About Experts Sitemap - Group 21 - Page 12 2014-09-23

Family, Internal Medicine, General Medical Questions: sinus infection?, cheek bone, sinus infection
cheek bone, sinus infection, sinus infections: I think you are right.... flucticasone is a good allergy medicine, not so effective for sinus infections. You need antibiotics and I like using AFRIN nose spray 2-3 times a day for up to a week and that usually fixes it up.... so yes, time to see the...

Family, Internal Medicine, General Medical Questions: Throat tightness?, doxi, throat tightness
doxi, throat tightness, adams apple: if the doxi dissolved, it can cause a nasty ulcer in the throat/esophagus.... that may take several days to heal. You should take doxi with a full glass of water, etc, to make sure it gets to the stomach. It sounds like a doxi induced esophagitis... sometimes...

Family, Internal Medicine, General Medical Questions: urine and blood, renal cell carcinoma, bladder cancer
renal cell carcinoma, bladder cancer, red urine: Karan, Very unlikely in that age group, but w/ normal US and microscopic tests that is even more reassuring that it is not. There are Bladder Cancer and Renal Cell Carcinoma bio-markers (blood tests) that can be run for more assure-adness. Likely, painless...

Family, Internal Medicine, General Medical Questions: wrist pain, wrist pain, mundane tasks
wrist pain, mundane tasks, motrin: This may be tendonitis provided you didn t have a big injury in the remote past. I would try easy stretching and motrin while you are waiting on the appointment. The brews issue is no big deal except drunk people can hurt muscles/joints much more easily...

Family, Internal Medicine, General Medical Questions: Feet Problems, bunion, foot problems
bunion, foot problems, orthopedist: You are getting ahead of yourself.... first thing is finding out what the problem is..... not all foot problems are bunions. I would see an orthopedist or podiatrist and figure out what the problem is. If it is a bunion that needs surgery, yes, you are...

Family, Internal Medicine, General Medical Questions: Hello, anxiety stress, last thing at night
anxiety stress, last thing at night, bad stuff: Small bubbly fluid inside the lip...... not sure what you mean. Good pain can be a strain in the foot muscles or inflammation of the foot connecting tissue (plantar fasciitis).... motrin and easy stretching should help. The suspense feeling.... anxiety......

Family, Internal Medicine, General Medical Questions: Hello, recurrence rate, ketoconazole
recurrence rate, ketoconazole, tinea: tenia corp is a tough problem... it fades slowly and the fungal stuff grows/reproduces really slowly.... when I use the oral ketoconazole, I use a dose once a week for 6 weeks during a time when you are gonna sweat.... it is like flea dipping you in the drug........

Family, Internal Medicine, General Medical Questions: help, abnormal heartbeats, rythym
abnormal heartbeats, rythym, cofee: I don t know if the chlordiaz will help.... the hard part is catching the abnormal rythym when it is happening... sometimes we put a 24 hour monitor on someone to catch it, but sometimes we have to put longer monitors, sometimes for a month in order to catch...

Family, Internal Medicine, General Medical Questions: Should I keep taking omepremazole, pylori eradication, acid reducer
pylori eradication, acid reducer, empty stomach: The bone problems are over rated.... I would take the Prilosec daily on an empty stomach.... And if that helps, stay on it. If it doesn t, then you need further testing. The over the counter is just as good. H Pylori eradication is low.... Probably 70%,...

Family, Internal Medicine, General Medical Questions: is meat necessary for building tissue?, cheese milk, milk cheese
cheese milk, milk cheese, meat eaters: Most of the animals that we (well, me, not you) eat don t eat meat.... cows, chickens, etc. So you can get essentials thru your diet, but you have to make sure you get enough protein..... easy for meat eaters.... cheese/milk/eggs, some vegetables have...

Family, Internal Medicine, General Medical Questions: Medical, traumatic brain injuries, poor academics
traumatic brain injuries, poor academics, typical lifestyle: Ct and MRI tell whether someone has or had bleeding in the head or major damage.... So that is good to exclude, but if they are normal, there could still be traumatic brain problems.... A neuropsychologist along with psychological testing can tease out whether...

Family, Internal Medicine, General Medical Questions: sneezing, claritan, carbonation
claritan, carbonation, sneezes: it could be allergic to some of the beer components.... they are made from different grains..... could be irritation from the carbonation. I would (at least as an experiment) try taking a claritan a couple hours before the beer to see if it suppresses it.........

Family, Internal Medicine, General Medical Questions: Stomach pain, h pylori bacteria, complete metabolic panel
h pylori bacteria, complete metabolic panel, lipase levels: I assume they checked a urinalysis and a pregnancy test (if needed) It sounds like a food intolerance ( milk is one of them ) and it may take the gastro continued searching for the cause..... no great brainstorms here as it looks like you had a very extensive...

Family, Internal Medicine, General Medical Questions: thigh injury and fluid buildup, ace bandage, fluid buildup
ace bandage, fluid buildup, seroma: It sounds like a Seroma..... A bruise where the blood is being resorted but the fluid pocket remains..... Some will fade, some have to be drained and wrapped, some need minor surgery to close the new space down so fluid does not recollect. Tere is no hurry...

Family, Internal Medicine, General Medical Questions: tongue and throat, male enhancement pills, burning sensation
male enhancement pills, burning sensation, allergic response: sometimes the tongue gets irritated from something too hot or too salty and gets sensitive for a few days. I don t know when you started longinexx, but allergies are a possibility.... if the time frame is similar, it could be an allergic response to the meds.........

Family, Internal Medicine, General Medical Questions: Cronic Pain After Arousal But No Ejaculation, lower abdomen, prostate infection
lower abdomen, prostate infection, typical male: well, he is a typical male who won t attend doctors until it gets bad enough for him to give up and go to the doctor. There are a few possibilities, and he needs to see a urologist to have this evaluated. You didn t give me a time frame, but I would...

Family, Internal Medicine, General Medical Questions: Dark Urine/B Vitamin related, brain fog, b vitamins
brain fog, b vitamins, concentrated urine: Vit B shot will not do this.... a multi vitamin with a lot of other B vitamins can do this. It could be some dehydration and concentrated urine, could be from vitamins... if it keeps up, get your urine checked to make sure there isn t an infection or...

Family, Internal Medicine, General Medical Questions: electrocution, muscle nerve, nerve tissue
muscle nerve, nerve tissue, heart stops: if he is killed thru the genitals, then there would be a lot of burn damage to that area and it has to root across the chest. Yes, if the heart stops, then the treatment is restarting with a defibrillator. For the burns, some is on the skin and some is...

Family, Internal Medicine, General Medical Questions: endorphins? dopamine?, morning erections, low libido
morning erections, low libido, lack of motivation: I would look at some other basics..... check thyroid, regular blood counts too, since testosterone was normal. Also, are drugs/alcohol/stress/depression factors in all of this? It is unlikely masturbation did this..... all young guys masturbate a lot.......

Family, Internal Medicine, General Medical Questions: Holes in my chest, flail chest, broken ribs
flail chest, broken ribs, metal braces: You should really do your own homework, but this is a sucking chest wound so initially the EMT will cover the chest hole and tape on three sides to provide a flap that closes when you inhale and lets air out when you exhale. You also have a flail chest with...

Family, Internal Medicine, General Medical Questions: human growth hormone, cheek implants, glucose intolerance
cheek implants, glucose intolerance, human growth hormone: Mark, human Growth Hormone (rhGH) should never be administered strictly for cosmetic reasons especially in someone as young as you and never without first getting serum levels of IGF-1 drawn. In practice doctors usually never prescribe GH to anyone with...

Family, Internal Medicine, General Medical Questions: ibuprofen, stomach problems, stomach pain
stomach problems, stomach pain, stiffness: I wouldn t worry about stroke/heart attack.... the big risk of motrin is stomach pain, reflux, ulcers, so if you are not having stomach problems.... I wouldn t worry. But, I would wonder if there is more to the thyroid/stiffness.... I assume your thyroid...

Family, Internal Medicine, General Medical Questions: Low carb not working?, Diet and ApoE Genome
Diet and ApoE Genome: Dear Bud, It is very likely genetics... in particular the Apo-E genotype that you may possess... Genomic testing can determine that for you... but read the article below for more answers... ApoE, Diet, CADz, Alzheimer s Dz: Why you should get tested....

Family, Internal Medicine, General Medical Questions: MRSA/STAPH of internal ears, MRSA, Carrier
MRSA, Carrier, Antibiotic Stewardship: Becky, MRSA was virtually unheard of 10 years ago and only seen in the ICU or nursing homes... now over 60% of people in the community test positive for MRSA... staph infections resistant to pen-class drugs. d may be for Doxycycline which kills MRSA as...

Family, Internal Medicine, General Medical Questions: osteoporosis.medication, good luck with everything, hemiplegic
good luck with everything, hemiplegic, femur: the shots work as well as the pills.... and they don t have to be given very often.... once every three months. So those are an option. I don t see much downside... they are pretty well tolerated. The pills.... especially if they don t make it into...

Family, Internal Medicine, General Medical Questions: Pain in shoulder and arms, injury from surgery, accident in the operating room, light exercises
accident in the operating room, light exercises, tubal ligation: I would attempt to talk to the head administrator.... the CEO of the hospital. If he is willing to talk to you. In the notes, it would be listed in the nursing notes, not the doctor notes, and there may be a separate incident report. If the doctor...

Family, Internal Medicine, General Medical Questions: No period after losing weight, birth control pills, type of birth control
birth control pills, type of birth control, thyroid disorder: If I were looking at you for these problems, I would make sure there wasn t a hormone problem, the most common being a thyroid disorder.... that is a lot of weight to lose. If all the hormone tests are negative, then I would make sure you were on a reasonable...

Family, Internal Medicine, General Medical Questions: Podiatrist, custom made shoes, custom shoes
custom made shoes, custom shoes, irregular shape: well, you can certainly get anything you want for a price...... in general, the inserts (orthotics) are a lot more popular because they are easier and cheaper than custom made shoes, but some podiatrists can make casts of feet and use these to figure out...

Family, Internal Medicine, General Medical Questions: sinus bradycardia and heart murmur, sinus bradycardia, slow heart rate
sinus bradycardia, slow heart rate, chest x ray: Couple issues here.... the murmur.... it is most likely that he has had it forever and you had an attentive doctor in a good quiet room with a good stethoscope. It is unlikely that he recently developed it. The echocardiogram is the money test to evaluate...

Family, Internal Medicine, General Medical Questions: STDs & Birth, child in the womb, transmission of aids
child in the womb, transmission of aids, antiviral drugs: these techniques lower the risk but are not foolproof..... syphilis is a bad one and can cause birth defects in unborn children. HIV/Herpes, risk lowered. Gonorrhea, simply treat the mother. Chlamydia, again treat the mother. So there are treatments for...

Family, Internal Medicine, General Medical Questions: Testosterone, male pattern baldness, testosterone levels
male pattern baldness, testosterone levels, increase testosterone: yes, more testosterone could accelerate male pattern baldness.... yes, that is propecia..... Suicidal thoughts would be unusual to attribute to propecia...... A lot of supplements claim they do a lot, but I am not aware of any clinically shown to...

Family, Internal Medicine, General Medical Questions: Tinea plzz help, tinea infection, anal area
tinea infection, anal area, skin colour: the symptoms (with proper treatment) should get better in a week or so, the skin color maybe a month or two to return slowly. If treatment does not offer improvement in a couple weeks, it is time to see the doctor to look for other rarer problems that can...

Family, Internal Medicine, General Medical Questions: Wrist Pain, repetitive motion injuries, programming website
repetitive motion injuries, programming website, overuse injuries: These overuse injuries are pretty common, going back further than computer games for mild repetitive motion injuries...... Changing the mouse drastically can help, such as using a trackball. Other things are wrist pads and changing the height of your chair...

Family, Internal Medicine, General Medical Questions: Bronchitis: viral or bacterial, cough sputum, levaquin 500
cough sputum, levaquin 500, normal heart rate: I wonder whether this is more strep than bronchitis..... I probably would have continued the Ceftin without knowing for sure.... typically, viral infections don t need antibiotics and with you not having much of a cough or respiratory symptoms, more fever,...

Family, Internal Medicine, General Medical Questions: chronic leg pain, tight calves, shin splint
tight calves, shin splint, stress fracture: The cramps are a different issue, but the bony pain seems to be the priority..... Shin splints are poorly defined as to what causes them but rest and stretching usually helps but they are likely to recur with impact like exercise. Stress fractures are tough...

Family, Internal Medicine, General Medical Questions: Clinical Touching, testicular lumps, health care provider
testicular lumps, health care provider, repoire: that is a good question.... there is an excellent section on this in the book Better by Atul Guwande.... I agree with his position that the correct ways are cultural and societal.... we tend to have chaperones when examining sensitive areas on patients of...

Family, Internal Medicine, General Medical Questions: Heat Sensitivity, thyroid tests, regulatory mechanisms
thyroid tests, regulatory mechanisms, horse corral: not sweating is not great.... that is one of our temperature regulatory mechanisms.... some medicines make it harder to sweat, but some people just don t sweat as much. I would want to see thyroid tests on you. Also, I don t know your age but around menopause,...

Family, Internal Medicine, General Medical Questions: Hello, food particle, h pylori
food particle, h pylori, nerve stimulation: Does sound like serious cancer per example ? No, I would be more likely thinking of a food particle or some type of mild sinus or throat infection. Also what is an over active nerve in stomach? Some nerve stimulation to the stomach can be a little...

Family, Internal Medicine, General Medical Questions: Inside lower lip, weight fluctuation, retention cyst
weight fluctuation, retention cyst, internal medicine: that is another name for mucous retention cyst..... the weight fluctuation is normal.... it changes with what comes in and what goes out.... what you eat and drink and what you urinate or defecate out.... it can vary by a few pounds. Also, scales...

Family, Internal Medicine, General Medical Questions: ITS SO HOT, drop in blood pressure, definite answer
drop in blood pressure, definite answer, hot weather: I don t know if there is a definite answer, but here is my take on it..... when your body is being heated from outside sources or excessive exercising the body finds ways to get rid of excess heat.... sweating and opening up more blood vessels and running...

Family, Internal Medicine, General Medical Questions: Lightheaded feeling for a week, sinus congestion, itchy throat
sinus congestion, itchy throat, answere: it sounds like it could be an inner ear/sinus type infection. You could try some sea sickness over the counter medicine (generic name meclizine) up to three times a day. Also if there is any sinus congestion, try some nasal afrin spray for 3-5 days. If...

Family, Internal Medicine, General Medical Questions: COuld This Low BP Be a Heart Thing??, benicar hct, diastolic blood pressure
benicar hct, diastolic blood pressure, echo doppler: I am not sure I buy the concept of increasing fluids and increasing stress lowering your blood pressure. Something has changed and without other symptoms, I am not really thinking about MI or valvular heart disease. I would recheck kidney function, (easy...

Family, Internal Medicine, General Medical Questions: Lower abdo pain, lower back pain, tender spot
lower back pain, tender spot, abdo: I would stop googling your symptoms.... if you are concerned about your symptoms, continue your relationship with your OB/GYN..... I am not sure why you had a pelvic MRI but have it checked. Common things occur commonly and rarer things (ovary cancer)...

Family, Internal Medicine, General Medical Questions: Lump, bartholin, pea size
bartholin, pea size, buttock: the pea sized lump sounds like a cyst, that may go away with baths and time.... it is hard to tell exactly where it is from your description but this could be a little bartholin s gland cyst.... if it doesn t go away, it may have to be drained..... good luck...

Family, Internal Medicine, General Medical Questions: back pain, core work, thigh muscle
core work, thigh muscle, disc problems: usually elliptical is not a bad machine for people with disc problems... it is low impact. One worry always, is someone works out to the point of fatigue and then when you are tired, with fatigued muscles, it is easier to injury yourself..... I like to...

Family, Internal Medicine, General Medical Questions: periods - PMS, hormone replacement therapy, medicine article
hormone replacement therapy, medicine article, menstraul: Sandra, By definition no period (menstraul) for 12-months is menopause, so you are post-menopausal. This will increase your risk for some diseases such as premature aging, heart disease, some cancers and osteoporosis. It is advisable to take measures...

Family, Internal Medicine, General Medical Questions: pseudomonas aeruginosa, list of antibiotics, oral antibiotics
list of antibiotics, oral antibiotics, webmd: it is a more difficult to treat bacteria. It probably won t spread but may take some specialized eardrops, or possibly some oral antibiotics along with eardrops. They should refer you to an ENT specialist or if one isn t available an infectious disease...

Family, Internal Medicine, General Medical Questions: Random Feeling of Hot, skin creases, physical standpoint
skin creases, physical standpoint, random times: from a physical standpoint, I would want to know if your thyroid is ok, or could you have some type of infection causing some fevers.... I would check your temperature. There are some rarer conditions that can happen with weird hormone reactions.... those...

Family, Internal Medicine, General Medical Questions: Rebound headaches, rebound headaches, rebound headache
rebound headaches, rebound headache, preventative medication: that can be a problem with opiates.... is the rebound headaches.... not true migraines, but headaches nonetheless. You diagnose rebound headaches based on the situation.... it sounds like them in your setting.... not much to do if you require opiate...

Family, Internal Medicine, General Medical Questions: Spread of infection from inanimate objects?, diarrheal illnesses, hand sanitizers
diarrheal illnesses, hand sanitizers, c dif: that is called fomite spread.... yes, some diseases can be spread, some cannot. If you take something like AIDS.... can t be spread that way. Some illnesses like C dif colitis (intestinal infection) or the diarrheal illnesses can be spread that way. You...

Family, Internal Medicine, General Medical Questions: Stomach Issues, gluten free diet, oral antibiotics
gluten free diet, oral antibiotics, stomach pain: tough problems.... the GI problem is difficult.... the surgery for diverticulitis can cause problems in itself.... also, there could be a food intolerance.... trying a milk/cheese free diet may help or trying a gluten free diet. If you do either of these,...

Family, Internal Medicine, General Medical Questions: Thyroid issue?, thyroid replacement hormone, low carb diets
thyroid replacement hormone, low carb diets, armour thyroid: those sometimes can be tough problems..... the key is to replace thyroid hormone with synthroid (or some of the others, like cytomel, armour thyroid) or a combination to suppress the TSH to a value of 0.5 to 1.0. I try to keep it relatively low, even though...

Family, Internal Medicine, General Medical Questions: abnormal pap, abnormal pap, cancerous conditions
abnormal pap, cancerous conditions, abnormal results: bottom line, don t worry about it.... since HPV is neg, this problem has a 50% rate of resolving itself..... and if it doesn t, could cause a problem in 5-10 years..... she will be retested and treated if needed after the delivery..... some inflammation can...

Family, Internal Medicine, General Medical Questions: Anxiety/Depression, anxiety medication, adequate exercise
anxiety medication, adequate exercise, natural vitamins: I would not look at vitamins as an answer to this, but there are options short of antidepressants or antianxiety medicines. I would be asking if alcohol is a regular part of your life and if it increased lately. Is there an appropriate amount of adequate...

Family, Internal Medicine, General Medical Questions: Bursitis, jogging program, runner time
jogging program, runner time, alleve: I agree it is bursitis.... makes sense since barefoot running changes a lot of mechanics... there are great books on it, but you have to start really slow and build up even if u are a seasoned runner. Time, rest , alleve (or prednisone) a little hiking...

Family, Internal Medicine, General Medical Questions: Ear pain, ear jaw pain, eardrum perforation
ear jaw pain, eardrum perforation, swimmers ear: well, I am not sure I believe that someone can mistake tmj and swimmer s ear.... but it is easy to have swimmers ear and with a few days of eardrops to make it look normal. If the ear is continuing to be red and swollen, then it is not TMJ. But if the ear...

Family, Internal Medicine, General Medical Questions: Eardrum, boxing match, jolts
boxing match, jolts, healing process: so, saying there is a patch implies you had a surgical repair..... I don t think practicing boxing will hurt it more but getting hit will, so until healed, I don t think I would be doing any sparring. If you smoke, stop.... that definitely hurts healing...

Family, Internal Medicine, General Medical Questions: gastritis, stomach ache, direct correlation
stomach ache, direct correlation, gastroenterologist: I can t confirm or refute the problem based on your symptoms...... there are lots of causes of abd aches.... gastritis is only one..... celiac disease, gallbladder, pancreas problems, etc. I would tend to work thru trials of treatment and tests to see...

Family, Internal Medicine, General Medical Questions: Hepatitis, liver cancer treatments, liver failure
liver cancer treatments, liver failure, contact iv: you need to give me more info..... are you having sex with this person who may or may not have Hep C? Do they definitely have it or have definitely gone thru treatment for it? (Not alternative medicine treatment) It can be cured, but if there is already...

Family, Internal Medicine, General Medical Questions: loud dripping sounds after swallowing, dripping tap, emergency condition
dripping tap, emergency condition, cup of coffee: Since someone else can hear it, it sounds like there is either dripping into the stomach or some bowel action causing a liquid like noise. If there aren t any other symptoms, I would mention it and demonstrate it to his doctor next visit, but I don t see...

Family, Internal Medicine, General Medical Questions: microalbunaria??????, pus cells, lipid profile
pus cells, lipid profile, diabetic range: can I dis cont. metformin and start Glicisize-40 mg twice with 25 mg ARB as suggested by physician or consult super specialist? There is no set medicine that is best for everyone. Your sugars are not controlled well currently and the best evidence for...

Family, Internal Medicine, General Medical Questions: Neck pain, seasonal allergies, musculature
seasonal allergies, musculature, neck pain: You could easily have injured the musculature while sneezing...one after another does not give the muscle time to reset and can lead to injury. If there is no fever or sore throat, I would give it another week...if you are still sneezing, you may be aggravating...

Family, Internal Medicine, General Medical Questions: Ovarian cancer fears, internal ultrasound, cancer fears
internal ultrasound, cancer fears, pelvic mri: with urinating more often, it sounds more like a urinary infection. It is theoretically possibly but very unlikely that this is ovarian cancer..... that typically does not present as pain until very late in the process, since there is such good room for...

Family, Internal Medicine, General Medical Questions: Ovarian cyst, ovary problems, ca125 test
ovary problems, ca125 test, bladder infection: the urination and ovary problems are not related.... I would make sure you don t have a urinary infection /bladder infection again. Also, some vaginal infections that can irritate the urethra can cause the frequent urination...... time to at least get a...

Family, Internal Medicine, General Medical Questions: Period kinda late, morning urine, pregnancy test
morning urine, pregnancy test, brown discharge: you may have missed a period and got a little spotting.... no big deal as long as you aren t pregnant...... checking a first morning urine gives the best sensitivity for a pregnancy test. Sometimes people just don t ovulate one month and therefore don...

Family, Internal Medicine, General Medical Questions: Post chicken pox weaknesses, chest xray, history of chicken pox
chest xray, history of chicken pox, important works: if you truly had chicken pox, then there may be a longer recovery time. Good you don t have a cough because chicken pox pneumonia is bad. I would be interested in having you get another evaluation including some lab tests and possibly a chest xray since...

Family, Internal Medicine, General Medical Questions: getting rid of a small hemorrhoid, planned parenthood, cotton balls
planned parenthood, cotton balls, witchhazel: yes, this will go away, sometimes 2-3 weeks. The key is to make the conditions good for it to heal. That is a stretched vein and the tissue over it gets irritated. Prep H and don t get constipated and they usually resolve especially when they are that small....

Family, Internal Medicine, General Medical Questions: My Son with many issues, enlarged pancreas, good luck with everything
enlarged pancreas, good luck with everything, tyroid: I assume you mean the hepatitis (NASH) This is a complicated issue and I hope he has been referred to a pediatric GI specialist.... if not, that would be what I would ask for..... Sorry, this is way beyond the scope of this forum..... Good luck with everything...

Family, Internal Medicine, General Medical Questions: Spot/Dry skin on Forehead. Anything Serious?, reddish spot, cancer sun
reddish spot, cancer sun, skin cancers: certainly this could be a psoriasis plaque, but that is a prime area for a little skin cancer.... sun hits that area well..... It won t be a big deal in the long run, but should be evaluated by your doctor, possibly by biopsy. It isn t aids, and isn t...

Family, Internal Medicine, General Medical Questions: Stools, gall bladder removal, fruits vegetables
gall bladder removal, fruits vegetables, gall bladder: in general, a good diet with proper amounts of fiber/fruits/vegetables does it. If someone has a milk intolerance, then milk/cheese butter can loosen things up. Some people post gall bladder removal need more fiber in their diet such as Metamucil and some...

Family, Internal Medicine, General Medical Questions: Strange bump on head of penis, bump on head, cyst
bump on head, cyst, sexual activity: you say bump, but this looks like a little pit. If it started prior to sexual activity, then you don t have to worry about a sexually transmitted disease. It may just be a little scar from a cyst or infection a long time ago....... no big deal...

Family, Internal Medicine, General Medical Questions: Yeast Infection, jock itch, yeast infection
jock itch, yeast infection, cystex: cranberry stuff won t help. The key is to keep that area very clean and dry.... the fungus likes sweat, so using a lot of talcum powder during the day. Lotrimin is reasonable but you have to use it twice a day for a at least 2 weeks. This is jock itch...

Family, Internal Medicine, General Medical Questions: Alzheimer`s Disease, expressive aphasia, good measures
expressive aphasia, good measures, thyroid disease: There is a lot of good information at the following link..... www.alz.org/alzheimers_disease_facts_and_figures.asp‎ There is some new data linking alzheimers to obesity and separately, to diabetes. The tests are for memory and processing...

Family, Internal Medicine, General Medical Questions: Choice of Flu Vaccines for Over Age 65, flu vaccines, strains
flu vaccines, strains, age group: Tough question..... because in general, it is a guess. Elderly people in general do not react to vaccines as well as younger, so it becomes less effective. It is not an all or none phenomena, so even if someone elderly who has been vaccinated gets sick,...

Family, Internal Medicine, General Medical Questions: Ear, neuroligist, cluster headaches
neuroligist, cluster headaches, bad habit: Dear Sean, If you have not done so already, you should be seen by a nephrologist (kidney doctor) to identify the cause of your pain. The short answer is, no, the kidneys and bladder should not hurt. The long answer is to lengthy to put on a conference board....

Family, Internal Medicine, General Medical Questions: Ear bleeding and high Inr, popping ears, sinus infections
popping ears, sinus infections, nose spray: If there is a little blood from the ear, it can wait, but if it is really coming out, then we have to get the INR down more quickly. Cipro can block the metabolism of Coumadin and make it last longer, doing what it did to you.... with the blocked and popping...

Family, Internal Medicine, General Medical Questions: Endoscopy Results/Omeprazole., proton pump inhibitors, endoscopy results
proton pump inhibitors, endoscopy results, stomach acid: Dear Marie, Many medications are dosed differently based on the condition of the patient. 80 mg of omeprazole is not exceedingly high for the treatment your husband requires. There is some research to suggest that taking proton pump inhibitors, like omeprazole,...

Family, Internal Medicine, General Medical Questions: Finger Cut, tendons, tuesday night
tendons, tuesday night, 15 minutes: I would have stitched that to speed healing if I got you in the first 6 hours. Now, no choice but to let it heal secondarily. Keep it clean, covered and it will scab over and heal, but it will take longer. Avoid lifting with that finger as that will tense...

Family, Internal Medicine, General Medical Questions: GERD
Reflux is a mechanical problem with stomach contents backing up into the esophagus...swallowing tube, that is independent of stomach acid... symptoms occur because the stomach acid irritates the esophagus. The meds dont help reflux, they just make the reflux...

Family, Internal Medicine, General Medical Questions: Group A Strep infections, bacterial vaginosis, strep infections
bacterial vaginosis, strep infections, bloodwork: Strep is usually not a concern in the vagina unless you are pregnant.... it is impossible to sterilize thhat area. Strep usually doesnt cause symptoms... we worry about transmission to a baby during delivery. So dont worry about strep. Sometimes bacterial...

Family, Internal Medicine, General Medical Questions: Hubbys Big Belly, liver ultrasound, abdominal girth
liver ultrasound, abdominal girth, binge drinker: Dear Sue, Research has shown that binge drinking, as well as weekend warriors, due as much damage to their liver as daily alcoholics. Ascites may be playing a role in his abdominal girth. I would advise a good physical to include blood work and liver ultrasound....

Family, Internal Medicine, General Medical Questions: Human Temps, weather temps, degree weather
weather temps, degree weather, warm clothes: extremes are bad, but fortunately, we are mammals, so we are able to control out body temps separate from the outside temperature, unlike reptiles. I think temperature is a preference, but we easily adapt to temps between 65-85 and are a little uncomfortable...

Family, Internal Medicine, General Medical Questions: its my butt follow up, stomach gurgles, black tarry stools
stomach gurgles, black tarry stools, loss of appetite: Dear Kayla, Thank you for clarifying. You need to see a medical professional as soon as possible. Black, tarry stools is a sign of an upper gastrointestinal bleed. You may also have hemorrhoids which may be causing the burning and itching anus. Bright red...

Family, Internal Medicine, General Medical Questions: its my butt, exit area, anal region
exit area, anal region, sticky side: Dear Kayla, The most likely cause for your ailment is pinworms. They are more common than most people realize. The worms look like white thread. The eggs are oval and flat on one side. Contamination occurs when the hands are put to the mouth, because the...

Family, Internal Medicine, General Medical Questions: Knees, meniscus injury, accupuncture
meniscus injury, accupuncture, playing soccer: Dear Bud, Your symptoms indicate a possible meniscal tear. Cartilage is not viewable by an X-ray. An MRI needs to be ordered. However, by physical exam alone, many orthopedic surgeons are able to identify a meniscal tear. I recommend an appointment with...

Family, Internal Medicine, General Medical Questions: mouth ulcer, magic mouthwash, mouth ulcer
magic mouthwash, mouth ulcer, herpes infection: These tend to be recurrent virus ...... If it is in the lip, it is usually a herpes infection and Zovirax pills help. If it is on the tongue or inner mouth tissue, aphthous ulcer... And treatment is less clear... Sometimes a composite called magic mouthwash...

Family, Internal Medicine, General Medical Questions: Question about the uvula, tonsils, and throat-a month after mono diagnosis.
Dear Nicholas, Based on your description, symptoms, and picture, you can rest your mind at ease that this is not cancer. It appears to be an acute infection in the oropharynx that may or may not be strep throat. Your best bet is to follow up with the doctor...

Family, Internal Medicine, General Medical Questions: SDI, sexual contact, sdi
sexual contact, sdi, sti: it is becoming a change in terminology...... mostly because disease implies that you have symptoms, and the thought is that many STI s (STD s) don t have symptoms at different phases of their infection, so this terminology is more accurate to describe infections...

Family, Internal Medicine, General Medical Questions: Could this be serious?, black bowel movements, stomach irritation
black bowel movements, stomach irritation, pain meds: having black bowel movements, unless you are taking peptobismol, suggests you are having stomach bleeding. If you took a lot of motrin, etc for the cold, you may be getting some stomach irritation and bleeding. At minimum, you have to get off all pain meds...

Family, Internal Medicine, General Medical Questions: STD, hep c, first few days
hep c, first few days, sexual partner: I would worry about chlamydia if it is just burning or either chlamydia or gonorrhea if you have a discharge..... Hep C is hard to get thru sex, but wouldn t cause burning. I would get checked for chlamydia or gonorrhea at least, and get treatment, usually...

Family, Internal Medicine, General Medical Questions: Unexplained Weight Loss, kidney failure, compression fractures
kidney failure, compression fractures, remarkable shape: I think a general and specific workup..... routine labs including thyroid testing. The Cat scan. Possibly endoscopy. With a history of heart failure and kidney failure, this could be simply failure to thrive also, but I would ensure that the other...

Family, Internal Medicine, General Medical Questions: Vegetarians and Protein, animal proteins, saturated fats
animal proteins, saturated fats, vegetarian diet: Who are more correct... republicans or democrats....... You can get everything you need from a vegetarian diet. There are enough proteins to sustain you that can be derived from plants. I like meats/fish so choose not to be vegetarian, but that may...

Family, Internal Medicine, General Medical Questions: WBC Count, preventive medicine center, complete metabolic profile
preventive medicine center, complete metabolic profile, general good health: Mahmoud, At age 36 even if you are in general good health it is recommended that at least every two years you obtain a CBC, Complete Metabolic Profile (Electrolytes, Renal and Liver studies). Also screening tests for diabetes (Glucose and HbA1c) and Lipids...

Family, Internal Medicine, General Medical Questions: Yeast?, foods that contain yeast, central obesity
foods that contain yeast, central obesity, pizza beer: Dear Bud, Allergy is your immune system reacting to whatever entered the body. It can range from simple sneezing to anaphylactic reaction. Sensitivity to food produces unpleasant symptoms, but it s not dangerous. Gluten is in both pizza and beer and has...

Family, Internal Medicine, General Medical Questions: abdominal pain for over a year
Dear Joy, If you have not done so already, schedule a physical examination to have your thyroid and adrenal glands assessed. I suggest you see a nutritionist to help you to get on a healthy, well balanced diet. If you gained a large amount of weight in...

Family, Internal Medicine, General Medical Questions: Abscess on tonsil
If you finished the zpak, then that should cover strep. Levo is not a great strep drug, but covers the general sinus infection bugs fairly well. The picture is difficult to interpret, but it looks like some L tonsil swelling with the white spot on it....

Family, Internal Medicine, General Medical Questions: Allergic reactions
Technically, no, but you don t get the same ingredients between a pill and cream..... Creams have fillers and stuff in them to keep them semiliquid, pills have fillers.... If you react to the exact drug in a cream, not the fillers in it, then you will react...

Family, Internal Medicine, General Medical Questions: Body changes
Dear Crystal, I recommend you call your OBGYN for an appointment to assess for proper placement of the Mirena IUD. I do not know how much blood was involved with your last menstrual period. The Mirena IUD is designed to change the chemistry of the uterus...

Family, Internal Medicine, General Medical Questions: Celiac
interesting literature on gluten sensitivity.... good book on it called The Grain Brain It would be nice if it were simply thyroid and that is an easy fix, but usually isn t.... chances are it is not gluten either but that should be evaluated.... if you...

Family, Internal Medicine, General Medical Questions: Cold feet
Dear Haris, Toes and fingers vasoconstrict quicker than the rest of the body because the blood vessels are small, and there is nothing to keep them warm. If you notice a discoloration to your nail beds, you may have something called Raynaud s phenomenon....

Family, Internal Medicine, General Medical Questions: My Dad's Stroke
if someone has PAD, it is likely they have vascular problems in other locations, ie, heart and brain, so it is possible..... He needs a full neurological assessment.... a good place to start would be with his doctor, but also will need a good eye examination...

Family, Internal Medicine, General Medical Questions: drug
antibiotic properties means it has some activity against bacteria, but not enough to consider it able to cure infections..... That is probably a good idea to be off antibiotics for several days prior to donating so you don t have any level in your donated...

Family, Internal Medicine, General Medical Questions: ear discomfort
sometimes the wax and removal can irritate the canal and cause a little infection/irritation.... you could try a mix of 1/2 white vinegar, 1/2 part water... a few drops 3 times a day, if that doesn t help in a couple of days, get your regular doc to look at...

Family, Internal Medicine, General Medical Questions: Flu Qiestion?
Dear Miss Wilson, Tamiflu and Relenza are both prescription medications that treat the flu, not just the symptoms. They need to be started within 48 hours of the first sign of the flu. The flu generally lasts one week, but it may take longer to get over...

Family, Internal Medicine, General Medical Questions: fluid in ear
Dear Denise, Fluid in your ear is due to congestion in the eustachian tubes. Eustachian tubes are hollow tubes that allow equilibrium to be attained to the middle ears. Fluid begins to back up when the tubes are clogged or blocked due to congestion. If...

Family, Internal Medicine, General Medical Questions: knee surgery
Dear Bud, First, let me explain why you should not be nervous to ask questions to your doctor. If you are bringing your vehicle to get repaired, would you just leave it up to the mechanic to fix what he thought needed fixing without discussing it with you?...

Family, Internal Medicine, General Medical Questions: LIVER ISSUES FOR TUMMY
Dear Suresh, Commonly, a larger abdominal girth is due to excessive animal fat, white sugar, or simple carbohydrates such as bread. If you can limit the amount of animal fat and carbohydrates, while increasing your heart rate through cardiovascular exercise,...

Family, Internal Medicine, General Medical Questions: Is this normal aging?
Dear Bud, Although it sounds like normal aging, I would discuss testing your testosterone levels with your primary care provider. As we age, our hormones decline. Some more rapidly than others. You should also have your thyroid level checked and blood work...

Family, Internal Medicine, General Medical Questions: Odd lump
Cartilage is not squishy, but pretty firm/hard..... a painless softer moveable lump that you can feel certainly sounds like a lipoma. The hormone and weight changes during a pregnancy can make a lipoma enlarge and become more apparent. If there is no change...

Family, Internal Medicine, General Medical Questions: Rash
So you have had this rash since September.... Obviously it isn t fungal or the clotrima would have worked.... I am not sure... hard to diagnose a rash without seeing it but it is worth a visit to your primary doctor or ask to see a dermatologist........

Family, Internal Medicine, General Medical Questions: scabies
Dear Devonna, The symptoms of scabies include: Intense itching Skin rash of tiny red bumps that look like bites or pimples (These spread slowly over a period of weeks or months.) Intense itch that leads to loss of sleep Bumps that sometimes become infected...

Family, Internal Medicine, General Medical Questions: sex
the term is premature ejaculation.... and sometimes can happen if you don t have orgasm frequently.... occasionally it is a long term problem where your switch to set off the orgasm is unusually sensitive.... in those cases... there are some medicines...

Family, Internal Medicine, General Medical Questions: Shingles
Hi Theresa Sorry for the delay. I have been away. Thanks for the question. Shingles is not uncommon in otherwise normal people who are under stress. But 3 times in half a year is a bit too frequent. In normal people, in response to stress, your immunity...

Family, Internal Medicine, General Medical Questions: Shingles
That is pretty unusual to get recurrent shingles... I would question whether that is actually the case or the rash is from something else..... I would ask your regular doctor to get you evaluated for your immune system to try and prove whether it is working...

Family, Internal Medicine, General Medical Questions: "Shock" in upper leg
Dear Jim, I suggest you discuss this with your primary care provider. An MRI of your lumbar spine will be able to identify if you have disc issues that are involving the nerve root. An electrical feeling is caused by a nerve. Without imaging studies, the...

Family, Internal Medicine, General Medical Questions: Left side widespread pain for days
This still can be musculoskeletal, esp with some lifting and degenerative spinal disease. No rash, no shingles.... No blood test needed. If it doesn t get better in a week, possibly more imaging.... I am considering nuclear scan versus cat scan...........

Family, Internal Medicine, General Medical Questions: testosterone
High testosterone ( taking too much testosterone supplement ) can lead to mood changes, moreso aggressiveness and some anxiety/anger. If you have depression, that should be treated.... that should be your primary concern prior to your hormone replacement.......

Family, Internal Medicine, General Medical Questions: Viruses
If you had a round of sexually transmitted disease tests and with those symptoms, I would not repeat them. Prostate infections are not caused by virus , so that is considered when thinking about treatment. Some of these chronic prostatitis problems/symptoms...

Family, Internal Medicine, General Medical Questions: chills
Dear Pat, Medically, when was the last time either of you had your thyroid levels checked? If they are within normal limits, I recommend wearing undergarments to protect from the cold. It is not an uncommon complaint. Brown fat is what our bodies use for...

Family, Internal Medicine, General Medical Questions: Citrus
Dear James, I suggest you see a holistic nutritionist who can help you to identify other foods you may be intolerant to. A dietary recommendation and plan can be designed to incorporate other foods to be sure you continue to eat the required nutrients....

Family, Internal Medicine, General Medical Questions: WHAT DOSE THAT MEAN
people need things explained to them in terms that make sense.... that is a product of their education, upbringing and primary brain function..... someone with a learning disability would have more problems than someone who has been through professional...

Family, Internal Medicine, General Medical Questions: DRINK UP
alcohol is a drug with side effects and interactions with other medicines.... there are some medications that aren t affected by alcohol and some that are very drastically affected...... so best course of action is to not drink with medications in general.........

Family, Internal Medicine, General Medical Questions: EBV
from the standpoint of getting an illness that causes significant disability.... it isn t contagious but from a standpoint of getting exposed to it over a lifetime, it is. If someone is very sick acutely with the illness, that is usually a very small...

Family, Internal Medicine, General Medical Questions: Fear of Variant Angina
variant angina is very rare and not likely to occur..... if you had the stress tests, from my standpoint, there are no worries...... That is a hard disease to prove, primarily because it is very rare, so not a lot of people to study and some of the special...

Family, Internal Medicine, General Medical Questions: Hashimoto
the workup is not brand new, but is pretty adequate.... I would ensure that your thyroid tests are normal on synthroid and consider that there may be some food intolerance problems, such as lactose (milk/cheese/butter) or celiac disease (gluten problems) ...

Family, Internal Medicine, General Medical Questions: Menopause or something else?
Dear Lisa, I do not think this is anything to be concerned about. I recommend you make an appointment with your gynecologist for bloodwork to measure your hormone levels to identify how close you are to menopause. My only other thought is to ask if you...

Family, Internal Medicine, General Medical Questions: otitis externa
Dear Mary, If you have not done so already, it s time to see an ear nose and throat specialist. Fungal infections are more difficult to manage, but not impossible. You may also need a prescription for prednisone to decease the swelling and allow your immune...

Family, Internal Medicine, General Medical Questions: Parathesis
well, impingement means pressure on the nerves...... causing the pins and needles...... Most people can cross their legs wrong and get that in their foot and it resolves in a minute or two when you reposition, but since you are getting it frequently, when...

Family, Internal Medicine, General Medical Questions: problem in giving blood sample
Dear Neeraj, You experienced a vasovagal response. It is not due to a disease, but a response to the needle. Your blood vessels dilated causing your blood to be broadly distributed for seconds. This is nothing to worry about and may happen again in the...

Family, Internal Medicine, General Medical Questions: Rash after exercise
if the skin is normal prior to exercising but this happens with exercise/sweat.... then it is a type of allergy. An antihistamine like zyrtec or claritan may help. Hydrocortisone cream would help but if you used it consistently..... not right away, so...

Family, Internal Medicine, General Medical Questions: Sharp stomach pain
Dear Andy, You need to see a gastroenterologist for an endoscopy in order to be properly evaluated for the reason for this pain. An ulcer can be one of the differentials, but other things, as serious, can cause similar symptoms. In the mean time, avoid...

Family, Internal Medicine, General Medical Questions: thoughts
wouldn t that be nice to take all pain away.... but that doesn t really happen.... we can help but some physical pain is too severe, so pain meds help but not eliminate pain.... and that is only part...... depression, other psychic pain, nausea from treatments........

Family, Internal Medicine, General Medical Questions: trying hard to understand my symptoms, Thyroid, EBV
Thyroid, EBV, Fatigue: Cantrell, I have many female patients with similar complaints. Often they are hypothyroid and some have autoimmune disorders. Some test positive for EBV or Lyme. Hormones play a big role and if you adjust gonadal hormones (estrogen, progesterone, etc.)...

Family, Internal Medicine, General Medical Questions: Viral tests
painful skin sores (obvious) could be herpes, non-painful skin sore could be syphilis, but if there are no skin changes, then we would at prostate (or bladder, less likely in a guy) problems......but the prostate problems are not viral, they are inflammatory...

Family, Internal Medicine, General Medical Questions: Vitamin D, Vitamin D
Vitamin D: SK, I think with a serum level of 76 you are FINE with your current replacment strategy. Better than 40 is goal. So you have exceeded that. Make sure you take a quality Vit D3. Read further on Vitamin D here: http://docsaleeby4.blogspot.com/2010/10/vitamin-d-story.html...

Family, Internal Medicine, General Medical Questions: wrist splint
if you are using it for carpal tunnel, then you should be doing a few things..... motrin type medicine, and the splint and using it as little as possible. if that doesn t work then sometimes we inject the wrist (for carpal tunnel) or more aggressive...

Family, Internal Medicine, General Medical Questions: Acid reflux
Dear Don, Generic medications, by law, can be up to 20% more or less efficacious when compared to the brand name. Once there are two generic drugs, the second one out can be 20% more or less effective than the first generic. The more generic manufacturers...

Family, Internal Medicine, General Medical Questions: Acid reflux
with the change in pattern, I would wonder about something else doing on..... atypical heart disease sounds unlikely but is not impossible. But overall, with a change in reflux that was well controlled but now is not on the same medicine, with a good lifestyle,...

Family, Internal Medicine, General Medical Questions: Blood drawn, now pain in arm
it sounds like the nerve was inadvertently poked or there was some bleeding from the vein in that area putting pressure on the nerve...... this happens more than you would think and typically it heals and there are no residual problems, but may take a couple...

Family, Internal Medicine, General Medical Questions: carpal tunnel and a lump just belown wrist joint
for now, I would take it easy on the wrist and rest it until you can get it evaluated. I would also apply thru your state exchange or healthcare.gov for ACA insurance.... if you follow it thru, you will be surprised how affordable it is. You need to...

Family, Internal Medicine, General Medical Questions: Cystitis
Dear Katie, From your description, it sounds like a urinary tract infection. An antibiotic may be needed, but only a test can identify if you have an infection or not. Cranberry juice is gook to keep the UTI at bay. But it needs to be Pure cranberry juice...

Family, Internal Medicine, General Medical Questions: Edema?
I am not convinced that it was simply him drinking a lot of rum for months that has caused all this.... it could be if he developed some alcoholic hepatitis, but that typically heals itself when the heavy alcohol use stops. I think he should get evaluated......

Family, Internal Medicine, General Medical Questions: Foreskin restoration
I don t believe I have had a question quite like that before..... I don t know the answer to that. You would have to seek out a urologist or plastic surgeon that has a particular interest in that field.... I am sure there is one somewhere, most likely...

Family, Internal Medicine, General Medical Questions: foul smell
I would definitely get the urine rechecked. I would also wonder if you are eating something different..... some aromatic compounds in some foods are excreted in sweat and urine and can cause an odor..... for example asparagus....... but you started well,...

Family, Internal Medicine, General Medical Questions: Grandparent medication issue.
That is a complicated question.... you are absolutely on track that she may or may not need it if she can get to sleep right away, but that becomes a hard habit to break. You need the input from her primary doctor, but there is an ethical issue about fooling...

Family, Internal Medicine, General Medical Questions: Hearing issues
First issue.... have you tried to get insurance.... the ACA---- ie obamacare is very affordable, but you only have today/tomorrow to apply...... do it online and go through it to the end..... you don t see your discount until you have put in all your income...

Family, Internal Medicine, General Medical Questions: Incomplete-Septic Miscarriage
in general, the uterus and pregnancy contents are sterile.... so no bacterial infection and people can miscarry and eventually expel the contents after days or weeks. Sometimes a D&C is needed because they aren t coming out on their own. But the cervix...

Family, Internal Medicine, General Medical Questions: liver function
if it is any consolation, it is hard to get hep C thru sexual contact.... but if you came to me, I would check liver functions and if elevated, get the hep C antibody test, or possibly just get the hep C antibody test, if only to reassure you. I hope this...

Family, Internal Medicine, General Medical Questions: Lump still there after a fall....
Sometimes a bruise is there and creates a new space... Then as the bruise resolves, the space remains and is filled with fluid... That is called a Seroma. Sometime it can be drained (sucked out) with a big syringe the an ace wrap for a few days to compress...

Family, Internal Medicine, General Medical Questions: pain lower ribs
I am not sure I make much of the temperature change, but it sounds like it could be a viral illness with dull muscular aching..... if you are coughing, etc, worth getting it checked or if it doesn t resolve in another week, worth getting it checked..... I...

Family, Internal Medicine, General Medical Questions: probiotics
We are not sure exactly what probiotics do, and in most people, I suspect they probably do nothing, but if the bacterial balance is off in some people, it may help things get back in balance..... I am having trouble relating the amino acids or the probiotics...

Family, Internal Medicine, General Medical Questions: psyllium powder?
yes, those can be mixed..... if you are doing it for constipation, you can use miralax/glycolax instead.... I think it works a little better, but neither are absorbed, they just prevent excess water absorbtion in the colon leading to constipation. ...

Family, Internal Medicine, General Medical Questions: Severe Skin Avulsion
basically, we have 8-12 hours to repair a laceration, otherwise, the risk of creating a sewn in infection goes way up, so if you miss the time period for the repair, you have to just let it heal in without stitches..... keeping it clean, some antibiotic ointment...

Family, Internal Medicine, General Medical Questions: Stomach Problems
sometimes gallstones/gallbladder disease can cause this. Reflux, etc can cause it.... you might try some ranitidine for a week to see if it helps 150 twice a day. The H pylori testing, is kind of irrelevant at this point. Make sure you aren t pregnant...

Family, Internal Medicine, General Medical Questions: swelling
propranolol can cause leg swelling, but that should stop if you stop the medicine.... for it to continue suggests another problem..... I would look at kidney function and thyroid tests on your labs and look at your salt intake and exercise level. It...

Family, Internal Medicine, General Medical Questions: Testicular lump
This may very well be an abnormal vein that is getting congested and feels lumpy, but you are also at the age when it is possible to get a testicle cancer, so if you can consistently feel it, you need to get rechecked. If it is occasionally there and there...

Family, Internal Medicine, General Medical Questions: Urge / pressure to go to toilet
Dear Raja, You may have an intestinal infection or some form of colitis. If you have not seen your primary care physician yeah, I would suggest you start there. A gastroenterologist will be the doctor who can properly diagnose you. Unfortunately, I cannot...

Family, Internal Medicine, General Medical Questions: Allergic reaction
that certainly sounds allergic and it is possible he was allergic to the eyedrops also..... sometimes it takes days to get rid of the allergy symptoms, but they will persist especially if he is still being exposed to whatever caused it, pollen, etc...

Family, Internal Medicine, General Medical Questions: diet during kidney stone, kidney, renal
kidney, renal, stones: Mohit, First it is important to know what type of kidney (renal) stones you produce. The most common (80%) are calcium (calcium oxalate). And high oxalate foods produce them... such as tea, many nuts and greens such as Brussels sprouts. http://www.ohf.org/docs/OxalateContent092003.pdf...

Family, Internal Medicine, General Medical Questions: gain weight, healthy weight gain
healthy weight gain: The question should be how to gain healthy weight ... anyone can gain weight, but gaining fat weight is very unhealthy. It is really simple actually.... eat plenty of protein in your diet to build muscle mass and avoid getting fat , and perform DAILY...

Family, Internal Medicine, General Medical Questions: Mucus problem
These can be tough..... causes include allergies, sometimes some stomach acid reflux coming up at night and causing some airway irritation. Possibly one of the weird bronchitis problems (atypical bacteria) I would be getting a chest xray then trying...

Family, Internal Medicine, General Medical Questions: Arm
Dear Sean, Stretch marks occur when the skin is stretched rapidly. This usually occurs during excessive weight gain usually seen in the abdominal area of pregnant women. If you gained and lost a significant amount of weight in a short period of time, stretch...

Family, Internal Medicine, General Medical Questions: bp spike
Dear Slayde, High blood pressure is diagnosed after 2 consecutive visits to your healthcare provider, approximately 2 weeks apart, if your blood pressure is elevated at both these visits. . Anxiety can play a part in your readings. I suggest you make an...

Family, Internal Medicine, General Medical Questions: Ear wax build up
Dear Angela, Ear wax puts pressure on the nerves associated with the ear. I would get a second opinion before you begin flushing out the ear. You may have a punctured ear drum causing the pain that you describe. In general, the tympanic membrane, aka ear...

Family, Internal Medicine, General Medical Questions: Feels like something stuck in throat
Dear C, An enlarged thyroid nodule as well as GERD can both cause the symptoms you are describing. I think it is in your best interest to get the ultrasound of your thyroid. I recommend you speak with your healthcare provider for a biopsy of the nodule...

Family, Internal Medicine, General Medical Questions: high C reactive protein count
CRP is made in the liver... it is a NON SPECIFIC biomarker of inflammation. hs-CRP is more specific for cardiac issues. So it could mean several things... acute or chronic sources of inflammation. For more information refer to: http://docsaleeby.blogspot.com/2013/10/inflammation-and-biomarkers.html...

Family, Internal Medicine, General Medical Questions: Opiate-related constipation
Dear Mary, Miralax is a safe medication to help you to stay regular while taking opiates. There is no time constraint on how long you can use it. It is not a stimulant laxative, so it therefore does not have the cramping side effects or the increase in...

Family, Internal Medicine, General Medical Questions: recurring lymph nodes
Dear Violet, The interpretation of the images is referring to the location of the lymph nodes. Ib is the submandibular group and IIb is the upper jugular group. It is difficult to compare a CT scan to an MRI. It is like apples to oranges. However, there...

Family, Internal Medicine, General Medical Questions: shingles
Dear Anna, Are you sure it is shingles? The only way to get shingles is to have had the chicken pox. They are the same vius, the difference being that the virus from chicken pox, called the varicella virus, remains dormant after being infected with chicken...

Family, Internal Medicine, General Medical Questions: am i taking right treatment??
Samreen, Your mother is on multiple meds [(seco 500 mg(mecobalamin), voltral 50 (diclofenac sodium), tansin 50 mg (losartan potassium),gevelox plus(glucosamine sulphate USP 500mg, chondrotin sulphate USP 400mg),nuberol forte,lipiget,ruling 20 (omeprazole)]...

Family, Internal Medicine, General Medical Questions: tongue problem, meds or allergies????
Hives and angioedema can be caused by: Foods. Many foods can trigger reactions in people with sensitivities. Shellfish, fish, peanuts, tree nuts, eggs and milk are frequent offenders. Medications. Almost any medication may cause hives or angioedema. Common...

Family, Internal Medicine, General Medical Questions: water after food
Dear Kumar, There are two parts to the intestines: the smal intestines and the large intestines. Food goes in your mouth, down the esophagus, into the stomach where acid helps to breakdown food into particles, through the small intestines where nutrients...

Family, Internal Medicine, General Medical Questions: 2 Questions, hiccups and elevated D-Dimer
Dear Julia, Regarding the first part of your question, did you see a gastroenterologist about the hiccups and GERD? If not, I strongly recommend that you do. Regarding the second part of your question, a D.Dimer is a test that is used to identify fibrin...

Family, Internal Medicine, General Medical Questions: Angioedema causes?
Dear Renell, Whenever you have a provider that does not listen to you, it is time to change providers. You would not continue to take your car to a mechanic who did not listen to you. Confront your provider with your concerns. Angiedema is a serious complication...

Family, Internal Medicine, General Medical Questions: Estrogen
Dottie, that is a very hot topic. Well it depends on what type of estrogen. If the estrogen is Estradiol (E2) or Estriol (E3) than likely NOT, but Estrone (E1) has the potential as a bad estrogen. Synthetic estrogens are more likely to cause problems...

Family, Internal Medicine, General Medical Questions: Help for constipation - Mg to the rescue, Magnesium, aspartate
Magnesium, aspartate, citrate: Elemental magnesium is an important element for our bodies. Mg when used as a laxative or to relieve constipation can be taken in several forms. Citrate, Aspartate and Oxide and many others bound to amino acids as chelates. There are some advantages to...

Family, Internal Medicine, General Medical Questions: Do I have hiatal hernia?
Dear Lance, X-rays are read by radiologists. Each radiologist interprets and dictates images differently. The general rule is if it was not mentioned, it is not there. However, you can request that the films be reviewed specifically to assess for a hiatal...

Family, Internal Medicine, General Medical Questions: How long will steroid shot stay in my system?
Dear Bonnie, Dexamethasone and methylprednisolone are two separate steroids. Dexamethasone is a long acting steroid, while methyprednisolone is a shorter acting steroid. The half life for dexamethasone is 36-54 hours. Meaning that half of the drug is...

Family, Internal Medicine, General Medical Questions: Side Pain
Dear Shannon, The appendix is located in the right lower quadrant of the abdomen. It generally causes referred pain near the umbilicus (belly button). Nothing in medicine is ever always or never. The ascending colon is on the right side of the abdomen and...

Family, Internal Medicine, General Medical Questions: urology
Dear Dottie, There is always a risk/benefit ratio with everything in life. The estrogen cream will help to relieve the symptoms of aging. However, the risk of developing breast or uterine cancer increases. There is no guarantee that it will or will not...

Family, Internal Medicine, General Medical Questions: over sensitive to carbohydrates?, diabetes, IRS
diabetes, IRS, insulin resistance: Bud, You have a condition called IRS... Insulin Resistance Syndrome... it is very common and multi factorial but includes genetic predispositions. A fasting Glucose level and HbA1c may miss this early on... there are more advanced testing biomarkers that...

Family, Internal Medicine, General Medical Questions: Lyme disease
Dear Alex, I too live in Connecticut and Lyme is very prevalent this year. The bulls eye is not always present or noticed. There are a number of symptoms associated with Lyme disease, too numerous to list. I recommend getting the test done as soon as possible...

Family, Internal Medicine, General Medical Questions: numbness?
Dear Amy, Loss of sensation is due to nerves. The groin and the top of your thigh are associated with the lumbar spine dermatones. Are you experiencing back pain? Have you noticed and loss of stability? A visit to a neurologist will rule out other possible...

Family, Internal Medicine, General Medical Questions: Weird vibrations
Dear Alex, MS would most likely have shown up in the MRI of your brain. Unfortunately, you will get your best answers from the neurologist. I would strongly recommend not looking things up on the internet. Anyone with a computer can post very scary, incorrect...

Family, Internal Medicine, General Medical Questions: 22 yr old chest pain left side, chest pain left side, chest x ray
chest pain left side, chest x ray, tricuspid regurgitation: Michael, You are very welcome and I do this because I so much want to help people. It sounds to me as though everything is functionally ok with your heart. Mitral valve regurgitation can sometimes gives you very uncomfortable feelings and sensations....

Family, Internal Medicine, General Medical Questions: 22 yr old chest pain left side, chest pain left side, chest x ray
chest pain left side, chest x ray, tricuspid regurgitation: Hi Michael, With normal enzymes that pretty much rules out heart disease. The only other thing to consider is an inflammation of the heart covering called Pericarditis. That said, I still believe this is anxiey till proven otherwise. If you have a cath...

Family, Internal Medicine, General Medical Questions: 22 yr old male rightward axis on ekg, right axis deviation, prolonged qt syndrome
right axis deviation, prolonged qt syndrome, sinus rhythm: Hi Michael, The best way to determine this is with a 24 hour holter monitor. Your heart activity is measured for 24 full hours and any arrythmias can be captured. There is a diary that you keeep describing the timing of symptoms and then the reading of the...

Family, Internal Medicine, General Medical Questions: 22 yr old male, long lasting new headache, brain tumor, charity hospital
brain tumor, charity hospital, ringing in my ears: I would still be worried about some of those possibilities, even though, statistically it prob isn t.... but you may need an MRI or MRA.... magnetic reson imaging or angiogram of the head... I would see your primary doctor and possibly a neurologist..... to...

Family, Internal Medicine, General Medical Questions: 23 monthold excessive thirst, head circumference, heart murmur
head circumference, heart murmur, head measurement: Certainly it isn t normal for the head circumference to rise rapidly, out of proportion to the other numbers. The D.I. complicates issues. If it were my child, I think an evaluation by a pediatric endocrine/neurologist is in order, especially with the D.I....

Family, Internal Medicine, General Medical Questions: 23yrs old w/brown spotting, abnormal cells in the cervix, birth control pills
abnormal cells in the cervix, birth control pills, careful physical exam: amanda; about 5% of women will experience spotting-a light staining of blood-regularly with ovualation. the key to this harmless kind of spotting doctors say,is that it happens almost every month near the middle of your menstrual cycle. often this spotting...

Family, Internal Medicine, General Medical Questions: i am a 25 y.0. female i..., vaginal secretions, ceasarian
vaginal secretions, ceasarian, docotor: I don t understand what had the C rather than return to my boyfriend means, so I can t answer that, and the chances of getting a STD from this situation is pretty low. If you mean return to boyfriend and have continued sex, there is no evidence that that...

Family, Internal Medicine, General Medical Questions: 3 months low grade fever, liver function test, low grade fever
liver function test, low grade fever, chest x rays: Hi Khurram, That is called a low grade fever. Often it means nothing as fever normally goes up in the afternoon. Not knowing what blood tests you had, I can t advise you as to what else needs to be done. The ESR is a non-specific test that shows an inflammatory...

Family, Internal Medicine, General Medical Questions: my 3 year old, hemocult test, saleeby
hemocult test, saleeby, food color: This forum does not allow for the diagnosis of conditions, but I can tell you as an ER doctor of 16 years I have seen parents bring in their toddlers with odd stools in diapers. Most often they are innocent. Green, blue, purple, orange, etc. are usually...

Family, Internal Medicine, General Medical Questions: 4 past 2 weeks - regardless..., ist time, magnesium oxide
ist time, magnesium oxide, bitter taste: 4 past 2 weeks - regardless what i eat - i have bitter taste - why? what can i do? add magnesium oxide to create 3 bowel movements daily for detox effect if OK with your doctor. last night i noticed - ist time - the veins on top of my bald head were protruding...

Family, Internal Medicine, General Medical Questions: 42 and just not right...., cardiac enzymes, blood pressure medicine
cardiac enzymes, blood pressure medicine, unstable angina: audrey; well due to all thats has happened to you,i feel your pain. and from a women who has had a heart attack,you may need something more,like an anti-depressant. this will help in so many ways,and you will feel better; i suggest talking it over...

Family, Internal Medicine, General Medical Questions: 5 yr old with inflamed penis., lymph nodes, circumcision
lymph nodes, circumcision, amoxicillin: You didn t mention whether he could have injured the head of his penis... usually happens when they try to close the zipper and catch the head in the zipper. It sounds like there is a little inflammation there- it is unusual to get an infection, but the skin...

Family, Internal Medicine, General Medical Questions: getting 6 month old to self soothe, omega 3, pacifiers
omega 3, pacifiers, pacifier: This is often due to the lack of omega 3 in your diet. Should not be a problem but I need more information, go to this website and put in your 24 hour food choices and send me the report so I can help you with the correct amount of omega 3 to add to the...

Family, Internal Medicine, General Medical Questions: My 7-year old son, exlax, s hospital
exlax, s hospital, dollar coin: The good news is that it had not lodged in his esophagus... the tube from the mouth to the stomach. This could have caused a sore on the esophagus and a hole, etc. It is now in the intestines and it is a fairly tight fit, so it may take days to move on thru....

Family, Internal Medicine, General Medical Questions: 70+, crash diets, reduction diet
crash diets, reduction diet, gallstones: dear 70+: any weight reduction diet is ok - but take it slowly (no crash diets!). if you are fit increasing expenditure (i.e. more movement) is also available. with gallstones present i would recommend giving prophylactic ursodeoxycholic acid to prevent sludge...

Family, Internal Medicine, General Medical Questions: 8 weeks gestation, court summons, anyhoo
court summons, anyhoo, menstrual period: Hello, Without any problems you can safely wait until you are 10 weeks for your initial OB check. The major reason to rush in any sooner would be if your dates were in question. I often will order an early OB ultrasound in women who are uncertain about...

Family, Internal Medicine, General Medical Questions: 8 yr olds stomache pains after eating, amylase and lipase, bladder problem
amylase and lipase, bladder problem, gallbladder problems: I am wondering what to expect and other then acid reflux what it could be? It all depends on the timing of when she gets the pain, if when she is eating, likely GERD, if 2-3 hours after the meal and worse with rich high fat foods, then we think of Gallbladder...

Family, Internal Medicine, General Medical Questions: 9 year old, connective tissue disease, pediatric rheumatologist
connective tissue disease, pediatric rheumatologist, joint pains: Hi Marilyn, These symptoms sound like possibly a rheumatoid or connective tissue disease. I would take her to a pediatric rheumatologist. I used to work in Jacksonville at the Mayo Clinic. I am familiar with Shands and they have a very good hospital there....

Family, Internal Medicine, General Medical Questions: 94 year old parent, nursing home insurance, home health aide
nursing home insurance, home health aide, tough choices: Hello Linda. This is a very tough situation. If you could imagine having your money taken, your things taken, your car taken, your phone taken, etc. etc. etc. You would have the feel of a nursing home. Many people are scared to go to a nursing home and...

Family, Internal Medicine, General Medical Questions: ABSENT OVARY, ovarian cyst, ovarian cysts
ovarian cyst, ovarian cysts, enlarged uterus: ultrasounds are notoriously unreliable to relate findings to clinical presentations.... leiomyoma means a lump in the uterus.... a muscle lump. ovarian cysts come and go monthly so are a non-finding. I assume you had the other ovary removed or it is trapped...

Family, Internal Medicine, General Medical Questions: Abdomen Anatomy, retroperitoneal organs, large intestines
retroperitoneal organs, large intestines, small intestines: The anatomy obviously is very complicated.... if you were able to remove the skin, then remove the muscle wall, you would see the stomach right there in the center below the ribs. On the right side, you would see the liver, with the gall bladder embedded...

Family, Internal Medicine, General Medical Questions: Abdominal Pain from Fosamax, horrific pain, would like more information
horrific pain, would like more information, fosamax: Dear June, Fosamax definitely can cause abdominal pain. It is one of the major side effects. I am assuming that you are taking the weekly 35 or 70mg dose? The most important issue with Fosamax is esophagus problems. It is so very important...

Family, Internal Medicine, General Medical Questions: Abdominal Pressure, alcoholic hepatitis, cirrohis
alcoholic hepatitis, cirrohis, enlarged liver: dear bill: that feeling could be due to an enlarged liver - not a rare occurrence after a dietary and alcoholic excess. with 2 - 3 beers (i assume corresponding to about 1 l) you are getting about 50 g of alcohol a day - not enough to cause cirrhosis or alcoholic...

Family, Internal Medicine, General Medical Questions: Abdominal pain, I know, Common, swollen lymph nodes, intermittent abdominal pain
swollen lymph nodes, intermittent abdominal pain, differntial diagnosis: Hi Aly, Unfortunately there are a host of problems that can cause chronic intermittant abdominal pain. The wide spread lymphnode swelling is a concern. I ll assume that they have eliminated lymphoma, mononucleosis and Crohn s disease. I really don t know...

Family, Internal Medicine, General Medical Questions: Abdominal & vaginal pain w/diarrhea, stomach pains, gas pains
stomach pains, gas pains, vaginal pain: heather; well do you think it could be gas pains? gas pains can be very painful at times. some women get diarrhea when they get ther menstrual cycle. anything different in your routine,which would cause all of this? how about what you ate that day?...

Family, Internal Medicine, General Medical Questions: Abdominal & vaginal pain w/diarrhea, running a fever, stomach pains
running a fever, stomach pains, vaginal pain: This sounds like endometriosis with the initial sharp pain coming from intra abdominal bleeding at the start of the period. The haunched over and diarrhea comes from the endometriosis on the bowel wall. Call your doctor or better yet go to the emergency room...

Family, Internal Medicine, General Medical Questions: Abnormal Bone Scan, right hand arm, fibroid tumors
right hand arm, fibroid tumors, plain films: Hi Angie, This is tough. I m concerned that you had excessive uptake in your breast. I m not sure why bone scan isotope would settle in breast soft tissue. If you have mild Carpal Tunnel then conservative treatment is in order (night splints and anti-inflammatories)....

Family, Internal Medicine, General Medical Questions: Abnormal Hair Loss, knox gelatin, calcium carbonate
knox gelatin, calcium carbonate, short stature: Yes, you sound like you are having an excess omega 6 plant oil usually from chips, peanuts, poultry, and gluten so ask your doctor if the following make sense for your situation. Ask your doctor but this is what I use for my patients: 1) Fish oil 3000mg...

Family, Internal Medicine, General Medical Questions: Abnormal periods, peanut butter chips, ovulation cycle
peanut butter chips, ovulation cycle, calcium carbonate: This usually comes from eating too much of the following:; Chicken, turkey, peanuts, peanut butter, chips of any kind, flax in any form and too much soy. These foods contain excessive amounts of omega-6 plant oil when your body requires more omega-3 animal...

Family, Internal Medicine, General Medical Questions: Abnormal Stool, omega 6, western diet
omega 6, western diet, acid foods: It is usually from what he eats and drinks, so you need to log this for a few days and it will be clear what is doing this. Usually too much acid foods for the vinegar and too much omega 6 foods for the mucus. See the following articles to understand what...

Family, Internal Medicine, General Medical Questions: ACID RELUX, acid relux, prescription pills
acid relux, prescription pills, spicy food: Dear Scott, Ten pounds is not terribly overweight. You did not give me the type of medications you are taking other than the glucosamine. Medications can cause flatulence and sometimes a burning feeling in your esophagus, you need to check these out with...

Family, Internal Medicine, General Medical Questions: ACID THROUGOUT BODY, gastroesophageal reflux disease, hiatal hernia
gastroesophageal reflux disease, hiatal hernia, upper digestive tract: Hi Ken, Hiatal hernia becomes more common as people age and their muscle elasticity weakens. There is a strong correlation between hiatal hernia and GERD (gastroesophageal reflux disease). Hiatal hernia increases the risk of GERD. However, GERD, in itself,...

Family, Internal Medicine, General Medical Questions: Accupuncture, stress fracture, gate theory
stress fracture, gate theory, archived answers: What is the gate theory to which you refer in #2? As I wrote, Through the gate theory, where the stimulation of the acupuncture needles shuts down the reception of pain search the term at www.nih.gov for more details In #5 you seem to be saying that...

Family, Internal Medicine, General Medical Questions: Acetaminophen Useage, correct assumption, severe headaches
correct assumption, severe headaches, tylenol pm: No, not the correct assumption..... I have seen people take more, but theoretically, if you take more than 4000 mg of tylenol per day, you put your liver at risk of being damaged. Yes, I have seen people take more but you are risking pretty much everything...

Family, Internal Medicine, General Medical Questions: Aches, sore throat ear ache, chronic viral infection
sore throat ear ache, chronic viral infection, hypothyroidism: I would wonder about a chronic viral infection, like mononucleosis (mono).... it is worth getting checked by a doctor. There are multiple other causes that will require bloodwork to test for, such as hypothyroidism and many others. with those symptoms, I...

Family, Internal Medicine, General Medical Questions: Aching Knees, knee replacement surgery, green tea extract capsules
knee replacement surgery, green tea extract capsules, doctor omega: You may need to put the herbs in a box for a while and take the following if OK with your doctor: omega 3 3000mg morning and dinner magnesium oxide 500mg morning and dinner calcium carbonate 600mg with Vit D morning and dinner high potency B Complex(B-50)...

Family, Internal Medicine, General Medical Questions: Acid Reflux Disease, melinda lentz, stomach cancers
melinda lentz, stomach cancers, acid reflux disease: Could stopping and restarting medicines be causing these episodes? Yes, the prevacid, nexium or prilosec are generally twice a day for your lifetime medications unless you can make major changes in your diet which is hard for most, like no sodas, no gluten...

Family, Internal Medicine, General Medical Questions: Acid Reflux Disease, acid reflux disease, melinda melinda
acid reflux disease, melinda melinda, hiatal hernia: Melinda, This type of pain should not be ignored......symptoms can be from several different sources eg: ulcer, gallbladder, or even cardiac problems. Symptoms may be from a hiatal hernia or in response to certain foods. My advice would be for you...

Family, Internal Medicine, General Medical Questions: Acid reflux in a 4 yr. old., chronic cough, acid reflux
chronic cough, acid reflux, pharmasist: They are all approved for children so I would go on cost. OTC prilosec is usually the least expensive if you do not have insurance coverage, otherwise it is the one the insurance company gets a rebate for. OK? You may want to consider omega 3 essential...

Family, Internal Medicine, General Medical Questions: Acidophilus and other supplements, curcumin, vit c
curcumin, vit c, mvi: I think you are wasting your money on all the supplements because there is no medical objective evidence that things work, other than Vit E 400, Vit C 500, Calcium, regular MVI and a healthy diet. Sorry, I try to keep an open mind, but the ones mentioned...

Family, Internal Medicine, General Medical Questions: Acne and Sex, omega 3 fish oil, fish oils
omega 3 fish oil, fish oils, jopling: I m taking the fish oils and Omega s and they do help. It takes quite a bit of omega 3 such as 10,000 mg of fish oil daily in a split dose to get 3,000 mg of combined EPA and DHA. OK? I m just confused about the testosterone thing. I tried the antibiotic,...

Family, Internal Medicine, General Medical Questions: Adhesive allergy, polysporin, inner arm
polysporin, inner arm, bandaids: it could be polysporin easily, less likely the latex and less likely than that, the adhesive. Try putting a little bit of any of these on the upper/inner arm on that soft skin and whatever you break out from is the offender and you know not to use it again....

Family, Internal Medicine, General Medical Questions: Adkins Diet, fresh fruit and vegetables, atkins diet
fresh fruit and vegetables, atkins diet, lean protein: Nancy, I am not an advocate of the Atkins diet for a variety of reasons. That being said, it sounds as if your daughter may have more serious issues at hand. Perhaps it is worth having her see her doctor, and perhaps have you go along to fill in some...

Family, Internal Medicine, General Medical Questions: Adult Bedwetting, duration period, range livestock
duration period, range livestock, livestock products: What is the duration period that I should take this?, Most people take them all for at lease 12 weeks to replace their deficiency and then adjust the dose and types to get more effectiveness. For most people it is lifetime unless they live out of their own...

Family, Internal Medicine, General Medical Questions: Adult Survivor of Childhood Leukemia w/chronic back pain, acute lymphocytic leukemia, bone marrow biopsies
acute lymphocytic leukemia, bone marrow biopsies, lumbar punctures: usually, bone marrow biopsies are done on the pelvic wing, away from the discs/joints/etc of the low back... I doubt if there is a relationship there. Now, the lumbar puncture could be a causal issue with the thoracic back problem.... Overall, prognosis is...

Family, Internal Medicine, General Medical Questions: Advice?, anonymous mail, poison pen
anonymous mail, poison pen, pen letter: Methylphenidate is indicated as an integral part of a total treatment program which typically includes other remedial measures (psychological, educational, social) for a stabilizing effect in children with a behavioral syndrome characterized by the following...

Family, Internal Medicine, General Medical Questions: Can AIDS be caught this way?, pin prick, sterile needle
pin prick, sterile needle, saleeby: Dear Worried, We are assuming a lot here. Most likely what happened is the doctor used a sterile needle... 15 or 18 gauge to test for pin-prick sensation a part of a neuro exam. If in fact he/she used a sterile needle then there is no threat of...

Family, Internal Medicine, General Medical Questions: Alcohol, liver damage, playing sports
liver damage, playing sports, younger man: It is very typical to afeel intoxicated with the same amt of alcohol as you get older. Also, if someone has abused alcohol, they build up a tolerance for a while, but then, when there is liver damage, they tend to get intoxicated and extremely low doses....

Family, Internal Medicine, General Medical Questions: Alcohol consumption, calcium carbonate, alcohol consumption
calcium carbonate, alcohol consumption, kidney disease: Sound like the magnesium is not working. We have found that the only magnesium that works is magnesium oxide, and it helps with insomnia if taken 500gm or more at bedtime with a calcium carbonate with Vit D. B Complex at 50mg before each meal works for...

Family, Internal Medicine, General Medical Questions: Alcohol?, equilibrium, alcohol
equilibrium, alcohol, sara: Called the bed spins . Alcohol upsets the portion of your brain that has to do with equilibrium and balance. This is why people become uncoordinated, fall, can t drive, and they feel as if the room spins. While I can appreciate the desire to experiment...

Family, Internal Medicine, General Medical Questions: Allergic Reaction, diet pills, allergic reaction
diet pills, allergic reaction, best wishes: Dear Sharon, YES!!!!!!!! Stop the medication and call your doctor. Since I don t know your history, your current medication, or your diet pills, I can t advise you any further than this. Call your physician when you read this if you already haven...

Family, Internal Medicine, General Medical Questions: Allergic reactions to Coumadin & Antibiotics, deep vein thrombosis, protein c deficiency
deep vein thrombosis, protein c deficiency, fun fun fun: You are correct and here are the studies just this year to confirm you belief. 1: Weinberg AD, Altman JS, Pals JK. Related Articles, Links Quality improvement case study: warfarin sodium interactions. J Am Med Dir Assoc. 2006 Jun;7(5):315-8. PMID:...

Family, Internal Medicine, General Medical Questions: Allergies, or is it anxiety/panic disorder?, anxiety panic disorder, steam inhalation
anxiety panic disorder, steam inhalation, left nostril: celene; well i dont know if this is from allergy or something else. i feel during your sleep,your nose dries out,causing your nostril to itch. i believe its all got to due with the air in your sleeping area. heres somethings to try; -try using most...

Family, Internal Medicine, General Medical Questions: Allergies/Swollen Tonsil and Lymph node, american journal of clinical nutrition, swollen tonsil
american journal of clinical nutrition, swollen tonsil, immune deficiency disorder: No, they are other symptoms suggestive of an immune deficiency disorder from nutrients that are low in his diet because they are no longer adequate in the food supply. As the pollutants increase the value of minerals like magnesium in the diet or as a supplement...

Family, Internal Medicine, General Medical Questions: Allergies? But how?, allergy issues, dust mites
allergy issues, dust mites, chronic sinusitis: Hi David, There are more causes to allergy symptoms than you mention. Allergies can be notoriously hard to pinpoint. In fact, are you sure that you HAVE allergies in the first place? Could you have chronic sinusitis from a mechanical obstruction in the airways?...

Family, Internal Medicine, General Medical Questions: Alt Blood Level, liver disease, paperworks
liver disease, paperworks, blood level: Hi Ron, The ALT is one of a number of measured enzymes for liver disease. It is the most specific. An elevation such as yours may mean nothing and just bears repeating in a month or so to be sure that it isn t changing. Different labs have different cut...

Family, Internal Medicine, General Medical Questions: Alzheimer care, city governments, alzheimer society
city governments, alzheimer society, daycare services: Hi Patricia and thanks for writing, The best advice I can give is to contact a Social Worker at your local hospital and the Alzheimer Society. Funded services are different city to city, and state to state so I can t be specific about what may be available...

Family, Internal Medicine, General Medical Questions: ANA, lupus flare, facial rash
lupus flare, facial rash, positive ana: these blood tests are very strange... they don t indicate disease, they only suggest.... and you had a moderately high level... with the joint pain, assuming you are young, and an unexplained facial rash, this could be a lupus flare, theoretically, and is...

Family, Internal Medicine, General Medical Questions: ANA, tingling in toes, joint pain and stiffness
tingling in toes, joint pain and stiffness, proximal muscles: WOuld it be prudent to see the rehumatologist again? Yes Do you think the ANA is signifcant or just attribute everything to the myopathy? It is significant and relates to the excess plant oil in your diet (see references) Also, the relatively new sxs...

Family, Internal Medicine, General Medical Questions: Anaphylactoid purpura (henoch-schonlein), henoch schonlein, working mom
henoch schonlein, working mom, antiinflammatories: Hi Nicky as thanks for writing, I am not familiar with your condition, nor could I find much information on treatments as most sites simply say it usually clears up with no treatment or simple AntiInflammatories or Steroids. I would suggest common sense...

Family, Internal Medicine, General Medical Questions: Anemia, birth control pills, thyroid replacement
birth control pills, thyroid replacement, vitamin b12 deficiency: usually women with anemia have it because they loose too much blood with their periods..... modifying the period with birth control pills and taking iron supplements usually fixes it.... but, other causes are thyroid problems, vitamin b12 deficiency and others.......

Family, Internal Medicine, General Medical Questions: Anemia Blood test results, red blood count, low hct
red blood count, low hct, low hgb: Hi Alex, Anemia can be from several reason. You can have normal ferritin and still be anemic. I see your Folate was normal. Was this Folic Acid or RBC Folate? You should have an Iron Level, Methylmalonic Acid level and Transferin level done. This might be...

Family, Internal Medicine, General Medical Questions: Anemia, capsule endoscopy, iron supplementation
capsule endoscopy, iron supplementation, stomach problems: complicated situation... if no periods, you are loosing blood from your GI system.... you had endoscopy so it isn t a big bleed, just a slow leak over time... that is how you can go this low and not feel it much. If I went to that overnight, I would be gasping...

Family, Internal Medicine, General Medical Questions: Anesthesia, infection risk, breast augmentation
infection risk, breast augmentation, general anesthesia: Hi Liz, Of course there is always a risk to general anesthesia at any time, but there is really no increased risk by having two generals within a week of each other. There also isn t any higher an infection risk performing these procedures close together...

Family, Internal Medicine, General Medical Questions: Ankylosing Spondylitis, muscle spasm, hoof prints
muscle spasm, hoof prints, oregon state university: Hi Jason and thanks for writing, It sounds to me like you have a simple muscle spasm most likely due to a recent physical strain. There is an old medical expression if you see hoof prints, think horse, not zebra . Although AS can be hereditary, your symptoms...

Family, Internal Medicine, General Medical Questions: My Annoying Cough, gob of spit, dry heave
gob of spit, dry heave, chronic sinus: may be a chronic sinus or chest infection (mild) could be allergies... I would try some zantac for the stomach and some over the counter claritan for the cough and if not better over the next 2 weeks, then you will be stuck getting and evaluation by the doctor......

Family, Internal Medicine, General Medical Questions: Anti-aging medicines, diabetic medicines, juvenon
diabetic medicines, juvenon, diabetic male: William, I don t know much about Juvenon. I however, can t express how important it is to exercise both aerobic and resistance. You need to find some for of exercise that is fun and interesing. JP Saleeby, MD www.docsaleeby.blogspot.com www.vitasanus.com...

Family, Internal Medicine, General Medical Questions: Apendix issues???, stubborness, medical insurance
stubborness, medical insurance, abdomen: Hi Natalie, Fortunately, your appendix is on the left lower side of your abdomen. Hard to say why you have this pain without further info. Your stubborness and lack of insurance aside, you really shouldn t get you medical care on line. If it is severe enough...

Family, Internal Medicine, General Medical Questions: Arched Back, stretching and strengthening exercises, back muscles
stretching and strengthening exercises, back muscles, cystic fibrosis: Hi Sam and thanks for writing, I m sure you ve had your fair share of Healthcare professionals with CF, but I d highly recommend seeing a Physio Therapist who can help you design a regime to stretch and strengthen your back muscles to correct the curvature....

Family, Internal Medicine, General Medical Questions: Arm injury during bench press, plain xray, left pectoral muscle
plain xray, left pectoral muscle, narrow groove: A plain xray will not diagnose a rotator cuff tear. It sounds like that is what happened, and if it hasn t gotten better in 6 months, it is time to do an MRI of the shoulder. The numbness may be Impingement syndrome where there is swelling in the shoulder...

Family, Internal Medicine, General Medical Questions: Arthritis?, better shoes, pain medicine
better shoes, pain medicine, rubs: Hi Marie, Arthritis just doesn’t “come on” as your husband puts it. It is years in the making but the symptoms of arthritis can appear rather suddenly. You probably have had minor symptoms that haven’t required much attention till now. It is best to see your...

Family, Internal Medicine, General Medical Questions: Arthritis?, polymyalgia rheumatica, chest xray
polymyalgia rheumatica, chest xray, shoulder level: Most shoulder issues are rotator cuff tendonitis, but it would be a bit unusual to have both shoulders affected. Arthritis is also a bit uncommon in the shoulders in people of your age, unless there is some other pathology. Other possibilities include something...

Family, Internal Medicine, General Medical Questions: Asthma, gastric reflux disease, adult onset asthma
gastric reflux disease, adult onset asthma, upper respiratory infection: Any suggestions in the meantime? With the trouble you are having you would be correct in going to the ER to get a quick assessment of your status and make the appropriate changes the doctor may not be able to do as an outpatient. What will the next step...

Family, Internal Medicine, General Medical Questions: Grandma Update, different types of antibiotics, types of antibiotics
different types of antibiotics, types of antibiotics, respitory therapist: Kim, I am SO happy that she is doing better. You have both been in my prayers, and I kept wondering if I was going to hear from you again telling me how she was doing. She is a fighter, and so are you. You both hang in there. My prayers will continue...

Family, Internal Medicine, General Medical Questions: Atrial Fibrillation, atrial fibrillation, patient medication
atrial fibrillation, patient medication, birth defect: Dear Barry, I am going to refer you to a website medicinenet.com look for atrial fibrillation. This website offers an excellent explanation of what atrial fibrillation is, causes, etc. People with atrial fibrillation may not feel anything. The problem...

Family, Internal Medicine, General Medical Questions: Atrial Fibrillation, chambers of the heart, atrial fibrillation
chambers of the heart, atrial fibrillation, heart rhythm: barry; in atrial fibrillation,the upper chambers of the heart[atria]quiver due to chaotic,uncoordinated electrical activity. this is a common arrhythmia,affecting mainly older adults. in atrial fibrillation,the hearts upper chamber best fast-300-600...

Family, Internal Medicine, General Medical Questions: Atypical PCOS with high bound-testosterone, fasting blood glucose, polycystic ovary
fasting blood glucose, polycystic ovary, high glycemic foods: Yes, you are complicated but have all the things we see in similar patients with these complex problems regularly at www.medicalcenter.osu.edu/go/integrative. The problem is the solution is not simple either and involves a thorough exam for nutrient deficiencies...

Family, Internal Medicine, General Medical Questions: Average life expectancy, average life expectancy, saleeby
average life expectancy, saleeby, accidental causes: Neal, Average Life expectancy is different for gender, race, region, country, etc. But typically when one refers to Average Life Expectancy for the typical American that is the average between men and women, the races and the country as a whole. It takes...

Family, Internal Medicine, General Medical Questions: abd pain/ ? due to fibroids or ovarian cyst, baterial vaginosis, sickle cell crisis
baterial vaginosis, sickle cell crisis, cell anemia: Hi Traci, I would certainly mention the sickle cell to your doctor. My guess is that with that information he will want to do a pelvic ultra sound and/or a CT. Does this pain feel like the abdominal pain from a sickle cell crisis? If so, your Heme/Onc doctor...

Family, Internal Medicine, General Medical Questions: abdominal discomfort, vaginal bacterial infection, uterus infection
vaginal bacterial infection, uterus infection, tumors in the uterus: abdominal/pelvic pain in a woman is so hard to sort out sometimes. There are so many things that can interact to cause problems. The key is to evaluate simple things and treat them if needed. A vaginal bacterial infection does not cause abd pain. A UTI...

Family, Internal Medicine, General Medical Questions: abdominal gas and heart beat, upset stomach, heart burn
upset stomach, heart burn, chest pains: It is hard to say. I suspect you found the heartbeat once and just keep thinking about it. If I think hard enough I can feel my heartbeat/pulse in many places. As far as the gas: Have you changed your Diet lately? More stress? As with anything if you...

Family, Internal Medicine, General Medical Questions: abdominal pain, kidney stone, abdominal pain
kidney stone, abdominal pain, healthcare provider: Hi Jim, This could be a couple of things. Not knowing any more about it than that, the first two things that come to mind are Diverticulitis or possibly a kidney stone trying to pass. It is difficult without a detailed history or an exam to zero in on it....

Family, Internal Medicine, General Medical Questions: abdominal pain, low grade fever, inflammation of the colon
low grade fever, inflammation of the colon, diarhea: I don t see the c section from over a year ago as relevant... this sounds like it could be a urinary tract infection, other possibilities are colitis, inflammation of the colon, given the intermittent diarrhea and constipation or an infectious problem in the...

Family, Internal Medicine, General Medical Questions: abdominal pain, ct scan of the abdomen, left side pain
ct scan of the abdomen, left side pain, rdw: Can stress be causing this? Not really, this sounds more serious with your history. Should I just ignore it and see if it will go away since test are normal? Not really, call the stent doctor first. What do you recommend? You need a CT scan of the abdome...

Family, Internal Medicine, General Medical Questions: abdominal pain, left abdominal pain, uterine infection
left abdominal pain, uterine infection, urine output: Urine output problem could be a urinary tract infection, and the pelvic pain could be a lot of things, ovarian cyst, uterine infection... pelvic pain is always a difficult diagnosis in a woman because there are a lot of things that can go wrong. Prob will...

Family, Internal Medicine, General Medical Questions: abdominal pain, hard boiled eggs, stomach cramps
hard boiled eggs, stomach cramps, watery stools: Hi Britt, From what you ve said, I believe that you have IBS and an anxiety neurosis about cancer. It is extremely rare for someone your age to have colon cancer and that wold be the FARTHEST thing from my mind. You should be placed on an IBS diet and be...

Family, Internal Medicine, General Medical Questions: abdominal pain that comes and goes, ovary problems, appendicitis symptoms
ovary problems, appendicitis symptoms, chronic appendicitis: yes, there is a syndrome called chronic appendicitis where it gets a little inflamed then gets better.... in women, I always worry about urinary tract infections and of ovary problems (cysts, etc) causing pain syndromes that come and go also... the chronic...

Family, Internal Medicine, General Medical Questions: abdominal pain, partial historectomy, ovary problem
partial historectomy, ovary problem, kidney infection: Yes, it sounds like it could be a urinary tract infection, or could be a lower intestinal infection (diverticulitis) or could be an ovary problem on that side. The problem is that it is difficult to sort out without checking the urine and examining someone....

Family, Internal Medicine, General Medical Questions: abdominal wall pain, nerve entrapment, local anaesthetic
nerve entrapment, local anaesthetic, different signs: I often ask patients what they think they should do, since often they have read and have some ideas... whether right or wrong, it gives us a common starting point on evaluations and testing....... pelvic pain, along with endometriosis is a complicated problem.......

Family, Internal Medicine, General Medical Questions: abnormal EKG, heart palpitations, chest tightness
heart palpitations, chest tightness, ekg: Hi CJ, High R waves can be normal in some people. The machine s reading defaults to an abnormal reading if it in any way strays from the average EKG. It s programmed to be cautious. At age twenty, occ. dizziness and palpitations can be stress related but...

Family, Internal Medicine, General Medical Questions: abnormal LFT's, abnormal lft, liver diseases
abnormal lft, liver diseases, liver functions: dear ms mancone: your husband should consult a hepatologist (specialist in liver diseases). for a list of potential causes consult http://www.ikp.unibe.ch/lab2/laiteste.html . these diseases will be ruled out; the most frequent cause of lft elevations is...

Family, Internal Medicine, General Medical Questions: accidental dosage of aspirin, aspirins, emergency center
aspirins, emergency center, occurrences: Hi Veronica, First, in a potential medication overdose, this is not the forum to ask about it. You should either call or go to your local emergency center for care. Fortunately, this will not be a problem for you 2 year old. No treatment needed. Next and...

Family, Internal Medicine, General Medical Questions: aching pain, b comlex, degenerative disc disease
b comlex, degenerative disc disease, achilles tendonitis: What the heck could be causing my ankles,knees and calfs to hurt so bad.It takes me a long time to fall asleep because I have to keep stretching my feet and twisting them around. You are magnesium oxide and calcium and vit D deficient so should ask your...

Family, Internal Medicine, General Medical Questions: achy knees, types of arthritis, rheumatoid arthritis
types of arthritis, rheumatoid arthritis, achy knees: The list is long and depends on your age, wieght, level of activity, and other medical issues. Usually with multiple joints in both limbs I would be initially concerned about a rheumatological disorder like rheumatoid arthritis. However, this is not as common...

Family, Internal Medicine, General Medical Questions: aciphex, heartburn treatment, sleeping problems
heartburn treatment, sleeping problems, aciphex: aciphex and protonix are basically equivalent... they work equally well. If you were waking up from heartburn, then the meds helped you sleep. They have no effect on sleep other than preventing heartburn though. Aciphex and all the others are safe for long...

Family, Internal Medicine, General Medical Questions: addictions, genetic causes, addictive substances
genetic causes, addictive substances, margot: Hi d and thanks for writing, Addictions are a very complex process with MANY causes and effecting causes. There are psychological, physical, emotional & genetic causes/factors which affects who is more likely to cause a person to beceom addicted. It...

Family, Internal Medicine, General Medical Questions: Any advice for gas?, predominant ibs, milk cheese
predominant ibs, milk cheese, metamucil: If you have the constipation predominant IBS, then this new drug, Zelnorm, really helps. If it is diarrhea and constip, then increasing fiber helps a little, metamucil capsules, etc, and also avoiding milk/ cheese/ butter/ ice cream for a while. Also, trying...

Family, Internal Medicine, General Medical Questions: Any advice for gas?, gall bladder disease, gall bladder
gall bladder disease, gall bladder, gas producing foods: Hi Gassy, With the symptoms you are describing, this may be gall bladder disease. It might be a good idea to have this checked out before you blame it on IBS. In the mean time, avoid gas producing foods and try simehtecone (over the counter availablilty)...

Family, Internal Medicine, General Medical Questions: aging, growth hormone testing, curly brown hair
growth hormone testing, curly brown hair, adaptogen herbs: Barry, Anti-aging is my specialty of interest so you are asking the right person. Most likely this is a premature condition for someone your age. Most folks are affected in their mid to late 60 s. However, I have come across several patients who exhibit...

Family, Internal Medicine, General Medical Questions: aim hurts, advill, pinched nerve
advill, pinched nerve, nerve pain: Hi Byron, Nerve pain is hard but not impossible to treat. Once a diagnosis is confirmed, there are a number of drugs that can be helpful. Right now, using high doses of Advil (provided that there is no reason for you not to) at 800mgs three times a day along...

Family, Internal Medicine, General Medical Questions: air sickness, upset stomach, air sickness
upset stomach, air sickness, bonine: It is good to have a little food on your stomach, also some type of beverage... you don t want to go on dehydrated especially if it is a long flight. You can also try one of the over the counter meds, like Bonine or others to help with the symptoms. Hope...

Family, Internal Medicine, General Medical Questions: alcohol reaction, tropical fruit juices, dizziness and headache
tropical fruit juices, dizziness and headache, heat flash: Hi Dana, The use of orange and pineapple juice might have been the cause. Both of those are very high in citiric acid and that can cause the symptoms you had. You might try not drinking alcohol with these acid high juices and see if it recurs. It probably...

Family, Internal Medicine, General Medical Questions: alcohol related pain, kara nelson, binge drinker
kara nelson, binge drinker, drinking alcohol: What is the alcohol doing to me? Kara, It sounds like it is causing swelling in your liver and liver capsule which backs up the blood and lymph from the upper part of your body which passively congests your muscles and tissues. Since this can be serious,...

Family, Internal Medicine, General Medical Questions: alcohol related pain, alcohol withdrawal syndrome, kara nelson
alcohol withdrawal syndrome, kara nelson, drinking alcohol: Does the achiness occur at other times, when there was no alcohol involved? Since you have narrowed it down to the day after you drank, you have solved the problem. It may be an alcohol withdrawal syndrome... next time make sure you drink plenty of regular...

Family, Internal Medicine, General Medical Questions: alcohol related pain, drinking alcohol, breakdown products
drinking alcohol, breakdown products, muscle fiber: Hi Kara, If this happens ONLY after drinking alcohol, it may represent an alcohol induced myopathy. That is to say, that the alcohol is attacking your muscles and damaging them. This has the potential to be quite serious and I would STRONGLY recommend that...

Family, Internal Medicine, General Medical Questions: alcohol, alcohol treatments, soap and water
alcohol treatments, soap and water, bad smell: 1. why does alcohol take away the smell from your underarms? because it dissolves the oil based odor chemicals Does it have any side effects? not usually Is there any other way of getting rid of the bad smell from your underarm without ANY side effects?...

Family, Internal Medicine, General Medical Questions: allergic reactions/to?, gastroesophageal reflux disease, gastroesophageal reflux disease gerd
gastroesophageal reflux disease, gastroesophageal reflux disease gerd, hiatal hernia: About a year ago she started complaining that she felt damp, like she was sweatin but she felt it inside of her body, she said it felt like dripping. Gastroesophageal reflux can feel this way to people. My Mother isn t overly dramatic, after a while she...

Family, Internal Medicine, General Medical Questions: allergies, calcium carbonate, epa dha
calcium carbonate, epa dha, cholesterol problem: Yes, this is due to omega-6 plant oil excess in the food supply which makes us overly allergic. See the following There is much to learn and much to do to regain your health but we help people do this every day at our center, The Ohio State University Center...

Family, Internal Medicine, General Medical Questions: alopecia areata, female pattern baldness, male pattern baldness
female pattern baldness, male pattern baldness, scalp infections: kate; alopecia areata is classified as an autoimmune disease,but its exact cause is unknown. in fact,people who develop this type of baldness are generally in good health. a family history of alopecia areata makes you more likely to develop it; unlike...

Family, Internal Medicine, General Medical Questions: alopecia areata, walth, stress
walth, stress: The most important part of curing an illness is to find out what the cause is. You friend needs to discuss this with her physician to determine if the cause is stress related or physical. Look on the internet under alopecia areata there is a walth of...

Family, Internal Medicine, General Medical Questions: alternative medicine, dear sir or madam, cancer fatigue
dear sir or madam, cancer fatigue, family elders: For centuries, these special knowledges were held by family elders and healers in communities so were generally provided consistent with the ethics for the culture and were therefore considered much safer from tampering or profiteering, see ethnobotany on...

Family, Internal Medicine, General Medical Questions: alternative medicine, dear sir or madam, relaxation therapy
dear sir or madam, relaxation therapy, university of canterbury: Wow Anna.... That certainly is some question. Unfortunately, I am not a student of alternative medicine. That is not to say I don t think it has merit. I am just more familiar with conventional treatments. There are people on Allexperts.com that...

Family, Internal Medicine, General Medical Questions: alternative medicine, dear sir or madam, university of canterbury
dear sir or madam, university of canterbury, medicine therapy: I always believe that therapies should be tested scientifically.... otherwise we can t differentiate between snake oil and real treatments... I believe in acupuncture and some chiropractic medicine therapy, but it would be nice to have full belief thru studies.........

Family, Internal Medicine, General Medical Questions: alternative of steriod medicines, insulin sliding scale, corneal graft
insulin sliding scale, corneal graft, diabetic retinopathy: Hello, This is a very challenging problem when it comes to diabetes. There really is no more potent anti-inflammatory medication than prednisone or the similar steroids. When patients with diabetes develope vasculitis, like your mother, there is always...

Family, Internal Medicine, General Medical Questions: alternative of steroid medicine, corneal graft, knox gelatin
corneal graft, knox gelatin, calcium carbonate: Yes, these are the things we use to restore health in our patients, plus Ashwaghanda for the adrenals if OK with her doctors. There is much to learn and much to do to regain your health but we help people do this every day at our center, The Ohio State...

Family, Internal Medicine, General Medical Questions: amoxicillin, amoxicillin 500mg, nasal congestion
amoxicillin 500mg, nasal congestion, sinus infections: Dear Lorena, I am glad you brought up this question, because it is a very misunderstood situation. Amoxicillin is prescribed often for BACTERIAL infections, i.e. sinus infections (sinusitis). However, if you have a COLD, Amoxicillin isn t going to...

Family, Internal Medicine, General Medical Questions: anal pain, internal hemorrhoids, stool softner
internal hemorrhoids, stool softner, rememdy: Sounds like it may be internal hemorrhoids however anytime there is bleeding I recommend a doctor visit. Don t be scared.........be proactive and seek the advice of your physician. The rememdy may be very simple like increasing your fiber, stool softner....

Family, Internal Medicine, General Medical Questions: i was anally and vaginally..., anal penetration, initial time
anal penetration, initial time, sodomized: The anal penetration can easily tear the tissues but will heal quickly... if there is a rape, then the examination should be immediate to collect samples for evidence. After a few days, the tissue will heal and there won t be any remaining evidence. ...

Family, Internal Medicine, General Medical Questions: i was anally and vaginally..., loss of virginity, consentual sex
loss of virginity, consentual sex, sodomized: Hi Yom, There is no known imaging technique to show or confirm these attacks. The only way to confirm an episode like this is visual inspection right after the event has occurred. Any doctor in an emergency room can determine this. Loss of virginity can...

Family, Internal Medicine, General Medical Questions: i was anally and vaginally..., oportunity, sodomized
oportunity, sodomized, xray: if there is any imaging that can prove this by taking an xray of my rectum and vagina ? No under what circumstances can this be shown? only on exam at the time of the incidents. how many incidents do there have to be? not related is the only case...

Family, Internal Medicine, General Medical Questions: anemia, birth control pills, red blood cells
birth control pills, red blood cells, iron pills: Anemia is a sign.... meaning it isn t a disease in itself... when you say your red cells are small, that suggests the anemia is from iron deficiency, usually from heavy periods, and not getting enough iron in the diet. However, if you are african american...

Family, Internal Medicine, General Medical Questions: ankle pain, medical supply stores, gastric reflux
medical supply stores, gastric reflux, eggcrate foam: Hi Sheryl and thanks for writing, The way you describe her pain I m guessing that it s caused by pressure on a nerve when she s in certain positions (lying down). I would experiment with different sleeping positions and see if you can alleviate the pain...

Family, Internal Medicine, General Medical Questions: annual physical, pap smear, blood in stool
pap smear, blood in stool, colonoscopy: Typically, it is age related, but cholesterol, blood pressure, physical exam, ECG every 5 years, CXR every 3 years if smoking. Check for blood in stool. Colonoscopy every 5 years if over 50. Pap smear yearly, Mammogram every other year in 40 s, yearly after...

Family, Internal Medicine, General Medical Questions: anorexia/bulimia, anorexia bulimia, disesase
anorexia bulimia, disesase, bulimic: You re correct, it is a very serious and important statement. The best place to start would be with both of your daughters pediatricians. I would also discuss this further, of course, with your daughters. Without knowing the family arrangement and distance...

Family, Internal Medicine, General Medical Questions: Not sure you can answer, contagious diseases, communicable disease
contagious diseases, communicable disease, young person: Hi R, Hospitals do not check for contagious diseases as a rule unless the symptoms and testing shows a communicable disease as a cause of death. If the patient died suddenly then usually an autopsy is indicated unless there has been an ongoing medical problem...

Family, Internal Medicine, General Medical Questions: Not sure you can answer, cocaine use, stiff neck
cocaine use, stiff neck, heart attacks: When I work in the ER, if someone came in and dies, either just prior to getting there or in the ER, we look at the potential cause of death. If it appears to be heart related and not from an infectious disease, it is unlikely that any additional testing...

Family, Internal Medicine, General Medical Questions: Not sure you can answer, simple tests, young person
simple tests, young person, blood tests: Hi R, All patients admitted to hospital have basic blood tests done and these simple tests identify contagious agents (ie: bacteria or virus). People with any kind of infection are quickly isolated if there s any danger to others. Hospitals have review...

Family, Internal Medicine, General Medical Questions: anti depressant, wellbutrin xl, wellbutrin sr
wellbutrin xl, wellbutrin sr, insurance restrictions: lorrie; wellbutrin SR-the sustained-release form,in 2 doses,at 8 hour apart; wellbutrin XL-extended-released tablets should be taken once a day in the morning. neither med should be crushed or divided,or chewed-you need to take them whole; catherine;...

Family, Internal Medicine, General Medical Questions: antibacterial gels harmful to you?, crabtree evelyn, poison center
crabtree evelyn, poison center, hand soap: Hi Jeff and thanks for writing, I have not researched this, but it seems to me that the message is that if a significant amount of the gel was swallowed then it could pose a potential health risk which is why they put the warning label on the bottle; but...

Family, Internal Medicine, General Medical Questions: medical school, sleep patterns, yars
sleep patterns, yars, med school: Hi Jeff, #1: Four yars of med school and a residency is 3-4 years depending on the specialties. There are then fellowships in specialties that extend time even further. #2: Call isn’t an issue in Med school as much as in residency. Don’t forcibly change...

Family, Internal Medicine, General Medical Questions: antibacterial gels harmful to you?, crabtree evelyn, poison center
crabtree evelyn, poison center, soap and water: Thank you for your opening comment and I am doing well. Regarding your question about antibacterial gels that do not use water. Most of these antibacterials have an alcohol base. Once it is applied to your hands the friction and exposure to air helps the...

Family, Internal Medicine, General Medical Questions: antibiotic and flu shot, flu shot, running a fever
flu shot, running a fever, chicken eggs: Dear Yana, I find no information that you cannot get your flu shot if you are on Doxycycline. I would, by all means, let your physician know you are on doxycycline prior to getting the shot. If you are allergic to chicken eggs, or you are running...

Family, Internal Medicine, General Medical Questions: antibiotic and flu shot, flu shot, doxicycline
flu shot, doxicycline, doxi: You don t want to get the flu shot right away. The best time to get the flu shot is in mid November, so that would give you time to finish the Doxicycline and get over whatever you were treated for with the doxi and then you can get the flu shot.... hope...

Family, Internal Medicine, General Medical Questions: antidepressants for sleep, sleeping pills, sleep problems
sleeping pills, sleep problems, antidepressants: Hi Jennifer, Unfortunately all antidepressants have side effects, some worse than others. You ll have to see how you do until the right one is found. I d ask about Zoloft first. Antidepressants aren t addictive in the sense of dependency. Be prepared to have...

Family, Internal Medicine, General Medical Questions: antidepressants for sleep, new sleeping pills, sleep problems
new sleeping pills, sleep problems, anti depressants: Imipramine/tofranil; Desyrl/trazadone; but both can give a little bit of a hangover. (those are the anti-depressants) Dosages can be low.... 25 mg of imipramine; 50 mg of desyrl. However, none are addicting at all. Rozerem is the new prescription form...

Family, Internal Medicine, General Medical Questions: anxiety, brain fog, anxiety and panic attacks
brain fog, anxiety and panic attacks, prime suspect: tammy; well this sounds like anxiety indeed, hyperventilation or over breathing is a prime suspect in anxiety and can leave you feeling light-headed,anxious and depressed. another thing is your letting your mind go,meaning over thinking,which in the long...

Family, Internal Medicine, General Medical Questions: arm pain from flu shot, abnormal messages, flu shot
abnormal messages, flu shot, arm pain: Since you didn t mention swelling, I assume that it won t be a small hematoma, a bruise caused by the needle hitting a small vein and it bleeds a little, and the pressure causes pain. What is more likely if there wasn t swelling is the needle accidentally...

Family, Internal Medicine, General Medical Questions: arm spasms, chest x ray, fingers and toes
chest x ray, fingers and toes, aircraft hanger: If he snores, falls asleep except at bedtime, has excessive daytime sleepins, with or without apnes he needs a sleep study. Magnesium deficiency is associated with hypertension in many patients but the deficiency only shows up on the more complex test called...

Family, Internal Medicine, General Medical Questions: Why does my arm tingle after golf?, nerve irritation, hi thanks
nerve irritation, hi thanks, playing golf: Hi Jim, Once again, I ll assume that by behind, you mean the area behind ( along the plane of) the elbow. This may be a number of things. It could be nerve irritation from the repeated trauma of swinging the club or even be coming from your heart. I don t...

Family, Internal Medicine, General Medical Questions: arm tingling, shoulder impingement syndrome, pinched nerve
shoulder impingement syndrome, pinched nerve, middle fingers: that sounds like a pinched nerve, often at the wrist level (carpal tunnel) if only in the hand, but the whole arm, usually at the shoulder (shoulder impingement syndrome) or possible at the neck level. Try Alleve, 1-2 twice a day for a couple of weeks and...

Family, Internal Medicine, General Medical Questions: arms and hands are falling asleep when still, nerve conduction studies, finger and thumb
nerve conduction studies, finger and thumb, medical evaluation: if both hands do it at the same time, it is probably a neck problem (disc pressing on the spinal cord) if it happens sometimes on R and sometimes on L, it could be at the neck or the shoulder or the wrist, more likely the shoulder. First, I would try plain...

Family, Internal Medicine, General Medical Questions: arthritic thumbs, thumb nail, finger nails
thumb nail, finger nails, nailbed: Hi Lois, At this point, as you described it, surgery is a good choice. It isn t as much about pain relief as function. Ultimately arthritis in these joints will cause complete loss of thumb function. Surgery will restore function enough to do what you do...

Family, Internal Medicine, General Medical Questions: arthritis, pain pills, stomach pain
pain pills, stomach pain, orthopedist: yes, you can have arthritis despite a normal xray... the first thing I would do is a good trial of the NSAID s, like motrin... my favorite is over the counter alleve, 2 pills twice a day to see if it helps... watch out for stomach pain from the meds... if...

Family, Internal Medicine, General Medical Questions: arthritis, pain pills, dexa scan
pain pills, dexa scan, calcium carbonate: This can also be osteopenia of the hip which responds to magnesium oxide 500mg twice a day with calcium carbonate 500mg with vit D if OK with your doctor. Quicker relief is reached if you add 3000mg omega 3 twice a day if OK with your doctor. Have you had...

Family, Internal Medicine, General Medical Questions: arthritis of the feet, chicken turkey, magnesium oxide
chicken turkey, magnesium oxide, bunion: Ankles and toes pain is likely need for more magnesium oxide if you have less than 2-3 Bowel movements a day and gluten toxicity if you have 2-3 or more. Stop all chicken, turkey, chips, peanuts, granola, flax and soy and see http://efaeducation.nih.go...

Family, Internal Medicine, General Medical Questions: arthritis vs fibromyalgia, darlene lee, daytime tiredness
darlene lee, daytime tiredness, calcium carbonate: Are these symptoms indicative of fibromyalgia? Not teally. Can you have fibromyalgia, osteoarthritis and degenerative joint disease? yes but you do not have that. You appear to be having excess omega 6 plant oils in your diet and need to add 3000 mg...

Family, Internal Medicine, General Medical Questions: arthritis, pain pills, arthritis pain
pain pills, arthritis pain, hip pain: Hi Bob, Arthritis pain doesn t always show up as an Xray finding. It is possible to have synovitis of the hip joint, bursitis and / or tendinitis that can cause hip pain. In addition, back disease can manifest as hip pain. All too often medical providers...

Family, Internal Medicine, General Medical Questions: arthritits, xray findings, chronic arthritis
xray findings, chronic arthritis, orthopedic doctor: You prob had some minor injury to the joint years ago and now there is some developement of chronic arthritis, but it is hard to take XRAY findings and convert them into real world implications on your back... many people have arthritis on xray and have no...

Family, Internal Medicine, General Medical Questions: about arthritus and other related symtoms, omega 3 fish oil, high potency
omega 3 fish oil, high potency, centrum silver: You need to see your doctor since we do not prescribe on this site. This is generally due to low B complex due to food deficiencies today so ask your doctor if you can take B-50 high potency B complex before each meal with 2000mg of omega-3 fish oil and a...

Family, Internal Medicine, General Medical Questions: arthroscopic surgery recovery, private tutor, proper question
private tutor, proper question, straight answer: Hi Sara and thanks for writing, I m sorry to hear about your challenges post knee surgery. I did work on an Orthopaedic floor for years and I know we always got our knee patients on constant movement machines the day after surgery to prevent contractors,...

Family, Internal Medicine, General Medical Questions: arythmia, mitral valve prolapse, holter moniter
mitral valve prolapse, holter moniter, chest xray: Dear Tiffany, Sounds like it may possibly be a mitral valve prolapse or an atrial fibrillation. You may want to try and keep track of your pulse rate when you are having these palpitations. Do you have any other symptoms such as, nausea, sweating,...

Family, Internal Medicine, General Medical Questions: asking interview like questions, summit west, lee summit
summit west, lee summit, medical physician: Hi Nathan, There is a small misunderstanding. I am a Physician Assistant, not a Physician. Unfortunately, this is a little more detailed than I have time to answer. if you are interested in becoming a Physician Assistant, please go to www.aapa.org...

Family, Internal Medicine, General Medical Questions: aspirin, dose response curve, pain meds
dose response curve, pain meds, strenght: aspirin only lasts a few hours... there is a dose response curve... more helps, but only up to a point... and side effects increase.... yes, 4 probably does more than 2 but 8 prob won t do better than 4. now with narcotic pain meds, the dose response curve...

Family, Internal Medicine, General Medical Questions: aspirin, aspirin side effects, pain meds
aspirin side effects, pain meds, kidney disease: Not true, but at more than 2 tabs of 325mg each, aspirin side effects such as gastro intestinal bleeding and bruising increase. With acetaminophen doubling the dose leads to increased risk of liver and or kidney disease. With doubling of other non-narcotic...

Family, Internal Medicine, General Medical Questions: atenolol, adult heart, atenelol
adult heart, atenelol, phone consultation: Janjuah, This forum prohibits the treatment recommendations. However, you are correct the beta-blocker Atenelol has a very high incidence for sexual dysfunction. There are alternative treatments for HTN that have lower side effect profiles. However,...

Family, Internal Medicine, General Medical Questions: how to avoid fainting, componet, giving blood
componet, giving blood, g forces: There are conditioning tricks to help in situations like that... if the sight of the needle is what does it, etc. Basically, practice with whatever sets it off, meaning if it is the needle, have one, handle it, repeatedly look at it, think about it, and...

Family, Internal Medicine, General Medical Questions: awake, chronic fatigue syndrome, collagen vascular diseases
chronic fatigue syndrome, collagen vascular diseases, careful physical examination: Hey Jeff, The list is short for organic causes of adolescent fatigue. But I alawys look anyway. Here are two citings, The 5 minute Peditric Clinical Consult, and Sanford s Pediatrics, you are still considered a pediatric patient. Unexplained fatigue...

Family, Internal Medicine, General Medical Questions: B-12 and Folic Acid, food composition data, communications research institute
food composition data, communications research institute, university of texas austin texas: What you have been told about B12 is correct only if you have pernicious anemia and lack intrinsic factor in your stomach lining. Fortunately, most of us to not lack intrinsic factor so it is absorbed from the foods we eat, mostly from meats or even supplemental...

Family, Internal Medicine, General Medical Questions: B P, high potency, beta blocker
high potency, beta blocker, omega 3: Sorry we are not allowed to treat. However if you titrate magnesium oxide starting at 250 mg twice a day for a week then increase by one tablet twice a day each week until your bowels are moving 2-3 times a day, your blood pressure will come down and stay...

Family, Internal Medicine, General Medical Questions: B12, intrinsic factor, blood cells
intrinsic factor, blood cells, intestines: There is a special protein that is needed to absorb B12 (intrinsic factor) and some people lose that protein... the other vitamins are fine.... you can also get B12 thru a nasal gel inhalation twice a week if you don t like the shots... it is called nasocobal...

Family, Internal Medicine, General Medical Questions: B12, absortion, intrinsic factor
absortion, intrinsic factor, blood work: you aren t getting enough absorbtion... some people have partial or complete loss of ability to absorb B12, due to loss of a protein in your intestines (intrinsic factor) and B12 is necessary for multiple functions, sometimes people use the B12 jelly in the...

Family, Internal Medicine, General Medical Questions: B12, parietal cells, serum levels
parietal cells, serum levels, saleeby: With Vit. B12 or any of the variants m-B12 and so forth IM or SQ would be equivalent. Taking oral (PO) B12 may not achieve the therapeutic goal due to a person s inability to produce intrinsic factor (IF) in the parietal cells of the stomach. Therefore parentral...

Family, Internal Medicine, General Medical Questions: B12, pernicious anemia, barium test
pernicious anemia, barium test, b12 shots: I assume that you had the B12 level drawn also in addition to having a high MCV value (red cell size) typically that means that you have lost the ability to absorb B12 (pernicious anemia) and you need shots monthly or weekly B12 nasal gel ingestion... you...

Family, Internal Medicine, General Medical Questions: BAD BO, omega 3 fish oil, gluten free diet
omega 3 fish oil, gluten free diet, occasional cigar: Yes, ask your doctor to be sure you do not have diabetes. Beyond that you appear to have a nutrient deficiency disorder with your IBS. So you need to be on a gluten free diet for live but see if you doctor thinks you can take 500mg of Magnesium oxide morning...

Family, Internal Medicine, General Medical Questions: Bad hip-area Stress Fracture, stress fractures, stress fracture
stress fractures, stress fracture, carpal tunnel problems: I still don t understand what is meant by, Yes,that[the appearance that the fracture is all the way across]is common with stress fractures in cases like yours or whether or not, in your opinion, I could walk as much as I m having to if the fracture were...

Family, Internal Medicine, General Medical Questions: Barium Enema - Polyps, air contrast barium enema, diverticulous
air contrast barium enema, diverticulous, colon cancer: Polyps need to be 10 mm (1 cm) before we really get worried about cancer. However, all polyps need to be biopsied and destroyed... the thing we look for is whether the polyp is adenomatous (has features of glandular tissue) and whether the polyp has precancerous...

Family, Internal Medicine, General Medical Questions: Beer belly, visible veins, empty calories
visible veins, empty calories, herbal treatment: Hi Bud, I can t suggest milk thistle out of hand. I would never start an herbal treatment before knowing what it is I was treating. Sounds like you have just taken in too many empty calories and haven t exercised. Stopping the excess beer and pop won t bring...

Family, Internal Medicine, General Medical Questions: Behavioral potty "accidents", age 5, pediatric hospital, bathroom floor
pediatric hospital, bathroom floor, mother child: Of course she can be different, but this is usually a maternal child conflict disorder and my patients have done very well after mother child counseling by a peds psychologist with expertise in this area. Call your regional pediatric hospital to locate the...

Family, Internal Medicine, General Medical Questions: Belly button, triple antibiotic ointment, belly button
triple antibiotic ointment, belly button, rashes: Jason, Sounds like you may have a small hernia. The belly button is a common place where this can occur. Because of the pain, I would suggest you see your doctor. This is not necessarily something that will go away on its own. The other possibility...

Family, Internal Medicine, General Medical Questions: Belly fat, cortisol levels, utricaria
cortisol levels, utricaria, lack of sleep: The hot oatmeal or hot applesauce activate the cinnamon which reduces the insulin resistance in PCOS and alters the hormonal imbalance, lowers cholesterol and enhances weight loss by increasing the cellular metabolism of sugars. The cinnamon contains a blend...

Family, Internal Medicine, General Medical Questions: Belly fat, cortisol levels, utricaria
cortisol levels, utricaria, relicore: Hi Rae, I know of the commercial that touts a fat/cortisol connection. There is no basis in fact for this. You have touched on the important things; exercise, diet and genetics. You also should look at disease states such as Diabetes and Thyroid dysfunction....

Family, Internal Medicine, General Medical Questions: Benecol & Cholesterol, fish oil supplements, cholesterol count
fish oil supplements, cholesterol count, baby aspirin: You have a good plan, that I would add the following to if OK with your doctor: 1) high potency B complex twice a day 2) magnesium 500mg twice a day 3) calcium with vit D twice a day 4) 1000 mg Vit C esther twice a day 5) a multivitamin daily 6) 1/4...

Family, Internal Medicine, General Medical Questions: Bile, vomiting bile, gastro enterologist
vomiting bile, gastro enterologist, gallbladder surgery: Blanca, You did not say what type of surgery your father had. Did he have the entire gall bladder removed or stones removed? The liver is also responsible for digesting fats and there could be a blockage in one of the bile ducts. I would insist on...

Family, Internal Medicine, General Medical Questions: Bird Flu, high fevers, h5n1 virus
high fevers, h5n1 virus, high fever: The cause of death is usually multi-organ failure as a result of the high fevers and of the extensive lung damage, which ultimately causes respiratory failure and then damage to the other organs. We don t cure any virus , but we can slow down reproduction...

Family, Internal Medicine, General Medical Questions: Bird Flu, h5n1 virus, high fever
h5n1 virus, high fever, respiratory difficulties: 1. Once a person is infected, what s the actual cause of death? Is it the high fever, the respiratory difficulties or other? It is the pneumonia with the respiratory difficulties 2. I understand that, currently, there s no effective treatment for the...

Family, Internal Medicine, General Medical Questions: Birth Control Help, birth control pills, rn msn
birth control pills, rn msn, taking the pills: Ask your OBGyn to help you figure out how to restart best--I m not sure what brand or type you are on. Your prescriber could probably tell you over the phone, the math here is blowing my mind, to figure this out;-) Also, you could use a hormone level blood...

Family, Internal Medicine, General Medical Questions: Birth Control Pill Help, taking the pills, birth control pill
taking the pills, birth control pill, wild hair: you have to watch out for pregnancy when you miss pills, but you can simply just take 1/day and you will get back on a regular cycle after the first month. Long term use of the pill is safe overall. If you take too much, it can cause nausea, so the only...

Family, Internal Medicine, General Medical Questions: Birth Control Pill, deep vein thrombosis, oral contraception
deep vein thrombosis, oral contraception, stopping the pill: Hello Tamara, This is a very good question. Unfortunately I don t have a very good answer. While I could not find the specific numbers regarding the timing of when the risks of thromboembolic events were reduced to normal after cessation of oral contraception,...

Family, Internal Medicine, General Medical Questions: Birth Control Pills, birth control pills, taking the pills
birth control pills, taking the pills, birth control: If you are sure you aren t pregnant, then just go ahead and start the pills, but you may not be protected against pregnancy until you are done with the first pack, so use other methods for the first month. You may get some irreg bleeding initially, but it...

Family, Internal Medicine, General Medical Questions: Birth Control Pills, birth control pills, st john s wort
birth control pills, st john s wort, taking the pills: Dear Marie, What an interesting question! I understand about the wild hair ...I hear that all the time, mostly in ER. I have never stopped a medication because I didn t think I needed it anymore, nope, not me. tongue in cheek As far as doubling...

Family, Internal Medicine, General Medical Questions: Birth Control Pills and break through bleeding, birth control pills, lower stomach pain
birth control pills, lower stomach pain, lower abdomen: C.D. you indeed need to see your doctor again. the pain you have in the lower back and lower stomach area is a concern to me. i hope you have told your doctor about that pain. now i would suggest getting an ultra-sound,of your lower abdomen,you could...

Family, Internal Medicine, General Medical Questions: Birth Control Pills, birth control pills, taking the pills
birth control pills, taking the pills, period time: Hi Jennifer, You can either wait until your period is over or start them now. If you start them now, your period time will change. The only reason to start them the Sunday AFTER your period is to allow your uterus to expell blood and it is easier to remember...

Family, Internal Medicine, General Medical Questions: Birth Control pill, omega 3 fish oil, stopping the pill
omega 3 fish oil, stopping the pill, birth control pill: 3-6 months unless you take a 325 EC aspirin daily if OK with your doctor, then the risks are gone in 30 days, especially if you avoid omega-6 rich foods, such as peanuts, flax, soy, chips, poultry, and granola trail mix products. Taking 2000mg omega-3 fish...

Family, Internal Medicine, General Medical Questions: Birth Control pills and Lymphodema, birth control pills, support stockings
birth control pills, support stockings, water pill: J; prolonged skin swelling can lead to tissue damage,so its important to bring it under control quickly. this sounds like something more is causing this to happen. you may need a water pill,to help with this swelling. how is your blood pressure? do...

Family, Internal Medicine, General Medical Questions: Birth Control, birth control pills, rn msn
birth control pills, rn msn, maggie smith: Don t panic. Your cycle will be out of whack for a while. Don t expect it to be regular for a year. The bloating and periods will naturally be heavier than they were when you were on birth control pills. When to see your provider: filling 6-8 pads per...

Family, Internal Medicine, General Medical Questions: Birth control and thyroid, omega 3 fish oil, birth control pills
omega 3 fish oil, birth control pills, history of ovarian cancer: My question is, could it all be related to birth control? Could be but it is unlikely. Do you recommend that I see a general care physician or endocrinologist, and what tests should I ask them to perform? Either would be fine but ask them to do a T4 free,...

Family, Internal Medicine, General Medical Questions: BLOOD TEST RESULTS, c reactive protein, creatine kinase
c reactive protein, creatine kinase, hips thighs: Ask your doctor but this is what I use for my patients: 1) Fish oil 3000mg (900 mg EPA/DHA) before each meal and at bedtime 2) High Potency B complex, (B-100) before each meal 3) Magnesium oxide 250 mg before each meal and at bed 4) Calcium carbonate with...

Family, Internal Medicine, General Medical Questions: BLOOD, rh neg, rhogam shot
rh neg, rhogam shot, rh blood: While this sounds complicated sometime in your pregnancy you became sensitized to Rh+ blood most likely from the baby s circulation in the placenta. It is also possible that the Rhogam shot in prior pregnancy(s) if you received it did not completely protect...

Family, Internal Medicine, General Medical Questions: Black Widow Spider bites, black widow spider, black widow bite symptoms
black widow spider, black widow bite symptoms, bee sting: Hi Meg, You are essentially correct about ICU stays. In the case of a Black Widow bite, symptoms may not peak for a few days so I would suspect that the doctors are just being cautious. That said, I don t know just how serious this bite reaction was either....

Family, Internal Medicine, General Medical Questions: Blackouts, high potency, fish oil
high potency, fish oil, blackouts: Yes, if her doctor would approve she could take 2000mg of fish oil twice daily with high potency B Complex, calcium with vit D and 500mg of magnesium twice daily along with a woman s multivitamin. Some would add 81 mg of aspirin daily. Would not hurt her to...

Family, Internal Medicine, General Medical Questions: Bladder Infection?, bladder infection, painful bladder
bladder infection, painful bladder, full bladder: Hi Dorothy, Bladder infections should be treated for many reasons. Yogurt will not prevent bladder infections. Bladder/kidney infections have a myriad of causes and if not identified and treated can lead to chronic problems. I guess I would get whatever testing...

Family, Internal Medicine, General Medical Questions: Bladder Infection, bladder function, bladder infection
bladder function, bladder infection, urinary tract infections: Hi Melly, This may represent a problem with bladder function since your hysterectomy. It is possible that you aren t emptying your bladder fully and urine remains and stagnates. You should drink plenty of water and void whenever the urge hits you. Repeated...

Family, Internal Medicine, General Medical Questions: Bladder "Spasms", bladder spasm, bladder spasms
bladder spasm, bladder spasms, little brother: I am not sure I understand the term bladder spasm.... I would not expect that to be found in a 5 year old boy. Whatever he had improved.... but it was only coincidence that it improved when he urinated..... so, my thought is something else was the problem.......

Family, Internal Medicine, General Medical Questions: Bleeding disorder, iron deficiency anemia, birth control pills
iron deficiency anemia, birth control pills, general good health: Hi Patricia, She could simply have very heavy periods and iron deficiency anemia as a result. That could explain all of her symptoms. Considering that she was tested for bleeding disorders and all came back OK, that would make a hematologic disease less likely....

Family, Internal Medicine, General Medical Questions: Bleeding for over two months., irregular periods, dull pain
irregular periods, dull pain, pelvic area: sarah; wow........this sounds like me,years ago,i bleed for years. it was all due a fibroid. i feel this could be your problem as well. a fibroid or a cyst on your ovary. stress is the #1 reason for irregular peroids,but i feel your just having uncontrollable...

Family, Internal Medicine, General Medical Questions: Bleeding under fingernails, nail fungus, fingernails
nail fungus, fingernails, nails: Hello. Alot depends on MANY things you don t mention. Your age for instance, how many nails? Do you work outside? It may be a nail fungus. I do not think bleeding under the nails is common. You should probably have it looked at if it continues. ...

Family, Internal Medicine, General Medical Questions: Blishers on Fingers, omega 3 fish oil, birth control pills
omega 3 fish oil, birth control pills, mg caps: It sounds like you may be nutrient deficient. Ask your doctor is these nutrients would be OK for you to improve your immune system. Omega 3 Fish Oil 1000 mg caps Start with two (2) caplets twice daily. e.g. TriOmega, Nordic Naturals (goal is 1000-2000 mg...

Family, Internal Medicine, General Medical Questions: Bloating, exercise regimen, eating habit
exercise regimen, eating habit, lower abdomen: That low abd fat tends to linger on even when someone loses some weight. That is usually the last to go, with significant weight loss. Situps will help the muscles get in shape, but the fat pad there is usually outside the muscle wall... liposuction is a...

Family, Internal Medicine, General Medical Questions: Bloating, low glycemic diet, barium enema
low glycemic diet, barium enema, meat and cheese: Hi Bud, Due to the number of questions I answer on this forum and patients I see everyday, it is very difficult for me to remember your exact situation since it is over the internet. May you please resend your question with a quick reminder of your past...

Family, Internal Medicine, General Medical Questions: Bloating, exercise regimen, eating habit
exercise regimen, eating habit, lower abdomen: Hi AJ, First I think you have to distinguish between bloating and just having a full looking lower abdomen. If you can suck in your belly and the majority of this disappears, it probably doesn t represent bloating. True bloating gives one a gassy feeling...

Family, Internal Medicine, General Medical Questions: Blood Clot?, birth control pills, charlie horse
birth control pills, charlie horse, knee joint: No, doesn t sound like a blood clot. The SX of a blood clot should be swelling, pain, warmth, redness, and possibly a hard cord like feeling along the clotted vein. The symptoms in your knee joint do not sound like a blood clot, it does sound like some possible...

Family, Internal Medicine, General Medical Questions: Blood Clot?, symptoms of pulmonary embolism, birth control pills
symptoms of pulmonary embolism, birth control pills, stomach cramps: Symptoms of a DVT When a clot forms, it can either partially or totally block the blood flow in that vein. Symptoms of a DVT can include: swelling of the leg warmth and redness of the leg pain that is noticeable, or worse when standing or walking ...

Family, Internal Medicine, General Medical Questions: Blood Clot?, birth control pills, history of stroke
birth control pills, history of stroke, charlie horse: Hi, Not really. Blood clots although serous are rare. Provided that you get a reasonable amount of exercise, don t smoke AND there is no family history of stroke or heart disease, you chances are unlikely. The usual symptoms are a swollen, warm and painful...

Family, Internal Medicine, General Medical Questions: Blood Clots, birth control pills, rapid heart rate
birth control pills, rapid heart rate, stomach cramps: Hi Worried, Blood clots are a risk with birth control pills, worse if you are a smoker. The symptoms of blood clots is pain and or swelling in the lower leg. It usually appears in one leg rather than two. Should clots occur and go to the lungs, there will...

Family, Internal Medicine, General Medical Questions: Blood Clots, birth control pills, rapid heart beat
birth control pills, rapid heart beat, stomach cramps: You are concerned about blood clots just because they could occur.... you aren t at particularly high risk other than the BCP s from what I gather. IBS can be pretty annoying.... if it is pretty much constipation predominant, then have you tried the new...

Family, Internal Medicine, General Medical Questions: Blood Clots, omega 3 fish oil, tri cyclen birth control
omega 3 fish oil, tri cyclen birth control, ortho tri cyclen: Is this the kind of thing to look out for, or is it a severe non moving pain? Not really if it moves around but, you should take an adult 325mg enteric coated aspirin daily and 2000mg of omega 3 fish oil before each meal for as long as you are on the pill...

Family, Internal Medicine, General Medical Questions: Blood Clots (PE), peanut butter chicken, swollen ankles
peanut butter chicken, swollen ankles, omega 6: There are a number of things wrong, such as: 1) Too much omega-6 plant oil in your diet (corrected by taking 3000mg of omega-3 before each meal and at bedtime; PLUS stopping all chips, peanuts and peanut butter, chicken and turkey, granola and granola products,...

Family, Internal Medicine, General Medical Questions: Blood Clots, symptoms of pulmonary embolism, birth control pills
symptoms of pulmonary embolism, birth control pills, stomach cramps: Symptoms of a DVT When a clot forms, it can either partially or totally block the blood flow in that vein. Symptoms of a DVT can include: swelling of the leg warmth and redness of the leg pain that is noticeable, or worse when standing or walking ...

Family, Internal Medicine, General Medical Questions: Blood Glucose, lipid levels, blood glucose
lipid levels, blood glucose, warm climate: Hi Dan, By strict definition, FASTING blood sugar should be less than 99. A value of 102, although TECHNICALLY high,isn t anything to worry about. it should be followed though to be sure that this isn t the start of an insidious rise. Annual blood sugars...

Family, Internal Medicine, General Medical Questions: Blood Platelets, cholesterol numbers, company doctor
cholesterol numbers, company doctor, triglicerides: No, it is not uncommon to see this. Next time you have your blood drawn tell the lab techinician this occurs frequently and they can often draw your blood in a special tube that helps to minimize this artifact. Your lipids (cholesterol numbers) look good....

Family, Internal Medicine, General Medical Questions: Blood Pressure, normal blood pressures, blood pressure changes
normal blood pressures, blood pressure changes, causes of low blood pressure: Hypotension; Low blood pressure Low blood pressure is an abnormal condition where a person s blood pressure (the pressure of the blood against the walls of the blood vessels during and after each beat of the heart) is much lower than usual, which can cause...

Family, Internal Medicine, General Medical Questions: Blood Pressure, dear dj, pulse rate
dear dj, pulse rate, blood pressure: dear dj as long as you do not feel any symptoms (dizziness, nausea) your bp is ok. with respect to your question: yes, a bp can be too low - e.g. when you lose blood or when your body cannot accommodate changes in position. this does not occur in a healthy...

Family, Internal Medicine, General Medical Questions: Blood Pressure, stroke recovery, stroke victims
stroke recovery, stroke victims, right side of the bed: Hello. A stroke victims blood pressure should never be taken on a arm that has damage. The blood pressure should be the same in both arms. Slight differnces possibly, but not enough to matter. I suggest calling your Grandmother s rehab and asking them...

Family, Internal Medicine, General Medical Questions: Blood Pressure, institute of medicine, pulse rate
institute of medicine, pulse rate, blood pressure: Can one s blood pressure be to low? No, that is just fine since the Institute of Medicine lowered the normal values to exactly what you have. OK? And especially the systolic number of 95? No, that is just fine as long as you are feeling great and not weak....

Family, Internal Medicine, General Medical Questions: Blood pressure meds and urination, diovan hct, blood pressure meds
diovan hct, blood pressure meds, high blood pressure: It may mean you have a low volume bladder and the diuretics just make you go even more. You may be able to get BP controlled without diuretics with other meds, or take one that just works hard for a little while then the effects go away after a few hours...

Family, Internal Medicine, General Medical Questions: Blood pressure, high diastolic blood pressure, diastolic blood pressure
high diastolic blood pressure, diastolic blood pressure, causes of high blood pressure: Dear Fred, The diastolic measurement is the pressure of blood against your artery walls between heartbeats, when the heart is relaxed and filling with blood... IF you have a diastolic reading of 90 or above, you are considered to have HIGH BLOOD PRESSURE...

Family, Internal Medicine, General Medical Questions: Blood Sugar Control, fasting blood glucose, blood sugar control
fasting blood glucose, blood sugar control, telemedicine consultations: Hanna, This forum prohibits giving specific medical recommendations. I perform telemedicine consultations for this very purpose. I can however say this. Glucose Support by Vita Sanus Nutraceuticals (www.vitasanus.com) is a most appropriate supplement...

Family, Internal Medicine, General Medical Questions: Blood in sputum, coughing up blood, lung cancers
coughing up blood, lung cancers, chest cold: Coughing up blood is a potential sign of throat or lung cancers, BUT, the vast majority of people that do cough up blood do so because they have pneumonia, bronchitis, etc. If your husband has a chest cold, that would be a better sign than if he spontaneously...

Family, Internal Medicine, General Medical Questions: Blood sugar level, blood sugar level, fasting glucose
blood sugar level, fasting glucose, deciliter: There is a natural cycle that causes blood sugar to pop back up slightly in the mornings. Of course, I need to mention in case anyone reading this question thinks your values are normal, both values are too high for fasting blood glucoses, but I m assuming...

Family, Internal Medicine, General Medical Questions: Blood Test Results, blood test results, potassium foods
blood test results, potassium foods, red cells: Hi Susan, I believe that the elevated blood count (henatocrit and hemoglobin and RDW is from smoking. At least that is what I would attribute it to. The potassium is a bit high either because you take in too much potassium (foods/fruits) or that the blood...

Family, Internal Medicine, General Medical Questions: Blood Typing, general biology lab, blood typing
general biology lab, blood typing, www biology: You ve got to look at how the genetics of blood typing affect the phenotype. Try searching Google for genetics of blood type . These are two reasonable sites I came across that may help. http://www.biology.arizona.edu/human_bio/problem_sets/blood_types/Intro.html...

Family, Internal Medicine, General Medical Questions: Blood test - anemic, blood test results, low wbc
blood test results, low wbc, rdw: There is no leukemia!!!! a little low on the wbc doesn t mean anything and since the lymph nodes are getting smaller, I would imagine you are simply getting better. You could get another cbc, but if you feel fine, i wouldn t get it repeated.... hope this...

Family, Internal Medicine, General Medical Questions: Blood test shows I am anemic, migraine headaches, frozen grapes
migraine headaches, frozen grapes, light complexion: jo anna; anemia is a condition where the body is not getting enough iron. it is usually related to excessive blood loss,especially during menstruation,and poor eating habits. it can also be related to other causes such as sickle cell disease. anemia is...

Family, Internal Medicine, General Medical Questions: Blood test, red blood cell, red blood cell count
red blood cell, red blood cell count, blood cell count: dear sir: your red blood cell count is slightly too high. this could be normal if you are either a smoker, are having breathing difficulties or live at high altitude. the increase is so minuscule that you can ignore it. have it repeated in six months. best...

Family, Internal Medicine, General Medical Questions: Blood on tissue, colon polyps, stomach pain
colon polyps, stomach pain, colon cancer: Blood in the stool makes us worry about colon polyps and colon cancer. If you have a primary doctor, let them know so they can refer you. Otherwise, you will need to see a gastroenterologist for the colonoscopy. I am family practice, and I do colonoscopies,...

Family, Internal Medicine, General Medical Questions: Blood type, blood group antigen, bombay phenotype
blood group antigen, bombay phenotype, abo blood group system: Both do because the child gets one gene from each, either an A, B, or O(which is A negative and B negative. Rh is similar. OK? more information on blood typing.. The first blood group antigen system, recognized in 1900, was ABO, the most important in transfusion...

Family, Internal Medicine, General Medical Questions: Blood in urine, intravenous pyelogram, bruised kidney
intravenous pyelogram, bruised kidney, kidney stone: I doubt it. With persistent hematuria (blood in urine) you should at the minimum have an IVP (intravenous pyelogram) and cystoscopy- scope looking in the bladder or have dye shot up a catheter into the bladder and xrays done to look for problems. The fall...

Family, Internal Medicine, General Medical Questions: Blood Work, complete blood count, lipid profile
complete blood count, lipid profile, cancer markers: Madeline, Routine can me different things to different physician specialists and the age / sex of the patient. For example a healthy female younger than 40 may only require, a urine test, CBC and metabolic profile. Older women may require cancer markers....

Family, Internal Medicine, General Medical Questions: Blood w/ bowel movements, symptoms of hemorrhoids, internal hemorrhoid
symptoms of hemorrhoids, internal hemorrhoid, protruding hemorrhoid: If it is on the tissue and not in the bowels, it is either an anal fissure or a hemorrhoid. Both hurt with the bowel movement but the fissure hurts more. See your doctor to be sure because the treatment is different for each. Both require stool softners and...

Family, Internal Medicine, General Medical Questions: BMI?, weight shift, exercise program
weight shift, exercise program, water weight: Hi Annette, In order to render an opinion, I would need your height and weight. As for the weight gain after exercise and diet, you probably lost mostly water weight and might have gained some muscle. Muscle weighs more than fat so a weight shift upward is...

Family, Internal Medicine, General Medical Questions: Body Aches!, ear ache, mild headache
ear ache, mild headache, stuffy nose: Hello and thanks for writing, It does sound normal. Some flus can linger and we can ache for weeks. When we get a cold or flu our body fights them with our immnue system so the symptoms can come and go and linger for quite a while. I hope this helps...

Family, Internal Medicine, General Medical Questions: Body aches, ear ache, mild headache
ear ache, mild headache, thyroid disease: Hi, Aching is normal with a viral illness but prolonged aching is not. If this continues to improve, it is probably OK to wait it out, but if it persists for another week, then it is time to have an exam to determine why this is occurring. In rare occasions,...

Family, Internal Medicine, General Medical Questions: Body aches, ear ache, mild headache
ear ache, mild headache, proper diagnosis: Dear Asks, Yes, it is normal to feel the way you do especially if you have a bacterial infections or viral infection that has not been properly diagnosed by a doctor and is not being properly treated.... Bacterial infections MUST have antibiotics to clear...

Family, Internal Medicine, General Medical Questions: Body Heat, body heat, hypothyroidism
body heat, hypothyroidism, body temperature: Hi RV and thanks for writing, You may just have a naturally lower body temperature, but it may also be a sign of something more serious like Diabetes, Hypothyroidism or Infection so you should go discuss it with your physician who can run some simple blood...

Family, Internal Medicine, General Medical Questions: Body heat, blood test for diabetes, soles of my feet
blood test for diabetes, soles of my feet, sore joints: Yes, it could be metabolic like diabetes but is more likely a nutritional deficiency disorder that responds to adding the following if OK with your doctor: magnesium oxide 500mg twice a day or more if constipated Calcium with Vit D twice a day or more if...

Family, Internal Medicine, General Medical Questions: Body Odor, calcium carbonate, strange diets
calcium carbonate, strange diets, occasional cigar: An internist or family physician can do the workup. These symptoms and problems usually due to too much plant oil (omega 6) in the diet which can be improved by decreasing the plant cooking oils and gluten containing foods which are made with plant oils,...

Family, Internal Medicine, General Medical Questions: Body Odor, personal hygeine, diabties
personal hygeine, diabties, skin bacteria: You should be checked to make sure you don t have a fungal infection under arms, or crotch, etc (jockitch) Then, use an antiperspirant, like Drysol (may need a prescription) which will keep perspiration down to a minimum, then some other type of high powered...

Family, Internal Medicine, General Medical Questions: Body temperature, normal body temperature, vital organs
normal body temperature, vital organs, core temp: Hi Randy, Nomal body temperature ranges from 96 to 99. Average is around 98. When your body temperature is low you will be cold intolerant/ high and you will be heat intolerant. If the core temperature (that of the vital organs) is low then blood tries...

Family, Internal Medicine, General Medical Questions: Bodyaches, complete blood count, upper respiratory infection
complete blood count, upper respiratory infection, ear ache: You said no fever.... with the ear pain and nose symptoms I was wondering whether you could have had a weird case of strep throat, but without fever would be unusual. No, it isn t normal to ache this long... If you came into my office with this, I probably...

Family, Internal Medicine, General Medical Questions: Boils & Abcesses, sweat glands, antibotics
sweat glands, antibotics, armpit: that is called hydradenitis suppurativa and can be a nasty recurring problem... usually I put people on prolonged antibiotics then lance the boils, if it continues, sometimes a general surgeon will remove the armpit skin and get rid of that skin with all...

Family, Internal Medicine, General Medical Questions: Boils and abcesses, antibotics, hot compresses
antibotics, hot compresses, abcess: He needs to be on a prolonged course of antibiotics... there are some choices that are relatively inexpensive, such as Keflex 500 mg three times daily for two weeks. The soap is good. Also, bactroban 4 times a day rubbed into each nostril. (Some people are...

Family, Internal Medicine, General Medical Questions: Boils...... How do I go by dealing with one, jockey shorts, tight belt
jockey shorts, tight belt, size hole: Hi Jeff, Are you by chance overweight such that the abdominal fold overlaps the belly button. Do you wear tight pants at the waist and a tight belt in this area? Do you wear jockey shorts instead of boxers? If you are overweight, have you been tested for...

Family, Internal Medicine, General Medical Questions: Boils, causes of boils, sweat glands
causes of boils, sweat glands, white blood cells: Hi Wil and thanks for writing, There are many causes of boils. Some boils can be caused by an ingrown hair. Others can form as the result of a splinter or other foreign material that has become lodged in the skin. Others boils, such as those of acne, are...

Family, Internal Medicine, General Medical Questions: Bony hands!, centrum silver, wear gloves
centrum silver, wear gloves, calcium carbonate: As I wrote before . . . This is due to a neuromuscular wasting disorder that some relate to B complex vitamin and mineral deficiency. See a neurologist and See if the follow are OK with your doctor: 1) B-100 before each meal 2) 2000mg of omega 3 before...

Family, Internal Medicine, General Medical Questions: Boosting Testosterone Levels Naturally, telemedicine consultations, testosterone levels
telemedicine consultations, testosterone levels, test levels: Nelson, Certainly, there are some herbals and supplements that can boost test levels and/or uncouple bound testosterone thus making what you have bio-active. There is also bioidentical HRT.... visit my site for more info, as I offer telemedicine consultations...

Family, Internal Medicine, General Medical Questions: Botulism, tin oxide, airtight seal
tin oxide, airtight seal, bacterial overgrowth: it is the other way around... if there is a very old rusted unopenned can that is bloated with air... it s most likely a can with tons of anaerobic bacterial overgrowth due to the breakdown of food. once the can is open, the potential for rust is much...

Family, Internal Medicine, General Medical Questions: Botulism, clostridium botulinum, botulism
clostridium botulinum, botulism, muscular system: Hi Alivia, Clostridium Botulinum is a bacteria found in poorly or improperly processed foods. It makes a toxic substance that attacks the nervous system paralyzing muscles. The Diahragm is a muscle and is rendered incapable of moving and as a result, breathing...

Family, Internal Medicine, General Medical Questions: Boulism, olive pizza, dominoe
olive pizza, dominoe, botulism: botulism toxin is produced by a bacteria.... this toxin paralyzes muscles.... so the problem is that the bacteria exists and you get the toxin and get paralyzed..... so, since you can type it today, you are OK.... by the way BOTOX is that protein, used to...

Family, Internal Medicine, General Medical Questions: Bowel Movement in a toddler, constipation in children, prune juice
constipation in children, prune juice, bowel movement: Try to increase the amount of fruit she is eating and her fluid intake. Go to a web site: constipation in children .........there are many sites that advise, increase water intake, increasing fiber and excellent advice the child s father may want to...

Family, Internal Medicine, General Medical Questions: BROWN DISCHARGE, careful physical exam, spotting between periods
careful physical exam, spotting between periods, brown spotting between periods: kathy; about 5% of women will experience spotting-a light staining of blood-regularly with ovulation. the key to this harmless kind of spotting doctors say,is that it happens almost every month near the middle of your menstrual cycle. often this spotting...

Family, Internal Medicine, General Medical Questions: Brain Tumor, brain tumours, malignant tumours
brain tumours, malignant tumours, brain tumor: Hi Ben and thanks for writing, I m sorry to hear about your Mother, I ll answer your questions the best i can. 1. A brain tumor can grow slowly or quickly. You won t notice and symptoms until it s pressing on something that affects your body - then you...

Family, Internal Medicine, General Medical Questions: Breast Leakage, breast leakage, breat
breast leakage, breat, margot: Hi Katie and thanks for writing, There really are several possible causes and I think it s best if you see your doctor and be sure. I don t want o list a bunch of possibles and have you worry about all the what ifs . I m sorry I m not much help, but...

Family, Internal Medicine, General Medical Questions: Breast Leaking, rare reasons, breast soreness
rare reasons, breast soreness, gyn exam: Hi Diane, This may only be a result of you body s confusion over your broken menstrual cycles. Certainly bring it up at your physical. There are a couple of rare reasons for this also, but your doctor can tell if there is any reason to pursue a workup. My...

Family, Internal Medicine, General Medical Questions: Breast Milk, omega 3 fish oil, fish oil capsules
omega 3 fish oil, fish oil capsules, omega 6: In some patients this is due to an immune disorder caused by too much plant oil called omega 6 which is high in chicken, peanuts, turkey, all kind of chips, granola and flax plus products with any of these in them. Some patients can improve their symptoms...

Family, Internal Medicine, General Medical Questions: Breast Pain Follow Up, coronary artery spasm, breast pain
coronary artery spasm, breast pain, lack of oxygen: Hi Angie, Angina is essentially “heart pain” caused by lack of oxygen to the heart. The cold exposure that causes angina has to do with coronary artery spasm when the air outside is very cold and it is breathed in. A “chill” does not trigger cold induced...

Family, Internal Medicine, General Medical Questions: Breast Pain, breast surgeon, breast pain
breast surgeon, breast pain, good answer: if something has been going on a few years, it is hard to think it is something bad, like cancer... I don t have a good answer for you and doc s tend to avoid things like that when they don t have a good answer... I don t know if the muscles in the chest are...

Family, Internal Medicine, General Medical Questions: Breast Sore, warm compresses, left breast
warm compresses, left breast, medical attention: It sounds like a little abscess, infection. You should be on antibiotics for this, so you should see a doctor, get on antibiotics, apply warm compresses, and do not try to squeeze it. You run the risk of squeezing it and having the contents squirt inside...

Family, Internal Medicine, General Medical Questions: Breast Soreness, birth control pills, pregnancy blood test
birth control pills, pregnancy blood test, ortho tri cyclen: I want to know, even though being on birth control pills, can they still cause me to have breast tenderness as a side effect 2 years later? Not really. I also just started taking xanax extende release tablets for anxiety, so Im thinking my system is getting...

Family, Internal Medicine, General Medical Questions: Breast size, bright personality, bust size
bright personality, bust size, breast size: Hi Fizza and thnks for writing, There are a lot of false claims of products for sale that claim they ll increase your bust size - but none of them work. The only way to increase your breast size is to gain weight or have surgery, but the best thing to do...

Family, Internal Medicine, General Medical Questions: Breast Tenderness, calcium carbonate, epa dha
calcium carbonate, epa dha, ortho tri cyclen: Am I going crazy? Not really. What is wrong with me? It sounds like you may be omega-6 toxic from poultry, chips, peanuts, granola or trail mix containing products which produce congested breasts. I have a doctor s appointment, but it is not till the...

Family, Internal Medicine, General Medical Questions: Breathing Problems, lung volumes and capacities, chest xray
lung volumes and capacities, chest xray, pulmonary function tests: This still could be asthma, but since he has had symptoms for this long, he needs further testing to look at several different possibilities. Asthma is only one. He should be checked for anemia (low blood counts) Also, a good cardiac exam to make sure there...

Family, Internal Medicine, General Medical Questions: Brething problem, symptoms of sleep apnea, healthcare provider
symptoms of sleep apnea, healthcare provider, jacob: Hi Jacob, As a rule, sleep apnea occurs during sleep as opposed to starting or ending sleep. There are a number of other signs and symptoms of sleep apnea besides those you mentioned. Not knowing any more than this about your problem makes me think of anxiety....

Family, Internal Medicine, General Medical Questions: Broken Big Toe - Repeated Blistering, broken big toe, nancy snyder
broken big toe, nancy snyder, narrow steel: Yes, the nail will begin to slowly be pushed off by the new nail. Yes the redness is the body s reaction to the injury. Remember Elevation above your heart with your body and head flat for 15 minutes 5-6 times a day will do wonders as will the following nutrients...

Family, Internal Medicine, General Medical Questions: Broken Blook Vessels, broken blood vessels, traction injury
broken blood vessels, traction injury, free weights: Hi Eliza, This sounds a little more serious than just broken blood vessels. I can t believe that this is from what sounds like a minor injury. If you are having symptoms that far up your arm and into your neck AND your thumb is numb, I would worry about a...

Family, Internal Medicine, General Medical Questions: Broken humerous bone (left), humerous bone, calcium carbonate
humerous bone, calcium carbonate, magnesium oxide: Do you have any suggestions? Should he get a second opinion? Yes, most definitely and Ask your doctor but this is what I use for my patients: 1) Fish oil 3000mg before each meal and at bedtime 2) High Potency B complex, (B-100) before each meal 3) Magnesium...

Family, Internal Medicine, General Medical Questions: Broken Pinkie Toe, broken pinkie toe, walking on the side
broken pinkie toe, walking on the side, nail bed: Hi Amme, At 6 months, there isn t much you cn do to change anything. Healing has taken place many months ago. The fact that you walk daily has probably not allowed the toe to heal properly. By the time a year has passed this should no longer be a problem....

Family, Internal Medicine, General Medical Questions: Bronchitis, emphysemia, instruction requests
emphysemia, instruction requests, saleeby: Betty, While I have never prescribed it to any of my patients in my 17 years of practice. I believe the instruction requests that the patient not speak ... I suppose if the bronchitis is severe enough, talking would induce coughing fits. Those with endstage...

Family, Internal Medicine, General Medical Questions: Brown Recluse bite/Tetanus, brown recluse spider bites, recluse spider bites
brown recluse spider bites, recluse spider bites, brown recluse spider: tetanus is very very very rare in this country because you had at least 5 immunizations as a child and some as an adult.... this won t be lockjaw..... it wouldn t be a bad idea to have a booster, but I suspect your symptoms are more simply from the infection...

Family, Internal Medicine, General Medical Questions: Bruise, blood blisters, layers of skin
blood blisters, layers of skin, reassurance: yes, you bled into the layers of skin and the blood is trapped in there.... it will take weeks for this to slowly open, peel off then heal in from the sides... you are talking about the skin, not under the nail.... under the nail blood should be drained thru...

Family, Internal Medicine, General Medical Questions: Bruises, signs of infection, soap and water
signs of infection, soap and water, antibiotic ointment: Hi Jerriolyn, You probably should punture it. Do so with as sterile a technique as possible. Watch for signs of infection (heat, redness, swelling, increased pain and drainage) after you puncture it. Keep it clean with soap and water and keep it covered....

Family, Internal Medicine, General Medical Questions: Bruising, objective response, herbal supplements
objective response, herbal supplements, blood thinners: Hi Daniel, Your thoughts are correct. Is there any bruising anywhere else or is the bruising evident without injury? If so, that would need evaluation.At age 58 this sort of thing will begin to happen and especially if you take aspirin and or blood thinners...

Family, Internal Medicine, General Medical Questions: Bruising and Blood Spots, greenfield filter, serum levels
greenfield filter, serum levels, blood spots: Hi Dana and thanks for writing, You really need to monitor your Blood regularly due to your history of DVT. Regular PT levels will show you if your clotting factor is high, low or normal. If your serum levels are all fine then you can rest assured knowing...

Family, Internal Medicine, General Medical Questions: Bruising and Blood Spots, intense physical exercise, greenfield filter
intense physical exercise, greenfield filter, blood spots: Hi Dana, I am a little concerned that you ve chosen this path. Recent studies have shown that taking more than the recommended 400IU s of Vit E can have adverse consequences. Curcumin can cause bruising and stomach ulceration; CoQ10 is contraindicated in...

Family, Internal Medicine, General Medical Questions: Bruising and Blood Spots, greenfield filter, blood spots
greenfield filter, blood spots, blood spot: The usual rule for an uncomplicated DVT is to anticoagulate for 6 months. If there is an underlying recurring problem, then possibly for life. The problem with herbal remedies, is we don t know how much is enough, so it is possible to take too much. No,...

Family, Internal Medicine, General Medical Questions: Bruising and Blood Spots, greenfield filter, blood spots
greenfield filter, blood spots, natural supplements: Is it possible I m overthinning my blood by taking too many natural supplements? Yes, but not likely if it clears. I m 55 years old and realize one s skin changes as they age. Should I be worried when these blood spots occur? Actually at 55 this...

Family, Internal Medicine, General Medical Questions: Bruising, animal protein, breast cancer
animal protein, breast cancer, eosinophils: Jill, My suggestion is to see your doctor. It sounds as if you need to have some bloodwork done and a full exam. While it may be simply another reaction to meds, I would be concerned enough to rule out other causes of increased bruising and dizziness....

Family, Internal Medicine, General Medical Questions: BUN test, bun test, blood work
bun test, blood work, plain water: The BUN probably has more to do with a combination of the amount of protein you eat and the fact that you are likely fasting and haven t been drinking fluids prior to your blood test. As a test, prior to your next blood work, try increasing the amount of...

Family, Internal Medicine, General Medical Questions: BURNING TONGUE, yeast infection of the mouth, burning tongue
yeast infection of the mouth, burning tongue, diabetes medications: Hi Ken and thanks for writing, A sore and burning tongue also can be caused by dental trauma, a yeast infection of the mouth, anemia, diabetes, hormonal changes, physiological conditions such as anxiety and depression, and deficiencies of certain vitamins...

Family, Internal Medicine, General Medical Questions: BURP ME MUMMY, carbonated drinks, soft drinks
carbonated drinks, soft drinks, burps: Hi Cameron and thanks for writing, Burping is typically caused by eating or drinking too fast, and thereby swallowing and subsequently expelling air, in which the expelled gas is a mixture of nitrogen and oxygen. Burps can also be caused by imbibing carbonated...

Family, Internal Medicine, General Medical Questions: BURP ME MUMMY, cameron, andrea
cameron, andrea: Dear Cameron, Basically, we burp because we have gas that needs to escape from one end or the other! Anytime you eat, you swallow small amounts of air. The faster you eat, the more air you swallow. Combine that with pop----gas that you drink----and...

Family, Internal Medicine, General Medical Questions: Bulging in the lower abdomen, lower abdomen, mucus
lower abdomen, mucus, intestine: Hi Caroline, This is a little difficult without the benefit of a face to face exam. Are you sure that this isn t just gas or stool moving through your colon? If you have had a coil inserted and the discharge is worse, I d ask the doctor who put it in to have...

Family, Internal Medicine, General Medical Questions: Bullis Pimpigus ---- Bullous Pemphigus, bullous pemphigus, stratified squamous epithelium
bullous pemphigus, stratified squamous epithelium, cutaneous lupus: Jackson, You must mean: Bullous Pemphigus. You will find the following interesting (from the Merck manual): Pemphigus An uncommon, potentially fatal autoimmune skin disorder characterized by intraepidermal bullae and extensive erosions on apparently...

Family, Internal Medicine, General Medical Questions: Burning Legs/Arms, mri of the spine, shock test
mri of the spine, shock test, burning sensation: What are they missing? Yes, you likely are low on B complex and omega 3 plus magnesium and calcium. Could it have something to do with my thyroid(hypothryrodism)? Yes, they can test the blood for that. Could it be another cyst or could it be the fibroid?...

Family, Internal Medicine, General Medical Questions: Burning in legs and feet, seizure meds, calcium carbonate
seizure meds, calcium carbonate, magnesium oxide: Yes, they will call this neuropathy but they will try to use seizure meds when he really needs the following: Ask his doctor but this is what I use for my patients: 1) Fish oil 3000mg before each meal and at bedtime 2) High Potency B complex, (B-100)...

Family, Internal Medicine, General Medical Questions: Burning Sensation in Legs, burning sensation in legs, peanut butter chicken
burning sensation in legs, peanut butter chicken, gluten free diet: There are a number of things wrong, such as: 1) Too much omega-6 plant oil in your diet (corrected by taking 2000mg of omega-3 before each meal and at bedtime and stopping all chips, peanuts and peanut butter, chicken and turkey, granola and granola products,...

Family, Internal Medicine, General Medical Questions: Burning sensation in hands/urine, chronic cystitis, burning sensation in hands
chronic cystitis, burning sensation in hands, urinary problem: Hi Diana, I m not sure about the connection between the urinary burning and the hand burning. Burning of the hands and feet are common with advanced Diabetes. The urinary problem may be Diabetic related as well. She may have a chronic cystitis. It sounds...

Family, Internal Medicine, General Medical Questions: Burning sensation, omega 3 fish oil, pottassium
omega 3 fish oil, pottassium, high potency: Yes, it could be but it is more likely to be metabolic or nutritional since it is recurring. OK? Ask your doctor if you could take the following: 1) omega-3 fish oil 2000mg morning and evening(take frozen) 2) high potency b complex morning and evening ...

Family, Internal Medicine, General Medical Questions: Burning throat, fire one, recurrences
fire one, recurrences, cold sore: One, what do you think this could be since the sores and pain is only on one side? (the burning is all over) Yes, this is herpes infection similar to a cold sore. It is a sign your immunes system is low so you need less stress and more rest and more sleep....

Family, Internal Medicine, General Medical Questions: Burning throat, magic mouthwash, apthous ulcer
magic mouthwash, apthous ulcer, fire one: It sounds like an apthous ulcer, meaning a viral ulcer on the soft tissue in the mouth. An ENT or your GP can verify it and if so, a medicine called magic mouthwash helps, but it will basically go away on it s own. But, it may take up to three weeks. ...

Family, Internal Medicine, General Medical Questions: Buzzing in the ears, inner ear infection, acoustic nerve
inner ear infection, acoustic nerve, simple explanations: Dear Glenda, I suggest that you get an appointment with your doctor as soon as possible.... This sounds like Tinnitus and there are several possible causes for this condition.... Simple explanations could be an inner ear infection, wax build up to the...

Family, Internal Medicine, General Medical Questions: baby acne, baby acne, oil glands
baby acne, oil glands, good nap: Hi Tasha, Baby acne will come and go until he s around 6 months old. We usually do not recommend any treatment as it is a normal process for infants. However, keeping the area clean using mild soap will help. Avoid any oils or lotions as it will clog up...

Family, Internal Medicine, General Medical Questions: baby congestion, ocean nasal spray, old baby girl
ocean nasal spray, old baby girl, baby congestion: Do you have any advise or ideas? Actually if you can give her a feeding of diluted glucose water of a couple of ounces when you hear the noise it will loosen the mucous and let her clear it if OK with her doctor. OK? Isn t there any over the counter medications...

Family, Internal Medicine, General Medical Questions: baby not sleeping, albuterol inhaler, bronchiolitis
albuterol inhaler, bronchiolitis, albuterol: Hello, Thank you for question. I apologize for the delay. I certainly don t blame you for being tired at sound like a challenging situation. The baby is likely as tired as you are, but can t sleep because he is either uncomfortable or because of the...

Family, Internal Medicine, General Medical Questions: My baby son's penis, judgement call, baby son
judgement call, baby son, glan: I hope you are using the wrong terminology.... the scrotum is the sack that holds the testicles... hopefully you mean the penis is retracting inside the foreskin. If this is the case, as long as it can come out very easily as you said, it is no big deal....

Family, Internal Medicine, General Medical Questions: getting our baby to start solids, baby land, starting solids
baby land, starting solids, chomp: Ahh, the sounds of the first baby. I think by the time we had our third baby (all girls), she was preparing her own meals at six months. But I love the highly energetic, slightly worried enthusiasm of the new parent. You sound just like me a decade ago....

Family, Internal Medicine, General Medical Questions: bacterial infection, vaginal bacterial infection, yeast infections
vaginal bacterial infection, yeast infections, metrogel: Can t they just change the medicine? They need to do cultures since the medicine is not working. Is Diflucan something you can use to treat this or Doxycycline? Diflucan and monistat are for yeast infections and that should itch you. OK? Doxycycline...

Family, Internal Medicine, General Medical Questions: bactrimds800-160, inflammation of the pancreas, inflammation of the liver
inflammation of the pancreas, inflammation of the liver, bactrim ds: Hi Rhonda, bactrim ds is not recommended if you have previous allergic reactions to sulfa drugs. The most common adverse effects are nausea, vomiting, anorexia, skin rashes, and/or urticaria. Other side effects include, but are not limited to, blood...

Family, Internal Medicine, General Medical Questions: bad symptoms have had many tests, gluten free diet, acid reflux
gluten free diet, acid reflux, barium swallow: Dear Brooke, You poor thing. I can hear the pain and frustration in your letter. I wish I could just give you something to make the symptoms more liveable, but I really don t know where to go from here. Certainly, the symptoms you describe can be...

Family, Internal Medicine, General Medical Questions: bad toe nail, tight shoes, toe nail
tight shoes, toe nail, bandaid: vivian; well i would wait,till it falls off on it own. you could do a foot soak,this would help. only wear a bandaid when you wear shoes,let it air. as for cream,just keep it moist with lotion. dont wear tight shoes again........ catherine...

Family, Internal Medicine, General Medical Questions: ball of foot hurts, stress fracture, plantar wart
stress fracture, plantar wart, different shoes: Stress fractures will not be horribly painful. They may be mildly or moderately painful. Overall, I think you will need a full eval esp since you fractured a toe very easily in the past. If you haven t had bone density screening, you might have your doctor...

Family, Internal Medicine, General Medical Questions: ball of foot hurts, stress fracture, different shoes
stress fracture, different shoes, broken bones: First, if it was a stress fracture that needed immediate attention, wouldn t it be very difficult to walk on it? Yes, it would hurt but you can walk on it because as you know a stress fracture is not separated but just cracked. OK? Second, is it possible...

Family, Internal Medicine, General Medical Questions: bed-wetting, sleep apnea, vasectomy
sleep apnea, vasectomy, meds: infrequent bed wetting in an adult raises sev questions.... is there alcohol involved... normally, without alcohol, bedwetting should not be a problem... so if there is bedwetting, there may be an infection or other physical problem that he needs to get checked.......

Family, Internal Medicine, General Medical Questions: belly button, belly button, medical attention
belly button, medical attention, 3x: gayle; when you put something foreign in or on your body you have a big chance of getting an infection, your body is fighting this piercing. so the best thing to do is treated as such. cleaning is the most important thing at this point. up to 3x s a...

Family, Internal Medicine, General Medical Questions: belly button discharge, belly button discharge, duricef
belly button discharge, duricef, public pool: there is no connection into the body from a belly button, but people get a local infection in the skin folds... cleaning the area well with a cutip and peroxide usually helps, and sometimes we use antibiotics like duricef to speed that along.... but it should...

Family, Internal Medicine, General Medical Questions: belly button discharge, belly button discharge, oral antibiotics
belly button discharge, oral antibiotics, public pool: I was wondering in your opinion is Duricef 500 mg twice daily for 10 days an appropriate treatment? Not likely to help since this is a superficial infection and not effected by oral antibiotics. Also how long will it take for the discharge to stop? A...

Family, Internal Medicine, General Medical Questions: belly button, surface skin, neosporin
surface skin, neosporin, belly button: You can get a little infection in the belly button. Usually, it is just on the surface skin and doesn t require antibiotic pills. I would suggest careful cleaning, make sure there is no junk trapped in the folds in the belly button, then put some neosporin...

Family, Internal Medicine, General Medical Questions: better than glucosamine, weight 100kg, knee joints
weight 100kg, knee joints, vitamins minerals: Mr. KP, Not sure there is a correct answer to that question. However, Glucosamine and other vitamins, minerals and herbals in COMBINATION are better than just a single agent alone. MSM, SAMe are others. Check out Joint Support by VSN supplements on...

Family, Internal Medicine, General Medical Questions: bird-flu virus, bird flu virus, doctors and nurses
bird flu virus, doctors and nurses, rubbing alcohol: Can you tell me how the doctors and nurses kept from getting sick also? We use gowns, gloves, masks and wash our hands with soap and water followed by rubbing alcohol. what can I and my family do to protect ourselves? You can wash with soap and water...

Family, Internal Medicine, General Medical Questions: birth control, ortho novum, birth control pill
ortho novum, birth control pill, thirties: Sandra, I would alway recommend evaluation by your doctor who knows you best. I doubt it can harm you, and many take the pill for acne and control of their periods. I not sure how you got the medication without a prescription, unless it was left over...

Family, Internal Medicine, General Medical Questions: birth control, period cramps, heavy periods
period cramps, heavy periods, pain in the calf: Dear Britt, Women who use birth control run a 3-6 times greater risk of blood clots than women who do not use them. That being said, the lower the estrogen, the less likely a clot. Increased risk for women over 35 and those who smoke. In my...

Family, Internal Medicine, General Medical Questions: birth control, period cramps, leg cramps
period cramps, leg cramps, heavy periods: this is where it pays to have a good relationship with your ob/gyn.... because blood clots are fairly rare but real.... if you get leg cramps, you need to be in close contact with your doc to see if it should be evalated or just followed..... clots are relativeu...

Family, Internal Medicine, General Medical Questions: birth control, rn msn, period cramps
rn msn, period cramps, heavy periods: The nurse is wrong, you are at risk for a clot for 3 reasons: overweight, elevated blood pressure, hormone pill (I assume estrogen or progestin is in femcon). I hope you ll get an ultrasound of your leg TODAY An emergency room visit is necessary if your...

Family, Internal Medicine, General Medical Questions: birth control pills, birth control pills, residual effect
birth control pills, residual effect, neurologist: In general, it can take up to 4-6 months for you to resume your normal cycle once you stop the pill. However, if you are having a normal cycle and normal period, and still can t get pregnant, it is not likely a residual effect of the birth control pills....

Family, Internal Medicine, General Medical Questions: birth control pills, causes of irregular periods, birth control pills
causes of irregular periods, birth control pills, irregular menses: Hi, Great question Many women who have problematic irregular periods are prescribed oral contraception to regulate their cycles. Usually that is highly successful in restoring regularity. But the question always is what will happen to their menstrual...

Family, Internal Medicine, General Medical Questions: birth control pills, birth control pills, hormonal system
birth control pills, hormonal system, uterine lining: Hi Lauren, There are no fake periods. It s just that the body is designed to menstruate monthly and asking it to do this every three months goes against the way we re programed. Under normal circumstances, coming of either pill would allow a period. Periods...

Family, Internal Medicine, General Medical Questions: birth control pills, birth control pills, lo ovral
birth control pills, lo ovral, orthocyclen: For less weight gain the lower androgen effect OCP s are better: Desogen, orthocept, orthocyclen and orthotricyclen. Nordette has a relatively high androgen effect, which probably explains your weight gain. However, the lower androgen effects also have...