About Experts Sitemap - Group 21 - Page 12 2014-07-22

Family, Internal Medicine, General Medical Questions: Pelvic Pain + Abdominal Swelling, obgyn doctor, low dose birth control
obgyn doctor, low dose birth control, laprascopy: cysts will not grow in front of your eyes. If your abd is swelling, that is usually intestinal and you may have colitis (intestinal swelling and bloating) That will cause noticeable belly swelling quickly. (as will pregnancy) I would check preg first,...

Family, Internal Medicine, General Medical Questions: Pelvic Pain + Abdominal Swelling, obgyn doctor, low dose birth control
obgyn doctor, low dose birth control, laprascopy: I was talking with a nurse friend today who asked me about these symptoms and remembered your question about abdominal swelling and pain. She reminded me that those symptoms are alarming for another reason--Are you certain you don t have cervical cancer?...

Family, Internal Medicine, General Medical Questions: Pelvic Pain + Abdominal Swelling, obgyn doctor, low dose birth control
obgyn doctor, low dose birth control, laprascopy: Hi Rayne, I doubt this is appendicitis. You d be very sick, worse that you appear to be by your email. Pancreatitis is also unlikely for the same reason. It s hard to speculate on the presence or absence of an Ovarian Cyst. I suppose it could be, but again...

Family, Internal Medicine, General Medical Questions: Pelvic pain and bleeding, abnormal vaginal bleeding, endometrial biopsy
abnormal vaginal bleeding, endometrial biopsy, ultrasound findings: Hello Rque, Thank you for the question. I sincerely apologize for the delay in my response. I had an emergency which took me out of town abruptly. I forgot to contact this site while I was away. Again I m sorry. I empathize with your problem. It...

Family, Internal Medicine, General Medical Questions: Pelvic pain, pelvic pains, pelvic infection
pelvic pains, pelvic infection, exploratory surgery: Dear Stuart, An ultrasound or sonogram will only diagnose something that it can see... If there is nothing to see, then it can t diagnose.... Endometriosis is something that can NOT be seen on ultrasound or sonogram.... Her doctors need to see by possibly...

Family, Internal Medicine, General Medical Questions: Penicillin, chronic prostatitis, diverticulus
chronic prostatitis, diverticulus, type of bacteria: The old days of one shot of pen are over.... there is so much bacterial resistance to pen, that we need to use these other drugs. Prostatitis can be a slow resolving infection. Also, if it is diverticulitis, sometimes we need to add in another antibiotic...

Family, Internal Medicine, General Medical Questions: Penis Enlargement in Teens, penis enlargement pills, rn msn
penis enlargement pills, rn msn, maggie smith: There s no reason to believe these pills would work. The dangers of drugs not FDA approved is that you never know what is in them, could be very very dangerous, but who knows, because no one is regulating herbs and supplements right now. Very very dangerous...

Family, Internal Medicine, General Medical Questions: Perforated intestine and surgery, deep vein thrombosis, drainage tubes
deep vein thrombosis, drainage tubes, white blood count: Hi Randy, This could be a lot of things. It could be small abscesses that can t easily be seen by CT; chronic atelectasis (small areas of collapse) in the lungs which can cause fever; Even possibly deep vein thrombosis from the stress and immobility caused...

Family, Internal Medicine, General Medical Questions: Peri-Menopause, peri menopause symptoms, diet exercise
peri menopause symptoms, diet exercise, mineral intake: I am 49 years old, and am wondering what triggers some women to have extreme peri-menopause symptoms: periods for weeks at a time is due to lack of omega 3 and B complex huge blood clots included with the bleeding, etc. Lack of B complex Also, does...

Family, Internal Medicine, General Medical Questions: Perimenopause /urine question, symptoms of menopause, bladder infections
symptoms of menopause, bladder infections, extreme stress: catherine; with a couple of exceptions,urine usually is clear or a delicately tinged yellow,with a sight hint of ammonia odor. a change from this norm is sometimes cause for concern. most ammonia in the body forms when protein is broken down by bacteria...

Family, Internal Medicine, General Medical Questions: Period, menstrual cycle, first period
menstrual cycle, first period, young girls: sophie; this happens alot in young girls,and is harmless. its not uncommon to miss a few menstrual cycle at your age. see there hormones in the body,and sometimes they get somewhat messed up,and you will be late for a cycle or not get one at all. ...

Family, Internal Medicine, General Medical Questions: Period gone getting fat, medication side effects, menstruate
medication side effects, menstruate, going to the doctor: alex; failure to menstruate is called amenorrhea. however,theres a small possibility that you have a hormonal abnormality that causes the absence of periods[amenorrhea]. consult a doctor,especially if other changes are developing,as you gaining weight....

Family, Internal Medicine, General Medical Questions: Period, swollen tender breasts, birth control pills
swollen tender breasts, birth control pills, physical symptoms of pms: Hi Jen, Of course I can t confim that you wouldn t be pregnant, but from the sounds of what you say, It is unlikely. When coming off the BCP s and having the stress of trying to conceive, periods are often irregular. How many times have you heard of couples...

Family, Internal Medicine, General Medical Questions: Persistant cough, sandwich deli, diet coke
sandwich deli, diet coke, persistant cough: Need to lose the chicken, turkey, farm fed fish, Atlantic Salmon due to the corn oil they accumulate. Lose the peanuts and peanut butter due to their high levels of omega-6 plant oil, plus lose foods manufactured with same, such as chips, granola, trail mix...

Family, Internal Medicine, General Medical Questions: Persistant cough, asthma inhalers, persistant cough
asthma inhalers, persistant cough, daycare: this sounds like an infection, not allergies.... no, can t pass allergies thru breast milk. Kids can get recurrent colds especially if in daycare... it sounds like either chronic recurring bronchitis or asthma. inhalers do often help in these situations....

Family, Internal Medicine, General Medical Questions: Persistent Yersiniosis, stomache pains, stomache pain
stomache pains, stomache pain, yersiniosis: I don t have any experience with Yersiniosis and I would defer to the specialists... Infect disease or gastroenteritis.... sorry... the book says it is susceptible to multiple antibiotics and I am not sure which one of those would cause a kidney stone. Anyways,...

Family, Internal Medicine, General Medical Questions: Personal Training, rate of perceived exertion, health questionnaire
rate of perceived exertion, health questionnaire, exercise prescription: jo; i have a concern here,due to the heart problems. i suggest this lady have a work-up from a cardio doctor,for the safety of the patient. there an underlying cause for her BP s and the chest pain. i suggest no work-out with out a doctor okays. ...

Family, Internal Medicine, General Medical Questions: Perspiration, underarm botox, antiperspirant deodorant
underarm botox, antiperspirant deodorant, drisol: Drisol is a permanent antiperspirant prescription item Botox is similar for wrinkles but used underarm to permanently stop sweating. see: www.nih.gov and search for sweating, botox Prior to these her doctor need to check out her adrenal, thyroid and...

Family, Internal Medicine, General Medical Questions: Pfannenstiel incision, total abdominal hysterectomy, surgical scar revision
total abdominal hysterectomy, surgical scar revision, symptoms of an ulcer: Yes, you can wear a garmet and tell them you are cold and do not want to disrobe completely. Maybe you should get the scar removed by a plastic surgeon. Remember most doctors would not even make mention or even notice which scar you have unless you mention...

Family, Internal Medicine, General Medical Questions: Pfannenstiel incision, total abdominal hysterectomy, symptoms of an ulcer
total abdominal hysterectomy, symptoms of an ulcer, pfannenstiel incision: usually those incisions don t scar much.... you must have a big dip in the tissue above, to below. Liposuction helps if that is the case... I have done that. Yes, a good drape will hide that area. That is too bad because that is the advantage of that incision-less...

Family, Internal Medicine, General Medical Questions: Pharyngolaryngitis, spicy foods, prilosec
spicy foods, prilosec, lot of water: Some doctors say that pharyngolaryngitis is incurable. Does that mean that any treatment is useless? Not really, try over the counter prilosec-OTC twice a day for 2 weeks, elevate the head of the bed permanently and avoid all spicy foods for 6 months if...

Family, Internal Medicine, General Medical Questions: Pharyngolaryngitis, chronic irritation, sleep apnea
chronic irritation, sleep apnea, vocal cords: Hi Erik, I would highly doubt that cancer will come from this. As for being dry all the time, have you been evaluated for sleep apnea? Esophageal reflux disease can cause chronic irritation of the vocal cords and throat. These are just some thoughts for...

Family, Internal Medicine, General Medical Questions: Phen phen, stages of heart failure, brian adrian
stages of heart failure, brian adrian, diet pills: i found a web site that might help you with this answer. It is http://www.diet-pill-report.com/stacker3.htm You should be able to research most over the counter diet pills there Continue to be proactive with your care. Sometimes the VA needs a little...

Family, Internal Medicine, General Medical Questions: Phlegm question, sore troat, sweat test
sore troat, sweat test, cystic fibrosis: It is unlikely to be CF since you have not had any other significant symptoms, like multiple episodes of pneumonia, etc. This may very well be allergies. I would try one of the over the counter antihistamines, like Benadryl, or if that is too sedating, then...

Family, Internal Medicine, General Medical Questions: Phlegm question, sore troat, sweat test
sore troat, sweat test, cystic fibrosis: Hi Roberto, If this IS cystic Fibrosis, then yes, excess phlegm production is a problem. It is a little late in life to have that diagnosis though. A NaCl of 60 Mmol is not diagnostic of CF. You may just have an over production of saliva and mucus that causes...

Family, Internal Medicine, General Medical Questions: Phlegm question, sore troat, post nasal drip
sore troat, post nasal drip, sweat test: At 29 years old, Cystic Fibrosis is very, very unlikely. You may certainly be sensitive to allergens, or have some post nasal drip (Phlegm that drips down the back of the throat from the nose and sinuses). An antihistamine is an easy solution to try. ...

Family, Internal Medicine, General Medical Questions: Phlegm, chronic sinus infection, rn msn
chronic sinus infection, rn msn, sinus infection: You should go to the doctor. Could be a chronic sinus infection that needs treatment, pneumonia, or the onset of asthma. Ongoing phlegm isn t normal. If you have a sinus infection or pneumonia, only antibiotics (if it s a bacterial infection) can treat...

Family, Internal Medicine, General Medical Questions: Phlem in throat at age76, phlem in throat, cough syrups
phlem in throat, cough syrups, vapor baths: Hi Janie and thanks for writing, To reduce phlegm you should drink 6-8 glasses of water each day, and add lemon to your water, tea, salads etc as it helps break phlegm up too. Eucalyptus oil acts as an expectorant (loosens phlegm in the respiratory passages)....

Family, Internal Medicine, General Medical Questions: Physician pay, pay models, base salary
pay models, base salary, target: physician pay varies incredibly with the specialty... I am family practice, low on the pay salary along with peds and some others. The high powered specialists make the most $$$ In a big practice, I am all for giving a base salary with a bonus for productivity,...

Family, Internal Medicine, General Medical Questions: PIZZA FACE, pizza face, omega 6
pizza face, omega 6, chicken turkey: In our work this is due to the chronic over eating of omega-6 foods which stimulate the oil, inflammation and scaring. These foods are chicken, turkey, peanut products, gluten products, flax, chips and soy. see: www.medicalcenter.osu.edu/go/integrativ...

Family, Internal Medicine, General Medical Questions: PIZZA FACE 2, cause of pimples, white blood cells
cause of pimples, white blood cells, oil glands: The cause of pimples is unknown. Acne by its very nature can be considered a hormonal disease. Hormones are responsible for the maturation of the oil glands in our skin. This is why children do not experience acne. Causes of adult acne and teen acne...

Family, Internal Medicine, General Medical Questions: PIZZA FACE, dead skin cells, blackheads whiteheads
dead skin cells, blackheads whiteheads, skin blemishes: cameron; zitz,blackheads,whiteheads-all of these bumps are blemishs are part of acne. acne can appear for several reasons. during puberty,your body produces more oil,which combines with bacteria and dead skin cells to clog your pores[of the face]-and that...

Family, Internal Medicine, General Medical Questions: Pierce ear problem?, ear problem, polysporin
ear problem, polysporin, skin infection: If they are not too sore you can put earrings back in but they will need to be new ones and must be sterile. Even through if have cleaned the old ones it may not be sufficient. She will need the holes to be treated continuously for at least a week and need...

Family, Internal Medicine, General Medical Questions: Pierced ear problem?, ear holes, cleaning the ear
ear holes, cleaning the ear, ear problem: I would continue cleaning the ear holes but if the pain and redness continues, she will need a course of antibiotics by mouth. So, if after about 5 days of cleaning, they aren t better, get her in to see the doctor to get the meds. Assuming you want to keep...

Family, Internal Medicine, General Medical Questions: Pierced ear problem?, quality metals, oral antibiotics
quality metals, oral antibiotics, ear problem: You are doing about all you can for now. If it does not clear in a few days I would call her doctor to see if she will need oral antibiotics. You may also want to find a set of stainless steel posts to use til these heal but only use every other day to keep...

Family, Internal Medicine, General Medical Questions: Pierced ear problem?, scar tissue, ear problem
scar tissue, ear problem, polysporin: Hi Paula, This sounds like an infection or a reaction to the metal. The lumps are scar tissue. You are doing the right thing. Leave the earings out for as long as it takes to heal this to avoid excess scaring. The holes won t close up that quickly. If it...

Family, Internal Medicine, General Medical Questions: Piercing, catching aids, hepatitis c
catching aids, hepatitis c, sterile conditions: dear curious: yes, both hepatitis c and hiv can be caught by piercing when one does not work under strictly sterile conditions. any procedure where one brings the blood of another person into one s own blood stream infection is a possibility. best regards...

Family, Internal Medicine, General Medical Questions: Piercing, blood borne diseases, catching aids
blood borne diseases, catching aids, blood borne pathogen: Theoretically, sharing the pierced jewelry, esp after initial piercing can spread blood borne diseases like HIV. The piercing studios are under fair supervision with good blood borne pathogen techniques, but when people do it themselves at home, they may...

Family, Internal Medicine, General Medical Questions: Piercing, catching aids, hiv hepatitis
catching aids, hiv hepatitis, wal mart: Teens pierce eachothers ears, and share earrings, etc. Can AIDS be caught this way? Yes, if contaminated Is there blood when people get their ears pierced? Yes Are people catching AIDS by messing around with piercings and not wearing gloves? Not reported...

Family, Internal Medicine, General Medical Questions: Piercing, catching aids, hepatits
catching aids, hepatits, rough areas: Hi and thankis for writing, The most common causes of infection are piercing the ears with unsterile equipment, inserting unsterile posts, or frequently touching the earlobes with dirty hands. Another frequent cause is earrings that are too tight either...

Family, Internal Medicine, General Medical Questions: Piles, piles treatment, chamomile tea
piles treatment, chamomile tea, cotton ball: I use for my piles a mixture of cold chamomile tea and witch hazel lotion which I put on a tampon or cotton ball and insert into the rectum Or alternatively a needless syringe - it can be used to squirt the liquid into the rectum. It is important to lay down...

Family, Internal Medicine, General Medical Questions: Plantar Fasciitis/painful feet, deep bone bruise, plantar fascia
deep bone bruise, plantar fascia, leg muscles: The plantar fascia is the tough hide under the skin, attaching the forefoot bones to the heel... when that becomes inflamed, it is a miserable condition.... it sounds like you are doing the right treatments..... ice it down for 20 min in the evening, the heel...

Family, Internal Medicine, General Medical Questions: Please advice, h pylori test, ge junction
h pylori test, ge junction, gastric ph: Hi Chandra, At your age to have esophagitis is significant. You should avoid chocolate, caffiene and peppermint. These can exacerbate the condition. Don t eat 5 hours before bedtime and swallow small amounts of well chewed food. You might benefit from overnight...

Family, Internal Medicine, General Medical Questions: Please help..., inner ear infection, inner ear imbalance
inner ear infection, inner ear imbalance, dizziness and nausea: Hi Anthony, I apologize for not getting back to you sooner. I was on call for three Family Practice Groups and our Hospital ER and I was quite busy. You can’t make a diagnosis of anemia based on the test he did. A blood count is necessary. The difference...

Family, Internal Medicine, General Medical Questions: Please help, female smoker, breast problems
female smoker, breast problems, doctor appointment: Dear Tanya, ALl I can tell you is that this could be ONE of several problems.... The possibilities are heart disease, lung disease, stomach or gastric disease even breast problems.... I would STRONGLY suggest that you get a doctor appointment as SOON...

Family, Internal Medicine, General Medical Questions: Please tell why this is happening, cyst on the liver, barium swallow
cyst on the liver, barium swallow, agoraphobia: My question is why do I feel so weak and breath wat too fast and my body feels exhausted and drained and yet I can walk for hours up hills and all around.The mornings my legs feel empty ,stiff and tight,and if I sit with crossed legs on my lounge my legs feel...

Family, Internal Medicine, General Medical Questions: Pneumonia Shot(s), booster shot, health org
booster shot, health org, bob bob: Bob, I hope this answers your questions, however, you should always confirm these issues with your treating doctor, especilally with your history. How often should I get a pneumonia shot? 65 years and older - if this is your first immunization,...

Family, Internal Medicine, General Medical Questions: Pneumonia vaccination, omega 3 fish oil, flu vaccination
omega 3 fish oil, flu vaccination, kidney cancer: Pneumovax would be good for her since it covers 28 strains of pneumococci that cause disease in older people. I get the pneumovax every 6 years myself. see below: http://www.cdc.gov/nip/vaccine/pneumo/default.htm Your mother would build up faster on the...

Family, Internal Medicine, General Medical Questions: POISONIVY, poison ivy, blisters
poison ivy, blisters, myth: Poison Ivy, something I know about first hand, it is very yulky thing to have. It looks like little blisters, or raised spots, often in lines. It itches or is very painful. It is NOT contagious, that is a myth. Good luck to you, I feel sorry for you...

Family, Internal Medicine, General Medical Questions: Poison Oak, poison oak, rubbing alcohol
poison oak, rubbing alcohol, tecnu: The hard question to answer is whether the poison oak has re-erupted your skin or if you are reacting to one of the treatments, such as the tape, bandage or ointment/gel. I don t know if you are putting triple antibiotic creme on it, but a lot of people develop...

Family, Internal Medicine, General Medical Questions: Poison Oak, oral prednisone, zyrtec 10mg
oral prednisone, zyrtec 10mg, wood pulp: Hard to know, since there are different types of cortisone . Some last longer than others. I tend to give oral prednisone, usually over 2 weeks. Too rapid a course can often make the rash flare again. My suggestion would be to call your D.O. I would...

Family, Internal Medicine, General Medical Questions: Polymyalgia Rheumatica, chronic mononucleosis, oral prednisone
chronic mononucleosis, oral prednisone, thyroid tests: I am not sure what a 50 cad count means. But, in general, PMR is difficult to diagnose, because there isn t a specific test. It is a disease of exclusion which means when everything else comes out normal, we attribute signs and symptoms to that disorder....

Family, Internal Medicine, General Medical Questions: Possible?, glucose tolerance test, pulmonary function tests
glucose tolerance test, pulmonary function tests, lung volumes: I am not sure what the actual question is.... but, hypoglycemia, or fluctuations in blood sugar can occur, and may not be picked up right away because of the intermittent nature of low blood sugars.... doing a glucose tolerance test, where she drinks a large...

Family, Internal Medicine, General Medical Questions: Possible?, pulmonary function testing, definite connection
pulmonary function testing, definite connection, lung damage: Hi R, Blood sugar can fluctuate with diet and activity. Eating properly can often times correct wide swings in blood sugar. As for the cough, smoking is indeed a source for cough. Since quitting the cough has gotten better which makes me believe that there...

Family, Internal Medicine, General Medical Questions: Possible?, neice, hypoglycemia
neice, hypoglycemia, appt: Now that she is getting on a better eating routine is it possible that she is cured of it? Yes, that often happens when people are more stable in their life and nutrition. Also, our Dr. said she does NOT have astma, but a cough from smoking (she smoked...

Family, Internal Medicine, General Medical Questions: Possible conflict with meds preventing healing?, amox clav 875mg, bad habit
amox clav 875mg, bad habit, precriptions: Hi Stan, The prednisolone could be delaying the healing of the sores. I don t think the anitbiotics are to blame. These sores on the corner of your mouth may not bhe related to shaving at all. They could be something called Perleche. In any event, it should...

Family, Internal Medicine, General Medical Questions: Possible Fracture of hip area, subcutaneous hematoma, sad yugoslavia
subcutaneous hematoma, sad yugoslavia, conservative measures: Yes, this sounds like a subcutaneous hematoma. These involve damage fat and collected blood from the severe bruise. Talk to your doctor to see if advil, aleve or Ibuprofen are correct for you to reduce the swelling and pain and help absorb the injured tissue...

Family, Internal Medicine, General Medical Questions: Possible medication side effects?, low libido, lack of appetite
low libido, lack of appetite, medication side effects: Dear Mike, All three drugs can cause decreased libido, and Rispersal can cause decreased appetite. Lexapro and Klonopin usually cause appetite increase. All three medications are used for anxiety and panic disorder, so the fact that you are not getting...

Family, Internal Medicine, General Medical Questions: Possible side effects from medication, low libido, lack of appetite
low libido, lack of appetite, low testosterone: Hi Mike, Antidepressants and antipsychotics do cause sexual dysfunction. Risperdal is known to cause erectile dysfunction. The main problem is the diminished desire to have sex and during sex, there is a problem either getting hard, controlling the erection,...

Family, Internal Medicine, General Medical Questions: Possible?, healthy eating habits, hypoglycemia
healthy eating habits, hypoglycemia, neice: Certainly depending on your husband s daughter s weight, hypoglycemia can be cured by regular healthy eating habits. As far as asthma is concerned, smoking certainly worsens asthma, and may be the difference between being on or off medications and inhalers....

Family, Internal Medicine, General Medical Questions: Post cholecystectomy, hida scan results, inflammation of the pancreas
hida scan results, inflammation of the pancreas, lower back pain: With continued symptoms and elevated lipase, I would worry about pancreatitis, inflammation of the pancreas, possibly from a gallbladder stone that can lodge in the pancrease duct. You need a full thorough evaluation by a doctor comfortable with GI disease...

Family, Internal Medicine, General Medical Questions: Post Gall Bladder, gall bladder surgery, gall bladder problems
gall bladder surgery, gall bladder problems, gall bladder attack: dear sir: cut and paste the url into your browser (highlight the url ctr c - go to browser ctr v - the page i referred you to is in english. http://www.ikp.unibe.ch/lab2/SOD.htm and ultrasound does not rule out a stone in the common bile duct - which...

Family, Internal Medicine, General Medical Questions: Post Menopausal Bleeding, transvaginal pelvic ultrasound, hashimoto s thyroiditis
transvaginal pelvic ultrasound, hashimoto s thyroiditis, high fsh levels: Hi Jola, I apologize for the tardiness of my response. I ve been out of town for three days. It s OK to wait, but as a rule post menopausal bleeding is a sign that something isn t right. You probably should have a transvaginal/pelvic ultrasound and maybe...

Family, Internal Medicine, General Medical Questions: Post op problem, history of colon cancer, caucasion female
history of colon cancer, caucasion female, glycolax: Unless you were having 2-3 soft bowel movements daily before surgery, you probably went into the surgery magnesium oxide deficient so replacing that at 250mg before meals and at bedtime would be the best if OK with your doctors. The Prevacid will increase...

Family, Internal Medicine, General Medical Questions: Post-Shingles after-effects, nerve ganglia, fabric softners
nerve ganglia, fabric softners, high potency: Is it possible to still have the intermittent itching sensation, especially over my back area, after that amount of time from affected nerve endings? Yes, it is possible but more likely to be from recurrent zoster virus in the nerve ganglia of the spine that...

Family, Internal Medicine, General Medical Questions: Post Thrombotic Syndrome, omega 3 fish oil, greenfield filter
omega 3 fish oil, greenfield filter, enteric coated aspirin: In your opinion, should I try to find other work where I m not on my feet as long? My patients use short leg TED hose or one called Therafirm they can get without an Rx. You could ask your doctor but my patients go on 4000mg of omega 3 fish oil twice a day...

Family, Internal Medicine, General Medical Questions: Post Thrombotic Syndrome, greenfield filter, pulmonary embolism
greenfield filter, pulmonary embolism, judgement call: It probably is permanent... the veins have been damaged in that leg and the pressures in the remaining veins are too high and cause fluid leak across their walls. A decent fix is compression hose, which must be applied first thing in the morning prior to...

Family, Internal Medicine, General Medical Questions: Post Thrombotic Syndrome, greenfield filter, pulmonary embolism
greenfield filter, pulmonary embolism, post thrombotic syndrome: Hi Dana, Unfortunately this will be a permanent condition. This is from damage to the vein s valves during the DVT. Swelling is best controlled with a compression stocking and being off your feet as much as possible. Finding other work may benefit you greatly...

Family, Internal Medicine, General Medical Questions: Post Thrombotic Syndrome, greenfield filter, pulmonary embolism
greenfield filter, pulmonary embolism, post thrombotic syndrome: Hi Dana and thanks for writing, As you re well aware, you need to be proactive to prevent future problems including not standing for prolonged periods without resting and elevating your legs, similarly you need to avoid sitting for prolonged periods without...

Family, Internal Medicine, General Medical Questions: Post-Thrombotic Syndrome, omega 3 fish oil, pulmonary embolism
omega 3 fish oil, pulmonary embolism, post thrombotic syndrome: No, I do not consider it as usually disabling but I have my patients either on low dose anticoagulants, anti platelet agents(aspirin, pletal, plavix) or on high dose omega 3 fish oil to cut down on the clotting propensity. If you are not on anyone of these...

Family, Internal Medicine, General Medical Questions: Pottie Traning, tolit, bed time
tolit, bed time, diapers: Hi Jessica, You ll need to wake him up through the night (twice is usually enough) to go to the bathroom. He ll soon tire of that (I hope before you do) and pee before bed time. The other thing is that he will eventually learn to pee in the toilet---parents...

Family, Internal Medicine, General Medical Questions: PREGNANCY, home pregnancy test, search2
home pregnancy test, search2, google: Yes, do a home pregnancy test or ask the doctor to do one before the next shot. By the way, the hcg is not effective for weight loss. see www.nih.gov and search for hcg for weight loss http://search2.google.cit.nih.gov/search?q=%22hcg+for+weight+loss%22&sort=date%3AD%3AL%3Ad1&output=xml_no_dtd&site=NIH_Master&ie=UTF-8&oe=UTF-8&client=NIH_frontend&proxystylesheet=NIH_fronten...

Family, Internal Medicine, General Medical Questions: Pre-Gallbladder surgery, digestion of fats, abdominal incisions
digestion of fats, abdominal incisions, gallbladder surgery: diane; the gallbladder is a pear-shaped sac 3-4 inches long and roughly 1 inch in diameter thats attached to the underside of the liver on your right side. the gallbaldder stores bile thats produced in your liver and discharges it into the upper part of...

Family, Internal Medicine, General Medical Questions: Pre period woes, symptoms of pms, severe headaches
symptoms of pms, severe headaches, exerise: joanne; this all normal,its PMS[premenstrual syndrome]a predictable pattern of physical and emotional changes. no one really knows what causes this. its undoubtedly related to cyclic changes in hormone levels. your doctor usually can offer relief from...

Family, Internal Medicine, General Medical Questions: Prednisone, temporal arteritis, sleeping pills
temporal arteritis, sleeping pills, spread infection: I am not worried about the man catching something because of sex with the woman who is on prednisone. This dose has already suppressed her immune system somewhat. However, we don t have much choice, because temporal arteritis is a very serious disease and...

Family, Internal Medicine, General Medical Questions: Prednisone Effects, pinced nerve, pinched nerve
pinced nerve, pinched nerve, brain scan: I am not sure I would blame the prednisone for any and all of your symptoms... the shooting pain isn t from it and the dizziness may or may not be... do you have a tendency toward diabetes? Heavy, etc because prednisone can tip someone over the edge temporarily......

Family, Internal Medicine, General Medical Questions: Prednisone, leg cramps, prednisone
leg cramps, prednisone, co worker: There can be some problems with potassium when it is discontinued, which could cause some leg cramps. She may have had some arthritis that was suppressed by the prednisone. This is a tough question though, without additional info.... hope this helps......

Family, Internal Medicine, General Medical Questions: Preganacy Symptoms, pregnancy test, vaginal discharge
pregnancy test, vaginal discharge, www mayoclinic: Hi and thanks for writing, An increase in vaginal discharge is essentially universal in pregnancy as a result of marked increase in the turnover of vaginal lining cells. from: http://www.mayoclinic.com/health/pregnancy/HQ00451 Good luck, Margo...

Family, Internal Medicine, General Medical Questions: Pregancy, omega 3 fish oil, centrum silver
omega 3 fish oil, centrum silver, maternal age: Yes, you are at increased risk so would want your nutrition to be perfect plus take 3 omega-3 fish oil caps four times a day and Centrum silver daily and B-100 four times a day for at least 6 months prior to getting pregnant and the same with the father so...

Family, Internal Medicine, General Medical Questions: Pregnancy, tubal ligation, tubal pregnancy
tubal ligation, tubal pregnancy, likelihood: a tubal pregnancy is likely, considering a tubal ligation... .probably on the order of 10-20 percent likelihood.... an ultrasound is a quick and easy way to prove that there is or is not a tubal pregnancy. Good luck.... hopefullly there in t a tubal pregnanc...

Family, Internal Medicine, General Medical Questions: Pregnancy after birth control, ovulation test kits, depo provera
ovulation test kits, depo provera, birth control pill: you can get pregnant after stopping the pill right away.... there isn t a lag time like you would have if you were on the depo provera shot. the best chance of getting pregnant is to have sex right in between cycles, meaning 14 days before your next cycle....

Family, Internal Medicine, General Medical Questions: Pregnancy after birth control, birth control pill, stopping the pill
birth control pill, stopping the pill, correct answer: Hi Kristy! Congratulations on you and your husband wanting to start a family. My prayers and best wishes to you. You CAN get pregnant within one to two weeks of stopping the birth control. From what I have read, about half the women who try getting...

Family, Internal Medicine, General Medical Questions: Pregnancy and decongestants, maternal circulation, pregnancy women
maternal circulation, pregnancy women, late pregnancy: all of these are considered very low risk during pregnancy... meds like sudafed may delay contractions in late pregnancy. I would minimize the use of anything, esp during the 1st trimester of pregnancy. It is impossible to be completely safe, since no studies...

Family, Internal Medicine, General Medical Questions: Pregnancy and medication, birth control pills, sleep medicine
birth control pills, sleep medicine, nurse practitioner: flexeril is a muscle relaxer and isn t a great sleep medicine. I would get used to not taking anything since you are going to be pregnant soon and the baby will not want to come in to the world on several medications....... work towards getting off all meds...

Family, Internal Medicine, General Medical Questions: Pregnancy and prebirth testing, group b strep, chalmydia
group b strep, chalmydia, type of bacteria: I am sorry that happened... I know that is devastating for you. From the medical side, I see you have extensive worries about having gotten some STD. B-Strep- should show up right away. Plus, B-Strep really isn t a sexually transmitted disease (STD),...

Family, Internal Medicine, General Medical Questions: Pregnancy, nutrient deficiencies, omega 6
nutrient deficiencies, omega 6, calcium carbonate: Not likely since the egg is too small to see. Certainly talk with your doctor about this. Does your doctor have you taking supplements for the nutrient deficiencies in the food supply and having you cut out the excess omega 6 and gluten in your diet which...

Family, Internal Medicine, General Medical Questions: Pregnant, nail biter, nail beds
nail biter, nail beds, infected finger: Yes, it is considered safe in pregnancy, but also do hot soapy water soaks 3-4 times a day for 10 minutes til it heals and rub oil into the nails and nail beds at night for the rest of your life to prevent this. This will even help you cut down on biting the...

Family, Internal Medicine, General Medical Questions: Premature Delivery, artificial insemination, premature delivery
artificial insemination, premature delivery, 4 months: Is this possible? Yes, but unlikely Are there requirements (age, marriage, ect) for artificial insemination? Yes, the person must be adult. Is there a required hospital stay after a delivery like that? Not really because the patient can refuse. Any...

Family, Internal Medicine, General Medical Questions: Prempro and menopause, calcium carbonate, epa dha
calcium carbonate, epa dha, magnesium oxide: Thanks on the family comment, yes I am happy for them. You may have to take a higher dose to stop the bleeding but at 49 years you get a lot of risk from the prempro. There is much to learn and much to do to regain your health and restore your uterine...

Family, Internal Medicine, General Medical Questions: Preparing for old age, jack lalanne, lifting weights
jack lalanne, lifting weights, retirement home: Hi David, You obviously are a very sensible and intelligent person - not to metion young at heart. I doubt I can share anything you do not already know. Eat a decent diet, everything in moderation. Avoid medications whenever possible and always look...

Family, Internal Medicine, General Medical Questions: Preschooler with Recurring Fevers, heat rash, swollen glands
heat rash, swollen glands, high fever: Yes, your doctors need to check for Lyme disease, mono, and relapsing infections. What does you son typically eat and drink in a day? Sometimes on vacation the diet varies enough to cause problems with the immune system from the omega-6 plant oil content,...

Family, Internal Medicine, General Medical Questions: Prescribed Medication, john gibbs, prescribed medication
john gibbs, prescribed medication, type of drugs: Some antidepressants are used to help patients sleep. Often, certain types of antidepressant side effects are sleepiness or sedation. Your doctor is likely using the medication s side effect as a sleep aid. This is used commonly, and not necessarily a bad...

Family, Internal Medicine, General Medical Questions: Prescriptions, magnesium oxide, high potency
magnesium oxide, high potency, western diet: Safer than their asthma untreated but we use a different program to avoid most of these drugs side effects long term. Ask your doctor but this is what I use for my patients: 1) Fish oil 1000mg (900 mg EPA/DHA) just before each meal and at bedtime. 2)...

Family, Internal Medicine, General Medical Questions: Probability of pregnancy, advanced maternal age, pregnant pregnancy
advanced maternal age, pregnant pregnancy, rewarding experiences: Hi Steve, I am happy to give you the information you asked for. Please remember that the numbers I am sending you are available for mothers of advanced maternal age to consider extra testing during pregnancy. They are not intended to discourage any...

Family, Internal Medicine, General Medical Questions: Probiotics, microscopic organism, fungal treatments
microscopic organism, fungal treatments, probiotic: debbie; probiotic are microscopic organism that help maintain the natural balance of organism within the body. lactobacillus is one type of probiotic balance in the vagina. lactobacillus commonly used and recommended for preventing vulvovaginitis ....

Family, Internal Medicine, General Medical Questions: Probiotics, prebiotics and probiotics, probiotic supplements
prebiotics and probiotics, probiotic supplements, human gastrointestinal tract: For the product to work it must be alive when you swallow it. For a product to be live it must have been refrigerated for its entire life until it is swallowed. Many of the products tested by consumer labs, the probiotics are killed in storage, shipping,...

Family, Internal Medicine, General Medical Questions: Problems after ultramarathon, sodium potassium, extreme exercise
sodium potassium, extreme exercise, kidney function: I would have all those things checked... sodium, potassium, kidney function... the risk of extreme exercise and dehydration is muscle breakdown and that (CPK) can damage kidneys... I would have a CBC, BMP, CPK level checked and treated if indicated, otherwise,...

Family, Internal Medicine, General Medical Questions: Back Problems, lumbar laminectomy, conservative measures
lumbar laminectomy, conservative measures, scar tissue: Hi DJ, If you can avoid surgery, you should. The more surgery you have the more chance of increase in scar tissue which complicates the back problem. Try conservative measures first because in many cases, disc herniations can dessicate and that relieves the...

Family, Internal Medicine, General Medical Questions: Progesterone Cream, secondary sex characteristics, rn msn
secondary sex characteristics, rn msn, msn community: You were right in stopping the mom. His hormones during puberty are changing, and he s not yet burning sugars and fats like he will once he s at least a tanner stage 4 (well into puberty, pubic hair and secondary sex characteristics). Fat burning for this...

Family, Internal Medicine, General Medical Questions: Progesterone Cream, female breast development, estrogen production
female breast development, estrogen production, swollen breasts: Hi Catherine, You were right. The use of progesterone cream will cause more harm to the child. Applying progesterone cream to areas with high contents of fatty tissues will exaggerate an absoroption of and retain the the active ingredients of the cream...

Family, Internal Medicine, General Medical Questions: Prostate biospy complications, prostate biospy, prostate biopsy
prostate biospy, prostate biopsy, head nurse: Hi Kaye and thanks for writing, Wow - this is like a horror story! Blood clots are a common complication with prostate procedures so Heparin is given to thin the blood to avoid this complication and this could obviously cause the blood loss you saw around...

Family, Internal Medicine, General Medical Questions: Prostate/gall bladder, bladder wall, mass lesions
bladder wall, mass lesions, ultrasound results: The TUR does not remove all of the prostate and often leaves a fair amount of prostate tissue, that can become infected (which it sounds like from the discharge) Also,people can still get prostate cancer. However, if you quickly developed symptoms, it sounds...

Family, Internal Medicine, General Medical Questions: Prostatitus, omega 3 fish oil, bladder pain
omega 3 fish oil, bladder pain, mg caps: There is a lot left that you can do if your doctor believes they have run out of treatments, you have seen a urologist and had a cystoscopy and they agree with the treatments. OK? You could take different antibiotics and cleansers such as cranberry juice...

Family, Internal Medicine, General Medical Questions: Prostatitus, bactrim
bactrim: How soon should one expect to see results when taking Bactrim for this condition? within 3-7 days usually Or at what point should the Bactrim be discontinued if no results are observed? Sometimes we treat this for 6-8 weeks. Call your doctor if you are...

Family, Internal Medicine, General Medical Questions: Prostrate, high potency, centrum silver
high potency, centrum silver, vitamins and minerals: Why does it happen and is it bad or serious? Ans: it is due to the prostate swelling and obstucting the urine flow. Over time, it can damage the kidneys. what will happen to it in the future- like one day might the stream stop altogether and then he won...

Family, Internal Medicine, General Medical Questions: Protein in kidneys, protein in kidneys, protein level
protein in kidneys, protein level, plant oil: How serious is this? Serious enough to check it out further What causes the problem and such a major increase in protein over the short period of time? for most it is from kidney disease, diabetes and eating meat more than once a week, plust the plant...

Family, Internal Medicine, General Medical Questions: Protien in Urine, protien in urine, kidney disorders
protien in urine, kidney disorders, protein in the urine: kidney injury or damage, usually due to high blood pressure and/or diabetes. There are also inherent kidney disorders that can cause protein in the urine. The list is pretty long, but the most common causes, depending on your age, are the first two. ...

Family, Internal Medicine, General Medical Questions: Provera, omega 3, provera
omega 3, provera, intense pain: How long does it normally take to get a period after finishing the Provera? 2-5 days What happens if the Provera doesn t work? They need to do a more complete evaluation and treat the PCOS metabolically with 1000mg of cinnamon and 3000 mg of omega 3 before...

Family, Internal Medicine, General Medical Questions: Psyllium, lazy bowel syndrome, stimulant laxatives
lazy bowel syndrome, stimulant laxatives, psyllium husks: No, fiber laxatives do not cause lazy bowel syndrome. In fact, the existence of that particular syndrome, in my opinion, is in question. The thought is that taking too many stimulant laxatives (milk of magnesia, etc) makes the bowel dependent on these...

Family, Internal Medicine, General Medical Questions: Puberty > menopause, metabolic bone disease, onset of menopause
metabolic bone disease, onset of menopause, genetic component: Hi Pat, Sorry it took me so long, but I had to cheat. I emailed my Dad and asked him, who else? Actually he s an endocrinologist and perfect for this question because he deals with a lot of metabolic bone disease. But I have to tell you his answer was...

Family, Internal Medicine, General Medical Questions: Pulmonary Embolism, internal medicine doctor, symptoms of herniated disc
internal medicine doctor, symptoms of herniated disc, cyclobenzapine: I don t know if you are ever going to get a perfect answer... it sounds like he did have an autopsy and sometimes the medical examiner can see part of a clot that has been there a long time at the primary site. The primary site usually is the deep veins...

Family, Internal Medicine, General Medical Questions: Pulmonary Hypertension, right ventricle, pulmonary hypertension
right ventricle, pulmonary hypertension, rvsp: The right side of the heart produces relatively low pressures, typically up to 40, usually around 25 in the right ventricle.... once pulmonary hypertension sets in, there is no great treatment. That is why it is important to treat sleep apnea if it is present...

Family, Internal Medicine, General Medical Questions: Pylori infection, duodenal ulcer, gastroentologist
duodenal ulcer, gastroentologist, kidney cancer: Hi Deepa, There is more to treating H. Pylori than just antibiotics. For your doctor to leave it up to you is not appropriate. You should be on a full regimen to treat H. Pylori. If the symptoms don t go away after that, then an endoscopy is in order...

Family, Internal Medicine, General Medical Questions: back pain, muscle inflammation, nerve problem
muscle inflammation, nerve problem, airbag injury: Hi Hanna, In that it was a month ago, it would be unlikely that the pain is related to the airbag. On the other hand, nothing is out of the question. I would doubt that your back pain is related to your jaw however. If your doctor really suspects a nerve...

Family, Internal Medicine, General Medical Questions: pain, menustration, vaginal exam
menustration, vaginal exam, uterine infection: with all those symptoms, something is not right, obviously.... I would make sure that you aren t pregnant, don t have a urinary infection, and don t have a vaginal or uterine infection. I don t know what tests they did in the ER, but they should have checked...

Family, Internal Medicine, General Medical Questions: When will the pain go away?, muscle spasm, muscle anatomy
muscle spasm, muscle anatomy, nerve function: Hi Marie, This is hard to figure out. Your description of this complaint is confusing as it pertains to nerve and muscle anatomy. Of course I could do better if I were to see you in person but as that isn t possible, all I can say is to try to be patient...

Family, Internal Medicine, General Medical Questions: When will the pain go away?, omega 3 fish oil, muscle spasm
omega 3 fish oil, muscle spasm, nerve function: Yes, you actually need 4 things if OK with your doctors, magnesium oxide 250 mg before each meal and at bed Calcium carbonate 500 or 600 mg with Vit D before dinner and at bed omega-3 fish oil 3000mg before meals and bed time B-100 B complex before each...

Family, Internal Medicine, General Medical Questions: When will the pain go away?, nerve conduction velocities, peroneal nerve injury
nerve conduction velocities, peroneal nerve injury, neuron function: Hello Marie, This is a challenging problem. The use of steroids is a good one because then you will be able to determine if there is an inflammatory component to the injury. Also. the cutaneous pin prick test is inadequate to measure motor neuron function....

Family, Internal Medicine, General Medical Questions: My pain, anxiety attacks, chest neck
anxiety attacks, chest neck, ekg: Nothing you ve described sounds like sinusitis to me, but I m not looking at you and your sister is. This sounds very heart related. The dizziness, the feeling of fullness in the chest and arms feeling funny--this all spells heart related problems to me....

Family, Internal Medicine, General Medical Questions: Back pain behind right rib cage, sphincter of oddi, gallbladder problems
sphincter of oddi, gallbladder problems, bile flow: Hi Brittany, You certainly are experiencing multiple symptoms that should be addressed appropriately. You pain which radiates to your back after meals and/or sitting in a particular position may indicate a problem with alterations of bile flow due to a...

Family, Internal Medicine, General Medical Questions: pain & fever, enlarged lymph nodes, heart of the problem
enlarged lymph nodes, heart of the problem, internet advice: dear jana: this is *CERTAINLY* not a cold and please go see your gp or the next ER right away. you have enlarged lymph nodes in your groin which is responsible for the pain. most likely this is a harmless infectious disease - but you need a real life doc...

Family, Internal Medicine, General Medical Questions: pain in lower left abdomen, left lower quadrant pain, inflammation of the bladder
left lower quadrant pain, inflammation of the bladder, pain in lower left abdomen: Hi Eric, There are many problems which can be present in your specific case. Your physician has ruled out many of the most common problems associated with left lower quadrant pain. The main concern is regarding an association of an indirect specific pain...

Family, Internal Medicine, General Medical Questions: pain management surgeries and strokes, regional pain syndrome, chronic regional pain syndrome
regional pain syndrome, chronic regional pain syndrome, magnesium oxide: A more likely scenario could be that the same omega-6 plant oil toxicity in the food supply could cause the stroke, your bipolar condition and set up your regional pain syndrome. At our center we treat all these as one conditions with the following if OK with...

Family, Internal Medicine, General Medical Questions: pain and range of motion, rehabilitation exercises, dear al
rehabilitation exercises, dear al, dislocated shoulder: Dear Al, I believe you have sent me questions in the past regarding this situation. If you reach maximum range of motion due to your shoulder injury or dislocation it is possible you may still have pain due to inflammation. You should be discussing the...

Family, Internal Medicine, General Medical Questions: pain and spasms in leg, abscence, left leg
abscence, left leg, numbness: Hi Annette, If you are right hand dominant, that could explain the difference in girth. In thye abscence of disease, the dominant leg is ALWAYS bigger than the non dominant leg. As for the numbness and spasms in your Left leg, there are a number of possibilities....

Family, Internal Medicine, General Medical Questions: pain in spleen area, spine curvature, c shape
spine curvature, c shape, immense pain: this is usually a musculo-skeletal problem....a rib muscle spasms and catches on a rib and with scoliosis, you have some rib rotation anyways along with the spine curvature... but you don t have to worry about internal orgam problems with that kind of history.....

Family, Internal Medicine, General Medical Questions: pain in thumb joints, thumb joints, trigger thumb
thumb joints, trigger thumb, tendinitis: Hi Jennifer, Thanks. Do your fingers snap when bending them or does the joint refuse to bend all the way like it is being prevented from doing so? This may be a tendinitis or the development of a trigger thumb. I doubt it is arthritis due to your age, but...

Family, Internal Medicine, General Medical Questions: pain and tingling in left arm, tingling in left arm, pinched nerve
tingling in left arm, pinched nerve, prescription dose: chiropractors tend to see things on xrays that radiologists don t see... I am not sure what a rib out means... with an arm tingling, there may be a pinched nerve at the neck, or at the shoulder or elbow/wrist. Advil, 4 pills 3 times per day is a prescription...

Family, Internal Medicine, General Medical Questions: pain under my left rib, barium enima, barium swallow
barium enima, barium swallow, h plori: Hi Suzette, Sounds like you ve had a good evaluation. The only thing you might consider is a chest xray. Sometimes a condition exists called splenic flexure syndrome which can cause pain under the left ribs. A repeat CT scan may be hlpful if the first...

Family, Internal Medicine, General Medical Questions: pain under my left rib, h pilori, bloated stomach
h pilori, bloated stomach, stomach problems: with the rectal bleeding.... you should have had a colonoscopy... then if that was neg, you should take zantac or prilosec over the counter.....that should help any stomach problems.... Usually in young people, the chance of lower GI problems are low......

Family, Internal Medicine, General Medical Questions: pain under my ribs, serving tables, severe pain
serving tables, severe pain, spleen: Hi Sydney, There are a couple of organs under your left ribs that can cause this pain. One is your Spleen and the other is your Splenic Colon Flexure. It is a well known problem to trap stool or gas in this flexure and cause severe pain. Usually a single...

Family, Internal Medicine, General Medical Questions: pain when urinating and pelvis pains, uterus infection, pain when urinating
uterus infection, pain when urinating, ovarian cysts: this could be as simple as a bladder infection or could be a uterus infection... other problems are ovarian cysts, endometriosis. Pelvic pain gets complicated and there are a lot of possibilities.... start out with a complete examination including a urine...

Family, Internal Medicine, General Medical Questions: pain after urination, pain after urination, omega 3
pain after urination, omega 3, magnesium oxide: He said I could take him to a urologist if I wanted. What do you think? Yes, most definitely since he is low on B complex and magnesium oxide which he needs twice a day to prevent these stones and Omega 3 2000mg twice a day for the bedwetting. Get help...

Family, Internal Medicine, General Medical Questions: back pain, sexual intercouse, pain during intercourse
sexual intercouse, pain during intercourse, saleeby: This is not my area of expertise. However, consider that sexual intercouse can be a physically stressful activity. Lower back Pain can be caused by the intensity of the activity and by the positions used. Using pillows and bolsters may help with supporting...

Family, Internal Medicine, General Medical Questions: very painful feet, painful feet, refractory cases
painful feet, refractory cases, fascitis: Hi Mike, In refractory cases, sometimes a shot of cortisone into the heel area helps. It isn t always helpful, but it s worth a try. The good news is that Plantar Fascitis is self limiting in the majority of cases. It s just waiting it out that is the problem...

Family, Internal Medicine, General Medical Questions: painful saliva glands, congestive heart failure, saliva glands
congestive heart failure, saliva glands, salivary gland infection: Dear Sheila, First off, let me say, I am sorry this is something you are going through. I had it one time many years ago, and have never forgotten how uncomfortable it is. Hopefully, this will be your last bout. A salivary gland infection is caused...

Family, Internal Medicine, General Medical Questions: Very painful skin patches, and link to fibromyalgia, skin patches, thyroid problems
skin patches, thyroid problems, painful skin: I don t know what the skin sensitivity represents... that is not commonly found in fibromyalgia. That is called hyperesthesia, often found in an area after someone has shingles in that area, but I don t know what is causing that in your sister. As long as...

Family, Internal Medicine, General Medical Questions: pancreatitis, emergency c section, month old baby
emergency c section, month old baby, chronic pancreatitis: These are tough tough tough cases....chronic pancreatitis is a hard illness to treat.... did she have the pancreatic ductogram by upper scope? Is she on enzymes before each meal, 3 Viokase? Is she controlled on pain meds.... she should be seen by a sub specialist...

Family, Internal Medicine, General Medical Questions: pancreatitis, inflammation of the pancreas, gallstone disease
inflammation of the pancreas, gallstone disease, bile duct: dear nichole: the other way around is more likely: one of the most common causes of pancreatitis is gallstone disease. when gallstones block the common entry of the pancreatic and bile duct chronic inflammation of the pancreas can ensue. my guess is that...

Family, Internal Medicine, General Medical Questions: pap smear, atypical cells, pap smear
atypical cells, pap smear, cancer hope: ASCUS stands for atypical cells of undetermined significance...... so, that is not cancer, but it is the closest classification to normal, without being normal. Usually, we simply repeat the pap in a few months, if still abnormal, then take a closer look...

Family, Internal Medicine, General Medical Questions: Am I just paranoid?, gluten intolerance, degree fever
gluten intolerance, degree fever, sweat test: I just want to know is there another test that I should suggest they do?? Answer: ask for tests for celiac s disease gluten intolerance. Is there something you have in mind that could be causing his problems?? Answer: It sounds like he may have gluten...

Family, Internal Medicine, General Medical Questions: parathyroid, serum calcium, ionized calcium
serum calcium, ionized calcium, calcium levels: I agree with asking for a real answer and endocrinologist evaluation if your doctor is not comfortable treating this. For more details see below http://www.cancer.gov/cancertopics/pdq/supportivecare/hypercalcemia/HealthProfessional http://www.nlm.nih.gov/medlineplus/ency/article/000365.ht...

Family, Internal Medicine, General Medical Questions: passing the flu, crazy question, dear john
crazy question, dear john, mail: Dear John, Influenza is a virus, airborne, and spread by droplets. I cannot see how you could infect your wife by mail. Many people call many viruses the flu , but as far as I have ever heard, it would basically be impossible to spread by postal. ...

Family, Internal Medicine, General Medical Questions: patches, omega 3 fish oil, knee osteoarthritis
omega 3 fish oil, knee osteoarthritis, high potency: Yes, my patients like them a lot but they do not cure or improve only relieve, just so you know. OK? Other things you can do are to be sure to get on the following if OK with your doctor since deficiencies can also cause this. OK? 1) calcium with vit d twice...

Family, Internal Medicine, General Medical Questions: pcp, cat scan, pcp
cat scan, pcp, revenge: theresa; well depending on how much was given at that time if there are any effects. an MRI or CAT scan of her brain may help. to see if there was any kind of damage. i cant tell you what to do,tell her or not. maybe it would help you as well to tell...

Family, Internal Medicine, General Medical Questions: peeing problem, bladder infection, urinary tract infection
bladder infection, urinary tract infection, spasm: Dear Mimi, I am not sure that it is your clitoris is what is painful. Is the pain after intercourse, or does it happen at other times? If it is after intercourse, it may just be the normal irritation at that moment. You may have a little bladder...

Family, Internal Medicine, General Medical Questions: pelvic fractures, pelvic trauma, pelvic fractures
pelvic trauma, pelvic fractures, pubic symphysis: pelvic trauma is obviously very complicated and you may need to consult with a subspecialist in hip and pelvic trauma. Nothing new re: seromas...draining, then keeping pressure to keep the fluid from re-accumulating is the best way if one hadn t gone away...

Family, Internal Medicine, General Medical Questions: pemphigoid, side effect of steroids, weight changes
side effect of steroids, weight changes, prednisolone: Hi KH Leung, Unfortunately, prednisone is the only real treatment for Pemphigoid. The Prednisone can cause increase in body fat and water retention which causes weight gain. It can also cause diabetes among other side effects. Diabetes can have weight changes...

Family, Internal Medicine, General Medical Questions: penis area, soap and water, antibiotic ointment
soap and water, antibiotic ointment, skin area: Not sure what has caused them, though they may be simple cysts. My suggestion would be to clean the area twice a day with soap and water, and then apply a bit of antibiotic ointment. Please don t be insulted, but I m presuming that you are monogamous,...

Family, Internal Medicine, General Medical Questions: penis implant in senior, penis prothesis, sexual spontaneity
penis prothesis, sexual spontaneity, implant surgeries: Hi Wanda and thanks for writing, Some Penile Implant surgeries are down with a local, and some are under General Anesthesia. The best thing to do is to discuss the possible risks with the Surgeon and Anethesist if possible as each individual case is different....

Family, Internal Medicine, General Medical Questions: perimenopause?, symptoms of menopause, menstration cycle
symptoms of menopause, menstration cycle, belly roll: maureen; well it sounds about right,for the change of life. theres not one women that has the same symptoms of menopause,so it hard to say how yours will be. your best bet i feel is a buy a few books,and learn all you can about mensopause and all the...

Family, Internal Medicine, General Medical Questions: no period, birth control pills, depo shot
birth control pills, depo shot, natural herb: yes, you still can get pregnant. No, there isn t a natural herb to help with this... A lot of women have cycle problems after getting off depo and it may take a few more months... sometimes we use provera, sometimes cycle with birth control pills for this....

Family, Internal Medicine, General Medical Questions: periods, birth control pills, depo provera
birth control pills, depo provera, mini pill: No way to do this without being on hormonal birth control--either depo provera or birth control pills. If you do take birth control pills, ask your gynecologist about the technique in which you don t skip the off week of pills and begin the new pack....

Family, Internal Medicine, General Medical Questions: periods and discharge, omega 3 fish oil, fish oil capsules
omega 3 fish oil, fish oil capsules, omega 6: Are they going to stop? No, not likely at your age. Also, I sometimes have a strange brown, gooey discharge that lasts about 2 days. I think it is the start of my periods but then it stops and nothing happens. I have had that about 3 times in the last...

Family, Internal Medicine, General Medical Questions: peripheral nueropathy,high protein level, omega 3 fish oil, peripheral nerve damage
omega 3 fish oil, peripheral nerve damage, numbness and tingling in hands and feet: Would need MRI and CT of brain plus spinal fluid analysis to make the diagnosis of MS. Most of our patients have these symptoms from B Complex deficiency and respond to B-100 taken before each meal and at bedtime with 2000mg of omega-3 fish oil each time...

Family, Internal Medicine, General Medical Questions: peritonitisand pacreatitis, inflammation of the pancreas, morphine patch
inflammation of the pancreas, morphine patch, bowel flora: Hi Trudy, I apologize for the late response. It s been a very busy holiday week end. Pancreatitis is an inflammation of the Pancreas that cam cause nausea, vomiting, abdominal pain and problems with digestive enzyme production and sugar control. Peritonitis...

Family, Internal Medicine, General Medical Questions: pernicious anemia, pernicious anemia, methylcobalamine
pernicious anemia, methylcobalamine, stomach surgery: you are making it a little more complicated when you say that abd surgery induced the B12 deficiency... the majority of pernicious anemia patients do not have the gastritis that can be associated with it, but you are right, some do, but pernicious anemia is...

Family, Internal Medicine, General Medical Questions: persistent cough, gastroesophageal reflux, persistent cough
gastroesophageal reflux, persistent cough, internal medicine: I would start out w/ primary care, family practice, internal medicine. May get a referral to pulmonologist if they can t figure it out. May be chronic sinusitis, chronic gastroesophageal reflux, chronic bronchitis, silent asthma.... lots of possibilities...

Family, Internal Medicine, General Medical Questions: persistent flank pain, flank pain, sick fever
flank pain, sick fever, kidney infection: Will I get better on my own? Probably not since it has been this long. OK? I have been off the Cipro for two weeks and my bowel symptoms only started this week. Could it be something more serious than just an infection? It could be a kidney stone caused...

Family, Internal Medicine, General Medical Questions: persistent foot swelling after break, fifth metatarsal, neuropraxis
fifth metatarsal, neuropraxis, nerve damage: it sounds like neuropraxis to the nerves, ie, nerve damage..... since the nerves were not cut and separated..... they should slowly regenerate and a rate of about 1mm per month.... so you can measure the distance.... if it is 1 cm, then it may take 10 months...

Family, Internal Medicine, General Medical Questions: Can a person catch genital herpes from a blood spill?, contract herpes, genital herpes
contract herpes, genital herpes, open wound: Usually it is not contagious unless you get blood or serum from an open herpes sore into an open cut or scratch on you. Also, if he is in active treatment like you describe it would be less likely. OK? See www.cdc.gov and search for genital herpes for greater...

Family, Internal Medicine, General Medical Questions: perspiration problems, perspiration problems, thier patients
perspiration problems, thier patients, 33 years: you are using a good antibact soap, you might try drysol (prescription) antiperspirant, sometimes we use low dose beta blockers to slow down sweating but they might have side effects.... but you are not alone in this problem, even being nice and slim......

Family, Internal Medicine, General Medical Questions: pesticide, germ cells, toxins in the body
germ cells, toxins in the body, gene mutations: Any pesticide has the potential to cause gene mutations ( cancer in body cells and damage to the DNA in germ cells which can cause fetal abnormalities) Im not familiar with what is or is not a toxic level of DEE, but often the problem comes from it interreacting...

Family, Internal Medicine, General Medical Questions: peyronies disease, peyronie s disease, doctor omega
peyronie s disease, doctor omega, centrum silver: I read some on vitamin E and and massive doses PABA. Are you aware of anything new on this short of surgery? We have had good results with the following after one year but you need to clear with your doctor: omega 3 3000mg before each meal magnesium oxide...

Family, Internal Medicine, General Medical Questions: pharmacology.. stomach acid, stomach tissue, ulcer formation
stomach tissue, ulcer formation, h pylori: Syam, There is no acute illness where stomach acid or digestive enzymes eat the stomach itself. It is very complicated and involves protective cells and prostoglandins that provide a layer of protection in the stomach and intestines. There are conditions...

Family, Internal Medicine, General Medical Questions: pharmacology, stomach tissue, stomach acid
stomach tissue, stomach acid, motrin: die immed after a big meal..... doubt it... but, stomach acid can damage tissue... people with reflux, etc. also, meds like motrin block the stomach s ability to protect itself and that s why people can get stomach bleeding after taking a lot of motrin. ...

Family, Internal Medicine, General Medical Questions: phen phen and COPD, oxygen levels, pulmonary problems
oxygen levels, pulmonary problems, margie: Margie, I would have to say that it is unlikely that the phen phen is responsible. Given your Mom s age, there are many other things that could contribute to her symptoms. Though the use of phen phen has been associated with other cardiovascular and...

Family, Internal Medicine, General Medical Questions: phenobarbitol, many different things, phenobarbitol
many different things, phenobarbitol, sleep aid: Dear Judy, I do not know why a doctor would prescribe Phenobarbital for menopause and why in the world you would have been prescibed it at are 12.... As for in the 1960 s, I can only tell you that many different drugs were used for many different things,...

Family, Internal Medicine, General Medical Questions: pheumonia shot, pneumonia vaccine, thyroid eye
pneumonia vaccine, thyroid eye, glucoma: Connie, Medical research has proven that immunization against the pneumococcal organism chiefly responsible for pneumonia (in the form of a pneumonia vaccine ) will drastically reduce pneumonia and death from pneumonia in the elderly population (those...

Family, Internal Medicine, General Medical Questions: phlegm, medications, allergies
medications, allergies: Dear Donna, This is a commmon problem in the elderly. It may be caused from certain medications, however, you did not indicate any medications are being taken. Sometimes it is just because there is an excess of mucous that collects in the throat and...

Family, Internal Medicine, General Medical Questions: am i having piles(my previous mail has wrong mail id sorry and just ignore it), loose bowel movements, mail id
loose bowel movements, mail id, large bowel: That is where the lining to the anal opening cracks open usually with a large bowel movement then gets reinjured with each subsequent bowel movement and does not heal. Some people find using a laxative for 4-5 days helps since the loose bowel movements do...

Family, Internal Medicine, General Medical Questions: am i having piles(my previous mail has wrong mail id sorry and just ignore it), painful bowel movements, mail id
painful bowel movements, mail id, correct diet: Hi Ramya, Hemorrhoids are veins around the ano-rectal area. In some people they become swollen and can bleed. Correct diet and avoiding straining can help prevent further problems. Anal fissues are tears in the skin around the anus. These tears don t heal...

Family, Internal Medicine, General Medical Questions: pills, birth control pills, triphasic pills
birth control pills, triphasic pills, ortho tricyclen lo: Yes, for details go to www.nih.gov and search for birth control pills, types. Ask the pharmacist for the generic version of the orthotricylen lo if it was better. I use pill types by body types with estrogen based pills for highly estrogenized women(pencil...

Family, Internal Medicine, General Medical Questions: pink eye, broad spectrum antibiotic, pink eye
broad spectrum antibiotic, pink eye, pinkeye: well, that is another silly part of medicine. We typically assume it is viral,when there are no contact lenses involved or trauma involved. But, schools demand that the child be on antibiotics prior to returning, so we simply give them. It is a terrible...

Family, Internal Medicine, General Medical Questions: pink eye, mike keating, pink eye
mike keating, pink eye, disposable lenses: I like people to be completely symptom free for a week prior to resuming contact lense use. And, you must dispose of the last pair of contacts... start a new pack and also dispose of all the wetting solutions or cleaning agents that are open now. Start completely...

Family, Internal Medicine, General Medical Questions: pinkie toe, skin infection, pinkie toe
skin infection, pinkie toe, little chance: if the toe is swollen but the skin was not broken, then there would be little chance of infection. If the skin was broken, then I would worry at this time of having a skin infection from the injury... It is probably worth going to the doc to get it xrayed...

Family, Internal Medicine, General Medical Questions: pits and mederma, telltale signs, neosporin
telltale signs, neosporin, question thanks: Hi Nick, I would do nothing but keep them clean with normal bathing. Of course there is no guarantee that there won t be some scars regardless of what you do as it is the nature of the disease to leave some telltale signs. As a rule though scarring is really...

Family, Internal Medicine, General Medical Questions: pituatary gland, brain cancer, growth plates
brain cancer, growth plates, pituatary gland: Dear Lynda, I am going to refer you to a website: www.pituitarysociety.org/ http://www.pituitarysociety.org/ The information you are asking for would take too long to try and explain. This site should answer most of your questions and provide...

Family, Internal Medicine, General Medical Questions: pituatary gland, male hormones, adrenal glands
male hormones, adrenal glands, stroke symptons: Yes, the pituitary puts out the following hormones: 1) TSH to stimulate the thyroid 2) FSH, LH to stimulate male hormones 3) ACTH to stimulate the adrenal glands for handling stress 4) GH to help healing see for more details: http://www.nlm.nih.gov/medlineplus/pituitarydisorders.htm...

Family, Internal Medicine, General Medical Questions: plaque, cholesterol plaque, family history of heart disease
cholesterol plaque, family history of heart disease, plaque formation: Hi Clint, These findings could represent carotid artery or great vessel cholesterol plaque formation, pieces of which can break off and wind up in the small arteries of the retina. Further work-up is needed to assess these arteries for cholesterol plaque...

Family, Internal Medicine, General Medical Questions: plasma, hunger, low blood sugar, xanax 1mg
low blood sugar, xanax 1mg, atkins diet: I doubt you are getting hypoglycemic (low blood sugar). This really only occurs when people are on medicine for diabetes, or they are very thin. One thing to try might be a small snack before bed, say a single slice of ham and cheese rolled up, or even a...

Family, Internal Medicine, General Medical Questions: platelets, omega 3 fish oil, mg caps
omega 3 fish oil, mg caps, mg tabs: This is due to immune stress. She should ask her doctor if the following is OK for her. OK? The Nutrient Replacement List: Omega 3 Fish Oil 1000 mg caps Start with two (2) caplets twice daily. e.g. TriOmega, Nordic Naturals (goal is 1000-2000 mg of total...

Family, Internal Medicine, General Medical Questions: plavix, calcium carbonate, epa dha
calcium carbonate, epa dha, cholesterol problem: Your parents appear to have multiple nutritional problems related to our western food supply which affect their immune systems adversely. You need to see a integrative medicine specialist and they are rare in most regions. See the Ten Steps to Restoring...

Family, Internal Medicine, General Medical Questions: plavix, nuclear stress test, thyroid tests
nuclear stress test, thyroid tests, carotid arteries: NO You need to have screening tests for these conditions, including a nuclear stress test and an ultrasound of your carotid arteries and cholesterol panel and thyroid tests.... then using that information for preventative care....

Family, Internal Medicine, General Medical Questions: please help; pulmonary embolis 37 years old, oxygen level, taking the pills
oxygen level, taking the pills, anxiety attack: you implied that the menopause pills may be related to the pulm emboli... maybe or maybe not. But now, you have to make sure you don t get anemic and you should not go to an altitude that allows your pulse oximeter reading to start to go down. Also, I assume...

Family, Internal Medicine, General Medical Questions: please help me., hard boiled eggs, stomach cramps
hard boiled eggs, stomach cramps, watery stools: unless many people had colon cancer in your family, then you don t have that. more likely a food intolerance/allergy. Most common are milk/lactose allergies... I would stop all milk cheese butter yogurt for a few weeks and see if it helps... second most...

Family, Internal Medicine, General Medical Questions: please i need any info, first trimester of pregnancy, ortho tri cyclen
first trimester of pregnancy, ortho tri cyclen, migraine headaches: nicki; nausea is nature s way of suppressing your appetite. whenever something irritates your digestive tract-whetherits from something you have eaten or bacteria-a signal is relayed to vomiting central in the brain. the brain tells your mouth to start...

Family, Internal Medicine, General Medical Questions: pls. answer my questions!, laboratory examination, blood in the urine
laboratory examination, blood in the urine, hpf: Hi Roselle, Pus and blood in the urine usually indicates and infection somewhere in the Urinary tract. Where that is exactly will be what your primary care provider will figure out. I would certainly follow up. The causes of this finding in a screening urinalysis...

Family, Internal Medicine, General Medical Questions: pms symptoms?, ortho tri cyclen, ortho tri cyclen lo
ortho tri cyclen, ortho tri cyclen lo, gastronologist: Hi JR, I apologize for the lateness of my response. I ve been ill for the past few days. I ll answer these by your numbers: 1) No 2) If you re talking about a pregnancy test, it is best to take it 10 days after a missed period 3) Not really. 4) No 5)...

Family, Internal Medicine, General Medical Questions: pms, partial hysterectomy, water rentention
partial hysterectomy, water rentention, warm climates: Actually many women are vit B 6 deficient when they have PMS. My patients find 50mg three times a day about the correct dose. They also find the irritability responds to 1000mg daily of omega -3 caps. OK? Eliminating all wheat from the diet helps the swelling...

Family, Internal Medicine, General Medical Questions: pnemonia in children, pnemonia, collapsed lung
pnemonia, collapsed lung, left lung: I have far to little information to support or dispute your claim about your primary doctor. We don t always know what disease is specifically going on, so followup is so important. Also, i don t know who she looked that friday and whether that was an...

Family, Internal Medicine, General Medical Questions: pneumonia and additional problems, omega 3 fish oil, mg caps
omega 3 fish oil, mg caps, mg tabs: Would pneumonia cause any leg pains? Yes, it causes pain all over. Would the infection spread to my legs or another part of my body? Not likely if you are on the correct meds. Call your doctor to be sure. OK? You will feel better if you take the following...

Family, Internal Medicine, General Medical Questions: pneumonia, bacterial pneumonia, upper respiratory infection
bacterial pneumonia, upper respiratory infection, secondary bacterial infection: Bacterial pneumonia is not very contagious.... it usually starts as a viral upper respiratory infection, then settles in as a secondary bacterial infection that isn t that contagious. But, the original cold is contagious, but doesn t turn into pneumonia...

Family, Internal Medicine, General Medical Questions: polycystic kidney disease., kidney cyst, kidney cysts
kidney cyst, kidney cysts, blood pressure hypertension: Here is a nice summary from the Mayo Clinic which you can access at http://www.mayoclinic.com/invoke.cfm?id=DS00245 Another good sites is http://kidney.niddk.nih.gov/kudiseases/pubs/polycystic/ Let me know if you need more details. It answers the diet...

Family, Internal Medicine, General Medical Questions: poop, low thyroid, magnesium citrate
low thyroid, magnesium citrate, laxative: dark black suggests there is blood in it, usually from the stomach... that should be checked for blood... and the long time suggests a sluggish bowel which could be a lot of things, sometimes, low thyroid, sometimes meds which cause constipation....a trial...

Family, Internal Medicine, General Medical Questions: possible bite, bullseye rash, puncture wound
bullseye rash, puncture wound, insect bites: the spot may be simply a small puncture wound and some bleeding occurred and now is spreading out. Usually insect bites (with the exception of some spiders) will hurt immediately and you will know it. But, without noticing anything, I suspect he bumped it...

Family, Internal Medicine, General Medical Questions: possible causes, gall bladder disease, gall bladder
gall bladder disease, gall bladder, undigested food: Hi Kelli, These symptoms can be anything from Gall Bladder Disease, to ulcers, to IBS. Of course, there might be a number of other causes but without an exam or lab work to help evaluate, these are only guesses. I appreciate the problem you have without...

Family, Internal Medicine, General Medical Questions: possible side effects to cortizone injection, lithotripsy treatment, cortizone injections
lithotripsy treatment, cortizone injections, kidney stone: I am not sure what a dibbet is, if you mean divot, then yes, sometimes cortisone can cause a little fat necrosis (dying off) and this will cause a little dimple. I don t see how that could be related to the kidney stone/lithotr though. Hope this helps.....

Family, Internal Medicine, General Medical Questions: possible side effects of tamoxifen, side effects of tamoxifen, swelling of the legs
side effects of tamoxifen, swelling of the legs, breast pain: Dear Anna, First of all, my prayers and good thoughts to you. I know you are going to be okay! Tamoxifen CAN cause weakness, pain and swelling of the legs. You definitely should report this to your physician. I am not sure if this clears up, or if...

Family, Internal Medicine, General Medical Questions: post cholecystectomy, post cholecystectomy, lipase levels
post cholecystectomy, lipase levels, gall bladder: So my question are these symptoms normal after cholecystectomy and will they get better with time or should I be returning to the doctor? Not normal so see the doctor and as about a floating common duct stone and get an amylase and lipase. Also how...

Family, Internal Medicine, General Medical Questions: post strep throat rash, good bacteria, strep throat
good bacteria, strep throat, probiotic: Hi Sara, I am not familiar with the Linex tablets as we don t have them here in the US. This might be a drug reaction from the antibiotics rather than a reaction to the probiotic. As far as stopping the antibiotics prior to finishing the course, that isn...

Family, Internal Medicine, General Medical Questions: post viral infection, skin rash, tiny bumps
skin rash, tiny bumps, question thanks: Hi Jourdan, If I didn t know any better I d think these sounded like something called Dermatitis Herpetiformis. If so, the treatment is antivirals like Valtrex or Zovirax. Sometimes a steroid injection can help shorten the course. Regardless, they should...

Family, Internal Medicine, General Medical Questions: To much potasium - Hyper/Hypo-kalemia, cardiac rhythm, saleeby
cardiac rhythm, saleeby, untoward effects: Too little or too much potassium (K) can have untoward effects on the heart in so much as the cardiac rhythm. There is a safe range and some acceptable low and high tolerances, but if they are extreme then it can be dangerous. JP Saleeby, MD www.saleeby.ne...

Family, Internal Medicine, General Medical Questions: potassium, rn msn, nerve impulse
rn msn, nerve impulse, potassium level: I sure do understand your need to get scoped soon, but elevated potassium isn t something a home remedy will fix safely. (too low potassium is a huge problem too, and a risk you take by trying to lower your level without blood tests & doctors titrating it...

Family, Internal Medicine, General Medical Questions: potassium level, low potassium levels, potassium level
low potassium levels, potassium level, rythyms: cancer and potassium... I can t make the connection, although low low potassium despite replacement suggests a kidney or hormone problem. Sounds like she needs a thorough endocrine (hormone) workup, including cortisol levels, and magnesium levels. This...

Family, Internal Medicine, General Medical Questions: potassium supplements, potassium supplements, potasium deficiency
potassium supplements, potasium deficiency, heart rhythm: Hi Jennifer, Be careful with taking too much Potassium. Too much can cause heart rhythm irregularities. Under normal circumstances, a healthy person does not need supplemental Potassium. If you DO have a Potasium deficiency, then that needs to be looked into....

Family, Internal Medicine, General Medical Questions: pre ejaculate, intimate sexual relations, pre ejaculate
intimate sexual relations, pre ejaculate, two partners: you probably do secrete the fluid, just in very small amounts.... if you were to have your wife stimulate you for a long time, especially if you haven t had sex for a long time, you would see a little bit of the pre-cum.... but, it is only a drop in most men...

Family, Internal Medicine, General Medical Questions: lactaid, necrotizing enterocolitis, partial colectomy
necrotizing enterocolitis, partial colectomy, large intestine: Yes, they will work if the child is truly lactose intolerant. There are two types of products... one that simply removes the lactose and replaces it with another product like soy, or you can take the enzymes that you are lacking, called Lactase, prior to...

Family, Internal Medicine, General Medical Questions: pregnancy - period issue, pregnancy period, three months
pregnancy period, three months: If someone continues to pump milk or breastfeed, it may suppress their period for as long as they are doing it. It usually comes back within three months of stopping the pumping or breastfeeding in the majority of cases.... sometimes it doesn t come back...

Family, Internal Medicine, General Medical Questions: pregnancy, peaks and valleys, months of pregnancy
peaks and valleys, months of pregnancy, early pregnancy: Yes and no. Technically it is impossible to have your period , but, many women bleed during early pregnancy, and mistake it for menstrual bleeding because it can be similar in flow, duration, etc. But, hormonally speaking, it is not a period with the usual...

Family, Internal Medicine, General Medical Questions: prescription interaction, gluten containing foods, tranzadone
gluten containing foods, tranzadone, calcium carbonate: Effexor reacts with trazadone Hydrox reacts with hyoscyamine and trazadone What are you taking each for? It could be good for you to go off all gluten containing foods so some of these could be avoided and maybe adding magnesium oxide and calcium carbonate...

Family, Internal Medicine, General Medical Questions: prescription interaction, loose bowels, altace 5mg
loose bowels, altace 5mg, corgard: I am taking aciphex-20 mg, can cause loose bowels and nausea altace-5mg, can cause fatigue corgard-40 mg, can cause fatigue maxide-75/50, can cause fatigue plavix-75 mg only causes bruising bextra-10 mg. can cause loose bowels and nausea I have fatigue,...

Family, Internal Medicine, General Medical Questions: preventing a full blown cold or/& infection., sinus congestion, sinus infections
sinus congestion, sinus infections, scratchy throat: Kathleen, You ask: Q:Hi, yesterday I could not move from a drafty area. There fan really covered the area. I feel like a cold/infection may ensue and I would like to stop it before it gets a good hold. I have a small rough/scratchy throat; my sinuses are...

Family, Internal Medicine, General Medical Questions: Is there a problem?, sexual manner, untoward incident
sexual manner, untoward incident, child protective services: people can make lots of excuses... yes, someone could be stimulated against their will and get an erection.... but that description you gave me is worrisome and I would give the name of the family and let child prot services investigate... even tho you...

Family, Internal Medicine, General Medical Questions: My problem, lower abdomen, innerwear
lower abdomen, innerwear, vaginal opening: Hi Ram, This may be simply irritation during intercourse or possibly trauma to the urethral opening to the bladder which is located right in the vaginal opening. Are you well lubricated before intercourse? if not I would try that and see if the problem lessens...

Family, Internal Medicine, General Medical Questions: Another product question, cirrhosis of the liver, brain tumors
cirrhosis of the liver, brain tumors, testosterone levels: Yes, it would raise the testosterone levels and shut off your pituitary testes axis, as well as increase your risk for cirrhosis of the liver and brain tumors. Today, most sports physicians do not feel the benefit risk ratio is worth the risk for permanent...

Family, Internal Medicine, General Medical Questions: propecia and cancer, migraine headaches, irish ancestry
migraine headaches, irish ancestry, pepper hair: Jason, A pretty lengthy question. Propecia is safe , and your Joe s risk of prostate cancer is very low at his age. Nonetheless, taking any chemical or drug (and that includes prescription, over the counter, and vitamins/herbs) depends on the Cost/benefit...

Family, Internal Medicine, General Medical Questions: prostate cancer, c reactive protein, reactive protein tests
c reactive protein, reactive protein tests, gleason grade: We have our cancer patients take fish oil liquid at the a high dose to correct their inflammatory levels as seen on their monocyte counts and c reactive protein tests. We have them stop all the omega-3 cooking oils and foods such as poultry, chips, peanut...

Family, Internal Medicine, General Medical Questions: prostate, heart issues, semem
heart issues, semem, volumne: Hi David, Not really. This happens with aging and a lower production of seminal fluid. Another thing that can make the volume lower is dehydration. If you aren t drinking enough water either by choice or by design (heart issues) that will lower production...

Family, Internal Medicine, General Medical Questions: protein, medicine approaches, omega 6
medicine approaches, omega 6, pain thanks: It appears both are caused by the increase of omega-6 plant oils in the diet and low omega-3 in the diet. To see how much is in your diet and the foods responsible go to http://efaeducation.nih.gov. For more about integrative medicine approaches to both go...

Family, Internal Medicine, General Medical Questions: protein in urine, feminine hygiene products, kidney failure
feminine hygiene products, kidney failure, protein in urine: Hello Pat and thanks for writing, As you may be aware, Diabetes increases your risk for infection and proteinuria (when the urine contains an abnormal amount of protein). Older women are also naturally at increased risk for bladder infections due to normal...

Family, Internal Medicine, General Medical Questions: protein in urine, kidney diseases, protein in urine
kidney diseases, protein in urine, protein deposits: Hello Tikki and thanks for writing, I am not aware of any medications that cause Proteinuria; in fact I took Hydrocodone for several years for severe back pain, but it never altered any of my blood or urine test results. Proteinuria describes a condition...

Family, Internal Medicine, General Medical Questions: pruritis ani, barium enema, history of colon cancer
barium enema, history of colon cancer, bladder infection: Yes, it could be any of these but you can clear it in a week with the use of extra virgin olive oil after each bath or shower by applying it to the perianal area. It even kills pinworms and candida if used every night after the shower or bath before bedtime...

Family, Internal Medicine, General Medical Questions: puberty, going through puberty, arm span
going through puberty, arm span, late bloomer: Is it true that your arm span equals your height, or final height? Yes, this is generally a good rule of thumb. I ask you this because my son has an arm span of about 5 10 and he s about 5 7 . Does this mean he s going to grow? Yes, he will but to get...

Family, Internal Medicine, General Medical Questions: And considering my situation..., omega 3 fish oil, mg caps
omega 3 fish oil, mg caps, high potency: The Nutrient Replacement List that would stimulate your best growth especially if you are able to add gelatin protein (1 box of Jello) at the evening meal daily for 6-12 months and are able to get to bed by 10pm in your time zone to maximize the human growth...

Family, Internal Medicine, General Medical Questions: pulled calf muscle, orthepedic, oncoming wave
orthepedic, oncoming wave, optional activity: do you think i m expecting too much too fast? Yes, limit optional activity for 2 weeks when will the swelling go down? 2 weeks any suggestions or advice would be appreciated. Ask your doctor for a Rx for 6 inch ACE wrap and wrap every 2-3 hour OR...

Family, Internal Medicine, General Medical Questions: pulmonary embolism occurence at young age, factor v leiden, oral contraceptive pills
factor v leiden, oral contraceptive pills, pulmonary embolisms: Hello Cecilia, I am sorry to hear of your daughter s PE. 26 is one of the youngest cases of DVT or PE that I heard of. I expect that her doctors are considering other causes of hypercoaguability, including underlying malignancy and factor V Leiden. ...

Family, Internal Medicine, General Medical Questions: pulmonary function test results, upper airway obstruction, pulmonary function test results
upper airway obstruction, pulmonary function test results, flow volume loop: Hi Hanna, What this is saying is that the lungs are restricted by your disease allowing only 60% of air exchange from the norm expected. It would be consistent with the neuromuscular disease that doesn t allow the lungs to expand to the normal amount----...

Family, Internal Medicine, General Medical Questions: pumonary embolism, birth control pills, pulmonary embolisms
birth control pills, pulmonary embolisms, blood thinning medication: I am so sorry to hear about this. Birth control pills have so many bad side effects and to be your age with blood clots is very upsetting to me. It may take some time to adjust your levels since it is going to take time for the medications to be completely...

Family, Internal Medicine, General Medical Questions: purple feet, lameness, preventable condition, left arm
preventable condition, left arm, healer: Hi Jane an thanks for writing, I really can t guess except to say this is very serious and is an obvious sign of compromised circulation and could even be a potentially life-threatening conditon. There s no point listing all the possible diagnoses as...

Family, Internal Medicine, General Medical Questions: pyelonephritis, chronic kidney infection, quantrum
chronic kidney infection, quantrum, sinus infection: My questions are: 1. Is there a chance I am developing chronic pyelonephritis? Yes, but not likely. 2. Or is there a chance my acute pyelonephritis just wasn t cured totally? This is more likely. 3. If it wasn t cured totally, why?? Did I need to...

Family, Internal Medicine, General Medical Questions: QUESTION, family trait, light hair
family trait, light hair, thick hair: it sounds like this is a family trait, and you may not be able to help it.... although I would have your thyroid blood tests checked before saying that absolutely. Regular multivitamin is essential. I doubt whether Rogaine would help this problem.......

Family, Internal Medicine, General Medical Questions: Question, balance exercises, stretching exercise
balance exercises, stretching exercise, loss of balance: Hello Christina First, I am very sorry about your mother s physical problems. Tai chi is a stretching exercise. The human body needs stretching, but it also needs other exercises; specifically weightlifting, balance, aerobics and nutrition, to stay healthy....

Family, Internal Medicine, General Medical Questions: Question, 3rd world countries, malnutrtion
3rd world countries, malnutrtion, little fella: that sounds typical of malnutrition... unfortunately, that happens in many many 3rd world countries.... look at Africa, people dying every day... it is a sad situation in many of those countries.... I hope the majority of your donations go to help him instead...

Family, Internal Medicine, General Medical Questions: Question, high on drugs, tofranil
high on drugs, tofranil, seroquel: That is tough. We use high dose omega-3 four times a day for our patients like this but she would need to check with her doctor first. We start ours on 1000mg omega-3 fish oil caps four times a day and increase by one cap each dose each week until they are...

Family, Internal Medicine, General Medical Questions: Question, chronic disease risk, calcium carbonate
chronic disease risk, calcium carbonate, epa dha: What is your rationale for each of your variations? clomid 5-7 versus 5-9 days? guiafenesin for the week? We have our patients do the following to improve their egg quality and to improve the IQ and chronic disease risk for the child for a lifetime. ...

Family, Internal Medicine, General Medical Questions: Question, worse case scenario, ovulation test
worse case scenario, ovulation test, cough syrup: The guafen would be minimally, if at all helpful.... taking Clomid is risky.... what if you come up with 5 children? Unless you really have ovulation problems, I would not recommend messing with mother nature.... worse case scenario... you get some undetected...

Family, Internal Medicine, General Medical Questions: Question., pregancies, pregnancy test
pregancies, pregnancy test, high risk: Hi Stephanie, I m sorry about the delay. I have been so busy. Your chances of being pregnant are very slim. I would say none, but I ve too many pregancies that seem to defy nature. As you know, pregnancy is diagnosed by amenorrhea (missed period)...

Family, Internal Medicine, General Medical Questions: Question, bird flu outbreaks, bird beaks
bird flu outbreaks, bird beaks, free health care: first, it is unlikely that there will be an outbreak of bird flu... the only cases were bird to human, and those are usually kids who suck the mucous out of bird beaks after they are done with their cockfighting. This disease is not passed from human...

Family, Internal Medicine, General Medical Questions: Question, eye doc, high blood pressure
eye doc, high blood pressure, stress management: pressure in the eyes is not really controllable through stress management (blood pressure is) if his pressure in eyes is high consistently, then he needs the meds *usually drops, sometimes pills, or if he is a candidate, sometimes the eye doc will drill little...

Family, Internal Medicine, General Medical Questions: Question, eye pressure, visken
eye pressure, visken, high blood pressure: visken-no effect, eyedrops, possibly.... his pressures are high but not overly high, so if his vision is normal and he keeps his eye appts, he will be fine. He should keep his BP under control obviously for many reasons. But glaucoma doesn t destroy eyes...

Family, Internal Medicine, General Medical Questions: Question about aging, saleeby, physiological reasons
saleeby, physiological reasons, sound mind and body: Leonor, The question you ask about defining aging and some of the biochemical and physiological reasons for such is too broad a topic to cover in this forum. I however have lectured on the subject and am willing to share with you a PowerPoint presentation...

Family, Internal Medicine, General Medical Questions: Question on ana, systemic lupus, lupus
systemic lupus, lupus, antibody: ANA is an antibody that is elevated in most people with the disease of Lupus (SLE or systemic lupus erythamotosis0 It doesn t mean you definitely have lupus, but suggests it and must be used with clinical data to come up with a diagnosis.... a lot of people...

Family, Internal Medicine, General Medical Questions: Question on Health Issue, hsv 1, time angel
hsv 1, time angel, genital herpes: My fiancee would like to preform oral sex but I have pushed him away. Is it ok for him? Not until you have been treated with acyclovir 800mg 5 times a day for 30 days and then take twice a day for 1 year, plus 5 times a day for 30 days after each future outbreak....

Family, Internal Medicine, General Medical Questions: Question about husband's COPD, melanie easley, hazardous workplace
melanie easley, hazardous workplace, dalmane: Hi Melanie, Theophylline is probably the cause of his sleeplessness. He needs blood work to be sure that his Theo. levels are not toxic. An alternative for that drug is Singulair. It is side effect free and MAY be able to have the same therapeutic effect....

Family, Internal Medicine, General Medical Questions: Question ID #3620050, abdominal ct scan, bowel dysfunction
abdominal ct scan, bowel dysfunction, absolute answer: Question -I ve been taking your recipe for the large bowel dysfunction, but it doesn t seem to help much. This usually works bu you may have to increase different components some if not real effective in 90 days so I need you exact symptoms and exactly...

Family, Internal Medicine, General Medical Questions: Question about an incident.., concussions, jolts
concussions, jolts, concussion: Hi Nick, Techincally, anything that causes trauma to the brain from whatever cause and causes a neurologic episode, would be called a concussion by definition. As for long term side effects, not all concussions have those and based on what you wrote, I wouldn‘t...

Family, Internal Medicine, General Medical Questions: Question about Micronor, ortho micronor, vomiting and diarrhea
ortho micronor, vomiting and diarrhea, nausea vomiting: Hi Jade, As long as the pill has had a few hours to get absorbed, then there should be no problems. If they vomit and SEE the pill, that would indicate no absorbtion and no protection. Besides, I would doubt that sexual activity isn t at the forefront when...

Family, Internal Medicine, General Medical Questions: Question about my menstrual cycle, birth control pills, answer periods
birth control pills, answer periods, morning urine: well, take the preg test with a first morning urine sample... also, if the periods don t regulate, get on birth control pills to make the period regulate.... it is very hard to figure out what the cycle is doing... some bleeding may not be a period, just...

Family, Internal Medicine, General Medical Questions: Question about rate of recovery, air heart, s yard
air heart, s yard, uncomfortable situation: Your rate of physiolgical recovery after exercise has a lot to do with your aerobic health. While you may do some aerobic activities, I would imagine that if you concentrated on aerobic types of exercise, your recovery period would shorten as you gained endurance...

Family, Internal Medicine, General Medical Questions: Question about my tongue being spotted., mouth breathers, bacterial overgrowth
mouth breathers, bacterial overgrowth, tooth brush: a lot of people get coated tongues, which can be from bacterial overgrowth, esp. mouth breathers at night who have chronic stuffed nose... there is no cause for alarm, doesn t indicate any bad disease.... they make tongue scrubbers to help get that stuff of...

Family, Internal Medicine, General Medical Questions: Question, sign of hiv, heavy periods
sign of hiv, heavy periods, cold bug: Since these are the only abnormal, it is likely due to blood loss, think heavy periods or loss from stomach or bowel. OK? HGB 11.6 L 12.0 14.5 g/dL HCT 35.4 L 36.0 44.5 % MCV 78.4 L 81.5 97.5 fL MCH 25.7 L 27.0 34.0 pg DIFF TYPE AUTO LYMPHS...

Family, Internal Medicine, General Medical Questions: Questions about antidepressants, frequent urination, lexapro
frequent urination, lexapro, antidepressant: Hi Jennifer, I m a little surprised that such a small amount of Lexapro after such a short time, has made any difference at all. I suppose that if you have felt a benefit, then that is the ultimate goal. I would not ascribe night time urination or constipation...

Family, Internal Medicine, General Medical Questions: Questions about becoming a pediatrician, average salary for a pediatrician, becoming a pediatrician
average salary for a pediatrician, becoming a pediatrician, year college degree: Dear Aniqua, A great question. I m always happy to answer questions about medicine and training. Upon graduation from high school it takes a minimum of 12 years to become a licensed, independent pediatrician. After high school a four-year college...

Family, Internal Medicine, General Medical Questions: Questions for Doctor, breast cancer survivor, breast cancer recurrence
breast cancer survivor, breast cancer recurrence, stage breast cancer: Carolyn, There is much to consider with regard to NHRT or bioidentical HRT and breast cancer. It is generally regarded as contraindicated with any positive progesterone and/or estrogen receptor tumors. HRT whether natural or synthetic will increase you...

Family, Internal Medicine, General Medical Questions: Questions about your job, cornell university medical college, cornell university medical
cornell university medical college, cornell university medical, university medical college: Hi Bradley, The best part of my job is being able to help people get well. The hardest part of my job is telling people bad news about their health. I do everything that a doctor does in the family practice setting. The only difference is that I can t prescribe...

Family, Internal Medicine, General Medical Questions: Quick History: Sept 2004 had..., omega 3 fish oil, pins and needles
omega 3 fish oil, pins and needles, intense headaches: This is where the thick layers of fascia which hold muscle and bones together become painful and swollen due to magnesium oxide, calcium, vit D, and omega 3 deficiency following surgery or an injury and you had both. My patients do well with taking magnesium...

Family, Internal Medicine, General Medical Questions: qstn. for ligaments, mri of the knee, physician training
mri of the knee, physician training, strenuous activity: Dear Naveen, First of all, you should really speak with your physician regarding any physician training course on that knew. Did you have an MRI of the knee to tell what is going on in there? Unfortunately, medications aren t going to PROTECT the...

Family, Internal Medicine, General Medical Questions: question, sexual encounter, morning urine
sexual encounter, morning urine, pregant: There aren t stats that can give you reassurance.... your window of getting pregnant is a 48 hr window that occurs 2 weeks before your cycle...if it occurs every 28 days, then it is 14 days after the first day of your period. So anyways, too late for the...

Family, Internal Medicine, General Medical Questions: question, chances of pregnancy, commnication
chances of pregnancy, commnication, pregant: Hi Angela, The chances of pregnancy occur in the 14 day window after your period ends. There is no 24 hour period in which it can happen. If I understand your commnication, you had sex 13 days after your period ended? I m a little confused by the timeline...

Family, Internal Medicine, General Medical Questions: question, rn msn, maggie smith
rn msn, maggie smith, second opinion: I m not sure. Sometimes with even cancerous masses they wait what seems like an alarming amount of time--but they base it on how aggressive it is, staging, how fast growing it is. Don t panic about the wait, but do get a second opinion to make sure it s...

Family, Internal Medicine, General Medical Questions: A question about biliruben, biliruben, yellow dye
biliruben, yellow dye, liver problem: dear ms walter: normally, bilirubin (a yellow dye formed from hemoglobin - the red dye in our blood) is excreted into bile. if the liver cannot do this for one reason or another, it will appear in urine. thus, bilirubin in urine is an indicator that there...

Family, Internal Medicine, General Medical Questions: A question about the brain.., left side of the brain, head throbs
left side of the brain, head throbs, loss of memory: You know it could be that your memory loss is actually absence seizure (petite mal) activity--small seizures that you don t realize you are having. The neurologist can piece together all the information better than I could, but I m glad someone asked your...

Family, Internal Medicine, General Medical Questions: question about fatique, strength loss, undesirable effect
strength loss, undesirable effect, correct word: But I was wondering if you could tell me; exactly what is slowing down, and what is causing everything to slow down? You may have a muscle enzyme disorder and neet to see a neurologits. And how does exercising help to slow the slowing down.? It tends...

Family, Internal Medicine, General Medical Questions: question ID#3620045, hiatal hernia, stomach contents
hiatal hernia, stomach contents, question id: Functional hernia... I don t know exactly what that term means. A hernia means that there is a defect in a tissue wall, usually muscle and there is a bulge of the underlying tissue going thru it... functional... could it have been a hiatal hernia? That would...

Family, Internal Medicine, General Medical Questions: question ID#3620050, omega 3, question id
omega 3, question id, magnesium oxide: If that is correct it is an area of the bowel that acts like it is internally herniated and may need to be repaired. Some people do well with magnesium oxide 500mg twice a day, with B-150 twice daily and 1000mg of omega 3 twice daily if OK with your doctor....

Family, Internal Medicine, General Medical Questions: question about metabolism, writers cramp, brain diseases
writers cramp, brain diseases, hormone insulin: Hi Judy, As you said Metabolism is a complicated subject. There are any number of reasons why metabolism slows down with age. Not all older inactive people get fat and many young active people do. Metabolism is basically the act of converting nutrients into...

Family, Internal Medicine, General Medical Questions: question, necessary tests, birth years
necessary tests, birth years, medlineplus: You would need either DNA or blood tests from yourself, your parents you lived with and or any children from that marriage. The hospital of birth may have the blood type for you and your mother and then you have to search for the type of your presumed father....

Family, Internal Medicine, General Medical Questions: questions about anemia for Delicious Living article, osu center for integrative medicine, anemic person
osu center for integrative medicine, anemic person, hemolytic anemia: 1) What usually causes anemia and what are the symptoms? Anemia is usually related to blood loss or lack of iron, B12 and folic acid in the diet. In younger women the most common would be blood loss from menstrual flow and lack of iron, B12 and folic acid...

Family, Internal Medicine, General Medical Questions: questions about antidepressants, fish oil capsules, frequent urination
fish oil capsules, frequent urination, calcium carbonate: Actually, the best sleep solution for many patients is to take magnesium oxide 500mg at dinner and at bedtime, PLUS a separate tab of calcium carbonate 500mg with Vit D at the same times but not in the same tablets. For depression, we use 3000 mg of omega...

Family, Internal Medicine, General Medical Questions: questions about antidepressants, frequent urination, urinary infection
frequent urination, urinary infection, antidepressant: it is prob not doing anything at that dose..... 5mg minimum and prob 10 mg is necessary for a good effect...... it isn t causing the constipation or frequent urination.... something else is happening like a urinary infection or something else..... probably...

Family, Internal Medicine, General Medical Questions: quick sickness, mild headache, sick to my stomach
mild headache, sick to my stomach, migraine: Hi Erica, I suppose any of the things that you were thinking of might have been the cause. Was the shaking from a chill or just “shaking”. If it was shaking, it was probably from anxiety over the entire event. The “warm and clammy” might have been fever and...

Family, Internal Medicine, General Medical Questions: quick sickness, mild headache, sick to my stomach
mild headache, sick to my stomach, magnesium oxide: Do you think all those symptoms could have been from a migraine? Not usually since has not done this before. Or something bad I ate? This can start it but usually not continue beyond a few hours, think of preservatives or MSG. Or a bug? Usually would...

Family, Internal Medicine, General Medical Questions: quick sickness, mild headache, sick to my stomach
mild headache, sick to my stomach, food poisoning: the diarrhea along with the headache and chills sounds more like either a bacterial or viral stomach/intestinal bug, they tend to come on fast and furious then go away quickly.... could have been some food poisoning... which would be the bacterial gi bug......

Family, Internal Medicine, General Medical Questions: I R related, omega 3 fish oil, annals of internal medicine
omega 3 fish oil, annals of internal medicine, cinnamon spice: Eliminate all wheat, barley and rye from your diet for at least 90 days, then limit severely after that. Ask your doctor if you can take the following: Suggested Nutrients based on symptoms or deficiencies: Omega 3 Fish Oil 1000 mg caps Start with 2...

Family, Internal Medicine, General Medical Questions: RAST results and sinunsitis unresponsive to antibiotics, ethmoid sinuses, sinus disease
ethmoid sinuses, sinus disease, drainage tube: The aperillugus is where I have a question, If his RAST test comes back positive for the asperillugus, would that mean that his sinusitis is being caused by AFS? It could be a current or past infection causing the positive test. If the biaxin fails to...

Family, Internal Medicine, General Medical Questions: Rabies, dead bat, rabies
dead bat, rabies, avoidance: Hi, Rabies is rare. In order to get it, you have to be bitten. I would doubt that getting bitten by a Bat would be unnoticed. Just stepping on a Bat will not convey the disease. Fortunately, the shots are no longer the old multiple painful type. If you have...

Family, Internal Medicine, General Medical Questions: Rabies, rabies vaccine, dead bat
rabies vaccine, dead bat, high risk: Rabies is a virus. This must be transmitted into the blood. It is present in the saliva of an infected animal, so a bite can do it. We cannot cure rabies, or any other virus for that matter. The body cures virus by creating antibodies against them (some...

Family, Internal Medicine, General Medical Questions: Rabies, dead bat, open wound
dead bat, open wound, rabies: What if he steps on a dead bat or comes in contact with a bat? It generally requires a bit or saliva or blood into an open wound. OK? How easy is it to catch rabies really? Not real easy but your son needs to be cautious in approaching animals in the wild....

Family, Internal Medicine, General Medical Questions: Rabies, picnic basket, rabid animal
picnic basket, rabid animal, infectious material: Non-bite exposures to rabies are very rare. Scratches, abrasions, open wounds, or mucous membranes contaminated with saliva or other potentially infectious material (such as brain tissue) from a rabid animal constitute non-bite exposures. I really do think...

Family, Internal Medicine, General Medical Questions: Rabies, picnic basket, rabid animal
picnic basket, rabid animal, rolaids: Well, same issue.... If you ate a piece of rabies,you would not get it. It has to get into your bloodstream, usually via a bite. It will not get in through your stomach. So, one protection is that the saliva has dried. The other is that it has not gotten...

Family, Internal Medicine, General Medical Questions: Rabies exposure, rabies exposure, roof overhang
rabies exposure, roof overhang, bat bites: Hi Michael, Sounds unlikely that this was a bat unless you are sure that you encountered one. Bat bites can however be a vector for rabies. Today the shots are not like they used to be. This of course all speculation on my part. If you are sure that this...

Family, Internal Medicine, General Medical Questions: Rabies Worrier, rabies exposure, rabies shots
rabies exposure, rabies shots, county spca: Hi Rhonda, Rabies is fatal for dogs. No dog in a shelter would have rabies. They might have other diseases, so a trip to the Vet before you finalize plans is worth the money to be sure your newest family member is well. No reputable shelter would deny this...

Family, Internal Medicine, General Medical Questions: Rabies, rabies immunoglobulin, risk persons
rabies immunoglobulin, risk persons, saleeby: It is not very common to contract rabies actually, however, it you do it is fatal. For high risk persons (usually animal control handlers) there is a immunization from rabies in the form of a vaccine. For those bitten, there is available Rabies Immunoglobulin...

Family, Internal Medicine, General Medical Questions: Radiology Test, distal ureter, lower abdomen
distal ureter, lower abdomen, phleboliths: I hope it said 22 3 mm calcifications, if they are 3 cm, then something is wrong.... but the 3 mm calcifications are nothing, not related to the injury. The question is, do you also have a kidney stone or is the pain just from a bruise to the abdomen. Hope...

Family, Internal Medicine, General Medical Questions: Random Shivers, thyroid problems, shivers
thyroid problems, shivers, 24 years: I don t see that as representing any diseases.. I always screen for anemia and thyroid problems... I assume you don t take narcotic pain meds, sometimes mild withdrawal from those can cause those symptoms, otherwise, I am not sure what that represents.....

Family, Internal Medicine, General Medical Questions: Rash, heat rash, antifungal cream
heat rash, antifungal cream, testical: Hi Jeffrey, This is probably a fungus. Wash it well, dry it and apply a antifungal cream that you can buy over the counter. Ocassionally adding an over the counter corisone cream to the area can help too. Allow the area to dry as much as possible--boxers,...

Family, Internal Medicine, General Medical Questions: RBC-trace of blood in urine, recurrent bladder infections, routine urinalysis
recurrent bladder infections, routine urinalysis, chronic cystitis: Hi Amy, There are times when answering a question is not appropriate. To name all of the causes for blood in the urine would only serve to unnecessarily worry you. Given the description, I would agree with your OB. It is probably related to your chronic cystitis....

Family, Internal Medicine, General Medical Questions: Reading a CT ABDOMEN, liver lesions, hounsfield units
liver lesions, hounsfield units, small hope: Cat scans are pretty good at detecting some tissue differences. A lot of people have cysts in their liver, kidneys, spleen, etc. These type of cysts are not cancerous, don t turn to cancer and are harmless. Sometimes we repeat the study in 3-6 months to...

Family, Internal Medicine, General Medical Questions: Recent blood test results, high bilirubin levels, blood test results
high bilirubin levels, blood test results, indirect bilirubin: you have Gilbert s Disease, an insignificant defect in metabolism of bilirubin.... it causes no long term problems, just a finding of some high bilirubin levels whenever the liver tests are checked.... no treatment needed, no need to worry, it won t shorten...

Family, Internal Medicine, General Medical Questions: Rectal Bleeding, colon polyp, constipated
colon polyp, constipated, colonoscopy: I don t see how redbull could cause bleeding in 30 minutes.... this is probably from hemorrhoids or a fissure, esp. if you get constipated, but the rule is to look for the cause with a colonoscopy to make sure it isn t something like a colon polyp, or worse....

Family, Internal Medicine, General Medical Questions: Red Bull, heart rhythm problems, red bulls
heart rhythm problems, red bulls, daily basis: Yes, I have seen a couple of patients who subsequently became diabetic after regularly consuming these on a daily basis. The carbohydrate load of these or sodas are not really that good for our systems. The caffeine can cause heart rhythm problems. see;http://en.wikipedia.org/wiki/Energy_drink...

Family, Internal Medicine, General Medical Questions: Red Lips, red lips, sun damage
red lips, sun damage, blood supply: The lips would be more red because of increased blood supply. Usually that is the result of either injury or an allergic reaction. (Rarely infection) If your lips haven t been injured (even sun damage) then I would look towards some type of allergic reaction,...

Family, Internal Medicine, General Medical Questions: Red spot, blood blister, lotrimin af
blood blister, lotrimin af, erect penis: Hi Neal, This is probably not a Fordyce Spot based on your description. I also doubt masturbation trauma is the cause unless your technique irritates this lone area. I would search out a dermatologist for an opinion. Derm questions are the hardest to answer...

Family, Internal Medicine, General Medical Questions: Reoccuring urinary and vaginal infections, uti symptoms, painful intercourse
uti symptoms, painful intercourse, painful urination: that is an awful lot of information.... I try to keep things very simple with these situations because they get complicated very quickly.... pelvic pain in a female is often difficult to sort out....... so.... first, a clean urine sample to make sure...

Family, Internal Medicine, General Medical Questions: Reoccuring urinary and vaginal infections, uti symptoms, painful intercourse
uti symptoms, painful intercourse, painful urination: Hi Grace, One thing conspicuously absent from your correspondence was a urine culture. Was one ever done or did they just throw antibiotics at you and hope for the best? The persistance of UTI s makes me think of an anatomic problem (urethra too far forward)...

Family, Internal Medicine, General Medical Questions: Research, rabies cases, visible animal
rabies cases, visible animal, rain drop: I would imagine without a known contact (i.e. visible animal), I d be hesitant to treat. I don t know of any cases like you have described, but I personally don t see a lot of rabies cases. We treat agressively if there is a contact with bats, raccoons,...

Family, Internal Medicine, General Medical Questions: Research, pin size, rain drop
pin size, rain drop, rabies: So pin size sores would not count? not really unless have pin size bites from the bat, see the web reference. OK? What about a wound close to the place, could it get into that wound while washing it out? Not really because the washing would dilute and...

Family, Internal Medicine, General Medical Questions: Research, rabies virus, rabies vaccine
rabies virus, rabies vaccine, rain drop: The scenerio you outline is probably rare if ever encountered. It is best left to philosophical discussion than actual practical practice of medicine. The extremely odd chance that liquid is laden with rabies virus found in the woods and warrant RIG and...

Family, Internal Medicine, General Medical Questions: Retal leakage, chewing gum, proctologist
chewing gum, proctologist, rectal leakage: I have slight rectal leakage. I don t know why it started. It gets slighly wet like a wet fart several times a day. Sometimes it itches. This can be from chewing gum but otherwise it could be from proctitis an infection of the end of the colon so you would...

Family, Internal Medicine, General Medical Questions: Ringing ears, ringing ears, high potency
ringing ears, high potency, hair cells: It is normal aging unless yours is more, then it could lead to some hearing loss as you get older. Some cases are related to a cross-allergenicity to milk and dairy foods. Stay off dairy and take a multivitamin and a high potency B complex vitamin for 2 months...

Family, Internal Medicine, General Medical Questions: Ringworm, raw skin, food choices
raw skin, food choices, omega 3: Should not be a problem but I need more information, go to this website and put in your 24 hour food choices and send me the report so I can help you with the correct amount of omega 3 to add to the diet to restore the immune system to normal. OK? http://efaeducation.nih.gov/sig/kim.html...

Family, Internal Medicine, General Medical Questions: Risk, rabies virus, human rabies
rabies virus, human rabies, vaccine failures: Hello and thanks for writing. Below is informtation from the CDC which should answer all your questions, I hope it helps. Human Rabies 1. Q: How do people get rabies? A: People usually get get rabies from the bite of a rabid animal. It is also possible,...

Family, Internal Medicine, General Medical Questions: Rosacea, cheek bones, chin area
cheek bones, chin area, differin: Hi Becky, I would get a second opinion. This does not sound like Rosacea. The medicine you are taking is a potent vitamin A compound and is meant to slough tissue. you may want to hold off using it until you get someone elses opinion as to what is going on...

Family, Internal Medicine, General Medical Questions: Rotator cuff injury, deep sea fish, cabo san lucas
deep sea fish, cabo san lucas, proper diagnosis: getting the proper diagnosis is the important thing.... have you taken an approp med such as alleve, 2 pills twice a day... can you reach under and back and touch your thumb to your shoulder blade? If not, someoene should look at it... but I can t diagnosis...

Family, Internal Medicine, General Medical Questions: Routine Blood test, routine blood tests, routine blood test
routine blood tests, routine blood test, private doctor: Am I missing something here? Probably not, it is the standard of care there. Can you explain why they do routine blood tests for fever? To determine if it is a bacterial infection or viral. Should I ask my private pediatrician to do it whenever my...

Family, Internal Medicine, General Medical Questions: ra, calcium carbonate, symptoms of high blood pressure
calcium carbonate, symptoms of high blood pressure, epa dha: Yes, these are all related to the deficiencies in the food supply plus too much plant oil omega 6 in the food. There is much to learn and much to do to regain your health but we help people do this every day at our center, The Ohio State University Center...

Family, Internal Medicine, General Medical Questions: rapid beating, health coverage plan, prolapsed mitral valve
health coverage plan, prolapsed mitral valve, irregular heartbeats: Hi Gary, I am glad to hear you say you are having this symptom checked out. There are several reasons your heart rate changes. You did not give me much information regarding activity when this happens. Somes a prolapsed mitral valve can cause palpitations...

Family, Internal Medicine, General Medical Questions: raw food diet, raw food diet, fresh fruit and vegetables
raw food diet, fresh fruit and vegetables, fruits and vegetables: I m a fan of moderation in everything. I can t think of any detrimental effects of raw fruit and vegetables, but one also needs a fair amount of protein, carbohydrates, and fats that are not necessarily in fruits and vegetables. However, I am not one who...

Family, Internal Medicine, General Medical Questions: re: Coenzyme Q10, simvastatin zocor, coenzyme q10
simvastatin zocor, coenzyme q10, cholestoral: Bill, Vytorin is a combination of ezetimibe (Zetia) and simvastatin (Zocor) that is used for treating high levels of cholesterol in the blood. So this new drug has Zocor a statin drug in it. Just found it on the internet..... coQ10 is recommended to...

Family, Internal Medicine, General Medical Questions: re: education, residency..., american association of medical colleges, becoming a doctor
american association of medical colleges, becoming a doctor, aamc: My main focus of explanation would be: required education, length of residency (anything in between?). medical school is 4 years and residencies range from 3 years for primary care to as many as 8 years for surgical subspecialty work. These can be followed...

Family, Internal Medicine, General Medical Questions: re: old home remedy.., stomach scope, proton pump inhibitors
stomach scope, proton pump inhibitors, stomach acid: Bill, Buttermilk may be effective, it is alkaline and will combat the stomach acid to neutralize. However, the stomach parietal cells can compensate and produce more HCl acid. So the Proton Pump Inhibitors (Aciphex, Prilosec, etc.) are most effective...

Family, Internal Medicine, General Medical Questions: reaction to bee stings, yellow jackets stings, epi pen
yellow jackets stings, epi pen, ogburn: Is it actually the heart that has a problem? Yes, most of us have some areas of coronary artery intimal thickening and thus are prone for heart attacks with stings. If he has the same reaction sometime - could he go into cardiac arrest? Yes, he should at...

Family, Internal Medicine, General Medical Questions: reading, tungsten bulb, w tungsten
tungsten bulb, w tungsten, artificial lighting: There isn t a min amount... people used to think you would damage your eyes; basically, the minimum amount necessary that works.... the only caveat is sunlight... protecting your eyes against UV radiation... there is minimal to no UV radiation from artificial...

Family, Internal Medicine, General Medical Questions: I just recently had a lump..., nerve tissue, scar tissue
nerve tissue, scar tissue, painful lump: Hi Karen, She did hit a nerve. Nerve trauma can take weeks to resolve as nerve tissue is the slowest of all tissues to heal. Keep track of this because in some cases a neuroma (a nerve tumor cause by scar tissue) can form and result in a painful lump that...

Family, Internal Medicine, General Medical Questions: rectal bleeding, bleeding hemorrhoids, gall bladder
bleeding hemorrhoids, gall bladder, diane st: What other condition could cause rectal bleeding? Hemorrhoids, anal fissure, diverticulitis, diverticulosis, and proctitis with colitis all have bleeding. OK? Would the pancreas or gall bladder have anything to do with this. Not really. OK? I am...

Family, Internal Medicine, General Medical Questions: rectal itching, hygiene products, anal area
hygiene products, anal area, olive oil: You can eliminate all gluten, flax and soy to see if they are causing it or you can use topical olive oil after baths and showers to the genital anal area to clear it is a few days then use as maintenance. In most of my patients it comes from hygiene products...

Family, Internal Medicine, General Medical Questions: rectum lump small, magnesium oxide, bowel movements
magnesium oxide, bowel movements, overnite: IF there is no pain, no bleeding and no oozing of serum from the bump, it is likely the early beginning of a hemorrhoidal tag. If your bowels tend to be constipated or sluggish, then you may be magnesium deficient and want to ask your doctor if 500mg of magnesium...

Family, Internal Medicine, General Medical Questions: red line of dots under both eyes, tiny blood vessels, red dots
tiny blood vessels, red dots, red line: Sounds like broken tiny blood vessels. Sometimes people get them from vomiting and wretching or sneezing/coughing, etc. If you had your head/neck manipulated or face down on a table it might have happened from that. It should go away quickly..... if not,...

Family, Internal Medicine, General Medical Questions: red patch on skin *e-mail address corrected, please see below NOT a duplicate***, herpes simplex infection, e mail address
herpes simplex infection, e mail address, address thanks: Basically, I said that a sore that lasts this long could be a prolonged cold sore (herpes simplex infection) or could be a skin cancer. Either way, with this lasting so long, it is reasonable to have it checked by your primary doctor unless you have easy...

Family, Internal Medicine, General Medical Questions: red patch on skin (please read below - different e-mail address), e mail address, address thanks
e mail address, address thanks, impetigo: Hi Erin, Sorry. I received your question but didn t realize the email affected the return. Dermatology questions are hard to answer without a LOOK at the lesion. The first things that come to mind though, are a fungus or Impetigo. In as much as it s...

Family, Internal Medicine, General Medical Questions: red patch on skin, skin cancers, skin cancer
skin cancers, skin cancer, sun exposure: couple bits of information might make me change my mind, but a non-healing ulcer on the lip could be a skin cancer, especially if you have had sun exposure in the past. It could be a prolonged cold sore (herpes simplex) but this should go away within two...

Family, Internal Medicine, General Medical Questions: red urine, diarrhea fever, stomach virus
diarrhea fever, stomach virus, red urine: Dear Olga, It could be, but until you see a doctor and get blood work, urine culture, other tests you will have no way of knowing.... If you have been exposed to hepatitis, you need to be getting to the doctor and getting tested and you definately need...

Family, Internal Medicine, General Medical Questions: redness in face, flushed, feel terrible, chest pains, heart attack
chest pains, heart attack, local hospital: Dear Rwarner, First, never use a web site when you or your wife are having chest pains.... Get to the emergency room of your local hospital at once... This could be a heart attack or even a heart attack and stroke... It could just be heart burn too, but...

Family, Internal Medicine, General Medical Questions: redness in my right ear, peripheral vasodilators, warm alcohol
peripheral vasodilators, warm alcohol, fingers and toes: Yes,the ears have what we call end arteries so when we eat or drink something which dilates blood vessels they turn red and get warm. Alcohol does this as does niacin. The other areas of the body with end arteries that respond in this way are the fingers and...

Family, Internal Medicine, General Medical Questions: regular vomiting, internal organ involvement, car mechanics
internal organ involvement, car mechanics, athsma: deb needs to have a complete work up,from another doctor,and she needs to write all the health problems and concerns down to remember them,so when she goes to the new doctor. i dont know what else to suggest at this point,till she sees a doctor. ...

Family, Internal Medicine, General Medical Questions: relationship, impending danger, psychological abuse
impending danger, psychological abuse, physical assault: mae; well,why are you still not married,is there a reason? abuse can include battering and physical assault,sexual assault and psychological abuse,in which you may be verbally forced into doing degrading or humiliating things. see i dont know if you...

Family, Internal Medicine, General Medical Questions: Any remedies for jock itch!, mycolog ii, jock itch
mycolog ii, jock itch, gorey details: I actually have a minor case myself right now, so I can speak from experience. Mine is limited to one side, in the crease of my leg/pelvis. The skin is red and inflamed and somewhat raw. The reason I am telling you the gorey details is that if yours is...

Family, Internal Medicine, General Medical Questions: removing stitches, pair of scissors, medial side
pair of scissors, medial side, stitches: Hi Barry, If you don t know someone with medical training that can do it, you can remove the stitches yourself. There is no special tool needed. Find a pointy pair of scissors and a pair of forceps. Cut the suture on the side OPPOSITE the knot and pull them...

Family, Internal Medicine, General Medical Questions: restless legs, restless leg syndrome, calcium magnesium
restless leg syndrome, calcium magnesium, restless legs: It is when the legs are uncomfortable and keep moving especially at night. see www.nih.gov and search for restless legs for a complete explanation. The cause and treatment appear to be from a deficiency of B vitamins, omega 3, calcium, magnesium and vit...

Family, Internal Medicine, General Medical Questions: I am having "restless legs"..., restless legs, bloodwork
restless legs, bloodwork, out of whack: Hi Carolyn and thanks for writing, There can be MANY causes for Restless Legs but the first thing I usually like to rule out is Electrolyte imbalance. I would suggest you go see a good Naturopath and be tested for imbalances and allergies. If this...

Family, Internal Medicine, General Medical Questions: retaining water ?, water balloon, retaining water
water balloon, retaining water, knell: Hi Tom and thanks for writing, You really should go to Emergency or at least see your GP today - it sounds to me like you have a circulatory probelm which could be serious (it may not be, but better safe than sorry). I hope it turns out to be nothing...

Family, Internal Medicine, General Medical Questions: retreiving medical results, baseline results, doctors office
baseline results, doctors office, medical results: Linda, It really is office policy. I wouldn t try the medical labs, because they probably won t. Your physician s office should just be able to make copies and send them to you, or have them ready for you to pick up. You know, you are so smart. ...

Family, Internal Medicine, General Medical Questions: Who is right?, trapezius muscle spasm, muscle ache
trapezius muscle spasm, muscle ache, shoulder blade: I think that is probably a little high for GB disease, and usually GB disease has pain in the front radiating thru to the back. This sounds like some trapezius muscle spasm, sometimes from a strain, sometimes from stress, sometimes from a lung problem. Usually...

Family, Internal Medicine, General Medical Questions: right arm, bursitis, right arm
bursitis, right arm, inflammation: Hi Todd and thankis for writing, You really should go discuss this with your doctor as only a qualified physician is qualified to diagnosis you after examining you. You may have a circulatory or nerve related issue which may be caused by a previous trauma...

Family, Internal Medicine, General Medical Questions: Who is right?, health food store, gallbladder pain
health food store, gallbladder pain, prune juice: You need to increase your fluid intake and try some natural psyllium from a health food store - you need to increase your hyydration & bulk. But because you have IBS you really need to consult with your physician and have your small stools assessed properly....

Family, Internal Medicine, General Medical Questions: ringworm medication, antifungal cream, triamcinolone acetonide
antifungal cream, triamcinolone acetonide, antifungal medicine: Hi Jennifer and thanks for writing, You need an Antifungal and all the creams you have are anitbacterial (except Terazol, but it s not for Rongworm). You can buy an antifungal cream from pharmacies, or get one on prescription. Modern creams are very good...

Family, Internal Medicine, General Medical Questions: running, excess calories, menstrual cycle
excess calories, menstrual cycle, endorphins: Women who run can often skip periods. This occurs for two possible reasons. 1. Their percent body fat drops low enough to cause the menstrual cycle to stop. Once they gain weight and some fat back, their cycle restarts. And 2. the endorphins that are produced...

Family, Internal Medicine, General Medical Questions: running, bench press, negative attitude
bench press, negative attitude, ofcourse: Hi Christine, As a 17 year old, she is the responsibility of her parents. They need to take her to a healthcare provider whether they can afford it or not. Not doing so, borders on neglect and that is a criminal offense. I can offer her no help via the internet...

Family, Internal Medicine, General Medical Questions: SALT., nerve conduction, rn msn
nerve conduction, rn msn, nerve impulse: Thank you for your service, Sir! Here s the deal: The practice was right but they gave you the wrong rationale. For those who will be perspiring excessively or consuming a lot of water and therefore urinating frequently, consuming sodium can help prevent...

Family, Internal Medicine, General Medical Questions: Saliva Glands, swollen saliva glands, cryptic tonsillitis
swollen saliva glands, cryptic tonsillitis, diagnosis: My concern is, I am in a lot of pain, can swollen saliva glands cause this much pain, or should I worry it is something else? Yes, because there is no saliva glands in this location they missed the diagnosis or may not have clearly understood your complaint....

Family, Internal Medicine, General Medical Questions: Saliva Glands, saliva glands, saliva gland
saliva glands, saliva gland, general good health: Can he really tell just by looking? Not really, you need an ENT specialist if there are glands swollen. Is that normal or should I have had test or something? Yes, they may want to do a sialogram of the ducts from the salivary glands in the floor of...

Family, Internal Medicine, General Medical Questions: Saliva Glands, swollen saliva glands, metabolic problem
swollen saliva glands, metabolic problem, blockages: Blocked saliva glands can be very painful... there isn t much to do unless there is a stone blocking them. And, blocked glands aren t normal... there may be tests that need to be done to make sure there isn t a metabolic problem causing blockages. Hope...

Family, Internal Medicine, General Medical Questions: Sample scenarios, white blood counts, dexterity sounds
white blood counts, dexterity sounds, parathyroid hormone: first one, possible gall bladder or pancreas not getting enzymes into the intestine to digest good. Check liver functions and pancreas tests like amylase, Lipase, then possibly an ultrasound stumble and dexterity, sounds like a mild stroke, which may not...

Family, Internal Medicine, General Medical Questions: Scalp condition, male pattern baldness, crown area
male pattern baldness, crown area, solid answers: Shingles- an easy way to tell would be, does it cross the center of the body... shingles can only be on one side of the body, and if there are spots on both sides, then it can t be shingles. Sometimes, other inflammatory conditions of the scalp, like psoriasis,...

Family, Internal Medicine, General Medical Questions: Scarlet Fever, symptoms of scarlet fever, group a streptococcus
symptoms of scarlet fever, group a streptococcus, glands in the neck: I would like to recommend you try the www.cdc.gov site for further information such as below. IF this is not enough, please let me know. OK? http://www.cdc.gov/ncidod/dbmd/diseaseinfo/scarletfever_g.htm What is scarlet fever? Scarlet fever is a disease...

Family, Internal Medicine, General Medical Questions: Schatzki's Ring, schatzki, patient symptoms
schatzki, patient symptoms, medhelp: Kathleen, I think these links can answer most of your questions, especially the second link. In my experience, many will need repeat dilation, and patient symptoms are usually what prompts repeat endoscopy and treatment. Chronic acid blocking medication...

Family, Internal Medicine, General Medical Questions: Sciatic pain, omega 3 fish oil, abnormal sensations
omega 3 fish oil, abnormal sensations, high potency: Yes, this sounds like traumatic sciatica which often responds to B-100 high potency b complex taken 4 times a day with 2000mg of omega-3 fish oil supplement taken at the same times. Magnesium oxide 250mg taken 4 times a day helps also. Check with your doctor...

Family, Internal Medicine, General Medical Questions: Sciatica follow up question, sciatica nerve, nerve impingement
sciatica nerve, nerve impingement, sciatica pain: Exacerbation may be common depending overuse of the muscles and skeletal system in the area. Only in severe cases where treatment is ignored or delayed will motor neurons become involved. Usually the pain is too severe to let that happen. Treatments start...

Family, Internal Medicine, General Medical Questions: Sciatica, calcium carbonate, high potency
calcium carbonate, high potency, omega 6: Have found only temp relief from: message therapy, Chiropractic, steroids. On Celebrex for arthritis. Pain left buttock, outer side left thigh, behind leg, expreme pain in top of foot and ankle. Aged degenerative disc. etc. these are only coverups to the...

Family, Internal Medicine, General Medical Questions: Can Sciaticac Pain get worse?, sciatica nerve, sciatica pain
sciatica nerve, sciatica pain, nerve irritation: Hi Mary, If it is true isolated sciatica, it could get worse but not to the point of loss of bowel or bladder control. Sciatic nerve irritation can come from a number of problems: disc disease, Piriformis syndrome and a stretch injury to the nerve. It needs...

Family, Internal Medicine, General Medical Questions: Scientific name for aging, bad eyesight, hormone replacement therapy
bad eyesight, hormone replacement therapy, slow decline: I do not think there is a good term for it other than it happens probably more after 35-40 than earlier. The physical part even matures beyond 18-20 that we used to think. We call it aging after 40-45 years old. It is usually related to decrease in activity...

Family, Internal Medicine, General Medical Questions: Scioliosis Screening School, scoliosis screening, curved spine
scoliosis screening, curved spine, school test: I am so sorry - I did answer this question but obviously it did not go through. I would recommend taking the reading from the school test and seeing your daughter s physician. He is the one who should be advising your regarding the results of this and...

Family, Internal Medicine, General Medical Questions: Scoliosis, arthritic spurs, muscle spasm
arthritic spurs, muscle spasm, back exercise: If you have recently developed scoliosis and not had it since birth, it makes me think that you have some muscle spasm twisting the spine somewhat. The solution is pretty much medical therapy... meaning anti-inflammatories like Vioxx, a regular back exercise...

Family, Internal Medicine, General Medical Questions: Screening, heart valve problems, life line screening
heart valve problems, life line screening, leg arteries: I have had a lot of my patients have this ultrasound screening.... as is typical with screening everyone, the chance of finding something is fairly low, but is a very inexpensive, and very safe screening procedure. You have to also look at what it tells you...

Family, Internal Medicine, General Medical Questions: Scrotum, lump in testicle, testicular torsion
lump in testicle, testicular torsion, lower abdominal pain: The main thing is--have both testicles descended? The scrotum tightens to protect your testicles as you walk around, etc. You don t want it loose all the time. My suggestion is that if you think something may be abnormal, go to a male family practice/general...

Family, Internal Medicine, General Medical Questions: Scrotum, squamous cell carcinoma, basal cell carcinoma
squamous cell carcinoma, basal cell carcinoma, aphthous ulcers: Hi Mike and thanks for writing, I did a little research and found this information which I hope is helpful. There are different causes for lesions or ulcers on the scrotum (skin overlying the testicles). It is hard to give a diagnosis since you have...

Family, Internal Medicine, General Medical Questions: SEVERE sunburn itching, aloe vera gel, severe sunburn
aloe vera gel, severe sunburn, drying agent: With sunburn damage to the skin, the nerves get burnt/irritated and send those pain/itching nerve impulses. There is another consideration... could you also be reacting to some of the treatments-cremes/ointments that you are using. The key to creme treatment...

Family, Internal Medicine, General Medical Questions: SEXUAL HEALTH / Oh cum on...., serum level, organic disorder
serum level, organic disorder, saleeby: Dee, While this is not my area of expertise necessarily, your husband may suffer from a functional (mental) versus a physical (organic) disorder if he is able to obtain and maintain an erection. Viagra and similar medications will have no effect. Testosterone...

Family, Internal Medicine, General Medical Questions: Severe Asthma/ Tracheal Stenosis, blood oxygen saturation, critical care unit
blood oxygen saturation, critical care unit, tracheal stenosis: You are right... it is unusual to have repeated infections. I would worry about other problems contributing to the bronchitis/asthma/ pneumonia. Is it possible you are refluxing stomach contents into your lungs at night? Also, the tracheal stenosis may...

Family, Internal Medicine, General Medical Questions: Severe cramps/stomach pains, gluten free diet, stomach pains
gluten free diet, stomach pains, stomach pain: I know you cannot diagnose through email, but any idea on what it could be? It sounds like irritable bowel syndrom related to Gluten malabsorption, so you may want to see your regular doctor and ask for a free gluten free diet if they think that is what you...

Family, Internal Medicine, General Medical Questions: Severe headache, nausea, numbness and earache..., bactrin, brain tumor
bactrin, brain tumor, omega 6: These types of problems can be triggered in people with UTI and she had that. Otherwise she may want to avoid poultry, chips, peanut, granola and trail mix products due to the excess omega-6 plant oil they contain which can do this. The ear symptoms comes...

Family, Internal Medicine, General Medical Questions: Severe swollen ankles, swollen ankles, vascular specialist
swollen ankles, vascular specialist, water pills: Well, it isn t normal, but obviously it is a toughie to diagnose.... it looks like your family doc took a good shot at it... you are swelling for a reason, we just can t figure out what it is.... I would try and treat the symptoms since the workup apparently...

Family, Internal Medicine, General Medical Questions: Sex with no Cervix, laproscope, emergency surgery
laproscope, emergency surgery, sexual stimulation: if he took out all of that, he will leave a closed vault that will still repsond to sexual stimulation and you can still enjoy sexual activity. You may need to be on hormone replacement thereapy since he took your ovaries. But, you should still be able to...

Family, Internal Medicine, General Medical Questions: Sex Symptoms, penis enlargment, womens vagina
penis enlargment, womens vagina, sexual intercourse: gilamichael; on the road to sexual intercourse,arousal is what happens right after you think, Oooo,he looks nice in those jeans. [example] its arousal that makes the man penis rise with an erection and the womens vagina lubricate and expand to accept him....

Family, Internal Medicine, General Medical Questions: Shaky hands 11 year old boy, familial tremor, essential tremor
familial tremor, essential tremor, musculoskeletal diseases: Hello Julie, Thank you for the question. I apologize for the delay, but I appreciate your patience. Pediatric tremors or not as unusual as one might think. They are almost always benign. It is particularly reassuring that he has had an MRI scan which...

Family, Internal Medicine, General Medical Questions: Shaky hands, muscle twitching, energy sensitivity, neck shoulders
energy sensitivity, neck shoulders, neurological diseases: tough question.... find out if a drink of alcohol, like one beer stops the shakes; also, what positions cause the numbness feeling. These symptoms statistically aren t any of the bad neuro diseases- mult scler, myasth gravis, and all those, but prob should...

Family, Internal Medicine, General Medical Questions: Shaky hands, muscle twitching, energy sensitivity, neck shoulders
energy sensitivity, neck shoulders, neurological diseases: Hi Jesse, Well, on the face of it, this sounds like anxiety. Before diagnosing yourself with some horrible neurologic disease, I d look to the simple things first; nervousness, stress, anxiety and even thyroid disease is possible. My best advice is to see...

Family, Internal Medicine, General Medical Questions: Shaky hands, thorn bushes, weed wacker
thorn bushes, weed wacker, neurapraxia: Hi Barbara, Not likely. The shaking just represents muscle fatigue. As for the tingling, the vibrations can cause a temporary neurapraxia (a dysfunction of the nerve). The three main nerves in the arm come together in the hand, all three being on the palm...

Family, Internal Medicine, General Medical Questions: Sharp Pains, blood vessel disease, sinus problems
blood vessel disease, sinus problems, proper diagnosis: Dear Asks, Sinus problems, pms with stress and TMJ can all cause this sharp head pain.... However, also can a tumor or other type of brain/head problem like blood vessel disease etc..... The only way to get a proper diagnosis is see your doctor and with...

Family, Internal Medicine, General Medical Questions: Shingles, herpes virus, mild case
herpes virus, mild case, chickenpox: Hi Susan, The fluid in the blisters formed by shingles carries a herpes virus and can be contagious to anyone who comes into direct contact with the fluid. As long as you keep the blisters covered, there is no reason to fear contagion. I trust that you were...

Family, Internal Medicine, General Medical Questions: Shingles, high potency, recurrences
high potency, recurrences, shingles: Can you have shingles internally in one arm? Not really I have the symptoms without the outside redness, blisters, etc. If so, how is it determined -- blood test, etc? Currently no tests for this other than the rash. Will it eventually go away or...

Family, Internal Medicine, General Medical Questions: Shingles, chest x ray, shoulder blade pain
chest x ray, shoulder blade pain, thoracic spine: Hi Shirley, It isn t common to have a shingles outbreak without blisters. If the pain moves, it makes it less lileky that shingles is to blame. It might be a good idea to get a chest x-ray and x-ray of the thoracic spine to be sure that there is no lung or...

Family, Internal Medicine, General Medical Questions: Shingles and FMLA, herpetic lesions, shingles
herpetic lesions, shingles, phn: Sharon, Sounds to me like your doctor needs to document more specific reasons why you need to be out of work. You did not state if you have herpetic lesions, how extensive the shingles are. Usually with FMLA the reason the case is denied is because of...

Family, Internal Medicine, General Medical Questions: Shingles and feet/leg tingling, pins and needles, high potency
pins and needles, high potency, feet leg: Do you believe that this is related to the Shingles? Yes, it is post-herpetic neuropathy but the neurontin is a sham Have you treated anyone with my problem or can you suggest a web site? Yes, ask your doctor is you can take the following: 1) 3000mg...

Family, Internal Medicine, General Medical Questions: Shingles in a five year old, public health school, chickenpox vaccine
public health school, chickenpox vaccine, rn msn: I d call her pediatrician. I looked up shingles on webmd (a great source) and this is what it said: She could give chickenpox to someone: A person with shingles can pass the virus to individuals who have never had chickenpox, but these individuals will...

Family, Internal Medicine, General Medical Questions: Shingles vaccine, shingles vaccine, proper diagnosis
shingles vaccine, proper diagnosis, healthy person: he gets recurrent shingles? If he gets repeated episodes, I would wonder about a: the proper diagnosis or b: whether he has an immune system problem. Recurrent shingles is not a common occurrence, esp in a healthy person. But, the vaccine is designed to...

Family, Internal Medicine, General Medical Questions: Shingles, chicken pox, shingles
chicken pox, shingles, unborn baby: No, the fear of is usually with respect to pregnant women or people that have not been exposed to chicken pox in the past. In theory, if you had shingles and came in contact with a child who had not had chicken pox, they could develop it. The issue with...

Family, Internal Medicine, General Medical Questions: Shock, blood flow, organs
blood flow, organs, shock: shock is a situation of decreased blood flow to organs... I would not want to give fluids by mouth because they may need to have to have a tube down the throat for airway control and you don t want to have someone vomiting while you try that.... the fluids...

Family, Internal Medicine, General Medical Questions: Shortness of breath, minimal exertion, pulmonary hypertension
minimal exertion, pulmonary hypertension, burning sensation: First of all, when this does get figured out, please email me and let me know what the diagnosis is. (drlipo@hotmail.com) We use FAINT---- Functional, Anatomical, Inflammatory, Neoplastic, Traumatic as categories to start with a sign/symptom complex. Some...

Family, Internal Medicine, General Medical Questions: Shoulder Pain and Aerobic Exercise, good news bad news, aerobic exercise
good news bad news, aerobic exercise, frozen shoulder: Hi Dan, This is a good news-bad news type of answer. Calcific tendonitis doesn t go away by itself. It can in some cases render the shoulder immobile and ultimately frozen . The good news is that activity helps keep it mobile but (the bad news)can also...

Family, Internal Medicine, General Medical Questions: Shoulder Pain and Aerobic Exercise, omega 6, plant oil
omega 6, plant oil, frozen shoulder: In your opinion, is it adviseable to continue jogging when the tendonitis flares up? Yes, unless it flares with the jogging. Reason I m asking is I knew someone who had a frozen shoulder who was an AVID runner (10k s, etc.) who contiued training with...

Family, Internal Medicine, General Medical Questions: Shoulder pain, shoulder girdle, burning sensation
shoulder girdle, burning sensation, nerve pain: Hi Margie, Thanks very much for the additional info. Based on this, shingles is still a possibility as rash doesn t always show up right away or rarely, at all. Burning pain is usually indicative of nerve pain. This could also be a neuralgia from a local...

Family, Internal Medicine, General Medical Questions: SO SICK 2, intestinal blockages, nausea and vomiting
intestinal blockages, nausea and vomiting, large intestine: usually either something hits the stomach that sets off the chain reaction to purge the stomach and you vomit, or there is a signal sent to the brain that tells the body to vomit if there is some illness that might be helped by emptying the stomach..... other...

Family, Internal Medicine, General Medical Questions: SO SICK 2, irritable bowel syndrome, gallbladder problems
irritable bowel syndrome, gallbladder problems, ginger ale: Dear Cameron, Vomiting can happen for a myriad of reasons...but usually is because of infection. You ingest some bacteria along with the food you are eating. The stomach decides it is going to get rid of that food and bacteria instead of passing it...

Family, Internal Medicine, General Medical Questions: SICK 3, vocal cords, sore throat
vocal cords, sore throat, pitch: well, you just keep wondering about stuff, don t you..... are you writing a paper on this topic? anyways, the voice deepens because the vocal cords get infected and they swell a little changing the vibratory pitch and therefore the sound of the voic...

Family, Internal Medicine, General Medical Questions: SO SICK, upper abdominal pain, stomach pain
upper abdominal pain, stomach pain, upper abdomen: Hi Cameron and thanks for writing, Sometimes, people see their doctors for stomach pain that they think is caused by an ulcer, but it isn t. Although you may have gnawing upper abdominal pain, diagnostic tests don t reveal an ulcer or other digestive problem...

Family, Internal Medicine, General Medical Questions: SICK, aching muscles, stresses
aching muscles, stresses, strains: Hey Cameron, Thanks for writing again. When you are sick- depending on when it is viral or bacterial or inflammatory- your body responds in certain ways to let you know something is wrong. Aching muscles can be due to strains or stresses. Sometimes the...

Family, Internal Medicine, General Medical Questions: SICK, white blood cells, bacterial invasion
white blood cells, bacterial invasion, achiness: in general, there is a whole body reaction to a viral or bacterial invasion, involving the white blood cells... they release chemicals that cause things to swell and get inflamed and typically, the achiness is the body s reaction to the illness. Those chemicals...

Family, Internal Medicine, General Medical Questions: SO SICK, definitive answers, barwick
definitive answers, barwick, upset stomachs: Cameron, This is such a general question. Upset stomachs come in many varieties. It can be from a viral or bacteria infections, food you eat, allergies to the food you are eating, stress. The question is too general. If you could be more specific I...

Family, Internal Medicine, General Medical Questions: Side Effect, birth control pills, male fetuses
birth control pills, male fetuses, male hormones: Hi Maryam, I hope I can help you with this....if I am not giving you the answers you are looking for, or if I am misunderstanding you, please do not hesitate to let me know. Finasteride, or Propecia, is used to stimulate hair growth. HOWEVER, it can...

Family, Internal Medicine, General Medical Questions: Side effects Cyclobenzaprine, restless leg syndrome, symptoms of restless leg syndrome
restless leg syndrome, symptoms of restless leg syndrome, treatment medications: Dear Cheryl, I am so sorry I didn t get back to you sooner. I don t usually let time go on this long. I have been working a lot of hours, and haven t been online. Flexeril (cyclobenzprine) can certainly give you that ragdoll effect. The fact that...

Family, Internal Medicine, General Medical Questions: Side effects of medication, serum sickness, genetic predisposition
serum sickness, genetic predisposition, arthralgias: Hi Christina, Yes... you should inform your physician immediately. One of Metrogyl s rare adverse effect is joint pain that resembles serum sickness. It causes mild to severe arthritis or arthralgias, which affects multiple large and small joints. In about...

Family, Internal Medicine, General Medical Questions: Side and back pain, kidney infection, bladder pain
kidney infection, bladder pain, kidney stone: azostandard will only help bladder pain; if your back pain is from a kidney infection, you need antibiotics; if it is a kidney stone, then you need pain medications; if it is from the muscles, it needs a different treatment.... basically, you need to have...

Family, Internal Medicine, General Medical Questions: Similiar Question, urgent care clinics, painful lump
urgent care clinics, painful lump, swollen lymph: The zit is what is causing the lumps to develop. Now, with no health insurance, that is what the urgent care clinics or Emergency Rooms are there for... one of their many uses is people who are caught in the middle, no $$ and no insurance. Bottom line,...

Family, Internal Medicine, General Medical Questions: Sinol Nasal Spray, cayenne pepper, harvard boston
cayenne pepper, harvard boston, channel 4 news: Sorry for your delay in having a chance to try it but there was and is no scientific evidence-based double-blinded cross-over studies to be able to recommend this product. Without these it is not possible to tell placebo responses from cause and effect. Good...

Family, Internal Medicine, General Medical Questions: Sinus/Coughing problems, tree pollen allergy, doctors office
tree pollen allergy, doctors office, sinusitis: Could this be sinusitis? Or tree pollen allergy. And is that usually bacterial? Sinusitis is usually bacterial or fungal. I am wondering if taking another course of zithromax antibiotics will help this or if I just have to let it run its course....

Family, Internal Medicine, General Medical Questions: Sinus/coughing problems, sinus infections, sinus infection
sinus infections, sinus infection, doctors office: This sounds like a viral infection... which means that Zithromax or other antibiotics won t do much.... if someone has a true bacterial sinus infection then Zithromax isn t a good choice for it.... it doesn t have the coverage... they marketed it well, and...

Family, Internal Medicine, General Medical Questions: Sinus Infection, sinus infection symptoms, sinus pain and pressure
sinus infection symptoms, sinus pain and pressure, post nasal drip: Hi, Not always. A problem with sinuses is referred to by patients as an infection when all they are experiencing is symptoms similar to yours. This sounds like an environmental inflammatory reaction, probably Allergies. Also could be exposure to a noxious...

Family, Internal Medicine, General Medical Questions: Sinus Infection, sinus infection symptoms, sinus pain and pressure
sinus infection symptoms, sinus pain and pressure, post nasal drip: No, ab are not always needed for sinus infections... we tend to over prescribe them. I try not to give them if there is clear drainage... I wait for yellow/green or bloody drainage. What I would do in your situation is to use the over the counter nasal spray,...

Family, Internal Medicine, General Medical Questions: Sinus Infection, upper respiratory infection, sinus infection
upper respiratory infection, sinus infection, frontal headache: Hi Sarah, First, do you really have an infection. Facial pain, frontal headache, stuffiness and drainage aren t necessarily signs of infection. They can be just signs of an upper respiratory infection from a virus. Treating that is best done with over the...

Family, Internal Medicine, General Medical Questions: Sinus Infection, chronic sinusitis symptoms, sinus infection symptoms
chronic sinusitis symptoms, sinus infection symptoms, symptoms of chronic sinusitis: Sinus Facts Have you ever had a cold or allergy attack that wouldn t go away? If so, there s a good chance you actually had sinusitis. Experts estimate that 37 million people are afflicted with sinusitis each year, making it one of the most common health...

Family, Internal Medicine, General Medical Questions: Sinus pain, sinus congestion, sinus pain
sinus congestion, sinus pain, sinus infections: I don t like zpaks for true sinus infections... you can try it and add in afrin nasal spray twice a day for 5 days (over the counter) if that doesn t work, I would use a different antibiotic and add in some steroids.... prednisone for a few days also.... let...

Family, Internal Medicine, General Medical Questions: Sinus problems, afrin nasal spray, clear mucus
afrin nasal spray, clear mucus, sinus problems: I don t think the lexapro has anything to do with it... this may be a chronic low level sinus infection... this form of zithromax (zithromax tri pak) isn t very good at treating sinus infections, esp chronic ones, and also, you may need more time to get over...

Family, Internal Medicine, General Medical Questions: Sinus problems, control heart disease, clear mucus
control heart disease, clear mucus, nasal drainage: jennifer; nasal drainage is your body s way of washing the nose. the problem could be an allergen or a cold virus,and your body is simply trying to get rid of it by flushing your nose with a fluid composed of proteins,salt water and antibodies. colds...

Family, Internal Medicine, General Medical Questions: Sinus problems, clear mucus, calcium carbonate
clear mucus, calcium carbonate, epa dha: Do you have any suggestions for me or what might be causing this? It may have been an infection on an allergy so try an over the counter allergy med which should help within 48 hours and push green or white tea. Do you have any suggestions for me or what...

Family, Internal Medicine, General Medical Questions: Sinusitis, bactrim ds, omega 3
bactrim ds, omega 3, astelin: They can operate to enlarge the openings to the sinuses but you may want to request 3-6 months on Astelin nasal spray followed in one hour by Nasalcort nasal spray, 6 weeks of bactrim DS twice a day and allegra 180mg daily. All of ours clear one we go to this....

Family, Internal Medicine, General Medical Questions: Sinusitis, nasal crom, steroid nasal sprays
nasal crom, steroid nasal sprays, nasal polyps: Hi Gareth, Steroid nasal sprays an help. Avoid aspirin. People with nasal polyps that use aspirin can induce an asthma. You might try Singulair along with a non-sedating antihistamine. Once this is resolved consider using nasal crom to abort allergy episodes...

Family, Internal Medicine, General Medical Questions: Sister is always sick!, chronic sinus infections, poor hygiene
chronic sinus infections, poor hygiene, care teacher: sometimes people have allergies, or chronic sinus infections that never completely go away, sometimes it is from poor hygiene habits (usually rubbing their nose accidentally after shaking someone s hand) or if they are in a high risk profession (day care,...

Family, Internal Medicine, General Medical Questions: Skin Disorder, light drinker, high potency
light drinker, high potency, extra virgin olive oil: Yes, it is omega-6 plant oil toxicity from too much poultry, chips, peanut products, flax or gluten in your diet. see http://efaeducation.nih.gov so see how bad these are for your health. If OK with your doctors, omega-3 plant oil at 2000mg before meals...

Family, Internal Medicine, General Medical Questions: Skin Growth/Penis, pictures of genital warts, penis shaft
pictures of genital warts, penis shaft, bumps on my penis: Hi Antos, These are most likely normal hair follicles. On the shaft of the penis, they are numerous and may not have hair coming from them. Without a face to face exam this is just an educated guess, but from the sound of your description, they are probably...

Family, Internal Medicine, General Medical Questions: Skin itch, cortisone cream, long periods of time
cortisone cream, long periods of time, hot showers: It sounds like he has a mild form of eczema which soaps make worse and even hot showers. You are correct that cortisone should not be used continously for long periods of time. If he uses a vegetable oil or hydrogenated vegetable oil on his skin after his...

Family, Internal Medicine, General Medical Questions: Skin problems, heat rash, sweat glands
heat rash, sweat glands, insect repellent: Hi Menton and thanks for writing, In most cases, heat rash will clear up on its own in a few days if the affected area is kept cool and dry. So cool your body in an air-conditioned room or with a fan, or take a cool shower or bath and let your skin air...

Family, Internal Medicine, General Medical Questions: Skin Rash, allergic rash, skin rash
allergic rash, skin rash, heat rashes: Rash on clothes covered areas, as you have alluded to, may be related to the clothes, the detergents, etc. You didn t describe the rash, but I assume it is red, slight raised with discrete little bumps that are itchy. One thing that is important is if you...

Family, Internal Medicine, General Medical Questions: Skin temperature, correct explanation, hot skin
correct explanation, hot skin, skin temperature: Can you explain this whole phenomenon? Is my body efficient at sending blood to the skin, causing it to be so hot to the touch? Yes, you have the correct explanation. Is there any cause for concern with this scenario? actually if you apply a light bath...

Family, Internal Medicine, General Medical Questions: SLIM, luke luke, high protein
luke luke, high protein, dear doctor: Luke, I assume that your question is how to gain weight. A combination of high calories and weight training may help, but for many slim and young people, the ability to gain weight (muscle) is limited, and probably genetically driven. However, I think...

Family, Internal Medicine, General Medical Questions: SLOW STRESS FRACRURE ON TOP OF FEMUR, stress fracture, orthopedic evaluation
stress fracture, orthopedic evaluation, chronic stress: that doesn t sound right, to have a stress fracture for years due to simple walking... I would ask for an orthopedic evaluation if you haven t had it or get another opinion on the cause of the pain, because I don t see this as a chronic stress fracture....

Family, Internal Medicine, General Medical Questions: Sleep Study, hypopneas, respiratory events
hypopneas, respiratory events, hypopnea: apnea means no breathing, hypopnea means slower than normal breathing.... 17 events in what time? if it was in an hour, that is significant... if it is in 6 hours, I wouldn t treat it with anything else except weight loss (if needed) and limited alcohol....

Family, Internal Medicine, General Medical Questions: Sleep, northwestern university evanston illinois, circadian biology
northwestern university evanston illinois, circadian biology, northwestern university evanston: Actually, you body works on a 24 hour diurnal cycle in which regularity builds strength and feeling of well being. So alternating the amount of sleep is not good for you because it throws all your hormonal cycles off. more information: Overview of Circadian...

Family, Internal Medicine, General Medical Questions: Sleepiness after eating, high carbohydrate, imput
high carbohydrate, imput, sugar content: Yes, this is usually due to a high carbohydrate or sugar content in the meal. If you increase the protein, fat or dairy component this usually stops. You may want to ask your doctor if you have been checked for Diabetes since that can do this also. OK...

Family, Internal Medicine, General Medical Questions: Sleeping 2 hours after evening meal, cheese roll, sound sleeper
cheese roll, sound sleeper, instant coffee: Thank you for your great question. My answer given is in order of importance of your symptoms. 1) nightime urination--Time to check your fasting blood sugar, and more importantly a 2 hour post prandial sugar (after eating a calculated amount of glucose)....

Family, Internal Medicine, General Medical Questions: SMALL LUMP ON 9YEAR OLD'S JAW LINE, lymph node, jaw line
lymph node, jaw line, coughs: Since it is only one, it is most likely simply a lymph node, which is a small infection fighting organ. These are situated all over the body, with more in the head and neck. They come and go with colds and coughs. If you simply observe it, it will go away...

Family, Internal Medicine, General Medical Questions: Smelly Burps, gall bladder disease, chronic sinus infection
gall bladder disease, chronic sinus infection, sulfur burps: Hi Jennifer, Oddly enough she may have a chronic sinus infection that could account for this. Another consideration is gall bladder disease. It sounds like she has had a good gastrointestinal work up so far. My ideas are suggestions only but may be worth...

Family, Internal Medicine, General Medical Questions: Sorbitol and raw apples, raw apples, free ice cream
raw apples, free ice cream, osmotic action: Hi J Greven, As you have probably have already found out, Sorbitol is a breakdown product of sorbose and glucose-both sugars. Sorbitol is used in medicine as a cathartic due to its osmotic action of drawing water into the bwel and aiding in the elimination...

Family, Internal Medicine, General Medical Questions: Sore in Nose, left nostril, allergy medications
left nostril, allergy medications, mg pills: I can t tell if you asked that question earlier in the week, but, basically, you have to use a lot of saline... maybe every hour, and use an ointment (cheap-vaseline--- expensive, all the others (neosporin). I Would use that regularly, then if no relief,...

Family, Internal Medicine, General Medical Questions: Sore throat, white spots on tonsils, viral sore throat
white spots on tonsils, viral sore throat, scratchy throat: if you have fever... it might be strep throat... that will need antibiotics. Otherwise, a viral sore throat should last for about a week. If you have fever, painful swallowing, muscle aches, white spots on tonsils, then it prob is strep. Hope this helps.....

Family, Internal Medicine, General Medical Questions: Sore throat, etc.., viral stomatitis, low grade fever
viral stomatitis, low grade fever, mild cough: Hi Harrison, I believe that you have a viral infection. Unfortunately, antibiotics are of no use. The soreness in your mouth may very well be a viral stomatitis (a fancy word for mouth sores caused by a virus) or even a yeast infection from antibiotic use....

Family, Internal Medicine, General Medical Questions: Sore throat, low grade fever, mild cough
low grade fever, mild cough, sinus infections: Ahhhh, the old sore throat discussion.... 9/10 sore throats are viral, 1/10 are strep throat. The strep throat tests, if done correctly are very very accurate. Your initial sore throat was probably not strep, and it doesn t sound like the second was either,...

Family, Internal Medicine, General Medical Questions: Sore vs. Strep throat, neck nodes, high fever
neck nodes, high fever, strep throat: Hi Jennifer, Strep throat is a very serious illness with high fever, prostration, swollen neck nodes. Compared to a regular sore throat it is a profound illness. I think you d know the difference. If you have a doubt, just contact your healthcare provider...

Family, Internal Medicine, General Medical Questions: South Beach Diet, south beach diet, gallbladder removal
south beach diet, gallbladder removal, gall bladder: Diarrhea after having your gall bladder out is not uncommon. Since your diarrhea started with your change in diet I suspect the change is the cause. While I don t think the lack of carbs would have this impact, it is likely the increase in vegetables and...

Family, Internal Medicine, General Medical Questions: Soy products - Prostate, elevated psa levels, prostate cancer treatment
elevated psa levels, prostate cancer treatment, american urological association: Not so according to this article from the American Urological Association. OK? May 1, 2003 (Chicago) -- A dietary supplement containing an extract of soy called genistein may help reduce prostate-specific antigen (PSA) levels in men with prostate cancer,...

Family, Internal Medicine, General Medical Questions: Speculum, unrelated conversation, weird question
unrelated conversation, weird question, odd question: You were the first to state that the question is odd. Her doc may not have ever called it a speculum, so my answer is no, I don t think there is any significance to that. .......................................................... Well, frankly, it seems...

Family, Internal Medicine, General Medical Questions: Spironolactone, natural progesterone cream, natural hormone replacement
natural progesterone cream, natural hormone replacement, hirsutism: Angela, With regards to Spironolactone you can find a lot of great information on this drug at: http://www.rxlist.com/cgi/generic/spiron.htm With regards to natural progesterone cream (bio-identical natural hormone replacement) I am a big proponent...

Family, Internal Medicine, General Medical Questions: Spironolactone side effects, spironolactone side effects, nausea and vomiting
spironolactone side effects, nausea and vomiting, blood pools: Dear Maryam, Nice to talk with you again! I think you and I had some conversations about this problem. I am hoping that things are going better for you. I found a site that nicely talks about hirsutism and medications...a lot of good information:...

Family, Internal Medicine, General Medical Questions: Spleen, serum protein electrophoresis, liver function tests
serum protein electrophoresis, liver function tests, c reactive protein: I would not be concerned but would be sure over time that your doctor does the tests, like a CBC and diff, EBV and CMV titers, liver function tests, serum protein electrophoresis, c-reactive protein, and hemoglobin A1c. Be sure they send you all the results...

Family, Internal Medicine, General Medical Questions: Spots on lungs, spots on lungs, chest x ray
spots on lungs, chest x ray, lung nodules: no, the lithotripsy he had for the kidneys will not do anything to the lungs. Lung nodules are pretty common and CT can usually tell if they have been there a long time (calcified) or whether they are new and then a repeat scan in a few months to see if there...

Family, Internal Medicine, General Medical Questions: Sprained ankle, compression fracture, motocross bike
compression fracture, motocross bike, substantial injury: If the heel is black they you had a substantial injury and often a stress or compression fracture of the heel, ankle, or foot may not show up for 10-14 days so if the pain persists more than one week you may want to ask for an MRI or CT scan to be certain...

Family, Internal Medicine, General Medical Questions: SSRI DRUGS, ssri drugs, lethargy
ssri drugs, lethargy, lexapro: they all have some side effects and we use the side effects to help with some of the symptoms of the depression or anxiety, such as troubled sleeping, use a sedating one like paxil... too much lethargy, use an activating one like Prozac. Celexa, Lexapro tend...

Family, Internal Medicine, General Medical Questions: STD's, herpes virus, cross reactivity
herpes virus, cross reactivity, oral herpes: the best way is a culture of the active sore when someone has an active case. The blood tests are not as accurate, because there is some cross reactivity with the oral herpes that causes cold sores. It can help prove a case that is suspected. Usually,...

Family, Internal Medicine, General Medical Questions: Steps to becoming a P.A, nurse practitioner programs, pa organization
nurse practitioner programs, pa organization, medical experience: Hi Car, MOST PA programs require college before entry. As a rule 2 years of college and two years of a PA program. I would agree that nursing isn’t the best way to gain entrance to a PA program as they tend to suggest Nurse Practitioner programs instead....

Family, Internal Medicine, General Medical Questions: Sternum Injury, sternum injuries, grand valley state university
sternum injuries, grand valley state university, rugby player: good question.... if you have an injury with enough force to break your breast bone (sternum) then you have taken a pretty serious blow... but, you may have dislocated cartilage/ribs from the breastbone... either way, this far out, not much would be done except...

Family, Internal Medicine, General Medical Questions: Stints & Blood Pressure Medication, stint surgery, blood pressure medication
stint surgery, blood pressure medication, blood pressure medicine: Hypertension is due to lack of magnesium oxide in the water and food supply today so ask your doctor if you can take 250mg of magnesium oxide before each meal and at bedtime, pluse lovaza 1000mg four times a day to make your BP meds start working. Cut out...

Family, Internal Medicine, General Medical Questions: Stomach drugs, colon polyps, colon cancer
colon polyps, colon cancer, devlop: could those polys devlop into cancer as seen in colon cancer? Yes, but not as directly as with the colon polyps I dont find a need to take these drugs daily but may take one or two a week and was wandering is this safe to take long term like that? Yes,...

Family, Internal Medicine, General Medical Questions: Stomach flu ... or, gall bladder?, gall bladder attack, chills and fever
gall bladder attack, chills and fever, stomach flu: This sounds more like an acute illness, like a virus causing some whole body symptoms. You didn t mention whether you had a sore throat, because strep throat can behave like this. Also, intestinal virus can present like this. I do not get the feeling...

Family, Internal Medicine, General Medical Questions: Stomach Pains, hunger pains, stomach irritation
hunger pains, stomach irritation, stomach pains: My concern would be some type of stomach irritation. Depending on where and how severe the pains are, you could have the beginnings of an ulcer. I would suggest trying some antacids for quick relief, and seeing your doctor for a more thorough evaluation....

Family, Internal Medicine, General Medical Questions: Stomach Pains, gall bladder disease, h pylori test
gall bladder disease, h pylori test, stomach pains: Hi Judy, Based on the location of the pain, I think there are a few options to consider. Ulcer disease, gastroesophageal inflammation, gall bladder disease and even pancreatic disease. There are a number of other possibilities, but not having you in front...

Family, Internal Medicine, General Medical Questions: Stomach Problems, connective tissue disease, mixed connective tissue disease
connective tissue disease, mixed connective tissue disease, knox gelatin: This is usually due to immune disease which changes the proteins lost in your phelgm and mucus. Ask your doctor but this is what I use for my patients to improve their immune system: 1) Fish oil 3000mg (900 mg EPA/DHA) before each meal and at bedtime ...

Family, Internal Medicine, General Medical Questions: Stomach Problems, h pylori test, irritable bowel syndrome
h pylori test, irritable bowel syndrome, acidic foods: Hi Haylie, The first thing I would do is ask to have an H. Pylori test to be done. This is a lab test that looks for a certain type of bacteria that lives in the stomach and can cause pain. The other possibility is Irritable Bowel Syndrome. This is a condition...

Family, Internal Medicine, General Medical Questions: Stomach pain/problems, insight health, kidney stone
insight health, kidney stone, abdominal muscles: It is certainly possible to have a kidney stone at this age. Also, most people (75%) pass them on their own- not really pleasant. But, if it doesn t pass in a week or so, then the doctor can go in with a scope and bring it out. However, you don t want...

Family, Internal Medicine, General Medical Questions: Stopping birth control, birth control pills, ortho tri cyclen
birth control pills, ortho tri cyclen, stopping birth control: Hi Jennifer, This probably represent your body s re-adjustment to normal . Your Ovaries have to wake from their slumber and regain control of your system. If you are concerned about pregnancy, you need to test 10 days after a missed period for any test to...

Family, Internal Medicine, General Medical Questions: Strange Problem, outer labia, strange problem
outer labia, strange problem, heart attack: emily; well first thing your body isnt fully developed yet,your still growing. i am sure your worried about changes going on in and on your body,but this is normal. every women is different in the size of there body,from the vagina to the breasts. now...

Family, Internal Medicine, General Medical Questions: Strange Skin Rash, corn starch, strange rash
corn starch, strange rash, blood pressure medication: Hives do not usually last long however, if the skin continues to be irritated the redness and itching may persist. Usually the powder to keep the area dry may help with the symptoms and avoiding the irritation may prevent further outbreaks it is caused by...

Family, Internal Medicine, General Medical Questions: Strange Symptoms, depo provera, depo shot
depo provera, depo shot, thyroid tests: Since her last depo shot was in early March, can she safely stay on the pill which she just started 2 weeks ago? Or should she have waited 6 months after the shot in early March to start? Answer: Only her doctor knows the answers for her BUT based on your...

Family, Internal Medicine, General Medical Questions: Strength training, 5 gallon pails, progressive neurological disease
5 gallon pails, progressive neurological disease, slow decline: Dear Al First, 1,600 questions?! I though my 600 plus questions was great! Ouch! That is a lot of questions!! Second, I am really sorry about your wife. I have been married for 32 years, we dated for 3 years before we got married. Now, to the question...

Family, Internal Medicine, General Medical Questions: Strep B Infection, vaginal strep infection, strep b infection
vaginal strep infection, strep b infection, bladder infection: Hi Kate, It may be hard to tell the difference between the two. Strep is an omnipresent bacteria. You could have encountered it through hygiene issues, intercourse, douching or tampon use. If you think you have a recurrence, it should be checked out...

Family, Internal Medicine, General Medical Questions: Strep C, c greetings, infectious disease specialist
c greetings, infectious disease specialist, penicillen: we all have bacteria in our body.... I would not treat someone who doesn t have an active symptom producing infection... I would not treat it at this point... Strep C acts similarly to regular strep at times but lots of people are colonized and there is no...

Family, Internal Medicine, General Medical Questions: Strep Throat Culture, throat culture, glass tube
throat culture, glass tube, false negatives: Would this strep screen be used now instead of cultures? Yes, it tends to be used because it can give an indication in about 5-15 minutes depending on the test used versus 48-72 hours for the cultures. It misses 40% of the positive cultures(false negatives)...

Family, Internal Medicine, General Medical Questions: Strep Throat & Rebecca Lansfield, streptococcus bacterium, journal of experimental medicine
streptococcus bacterium, journal of experimental medicine, joshua lederberg: Jeanne, I usually don t do homework questions but.... Rebecca Lansfield working at the Rockefeller Institute demonstrated in the 1930 s that group A streptococci (S. pyogenes), was specific to humans and human disease, including pharyngitis ( strep throat...

Family, Internal Medicine, General Medical Questions: Strep Throat, beta hemolysis, alpha hemolysis
beta hemolysis, alpha hemolysis, red blood cells: Hello Cindy, Thank you for the question, I apologize for the delay. Streptococcus are classified primarily based on their hemolytic properties (breakdown of red blood cells). Alpha hemolysis shows a certain pattern (group A) and beta hemolysis shows...

Family, Internal Medicine, General Medical Questions: Stroke, birth control pills, sinus problem
birth control pills, sinus problem, counter spray: yes, absolutely... I would be very shocked if you were having a stroke, given those symptoms. I would look at other causes long before I would ever consider a stroke. Hope this helps... Both can cause those symptoms... typically, a trial of Afrin Nasal...

Family, Internal Medicine, General Medical Questions: Stroke?, birth control pills, sinus problem
birth control pills, sinus problem, sinuses: My question is, could I be having several strokes? More likely preischemia but could be early stroke like pattern. Can TMJ or conjested sinuses cause your face to feel funny and twitch and feel tingly? Yes, it can but I would not delay. Go to the urgent...

Family, Internal Medicine, General Medical Questions: Stroke, stubborn man, black out
stubborn man, black out, atherosclerosis: if this is the same person who asked me about the strokes and death, I got the info in reverse order.... you have to get a CT to tell if the strokes were from trauma or from old age and atherosclerosis..... if he becomes incompetent, you can get a court order...

Family, Internal Medicine, General Medical Questions: Stroke after Injury, epidural hematoma, hemm
epidural hematoma, hemm, cat scan: strokes from trauma are bleeding strokes... those types are easy to determine via cat scan or MRI.... you only gave me minimal information, nothing about his injuries.... usually if someones has a stroke after hitting head, it is an intracerebral hemm or an...

Family, Internal Medicine, General Medical Questions: Stroke?, birth control pills, sinus problem
birth control pills, sinus problem, nerve irritation: Hi Worried, I apologize. I misread the email. You want to stay away from any stimulants such as sudafed and anti histamines as these can cause you to feel just that way.You might try plain Ibuprofen and tylenol. Try breating steam either in the shower or...

Family, Internal Medicine, General Medical Questions: Strokes, kidney function, upset stomach
kidney function, upset stomach, acute stroke: yes, this could certainly be an additional stroke. There isn t a specific treatment for a stroke other than support, in the short term and correcting some of the other problems... dehydration, etc... cat scans may not show an acute stroke for several days...

Family, Internal Medicine, General Medical Questions: Stuffed Ears, outer ears, painful headache
outer ears, painful headache, eustachian tube: Hi Dan and thanks for writing, Usually no care is needed for plugged ears, but if the problem persists, you may need medicine for an infection, for pain, or to unplug the ears. WHAT YOU SHOULD DO Don t take any medicine without your doctor s approval....

Family, Internal Medicine, General Medical Questions: Stuffed Ears, eustachian tube, afrin
eustachian tube, afrin, inner ear: The cold caused some inflammation in the back of the throat and swelled the eustachian tube, the tube that drains the inner ear. Use Afrin nasal spray prior to flight, maybe sudafed also. It will help... yes, it was the cabin pressure and the inability...

Family, Internal Medicine, General Medical Questions: Stuffed Ears, claritin d, hot tea
claritin d, hot tea, claritin: Is there anything extra I can do to unstuff them? Yes, take over the counter claritin D if OK with your doctor, lots of hot tea or coffee and they should open in 24 hours. Did the cabin pressure in the plane make the situation worse in your opinion?...

Family, Internal Medicine, General Medical Questions: Sugar, normal fasting blood sugar, fasting blood sugar
normal fasting blood sugar, fasting blood sugar, diabet: Actually, fasting normal for adults is 60-109 Impaired fasting glucose is 100-125 with an 8 hour fast. Diabetes is 126 afer a minumus of 8 hours fasting or a 2 hour post 75 grams of sugar test of 200 Any of these tests are OK for diagnosing normal...

Family, Internal Medicine, General Medical Questions: Sugar, fasting glucose level, blood glucose levels
fasting glucose level, blood glucose levels, fasting blood glucose: Raja, If the urine sample shows any sugar ... it means typically that your serum (blood) glucose is high and it spills over into your urine ... it is just another screening test that is very quick and inexpensive to check for DM. We often pick up DM...

Family, Internal Medicine, General Medical Questions: Sulfuric smelling burps, wheat barley, pepto bismol
wheat barley, pepto bismol, gut bacteria: Yes, this is usually due to one or more of several things: 1) eating wheat barley rye, so get an HLA DQ 2,8 genetic test for celiac disease 2) too much plant oil in the diet from chips, poultry products, peanut products, granola products, or flax 3)Helicobacter...

Family, Internal Medicine, General Medical Questions: Sumycin, clogged pore, sumycin
clogged pore, sumycin, pores: some people take it regularly for acne, it has some properties to help lower facial gland oil as well as an antibiotic... you don t want to get pregnant while on it...you are prob better off taking it in cycles,meaning take it 2-3X per day for a week then...

Family, Internal Medicine, General Medical Questions: Superficial Blood Clots, deep vein thrombosis, birth control pills
deep vein thrombosis, birth control pills, superficial thrombophlebitis: Carolyn, You are apparently suffering from superficial thrombophlebitis. This differs from Deep Vein Thrombosis (DVT) in that the smaller veins are of no harm in regards to pulmonary embolism. Not sure why you are more susceptable to this condition. ...

Family, Internal Medicine, General Medical Questions: Supplements to prevent leg cramps, nocturnal leg cramps, electrolyte disturbances
nocturnal leg cramps, electrolyte disturbances, thyroid disease: Hi Isadore, Leg cramps can have a number of causes. Electrolyte disturbances, dehydration, poor venous blood return from the legs are the most common. Multivitamins are good but may not help leg cramps. A trial or Quinine might help. If this continues, you...

Family, Internal Medicine, General Medical Questions: Supplimentary health insurance, assetts, supplemental insurance
assetts, supplemental insurance, health insurance: If he has no income and no assets, he may be eligible for medicaid, which is for indigent people, then his healthcare with be virtually free. If he is not eligible for medicaid, then he should have supplemental insurance if he has medical conditions that...

Family, Internal Medicine, General Medical Questions: Surgery Diverticulosis & Colon Rendundancy, gall bladder surgery, laparascope
gall bladder surgery, laparascope, gall bladder: I just finished doing a colonoscopy with diverticulosis.... I am not sure why you would have surgery for diverticula unless they were extensively bleeding, or if there were infections. This is not done with a laparascope... it is an open procedure, but done...

Family, Internal Medicine, General Medical Questions: SWELLING & MIGRAIN HEADACHES, congestive heart failure, tom milligan
congestive heart failure, tom milligan, arms and legs: Hello. Your Daughter really should see a Dr. It could be MANY things. Is there a possibilty she could be pregnant? If so she should get to the Dr. ASAP! I would not even know where to start on the possibilities. It could be something very minor or...

Family, Internal Medicine, General Medical Questions: SWOLLEN LEGS, low salt diet, blood proteins
low salt diet, blood proteins, swollen legs: a vascular surgeon is typically the specialist for this problem, but, I would stick with a primary care doctor to evaluate the blood flow into the legs, out of the legs and also metabolic problems, like thyroid, low blood proteins and other problems that...

Family, Internal Medicine, General Medical Questions: Sweating when I drink fluids, hot humid climate, strawberry milk
hot humid climate, strawberry milk, increase metabolism: Brandon, Actually everyone sweats more after they consume fluids, some more than others and it sounds like you do it more. Before we take in fluids our kidneys keep our body in perfect fluid balance. When we consume fluids with calories, they raise the metabolic...

Family, Internal Medicine, General Medical Questions: Sweating, fatty liver disease, female hormones
fatty liver disease, female hormones, hot weather: I believe my salt intake is average,but is there a test for hormonal excess and is that a health issue? Yes, it can be either male, female or adrenal hormone excess. Speaking of female hoemones,I carry a lot of fat on my upper chest(man boobies).Is this...

Family, Internal Medicine, General Medical Questions: Sweaty Pits, sweaty armpits, sweaty pits
sweaty armpits, sweaty pits, soles of your feet: Hi Katie, If you only have sweaty armpits try a stronger form of antiperspirant called DRYSOL. It IS powerful and could irritate your armpits but it should stop the sweating. If your palms, soles of your feet and armpits are sweating then that is an entirely...

Family, Internal Medicine, General Medical Questions: Swelling of the foot, swelling of the foot, serious thing
swelling of the foot, serious thing, blood clot: Hi Lisa, One legged swelling is a serious thing. Without seeing him, the first thing I’d worry about is a blood clot in his leg. That would be the most common reason for this problem, but again this is only a guess without the benefit of an examination. I...

Family, Internal Medicine, General Medical Questions: Swelling, painful, tingling, spotted hands, doctor insurance, high blood pressure
doctor insurance, high blood pressure, chest tightness: Hi Andrea, I do not believe that this is due to high blood pressure. In as much as this is still bothering you, you need to go to the doctor, insurance or not. This is not the forum to diagnose and treat acute changes in your health. It is only informational...

Family, Internal Medicine, General Medical Questions: Swelling and water retention, water pills, retaining water
water pills, retaining water, heart failure: Hi Amanda and thanks for writing, Sudden edema is a concern and I think the wisest thing to do is to have your friend go see her doctor and have some blood tests done to rule out the more serious possible causes (Kidney Insufficiency, Heart Failure, etc.)...

Family, Internal Medicine, General Medical Questions: Swimmers Ear, swimmers ear, rigt
swimmers ear, rigt, recurrence: If you put the medicine in the ears after showers or swimming you are usually OK. Once the medicine is run out, you can ask your doctor if you can put a few drops of isopropyl alcohol in the ears after showers or swimming to prevent the recurrence. If my patients...

Family, Internal Medicine, General Medical Questions: Switching Doctors, testicular exam, saleeby
testicular exam, saleeby, cancer screening: An annual physical is just that... no need for a repeat if you switch doctors, unless you feel the first physical was not thorough. Usually gloves are worn for examination of the genitalia, however, it is not necessary unless there is disease of the genitals...

Family, Internal Medicine, General Medical Questions: Swollen Ankle, greenfield filter, swollen ankle
greenfield filter, swollen ankle, post phlebitic syndrome: Hi DF, What you have is Post Phlebitic Syndrome . This not uncommon in persons with a history of DVT. You will have this the rest of your life to one degree or another. There is no surgery to fix this. I would recommend wearing support hose on a regular...

Family, Internal Medicine, General Medical Questions: Swollen Ankle, greenfield filter, ps support
greenfield filter, ps support, flow states: Things that cause DVT are increased coaguability, low blood flow states and vascular (vein wall) damage. When someone has a DVT, it does damage the walls, so they are a setup for future episodes. However, you appear to have modified your risk factors somewhat,...

Family, Internal Medicine, General Medical Questions: Swollen Ankle, ace bandage, swollen ankle
ace bandage, swollen ankle, indian style: it sounds like you tore some of the ligaments and a lot of times, people should be placed in some type of immobilizer like a cast to keep it straight while it heals... after a few months, it would be worth it to see a well trained podiatrist (orthopedists...

Family, Internal Medicine, General Medical Questions: Swollen Ankle, omega 3 fish oil, greenfield filter
omega 3 fish oil, greenfield filter, local doctors: Is this a normal occurance after a DVT and will I have that happen for the rest of my life? Probably unless you use support hose, take an aspirin daily and watch your salt, of course if your doctor agrees with these. Some of my patients have had relief with...

Family, Internal Medicine, General Medical Questions: Swollen ankles, congestive heart failure, swollen ankles
congestive heart failure, swollen ankles, peripheral vascular disease: Dear Murray, Very good question. Thank you for taking the interest in your health, and not just passing things off as age . It is very difficult for me to tell you exactly what is happening here. The fact that the swelling goes down at night is...

Family, Internal Medicine, General Medical Questions: Swollen ankles at night, swollen ankles, substantial pain
swollen ankles, substantial pain, paraplegic: Hi Joseph and thanks for writing, I m more concerned with properly identifying the actual cause of the pain, not just finding a drug to cover it up. Have your doctors investigated it thoroughly - how about your circulation, possibly a clot or DVT? My...

Family, Internal Medicine, General Medical Questions: Swollen ankles, swollen ankles, fluid leaks
swollen ankles, fluid leaks, salt load: compression hose are not the horrible white difficult to get on things that existed 10 years ago... they are thin, colored, look like normal hose/socks. Not sure why it was so intermittent unless you had a huge salt load along with standing. I would identify...

Family, Internal Medicine, General Medical Questions: Swollen feet, sumo wrestlers, vein disease
sumo wrestlers, vein disease, straight forward answer: Hi John, Leg swelling can have many causes including something as simple as the ambient temperature. Thyroid, heart, kidney and vein disease can all cause this. Over doing fluids and taking certain medicines can cause this as well. As you can see, there...

Family, Internal Medicine, General Medical Questions: Swollen feet, sumo wrestlers, kidney function
sumo wrestlers, kidney function, varicose veins: Hi John, You mentioned you have had heart problems. I would strongly suggest you discuss the feet swelling with your physician. Watching your salt intake and elevating the feet above waist level may help to alleviate some of the swelling but there...

Family, Internal Medicine, General Medical Questions: Swollen and irritated taste buds, h pylori bacteria, irritated taste buds
h pylori bacteria, irritated taste buds, painful lesions: Hi Jeanine, These little painful lesions are common in people with gastic problems. They can be caused by excess acid and excess sugar intake. There is no treatment or cure for them. They just have to go away by themselves. You MIGHT ask your doctor to test...

Family, Internal Medicine, General Medical Questions: Swollen lower lip, warm sensation, bug bite
warm sensation, bug bite, bottom lip: Hi Tressy, This may be a flare up of herpes type 2 virus. It is brought on by sun exposure and stress as well as illness. Allergies could also play a role in this as well---especially to foods. I m not sure why simply pulling on your lip would cause this...

Family, Internal Medicine, General Medical Questions: Swollen lymph nodes, swollen lymph nodes, swollen tonsil
swollen lymph nodes, swollen tonsil, reddish pigment: Dear Tina, I would recommend taking your daughter back to your pediatrician for a complete re-evaluation of your daughter. Lymph node enlargements, referred to as lymphadenopathy, may be caused by various diseases - from viral infections to cancer growth....

Family, Internal Medicine, General Medical Questions: Swollen lymph nodes, white spots on tonsils, white spots on tonsils, swollen lymph nodes
white spots on tonsils, swollen lymph nodes, allergic to penicillin: Hi Ms. Ann, Without examining it, I am unable to provide you with a proper advisory. I really question the need of Azithromycin if it was not due to a bacterial infection. Unless you are allergic to penicillin, we usually do not prescribe it as first line...

Family, Internal Medicine, General Medical Questions: Swollen lymph nodes, swollen lymph nodes, herpes simplex virus
swollen lymph nodes, herpes simplex virus, nissen fundoplication: Even though an ENT covers that part of the body, this is probably not an ENT problem... an infectious disease person, or derm to look at the rash, or possibly a rheumatologist to see if this ties into the joint aches. Probably would suggest one of those...