About Experts Sitemap - Group 21 - Page 6 2014-08-19

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Family, Internal Medicine, General Medical Questions: Hemolysis, red blood cells, band breaks
red blood cells, band breaks, drawing blood: Hemolysis means the red blood cells were broken in the blood sample or damaged. Hemolysis is found in blood samples because they used a tourniquet when drawing blood or were somehow rough with the delicate blood cells. That tight little band breaks down...

Family, Internal Medicine, General Medical Questions: Hemolysis, red blood cells, blood test
red blood cells, blood test, tubes: hemolysis means rupture of the red blood cells... it, in your case, does not indicate disease. It refers to damage to the cells due to the way it was drawn and the tubes handled and how long the delay was in actually doing the test. So that is the long way...

Family, Internal Medicine, General Medical Questions: Hip Pain, lower back pain, palm of my hand
lower back pain, palm of my hand, women in my life: Wow... that is an interesting history. I am worried about a few things.... if you are tall with long arms, you might have Marfan s Syndrome which is a disease of your connective tissues. The tissues are too elastic and joints dislocate and other connective...

Family, Internal Medicine, General Medical Questions: heal slow, leaving scars, vitamin c c
leaving scars, vitamin c c, calcium carbonate: Age is with little effect if you remove the toxic latex(avacado, figs, kiwi, celery, bananas, tomatoes, and stone fruits out of season), gluten, flax, soy, seeds, nuts, hummus, and omega-6 plant oil free and replace missing balaced b vitamin, C , C ,magnesium...

Family, Internal Medicine, General Medical Questions: health issue, intact pth, bactrim ds
intact pth, bactrim ds, sinus problems: Sounds like a sinus infection and magnesium oxide deficiency with these symptom sets; 1) stuffy sinuses, coughing, wheezing, migraines, shortness of breath 2) severe congestion, head pain, ear pain, side of neck pain, pain chewing food, sore throat, headaches,...

Family, Internal Medicine, General Medical Questions: heart murmur very concerned, heart murmur, chest xray
heart murmur, chest xray, high anxiety: a heart murmur means a sound... some turbulence in the blood flow, usually across heart valves... that has nothing to do with heart attacks and dying. The echo would show the valves and why the murmur is there, but this isn t an emergency... it was picked...

Family, Internal Medicine, General Medical Questions: Lymphedema, support hose, water retention
support hose, water retention, elevation: there isn t a cure and not great fixes for lymphaedema.... the key is getting the fluid out and keeping it out.... sometimes elevation and massaging the fluid out then keeping it out with support hose works fairly well, but is time consuming.... hope this...

Family, Internal Medicine, General Medical Questions: Lymphedema-Follow up, jobst stockings, compression stockings
jobst stockings, compression stockings, water retention: Hi Caroline, Good question. Normally thelymph flows up and out of the legs through the lymph ducts. When this mechanism is damaged from whatever reason, the lymph collect in the legs due to gravity and pressure. The stockings force the lymph back out of the...

Family, Internal Medicine, General Medical Questions: leg cramps, leg cramp pills, leg cramps
leg cramp pills, leg cramps, tonic water: A general vitamin is good but this may be related to his ALS.... there are some prescription medications that may help with this, so he is better served by seeing his doctor. You could try tonic water, about 6 ounces and see if that helps.... that will give...

Family, Internal Medicine, General Medical Questions: localized intermittent headache, brain mri, ringing ears
brain mri, ringing ears, anuerism: I don t know the answer to your question, but the symptom you are describing is called PTOSIS of the eye, along with your headache symptoms. It can be caused by lots of things, including ocular migraines. But I d sure go to an internal medicine doc (great...

Family, Internal Medicine, General Medical Questions: loss of appetite and nausea, chest x ray, upper gi barium
chest x ray, upper gi barium, bleeding ulcer: I would look at other GI stuff also.... look at the gallbladder for stones, check some labs including liver functions and pancreas functions. Look at other medications you are taking to see if one is causing symptoms. The difference between nexium/aciphex/prilosec...

Family, Internal Medicine, General Medical Questions: lower abdomom pain, small intestines, stool samples
small intestines, stool samples, pain specialist: Hi Rhonda, Looks like she’s had a thorough workup. Abdominal pain is difficult to assess. There are a myriad of reasons for this. I trust irritable bowel has been ruled out as has Crohn‘s disease and colitis. I also trust that she has been evaluated for ovarian...

Family, Internal Medicine, General Medical Questions: What are MAO inhibitors?, monoamine oxidase inhibitors, what are mao inhibitors
monoamine oxidase inhibitors, what are mao inhibitors, natural medicines: Hi Sharon. MAO (monoamine oxidase inhibitors) inhibitors are potent antidepressants. These are rarely used any more. Befor stopping, weaning or starting anything,I would consult your doctor. Herbals or “natural” medicines have there share of serious side...

Family, Internal Medicine, General Medical Questions: Medications, blood pressure medications, person check
blood pressure medications, person check, citrus fruit: No it does not. It s important because natural products, unlike drugs, do not go through FDA testing. Therefore, natural sleep or erectile cures, for example, may have more of an herb than is safe. ALSO, even more likely, is that it may have SAFE levels...

Family, Internal Medicine, General Medical Questions: MRI readings?, narrowing of the spine, neuropthy
narrowing of the spine, neuropthy, frontal areas: I have seen white matter spots on so many MRI s... the test is so sensitive that it picks up this finding on a lot of people with no disease at all. Most white matter spots mean nothing and don t indicate MS... if you aren t sure, ask the doctor to do other...

Family, Internal Medicine, General Medical Questions: menstraul period, birth control pills, weird sensation
birth control pills, weird sensation, lower abdomen: Yes, you could be. It is hard to tell when someone ovulates, especially when first cycling off birth control pills. When off BCPs, you ovulate exactly 14 days before your period starts... if your cycle is always 28 days, then it is 14 days after the...

Family, Internal Medicine, General Medical Questions: metalic taste in mouth, frequent headaches, taste problems
frequent headaches, taste problems, sinus infection: there are a lot of possibilities, but I would first consider that this could be a low grade sinus infection with the headaches, and taste problems and the muscle aches. You might try a little over the counter Afrin nasal spray twice a day for a few days first,...

Family, Internal Medicine, General Medical Questions: multisymptoms help, breast cancer survivor, cardiac stress test
breast cancer survivor, cardiac stress test, degenerative disc disease: Hi Ashley, I appreciate your concern but these symptoms can be connected to so many things that it is virtually impossible to hazard a guess about the causes. I will say that the leg swelling is probably the result of the clot. Some of her problems come with...

Family, Internal Medicine, General Medical Questions: multisymptoms help, breast cancer survivor, blood clot in leg
breast cancer survivor, blood clot in leg, pulmonary embolus: It is hard enough to diagnose someone complicated in person, let alone over the internet... I have to assume they checked her for lung clots (pulmonary embolus) with the shortness of breath and the clots in the legs... that is a specific test, usually a cat...

Family, Internal Medicine, General Medical Questions: nerves in the hands, internal medicine specialist, b vitamins
internal medicine specialist, b vitamins, carpet cleaning: if he has diabetes since more than five years, he needs a detailed assessment. other reason may be that there is pressure of some structures on the nerves of hands while sleeping. ask him to change position of sleeping. You may need to consult an internal...

Family, Internal Medicine, General Medical Questions: I was an overweight teen at the first 2 years of my puberty, penis growth, hormone problems
penis growth, hormone problems, penis size: If someone is overweight, especially with a big stomach, it will make the appearance of his penis smaller. If there is no hormone problems, then the penis size won t be affected. A simple way to get an idea as to whether there could be hormone problems is...

Family, Internal Medicine, General Medical Questions: Pains all over body, depression anxiety, caucasian male
depression anxiety, caucasian male, fibrom: the big concern I have is how much of your symptoms are part of a physical disease and how much may just be a manifestation of your hypochondria and anxiety. If this continues to bother you, then you should get a physical evaluation to eliminate those possibilities....

Family, Internal Medicine, General Medical Questions: Pains all over body, depression anxiety, caucasian male
depression anxiety, caucasian male, random places: Hi Vincent, Random pains throughout the body are unfortunately vague symptoms. They don’t point to any one thing. I seriously doubt that these represent fibromyalgia, parkinsons, diabetes or cancer. As long as they come and go and don’t become chronically...

Family, Internal Medicine, General Medical Questions: Platelets, low platelet counts, low platelet count
low platelet counts, low platelet count, monocyte count: In our work at www.medicalcenter.osu.edu/go/integrative low platelet counts are usually associated with elevated plant oil levels, see http://efaeducation.nih.gov for education on the levels of plant oil in our diet as related to heart disease. We use that...

Family, Internal Medicine, General Medical Questions: Poison Ivy, poison ivy, oak and sumac
poison ivy, oak and sumac: Excerpt from Poison Ivy, Oak and Sumac : System Overload Sometimes a systemic reaction to poison ivy can occur. The scenario most commonly seen comes from breathing in smoke arising from fires that contain plant matter covered in poison ivy. If this...

Family, Internal Medicine, General Medical Questions: What Is the pain I have??????, hip replacements, lumbar discs
hip replacements, lumbar discs, liquids: hard to tell now.... people can have pelvic fractures, esp if you have hip replacements... also, it could be sciatic back pain from lumbar discs pressing on the nerves... if it came on quickly, it sounds more nerve related but I still think it has to be looked...

Family, Internal Medicine, General Medical Questions: pain at the base of my skull, occipital protuberance, base of my skull
occipital protuberance, base of my skull, painful lump: that sounds like it could be a lymph node in that area... that drains the scalp on the back of the head... they go away on their own usually, but look for a cut, infection or rash on that side of the back of the scalp, and give it some time.... as long as...

Family, Internal Medicine, General Medical Questions: pain in foot, sesamoid bone, bone pain
sesamoid bone, bone pain, big toe: Hi Courtni, My guess is that this represents a metatarsalgia (bone pain). You could also have an inflammation of the sesamoid bone right behind our big toe. There isn’t much to do but continue what you are doing and wait it out. Clearly if it doesn’t start...

Family, Internal Medicine, General Medical Questions: pain in penis, sagging scrotum, unprotected sex
sagging scrotum, unprotected sex, blisters: Hi Oare, Pain could be caused by infection. A “sagging scrotum” is a normal thing. If he has a discharge then he may have caught something from you. If he breaks out in blisters in the next few days, that would indicate Herpes. In any event, he should see...

Family, Internal Medicine, General Medical Questions: periods, low iron, blood loss
low iron, blood loss, third period: You need to go to the doctor--either family practice or ob/gyn. There may be something wrong with your uterus or your hormones that are signaling the uterus to have a period. YOu are at risk for anemia (excessive blood loss, low iron) which can make...

Family, Internal Medicine, General Medical Questions: petechiae around eye (orbital bones), temper tantrum, petechiae
temper tantrum, petechiae, petechia: it can be from straining, coughing, vomiting, rubbing. If it is just after a tantrum or vomiting, and it goes away, no problem. If it persists, then the child must be seen promptly by their peds... or if you see any petechia on the legs or other areas. ...

Family, Internal Medicine, General Medical Questions: pilon fracture and glucosamine, pilon fracture, joint supplement
pilon fracture, joint supplement, huge load: these kind of injuries are very bad.... these are very small joints that carry a huge load. You are best served by going to a regional center that specializes in feet ankles and heels. There is one in Norfolk VA... I have had a few and a lot of orthos do...

Family, Internal Medicine, General Medical Questions: possible kidney failure, low protein diet, kidney specialist
low protein diet, kidney specialist, kidney failure: This is a complicated subject.... if the creatinine is up, then the kidney function is down, but you have to find the reason for the decrease... if it is drug induced, stop the drugs, if diabetic induced, control the blood sugars, if it is from chronic disease,...

Family, Internal Medicine, General Medical Questions: Random Vaginal Bleeding, cervical erosion, gonhorrea
cervical erosion, gonhorrea, painful intercourse: Hi Rachel, If you do have genital warts , then you have HPV. The bleeding can come from the warts. It may also come from irritation of the cervix. If this painful intercourse and bleeding continues then you might ask about a pelvic ultrasound to look at the...

Family, Internal Medicine, General Medical Questions: Recovering from Flu = Anxiety?, flu medications, swine flu
flu medications, swine flu, high fever: Hi Shari, Missing even a day of Paxil can cause the symptoms you mention. Just because you missed a day or two in the past without problems doesn’t mean you won’t have them this time. Couple that with your illness and it all fits. Sounds like you need to...

Family, Internal Medicine, General Medical Questions: ra? and osteopenia in a 24 yr old??, ankle fracture, hand films
ankle fracture, hand films, calcium supplementation: Hi Leslie, You SHOULD have a dexa scan without question. methotrexate has no specific causality with osteopoenia. I would say it is due rather to inactivity brought on by your chronic pain. you may be a candidate for a bisphosphenate and calcium supplementatio...

Family, Internal Medicine, General Medical Questions: recurrent localized intermittent head pain, brain mri, ringing ears
brain mri, ringing ears, anuerism: if you had the brain magnetic res imaging and the brain magnetic res angiogram, then you have proven that you don t have an aneurysm larger than 0.5 cm which is the cutoff of the sensitivity of the machine and those any smaller are very very unlikely to cause...

Family, Internal Medicine, General Medical Questions: recurrent localized intermittent head pain, brain mri, ringing ears
brain mri, ringing ears, anuerism: Hi Michael, Based on the negative CT and MRI/A, I would completely discount an aneurysm as the cause. From the location this may simply be a muscle tension headache which can cause nausea and ear ringing in susceptible people. If it happens at the same time...

Family, Internal Medicine, General Medical Questions: Shoulder, Neck, Arms, Leg Burning Aching Tingling, vitamin b complex, heel spur surgery
vitamin b complex, heel spur surgery, vitamin b deficiency: Hi Pam, Generalized aching and burning as you describe can be from a circulatory problem but can also be from what is called peripheral neuropathy. This can be caused by any number of things: vitamin B deficiency, vasculitis, rheumatoid diseases. You should...

Family, Internal Medicine, General Medical Questions: Sleep Walking 4 year old, pee pee, little brother
pee pee, little brother, bad dream: If they are lactose intolerant, don t do boost or ensure, I m sure you realized that when you looked at the labels. I wish I knew more about sleep walking but I don t. I think you aren t supposed to do soy either because of something like crossover allergies...

Family, Internal Medicine, General Medical Questions: Sprained ankle - 4 weeks and still pain, sprains, crutches
sprains, crutches, swells: Hi Jenifer, I trust you were immobilized for a week or so, had rehab also?? Sprains take up to 6 weeks to heal. The ankle will stay swollen for a longer period even after that pain is gone. Your calf is tight and sore because of the way you are walking. That...

Family, Internal Medicine, General Medical Questions: Swelling feet and taut skin, bad circulation, support stockings
bad circulation, support stockings, swelling feet: I would get some support stockings and wear them for a few weeks... when you stretch the skin out, it takes a while to regain its elasticity.... so wear them now and it should get better.... not the horrible up to the thigh kind, just up to the calves... you...

Family, Internal Medicine, General Medical Questions: Swine Flu?, swine flu, good question
swine flu, good question, droplets: Good question. It seems from the article that it only goes about 6 feet and then falls to the ground. So, imagine a person sneezes, droplets arch out of his mouth through the air and if they don t hit anyone they just fall to the ground where the virus doesn...

Family, Internal Medicine, General Medical Questions: Swine Flu?, Swine Flu
Swine Flu: Cold and Flu viruses are commonly spread by droplets – the infected person coughs or sneezes and the tiny water droplets in their breath spread through the air and land on things near by or that they touch (hand rail at the mall, door handle at MacDonald’s,...

Family, Internal Medicine, General Medical Questions: Symmetry, dominant side, building muscle
dominant side, building muscle, right arm: Hi James, If you are a lefty, that would explain it. Everyone’s body is asymmetrical to one degree or another so unless the difference is pronounced, this is a normal finding. If you are a righty, then it may just be that this side has been stronger all along...

Family, Internal Medicine, General Medical Questions: sick to stomach from onion rings, onion rings, maalox
onion rings, maalox, zantac: If you have some irritation from acid, the maalox will neutralize some of the acid decreasing the irritation. It could also be coincidence if it is your gallbladder causing the symptoms. If this happens repeatedly, you might try some zantac before eating...

Family, Internal Medicine, General Medical Questions: skin care, oral antibiotics, dermatologist
oral antibiotics, dermatologist, ob gyn: Oral antibiotics are probably the only thing that will take care of this for good. You can go to a GP, ob/gyn or dermatologist to get it looked at. (My advice this time comes from personal experience, too. I had one; it kept coming back for about a year...

Family, Internal Medicine, General Medical Questions: sore on vagina, gynecologist, dermatologist
gynecologist, dermatologist, cyst: Hi Mel, I would opt for a gynecologist as well. It may simply be a cyst which should be drained. In the mean time, sit in 2 inches of as warm a water as you can stand for about 30 minutes 3-4 times a day. That may make it feel a whole lot better and help...

Family, Internal Medicine, General Medical Questions: sprained ankle, ligaments, sprain
ligaments, sprain, sprains: Hi Ben, There are ligaments at all joints as these are what hold joints together. If there is pain and swelling around a joint after an injury, then a sprain is likely to have occurred. There are degrees of sprains from minor (first degree) to severe with...

Family, Internal Medicine, General Medical Questions: stds, genital herpes, razors
genital herpes, razors, body wash: Hi Craig, You should never share razors with any other individuals. It is practically unwise and increases your risks of infections. Herpes may be spread via the share of contaminated razors. As far as bath items - soap, body wash, etc, there is no risk....

Family, Internal Medicine, General Medical Questions: Unexplained weight loss, stomach discomfort, metabolic problem
stomach discomfort, metabolic problem, unexplained weight loss: I would have a full evaluation.... this could be a metabolic problem like thyroid dysfunction.... have a general evaluation by your doctor to make sure there isn t something physically wrong. This is primarily because of the stomach issues and the weight...

Family, Internal Medicine, General Medical Questions: UTI, vaginal opening, urologist
vaginal opening, urologist, urethra: Hi Jennifer, There is no connection. This may be a function of dryness at the vaginal opening where the urethra is. Also with aging the urethral opening may become swollen and more likely to be traumatized and this can cause infection. It would be worth a...

Family, Internal Medicine, General Medical Questions: Weird Symptoms..., fingers and toes, urinary tract infection symptoms
fingers and toes, urinary tract infection symptoms, feet legs: generalized, new-onset muscle weakness and throbbing is strange. please see a doctor right away to get diagnosed. I wouldn t wait because it was sudden-onset and also associated with an infection. if it seems like a urinary tract infection but you are not...

Family, Internal Medicine, General Medical Questions: water retention- high blood pressure?, mild diuretic, co ntrol
mild diuretic, co ntrol, menapause: the menopause may cause a little fluid problems, but not much. But, people can gain fat weight w/ menopause. Cutting down on salt will help, you don t have to cut down on fluid intake. If your BP is high or botderline, taking a diuretic is an easy way...

Family, Internal Medicine, General Medical Questions: yeast infection medication, plain yogurt, yeast infection
plain yogurt, yeast infection, yeast infections: Well, I d give up on solving it by tomorrow. Even if you had a 1-day yeast treatment medication, most yeast infections take 3-7 days to resolve. I, personally, would feel ok about using the first applicator of an expired (1 year ago expired) treatment, and...

Family, Internal Medicine, General Medical Questions: Abdomen Problems, Adbdominal pain, H. Pylori
Adbdominal pain, H. Pylori, ulcer: Hi Chris. Thank you for the additional information. Given these symptoms I would consider three main things, H. Pylori, Crohn s Disease, or thyroid disease. H. Pylori refers to an infection in the stomach which may lead to gastritis or ulcers. Testing...

Family, Internal Medicine, General Medical Questions: Abdominal ultrasound results, gall bladder attacks, sludge in gallbladder
gall bladder attacks, sludge in gallbladder, abdominal ultrasound: They may not believe that the symptoms match up with the sludge finding on the gall bladder, I guess... your symptoms could be related to the gall bladder. If you eat a rich fatty meal, can you reproduce the symptoms? I would ask the doctor ordering the...

Family, Internal Medicine, General Medical Questions: anemia, rapid heart rate, ferrous sulfate
rapid heart rate, ferrous sulfate, determinator: first of all, taking 3 a day doesn t do any more than 1 per day... you can only absorb so much iron per day as an adult, so more just causes black BM s and constipation. You should have your hemoglobin/hematocrit checked and use that as the determinator...

Family, Internal Medicine, General Medical Questions: Baby tested positive for drugs, hair testing, step daughter
hair testing, step daughter, barbs: you ask some tough questions.... the drug testing is not standardized between labs so there isn t a way to tell. But, a positive test is a positive test, hair testing can add some information and I don t know how much you would smoke to test positive on hair,...

Family, Internal Medicine, General Medical Questions: Burn, red scab, third degree burn
red scab, third degree burn, antibiotic ointment: keeping it from getting infected involves good hand washing on the front end... right after the burn, then a topical antibiotic ointment like neosporin, or if allergic to that, prescription bactroban or sulfadiazine... it will scab, then come off, then heal......

Family, Internal Medicine, General Medical Questions: blood tests, routine blood test, infectious organisms
routine blood test, infectious organisms, several different kinds: you seem to have infection. they are looking to confirm its presence. Blood tests are a very useful diagnostic tool. Blood is made up of several different kinds of cells and other compounds, including various salts and certain proteins. The liquid portion...

Family, Internal Medicine, General Medical Questions: breast growth, miracle breast, genetic predetermination
miracle breast, genetic predetermination, flax seeds: Hi Sushma, Unfortunately there is nothing, and I STRESS nothing, that will increase breast size save surgery. Your breast size is a genetic predetermination. If you wish larger breasts, you will need to consider aumentation surgery. Don’t waste you money...

Family, Internal Medicine, General Medical Questions: Calf Pain in left leg, pain in left leg, sinamet
pain in left leg, sinamet, nerve injury: The first thing you should do is find out why it is hurting so long... an accident should cause pain for several days... if it persists, then there should be a search for a nerve injury or a blood vessel injury or blood clot.... have this re-evaluated since...

Family, Internal Medicine, General Medical Questions: COMPLEX OVARIAN CYST, lining of the uterus, reproductive organs
lining of the uterus, reproductive organs, ovarian cyst: I would wonder if you are having pain from something besides the ovarian cyst. First of all, it is pretty small (relatively speaking) and even large ones usually don t cause pain, because there is so much room in the pelvis for those to get really big. ...

Family, Internal Medicine, General Medical Questions: CT BRAIN SCAN w/- Contrast dye., brain tissue damage, unsteady gait
brain tissue damage, unsteady gait, bleeding in the brain: Hi Estelle, If all the CT says is “brain damage” that is very little to go on. The type of brain damage is important. Sounds like you have sustained a severe concussion with most likley bleeding in the brain. You might seek the guidence of a neurologist....

Family, Internal Medicine, General Medical Questions: chest pain, ticking time bomb, perfusion images
ticking time bomb, perfusion images, ventricular myocardium: well, this suggests a partially blocked artery that took years to slowly block... you are at higher risk than someone without a blocked artery, but you aren t a ticking time bomb that is waiting to explode... you have time, but I would not wait for weeks......

Family, Internal Medicine, General Medical Questions: very cold finger on left hand, lack of circulation, funny colors
lack of circulation, funny colors, cold finger: if blood clots went to a finger, it would turn funny colors and really really hurt... the lack of circulation will cause intense pain until it dies off, so probably not. And if the two holes in the heart are fixed, then blood clots don t go to the arteries,...

Family, Internal Medicine, General Medical Questions: drug interaction, pain meds, tylex
pain meds, tylex, drug interaction: that isn t possible.... the drug screen, assuming you didn t take any of those meds, was one that may not have differentiated the different pain meds, Tylox, Morphine, Methadone. That is unusual for Neurontin... usually that is a very very safe medication...

Family, Internal Medicine, General Medical Questions: EKG, abnormality, ecg
abnormality, ecg, doctor who: if you truly have that, it needs to be treated. But, the computer may misread the ECG, and usually, the doctor who does it over reads it and interprets it.... If you can scan it to me, I can look at it, but you should find out if you have atrial fib.... the...

Family, Internal Medicine, General Medical Questions: Elderly Starvation/ Feeding Options, Chronic Pain & depression
Chronic Pain & depression: Personally I would never put a feeding tube in someone I love who is over 80 and has multiple and/or advanced health issues, I think that is a cruel way to prolong suffering and does not promote QUALITY of life. Hospice is an assessment usually made by...

Family, Internal Medicine, General Medical Questions: Epididymectomy, scar tissue,pain, scar tissue pain, anesthetic injections
scar tissue pain, anesthetic injections, lower abdomen: Hi Ralph, A bit too many questions so I will answer them briefly #1:contune the meds #2:can’t comment on that #3:none #4: no question here #5:either-do what feels best #6:can’t comment on that #7correct #8:the cord comes from the abdomen-pain refers...

Family, Internal Medicine, General Medical Questions: edema, Edema
Edema: Hi Sandra and thanks for writing, I think you should try some alternative approaches and be assessed by a good Naturopath and/or Homeopath in your area. Western medicine is good at prescribing drugs to treat symptoms while Eastern medicine is better at...

Family, Internal Medicine, General Medical Questions: narcotics contract, second opinion, meds
Family, Internal Medicine, General Medical Questions: narcotics contract, second opinion, meds, addict

Family, Internal Medicine, General Medical Questions: females issues, menstrual flow, sanitary napkin
menstrual flow, sanitary napkin, hemoglobin: these problems may not be related at all... blood pressure if that elevated consistently should be treated. The Hb should be evaluated... a smoker will have a higher Hb (hemoglobin) but a non-smoker should be checked for a few things. The heavy period is...

Family, Internal Medicine, General Medical Questions: Gout, Gout
Gout: Hi Karen and thanks for writing, There is no recognized “cure” for Gout, the treatment goal is generally to prevent flare-ups. Prevention of chronic gout has a different objective than management of acute episodes (flareups). In an acute attack the objective...

Family, Internal Medicine, General Medical Questions: general, respect and confidence, human growth hormone
respect and confidence, human growth hormone, growth period: Hi Francesco, There is no late growth period. Genetics do not always follow a standard path. Your brothers could be taller or heavier and you could be short or thin. HGH and steroids will not help growth at this point in your life and I would not recommend...

Family, Internal Medicine, General Medical Questions: Headache type pain around eyes for quite awhile., ocular migraine, high blood pressure
ocular migraine, high blood pressure, high cholesterol: I had to think about this a little, sorry for the delay. Your elevated blood pressure could cause the headaches, as well/or migraines. It sounds a bit like an ocular migraine. Feeling worse when lying down==sounds like blood pressure. Of course, since...

Family, Internal Medicine, General Medical Questions: Hymen, young virgin girl, hymen
young virgin girl, hymen, tampon: The anatomy of the hymen varies greatly from person to person. Rarely does it completely block the opening of the cervix to the outside... and when that does happen, it has to be pierced surgically.... much more often, it simply narrows the opening greatly...

Family, Internal Medicine, General Medical Questions: Hyperostosis frontalis interna, brain tissue damage, closed head injury
brain tissue damage, closed head injury, brain regions: hyperostosis frontalis interna is nothing but increases thickness of bone which is accidentally found during this CT. it is not related to the cause of the CT and is quite prevalent in normal people and is harmless. A neurologist must deal with this case which...

Family, Internal Medicine, General Medical Questions: heart question, weird feelings, v tach
weird feelings, v tach, energy drinks: Hi Michael, Your heart rate can go up that high. If it was that high in a v-tach pattern you’d have been dead already. I would stay away from all stimulants (coffee, tea, alcohol, nicotine, chocolate and any over the counter energy drinks) and see if things...

Family, Internal Medicine, General Medical Questions: heart rate, left side chest pain, heart rythm
left side chest pain, heart rythm, dull ache: at your age you won t have a heart attack, but the rythm problem should be looked at with a heart monitor for a day to see if it can be reproduced then analyed. The pain is not coming from the heart and the two issues are probably unrelated. Let your doc...

Family, Internal Medicine, General Medical Questions: heart rate, left side chest pain, rhythm disturbances
left side chest pain, rhythm disturbances, dull ache: Hi Michael, Sleep apnea may be exactly what you are experiencing. It isn’t uncommon for the blood pressure and heart rate t go up durng sleep. Add sleep apnea to this and you have an issue. A sleep study would be a good idea. I wouldn’t worry about your heart...

Family, Internal Medicine, General Medical Questions: hepatitis, hepatitis c, liver damage
hepatitis c, liver damage, private issue: He (the patient) should have been informed, but the family or spouse would not have been informed of a private issue like that, even if he signed consent for you to be informed about his general treatment. To see if he was informed at the time, he can request...

Family, Internal Medicine, General Medical Questions: high cholestrol and left side chest pain, hdl ldl ratio, left side chest pain
hdl ldl ratio, left side chest pain, high cholesterol levels: Hi Michael, I would agree that you are consuming way to much alcohol. Yes, alcohol does contribute to high cholesterol levels. It also can cause a condition called fatty liver, which if not corrected, can lead to other more serious problems. Are you at risk...

Family, Internal Medicine, General Medical Questions: high cholestrol and left side chest pain, tilt table testing, left side chest pain
tilt table testing, left side chest pain, high cholestrol: Could be narrowing of arteries that lead to the heart, causing low oxygen which translates to your brain as pain in the chest. One other thing, Michael--it could be anxiety. Anxiety attacks can feel like tightening in the chest and are unpredictable and...

Family, Internal Medicine, General Medical Questions: high cholestrol and left side chest pain, left side chest pain, high cholestrol
left side chest pain, high cholestrol, holter monitor: I think I answered this one already... at your age, even with bad cholesterol, you wouldn t have clogged up arteries, but this should be a wake up call to clean up your lifestyle... also, look for other causes of the chest pain other than cardiovascular disease...

Family, Internal Medicine, General Medical Questions: high cholestrol and left side chest pain, left side chest pain, high cholestrol
left side chest pain, high cholestrol, holter monitor: How bad is this and is that enough to cause my chest pain and am I at risk for a heart attack?? Yes If I m more active could I get this lowered? Yes and does the beer I drink affect cholesterol levels? Yes Thanks so much. could i have significant...

Family, Internal Medicine, General Medical Questions: high cholestrol and left side chest pain, left side chest pain, high cholestrol
left side chest pain, high cholestrol, coronary artery disease: You list a couple different issues... yes, you should work on lowering the cholesterol, especially with the low HDL. You drink way too much and should consider that you might have an alcohol dependence problem with that amount. If you can quit, then...

Family, Internal Medicine, General Medical Questions: Intercostal depomedrol, depomedrol, medrol
depomedrol, medrol, glucocorticoid: DEPO-MEDROL is an anti-inflammatory glucocorticoid for intramuscular, intra-articular, soft tissue or intralesional injection. some people s body reacts to it negatively. At the moment its best for you not to take any more injections of any kind. Just keep...

Family, Internal Medicine, General Medical Questions: Iron Deficient Anemia Low Ferretin Levels, small bowel obstruction, iron deficient anemia
small bowel obstruction, iron deficient anemia, kidney donor: if you start oral iron and use a stool softener like miralax, you won t have a problem.... sometimes with these surgeries, iron isn t absorbed well, and you might wind up needing iron shots. But if your iron is low, start replacement and also, with the tingling,...

Family, Internal Medicine, General Medical Questions: injection site swelling and heat, school shots, cefadroxil
school shots, cefadroxil, antibiotics: It appears to be a case of infection due to injection. It may rarely happen. Please get proper treatment through a dcoctor and get it monitored. he needs antibiotics for a 5 days to 1 week. You can give him cefadroxil 500 Mg twice a day for five days...

Family, Internal Medicine, General Medical Questions: One instance of young alcoholism, term alcohol, brain cells
term alcohol, brain cells, hard liquor: My question is, can one instance of drinking like that, underage (14) as she was, cause a permanent intelligence loss? Yes, if severe What kind of damage does it cause? Chemical injury to the brain cells Irreparable long-term damage to reasoning/awareness/cogitative...

Family, Internal Medicine, General Medical Questions: itchy, but not sure, yeast infection, maggie smith
yeast infection, maggie smith, seasonal allergy: Marie, My assumption is that you are not breastfeeding right now, or you would have mentioned it. Did it start itching after a course of antibiotics? It could be as simple as a yeast infection on the skin that you can t see. I would go to a doctor...

Family, Internal Medicine, General Medical Questions: LHS jaw neck area, salt water gargle, intact pth
salt water gargle, intact pth, lack of calcium: They are huge in their results and missing in our food and water supply due to changes in agribusiness that is now worldwide. Intact PTH is the hormone the pituitary puts out in response to low magnesium, calcium and vit D levels, so all three need to be...

Family, Internal Medicine, General Medical Questions: Male abdomen, male abdomen, daily caloric intake
male abdomen, daily caloric intake, couple beers: Hi. Thank you for the additional information. I believe the answer may be twofold. The decrease in gas/symptoms with withdrawal of red meat certainly points to the possibility of food allergy and the smart thing to do would be to avoid it. Remember that meat...

Family, Internal Medicine, General Medical Questions: Medicine and supplement with grapefruit as one ingredient, diovan hct, amlodipine
diovan hct, amlodipine, absorbtion: it is the acidic juice that screws up absorbtion... so if it is a capsule, no problem. If it is liquid, just take it separate from the time you take your amlodipine. You can take Amlodipine morning or night, so just use one at one time, one at the other....

Family, Internal Medicine, General Medical Questions: MRSA, wash hands, old baby
wash hands, old baby, ventilator: Hi Jen, Chances are sligh that she has been contaminated. I would say that her doctors are playing it safe. The mask is for her protection as well as your sister’s. They don’t want your Mom to catch this nor do they want your sister contaminated by anything...

Family, Internal Medicine, General Medical Questions: mens health, fingers tips, fingers and toes
fingers tips, fingers and toes, thyroid tests: If there is any swelling in your ankles, that should be checked... that can cause fingers and toes to throb. It would be reasonable also to have thyroid tests done... a lot of people have low thyroid without knowing it. But this doesn t raise any thoughts...

Family, Internal Medicine, General Medical Questions: menthol, tongue redness, cough drop
tongue redness, cough drop, cough drops: No COMMON side effects have been reported with Menthol. Seek medical attention if any of these SEVERE side effects occur when using Menthol Cream: Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of...

Family, Internal Medicine, General Medical Questions: nail fungus, nail fungus, fitting shoes
nail fungus, fitting shoes, podiatrist: Hi Gail, Fungus is notoriously hard to treat and irradicate. You may need long term antifungals. Keep your feet dry, spray your shoes to kill fungus that live in them and be sure to wear loose fitting shoes so the toe doesn’t continue to hit the end of the...

Family, Internal Medicine, General Medical Questions: narcotics contract, narcotic medication, contract question
narcotic medication, contract question, vantage point: Hi Matt, there are a number of endocrinologic reasons for low testosterone. The cause needs to be determined as in a primary vs secondary low level. The sudden surge of testosterone is not uncommon after taking a supplement. Testosterone supplements are not...

Family, Internal Medicine, General Medical Questions: Plavix diet and other restrictions, Plavix
Plavix: Hi Rosemarie, Administration of Plavix (clopidogrel bisulfate) with meals did not significantly modify the bioavailability of clopidogrel as assessed by the pharmacokinetics of the main circulating metabolite. Aspirin did not modify the clopidogrel-mediated...

Family, Internal Medicine, General Medical Questions: Pregnancy detection, home pregnancy tests, routine blood tests
home pregnancy tests, routine blood tests, home pregnancy test: No that wouldnt help. You can take a pregnancy test. There are 2 kinds: * Urine test: These tests are also called home pregnancy tests. You can buy them at most drug stores, grocery stores and discount stores. Most home pregnancy tests can tell if...

Family, Internal Medicine, General Medical Questions: pimples, Rosacea
Rosacea: Hi Marilyn and thanks for writing, I really do not think what your describe are “pimples”, you most likely have a type of Rosacea and should go see your family doctor this week. They are nothing to be concerned about, but you do want to have them properly...

Family, Internal Medicine, General Medical Questions: Question about gastro ulcers and effects on the body..., prilosec otc, flare ups
prilosec otc, flare ups, stomach ulcers: Can having ulcers cause you to super-absorb nutrients or instantly feel effects of...say, Potassium or Magnesium, etc. ? For example, I know Bananas are full of potassium and sometimes when I eat them, I become woozy for a few minutes. Answer: Bananas,...

Family, Internal Medicine, General Medical Questions: returning customer, upper respiratory infection, inner ears
upper respiratory infection, inner ears, swollen throat: Hi Andrea, I wouldn’t put a lot of faith in a pharmacist‘s opinion. They are not trained in diagnosis and treatment although many of them give advice. Your symptoms could be either from an upper respiratory infection or from allergies. Not being able to see...

Family, Internal Medicine, General Medical Questions: WHAT'S GOOD FOR YOU, Alcohol and medications
Alcohol and medications: Hi Cameron, It really depends on the medication. Alcohol has it s own side-effects like dehydration, blood thinning and sedation etc and when mixed with certain medications it can lead to potentially lethal consequences. If you mix booze and narcotic analgesics...

Family, Internal Medicine, General Medical Questions: WHAT'S GOOD FOR YOU, harmful interactions, sleeping pills
harmful interactions, sleeping pills, central nervous system: Hi Cameron. You pose a good question that people often ask in the doctor s office. Many medications interact harmfully with alcohol. These interactions may result in increased risk of illness, injury, and even death. Alcohol s effects are heightened by medicines...

Family, Internal Medicine, General Medical Questions: Scarlet Fever symptoms? (15 days and no treatment), scarlet fever symptoms, extreme tiredness
scarlet fever symptoms, extreme tiredness, heat rash: Hi Lauren. Thank you for your question. I have a few questions for you to help clarify. What does the rash feel like when you run your hand over it? Are the red bumps raised and how big are they. What were you doing in the week prior to the sore throat (travel,...

Family, Internal Medicine, General Medical Questions: Single instance of young alcoholism, term alcohol, hard liquor
term alcohol, hard liquor, liver damage: can one instance of drinking like that, underage (14) as she was, cause a permanent intelligence loss? ---No What kind of damage does it cause? --- liver damage- only when used for about six months thrice a week. Irreparable long-term damage to...

Family, Internal Medicine, General Medical Questions: Strep?, heart valve problems, kidney problems
heart valve problems, kidney problems, death situation: that sounds like it could be strep throat which needs treatment with antibiotics... those are cheap ones, like Amoxil, but necessary if you have strep. It isn t life and death but untreated can lead to heart valve problems or kidney problems. If you do...

Family, Internal Medicine, General Medical Questions: Stroke, pace maker, stroke victims
pace maker, stroke victims, massive stroke: Hi Mike, You can have him transferred to any hospital you like if you are his medical surrogate or power of attorney. If he is compitent to make his own decisions then he will have to be the one to request a transfer. A transfer like this will be, unfortunately,...

Family, Internal Medicine, General Medical Questions: systemic infection, green nipple discharge, hypo thyroid
green nipple discharge, hypo thyroid, low blood pressure: Hi Kim, All this information is measured in a moment in time. To know if these represent serious issues, a follow up lab is adviseable. Normal ranges are just that. Slight variations up or down do not necessarily indicate problems. It sounds like all your...

Family, Internal Medicine, General Medical Questions: taking Nardil (mao inhibitor), mao inhibitor, good drugs
mao inhibitor, good drugs, theoretical risk: That is why I hedged on the answer.... Those are good drugs, but with so many newer antidepressants, I have not seen anyone on Nardil so haven t had to worry about any possible interactions.... sorry. I don t know if there is an anesthesia AllExpert specialist...

Family, Internal Medicine, General Medical Questions: thyroid question, symptoms of hypothyroid, free thyroxine
symptoms of hypothyroid, free thyroxine, pin pricks: The TSH is perfectly normal.... you want it on the low side, .5-1.5 typically. The Free T4 (free Thyroxine) is also OK... the symptoms of low thyroid are so general and vague that I don t think your symptoms are due to low thyroid, so nothing else to do with...

Family, Internal Medicine, General Medical Questions: Use of polymaltose ferric hydroxide Iron (III) for six months+side effects to zinc levels??, symptoms of zinc deficiency, ferric hydroxide
symptoms of zinc deficiency, ferric hydroxide, iron supplements: I would have only expected a mild change in iron stores with therapy... you don t absorb much iron, no matter how much you take... there is a block except in young children that limits how much iron you can take. I doubt if there was a zinc problem... this...

Family, Internal Medicine, General Medical Questions: urinalysis, protein in the urine, vaginal fluid
protein in the urine, vaginal fluid, spot test: yes, the exercise can cause some protein in the urine... I would check it when you haven t exercised the prev day. The wipe probably didn t prevent or cause anything. I would think it is probably the exercise causing it since you have had some with and some...

Family, Internal Medicine, General Medical Questions: weak, tired voice with some hoarseness, voice hoarseness, care doctors
voice hoarseness, care doctors, voice changes: Hello TH. Thank you for your interesting question. I know it is hard when a doctor does not recognize you concern. Sometimes as a doctor when someone comes in with a problem and everything looks normal to us we may not address it adequately. In your...

Family, Internal Medicine, General Medical Questions: weight gain for seniors, thyroid dysfunction, smoking cessation
thyroid dysfunction, smoking cessation, medical problem: Hi Salvatore, Weight gain after smoking cessation is common. At age 62 weight loss is very difficult. You may only hope to keep your weight stable. If you think you may have an issue with a medical problem that causes continued weight gain or inability to...

Family, Internal Medicine, General Medical Questions: Abdominal Discomfort, Ovarian Cancer?, irregular menses, cancer question
irregular menses, cancer question, lower abdomen: Hi Erin, Thank you for your follow-up answers to my questions. Based on your information provided, there is a high possibility of an abdominal cutaneous nerve entrapment. This is when nerves which supplying the lateral layer of your abdominal rectus muscle...

Family, Internal Medicine, General Medical Questions: Bloody vaginal discharge, bloody discharge, antifungals
bloody discharge, antifungals, vaginal discharge: Could be a yeast or bacterial infection. Get to the doctor to get swabbed and find out for sure. Treating yourself with OTC yeast (antifungals) medication will make a vag infection worse if it s bacterial instead of yeast in origin, which is why I suggest...

Family, Internal Medicine, General Medical Questions: Breast Pain, history of breast cancer, breast pain
history of breast cancer, breast pain, breast size: I doubt if that finding is causing the pain.... that should be followed but I would be shocked if that were canccerous... I don t have a great answer as to what is causing the pain. I would keep up with the doctor, make sure it isn t a chest/lung problem...

Family, Internal Medicine, General Medical Questions: black stool, stomach ache, black stool
stomach ache, black stool, viral infection: Hi Garrett, The diarrhea may be black because of the viral infection that caused the symptoms. There is of course the possibility that this could be blood. I would have your doctor check this out. I’d mention the tachycardia too. I do not think it is connected...

Family, Internal Medicine, General Medical Questions: black stool, zantac 150, stomach ache
zantac 150, stomach ache, pepto bismol: at your age, it is unlikely, if not impossible for it to be from cancer. It could be some stomach bleeding from an ulcer or irritation from whatever caused the diarrhea. It is unlikely to be a rectal area tear, otherwise, it would be bright red blood colored....

Family, Internal Medicine, General Medical Questions: black stool, stomach ache, black stool
stomach ache, black stool, hematochezia: This is called malena and can be due to many reasons which are fully treatable. Blood in stool can refer to multiple conditions: Melena, with more blackish appearance, originating in upper parts of the GI tract Hematochezia: with more red color,...

Family, Internal Medicine, General Medical Questions: black stool, stomach ache, black stool
stomach ache, black stool, dehydration: go to the doctor as soon a possible--sounds like you have a bleed in your stomach. I d go to the ER if you are still having these symptoms (the dehydration and bleeding is a terrible combination). Go to the doctor if it has subsided, because the black stool...

Family, Internal Medicine, General Medical Questions: black stool, Black Stools
Black Stools: Hi Garrett and thanks for writing, I strongly suggest you go see a doctor today, and try to take a small stool sample with you (scoop up a bit in a old prescription bottle, boil it if possile or at least rinse it with hot water first). Black stools always...

Family, Internal Medicine, General Medical Questions: blod clots, fear of blood, type of drugs
fear of blood, type of drugs, posibility: those symptoms do not sound like blood clots... and even tho that is a risk, it is still a very very small risk.... a blood clot would be pain or swelling or redness or a hard spot in one leg... it wouldn t be both, or general symptoms like heaviness........

Family, Internal Medicine, General Medical Questions: blood in urine, blood in urine, urine sample
blood in urine, urine sample, emergency room: It should be evaluated in the office with a urine sample... with no pain, it could be a stone in the kidney, but basically, should be followed by the doctor... if there isn t pain, skip the emergency room and just do it in the office... it will be cheaper...

Family, Internal Medicine, General Medical Questions: after breast feeding, weird reason, breast enlargement
weird reason, breast enlargement, 34b: I have not heard of that before... I wonder if you stretched the nerves through the breast enlargement and now they have been injured... if that is the case, and they weren t torn, then the feeling should come back in 6 months or so... I will do some checking...

Family, Internal Medicine, General Medical Questions: Chemical poisoning?, memory foam mattress, craving sweets
memory foam mattress, craving sweets, loss of libido: Hi Dave, i have to dismiss any chemical poisoning based on the information you ve provided. there is a possibility of an early stage of adrenal insufficiency may be a factor. your adrenal glands located on top of your kidneys produce hormones - glucocorticoids,...

Family, Internal Medicine, General Medical Questions: Constipation, Constipation, Constipation in seniors
Constipation, Constipation in seniors: Constipation, like asthma, is caused by opioid peptides in wheat- and dairy products and beta-carbolines in prepared food, (proteinous prepared food in particular) To get rid of constipation totally, you should consume as little prepared food, dairy and...

Family, Internal Medicine, General Medical Questions: chemstry, nobel prize in chemistry, nobel prize in physics
nobel prize in chemistry, nobel prize in physics, pierre curie: Marie Curie (1867-1934), Polish-born French chemist and physicist who twice won the Nobel Prize and is best known for her investigations of radioactivity with her husband Pierre Curie. The Curies shared the 1903 Nobel Prize in physics with a colleague, and...

Family, Internal Medicine, General Medical Questions: chill, then digestive problem, sudden chill, digestive problem
sudden chill, digestive problem, heating pad: Hi David, Frankly, I have never herd of “a chill” to a local part of the abdomen. Nor can I say that I can explain why you sense that there is food “stuck” in this one spot. As a rule you can not really tell where food is from one point to the next due to...

Family, Internal Medicine, General Medical Questions: ck level, signs and symptoms of a heart attack, symptoms of a heart attack
signs and symptoms of a heart attack, symptoms of a heart attack, muscular weakness: Hi, acid reflux does not increase CK levels. It is done to determine if you have had a heart attack or if other muscles in your body have been damaged. if you have signs and symptoms of a heart attack (e.g., chest pain) or if you have muscle pain or muscular...

Family, Internal Medicine, General Medical Questions: Dark Bruises or Blood under skin of Elderly, Alcohol and thin blood
Alcohol and thin blood: Hi Patty and thanks for writing, You should have your Dad go see his family docotr and have regualr blood tests (every few months) to ensure his blood doesn t get too thin. Alcohol is a natural blood thinner, as is several foods and some medications and...

Family, Internal Medicine, General Medical Questions: Diarrhea, brain mri, bleeding ulcer
brain mri, bleeding ulcer, mini strokes: Dear Patty, In this case, it has to be confirmed as to what is the cause of diarrhoea. for that, you need to be in touch with a Geriatrician as well as a gastroenterologist. Also there are some good herbal remedies. I can send you some material if you mail...

Family, Internal Medicine, General Medical Questions: diagnostic tests for 8yr old, cholesterol screening, rare diseases
cholesterol screening, rare diseases, stool samples: The typical recommendations for a well child check do not include screenings for lead, parasites, etc. A baseline cholesterol is recommended but not annually... to identify children with genetic cholesterol abnormalities. Even with a dog... if your daughter...

Family, Internal Medicine, General Medical Questions: disk herniations, pain management program, shoulder arm
pain management program, shoulder arm, ruptured disc: Sorry if it was not clear but these are the items we use in our pain management program to remove all pain in degenerative and ruptured disc disease but need to know the levels to properly advise our patients. Sorry the correct answwer up set you Hope...

Family, Internal Medicine, General Medical Questions: Elder with Nightly Blood Pressure Spike, high blood pressure, coumadin
high blood pressure, coumadin, blood clots: there are a lot of possibilities, but most likely is that her arteries are stiff due to age and any increase in BP is magnified greatly. She needs to see a doctor that will take her seriously... sometimes the meds need a few weeks to work but I would follow...

Family, Internal Medicine, General Medical Questions: Very Elderly Parent, irrational fear, elderly parent
irrational fear, elderly parent, adult protective services: The laws on this vary from state to state and I am in South Carolina. You will have to contact someone in your state... I might suggest that you contact the adult protective services department in your area for advice on the procedures. You may have to...

Family, Internal Medicine, General Medical Questions: "Epidermolysis Bullosa" Skin condition., skin biopsy, referral center
skin biopsy, referral center, memphis tennessee: This is a rare enough condition that I don t really know what the best treatment is.... have you tried topical patches like Lidoderm? I would suggest going to a big referral center if the one in Memphis is not.... this illness is rare enough that not a lot...

Family, Internal Medicine, General Medical Questions: ear, q tip, bad move
q tip, bad move, decongestant: Hi Michelle, This sounds like eustacheon tube dysfunction. The tube will swell shut and impede drainage from the middle ear causing pain. The burping forces air up the tube , popping it open and relieving the symptoms till it shuts again. Sometimes something...

Family, Internal Medicine, General Medical Questions: ear, afrin nose spray, inner ear infection
afrin nose spray, inner ear infection, wax buildup: this may be an external ear problem, like an infection or a wax buildup blocking the canal. I don t know what the burping is about... sometimes an inner ear infection can block the pressure relieving side on the inside of the eardrum, like going up in a plane....

Family, Internal Medicine, General Medical Questions: ear fluid, dristan nasal spray, ear drainage
dristan nasal spray, ear drainage, oral steroids: You said decongestants... I would try Afrin or Dristan nasal spray (over the counter) twice a day for 3-5 days.... after that, I might try a course of oral steroids (prednisone) and see if the inflammation can be blocked and allow the ear drainage system...

Family, Internal Medicine, General Medical Questions: After-effects of surgery?, abdominal hernia, abdominal muscles
abdominal hernia, abdominal muscles, huge expanse: I d get a physical or go to the doc just for a check hernia visit. Have him palpate the area (feel) just to see if you still have a split in the muscles that you are perceiving around the umbilicus. I don t think it hurts your ability, either way, to...

Family, Internal Medicine, General Medical Questions: Freaked out!, alien infestation, std check
alien infestation, std check, bubble gum: it sounds like this could have been a blood clot... it doesn t sound like you had another foreign body in the vagina except for the Nuvaring... no chance of lost condom? But overall, don t equate this to some horror movie with an alien infestation..... hope...

Family, Internal Medicine, General Medical Questions: hemorrhoid treatment
Family, Internal Medicine, General Medical Questions: hemorrhoid treatment

Family, Internal Medicine, General Medical Questions: female question, birth control pills, pap smears
birth control pills, pap smears, regular period: Since you became sexually active, did you start or restart birth control pills? A little abnormal bleeding doesn t worry me as long as you are sure you aren t pregnant and that you get regular pap smears and pelvic exams.... a lot of times, it is the hormone...

Family, Internal Medicine, General Medical Questions: fractured spleen, Spleen Injuries
Spleen Injuries: Hi Kimberley and thanks for writing, A fractured spleen is caused by a trauma to the spleen resulting in its division into two halves. The spleen filters out infection and other unwanted particles from the blood; as part of the lymphatic system, it plays...

Family, Internal Medicine, General Medical Questions: G-spot damage?, female g spot, urethral meatus
female g spot, urethral meatus, female ejaculation: Hi Sara, First of all, there has never been any substatiation of a “G spot”. You may indeed be urinating and that is accounting for the wetness. He probably roughed up your urethral meatus which is just behind the vaginal opening. This is where the so called...

Family, Internal Medicine, General Medical Questions: Health problems, pain during intercourse, thyroid tests
pain during intercourse, thyroid tests, laparascope: it is pretty common to have unusual bleeding after the morning after pill. So I wouldn t worry about that one. But if she continues to be dizzy, she should have a blood count to make sure she hasn t become anemic, and also possibly thyroid tests. The...

Family, Internal Medicine, General Medical Questions: Health problems, birth control pills, deep thrust
birth control pills, deep thrust, ovarian cysts: Hi Alex, Pain with intecourse is not normal. I am assuming that the pain was pelvic and not vaginal. If the pain came from deep thrust, it may mean that she has ovarian cysts that are painful. Provided she has no discharge, fever, nausea or vomiting, it is...

Family, Internal Medicine, General Medical Questions: High fever with tummy issues, high fever, lung problem
high fever, lung problem, urinary infection: you didn t give me a lot of info.... age, how high the fever is and what tummy issues means.... if you mean diarrhea, then increase fluids and suppress the fever.... it could be a urinary infection... if pain is involved then it should be checked. Otherwise...

Family, Internal Medicine, General Medical Questions: heart beating strong and fast, resting heart rate, sleep deprivation
resting heart rate, sleep deprivation, annoyance: this is probably not a big deal.... but it should be evaluated... talk with your doctor, get a heart monitor overnight to quantitate it to see if it is just an annoyance. Watch caffeine, cigs, nicotine and stress and sleep deprivation which can aggravate...

Family, Internal Medicine, General Medical Questions: hemorrhoid treatment, external hemorrhoid treatments, treatment question
external hemorrhoid treatments, treatment question, last resorts: well, having it there bothering you might be the best thing... some of the treatments are painful and can scar the area down. Ones that size have a good chance of shrinking down on it s own over a few weeks. Unless it is repeatedly bleeding or severe pain,...

Family, Internal Medicine, General Medical Questions: Inner Ear Problem, inner ear problem, ear pains
inner ear problem, ear pains, sour food: Answer these questions : Do you feel headaches when this problem strikes? Do you feel more thirsty as compared to others? Do you wear winter wear early as compared to others? Are you fond of sweet food? Are you fond of sour food? In the past five years,...

Family, Internal Medicine, General Medical Questions: inflammation, fatigue, medical test results, iron deficient anemia
medical test results, iron deficient anemia, parotid glands: wow... you have given a pretty concise history on a very complicated disease process and workup.... Sarcoid can present this way and it isn t easy to diagnose in some people. It is less likely not being black... but still possible. The CPK has me concerned...

Family, Internal Medicine, General Medical Questions: Knee Symptom, indian style, left knee
indian style, left knee, numbness: you are kinking a nerve or a small blood vessel to a nerve with the positioning, most likely... then when you unkink it, and blood flow returns, the nerve returns to normal function. The big question would be is there something there pressing on the nerve,...

Family, Internal Medicine, General Medical Questions: Lymph nodes with unknown cause, swollen lymph nodes, dizzy light
swollen lymph nodes, dizzy light, ceftin: The lymph nodes are a response to an infection almost all the time. It could be an ear infection, scalp, cold, mono.... they usually go away on their own over a couple of months. If you have a chain of these on one side and they don t go away in 3 months,...

Family, Internal Medicine, General Medical Questions: line down chest, lower abdomen, abdominal muscles
lower abdomen, abdominal muscles, fibrous structure: Hi Deedee, That is normal. That line is call linea alba. it is a white fibrous structure that divides the right and left abdominal muscles. the darker a lean child s skin tone, the more visible it is. Parents usually notice it more often after their child...

Family, Internal Medicine, General Medical Questions: Mosquito Bites, eastern equine encephalitis, mosquito bites
eastern equine encephalitis, mosquito bites, citronella spray: well, there isn t much you can do except prevention... if you are worried about in the house, treat the house... I think the new product, that little blue fan type unit that you can wear or keep in the area to prevent bites is a neat product.. that would be...

Family, Internal Medicine, General Medical Questions: MRI and hormones, thyroid hormones, reproductive hormones
thyroid hormones, reproductive hormones, elevated prolactin: Hi Elaine, All this hormonal activity is primarily pituitary mediated. The reproductive hormones and thyroid hormones depend on a normally functioning pituitary. This is a very complex issue and can’t be delved into in this forum. An MRI of your brain is...

Family, Internal Medicine, General Medical Questions: Neurological Issue??, pnv, epidural
pnv, epidural, left leg: Hi Deborah, I’m afraid I’m as confused as you. If you’ve had it for 6 months and nothing has come of it, I would probably not worry about it. If it is a real nuisance for you, discuss it with your doctor. Sometimes anxiety can present as unusual sensations...

Family, Internal Medicine, General Medical Questions: Old injury of thigh muscle, broken capillaries, baseball game
broken capillaries, baseball game, muscle damage: Hi Mari, This could be something called Myositis ossificans. This is when traumatized muscle turns to a bone like substance. It can cause pain ans intermittent swelling. I would have an ulrasound or MRI of the muscle involved to see just what‘s going on....

Family, Internal Medicine, General Medical Questions: Pituitary cyst, anxiety panic attacks, cleft cyst
anxiety panic attacks, cleft cyst, pituitary cyst: I doubt whether there is a direct relationship between panic/anxiety and the cyst.... however there could be a secondary relationship.... possibly the hormone replacement.. or it could be completely unrelated. I would have thyroid tests evaluated as that...

Family, Internal Medicine, General Medical Questions: Pregnancy?, little thumb, pregnancy question
little thumb, pregnancy question, regular periods: From what you told me, pregnancy is not possible. It does disturb me that you are 13 and having any type of sexual/intimate relationship with someone just a year older than me.... You need to think about that and your safety... I would be slow to trust a...

Family, Internal Medicine, General Medical Questions: Pregnancy?, irregular periods, last period
irregular periods, last period, intercourse: it s impossible for you to be pregnant since you have not had intercourse. it s very normal to have irregular periods at your age. watch for soaking more than 2 pads in 4 hours, though. that might mean you have a blood problem. you d need to see the doctor...

Family, Internal Medicine, General Medical Questions: Pulomonary Embolism, inr levels, decent reason
inr levels, decent reason, genetic problem: if you have a decent reason for having a PE.... such as being immobile for a month... then chances are less that you have it than if it happened just out of the blue, with no aggravating factors.... so chances are, you don t have a genetic problem, but the...

Family, Internal Medicine, General Medical Questions: Puncture wound - foot, drywall screw, chicken pen
drywall screw, chicken pen, bone involvement: I would worry about having nicked the bone and introducing infection in the deep tissues or bone.... get it checked again... a lot of times in the office, I will do a baseline xray when it first happens and if something like this happens, I will repeat the...

Family, Internal Medicine, General Medical Questions: If not peristalsis...other possibilities ???, silent phenomenon, coccyx injury
silent phenomenon, coccyx injury, sinus infection: Hi Jamie, Sounds like you’re describing the sensation of your pulse. That isn’t unusual at all. You can be aware of your pulse in various parts of you body. Most commonly you can “hear it” in your ears when you lie down. I wouldn’t worry about this, but it...

Family, Internal Medicine, General Medical Questions: please help!!!, strange question, plunger
strange question, plunger, maggots: well, that is one of the more disgusting stories I have heard in a while.... fortunately, the bacteria that was in that mess in the toilet and spread to the carpet, etc., is long since dead... when it dries out, that will kill off the germs... and with you...

Family, Internal Medicine, General Medical Questions: prickly heat sensation, prickly heat, exertions
prickly heat, exertions, sensations: I am not sure exactly what sensation you are experiencing... if it is tingling... I am not really concerned about a very short lived sensation... you should have they thyroid level checked at least yearly to make sure your requirement for replacement hasn...

Family, Internal Medicine, General Medical Questions: prolapse?, bladder leakage, vaginal prolapse
bladder leakage, vaginal prolapse, gynocologist: this could be a prolapse.... and the bladder, rectum or uterus can prolapse. It is hard to tell over the internet.... getting an exam is the easiest way to tell, but I understand the $$$ issue. Assuming you don t have something stuck inside your vagina,...

Family, Internal Medicine, General Medical Questions: Question on sanitary issue, hygienic habits
hygienic habits: Hi Julian, It does sound like your Dad has pretty lax hygienic habits and you do have wonder what else he might do that you don t see. I m not sure there s much you can do about it, if he s older he may be quite set in his ways, but you could try talking...

Family, Internal Medicine, General Medical Questions: Quicken the proces of healing, stress diagnosis, taking medicine
stress diagnosis, taking medicine, married with children: Hi Lisa, I would love to suggest something but I haven’t got a clue to the diagnosis of these bumps. Unfortunately the term you use to describe this issue means nothing specific and the coloration can indicate any number of possibilities. Did you get a specific...

Family, Internal Medicine, General Medical Questions: Severed extensor hallucis longus, proximal phalanx, extensor hallucis longus
proximal phalanx, extensor hallucis longus, 5th of july: I would bite the bullet, go to the ER and get referred for repair.... you don t have much more time left before the tendon retracts and you lose the ability to repair... this will plague you with a clumsy foot because that toe will catch on things.... there...

Family, Internal Medicine, General Medical Questions: Slowing down a speedy metabolism??, thyroid levels, anabolic steroids
thyroid levels, anabolic steroids, strength gains: You don t want to slow down metabolism... you might get thyroid checked to make sure your thyroid levels aren t too high, but teens, esp ones growing and active are known for big appetites. If your thyroid isn t abnormal, you won t talk any reputable doctor...

Family, Internal Medicine, General Medical Questions: Sore Gums, apthous ulcer, sore gums
apthous ulcer, sore gums, grinding my teeth: it may be, esppecially if you see a small 2-3 mm very shallow whitish or greyish ulcer... that could be an apthous ulcer... there are some prescription liquids that can help it. Past that, assuming the dentist has ruled out gum or teeth infections... I am...

Family, Internal Medicine, General Medical Questions: Spider Bite, spider venom, spider bite
spider venom, spider bite, dead tissue: It probably isn t infected.... but the spider venom will cause tissue destruction locally, so the dead tissue has to slough off and then the new skin has to grow over the wound, so it can be a several week process, if it were a brown recluse that injected...

Family, Internal Medicine, General Medical Questions: MAKE IT STOP, breath holding, holding your breath
breath holding, holding your breath, hiccups: hiccups are spasms of the diaphragm and there are a lot of home remedies.... the theory on breath holding is that by increasing carbon dioxide in the blood, it makes that muscle stop spasming.... the drinking water causes some of the other muscles in the...

Family, Internal Medicine, General Medical Questions: Stuffed nose with no relief, left nostril, green discharge
left nostril, green discharge, doctors office: it sounds like you have some allergies, having to get ears drained in the past. If you have a cold, then using Afrin nose spray (the 12 hour nose spray) is appropriate for 3-5-7 days or so. If it continues, then it is probably allergies or you have become...

Family, Internal Medicine, General Medical Questions: Swollen Lymph nodes., swollen lymph nodes, proceding
swollen lymph nodes, proceding, ceftin: Hi Caitlyn, he is just waiting to see how the antibiotics work before proceding. He is probably talking about a cat scan as a next step. A biopsy of one of these nodes would also be a good idea. Swollen lymnodes is someone your age can indicate a chronic...

Family, Internal Medicine, General Medical Questions: serious mystery illness, swollen lymph glands, red blood cell
swollen lymph glands, red blood cell, bone marrow test: Hi, I will be glad to help. It is not a matter of parasite/swine flu. it appears to be blood cancer by all symptoms. Have they done biopsy or FNAC ? send me the result at khalid2277@rediffmail.com also send me the results of bone marrow test. Ask him to...

Family, Internal Medicine, General Medical Questions: skin irritation, peroxide applications, hydrogen peroxide
peroxide applications, hydrogen peroxide, hair removal cream: These are chemical burns from the removal cream on the skin areas which the bikini wax pulls the hair and some of the top layers of skin. Call you doctor to see how they want to proceed. Some use silvadene cream others find it does best if treated as a burn...

Family, Internal Medicine, General Medical Questions: My son fell of the bunk bed and smashed his chin, bone fragment, sized lump
bone fragment, sized lump, hi doc: it is probably blood that has hardened now.... that may slowly resolve over several months.... sometimes it won t go away completely and he may be left with a little bit of a lump... You can wait for now and see how well it resolves.... It is very unlikely...

Family, Internal Medicine, General Medical Questions: swelling, nerve problem, insect bite
nerve problem, insect bite, shold: tingling and swelling were the symptoms... were you bending your ne k in a certain way where you could have pinched a nerve in the neck? Like looking up the hill during hiking? An allergic reaction to a food or an insect bite shold have lasted longer...

Family, Internal Medicine, General Medical Questions: Test?, bacterial vaginosis, bladder infection
bacterial vaginosis, bladder infection, yeast infection: under the microscope, you can see trichomonas, a an STD... otherwise we lookd for yeast or bacterial vaginosis (not STD s) If someone has no symptoms, then yes, screening for those tests are appropriate.... someone who doesn t have or never had symptoms...

Family, Internal Medicine, General Medical Questions: Toddler and exposure to others, stomach infection, mild stomach
stomach infection, mild stomach, swine flu: this doesn t sound like the flu and with no contact there can t be any diseases passed. The child vomiting once a day, maybe a mild stomach infection... if the child is getting proper fluids and nutrition but throwing up a little, you can wait, but if...

Family, Internal Medicine, General Medical Questions: what would you think?, migraine headaches, sister age
migraine headaches, sister age, abdominal pains: I am not sure exactly what your question is, but I will give you my thoughts on this.... What a tragedy first of all. The stroke could have been caused by and certainly was worsened by the bleeding and anemia. There was a big lapse in delivering medical...

Family, Internal Medicine, General Medical Questions: Uncomfortable Pressure in Right Chest, liver function test, chest x ray
liver function test, chest x ray, chest xray: bronchitis really doesn t show up on chest xray, that is mostly to prove pneumonia isn t present. The uncomfortable feeling has a lot of possibilities... it could be gall bladder, but symptoms should be worse with a big fatty rich meal. This sounds to me...

Family, Internal Medicine, General Medical Questions: Urology, vaginal canal, ejacuation
vaginal canal, ejacuation, seminal fluid: Hi Yasheva, The more often you have sex the thicker the ejaculate. If you wait long periods, the ejaculate gets thinner as there is more seminal fluid mixed with sperm. It isn’t unusual to have ejaculate run out, It is a matter of your anatomy. You can always...

Family, Internal Medicine, General Medical Questions: vaginal discomfort, birth control pills, bacterial vaginosis
birth control pills, bacterial vaginosis, yeast infection: maybe you misunderstood me... I didn t say you had an STD... that it could be trich. The bacterial vaginosis (bacterial infection) can re-occur without sex, but if it does with sex, the partner should be treated. And the bacterial infection is not considered...

Family, Internal Medicine, General Medical Questions: vitamin deficiency, mood swings, vitamin deficiency
mood swings, vitamin deficiency, fibro: It is hard to tell which symptoms might be helped with Vit D... it turns out pretty much everyone is deficient at this point, so everyone should be on some replacement schedule. The only was to tell is to take it regularly... after the loading doses, I recommend...

Family, Internal Medicine, General Medical Questions: vitamins, calcium tablets, breast milk
calcium tablets, breast milk, vitamin d: good question.... I would doubt that you taking dairy will affect him, since you process everything and then create breast milk from scratch... but we are finding more and more about vitamin D. The general recommendation now is 1000-2000 per day. You get...

Family, Internal Medicine, General Medical Questions: Wierd dizziness!!!, echo cardiogram, upper respiratory infection
echo cardiogram, upper respiratory infection, heart tests: I don t know why a 13 year old needs to have all those heart tests... but I would look at normal things, like getting a blood count checked, CBC and blood glucose... also this could be an upper respiratory infection like an ear infection.... since it has gone...

Family, Internal Medicine, General Medical Questions: 15 mon. old with white stools, white, curd like emesis, health status changes, rn msn
health status changes, rn msn, maggie smith: I would absolutely +not wait+ to get to a doctor with white stools/vomiting in a child that age. No matter the distrust in the russian system, I d get her to a doctor. Babies can get dehydrated so fast. Pediatricians worry about white, black or red stools....

Family, Internal Medicine, General Medical Questions: Arm injury, nerve conduction studies, pinky fingers
nerve conduction studies, pinky fingers, ulnar nerve: it sounds like you had an injury to the ulnar nerve from the sign.... you can verify that with nerve conduction studies.... if there is some soft tissue pressing on the nerve, sometimes surgery can relieve it.... if it is still bad, get the nerve conduction...

Family, Internal Medicine, General Medical Questions: AST/ALT, viral illnesses, hepatitis c
viral illnesses, hepatitis c, statin: something is irritating your liver... causes can be statins, can be viral illnesses, like Hepatitis C, can be from other drugs, alcohol included. Should you be concerned.... yes, by paying attention to it and following up with the workup. Should you be worried.......

Family, Internal Medicine, General Medical Questions: Blackouts (?), orthostatic hypotension, low blood pressure
orthostatic hypotension, low blood pressure, vision blurs: Hi, this is postural hypotension or Orthostatic hypotension which can happen to anyone but is more common in older adults. Orthostatic hypotension is often mild, lasting a few seconds to a few minutes at most after standing. However, long-lasting orthostatic...

Family, Internal Medicine, General Medical Questions: Bowel Problems, Constipation
Constipation: Hi Angel and thanks for writing, Constipation is a common challenge with older adults and it helps to understand what it is to help treat it. Constipation is simply dehydrated stools which are difficult and often painful to pass as they are dry and hard;...

Family, Internal Medicine, General Medical Questions: Broken big toe, Broken Toe
Broken Toe: Hi Sarah, I have broken several toes and never had a cast or treatment for any of them, and they re all fine now. I usually just put some tape around the affected toe and the ones next to it for support, wore proper shoes whenever I was awake for support...

Family, Internal Medicine, General Medical Questions: My baby shot effects, Allergic reaction to shots
Allergic reaction to shots: Hi Meche, It sounds like your son is having an allergic reaction and you need to give him an antihistamine (like Benadryl at the safe recommended dose for his weight) and take him to see a doctor today. Maybe take a picture of his swollen leg now on your...

Family, Internal Medicine, General Medical Questions: bite, pressure bandage, scar tissue
pressure bandage, scar tissue, crush injury: you probably had bleeding under the skin that clotted and stayed there.... it probably shrunk a little, but not completely.... also, the nerves get damaged by the crush injury of the jaw.... and some were damaged, torn or crushed and come back slowly.... after...

Family, Internal Medicine, General Medical Questions: blood thickness, research fish, pt test
research fish, pt test, pt inr: Is there a way I can self test my blood to see if it not too thick or too thin? PT/INR 2. Is the PT test vaild if a person is NOT on blood thinners? Yes, plus Hemoglobin and hematocrit 3. How long before the Coumadin is out of my system? 60-120 hours...

Family, Internal Medicine, General Medical Questions: Cellulitis and soar throat, Broad Spectrum Antibiotics
Broad Spectrum Antibiotics: Hi Jane and thanks for writing, Cellulitis is a powerful infection and can take time to clear. I recommend you go back and have the doctor assess your ankle again and see if another round of Antibiotics are warranted; if you do require a second round then...

Family, Internal Medicine, General Medical Questions: Child and or possible mouse exposure, bar soap, mouse droppings
bar soap, mouse droppings, cold symptoms: oh yeah... I remember now..... that is an incredibly rare disease... somewhere in the southwest there was an outbreak 15 years ago or so. With virus the only thing we can do is prevent through hygiene... there aren t any medications. Any cold symptoms that...

Family, Internal Medicine, General Medical Questions: chest, internal medicine doctor, pulmonary function tests
internal medicine doctor, pulmonary function tests, pulmonologist: I answered this question, but my computer became disconnected. Here are my suggestions: Go to either a pulmonologist or internal medicine doctor Ask for pulmonary function tests, of course describe your symptoms Write down where you are when it happens--what...

Family, Internal Medicine, General Medical Questions: coughing, lingering cough, al brown
lingering cough, al brown, throat infection: The cause is 90% in the throat. It may be simply irritation due to loud voice or throat infection. An ENT specialist can greatly help. Better get the problem identified by a doctor of modern medicine and then take naturopathic treatment is it is not something...

Family, Internal Medicine, General Medical Questions: cyst on cervix painful, cyst on cervix, nabothian cyst
cyst on cervix, nabothian cyst, pain during intercourse: I think you need to read yourself about this condition: www.nlm.nih.gov/medlineplus/ency/article/001514.htm Also not that they do not go away by themselves, but the cysts can be easily removed at the doctor s office using electrocautery or cryotherapy....

Family, Internal Medicine, General Medical Questions: Dysfunctional Uterine Bleeding and 2 Large Clots, symptoms of dizziness, extreme nausea
symptoms of dizziness, extreme nausea, hospital gowns: I see this a lot in the ER. It is hard to tell what happened... you may have missed an ovulation and the uterine lining overgrew and then shed with a very heavy period. With no sex in 4 months, if you were pregnant, it would have shown up in the urine....

Family, Internal Medicine, General Medical Questions: depression &alcohol, cause liver damage, self medicate
cause liver damage, self medicate, l tyrosine: I doubt if the supplements will add much.... if the alcohol was a problem, then stopping may help with the mood but may take a few months. If you have clinical depression, you should pursue treatment... the anti depressants are safe and they should be able...

Family, Internal Medicine, General Medical Questions: ...as a dog., stomach flu, normal body temperature
stomach flu, normal body temperature, teachers room: Hello Tegan, Wow, you do sound like your body is fighting a strong virus or bacteria. I am glad you re going to the doctor as that would be my first recommendation. I am concerned about your stiff neck however, does it hurt if you try to put your chin...

Family, Internal Medicine, General Medical Questions: Ear pain, ear congestion, upper molar
ear congestion, upper molar, sinus infection: sharp pains sounds like either the eardrum has pressure on it (which you probably should be able to see if you are looking in with a scope) or could be nerve related pain. Something like trigeminal neuralgia comes to mind. Also worthwhile checking the teeth,...

Family, Internal Medicine, General Medical Questions: ear aspirator, ear wax, ear aspirator
ear wax, ear aspirator, cerumen: Al, From this description and ear aspirator would be a suction device used in the ear canal that would be used to evacuate water, cerumen (wax), or any other foreign body (bead, insect, etc.). In the ER we would use such a device hooked up to low wall...

Family, Internal Medicine, General Medical Questions: eye, wet washcloth, warm compresses
wet washcloth, warm compresses, boiling an egg: it sounds like a stye, a blocked oil gland... if it gets red, it may be infected. Warm compresses may help it drain, try hard boiling an egg and put it in a wet washcloth... it fits well and stays warm a while. If it won t drain on it s own, you may have...

Family, Internal Medicine, General Medical Questions: eye, sebaceous cyst, warm compresses
sebaceous cyst, warm compresses, washcloths: Warm compresses (warm washcloths) to the eye should help. It sounds like a sebaceous cyst, but since I can t see it (and I m a nurse, besides) I can t make any sort of diagnostic claims. Try the warm washcloths, but get to an eye doctor (even the kind that...

Family, Internal Medicine, General Medical Questions: Frequent adult respiratory illnesses?, upper respiratory illnesses, colds flu
upper respiratory illnesses, colds flu, cold virus: somehow you are getting exposed to respiratory/cold virus ... maybe where you work, where you play.... it isn t your immune system as much as exposure.... careful hand washing and not getting in people s faces that are sick.... it is worthwhile going thru...

Family, Internal Medicine, General Medical Questions: face flushing, face flushing, angioedema
face flushing, angioedema, mild case: I don t believe anxiety either..... this could be a mild case of angioedema... you didn t say how often it occurs or how old you are... whether this is hot flashes from menopause... if it occurs often, try a regular course of benadryl to see if it is blocked......

Family, Internal Medicine, General Medical Questions: feel very ill, thyroid function tests, fentanyl patches
thyroid function tests, fentanyl patches, fentanyl patch: This does not sound like opiate withdrawal, especially since you still had a viable pain patch on.... you need to fix the constipation.... it is partially because of the fentanyl patch. I assume you have had recent thyroid function tests. You should try...

Family, Internal Medicine, General Medical Questions: flu?, sinus infection, nose spray
sinus infection, nose spray, afrin: sounds like a sinus infection.... the sore throat and fever could be strep throat also. It sounds like you need a course of antibiotics.... it would be worth going to the doctor to get those. Also with the blocked nose, use Afrin nose spray twice a day for...

Family, Internal Medicine, General Medical Questions: Growth and development, balanced diet, high protein
balanced diet, high protein, birth weight: Hi, the birth weight and height appear to be OK. Tell him to do regular active exercise or take part in outdoor games and also take a balanced diet having high protein and calcium. He may have good chance to grow in height till about 18 to 20 years of age....

Family, Internal Medicine, General Medical Questions: growth and development, growth horomone, human growth hormone
growth horomone, human growth hormone, controversial treatment: he has probably gotten most of his height... hormonal therapy - human growth hormone - is a controversial treatment... it definitely works and would have to be done pretty quickly to get the benefit. You can talk to your primary doc or an endocrinologist......

Family, Internal Medicine, General Medical Questions: Heartbeat in your stomach?, abdominal aneurysm, epilepsy medication
abdominal aneurysm, epilepsy medication, classic symptom: Gt to the hospital as soon as possible! This is a medical EMERGENCY!!!! You may have an abdominal aneurysm. In fact, if you are in the US, ****call 911 for an ambulance.***** Please followup to let me know how you are doing after you ve been to the emergency...

Family, Internal Medicine, General Medical Questions: Homocysteine and TMG, Homocysteine, Betaine
Homocysteine, Betaine, TMG: Van, Traditionally hyperhomocysteinemia is treated with Vit. B6, B12 and folic acid and this should still be the mainstay of therapy. Betaine Lowers Homocysteine Levels Betaine aka trimethylglycine (TMG) , a vitamin-like compound that occurs...

Family, Internal Medicine, General Medical Questions: Hypoglycemia / Endometriosis, nutrigenomics, surrogate mother
nutrigenomics, surrogate mother, hypoglycemia: If a woman has hypoglycemia as well as endometriosis are her eggs still viable? Yes or are they negatively affected by these conditions. Yes, but viable Could her eggs be harvested, fertilized and successfully implanted in a surrogate mother? Yes Keep...

Family, Internal Medicine, General Medical Questions: heart failure, congestive heart failure, rheumatic heart disease
congestive heart failure, rheumatic heart disease, disease as a child: CHF-congestive heart failure is not a specific disease, it is a condition that results from any number of diseases, some with the heart, blood, kidneys, etc. So you can t make a general rule if you don t know what the underlying disease is.... if it is coronary...

Family, Internal Medicine, General Medical Questions: hematoma, stairs, diameter
stairs, diameter, shape: that is probably a bit of blood that has hardened... if the skin is intact, there shouldn t be an infection. Sometimes that lump may not resolve, sometimes you are left with a fluid collection that can be drained.... it may take 2-3 months sometimes......

Family, Internal Medicine, General Medical Questions: Kidney tumor?, kidney cyst, kidney tumor
kidney cyst, kidney tumor, cyst in the kidney: when you say stomach, I assume you mean abdominal pain... if he also has stomach issues that would be a separate complicating issue. Surgery soon after a recent heart attack puts him at high risk. If it is that urgent, it has to be done... usually, for...

Family, Internal Medicine, General Medical Questions: Loss of Voice, silent reflux, ear nose and throat
silent reflux, ear nose and throat, acid reflux: I m surprised the ENT didn t do more. I d follow up with him. Also, you could have nightly reflux (silent reflux) that you aren t perceiving as pain and you don t otherwise notice. Maybe your ENT saw corrosion of your esophagus when he examined you...

Family, Internal Medicine, General Medical Questions: Loss of Voice, ear nose and throat, acid reflux
ear nose and throat, acid reflux, muscle disorder: do the reflux med for 3 months.... you would be surprised how many people have it but don t have symptoms. Light meals at night, go to sleep with a less than full stomach. Other possibilities are allergies, or a muscle disorder in the throat that may...

Family, Internal Medicine, General Medical Questions: low blood pressure, low blood pressure, flight of stairs
low blood pressure, flight of stairs, emergency doctor: well, you need to have a thorough workup and at least have your medications adjusted. It sounds like you have maintained for a while, but this is probably causing your lightheadedness.... it is best to go thru some doctor that knows you and not an emergency...

Family, Internal Medicine, General Medical Questions: Masturbation, mail id, stress work
mail id, stress work, kind answer: you mentioned both your girlfriend and your wife.... the masturbation doesn t have anything to do with erections at this point, except that if you masturbate, you may have a little less sex drive for a day or two. Most of the time, young men with erection...

Family, Internal Medicine, General Medical Questions: Monen's Health, unprotected intercourse, pap smears
unprotected intercourse, pap smears, girls women: for pap smears and sexually transmitted diseases... cervical ca is almost always caused by HPV virus, gotten thru unprotected intercourse, and it is crucial to find it early to easily protect against cervical ca.... too many people have HPV and don t know...

Family, Internal Medicine, General Medical Questions: medical scenario, medical scenario, emesis
medical scenario, emesis, childbirth: I would check the child at that age, monitor weight carefully, make sure there isn t any fever... this could be nothing but infants that age can get let complications of childbirth and can t vocalize anything.... Basically, I would check them pretty urgently,...

Family, Internal Medicine, General Medical Questions: Need info about head injuries and concussions, brain nerves, mild head injury
brain nerves, mild head injury, mild concussion: prior to cat scans, we had to observe people and do serial neurological checks.... now with cat scans, a negative scan precludes the need to do this.... a bad concussion may be oberved overnight and also to make sure something that was missed is not getting...

Family, Internal Medicine, General Medical Questions: Numbness in fingertip, tips of my fingers, dumb move
tips of my fingers, dumb move, middle finger: there was damage to the nerves on each side of your finger.... if the nerves were completely cut, then the feeling might not come back... if they were only mildly damaged, the nerves can come back, usually at a rate of about 1 mm per month, so may take several...

Family, Internal Medicine, General Medical Questions: Nutritional supplements for someone with digestive health issues, fat soluble vitamins, optimal digestive health
fat soluble vitamins, optimal digestive health, water soluble and fat soluble vitamins: Linda, This is obviously not a simple question and cannot be answered with a simple reply. If you need comprehensive advice I would suggest you obtain it by an online telemedicine physician such as myself (www.saleeby.net) or another off the web sites...

Family, Internal Medicine, General Medical Questions: neurology-neurosurgeon, lumbar puncture, al brown
lumbar puncture, al brown, disorders of the brain: Hi Al, A neurologist is a physician who specializes in the brain, spinal cord, and its associations. Their specialty involves investigating, diagnosing and treating disorders of the brain, spinal cord, and its associations. They do not train nor do they...

Family, Internal Medicine, General Medical Questions: neurology-neurosurgeon, diseases of the nervous system, brain tumor
diseases of the nervous system, brain tumor, nerve tissue: Neurosurgeon operates on nerve tissue.... brain, spinal cord, etc. A neurologist is the medical doctor for diseases of the nervous system and does more diagnosing and treating of diseases of these organs..... he would treat a stroke or parkinson s disease...

Family, Internal Medicine, General Medical Questions: getting older/joint pain, square dancing, kneecap
square dancing, kneecap, working from home: Hi Terry, I think you know what I m going to say - you do need to have a qualified physician examine your knee; without an exam we will never know if it s just normal wear and tear from weight-bearing movements and Square Dancing may speed up its deterioration,...

Family, Internal Medicine, General Medical Questions: omega 3/6 & Cholesterol, Omega 3, Omega 6
Omega 3, Omega 6, Fatty Acids: John, Not sure why you want to eliminate diary products in the first place, but note that all that is soy is not fantastic. For instance in addition to the n-3,6 FA ratios there is the fact that too much soy is goiterogenic. My suggestion is to have a...

Family, Internal Medicine, General Medical Questions: ovarian cyst and abnormal smear, labia majora, labia minora
labia majora, labia minora, pap smears: the ovarian cyst has nothing to do with pap smears... the pap smears suggest there is a vaginal infection, possibly an HPV infection.... this is slow progressing, so make sure you keep up with the pap smears and see if any additional treatment is indicated.......

Family, Internal Medicine, General Medical Questions: Pleim At Night, house dust mite, dust allergy
house dust mite, dust allergy, k mart: I don t see a connection with anxiety unless you are self treating with a lot of sudafed. It sounds like you might have a house dust allergy.... try getting some cheap pillow and mattress covers (very sheer plastic with zippers... wal mart, K mart has them...

Family, Internal Medicine, General Medical Questions: pelvic pain and blood in semen, prostate infection, vigorous activity
prostate infection, vigorous activity, old blood: the injury isn t related. I always wonder how people find blood in semen? The pain suggests a prostate infection or urinary infection.... he should get checked pretty quickly especially if he has not had routine physicals. Blood is pretty common and...

Family, Internal Medicine, General Medical Questions: puncture wound, orthopedist, knee joint
orthopedist, knee joint, rest of the day: that causes a lot of worries... if the nail invaded the knee joint and is causing an infection, that can be a real mess... that should be evaluated by an orthopedist, no matter how he feels now.... don t waste time on this one seeing how it goes.... I am usually...

Family, Internal Medicine, General Medical Questions: Question about flu, pneumococcal pneumonia, bacterial pneumonia
pneumococcal pneumonia, bacterial pneumonia, flu shot: sometimes people develop a secondary bacterial pneumonia when they get influenza... this would provide some protection against that kind (pneumococcal) I don t give it to all healthy adults, usually older people and people with diseases that may affect their...

Family, Internal Medicine, General Medical Questions: query, combined pill, morning urine
combined pill, morning urine, pregnancy test: check another preg test using a first morning urine sample, and if negative, you can start the next pack right away, but you won t be covered for birth control until the first pack is gone... so you have to use alternate methods initially like condoms.......

Family, Internal Medicine, General Medical Questions: Reasons for Low Hormones, symptoms of perimenopause, normal hormone levels
symptoms of perimenopause, normal hormone levels, low testosterone: This is a difficult problem because there are psychological factors involved, usually and sometimes some hormonal factors.... sometimes supplementing some hormones may help and some of the anti-anxiety meds may make the problem worse. The serotonin drugs...

Family, Internal Medicine, General Medical Questions: Recurring Shingles, general malaise, recurring shingles
general malaise, recurring shingles, yoga classes: recurrent episodes of chickenpox are incredibly rare... I would think it is more likely a herpes simplex recurrence.... there is a lot of crossover on appearance. I would question whether the test was truly a chicken pox culture... and it would be reasonable...

Family, Internal Medicine, General Medical Questions: Could it really be MS?, low b12, motrin 800
low b12, motrin 800, fatty liver: I am not sure what your question is, but the B12 should be replaced... often people with low B12 can t absorb it in their intestine so it has to be given in a shot or a nasal gel.... that can cause the numbness symptoms. The thyroid looks OK, with a TSH of...

Family, Internal Medicine, General Medical Questions: recuperation in elderly, Post operative confusion in the elderly
Post operative confusion in the elderly: Hi Elaine and thanks for writing, Two things jump to mind: (i) has she fully recovered from the General Anaesthesia yet, and (ii) is she being given anything for pain like Tylenol #3? Elderly people can really be knocked for a loop by all the powerful...

Family, Internal Medicine, General Medical Questions: Side effect of Zoloft, side effect of zoloft, milk products
side effect of zoloft, milk products, zoloft: diarrhea from those meds should be mild, if any.... if it is bad, I would look for another cause. Otherwise, it is hard to fix that unless you go off zoloft. But, like I said, it is mild, so look for other contributing factors, at least, such as milk products,...

Family, Internal Medicine, General Medical Questions: Swine flu and upcoming season, swine flu, flu season
swine flu, flu season, american articles: well, the flu will not be any worse this season than it usually is.... the swine flu has caused a lot of add l worry. They are right about ER s... when flu is bad, a lot come to the ER and hang out in the waiting room and it is contagious... if you have...

Family, Internal Medicine, General Medical Questions: Swollen glands in neck / armpits for years. Recently right before a miscarriage, swollen glands in neck, irritable bowl syndrome
swollen glands in neck, irritable bowl syndrome, swollen lymph nodes: You have a complicated situation that I can t answer or fix in this forum. But I can make a few suggestions.... first of all, don t lump all doctors in the same category as not caring or not listening. There is someone in your area who will listen. So look...

Family, Internal Medicine, General Medical Questions: left side chest pain, left side chest pain, flight of stairs
left side chest pain, flight of stairs, fibb: 1. What could cause that type of pain, and the nature of it, does it sound cardiac? Answer: it sounds like esophageal reflux or magnesium deficiency 2. What could cause the feelings I have when it wakes me during the night? Answer: it sounds like esophageal...

Family, Internal Medicine, General Medical Questions: left side chest pain, left side chest pain, flight of stairs
left side chest pain, flight of stairs, fibb: First, if you don t like the way you feel, why not work into an exercise routine, even if it is walking 30 min a day. I didn t see where you had a stress test.... that is a goo functional test to see how your heart and lungs work together. Your chances of...

Family, Internal Medicine, General Medical Questions: slight dark patches on face, dark patches, fruits and vegetables
dark patches, fruits and vegetables, iron tablets: If your hemoblobin level came out to be low, then only you need iron tablets. fo patches, you can use potato paste to be applied on the face for one hour daily. Also apply vicco turmeric cream at night daily. regarding diet, do adequate walking daily and you...

Family, Internal Medicine, General Medical Questions: superficial blood clot, birth control pills, superficial blood clot
birth control pills, superficial blood clot, diana 35: I would talk to your doctor and consider some type of anti-coagulation for the trip.... Novasen is basically aspirin.... there are several others that can be used and you should consider getting off the birth control pills.... from your description, it...

Family, Internal Medicine, General Medical Questions: swelling in front of ear, upper jawbone, naphazoline hydrochloride
upper jawbone, naphazoline hydrochloride, eyedrops: it could be a cyst from acne... a deep infection... there are also lymph nodes there that can swell in response to a respiratory infection. If it is painful, it is probably acne and he should be on some antibiotics, otherwise, give it a few weeks to resolve.........

Family, Internal Medicine, General Medical Questions: Tea - Green vs Oolong, Tea, Green tea
Tea, Green tea, Oolong tea: Richard, Not exactly sure where the difference is coming from. Green tea (depending on where is is grown, processed, etc.) differs from Oolong tea (again depending on region grown, etc.) by the process of partial oxydation. Oxydation of the tea leaves...

Family, Internal Medicine, General Medical Questions: Testicular and Lower Right Abdominal Pain with Chronic Bleeding in Semen, ct scan of abdomen, lower right abdominal pain
ct scan of abdomen, lower right abdominal pain, right abdominal pain: sounds like a complicated situation.... the kidneys need further evaluation... you may have bruised/torn them and you need to have that rechecked. The mass parasitic infection finding has me confused, but that has to be further evaluated also.... basically...

Family, Internal Medicine, General Medical Questions: Thyroid, blood test results, cold hands and feet
blood test results, cold hands and feet, calcium carbonate: They missed the TPO thyroid test which shows the gluten in your diet and your antigliadin test which confirms either HLA DQ 2,8 or Autosomal celiac disease. That causes you further malabsorption of Vit A, D, E, C, B-100 time released, magnesium oxide and...

Family, Internal Medicine, General Medical Questions: Tingling/twitching in right foot, right foot, first thought
right foot, first thought, whole life: The first thought that comes to mind is a disc in the low back pressing on a nerve or a nerve being pinched a little around the ankle/foot from shoes, etc. If it is either, it probably will fade away in a couple of weeks.... if it persists you need to get...

Family, Internal Medicine, General Medical Questions: what type of health screening my mom should have, complete physical exam, colon cancer
complete physical exam, colon cancer, ca 125: it depends on how much you want to spend.... In general, a complete physical exam, labs including urine, cbc, thyroid, liver, cholesterol panel. Chest xray. Possibly a colonoscopy for colon cancer ($$$) There are some markers for cancers, like CA-125...

Family, Internal Medicine, General Medical Questions: Unusual Vaginal Discharge, thick white discharge, g spot stimulation
thick white discharge, g spot stimulation, yeast infection: Sounds a lot like a yeast infection. Get swabbed by your gynecologist just to make sure, because a bacterial infection can be similar. If you treat a bacterial infection with antifungals (over the counter), you may make it worse. There are vaginal infections...

Family, Internal Medicine, General Medical Questions: vaginal length, total abdominal hysterectomy, exact measurement
total abdominal hysterectomy, exact measurement, index fingers: With sexual activity the area may stretch somewhat.... after a hysterectomy, the tissue that is oversewn where the cervix used to be will shrink slowly, but with gentle stretching, it can enlarge... I don t know if I have any exact measurement... during sex...

Family, Internal Medicine, General Medical Questions: vitamin D defiency, rapid weight gain, nurse practioner
rapid weight gain, nurse practioner, vitamin d defiency: everyone is low in vit D.... that is the hot new topic... there are very compelling studies saying that our levels need to be normal... so make that a part of your diet... we just don t get enough from diet and very little from sun. I don t know if that explains...

Family, Internal Medicine, General Medical Questions: wheat allergy, wheat allergy, free lifestyle
wheat allergy, free lifestyle, gi problems: hi mariah, thank you very much for your kind words. it is very much appreciated. as with all physicians, we tend to overlook the patient as a human being and their will for knowledge. poor interpersonal communication skills inadvertently cause inappropriate...

Family, Internal Medicine, General Medical Questions: SO YELLOW 2, external ear canal, ear wax
external ear canal, ear wax, waxy substance: Do you mean what is it made of? Ear wax is formed from wax glands in the external ear canal as well as other components such as dead skin, sweat, and oil; the primary component of ear wax is keratin (derived from dead skin). I hope that answers your...

Family, Internal Medicine, General Medical Questions: Ab Pain follow up, pain signals, hollow organ
pain signals, hollow organ, cat scan: when the colon stretches, it sends pain signals... as with any hollow organ (heart, stomach, intestine and others) the pain is referred meaning it is vague and in one general area.... the right side of the colon is around the belly button, the left side,...

Family, Internal Medicine, General Medical Questions: Antibiotics side-effects and duration of taking them, sinus pressure, nasal rinse
sinus pressure, nasal rinse, sinus infection: It is rare to get diarrhea after one dose... it usually is a few days of the antibiotic.... and almost always, it resolves when you stop the antibiotic. The problem with stopping early, is, you may have suppressed the infection but not cured it, and if...

Family, Internal Medicine, General Medical Questions: abnormal lab results, low anion gap, thalessemia
low anion gap, thalessemia, hepatitis c: It is harder without the absolute lab results... but If the Hb is normal, the RBC, RDW, MDH, MCHC and MPV don t matter. The MCV is low is consistent with a few things... like iron deficiency, lead poisoning, or a genetic problem like thalessemia, but a little...

Family, Internal Medicine, General Medical Questions: Blood clots, push ups and sit ups, pig valves
push ups and sit ups, pig valves, ascending aorta: I assume you meant the titanium valve instead of pig because of the size of the valve, not the embolixm.... blood clots can and probably do occur a lot more than we know, unless they hit a specific target organ, there may be little or no symptoms. And...

Family, Internal Medicine, General Medical Questions: Blood Products, red blood cells, abo blood type
red blood cells, abo blood type, white blood cells: I d like to pose you some questions about blood products. I ve done some research on the Internet, and I was left with a few doubts. First of all, I understand that you don t use whole blood for transfusions anymore, these days. But is this absolutely true...

Family, Internal Medicine, General Medical Questions: bad breath, teath, sphincter muscle
teath, sphincter muscle, jaw bone: The heartburn was the key thing you said, as far as I m concerned. Please see your family/general doctor. I wonder if you have a loose sphincter muscle in your esophagus creating back up from your stomach into your throat, and a consequence of which is...

Family, Internal Medicine, General Medical Questions: chronic diarrhea, crohn s disease, chronic diarrhea
crohn s disease, chronic diarrhea, milk cheese: I would worry about ulcerative colitis/crohn s disease, unfortunately that is diagnosed with an expensive colonoscopy. In the mean time, avoid all milk/cheese butter and see if that helps, and also try adding in fiber (I know it sounds backwards) that can...

Family, Internal Medicine, General Medical Questions: My Daughters Health, tilt table test, joan pearson
tilt table test, joan pearson, infectious desease: I assume she is at a good center.... I would consider having her go to the Mayo Clinic or Cleveland Clinic.... this is more likely a metabolic problem (as opposed to an infection) and it may take some testing for rarer illnesses and she would be best served...

Family, Internal Medicine, General Medical Questions: Diagnosis., low potassium levels, acid reflux
low potassium levels, acid reflux, bouts: I assume they did a lot of tests... I would look at her thyroid and if on any meds, she needs to have these looked at for possible side effects. It doesn t sound like they resolved the stabbing pain... something caused it and she needs more to determine the...

Family, Internal Medicine, General Medical Questions: Sinus/Antibiotics fiasco, sinus antibiotics, cheek bones
sinus antibiotics, cheek bones, allergy asthma: With the hole in the septum... presumeably from past use of ... it may be not a great thing to use afrin... but it is safe in general, if used twice a day for 3-5 days for swelling from some short term infection. Using it chronically isn t good. Zithromax...

Family, Internal Medicine, General Medical Questions: diabetes, low blood pressure, peripheral neuropathy
low blood pressure, peripheral neuropathy, definite cause: if the sugar is normal... that is not diabetes related directly. the dizziness may be related to low blood pressure or may be related to peripheral neuropathy, if he has that. The cardiologist or neurologist is in the best position to do the proper evaluation...

Family, Internal Medicine, General Medical Questions: flu shot, rn msn, flu shot
rn msn, flu shot, flu season: Robin, Great question, and as it turns out, you did NOT get the flu shot too early! Now you can tell your friends: avoid the crowds, get it sooner than later! I am so glad I know the answer to this now. Here s a link below, but I also found other sources...

Family, Internal Medicine, General Medical Questions: Greenish tinge, mach 3 razor, greenish tinge
mach 3 razor, greenish tinge, looking in the mirror: That doesn t ring any specific bell for me.... I am assuming south asia means oriental, korean, vietnamese area? Is the greenish tinge in looking in the mirror or something rubbing off? The shave gels have some pigments in them... you might try just a plain...

Family, Internal Medicine, General Medical Questions: Heart rate question... torturing me, resting heart rate, dealing with anxiety
resting heart rate, dealing with anxiety, chronic alcohol: If your pulse responds to exercise, it doesn t worry me that your resting pulse is low. This may be a result of your previous physical activity. And you already had the heart testing showing there wasn t some nerve conduction problem in the heart. The resting...

Family, Internal Medicine, General Medical Questions: Herniated disc & spinal stenosis, thecal sac, pain management specialist
thecal sac, pain management specialist, facet joints: It is hard to equate MRI findings with a clinical course... some people have horrible disc disease and no symptoms and vice versa. Since surg isn t an option, if you are in pain, consider a pain management specialist who might be able to improve things with...

Family, Internal Medicine, General Medical Questions: Hiatus Hernia, hiatal hernias, hiatus hernia
hiatal hernias, hiatus hernia, chest side: Hiatal hernias are common, especially in people over age 50. Eating small meals, avoiding certain foods, not smoking or drinking alcohol, and losing weight may help. Your doctor may recommend antacids or other medicines. If these don t help, you may need surgery...

Family, Internal Medicine, General Medical Questions: my health problem, high carb food, allergic response
high carb food, allergic response, low carb food: it sounds like you are having some type of allergic response, not necessarily from a high carb but something specific, like a certain type of grain... rice, wheat, etc.... your job is to try to figure out specifically which type of food it is... good luck...

Family, Internal Medicine, General Medical Questions: high blood pressure, framingham study, litmus test
framingham study, litmus test, high blood pressure: when you say litmus test.... it is hard to prove direct cause and effect... but several long term studies show that even with removing other variables, such as chol, etc. that the rates of heart attack and stroke go up with untreated HTN.... one of the biggest...

Family, Internal Medicine, General Medical Questions: internal medicine question, gall bladder disease, stress fracture
gall bladder disease, stress fracture, gall bladder: I am trying to put all the symptoms together and I don t come up with anything. The big concern is the weight loss and GI symptoms (without trying.) I think you need a complete workup for this, by a gastro... I would be concerned that there is something...

Family, Internal Medicine, General Medical Questions: Lower abdominal Pain, intestine problem, stomach cramps
intestine problem, stomach cramps, groin area: a blood test can suggest an infection, but can t pinpoint an appendicitis. It sounds like a lower intestine problem with that pain below the belly button. I would have expected you to say the pain occurred then an episode of diarrhea..... It could be...

Family, Internal Medicine, General Medical Questions: Men, hormone fluctuations, google
hormone fluctuations, google, time of the month: In my humble opinion, the grouchiness comes with age. I think it s a decline in testosterone making them irritable, more likely to get in arguments over petty things. Have not heard of monthly hormone fluctuations but you could certainly google it :-...

Family, Internal Medicine, General Medical Questions: Mystery illness, easy brusing, tingling in arms
easy brusing, tingling in arms, throat discomfort: this is a tough one... you said you had a lot of tests, but not which ones.... for hashimotos, I assume you had thyroid antibiodies done... I would also like to know if you had a sed rate done and if you have gained weight with these occurring. Sometimes...

Family, Internal Medicine, General Medical Questions: New born Low Heart Rate, low heart rate, vacuume
low heart rate, vacuume, brain damage: Critical care treatment for newborns is tough because they can t say what is wrong... the low heart rate could be from an infection and the turning blue could be from infection also. If not, usually newborns grow out of the turning blue when eating thing...

Family, Internal Medicine, General Medical Questions: odor, fatty liver disease, alcoholic fatty liver
fatty liver disease, alcoholic fatty liver, non alcoholic fatty liver disease: I would ask your doctor about it. I wonder if you are passing protein in the urine? Important to get that checked out--could be a kidney problem. It s common to have sweet breath (almost sickeningly sweet) with diabetes, but the protein smell I m unfamiliar...

Family, Internal Medicine, General Medical Questions: Pain and other things in left arm..., shoulder bursitis, elbow area
shoulder bursitis, elbow area, alleve: It sounds like some shoulder bursitis... you can get pain radiating down. I would try ice, 20 min on, 2 hours off and try some full strength anti-inflammatory like alleve 2 twice a day. Try that for a few days, then you may need to have it checked if not...

Family, Internal Medicine, General Medical Questions: Pain and pressure under right ribs, internal medicine doctor, liver pain
internal medicine doctor, liver pain, milk thistle: I m wondering if it s really muscular, when it may be liver related, as you are thinking it might be, too. I ve had liver pain before and it can be constantly on your mind, dull painful ache no matter how you move or what you do....I would ask my doctor how...

Family, Internal Medicine, General Medical Questions: Paralysis, complete body, initial stage
complete body, initial stage, physiotherapist: Hi Vani and thanks for writing, With any paralyis the concern is that she may hurt herslef as she doesn t have normal feeling on the affected side and she could burn herslef by drinking tea or coffee that s too hot. Has she had a second opinion? How...

Family, Internal Medicine, General Medical Questions: my period., irregular periods, period cycle
irregular periods, period cycle, gr 10: Thanks for your question. I get asked this from time to time. Need to get your hormones checked out at a family practice doctor or a gynecologist. It s not normal to have irregular periods for 3 years--that s too long. Periods lasting longer than 2 weeks...

Family, Internal Medicine, General Medical Questions: peripheral neuropathy, nerve conduction studies, peripheral neuropathy
nerve conduction studies, peripheral neuropathy, tingling sensation: in one foot, I would worry that a nerve is being pinched, usually in the low back or sometimes from a shoe that fits differently.... I wouldn t write it off as perip neuropathy yet... I would consider nerve conduction studies to see if there is a specific...

Family, Internal Medicine, General Medical Questions: postherpetic neuralgia, lidoderm patches, nerve blocks
lidoderm patches, nerve blocks, minimal benefit: acupuncture may be of help.... I don t think this is the appropriate problem for the chiropractor. I would also continue with the nerve blocks, if they can hit the right nerves, it should help. You have almost finished all the normal treatments... the only...

Family, Internal Medicine, General Medical Questions: Recurrent strep in infant, liver function, antibiotic sensitivity
liver function, antibiotic sensitivity, bactroban: I would be tempted to test all family members again, or treat all family members with ab, and with bactroban in the nose. If this is culture proven strep, then it should be grown out and get antibiotic sensitivity... this has already probably been done. ...

Family, Internal Medicine, General Medical Questions: Reduce dietary fat?, massive heart attack, bacon and eggs
massive heart attack, bacon and eggs, family history of heart disease: the salt issue refers to the hypertension... the fats are indirectly linked to blood pressure if they make you fat... but if you aren t overweight, not an issue with respect to hypertension, BUT, it is a factor in your risk for heart disease, stroke, etc....

Family, Internal Medicine, General Medical Questions: Reflux, pathological increase, hi jill
pathological increase, hi jill, excess gas: hi jill, as stated before, there may be an abnormal production of gastric juices. reflux is not a timed process. it is due to a weakened or malfunctioned closure of the esophageal sphinters; thus allowing stomach contents to retrograde. gastric juices normally...

Family, Internal Medicine, General Medical Questions: STDs, recurrent fever, sex masturbation
recurrent fever, sex masturbation, hiv from receiving oral sex: The virus is present in some saliva, but it needs a way to get into the blood stream.... so agressive kissing which may split some tissue on a lip, etc could introduce it. It is hard to prove exactly what absolutely doesn t transmit HIV. With all the testing,...

Family, Internal Medicine, General Medical Questions: left side chest pain and test results, target heart rate, left side chest pain
target heart rate, left side chest pain, holter monitor: it is typical for young people to exceed the target heart rate... a lot has to do with your inactivity and deconditioning. That test shows there are no significant blockages. You could have a 20% block that wouldn t show up. With a normal stress, it...

Family, Internal Medicine, General Medical Questions: left side chest pain and test results, target heart rate, left side chest pain
target heart rate, left side chest pain, holter monitor: Hi, You need to avoid taking beer. your weight ahould also get reduced by 30 to 50 pounds. a the present state, you are at high risk heart diseases. You should increase activity and take lots of salad with food. try to take half salad and half food. also...

Family, Internal Medicine, General Medical Questions: left side chest pain and test results, target heart rate, left side chest pain
target heart rate, left side chest pain, holter monitor: Hi Michael, Your echo certainly pinpoints to one specific problem - how much stimulants did you ingest prior to the echo? Stimulants like coffee, alcohol, tobacco, or caffeinated drinks certainly can induce premature atrial and ventricular beats. When there...

Family, Internal Medicine, General Medical Questions: stomach problems, upper gi series, chinese herbalist
upper gi series, chinese herbalist, stomach problems: these are tough problems.... there is no specific test for IBS and we often use that as a diagnosis when everything else is negative. I don t know who you saw initially, but you might ask your doctor to send you to one of the bigger gastrointestinal centers...

Family, Internal Medicine, General Medical Questions: Tetanus, Tetanus
Tetanus: Hi Michael, Just keep an eye on the spot, as long as it doesn t show signs of infection (redness, swelling, tenderness) you ll be okay. Tetanus shots are good for five years so you should get another some time this year, but don t panic about it; I m a...

Family, Internal Medicine, General Medical Questions: Had a wisdom tooth out, circulation issue, leg veins
circulation issue, leg veins, wisdom tooth: I would go to an internal medicine or cardiovascular doctor. You are right, it could be a jaw infection, but--The neck pressure may be some obstruction in your neck artery. And your leg veins--it just sounds like a circulation issue. Get checked out again--infection...

Family, Internal Medicine, General Medical Questions: should I worry, hurnia, muscle wall
hurnia, muscle wall, repair surgery: that is hard to tell.... he has a problem with the muscle wall to start from, he is a setup for these hernias... and with the infection complication, it can be a prolonged recovery. I don t see how someone can say he can never work... people are resourceful...

Family, Internal Medicine, General Medical Questions: Over 50, fitness buff, hormone replacement therapy
fitness buff, hormone replacement therapy, nutrition supplements: Terry, Don t give up on exercise. That is the fountain of youth believe it or not... along with good nutrition and balanced hormone replacement therapy when indicated. After 40 men s testosterone levels drop as do other hormonal axis and that is a BIG...

Family, Internal Medicine, General Medical Questions: Abdominal pain, high white blood cells, lower abdominal pains
high white blood cells, lower abdominal pains, low grade fever: yeah..... (to the first sentence) Frequent sex, maybe a little pain, inflammation, but not white cells/fever. In the prostate, people can get chronic prostatitis where is does go dormant then recurs. The more I think about it, the more I would definitely...

Family, Internal Medicine, General Medical Questions: Attack under rib cage, gallbladder attack, focal seizures
gallbladder attack, focal seizures, strength tylenol: It is possible to still have gallstones post surgery. There also could be scarring in that area. This also could be musculo-skeletal. It is unlikely kidney--- wrong area. It is important to get an evaluation when you are having the attack... it is probably...

Family, Internal Medicine, General Medical Questions: Bleeding, endometrial stripe, ultrasound findings
endometrial stripe, ultrasound findings, echotexture: You have to take findings on a test in context... the ovaries may be enlarged but not from disease... they probably have always been enlarged. It isn t unusual to bleed irregularly and heavily following a provera challenge. So, the missed period is probably...

Family, Internal Medicine, General Medical Questions: birthmark, brown birthmark, dermatologic surgeons
brown birthmark, dermatologic surgeons, cosmetic reasons: if it is a lot darker, then it probably can be improved significantly. an oval that size might be able to be excised (cut out) also, leaving a thin line. A plastic surgeon is the person you want to consult with, sometimes dermatologic surgeons that specialize...

Family, Internal Medicine, General Medical Questions: bladder infections, recurring bladder infections, wear cotton underwear
recurring bladder infections, wear cotton underwear, frequent bladder infections: I don t know if you have had any tests, but sometimes people have a structural problem causing recurrent infections or possibly a retained kidney stone.... I would ask for a workup or a referral to a urologist so you don t have to keep going thru this...

Family, Internal Medicine, General Medical Questions: Cholesterol, cholesterol, HDL
cholesterol, HDL, TC: Kevin, Your lipid profile based on just the total-Cholesterol (TC) and your HDL-C appears to be OK from a cardiac risk perspective. Yes we like to keep TC under 200. We would like our HDL to be above 40. Actually a HDL-C equal or greater to 60 is considered...

Family, Internal Medicine, General Medical Questions: Continue Antibiotics???, heart valve problems, complications of strep throat
heart valve problems, complications of strep throat, swollen glands: take the antibiotics.... the full course. This easily could be strep and a partial treatment sets you up for the complications of strep throat... heart valve problems..... I agree with not using antibiotics if appropriate, however, this time it is appropriate...

Family, Internal Medicine, General Medical Questions: cbc, liver problem, hmo plan
liver problem, hmo plan, screening tool: There are two parts to this.... if someone hasn t had a problem with statins, then I only check them yearly... it is very very unusual to have a liver problem from them if you have tolerated them for a while. The CBC is a diagnostic help when someone is...

Family, Internal Medicine, General Medical Questions: cbc suggestions, iron deficiency anemia, neutrophilis
iron deficiency anemia, neutrophilis, billirubin: If the hemoglobin or hematocrit are low, then the low MCV suggests iron deficiency anemia, so iron suplement and figure out why you are becoming anemic are indicated. Bili high means nothing by itself. Glucose low if you aren t diabetic, is probably...

Family, Internal Medicine, General Medical Questions: dizziness with eye movement, inner ear disorder, tongue numbness
inner ear disorder, tongue numbness, ringing in the ears: I expect it is simply labyrinthitis, an inner ear disorder that should go away in a week, sometimes up to three weeks. As long as you don t have ringing in the ears or hearing loss, that is OK. I am not sure what to make of the tongue numbness. I would...

Family, Internal Medicine, General Medical Questions: elbow clicking, elbow joint, back workout
elbow joint, back workout, bicep: you prob did stretch lig s but you have some cartilage inflammation now... it will probably subside, maybe sooner if you take motrin or another drug like that. If you don t mind it, you can continue the workouts, if you want it to go away sooner, hold the...

Family, Internal Medicine, General Medical Questions: bladder infections, renal ultrasound, nephrologist
Family, Internal Medicine, General Medical Questions: bladder infections, renal ultrasound, nephrologist, urologist

Family, Internal Medicine, General Medical Questions: post concussion syndrome
Family, Internal Medicine, General Medical Questions: post concussion syndrome

Family, Internal Medicine, General Medical Questions: High Blood pressure, Nosebleeds and Headaches..., nosebleed treatment, low blood sugar
nosebleed treatment, low blood sugar, mild headache: the blood pressure is not causing the nosebleeds.... it may be the reverse. You need an evaluation to have your blood ocunts checked. Also a review of your meds to make sure you aren t taking any that make you prone to bleed, then standard recurrent nosebleed...

Family, Internal Medicine, General Medical Questions: internal med or family practice?, internal medicine doctor, outpatient medicine
internal medicine doctor, outpatient medicine, medicine doctors: I am family practice so I might be biased.... there is not a lot of difference in the training... each is 3 years long, there is more emphasis in internal medicine with inpatient medicine and ICU type medicine. There is more emphasis on the family as a whole,...

Family, Internal Medicine, General Medical Questions: MEDICATIONS, Too many medications
Too many medications: Thanks, Ken, that’s quite a pile of meds she’s on. I’ll share with you what I’d be asking if she was my Mom … First of all it of course makes a significant difference what her actual medical diagnoses are and which are secondary issues (ie: side-effects...

Family, Internal Medicine, General Medical Questions: magic mouth wash formula, Magic Mouth Wash, Formulations
Magic Mouth Wash, Formulations, Ulcers: Judy, Magic MW and Dukes MW and Comfort MW are all variations of a medicinal mouthwash and even within the same named formula there is variation depending on the compounding pharmacy. Typically however the Magic MW formula is: 28cc Mylanta (or Maalox)...

Family, Internal Medicine, General Medical Questions: memory problems, memory problems, dementia
memory problems, dementia, nurse: You have already made sure that her doctor knows about it and can do some short easy tests during the office visit to confirm. Otherwise, there isn t a lot you can do that will help, and will only push her away. If anyone lives with her, enlist their help....

Family, Internal Medicine, General Medical Questions: nursing home's responsibility in feeding elderly when they refuse, Feeding tubes for decreased appetite
Feeding tubes for decreased appetite: Hi Joni and thanks for writing, I apologise for my slow response, I have been ill all week. As you are well aware, the PD ids a progressive disease that eventually makes the patient require help with every aspec of daily life, including feeding. It sounds...

Family, Internal Medicine, General Medical Questions: odd symptoms, low blood pressure, thyroid levels
low blood pressure, thyroid levels, odd symptoms: rarely is there NO possibility of pregnancy... but that would have been my first concern. I would also have your thyroid levels checked and your hemoglobin. The dizziness in the shower may be the bp going lower... low blood pressure is good, except you don...

Family, Internal Medicine, General Medical Questions: Painful Armpit bumps, vomiting, feel feverish without the fever, thumbnail size, septra
thumbnail size, septra, deoderant: I assume you are african american.... these bumps are folliculitis... little infections... when you have it for a while, it is hydradenitis..... sometimes really hard to get rid of completely. At this point, you need to be on antibiotics and followed by...

Family, Internal Medicine, General Medical Questions: Pure Cod Liver Oil (Seven Seas), cod liver oil, high cholesterol levels
cod liver oil, high cholesterol levels, omega 3 fatty acids: Lawrence, Omega 3-Fatty Acids in Marine Fish Oil has been proven by reputable scientific studies to lower bad cholesterol and triglycerides and thus impact the long term untoward effects of elevated lipids on cardiovascular health. That being said, it...

Family, Internal Medicine, General Medical Questions: pancreatitis, gallstone pancreatitis, right abdomen
gallstone pancreatitis, right abdomen, binge drinker: abdominal pain is tough to diagnose sometimes... we have several tools... blood tests like lipase/amylase for pancreatitis and cat scans.... The blood tests are high in acute pancreatitis almost all the time, but in chronic, the pancreas may have been damaged...

Family, Internal Medicine, General Medical Questions: post concussion syndrome, post concussion syndrome, loss of memory
post concussion syndrome, loss of memory, brain power: I don t think you are a hypochon and I agree that I don t put much faith in the childhood abuse .... there has been a lot in the news about cumulative concussions.... the CT is always negative in a concussion... so there is no bleed but neurons have been...

Family, Internal Medicine, General Medical Questions: Recurring DVT, cause blood clots, hematologists
cause blood clots, hematologists, coumadin: you obviously have a genetic clotting disorder (most likely) unless there is some other predisposing factor like being massively overweight. In any event, yes, low plasminogen is one thing that can cause it but the bottom line is that you need lifelong coumadin...

Family, Internal Medicine, General Medical Questions: Swollen finger with pain, thyroid tests, doxicycline
thyroid tests, doxicycline, dominant hand: gout would also be my first choice, also pseudogout. It is possible it is a low grade chronic infection, it is possible to be RA but less likely since other joints are not affected. It could have been an injury that is just smoldering along. I would...

Family, Internal Medicine, General Medical Questions: sticky lips, minocycline tablets, minocin
minocycline tablets, minocin, minocycline: we have to know what causes it first, in order to figure out a cure.... I don t see a direct relationship with the minocin but I would stop it for now and see if the lips get better. I would also suggest you have a general checkup with some labs, including...

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

Family, Internal Medicine, General Medical Questions: after tattoo, MRSA, staph infections
MRSA, staph infections, strep infections: Alexia, You are probably getting furuncles (or staph/strep infections of the skin)... could be superficial like a folliculitis or more serious like an abscess (furuncle/carbuncle). Because the skin was broken by the tattoo needle it allowed bacteria from...

Family, Internal Medicine, General Medical Questions: turkey baster feeding!, Force feeding
Force feeding: Hi Linda and thanks for writing, I apologise for my slow response, I have been ill all week myself with a stubborn virus. I am so very sorry to read about your Moms condition. I can tell you that yes standards of care do vary widely from home to home even...

Family, Internal Medicine, General Medical Questions: Undigested food or worms in stool?, worms in stool, intestinal virus
worms in stool, intestinal virus, thin pieces: they aren t worms.... (unless they were wiggling!!) When someone has an intestinal virus or problem... things move through so fast that they can t get digested well, so it is the noodles... you won t see any more, provided you don t eat any more noodles......

Family, Internal Medicine, General Medical Questions: viagra/generic viagra, generic viagra, generics
generic viagra, generics, internet site: There technically is no generics. You can get it cheaper online... pharmacy cost about $17 per pill. I find it really hard to believe that you can get it for $1-2 per pill at some of these sights. Like this one http://www.thecanadianpharmacyone.com/item.php?id=188&said=MSN...

Family, Internal Medicine, General Medical Questions: walk after supper?, gas and bloating, saleeby
gas and bloating, saleeby, brisk walk: Barry, There is no harm in a walk (even a brisk walk) after dinner. There may be issues with jogging or running or even swimming after a big meal, but not walking. In Europe that is the norm.. after an evening meal, many will go for a walk about town....

Family, Internal Medicine, General Medical Questions: What could this be?, neck ache, flu shots
neck ache, flu shots, flu vaccine: If you had the immunizations a day or two before the symptoms, they are from the immunizations... it doesn t mean the shots got you sick. But it is very common to get an inflammation reaction to the foreign proteins injected.... it makes sense that you are...

Family, Internal Medicine, General Medical Questions: 4 day fever, infulenza
infulenza: Hi there Michael. This sounds like your classical influenza. The nature of it is for the temperature to fluctuate as you describe. It does not matter what medicine you take. It will run its course. Temperature is part of your body s defence mechanism. It will...

Family, Internal Medicine, General Medical Questions: Animal bites/scratches and infection, rabies vaccination, post exposure prophylaxis
rabies vaccination, post exposure prophylaxis, incubation period: You are mixing potential treatments.... post exposure prophylaxis would not be helpful for rabies... it would be for bacterial infections in some situations. Re: Rabies... it is very unlikely in general that you were bitten by an animal at all. If this...

Family, Internal Medicine, General Medical Questions: Bronchial sounding cough, normal?, coughing up mucus, strong immune system
coughing up mucus, strong immune system, nasal congestion: so you have a little rattle but no other symptoms.... since it is longstanding and isn t changing... I don t think you need any workup assuming you have no other respiratory symptoms like nasal congestion or shortness of breath...... I hope this helps......

Family, Internal Medicine, General Medical Questions: on going breathing problems, restless leg syndrome, post nasal drip
restless leg syndrome, post nasal drip, netti pot: I always wonder when we try to come up with a reason to explain a particular sign or symptom, like the blood oxygen... they were right of course to look for the PE, but now that it is 100, I see this as normal, not hyperventilating. This could easily be a...

Family, Internal Medicine, General Medical Questions: Cyst? Boil? Ingrown hair?, general good health, ingrown hairs
general good health, ingrown hairs, inner thighs: these sound like multiple sebaceous cysts... you said your cholesterol was normal, but were your triglycerides normal also? These are easy to remove surgically with minimal scarring (in the office) when they are not infected. I am not sure why they would...

Family, Internal Medicine, General Medical Questions: confused help, birth control pills, pregancy tests
birth control pills, pregancy tests, forms of birth control: you have to decide whether you are going to take the pill or not. IN the meantime.... you need to use other forms of birth control. Your stop/start program on the pills is messing up your cycle... you either have to control it internally (where you are...

Family, Internal Medicine, General Medical Questions: enlarged ovary, enlarged ovary, ovary
enlarged ovary, ovary, radiologist: this is a hard concept, but ovaries can grow really really large in the pelvis without causing any problems.... even at 10 cm, the pain you are having may be from another cause. There is a lot of space in the pelvis.... I have seen ovarian tumors that were...

Family, Internal Medicine, General Medical Questions: Foot, alleve, pack ice
alleve, pack ice, ice cubes: ok........ I didn t see a question there, but, The sole of the foot is very complicated with a lot of crosslinked bones and muscle. It is very easy to strain something in that area. If you haven t done anything really out of the ordinary... a fall,...

Family, Internal Medicine, General Medical Questions: flu shot, flu shot, flu vaccine
flu shot, flu vaccine, flu jab.: Hi there Al. Thank you for your question. The typical Flu Shot is not a drug as such but are attenuated (or modified) viruses. The manufacturers try to predict which flu viruses will be prevalent during the coming season and make up their vaccines accordingly....

Family, Internal Medicine, General Medical Questions: flu shot, Flu Vaccines
Flu Vaccines: Al, The following information may be helpful in understanding the flu vaccines and your desire to obtain it. Remember the multi-dose vials have thimerosal (Hg) in them as a preservative. Hg should be avoided. http://www.jfponline.com/Pages.asp?AID=4453&UID...

Family, Internal Medicine, General Medical Questions: flu like symptoms for 4 days, mild fever, viral illness
mild fever, viral illness, flu like symptoms: The flu hasn t happened yet this year, so it isn t that. We never see the flu before mid december in the United States. This could be another viral illness, but appears to be a little more severe than can be explained simply by that. If you had a sore...

Family, Internal Medicine, General Medical Questions: fluid behind ear drum, ent doctors, ear tubes
ent doctors, ear tubes, sinus infections: different ENT doctors have different thresholds, but if the ear problems don t completely go away in between infections, then tubes are necessary. Then, it depends on how often the infections occur.... if those were true ear infections, then he probably...

Family, Internal Medicine, General Medical Questions: Gastro problems, rare digestive diseases, gal bladder
rare digestive diseases, gal bladder, gal stones: the frequent chalky stools are not consistent with simple indigestion. If you take Zantac or Prilosec, and the symptoms completely go away after a few days, then it is heartburn. But this may very well be gall bladder.... an ultrasound would answer that...

Family, Internal Medicine, General Medical Questions: guidance for E D medicines, safe medicine, mild dose
safe medicine, mild dose, sex activity: trying to adjust heart rate with beta blockers are counterproductive as that may inhibit your erection. Assuming you have a good heart, ie, a stress test or other testing, then simply take the viagra and put up with the tachycardia. (Fast heart rate) ...

Family, Internal Medicine, General Medical Questions: hemorrhoids, hemorrhoid, fiber supplement
hemorrhoid, fiber supplement, bowel movement: this sounds like a hemorrhoid. If you are constipated at all, get on some type of fiber supplement. Otherwise, you can use some of the hemorrhoid cvreams and allow it to heal. Is this supposed to happen? No, but it does often, especially after delivery...

Family, Internal Medicine, General Medical Questions: Joint soreness after activity, sore joints, joint soreness
sore joints, joint soreness, moderate activity: unfortunately, yes, it is a matter of age.... the muscles de-condition easier and complain when you re-activate them. After the initial aches, with continued regular activity, the symptoms should go away...... maybe after 3 weeks. If it continues... that...

Family, Internal Medicine, General Medical Questions: Laceration - Concern with Scarring
you will have to be patient to see if anything needs to be done...... No matter what it looks like now, no one would consider revising it until it is stable... a minimum of 6 months.... and with the dermabond still on it, leave it alone. The body has a...

Family, Internal Medicine, General Medical Questions: Low thyroid, thyroid medication, low thyroid
thyroid medication, low thyroid, hair breakage: starting at a low dose, you should not have any side effects. If you want a trial off, you can try it, but the tests are slow to change, so it takes several months to see if you still need it, but, chances are that if you need it now, you will continue...

Family, Internal Medicine, General Medical Questions: LUNG XRAY, lobes of the lung, southeast asia
lobes of the lung, southeast asia, tb: fissure is the space between the lobes of the lung, sometimes visible if there is some fluid in there. If it is scarred from an old infection, it may be thickened. You didn t say where you were from but if you were from southeast asia, you may have had TB...

Family, Internal Medicine, General Medical Questions: low thyroid - natural things to do before replacement therapy, thyroid, goiter
thyroid, goiter, goitrogenic foods: Mandy, Treating folks for subclinical or lab normal hypothyroidism is my forte. A few things you should know you will find at the following links. The powerpoint hits on a few things you can try prior to taking prescription whether it be synthetic or...

Family, Internal Medicine, General Medical Questions: Menstrual cycle, menses, menstrual cycle
menses, menstrual cycle, 28 days: you start counting from the first day of your menstrual cycle... then you ovulate exactly 14 days before the next cycle. If your period is 28 days it is always 14 days after your first day of menses. If your period is 30 days, it is 16 days after your first...

Family, Internal Medicine, General Medical Questions: meaning of blood test terrm, red flags, breast cancer
red flags, breast cancer, lymph nodes: you are right, flagged means outside of the normal range. The normal range means what 95% of normal people fall into. The flipside means that 5% of normal people are outside of that range. L does mean low... having a mildly low value there really does...

Family, Internal Medicine, General Medical Questions: Overmasturbation
I would consider that these side effects are not directly related to the over masturbation..... you didn t quantify, but guys masturbate more frequently than you think..... With all those symptoms, I would have an exam including thyroid function tests.......

Family, Internal Medicine, General Medical Questions: Painful lump on lower leg, lump under the skin, painful lump
lump under the skin, painful lump, nurse practitioner: This sounds like more of a cyst/abscess than cellulitis, but if you still have a lump, I would have that removed. You said it wasn t improving much, but it started red and now is just discolored... so the treatment did something, but often, these lumps...

Family, Internal Medicine, General Medical Questions: pain and hypermobility, pediatric orthopedist, regional pain syndrome
pediatric orthopedist, regional pain syndrome, rib fracture: I would look for a pediatric orthopedist... there are not a lot around in smaller cities. Your best bet would be to talk to her regular doctor about a referral to a teaching institution to get to one of the professors in the orthopedic program that specializes...

Family, Internal Medicine, General Medical Questions: question about flu vaccine and my son, flu vaccine, strep infection
flu vaccine, strep infection, vaccinated: The first question is a valid one.... we don t give during an illness because it might be less effective and also, it is harder to tell if someone has a reaction if they are physically sick from something else. With all that said, it is very easy to convert...

Family, Internal Medicine, General Medical Questions: Rapid hair fall, thyroid tests, seasonal occurrence
thyroid tests, seasonal occurrence, seasonal allergy: I would start from scratch and take a hormonal look at you... specifically thyroid tests and testosterone tests. Sometimes we don t come up with an answer to hair loss and wind up only treating the symptom, but occasionally it is caused by thyroid or...

Family, Internal Medicine, General Medical Questions: Rash On Neck, rash on neck, topical steroid cream
rash on neck, topical steroid cream, benzoyl peroxide: you could be right.... to test this, put a dab of the cream on your inner upper arm, just below the armpit... the skin is pretty thin and sensitive there, so if you are going to react, you would do it there. If it is, you can try some topical steroid...

Family, Internal Medicine, General Medical Questions: Recurring Yeast, recurrent yeast infections, gentian violet
recurrent yeast infections, gentian violet, prescription pills: the term is colonized.... just a few additional things... eat a big meal and have your blood sugar checked 2 hours afterwards... this is the best screen for diabetes.... diabetics get yeast infections regularly. Do not douche.... I would treat...

Family, Internal Medicine, General Medical Questions: rectal bleeding, low grade fever, menstral cycle
low grade fever, menstral cycle, blood in the water: My question is, are these things possible normal side effects? Side effects from what? Ibuprofen? Possibly, but you have something else going on with the chills, etc. The albumin levels don t matter right now during an acute illness. Get a general...

Family, Internal Medicine, General Medical Questions: sick after carbs, thyroid problems, food allergy
thyroid problems, food allergy, miralax: First, I would deal with the constipation and re-evaluate things. To do so, start Miralax powder, 1 capful daily... .it may take a few days to normalize. This collection of symptoms makes me think of thyroid problems. But there are several others.......

Family, Internal Medicine, General Medical Questions: smoking, nicotine cravings, nicotine gum
nicotine cravings, nicotine gum, lozenges: I think that you are more addicted to the rush of nicotine from the act of smoking, not the act itself..... sometimes it takes repeated trials of attempts to quit and sometimes the stars are aligned where all of a sudden it works. If you want to get past...

Family, Internal Medicine, General Medical Questions: Td/Tdap and newborn exposure pertussis, cdc guidelines, pertussis
cdc guidelines, pertussis, health dept: I can t talk about all, but our hospital uses TDAP. Re: risk until the vaccine kicks in .... you may still have immunity. It is a low frequency illness (doesn t happen much) so the chance of it occurring right when you are vulnerable is really really...

Family, Internal Medicine, General Medical Questions: trapezius muscle, alleve, stress reduction
alleve, stress reduction, nsaid: tough one... that tends to be the stress muscle Acupuncture helped me a lot It is annoying because it hurts every time you turn your head, which is often. Basic treatment is NSAID s.... like alleve, 2 twice a day. Muscle relaxers occasionally...

Family, Internal Medicine, General Medical Questions: UTI, BPH, urinary tract infection
BPH, urinary tract infection: Hi there Ron, thank you for posting your question. My area of expertise is in human sexual dysfunction. But I hope I can be of some small help to you. This all sounds very reasonable to me. At 65 all of us, and that includes this writer, will have some...

Family, Internal Medicine, General Medical Questions: 3 days periods then stop and again start, poly-cystic disease, polymenorrhagia
poly-cystic disease, polymenorrhagia: Hi Swapnil. Thanks for further information.Yes, a lot of stress and lack of sleep can cause polymenorrhagia as you describe. But if it continues you will need to have yourself checked out because poly-cystic ovarian disease is another possibility. It is...

Family, Internal Medicine, General Medical Questions: Antibiotic Reaction, doxicycline, kidney infection
doxicycline, kidney infection, acceptable substitute: doxicycline is a great antibiotic for some things.... unfortunately, a kidney infection is not one of them. It is not concentrated or excreted in the urine, so doesn t work. SMZ/TMP is Septra or Bactrim.... a pretty good antibiotic for the kidneys.... there...

Family, Internal Medicine, General Medical Questions: Belly Button Piercing Infection?, belly button piercing infection, belly button ring
belly button piercing infection, belly button ring, saline solution: you don t need antibiotics.... it is a minor infection but will correct as the skin grows from the visible skin along the ring line inside the hole. that is called epithelialization and takes several months..... as long as not red and painful, you are...

Family, Internal Medicine, General Medical Questions: Bladder infection?, stomach ache, bladder infection
stomach ache, bladder infection, kidney stone: It isn t ovarian cancer. The stress can cause colon cramping, but I would have expected some diarrhea. The pain sounds more like a urinary infection or kidney stone. It would pay to get the urine checked, or at least keep pushing the liquids. Some urinary...

Family, Internal Medicine, General Medical Questions: bleeding, white blood cells, burning sensation
white blood cells, burning sensation, al brown: What I meant, is that if the new injury is cleaned right away, not leaving it for a few hours so the bacteria can grow into the edges of the cut. Washing it well right away will prevent this and lower the risk of an infection. So front end, means sooner...

Family, Internal Medicine, General Medical Questions: bleeding, Cellulitis, Wound
Cellulitis, Wound, Cut: The skin, our largest organ, is our first line of defense against infection. Once it is broken by what ever means cut, burn, puncture, etc. we are susceptible to infection. If you are prone to bleeding and bruising, see your doctor, you may have a low platelet...

Family, Internal Medicine, General Medical Questions: bleeding, fever chills, burning sensation
fever chills, burning sensation, al brown: Hi Al, A local infection (only one site is affected) will appear pink/red, feel warm, may be swollen and may have a bad odor or pus-like drainage. If an infection spreads through the blood stream and becomes systemic then you ve commonly experience...

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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