About Experts Sitemap - Group 21 - Page 6 2014-08-26

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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...