing, H1N1 has us all worried and the advice seems to change almost daily. I have read that children and young adults may be at higher risk as they haven t built up immunity to seasonal flus in the past, but the news can be contrdictory:...

Family, Internal Medicine, General Medical Questions: flu shot, flu shot, al brown
flu shot, al brown, rhinovirus: a directed vaccine like the flu shot, will only protect against that strain of the flu. The common cold is caused by any number of other virus like rhinovirus ... there are at least 120 that have been identified. And the flu shot will not do anything about...

Family, Internal Medicine, General Medical Questions: Gummy Bear multi vitamin - can it cause tummy pain?, strawberry flavors, cramps and diarrhea
strawberry flavors, cramps and diarrhea, riteaid pharmacy: a lot of kids that age say their tummy hurts when they have cramps, prior to a loose stool or diarrhea. The sugars in those vitamins may cause some cramps and diarrhea. If it is the cause, stopping it should resolve symptoms very quickly... in a couple of...

Family, Internal Medicine, General Medical Questions: hard lump on back of leg right above knee, lump on back, charlie horse
lump on back, charlie horse, bump: if you had an injury, it may be a lump of blood in a pulled muscle. Directly behind the knee, some people can develop a baker s cyst. A tumor is theoretically possible, but those are pretty rare. They are typically sarcomas of the bone or muscle, but...

Family, Internal Medicine, General Medical Questions: hernia, direct correlation, refluxing
direct correlation, refluxing, hernias: it can increase the risk of esophagitis... acid refluxing in to the esophagus and irritating it. This could lead to barrets and cancer..... but.... many many many adults have hiatal hernias with no symptoms..... it is a very common disorder, only brought...

Family, Internal Medicine, General Medical Questions: Immunisation problem?, oxy 10, acne cream
oxy 10, acne cream, hormone changes: your body is fine.... but, you are having hormone changes that continue to make your glands produce too much oils, and continue with acne.... Typically, I cycle people on antibiotics like minocin or doxicycline.... then sometimes just give them some every...

Family, Internal Medicine, General Medical Questions: Itchy Throat/Dry Cough, cough medicines, cough suppressants
cough medicines, cough suppressants, dry cough: no, there aren t really good cough suppressants, but you should have the cough completely evaluated... it could be from an infection, could be from allergies, could be from gastric reflux and some other rarer problems. So, since it is that bad, get your primary...

Family, Internal Medicine, General Medical Questions: interview sample sheet child’s parents, childs friends, anecdotal record
childs friends, anecdotal record, volunteer centre: Well, I can t do your job for you but I have a few suggestions.... If you are keying this in the computer, have the questions in the same order as the computer input list. The demographic parts are easy.... it is the social data that will be tricky....

Family, Internal Medicine, General Medical Questions: Leaky Breast, thyroid tests, left breast
thyroid tests, left breast, prolactin level: yes, it should be dried up by now, but some people persist..... that may indicate other problems, so I would see your doctor (not emergently) and have thyroid tests and a prolactin level done and also make sure you are not pregnant again..... hope this help...

Family, Internal Medicine, General Medical Questions: Low grade fevers, low grade fever, minor illnesses
low grade fever, minor illnesses, viral particles: The assumption is that there are viral particles (or bacterial) in the body and therefore able to be transmitted if there is a fever, because the foreign particles stimulate our immune system and one part generates a temperature to help fight off the bugs.......

Family, Internal Medicine, General Medical Questions: Lyme care- bankrupt, solid science, horror stories
solid science, horror stories, lyme: There are a lot of doctors out there who prescribe expensive prolonged treatment and don t have any solid science to back up their claims. With no money, you may have to apply for medicaid... medical care for financially challenged people. And I would...

Family, Internal Medicine, General Medical Questions: Back and leg pain, s1 nerve root, thecal sac
s1 nerve root, thecal sac, neural foramen: wow.... the hard part is the terms don t convert to easy language sometimes. Before I try, let me say that back pain is very subjective and doesn t always follow MRI findings... ie some people have horrible pain and a normal MRI, most adults have disc bulges...

Family, Internal Medicine, General Medical Questions: Metallic taste in mouth, afrin nose spray, post nasal drip
afrin nose spray, post nasal drip, metallic taste in my mouth: You might have irritated your smell receptors and taste and smell go together in sending sigmals to the brain. The nose drip and headache also makes me think you might have a sinus infection that can also cause the taste problem. Try a little afrin nose...

Family, Internal Medicine, General Medical Questions: MRSA and contagious, gallbladder surgery, mild asthma
gallbladder surgery, mild asthma, bactrim: Could I have caught MRSA from her? Yes, you could I used the hand sanitzers frequntly when there, could I have gotten it from kissing her goodbye? Yes Could I have given it to my wife? Yes Also are the antibiotics tha treat it including bactrim...

Family, Internal Medicine, General Medical Questions: after, Navel Hernia- seroma came, education of man, seromas
education of man, seromas, extra skin: These seromas are basically empty spaces that fill up with fluid secreted by cells around it. I typically try to drain it once or twice, but after that, simply draining it will not work if it hasn t worked the first two times. The proper treatment then would...

Family, Internal Medicine, General Medical Questions: osteoporosis, Genetic risk for osteoporosis
Genetic risk for osteoporosis: Hi Al and thanks for writing, It appears there is no genetic link for OA. According to Osteoporosis Canada (http://www.osteoporosis.ca): Risk factors No single cause for osteoporosis has been identified. However, certain factors seem to play...

Family, Internal Medicine, General Medical Questions: osteoporosis, calcium supplements, rare occurrence
calcium supplements, rare occurrence, iv drugs: everyone should be on at least 1000IU s of D3 a day.... that will not be enough to help your wife. There are proven benefits of those drugs... the biggest real side effect is stomach upset.... that can be avoided by using one of the IV drugs. The theoretical...

Family, Internal Medicine, General Medical Questions: Pintch nerve, pinched back nerve, rn msn
pinched back nerve, rn msn, potassium level: I am not an expert in this area, but I would suggest the following: Find out her potassium level and B-12 level. (low potassium or B-12 can cause muscle pain) Insist on a hip xray. (hip joint deterioration can be misinterpreted as pinched nerve/leg pain)...

Family, Internal Medicine, General Medical Questions: Prostate Health., prostate ca, prostate cancer
prostate ca, prostate cancer, avodart: saw palmetto won t help with prostate ca and no evidence to suggest it prevents enlargement..... now a drug like avodart or proscar MAY prevent prostate cancer, but would have side effects on a young healthy male....... so there really isn t a fix for the...

Family, Internal Medicine, General Medical Questions: pain across upper abdomen when bending and gerd, pain in upper abdomen, umbilical hernia
pain in upper abdomen, umbilical hernia, lift weights: There are a couple of issues.... What side effects from Nexium, other than cost? But, you should suppress your reflux symptoms 100%... if not, you should have your esophagus checked by a scope every 2 years. I would try Zantac twice a day... no side effects...

Family, Internal Medicine, General Medical Questions: cannot pass urine, calcium deposits, passing urine
calcium deposits, passing urine, pubic bone: this may be a problem with an infection or could be related to the endometriosis. The calcium dep in the kidney doesn t have anything to do with it. Endometriosis typically doesn t spread... it is just that you have implants of endometrial tissue outside...

Family, Internal Medicine, General Medical Questions: pregnancy, home pregnancy test, dr appt
home pregnancy test, dr appt, pregnancy question: the results of the preg tests have nothing to do with miscarriages... if you really want to verify it, repeat the preg test with a first morning urine (it will be most concentrated) but in general, those tests will detect pregnancy about 7 days after conception...

Family, Internal Medicine, General Medical Questions: pregnancy, local grocer, low birth weight
local grocer, low birth weight, dr appointment: Great questions. Congratulations! I prefer TwinLabs prenatal vitamins because I heard (second hand, though) of some report of that brand being true to the quantities of vitamins/minerals it represents on the bottle compared to other brands, but any prenatal...

Family, Internal Medicine, General Medical Questions: Query Buckle Fracture after Fall, buckle fracture, stone stairs
buckle fracture, stone stairs, fractured collarbone: It is really hard to evaluate the scanned films.... but, on the top left film, it does appear to be fractured...there is a sharp edge on top of the ulna (bottom bone) about 1-2 dm in.... this is not a buckle fracture.... it is a true fracture (from these films)...

Family, Internal Medicine, General Medical Questions: Red skin blotches from heat, anxiety and other causes, red skin blotches, red blotches
red skin blotches, red blotches, chest neck: that is a tough one.... this happens to more people than you think, although not quite as bad as you. Have you tried fairly high dose Zantac... 300 mg twice a day along with a stronger antihistamine at higher doses... sometimes that blocks the reaction better....

Family, Internal Medicine, General Medical Questions: redness on breasts and abdomen, emergency doctors, toxic shock
emergency doctors, toxic shock, pain medication: I have someone in my practice with similar symptoms.... her skin sheds after each episode and we have labeled it recurrent scalded skin or toxic shock. I would recommend that she get treated at a big medical center by a really good infectious disease doc...

Family, Internal Medicine, General Medical Questions: Scarred Lungs?, sophomore year, pertussis
sophomore year, pertussis, permanent damage: this may be residual from the pertussis... but you haven t done serious permanent damage. There may be some other things going on, like developing asthma (can happen after these infections) or allergies, or gastric reflux... those should be considered also....

Family, Internal Medicine, General Medical Questions: Seasonal Flu Vaccine, flu vaccine, upset stomach
flu vaccine, upset stomach, deltoid: this may be an allergic reaction, to the vaccine or to the preservative in the vaccine, usually thimerosol. If he does get the vaccine injection again, I would make sure that the shot giver gets the vaccine into the muscle instead of into the soft tissue...

Family, Internal Medicine, General Medical Questions: Sensitive Nipples, anabolic steroids, sensitive nipples
anabolic steroids, sensitive nipples, thyroid levels: there are a couple issues here.... the nipple sensitivity is not the problem with respect to the computer porn/masturbation.... that is a separate issue. But... The nipple sensitivity is a pretty common complaint among men... especially people on hormone...

Family, Internal Medicine, General Medical Questions: Stephen Johnson Syndrome, stephen johnson syndrome, white cells
stephen johnson syndrome, white cells, rare reaction: yes, stopping would reduce the risk.... azithro is a weird one... you never really get high blood levels... it is gobbled up by some white cells and delivered to areas of infection so it may remain in white cells for a week or more. 99.99 of itchiness is...

Family, Internal Medicine, General Medical Questions: severe bloating, zantac 150, surgical abortion
zantac 150, surgical abortion, small intestine: There are a lot of possibilities.... a low grade infection post surgery is one. A urinary tract infection following the surgery Gall stones Reflux.... try Zantac 150 mg twice a day Some small intestine absorption problem like sprue or celiac disease...

Family, Internal Medicine, General Medical Questions: severe contracting pain felt in chest area and back, nicotine nasal spray, nicotine gum
nicotine nasal spray, nicotine gum, nicotine patches: I would be worried about reflux, esophagitis, ulcer, or a possible tumor in the esophagus... this should be evaluated right away, start with your primary doc and then to a gastroenterologist if needed. Also, make sure there isn t any coronary artery disease......

Family, Internal Medicine, General Medical Questions: sick from fleas, MURINE TYPHUS
MURINE TYPHUS: Hi Diane, Here is a helpful poster which you could print and show to your friend, it explains flea related illness in quite simple terms. http://www.longbeach.gov/civica/filebank/blobdload.asp?BlobID=13903 I hope this helps, All my best, Margo...

Family, Internal Medicine, General Medical Questions: sick and tired, stimulant drugs, leg cramps
stimulant drugs, leg cramps, strange pain: I would have said... check thyroid and hemoglobin. Other things that can cause these symptoms... elevated blood pressure, some stimulant drugs, caffeine, cigarettes, and some illicit ones like cocaine etc. Too much alcohol can do it also. I hope this helps.....

Family, Internal Medicine, General Medical Questions: sinus infection and meninigitis, brain abcess, sinus infection
brain abcess, sinus infection, sinuitis: I think it s time to see an ENT to get examined by a specialist. The progression to meningitis is something to ask the ENT about. While you are waiting to get in with the specialist, you should call your current doctor and leave a message that you didn t...

Family, Internal Medicine, General Medical Questions: stomach, appendix pain, mild diarrhea
appendix pain, mild diarrhea, clear liquids: early appendix pain can come and go but usually is vague and around the belly button, until late, when it is constant in the right lower quadrant. The hallmark of appendicitis is anorexia.... even thinking about food makes you sick. And diarrhea goes against...

Family, Internal Medicine, General Medical Questions: stomach thickening and ulcers, menopausal hot flashes, family hx
menopausal hot flashes, family hx, stomach ulcer: at your age, the weight isn t unusual and doesn t worry me. I don t know if you had a complete workup... I assume you had the upper scope already. Have they looked at thyroid tests and B12 levels? Hot flashes wouldn t be unusual at your age, but there...

Family, Internal Medicine, General Medical Questions: swelling, insect bite, sinus infection
insect bite, sinus infection, ace inhibitor: it can be if you compressed that area while sleeping, and it would go away in an hour. It can be from a sinus infection or a dental infection if it persists... that should be treated with antibiotics. It can also be an allergic reaction.... an insect...

Family, Internal Medicine, General Medical Questions: Taper off medicine?, stress job, taking the pills
stress job, taking the pills, avalide: I get this question a lot in my office and on this..... if you are getting to a point where you don t need the avalide, with weight loss, less stress, cigs, alcohol, etc then your body will let you know because the avalide will start lowering your bp below...

Family, Internal Medicine, General Medical Questions: Test Results, thyroid nodule, liver function tests
thyroid nodule, liver function tests, thyroid tests: I don t know what Thyroid slightly elevated means... if the TSH is high, then you have low thyroid, if the T4 is elevated, then it is hyperthyroid. The disease of RA itself can cause the anemia. And some of the meds we use for RA can cause the liver problems....

Family, Internal Medicine, General Medical Questions: Testicular Nerve Pain & Blocks, nerve block, nerve blocks
nerve block, nerve blocks, loss of sensation: You have gotten the wrong idea about numbness... the funny bone hit sensation is a parathesia... where the nerves are firing all at once and causing a very uncomfortable sensation. Numbness means complete lack of feeling... basically not knowing it is there....

Family, Internal Medicine, General Medical Questions: Treatment for the, human intestinal tract, l acidophilus
human intestinal tract, l acidophilus, human strains: I have seen probiotics help with IBS type symptoms several times, so I think there is validated logic for use of this medication but it simply hasn t been studied enough. Historically, there have been problems with poorly studied therapies winding up harming...

Family, Internal Medicine, General Medical Questions: tummy trouble, normal bowel movements, belly pain
normal bowel movements, belly pain, pelvic infection: There are many many possibilities.... so if it is still hurting in the morning, it would be reasonable to get checked...... gallstones, ulcer/indigestion, urinary tract infection, pelvic infection, pregnancy..... the first problem that comes to mind is...

Family, Internal Medicine, General Medical Questions: Ultrasound general question, ultrasound of the abdomen, venous ultrasound
ultrasound of the abdomen, venous ultrasound, office mgr: I hate to say this.... but with insurance companies... offices get creative to be able to survive... things are a lot tighter in offices than you would think. Billing is sometimes creative and billing individual items can net more $$$.... but... if something...

Family, Internal Medicine, General Medical Questions: Unusual, lead poison, antique trunks
lead poison, antique trunks, old paint: yes, you are blowing things out of proportion..... the lead poison cases nowadays, pretty much involves eating old paint off windowsills by kids... you just can t get any significant amount of lead salts into you.... certainly not by topical exposure...

Family, Internal Medicine, General Medical Questions: Upper chest tightness, musculoskeletal problem, absolute answer
musculoskeletal problem, absolute answer, chest tightness: I think it could be... If you don t have problems during the day, asthma is unlikely. If you are big breasted, it may be pressure from the weight of the breasts. I don t have a good absolute answer for you though. It would be worth it to let someone look...

Family, Internal Medicine, General Medical Questions: Various Symptoms, gall bladder disease, left abdominal pain
gall bladder disease, left abdominal pain, upper left abdominal pain: the sodium issue is nothing... no treatment is required if it is a little off. If it is a lot off, then you need additional tests for that. I wonder about gall bladder disease, and would also have your thyroid checked. That would be a good place to start......

Family, Internal Medicine, General Medical Questions: veins, firefighter paramedic, t travel
firefighter paramedic, t travel, vasectomy: It sounds like you had a little trauma to that vein and it got a blood clot in it... no worries, the clot won t travel and cause a PE....... and the body is amazing.... it will bore a hole through that clot and re cannulize that vein, however that may take...

Family, Internal Medicine, General Medical Questions: wound care, wound care nurse, extremity wounds
wound care nurse, extremity wounds, sterile techniques: Yikes! You need a wound care nurse! Please see your doctor and they can tell you there how to treat it at home, but I d suggest you get it regularly assessed and treated until it is completely healed. Those lower extremity wounds on diabetics can be really...

Family, Internal Medicine, General Medical Questions: 2 family members with strep, nurse practitioner, sore throats
nurse practitioner, sore throats, urgent care clinic: first of all, strep isn t that contagious, so chances are, you didn t get it from your relatives. Most sore throats, 90% are not strep and don t require treatment. However, if your throat is red, with white pus on the tonsils, with painful swallowing,...

Family, Internal Medicine, General Medical Questions: 4 year old cough, chesty cough, dust mites
chesty cough, dust mites, dry cough: this cough may be a manifestation of mild asthma.... could be allergies.... like house dust mites that he would get exposed to when in bed. Ask his doc about a trial of asthma meds, like Singulair or a trial of antihistamines. You should also wrap his mattress...

Family, Internal Medicine, General Medical Questions: Asthma or COPD?, emphysema symptoms, top of my lungs
emphysema symptoms, top of my lungs, asthma attacks: Don t get angry at anyone at this point.... there is a lot of crossover. By the strict definition, asthma is reversible airway disease and COPD is not... but COPD can get worse and better with infections, allergens, cigs, just like asthma. Someone can never...

Family, Internal Medicine, General Medical Questions: apendix, Appendix?
Appendix?: Elina I would strongly recommend you get checked out by a doctor soon, if it is you appendix and it ruptures you ll be seriously ill! There is an old test my Mom used to do when we were kids. Lie flat on your back and ask your boyfriend to gently press...

Family, Internal Medicine, General Medical Questions: B12, shilling test, low energy
shilling test, low energy, rest of my life: There is a test for that problem.... a shilling test... but, you have it... you need shots monthly for life... or you need the nasacobal spray weekly for life. You can t tell how much you absorb so I can t answer the other questions.... but get back on it...

Family, Internal Medicine, General Medical Questions: Basic Autopsy Info?, gun shot residue, quincy md
gun shot residue, quincy md, md medical: it does depend on the method... a gunshot wound... they might look for gun shot residue on an arm that used the gun. Poison or self strangling... look for signs of struggle or restraint like bruises on neck/wrists.... you have to be more specific or watch...

Family, Internal Medicine, General Medical Questions: Biopsy / Air Travel, stereotactic breast biopsy, physical exertion
stereotactic breast biopsy, physical exertion, aircraft pressurization: the blood clots are in the veins, usually the legs, because of sludging, slow movement because of prolonged sitting. With or without the biopsy, if on a long flight, you should take aspirin and also get up and walk down the aisle hourly to circulate better...

Family, Internal Medicine, General Medical Questions: Bleeding, urine, kidney area, kidney stone
kidney area, kidney stone, severe pain: it sounds like you probably have a kidney stone. There are other problems that can occur, but most likely a kidney stone... it may pass on it s own but sometimes it has to be helped by a specialist (Urologist) Drink lots of fluid.... if the pain is...

Family, Internal Medicine, General Medical Questions: my baby is poorly, karo syrup, cant sleep
karo syrup, cant sleep, calpol: I like more natural remedies.... like Karo Syrup... a tablespoon in a bottle occasionally for constipation. That is the prime age for colic.... so if you can keep the constipation down and the child is eating/drinking/gaining weight well, then you may have...

Family, Internal Medicine, General Medical Questions: how much beer is unhealthy, old joke, health concern
old joke, health concern, downside: how much is too much? the old joke is, more than their doctor drinks.... If someone has no problems with alcohol, a beer or two a day is healthy, no downside. 4-5 most days is excessive. One big worry is a lot of dead calories.. The other is......

Family, Internal Medicine, General Medical Questions: broken blood vessel nasal passage?, broken blood vessel, afrin nasal spray
broken blood vessel, afrin nasal spray, clear mucus: yes, absolutely I agree.... looking at it constantly will only drive you nuts and won t contribute to the progress of this situation. If it gets bad, you would know it without the flashlight. The Afrin is a vasocontrictor which will shrink the membranes...

Family, Internal Medicine, General Medical Questions: bronchitis, walking pneumonia, phlegm
walking pneumonia, phlegm, pneumonia: First of all, stop smoking! It isn t unusual for this to last longer than a week. Ery-C is a good drug for this, so it will prob get better. If the cough gets worse and fever develops then you need to be checked for pneumonia, but otherwise, be a little...

Family, Internal Medicine, General Medical Questions: bronchitis, medicine side effects, viral disease
medicine side effects, viral disease, clarithromycin: side effects are short term and minimal.... clarithro... a funny taste in the mouth, maybe a little abd crampls, maybe a little diarrhea.... The bad side effects are incredibly rare. Don t misunderstand.... I don t believe in giving meds when there is no...

Family, Internal Medicine, General Medical Questions: bruising, lump under the skin, blood clot
lump under the skin, blood clot, veins: that area has little tissue between the bone and the skin... when bruised, there is some bleeding in the site that then hardens and you will have a lump that will go down slowly over months. There are not major veins in the front so no worries about a blood...

Family, Internal Medicine, General Medical Questions: Compitency, child psychiatrist, someones feelings
child psychiatrist, someones feelings, brain functions: I am obviously a completely uninvolved third party... in general, looking at the longterm mental health of the child, she is better off spending time with her biological father, even if she is going through a phase of trying not to. I am not pointing fingers,...

Family, Internal Medicine, General Medical Questions: Concussion?, bad brain, auditory skills
bad brain, auditory skills, brain injury: well, if you had a bad brain injury, like a bleed, it would have presented by now. This is a concussion, which means a brain injury when all our tests are norma. There isn t a specific treatment except time and be especially careful to not have another...

Family, Internal Medicine, General Medical Questions: Cut fingertip, over 5 weeks and still painful, meat slicer, pink skin
meat slicer, pink skin, thick piece: I did the same thing on a meat slicer many years ago... that pic could have passed for my finger..... it will take a few more months for it to be fullly functional and it will feel funny for years.... sometimes hypersensitive. There are a lot of nerves in...

Family, Internal Medicine, General Medical Questions: cna's and stroke victims, hip fracture, stroke victim
hip fracture, stroke victim, stroke victims: from your standpoint..... would anything you do hurt the patient.... like moving them, feeding them, etc. So you want to know how bad their disability is and whether they can swallow and what their other diseases are... you don t want to move someone with...

Family, Internal Medicine, General Medical Questions: cold fingers, resting heart rate, thyroid tests
resting heart rate, thyroid tests, cold fingers: this is raynaud s phenomena... the blood vessels contract and less blood through the fingers and they get cold. Some meds can do it, the ones you are on don t. You can stop this for a day by sticking one hand in as warm of water as you can stand for a minute...

Family, Internal Medicine, General Medical Questions: Dry hands, dish soap, thyroid levels
dish soap, thyroid levels, dry hands: Vit E won t help. I would check your TSH/thyroid levels... if low, that needs replacement. You could also try hydrocortisone cream over the counter daily for a couple of weeks in case it is eczema. Make sure it isn t something you are reacting to, like...

Family, Internal Medicine, General Medical Questions: diarhea, clear liquids, canker sores
clear liquids, canker sores, thrush: you said you have always had this? Does that mean on and off? The first thing I do is have you drink clear liquids for 24 hours. Then, if you have been on antibiotics, you need a check for C-Dificile... a bacteria that can overgrow and cause this. Then...

Family, Internal Medicine, General Medical Questions: digestive problems, basic metabolic panel, glucose metabolism
basic metabolic panel, glucose metabolism, mild nausea: That sick feeling and salivation sounds like real mild nausea I think the pregnancy probably is the likely culprit, but some things should be looked at such as the urine, make sure there isn t an infection, blood count to make sure you aren t anemic and...

Family, Internal Medicine, General Medical Questions: dopamine, blood serum, septic shock
blood serum, septic shock, therapeutic tool: dopamine levels are basially the same when you are getting it and normal.... it is very low. It is a potent med, so you don t need much when you are tryng to get the kidney and blood pressure effects during sepsis. It isn t measured directly as a therapeutic...

Family, Internal Medicine, General Medical Questions: enlarge kidney&cyst, kidney cyst, ovarian cysts
kidney cyst, ovarian cysts, urologist: From your last statement, you had some type of scan on your kidney that did not show a cyst then this one did? If that is the case, the urologist needs to know that. I assumed this was the first eval of the kidney and they saw the cyst, most have been there...

Family, Internal Medicine, General Medical Questions: First month on the pill, sore breasts, breakthrough bleeding
sore breasts, breakthrough bleeding, doc don: I have some ideas... but you need to talk with your doc.... don t stop.... at this point, you are committed because of the short time until the marriage... the problem is the timing.... you are halfway thru so your period may come in 12-14 days which puts...

Family, Internal Medicine, General Medical Questions: Flank pain after pulmonary embolism, flank pain, pulmonary embolism
flank pain, pulmonary embolism, kidney stones: you didn t say how high the pain was... sometimes it can be lower lung causing the side/back pain. It is hard to figure what is causing it now.... when someone has a PE... they have probably had other blood clots. So overall, I am not sure, but get it worked...

Family, Internal Medicine, General Medical Questions: Flu, swine flu, health care worker
swine flu, health care worker, flu shot: yes, I have had this question many times.... it is no more dangerous than other flus, and unless you are pregnant or a health care worker, they won t have any shots available... there is only enough for 1/10 people and after kids, preg women and healthcare...

Family, Internal Medicine, General Medical Questions: Left Forehand numbness and right arm and leg numbness, arm and leg numbness, pinched nerve in the neck
arm and leg numbness, pinched nerve in the neck, numbness in the hand: The numbness in the hand may be a minimal pinched nerve in the neck... you lay down, kink your neck in a certain way and it comes on... move the neck and it goes away. The numbness all over.... I don t have a good answer for that one. The pain in the R...

Family, Internal Medicine, General Medical Questions: medical definition, young doctors, prognosis
Family, Internal Medicine, General Medical Questions: medical definition, young doctors, prognosis, medical records

Family, Internal Medicine, General Medical Questions: parasitology, spectrum treatment, clinical validation
Family, Internal Medicine, General Medical Questions: parasitology, spectrum treatment, clinical validation, resistant strains

Family, Internal Medicine, General Medical Questions: testosterone, train train, mid cycle
Family, Internal Medicine, General Medical Questions: testosterone, train train, mid cycle, impressive results

Family, Internal Medicine, General Medical Questions: feedingtube, unnecessary interventions, low blood pressure
unnecessary interventions, low blood pressure, losing a parent: when you have family making a decision there are many emotions that come up and cloud objectivity. When I look at it as an outsider, without emotion, I see a very elderly woman who has lost a good part of her mind, her ability to enjoy life. Now, people...

Family, Internal Medicine, General Medical Questions: food, food elimination diet, upper respiratory symptoms
food elimination diet, upper respiratory symptoms, stomach ache: it may be food allergies... RAST and skin tests are notoriously bad for diagnosing those.... I don t even use them because they are too unreliable. You can do better by figuring out which type of food sets you off... like milk or nuts or tomatos...etc. With...

Family, Internal Medicine, General Medical Questions: Gastritis, upper endoscopy, empty stomach
upper endoscopy, empty stomach, rheumatoid arthritis: protonix and prilosec are similar, take one or the other... as long as you take it on an empty stomach, they work the same. You need to avoid all advil, alleve, celebrex, prednisone. I would also consider prescribing carafate for you. In the meantime,...

Family, Internal Medicine, General Medical Questions: Growth on big toe, giant cell tumor, big toe
giant cell tumor, big toe, cyst: it is hard to tell without seeing it or seeing a really good picture of it.... things that come to mind are a wart, a small smoldering infection, possibly a giant cell tumor (not cancer, just a slow growing piece of tissue somewhere where it should not be)...

Family, Internal Medicine, General Medical Questions: galblader, weird diseases, blood cell count
weird diseases, blood cell count, white blood cell: wow... a tough one.... I would ask to be referred to a big medical center gastroenterologist and get tests that check the gall bladder, stomach, lower bowel, etc. Looking also for weird diseases like sprue. Taking pain meds isn t the answer at this point........

Family, Internal Medicine, General Medical Questions: Haemorrhoids, local anaesthetic, ovary syndrome
local anaesthetic, ovary syndrome, hydrocortisone: typically, if you can keep constipation away, they will shrink down within a month as much as possible. If they are still big then.... possible surgery.... if there are skinny tags, then banding is the best treatment... if they are simply large and a few,...

Family, Internal Medicine, General Medical Questions: Head laceration, curio cabinet, internal flow
curio cabinet, internal flow, laceration: first of all, take a deep breath.... the body is very good at healing. No antibiotics is the right choice.... these kind of lacerations don t get infected. Nerves can be smashed, or cut and then there is numbness... if the smash didn t destroy the...

Family, Internal Medicine, General Medical Questions: Heel Pain, internal scar tissue, nerve ending
internal scar tissue, nerve ending, bone infection: You might have had a little bit of the nail in there, causing some scar tissue meaning some healing tissue that is staying a little infected/inflamed. I would re-xray the heel to make sure there is no bone infection. If that is normal and you feel OK otherwise...

Family, Internal Medicine, General Medical Questions: Have you every heard of a doctor having a hypothyroid patient take their medication everyother day?, blood level, mother in law
blood level, mother in law, ailments: If 50 ug is too much, it isn t unreasonable to use it every other day. The way that is metabolized, it will still give her a pretty consistent blood level. I would wonder, though, if she is on that low of a dose, as to whether she really needs it or not....

Family, Internal Medicine, General Medical Questions: high fever, back pain, and hard to breath, kidney infection, high fever
kidney infection, high fever, playing basketball: I didn t see a specific question.... but with your teen thatsick for several days, she has to be checked. This could be H1N1 flu, could be pneumonia, could be a kidney infection. But this long suggests she needs something more than just observation.... you...

Family, Internal Medicine, General Medical Questions: Itchy Designer Stubble, designer stubble, hair clippers
designer stubble, hair clippers, hydrocortisone: that sounds like a lot of work, but to each his own.... you may have some inflammation (especially if you are black) because the short hair may curl and cut into and irritate the surrounding skin. Assuming there are no pimples there, you might try hydrocortisone...

Family, Internal Medicine, General Medical Questions: No idea what's wrong with me!?, lovely little girl, pain med
lovely little girl, pain med, kidney disease: You need a doctor who will work with you on this.... Your situation is complicated with the kidney disease... because that can raise your blood pressure. Also, people with hydronephrosis can have other problems with hormones, anemia, blood pressure so you...

Family, Internal Medicine, General Medical Questions: intercostal strain, kidney stone, lung infection
kidney stone, lung infection, immed: it may be that, or it could be the beginning of a lung infection..... pneumonia, pleuritis, etc. Also kidney stone can cause pain there. Also look for a rash in the next 24-36 hours as it could be shingles occurring. If it isn t all of those, try some...

Family, Internal Medicine, General Medical Questions: irregular bleeding, pap test, tubal pregnancy
pap test, tubal pregnancy, pregnancy test: Cervical cancer isn t an issue because paps are normal, period. (no pun intended) Irreg periods happen a lot, so, it may just be an abnormal ovulation and will reset in a month. But, you should recheck the preg test with a first morning urine (most...

Family, Internal Medicine, General Medical Questions: Jaw bone and face., little twitch, jaw alignment
little twitch, jaw alignment, red flags: The weight may have a lot to do with it... when you lose weight, you lose some off the face and the contours change. The missing molars can really aggravate TMJ because you chew off center now. The twitch may be related... but a little twitch occ doesn...

Family, Internal Medicine, General Medical Questions: jumping from an airplane, commercial plane, sky diving
commercial plane, sky diving, plane accident: it is a rare occasion when you will have enough time to strap on parachutes and get trained to survive jumping out of an airplane. Usually the problems come on fairly fast.... it has to be a problem not too high up, so people lose consciousness and not too...

Family, Internal Medicine, General Medical Questions: Low Body Temperature, low body temperature, workout plan
low body temperature, workout plan, swine flu: Maybe you are just different..... but hypothyroidism is always something I look for.... it is a big fooler, because some people can have big obvious symptoms, some others have pretty non descript symptoms. That is why we use it as a screening tool when we...

Family, Internal Medicine, General Medical Questions: low grade fever headache, low grade fever, fever 99
low grade fever, fever 99, thyroid tests: It still could be sinus and the antibiotic wasn t effective.... other possibilities are a simple viral upper respiratory ijnfection although it is going on for a little long. Have you been checked for a possible urinary infecttion? If those are all negative,...

Family, Internal Medicine, General Medical Questions: lymph system, lung pleura, lymphnodes
lung pleura, lymphnodes, muscle cramping: 1) no... it is muscles aching from inflammation and the lining of the lung (pleura) also inflamed 2) runner cramps.... no (O for 2!) It is the muscle cramping because it demanded more oxygen due to work than it could get... also it produces waste products...

Family, Internal Medicine, General Medical Questions: Mold, little dots, stomach acid
little dots, stomach acid, theoretical risk: it isn t a problem eating it because your stomach acid would kill it and digest it or you would simply crap it out. Either way, no problem. The big deal would be if you inhaled some of it and then had a chest cold that was prolonged afterwards.... that should...

Family, Internal Medicine, General Medical Questions: medical definition, medical definition, good qualities
medical definition, good qualities, medical term: I don t speak latin and we don t use it in medicine for at least the last 30 years..... but from medical terms... quo ad means from something to something..... sanam.... no idea functionam.... functional, useful, ad vitam.... to life, birth,...

Family, Internal Medicine, General Medical Questions: my mother keeps choosing death, roller coaster ride, pain medicine
roller coaster ride, pain medicine, 72 years: Hello Cecile and thanks for writing, I apologize for my tardy response, I was not well myself this past week. I am sorry to read about your Mother’s condition, this must be tearing you and your family apart emotionally. I am glad to see she s on Antidepressants...

Family, Internal Medicine, General Medical Questions: mouth filled with spit while sleeping, stomach contents, saliva
stomach contents, saliva, reflux: The weight may contribute for a couple of reasons... the biggest one may be that you are refluxing stomach contents, especially when you are asleep. Try keeping your nightime meal light... for example, a heavier meal at noon, and then a lighter meal at 6pm,...

Family, Internal Medicine, General Medical Questions: Nose bleeds, nose spray, heavy flow
nose spray, heavy flow, nose bleeds: with recurrent ones, you have to make sure she isn t getting anemic... she is about the age where periods start which may add to anemia... if that is OK... then almost all nosebleeds can be treated at home. I do things in a stepwise progression... easiest...

Family, Internal Medicine, General Medical Questions: Pain in my upper stomach on the right side., fevers and chills, nausea medicine
fevers and chills, nausea medicine, upper stomach: I hear this a lot.... sometimes, even with symptoms, we can t figure out the exact diagnosis early on.... this has been going on long enough where we should be able to figure it out. If you have a regular doc, see him and have him get all the info from the...

Family, Internal Medicine, General Medical Questions: Please help, types of ulcers, prenisolone
types of ulcers, prenisolone, excruciating pain: FIrst... I don t see anything that was done wrong except maybe not a great explanation and education on his situation. I assume he is in daycare or preschool.... The throat illness with the sores is probably herpangina... the original oral cold sore infection....

Family, Internal Medicine, General Medical Questions: pains in leg, blood pressure cuffs, peripheral artery disease
blood pressure cuffs, peripheral artery disease, peripheral artery disease pad: your cholesterol doesn t seem that bad, however, your sugar is out of control.... after meal sugar of 235 is not good control. That should be improved for long term help. In the short run, if you have pain in your legs with exertion, it sounds like you...

Family, Internal Medicine, General Medical Questions: parasitology, veterinary field, praziquantel
veterinary field, praziquantel, ivermectin: flagyl is safe in humans but won t work for a lot of worms. The others aren t available in human prep, so we can t tell if they are dangerous. There are people antiworm pills but I usually don t do it routinely, only in response to (usually a kid) someone...

Family, Internal Medicine, General Medical Questions: Ringing in ear, afrin nose spray, resting heartrate
afrin nose spray, resting heartrate, ringing in ear: probably, you irritated the eardrum somehow... maybe with the sneezing... if so and you didn t rupture the eardrum, it should go back to normal in a few days. If you have any head congestion, you might try some afrin nose spray twice a day for 2-3 days....

Family, Internal Medicine, General Medical Questions: Roundworms, butt cheeks, cotton underwear
butt cheeks, cotton underwear, prescription creams: roundworms.... I hope you mean ringworm.... that is a fungus which likes warm and wet.... also the area on your butt is also a fungus... it likes warm and wet too. So the object is to keep the area as cool and dry as possible and use an antifungal cream......

Family, Internal Medicine, General Medical Questions: How to get rid of this lump, what is it?, butt cheek, fluid portion
butt cheek, fluid portion, seroma: If the lump is soft and squishy, it is a seroma... the leftover fluid portion of a large hematoma (bruise). If it is firmer, then it may be a hematoma... the bruise where the blood has hardened somewhat. If it is a seroma, your doc can consider draining...

Family, Internal Medicine, General Medical Questions: Sarcoidosis, chest x ray, dry cough
chest x ray, dry cough, upper abdomen: wow... that is a lot of information.... with your age and your sarcoid... the first thing I would do is to make sure there is no coronary disease... an EKG is not good enough... you need a nuclear stress test, or a heart cath or a CTA... a cat scan angiogram...

Family, Internal Medicine, General Medical Questions: Streptococcal infections and arthritis, phd microbiology, aso titer
phd microbiology, aso titer, veterinary pathobiology: You are most likely right on target..... people can get non strep A (Usually group C) and not have a positive quick test and not get treated. I tend to treat pretty liberally where if the symptoms are there appropriately, I give them a good strp drug. So...

Family, Internal Medicine, General Medical Questions: Swelling Ankles & Feet, low salt diet, swelling ankles
low salt diet, swelling ankles, water pills: is the swelling from the Lyrica? If so, and you want to continue... then you have to deal with the swelling.... I like using support hose, especially if the swelling goes down at night... use mid calf cheap hose, but you have to put them on FIRST thing in...

Family, Internal Medicine, General Medical Questions: Swollen glands, viral fatigue syndrome, post viral fatigue
viral fatigue syndrome, post viral fatigue, post viral fatigue syndrome: This illness (or better collection of illnesses) is pretty poorly understood. The best theory is that this is a low grade smoldering viral infection. I assume you had a comprehensive workup including Lyme, HIV and other virus , etc. Also have had thyroid...

Family, Internal Medicine, General Medical Questions: serious addiction to senna laxative, Constipation
Constipation: Hello Rwaida, LBT3 by Wild Rose is an excellent herbal supplement which promotes healthy bowel function and prevents constipation, I use it and find it safe and effective with no cramps or discomfort. Always ensure you drink enough water too, 6-8 glasses...

Family, Internal Medicine, General Medical Questions: severe blood loss, major blood, laceration
major blood, laceration, blood donation: wow... you don t want the fastest.... if someone transects their aorta, they can do it in about 5 seconda. A good major artery in the arm, about 20 minutes, a good one in the leg, about 10 minutes. The major blood vessels in the chest and abdomen... seconds....

Family, Internal Medicine, General Medical Questions: left side chest pain that radiates and test results, left side chest pain, coronary artery spasms
left side chest pain, coronary artery spasms, stress echo: Good grief.... that is by far the longest question I have ever seen here. Before I got to your statement about Prinzmetals, I was thinking about it. (That is the coronary artery spasm) If you had a fixed blockage, then it should have shown up on the...

Family, Internal Medicine, General Medical Questions: sore heel., heel spurs, coke bottle
heel spurs, coke bottle, alleve: this is plantar fasciitis, or if you had it bad enough and long enough, the subsequent problem that you can see on xray, heel spurs.... but they are treated the same........ Take an antiflammatory, like Alleve, 2 twice a day. (Watch out for heartburn)...

Family, Internal Medicine, General Medical Questions: sore nose, hydrocortisone, bacterial infection
hydrocortisone, bacterial infection, runny nose: an ointment like neosporin will help just by the fact that it is an ointment. Since this isn t a bacterial infection, it won t really help in that respect and there is a chance of being allergic to it. So, in general, a little ointment may help, maybe hydrocortisone...

Family, Internal Medicine, General Medical Questions: Trigger Finger Release, tendon sheath, trigger finger release surgery
tendon sheath, trigger finger release surgery, little finger: trigger finger is an annoyance.... it is a nodule on the tendon or tendon sheath that gets stuck a bit until a little more force pushes it through. Yes, it can reoccur. Esp if you are doing something repetitively that involves strong gripping.. The surgery...

Family, Internal Medicine, General Medical Questions: testosterone, Anadoil pharmacology
Anadoil pharmacology: Hey Scott, Sorry, obviously I looked up the wrong drug. Does this help? 5-AD is actually the demethlated version of the schedule III ANABOLIC STEROID METHANDROIL. ANADOIL-40 (5-androstene-3b-17b-Diol) 5-Androstenedoil-Designed to dramatically increase...

Family, Internal Medicine, General Medical Questions: thyroid, thyroid patient, thyroid levels
thyroid patient, thyroid levels, low thyroid: yes, you are on meds forever... but you need a full eval by an endocrine doc.... they didn t dose the I-131 correctly. And you gave symptoms of low thyroid, but as long as your TSH is between .5 and 1.5 you should be adequately replaced.... but I would have...

Family, Internal Medicine, General Medical Questions: toe cramps, toe cramps, potassium replacement
toe cramps, potassium replacement, tonic water: the treatment is based on what is causing them... if you are on a water pill, it could be potassium or magnesium.... you can try a potassium replacement (20 meq a day) for a few weeks. If that doesn t work, try magnesium... over the counter, 400 mg twice...

Family, Internal Medicine, General Medical Questions: Do u think it was my mothers anxiety attacks that made her feel this way about the fire trap remark, dads side, fire trap
dads side, fire trap, anxiety attacks: This firetrap is just a distraction.... the underlying problem is anxiety and anger over this incident (and probably many others) The lack of direct communication in your family is contributing to it. (Believe me, your family is not unique with this) So,...

Family, Internal Medicine, General Medical Questions: water, ounce glass, light meals
ounce glass, light meals, nutritional value: not really... those people are interested in being healthy, so they have eaten well and drink plenty of water. The 8 glasses of water is good. Some people recommend drinking a full 16 ounce glass of water just before a meal, so that you will eat less that...

Family, Internal Medicine, General Medical Questions: Should I be worried?, severe menstrual cramps, factor v leiden
severe menstrual cramps, factor v leiden, hematologist oncologist: It is always hard to facto in how much this is affecting all these symptoms. Yo are at higherrisk to have blood clots. You also have a 50-50 chance of passing this on to your child. With the breathlessness, your doc should check you for a blood clotin the...

Family, Internal Medicine, General Medical Questions: My 5 year old daughter, blood cultures, bone infection
blood cultures, bone infection, heated pool: So what you have said is pain in the thigh without any known injury or cause. The only thing that is pretty rare, is possibly a bone infection... I would have her checked by her doctor and consider blood cultures at least once, especially if there is any...

Family, Internal Medicine, General Medical Questions: Amenorrhea & pregnancy, depoprovera shot, laxative abuse
depoprovera shot, laxative abuse, muscle weight: you are not going to get an answer for your question of what are the chances of getting pregnant. You can prove if you are ovulating or not. The fact that you don t have periods suggests that you are not but that is not even close to 100% accurate. ...

Family, Internal Medicine, General Medical Questions: Appendicitis, lower abdominal pains, low grade fever
lower abdominal pains, low grade fever, chronic appendicitis: There has been a chronic appendicitis condition reported which would mimic those symptoms. I would also worry about inflammatory bowel disease, like crohn s or ulcerative colitis or familial diverticulosis..... I think you need to see a GI doctor and have...

Family, Internal Medicine, General Medical Questions: aging and weight gain, unexplained weight gain, anually
unexplained weight gain, anually, routine check: you might have to send a picture :) there are a couple of issues..... first... the weight gain isn t unexplained... it has to do with supply and demand of calories... either the supply goes up or the demand goes down. Typically the demand goes down with...

Family, Internal Medicine, General Medical Questions: Breasts Lactating, thyroid function tests, enlarged breasts
thyroid function tests, enlarged breasts, swollen breasts: I assume you are a man with that name... you should be referred to an endocrinologist but initially, you need thyroid function tests, cortisol levels, Prolactin levels to see why your hormones are off enough to get you lactating.... I hope this helps.....

Family, Internal Medicine, General Medical Questions: bleeding, birth control pills, concentrated urine
birth control pills, concentrated urine, morning urine: you are scared of doctors, but want advice from one? :) when ever someone has mid cycle bleeding, it first makes me worry about pregnancy, so you should do a first morning urine sample test for pregnancy. (Most concentrated urine) If you are not pregnant,...

Family, Internal Medicine, General Medical Questions: bloody stools, Rectal bleeding (Hematochezia)
Rectal bleeding (Hematochezia): Hi Phil and thanks for writing, Many things can cause blood in your stool, some harmless, some more serious. Bright red stool generally comes from the rectum and can indicate constipation and/or haemorrhoids. The closer to the anus the source of the bleeding,...

Family, Internal Medicine, General Medical Questions: Change in Bowel Movements, inflammatory bowel disease, best case scenario
inflammatory bowel disease, best case scenario, thyroid problem: You said some bleeding... if it is definitely only the skin outside of the anus, (which it probably isn t) no problem, but you need to find out why there has been a change... the best case scenario is you have developed a food intolerance and can t digest...

Family, Internal Medicine, General Medical Questions: Conceiving a child, little miracle, miracle baby
little miracle, miracle baby, conceiving a child: likelihood.... I can t answer.... Could you have made her pregnant by intercourse even though you didn t ejaculate.... yes, you leak a small amount of fluid just with stimulation and an erection that has swimmers in it. So it is possible, less likely if...

Family, Internal Medicine, General Medical Questions: Cycle issues, birth control pills, thyroid levels
birth control pills, thyroid levels, thyroid hormone: I can t answer why it is long.... it could be a thyroid hormone problem, could be a female hormone problem, endometriosis, etc. I would go on birth control pills for 3-6 months and see if you can regulate it then stop them...... that often helps. Also, get...

Family, Internal Medicine, General Medical Questions: cramps, 6th week of pregnancy, menstrual cramps
6th week of pregnancy, menstrual cramps, week of pregnancy: don t be concerned about the semen issue... at 6 wks, if someone miscarries, it was because something bad was wrong with the pregnancy. The only thing that concerns me is the possibility of a bladder/urinary tract infection... that should be checked earlier...

Family, Internal Medicine, General Medical Questions: Dehydration, IV hydration
IV hydration: Hi Rod, Depending on their health history and if there are any concurrent treatment concerns, most people will just be given a bag of Saline or D5W (which has a little sugar in it for energy). I hope this answers your question and Happy New Year, Margot...

Family, Internal Medicine, General Medical Questions: ear, ear nose throat specialist, ear nose throat
ear nose throat specialist, ear nose throat, weird sensation: It sounds like the problem is eustachian tube dysfunction.... overall and pressure is on the eardrum. The popping is pressure being released, like the ear farting.... but, if the pressure is being relieved through the eardrum, you may have a tiny hole, often...

Family, Internal Medicine, General Medical Questions: electric shock, heart palpitation, electric shock
heart palpitation, electric shock, time speeds: Everyone is low in Vit D so that isn t it. Sometimes people get this sensation when they stop or start serotonin antidepressant/antianxiety drugs. It also could be related to your poor sleep habits... I would talk to your doc about some sleep hygiene techniques...

Family, Internal Medicine, General Medical Questions: Feels Like Something Stuck in Throat, something stuck in throat, hollow organs
something stuck in throat, hollow organs, acid reflux: It isn t stuck in your throat.... you have reflux that has irritated your lower esophagus and with many hollow organs, the pain is referred and not direct, so you feel it vaguely in the lower neck, upper chest. Talk to your doc about reflux meds, at least...

Family, Internal Medicine, General Medical Questions: What kind of boils are these ?, blisters, kamal
Family, Internal Medicine, General Medical Questions: What kind of boils are these ?, blisters, kamal, antibiotics

Family, Internal Medicine, General Medical Questions: Hemorrhoids, hot sitz bath, external hemorrhoid
hot sitz bath, external hemorrhoid, external thrombosed hemorrhoid: it is a hemorrhoid... a stretched vein that when the blood clots in it it gets hard and sometimes painful... when they are smaller than a centimeter, leave them alone and they usually get better. Sometimes if really painful, we have to open them up, but usually...

Family, Internal Medicine, General Medical Questions: Hep C, hep c, old blood
hep c, old blood, jibberish: Whether to treat is a long complicated subject... but not being sick is an ignorant answer, that unfortunately, is pretty common. You don t have to worry healthwise... It is really hard to get Hep C from someone... even with sex contact, it isn t easy....

Family, Internal Medicine, General Medical Questions: Hypothyroidism, non alcoholic red wine, thyroid hormones
non alcoholic red wine, thyroid hormones, low carb diet: hi victoria, first, you must check your thyroid hormones to determine if your medications are working. weight gain, fatigue, and generalized body distortment are common in hypothyroid patients who are undertreated. second, your diet is definitely important....

Family, Internal Medicine, General Medical Questions: head trauma+?z, head garlic, light headness
head garlic, light headness, head trauma: from your question, you either have a concussion or add or bipolar disease.... For a head injury, the best test to have is a cat scan... with a head injury, what you want to look for is bleeding in the head and that shows up very well on a cat scan, and...

Family, Internal Medicine, General Medical Questions: health, thyroid conditions, low thyroid
thyroid conditions, low thyroid, optimal health: you have to define sick.... is there something specific? Some people who feel sick a lot have depression, or low thyroid conditions, or other problems. So without specifics, a good start would be to present your symptoms to your doctor (or get one) and...

Family, Internal Medicine, General Medical Questions: Is are house the problem?, sick building syndrome, bone cancer
sick building syndrome, bone cancer, heavy metals: while these look like a cluster if similar cases from radon, sick building syndrome, at the OSU CIM we evaluate the lab tests more carefully to correlate the diets which most often are similar if in the same household to eliminate nutritional toxicities and...

Family, Internal Medicine, General Medical Questions: hysterectomy, straight forward questions, abdomin
straight forward questions, abdomin, retaining water: The first thing I would think of is hypothyroidism, and even though you listed it, I would make sure you are on the perfect dose... I like to increase the dose until the TSH is 1.0 plus or minus 0.5. I would also have a general evaluation looking for diabetes,...

Family, Internal Medicine, General Medical Questions: IBS, inflammatory bowel disease, scar tissue
inflammatory bowel disease, scar tissue, toilet water: it doesn t take much blood to bloody up the toilet water. But no, rectal bleeding in general is not normal. And IBS by itself doesn t cause bleeding. They won t necessarily comment on hemm s because they are so common also. But, with all this, I would...

Family, Internal Medicine, General Medical Questions: What kind of boils are these ?, kamal shah, skin rash
kamal shah, skin rash, fungal culture: assuming your doctor doesn t know what to order (and I don t know why that would be) then get an aerobic and anerobic bacterial culture, and a fungal culture. If these boils are not infectious and are related to some type of autoimmune disease (like polymyositis)...

Family, Internal Medicine, General Medical Questions: Macular Scar, pediatric ophthalmologist, macula
pediatric ophthalmologist, macula, nerve center: The macula is the nerve center for the vision receiving nerves in the eye... It depends on what caused the scar and how bad it is as to whether anything can be done. I don t know any details obviously but if he has no vision now, I am not optimistic that...

Family, Internal Medicine, General Medical Questions: Mens Health concerns, lower abdominal pain, heart issues
lower abdominal pain, heart issues, street drugs: sometimes people try to take all the symptoms and lump them into 1 diagnosis... that is dangerous, because things can get missed. I see the biggest ones are the sweating and the palptitations, maybe the abdominal pain. As far as health, you are a typical...

Family, Internal Medicine, General Medical Questions: mild Hyperbaric Oxygen Therapy, hyperbaric oxygen therapy, chronic inflammation
hyperbaric oxygen therapy, chronic inflammation, free radicals: heard that from who? Michael Jackson? The human body is pretty good at maximizing oxygenation of tissues and the only reasons that definitely help are conditions where the body needs extra oxygen, like healing large sores. Wouldn t it be nice if that helped...

Family, Internal Medicine, General Medical Questions: mild Hyperbaric Oxygen Therapy, hyperbaric oxygen therapy, oxygen toxicity
hyperbaric oxygen therapy, oxygen toxicity, chronic inflammation: hi alex, hyperbaric oxygen therapy is regulated as it can cause serious injuries if used inappropriately. such therapy is contraindicated in certain illnesses. the most serious risks are oxygen toxicity, barotraumas, deafness, and seizures. i am unsure...

Family, Internal Medicine, General Medical Questions: mother's condition, plastic pipette, symptoms of ovarian cancer
plastic pipette, symptoms of ovarian cancer, stomach discomfort: I assume she didn t have a hysterectomy since she has vaginal spotting... that is not a sign of ovarian cancer. However, with the year long spotting, it could be a sign of uterine *endometrial cancer.... she needs some testing. I don t know what GNC means,...

Family, Internal Medicine, General Medical Questions: Numbness in left temple, doing internet research, pinched nerve
doing internet research, pinched nerve, numbness: the back of the neck pinched nerve is not an issue... this would be a weird presentation for a stroke if you don t have an arm or leg or both tingling or weak. I don t have a great answer... a neurologist is the right person for you to see.... if you do...

Family, Internal Medicine, General Medical Questions: orgasm time, orgasm time, time of man
orgasm time, time of man, sexual intercourse: 1) there isn t one 2) Viagra doesn t do anything to change orgasm time. It happens, then is over. 3) Why guys wake up with an erection is poorly understood. Can it be used to keep erect.... I guess you could take a nap and have someone wake you when...

Family, Internal Medicine, General Medical Questions: pain in arms, nerve conduction studies, upper extremities
nerve conduction studies, upper extremities, dull ache: anything can be stress related however, you want to exclude physical, metabolic and neurologic causes before we write it off as stress. A dull ache in 1 or both arms makes me think of some cervical neuropathy, maybe from a disc in the neck pressing...

Family, Internal Medicine, General Medical Questions: pain in legs, blood pressure cuffs, leg arteries
blood pressure cuffs, leg arteries, pulse volume: I don t know what some of the meds are... but with the walking problem, it sounds like your leg arteries may have blockages also... your cholesterol isn t bad, but the sugar needs better control. Ask your doctor to do pulse volume recordings on your legs...

Family, Internal Medicine, General Medical Questions: perimenopause, Menopause
Menopause: Hi Stephanie, Your symptoms are normal for menopause as your hormones levels are all over the place which can cause Hot Flashes, Night Sweats, Irregular Periods, Loss of Libido, and Vaginal Dryness. These symptoms commonly start n your early forties and...

Family, Internal Medicine, General Medical Questions: prostatitus and constipation, narcotic pain medication, glycolax
narcotic pain medication, glycolax, miralax: I am gonna make an assumption and say that you had prostatitis and was given some narcotic pain medication like Percocet or Vicodin. That will slow down the gut and make you constipated. The best treatment is more natural, avoiding harsh laxatives like ducolax....

Family, Internal Medicine, General Medical Questions: really hope u can help, morning urine, pregnancy test
morning urine, pregnancy test, time hope: do one more pregnancy test with a first morning urine.... that is the most concentrated and will be the most likely to be positive if you are pregnant. But, if negative, it is not unusual to skip a period occasionally... a failure to ovulate once and the...

Family, Internal Medicine, General Medical Questions: Scrotum/Testicles, medical standpoint, jockstrap
medical standpoint, jockstrap, lumps: If you can get erections, your testosterone produced by them is probably normal.... this can also be checked easily with a blood test.... I don t know who would do surgery for that.. I think most would recommend a supporting pair of underwear, like a jockstrap...

Family, Internal Medicine, General Medical Questions: Skin Rash accompanying Strep, antibiotic use, skin rash
antibiotic use, skin rash, red dots: I don t know what a more serious rash means.... but it doesn t really sound like scarlet fever rash... that feels like sandpaper and isn t red. It could be a reaction to the Keflex or could be a rash because of the Mono... you need to watch out in the future...

Family, Internal Medicine, General Medical Questions: Sneezing fits, saline nasal spray, normal saline nasal spray
saline nasal spray, normal saline nasal spray, private investigators: well, we can t have you blowing your cover anymore..... sneezing is a reflex caused by irritation to certain nerves inside the nose. Most of the time they are irritated by colds or allergies. Sometimes the irritation can be from an injury... (did you...

Family, Internal Medicine, General Medical Questions: scalp issues, finger nails, cradle cap
finger nails, cradle cap, topical creams: it isn t psoriasis.... it is tinea capitis, AKA cradle cap AKA head crud AKA fungus head. It is very treatable, sometimes with topical creams, sometimes with oral Grispeg..... check in with your pediatrician for one of the treatments..... I hope this...

Family, Internal Medicine, General Medical Questions: skin, vitiligo, tinea
vitiligo, tinea, pigment: it may look similar initially... but are different diseases.... vitiligo should have no flaking, scaling and should have patches of no pigment that have very sharp borders but are not round, often like a two colored cow with flowing edges. TV has scales...

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

Family, Internal Medicine, General Medical Questions: stomach, zantac 150, irritable bowel syndrome
zantac 150, irritable bowel syndrome, celiac sprue: there are many possibilities... reflux.... try zantac 150 twice a day for a month gallstones.... an ultrasound to check a food allergy... does a specific food make it worse? Irritable bowel syndrome... what we call it when we can t find an answer...

Family, Internal Medicine, General Medical Questions: strange symptoms, thyroid tests, nerve problems
thyroid tests, nerve problems, strange symptoms: your symptoms are pretty vague and don t appear connected.... lightheadedness and headaches have many many causes. The pressure in the R ear can be wax or a problem with normal pressure changes in the ear from infections, like sinus and from allergies....

Family, Internal Medicine, General Medical Questions: What you can/can't say to a doctor, mental health associations, legal ramifications
mental health associations, legal ramifications, psychiatric mental health: This is an interesting question... and I see several answers on several different levels..... First... what can someone say... you won t find an exact answer, but... someone gets committed if they are a danger to themselves or others... so one person can...

Family, Internal Medicine, General Medical Questions: Urine analysis, bile pigment, bladder infection
bile pigment, bladder infection, white cells: epith cells are skin cells, the skin on the inside of the bladder.... doesn t mean anything. same with Sq cells Bile pigment some of the salts produced by the liver.. that means nothing also, clinically Leuk Esterace trace... means there are white cells...

Family, Internal Medicine, General Medical Questions: Vaginal pain, sex creams, nuva ring
sex creams, nuva ring, vaginal pain: I have some ideas, but I can t tell just by your description.... It could be yeast, I would try monistat cream and a diflucan pill first and probably add in a steroid cream for a few days to help with the irritation/inflammation. It could be an allergic...

Family, Internal Medicine, General Medical Questions: vaginal irritation&itching, bacterial vaginosis, vaginal itching and irritation
bacterial vaginosis, vaginal itching and irritation, antifungal creams: those can be tough.... she needs a good GYN exam when the symptoms are bad... I would also check a blood sugar on her. If she douches, then she needs to stop. It still sounds like yeast but there are other bacterial infections that cause these symptoms...

Family, Internal Medicine, General Medical Questions: Wrist Problems, soft tissue injury, injury occured
soft tissue injury, injury occured, pvc pipe: you never told me what the original injury was other than a pipe hit it... whether the bone was broken or it was a soft tissue injury. When you wear a brace, you tend to tell the support muscles that they don t have to do as much and they get a little weaker....

Family, Internal Medicine, General Medical Questions: 2 wk. + Flu-like symptons, viral illnesses, itchy rash
viral illnesses, itchy rash, mild fever: Hi Mark, This sounds like Flu but garden variety viral illnesses can cause same symptoms. Unless you were tested for Flu, you can’t assume you had it based on symptoms alone. It might be a good idea to see your doctor to be sure there is nothing else at work...

Family, Internal Medicine, General Medical Questions: 3y old son bowel issues., everyone poops, blah blah
everyone poops, blah blah, miralax: Poor baby and poor mama! I bet it is stressful, and with preschool approaching, the pressure is on to solve the problem, it sounds like. I m not an expert in this area, but as a mommy and a nurse, here is what I would look into next: Could omega 3 (fish...

Family, Internal Medicine, General Medical Questions: acid reflux, acid reflux, stomach contents
acid reflux, stomach contents, retrograde flow: Hi Pat, A hiatal hernia is when a portin of the stomach herniates through the diaphragm into the chest. They can be huge or small. Relux is the process where stomach contents move upward into the esophagus instead of going down into the stomach. They are...

Family, Internal Medicine, General Medical Questions: Blood work, lipid profile, low hdl
lipid profile, low hdl, vldl: This is not complex for you to be confused. It is probably the effect of the drugs you are taking. Stop the drugs for a week, get Lipid profile done and report me with three days measurement of Blood Pressure. Send the results at medlifeasia@gmail.com Are...

Family, Internal Medicine, General Medical Questions: Breast Pain, national cancer institute, signs of cancer
national cancer institute, signs of cancer, breast pain: hormonal changes after marriage cause this. the breat will grow larger. just do massage and relax.all is normal -------------------- -------------------- Maybe we havent been told of many of the effective treatments of Cancer listed by the National Cancer...

Family, Internal Medicine, General Medical Questions: Broken pinkie toe with spreading blood, broken pinkie toe, gauze
broken pinkie toe, gauze, hadn: Hi Nicole, The spread is normal as the body tries to reabsorb the blood. The constant walking is helping spread the blood around. Don’t worry about this and continue to treat it as you need for comfort. It will resolve on its own in another 2-4 weeks...

Family, Internal Medicine, General Medical Questions: burping, stomach problems, phenomena
stomach problems, phenomena, medicine: Hi Deborah, Burping is a normal phenomena. It could be as simple as air swallowing. it could be from stomach problems you are not aware of. If the burping is immediate after eating a bite of food, I would suspect habitual burping or air swallowing. There...

Family, Internal Medicine, General Medical Questions: CBC & Cholesterol Tests, cholesterol blood tests, cholesterol drugs
cholesterol blood tests, cholesterol drugs, cholesterol tests: Hi Bob, Discuss it with your doctor. Ask him why he is exceeding established guidelines for testing if you keep coming back with normal labs. It might be a sensitive subject to question him but he is ,after all,providing a service that you are paying for...

Family, Internal Medicine, General Medical Questions: cancer in both eyes and roof of nose near brain, squamous cell carcinoma, rn msn
squamous cell carcinoma, rn msn, uncommon cancer: I don t know. This is where I would look for information: WEBMD or the Mayo Clinic website might be able to help you. MD Anderson in Houston Texas is a great resource also, as far as treatment, and they ll see out of towners. --Maggie Smith, RN, MS...

Family, Internal Medicine, General Medical Questions: chickenpox?, low grade fever, chickenpox vaccine
low grade fever, chickenpox vaccine, dr sears: It s sooooo unlikely you would get it from shared outside air. The droplets in his sneezes and breaths fall to the ground and loose their virulence faster than in a minute or two. Now, tuberculosis would be the only exception where I would say you could...

Family, Internal Medicine, General Medical Questions: chickenpox?, tiny virus, respiratory droplets
tiny virus, respiratory droplets, chikenpox: Hi Daph, You have to physically not just stand close to him but to have him sneeze at you to contract chickenpox. The basic transmission is by tiny virus located inside respiratory droplets. If you were vaccinated as a child, it is best to ask your physician...

Family, Internal Medicine, General Medical Questions: constant pain, facial nerve, burning sensation
facial nerve, burning sensation, cancerous growth: Hi Nicole, I am only providing this service as an educational tool. It is not to be used for the purposes of medical diagnoses. Your father s symptoms should warrant a referral to an ENT for evaluation to rule out if there is a cancerous growth impeding...

Family, Internal Medicine, General Medical Questions: DeMeester score, national cancer institute, signs of cancer
national cancer institute, signs of cancer, early signs of cancer: Dr. DeMeester is currently the Director of the National Registry for Antireflux Surgery and Barrett s Esophagus. That is why this scale is used. the result can be well interpreted by your doctor. Better consult a gastroenterologist. But the bottom line is...

Family, Internal Medicine, General Medical Questions: Diabetic Foot Ulcer, diabetic foot ulcer, wound care clinic
diabetic foot ulcer, wound care clinic, types of ulcers: Hi Wendy, By “foot doctor” what exactly are you referring to? An Orthopaedic surgeon or a podiatrist? As for the complications regarding the antibiotic, kidney function issues are one of the side effects. That said, his diabetes may have rendered his kidnesy...

Family, Internal Medicine, General Medical Questions: Differing symptoms, no answers!, puzzle pieces, macrobid
puzzle pieces, macrobid, first few days: Hi Lisa, A concussion can have lasting consequences. That is called post concussion syndrome. It is comprised of fatigue, headache, loss of concentration, depression and in some cases a condition called SIADH which can cause excess urination, salt and water...

Family, Internal Medicine, General Medical Questions: depo medrol shots, rn msn, hip replacements
rn msn, hip replacements, long term solution: Long term steroid use is usually not advisable. Is there any other long term solution your physician can recommend? You might try a sports medicine doctor if you are already seeing a bone/joint doctor. They try other methods sometimes, such as physical...

Family, Internal Medicine, General Medical Questions: discomfort near rib cage on right, muscle cramp, gall bladder
muscle cramp, gall bladder, rib cage: Hi Kim, It is still possible to have spasm in the remaining biliary ducts which can cause gall bladder like pain. Other things are, of course, liver, muscles, duodenum, head of the pancreas and the right colon. seems there is still an evaluation to be done...

Family, Internal Medicine, General Medical Questions: dizziness, inner ear, mths
inner ear, mths, heart rate: Hi Donna, Dizziness with change in position could indicate a change in blood pressure, heart rate, dehydration or even an inner ear disturbance. I don’t connect the passing of gas with this at all. I do think you should talk this over with your doctor though...

Family, Internal Medicine, General Medical Questions: pain under right rib for 4 months, gallbladder problems, hida scan
Family, Internal Medicine, General Medical Questions: pain under right rib for 4 months, gallbladder problems, hida scan, gallbladder

Family, Internal Medicine, General Medical Questions: foot, stress fracture, minor trauma
stress fracture, minor trauma, spontaneous rupture: Hi Joanne, My guess is that you haven’t fractured it if you’ve been getting around. This bruise could have been from some minor trauma that you don’t remember or even a spontaneous rupture of a vein. Clearly if this doesn’t resolve in a few more days you...

Family, Internal Medicine, General Medical Questions: frequent urination, frequent urination, transvaginal ultrasound
frequent urination, transvaginal ultrasound, nitrofuran: Hi carri, You may not have been treated long enough with Cipro. The other and very likley possibility is that your Uterus had enlarged enough to drop against your baldder and that your bladder support muscles are weak after pregnancy and simple gravity is...

Family, Internal Medicine, General Medical Questions: Gastroparesis and thyroid, egg test, triangle shape
egg test, triangle shape, essential tremor: Hi Em, Gastroparesis is a VERY rare side effect of those medicines. GERD does not cause gastroparesis, but gastroparesis can make GERD worse. SEVERE hypothyroidism can cause gatstroparesis. The best thing that you can do is to eat small amounts frequently...

Family, Internal Medicine, General Medical Questions: gastritis, h pyloria, upper gi series
h pyloria, upper gi series, aspirin products: take fruit and fiber rich diet and then let me know. take BP on two different days same time and report by email ----------- Maybe we havent been told of many of the effective treatments of Cancer http://drkhalidmunir.googlepages.com email: medlifeasia@gmail.com...

Family, Internal Medicine, General Medical Questions: Hypothyroid?, serum urea, national cancer institute
serum urea, national cancer institute, symptoms of hypothyroidism: get a LFT, serum urea and serun creatinine done and let me know at my email. -------------------- -------------------- Maybe we havent been told of many of the effective treatments of Cancer listed by the National Cancer Institute of USA. It is also important...

Family, Internal Medicine, General Medical Questions: health, vitamins, supplments
vitamins, supplments, osteoperosis: Chanel, Make sure your one-a-day is a very good high dose supplement (make sure it does NOT have nickle or tin or silica in it). B-complex is good, Mg is a very good idea for bone health, Vit E & C complement each other and n-3FA (fish oil/ flax seed oil...

Family, Internal Medicine, General Medical Questions: high cholesterol/liver problems, proper health care, liver enzymes
proper health care, liver enzymes, gallbladder removal: Hi John, “Dr. Jack”? Easy now. Osteoporosis should not prevent you from walking. It doesn’t sound like you have diabetes yet. None of the surgeries you mention should keep you from exercising. Since you can’t change the past, leave it there. Focus on the...

Family, Internal Medicine, General Medical Questions: husband sick, risk factors of cancer, national cancer institute
risk factors of cancer, national cancer institute, white blood cells: Dont worry. Be in touch with me though the contacts on my website: www.medlifeasia.com CCTV test will be of no use. better give him Alfalfa tonic available at herbal and homeopathic shops. Tell me the details of his last reports through email or send them...

Family, Internal Medicine, General Medical Questions: ibuprofen-long term use, dental crowns, gastrointestinal bleeding
dental crowns, gastrointestinal bleeding, liver disease: all three have the same toxic effects on liver and kidneys at these doses; tylenol above 4,000 mg per 24 hour can be toxic ibuprofen(advil)can be toxic above 3200 mg per 24 hours Ask your personal doctor if there are reasons you would be toxic at lower...

Family, Internal Medicine, General Medical Questions: ill family, white phlegm, ear fullness
white phlegm, ear fullness, anti biotics: Hi Holly, This description sounds viral. I would simply use over the counter meds as needed and let your body heal itself. As for your 3 month old, be sure that you are giving correct doses of medicines but aside from that nature will do the right thing...

Family, Internal Medicine, General Medical Questions: Labored Breathing & Stomach Bloating, pulmonary function test, stomach bloating
pulmonary function test, stomach bloating, healthy lungs: Hi Raymond, I don’t know of any misdiagnoses for COPD due to stomach bloating. COPD can be easily diagnosed with a pulmonary function test thereby making the diagnosis a correct one. Bloating is a common side effect of the pills for reflux. The “purple pill”...

Family, Internal Medicine, General Medical Questions: lightheadedness, neurotologist, dizziness and headache
neurotologist, dizziness and headache, ent doctor: Hi Lorraine, You could have Meniere’s disease also. This can last a lifetime and cause intermittent dizziness and headache. There are other possibilities for these symptoms. I would wait to see the neurologist and see what he or she has to say. The “lazy...

Family, Internal Medicine, General Medical Questions: lightheadedness, tingling hands/feet, intermittent chest/jaw/left arm discomfort, rapid heart rate, rapid heart rate, sinus tachycardia
rapid heart rate, sinus tachycardia, visual depth perception: Hi Julie, It sounds like you have had a very thorough workup. From what I have read, it sounds to me like these symptoms are a manifestation of stress and or anxiety. I m not sure where I would send you next given that you have been seen by all relevant physicians....

Family, Internal Medicine, General Medical Questions: lightheadedness, viral labrynthitis, ct scan of lungs
viral labrynthitis, ct scan of lungs, coratid artery: Hi Lorraine, Despite the negative test, you might have a viral labrynthitis. This is a nasty situation and there is no “cure” for it but to wait it out. I have found that in my patients with this, low dose Valium has offered relief. Usually 2 mg 3-4 time...

Family, Internal Medicine, General Medical Questions: How long do I have to say Good-bye?, Death, Dying
Death, Dying, Palliative: Hello Cindy and thanks for writing, You sound like a wonderful person and your Mother has truly been blessed to have been cared for in such a loving way, but it sounds like her body is trying to shut down and you are seeing the signs of it struggling. ...

Family, Internal Medicine, General Medical Questions: Medical charges, tetanus shot, medical charges
tetanus shot, medical charges, preventative care: Hi S, Tetanus shot boosters should be given every ten years. It is true, that it is preventative. The charges reflect the cost of the vaccine ($66) and the administering of the shot (the personnel and equiptment, syringe and needle: $25). Not all medical...

Family, Internal Medicine, General Medical Questions: menopause, adrenal glands, hormone replacement therapy
adrenal glands, hormone replacement therapy, time thanks: Hi Lynn, If your ovaries were left in, menopause is a possibility. Estrogen is stored in body fat and is produced by the adrenal glands in small amounts. It is possible that you have used up all you estrogen stores and are experiencing menopausal type symptoms....

Family, Internal Medicine, General Medical Questions: nutrition, one a day multivitamin, omega 3
one a day multivitamin, omega 3, overdosing on vitamins: Hi Chanel, That is just an over-kill. The one-a-day multivitamin should contain the necessary B6, B12, Mag, E, and C. Overdosing on vitamins is more harmful than good. I do not recommend medications or supplements via the internet as I do not know your...

Family, Internal Medicine, General Medical Questions: Ongoing light-headedness, multiple symptoms, glucose tolerance test, h pylori test
glucose tolerance test, h pylori test, flare ups: Hi Jamie, I don’t think the Protonix caused your symptoms. There are other choices that may not adversely affect you. Protonix can heal ulcers and preven damage from reflux. It isn’t uncommon for everyone to have the “shakes” if not eating. It is a normal...

Family, Internal Medicine, General Medical Questions: Post-Birth Control Woes, ortho tri lo, breast tenderness
ortho tri lo, breast tenderness, immense heat: Hi Eva, If you were irregular before taking the pill, you could certainly be going back to the way you were. As for the pregnancy test, waiting about 10 days after a missed period is a better time to check for pregnancy. I am thinking that the heart beats...

Family, Internal Medicine, General Medical Questions: pain under right rib for 4 months, ultrasound machine, strange pain
ultrasound machine, strange pain, lung specialist: Hi Natasha, In the absence of other symptoms, truly this sounds muscle related or cartilege related from the coughing. Given that the muscles and cartilege attach to the rib cage in that area and never really stop moving (breathing, sitting, walking, etc.)...

Family, Internal Medicine, General Medical Questions: REMEDY, hick ups, holding your breath
hick ups, holding your breath, medlineplus: It should be allowed to stop on its own. http://www.nlm.nih.gov/medlineplus/ency/article/003068.htm ----------- Maybe we havent been told of many of the effective treatments of Cancer http://drkhalidmunir.googlepages.com email: medlifeasia@gmail.co...

Family, Internal Medicine, General Medical Questions: Smelling smoke, sinuses, alterations
sinuses, alterations, alteration: Hi Susan, Given that you are the only one who can smell it, it might be a problem with your sinuses. The cause of smell alterations are sometimes difficult to ascertain. You might consider talking to your doctor as any alteration of smell is not normal...

Family, Internal Medicine, General Medical Questions: Smelly Gas and Bruised ribs, bruised ribs, pain meds
bruised ribs, pain meds, excess gas: Hi Ralph, Bruised ribs are tough to treat. The best advice I can give is use what feels best (ice and/or heat). Important to deep breath and cough to prevent congestion in your lungs. Patches don’t work for rib bruising. Time will heal it. As for the gas,...

Family, Internal Medicine, General Medical Questions: Son's bowel problems., everyone poops, blah blah
everyone poops, blah blah, miralax: Give him diet recommended for him as on my website given below. He needs more cofidence building which can be done through keeping him in company of many friends. He will overcome the fear soon in four months if a little confidence is gained by interaction...

Family, Internal Medicine, General Medical Questions: Swelling of the lips and tongue, new medicine, angioedema
new medicine, angioedema, stomatitis: Hi Shirley, This sounds like angioedema except for the rash. It is an allergic reation to foods and or medicines. It can be very serious so be aware if your breathnig becomes a problem. It could also be an allergic stomatitis. There is no particular treatment...

Family, Internal Medicine, General Medical Questions: Symptoms linking to one problem?, blood presure, seeing stars
blood presure, seeing stars, healthy person: Hi, There is cirtainly abnormality. Let me know your blood presure values taken on two days. Get these tests done: 1. Hb% 2. DLC. send me feedbak for these on the email given below. ----------- Maybe we havent been told of many of the effective treatments...

Family, Internal Medicine, General Medical Questions: sleeping, size person, sleeping pills
size person, sleeping pills, good sleep: Hi Nadine, I don’t think I’d drink beer at night. That just makes it more likely that you’ll have to wake up to use the bathroom. You might consider a glass of red wine instead. Of course, if you are taking Xanax I wouldn’t drink alcohol at all. Xanax is...

Family, Internal Medicine, General Medical Questions: stomach problems, rn msn, stomach pain
rn msn, stomach pain, stomach problems: Is he urinating or having bowel movements 4-5 times a day? If it s urination, then that s probably related to diuretics, which are prescribed for high blood pressure. When does he have stomach pain? Any blood in the stool? I think he should get his...

Family, Internal Medicine, General Medical Questions: Thyroid or hormone problem?, neurologic symptoms, thyroid problem
neurologic symptoms, thyroid problem, v leiden: Hi Carrie, Given your history of migraines, this could either be the manifestation of a neurologic migraine (neurologic symptoms without an actual headache) or a manfiestation of an anxiety disorder (facial tingling on both sides). It might be a good idea...

Family, Internal Medicine, General Medical Questions: Thyroid problem, essential tremors, autoimmune arthritis
essential tremors, autoimmune arthritis, thyroid problem: 1. Is it possible to be hypothyroid and then become hyperthyroid after 8 years? yes, but more likely have hashimoto thyroid disease so have your doctor do a TPO test to see if you need thyroid or just need to stop gluten 2. Does a person go back to normal...

Family, Internal Medicine, General Medical Questions: your thoughts, carotid arteries, sudden vision loss
carotid arteries, sudden vision loss, surgry: Hi Marc, He wouldn’t necessarily have surgery for plaque in the aorta. If it was in one of his carotid arteries, then yes, they might try to fix that. There is always a risk of complications with that kind of surgry but the risk of stroke from not doing anything...

Family, Internal Medicine, General Medical Questions: ?tongue cancer, pulmonary function test, tongue cancer
pulmonary function test, tongue cancer, dry cough: dont worry: I need these details: 1. your blood pressure level 2. are you a diabetic ? 3. are you asthmatic? reply by email.regards, -------------------- Maybe we havent been told of many of the effective treatments of Cancer listed by the National...

Family, Internal Medicine, General Medical Questions: abnormal periods?, birth control pills, healthy vegetarian diet
birth control pills, healthy vegetarian diet, abnormal periods: Hi Kate, Major weight loss/gain can alter periods. The discharge you describe is simply old blood coming from the uterine cavity. I would suggest going on birth control pills. These usually can regulate you periods and contrary to popular belief, they don’t...

Family, Internal Medicine, General Medical Questions: Bactrim Side Effects? Need help!, bactrim side effects, bactrim ds
bactrim side effects, bactrim ds, symptoms of a uti urinary tract: hi sarah, dont worry. Do you still have some symptoms that happened at the time of taking that medicine? if not, are new symptoms present? exactly how many tablets did you take. What are the results of the pap smear? reply to my email: medlifeasia@gmail.co...

Family, Internal Medicine, General Medical Questions: Off Balance feeling, excess plant, sinus problems
excess plant, sinus problems, fruits and vegetables: Yes, this can be from two nutritional causes, 1)experiencing off-balance can be from the missing nutrients in all 43 fruits and vegetables (since 1950 per USDA) which can cause a sense of imbalance 2)experiencing a fullness in my left ear at times from...

Family, Internal Medicine, General Medical Questions: Blood Test Results, hematocrit level, low hematocrit
hematocrit level, low hematocrit, low hemoglobin: Hi Joanie, A low hematocrit, if an isolated number, is not diagnostic of anything in particular. If it is low accompanied by a low hemoglobin, that might indicate a mild anemia. The same can be said for the BUN/Cr ratio. If the BUN and or the Cr are high...

Family, Internal Medicine, General Medical Questions: Bottle Feedings, month old baby, food allergies
month old baby, food allergies, drgreene: Sorry you are wrong on this one. No cereal should be added to the bottles; there s no evidence it helps reflux or helps them keep it down in any way. It was absolutely prohibited in a children s hospital I worked in, in fact. Six hours is way way way too...

Family, Internal Medicine, General Medical Questions: Burning, iron deficiency anemia, iron injections
iron deficiency anemia, iron injections, oral contraceptives: Hi Martha, This could simply be a vaginitis from the condoms(if they contain a spermacide) and/or not being lubricated enough. Clearly you will need an exam if this continues. In some cases, iron deficiency anemia can cause mucosal irritation of the vaginal...

Family, Internal Medicine, General Medical Questions: Off-balance problems, upper respiratory illness, sinus problems
upper respiratory illness, sinus problems, balance problems: Hi Allen, Given the timing of this problem, I would think this is a problem with inner ear function due either to allergies or seasonal upper respiratory illness. Eustacheon tube dysfunction is still a possibility but I am leaning more toward an inner ear...

Family, Internal Medicine, General Medical Questions: blood clots, torn ligament, muscle fibres
torn ligament, muscle fibres, blood capillaries: Blood may accumulate and clot around a place where ligament gets torn. this is because some part of muscle fibres and small blood vessels also get damaged. ligament themselves dont have any blood capillaries. the first sign will be pain. then there may or...

Family, Internal Medicine, General Medical Questions: bowel movement, gall bladder dysfunction, gall bladder
gall bladder dysfunction, gall bladder, stomach pains: Hi Polly, Well , I can see where this might be embarrassing, but do not substitute a web site for a doctor visit. Soft stools can be from any number of things. Most commonly it is diet, over the counter supplements, stress, medicines and i some cases, bowel...

Family, Internal Medicine, General Medical Questions: Constipation and Hemoroids, fruits and vegitables, natural remedy
fruits and vegitables, natural remedy, brushing teeth: Hi Julie, Hemorrhoids and pregnancy go together , hand and glove. Try this simple treatment: drink lots of water every day, take fiber daily, eat more fruits and vegitables and use hemorrhoidal suppositories as needed. Hemorrhoids won’t ever go away. All...

Family, Internal Medicine, General Medical Questions: cause of iron defincy in adult healthy man, low blood pressure, nervous system problems
low blood pressure, nervous system problems, exact person: It is Orthostatic hypotension — also called postural hypotension — is a form of low blood pressure that happens when you stand up from sitting or lying down. Orthostatic hypotension can make you feel dizzy or lightheaded, and maybe even faint. Orthostatic...

Family, Internal Medicine, General Medical Questions: Diagnosing sypmtoms, persistent headaches, stomach pain
persistent headaches, stomach pain, hi john: Hi John, All of your symptoms are vague and don’t really point to any one diagnosis. If all of this was sudden and you also have fever, it may only be a viral infection. Otherwise, you doctor may be looking for something specific and testing would therefore...

Family, Internal Medicine, General Medical Questions: Dull pain in head, moderate alzheimer, dull ache
moderate alzheimer, dull ache, nauseau: hi brenda, This problem seems to be Migraine which can occur along with alzheimers. send me answers to the following questions on my email- medlifeasia@gmail.com 1. How many times has it occured in the last three years? 2. Does exposure to some perfume...

Family, Internal Medicine, General Medical Questions: deep bone pain & blood test results, blood test results, cbc results
blood test results, cbc results, urea nitrogen: Hi Glorea, First I would stay off the internet (except AllExperts :-). You are getting too much confusing information and all that seems to be doing is increasing your worry. It doesn’t sound like you are falling through the cracks at all. An elevated WBC...

Family, Internal Medicine, General Medical Questions: Ear/Jaw Pain, ear jaw pain, jaw clicking
ear jaw pain, jaw clicking, doctor didn: Hi Stefanny, I believe that this is a mixed problem. Given what you have written this sounds like a combination of eustacheon tube dysfunction (which would account for the ear and neck symptoms) and spasm in the masseter mucles (which would account for the...

Family, Internal Medicine, General Medical Questions: EGCG's impact on Lipitor, Cholesterol, Lipitor
Cholesterol, Lipitor, Stain Drug: Bob, I drink Honest Tea as well. It is a well manufactured beverage. Green, oolong and black teas all contain EGCG, it is not necessarily added to the drink, but rather occurs naturally in Camellia sinensis (tea). I have never heard any reports of...

Family, Internal Medicine, General Medical Questions: ear infection, signs of an ear infection, ear canals
signs of an ear infection, ear canals, doctor tomorrow: Hi Michelle, It is inadviseable to put anything irritating into the ear canal if there is an infection. This can exacerbate the problem. Most ear infections, infact pretty much all ear infections will clear without antibiotics. The reason we treat them is...

Family, Internal Medicine, General Medical Questions: The effect(s) of sugar on the body, monocyte count, c reactive protein
monocyte count, c reactive protein, hemoglobin: If your c reactive protein is 0.00, hemoglobin A1c is 4.7 and HDL cholesterol is 60, Plus your monocyte count is 6.0 with a magnesium level 2.4; then your diet is safe for you. All the people we see on your described diet are very sick or on their...

Family, Internal Medicine, General Medical Questions: Bottle Feedings, infant rice cereal, rice starch
Family, Internal Medicine, General Medical Questions: Bottle Feedings, infant rice cereal, rice starch, sensitive stomachs

Family, Internal Medicine, General Medical Questions: Gastroparesis, hpylori, gastroparesis
Family, Internal Medicine, General Medical Questions: Gastroparesis, hpylori, gastroparesis, antibiotic treatment

Family, Internal Medicine, General Medical Questions: Nerve Pain in Foot, emg, nerve
Family, Internal Medicine, General Medical Questions: Nerve Pain in Foot, emg, nerve, entraptment

Family, Internal Medicine, General Medical Questions: Painful eyelashes, washcloth, optometrist
Family, Internal Medicine, General Medical Questions: Painful eyelashes, washcloth, optometrist, lids

Family, Internal Medicine, General Medical Questions: foot ulcer - diabetic, wound care centers, wound care center
wound care centers, wound care center, foot ulcer: Hi Kathy, Podiatrists are not doctors of medicine. They are ONLY foot an ankle doctors. I would feel better knowing that she is being seen by a surgeon who specializes in wound care. In most large cities there are wound care centers manned by Doctors, PA‘s...

Family, Internal Medicine, General Medical Questions: Gastroparesis, h pylori, anxiety and depression
h pylori, anxiety and depression, stomach emptying test: Hi Tania, Gastroparesis can be casued by diabetes and hypothyroidism but usually only in severe cases. Have you been tested for H. Pylori? Ironically the treatment, in your case Prevacid, can cause the very symptoms you are trying to be rid of. Eating...

Family, Internal Medicine, General Medical Questions: Honey, Honey, Diabetes
Honey, Diabetes, Levulose: Hassan, I have written an article on Honey and how it may be a viable sweetener for diabetics: http://docsaleeby3.blogspot.com/2008/03/honey.html JP Saleeby, MD www.saleeby.net www.xlibris.com/WonderHerbs is a book about Adaptogen Herbs that are...

Family, Internal Medicine, General Medical Questions: Honey, tea spoon, diabetic problems
tea spoon, diabetic problems, kalonji: It is not beneficial in diabetes. You can take two small peices of garlic and half spoon of kalonji powder daily to reduce blood sugar. also take 5 drops of homeopathic medicine- syzigium jambolanum it contains extract which is scientifically proved to reduce...

Family, Internal Medicine, General Medical Questions: hair shedding daily, male pattern baldness, sudden hair loss
male pattern baldness, sudden hair loss, cause hair loss: Hi Nick, Daily hair shedding is not a sign of male pattern baldness. That happens over a long period of time, not suddenly. As far as tests go, a Testoserone level and even thyroid function testing woud be a good idea for starters. Stress can cause hair loss...

Family, Internal Medicine, General Medical Questions: Internal medicine, internal medicine specialist, internal medicine doctor
internal medicine specialist, internal medicine doctor, concideration: Family medicines take care of all problems in all ages and both genders with broader experience and usually more cost savings Internists often take care of only adults and usually not female problems and some limit their practices to certain diseases etc...

Family, Internal Medicine, General Medical Questions: Irregular menstrual cycle, birth control pills, irregular menses
birth control pills, irregular menses, irregular menstrual cycle: Hi Linda, Irregular menses are not that uncommon. I would suggest the first thing you do is get on birth control pills. They will correct your cycles and help reduce your acne. If you need any further information, and OB/Gyn doctor would be the place to go...

Family, Internal Medicine, General Medical Questions: inhalation of tar residue and/or concrete dust, inhaled particles, breathing passages
inhaled particles, breathing passages, lung irritation: Hi Marilyn, This is all predicated on the total exposure time, the amount of inhaled particles and just what the substance is made up of. Clearly exposure over a long period of time could cause lung irritation. The answer is not as black and white as it might...

Family, Internal Medicine, General Medical Questions: Knee numbness/tingling, buttock pain, nerve endings
buttock pain, nerve endings, knee area: Hi Ralph, You may have hit the nail on the head. There isn t much between the skin of your knee at that point and the floor so trauma to cutaneous nerve endings is highly possible. That would certainly cause a numbness. if you have a tendency to sit with...

Family, Internal Medicine, General Medical Questions: kidneys & alcohol consumptio, dehydrogenase, EtOH
dehydrogenase, EtOH, alcohol: Janeen, Alcohol is detoxified in the Liver in Phase I and II detox. Utilization of an enzyme alcohol dehydrogenase to breakdown alcohol into metabolites. The kidneys flush out the water or fluids of what you drink but don t really take part in the conversion...

Family, Internal Medicine, General Medical Questions: localized hpv, hpv strains, unprotected oral sex
hpv strains, unprotected oral sex, throat cancer: Does the virus stay localized in my throat? Not really Can I give it to someone else through oral sex. Yes unless treated with antivirals How soon and how often should I be screened for throat cancer? Annual Also, what determines a man s resistance...

Family, Internal Medicine, General Medical Questions: lower internal organ pain, kidney problem, abdominal cavity
kidney problem, abdominal cavity, lumbar spine: Hi Stephen, Given you age, this is probably either muscle (even though you don’t think that’s the cause as there are muscles that are very deep and not palpable to reproduce pain), a kidney problem (a blood and urine test don’t rule out kidney issues) or...

Family, Internal Medicine, General Medical Questions: Missed period, bacterial vaginosis, pap smears
bacterial vaginosis, pap smears, cloudy urine: Well i dont think you need so many medicines. Give me answers to the questions below by sending answers to my email: medlifeasia@gmail.com Also tell me if this is the first time you missed period? 1. I do things slowly. Not at all Just a little Somewhat...

Family, Internal Medicine, General Medical Questions: Need Research Info for A Graphic Novel Project, national cancer institute, lung puncture
national cancer institute, lung puncture, signs of cancer: pucturing either of these will not let her be able to survive definitely for a day. better get her a fractured bone with wound. Let me know if you nee more help. contact me on email below. -------------------- -------------------- Maybe we havent been told...

Family, Internal Medicine, General Medical Questions: Nerve Pain in Foot, nerve inflammation, nerve pain in foot
nerve inflammation, nerve pain in foot, needle pain: Hi Marsha, This could represent a nerve inflammation. The nerves that run into the foot can become entraped between muscles, tendons and or bones. This problem is akin to the same type of problem in the wirst; carpal tunnel syndrome. I think the best step...

Family, Internal Medicine, General Medical Questions: Nodes on a CT scan, national cancer institute, signs of cancer
national cancer institute, signs of cancer, right adnexa: Cyst and nodes are sometimes confused with each other. even if they are lymph nodes, they can be due to infection. dont worry. tell me your progress at email below -------------------- Maybe we haven t been told of many of the effective treatments of...

Family, Internal Medicine, General Medical Questions: Nodular density in lung, nodular density, exact diagnosis
nodular density, exact diagnosis, lung field: Hi Lee Anne, The report basically says that this area is suspicious and a CT is recommended to better deliniate the nodule. The exact diagnosis can’t be made clearly on a plain chest film and the explains the Radiologist’s waffling in his report. It sounds...

Family, Internal Medicine, General Medical Questions: Nursing home room., Semi-private accomodation
Semi-private accomodation: Hi Randy and thanks for writing, I think a semi-private room is a great choice because you’ll have more social interaction ad not be at risk for isolation, but of course it all depends on your roommate and whether you get along. I have seen many people...

Family, Internal Medicine, General Medical Questions: i need your help, intercourse pain, ovarian cysts
intercourse pain, ovarian cysts, breast pain: Hi Patricia, The first thing I would is to take a pregnancy test. If the breast pain is around your cycles that is normal. If you are having intercourse pain just before your cycle you could have ovarian cysts. My advice would be to see a doctor so you can...

Family, Internal Medicine, General Medical Questions: Ovarian cyst, leaky gut syndrome, omega 6
leaky gut syndrome, omega 6, plant oil: The least likely would be that they are cysts being chronically activated or formed by an excess of plant oil in her diet. Humans have a cyst forming gene that is normally dormant but activates when her omega-6 plant oil is greater than her omega-3 level or...

Family, Internal Medicine, General Medical Questions: Pain in vagina, ovarian cysts, transvaginal ultrasound
ovarian cysts, transvaginal ultrasound, lower back pain: Hi Caroline, Given the information you provided, this could be from large ovarian cysts or even a problem with your bladder dropping down into the vaginal canal. The only real way to know is to have a pelvic and transvaginal ultrasound to get a good look...

Family, Internal Medicine, General Medical Questions: Painful Bump, ganglion cyst, wrist splint
ganglion cyst, wrist splint, fool proof: Hi Melanie, This sounds like a classic case of a ganglion cyst. These are not dangerous save for the discomfort they cause. They can be treated most commonly by removal if they severely impact the use of your wrist or hand. Unfortunately, these “fixes” are...

Family, Internal Medicine, General Medical Questions: Painful eyelashes, hygiene problems, bald spots
hygiene problems, bald spots, eyelashes: Hi Katie, Have you discussed this with your doctor or even better a dermatologist? I’ll assume that you don’t have hair falling out of your head. It sounds like you are getting infections in the eyelid roots. This is a hard thing to evaluate without the benefit...

Family, Internal Medicine, General Medical Questions: pain in legs, arterial blockages, arteries in the neck
arterial blockages, arteries in the neck, neck arteries: Hi Raja, If the blockage is suspected in the leg arteries, then you wll need additional testing to show this and this is best done by a vascular surgeon. As I said earlier, if you have blockages in your legs, until proven otherwise, you may have blockages...

Family, Internal Medicine, General Medical Questions: parotid gland, benign tumour, sympathetic nervous system
benign tumour, sympathetic nervous system, saliva: Hi Marj, This is probably from sympathetic nervous system firing over the area causing sweat. The surgery might have stirred up an irritation of the nerves to the skin at that spot and the sweat is a manifestation of the nerve‘s over sensitivity. Hopefully...

Family, Internal Medicine, General Medical Questions: Could I have done something to my penis?, national cancer institute, signs of cancer
national cancer institute, signs of cancer, early signs of cancer: It is a combination of depression and a probable injury. Treatment can be done with high success rate. Which medications did you use extensively? reply on my email below. -------------------- -------------------- Maybe we havent been told of many of the...

Family, Internal Medicine, General Medical Questions: red lips, red lips, coloration
red lips, coloration, 8 years: Hi Hitimana, I would say that this is normal for you. The only thing I can suggest is that you see your doctor and ask him or her what they think. My guess is that there won’t be much that can be done about that provided there is no underlying illness that...

Family, Internal Medicine, General Medical Questions: relive and pcos, omega 3 fish oil, gastro paresis
omega 3 fish oil, gastro paresis, lipid profile: Are all these safe during nursing? the ingredients are safe if used as separate components Do I need bloodwork to determine how much I need of each? need to dose for the lipid profile Do I need to be on the pill along with these treatments? Either way...

Family, Internal Medicine, General Medical Questions: rickets in baby, new borns, calcium tablets
new borns, calcium tablets, cancer specialist: If he does not improve in three months, Get your child tested for X-linked hypophosphatemia For rickets read: http://www.mayoclinic.com/print/rickets/DS00813/DSECTION=all&METHOD=print dont give him anything artificial else you will harm his health forever....

Family, Internal Medicine, General Medical Questions: spider veins, national cancer institute, spider veins
national cancer institute, spider veins, signs of cancer: Dont worry. Read here http://www.mayoclinic.com/print/varicose-veins/DS00256/DSECTION=all&METHOD=print -------------------- -------------------- Maybe we havent been told of many of the effective treatments of Cancer listed by the National Cancer Institute...

Family, Internal Medicine, General Medical Questions: strep, strep infections, lengthy explanation
strep infections, lengthy explanation, doctor answer: Hi Janine, Based on what you say, I wouldn’t have handled either of these cases like he did. I would specifically take issue with prescribing antidepressants for weight gain. Some antidepressants can casue weight gain but that’s the wrong way to go about...

Family, Internal Medicine, General Medical Questions: sugar levels and possible diabetes, blood sugar levels, growth spurts
blood sugar levels, growth spurts, growth spurt: Hi Holly, That is quite a weight shift for her in a short period of time. Growth spurts don’t generally cause marked weight changes, just height and weigh gain. The “bruised eyes” are a concern as is her fatigue. I would definitely ask your pediatrician to...

Family, Internal Medicine, General Medical Questions: Tricor and Fenofibrate are they same in effectiveness?, tricor 145, low calorie diet
tricor 145, low calorie diet, fenofibrate: Hi Midori, If you switched soley for saving money, I don’t see why he would not want to change you back. He should have no problem with that. I used to switch my patients back to former drugs when effects of the newer or lower cost drugs weren’t as expected...

Family, Internal Medicine, General Medical Questions: throat issues, sinus drainage allergies, upper respiratory infections
sinus drainage allergies, upper respiratory infections, chronic inflammation: Hi Amy, I don’t have any pictures of a “normal” throat. Given what you say, this does not sound at all serious. A sore throat, alternating from side to side, is usually found in chronic inflammation from sinus drainage, allergies or viral upper respiratory...

Family, Internal Medicine, General Medical Questions: thyroid, thyroid, armour thyroid
thyroid, armour thyroid, NHRT: Christi, This forum does not allow for the diagnosis and treatment of illness... so I cannot comment on the neck masses... all I will say is that make sure it is worked up (go for that CT scan)... As far as the tired and weight gain issue... your...

Family, Internal Medicine, General Medical Questions: undereye puffiness and redness, allergy medicine, sinus infection
allergy medicine, sinus infection, ribs: Hi Madison, Unfortunately these symptoms are vague and can point to a host of issues. It would be nearly impossible to pinpoint a cause via this forum. I think you should continue to see your doctor and discuss your weight and ANYTHING else that might be...

Family, Internal Medicine, General Medical Questions: warm body issues, natural warmth, body metabolism
natural warmth, body metabolism, thyroid disease: Hi Jaya, This is a difficult issue. Natural warmth could be a factor of your normal body metabolism. That said, you could also have thyroid disease which can cause changes in body temperaure. If you don’t have a fever taken by thermometer, then I would ask...

Family, Internal Medicine, General Medical Questions: bite, kinds of antibiotics, brown recluse
kinds of antibiotics, brown recluse, rifampin: Hi Shawn, If it was a bite, it was probably a brown recluse. These bites can last for weeks before they resolve. This bite may worsen before it gets better as these bites tend to do. The antibiotics are for infection but won’t have any effect on the bite...

Family, Internal Medicine, General Medical Questions: blood pressure after exercise, left side chest pain, heart beats
left side chest pain, heart beats, irregular heartbeat: Hi Michael, Your blood pressure is too high to start with. The irregular heart beats during exercise can be a normal thing but given the rise in blood pressure it sounds to me like you are having some irritability of the heart muscle. A drug called Inderal...

Family, Internal Medicine, General Medical Questions: blood pressure after exercise, left side chest pain, irregular heartbeat
left side chest pain, irregular heartbeat, heart beats: It would appear from your symptoms that you could be; 1) out of condition from the exercise BP response 2) on too high a plant oil diet from the weight and pac/pvc 3) suffering from severe balanced B vitamin from your sleep problems 4) magnesium oxide...

Family, Internal Medicine, General Medical Questions: bp reading, second reading, cardigan
second reading, cardigan, hypertension: Hi JC, Store monitors are generally OK. Blood pressure will bounce around all day depending on the situation at the time. The best way to take blod pressure is with a “naked” arm. A single elevation of blood pressure does not mean you have hypertension. You...

Family, Internal Medicine, General Medical Questions: brain tumour, severe headaches, proper guidance
severe headaches, proper guidance, brain tumour: Hi Sonali, I would need a little more information. By septic do you mean an abscess? If it is a tumor and he has gone through radiation and chemo therapy, then the chances of this being cured are not good. Has anyone suggested removing it surgically or is...

Family, Internal Medicine, General Medical Questions: CT Scans, ovarian cysts, pelvic ct
ovarian cysts, pelvic ct, pelvic area: Hi Claire, The conundrum is real. That’s a lot of radiation. By the same token, if that’s the only way to ascertain the condition, then you are locked into it. There really won’t be any immediate effects from those scans. Effects from the CT scans, if any,...

Family, Internal Medicine, General Medical Questions: Digestive issues?, stomach ulcers, red dots
stomach ulcers, red dots, poo: Hi Michael, Thank you. Given the digestive symptoms this may be a problem called irritable bowel. Fiber an cause gas and the sticky nature of your stools. You may be taking too much fiber. Too much of a good thing can be as detrimental as not enough. I...

Family, Internal Medicine, General Medical Questions: I don't exercise a lot and i am an overweight teen, penis growth, lack of exercise
penis growth, lack of exercise, genetic makeup: Hi Dimitris, As I said earlier, there is no connection between penis size, exercise and obesity. Your penis size is predetermined at birth and can not be changed or altered in anyway. Especially stay away from products that claim to enlarge or enhance penis...

Family, Internal Medicine, General Medical Questions: Epstein Barre Virus and explaination of labs, ebv infections, ebv infection
ebv infections, ebv infection, epstein barre virus: Both the IgM and IgG must be elevated to have active mono (EBV) infection or recurrence. The IgG stays up in many even where there is no longer active infection. go to www.cdc.gov for more details on EBV infections and test interpretation or go to a non-commercial...

Family, Internal Medicine, General Medical Questions: epididymitis, swollen testicles, vasectomy reversal
swollen testicles, vasectomy reversal, pyogenic infections: Hi Kay, There are many different pathological processes associated with epididymitis. STD is one of them. However, I would like to calm your fears as epididymitis is very common in men between the ages of 20-60yo. It is as common as 1 in 1000 men. It can...

Family, Internal Medicine, General Medical Questions: brain tumour, brain tumors, gamma knife
Family, Internal Medicine, General Medical Questions: brain tumour, brain tumors, gamma knife

Family, Internal Medicine, General Medical Questions: Swine flu vaccine back in the 70s, swine flu, flu
Family, Internal Medicine, General Medical Questions: Swine flu vaccine back in the 70s, swine flu, flu, joke

Family, Internal Medicine, General Medical Questions: flu, upper respiratory illness, swine flu
upper respiratory illness, swine flu, motrin: Hi Joanne, Based on what you say, this doesn’t sound like Flu. She may have a simple viral upper respiratory illness. There is no treatment for that but symptomatic as you are doing. I understand your concern, but had she the Swine Flu she would be seriously...

Family, Internal Medicine, General Medical Questions: flu shot injection site, axillary nerve, flu shot
axillary nerve, flu shot, cold heat: Hi June, The injection could have gone through the bursa. Your symptoms are more consistent with a post injection bursitis, not an axillary nerve dysfunction. Had the nerve been hit, you would not be able to lift the arm away from the body at all. That scenario...

Family, Internal Medicine, General Medical Questions: HIGH PSA, Prostate Health, Prostate Cancer
Prostate Health, Prostate Cancer, PSA: Paul, Can t make any recommendations on this forum, but you may find the following information useful: http://docsaleeby.blogspot.com/search?q=prostate information on prostate. JP Saleeby, MD www.saleeby.net www.xlibris.com/WonderHerbs a book...

Family, Internal Medicine, General Medical Questions: HIGH PSA RESULT, free psa test, digital rectal exam
free psa test, digital rectal exam, prostate biopsy: It may or may not be cancer. The total PSA test and digital rectal exam (DRE) are ordered to screen both asymptomatic and symptomatic men for prostate cancer. Since the DRE can cause a temporary elevation in PSA, the blood is usually collected prior...

Family, Internal Medicine, General Medical Questions: HIGH PSA RESULT, poor candidate, elevated psa
poor candidate, elevated psa, side effect profile: Hi Paul, Radiation has a high adverse side effect profile. There is no chemo to treat prostate cancer, only to control symptoms once it has spread. You have to look at the big picture. If he is healthy and otherwise doing well, why would you want to potentially...

Family, Internal Medicine, General Medical Questions: head pains/aches, tension type headache, tension headache
tension type headache, tension headache, tension headaches: A tension headache — or tension-type headache as its medically known — is the most common type of headache, and yet its causes aren t well understood. A tension headache is generally a diffuse, mild to moderate pain that many people describe as feeling as...

Family, Internal Medicine, General Medical Questions: is a hernia accoiated with epididymo-orchitis, epididymo orchitis, what this means
epididymo orchitis, what this means, hernias: Hi Vicki, There is no connection between orchido-epididymitis and a hernia. These infections are slow to heal and he probably needs long term antibiotics; CONTINUALLY for a month anyway. Drugs of choice are quinolones, sulfa drugs and probably Doxycycline—maybe...

Family, Internal Medicine, General Medical Questions: hpv- how quick can warts appear?, flat warts, brushing my teeth
flat warts, brushing my teeth, inner lip: Hi Concerned, HPV is, of course, an STD. The warts will either fade or have to be removed. The virus, depepnding on what strain you have , can continue to shed and you could be cross infecting. Warts don’t appear “over night”. He needs to see his doctor...

Family, Internal Medicine, General Medical Questions: IBS, loose motions, gad symptoms
loose motions, gad symptoms, herbal medicines: Your medicines are safe. Do you have loose motions often? I think its better that you take herbal medicines for this. But make sure you take safe herbals. They have good result in IBS. Avoid all artificial and packed food. reply to my email: medlifeasia@gmail.co...

Family, Internal Medicine, General Medical Questions: Impossible To Clear Ears, busted eardrum, allergy problem
busted eardrum, allergy problem, mucinex: Hi Amanda, The eustachian tube is a tube that connects the middle ear to the throat for purposes of equalizing pressure and draining the middle ear of fluid. When the opening to the tube in the throat is closed or swollen due to a cold, or allergy problem,...

Family, Internal Medicine, General Medical Questions: Lab Test Results, sgot ast, lab test results
sgot ast, lab test results, intact pth: We look at the following starter tests for deficiencies; magnesium, calcium, intact PTH, vit D levels for mineral deficiencies FBS, HgbAic and HDL for their impacts on the metabolic system TSH, T4 free and TPO for gluten impact on thyroid HLA DQ 2,8 celica...

Family, Internal Medicine, General Medical Questions: Lump under arm, lump under arm, lymphnode
lump under arm, lymphnode, arm pit: Hi Kate, This still may be a cyst. They don’t always have to be tender or reddedned. The other possibility would be an isolated lymphnode swelling. In any case, I would have it checked out by your doctor just to be sure. I don’t think your husband’s deployment...

Family, Internal Medicine, General Medical Questions: localized intermittent headache, muscle tension headache, tension headache
muscle tension headache, tension headache, localized headache: Hi Michael, A localized headache in the area you mention may well be a muscle tension headache. Increased sleepiness can be from a myriad of conditions and trying to pinpoint a specific cause is virtually impossible. I would present these symptms to your...

Family, Internal Medicine, General Medical Questions: lymph node swelling, swollen lymph nodes, allergy diagnosis
swollen lymph nodes, allergy diagnosis, bleeding gums: Hi Dorothy, Your daughter should not have any remaining swollen lymph nodes from her bout with mono. The bleeding gums are a concern as is her fatigue. She should see her family doctor as soon as it is feasible to see what is causing her symptoms. I do not...

Family, Internal Medicine, General Medical Questions: Memory Problems..., long time friends, rote memory
long time friends, rote memory, bad memory: It is usually due to balance b complex deficiency and resolves in most if they take a time released B-100 in the morning, noon and 4 pm If their bowels do not move at least 2 times a day, they benefit from taking a 250mg magnesium oxide at noon, 4 pm and...

Family, Internal Medicine, General Medical Questions: Missed Period, local doctor, last period
local doctor, last period, gynecologist: Hi DJ, It isn’t uncommon to miss a few periods. I wouldn’t be surprised if this was all due to stress. Give it some more time. If you haven’t had a resumption of your normal menstrual cyles after exams are over, then I would see a Gynecologist just to make...

Family, Internal Medicine, General Medical Questions: I'm very late, clotting, & w/ heavy flow, military health care, internal ultrasound
military health care, internal ultrasound, ultrasound results: Hi Stacy, I’m sorry you were told something as ambiguous as “a mass and nothing to worry about”. That leaves the door wide open for speculation. My suspicion is that this was most likely a cyst. Had it been anything worse I’m sure they wold have followed...

Family, Internal Medicine, General Medical Questions: mattresses, nerve roots, bulging disks
nerve roots, bulging disks, upright walkers: Hi Robert, First of all, we ALL have bulging discs based on the fact that we are upright walkers. This is not a cause of back pain unless they are specifically pressing on nerve roots. If you have a weak back , then back exercises are in order. As for a mattress,...

Family, Internal Medicine, General Medical Questions: numbness in left hand, numbness in left hand, nerve conduction study
numbness in left hand, nerve conduction study, pinky fingers: Hi Jessica, This numbness could be a nerve entrapment problem anywhere from your wrist to your neck. I don’t think any of this is due to anxiety or the medicine you were taking. I would suggest a nerve conduction study to determine the site of the problem...

Family, Internal Medicine, General Medical Questions: numbness in hands, numbness in hands, pinched nerve
numbness in hands, pinched nerve, neurologist: Hi Courtni, I would stop seeing the chirporactor. Their “treatments“ are a waste of your time and money. You may have a problem in your neck but it may be more likely that you have carpal tunnel symdrome. I think your next visit should be to a neurologist...

Family, Internal Medicine, General Medical Questions: Pain almost one year after ectopic, ovarian cysts, ectopic pregnancy
ovarian cysts, ectopic pregnancy, bcps: Hi Hannah, It isn’t unusual to have intermittant pelvic pain with a history of Ovarian cysts. If your pain is cyclic, it may simply be due to ovulation around your periods. Cysts can still form on BCP’s although not as frequently or as large. Given what you...

Family, Internal Medicine, General Medical Questions: Please help, depression questionnaire, shoulder blade pain
depression questionnaire, shoulder blade pain, treatment for depression: Read the Depression questionnaire on my blog http://health5000.blogspot.com/2009/03/depression-questionnaire.html and give me answer to all those questions on my email: medlifeasai@gmail.com you need: 1. good friends 2. you should be busy with work or hobbies...

Family, Internal Medicine, General Medical Questions: possable Bartholin Gland Cyst, bartholin gland, cysts
bartholin gland, cysts, many thanks: Hi Helen, These cysts are not uncommon a you well know. I wouldn’t leave it go too long so that it gets infected and needs drainage. As a rule, they don’t go away on their own. There are antibiotics that can safely betaken during pregnancy if that is what...

Family, Internal Medicine, General Medical Questions: pregnancy, sex with my girlfriend, sexual intercourse
sex with my girlfriend, sexual intercourse, pregnancy test: Hi Mohammad, There is a chance should ejaculatory sperm mobilize in the area of the female genital area during foreplay. No physicians can tell you whether your girlfriend will or will not become pregnant. The only way is whether she has missed your period...

Family, Internal Medicine, General Medical Questions: re: results of my CT sinus scan, nasal septum, nasal passages
nasal septum, nasal passages, pansinusitis: There are changes of pansinusitis. This means all sinuses are inflamed and or infected There is deviation of the nasal septum across the right side = nose bent to the right with narrowing of the right nasal passage = not getting as much air through...

Family, Internal Medicine, General Medical Questions: Could they be related?, elevated white blood count, sphincter of oddi dysfunction
elevated white blood count, sphincter of oddi dysfunction, white blood count: Hi Amy, I think the prednisone is what made you feel so good (no rash, itching and tummy pain). I doubt the rash had aything at all to do with your abdominal problem. My guess is that the elevated white blood count was more a side effect of the prednisone...

Family, Internal Medicine, General Medical Questions: Strep Throat, going to the doctor, sore throats
going to the doctor, sore throats, sore throat: Hi Dawn, Yes there is. IF you have strep, you should be treated regardless of the 6 day delay. Strep is self limiting but the antibiotics are not used to treat the sore throat. They are meant to protect against the Strep toxin’s effect on the heart and kidneys...

Family, Internal Medicine, General Medical Questions: Swine flu vaccine back in the 70s, swine flu vaccine, flu vaccination
swine flu vaccine, flu vaccination, flu virus: Hi Linda, You were vaccinated for the Swine Flu that was around in the mid 70’s. THAT Swine Flu was not the same as THIS Swine Flu. A Flu vaccination only lasts a couple of months anyway so there is no permanently conferred immunity for future Flu exposure...

Family, Internal Medicine, General Medical Questions: screening at pharmacy, lab tests, triglycerides
lab tests, triglycerides, syringe: Hi Lee, My feeling about this is that it is not a very reliable way of testing. Does your community have a health fair where they do lab tests at significantly lower cost? You will most likely have to follow up with a doctor to properly interpret those tests...

Family, Internal Medicine, General Medical Questions: Temporal Arteritis, temporal arteritis, bla bla
temporal arteritis, bla bla, moderate fever: in arteritis, there are a lot of other symptoms which you do not have. also the pain in it is unbearable. ESR also is not much raised in your case. if you have moderate fever then worry else just keep a healthy diet having no artificial foods, take 30 minuites...

Family, Internal Medicine, General Medical Questions: Tissue? pain in right back, rib fracture, cracked rib
rib fracture, cracked rib, muscle strain: Hi Martha, Thanks for clearing that up. Healing a muscle strain or rib fracture can last up to 6 weeks before resolution of symptoms. This may indeed be what is wrong with you. I wish you had mentioned the “horse incident“ first thing, that would have made...

Family, Internal Medicine, General Medical Questions: Ultrasound Questions, pelvic ultrasound, abdominal ultrasound
pelvic ultrasound, abdominal ultrasound, iud: Hi Lainey, Please be advised that I am providing this service for educational purposes only. Any information provided below does not constitute a contract for medical services, professional medical advisory, or medical management. Please refer your questions...

Family, Internal Medicine, General Medical Questions: Urology, strains of hpv, genital warts
strains of hpv, genital warts, cervical cancer: Hi Laura, The white bump is a collection of sebaceous material in a hair follicle. This is benign and not associated with the HPV. The warts could go away on their own, but usually treatment is necessary. This is most commonly a topical cream or surgically...

Family, Internal Medicine, General Medical Questions: Use of polymaltose ferric hydroxide Iron (III) for six months+side effects to zinc levels??, symptoms of zinc deficiency, ferric hydroxide
symptoms of zinc deficiency, ferric hydroxide, small intestines: Hi Dimitris, Iron is known to compete with zinc in the small intestines. However, the amount required to be a cause for concern is usually an overdose of iron. The primary symptoms associated is vomiting, bloody diarrhea, coughing up blood or vomit that...

Family, Internal Medicine, General Medical Questions: unexplained pain, muscle spasm, low back pain
muscle spasm, low back pain, kidney stones: Hi Gray, I would only ask if they did any lab work aside from a urine test? How about spinal xrays to check the bones for the source of the pain? Har to tell what this might be with a negative CT scan. Sometime inta-abdominal problems can cause low back pain....

Family, Internal Medicine, General Medical Questions: Vomiting after eating fatty foods, nagoya city university, mild jaundice
nagoya city university, mild jaundice, eating fatty foods: think pancreas, pancreatic duct stone also here are some abstracts that can give you more information Also can search the www.nih.gov web for symptoms or pancreatic stone or cancer. JOP. 2008 Jul 10;9(4):520-5.Related Articles, Links A case of obstructive...

Family, Internal Medicine, General Medical Questions: WATER WORKS, baylor college of medicine houston texas, baylor college of medicine
baylor college of medicine houston texas, baylor college of medicine, baylor college of medicine houston: Usually 6-12 ounces for most, can vary if b vitamin deficient these articles may be of interest; Curr Opin Urol. 2008 Jul;18(4):425-30.Related Articles, Links Current management of nocturnal enuresis. Robson WL. wlmrobson@gmail.com PURPOSE...

Family, Internal Medicine, General Medical Questions: Whats wrong with me?, head ache, disease entity
head ache, disease entity, matter what kind: Hi Amee, Unfortunately these symptoms are quite vague and don’t point to any single disease entity. There are any number of potential problems that these symptoms could represent. On the other hand, something as simple as stress or anxiety can cause any or...

Family, Internal Medicine, General Medical Questions: I am worried about my husband..., eye balls, epileptic seizures
eye balls, epileptic seizures, medical evaluation: Hi Kristen, Please be advised that I am providing this service for educational purposes only. Any information provided below does not constitute a contract for medical services, professional medical advisory, or medical management. Please refer your questions...

Family, Internal Medicine, General Medical Questions: Yeast infections in men, yeast infections in men, yeast infection
yeast infections in men, yeast infection, performing oral sex: Is it possible for men to carry yeast? Yes, if they eat gluten foods What are symptoms to look for if a man can carry yeast? sensitive skin Is it possible to become ill from performing oral sex on my wife when she has an yeast infection? yes, if eat gluten...

Family, Internal Medicine, General Medical Questions: 2 yr old toddler stomach pain,occasinal vomitting,, liver problem, stomach bug
liver problem, stomach bug, stomach pains: since he has just started with the stomach problems, it probably isn t some big digestive problem... more likely a stomach bug that will pass. I would really doubt a liver problem. I would give him very light meals as the cough and vomiting go away and I...

Family, Internal Medicine, General Medical Questions: Antibiotics, root canal procedure, root canal procedures
root canal procedure, root canal procedures, antibiotic resistant: That isn t necessarily too many antibiotics. you should not stop a course midway, that could select out against resistance strains and cause an infection that would not respond to the antibiotic. Yes, if you stop for a day or two, it prob would be...

Family, Internal Medicine, General Medical Questions: additional comments, whole wheat flour, papain and bromelain
whole wheat flour, papain and bromelain, plant enzymes: Hi Ralph, Hair analysis has no scientific validity at all. It’s a scam as are so many other “medical” things. If it sounds too good to be true, it probably is. These sorts of things prey on the desperate people looking for any sort of relief. Say, Have you...

Family, Internal Medicine, General Medical Questions: antibiotics, root canal procedure, root canal procedures
root canal procedure, root canal procedures, antibiotic resistant: Hi Susie, Your three courses were not too much; Never stop antibiotics before they are finished. The prescribed course is the time it takes to kill the bacteria. Starting and stopping and restarting essentially makes the whole thing useless. Too much antibiotic...

Family, Internal Medicine, General Medical Questions: arm/shoulder severe pain during sleep, difficulty urinating, arthirits
difficulty urinating, arthirits, thoracic spine: Hi laurie, I would seriously look into carpal tunnel as the cause of the night time arm pain. This is a classic sign of the problem. There is also a condition called thoracic outlet syndrome. This can cause similar symptoms. Be sure you have a second opinion...

Family, Internal Medicine, General Medical Questions: armpit pain and numbness, armpit pain, numbness in the arm
armpit pain, numbness in the arm, breat: if you are in the medical field, then you know the ER isn t the best place to get diagnosed correctly... their job is to see if there is an emergency that needs urgent treatment... I would check with a primary doctor, family practice or internist first,...

Family, Internal Medicine, General Medical Questions: Blood Test Results, thyroglobulin antibodies, cold nodule
thyroglobulin antibodies, cold nodule, white blood count: I am not a thyroid expert but Hashimoto s tends to wax and wane, it can be very bad with a lot of symptoms or just percolate along. Treating it at this point sounds reasonable. I don t make much of the Hb/Hct, esp. if you smoke. The white count WBC may...

Family, Internal Medicine, General Medical Questions: Blood and Tissue with stool, bad taste in my mouth, severe constipation
bad taste in my mouth, severe constipation, stomach bug: Hi Chris, I doubt your OB/Gyn doctor will have a lot to offer regarding this problem, especially with a history of Crohn‘s. Your symptoms could be Crohn’s, Irritable bowel or H.Pylori infection. Your best bet would be to see your regular doctor about these...

Family, Internal Medicine, General Medical Questions: Bone Pain, Corticosteroids, and Cushing, bun creatinine ratio, cortisol levels acth
bun creatinine ratio, cortisol levels acth, cushing syndrome symptoms: It is safe to take Vit D supplements and that has been recommended in general for health reasons.... I would doubt that you could develop Cushings from topical steroid creams unless you are using a lot. I think the Endocrine visit and further evaluation...

Family, Internal Medicine, General Medical Questions: Brain Health, low dopamine levels, brain neurons
low dopamine levels, brain neurons, brain health: It is only concluded by the symptoms. My strong suggestion to you is that you should do 2 hours of light exercise daily and do consultation with a MD(Internal Medicine) only. Also meet friends for at least 4 hours a day. let me know the progress after 2 months....

Family, Internal Medicine, General Medical Questions: Burning & tiredness in shoulders, elbows, wrists......, cortisone shots, urgent care center
cortisone shots, urgent care center, dry hands: Hi Beth, I don’t see how you equate your symptoms with “complaining for no reason”. These sound serious to me. From what you say, This could be either carpal tunnel or thoracic outlet syndrome. A Rheumatologist is still a good idea, but a neurologist my also...

Family, Internal Medicine, General Medical Questions: belly button ring, septra ds, belly button ring
septra ds, belly button ring, soap and water: That is usually a superficial skin infection.... keep cleaning with soap and water, maybe a course of antibiotics like Septra DS and use an antibacterial ointment like Neosporin or Bactroban. If, in a month, it isn t better, then the ring has to come out...

Family, Internal Medicine, General Medical Questions: blood work, cancer colon, colon cancer
cancer colon, colon cancer, prostate ca: cancer testing in blood is specific to an organ and what you look for... we have markers for prostate cancer, colon cancer, ovarian cancer.... prostate ca testing is mainstream but you have to do the specific test and they are not that accurate... they just...

Family, Internal Medicine, General Medical Questions: blood work, absolute eosinophils, mast cells
absolute eosinophils, mast cells, white blood cells: its normal. Eosinophil granulocytes, usually called eosinophils (or, less commonly, acidophils), are white blood cells that are one of the immune system components responsible for combating infection and parasites in vertebrates. Along with mast cells, they...

Family, Internal Medicine, General Medical Questions: blood wrk, cholesterol lowering drugs, cholesterol problems
cholesterol lowering drugs, cholesterol problems, genetic predisposition: Hi Mel, I too, wouldn’t worry about the lower numbers. The bad cholesterol should be corrected. As you are a vegan, then exercise would be the first line of treatment. If that doesn’t do it in about 6 months, then you may need cholesterol lowering drugs....

Family, Internal Medicine, General Medical Questions: Cellulitis, platelet disorders, osteomyolitis
platelet disorders, osteomyolitis, final diagnosis: I don t buy the bacteria traveled theory.... I would worry about one of the weird blood disorders like HSP or platelet disorders... you didn t say what her platelet count was. Keep up with the peds... simple cellulitis doesn t quite fit... it still could...

Family, Internal Medicine, General Medical Questions: COLON CLEANSES, colon cleanses, colon function
colon cleanses, colon function, colon cleansers: Hi Judy, Colon cleanses are unnatural and can deplete the normal bacteria that are needed to maintain colon health. If you have IBS, the LST thing you would want to do is disrupt the colon function. Fiber is a GOOD thing for IBS. Something like Beneifber...

Family, Internal Medicine, General Medical Questions: Cold in the winter, cold hands and feet, circulation problem
cold hands and feet, circulation problem, circulation problems: You can have cold hands due to a specific hand circulation problem. Problems with hand circulation can appear in healthy, fit, non-smokers (Raynaud s Phenomenon). There s also a hand circulation problem unique to smokers (Buerger s). I d go to the doctor...

Family, Internal Medicine, General Medical Questions: Crepitus // Urgent I think :(, tooth punctures, puncture holes
tooth punctures, puncture holes, puncture wounds: Hi sho, Air gets trapped under the skin via the tooth punctures. This can be a serious complicaion as this means that contamminated air is a prime source of infection. Were this me, I would have it seen by a doctor as soon as possible. Rabies is a small to...

Family, Internal Medicine, General Medical Questions: c-def bacteria, bowel movments, fecal test
bowel movments, fecal test, bowel resection: Hi Annette, C-Diff can be “caught” by transmission from an infected person (not washing hands after exposure). It can also start from antibiotics used in treatment of infections. Treatment for C-Diff is usually with oral Vancomucin and Flagyl. Lomotil is...

Family, Internal Medicine, General Medical Questions: calf pain, calf pain, sitting on the bus
calf pain, sitting on the bus, shin splints: you have the right idea.... is this musculoskeletal from your running or is it a DVT from the prolonged sitting on the bus. We have trouble telling clinically, so it is in your best interest to get an ultrasound of the leg to look at the veins.... hope this...

Family, Internal Medicine, General Medical Questions: chest pain, cardiac stress test, bundle branch block
cardiac stress test, bundle branch block, holter monitor: Hi Lynn, Despite what your cardilogist says, MVP can cause symptoms similar to what you are experiencing. A cardiac stress test would be a good idea. A 24 Holter monitor would also be a good thing to have done. If these are normal, you may have to look and...

Family, Internal Medicine, General Medical Questions: clogged ear/ringing in ear, neck and throat pain, upper respiratory infection
neck and throat pain, upper respiratory infection, clogged ear: Hi Ilene, This may simply be eustacheon tube dysfunction. The eustacheon tube drains the middle ear into the throat and if clogged/swollen shut by an upper respiratory infection It can trap fluid behind the ear causing your symptoms. The best thing is Sudafed....

Family, Internal Medicine, General Medical Questions: My Daughter's First Year of Period, consecutive hours, menarche
consecutive hours, menarche, obgyn: Sounds normal to me, but check with an obgyn if it lasts longer than 7 days, if she feels weak or tired or soaks through several pads in just a few hours, which might indicate she s bleeding too much. Question: How Do I Know If I Have Abnormal Uterine Bleeding?...

Family, Internal Medicine, General Medical Questions: Daughter's illness, social butterfly, academic type
social butterfly, academic type, active athlete: Hi Lisa, You have learned your nursing lessons well. That was an outstanding history. Thank you. Give this apparent viral illness, I think Lyme testing should be done. Another possibility is that she may have developed a viral cardiomyopathy. Given the history...

Family, Internal Medicine, General Medical Questions: difficulty breathing, blood clot in lung, seasonal allergies
blood clot in lung, seasonal allergies, itchy eyes: this sounds serious enough where I think you have to be checked... there is a long list of causes.... anemia, pregnancy, allergies, respiratory infection.... all of which could be evaluated.... on the bad things side, I would worry a little about pulmonary...

Family, Internal Medicine, General Medical Questions: Excess Mucous in Stool, cod liver oil, organic grains
cod liver oil, organic grains, plant enzymes: Hi Ralph, You might consider pancreatic enzymes to help digestion. The DNA test is better than the FOBT but as you yourself said, a colonocscopy is the gold standard and it your are really THAT concerned, then you need to put your fear behind you and have...

Family, Internal Medicine, General Medical Questions: Excess Mucous in Stools, cod liver oil, mucous in stools
cod liver oil, mucous in stools, organic grains: the DNA test isn t for you. There is a slight risk of perf with the colonoscopy but an important test... much better than the dna test. I don t have stats off hand. I would keep the diet changes simple.... changing one thing every 2 weeks to see which one...

Family, Internal Medicine, General Medical Questions: ery tab, acutane, couple rounds
acutane, couple rounds, ery tab: since the situation is different... you probably don t need a prolonged course for prevention.... a shorter course like this will probably be sufficient.... it will get rid of what is there easily, and you shouldn t need to prevent further acne at your age...

Family, Internal Medicine, General Medical Questions: Feet rash, soles of your feet, arm pits
soles of your feet, arm pits, cotton socks: Hi Tara, Sounds like you have hyperhidrosis. There are a number of “cures” for this. First off, be sure that you shoes are well fitting and not too tight. Wear cotton socks instead of nylons. That will keep sweating at a minimum. Try antifungal powder after...

Family, Internal Medicine, General Medical Questions: Few general medical concerns..., tinia versicolor, thyroid dysfunction
tinia versicolor, thyroid dysfunction, iron supplements: Hi CJP, #1: being tired all the time is a vague symptom and can represent a myriad of issues #2: Hormones could be off and should be checked #3: No new treatments for tinia versicolor. A tanning bed would flare it up, so should be avoided. In some cases...

Family, Internal Medicine, General Medical Questions: Blood and Tissue with stool, liver function, gi problems
Family, Internal Medicine, General Medical Questions: Blood and Tissue with stool, liver function, gi problems, intestinal tract

Family, Internal Medicine, General Medical Questions: Burning & tiredness in shoulders, elbows, wrists......, lyme disease, viles
Family, Internal Medicine, General Medical Questions: Burning & tiredness in shoulders, elbows, wrists......, lyme disease, viles, tv ads

Family, Internal Medicine, General Medical Questions: Hip Pain, hip bursitis, cortisone shot
Family, Internal Medicine, General Medical Questions: Hip Pain, hip bursitis, cortisone shot, mild pain

Family, Internal Medicine, General Medical Questions: heart murmur very concerned, heart murmur, walking up stairs
Family, Internal Medicine, General Medical Questions: heart murmur very concerned, heart murmur, walking up stairs, different beat

Family, Internal Medicine, General Medical Questions: Sleep Walking 4 year old, signs of sexual abuse, painful memories
Family, Internal Medicine, General Medical Questions: Sleep Walking 4 year old, signs of sexual abuse, painful memories, sexual thing

Family, Internal Medicine, General Medical Questions: fainting, heart problem, heart rate
heart problem, heart rate, cardiologist: it could be... the heart has to go pretty slow to pass out... and it doesn t continue to slow until it stops... it just runs slowly for whatever reason. But more likely is the BP drops... as it does normally in pregnancy, but sometimes too much in some people...

Family, Internal Medicine, General Medical Questions: fever and urination, malaria drug, sodium injection
malaria drug, sodium injection, high fever: Hi Usman, It sounds as though he has a viral illness of some kind. I’m more concerned that he hasn’t been getting aggressive fluid replacement. I am unabe to be any more specific. In this age group there are many possibilities that could cause this type of...

Family, Internal Medicine, General Medical Questions: General medical concerns, t3 and t4 levels, iron supplements
t3 and t4 levels, iron supplements, clotrimazole: Ans1- How much time do you do light daily work to keep ou body healthy? if not, it is the reason for being tired. if not that, you may be having hypothyroidism. get Serum T3 and T4 levels assesssed. do 30 minutes exercise daily. ans2- mail me at medlifeasia@gmail.com...

Family, Internal Medicine, General Medical Questions: Gunshot question, plausible ideas, laymens terms
plausible ideas, laymens terms, chest tube: if someone is clear headed, not under the influence of drugs/alcohol, and if they are not mentally ill, (danger to themselves or others) they have the right to refuse medical care and leave... the hospital will want them to sign a form to refuse medical care...