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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Family, Internal Medicine, General Medical Questions: slow metabolism, urine dipsticks, mail carrier
urine dipsticks, mail carrier, thyroid levels: It is hard to quantify calories with normal foods..... I would try using a supplement for a couple weeks, like SlimFast, where you know exactly how many calories are in it.... and see if you go into ketosis after 4 days (measured on urine dipsticks) and see...

Family, Internal Medicine, General Medical Questions: small lump near vagina, bartholin s cyst, vaginal cream
bartholin s cyst, vaginal cream, monistat: you could wait a few days.... the discharge probably is yeast, since a virgin can t catch some of the other discharges caused by sexually transmitted stuff. The lump could be a bartholin s cyst, or an infected hair follicle. Applying a warm pack might help....

Family, Internal Medicine, General Medical Questions: softball injury, those bones, cheekbone
those bones, cheekbone, eyeball: the mid cheekbone is pretty tough... it is hard to break. But the bones that surround the eyeball are very thin... sometimes with a direct blow to the eye, you can crack those bones.... so it it just hit the cheek and is a little sore, no big deal, but if...

Family, Internal Medicine, General Medical Questions: Temperature, symptoms of heat stroke, mild increase
symptoms of heat stroke, mild increase, body temperature: Hi aria, Yes it is normal. The human body usually tries to adapt to the surrounding environmental conditions by cooling the body through sweatng. However, it can also lead to a mild increase in body temperature. Just watch out for symptoms of heat stroke...

Family, Internal Medicine, General Medical Questions: Weight gain, low sodium level, high sodium diet
low sodium level, high sodium diet, inexpensive test: Hanna, Have your hormone axes been checked? Ant/Post Pituitary and hormone releasing hormones been checked? With Addison s disease you get low Na and sometimes elevated K. This may be an issue. Mineralocorticoid therapy may be indicated. You must see...

Family, Internal Medicine, General Medical Questions: Weight Loss & Spotting Btw Periods, birth control pills, exercise regime
birth control pills, exercise regime, tender breasts: this isn t ovarian or cervical cancer. If you were on birth control pills before, that may have been controlling your cycle, and now that you aren t... you cycle reverted back. The weight loss itself throws your hormones way off... fatty tissue makes...

Family, Internal Medicine, General Medical Questions: Wine, Wine, Diabetes
Wine, Diabetes, DM: Greta, I advise my patients that a single glass of wine each day is considered a drink in moderation. While alcoholic beverages have for the most part calories without nutritional benefit, a little alcohol each day has benefits. Studies show with few...

Family, Internal Medicine, General Medical Questions: A walking medical mystery??, bicep pain, causes of chest pain
bicep pain, causes of chest pain, chest wall pain: The other reasonable causes of chest pain.... pulmonary embolism, chest wall pain (costochondritis) and esophageal spasm/reflux can cause similar symptoms... but the history of multiple recurrences make all but the esophageal pain much less likely. You should...

Family, Internal Medicine, General Medical Questions: weight gain/generalized mostly, pain during intercourse, hypothryoidism
pain during intercourse, hypothryoidism, gi diet: The first thing would be is the thyroid being controlled... and it sounds like it is. Then looking for the other hormonal disorders like cushings, diabetes. I would do a careful calorie count to see what your basal requirements are, but I would have your...

Family, Internal Medicine, General Medical Questions: Abdominal and vaginal pain, birth control pills, uterus infection
birth control pills, uterus infection, vaginal pain: it might be birth control... make sure you aren t pregnant. This can also be a uterus infection... if there is any fever or vaginal discharge, that needs to be looked at also. People can spot with birth control pills but usually they don t get pain along...

Family, Internal Medicine, General Medical Questions: Blood in BM, colon cancer symptoms, male family member
colon cancer symptoms, male family member, colon cancer: if this is happening since more than two weeks, get a endoscopy done to find out if it is a cacner of not. is he losing weight? Colon cancer symptoms can run the gamut from local, such as blood in the stool and constipation, to systemic, such as weight loss...

Family, Internal Medicine, General Medical Questions: BP and uric acid, liver function test, full medical checkup
liver function test, full medical checkup, ldl hdl ratio: I usually get several blood pressures over a week or two before I commit someone to BP meds... Ii assume you mean Norvasc, which is amlodipine. Also, the blood sugar is abnormal... you should not go up that high after a meal. The fact that it comes down...

Family, Internal Medicine, General Medical Questions: BP and uric acid, liver function test, full medical checkup
liver function test, full medical checkup, ldl hdl ratio: Hi, she looks like having developed prediabetes which is a stage just before diabetes. she should get blood glucose measured four hours after a good diet (lunch of breakfast) that will give a more clear idea of status of diabetes. she should start taking...

Family, Internal Medicine, General Medical Questions: BP and uric acid, liver function test, full medical checkup
liver function test, full medical checkup, ldl hdl ratio: ask them to get the following tests for the answers: magnesium, calcium, vit D, intact PTH to evaluate her minerals causing the high BP peak Monocyte count with CBC to evaluate her toxic plant oil diet http://efaeducation.nih.gov antigliadins and TPO...

Family, Internal Medicine, General Medical Questions: Cant Digest Carbohydrates, carbohydrate intolerance, bran flakes
carbohydrate intolerance, bran flakes, tele medicine: Ernie, This is a complex problem. Have you seen a gastroenterologist? Can you tell me more about your health condition. Age, weight, medical problem, medications, general health, etc. Any surgeries, review of systems (ie, HA, diarrhea, rash, etc.) ...

Family, Internal Medicine, General Medical Questions: Can this cause Liver failure?, cause liver failure, term health effects
cause liver failure, term health effects, resperdol: Your liver is fine.... with tylenol and the liver, you either kill it or you don t... the fact that you are here proves you are OK. But.... that is very scary reaction to a very bad trauma in your life. That is one of the toughest things people go through,...

Family, Internal Medicine, General Medical Questions: cellulitus, using a nebulizer, water pills
using a nebulizer, water pills, anti biotics: keeping the swelling down to a minimum is essential which may mean elevating for a good part of the day, using support hose if you can or use ace wraps to keep some pressure on that tissue. Then the appropriate antibiotics and time...... getting the swelling...

Family, Internal Medicine, General Medical Questions: cholesterol lowering supplements, cholesterol, HDL
cholesterol, HDL, LDL: Charlotte, Lipid Management is of great importance for reducing cardiac risk. Statin drugs are the gold standard in western medicine, however there are NATURAL statins out there and also some vitamins that do better than statins. I offer tele-med. consultation...

Family, Internal Medicine, General Medical Questions: More than a cough?, internal medicine specialist, spirometry test
internal medicine specialist, spirometry test, alcohol consumption: if you are not getting fevfer, it is not infection. Get a PEFR and a spirometry test done to know the status of your lungs and to rule out asthma. I dont think you get proper excercise . Do jogging/running/brisk walking at least alternate days for half an...

Family, Internal Medicine, General Medical Questions: Diabetes, glucose tolerance test, routine blood test
glucose tolerance test, routine blood test, congenital heart disease: Hi, A1c result is quite dependable but for diagnosing diabetes, the value should be 6.5% or higher, yours is only 5% which is quite good!! Also I am confident you have got your readings incorrect by your personal instrument. maybe you are taking incorrectly....

Family, Internal Medicine, General Medical Questions: Diarrhia for 6 days, diarriah, clear liquids
diarriah, clear liquids, stomach area: it is hard to decide which symptoms are from the diarrhea problem and which are from the period, but most diarrhea gets better with simple treatment, specifically clear liquids overnight... no milk or solid foods for 24 hours. If that doesn t relieve it,...

Family, Internal Medicine, General Medical Questions: Dizziness and Nausea, dizziness and nausea, heart palpitations
dizziness and nausea, heart palpitations, carcinoid syndrome: nothing is coming to mind... some people can get gustatory rhinitis... runny nose and some congestion with eating, but this sounds like more. With the heart palps also, it makes me wonder about some type of hormone release that is set off by eating.......

Family, Internal Medicine, General Medical Questions: Dizzyness, Nausea, Body Aches, depression meds, neck muscles
depression meds, neck muscles, ringing in the ears: Obviously he needs the full workup. Some of the psychiatric meds have side effects but I would make sure there isn t a physical problem first. The ENT will want to know if there is hearing loss, room spinning, ringing in the ears also which may point to...

Family, Internal Medicine, General Medical Questions: DM II, chronopharmacology, control diet
chronopharmacology, control diet, openion: Kumar, Chronopharmacology is sometimes important, but twice a day dosing of Metformin is probably best as are most hypoglycemic agents. What is more important than whether you take with or without food is what it does for your HbA1C. Keeing it below 7...

Family, Internal Medicine, General Medical Questions: DM ii, signs of hypoglycemia, control diet
signs of hypoglycemia, control diet, openion: your plan is reasonable... I don t know what gliclazide is exactly, we don t have that in the US but it sounds like a sulfonaurea. They should be taken at the beginning of the meal, it doesn t have to be 30 minutes before. Just keep watch for signs of...

Family, Internal Medicine, General Medical Questions: Elevated Lipase Levels, elevated lipase levels, acute pancreatitis
elevated lipase levels, acute pancreatitis, gall bladder: yes, this is due to too much thick bile backing up in your pancreas so check out your magnesium, calcium, and vit d levels and correct if off, plus add cinnamon before each meal as in 1/4 tsp or 500 mg capsule to thin the bile, plus cut out plant oil foods...

Family, Internal Medicine, General Medical Questions: Enterococcus, lower abdomen, sinus infection
lower abdomen, sinus infection, pap smear: You might not like this answer.... but take a step back and lets look at the big picture. Enterococcal infections are bad.... but you don t have an infection... you have colonization of the bacteria in your vagina. This is not in your abdomen or in your...

Family, Internal Medicine, General Medical Questions: ear pain and dried blood, afrin nose spray, eustachian tube problems
afrin nose spray, eustachian tube problems, sinus congestion: It sounds like you had some sinus problems and some eustachian tube problems... the tube that equalizes pressure between the inner ear space and the back of the throat. The pressure builds up, and pus accumulates if there is an infection and the eardrum can...

Family, Internal Medicine, General Medical Questions: edema, edema, gastritis
edema, gastritis, motrin: congestion means the blood vessels are swollen and leaking fluid into the surrounding tissues (edema) This is as a result of inflammation and certain chemicals are released that makes these vessels leaky. When you stop the inflammation process, this...

Family, Internal Medicine, General Medical Questions: embolism, free software program, excess plant
free software program, excess plant, cerebral embolism: clots come from the veins and the heart atria in which blood moves slow and is started due to high plant oil diets see http://efaeducation.nih.gov for a FREE software program to identify the foods causing the excess plant oil in the diet that leads to increased...

Family, Internal Medicine, General Medical Questions: Father's immobility, Chair bound
Chair bound: Hello Jo and thanks for writing It’s always difficult when we can see our folks are at risk but they refuse to listen, but people do have the right to live at risk as long as they choices don’t hurt others. I think either a catastrophe will happen as...

Family, Internal Medicine, General Medical Questions: FIX ME, surgery thanks, gunshot
surgery thanks, gunshot, abdomen: This all depends on the degree of injury.... a gunshot through the abdomen, that pierces the bowel.... no way. A fall that breaks a shoulder or a cut that is a few inches long, that we would usually repair, yes. Did you have a specific list of injuries that...

Family, Internal Medicine, General Medical Questions: FIX ME, quality assurance standards, home care assistance
quality assurance standards, home care assistance, resident physician: hi cameron, the human body usually does not heal itself if a surgical correction is available. if you were told surgery is the last option available to treat your condition, it is best to ask your surgeon detailed questions. 1. how many procedures has...

Family, Internal Medicine, General Medical Questions: FLAGYL, red itchy bumps, genital warts
red itchy bumps, genital warts, bumps on the head: no... his reaction is not because of your antibiotics. That area is sensitive... it could simply be irritation... if he is uncircumcised and retains stuff (smegma) around that area, it can be a yeast infection. Since it came on quickly, it probably isn t...

Family, Internal Medicine, General Medical Questions: Fluid retention/probiotics, oral antihistamines, hypertenion
oral antihistamines, hypertenion, food elimination: it could be allergies... if it is right away, it sounds more like allergies.... if it is in an hour after salty food, simply fluid retention. It sounds like right away, you might try food elimination... you aren t allergic to all foods, prob a certain type,...

Family, Internal Medicine, General Medical Questions: Fluid retention/probiotics, long time
Family, Internal Medicine, General Medical Questions: Fluid retention/probiotics, long time

Family, Internal Medicine, General Medical Questions: Long hair in urethra of penis, performance issue, soccer
Family, Internal Medicine, General Medical Questions: Long hair in urethra of penis, performance issue, soccer, match

Family, Internal Medicine, General Medical Questions: Lymphoceles? Thrombosed vein? What is wrong with my penis?, jelquing, guitar string
Family, Internal Medicine, General Medical Questions: Lymphoceles? Thrombosed vein? What is wrong with my penis?, jelquing, guitar string, string type

Family, Internal Medicine, General Medical Questions: I find it very difficult to take a deep satisfying breath., clonopin, thanksgiving 2007
clonopin, thanksgiving 2007, aerobic exercise: I see a lot of symptoms, but I keep going back to your description of your mom s alcoholism. That is a pretty traumatic event (for you) and now you are stuck in a cycle of wondering if she is going to repeat the event since she is drinking. (and that is...

Family, Internal Medicine, General Medical Questions: Head and Body Itching, hair lice, body lice
hair lice, body lice, head lice: If you have someone look at the scalp, they create a bald spot by pushing the hair out of the way and watch that area for a solid 2 minutes... you would see a barely barely visible moving little creature. But I assure you, you don t have lice.... try the...

Family, Internal Medicine, General Medical Questions: HIV, person talks, scab
person talks, scab, saliva: if you have a scab on your knuckle... why are you getting bloody saliva from another person on it? You could transmit it theoretically... it would be fairly low risk but why even take the chance... keep it safe and keep it covered or out of some HIV + person...

Family, Internal Medicine, General Medical Questions: Hypertension, diovan 160 mg, diovan hct
diovan 160 mg, diovan hct, labile blood pressure: some people are very very sensitive to their own adrenalin and it will change with their stress level. Often these people have white coat hypertension meaning their blood pressure goes up 30-50 points just when they walk into a doctor s office. It...

Family, Internal Medicine, General Medical Questions: Hypertension and abdominal distension, abdominal distension, muscle exercises
abdominal distension, muscle exercises, male friends: people lose muscle mass and gain weight around the middle typically, as they age, but that is indepedendent of the blood pressure. In many, the arteries slowly stiffen and the blood pressure can creep up. So, that means that with control of the blood pressure,...

Family, Internal Medicine, General Medical Questions: hello, tetracycline side effects, upset stomach
tetracycline side effects, upset stomach, sore mouth: Tetracycline may cause following side effects only. Tell your doctor if any of these symptoms are severe or do not go away: 1. upset stomach 2. diarrhea 3. itching of the rectum or vagina 4. sore mouth 5. redness of the skin (sunburn) 6. changes in...

Family, Internal Medicine, General Medical Questions: IBS or Diverticulitis, bloating and nausea, fiber supplements
bloating and nausea, fiber supplements, blood stool: IBS will not cause a febrile reaction... that is typically from an infection. So fever and abdominal pain should be at least discussed with your doctor. Using bulk laxatives like metamucil (or miralax) are OK, but if we are worried about diverticulitis,...

Family, Internal Medicine, General Medical Questions: Immunosupression, post splenectomy, hereditary spherocytosis
post splenectomy, hereditary spherocytosis, crohn s disease: It is fairly clear, you are responding to some infection on top of your immune suppression. While your drugs suppress your autoimmune diseases they allow you to show signs of infections. Since we have seen over 25000 visits of immune suppressed and autoimmune...

Family, Internal Medicine, General Medical Questions: Infant Death, hemmorhage, death certificates
hemmorhage, death certificates, plausible explanation: I would be guessing on this.... Hemmorhage means bleeding, so the infant bled to death... the usual portal for bleeding is the umbilical veins and artery, the connection between mom and child. If it isn t tied off tightly, it can bleed. I don t know...

Family, Internal Medicine, General Medical Questions: jaundice?, liver failure, yellowing of the eyes
liver failure, yellowing of the eyes, modern medicine: jaundice is a sign caused by a number of diseases that cause the bilirubin to elevate.... this can be from increased production, decreased removal, blockages, liver failure so you have to look at the underlying disease process to make a prognosis. yellowing...

Family, Internal Medicine, General Medical Questions: jaundice? in elderly person, liver damage, modern medicine
liver damage, modern medicine, gallstone: Hello Peter and thanks for writing Well the ‘treatment’ for jaundice is usually trying to stop whatever is causing it like removing a gallstone, but in a senior it may well just be caused by liver damage or cirrhosis which may not be treatable at that age....

Family, Internal Medicine, General Medical Questions: jaw and chest pain, nuclear stress test, acid reflux
nuclear stress test, acid reflux, heart cath: do not play with this... unless you have had specific tests for coronary disease, you need to have at least, a nuclear stress test or cat scan angiogram or heart cath. Do not wait... the two disorders (reflux and heart disease) are virtually indistinguishable...

Family, Internal Medicine, General Medical Questions: Knee/Leg Pain, soft tissue injury, stress fracture
soft tissue injury, stress fracture, alleve: it sounds like you have some soft tissue injury in that area. I think it is also possible there is a stress fracture there. Short of actually seeing a doctor for an evaluation, at this point, I would have you stop the exercise for now. Also start an...

Family, Internal Medicine, General Medical Questions: What kind of doctor should I visit, family practice physicians, basic surgery
family practice physicians, basic surgery, professional interactions: hi amy, there should be no difference as both are general practitioners. internist are extensively trained in caring for adults only versus general practitioners (aka family practitioners) who sees all ages. both internal medicine and family practice physicians...

Family, Internal Medicine, General Medical Questions: Long hair in urethra of penis, ingrown hair, teratoma
ingrown hair, teratoma, urethra: even if you did eat hair, it wouldn t come out thru the urethra...and I don t know how you could even try and get one in there. you have me stumped on this one.... I hope you kept the hair to make sure it is a hair and will get to your doctor and maybe to...

Family, Internal Medicine, General Medical Questions: Low Cell Count, internal medicine specialist, stomach infections
internal medicine specialist, stomach infections, raw vegetables: I understand your state of mind. First of all start doing exercise two hours aday. If not, at least do brisk walking. Then you have to also take a diet rich in fruits and raw vegetables. Avoid red meat and acidic food. Make one doctor as your primary doctor...

Family, Internal Medicine, General Medical Questions: Lymphoceles? Thrombosed vein? What is wrong with my penis?, poor nutrition, meat eater
poor nutrition, meat eater, hydrocortisone: If you weren t a virgin, then I would worry about genital warts which are really common. So if there was any genital contact (male or female) despite no intercourse, think about that. Otherwise, there isn t much that happens there except scar tissue which...

Family, Internal Medicine, General Medical Questions: Medication, depression, medications
depression, medications, hormones: Lisa, First and foremost you need to make sure your are diagnosed correctly and the true etiology of your depressive symptoms are ironed out. For example has a thorough w/u been conducted to rule out thyroid imbalance and/or gonadal imbalance? If not,...

Family, Internal Medicine, General Medical Questions: meningitis, viral meningitis, bacterial meningitis
viral meningitis, bacterial meningitis, co worker: that is a tough call because meningitis really rapidly progresses. The coworker doesn t have bacterial and viral meningitis.... both are very very rare and to get both simultaneously is simply impossible... the best way would be to find out exactly what...

Family, Internal Medicine, General Medical Questions: New doctor's intrusive questionnaire, doctor patient relationship, appointment setter
doctor patient relationship, appointment setter, sinus problems: I probably answer more questions like this than anything else.... I can name 1000 things wrong with medicine but at the top of the list is the lack of communication.... It takes 20 seconds to say... I think you have chronic sinusitis and a CT will absolutely...

Family, Internal Medicine, General Medical Questions: nose bumps?, yellow pus, hydrogen peroxide
yellow pus, hydrogen peroxide, q tip: Hi Beth, Whatever you have is infected and you need to get on a dose of antibiotics to clear it up and prevent it from spreading to your blood and making you really sick. I don t know off hand what you have, but I m sure the doctor will be able to tell...

Family, Internal Medicine, General Medical Questions: Poly-Vi-Sol with Iron, rda of iron, oxygen transportation
rda of iron, oxygen transportation, liver toxicity: Peter, Iron is a two edged sword... while it is a critical element in the formation of heme and oxygen transportation, too much can cause liver toxicity. Iron is also a very oxidized mineral and thus counters the good antioxidants you take in in your diet....

Family, Internal Medicine, General Medical Questions: pain and bleeding after sex, irregular menstrual bleeding, blood after sex
irregular menstrual bleeding, blood after sex, bleeding after sex: irritation from not enough lubrication? If you are up to date on pap smears then cervical cancer is not an issue. This could be simply irregular menstrual bleeding. Orgasms cause the uterus to contract and can increase slow bleeding temporarily. If there...

Family, Internal Medicine, General Medical Questions: pvcs/pacs, slow heart beat, resting heart rate
slow heart beat, resting heart rate, sinus infection: It may be related to the biaxin (clarithro) It is great that you run and are in shape... but, your slow heart beat is probably not solely due to being in shape... you probably have early Lev s disease... a conducting system problem that may never cause serious...

Family, Internal Medicine, General Medical Questions: Quick question, low grade fever, incubation period
low grade fever, incubation period, saleeby: Stacy, Depending on the illness (virus). For example there is an incubation period, you may be contagious during that time especially if you run a low grade fever. That is bad, because you are sometimes unaware and can pass things around. During the...

Family, Internal Medicine, General Medical Questions: Rabies, rabies in humans, little brown bat
rabies in humans, little brown bat, open wounds: Hi Roevan, I wouldn t worry, rabies transmission from non-bite exposures is 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...

Family, Internal Medicine, General Medical Questions: rash on chest, basal cell carcinoma, chest x ray
basal cell carcinoma, chest x ray, hydrocortisone cream: this sounds more like a reaction to something you did over the weekend... the sun, maybe the sunscreen or other lotion you used. If it is spread out, it isn t a skin cancer... I would use some hydrocortisone cream for a few days and it will probably go awa...

Family, Internal Medicine, General Medical Questions: Sctrotal Lump, testicle cancer, thought id
testicle cancer, thought id, scrotum: the come and go part, probably not helpful. It is so easy for me to do the transillumination test but I have been doing it for 20+ years, and forget how hard it was the first time. But the good news is that you have identified this early that if, by a small...

Family, Internal Medicine, General Medical Questions: Sharp shooting pain in right calf, low blood sugar, strenuous exercise
low blood sugar, strenuous exercise, sharp shooting: mid upper calf... blood clots... I would expect swelling, maybe a tender cord like feeling, redness. There are small muscles back there that can be torn/strained and cause problems, even without strenuous exercise, you can move wrong. But with it lasting...

Family, Internal Medicine, General Medical Questions: Shortness of breath- test results normal, exercise treadmill test, pulmonary function test
exercise treadmill test, pulmonary function test, physical exertion: hi jocelyn, i could not tell you what is causing your shortness of breath. that determination could only be concluded by your physician. shortness of breath is commonly caused by either a pathological disease of the heart or lung or both. however, it...

Family, Internal Medicine, General Medical Questions: sebaceous cyst, back doctor, cyst
back doctor, cyst, centimeter: some small ones go away, small meaning less than 1 centimeter. The larger ones typically have to be removed. You can try and squeeze them but if the back side of the cyst ruptures, it makes a nasty infection. We typically poke a hole in it and get the greasy...

Family, Internal Medicine, General Medical Questions: i can't put this out of my mind... i need your advice, high school education, professional perspectives
high school education, professional perspectives, borucki: since you study micro, you know on an intellectual level that you don t have rabies... you would have been dead from it in 2006. Virtually no one survives untreated rabies and those that do are severely disabled. So, no rabies. But, this phobia (definition...

Family, Internal Medicine, General Medical Questions: Sinus Surgery: Important, thick yellow discharge, sinus congestion
thick yellow discharge, sinus congestion, pollen allergy: Sinus surgery ultimately is the call of the ENT surgeon. In my opinion, it is indicated if a sinus infection is not cureable by antibiotics, given an appropriate choice of antibiotics for a prolonged time, with nasal decongestants like Afrin and possibly...

Family, Internal Medicine, General Medical Questions: Vitamin D?, high uric acid levels, minimal interruptions
high uric acid levels, minimal interruptions, uric acid levels: everyone is low in Vitamin D and now we know that it is really important for long term health to replace it..... and, I have had a few people say their joints feel better...... so, get the over the counter stuff.... take Vitamin D-3 2000 IU per day... if...

Family, Internal Medicine, General Medical Questions: v-tach, left side chest pain, v tach
left side chest pain, v tach, v fib: it is impossible for me to stratify your risk without knowing a lot more. These irreg beats can decay to bad rhythms in certain situations... having a heart that doesn t pump as well, (ejection fraction under 50%) increases the risk. Active coronary disease...

Family, Internal Medicine, General Medical Questions: vaginal bleeding, elephant legs, vaginal bleeding
elephant legs, vaginal bleeding, premarin: This is called the Spiroff Regiment after Dr Spiroff who wrote an endocrine GYN book. It is established. I assume he made sure you were not pregnant.... But that is a reasonable approach initially prior to D&C s and surgical treatments. IV premarin,...

Family, Internal Medicine, General Medical Questions: vertigo, nausea, headache, body aches,, low hdl cholesterol, medications for depression
low hdl cholesterol, medications for depression, headaches and nausea: Check out his very low magnesium levels, vit D and calcium levels plus his high CRP and Low HDL cholesterol from low balanced time-released B-100 since these are the causes but be sure OK with his doctor to add CalMagD and Time-released B-100 before meal ...

Family, Internal Medicine, General Medical Questions: Waits, medical doctors, medical model
medical doctors, medical model, dentist: Not really, your dentist may have techs who process the patients except for a small dentist part of the work, their model works well that way, The medical model only pays for the doctors time and work so most are not staffed to move you along like a dentis...

Family, Internal Medicine, General Medical Questions: 6 month old spitting up badly, baby feeding, pucking
baby feeding, pucking, bringing up: Hi Britney, good morning to you all there. Only one thing occurred to me while reading your question and I kept repeating it: This baby is normal. Remember Shakespeare described it as: Mulling and pucking in the nurse s arms ? What you describe here in...

Family, Internal Medicine, General Medical Questions: anemia, iron deficiency anemia, b vitamin deficiency
iron deficiency anemia, b vitamin deficiency, elavil for migraines: appears to be a b vitamin deficiency so you need to know CRP and HDL results appears to be a magnesium calcium and vit d deficiency so you need those numbers also and intact PTH then replace those or seek attention from www.medicalcenter.osu.edu/go/integrativ...

Family, Internal Medicine, General Medical Questions: appetite, zantac 150, al brown
zantac 150, al brown, supressor: if you are not losing weight, then your appetite is good enough. If you are losing weight, then you should have a complete workup to see if there is a serious underlying medical problem instead of just trying to perk up your appetite. If it is just not...

Family, Internal Medicine, General Medical Questions: appetite, loss of appetite, appetite enhancer
loss of appetite, appetite enhancer, saleeby: Al, Have you had a physician work you up for loss of appetite? Is there any weight loss? There may be an organic reason for loss of appetite (or anorexia as we say in medicine). Not saying this is necessarily for you, but we place people with loss of...

Family, Internal Medicine, General Medical Questions: Chronic anemia and menstrual changes, iron deficiency anemia, birth control pills
iron deficiency anemia, birth control pills, elavil for migraines: first of all, anemia is a sign of another problem.... the periods, or GI bleeding.... assuming it is periods, you need to have that treated... medically with birth control pills, surgically with an endometrial ablation or hysterectomy. If you fix the blood...

Family, Internal Medicine, General Medical Questions: Complex things, dry eye syndrome, chronic constipation
dry eye syndrome, chronic constipation, nausea: ? Dog s milk ? meaning your parents milked the local dog and fed you that for nutrition? That sounds very strange, but milk in general (From any species) is nutritious by definition) That is what it is made for, and this has not been studied, but...

Family, Internal Medicine, General Medical Questions: constipation, wellbutrin xl, benifiber
wellbutrin xl, benifiber, flowmax: ask your doctor for a calcium, magnesium, vit D, and pth levels since the cause of it and the need for all your meds is your very low magnesium level but you need to call all 3 mineral in the upper 10% of the reference range and the pth in the lower 10% This...

Family, Internal Medicine, General Medical Questions: dad health, omega 3 6 9, diet change
omega 3 6 9, diet change, weight train: in these situations, you optimize the risk factors that you can work with...smoking, high blood pressure, cholesterol, blood sugar, etc. The cholesterol should be aggressively lowered with statins (if tolerated) and a strict diet. That will also help the...

Family, Internal Medicine, General Medical Questions: dad surgery, omega 3 6 9, diet change
omega 3 6 9, diet change, weight train: ANSWERS: 1. What does he need to do after his recovery to get into Incredible shape? Push himself doing lots of cardio? Can he bodybuild/weight-train, does that help or hinder? (He is already very active and always working outside, but still has clogged...

Family, Internal Medicine, General Medical Questions: dad surgery, coronary artery disease, bypass surgery
coronary artery disease, bypass surgery: Hi there Roshan, your concern for your dad is so understandable. There are books writen on this subject but I will just give you my twopence halfpenny worth. It is not necessary or indeed desirable for your dad to aim at being super-fit. This may be a personal...

Family, Internal Medicine, General Medical Questions: Am I doing Enough, mitral valve prolapse, resting pulse rate
mitral valve prolapse, resting pulse rate, cardiolyte stress test: don t use the stress test BP in your assessment... use the BP s at home that you have listed above (between 116/73 - 126/83) Those are excellent and I won t cause diastolic dysfunction or other problems. Then just normal healthy living.... good exercise,...

Family, Internal Medicine, General Medical Questions: Hand Foot Mouth Disease in Elderly
Family, Internal Medicine, General Medical Questions: Hand Foot Mouth Disease in Elderly

Family, Internal Medicine, General Medical Questions: hard neon green stool, explainations, digestive tract
Family, Internal Medicine, General Medical Questions: hard neon green stool, explainations, digestive tract, bile

Family, Internal Medicine, General Medical Questions: fast heart rate, rhythm problem, gallbladder removal
rhythm problem, gallbladder removal, supraventricular tachycardia: you didn t say what racing meant, but if your heart is going up above 120, then you may have an intermittent heart rhythm problem, like SVT-supraventricular tachycardia. Get this evaluated... often we put on a heart monitor that you wear overnight, in...

Family, Internal Medicine, General Medical Questions: fluid in ear, fluid in ear, afrin
fluid in ear, afrin, nasonex: use the nasonex up the nose, a good sniff on both sides every day. On the day of the flight, get some over the counter afrin nasal spray and use it once prior to the flight. You don t want to use afrin long term for allergies, but it is ok to use in this...

Family, Internal Medicine, General Medical Questions: frequent bouts of vommiting, pediatric gastroenterologist, stomach cramps
pediatric gastroenterologist, stomach cramps, frequent bouts: Even if she has not had weight loss or has been weight neutral, I would ask for a referral to a pediatric gastroenterologist. This could be a digestive disorder that she was born with and has just become active, it could be an ulcer... you never know what...

Family, Internal Medicine, General Medical Questions: Hand Foot Mouth Disease in Elderly, hand foot mouth disease, hand foot and mouth disease
hand foot mouth disease, hand foot and mouth disease, hand foot mouth: hi michelle, it usually takes 7 days on average and at most 10 days for a toddler to resolve from hfmd. although many doctors believe the elderly are immuned, the only way is to ask his great-grandmother if she has had it before. sometimes, the virus may...

Family, Internal Medicine, General Medical Questions: hard neon green stool, bicycle accidents, groin area
bicycle accidents, groin area, pinched nerve: the green stool? and neon to boot.... something you are eating is making it thru... some coloring in green tea or something... you don t make a neon green substance in your digestive track. The pinched nerve situation... if it is on and off, you have...

Family, Internal Medicine, General Medical Questions: Isagenix vs meds I take, zetia 10mg, fad diets
zetia 10mg, fad diets, cleansing diet: To be on that high dose of cholesterol meds, you must have pretty high cholesterol.... the chance of fixing that thru a Cleansing diet is nil.... we have excellent data that Lipitor prevents stroke/heart attack and we have no information whatsoever that...

Family, Internal Medicine, General Medical Questions: idiopathic v-tach, v fib, sinus rhythm
v fib, sinus rhythm, v tach: The worry would be that you have something like Brugada s Syndrome, which puts you at risk of VT and sudden death. We used to think that only people with coronary artery disease die from VT/VF but there is a fair subset of people, usually men that have some...

Family, Internal Medicine, General Medical Questions: incontinence, BHP, urinary incontinence
BHP, urinary incontinence: How are you there Al.You have just depicted an incontinent man very eloquently. It is not necessary that he be aware of passing water at the time. The commonest cause of urinary incontinence in an older man is benign prostate hypertrophy when total emptying...

Family, Internal Medicine, General Medical Questions: jaundice/kidney problems - treatment, internal medicine specialist, kidney failure
internal medicine specialist, kidney failure, kidney problems: jaundice is a symptom of several diseases. majority are treatable. for renal failure, there are specific levels of failures which are assessed by the levels of urea , hemoglobin and creatinine in the blood. there are formulae to calculate and decide if a person...

Family, Internal Medicine, General Medical Questions: jaundice/kidney problems - treatment, kidney failure, kidney problems
kidney failure, kidney problems, poultry farm: not so for jaundice or renal failure since we improve those every day at our NutriGenomic center but it is not so simple as you are requesting a description of, see www.medicalcenter.osu.edu/go/integrative It involves losing the seeds, nuts, flax, soy,...

Family, Internal Medicine, General Medical Questions: knee pain, mri results, meniscus tear
mri results, meniscus tear, knee pain: you might have a meniscus tear but probably the MRI will be normal and your bursa is inflamed. I would rest it, take Alleve, 2 twice a day (stop if it hurts your stomach) maybe a sleeve support. If that doesn t work, then an injection of steroids in the...

Family, Internal Medicine, General Medical Questions: Low semen volume, ejaculate volume, sexual frequency
ejaculate volume, sexual frequency: Hi again Meric. As you know, when it comes to frequency of ejaculation or sex itself there is no normal . Comparisons are odious they say, nowhere is this truer than for sexual prowess or perceived prowess. You husband is fine. Good luck. Dr Andrew Rynne....

Family, Internal Medicine, General Medical Questions: laproscopy, lap chole, laparoscopic surgery
lap chole, laparoscopic surgery, gall bladder: Hi jan, Laparoscopic surgery is not limited due to obesity. I had several patients who were moderately obese undergo lap chole in the past without complications. Always talk to your surgeon ans ask questions. Be informed about the risks of any surgical...

Family, Internal Medicine, General Medical Questions: Macrobid, peripheral neuropathy, nerve damage
peripheral neuropathy, nerve damage, burning sensation: I cannot believe that this would cause permanent nerve damage, and I have never seen it do this anyways.... I would have a peripheral neuropathy workup as if the macrobid wasn t involved so nothing is missed..... Yes, it may absolutely stop over a short...

Family, Internal Medicine, General Medical Questions: Muscle Aches, Dizziness, Fatigue....., mood swings, fuzzy thinking
mood swings, fuzzy thinking, heart rate: it sounds like it has been going on for a while.... so I think you have time to establish with a doctor you can talk to. Your list of symptoms is somewhat overwhelming, especially coming from a 17 year old. Get with a doc you can talk to to work thru all...

Family, Internal Medicine, General Medical Questions: motion sickness, motion sickness medicine, pickle juice
motion sickness medicine, pickle juice, prescription medicines: I would try to desensitive yourself.... try short bursts in the swingset until it starts... you can teach your inner ear to tolerate motion better..... try a very short swinging every hour while you can... you will improve quickly.... then the meds, like dramamine...

Family, Internal Medicine, General Medical Questions: Nasal Decongestants and their Proper Use, allergic rhinitus, nasal decongestants
allergic rhinitus, nasal decongestants, chronic allergies: there is not a set algorythm for treatment for allergies and or sinus infections. Nasonex (and other nasal steroids) work well at reducing inflammation primarily from allergies.... but they work slowly so are not useful for an acute sinus infection/sinus...

Family, Internal Medicine, General Medical Questions: Need Advice, mitral valve prolapse, pericardial effusion
mitral valve prolapse, pericardial effusion, thalium stress test: you can have as many ekg s as you want, but if the arteries are open, you will not have a heart attack. MVP has no relationship to coronary artery disease, so your MVP won t predispose you to heart attacks and given your age and cholesterol and blood pressure,...

Family, Internal Medicine, General Medical Questions: Overall Treatments for laryngitus URGENT, borucki, urgent priority
borucki, urgent priority, gargles: In these situations when the viral pharyngitis progresses to a lot of nasal congestion and drainage, it may be progressing to a secondary bacterial infection.... if that is the case, then the antibiotics plus afrin decongestant spray twice a day for 5-7 days...

Family, Internal Medicine, General Medical Questions: ovarian cysts, birth control pills, ovarian cysts
birth control pills, ovarian cysts, ovarian cyst: well, hold on.... this is sometimes a tough concept but don t attach the cysts to your pain. Every adult female gets an ovarian cyst at least monthly... that is the normal process of producing and ripening the egg for fertilization. Sometimes though, the...

Family, Internal Medicine, General Medical Questions: Permanent Voice Loss, chemical occurrences, thyroid surgery
chemical occurrences, thyroid surgery, pigeon hole: Being mute is a sign of an underlying problem.... that problem can be caused in a lot of different areas of the body... the brain center that allows you to speak (Broca s area) often hurt with a stroke that causes R sided weakness. The nerves to the vocal...

Family, Internal Medicine, General Medical Questions: Possible blood clot?, muscle twitches, shin muscle
muscle twitches, shin muscle, calve: You needn t worry about that clot breaking loose and causing problems.... the ones from the calf don t cause major problems, but if it is a clot, then you are at risk of having higher up clots, that you can t feel, so bascially, get it looked at to make sure...

Family, Internal Medicine, General Medical Questions: Pregnancy & Delivery issues-Woman's Forum maxed out-Need a Dr's opinion, c section delivery, abnormal vaginal bleeding
c section delivery, abnormal vaginal bleeding, retroverted uterus: hi, its my pleasure to reply to your question. your problems are mostly related with the endometriosis. A women with endometriosis may have some vaginal spotting a few days before and/or after her period but in your case there is more bleeding so there is...

Family, Internal Medicine, General Medical Questions: possible epidural side effects after surgery, epidural side effects, groin area
epidural side effects, groin area, upper thigh: usually the epidural by itself may not, but this anesthetic paralyzes you and I have seen people have injuries from moving because the movers twist or hurt something. I would let your surgeon know and have you evaluated by an ortho or neurosurgeon to document...

Family, Internal Medicine, General Medical Questions: Left ribcage pain, ribcage pain, achy pain
ribcage pain, achy pain, chest xray: you didn t give me any other information like whether you injured yourself.... but if this pain is persisting this long and you haven t had any other symptoms, like fever, bad cough, etc., then it is time to get it looked at... I would get checked via an exam,...

Family, Internal Medicine, General Medical Questions: rumbling in lungs upon waking, chest x ray, allergy issues
chest x ray, allergy issues, new sensation: it sounds like a little congestion/fluid deep in the resp system, that may settle when laying down and then you can clear it. If it clears right away, I wouldn t worry. It may mean there are some allergy issues. I would have someone listen right at first...

Family, Internal Medicine, General Medical Questions: Staining on trousers, occult blood test, casual slacks
occult blood test, casual slacks, vegetarian chili: Hi there Michael, thank you for posting your question. My answer is not intended as a substitute to visiting your own doctor but I hope I can be of some little help. Sorry, I do not really have much of a take on this. Obviously stop the chili for a few...

Family, Internal Medicine, General Medical Questions: Stomach Pains, outback steak house, oblique muscles
outback steak house, oblique muscles, large intestine: well, gall bladder symptoms are either right upper quadrant, sometimes in the high center abdomen, but I am glad you got checked.... sometimes we don t come up with an answer immediately, so we need an observation period (at home) and if something changes/gets...

Family, Internal Medicine, General Medical Questions: Swelling beside hipbone when lying down, testicular cyst, hipbone
testicular cyst, hipbone, hip bone: I don t see a relationship to the urinary infection and probably not the testicle cyst. It could be a hernia, that is the right area. When the ultrasound is done, they should scan that area also. (Maybe you can talk them into it.) That would yield some...

Family, Internal Medicine, General Medical Questions: sleeping, Drowsiness
Drowsiness: Hi Dolores, Sleepiness really is too vague to even start to guess at all the possible causes. I d recommend having him see his family doctor for a full examination including a complete blood count. That should identify any obvious causes for the drowsiness...

Family, Internal Medicine, General Medical Questions: Testosterone Levels, low testosterone levels. testosterone replacement therapy
low testosterone levels. testosterone replacement therapy: Hi there Patrick, thank you for posting your question. My answer is not intended as a substitute to visiting your own doctor but I hope I can be of some little help. Your free testosterone levels are indeed low and now no doubt your doctor will run some...

Family, Internal Medicine, General Medical Questions: testicular health, hydrocele, scrotal mass
hydrocele, scrotal mass: Hi there Ryan. I really shouldn t be doing this. You know yourself, one simply can t diagnose a scrotal mass on the Internet. That said, the most likely diagnosis of your soft movable mass is a hydrocele. But hey (as you say in America) go get it seen to....

Family, Internal Medicine, General Medical Questions: Vaccine, pregnancy test kit, pregnancy test kits
pregnancy test kit, pregnancy test kits, home pregnancy test: This period of time is difficult to tell absolutely from the home urine pregnancy test kits. One way is to draw a serum HCG (The hormone that is the pregnancy hormone that is measured in the blood or identified on your urine pregnancy test kits. You...

Family, Internal Medicine, General Medical Questions: vomiting and dizziness, dull ache, transdermal patches
dull ache, transdermal patches, acid reflux: I would not get distracted by your chronic medical problems, endometriosis and fibro (although they may contribute) I would start fresh with a workup.... make sure you are not pregnant and that it isn t a urinary infection, or isn t gallstones or several...

Family, Internal Medicine, General Medical Questions: Weight loss, freshman 15, depression issues
freshman 15, depression issues, correct weight: http://win.niddk.nih.gov/publications/understanding.htm#bodymass Hi, use the above link to see your correct weight range. You need to start exercise at least brisk walking 1 hour a day. be with friends for a few hours at least alternate days. depression...

Family, Internal Medicine, General Medical Questions: wt loss, muscle wasting, Alcohol Abuse and recovery
Alcohol Abuse and recovery: Susan, Good that you identified the problem and have taken measures to stop drinking... remember it is NEVER too late to do the right thing(s) for your body. Everyone is different and recovery depends on existing medical conditions, your genes, and your...

Family, Internal Medicine, General Medical Questions: yellowing of the skin - elderly person, kidney problems, kidney disease
kidney problems, kidney disease, plant oil: what yellowing of the skin in an elderly person is or at least narrow it down to some several options? We have found it is usually a nutritional deficiency plus too much plant oil in their diet which clears with our nutrigenomic program are there just...

Family, Internal Medicine, General Medical Questions: Allergy Shots, post nasal drip, oral antihistamines
post nasal drip, oral antihistamines, sinus pressure: allergists don t really like my answers............... if you are tested for allergies and they test you for 100 things, but there is 1 more thing that isn t tested for, therefore not identified or treated, then you will still have allergy symptoms despite...

Family, Internal Medicine, General Medical Questions: Armpit pain, osteoartritis, shoulder pain.
osteoartritis, shoulder pain.: Hi there Richard, thank you for posting your question. My area of expertise is in human sexual dysfunction. But I m also a General Practitioner. Obviously this need to be looked at and x-rayed. My first thoughts are that the articular surface of the joint...

Family, Internal Medicine, General Medical Questions: Bites, irritant dermatitis, blood blisters
irritant dermatitis, blood blisters, skin inflammation: This may be an insect bite if it is more reddish in the morning when you wake up. But if its the same the whole day, it may be contact dermatitisdermatitis which is an inflammation of the skin caused by direct contact with an irritating or allergy-causing...

Family, Internal Medicine, General Medical Questions: Blood Infection, hepatitis b and c, typhoid mary
hepatitis b and c, typhoid mary, sharing needles: Hepatotoc B, C are common infections which can be present in blood and yet be unnoticed till their pathogen multiplies to cause full blown disease. Also care should be taken to prevent infection. The hepatitis B and C virus is spread through contact with...

Family, Internal Medicine, General Medical Questions: Blood Infection, high fevers, antimicrobials antibiotics
high fevers, antimicrobials antibiotics, saleeby: Sepsis is a very acute condition, meaning it happens fast and has very dangerous outcomes. Sepsis is where an infectious agent usually bacteria but also fungi can enter the bloodstream and spread throughout the body rapidly. The bodies immune system reacts...

Family, Internal Medicine, General Medical Questions: Body feel tight, strange sensation, feet legs
strange sensation, feet legs, free t4: the thyroid change isn t causing any symptoms... that is a minimal change and won t cause those symptoms. The lexapro can cause some weird tingling symptoms when stopping or starting it. The tightness, I don t see that as a side effect of either and may...

Family, Internal Medicine, General Medical Questions: BPH, benign prostatic hyperplasia, bph symptoms
benign prostatic hyperplasia, bph symptoms, american urological association: If You suspect BPH, The follwoing can help you: Approximately 50% of all men experience symptoms of enlarged prostate, BPH, by age 75. If you re one of them, you ll want to take this easy, self-scoring questionnaire to calculate the severity of your symptoms....

Family, Internal Medicine, General Medical Questions: broken bone, pain medications, emotional trauma
pain medications, emotional trauma, accident occured: certainly this can be a side effect from the mental emotional trauma, and could be a side effect of your pain medications. I don t see a direct relationship with the broken bone. There is no magic except to let it heal, then advance stressing the bone,...

Family, Internal Medicine, General Medical Questions: broken bone, sign of depression, pain medications
sign of depression, pain medications, accident occured: if this is a side effect from a broken bone, or trauma from the accident? No, it is not Is it a big deal to have your appetite go down like this? yes a sign of depression I do seem somewhat more depressed, but I can t really explain why I m getting full...

Family, Internal Medicine, General Medical Questions: Cat Bites, tetanus shots, tetanus shot
tetanus shots, tetanus shot, cat kitten: it depends on how old your son is, but he is probably ok because he has had multiple tetanus shots starting at age 2 months. Yes, there are several bacterial infections that can occur... if he has worsening redness/pain/swelling at the puncture sites...

Family, Internal Medicine, General Medical Questions: Chickenpox in Adult, fever chills nausea, stressful job
fever chills nausea, stressful job, chickenpox: the timing is awfully strange, with the prolonged time from exposure to a few lesions then to a whole mess of lesions.... In any event, she is on acyclovir (I assume a lot.... 800 mg 5 X per day) so that is all we have to prevent complications such as...

Family, Internal Medicine, General Medical Questions: Cholesterol Levels, anxiety and depression, cholesterol numbers
anxiety and depression, cholesterol numbers, extreme anxiety: If your Hb/HCT is normal, it doesn t matter whether the ferritin is low. The big issue is the weight loss and anxiety and depression. They should be evaluated and treated. It is possible that the weight loss is secondary to the mood problems. That is...

Family, Internal Medicine, General Medical Questions: cough, menthol, recurring cough.
menthol, recurring cough.: Hi there Al, thank you for posting your question. My area of expertise is in human sexual dysfunction. I hope I can be of some small help to you. To the best of my knowledge, Menthol -- a naturally occurring substance, has few if any untoward effects and...

Family, Internal Medicine, General Medical Questions: daughters health, finger sweeling, rh factor
finger sweeling, rh factor, rhumatoid artritis: Hi there Julie.Sorry. I really can t help you here. I think it would be a mistake to assume that there is any connection between your daughter s finger swelling and the herbal drinks that she was using. If the swelling persists she may need a few tests to...

Family, Internal Medicine, General Medical Questions: diagnostic laparoscopy, endometriosis, pelvic pain
endometriosis, pelvic pain, ovulation pain: Hi there Gail, thank you for posting your question. My area of expertise is in human sexual dysfunction. I hope I can be of some small help to you. I would need to know an awful lot more about your pain before I could offer an opinion. Your doctors are...

Family, Internal Medicine, General Medical Questions: Electrolites, heart rhythm problems, electrolites
heart rhythm problems, electrolites, electolytes: electolytes are the salts in the blood... potassium, sodium, chloride and others.... they have multiple functions.... when you have enough, everything works fine... if you are deficient or have too much of one in particular, you can get certain syndromes......

Family, Internal Medicine, General Medical Questions: ears, internal medicine specialist, low blood pressure
internal medicine specialist, low blood pressure, eustacian tube: you probably have tinnitus. around 5% of people in the world have tinnitus. People with severe tinnitus may have trouble hearing, working or even sleeping. Causes of tinnitus include hearing loss, exposure to loud noises or medicines you may be taking...

Family, Internal Medicine, General Medical Questions: Frequent Bowel Movements, frequent bowel movements, milk cheese
frequent bowel movements, milk cheese, bowel movements: It depends what you consider normal.... 2 a week probably is less normal than 2 a day. Did you replace the candy/soda with something else that your intestines are reacting to? Sometimes milk products can do this.... milk/cheese/butter. Otherwise, bm s daily...

Family, Internal Medicine, General Medical Questions: foot pain, sole of your shoe, red hot poker
sole of your shoe, red hot poker, taking medicine: do minimal walking for 15 days. use a padding in the sole of your shoe below he heel . you can keep a peice of foam where the heal rests in the shoe. if the problem came in a very short time and is not gradually going away, wait for a month then you may need...

Family, Internal Medicine, General Medical Questions: Help with anemia question, iron deficiency anemia, bone marrow biopsy
iron deficiency anemia, bone marrow biopsy, iron pills: you can exhaust your iron stores and not be anemic yet.... you become anemic when you have slowly exhausted the iron, then you don t have the building blocks to make your red cells, ie, hemoglobin/hematocrit. So you could have normal hb and no residual iron...

Family, Internal Medicine, General Medical Questions: Hernia?, inguinal region, spermatic cord
inguinal region, spermatic cord, abdomin: I doubt it.... I am having trouble following your description, but, you see only a 2 d representation, so it is hard to appreciate what is on top of what. People can have an inguinal strain without a true hernia.... but I don t see this as indicating...

Family, Internal Medicine, General Medical Questions: Insect bite or spider bite, insect bite, taking medicine
insect bite, taking medicine, skin specialist: It seems to me this may be an issue for an infectious disease specilaist not a skin specilaist. This may be something that does remain in your body and lies dormant than flairs again. I would look for a good Infectious Disease doctor and bring him/her...

Family, Internal Medicine, General Medical Questions: lump, local anesthesia, marbel
local anesthesia, marbel, lipo: I actually do lipo.... if they are firm, they are either small clumps of blood that have hardened, or they are clumps of fat that were not broken up properly. If they are squishy, they are seromas, spaces made by the procedure that have filled with serum....

Family, Internal Medicine, General Medical Questions: Nursing Home Admission, medical power of attorney, power of attorney
medical power of attorney, power of attorney, sister in law: no... the ultimate decision is made by the person or people who have healthcare power of attorney. However, you should be prepared to take her home, as once her hospitalization needs have been met, they will discharge her from the hospital and she will need...

Family, Internal Medicine, General Medical Questions: What is a "natural death.", fatal car accident, attack cancer
fatal car accident, attack cancer, natural death: natural as opposed to un-natural which would be forced by an outside influence, for example, natural..... progressing cancer heart attack stroke un natural.... a murder a fatal car accident a soldier getting gassed or blown up in war an overdose/suicide...

Family, Internal Medicine, General Medical Questions: Positive Leukocytes in UTI home test, wbcs, rule of thumb
wbcs, rule of thumb, leukocytes: hi serena, i do not recommend home testing kits as who is there to explain your results? as a rule of thumb, i do not explain home testing kit results as i personally believe it is an unethical method of medical advisory. please consult with your physician...

Family, Internal Medicine, General Medical Questions: Psych meds causing syncope?, presyncope, heart rhythm
presyncope, heart rhythm, psychiatric medications: people say they have had blood tests... but I want to make sure that your CBC, thyroid and your cortisol levels (not usually checked) were normal. Then, to make sure your heart rhythm is not causing this. You are gonna feel pretty weird stopping the SSIR...

Family, Internal Medicine, General Medical Questions: Question, berry aneurysm, gentle exercises
berry aneurysm, gentle exercises, lumbar puncture: moduretic is a diuretic... a water pill.... that would only lower BP, so I don t make much of a connection between that and the headache. The aneurysm... I am sure there is a little scar tissue in the area. The lumbar puncture is a great test to see if another...

Family, Internal Medicine, General Medical Questions: small bowel obstruction, small bowel obstruction, watery diarrhea
small bowel obstruction, watery diarrhea, stomach bug: if you are passing stool (or watery diarrhea) then that is a good sign that there isn t a big obstruction.... if the bowel obstructs, you start vomiting pretty early on with non-relievable pain. This may simply be a stomach bug, but if it persists, you need...

Family, Internal Medicine, General Medical Questions: Toe Nail, toe nails, toe nail
toe nails, toe nail, podiatrist: hi james, keep the area clean and dry as there is a risk of infection until the area heals. you should cover the area with a bandage as well. it should grow back if the roots were not damaged; however, it will not be the same as before. the bent up or...

Family, Internal Medicine, General Medical Questions: tinnitus, neurotologist, ringing in the ears
neurotologist, ringing in the ears, example noise: Hi, Tinnitus is noise heard in the head or ears. It is extremely common -- occurring in 20 percent of population. No one person describes tinnitus like the next person. It may be a sign of a sesitive ear and you will probably have hear loss in old age much...

Family, Internal Medicine, General Medical Questions: toddler rubbing hitting head, radio waves, ent doctor
radio waves, ent doctor, mild pain: he should have got a CT scan as the first step since MRI causes more exposure to radio waves and is cheaper. there maybe some reason for mild pain in the head which he wants to find. let me know the pregress. if he is not crying while doing this, there may...

Family, Internal Medicine, General Medical Questions: tubal infertility, wheat allergy, reproductive endocrinology
wheat allergy, reproductive endocrinology, world war ii: hi pat, i am sorry to hear of your situation. i am further sorry that your ob/gyn did not refer you once he or she was incapable of handling your case. i cannot comment on another physician as it is unethical. what you need is a sub-specialist in obstetrics...

Family, Internal Medicine, General Medical Questions: UNTITLED, sand particles, itchy ears
sand particles, itchy ears, ear wax: The skin on the outer part of the ear canal has special glands that produce ear wax, also known as cerumen. The purpose of this natural wax is to protect the ear from damage and infections. Normally, a small amount of wax accumulates and then dries up and...

Family, Internal Medicine, General Medical Questions: upset at how hospital handled my dying father, emergency room doctor, student nurse
emergency room doctor, student nurse, palliative treatment: Please don t get upset with me over this, but in reading it, I get several vibes. Losing a parent is about the hardest thing to go through that people face... I lost both mine in different ways and can vouch for that. When you see a loved one...

Family, Internal Medicine, General Medical Questions: Vtamin B, vitamin b deficiencies, blood testing
vitamin b deficiencies, blood testing, vitamin d: if you are from this country, it is virtually unseen to have rickets or other B deficiencies. These levels can be checked. There are syndromes that have sets of signs and syndromes also. With all that, everyone is Vitamin D-3 low... you can have your...

Family, Internal Medicine, General Medical Questions: weird blister, sebaceous cyst, pencil eraser
sebaceous cyst, pencil eraser, bug bite: if you would have backed into an iron you would have known about it right away.... this could be a sebaceous cyst that got infected, drained some, now may be recurriung. They will sometimes go away but often they have to be drained. Your daughter,...

Family, Internal Medicine, General Medical Questions: abdominal CT scans, virtual colonoscopy, abdominal ct scan
virtual colonoscopy, abdominal ct scan, virtual colonoscopies: a cat scan for kidney stones is typically done without contrast dye. The abdominal CT in general is done with dye to look for organ problems. The virtual colonoscopy is a special cat scan done after someone has prepped (like you do for a colonoscopy) and...

Family, Internal Medicine, General Medical Questions: arthritis, bump on wrist, connective tissue disorder, internal medicine specialist
connective tissue disorder, internal medicine specialist, bump on wrist: you probably have an autoimmune connective tissue disorder. i will not be able to diagnose because of the inadequate information but you can help yourself by visiting http://labtestsonline.org/understanding/conditions/autoimmune.html then after a rough...

Family, Internal Medicine, General Medical Questions: autoimmune and shingles?, numbness in extremities, herpes simplex infection
numbness in extremities, herpes simplex infection, painful rash: I have heard this scenario many times.... I hate to tell you this, but that probably is a herpes simplex infection. Shingles does not recur multiple times. This can be verified by culturing the fluid from one of the blisters the next time it occurs. Treatment...

Family, Internal Medicine, General Medical Questions: Bawl Movement, green feces, iron intake
green feces, iron intake, healthcare community: hi james, i cannot give you a diagnosis via the internet. green feces that is hard without any other symptoms usually means there s a high level of iron intake. as you are uninsured, you might want to search for a public healthcare community clinic which...

Family, Internal Medicine, General Medical Questions: Blood Work left unanswered, blood test results, white blood count
blood test results, white blood count, blood work: this test is probably normal.... the white blood count is a little high, but that has to be taken in context.... if there is a suspected infection, it may indicate that. But it is pretty close to normal. The hemoglobin is a little high.... it is commonly...

Family, Internal Medicine, General Medical Questions: Chronic Chest/Abdominal Pain, barium study, stomach muscles
barium study, stomach muscles, chest xray: Hi Erin, according to the relation of the pain with the incidence of dropping the box, it is probably an injured stomach muscle. There is quite clear evidence for it. So you need to focus on it to get relief fully. Now we have to let those muscles have least...

Family, Internal Medicine, General Medical Questions: cbc, white blood cells, absolute lymphocyte count
white blood cells, absolute lymphocyte count, lymphs: I am not sure what conclusion to draw from this.... it could be an infection... with the lymphs high, it leads towards a viral infection. It also should be rechecked to make sure the absolute lymphocyte count isn t increasing (which might mean a blood cancer,...

Family, Internal Medicine, General Medical Questions: chronic hives, chronic hives, pitting edema
chronic hives, pitting edema, claritan: it is unlikely that the ranitidine or the claritan caused the ankle swelling.... You should talk to your doctor about a workup to find out what did cause it...... The prednisone could cause swelling, but from your note, you didn t take prednisone this time....

Family, Internal Medicine, General Medical Questions: Dexa scan results, dexa scan results, broken bones
dexa scan results, broken bones, vitamin d3: you have mild but present osteoporosis, so you are at a little increased risk of broken bones... you should be on adequate vitamin D3 (at least 2000 IU s per day) and I would consider a bisphosphonate drug, like Fosamax also. It had gotten a little bit worse...

Family, Internal Medicine, General Medical Questions: Diarrhea after eating?, periods of fasting, watery diarrhea
periods of fasting, watery diarrhea, protein source: that is kinda interesting.... I would not blame it on protein source changes.... more likely some other food intolerance.... maybe milk/cheese/butter? or some higher sugar load. If you can t pin that down, I would try to stay on the diet for 3 weeks...

Family, Internal Medicine, General Medical Questions: EPIDIDYMECTOMY Complications..., groin area, spinal headache
groin area, spinal headache, pain meds: I am not a urologist, so don t treat this with nerve blocks. There is little risk to trying the temp block. And if it helps, and they can block the local area of pain, you should have an excellent result. To find a subspecialist in urology that...

Family, Internal Medicine, General Medical Questions: ear, perforated eardrum, ent doctor
perforated eardrum, ent doctor, pin top: It sounds like it isn t healing well.... if you are a smoker, stop.... that really makes it less likely that the eardrum will heal. It is time to start making an appointment to see an ENT doctor... they can patch the drum and allow the eardrum tissue to grow...

Family, Internal Medicine, General Medical Questions: autoimmune and shingles?, shingles
Family, Internal Medicine, General Medical Questions: autoimmune and shingles?, shingles

Family, Internal Medicine, General Medical Questions: father probable basal carcinoma, basal carcinoma, cell cancers
basal carcinoma, cell cancers, plaque buildup: He is recommending Moh s surgery.... basal cell cancers are very slow growing and almost never spread.... they simply enlarge at the site and can go deeper and cause problems with local spread. Also, they can be disfiguring if they get too big on the face....

Family, Internal Medicine, General Medical Questions: Healthy Eating, metabolism food, functions of the liver
metabolism food, functions of the liver, saleeby: The liver is an organ of detoxification and metabolism... food, drugs, chemicals, anything that you put in your mouth for that matter is processed through the liver. It is a very complicated process typically dealing with three forms of detoxification and...

Family, Internal Medicine, General Medical Questions: Heart attack, massive heart attack, cholesterol hypertension
massive heart attack, cholesterol hypertension, cholesterol deposits: People get heart attacks because their arteries clog with cholesterol deposits.... Risk factors include cholesterol, hypertension, smoking, diabetes and family history. There are other factors that we don t understand yet. If you have any concern,...

Family, Internal Medicine, General Medical Questions: FOR HIGH HOMOCSTEINE, small intestine, stomach acid
small intestine, stomach acid, vitamin d3: IPP means PPI? You absorb B12 thru a protein that carries it across your small intestine. You can only absorb so much thru there. Before lifelong B12, I would get a vitamin B12 level... if normal, no need. If it is low, you need to supplement it thru a...

Family, Internal Medicine, General Medical Questions: High Chromatin Blood test, blood test, specimen
blood test, specimen, timely manner: I don t know why anyone would even do a chromatin test... there isn t any significane to the numbers as far as diagnosing any diseases.... the problem with the test is that it can elevate if the specimen is not tested in a timely manner or if it is drawn in...

Family, Internal Medicine, General Medical Questions: Hospital Costs, outrageous charges, bill charges
outrageous charges, bill charges, doctor didn: how many times have I answered this question..... I agree, those are pretty outrageous charges.... this can easily become a long discussion, but, the charges are markedly inflated... insurance companies, medicare, etc. pay only a fraction of those charges....

Family, Internal Medicine, General Medical Questions: Iron Supplements, iron deficiency anemia, hemoglobin levels
iron deficiency anemia, hemoglobin levels, ferrous sulfate: No the additional 10mg is NOT too much to take. Make sure you don t have hemochromotosis an Iron absorption and metabolism disorder because then Fe can be toxic. Also some thalasemias iron intake can be dangerous. JP Saleeby, MD www.docsaleeby.blogspot.com...

Family, Internal Medicine, General Medical Questions: Laser therapy for carpal tunnel, carpal tunnel release, musculoskeletal conditions
carpal tunnel release, musculoskeletal conditions, orthopedist: I think chiropractic care is appropriate for a lot of musculoskeletal conditions... standard physical therapy type treatments. But if other methods aren t working for CPTS, you probably need a carpal tunnel release. (Surgery) I would not let a chiropractor...

Family, Internal Medicine, General Medical Questions: Low testosterone question, Testosterone replacment therapy. TRT, low testosterone
Testosterone replacment therapy. TRT, low testosterone, male menopause.: Hi there Ryan, thank you for posting your question. My area of expertise is in human sexual dysfunction. I hope I can be of some small help to you. My gut reaction to what you are saying here is that testosterone replacement therapy would certainly not be...

Family, Internal Medicine, General Medical Questions: Lumps around vulva area, barthalin cysts
barthalin cysts: Hi there Janet, thank you for posting your question. My area of expertise is in human sexual dysfunction. But I hope I can be of some small help to you. Obviously I can t tell you exactly what these lumps are but my feeling is that they are benign, non-cancerous...

Family, Internal Medicine, General Medical Questions: lab tests, finger joints, false negatives
finger joints, false negatives, rheumatologist: a lot of the rheumatologic tests are vague.... they point in the right direction but this specialty has a lot of false negatives and false positive blood tests. All your tests, your history, and your physical exam need to be taken in context with each other....

Family, Internal Medicine, General Medical Questions: light blood, bladder stones, best case scenario
bladder stones, best case scenario, colo rectal: urinary bleeding needs a different kind of evaluation... best case scenario is that this is a bladder infection. You need an evaluation for this... it may consist of only a urinalysis but you may need additional tests to look for kidney/bladder stones, cysts,...

Family, Internal Medicine, General Medical Questions: Mid-cycle bleeding, causes?, mid cycle bleeding, thyroid tests
mid cycle bleeding, thyroid tests, regular periods: there are many possibilities.... first, get a first morning urine to make sure you are not pregnant.... after that, just follow it... it can be early implant, it could be missed ovulation, overflow bleeding... there are a lot of different names for a lot...

Family, Internal Medicine, General Medical Questions: Mid-cycle bleeding, causes?, mid cycle bleeding, short luteal phase
mid cycle bleeding, short luteal phase, fertility indicator: First you should know that Basal body temperature (BBT) is the temperature of your body at rest. BBT charting is a useful tool for couples trying to conceive because of its ability to confirm ovulation. BBT charting also helps the couple understand more fully...

Family, Internal Medicine, General Medical Questions: mixing cataflam & hydrocodone, drug interaction, severe pain relief
drug interaction, severe pain relief: Hi there Karem, thank you for posting your question. My area of expertise is in human sexual dysfunction. I hope I can be of some small help to you. I think that your dentist is probably correct. You can always check for possible drug interaction on www1.mediguard.org.uk...

Family, Internal Medicine, General Medical Questions: mixing cataflam & hydrocodone, pain management specialists, cataflam
pain management specialists, cataflam, dental pain: pain management actually is my area.... and dental pain is the gold standard on testing meds for pain control. You will never 100% relieve pain so it is a good model to see what works pretty good. Cataflam (diclofenac) comes in many many forms.... it...

Family, Internal Medicine, General Medical Questions: mixing cataflam & hydrocodone, NSAIDS, Opioids
NSAIDS, Opioids: Kerem, Unless you are allergic to either of these medications I see no reason why they cannot be taken conjointly. Cataflam is an NSAID class drug and Hydrocodone/Apap is a opioid drug in combination with Tylenol and all are compatible. Taking two NSAIDS...

Family, Internal Medicine, General Medical Questions: mystery 'mole', genital wart, definite diagnosis
genital wart, definite diagnosis, inch dia: so it is a skin colored growth... this may be a small skin tag. This is also what a genital wart would look like. I know the thought isn t pleasant, but these are very easy to remove.... some local novacaine and they are easily shaved off. Then it can be...

Family, Internal Medicine, General Medical Questions: nocturnal (mostly) cough after rash and fever, viral illness, chickenpox
viral illness, chickenpox, chicken pox: rash and fever and cough suggest a viral illness... your eight year old should be protected against all the serious ones and should have gotten the chicken pox immunization. These usually resolve on their own but since it is gone on this long it is worth...

Family, Internal Medicine, General Medical Questions: Pain in Sterum, tricep dips, sterum
tricep dips, sterum, sternum: it sounds like you injured the joint between one of the ribs and the sternum. These are joints, but they don t move that much, however they can still be injured.... these can nag for a few weeks because you can t rest them. Sometimes a doctor might inject...

Family, Internal Medicine, General Medical Questions: Pneumonia 2 year old concerns, needle biopsy, high fever
needle biopsy, high fever, stomach pain: the way to check for the bug causing pneumonia (if you aren t coughing up a lot of phlegm) is a needle biopsy or bronchoscopy.... this isn t done unless there is no response to treatment. Each medicine is very safe with a very very low risk of SJS.......

Family, Internal Medicine, General Medical Questions: Poor digestion, irritable bowel disease, bloating and indigestion
irritable bowel disease, bloating and indigestion, poor digestion: This appears to be one of: 1. Non-IgE Mediated Gastrointestinal Disorders 2. Crohn s 3. Irritable bowel disease you need a workup including blood tests and endoscopy. consult a gastroenterologist befor that you may try reduding water intake before,...

Family, Internal Medicine, General Medical Questions: pneumonia, chest xray, whooping cough
chest xray, whooping cough, sniffle: well, you may not get fever with any illness... kids develop fevers much more readily. Pneumonia is bad luck starting with a cold that causes some inflammation and mucous plugging in the lungs and somewhere down the line something is plugged and bacteria...

Family, Internal Medicine, General Medical Questions: prescription drugs, gabapentin, lyrica side effects.
gabapentin, lyrica side effects.: Hi there Susan, thank you for posting your question. My area of expertise is in human sexual dysfunction. I hope I can be of some small help to you. Both gabapentin and lyrica are what I would term nasty drugs by which I mean that they have plenty of...

Family, Internal Medicine, General Medical Questions: Release of growth hormone, peaks and valleys, pituitary gland
peaks and valleys, pituitary gland, hormone production: the pituitary gland has no idea what time it is.... with these hormone loops... there are peaks and valleys of hormone production.... during sleep, the first few hours produce the most, but it is not shut off afterwards, just less production. Wouldn t...

Family, Internal Medicine, General Medical Questions: routine blood work with side effects, plasma donation center, office nurses
plasma donation center, office nurses, routine blood: Obviously it isn t right. I have worked at a plasma donation center for 20+ years and have seen my share of these. The person drew the blood and the vein leaked afterwards. Being on aspirin or coumadin makes this more likely. The good news is that...

Family, Internal Medicine, General Medical Questions: running vs walking?, calories per day, interval training
calories per day, interval training, battle of the bulge: The answer to this will be an opinion... there are many opinions and many ways to lose weight..... The critical part of a weight loss plan is your diet. You have to eat less than you use consistently over time. You can increase the amount you use via...

Family, Internal Medicine, General Medical Questions: Staying youthfull, growth hormone
growth hormone: Gord, Yes you guessed right.. most are on the juice .... either testosterone or rhGH (Growth Hormone) and not just the men. Have you seen some celebrity women in their 50s and 60 s for example Cher or Hutton... they look like women in their 30s. Well...

Family, Internal Medicine, General Medical Questions: Stomach problems, heartburn and acid reflux, small bowel obstruction
heartburn and acid reflux, small bowel obstruction, bowel obstruction symptoms: Appears to be small-bowel obstruction. Symptoms of it can include 1 or more of: Crampy abdominal pain, generally coming in intense waves that strike at intervals of five to 15 minutes and sometimes center either on the navel or between the navel and rib...

Family, Internal Medicine, General Medical Questions: Sudden jabbing pain, light exercise, sound sleep
light exercise, sound sleep, pain signal: those kind of pains typically are nerve pains (neuritis) where the nerve sends a pain signal for an unknown reason. If it is happening occasionally, I don t see any reason you can t do light exercise and qigong (provided you aren t messing with chinese supplements)...

Family, Internal Medicine, General Medical Questions: Thyroid medication, thyroid medication, crnp
thyroid medication, crnp, hello doctor: you can do it this way.... it just isn t worth that trouble tho.... we have so many doses of synthroid that you can always find a dose that works. And they are getting too picky.... 10% change in thyroid doesn t matter. So I don t know what exactly the CRNP...

Family, Internal Medicine, General Medical Questions: taste and smell, sinus infection, nasal congestion
sinus infection, nasal congestion, afrin: some medications cause it.... biaxin and others. Sometimes a sinus infection can cause it. you might try Afrin nasal spray for 3 days if you have nasal congestion. Also, get some zinc, over the counter supplement.... take that daily for a month.... that...

Family, Internal Medicine, General Medical Questions: tight and burning skin, mri of the brain, feet legs
mri of the brain, feet legs, legs feet: first, this may be from the lexapro and will fade away... boosting serotonin levels in the brain causes some weird skin sensation feelings... there is no specific treatment, other than staying off the medications. If you had stayed on the med, it probably...

Family, Internal Medicine, General Medical Questions: Uncontrollable feet and ankle itching, toe nails, ankle area
toe nails, ankle area, skin specialist: He probaby has some minor problem with the nerves. The fungus may have a role too. so get a handy massager and use it for 5 minutes on both feet before sleeping to tone up the nerves. Also get good treatment and regular follow up with the skin specialist for...

Family, Internal Medicine, General Medical Questions: viral infections, elevated white blood cells, white blood cells
elevated white blood cells, white blood cells, viral illnesses: it is more typical to have a high white count from bacterial infections.... those lead us toward a diagnosis. Some viral illnesses can last a long time (AIDS, hepatitis B&C, Epstein Barr (MONO)) But most viral infections like a chest cold resolve in 10-14...

Family, Internal Medicine, General Medical Questions: Cellulitis / Staph, clindamyacin, clindamicin
clindamyacin, clindamicin, thanks in advance: I am also a father and can feel your pain. we can use a good herbal formula. you can use nigella sativa seeds. you can powder them or crush them and let you son eat one spoon of powder just after meals twice daily. if nigella sativa oil is avialable, take...

Family, Internal Medicine, General Medical Questions: Child with Mono and splenomegaly, spleen rupture, liver enlargement
spleen rupture, liver enlargement, organ injury: people have to be punched pretty hard for a spleen rupture, even with mono.... she should get very sick, including bad abdominal pain, tachycardia.... if there was an organ injury. If none of that presents over the next couple days, she is OK..... and I...

Family, Internal Medicine, General Medical Questions: chicken pox, antibody level, varivax
antibody level, varivax, chicken pox: I don t think they had varivax 15 years ago.... But in general, the immunity slowly fades and might be gone. You can have an antibody level checked (varicella zoster titre) or can get Zostavax as an adult. So it is hard to tell if you still have immunity....

Family, Internal Medicine, General Medical Questions: general question, alpha arbutin, arbutin cream
alpha arbutin, arbutin cream, bad liver: You need to stay away from all those products that can potentially cause liver problems unless your transplant doctor specifically says that medicine is OK. You would be better off seeing a plastic surgeon or a cosmetic dermatologist for an evaluation instead...

Family, Internal Medicine, General Medical Questions: Where is House when you need him?, hydrogen breath test, focal lesions
hydrogen breath test, focal lesions, sad plight: I would take a step back and work on the basics..... You need to resolve the constipation. I assume you already had normal thyroid function tests. So if it is simply chronic constipation from an unknown cause, it should be treated, either with Miralax...

Family, Internal Medicine, General Medical Questions: headaches, afrin nasal spray, signs of dehydration
afrin nasal spray, signs of dehydration, nasal secretions: yes.... it is hard now to tell exactly what is going on, but I would get some AFRIN NASAL SPRAY and use it twice a day for 3-5 days. (You don t want to use this long term for allergies.) It sounds like you had a viral cold initially, then progressed to...

Family, Internal Medicine, General Medical Questions: Ill father, ill father, fogger
ill father, fogger, sore throat: strep throat is a pretty miserable illness..... the fogger probably isn t doing much but strep hurts a lot. I assume he is in his right mind.... meaning he doesn t have dementia... if that is the case, then he gets to make choices on his health care. From...

Family, Internal Medicine, General Medical Questions: Iron & Thyroid, low ferritin, anxiety and depression
low ferritin, anxiety and depression, iron supplements: when someone is iron deficient, we must look for the cause.... in a guy, the cause is usually blood loss through the stomach/intestines. In a woman, it is usually from menstrual blood loss. It is very unlikely to be from some type of cancer, but it is easy...

Family, Internal Medicine, General Medical Questions: Keratosis Pilaris - dermititis, wikipedia the free encyclopedia, reddish rash
wikipedia the free encyclopedia, reddish rash, follicular keratosis: Joanne, This information is from WiKipedia: http://en.wikipedia.org/wiki/Keratosis_pilaris Keratosis pilaris From Wikipedia, the free encyclopedia Keratosis pilaris Classification and external resources ICD-9 757.39 OMIM 604093 DiseasesDB...

Family, Internal Medicine, General Medical Questions: More Lab Results, extreme weight loss, viral illnesses
extreme weight loss, viral illnesses, iron stores: You will not get an instant fix nor an instant answer to your questions. Some will involve trials of replacement and determining your response to those. Looking at these tests, yes the iron is low but the HCT is keeping up (very close to normal) so your...

Family, Internal Medicine, General Medical Questions: Leg pain, ra dr, nerve pain
ra dr, nerve pain, rheumatoid arthritis: This easily could be your low back and the pain down the leg is sciatic pain radiation... if it is, we use standard treatments... ice in the low back/high buttocks on that side- 20 minutes on, 2 hours off. Anti inflammatory pain meds. Careful lifting......

Family, Internal Medicine, General Medical Questions: manganese, manganese mn, chronic exposures
manganese mn, chronic exposures, kathleen kathleen: Kathleen, Manganese is a necessary element for good health, as it is a co-factor in at least one enzymatic reaction w/in our bodies. Like many things, too much can be a bad thing. Some elements the body can tolerate very high levels or purposeful exogenous...

Family, Internal Medicine, General Medical Questions: medicines, cholesterol lowering medication, ezetimibe
cholesterol lowering medication, ezetimibe, zetia: They are european forms of Zetia, which is a cholesterol lowering medication. It lowers cholesterol by blocking your ability to absorb it in your intestines. She should not be taking both.... it is the same medicine, so she is double dosing if she is. The...

Family, Internal Medicine, General Medical Questions: I need an answer please., birth control pills, low dose birth control pills
birth control pills, low dose birth control pills, low dose birth control: I doubt cervical cancer a lot..... that does not cause pain. I would look at easy things first.... a urinary tract infection. If you are at any risk, a check for sexually transmitted diseases, like chlamydia/gonorrhea. The weird bleeding could just...

Family, Internal Medicine, General Medical Questions: Ovarian Cyst?
there is a lot of room in the pelvis... babies fit in there. A little 4 cm cyst fits easily... it is a question of whether it is stretching the cyst wall. A lot of them hurt because the fluid irritates the pelvis when they rupture, which yours hasn t. You...

Family, Internal Medicine, General Medical Questions: Pain in lower back., groin area, kidney stone
groin area, kidney stone, medium sized business: that kind of pain could be a kidney stone, although that would not account for the numbness. It is more likely a low back problem, possibly a disc pressing on the nerve a little bit. I am enjoying not having the stress of running a medium sized business...

Family, Internal Medicine, General Medical Questions: Secondary Adrenal Insufficiency Recovery, asthma episode, personal anecdotes
asthma episode, personal anecdotes, secondary adrenal insufficiency: Tough question... it is easy to atribute a lot of vague symptoms to the steroids or lack of steroids. So changes in dosing are difficult to assess. But, it is common to be in this predicament when someone has to take a lot of prednsione over a long period....

Family, Internal Medicine, General Medical Questions: Sore throat & lightheaded/dizzy
if you have fever and painful swallowing, then you have to consider strep throat.... that must be treated with antibiotics. Most sore throats are viral and will get better no matter what, but if you have any of the following, get checked for strep.... ...

Family, Internal Medicine, General Medical Questions: Stomach Pain, low grade fever, stool cultures
low grade fever, stool cultures, bad eggs: I doubt if it will be this easy, but you said blood and stool samples..... this could easily be a urinary tract infection. Stool cultures are a waste of time and very expensive... except for rare food poisoning (with vomiting and diarrhea) like the episode...

Family, Internal Medicine, General Medical Questions: Teen Concentration issue, add attention deficit disorder, attention deficit disorder
add attention deficit disorder, attention deficit disorder, low thyroid: First, I would look for a medical problem.... I assume there is no alcohol or drug use.... even pot seriously disrupts concentrating issues. Then I would look for other metabolic things, specifically anemia and low thyroid hormone. People can slowly get...

Family, Internal Medicine, General Medical Questions: Undiagnoised illness, diaper rash cream, upper respiratory infection
diaper rash cream, upper respiratory infection, bloody noses: well, you do have a lot of issues.... it is tough to sort them all out. I would be very worried about the recurrence of blood clots. Coumadin caused the bloody nose, bloody stools, but I doubt whether it is causing the other side effects. I would...

Family, Internal Medicine, General Medical Questions: Undiagnosed illness, rocky mountain spotted fever, fever 103
rocky mountain spotted fever, fever 103, viral illnesses: unfortunately, doctors are people too, with egos and idiosyncrasies.... no excuse, but I am sorry that happened. If someone is in the hospital, it is hard to switch doctors.... if they are stable and out of the hospital, then it is much easier... simply...

Family, Internal Medicine, General Medical Questions: Unintentional Weight Loss
that is an awful lot of weight to lose.... that is 20-25% of your total weight and it doesn t look like you were heavy to start. You had a pretty extensive workup.... the only thing that I see to add is one of the digestive disorders like celiac sprue or...

Family, Internal Medicine, General Medical Questions: urinary issues?, urinary tract infection
urinary tract infection: Hi Lori. Thank you for posting your question. Sorry, but I m not at all sure here. A feeling like an itch inside is more likely to do with your recurring UTI than it has to do with your degenerative spinal disease. As a minimum collect a midstream urine for...

Family, Internal Medicine, General Medical Questions: weight, low calorie foods, overweight and obesity
low calorie foods, overweight and obesity, buying medicine: Hi, I will help you. I have helped many people reduce weight without drugs. I think the best would be to try the dietery approach again. you can take help from: http://diet.health.com/ http://weightloss.about.com/ Also rememeber, you dont have to...

Family, Internal Medicine, General Medical Questions: weird spiking fever, fever 99, pain meds
fever 99, pain meds, pepto bismol: I assume you had your urine checked for a UTI (urinary tract infection). This sounds like you had a slowly progressing viral upper respiratory infection. Most of these simply go away, some progress to a full bacterial sinus infection that may need antibiotics....

Family, Internal Medicine, General Medical Questions: whited out vision and plugged ears, heart rate, chain reaction
heart rate, chain reaction, blood pressure: the pain is causing a hormonal chain reaction where some chemicals are released that drop the blood pressure and slow the heart rate.... it happens from pain or sometimes from visual clues that affect us. In the pain setting, it is early shock. ...

Family, Internal Medicine, General Medical Questions: Aging and slowing metabolism, slowing metabolism, agricultural research service
slowing metabolism, agricultural research service, body composition: There’s been a lingering debate about why metabolism slows as people age. A broad study funded by the Agricultural Research Service found that as people age, there is a gradual loss of those high-energy-consuming muscle cells that help our body burn calories;...

Family, Internal Medicine, General Medical Questions: Asprin or Fish Cod Oil, cod liver oil, preventing heart disease
cod liver oil, preventing heart disease, cod oil: Hi, this is a very good question. you can let her keep taking cod liver oil. Latest scientific research suggests that Aspirin does not help in preventing heart disease and other problem to the extent as was supposed earlier. Stop aspirin and start taking...

Family, Internal Medicine, General Medical Questions: Asprin or Fish Cod Oil, low dose aspirin, cod liver oil
low dose aspirin, cod liver oil, dear madam: Hi Faisal, Personally I would alternate and take Fish Oil (which is different then Cod Liver Oil) every other day, and take the low-dose Aspirin every second day; this way you get the benefits of both without the risk. Like every medication, you should...

Family, Internal Medicine, General Medical Questions: Asprin and Fish Cord Oil, low dose aspirin, omega 3 fatty acids
low dose aspirin, omega 3 fatty acids, cod liver oil: Faisal, Low dose Aspirin (ASA) is a platelet inhibitor and Fish oil (Cod liver oil) or omega-3-Fatty Acids can also thin the blood. You run the risk of bruising or increased bleeding with an injury or during surgery, but the is NO contra-indication for...

Family, Internal Medicine, General Medical Questions: Bone Bruising?, hand grip, tennis ball
hand grip, tennis ball, ligament: There are a lot of structures that hold the hand together.... it is possible you cracked a bone or you bruised the ligament structure and you are left with some soreness... at this point, I would try an aggressive rehab, meaning strengthening, such as squeezing...

Family, Internal Medicine, General Medical Questions: Chronic Sore Throat, chronic sore throat, burning tongue
chronic sore throat, burning tongue, nasal drip: I would try and pin down a diagnosis.... I would do a mono test. Then, I would use a nasal steroid spray such as Flonase... it works slowly, so at least a month trial. If that doesn t work, I would consider reflux disease and try a course of an acid...

Family, Internal Medicine, General Medical Questions: Conditions caused by EBV/ear infection, chronic fatigue syndrome, borucki
chronic fatigue syndrome, borucki, ear infections: EBV and ear infections are completely different illnesses...... with that said... yes they can.... EBV can cause mono and may be linked to chronic fatigue syndrome. ear infections can spread and cause more serious infections in and around the brain....

Family, Internal Medicine, General Medical Questions: Daughter refuses to do a sample., daughter melissa, hospital tomorrow
daughter melissa, hospital tomorrow, correct category: Something in her pschye is there.. I am not implying sex abuse or anything but some event or sequence of events have left her with a phobia... Mine is dental chairs... Not a single incident that I remember but I can t help but tense up... Anyways... Glad...

Family, Internal Medicine, General Medical Questions: Drinking Sea Water, salt content, sea water
salt content, sea water, lot of water: The big problem is the very high salt content in sea water. When you drink it you are getting more behind the curve as far as having enough fluid in the body to excrete the appropriate amount of salt to keep the body salt stores in balance. You are taking...

Family, Internal Medicine, General Medical Questions: drug testing, illicit drug screening
illicit drug screening: Hi there Wendy. I m not sure what you mean by drug testing . If you mean taking a blood sample for the purposes of testing for illicit drugs then this is something that a doctor might occasionally wish to do. He/she might want to seek the patients consent...

Family, Internal Medicine, General Medical Questions: Elbow pain, enbrel injections, elbow pain
enbrel injections, elbow pain, alleve: It sounds like a nerve is being pinched/pressed on in that area. A doctor can often pinpoint where it is occurring based on your exact locations of pain or numbness but it is typically at the elbow or shoulder level. I would try taking an antinflammatory...

Family, Internal Medicine, General Medical Questions: Eye Bags, eye bags, excess skin
eye bags, excess skin, plastic surgery: if you are talking about the saggy skin under the eyes... some of it may be reversible if it is caused by excess drinking, not sleeping, etc. But the majority if eye bags are a result of aging and excess skin and best treated with plastic surgery. That...

Family, Internal Medicine, General Medical Questions: ekg, qrs duration, 73 bpm
qrs duration, 73 bpm, bundle branch block: because of your age.... I could probably answer---- don t worry without even looking... the chances of finding something on the ECG in a young healthy woman is pretty remote. (very very remote.) the computer over read is questionable.... The PR interval...

Family, Internal Medicine, General Medical Questions: ekg??, heart chamber, artial
heart chamber, artial, threating: I can see you are freaking out.... left atrial enlargement is simply that.... the size of that heart chamber is larger than seen on average... but that is only a suggestion when it comes from an EKG.... it probably doesn t mean anything but an echo would...

Family, Internal Medicine, General Medical Questions: ekg results, qrs duration, 73 bpm
qrs duration, 73 bpm, pr interval: the left atrium is the chamber of the heart tat receives blood from the lungs... it can enlarge from many causes.... you didn t specify the size but normal is typically less than 40 mm s... if it is close to that, you have to take the size in context.... are...

Family, Internal Medicine, General Medical Questions: elderly mother concerns, Discharge Support
Discharge Support : Hello Rebecca, It sounds to me that you are very aware and well able to articulate your concern for the issues your parents may face when she returns home which may interfere with her recovery or their ability to function in a healthy manner together. ...

Family, Internal Medicine, General Medical Questions: Finger numbness and tingling, finger numbness, sensory nerves
finger numbness, sensory nerves, guitar hero: That s what happens when you get old............ (halfway kidding) First, not carpal tunnel... that would involve the middle finger and half the index and ring finger. So if it is all index finger, probably not. But you are on the right track.... the...

Family, Internal Medicine, General Medical Questions: Flu?, afrin nasal spray, chest congestion
afrin nasal spray, chest congestion, sinus infection: the flu is more of a full respiratory infection, meaning a lot of chest congestion, cough, and fever over 102. This sounds more like a full blown sinus infection... I would try using some AFRIN NASAL SPRAY twice a day, and if not improving in 48 hours,...

Family, Internal Medicine, General Medical Questions: General Malaise, high risk group, inflammatory bowel disease
high risk group, inflammatory bowel disease, mild diarrhea: Interesting theory.... the puppy parasites, but that usually doesn t cause many symptoms. I would still focus on the GI tract.... a low level instestinal infection or could you be developing an inflammatory bowel disease (crohn s, ulcerative colitis) ...

Family, Internal Medicine, General Medical Questions: Gerd..., acid indigestion, stomach contents
acid indigestion, stomach contents, magnesium hydroxide: Your esophagus is the tube that carries food from your mouth to your stomach. Gastroesophageal reflux disease (GERD) happens when a muscle at the end of your esophagus does not close properly. This allows stomach contents to leak back, or reflux, into the...

Family, Internal Medicine, General Medical Questions: My grandfather, kidney failure, renal failure
kidney failure, renal failure, cause distress: Hello Dian and thanks for writing, I am so sorry to read about your Grandfather, it is always painful to watch someone we love slip away and naturally we want to “do something”. The doctor is correct that giving your Grandpa food or fluids at this point...

Family, Internal Medicine, General Medical Questions: HPV or what else can it be?, hpv, clear evidence
hpv, clear evidence, cauliflower: As per the info you have given, there appears to be no clear evidence of cancer. HPV realted growth are cauliflower like. for your pain problem, you can take the help of homeopathy. let me know if you need anything else. my email is medlifeasia@gmail.co...

Family, Internal Medicine, General Medical Questions: always hot, beta blockers, thyroid
beta blockers, thyroid, sweat: If your thyroid is not abnormal, then that may be the way you are. I would see your regular doc and discuss... If I had someone coming in with this, I would do a workup and maybe a trial of low dose beta blockers might help somewhat. I assume that...

Family, Internal Medicine, General Medical Questions: always hot, thirst, thyroid
thirst, thyroid, bp: mail me the answers to the folloeing to medlifeasia@gmail.com 1. since how long do you have this problem? 2. Get your BP checked in the evening and inform me 3. How much do you sleep daily 4. How much thirst do you feel? hoe much water you take in a...

Family, Internal Medicine, General Medical Questions: Increasing HDL, red yeast rice, lowering cholesterol
red yeast rice, lowering cholesterol, lower cholesterol: red yeast rice supplements. It depends on how high your LDL is and how low LDL is..... diet has some effect but the medicines work so much better. Gemfibrozil for HDL and Statins, like simvastatin for lowering cholesterol Otherwise, low fat foods,...

Family, Internal Medicine, General Medical Questions: Iron deficiency in toddler, low iron levels, red blood cells
low iron levels, red blood cells, iron fortified cereals: iron is needed to make red blood cells.... the body keeps making them until the iron is completely depleted.... until then you can have low iron that is completely asymptomatic. So, mostly, don t worry about it. Stick a chewable multivitamin with iron...

Family, Internal Medicine, General Medical Questions: kindly assist, black seed, turmeric powder
black seed, turmeric powder, seven month: her body immunity needs to be increased so she should do lot of exercise and sports, running etc. Give her black seed powder or oil one spoon daily. also give her turmeric powder one spoon in half cup of milk daily. let me know the result in a week. my email:...

Family, Internal Medicine, General Medical Questions: Low mpv and Petechiea rash, cataract surgery, fish oil
cataract surgery, fish oil, serax: that number by itself means nothing.... if your platelet count is relatively normal, then you are fine. Stopping fish oil will have no affect. I usually ignore that number on the blood count unless the others are abnormal so I don t mention it either...

Family, Internal Medicine, General Medical Questions: Lump/Bump on Back, scapular area, nasty smell
scapular area, nasty smell, black seed: Try to find a place where you can get bandage done at cheap cost without insurance. It is important. Is he getting fever? If yes, the infection is substantial. His body immunity needs to be increased so he should do lot of exercise and sports, running etc....

Family, Internal Medicine, General Medical Questions: Lung problems?, chest cold, cold season
chest cold, cold season, lung problems: I would first suspect that you are right at the beginning of a chest cold and that symptoms are going to progress over the next few days. This is the flu and cold season. So that is the most likely diagnosis. If it gets very painful, get it checked out...

Family, Internal Medicine, General Medical Questions: Manage fibromyalgia naturally, intact pth, calcium magnesium
intact pth, calcium magnesium, monocyte count: I titrate the patients calcium magnesium and vit D to the 90% and intact pth to the 15 % Plus get their HDL to 60 and crp to 0.50 plus their monocyte count to less than 6% and their fibromyalgia goes away usually in 6-8 weeks No currently published books...

Family, Internal Medicine, General Medical Questions: Mention a few things to my doctor?, internal medicine specialist, teeth sensitivity
internal medicine specialist, teeth sensitivity, cold things: My doctor believes I have a mild case of fibromyalgia, though I don t have any tender points and fatigue is more pronounced then pain. I m glad I have somebody to label my condition, but I m still on the lookout for possible underlying conditions. Answer:...

Family, Internal Medicine, General Medical Questions: Mild fibromyalgia, chronic sickness, tender points
chronic sickness, tender points, rheumatologist: Fibro is a tough diagnosis to make in a lot of people.... Pain is so subjective that one person t pain may cripple them and another person s similar pain may slow them down a little bit. Technically, you have to have tender points to make the book diagnosis...

Family, Internal Medicine, General Medical Questions: mother in ALF, roho cushions, long periods of time
roho cushions, long periods of time, primary nurse: Hi Joyce and thanks for writing, I always found the residents who have family that stay in touch with the care staff did generally receive more attentive care (as the staff knew the family was paying attention). If you don’t have time to visit during the...

Family, Internal Medicine, General Medical Questions: night sweats, adrenal gland disorders, medicine side
adrenal gland disorders, medicine side, thyroid disorders: There are many causes and having a cancer causing this is really low on that list...... This could be a medicine side effect. It could be some mild withdrawal symptoms if you are on pain medicine or drink moderately and didn t drink that night. Low...

Family, Internal Medicine, General Medical Questions: PH LEVEL, stomach acid, yeast infections
stomach acid, yeast infections, ph level: what an interesting question..... why would you want to change your pH level... that would surely result in things not working or death, depending on how fast and aggressively you change it. I don t know exactly what you are referring to, but if you...

Family, Internal Medicine, General Medical Questions: period questions, vrgin, hormone level
vrgin, hormone level, level tests: Hello Celinda and thanks for writing, I think you should at least speak to your family doctor and s/he may want to do some hormone level tests to see what’s going on with your cycles and ma be able to offer a simple treatment to help regulate you. It’s...

Family, Internal Medicine, General Medical Questions: please help with prickly pain..., fatty liver disease, tiny nodules
fatty liver disease, tiny nodules, chest xray: advice..... quit smoking for one. The pain in the back is not related to the breast. But I would get a chest xray, and if negative, treat the back pain as musculo-skeletal, meaning anti-inflammatories to help it. But the primary goal should be to...

Family, Internal Medicine, General Medical Questions: Relora, magnolia officinalis, natural dietary supplement
magnolia officinalis, natural dietary supplement, traditional chinese medicine: Sean, Relora is a patent (TCM combination herbal preparation) with main ingredients to include bark of Magnolia officinalis and Phellodendron amurense. It is used for stress reduction as well as weight loss apparently. There have been some trials......

Family, Internal Medicine, General Medical Questions: Soy-Good or Bad?, soy, health
soy, health, goiter: A, There is good and bad about soy. Moderation in all things, as too much soy is goiterogenic. Too much to elaborate here in this forum, but for in depth consultation on soy and diet and other factors you are welcome to telemedicine consultation. visit:...

Family, Internal Medicine, General Medical Questions: Soy-Good or Bad?, christie hospital nhs trust, human breast cancer
christie hospital nhs trust, human breast cancer, malignant breast disease: Am J Clin Nutr. 1998 Dec;68(6 Suppl):1431S-1435S. Effects of soy-protein supplementation on epithelial proliferation in the histologically normal human breast. McMichael-Phillips DF, Harding C, Morton M, Roberts SA, Howell A, Potten CS, Bundred NJ....

Family, Internal Medicine, General Medical Questions: jaw, neck, shoulder pain and headache, adrenal adenoma, temporal arteritis
adrenal adenoma, temporal arteritis, mid back pain: yes, fever is not a classic finding for arteritis, so no fever certainly does not mean it doesn t exist. You have a lot of symptoms that may not be from one cause.... you will need your regular docs to help sort this out.... I would only be guessing in this...

Family, Internal Medicine, General Medical Questions: back, scoliosis, curvature
scoliosis, curvature, nerve: You should tell your doctor and have a full examination next time you have a checkup. You might have a little curvature (scoliosis) and sometimes pinch a nerve a little...... To help, make sure you stay active, good daily stretching, to keep everything...

Family, Internal Medicine, General Medical Questions: My 1 Yr old daughter scared us, mild seizure, blank stare
mild seizure, blank stare, peds: that history suggests it was a mild seizure, without the shaking, which is sometimes hard to prove unless it happens again. On the good news side, esp if a child is sleeping or very tired, they may be pretty unresponsive. I would keep an eye on any recurrence...

Family, Internal Medicine, General Medical Questions: Abnormal bleeding, pain in the lower abdomen, synthorid
pain in the lower abdomen, synthorid, pap smear: it isn t unusual to have weird periods when hypothyroid or when correcting.... both are on a hormonal feedback loop and they are intertwined through the pituitary. Let your doctor know and hopefully correct the thyroid as soon as possible and see how the...

Family, Internal Medicine, General Medical Questions: als?, muscle twitches, bad taste in my mouth
muscle twitches, bad taste in my mouth, muscle cramps: ALS fortunately is pretty rare and there are many more possibilities.... I would have a full evaluation, not just EMG s.... thyroid, B12, basically a complete neuro workup.... ask to be referred to a regional neuro center..... there will be one within 200...

Family, Internal Medicine, General Medical Questions: Bleeding, advil, motrin
advil, motrin, 4am: No, not normal to have rectal bleeding.... This needs an eval, so tell your parents and get checked..... Possibilities... if you have taken a lot of advil/motrin/alleve/aspirin, you could have irritated your stomach and caused some upper bleeding. There...

Family, Internal Medicine, General Medical Questions: Bleeding Foreskin, penis smegma, vaginal yeast
penis smegma, vaginal yeast, mycolog ii: sounds like you have a yeast infection down there.... too bad about the not sexually active part. The goal is to keep the area clean and dry.... retract the foreskin, clean residue, use some powder. You can also use Monistat (women s vaginal yeast cream)...

Family, Internal Medicine, General Medical Questions: bleeding time, bleeding disorders.
bleeding disorders.: Patrica, this is a bit too complex to sort out through this forum. Yes, discontinue ALL OTC now because we know that none of them are essential or life supporting and at least you will have that out of the way. Then it will be a matter of going through...

Family, Internal Medicine, General Medical Questions: Carbohydrate intolerance?, chronic gasteritis, acid feflux
chronic gasteritis, acid feflux: Hi there Beaner, thank you for posting your question with Allexperts. My name is Dr Andrew Rynne. I am a medical doctor working in Ireland. I have ten years experience helping people Online sort out their medical concerns. I do not think that your problem...

Family, Internal Medicine, General Medical Questions: Childhood sickness, stomach contents, hematologist
stomach contents, hematologist, 5th birthday: I would ask that you get referred to an infection disease or hematologist for an immune system workup..... that certainly sounds abnormal..... The childhood stuff I might discount, but the adult repeat pneumonias..... I would want to know if you have reflux...

Family, Internal Medicine, General Medical Questions: confused, partial colectomy, many different things
partial colectomy, many different things, plan vacations: it could be if it were severe.... such as causing severe anemia requiring transfusion. And.... endometriosis will not cause vaginal bleeding... it could cause rectal or urinary bleeding but mostly just pain. But your GYN has to sell the case to the insurance...

Family, Internal Medicine, General Medical Questions: Costs, plastic surgery procedures, ethical boundaries
plastic surgery procedures, ethical boundaries, malpractice costs: I could not agree more.... I did liposuction for several years..... It cost me about 800 dollars in disposable stuff, probably 200 in depreciation and another 100 for staff. Takes about 4 hours. I typically charged 2500-3500, feeling that was reasonable.......

Family, Internal Medicine, General Medical Questions: Elevated LFT's, raised LFT
raised LFT: Hi there Sharon, thank you for posting your question with Allexperts. My name is Dr Andrew Rynne. I am a medical doctor working in Ireland. I have ten years experience helping people Online sort out their medical concerns. Cortisone, especially in large...

Family, Internal Medicine, General Medical Questions: ER, chest x ray, cardiac enzymes
chest x ray, cardiac enzymes, anterior infarct: I am at a loss, not knowing the details, but I agree with you.... I would have looked at cardiac causes, even without the BNP. The CXR does not necessarily have to show a pneumonia but that would also make someone look elsewhere for the problem. If his...

Family, Internal Medicine, General Medical Questions: Periods, toxic shock syndrome, frequent sex
Family, Internal Medicine, General Medical Questions: Periods, toxic shock syndrome, frequent sex, contraceptive pill

Family, Internal Medicine, General Medical Questions: Fibromyalgia, epstein barr virus, arnold chiari
epstein barr virus, arnold chiari, low immune system: arnold chiari can cause some weakness and neck pain/headaches. EBV is a separate entity from fibro and can be measured with specific antibody testing. The problem is the vague symptoms of fibro are attributable to many other diseases, including hypothyroidism...

Family, Internal Medicine, General Medical Questions: Fluzone High-Dose vaccine, fluzone vaccine, flu vaccine
fluzone vaccine, flu vaccine, strength version: With these kind of immunizations, you either respond or you don t.... all or none. Getting the higher dose will make you more likely to respond. The risk is an allergic reaction, which would be worse with the higher dose, but that would have happened immediately......

Family, Internal Medicine, General Medical Questions: general medicine, lymph glands, swollen glands
lymph glands, swollen glands, oxygen carrying capacity: swollen glands, fatigue, anemia..... I would get all that worked up.... is this mono? or another viral illness. The anemia is probably a separate problem and needs to be evaluated and treated.... that is about 40% low on oxygen carrying capacity.... I would...

Family, Internal Medicine, General Medical Questions: Headaches in children, headaches in children, sinus infection
headaches in children, sinus infection, serious things: No, obviously not normal.... at that age it is hard to localize a headache.... could be an ear infection, toothache, sinus infection..... I know it is easy to worry about the really serious things.... although those occur, they are very very rare.......

Family, Internal Medicine, General Medical Questions: Heart-beating in Stomach, heart beating, blood tests
heart beating, blood tests, 22 years: The first thing I would do is check your blood counts to make sure you are not anemic and check your thyroid blood tests..... that is easy to diagnose and fix if that is the problem. But if that is negative, you need to see someone for a good complete workup...

Family, Internal Medicine, General Medical Questions: HFMD, hand foot and mouth disease, hand foot and mouth
hand foot and mouth disease, hand foot and mouth, foot and mouth disease: It can... the only way to tell is to continue to check your BP as this resolves.... don t go crazy... 2-3 times per week is adequate.... often, people have elevated blood pressure and don t realize it until something happens... so check to be sure this is...

Family, Internal Medicine, General Medical Questions: hiv question, plasma donors, western blots
plasma donors, western blots, antibody tests: those tests are set to test positive whenever the disease is present with a sensitivity to try and catch everyone, so some people with mildly similar antibodies will test positive.... for this test, there isn t a specific reason.... some of the different antibody...

Family, Internal Medicine, General Medical Questions: hot flashes, hrt, menopause
hrt, menopause, hot flashes: Hi there Patty, thank you for posting your question with Allexperts. My name is Dr Andrew Rynne. I am a medical doctor working in Ireland. I have ten years experience helping people Online sort out their medical concerns. Sometimes it may take years and...

Family, Internal Medicine, General Medical Questions: iron supplements, iron absorbtion, serum level
iron absorbtion, serum level, iron rich foods: you cannot raise your iron too quickly with oral iron... from foods and vitamins.... there is a block in your intestines (as an adult) that limits iron absorbtion to protect from overdose. Just take the MVI and be patient..... also look at your periods......

Family, Internal Medicine, General Medical Questions: My Joints, rheumatic arthritis, unhealthy lifestyle
rheumatic arthritis, unhealthy lifestyle, pain meds: if you have rheumatoid or lupus or something else, this will not work. If you are simply way out of shape, then it may get worse before it gets better over a couple of weeks..... not a bad trial... but tell your mom if after 2-3 weeks, if you aren t improving...

Family, Internal Medicine, General Medical Questions: I would like to know about career in EM, emergency medicine residency, rewarding profession
emergency medicine residency, rewarding profession, gun shots: Haven t heard of him... has he written a book or something? My kids want to go into medicine... I think that s great, but I told them to volunteer in the hospital... to make sure that it is a good match..... why don t you go to your local hospitals thru...

Family, Internal Medicine, General Medical Questions: Las drogas, hepatitis c, addictive disease
hepatitis c, addictive disease, viral illness: tiene que translatar...... The biggest effect on the body is the emotional and mental development of the brain, especially when the person begins to use drugs in the teenage years. This can cause permanent damage and set someone up for long term addictive...

Family, Internal Medicine, General Medical Questions: listening to heart/lungs, ankle sprain, heart issues
ankle sprain, heart issues, internist: interesting question..... part is billing.... you don t have to pay extra, but insurance companies require a check of several different body systems for even a lower level of bill, but primarily it is what we are taught.... examine the patient.... look for...

Family, Internal Medicine, General Medical Questions: Microscopic Blood in the Urine, ct scan with contrast, left kidney
ct scan with contrast, left kidney, microscopic blood: the cysts can cause bleeding... a stone definitely will cause it and could explain recurrent UTI s.... it is very difficult to sterilize a kidney stone... they typically have to be removed... the urologist should be able to grab that with a cystoscope, but...