About Experts Sitemap - Group 21 - Page 6 2014-07-22

Family, Internal Medicine, General Medical Questions: Sudden lethargy and weakness, internal medicine specialist, seperate occasions
internal medicine specialist, seperate occasions, boniva: Your primary physician should be an internal medicine specialist. your secondary doctor should be a cardiologist. Get your blood sugar measured (HbA1c level is the best). Also get your blood pressure mesured in the evenings for three seperate occasions three...

Family, Internal Medicine, General Medical Questions: scarlet fever, small red bumps, streptococci bacteria
small red bumps, streptococci bacteria, colds flu: Hi, for good appetite , she needs to play daily for 1 hour. Also you can get a medicine-syrup Liv 52 (company-Himalayan drugs) and give her 1 spoon twice daily 1 hour before food. to find where to get it: www.himalayahealthcare.com/ Scarlet fever is caused...

Family, Internal Medicine, General Medical Questions: I cannot smell, chronic sinus infection, sinus problem
chronic sinus infection, sinus problem, zinc supplement: There are a couple of things.... you may have a low grade chronic sinus infection.... see a doctor for a course of antibiotics plus oral steroids..... plus afrin twice a day for 5 days. In the meantime, get some over the counter zinc supplement in the vitamin...

Family, Internal Medicine, General Medical Questions: suspicious bites, sinus infections, claritin d
sinus infections, claritin d, culture results: I don t see a connection between the two.... it sounds like two separate problems. You talked about your treatment with antibiotics.... sometimes, sinus infections need a little more...if you have pain, pressure in your face, teeth, sinus , then a decongestant...

Family, Internal Medicine, General Medical Questions: after a tubal, depo, dr andrew
depo, dr andrew, better solution: Hi there Nicole. There is no conflict between having had a TL and going on Depo. My only concern would be the high incidence of vaginal spotting and bleeding that is reported with depo. A better solution might be to take the BC pill non-stop for a while....

Family, Internal Medicine, General Medical Questions: urine test, drs office, confirmation test
drs office, confirmation test, pain meds: Well, that is pretty much what I expected.... as I said, sometimes there are false positives that would be cleared up with the confirmation test. But, if he took another kind of pain medicine or another class of controlled drug (like Valium) unknown to...

Family, Internal Medicine, General Medical Questions: Weird pain left arm/shoulder, range of motion exercises, shoulder blade pain
range of motion exercises, shoulder blade pain, arm shoulder: Shoulder blade pain is pretty common from shoulder strains or a mild neck injury. That is also the muscle that can spasm and become painful from stress.... being pregnant, not much to do except easy range of motion exercises, tylenol and heating pad intermixed...

Family, Internal Medicine, General Medical Questions: wanted to start a mobile x-ray company., cardiac reader, head coder
cardiac reader, head coder, ray company: I know exactly what you are asking... I have seen it done and the coding is similar to doctor office type coding. You will need to partner with a medical coding company. The coding stuff is really really complicated and you will spend 1/5 of your time...

Family, Internal Medicine, General Medical Questions: white hair process, white hairs, funny colors
white hairs, funny colors, head of hair: There will be some that might change to funny colors but most just stop the pigment and start coming out white (or grey, or silver....) For the individual hairs, the color change is pretty abrupt, however, hard to see the change when looking at the whole...

Family, Internal Medicine, General Medical Questions: Abnormal pap smears/HPV question, abnormal pap smear, hpv testing
abnormal pap smear, hpv testing, pap smears: This is always a tough subject because so many people are infected with HPV and don t show symptoms and there can be spontaneous regression and occ recurrence. Plus, the pap smear is not that sensitive, in that it may miss HPV pretty easily.... if it were...

Family, Internal Medicine, General Medical Questions: Anxiety? Or something else?, spirometry test, contact dermatitis
spirometry test, contact dermatitis, corticosteroid cream: I would wonder about arteritis nodosum with the toe lesions, although I can t see them. I assume you had basic tests.... thyroid, regular blood count and those were OK. If those come out normal, then I would consider could depression and/or anxiety...

Family, Internal Medicine, General Medical Questions: bloating or pregnancy?, urine pregnancy test, stomach virus
urine pregnancy test, stomach virus, omperazole: if the preg test was neg on 3/15, you definitely did not get pregnant on 2/13. One way to be sure is to recheck the preg test with a first morning urine tomorrow.... This sounds more like an abdominal issue.... urinary infection, stomach virus, etc...

Family, Internal Medicine, General Medical Questions: burning eyes, flowmax, omega 6
flowmax, omega 6, plant oil: in our patients this is from the plant oil in their diet, such as nuts, seeds, flax, soy, hummus, avocados, kiwi, bananas, chips, gluten, and poultry they find lower omega 6 plant oil foods by using the free download at http://efaeducation.nih.gov there...

Family, Internal Medicine, General Medical Questions: Car accident, bleeding in the brain, left side pain
bleeding in the brain, left side pain, rib pain: We do a cat scan in that setting to make sure there hasn t been serious bleeding in the brain that must be operated on. If it has been days or weeks, then time has proven that that wasn t the case. However, your injury was severe and it sounds like you suffered...

Family, Internal Medicine, General Medical Questions: Carbohydrates and Juicing, masticating juicer, fresh fruits and vegetables
masticating juicer, fresh fruits and vegetables, diet coke: The article sounds very plausible... I would not consider all the conclusions written in stone but it does sound logical medically. The conclusion I draw from it is not don t eat any carbs and you will live a long time but rather keep carbs/calories down...

Family, Internal Medicine, General Medical Questions: Couph that doesn't go away, chronic cough, dry cough
chronic cough, dry cough, classical symptoms: Often when someone has a cold, the cough may persist for weeks.... the airway tissue was damaged and as it repairs, it is hypersensitive. This can respond sometimes to asthma meds temporarily. You also mentioned your reflux.... this can cause a chronic...

Family, Internal Medicine, General Medical Questions: common cold, cough med, benydryl
cough med, benydryl, nasal congestion: typically, I pick the first couple bad symptoms and treat..... if nasal congestion.... get AFRIN nasal spray and use twice a day for 3-7 days. (No, your nose won t get addicted if used properly) Sore throat... lozenges, tylenol, motrin... I also like...

Family, Internal Medicine, General Medical Questions: costochondritis, shoulder and neck pain, lung problem
shoulder and neck pain, lung problem, stress test: lunesta and celebrex can be taken together. This may very well be costochondritis, but I would be much more comfortable if you had said he had a recent stress test or heart cath. Also, the trouble breathing concerns me.... if it is simply because of...

Family, Internal Medicine, General Medical Questions: Diabetes Inspidus?, oral steroids, asthma symptoms
oral steroids, asthma symptoms, diabetes insipidus: the bitter metallic taste is the biaxin..... this could be DI or could be DM or could be a side effect of the medicines, especially if they have you on oral steroids also. You have to get over this strep/bronchitis, etc before you can make a call...

Family, Internal Medicine, General Medical Questions: diaper rash, mycolog ii cream, jock itch
mycolog ii cream, jock itch, diaper rash: I think you have developed an allergy to something.... sanitary pads? Or have a low grade yeast infection (jock itch in men) that flares at times. Get your doctor to give you some Mycolog II cream and use it twice a day for a couple weeks, and use some...

Family, Internal Medicine, General Medical Questions: ears, wine cork, electrical currents
wine cork, electrical currents, electrical forces: Hi Gary, The popping sound is due to the manufacturing dysfunction of the earbuds. If there s an imbalanced and large electrical current, the electrical forces snaps and causes a very loud sound. It s like having two cars crashing into each other head to...

Family, Internal Medicine, General Medical Questions: Night sweats, acute bacterial endocarditis, london chest hospital
Family, Internal Medicine, General Medical Questions: Night sweats, acute bacterial endocarditis, london chest hospital, night sweats

Family, Internal Medicine, General Medical Questions: General Medical Question, hydatiform mole, stomach virus
hydatiform mole, stomach virus, medical illnesses: It depends on what you consider pregnancy symptoms...... there are lots.......... nausea, vomiting (morning sickness) -- ulcers, reflux, stomach virus , urinary tract infections belly enlargement-- plain old weight gain, hydatiform mole, tumors-...

Family, Internal Medicine, General Medical Questions: HIV, HIV, AIDS
HIV, AIDS: Richard, That is a loaded question. It really all depends on many factors: 1. Age 2. State of health 3. Attitude and mental health (keeping a positive attitude) 4. Diet 5. Drug cocktails and compliance with HIV meds. 6. Exercise 7. Avoidance...

Family, Internal Medicine, General Medical Questions: Hyoid Bone, abdominal crunches, collar bone
abdominal crunches, collar bone, cartilage: if you broke it, you would know it at the time of the injury... that you did something that injured it significantly. The clicking by itself, given a normal exam otherwise, doesn t necessitate doing anything more. Even if you had MRI s, etc, no doctor...

Family, Internal Medicine, General Medical Questions: Hypertension meds, stress job, lifestyle changes
stress job, lifestyle changes, condition thanks: If the medicine is no longer needed... then your BP will start getting a little low and you may get some dizziness when standing up... if your BP is normal, then great, but continue the BP meds. You are right... lifestyle has a lot to do with it and often...

Family, Internal Medicine, General Medical Questions: hyoid again, abdominal crunches, ear down
abdominal crunches, ear down, soft tissue: good news.... if you did serious damage, you would hav had a lift threatening event.... but you easily could have strained/tore a little soft tissue and tht should heal... you might have a little clicking but the pain should subside in a couple weeks.......

Family, Internal Medicine, General Medical Questions: knee injury, knee bursitis, inflammatory arthritis
knee bursitis, inflammatory arthritis, pain killers: Both knees suggest an inflammatory process as opposed to a single injury... I would do plain xrays then start the plan of prescription strength meds.... I don t think an MRI would add much at this point unless something weird came up on the examination...

Family, Internal Medicine, General Medical Questions: Long term topical steroid use., irregular periods, face lotion
irregular periods, face lotion, steroid cream: you probably aren t getting enough internal steroids to cause whole body symptoms but it will thin the skin slowly. if you are just putting a pea sized amount on the face, I doubt if you are absorbing enough to really matter internally but it will cause local...

Family, Internal Medicine, General Medical Questions: Lump on Ankle, achilles tendon, fitting shoes
achilles tendon, fitting shoes, nodule: It is most likely a nodule from overuse.... you didn t say what you walk in, but you may be getting some rubbing from the continuous walking. Not dangerous... getting rid of it is more difficult.... stop the rubbing... maybe with different fitting shoes and...

Family, Internal Medicine, General Medical Questions: lymphadenopathy, macrocytosis, lymph node, transverse process
lymph node, transverse process, mcv: I am not sure what is causing the MCV elevation..... but getting the chain of nodes requires a recheck, unless you have some scalp infection above it .... some sores on the scalp causing the nodes to enlarge. Get it looked at next week. Unless you...

Family, Internal Medicine, General Medical Questions: Mouth sores, migraine medication, sick to my stomach
migraine medication, sick to my stomach, thumb nail: I am not sure where you are from since I don t recognize those medications but in general, this should heal.... make sure you are on a zinc supplement and are working hard with good dental hygiene.... flossing and brushing. Also, make sure you didn t develop...

Family, Internal Medicine, General Medical Questions: migraine headaches, migraine headaches, headache pain
migraine headaches, headache pain, pattern changes: Anytime the pattern changes, it is worth having the big picture re-evaluated. It is really rare, but migraines, especially the ones with the aura... the symptoms that occur before the headache begins (flashing lights, blind spots, etc)can be dangerous. ...

Family, Internal Medicine, General Medical Questions: Night sweats, chest xray, thyroid disorder
chest xray, thyroid disorder, viral illness: I would not worry about cancer.... that is such a non-specific symptom.... almost all the time this does not indicate cancer..... I would be checked for a thyroid disorder, or for anemia. And if nothing shows up, I would follow your symptoms to see if...

Family, Internal Medicine, General Medical Questions: Odorful sweat, antibacterial soap, skin bacteria
antibacterial soap, skin bacteria, vitamin deficiencies: I don t see vitamin deficiencies as causing this. Usually, this means you are colonized with certain bacteria that produce the odors.... (we are all colonized with skin bacteria but different kinds..... A good antibacterial soap and deoderant.... sorry...

Family, Internal Medicine, General Medical Questions: Port-a-cath Removal/Replacement, scar tissue, glorious return
scar tissue, glorious return, jugular vein: It is a simple procedure to change one.... the pocket is around the muscle, in the soft tissue. The doc would make a cut down to the portacath, spread the tissue, and remove the unit, leaving the tube (in the vein) in place, then try and pass a guidewire...

Family, Internal Medicine, General Medical Questions: Post surgery question, urinary catheter, pain medicines
urinary catheter, pain medicines, pain pills: They had stuck a urinary catheter in his penis during the surgery. This irritates the area -- the prostate, the urethra. It is not unusual to have some pain post op. If it is getting worse though, he needs a urinalysis to check for an infection.... sometimes...

Family, Internal Medicine, General Medical Questions: Regarding vomiting, blood sugar test, hormone pills
blood sugar test, hormone pills, pain medicines: So she is done with chemo completely from your note.... The knee pain medicines can often cause stomach pain, stomach upset. If she is having stomach pain in addition to the vomiting, she should have a basic evaluation including a blood count and urine...

Family, Internal Medicine, General Medical Questions: Severe and constant stomach bloating, normal bowel movements, zantac 150
normal bowel movements, zantac 150, stomach bloating: At this age there can be many bad things causing this. At this point, he has to get in again to see his doctor for a good evaluation. It could be simple... gastritis if he is taking a lot of motrin/advil. Having normal BM s leads me to suspect that...

Family, Internal Medicine, General Medical Questions: Stroke Recovery, health care providers, stroke recovery
health care providers, stroke recovery, care giver: Hi Ashley, I think you need to remind him I am here to provide your care as your recuperate and you need to listen to me and work with me if you want to get better sooner . Maybe you can also meet with his physician and PTs/OTs on the side (confidentially)...

Family, Internal Medicine, General Medical Questions: Subclinical Hypothyroidism, subclinical hypothyroidism, blood transfusion
subclinical hypothyroidism, blood transfusion, red cells: Mike, There are no contraindications to a blood transfusion when a patient has any form of hypothyroidism, clinically present or subclinical. Managing the anemia with packed red cells is important for many reasons, and managing the hypothyroidism is also...

Family, Internal Medicine, General Medical Questions: sneezing, food allergy, claritan
food allergy, claritan, zyrtec: You are getting exposed to something that you are allergic to.... sometimes this can be a food allergy, but pay attention to what you may order there that you don t usually get at home. I would put money on it that you are having an allergic reaction to something...

Family, Internal Medicine, General Medical Questions: strange chest pain - not heart related, chest x rays, chest muscles
chest x rays, chest muscles, diamond drilling: coughing up phlegm makes me think of pneumonia or bronchitis.... even with a normal chest xray. ALso, if you are horsing around equipment, it is easy to strain the chest muscles. I would have treated you for both---antibiotics and some rest and pain medicine...

Family, Internal Medicine, General Medical Questions: strange taste in mouth/lack of appetite, strange taste in mouth, sustained ventricular tachycardia
strange taste in mouth, sustained ventricular tachycardia, serum albumin: taste in mouth makes me think of reflux, or sometimes a chronic low grade sinus infection. I would also have said get a urinalysis but you have already done so.... I don t have the ability to calculate, but I would disregard the albumin and the calcium...

Family, Internal Medicine, General Medical Questions: I am terrified, abnormal pap smear, flat warts
abnormal pap smear, flat warts, papanicolau test: HPV is very prevelant and it is pretty easy to get infected having sex with a person with it.... It doesn t always show up on pap smears, that is why they are done so often, since if it is missed one year, it can be picked up the next. Having sex with...

Family, Internal Medicine, General Medical Questions: unable to draw blood/veins in arms hardening, genetic reasons, blood clots
genetic reasons, blood clots, blood work: There are a lot reasons people get bad veins. If they have hardened, I wonder about blood clots in the veins... there are some genetic reasons that people get blood clots. There is no reason to worry except the next time that you have to have an IV or...

Family, Internal Medicine, General Medical Questions: urine, BPH, benign proatatye hyperplasia
BPH, benign proatatye hyperplasia: Hi there Peter. You have got Benign Prostatic Hyperplasia (BPH) with perhaps some urinary retention and low grade urinary tract infection. You need to see your doctor and get yourself on an alpha blocker . This measure alone will have you feeling a lot better...

Family, Internal Medicine, General Medical Questions: vitamin deficiency, vitamins, minerals
vitamins, minerals, nutrition: Katie, Besides poor diet, there are conditions that can lead to vitamin deficiency. There are medications that can inhibit absorption of B-complex vitamins, some that will inhibit absorption of the fat soluble ones too (A, D, E & K). Proton pump inhibitors...

Family, Internal Medicine, General Medical Questions: Wound, soap and water, future thanks
soap and water, future thanks, scab: that brown speck could be a foreign body or could be a scab or could be a vein, looking at it on end. Good soap and water cleansing and let it heal... if it gets infected, then we deal with it. Usually debriding (scraping cutting etc) causes more problems...

Family, Internal Medicine, General Medical Questions: warm face, high fever, thyroid disorders
high fever, thyroid disorders, prednisone: Some medicines can cause this but I assume you aren t on any since you have no health issues... steroids/prednisone, antibiotics, etc. If this were an infection... then it should have resolved. I would consider testing you for thyroid disorders, anemia,...

Family, Internal Medicine, General Medical Questions: weight gain, birth control pills, thyroid test
birth control pills, thyroid test, thyroid problems: Well, the first thing I would think of is that you have developed thyroid problems. If a repeat thyroid test is normal, then you need to do a calorie count... you may be getting too many calories without realizing it... some foods, especially fast foods are...

Family, Internal Medicine, General Medical Questions: My 14 year old daughter, lower abdomen pain, swollen lymph nodes
lower abdomen pain, swollen lymph nodes, spleen pain: Did she have a plain old mono test or did she get epstein barr antibody levels? This does sound like mono. If that doesn t pan out, I would ask her regular doctor to be referred to an infectious disease specialist/center for more testing..... I hope this...

Family, Internal Medicine, General Medical Questions: accidental death, southwest airlines, lack of oxygen
southwest airlines, lack of oxygen, time of useful consciousness: there is a chart depicting time of useful consciousness (TUC) at various altitudes and it is a matter of a few seconds when you are that high up.... so you go unconscious immediately then die from lack of oxygen pretty quickly assuming you are not killed from...

Family, Internal Medicine, General Medical Questions: adderall, blood pressure medication, blood pressure medicine
blood pressure medication, blood pressure medicine, medicine change: Usually if someone gets BP elevation from adderal, they have some underlying blood pressure problems anyways.... even if it looks borderline. Either way, you can t go on simply raising your blood pressure, so your choices are: decrease the dose add...

Family, Internal Medicine, General Medical Questions: breast health, sexual foreplay, breast exams
sexual foreplay, breast exams, breast health: inverted nipple development would be a sign of breast cancer, but can also be explained by gaining weight... but at your age, you should be having reqular breast exams anyways, so make sure that you mention to your doctor that the nipple inversion is new..........

Family, Internal Medicine, General Medical Questions: brown discharge during intercourse, dark brown discharge, bacterial vaginitis
dark brown discharge, bacterial vaginitis, cervical cancer: no... not cervical cancer. The brown discharge implies that there is a small amount of blood and that it may be knocked loose during intercourse. So, finding the source of the bleeding.... whether it is menstrual spotting or something bleeding a little...

Family, Internal Medicine, General Medical Questions: Cipro Side Effects - Bleeding, cipro side effects, nose bleeds
cipro side effects, nose bleeds, platelet count: Cipro for itching? I am not sure I follow you.... that is used to treat some bacterial infections. And a normal course should not disrupt normal blood clotting... I would look for another cause for the bleeding. I would order a cbc and look at a platelet...

Family, Internal Medicine, General Medical Questions: Cold Hands, knuckle area, extremeties
knuckle area, extremeties, cold hands: A lot of people worry about circulation..... not that.... Make sure you are not anemic or are not hypothyroid. Also, this can be caused by some medicines, especially B Blockers used for hypertension, migraines, etc. If none of that pans out, you...

Family, Internal Medicine, General Medical Questions: cat bite question, macrolide class, teeth and claws
macrolide class, teeth and claws, soap and water: if an animal has rabies... it is dying from that disease.... so assuming you didn t kill your cat, and the cat lives for 2 weeks, then you know it doesn t have rabies and therefore you don t have rabies. If the cat dies in the interim from any cause, then...

Family, Internal Medicine, General Medical Questions: Should I be concerned?, lingering cough, upper respiratory infection
lingering cough, upper respiratory infection, viral illnesses: If you took the antibiotics then you are probably cured from strep... but this sounded more like a viral upper respiratory infection.... The white spots surrounded by red rings could be strep (if that started after you were done with the antibiotics) Just...

Family, Internal Medicine, General Medical Questions: what is the DX?, pleural effusions, cystic areas
pleural effusions, cystic areas, cell carcinoma: clubbing is not a pure sign of COPD, so that makes me think of lung cancer. Same w/ pleural effusions. The cystic areas can easily be written off as COPD. The other symptoms can easily be attributed to copd.... weight loss, orthopnea, pnd. The decreased...

Family, Internal Medicine, General Medical Questions: Foot pain, pinky toe, sore foot
pinky toe, sore foot, achey: I would suspect a stress fracture.... I would get a baseline xray and then you will need to rest it.... meaning no running for a couple of weeks. With a stress fracture, it is likely the xr will be normal. Sometimes you can spot a stress fracture 2-3 weeks...

Family, Internal Medicine, General Medical Questions: fellowship trained
it means that they have completed the fellowship, but may not have sat for their formal boards yet.... some specialties require that they work for a year, prior to sitting for their speciality boards and taking them to become board certified. So, it doesn...

Family, Internal Medicine, General Medical Questions: gallbladder, gall bladder symptoms, gall bladder
gall bladder symptoms, gall bladder, protein meals: This may be an unusual gall bladder presentation.... it is hard to predict the future course, since we are not sure what it is... but gall bladder symptoms may come and go for years, typically aggravated by hi fat/hi protein meals. Or, the gall bladder can...

Family, Internal Medicine, General Medical Questions: grandmothers passing, aggressive measures, good doctors
aggressive measures, good doctors, bipap: It is always hard in those situations..... first... the technical side... bipap is a supportive measure that helps while the lungs/body is healing. If she can t heal, then it doesn t do any good. Doctors don t stop aggressive measures casually... they...

Family, Internal Medicine, General Medical Questions: helio-pyloric, h pyloric, h pylori
h pyloric, h pylori, reflux symptoms: H Pylori is a bacteria that lives in the stomach and MAY contribute to ulcers, reflux. It is debateable whether to even treat it. Especially in people with none to mild reflux symptoms. It is hard to cure, re-infection occurs often and the majority of people...

Family, Internal Medicine, General Medical Questions: hot flashes and longevity, Hot flashes, menopause
Hot flashes, menopause, bHRT: Deb, There is some article by Libo Li, MS, circulating the internet that states that menopause is beneficial to women and adds to their longevity by decreasing cancers. There is no scientific evidence I am aware of that establishes that as a fact. Contrary...

Family, Internal Medicine, General Medical Questions: my kid vomits traveling by road in car in hills, bus journey, stationary objects
bus journey, stationary objects, medicinenet com: read this fully. also give very little food before travel. http://www.medicinenet.com/motion_sickness/article.htm also some tips: Smelling a freshly cut lemon is a proven remedy from vomiting while travelling. You can also carry a bottle of lemonade and...

Family, Internal Medicine, General Medical Questions: knee pain in 11 year old, osgood schlatter, ace bandage
osgood schlatter, ace bandage, knee pain: You can wait a few days.... he is about the right age for Osgood Schlatter s disease (I may not have spelled it quite right) If there wasn t a specific injury, it is unlikely a torn cartilate (meniscus) but have it checked out next week... no need to run...

Family, Internal Medicine, General Medical Questions: Large Tonsil, enlarged tonsil, upper respiratory infections
enlarged tonsil, upper respiratory infections, night sweats: Tonsils are full of immune tissue and may swell, one more than another from upper respiratory infections, etc. A lymphoma would have caused a lot more symptoms over the last three years.... this is most likely a more functional problem.... if you are snoring...

Family, Internal Medicine, General Medical Questions: low Vitamin D levels, congenital heart defect, oophrectomy
congenital heart defect, oophrectomy, sinus infection: Vitamin D doesn t last long. I never understood the once a week formulation.... Just take 5000 IU daily and have it rechecked in 3 months. A bone density scan will not change significantly as soon as you increase D3 levels.... if it goes up or slows...

Family, Internal Medicine, General Medical Questions: Opened dairy question, tummy ache, 3rd trimester
tummy ache, 3rd trimester, question question: Do not pick on your husband.... he is obviously very caring about your well being!!!! :) The sell by date is arbitrary and definitely OK. A few days after that, the product is still just fine. If it smells OK and has not been allowed to sit around at...

Family, Internal Medicine, General Medical Questions: Perimenopause, no period, depo provera, vasectomy
depo provera, vasectomy, provera: You might be approaching menopause. It is safe to force the period.... I assume he is giving you 10 days of progesterone. If that doesn t work, you may have transitioned into menopause, so the more I think about it, it is a good idea... then you will know...

Family, Internal Medicine, General Medical Questions: Pimple? on inner thigh, dangerous bacteria, doxicycline
dangerous bacteria, doxicycline, oinment: this could easily be an early staph infection..... if it isn t healing, then have your doctor put you on doxicycline or septra. Don t worry.... these bacteria are all over our skin anyways..... if there is a family outbreak, it can be treated easily. everyone...

Family, Internal Medicine, General Medical Questions: Pregnant Chickenpox exposure, couple spots, light case
couple spots, light case, antivirals: Hopefully, you did not have a valid exposure this time... simply seeing him from a short distance. Almost everyone has had chicken pox (or now, the immunization) so even with your light case, you should be immune. At this point, you can only wait and...

Family, Internal Medicine, General Medical Questions: Protein Intolerance, frequent urination, pinto beans
frequent urination, pinto beans, apple a day: I am having trouble assigning blame to the atenolol. You didn t mention what your heart rate is.... that can sometimes slow the heart down too much.... check that. And, some atenolol tablets have a diuretic combined in .... atenolol/hctz and the diuretic...

Family, Internal Medicine, General Medical Questions: pregnancy and toxoplasma, nervous system damage, cat cats
nervous system damage, cat cats, dry food: I can understand your love for the cat. Cats do not need to go out or get exposed to outside food to get toxoplasmosis infection. They can get it in the house also. If a pregnant women contracts a toxoplasmosis infection the effects to the unborn baby...

Family, Internal Medicine, General Medical Questions: pregnancy and toxoplasma, rat poison, dry food
rat poison, dry food, dr andrew: Hi Manal. I do not think that you should worry about toxoplasmosis unduly. Millions of women get pregnant around cats every year and this remains a very rare human problem. If you want do do something extra set a little rat poison safely outside though personally...

Family, Internal Medicine, General Medical Questions: pregnant unknown blood exposure, red blotches, blood exposure
red blotches, blood exposure, wet sand: Skin is a great barrier against infection.... there is no need to worry about catching any virus through this exposure. Virus are very unhardy and don t last for more than minutes outside of a controlled environment plus skin protects against invasion.......

Family, Internal Medicine, General Medical Questions: protein and blood, white blood cells, protein in the blood
white blood cells, protein in the blood, chronic inflammation: Usually there are no blood cells in the urine as the kidney, but if there is an infection in the kidneys or bladder, or if there’s some inflammation due to the presence of stones, immune disorders, allergies or growths anywhere along the genitourinary system,...

Family, Internal Medicine, General Medical Questions: IT'S MAGIC, hick ups, nerve impulses
hick ups, nerve impulses, holding breath: There is not a definite answer to why it works, but the theory is that it disrupts this recurrent reflex by distracting the person s central nervous system by sending other nerve impulses. (like scaring someone or holding breath- increasing carbon dioxide...

Family, Internal Medicine, General Medical Questions: Staph Infections, warm soaks, back thigh
warm soaks, back thigh, staph infections: This is actually pretty common to get a few over several months.... it doesn t mean your immune system is off, etc. Sometimes it just happens. People can harbor the staph bacteria..... using a good antibacterial soap daily is important. I have seen this...

Family, Internal Medicine, General Medical Questions: Swollen Thumb, inflammatory arthritis, general idea
inflammatory arthritis, general idea, couple weeks: With that thumb always popping or clicking, it sounds like you already had some underlying arthritis. The hard question now is what kind of arthritis is causing this acute swelling.... is it plain old osteoarthritis or gout or some type of inflammatory arthritis...

Family, Internal Medicine, General Medical Questions: sensitive to sun? heat?, poor tolerance, low thyroid
poor tolerance, low thyroid, medical names: You might be a vampire..... or, there may be other possibilities.... the disease you may be thinking about is porphyria, but I would want to have you checked for low thyroid or anemia. If those are OK, then it may be your uniqueness... with a poor tolerance...

Family, Internal Medicine, General Medical Questions: spirolactone, chamomile tea, plant oil
chamomile tea, plant oil, herbal teas: While the main ones are seeds, nuts, flax, soy, granola, trailmix, avocado, hummus, chicken, turkey and all cooking oils except butter, lard and olive oil,you can go to the NIH site; http://efaeducation.nih.gov and review all the education segments there...

Family, Internal Medicine, General Medical Questions: tingling in fingers and hands, pinched nerve in the neck, tingling in fingers
pinched nerve in the neck, tingling in fingers, peripheral neuropathy: Don t take this the wrong way, but you are not right starting with the chiropractor. I like chiropractic medicine and it is a useful adjunct for physical health. BUT... this is a medical problem until proven otherwise... it should be evaluated wholistically...

Family, Internal Medicine, General Medical Questions: Use of oxygen for seniors, hemoglobin molecules, red blood cells
hemoglobin molecules, red blood cells, oxygen tension: Cyanosis is the term used when one is not getting adequate oxygen for any variety of reasons... poor lung function, COPD, emphysemia, collapsed lung, lung cancer, pneumonia, etc. So you mother probably needs O2 (oxygen therapy) to bring up her oxygen tension...

Family, Internal Medicine, General Medical Questions: unusual bruising, platelet production, barking up the wrong tree
platelet production, barking up the wrong tree, doorknob: The non-steroidal medicines, even small doses of motrin, aspirin, etc disrupts blood clotting and makes bruising more likely. It is worth getting a CBC to look at your platelet counts to make sure that there is not a platelet production problem. I hope...

Family, Internal Medicine, General Medical Questions: Water Purifier, mental retardedness, ro purifier
mental retardedness, ro purifier, multistage filter: Well, if you can afford, get a RO purifier as it not only removes bacteria and almost all viruses, it also greatly reduces dissolved groundwater chemicals like nitrates(found in Bangalore in groundwater) Nitrates cause mental retardedness in babies if pregnant...

Family, Internal Medicine, General Medical Questions: Adnexal cyst, ovarian cysts, stomach pain
ovarian cysts, stomach pain, pelvis: It probably is the same cyst.... but the pelvis has a lot of room for expansion, so a tiny cyst like that probably will not be causing all those symptoms. If you think about it, you can hold a 20 cm cyst in the pelvis wthout even showing and a 40 cm baby...

Family, Internal Medicine, General Medical Questions: Adult chicken pox, incubation period, shingles
incubation period, shingles, antibodies: What is the incubation period, plus odds that sis will get chicken pox. = 7 days Is there a test to confirm her chicken pox lack of immunity? = no Is there any vaccine she should take to prevent or lessen the impact of the C. P.? = can get immune...

Family, Internal Medicine, General Medical Questions: abdominal aortic fusiform ectasia, abdominal aorta, thoracic aorta
abdominal aorta, thoracic aorta, mural thrombus: hat is a little out of my league as far as what should be done. The minimum that should be done is a repeat examination in 6 months.... so it is time at least to have it re-evaluated. But the ordering physician should at least run that by a vascular surgeon...

Family, Internal Medicine, General Medical Questions: not able to administer antibiotics, classes of antibiotics, medication options
classes of antibiotics, medication options, cefadroxil: antibiotics are a broad range of chemicals.... if she has allergies to some classes of antibiotics, there is often another class that may be tolerable. With the symptoms she is getting, it may also be possible to co-administer steroids to suppress some of...

Family, Internal Medicine, General Medical Questions: Burning pelvic/ovarian pain, ovarian cysts, burning sensation
ovarian cysts, burning sensation, ovarian pain: Ovarian cancer does not present with pain until it is very very advanced and when you look at pelvic pain in general, cancers are very low on the list. Much higher are conditions such as urinary infections, uterine infections, ovarian cysts, endometriosis...

Family, Internal Medicine, General Medical Questions: birthcontrol, polycystic ovary syndrome, depo shot
polycystic ovary syndrome, depo shot, hormonal issues: you made a mis spelling..... is it birth or bitch? Sorry, just a joke..... If the facial hair is solely from the depo, then it can go away with stopping the depo..... but if there are other hormonal issues, such as PCOS - polycystic ovary syndrome.......

Family, Internal Medicine, General Medical Questions: breathing, brain tumor, nerve disorders
brain tumor, nerve disorders, water pills: Bell s palsy is a motor problem as opposed to a sensation problem, so definitely not that. There are some nerve disorders (trigeminal neuralgia) that can present as one sided sensation problems... I would have a thorough exam and then see if any testing needs...

Family, Internal Medicine, General Medical Questions: Concussions in Sports, temescal canyon high school, concussions in sports
temescal canyon high school, concussions in sports, hot topic: This is a very hot topic that is getting a lot of press and a lot of research..... 1) concussions are very common.... a lot more that we thought. 2) with the new press it is receiving, better guidelines are being developed.... the biggest being that...

Family, Internal Medicine, General Medical Questions: calf function/disc surgery, sensory nerves, loss of sensation
sensory nerves, loss of sensation, closing the gap: If you have surgery almost 2 years ago and the feeling is not returning then it is likely that is going to be permanent.... sometimes that disc presses on the nerves for long enough that they eventually stop functioning permanently. There isn t any specific...

Family, Internal Medicine, General Medical Questions: calf function/disc surgery, closing the gap, root pressure
closing the gap, root pressure, back of the knee: Will I ever get back feeling to the numbed areas? A: not in most people unless they replace their nutrient deficiencis and remove toxicities in their diet which requires an onsite exam and lab testing to know the extent of these. What is the cause of...

Family, Internal Medicine, General Medical Questions: calf function/disc surgery, closing the gap, back of the knee
closing the gap, back of the knee, disc surgery: Hi Ruben. Any chronic pressure on a nerve, even for a short period of time like a few days, can cause irreparable and irreversible damage -- neuropathy. And that s your situation. It may still come on a bit but there is no point in having unreasonable expectations....

Family, Internal Medicine, General Medical Questions: i cant even explain my many mental problems so solving more hard, proper medication, new brain
proper medication, new brain, abhishek: Hi Abhishek, Can you not see a psychologist or psychiatrist and talk to them about your symptoms? I would advise you at least talk to your family physician and ask for some antidepressant or anitpsychotic therapy and see how you feel after 3-4 months on...

Family, Internal Medicine, General Medical Questions: my cock is not stand, performance anxiety erectile dysfunction
performance anxiety erectile dysfunction: Hi there Fayyaz, thank you for posting your question. My name is Dr Andrew Rynne. I am an Irish medical doctor with ten years experience in helping men and women online with sexual difficulties. I also handle general medical questions online. I think you...

Family, Internal Medicine, General Medical Questions: Something to be concerned?, zantac 150, gastric pains
zantac 150, gastric pains, bloated feeling: You didn t give me any other info about family history, your age, whether eating helps or hurts, etc. I would try one of the acid suppressors like Zantac 150 mg twice a day for while. If you drink, hold off for a couple weeks, keep meals light at night,...

Family, Internal Medicine, General Medical Questions: cycle length?, home pregnancy test, bladder infection
home pregnancy test, bladder infection, birth control pill: when you stop the pills, your periods may be irregular for a while. If they were irregular prior to BCP s then they will probably be irregular again. The running to the bathroom thing is not reliable for anything except a possible urinary tract / bladder...

Family, Internal Medicine, General Medical Questions: Ear Infections, inner ear infection, internal auditory canal
inner ear infection, internal auditory canal, internal ear: I am not sure what you are asking... an inner ear infection is treated with antibiotics plus decongestants. The decongestant helps shrink the tissue so the normal drainage back through th eustachian tube can drain properly. Then the antibiotic actually fights...

Family, Internal Medicine, General Medical Questions: Excessive bleeding during periods, ultra sonography, baby boy
ultra sonography, baby boy, blood test: I would have expected this to stop by this time.... I wonder whether you could have a little bit of retained placenta causing the bleeding. I would talk to your OB/GYN again and explain what is happening and it might be time to have a D&C. Don t switch doctors...

Family, Internal Medicine, General Medical Questions: embarrasing question?, gentle soap, moist environments
gentle soap, moist environments, soap and water: Hi Zoe, You should change your pads more frequently for hygienic and comfort reasons; hygienically we need to change pads to avoid infection (bacteria love dark, moist environments). Everyone is a little different, and your flow is heavier on the first...

Family, Internal Medicine, General Medical Questions: H. Pyloric bacteria, h pyloric bacteria, upper abdomen
h pyloric bacteria, upper abdomen, acid blockers: You very well could have it. This is a weird infestation because often people have it with no symptoms and there is no need for treatment. It becomes complicated because re-infection is common and the treatment courses work, at best, about 75% of the time....

Family, Internal Medicine, General Medical Questions: HIV, wet paper towel, hormones and pregnancy
wet paper towel, hormones and pregnancy, hiv test: Your OB is wrong.... you will not get useful information thru that avenue. It is easy for me to say, but there is just no way that you got infected thru this kind of exposure. The best you are going to be able to do is to get re-tested in about 6 weeks...

Family, Internal Medicine, General Medical Questions: hearing, deafness
deafness: Hi there. Thank you for your question. The answer depends on the type of deafness you are talking about. If it is caused by nerve or structural damage to the inner or middle ear then the sufferer may not hear their own voice. If it is conduction deafness...

Family, Internal Medicine, General Medical Questions: impetigo, diaper rash, antifungal cream
diaper rash, antifungal cream, grandaughter: It sounds like yeast.... yeast likes warm and wet, which is why kids get these diaper rashes.... sometimes it can get secondarily infected with bacteria and become impetigo. So.... treat for diaper rash.... keep clean and dry and use an antifungal cream....

Family, Internal Medicine, General Medical Questions: Legs collapsing, lumbar disc disease, back nerves
lumbar disc disease, back nerves, medical issue: well, that would be my concern that you have some disc disease and laying down exerts some pressure on the low back nerves and it takes a while to recover. So, you should get a good evaluation by your doctor to look for lumbar disc disease and nerve inpingement.........

Family, Internal Medicine, General Medical Questions: Lymph node issues...amongst others., ear nose throat doctor, swollen lymph nodes
ear nose throat doctor, swollen lymph nodes, ear nose throat: The lymph node near your ear could be a cyst also, it is really hard to tell sometmes, but with your syptoms, I would probably take out one of the lymph nodes and have it analyzed.... keep up with your doctor and push them to do something, even if it is...

Family, Internal Medicine, General Medical Questions: narcotic contracts, kidney stones, emergency changes
kidney stones, emergency changes, broken bones: Well, what a great question.... First, the technical answer... unless it has an expiration date, the contract continues while you are receiving care from that doctor. Now the practical answer.... Those contracts are in place for a few reasons......

Family, Internal Medicine, General Medical Questions: osteoporosis, intact pth, osteopenia
intact pth, osteopenia, folate: non medical treatment is based on getting your magnesium, calcium, and vit D levels to the 90% of the reference range and your intact PTH to less than 12 So you need to get the labs and work with your doctors Also need to get all gluten out of diet since...

Family, Internal Medicine, General Medical Questions: Pelvic Pain, groin pain, pelvic ultrasound
groin pain, pelvic ultrasound, green discharge: pelvic pain is a tough problem.... he is treating you for a urinary infection and for PID-pelvic inflammatory disease. If this treatment doesn t help, then further workup is needed to look for the other causes (there are many) of pelvic pain- endomtriosis,...

Family, Internal Medicine, General Medical Questions: Possible spider bite, joint stiffness, bactrum
joint stiffness, bactrum, chronic bronchitis: Those are tough.... I get a lot of presentations like this.... we like to assign some cause to these skin lesions, but often we can t.... You obviously have a skin infection, probably a staph infection and Bactrim is the appropriate treatment.... so basically...

Family, Internal Medicine, General Medical Questions: Pulled Muscle?, right iliac crest, hip bursitis
right iliac crest, hip bursitis, pelvic disease: pain like that makes me think of possibly some hip bursitis... the pain can feel like it is in a slightly different area. Also a low back disc syndrome can do that. Either way, that would be treated with stretching and anti-inflammatories. Also pelvic disease...

Family, Internal Medicine, General Medical Questions: Pulled Muscle?, nerve root compression
nerve root compression: Hi there Michelle, thank you for posting your question. My name is Dr Andrew Rynne. I am an Irish medical doctor with ten years experience in helping men and women online with sexual difficulties. I also handle general medical questions online. I think...

Family, Internal Medicine, General Medical Questions: i have had a past history of osteyomilites, reflex sympathetic dystrophy, significant health
reflex sympathetic dystrophy, significant health, heart rate: This sounds like a significant health problem.... you need to go to your doctor or to the hospital. You may have RSD- reflex sympathetic dystrophy in the leg... the nerves that control the blood vessels can go crazy and cause the blood vessels to spasm...

Family, Internal Medicine, General Medical Questions: poisioning, home cleaning, lot of water
home cleaning, lot of water, emergency room: I don t know exactly what she drank. In general, if someone does this for an attempt at suicide, then you should call the police or at least get her to go to the emergency room. 5 hours after ingesting some cleaning fluids is way too late to help someone.......

Family, Internal Medicine, General Medical Questions: Question on wireless safety, blue tooth earpiece, wireless safety
blue tooth earpiece, wireless safety, cancer risk: There is a theory that cellphones to the ear can give enough radiation to the brain over a period of many years to increase risk of cancer.... that is not proven by any means. Using a blue tooth earpiece or speaker/hands free function when you can is a reasonable...

Family, Internal Medicine, General Medical Questions: Rash, yeast rash, itchy rash
yeast rash, itchy rash, chronic yeast: I tend to over think these things.... but I guess you could elevate your blood sugar and get a chronic yeast rash. YOu can also be allergic... and if the rash comes and goes, it can be from virtually anything. But small amounts of the offending substance...

Family, Internal Medicine, General Medical Questions: Sore Throat, strange bumps, bumps on the back of my tongue
strange bumps, bumps on the back of my tongue, throat pain: You could still have strep without tonsils. But, often someone gets a sore throat and notices bumps back there that have been there... the tongue structure has a lot of different things in it and is pretty irregular. If you have trouble swallowing, throat...

Family, Internal Medicine, General Medical Questions: Stomach Pain, bladder stone, intestinal virus
bladder stone, intestinal virus, ovarian cysts: Under your stomach sounds like below your belly button..... if that is true, you should be on the look out for: intestinal virus- if some vomiting and diarrhea occurs. a urinary tract infection kidney or bladder stone pregnancy uterus infections...

Family, Internal Medicine, General Medical Questions: Back and tailbone question, butt cheek, nerve irritation
butt cheek, nerve irritation, pinched nerve: When you say is this serious I am not sure what you mean.... it sounds like you damaged that area and are now getting some nerve irritation symptoms.... Since the injury is so old and still causing symptoms, it is probably going to continue to irritate...

Family, Internal Medicine, General Medical Questions: Vitamins, hair skin, multivitamin
hair skin, multivitamin, thinning hair: You won t get into problems taking an extra vitamin but there is no need to. Most vitamins are urinated out so some extra will do no good, just turn your urine bright yellow. Most people remain deficient in Vitamin D-3 without supplementing 2000 IU s per...

Family, Internal Medicine, General Medical Questions: WELL WOMEN EXAMS, preventing pregnancy, cancer causing virus
preventing pregnancy, cancer causing virus, upper legs: First of all, condoms do a great job of preventing pregnancy and also preventing transmission of sexually transmitted diseases, including HPV (cervical cancer causing virus) So you should use condoms if you are going to be sexually active. It will be...

Family, Internal Medicine, General Medical Questions: Abnormal Lab Results, liver enzymes, liver tests
liver enzymes, liver tests, liver damage: The creatinine/bun is OK The liver being slightly elevated... it could mean your statin is elevating it, however diabetics sometimes will have elevated liver enzymes from other causes... if your liver tests, alt, ast were normal prior to statins, we have...

Family, Internal Medicine, General Medical Questions: about blood pressure, blood sugar level, low blood pressure
blood sugar level, low blood pressure, symptoms of low blood pressure: Low blood pressure is OK provided that you are not getting dizzy, especially when going from sitting to standing, etc. But, if you are getting dizzy, that is a sign of low flow of blood to the brain (for a few seconds) So, if that is occurring, you need...

Family, Internal Medicine, General Medical Questions: Blood Sugar, fasting blood sugar, orthopedist
fasting blood sugar, orthopedist, prednisone: prednisone can raise blood sugar while you are taking it but a few months after you stop, it should return to normal, unless you have changed other stuff... gained weight, changed diet, etc. But all other things being equal, you should go back to normal,...

Family, Internal Medicine, General Medical Questions: Blood Sugar Issues?, blood glucose test, fasting blood glucose test
blood glucose test, fasting blood glucose test, fasting blood glucose: Those are very good numbers.... so there is not overt diabetes... but I still suspect that your blood sugar is droppingfor a bit prior to the food load.... try the little bit of juice when it happens and if it helps, you may try a little before you expect...

Family, Internal Medicine, General Medical Questions: Blood type, blood type test, rhogam shot
blood type test, rhogam shot, rhogam: No, that is not bad.... not having antibodies is very good, assuming you will have children in the future. The antibodies refer to the (-) part of the A- blood type.... some people who are A- or O- or AB- or B- develop antibodies against the protein that...

Family, Internal Medicine, General Medical Questions: BP medication for kidneys, cholesterol medication, type two diabetes
cholesterol medication, type two diabetes, ldl cholesterol: Yes, to both questions unless you get his magnesium, calcium, and Vit D levels and add cal mag d tabs 4 times a day to raise his mag to 2.5, cal to 9.9 and Vit d to 90 At these levels there is no type II diabetes especially if takes 2 500 mg cinnamon bark...

Family, Internal Medicine, General Medical Questions: Breast Health, scar tissue, breast health
scar tissue, breast health, good luck with everything: Well, mammograms are weird... it is a pure screening test, so anything that is not completely normal will be looked into further. That call you got does not mean cancer.... in fact usually it doesn t, but they have seen something... scar tissue, mild calcification,...

Family, Internal Medicine, General Medical Questions: Child exposure to possible droppings, diarrhea fever, upstairs hallway
diarrhea fever, upstairs hallway, pointer finger: Fortunately that is very rare despite the prevalence of animal droppings... I hate to gross you out but here are a lot more animal waste that we never see and the risk of contracting those illnesses is very very low despite...... so with the exposure you...

Family, Internal Medicine, General Medical Questions: chronic pain in left hip and groin area, elk grove ca, groin pull
elk grove ca, groin pull, groin area: It is hard to get a picture of the injury from that description but the hip joint itself or one of the many groin supporting muscles may have been injured... rehab depends on good stretching and strengthening of the muscles or figuring out if there is hip...

Family, Internal Medicine, General Medical Questions: colonoscopy prep, upper abdominal pain, colonoscopy prep
upper abdominal pain, colonoscopy prep, groin pain: I have done colonoscopies for a couple decades... I have seen this happen.... There is no medical evidence that colon cleansing does anything, however, sometimes it is hard to diagnose some of the parasitic problems, like giardia. And you can t sterilize...

Family, Internal Medicine, General Medical Questions: emergency medicine, medical school graduates, foreign medical graduates
medical school graduates, foreign medical graduates, emergency room physicians: I don t have any knowledge of training tracks outside of the United States. There are standard 4 year residency programs in the US for ECFMG s (foreign medical graduates that have been licensed in the US). Often, many medical school graduates can also do...

Family, Internal Medicine, General Medical Questions: eyes, light perception, light stimulation
light perception, light stimulation, eye exam: sometimes you can see trails of previous light stimulation when you close your eyes.... I don t see that as a problem, just something that is there.... the light perception should fade away over a couple of minutes when you close your eyes, but if your eye...

Family, Internal Medicine, General Medical Questions: Fibroids, lupron depot, leep surgery
lupron depot, leep surgery, pap smear: This is a complicated problem, especially since you are planning for a bigger family. Fibroids are hard to treat without affecting fertility..... lupron, surgery, etc. Also, if the IUD made it worse, you could have some low grade endometritis... a course...

Family, Internal Medicine, General Medical Questions: flesh in body cavity, necrotic debris, body cavity
necrotic debris, body cavity, necrotic tissue: Hi Richie. Thanks for your question. You must be writing a novel! Muscle mass that becomes separated from its blood supply through accident or trauma becomes necrotic tissue. Separated bone fragments may also necrose. All necrotic debris needs to be surgically...

Family, Internal Medicine, General Medical Questions: general symptoms, thyroid levels, ultrasound results
thyroid levels, ultrasound results, hysterctomy: First of all, you said thyroid level around 8.... the money test is the TSH and that number should be between 0.5 and 1.5... even tho the range goes up to about 5.5, you should increase the dose of synthroid until it is around 1.0, then you know you have proper...

Family, Internal Medicine, General Medical Questions: Gland issues, swollen lymph node, salivary glands
swollen lymph node, salivary glands, lympoma: Since you had blood tests... you have been screened for HIV and lympoma. Sometimes scalp sores, even minor can cause some glands to enlarge. Some dental or gum disease can do it. Salivary glands can get infected or clogged but there is usually other...

Family, Internal Medicine, General Medical Questions: Heart cath and stabbing pain in left calf, heart catherization, heart cath
heart catherization, heart cath, heart catheterization: This far out, it would be unusual to have a clot complication of a heart catheterization. I think the chance is really low that it is from the cath. I am not sure how to tie all of this together (the dizziness and numbness) Have the calf looked at though.......

Family, Internal Medicine, General Medical Questions: hemorrhoids, vitamin d deficiencies, calcium magnesium
vitamin d deficiencies, calcium magnesium, wheat gluten: In my experience with 31,000 nutrigenomic patients this is due to the gluten in your diet and the severe calcium magnesium and vitamin d deficiencies but need to be evaluated and have the complete testing. Hemorrhoids are a result of this but can be fixed...

Family, Internal Medicine, General Medical Questions: hemorrhoids, wheat gluten, citrucel
wheat gluten, citrucel, miralax: I tell people to not consider surgery for hemorrhoids until you are tripping over them... it tends to scar that area. Getting un-constipated will resolve them at least partially. How about another bulk fiber, even artificial like Miralax... that can soften...

Family, Internal Medicine, General Medical Questions: It hurts when i poop it feel like something sharp is cutting me also theres little blood. is it just a cut?, rectal fissure, hemorrhoid cream
rectal fissure, hemorrhoid cream, miralax: It sounds like you have developed a rectal fissure, but to be sure, someone would look. Sometimes people get a little constipated and try to pass a really big stool and the tissue at the anus tears a little bit.... it should heal, but try and keep from...

Family, Internal Medicine, General Medical Questions: isthmus gland, needle biopsy, collar bones
needle biopsy, collar bones, thyroid gland: That could be at the bottom of the thyroid gland and it may be a cyst. I would think if it can be felt, that your doctor or a specialist that you will be referred to might want to do a needle biopsy of it... that is a very safe, pretty easy, relatively painless...

Family, Internal Medicine, General Medical Questions: Low Testosterone, low testosterone and metabolic syndrome, loss of libido and low testosterone
low testosterone and metabolic syndrome, loss of libido and low testosterone, testosterone replace: Hi again. Thanks for this. Have read it and am not too impressed. I would have maybe fifty men on TRT currently and raised haematocrit is certainly not one of my worries. Testosterone replacement therapy for men with Metabolic syndrome is very interesting...

Family, Internal Medicine, General Medical Questions: lumps in throat, gargling with salt water, lumps in throat
gargling with salt water, lumps in throat, tonsil: The tongue has a lot of small immune organs on it.... all are bumpy esp in the back. If gargling with salt water doesn t fix it in a week, then it may just be you.... you could get it looked at but this is a common complaint that usually winds up.... that...

Family, Internal Medicine, General Medical Questions: I'm having strange symptoms, strange symptoms, art smith
strange symptoms, art smith, mild stroke: There are a lot of questions I would want to know prior to answering..... The dilantin level would have been one of them.... I would also want to know your risk factors for a stroke.... age, cigarettes, cholesterol, family history, diabetes. This...

Family, Internal Medicine, General Medical Questions: NEED TO GO, cold temperatures, blood volume
cold temperatures, blood volume, cold weather: Hey Cameron, It is true that exposure to cold temperatures causes a reduced blood flow to the skin by constricting the blood vessels. This reduces the blood volume thereby increasing the blood pressure. The body s then wants to reduce the volume by getting...

Family, Internal Medicine, General Medical Questions: Period lasting too long?, urine specimen, morning urine
urine specimen, morning urine, pregn: There are a couple possibilities.... one, you could be pregnant, so check a first morning urine specimen with a pregnancy test. You may have skipped an ovulation and didn t shed the uterus lining properly and then you get over production and slow sloughing....

Family, Internal Medicine, General Medical Questions: pain & cramping 2 different issues, birth control pills, xiphoid process
birth control pills, xiphoid process, left breast: those two things sound like separate issues.... the sharp pain when bending over, feeling like something caught... sounds like your abd muscle spasms a little... keeping those in good shape (crunches/situps) should help. The first problem... sharp stab...

Family, Internal Medicine, General Medical Questions: pain in right arm, pinched nerve in the neck, pain in right arm
pinched nerve in the neck, pain in right arm, shoulder problem: You said your arm.... if symptoms go down into your fingers, especially 2nd, 3rd, 4th, then it is possibly you have carpal tunnel syndrome. This kind of ache can also be a shoulder problem, bursitis and the pain can radiate down the arm. It can also be a...

Family, Internal Medicine, General Medical Questions: How is this possible (and what should I do about it?), swollen legs, feet legs
swollen legs, feet legs, retaining water: It seems like you weighed on two separate scales... the one at the office may be off.... weigh consistently on your scale and it should at least accurately reflect changes.... it is unlikely you gained that much weight in 2 days unless you stopped urinating,...

Family, Internal Medicine, General Medical Questions: Possible Gallbladder issues with pregnancy, added component, second trimester
added component, second trimester, gallbladder: the tumor is very very unlikely.... if you have gallstones already, symptoms are probably a recurrence but you still do have symptoms... the throwing up, etc, so I would get it evaluated and stop putting it off when it subsides..... then you will be rid of...

Family, Internal Medicine, General Medical Questions: Pregnancy/bowel movements, stomach virus, colon cancer
stomach virus, colon cancer, stomach pains: This may still be some gall bladder or simply intermittent stomach virus or food intolerances.... some people temporarily lose the ability to digest milk products. There isn t much to do at this point until after delivery unless you start developing fever,...

Family, Internal Medicine, General Medical Questions: Question, inner ear problem, sinus congestion
inner ear problem, sinus congestion, rocking sensation: I would just lay the information out for them.... if he/she is looking at inner ear, MRI with contrast, some nerve tests called evoked potentials.... but it is always best to simply lay out the signs and symptoms and let them decide on the next step.......

Family, Internal Medicine, General Medical Questions: Rabies, immunization schedule, rabid animal
immunization schedule, rabid animal, open wound: you technically could... the best way to tell is to find the dog and make sure it stays alive for 10 more days. When an animal is rabid, it is dying and if it continues to live, then no rabies. If you cannot find it or it does die (from any reason) then...

Family, Internal Medicine, General Medical Questions: Reoccurring strep throat, strep throat, handwashing
strep throat, handwashing, garden variety: Get your close family members checked to make sure they are not carriers (people who have the bacteria but not the disease) and then good handwashing to prevent transmission.... there isn t any magical prevention. If you had difficult to get rid of strep,...

Family, Internal Medicine, General Medical Questions: Serum Ferritin, serum ferritin, iron storage disease
serum ferritin, iron storage disease, iron stores: depending on the lab, strictly in the normal range. It doesn t change over time and it is a reflection of your body s iron stores.... if it is in the normal range and your CBC (Hb and Hct) are normal, then that is the end of it. If it is really really...

Family, Internal Medicine, General Medical Questions: Side Pain, right sided abdominal pain, iliac crest
right sided abdominal pain, iliac crest, abdominal exploration: this is done under general if they are looking in the belly.... if he does it with laparascope, then the scars are really tiny and should heal almost invisibly...... but... if you got something bad down there, you need to deal with it... tell them to be careful...

Family, Internal Medicine, General Medical Questions: Subclinical Hyperthryoidism, neuro opthomologist, symptoms of hyperthyroidism
neuro opthomologist, symptoms of hyperthyroidism, eyesight problems: This is a complicated subject that is full of personal bias. I will give you my read on it. (There are controversial medical books written on this subject) If the thyroid is going to go crazy and become disconnected from the normal feedback regulation...

Family, Internal Medicine, General Medical Questions: thyroid disease, thyroid scan, t3 t4
thyroid scan, t3 t4, antibody tests: that is not enough specific information..... mild diffuse disease suggests you had a thyroid scan. I would want to see all the thyroid blood tests... did you have antibody tests in addition the the TSH and T3/T4? Did you have an ultrasound. But mild diffuse...

Family, Internal Medicine, General Medical Questions: Being treated 4 abcess (waited to long2 get looked at!, low grade fever, pain pills
low grade fever, pain pills, belly pain: This is worrisome that you are getting systemic (whole body) symptoms of infection from an infected cyst.... at this point you need to be re-seen and consider more aggressive antibiotics, more aggressive drainage if needed. Possibly IV fluids, possible culture...

Family, Internal Medicine, General Medical Questions: unexplained symptoms, v tach, bad taste in mouth
v tach, bad taste in mouth, outflow tract: You have a lot of diverse symptoms and I don t know if I can tie them all together.... that is a LOT of beer.... you need to put that in perspective and make sure there isn t a problem there. Bad taste in mouth- in general, I worry about dental disease,...

Family, Internal Medicine, General Medical Questions: Warafin, warafin, mg tablets
warafin, mg tablets, warfarin: the warfarin and alcohol has no interaction and did not affect your mental state. You may have drank too much or another drug was involved but this combination by itself should not cause the blackout..... doubling up by accident really should not do...

Family, Internal Medicine, General Medical Questions: what could this be?, thyroid tests, pulmonary embolism
thyroid tests, pulmonary embolism, light a fire: That is a possibility.... people your age don t get heart attacks but this could be a problem with the neuro-electrical system that tells your heart to beat regularly.... I can see you are worried.... so get it checked... and motivate your doctor to keep...

Family, Internal Medicine, General Medical Questions: 11 year old boy peeing often, stomach pain, diabetes insipidus
stomach pain, diabetes insipidus, rare condition: In general, I am not alarmed by this but..... he should have a urinalysis to look for sugar or infection in the urine. There is also a fairly rare condition diabetes insipidus where hormonally, he is dumping too much water into the urine. You can get...

Family, Internal Medicine, General Medical Questions: Abdominal pain, gall bladder surgery, incisional hernia
gall bladder surgery, incisional hernia, gall bladder: That is a pretty good test, but not perfect for diagnosing a hernia. There can be different levels of muscle injury.... a strain that will be painful, or a big strain that produces a hernia. Since the CT was normal, I think the reasonable choice is to wait...

Family, Internal Medicine, General Medical Questions: arm pain/numbness in thumb, numbness in thumb, wrist elbow
numbness in thumb, wrist elbow, pain meds: I really doubt whether this is related to Avelox.... I have never seen it and have not seen it reported. Some people have big tonsils to start with, so it is possible they are just large, or have enlarged from the infection, but should go down in less than...

Family, Internal Medicine, General Medical Questions: Balance, correct balance, immune systems
correct balance, immune systems, chromosomes: interesting theory... there are other similar theories, but in general, aging is very complicated and one aspect has to do with the limited longevity of cells, ie their ability to reproduce ends over time. Has to do with telomeres (ends of chromosomes) and...

Family, Internal Medicine, General Medical Questions: Bloated, low calorie diet, bearer of bad news
low calorie diet, bearer of bad news, lower back pain: Sorry to be the bearer of bad news, but 15# weight gain and increasing girth spells gaining fat weight..... But the bloating may have several causes... a food intolerance, like you have tried to fix.... lactose being obvious and the grains. I assume...

Family, Internal Medicine, General Medical Questions: bump on leg, skin abscess, insect bite
skin abscess, insect bite, inflammatory reaction: right now, it looks like an inflammatory reaction from something, like an insect bite.... if it becomes soft, fluid filled, painful, then it could become a staph skin abscess and may need drainage and antibiotics, but for now, it looks like you could simply...

Family, Internal Medicine, General Medical Questions: GOING CRAZY, sexual difficulties, dr andrew
sexual difficulties, dr andrew, medical questions: Hi there Cameron, thank you for posting your question. My name is Dr Andrew Rynne. I am an Irish medical doctor with ten years experience in helping men and women online with sexual difficulties. I also handle general medical questions online. It is not...

Family, Internal Medicine, General Medical Questions: discomfort in abdomen (side), online symptom checker, right abdomen
online symptom checker, right abdomen, colon cancer: Well, good timing.... I just had my age related colonoscopy yesterday.... In general, it sounds like you have had good health, but I guarantee that your good health will not last forever. It is probably about time to.... like you said, see the doctor. ...

Family, Internal Medicine, General Medical Questions: Don't know what is causing this., hair follicle infection, sleep in the eyes
hair follicle infection, sleep in the eyes, suntan lotion: around both eyes sounds like some type of allergic reaction, possibly from a cream/suntan lotion? Or eczema.... allergic skin Try one of the steroid creams like cortaid, but if not better, get it looked at..... The sleep in the eyes may be an eyelash...

Family, Internal Medicine, General Medical Questions: eating induced(diabetic) iregular heart beats problem, irregular heart beat, heart discomfort
irregular heart beat, heart discomfort, thyroid tests: You did not specify what heart rythym irregularity occurred.... bradycaria... beating too slow, or tachycardia- beating too fast. In general, when this occurs, unless the office is equipped and trained to deal with these problems (defibrillator, trained in...

Family, Internal Medicine, General Medical Questions: Fat malabsorption, stomach ache, pancreatic enzymes
stomach ache, pancreatic enzymes, creon: This will not jump start the pancreas... if it is not working appropriately, then the replacement is needed to absorb some of the fat soluoble vitamins and nutrients. You might be on it for a long time depending on your response and whether your pancreas...

Family, Internal Medicine, General Medical Questions: Injected liquid b12 over the counter and now knot under skin, b12 shots, abscess
b12 shots, abscess, vials: there probably isn t bacteria but there are ingredients for taste that don t absorb well and you may get an abscess there because of retained solids.... it probably will go away but if it gets red or painful.... you will need that treated...... B12 in general...

Family, Internal Medicine, General Medical Questions: Insect Bite Fears, insect bite, mosquito bites
insect bite, mosquito bites, insect bites: well, you spelled it out in your note... rabies is incredibly rare. And you also describe a situation where it is most plausible that there was no exposure at all. There is an option of getting the rabies vaccine when you get back (you have weeks to...

Family, Internal Medicine, General Medical Questions: Kiddie spa and same lip gloss tube, meningococcal meningitis symptoms, cosmetology board
meningococcal meningitis symptoms, cosmetology board, pneumococcal meningitis: I would not have kids share a lip gloss tube either but you would have had to have a sick child get it applied one or two people before your child, so risks are low in general. As far as meningitis, that type of transmission has never been reported and...

Family, Internal Medicine, General Medical Questions: Legs and Feet Swelling suddenly, calcium level, swelling feet
calcium level, swelling feet, legs and feet: this is usually mineral deficiency disease and a sign of low magnesium so get magnesium level plus calcium level plus vit D level since likely to need all three but amount depends on the numbers you can also take diuretics for lifetime as an alternative ...

Family, Internal Medicine, General Medical Questions: Lipoma, right abdomen, gain weight
right abdomen, gain weight, incision: You had the lipoma forever, but it behaves separately from the rest of your fatty stores.... it has a sheath and will grow if you gain weight and sometimes won t shrink when you lose weight so it can become more noticeable with either..... when removed,...

Family, Internal Medicine, General Medical Questions: Lipoma, right abdomen, sexual difficulties
right abdomen, sexual difficulties, family dr: Michelle, I m sorry to hear that this thing is still giving you grief. There are a few things that I do not understand about it though. Lipoma are classically painless collections of fatty matter. And yet yours was so painful they thought it was appendix!...

Family, Internal Medicine, General Medical Questions: Lipoma Problems, penrose drain, sterile bandage
penrose drain, sterile bandage, right abdomen: in our practice lipomas come from seeds, nuts, flax, soy, granola, trail mix, avocado, hummus and poultry which all contain excess omega 6 plant oils which increase inflammation. the fluid collection is needing a penrose drain inserted and covered with a...

Family, Internal Medicine, General Medical Questions: Lump on ear, bottom portion, lymph nodes
bottom portion, lymph nodes, earlobe: there are many many lymph nodes all around the ear. If the lump is on the ear, that sounds more like a simple cyst--- a fluid filled sac that can be fairly firm. If it isn t red or painful, you can leave it alone unless it is disfiguring. They are at risk...

Family, Internal Medicine, General Medical Questions: Lump near Labia, bartholin gland, t drain
bartholin gland, t drain, sized lump: It sounds like a bartholin gland infection. Sometimes (remember, sometimes) it can be associated with sexually transmitted diseases, like gonorrhea) But in general, I would treat with antibiotics since it is draining. If it doesn t drain and you have a...

Family, Internal Medicine, General Medical Questions: Lung medicine, inhaled steroids, lung medicine
inhaled steroids, lung medicine, mild asthma: There aren t good long term maintenance medicines for asthma that are really cheap.... advair or symbicort are the cornerstones but both kinda pricey. Spiriva helps also.... but that would be the first one I would try without if money is tight, but for someone...

Family, Internal Medicine, General Medical Questions: Who could have made me pregnant, last period, 28 days
last period, 28 days, 22 june: Much better.... if your periods come every 28 days, then it is likely that you ovulated on June 5th, so most likely you got pregnant by your boyfriend on June 6th. There is a small possibility that the June 3rd, even with the pull out, may have caused the...

Family, Internal Medicine, General Medical Questions: ms home remedies, testicle swelling, home remedies
testicle swelling, home remedies, catheter: by MS I assume you mean multiple sclerosis.... there have never been any documented benefit from home remedies. If they self cath and have pain/swelling, I would worry about infection and get them evaluated immediately so it doesn t progress to a serious...

Family, Internal Medicine, General Medical Questions: Nausea/prostititus, gall bladder, cystoscopy
gall bladder, cystoscopy, stress test: despite being a runner, I would wonder if that is an atypical heart presentation.... if you haven t had a cardiac workup.... stress test or more, then I would have that done right away. The nausea may have been related to low grade prostatitis. Also,...

Family, Internal Medicine, General Medical Questions: Numbness in hands/arms when in chest deep water, b12 vitamins, purplish tinge
b12 vitamins, purplish tinge, thyroid hormones: fingertips numb and purple sounds like Raynaud s phenomena where the artery (inflow of blood) spasms and slows down blood flow to the hands and/or feet. Sticking a hand in pretty warm water for 2 minutes or so should reverse it if that is occurring. But,...

Family, Internal Medicine, General Medical Questions: Pcos, birth control pills, half marathons
birth control pills, half marathons, fertility treatments: you said thyroid level was 4.4 if that was your TSH.... I would consider you low.... the important number for thyroid is the TSH... that number should be 0.5 up to 1.5. If it is above that, it is abnormal despite what the ranges come back as. I think...

Family, Internal Medicine, General Medical Questions: Questions about blood test, adrenal glands, hormone disorders
adrenal glands, hormone disorders, challenge test: different labs have different standards, but that sounds pretty normal to me.... it should go up significantly from the trial... it tests to make sure your adrenal glands can respond to the challenge.... and yours has... there are some hormone disorders where...

Family, Internal Medicine, General Medical Questions: What can I say to doctor if I'm simply tired?, thyroid tests, medical disease
thyroid tests, medical disease, hypothyroidism: well, being young and healthy doesn t protect you against some things..... I agree- go to your primary doctor.... Some considerations.... depression... even if you don t have anything to be depressed about, the medical disease of depression can give...

Family, Internal Medicine, General Medical Questions: Skin irritation, sinus problem, allergy attack
sinus problem, allergy attack, hair dye: it isn t unusual to still have a skin crawling feeling... if there are no rashes or hives, you don t really have to take any of the antihistamines but you could if you wanted to. Sometimes that feeling may last for a couple of weeks, but should fade away...

Family, Internal Medicine, General Medical Questions: Stapphylococcus in my throat, staphylococcus bacteria, ent surgeon
staphylococcus bacteria, ent surgeon, throat culture: Hi there Adarsh, thank you for posting your question. My name is Dr Andrew Rynne. I am an Irish medical doctor with ten years experience in helping men and women online with sexual difficulties. I also handle general medical questions online. You probably...

Family, Internal Medicine, General Medical Questions: STD question, penile papules, incubation time
penile papules, incubation time, genital warts: sometimes you can have BPP- benign penile papules at the crown.... the base of the head of the penis. This is not HPV. If at the base of the penis where it attaches to body, this could be. Probably 90% of sexually active adults have HPV, most don t...

Family, Internal Medicine, General Medical Questions: throat problems, upper respiratory infection, paternal grandmother
upper respiratory infection, paternal grandmother, ent doctor: smoking raises that risk considerably... these easily could be allergies or an upper respiratory infection but I agree, it is worthwhile to have a thorough exam to not miss anything. Although ENT cancer is a possibility, much more likely is reflux, allergies,...

Family, Internal Medicine, General Medical Questions: Uterine fibroid, endometrial stripe, frequent urination
endometrial stripe, frequent urination, lower back pain: well, I was applying it to your symptoms of incontinence and frequency. As far as working that condition up, an MRI wouldn t help much. The question is, has your bladder dropped meaning have the suspending muscles weakened and might need tightening or...

Family, Internal Medicine, General Medical Questions: Viruses and bacteria on stuffed animals and fabric, viruses and bacteria, top of the stack
viruses and bacteria, top of the stack, lcmv: Have you ever heard of a case of LCMV or Hanta in your state? One of the problems with the net is that you don t know what to believe and what not to believe. Children don t drop dead like flies and you obviously are a lot cleaner than most.... they are...

Family, Internal Medicine, General Medical Questions: abdominal issues, inflammatory bowel disease, lower abdomen
inflammatory bowel disease, lower abdomen, milk cheese: It sounds like a more functional problem... a food intolerance... like milk products.... try avoiding milk/cheese/butter for a month and see if it changes. It isn t something bad, since it has been going on for years. The only big concern would be inflammatory...

Family, Internal Medicine, General Medical Questions: Cat Bite, Cat bite
Cat bite: Hi there Pete, thank you for posting your question. My name is Dr Andrew Rynne. I am an Irish medical doctor with ten years experience in helping men and women online with sexual difficulties. I also handle general medical questions online. I think you...

Family, Internal Medicine, General Medical Questions: Clarification of biopsy result needed, invasive breast cancer, ruptured cyst
invasive breast cancer, ruptured cyst, medical oncologist: You want to get your information from an oncologist primarily, but... you described something on the uterus wall and then described tissue taken from inside the uterus, with essentially negative results. Tamoxifen produces a partial medical menopause...

Family, Internal Medicine, General Medical Questions: what's the deal with haemmorheaging?, traumatic stress disorder, postpartum hemorrhage
traumatic stress disorder, postpartum hemorrhage, lining of the uterus: that is an impressive placenta.... 13 lbs. I have never heard of ripping, etc causing a physical problem with the uterus, putting someone at risk for hemmorhage/death from a period. People menstruate because of a physiologic cycle and that varies...

Family, Internal Medicine, General Medical Questions: Dehydration, low sodium level, atenenol
low sodium level, atenenol, home nurse: This is a tough situation... when someone has dementia, they cannot feel thirsty, hungry, etc and there has to be a best guess as to fluid requirements, etc. I would consider adding some salt to the free water, but if the kidneys are normal, and she is not...

Family, Internal Medicine, General Medical Questions: dizziness, scopolamine patches, sensory nerves
scopolamine patches, sensory nerves, fellow travelers: Motion sickness occurs when the inner ear, the eyes, and other areas of the body that detect motion send conflicting messages to the brain. One part of your balance-sensing system (your inner ear, vision, and sensory nerves that help you keep your balance)...

Family, Internal Medicine, General Medical Questions: excessive neck popping, saliva glands, prevention drugs
saliva glands, prevention drugs, medical issue: there isn t connection between the bones and your throat, although you may be compressing one of your saliva glands when you torque your neck. Popping the neck probably isn t a big deal unless you pull one of your supporting muscles and strain it. There...

Family, Internal Medicine, General Medical Questions: My Father's Cough/Bronchial nfection, chest x ray, cough syrup
chest x ray, cough syrup, bronchial infection: Hi there Zent, thank you for posting your question. My name is Dr Andrew Rynne. I am an Irish medical doctor with ten years experience in helping men and women online with sexual difficulties. I also handle general medical questions online. To answer your...

Family, Internal Medicine, General Medical Questions: Gluten, gluten free diet, abdominal distension
gluten free diet, abdominal distension, night blindness: it certainly does... the tests for celiac are not that accurate, the real test is the actual trial of a gluten free diet, which confirmed it for you.... Losing weight and taking something for the reflux.... I always try Zantac first, since it is so inexpensive....

Family, Internal Medicine, General Medical Questions: Headache, temporal arteritis, headache migraine
temporal arteritis, headache migraine, tension headache: Hi PRM My apologies for delayed reply. I am sorry to hear about your wife s symptoms. I hope by now your wife has been seen by a doctor or better still her symptoms resolved. In short you described to me young lady with though mild but new onset headache...

Family, Internal Medicine, General Medical Questions: Headache and eye pain, afrin nasal spray, sinus drainage
afrin nasal spray, sinus drainage, sinus congestion: it is hard to come up with a hard diagnosis for this.... but I would wonder about a sinus infection.... even without a lot of fever/sinus drainage. Also an atypical migraine headache. It might be reasonable to try some AFRIN nasal spray for 2-3 days to...

Family, Internal Medicine, General Medical Questions: healthcare costs, magic answers, wife husband
magic answers, wife husband, medicaid: Well, you fall into the same category as about 30% of other US adults.... Getting on a policy with your wife/husband who has employer offered insurance is an option. If financially you don t have assets, would you qualify for medicaid? The other option...

Family, Internal Medicine, General Medical Questions: help, laundry detergent, heart palpitations
laundry detergent, heart palpitations, bad taste in my mouth: I am gonna sound like a broken record thru a lot of this because I think a fair amount may be related back to the excessive alcohol usage.... but.... The taste in the mouth... a bad tooth, even one that isn t painful can be causing this... it is worth...

Family, Internal Medicine, General Medical Questions: hemorrhoids, external hemorrhoids, teeth braces
external hemorrhoids, teeth braces, pain meds: keep non-constipated and keep them inside as much as you can and they will shrink down to an extent.... then if they are still hanging... you will have to have surgery.... you actually can have surgery and take pain meds and breast feed.... that isn t optimal...

Family, Internal Medicine, General Medical Questions: Hemorroids, proctosol hc, hydrocortizone
proctosol hc, hydrocortizone, hemorrhoid: The most important thing is to push the hemorrhoid back inside, if you can. If it becomes really hard and really painful, that may mean it has thrombosed, meaning the blood inside it has clotted... those are then opened with a nick and the clot removed and...

Family, Internal Medicine, General Medical Questions: Irritation on inner labia, triamcinolone acetonide cream usp, triamcinolone acetonide cream
triamcinolone acetonide cream usp, triamcinolone acetonide cream, nystatin and triamcinolone acetonide: The inner lower labia lips is where those glands are, but I would be concerned about STD s, such as herpes also. A bartholin gland usually feels like a soft marble when it gets clogged, so if this is on the tissue surface, probably not that. The cream will...

Family, Internal Medicine, General Medical Questions: itchy ears, fluid in the ears, sinus trouble
fluid in the ears, sinus trouble, itchy ears: Some people have a low level infection in their ear canal... swimmers ear, some people have eczema or psoriasis really mildly and have symptoms like that. Do not use cutips in the ear..... let the wax be, and pick out what you can with a finger.... If...

Family, Internal Medicine, General Medical Questions: Lipoma, right abdomen, pain meds
right abdomen, pain meds, seroma: These can be a pain when you have a seroma in the place where the lipoma was removed... there is now a cavity that has to scar down and it sometimes doesn t cooperate... the slower way is to drain it as it is being done, then keep some pressure on the area...

Family, Internal Medicine, General Medical Questions: low Vitamin D levels, congenital heart defect, oophrectomy
congenital heart defect, oophrectomy, sinus infection: it is unlikely that your symptoms are from vitamin D deficiency, but everyone needs a supplement... we just can t get enough from food. I don t understand why people prescribe megadoses weekly instead of 2000 daily.... although it is safe.... there are no...

Family, Internal Medicine, General Medical Questions: Multivitamins, iron storage disease, hemachromatosis
iron storage disease, hemachromatosis, falsehood: That is a falsehood.... no problem, unless you are one of the rare people with an iron storage disease, hemachromatosis.... but otherwise, you only absorb the iron you need even if you take a whole lot of it, as an adult. Young children, on the other hand,...

Family, Internal Medicine, General Medical Questions: nausea, zantac 150, pregnancy check
zantac 150, pregnancy check, liver enzyme: obviously you had a urine check and pregnancy check.... If you have been on any pain recent medicines.... pain meds sometimes cause these symptoms. Otherwise, the workup seems OK so far. I would also give you a trial of zantac 150 twice a day to see if...

Family, Internal Medicine, General Medical Questions: Back pain, deep knee bends, ultasound
deep knee bends, ultasound, back muscles: I assume the MRI was of your low back... with GI symptoms- bloating, etc, I would ask for a full GI workup... colonoscopy, and then possibly CT of the abdomen/pelvis with contrast..... that will eliminate typical cancers as the cause. If I took 100 people...

Family, Internal Medicine, General Medical Questions: Perspiration Question, prescription antiperspirants, sweating problems
prescription antiperspirants, sweating problems, thyroid problems: there are a lot of variables involved... how much you eat... if you ate more, you may be burning off excess calories and the body system needs a little more cooling. When it happens a lot, we worry about thyroid problems. Some meds can increase or decrease...

Family, Internal Medicine, General Medical Questions: Back problems and balance, surgical decompression, motor nerves
surgical decompression, motor nerves, oral steroids: Sounds like you have some neuropathy... nerves not working so well.... I would start with your regular doc and maybe a neurosurgeon.... when I have someone with this I treat pretty aggressively.... I assume you have been thru Motrin type meds and pain medicine...

Family, Internal Medicine, General Medical Questions: Seroma/Lipoma, wheat barley, right abdomen
wheat barley, right abdomen, pain meds: not a simple answer, your immune functions need testing and like to need to avoid gluten in oats, soy, all seeds, wheat barley rye sorghum buckwheat, millet etc, plus avoid latex foods like bananas, avocado, hummus, figs, kiwi and stone fruits plus avoid plant...

Family, Internal Medicine, General Medical Questions: Sinus problems, post nasal drip, sinus pressure
post nasal drip, sinus pressure, sinus problems: you may have sinusitis but the incidence is only one in hundred taking this as a side effect. Most probably you have this as an individual problem which needs seperate treatment. I suggest you go to a naturopathic practitioner since they have some great treatments...

Family, Internal Medicine, General Medical Questions: suicide, woman nature, sex age
woman nature, sex age, suicide: Not true at all... statistically, men use hanging as a method, women more likely to overdose, but any sex can use any method to kill themselves.......... That has been well studied and there are tables that break down sex, age, socioeconomic status, etc,...

Family, Internal Medicine, General Medical Questions: sweat, month old baby, sweat glands
month old baby, sweat glands, good answer: As long as there is no fever or other symptoms, no big worries, but I would wonder if the baby sleeps a certain way and gets part of him hot from laying on that side? Otherwise, I don t have a good answer... sweating is a whole body phenomena, although some...

Family, Internal Medicine, General Medical Questions: throat & chest infection?, afrin nasal spray, yellow sputum
afrin nasal spray, yellow sputum, fever chills: the book says these are viral and the treatment you listed is appropriate... meaning antibiotics don t help, but if there is any sinus pressure/pain/congestion, I tend to acquiese and give antibiotics and use some afrin nasal spray twice a day for 5 days....

Family, Internal Medicine, General Medical Questions: Trigger Finger Surgery, trigger finger surgery, scar tissue
trigger finger surgery, scar tissue, keloid: vertically is actually better because the incision is not pulled on when you bend your finger.... that is the way I would do it if I did that surgery... most people judge a surgeon on what the scar looks like... but the important thing is what happens...

Family, Internal Medicine, General Medical Questions: Typhus, typhus, body fluids
typhus, body fluids, plagues: you better believe it.... it is a bacteria and extremely contagious... many wars were lost in the old days because of plagues of typhus killing off soldiers.... nowadays, fairly rare, usually gets better without treatment other than fluid replacement. But...

Family, Internal Medicine, General Medical Questions: Unexplained Fevers, common bile duct, liver enzymes
common bile duct, liver enzymes, hidden infections: well, obviously we think of hidden infections with the repetitive fevers... I assume everything else has been looked at... urine, lungs... there are also some nuclear medicine scans that can help identify hidden abscesses that I would consider doing........

Family, Internal Medicine, General Medical Questions: Anal damage, anal muscles, heat of passion
anal muscles, heat of passion, going to the bathroom: well, the anus is made for things to come out of, not for things to go in and out, in and out, in and out. It is easy to tear those muscles in the heat of passion. Plus, all the sexually stimulated organs for a woman are in the front/top, away from the...

Family, Internal Medicine, General Medical Questions: My daughter writhes in pain, h pylori, upper abdomen
h pylori, upper abdomen, barium test: - Knowing we have no option but to wait till a specilist sees my daugher, what do we do to alleviate her pain? need to know the cause and need to see the actual results to do that 2- Is our family doctor on the right track in terms of diagnosis? no way...

Family, Internal Medicine, General Medical Questions: Fatigue/exhaustion in mid pregnancy., online medical advise, extra beats
online medical advise, extra beats, working in ireland: Hi there, thank you for posting your question with Allexperts. My name is Dr Andrew Rynne. I am a medical doctor working in Ireland. I have ten years experience helping people Online sort out their medical concerns. Fatigue and general exhaustion is not...

Family, Internal Medicine, General Medical Questions: health improvements, nutritious food choices, vodka drinker
nutritious food choices, vodka drinker, online medical advise: Hi there Barry, thank you for posting your question with Allexperts. My name is Dr Andrew Rynne. I am a medical doctor working in Ireland. I have ten years experience helping people like you Online. The first thing that you should notice, having quit the...

Family, Internal Medicine, General Medical Questions: My Husband's Health, atacand hct, body ache
atacand hct, body ache, severe headaches: The symptoms are pretty vague.... I can t make a call, but I would suggest going back to one of them and having a re-evaluation.... repeat lab tests.... relook at the liver, etc. Thyroid can be a fooler and should be checked. I hope this helps..... (no...

Family, Internal Medicine, General Medical Questions: Medicine After taste, vietnam veteran, sexual difficulties
vietnam veteran, sexual difficulties, anti depressants: Hi there Margie, thank you for posting your question. My name is Dr Andrew Rynne. I am an Irish medical doctor with ten years experience in helping men and women online with sexual difficulties. I also handle general medical questions online. You would...

Family, Internal Medicine, General Medical Questions: Needle in leg, sewing needle, childhood accident
sewing needle, childhood accident, calf muscle: if you don t remember it going in, you probably did it a long time ago or while very drunk..... i kinda depends where.... I would consult an ortho to look at you and the xrays because it s proximity to a joint, nerve, artery, depends on the severity........

Family, Internal Medicine, General Medical Questions: pectin, harmless substance, al brown
harmless substance, al brown, sexual difficulties: Hi there Al, thank you for posting your question. My name is Dr Andrew Rynne. I am an Irish medical doctor with ten years experience in helping men and women online with sexual difficulties. I also handle general medical questions online. To the best of...

Family, Internal Medicine, General Medical Questions: Pilonidal Cyst, pilonidal cysts, flare ups
pilonidal cysts, flare ups, pilonidal sinus: Hi again Jesse. As I said on top of my last reply, what course any pilonidal cyst will take is unpredictable. Yours drained spontaneously, without intervention. That s fine. Typically it will now settle down in the next few days, stop draining and you will...

Family, Internal Medicine, General Medical Questions: Pilonidal Cyst, pilonidal cysts, warm baths
pilonidal cysts, warm baths, type of skin cancer: These can be persistent and annoying.... antibiotics like septra or doxicycline may calm it down but they tend to recur without good surgical intervention.... the bad ones require pretty wide opening. It isn t an emergency, so you could calm it down with...

Family, Internal Medicine, General Medical Questions: Please help!, afrin nose spray, high fever
afrin nose spray, high fever, afrin: killing him? wow.... bad cold.... These start as virus ..... the best thing is to get some AFRIN nose spray and have him use it twice a day (could cheat and use it every 8 hours if needed) and use it for 3-7 days. Just don t let him use it long term...

Family, Internal Medicine, General Medical Questions: Raynaud's and niacin supplement, cold hands and feet, changing colors
cold hands and feet, changing colors, raynauds: that is a possible treatment... because niacin causes some vasodilation- blood vessel enlargement and thought to help it.... it will work well in some people and not so well in others. No reason to do on / off therapy. Also avoid cigarettes/nicotine and...

Family, Internal Medicine, General Medical Questions: I want to become an ER doctor, honesty integrity, free thinker
honesty integrity, free thinker, admissions committee: honesty, integrity, perseverence.... hard work, good grades, possibly volunteer work. Don t try and do something that they would want you to do..... instead, do something good that you want to do, and do it to the best of your ability.... even better...

Family, Internal Medicine, General Medical Questions: Abdominal pain and distention, heart arrythmia, nasal endoscopy
heart arrythmia, nasal endoscopy, lower abdominal pain: I would have a hard time blaming the lidocaine and afrin.... I would also be concerned, with those symptoms that you bled somewhere also and your pressure dropped..... and with the abd distension, bleeding in the belly or female organs.... I would get it looked...

Family, Internal Medicine, General Medical Questions: bitten cheek, al brown, cheek
al brown, cheek, alignment: not really... those don t get infected and heal up quickly and nothing speeds that up.... next time in for a dental cleaning, talk to your dentist about your alignment, but most likely it will fall back on not being in a hurry and catching your cheek between...

Family, Internal Medicine, General Medical Questions: bitten cheek, otc treatment, buccal mucosa
otc treatment, buccal mucosa, lozengers: Al, Would be good to f/u with a dentist to make sure bite alignment is OK and also there is no evidence of oral buccal mucosa pathology (cancer, hyperplasia, etc.) As far as OTC treatment, would swish and spit with warm salty water and you can use throat...

Family, Internal Medicine, General Medical Questions: Bruise concern, deep haematoma
deep haematoma: Hi there Stephanie, thank you for posting your question with Allexperts. My name is Dr Andrew Rynne. I am a medical doctor working in Ireland. I have ten years experience helping people Online sort out their medical concerns. Yes, that s it. Google is...

Family, Internal Medicine, General Medical Questions: carotid artery disease, family hx, dr appt
family hx, dr appt, swollen areas: Hi Patricia, I m really glad you ve already made an appt to see your physician as we obviously don t want to mess around with HBP or new bulges , especially around or near the neck. Like you, I m a RN but not a doctor, so this is just my personal opinion...

Family, Internal Medicine, General Medical Questions: Chronic Appendicitis, chronic appendicitis, abdominal ct scan
chronic appendicitis, abdominal ct scan, scar tissue: there are books written about how to diagnose appendicitis.... some are very easy, but often it is a tough one to diagnose. And chronic appy is a fairly rare problem so experientially, hard to pick up sometime until it has been there a lot..... with all the...

Family, Internal Medicine, General Medical Questions: Not sure if I should be concerned, hair loss, fatigue
hair loss, fatigue, weight gain: Dear Shannon, Thank you for writing in. Based on your symptoms, I would suggest making an appointment with your practitioner and getting a complete physical including blood work. Your symptoms point to a number of things. The most common cause for what...

Family, Internal Medicine, General Medical Questions: different symptoms, low grade fever, thyroid tests
low grade fever, thyroid tests, blood infections: it sounds like a chronic infection, possibly low grade urine infection, I would also check a blood count and thyroid tests.... it sounds like you neee to see your doctor and get a few tests. I would want to make sure you weren t exposed to TB or any history...

Family, Internal Medicine, General Medical Questions: Diverticulitis, infectious disease specialist, anxiety and depression
infectious disease specialist, anxiety and depression, invanz: I would wonder whether this is definitely diverticulitis episodes or could this be IBS episodes (they pass so quickly) or some low grade ulcerative colitis..... talk it over with your GI doctor, but again, I don t see emergency bowel surgery as indicated now...

Family, Internal Medicine, General Medical Questions: dizziness, mild headache, dramamine
mild headache, dramamine, left eye: if you have room spinning dizziness, you can try over the counter dramamine, but be careful driving and also be careful at night.... keep a light on while sleeping... people get up to go to the bathroom in the dark, get an attack and fall over and break something.......

Family, Internal Medicine, General Medical Questions: Ear Protection, time target, noise damage
time target, noise damage, rock concerts: noise damage is cumulative.... so one time target shooting won t damage permanently, but over time, repeated episodes will.... that is why we use hearing protection.... and once that happens, it really can t be undone, so it pays to protect the ears... target...

Family, Internal Medicine, General Medical Questions: Flu Shots, stomach flu, flu shots
stomach flu, flu shots, reaction to the flu shot: The problem with flu shots is that we give them at a time of year when people get sick with other stuff..... this is not a reaction to the flu shot..... this is simply one of the illnesses people get at this time of year.... it will pass in a couple of...

Family, Internal Medicine, General Medical Questions: Is this my heart or something else?, thyroid tests, dizzy spells
thyroid tests, dizzy spells, heavy periods: This is always tricky, since I don t get to ask questions here.... I would ask if you gained weight or lost weight, or how heavy periods are, or are using any drugs/alcohol. But in general, if the above answers are negative, I would have your thyroid tests...

Family, Internal Medicine, General Medical Questions: Information about comatose patients, office reception area, smoke inhalation
office reception area, smoke inhalation, fictional piece: coma could be from the head injury or could be from the smoke inhalation or low oxygen. They can recover completely or recover with memory loss or any combo of neurological problems, weakness, etc. Writer s discretion.... there is no set medically correct...

Family, Internal Medicine, General Medical Questions: Lactic acidosis/Periodic Paralysis, periodic paralysis, muscle biopsy
periodic paralysis, muscle biopsy, long qt: Yes, this is a rare complex situation.... I would be guessing, but if you came to see me in my office, I would be on the phone to a premier neurologic clinic, probably at a medical center.... I have used Duke, Emory and Winston Salem (Bowman Gray) around here......

Family, Internal Medicine, General Medical Questions: Linked or Coincidence?, unexplained thirst, frequent urination
unexplained thirst, frequent urination, diabetes insipidus: I would start very basic.... check regular blood counts, thyroid, blood sugar and also pursue the hormone workup (for DI and other problems) With the dizziness and double vision, it shows something is wrong, but the list is pretty long, but I would definitely...

Family, Internal Medicine, General Medical Questions: Normal stature range, highs and lows, standard deviation
highs and lows, standard deviation, stature: I am not sure where you came up with those numbers, but in general....the complete range covers 95% of normal people with 2 1/2 percent of highs and lows outside of that range on the chart. There isn t a way to subcategorize past that.... so 5-8 percentile...

Family, Internal Medicine, General Medical Questions: Painful Hips, hemorrhoid sufferers, quality chair
hemorrhoid sufferers, quality chair, hip pain: Hi Candy and thanks for writing, I m sure a better quality chair would help correct your posture and provide more support, but it may not alleviate your hip pain. I m wondering if perhaps your pain is due to either pressure on a nerve or decreased circulation....

Family, Internal Medicine, General Medical Questions: Painful Hips, hip joints, hemorrhoid sufferers
hip joints, hemorrhoid sufferers, lack of exercise: this may be more skeletal than muscular.... some joint problems in the hips.... do you keep fit.... at least a brisk walk if not some jogging? a lot of times the hip joints will complain from lack of exercise when kept in the same position for a long time......

Family, Internal Medicine, General Medical Questions: Perimenopause, uterine biopsy, thyroid tests
uterine biopsy, thyroid tests, spotting inbetween periods: since you had the biopsy... that shows that there is no uterine cancer, but typically, this will fade over 6 months to a year and you will go into full menopause.... I would let it go 6 months from November and talk to the doc if it hasn t stopped. I assume...

Family, Internal Medicine, General Medical Questions: Pulmonary emboli - 27 year old female, belly bottom, pain killers
belly bottom, pain killers, pain thanks: something has caused a clotting disorder... whether it is a blood disease or something else, got to figure that out. With a new pain, we worry about another clot somewhere.... talk to your doctor about testing to see if there is another clot, possibly outside...

Family, Internal Medicine, General Medical Questions: Radiation Poison?, stomach bugs, upset stomach
stomach bugs, upset stomach, shoulder problem: I would venture to say that is impossible.... the machines are so good that an overexposure isn t possible and if it did, the xray would not have come out.... you would have to have a few thousand xrays to get enough to cause symptoms. I think that you...

Family, Internal Medicine, General Medical Questions: Rectal rash, jock itch, mycolog ii
jock itch, mycolog ii, medicated powder: thanks for that lovely picture! :) That is jock itch, tinea cruris, etc....... A fungal infection down there...... now, fungus likes warm and wet, so the goal is keeping it cool and dry...... I like using Mycolog II cream prescription triamcinilone/nystatin...........

Family, Internal Medicine, General Medical Questions: senior pucking as soon as they eat, health care provider, cream of wheat
health care provider, cream of wheat, working in ireland: Hi there Jeanne, thank you for posting your question with Allexperts. My name is Dr Andrew Rynne. I am a medical doctor working in Ireland. I have ten years experience helping people Online sort out their medical concerns. I am sorry but there are so many...

Family, Internal Medicine, General Medical Questions: blood pressure reading at home for mother, blood pressure cuffs, home blood pressure
blood pressure cuffs, home blood pressure, arm cuffs: there are a couple possibilities.... 1) her bp is higher at home... stress, etc. 2) her bp machines at home are inaccurate. (Wrist cuffs are tricky to use... you have to get the wrist at exactly the bottom of the heart to be accurate) The arm cuffs take...

Family, Internal Medicine, General Medical Questions: chronic dizziness, afrin nasal spray, chronic dizziness
afrin nasal spray, chronic dizziness, dizziness and headaches: make sure you aren t having any ringing in your ears or hearing loss..... this would change the workup..... Simple vertigo typically doesn t last this long.... this could be a low grade sinus infection. I would try some AFRIN nasal spray twice a day...

Family, Internal Medicine, General Medical Questions: Cough that isn't going away, green phlegm, chronic allergies
green phlegm, chronic allergies, cough syrup: it is probably some post-cold/bronchitis irritation.... if there is no fever and no yellow/green phlegm and no sinus issues, then you may have to wait a little longer..... Some other causes... chronic allergies (yes, some barbecue smoke inhalation) or...

Family, Internal Medicine, General Medical Questions: Which doctor should I see for these symptomps?, When to see your PCP
When to see your PCP: Dear Jay, A primary care doctor, otherwise known as PCP, is where you should start. They are the gatekeepers to your health. The system is set up so that you see this practitioner and then be sent to a specialist for your specific illness. From the...

Family, Internal Medicine, General Medical Questions: Which doctor should I see for these symptomps?, stomach problems, hard to breath
stomach problems, hard to breath, gastroenterologist: This sounds like some esphagitis, reflux, stomach problems..... Things that aggravate it.... alcohol smoking eating a lot late at night Things that may help.... Trial Prilosec once a day, now over the counter Keeping meals in evening lighter,...

Family, Internal Medicine, General Medical Questions: Fever doesnt seem to cure, nasal polyps, congested nose
nasal polyps, congested nose, common cold: Common cold may last longer than 4-5 days, but 11 days seems a little long. I would worry about this developing into pneumonia.... I would recommend that you get checked by a doctor and figure out exactly what the problem is so treatment, if necessary,...

Family, Internal Medicine, General Medical Questions: Gallbladder?, ultrasound test, hard to take a deep breath
ultrasound test, hard to take a deep breath, gall bladder: if the gall bladder gets infected, that makes the surgery harder, but that could happen months or years after it starts bothering you..... waiting a little is ok, but if it hurts and you know the problem, why would you wait? Get the ultrasound test to pin...

Family, Internal Medicine, General Medical Questions: Ginseng, Jiaogulan and saponins?, Adaptogens, Jiaogulan
Adaptogens, Jiaogulan, Immortality Tea: Michaël, For all the details on Adaptogens especially the ones in question, I would say read my book. My book is available on Amazon.com it is called Wonder Herbs: A guide to three adaptogens (Xlibris, 2006) and it goes into detail w/ medical literature...

Family, Internal Medicine, General Medical Questions: goal weight?, height and weight charts, body mass index
height and weight charts, body mass index, fruits and veggies: Bud, Height and weight charts are: http://www.healthchecksystems.com/heightweightchart.htm But this is IDEAL and only a guide. Best way to determine is Body Mass Index (impedance measures are most accurate). You need to maintain a BMI of less than...

Family, Internal Medicine, General Medical Questions: heart palpitation and fainting, heart palpitation, heart monitor
heart palpitation, heart monitor, order of business: Heart rythym problems need to be sorted out.... first order of business is to get an urgent evaluation to see if it is going on now. If it is not, then to try and catch it on paper when it recurs. This is done with a portable heart monitor that you can...

Family, Internal Medicine, General Medical Questions: Help!, low blood sugar, sitting on the toilet
low blood sugar, sitting on the toilet, pain in my head: Dear Cassidy, Your symptoms are very vague, and you do not state which side of the rib cage, whether or not you see the room spin, your age, or comorbidities. I strongly suggest you seek the attention of the emergency department. You may be having a heart...

Family, Internal Medicine, General Medical Questions: impotence, blood sugar problems, topical minoxidil
blood sugar problems, topical minoxidil, low libido: all these symptoms have come up awfully fast... plus, your rogaine not working for 3 weeks probably wasn t a good trial. I wouldn t expect a lot of results after 3 weeks, but also, if you had hair loss at this young age, it would be less likely that this...

Family, Internal Medicine, General Medical Questions: kidney fuction, bile duct stones, kidney specialist
bile duct stones, kidney specialist, kidney function: we are blessed with a lot more kidney function than we need.... so 65% is more than adequate. If the injury to the kidneys was a one time deal and you still are at 65% and holding, then you will have a normal kidney life, provided that there aren t other...

Family, Internal Medicine, General Medical Questions: very low blood pressure and heart murmur, low blood pressure, acid reflux
low blood pressure, acid reflux, hormone problems: if you are not dizzy when standing and your blood pressure is consistently this low, there is no immediate emergency, but it is possible there is something wrong. Some hormone problems can cause the blood pressure to be low. If you are dizzy then this should...

Family, Internal Medicine, General Medical Questions: Medical records., resistant depression, mental institutions
resistant depression, mental institutions, shock treatment: that may be a tough project.... different states have different laws regarding preservation of medical records, but no state has a law that says keep them forever. SC says keep them for 10 years in an adult. If the institution is still there, the...

Family, Internal Medicine, General Medical Questions: Metabolic Panel, liver enzymes, sgpt alt
liver enzymes, sgpt alt, metabolic panel: yes, a little.... that is why I like having someone eat a big meal, then check the sugar two hours later.... that is typically how high you can drive your blood sugar up.... if that is around the same, then I wouldn t worry as much.... but if that goes up...

Family, Internal Medicine, General Medical Questions: Nodular Densities, enlarged lymphnodes, nodular density
enlarged lymphnodes, nodular density, hypertrophic cardiomyopathy: Dear Barbara, Nodules are not a normal finding. Even if it turns out to be benign, it is worth pursuing it. It sounds as though you have a lot of things going on in your body. I suggest you make an appointment for a consultation with an oncologist/hematologist....

Family, Internal Medicine, General Medical Questions: periphreal Neuropathy, nerve conduction velocities, nerve action potentials
nerve conduction velocities, nerve action potentials, nerve conduction study: you didn t give me specific numbers but it doesn t look that bad.... the question is what caused it... most just happen, some are secondary to a specific disorder like low thyroid, B12 deficiency, etc and working on that improves the big picture....... good...

Family, Internal Medicine, General Medical Questions: qvar and spiriva, Spiriva, Qvar
Spiriva, Qvar, Albuterol: Dear John, This is a very good question. Spiriva and Qvar are both inhalered therapies used to treat a number of pulmonary diseases. They can be used 2 hours or more apart from each other. Spiriva helps to decrease spasms associated with chronic obstructed...

Family, Internal Medicine, General Medical Questions: skin rash/infection, inner thighs, oral antibiotics
inner thighs, oral antibiotics, razor burn: it does sound like ringworm or a fungal illness, which means bactroban won t help.... you need to use an antifungal and try and keep the area as dry as possible..... powder, etc. You can use an antifungal like miconazole-lotrimin or prescriptions like...

Family, Internal Medicine, General Medical Questions: STD testing, urine test, blood tests
urine test, blood tests, biopsy: std s are a collection of illnesses with a common transmission.... some are determined through blood, some can be determined through direct culture or urine test, some are determined visually or by biopsy, so you have to be specific regarding which ones you...

Family, Internal Medicine, General Medical Questions: Stomach Pain, gentle laxative, stomach pains
gentle laxative, stomach pains, stomach problems: I assume you had an ultrasound of the gallbladder and that a urinalysis was also checked. I would let him know about the change and maybe a gentle laxative may be worth a try such as miralax. But keep your doctor in the loop.... abdominal pain that isn...

Family, Internal Medicine, General Medical Questions: Suspect my husband has diabetes, blood glucose, type 1 diabetes
blood glucose, type 1 diabetes, going to the bathroom: He does have diabetes.... those numbers are not horribly high.... the big test is how high can he get his sugar up to 2-3 hours after a big meal.... He does need to take it seriously.... it is likely he could help it a lot with diet alone, assuming his...

Family, Internal Medicine, General Medical Questions: Vitamin B12, pernicious anemia, b12 shots
pernicious anemia, b12 shots, transport protein: the onset is usually slow and progressive and tough to notice until it is bad.... the inflamed bowels may have something to do with it..... but whatever the cause, B12 is absolutely essential to good function of the body so you need the replacement......

Family, Internal Medicine, General Medical Questions: Advice on medical center, hernia surgery center, healthgrades
hernia surgery center, healthgrades, website hope: Dear Doug, I cannot make any promises, but I went on the following sites, and he appears to be a reputible surgeon: www.http://www.ucomparehealthcare.com/drs/alan_b_kravitz/reviews.html www.http://www.vitals.com/doctors/Dr_Alan_Kravitz www.http://www.healthgrades.com/physician/dr-alan-kravitz-2wscl...

Family, Internal Medicine, General Medical Questions: Anti-Inflammatory, stomach discomfort, stomach problems
stomach discomfort, stomach problems, pain killers: well, anything can be overdone.... I was talking about joints, muscle pain primarily for the anti-inflammatories.... the natural remedies probably don t do much..... and are similar... aspirin is a relatively natural product first obtained by chewing on leaves.......

Family, Internal Medicine, General Medical Questions: antibiotics?, appendicitis, metronidazole
appendicitis, metronidazole, ciprofloxacin: I guess you started the antibiotics on 10/29, so are still on them. By now things should be improving if this is only an infection and not appendicitis. Abdominal pain often is tough to pinpoint and may take repeated tries. The CT is a good but not perfect...

Family, Internal Medicine, General Medical Questions: blood pressure, brain perfusion, lower blood pressure
brain perfusion, lower blood pressure, pulse rate: Frank, It depends on the type of medication you are taking to lower HR. Many agents used to reduce pulse rate can and often lower blood pressure. Likewise beta-blockers that reduce BP can also reduce HR. The compensatory mechanism of increased BP to...

Family, Internal Medicine, General Medical Questions: body numbness, low blood sugar, thyroid problems
low blood sugar, thyroid problems, doctor visit: A couple of things.... this could be mild pre-fainting symptoms... I would wonder about anemia (from periods) or possibly thyroid problems or low blood sugar reactions. It is less likely but getting the heart rythym checked. This is worth a doctor visit....

Family, Internal Medicine, General Medical Questions: cracked and bubbles on Tongue, tongue problems, vitamin deficiencies
tongue problems, vitamin deficiencies, kind reply: there are multiple causes of tongue problems.... the tongue is a pretty complex organ and can be affected by several things..... getting dehydrated, sometime bacterial overgrowth (we all have bacteria in our mouth and being on antibiotics can overgrow some...

Family, Internal Medicine, General Medical Questions: Diabetes, carbohydrate intake, glucose intolerance
carbohydrate intake, glucose intolerance, weight loss exercise: we have modified what we consider diabetic over the last 15-20 years. It used to be over 130, then 120, then 100 blood sugars. There are many people with glucose intolerance.... meaning their sugars go up with a meal then right back down. The normal...

Family, Internal Medicine, General Medical Questions: dizziness, low blood pressure, thyroid tests
low blood pressure, thyroid tests, hormone tests: If someone has low blood pressure in general, we check a few things like thyroid tests, some other hormone tests possibly, and blood counts... if those are normal, then it usually is just the way they are put together.... and monitor it.... being a little...

Family, Internal Medicine, General Medical Questions: Is Enterococcus vaginal infection sexually transmitted?, enterococcus species, straight forward question
enterococcus species, straight forward question, dear julia: Dear Julia, Enterococcus is a bacteria that lives in only one place, the colon. If you are having anal intercourse or anal stimulation, the penis or fingers need to be washed with soap and water before entering the vagina. Therefore, it is not sexually...

Family, Internal Medicine, General Medical Questions: Finger Tip Discomfort, hand index, internal heat
hand index, internal heat, finger tip: you didn t menation how long it is doing it but it sounds like you might have had an injury... either a mild burn or a mild trauma to it and now it is inflamed a little... fingertips have a lot of sensation and some inflammation makes it much more intense.......

Family, Internal Medicine, General Medical Questions: GI issues, serum amylase, urine amylase
serum amylase, urine amylase, stomach scope: amylase comes from many organs, not just the pancreas, so it is a pretty non-specific test. I assume you had a plain urine sample to look for infection also. It sounds like you had a pretty instensive workup for this..... so, no, I wouldn t be worried...

Family, Internal Medicine, General Medical Questions: Healthy for life, carbohydrate diet, liters of water
carbohydrate diet, liters of water, boiled potatoes: Jeremy, First the question is not simple. It is complex in many ways and must be individualized by a physician who specializes in anti-aging and preventive medicine so as to outline a plan for your for good and continued good health. However, given...

Family, Internal Medicine, General Medical Questions: high ferritin, iron storage disease, high ferritin
iron storage disease, high ferritin, serum iron: well, the question is whether you have an iron storage disease like hemachromatosis..... it could be.... the easy but expensive way is to do an MRI of your liver to look at how much iron is there... There are some other lab tests... serum iron, TIBC,...

Family, Internal Medicine, General Medical Questions: My husband's horrible diet, dr barry sears, sandwich buns
dr barry sears, sandwich buns, nutritional diets: Lynn, To answer your questions: 1. what will happen to him down the road if he continues this diet. Statistics and medical research shows such poor nutritional diets end poorly.... higher risk for heart disease, stroke and cancer. Ultimately, a lower...

Family, Internal Medicine, General Medical Questions: increased hr and chest tightness, thyroid tests, sinus problems
thyroid tests, sinus problems, ortho tri cyclen: couple concerns... the dec4? I guess steroid shot... that can cause weird things... sometimes weird dreams, anxiety. If linc is lincocin (antibiotics) that really doesn t help much. I would also check thyroid tests to make sur you don t have hyperthyroidism...

Family, Internal Medicine, General Medical Questions: Joint pain and fatigue, knee joints, cholesterol control
knee joints, cholesterol control, pain in the knee: Dear Shafreej, It sounds as though your mom has neuropathy and arthritis. Is she a diabetic? Neurorubine tablets are a complex vitamin B. it helps with nervous system heath, but will not help much with the pain. Has she been seen by a rheumatologist...

Family, Internal Medicine, General Medical Questions: can lack of sleep cause permanent problems, short term memory, physical brain
short term memory, physical brain, steady decline: not permanent damge, but as you age, you can t necessarily keep up the same pace.... I did this for years, working in emergency rooms sometimes 24 hour shifts and simply can t do it anymore. This may be sleep related.... if you want to optimize things...

Family, Internal Medicine, General Medical Questions: Life in medicine, blood urea nitrogen, biology references
blood urea nitrogen, biology references, bare necessities: different motivations for different people... with any field, there are people who enter it for different reasons... some enter and remain at low level, basic knowledge jobs and some enter and get highly trained and advance through the ranks.... there isn...

Family, Internal Medicine, General Medical Questions: Shoulder clunking, steroid injection, cluck
steroid injection, cluck, deep tissue: I am not sure what clunking is.... whether it is signifying that you are subluxing (partially dislocating) a shoulder or whether it is bursitis in the shoulder. I assume you have tried some easy exercises and a good course of anti-inflammatory meds. Depending...

Family, Internal Medicine, General Medical Questions: Stomach burn, GERD, burning stomach
GERD, burning stomach: Dear Mark, Try taking Omeprqole twice a day. Stay away from all chocolates, caffeine, spicy or fried foods, and anything with vinegar in it. Provided you do not have an allergy to wheat, stick with a mostly carbohydrate diet for 2 weeks. Drink plenty of...

Family, Internal Medicine, General Medical Questions: Stop eating my fav meat?, periodic disturbances, couple tablespoons
periodic disturbances, couple tablespoons, miralax: it won t hurt you, just some uncomfortable time every week..... your choice would be to avoid meat, but if you don t want to do that, why don t you try some Miralax.... maybe a capful (which is a couple tablespoons or so) on the same day that you eat the...

Family, Internal Medicine, General Medical Questions: sudden blood pressure drop, blood pressure drop, back spasm
blood pressure drop, back spasm, drop in blood pressure: yes, it is a shock response.... possibly vasovagal, where the reaction instead of the bp and heart rate increasing, there is a paradoxical effect with the heart rate slowing in response to stimuli.... either pain or sight of your own blood, etc. The Terazosin...

Family, Internal Medicine, General Medical Questions: toxoplasmosis from cats, immune system problems, human illnesses
immune system problems, human illnesses, indoor cats: first of all, if you consider all the people that have cats..... it isn t easy to catch toxo..... The biggest risk of toxo is to people who are pregnant (birth defects) and to people who have immune system problems..... Classic example... AIDS. Normally...

Family, Internal Medicine, General Medical Questions: Vit D deficiency & Bradycardia, Vitamin D3, Bradycardia
Vitamin D3, Bradycardia, Heart Rate: Maria, You may find the following interesting: There is apparently a connection between VitD and HR to some degree if it affects calcium absorption and serum calcium levels. After reading the cut/paste below you can read more about Vitamin D at: http://docsaleeby4.blogspot.com/2010/10/vitamin-d-story.html...

Family, Internal Medicine, General Medical Questions: Vitamin D Side effects, d side, ius
d side, ius, vitamin d: I really doubt it.... D is usually really well tolerated, even in more useful doses..... 400 IU s is a very low dose.... I usually recommend people take at least 2000 IU s per day, 5000 IU s per day if they are likely to forget a few days a week. There...

Family, Internal Medicine, General Medical Questions: Vitamin D Side effects, renal stones, d side
renal stones, d side, vitamin d: James, Anything is possible, I have never heard of such a low dose of Vitamin D causing any problems such as this. High doses... 2000 to 4000 or 5000 IU per day can cause renal stones and impairment. For more info on Vitamin D... read: http://docsaleeby4.blogspot.com/2010/10/vitamin-d-story.html...

Family, Internal Medicine, General Medical Questions: Weight health, bmi body mass index, body mass index
bmi body mass index, body mass index, weight health: if you are comfortable with your weight, that is what counts, especially as you transition from child to adult.... try not to argue, just discuss...... that puts your BMI... body mass index at 20.6 which is right smack in the middle of normal.... 15-25...

Family, Internal Medicine, General Medical Questions: One year old baby esr blood high 110, private clinic, inflammatory disease
private clinic, inflammatory disease, old baby: you didn t give any other information..... a 1 year old... I would be taking a close look and consider infection as the first potential problem... a sed rate (esr) that high could be infection, or some inflammatory disease.... this child needs to be rechecked...

Family, Internal Medicine, General Medical Questions: Blood Clot and History Of, lifetime history, medical procedure
lifetime history, medical procedure, blood clot: history of means that this has previously occurred in that person... it doesn t specify a time period. It doesn t specify the frequency either, just that it has occurred in this patient. With a blood clot... a spontaneous one (without known cause) carries...

Family, Internal Medicine, General Medical Questions: Blood Thinners, vitamin k foods, extremity muscles
vitamin k foods, extremity muscles, eatten: first, your mom.... I assume you are talking about coumadin/warfarin, because Vitamin K affects that.... they probably got her off coumadin temporarily with skin surgery and will restart. It isn t critical to avoid all cranberry juice... it is important...

Family, Internal Medicine, General Medical Questions: BRCA testing, risk stratification, stomach cancer
risk stratification, stomach cancer, multiple myeloma: you could have genetic testing..... a single grandmother with ovarian cancer doesn t make you that high up in the risk stratification.... but it may give you some piece of mind..... I don t think anyone would push hard for testing but it may help you have...

Family, Internal Medicine, General Medical Questions: Cold hands, thyroid problems, beta blockers
thyroid problems, beta blockers, cold hands: people who smoke can have this... the nicotine causes the blood vessels to clamp down. This could be due to anemia, to thyroid problems... those can be checked with blood tests. It can be a side effect of some medicines, such as blood pressure medicines...

Family, Internal Medicine, General Medical Questions: cold legs, weather change, bee sting
weather change, bee sting, fall to winter: well, you aren t going to find an answer until you get things checked.... I think thyroid or B12 deficiency is a possibility. Check with your local free clinic or programs that can refer you to a govt subsidized clinic..... they can start the evaluation...

Family, Internal Medicine, General Medical Questions: constipation and rectal spasms, gastrologist, rectal spasms
gastrologist, rectal spasms, rectal wall: If he is bouncing between constipation and then diarrhea, I would worry about immodium throwing him back towards constipation. He may have had a tear in the rectal wall... a fissure that may take several days to heal. I would simply eat normally, but if...

Family, Internal Medicine, General Medical Questions: EMLA cream, foster brother, taking blood
foster brother, taking blood, 17 years: EMLA will help, but a lot will be the anxiety of the situation.... it is not unreasonable to ask for that but definitely ask in advance so they are ready for him with the EMLA.... but there will still be anxiety..... good luck with this.... EMLA is very...

Family, Internal Medicine, General Medical Questions: Fell on crutches, tile floor, blood thinners
tile floor, blood thinners, hip replacement: the blood thinners, aspirin or coumadin/warfarin put you at higher risk to bleed... the bleeding on the scalp is annoying but we worry about bleeding in the head..... if you have given it a day or two, and nothing happened, then you are probably OK.... (assuming...

Family, Internal Medicine, General Medical Questions: flu??, low dose aspirin, gallbladder problems
low dose aspirin, gallbladder problems, clear liquids: I don t see this as related to the flu shot or the flu... this seems to be primarily a stomach/intestine issue...... A simple intestinal virus that is slow to resolve.... some people get bad symptoms then a few weeks of mild symptoms, esp if they continue...

Family, Internal Medicine, General Medical Questions: Fractured ribs and bronchitis, fractured ribs, diclofen
fractured ribs, diclofen, cough suppressant: it does sound like you have the flu.... you may have gotten it waiting to be seen for the ribs..... The Vicodin is as good a cough suppressant as you can get.... keep using that... if that doesn t cover pain there are other stronger pain meds...... I hope...

Family, Internal Medicine, General Medical Questions: Very high B12 in Child, forceful beats, alk phos
forceful beats, alk phos, vit b12: The high B 12 level is not indicating any disease process..... if you held the vitamins it would come down, but there is no reason to...... The alk phos test (ALP) even tho high is so non-specific that without particular gastrointestinal problems, doesn...

Family, Internal Medicine, General Medical Questions: HIV? Just wondering, HIV, AIDS
HIV, AIDS, HIV testing: Steve, High risk exposure (multiple sex partners, risky sexual encounters, male-on-male intercourse, IV drug use, ...) would place you at increased risk from not only HIV but also Hepatitis B and C. There are other sexually transmitted diseases as well......

Family, Internal Medicine, General Medical Questions: Any ideas?, ovarian cyst, speech disturbance
ovarian cyst, speech disturbance, speech disturbances: the question is do you have a chronic appendicitis which is some low level inflammation in it, or is this pelvic pain (from female organs). I assume they eliminated the possibility of a urine infection with a urine check. Typically we load B12 with...

Family, Internal Medicine, General Medical Questions: Large Soft bulge in left side, lipoma, cosmetic reasons
lipoma, cosmetic reasons, fatty tissue: From your description, hard to tell exactly where it is.... but this could be a residual lipoma.... a hunk of fatty tissue that is persisting after weight loss or could be a hernia. I would get it looked at.... lipomas can be removed easily, usually for cosmetic...

Family, Internal Medicine, General Medical Questions: back pain, good luck with everything, leg symptoms
good luck with everything, leg symptoms, lower back problems: Hurting to use the bathroom.... I would have the urine checked to make sure a urinary infection is not aggravating the situation... but the leg symptoms sound much more like low back pain syndrome. There are a lot of options to help, but you need to get very...

Family, Internal Medicine, General Medical Questions: Pain in Testicles, mild injury, testicles
mild injury, testicles: it could be a little infection or just a mild injury and a little sore. Since it has persisted, it is worth getting it checked. I would start with a general physician first. Often the testicles are not perfectly symmetrical, but one that is much larger...

Family, Internal Medicine, General Medical Questions: Shoulder pain..., plain xray, rotator cuff tear
plain xray, rotator cuff tear, pinched nerve: a plain xray was gonna be normal.... that would show a fracture or dislocation.... this sounds like a joint injury such as a rotator cuff tear or labrum tear..... since it has been going on a long time... it depends how bad it is. If regular motrin doesn...

Family, Internal Medicine, General Medical Questions: Side Effects of Nasogastric Tube, hoarse croak, activated charcoal
hoarse croak, activated charcoal, ng tube: the ng tube will not damage the vocal cords if it goes directly in to the esophagus.... but while passing the tube, it can inadvertently hit the vocal cords. Also, you didn t say what you tried to kill yourself with, but the agent you used might have damaged...

Family, Internal Medicine, General Medical Questions: splinter question, tetanus shots, palm of my hand
tetanus shots, palm of my hand, soap and water: I think you have done everything well...... up to date on TDAP, good initial first aid. The key is that you got all the wood out and then you need a little luck that no infection develops........... your tdap was only a few months ago.... why would you...

Family, Internal Medicine, General Medical Questions: Syncope (fainting spell), history of eating disorders, dr appointment
history of eating disorders, dr appointment, fainting spell: Marie, It is always a very good idea to follow up with your PCP (MD) after some episode such as that. What you have described in your narrative is called syncope and there are many reasons for why this may have happened. It could be hypoglycemia or...

Family, Internal Medicine, General Medical Questions: 6week infant, working in ireland, ealier
working in ireland, ealier, medical concerns: Hi there, thank you for posting your question with Allexperts. My name is Dr Andrew Rynne. I am a medical doctor working in Ireland. I have ten years experience helping people Online sort out their medical concerns. The quick answer to your question is...

Family, Internal Medicine, General Medical Questions: Areola and nipple size and puffiness, body fat percent, areola
body fat percent, areola, great shape: that is part of maturing... the hormone surges cause some growth of that area..... assuming you don t use anabolic steroids, that will go away in several months, but that is pretty common... there isn t a good treatment for it short of expensive plastic surgery...

Family, Internal Medicine, General Medical Questions: Bad Index finger, nerve conduction studies, nerve injury
nerve conduction studies, nerve injury, heavy weights: Since you have had it for months and it hasn t progressed, the chances of this being a serious nuero-muscular problem goes down..... Look at some repetitive things you are doing... you mentioned the mouse... do you spend a lot of hours doing this.......

Family, Internal Medicine, General Medical Questions: blood_sugar level- Diabetes Mellitus, DM, Diabetes
DM, Diabetes, Dibetes mellitus: Sheetal, With blood glucose levels approaching 300 you will need to be under the care of a doctor. That is dangerous and there are many ill effects of persistent high sugar levels. You need to have a HbA1c performed to measure average blood glucose control....

Family, Internal Medicine, General Medical Questions: Concerned about health from dog feces exposure., weird problem, fecal matter
weird problem, fecal matter, outdoor space: that is pretty revolting.... I would refuse to stay in a house where dogs s*&#t all over the floor. The sneezing and coughing is probably just a cold or allergies to something (dogs) but it is not unreasonable to refuse to house sit/stay over there with that...

Family, Internal Medicine, General Medical Questions: Digestive discomfort, loose stools, large intestine
loose stools, large intestine, digestive discomfort: I don t see a direct connection between blood clot and digestive... you didn t mention your age though, which might help me. I assume you have some loose stools with these cramps... that sounds like a large intestine issue and I would suggest a workup for...

Family, Internal Medicine, General Medical Questions: Elderly Relief, elderly men, commode
elderly men, commode, behavior patterns: well, you are obviously spending too much time at the YMCA.... Urination changes significantly for an older guy... yes, decreased stream but more importantly, time over the commode can go from 20 seconds when young to a few minutes. And it is hard to...

Family, Internal Medicine, General Medical Questions: exercise, hypertrophy of the heart, chronic anemia
hypertrophy of the heart, chronic anemia, exercise regimen: you are mixing metaphors with respect to the heart..... yes, hypertrophy is bad, but the bad hypertrophy comes from the heart s adaptive response to major insults, like longstanding hypertension or valvular heart disease, or chronic anemia, etc. Yes,...

Family, Internal Medicine, General Medical Questions: fainting, low blood pressure, heart problems
low blood pressure, heart problems, circulatory system: repeated fainting usually involves the circulatory system, either heart problems, or low blood pressure episodes.... there are a lot of causes and difficult to work through sometimes at that age. I would look at the heart... with an echo, check labs,...

Family, Internal Medicine, General Medical Questions: fingers, blood vessel problems, forarm
blood vessel problems, forarm, doctors office: I would need to know what precipitates it... is it black all the time until you rub it or just sometimes, with your arm in a certain position. The finger splitting sounds like eczema. You also did not mention how long you have been diabetic.... longstanding...

Family, Internal Medicine, General Medical Questions: frequent/urgent urination, pelvic ct scan, moderate hydronephrosis
pelvic ct scan, moderate hydronephrosis, axial images: well, if you have never had sexual contact (even some short of sexual intercourse) then no worries about chlam/gonorrhea. The CT and US are not perfect tests.... they re pretty good at looking for stones, but could miss a very small one, but that is not...

Family, Internal Medicine, General Medical Questions: Index finger Problem, Finger pain, stiffness
Finger pain, stiffness: Dear Jack, The wrist and hand are comprised of a number of bones, ligaments, tendons, muscles, and nerves. Your symptoms can be something as simple as tendinitis, to something more severe like nerve damage. The only way to be sure is to make an appointment...

Family, Internal Medicine, General Medical Questions: liver damage - Mono (EBV), MONO, EBV
MONO, EBV, Epstein Barre Virus: T, Yes, it sounds like mononucleosis (Epstein Barre Virus) infection that can look like strep throat as you can develop white plaques on tonsils w/ high fever. Strep can be a concordant infection in about 60% of cases so antibiotic therapy is often administered,...

Family, Internal Medicine, General Medical Questions: Lymph nodes, Lymph nodes
Lymph nodes: Dear Jose, Thank you for writing in. The human body is made with a lymphatic system that contains lymph nodes, fluid and waste products. The purpose of the lymph system is to not only bring nutrients to the cells, but also to carry waste from infections,...

Family, Internal Medicine, General Medical Questions: Muscles question, anabolic steroids, genetic factor
anabolic steroids, genetic factor, muscle mass: there is a lot more to developing big muscles than hi reps or hi weights.... a huge genetic factor.... some people can lift weights and there muscles won t get big and others develop big muscles. Some people cheat and use anabolic steroids. You are right...

Family, Internal Medicine, General Medical Questions: nagging pain in side, chronic appendicitis, pain in my lower right side
chronic appendicitis, pain in my lower right side, blood counts: I would probably check blood counts, check a urine sample on you. I would also have you get a colonoscopy if you haven t already...... since this is persisting, it is time for a workup. Chronic appy is a pretty rare condition, probably not on the top of...

Family, Internal Medicine, General Medical Questions: New Freckle on palm, blood blisters, shape size
blood blisters, shape size, pen mark: sometimes these are little blood blisters.... a little bleeding under the skin that causes a change. Bad freckles change in shape/size.... so quantify it.... trace it, take a picture and if there are any changes over a month, then get it looked at........

Family, Internal Medicine, General Medical Questions: Back Pain, backpain, situps
backpain, situps, knees: it is likely you have injured a disc.... this should get better but it is at risk of getting injured again.... you can help prevent that by doing a couple things.... lifting only with your knees, no lifting anything by bending at the waist..... even...

Family, Internal Medicine, General Medical Questions: primary complex, primary complex, tb drugs
primary complex, tb drugs, lymph node: well, first, you have to return to the doctor..... if the infection was TB, the pus has to be examined and cultured to find out exactly what the TB or other organism is and exactly what drugs it will take to kill the infection. Sorry you have to go through...

Family, Internal Medicine, General Medical Questions: Puncture wound need advice asap, hydrogen peroxide, triple antibiotic ointment
hydrogen peroxide, triple antibiotic ointment, judgement call: there is no hard science behind this and no direct evidence that Keflex really helps prevent the infection..... I tend to treat with normal doses for a short course like 5 days, and have elected to simply watch without antibiotics until I saw definite evidence...

Family, Internal Medicine, General Medical Questions: Question about tumors, cystic lesion, neoplastic cells
cystic lesion, neoplastic cells, abnormal growth: A tumor or tumour is commonly used as a synonym for a neoplasm (a solid or fluid-filled (cystic) lesion that may or may not be formed by an abnormal growth of neoplastic cells) that appears enlarged in size.[1] Tumor is not synonymous with cancer. While cancer...

Family, Internal Medicine, General Medical Questions: Is it time to hang up the sneakers for good?, guy upstairs, body muscles
guy upstairs, body muscles, playing sports: Bud, One must always move to remain healthy and alive. Slow down or relegate yourself to the couch and your health and well-being will decline. That being said, you should approach exercise in a more conservative and safer way. A few laps around the...

Family, Internal Medicine, General Medical Questions: accute bronchitis, post nasal drip, cortisone shot
post nasal drip, cortisone shot, acute bronchitis: There is no way of knowing whether there is a bacterial component to the infection except in retrospect.... you are right, these bronchitis syndromes start as virus but sometimes there are secondary infections.... If someone remains sick for 7-10 days, I...

Family, Internal Medicine, General Medical Questions: arm pain, blood drawing, family doc
blood drawing, family doc, arm pain: the blood drawing caused a bruise, but obviously the pain was there before that. I would wonder about blood clots since you had recently become pregnant which may put you at a higher risk for clots. I would see your doctor and discuss it with them........

Family, Internal Medicine, General Medical Questions: Blood infection, motrin 800, blood infection
motrin 800, blood infection, blood culture: Fever- tylenol 1000 mg up to every 6 hours and Motrin 800 mg up to every 6 hours (you can stagger these) It should get better pretty quickly after the antibiotics..... but if you run fever 24 hours after the IV was done and you are taking the orals.......

Family, Internal Medicine, General Medical Questions: blood pressure, hypertension medicine, ressure
hypertension medicine, ressure, high blood pressure: not true.... some people with hypertension can have swelling, but some people with normal may also. Some hypertension medicine causes swelling..... the best way is to simply take the blood pressure... that can be done with a home monitor or at any pharmacy........

Family, Internal Medicine, General Medical Questions: Blood QuestionHi,, organ donors, blood cells
organ donors, blood cells, someone dies from: The blood would be good for hours, but there are a few problems... contamination during trauma with cuts, broken bones, rupturing of organs, plus when someone has died, there heart it not pumping and it is tehcnically difficult to get the blood out of the...

Family, Internal Medicine, General Medical Questions: Blood test, Liver, Transaminases
Liver, Transaminases, Fatty Liver Disease: Jay, You have at least two elevated liver transaminase enzymes (or liver biomarkers). This would indicate an injury to the hepatocytes or liver cells. Could be due to medications (statins for example, or alcohol (ethanol) in a case of excessive drinking)....

Family, Internal Medicine, General Medical Questions: Blood Work & Diet, serum iron, menstrual blood
serum iron, menstrual blood, probaby: if you aren t anemic, just low serum iron, just take a multivitamin with iron.... you don t need a lot... you may be just depleting your stores, not getting to the point where you are anemic.... probaby from menstrual blood loss. Yeah, everyone should...

Family, Internal Medicine, General Medical Questions: Coughing, human engineer, rocket scientists
human engineer, rocket scientists, high iq: I don t know stats, but obviously to make the cut, doctors have to be good students and motivated.... so they have to be higher up on the list.... but off the record, I have met some dumb doctors, but most are very intelligent. However, many fields select...

Family, Internal Medicine, General Medical Questions: Diabetis, apple juice, warning signs that
apple juice, warning signs that, gaining weight: Gaining weight fairly quickly is a bad sign... also, checking the sugar 2 hours after a big meal is probably one of the earlier warning signs.... that even if it comes back down a few hours later, if elevated probably means you are on that pathway..... eating...

Family, Internal Medicine, General Medical Questions: Digestive attacks, prilosec otc, stomach virus
prilosec otc, stomach virus, milk cheese: you didn t mention your age, but colonoscopy is probably a good idea.... the upper endoscopy is less likely to be helpful. But, this sounds more like a food intolerance.... such as the loss of ability to digest milk (prob most common) often starts after...

Family, Internal Medicine, General Medical Questions: Discharge, abnormal vaginal discharge, bacterial vaginosis
abnormal vaginal discharge, bacterial vaginosis, oral antibiotic: I would vote for either bacterial vaginosis- not STD related, or Trichomonas- STD related..... the discharge is not always so blatantly like the books that it is easy.... we can differentiate by looking under a microscope easily.... get it checked.... treatment...

Family, Internal Medicine, General Medical Questions: MicroNutrient Testing - SpectraCell, deficiencies, doctors
Family, Internal Medicine, General Medical Questions: MicroNutrient Testing - SpectraCell, deficiencies, doctors

Family, Internal Medicine, General Medical Questions: Fibroadenoma, atypical lobular hyperplasia, atypical hyperplasia
atypical lobular hyperplasia, atypical hyperplasia, biopsies: atypical hyperplasia is not your normal run of the mill fibroadenoma.... The surgeon would probably make a case for removal, as would I. Not much of a debate from my standpoint.... do you want to wait until it is definitely bad? When biopsies are done,...

Family, Internal Medicine, General Medical Questions: Fungal Infection - Candida Systemic/Intestinal, candida, candidal infections
candida, candidal infections, yeast: Shane, I have practiced integrative and preventive medicine for 12+ years and to this day have NOT jumped on the band wagon of this whole systemic candida infection thing. I personally don t buy into the argument that all that is Candida is evil nor...

Family, Internal Medicine, General Medical Questions: Iron shots for anaemia, iron pills, iron shots
iron pills, iron shots, oral iron: they should be refrigerated... they could be injected by a non-medical person, but there is a small risk of allergic reaction and a bigger risk of tattooing your skin with the injection if the technique is not really good, so I wouldn t do it on your own....

Family, Internal Medicine, General Medical Questions: lightheaded and dizzy spells, dizzy spells, pace maker
dizzy spells, pace maker, ejection fraction: There is a lot more than simply the heart rate that allows you to perform exercise without having to take a break..... I would keep working with the cardiologist.... I would want to know how well the heart beats, ie what your ejection fraction is as well...

Family, Internal Medicine, General Medical Questions: Looking for help, c diff infection, acoustic neuroma
c diff infection, acoustic neuroma, pulsatile tinnitus: I don t know how things work up in Canada as far as access to specialists.... but down here, I would take a look and probably send you to a neurologist to be evaluated.... I know we tend to spend a lot of health care dollars down here, but I would be tempted...

Family, Internal Medicine, General Medical Questions: Low cal/high exercise still not losing weight?, starvation mode, slow metabolism
starvation mode, slow metabolism, size xl: There are some tests that can be done to measure your metabolic activity but they are expensive...... there are some home cheat tests you can do to figure out what breakpoint you have for going from a breakeven to losing weight that is quicker than stepping...

Family, Internal Medicine, General Medical Questions: Male Hair Loss, male hair loss, cidar vinegar
male hair loss, cidar vinegar, evolutionary purpose: there are only vague theories on baldness, other than genetic tendencies.... typically the man follows the maternal grandfather s pattern..... but simply manipulating testosterone or metabolites has not been shown to be that effective.... there are other factors...

Family, Internal Medicine, General Medical Questions: MicroNutrient Testing - SpectraCell, spectracell, supplement regimen
spectracell, supplement regimen, neutraceutical: Pam, Aware of Spectracell and what they offer. There are other companies with similar offerings. A baseline micronutrient and to go one step further good minerals and heavy metal toxin analysis is a good thing for someone with unexplained illness or symptoms....

Family, Internal Medicine, General Medical Questions: Noise in ear, sinus congestion, congestion problem
sinus congestion, congestion problem, wax buildup: as a trial, try using AFRIN nose spray twice a day for 3 days..... sniff it back so you can taste it.... if that helps, then it is probably a sinus congestion problem.... you can t use Afrin long term but you could be changed to Flonase. I assume you did...

Family, Internal Medicine, General Medical Questions: nosebleeds, nasal saline, nose spray
nasal saline, nose spray, afrin: this may be due to allergies or an infection, assuming he hasn t had any trauma to his nose. He should clear the blood out of his nose and use a couple good sprays of Afrin nose spray to get it to stop. Then, use nasal saline nose spray multiple times a...

Family, Internal Medicine, General Medical Questions: You were the only one who seemed available to answer this kind of question, wet towel, correct word
wet towel, correct word, blood supply: Blow is not really a correct word... the problem is trouble distending the vein so you get the IV in without poking through the side or back and out again..... sometimes it takes patience and time..... Often we are rushed, but if you take fifteen minutes...

Family, Internal Medicine, General Medical Questions: pancreatitis, bowel movement, alcoholism
bowel movement, alcoholism, 10 years: if he has been this sick and still wants to drink, then you should save yourself and leave the relationship. Unless he gets treatment for his alcoholism, this is going to end badly..... I realize this is harsh advice but he will either become chronically...

Family, Internal Medicine, General Medical Questions: ph level, ph test kit, ph level
ph test kit, ph level, urine infection: usually urine is a little acidic... but 7 is OK. When it is high, that probably indicates a urine infection with bacteria that produce base excess and raise the pH. So it is worth getting checked for an infection...... we don t treat the pH, we are looking...

Family, Internal Medicine, General Medical Questions: Rabies, rabies virus, dogs cats
rabies virus, dogs cats, domestic animals: it depends which animals you are talking about..... it is very unlikely to have rabies from domestic animals... dogs, cats. Squirrels, pretty rare also. Now racoons, and bats, less common animals but more likely to have the rabies virus, so those animals...

Family, Internal Medicine, General Medical Questions: skin, staph infection, neosporin
staph infection, neosporin, offshoots: the picture didn t come through.... If it is painful, I might worry a little about shingles. If they are red and getting pus heads to them, I might consider a bacterial staph infection. You should be able to upload the picture on the question to me.........

Family, Internal Medicine, General Medical Questions: spleen, kidney pancreas, upper abdominal pain
kidney pancreas, upper abdominal pain, spleen: well, i realize you are having left upper abdominal pain, but why would you assume it is your spleen? There are other organs in the area... kidney, pancreas, stomach, plus some muscles, etc. I wouldn t limit my evaluation to say what could be wrong with...

Family, Internal Medicine, General Medical Questions: stopping meds, hemoglobin a1c, liver enzyme
hemoglobin a1c, liver enzyme, lowering cholesterol: The relationship between Lipitor (statins) and elevated sugar is not even close to a cause and effect relationship. I would be much more inclined to think you are simply developing diabetes and would not recommend stopping Lipitor. An improved diet and...

Family, Internal Medicine, General Medical Questions: swollen lower abdomen, BPH, erectile dysfunction
BPH, erectile dysfunction: Hi there Bud, thank you for posting your question with Allexperts. My name is Dr Andrew Rynne. I am a medical doctor working in Ireland. I have ten years experience helping people Online sort out their medical concerns. I suspect that the lower abdominal...

Family, Internal Medicine, General Medical Questions: swollen lower abdomen, swollen lower abdomen, bladder infections
swollen lower abdomen, bladder infections, swollen prostate: the lower abd swelling, could easily be simple weight gain.... we lost muscle mass which is heavier than fat so you may be trading one for another. The bladder / prostate will not cause any visible changes. With the prostate issues and male issues, it...

Family, Internal Medicine, General Medical Questions: Vitamin Deficiencies, Vitamin D, Vitamin C
Vitamin D, Vitamin C, Ferritin levels: Dear Pam, Thank you for writing in. There are a few reasons why someone would be iron deficient. The main one for females is the menstrual cycle. During a normal menstrual cycle, meaning moderate bleeding for 3-5 days, iron is lost with the blood. Replacing...

Family, Internal Medicine, General Medical Questions: white fuzz on tongue, yeast infection, immune problem
yeast infection, immune problem, fuzz: ease up on sweets, make sure you clean teeth/mouth at bedtime and it will go away.... that is not yeast on your tongue probably.... just a bacterial overgrowth... people who develop yeast on tongues have some type of immune problem and that is fairly rare...

Family, Internal Medicine, General Medical Questions: Allergies and swollen lymph nodes, swollen lymph nodes, post nasal drip
swollen lymph nodes, post nasal drip, reactive lymph nodes: yes, allergies can cause reactive lymph nodes, but some people get colds also and it is hard to tell the difference..... sometimes Singulair daily works well for allergies, also, Flonase or other nasal steroids work really well. You can also use a nettie...

Family, Internal Medicine, General Medical Questions: ankle injury, bone fragments, ankle bone
bone fragments, ankle bone, orthopedist: if the xray is normal typically the ortho is not going to be helpful but since it has been going on 5+ weeks now, that might be a reasonable next step... typically these get better over 2-4 weeks with rest, anti-inflammatories unless there is another issue...

Family, Internal Medicine, General Medical Questions: blood pressure meds, blood pressure medication, blood pressure meds
blood pressure medication, blood pressure meds, ace inhibitor: that is true, arb s are probably tolerated a little better than ace s, but remember, only 12 % have ace side effects and the cost difference is significant... many ace s cost 4 dollars or less a month, most arb s are 50-100 dollars per month (not counting...

Family, Internal Medicine, General Medical Questions: Catches whatever goes around, pound weakling, norwalk virus
pound weakling, norwalk virus, weakened immune system: Bud, It all depends on the inner workings of the host immune system. Some people are genetically gifted so to speak with a very health immune system. Others don t. You can bolster the immunity of a person to some degree with proper diet, supplements...

Family, Internal Medicine, General Medical Questions: coumadin and Sensa, pt inr levels, blood thinner
pt inr levels, blood thinner, green vegetables: Dear Madeleine, As you know, Coumadin is a blood thinner that interacts with a variety of medications, foods and supplements. This question should be directed to the Coumadin clinic where your PT/INR levels are monitored. When asking this question, be sure...

Family, Internal Medicine, General Medical Questions: ear problem, water pik, bulb syringe
water pik, bulb syringe, vacuum device: it is a little loud but the suction work fairly well, especially if you have gotten some debrox in there but I prefer using a water pik machine..... it is a little loud but it doesn t hurt... may feel funny and works pretty well.... you could try continuing...

Family, Internal Medicine, General Medical Questions: Heartburn, mild scoliosis, prilosec otc
mild scoliosis, prilosec otc, chest x ray: It could easily be heartburn, but there are other bits of info that I would want. Why did you have a cat scan of the chest. (Not your ordinary test for a 26 year old) and do you take over the counter meds for your scoliosis and this is contributing to reflux/stomach...

Family, Internal Medicine, General Medical Questions: Hives, elbow area, left forearm
elbow area, left forearm, bed bugs: this could be some kind of mite that is biting you like a bedbug.... hard to tell from your description..... you also said you get some hives on and off and could be allergic skin.... a couple pictures of easy to see bites would be helpful.... it might...

Family, Internal Medicine, General Medical Questions: Hormones, bHRT, Testosterone
bHRT, Testosterone, hormone replacement: James, Testing is critical. You want your total and %Free Testosterone levels checked as well as your DHT and Estrogen/Estradiol checked too. Also don t forget about the Sex Hormone Binding Globulin (SHBG) which tends to rise as we age and binds up Testosterone....

Family, Internal Medicine, General Medical Questions: Getting hungry too fast, dr barry sears, increased metabolic rate
dr barry sears, increased metabolic rate, l carnitine: Shane, There may be more then one reason for the increased hunger. Increased activity may actually be chief among the reasons however. As you increase caloric burn you will need to replace the extra energy you expend and also replace glycogen stores in...

Family, Internal Medicine, General Medical Questions: Do kids need to take vitamin D3 pill? - Vit D & K, Vitamin D, Vitamin K
Vitamin D, Vitamin K, Calcium: Vitamin D / D2 / D3 and lets not forget about Vit. K: Dietary supplements are important in children who don t get a well balanced diet. Vitamin D and K are of importance as recent research tell us. For adults I recommend 1000IU daily for health folks....

Family, Internal Medicine, General Medical Questions: lost tampon, lost tampon, Vaginal self check
lost tampon, Vaginal self check: Dear Shona, The vagina is a hallow tube that leads to the cervix. The opening to the cervix leads to the uterus and is only large enough to let sperm in or menses out. In other words a tampon could not go through the opening of the cervix and enter the...

Family, Internal Medicine, General Medical Questions: Metabolism, metabolism, anti-aging
metabolism, anti-aging, longevity: James, The reasons are multifaceted. Principle among the reasons is hormonal. The hormones such as thyroid, growth hormone and gonadal (sex) hormones such as Testosterone in men and the estrogens/progesterone in women play a part in metabolism. Not only...

Family, Internal Medicine, General Medical Questions: Pain upper and lower right quadrants, gall bladder disease, ovary problems
gall bladder disease, ovary problems, stomach ulcers: The first answer is that this is a condition that requires an exam with a doctor..... trying to diagnose over the internet is just not doing you a great service.... I would think about stomach ulcers, gall bladder disease, possible appendicitis, ovary problems,...

Family, Internal Medicine, General Medical Questions: Parasite? in my son, fly larva, hook worm
fly larva, hook worm, harmful parasites: I have trouble telling what this is from the picture, but I have my doubts about worms.... the treatment for worms... vermox/mebendozole is very effective and is worth a shot, but overall, I probably would say this isn t worms.... usually you see quite a few...

Family, Internal Medicine, General Medical Questions: Pneumonia question, Pneumonia, pleurisy
Pneumonia, pleurisy, pleural effusion: Dear Ellen, Thank you for writing in. Pneumonia is a serious infection of the lungs. As you know, it is difficult for oxygen exchange to take place, and therefore shortness of breath occurs. The pain you are describing sounds like pleurisy. The X-ray does...

Family, Internal Medicine, General Medical Questions: Pneumonia question, lavaquin, bacterial pneumonia
lavaquin, bacterial pneumonia, pleural effusion: I am glad you got the repeat film to show that you did not have a collapsed lung, but having fluid on that side sounds like Pleuritis... that needs to be followed closely.... I would repeat an xray in 24-48 hours if I were taking care of you and make sure...

Family, Internal Medicine, General Medical Questions: Possible chickenpox?, chicken pox virus, ear cartilage
chicken pox virus, ear cartilage, back of my neck: shingles is a reactivation of chicken pox virus.... the stuff you had on your neck could have been shingles. You won t get chicken pox again. To get a rash on a separate area means that one of both of the areas are not shingles.... the neck sounds like...

Family, Internal Medicine, General Medical Questions: Question on mole biopsy, seborrheic keratosis, biopsied
seborrheic keratosis, biopsied, biopsy: A seb keratosis is benign, so the two diagnosis are consistent with each other. This does look like a seb keratosis, but is hard to tell on the picture.... these are so easy to scrap and analyze that I would have the whole thing done so it is analyzed and...

Family, Internal Medicine, General Medical Questions: Sinus Cyst? What else could it be? Thanks in advance, sinus cavity, retention cyst
sinus cavity, retention cyst, sinus symptoms: MRI s really are great tools to define what is in certain structures.... it is most likely that this is a sinus cyst and it is unlikely to cause any neuro symptoms.... sometimes sinus infections. And, several sinus infections may have led to the cyst.........

Family, Internal Medicine, General Medical Questions: Undiagnosed disorder - symptoms similar to chronic pancreatitis, but it isn't that disorder, symptoms of chronic pancreatitis, severe acute pancreatitis
symptoms of chronic pancreatitis, severe acute pancreatitis, pancreatic cysts: pancreatitis is a weird disease that presents many different ways.... we think of alcohol abuse or gallstones, but some people can get it from meds or from their triglycerides and occasionally some people just get it without a known cause. The fact that...

Family, Internal Medicine, General Medical Questions: 3 year old with stomach pain, stomach pain, black stool
stomach pain, black stool, old blood: Dear Dennise, My scope of practice does not include pediatrics; however black stool can be a sign of old blood, especially if it is tarry. This usually indicates a bleed high up in the digestive tract. Because of his difficulty in communicating, I would...

Family, Internal Medicine, General Medical Questions: ASA clearance time, occult blood test, general good health
occult blood test, general good health, clearance time: Dear Michael, Seven days is usually an adequate number of days to stop the aspirin prior to the occult blood test. However, some physicians do not want their patients off the aspirin for any reason. Therefore, you need to call the cardiologist back and...

Family, Internal Medicine, General Medical Questions: A complicated case, high body temperature, pus cells
high body temperature, pus cells, urine culture: There are a lot of possibilities. Some of these depend on where you are from. Could this be malaria? In any event, the symptoms you have are pretty generalized... you need to get this re-evaluated by a doctor to sort it out...... Good luck with it...

Family, Internal Medicine, General Medical Questions: ekg, ecg, waves
ecg, waves, heart: I don t know what a C wave is.... but in general, an ECG does not give a tremendous amount of information.... it can tell a problem but a normal one does not ensure that there is no problem. We only get a limited amount of information without doing other...

Family, Internal Medicine, General Medical Questions: EKG, C wave, EKG
C wave, EKG, cvp: Dear Joan, An EKG is composed of a P wave, T wave, sometimes a U wave and a QRS complex. A C wave is associated with right ventricular pressures and is measured with a CVP monitor. In the case of CVP monitoring, the C wave is caused by a slight elevation...

Family, Internal Medicine, General Medical Questions: GERD and IBS, GERD, IBS
GERD, IBS: Dear Jenn, Focusing on the GERD, it occurs when the lower esosageal sphincter remains open, allowing stomach contents to enter the esophagus. Omeprozole and pantoprazole are both proton pump inhibitors, they work by neutralizing the acid in your stomach....

Family, Internal Medicine, General Medical Questions: grey hair and vit deficiency, liver function test, vitamin deficiencies
liver function test, vitamin deficiencies, gastric problem: First of all, I am not convinced that your 70 year old parents are only 10% gray..... are you sure they don t color their hair? Gray hair is not due to a simple vitamin deficiency, unfortunately.... if is a function of stress, aging, and other factors we...

Family, Internal Medicine, General Medical Questions: HIV question, letter in the mail, screen test
letter in the mail, screen test, hiv: The HIV screen test is very sensitive, but not specific... that means it picks up almost everyone but is positive in some people that don t have HIV. The Western Blot is the confirming test.... if that is negative, then you don t have it..... I would have...

Family, Internal Medicine, General Medical Questions: My lower lip has been swollen for a month, retention cyst, cyst mucous retention
retention cyst, cyst mucous retention, scar tissue: this could be scar tissue or could be a cyst (mucous retention cyst) that has developed as part of the trauma...... I would have it looked at by an ENT or plastic surgeon.... it has been a month so most acute injury swelling would have subsided..... good luck...

Family, Internal Medicine, General Medical Questions: Needlestick HCV, insulin injection, tupperware container
insulin injection, tupperware container, puncture marks: you would have known if you were stuck...... it hurts.... The good news is hep C does not transmit easily.... HIV doesn t transmit easily and this transmits less easily than HIV, so a scratch probably won t do it. A puncture with injected blood would do it...

Family, Internal Medicine, General Medical Questions: I got questions, Lactobacillus, yeast infections
Lactobacillus, yeast infections, antibiotics: Dear Emily, When the pH in the vagina is disturbed or changed, yeast can grow more rapidly that usual. Tight clothes, menstruation and a high sugar diet are just a few reasons that can perpetuate an excessive amount of yeast to grow and take over the balance....

Family, Internal Medicine, General Medical Questions: Skin Discoloration, inflamed hair follicle, pubic region
inflamed hair follicle, pubic region, skin discoloration: It is hard to tell, but a couple of ideas...... hydrocortisone cream can de-pigment an area if used for a long period of time. This could be a form of vitiligo, where there is some spontaneous de-pigmentation that is usually permanent. A picture...

Family, Internal Medicine, General Medical Questions: Sore Neck, temper pedic mattress, soft mattress
temper pedic mattress, soft mattress, strange position: it is a matter of preference whether someone likes a really soft mattress or firm one.... I can find many who want that kind of mattress over softer..... with the high priced mattresses, see if you can trade for a softer one...... the other thing that may...

Family, Internal Medicine, General Medical Questions: Stinging behind knee after stretching?, doing the splits, problem thanks
doing the splits, problem thanks, ankle injury: it sounds like you lost some flexibility from the injury/inactivity then tried to get it back too quickly.... rest to the point of no pain then really easy stretching.... no bouncing and take 6 weeks to get back to where you were..... after inactivity the...

Family, Internal Medicine, General Medical Questions: Teeth, teeth molars, tooth loss
teeth molars, tooth loss, vitamin d3: your dentist should address any concerns.... repetitive chewing, something causing decay such as decreased brushing/flossing, or more sugar exposure. It may pay to look at your vitamin D3 level.... or at least take a supplement, such as 2000 IU s of D3...

Family, Internal Medicine, General Medical Questions: thyroid problems, normal tsh level, what is a normal tsh level
normal tsh level, what is a normal tsh level, armour thyroid: I tend to replace thyroid hormone until the TSH is between 0.5 and 1.5, even tho the limits go up to 4.5. Also, I don t like using armour thyroid.... it is a little harder to fine tune the dosing and there is no advantage to using it. Good luck...

Family, Internal Medicine, General Medical Questions: Upper Stomach Pain, upper stomach pain, irritable bowel syndrome
upper stomach pain, irritable bowel syndrome, irritable colon: Hi there James, thank you for posting your question with Allexperts. My name is Dr Andrew Rynne. I am a medical doctor working in Ireland. I have ten years experience helping people Online sort out their medical concerns. You may need a MRI scan to rule...

Family, Internal Medicine, General Medical Questions: Worried and seeking help with a recent incident, painful blister, sexual encounter
painful blister, sexual encounter, hangnails: you can talk yourself into many symptoms, but if you get herpes, you will know something is bad wrong.... a very painful sore for 10 days that is very noticeable..... so the other symptoms are probably related to the anxiety around all this. But the doc...

Family, Internal Medicine, General Medical Questions: Aging and muscle strength, testerone, magic fountain
testerone, magic fountain, muscle strength: it is much more complicated than simply the decline of testosterone.... many of our cells have timers on them and they change, decay with age....some we can keep in fairly good condition, others we cannot.... keep exercising, but there is no magic fountain...

Family, Internal Medicine, General Medical Questions: CBC, mean cell volume, chronic liver disease
mean cell volume, chronic liver disease, cbc results: Both are related and they are non-specific markers..... The MCV may be elevated due to: too much alcohol over a long period of time lead poisoning (very unlikely) B12 or Folate deficiency Chronic liver disease Or some people simply have a little...

Family, Internal Medicine, General Medical Questions: Confused..Why is it happening?, thyroid antibodies, iron saturation
thyroid antibodies, iron saturation, grey hairs: don t get distracted by the iron. I think the tests look pretty good..... I might check the TSH again in 6 months..... even though within normal range, it is a little high, showing the thyroid might be early struggling.... But I wouldn t treat now..........

Family, Internal Medicine, General Medical Questions: Confused as to why suddenly so sick, gall bladder stones, stomache pains
gall bladder stones, stomache pains, zantac 150: this could be all related to allergies.... if you are eating something that you have developed and allergy to. The indigestion could be reflux/stomach issues, or gall bladder stones also. I would seek out a primary care doctor to help you work this out....

Family, Internal Medicine, General Medical Questions: Help me, taking your time, lymph node
taking your time, lymph node, ear infection: it sounds like a lymph node swelling a little.... these happen from little infections, either on the scalp, or from a mild ear infection, or possibly a tooth if you are having pain.... no big deal..... it will probably go away in a couple weeks...... if it...

Family, Internal Medicine, General Medical Questions: HELP! endometriosis question, endo symptoms, symptoms of hypoglycemia
endo symptoms, symptoms of hypoglycemia, bladder pain: you are both right.... most of the time, endometriosis is a major quality of life ruiner.... but occasionally, the endometriosis implants cause problems. There is no link to fibro, CFS, arthritis, but chronic pain certainly causes mood issues also. ...

Family, Internal Medicine, General Medical Questions: Hemorrhoids, Constipation, hemorrhoids
Constipation, hemorrhoids: Dear T. Michael, Hemorrhoids are the result of pooled blood encased in a sack usually due to straining, lifting heavy things and constipation. For a flare up, warm compresses and sitz baths will keep the area clean while providing relief. Witch Hazel...

Family, Internal Medicine, General Medical Questions: hydration for elderly person, aspiration pneumonia, local doctors
aspiration pneumonia, local doctors, dysarthria: Stroke (CVA) often leads to dysarthria and dysphagia or difficulty with swallowing which can lead to a higher risk of aspiration pneumonia (where food and/or fluids get sucked down the windpipe in stead of going down the esophagus). Best to have the local...

Family, Internal Medicine, General Medical Questions: IBS???, psychiatric nurse practitioner, low residue diet
psychiatric nurse practitioner, low residue diet, drastic surgery: I am having trouble figuring out which problem (if not all) you are asking about..... I agree with your doc.... usually people don t have problems getting off Remeron, but it certainly sounds like you did. Re: The divertic.... three full flares of divertic...

Family, Internal Medicine, General Medical Questions: lump/bump on forearm?, left forearm, dime size
left forearm, dime size, staph infection: I would check with your doc, the picture doesn t help me (too blurry) but I suspect you have a low grade staph infection on your arm..... if not allergic, I would use some septra antibiotics and consider a little drainage (past sticking a thumbtack into it)...

Family, Internal Medicine, General Medical Questions: Lymph node, submandibular region, bad teeth
submandibular region, bad teeth, routine visit: Next routine visit, you should mention it, but we have a lot of lymph nodes in that area and they respond to colds/URI s, bad teeth, tooth brushing, etc..... it isn t unusual to have one persist and if there aren t several in that area or it is enlarging,...

Family, Internal Medicine, General Medical Questions: Pneumonia, pharangitis, fungal overgrowth
pharangitis, fungal overgrowth, antifungal therapy: A, With the series of several rounds of antibiotics I would be concerned with yeast or fungal overgrowth in your mouth/throat (candida/thrush). This can be treated with appropriate antifungal therapy, but cultures or KOH slide must confirm dx. Additionally,...

Family, Internal Medicine, General Medical Questions: procedure, bleeding ulcer, healthcare profession
bleeding ulcer, healthcare profession, blood transfusion: Dear Joyce, Thank you for writing in. I apologize for the negligence you have experienced from the healthcare profession. My advice to you is to call the doctor s office and speak with the office manager. If this does not get you anywhere, speak directly...

Family, Internal Medicine, General Medical Questions: Question about triglycerides, lipid profile, insulin pump
lipid profile, insulin pump, high blood sugar: Just watch the TSH.... no problem with it jumping around. That can vary but all are decent. The lipids look great.... no need to mess with cholesterol/trig. Yes, the DM prob is affecting the trig s a little, but that isn t bad. Global pancreatic failure...

Family, Internal Medicine, General Medical Questions: Quetiapine in elderly, congestive heart failure, heart medication
congestive heart failure, heart medication, old grandmother: I can t make a call as to whether she should take these meds or not, but I can see the issues..... She isn t demented, but is clearly distressed, probably some depression, seeing family die around her and feeling her own time may be coming. Does she have...

Family, Internal Medicine, General Medical Questions: Could you suggest, thyroxine sodium, cupric oxide
thyroxine sodium, cupric oxide, cholesterol hypertension: In general, they are safe.... but at least 1-2 out of 10 people cannot take the Rosuvastatin due to side effects, some people have trouble tolerating the metoprolol. I am not sure why you are on the DRDO..... but the otherw are pretty standard treatments........

Family, Internal Medicine, General Medical Questions: Thyroid problem, anti microsomal antibodies, thyroid antibodies
anti microsomal antibodies, thyroid antibodies, thyroid problem: it can swell up from infection, but usually will go back down... the fact that the tests are normal is reassuring..... Did they do thyroid antibodies with the blood work ? anti-thyroid/anti-microsomal antibodies? That would be the one thing to check.........

Family, Internal Medicine, General Medical Questions: under the left rib cage swollen with bloating and constipation., pain medicines, nausea and vomitting
pain medicines, nausea and vomitting, bladder infection: you are really constipated from taking all those narcotic pain medicines..... you should start Miralax, at least 1 capful daily with a full glass of water until you can get off the pain medicine. It is easy to worry about additional problems, but much more...

Family, Internal Medicine, General Medical Questions: 9 mm thyroid nodule on right side, cervical spondulitis
cervical spondulitis: Hi there Sayeda, thank you for posting your question with Allexperts. My name is Dr Andrew Rynne. I am a medical doctor working in Ireland. I have ten years experience helping people Online sort out their medical concerns. This must be difficult for you....

Family, Internal Medicine, General Medical Questions: Anemia, hemoglobin levels, iron stores
hemoglobin levels, iron stores, 4g: in a month, no drop... you have iron stores and recycle the iron in the hemoglobin.... I don t know if you stop ingesting iron though, because it is in foods... but it would take months to develop anemia unless you are loosing blood from aother source........

Family, Internal Medicine, General Medical Questions: Bees, insect stings, bee sting
insect stings, bee sting, emergency issue: insect stings... not much to do.... if you are allergic, the reaction happens quickly.... if you survive the first couple hours, you are home free... although the venom is really potent and just a little bit causes a lot of swelling, inflammation and weird...

Family, Internal Medicine, General Medical Questions: Is it better to live clean or be used to filth?, wilderness survival, survival expert
wilderness survival, survival expert, germaphobe: that is an excellent question.... going germ free completely really sets up for disaster later on..... but being clean and good hand washing, etc may save you a few colds. But going crazy keeping everything super super clean doesn t help for all the effort....

Family, Internal Medicine, General Medical Questions: blood in mucus, productive cough, obstructive pulmonary disease
productive cough, obstructive pulmonary disease, running a fever: Dear George, There are a few important things I need to know before I can try and answer your question. 1). Are you a smoker? 2). Do you drink alcohol? 3). Have you been experiencing a productive cough with difficulty breathing? 4). Have you been...

Family, Internal Medicine, General Medical Questions: Cleaning Ears, liquid hand soap, ear wax removal
liquid hand soap, ear wax removal, ear nose and throat specialists: ear wax removal drops....are the thick peroxide...brand names are cerumenex and others. Don t worry about the ear candle... shouldn t use it anyways Yes regular bar soap, not liquid hand soap. Cutips don t have any good use expect cleaning the trigger...

Family, Internal Medicine, General Medical Questions: CT scans on an infant, background radiation, risk loss
background radiation, risk loss, loss of consciousness: This is becoming more and more of an issue, especially with kids..... there have been cases of abd pain where a child gets sequential cat scans of the abd and after 3 or so, there can be some skin burns (mild) but still present. With anything in medicine,...

Family, Internal Medicine, General Medical Questions: ear pain, outer ear infection, swimmers ear
outer ear infection, swimmers ear, nasal congestion: These can get frustrating.... before the ENT or expensive scans, I would try a decongestant such as AFRIN nasal spray twice a day for 5 days. Also, if the outer ear itself is tender, that leans towards an outer ear infection like swimmers ear, if the pain...

Family, Internal Medicine, General Medical Questions: eating food ,fasting etc, fruit juice diet, cholesterol metabolism
fruit juice diet, cholesterol metabolism, adkins diet: There are many many diets out there that recommend different plans.... There is good evidence now that decreasing the volume of 3 big meals and having smaller meals is healthy. The biggest new concept is limiting the amount of carbohydrates one takes...

Family, Internal Medicine, General Medical Questions: HCG shots, low carb diets, cholesterol metabolism
low carb diets, cholesterol metabolism, low carb diet: I wouldn t worry re: the ovarian cancer issue, but I think the shots are worthless as far as weight loss. There are no studies to say that this is a beneficial adjunct to dieting. Simply start a low carb diet.... you won t be hungry or fatigued and the...

Family, Internal Medicine, General Medical Questions: Heat stroke, what to do next?, pins and needles, potassium levels
pins and needles, potassium levels, inner thighs: it depends on what was damaged.... you can sweat out some potassium, however with severe dehydration, you can get muscle damage with releases potassium and raises the level, so you can t really tell without checking. The muscle cramps/paralysis suggests...

Family, Internal Medicine, General Medical Questions: Hiatal Hernia, hiatal hernias, hiatial hernia
hiatal hernias, hiatial hernia, limit alcohol: The first thing to evaluate is whether this could be heart..... an EKG is not good enough.... if appropriate you need a stress test or other more in depth testing. However, reflux and hiatal hernias can cause symptoms that are indistinguishable from heart.......

Family, Internal Medicine, General Medical Questions: lab test for iron/anemia, iron deficiency anemia, iron binding capacity
iron deficiency anemia, iron binding capacity, serum test: first of all, you need a regular CBC specifically the Hb and HCT to tell whether you are anemic.... if these are ok, no further testing needed. If those are low, then the TIBC/serum iron is probably the most easily interpreted but the ferritin is also accurate,...

Family, Internal Medicine, General Medical Questions: Lipotropic Injections, depression anxiety, amino acids
depression anxiety, amino acids, lamotrigine: I don t think those chemicals should cause much of a reaction, unfortunately, they don t cause much of a benefit in weight loss either...... Unless you are deficient in B12 or have a horrible diet (for B6) then it is questionable whether these are helpful....

Family, Internal Medicine, General Medical Questions: low potassium, renal tubular acidosis, pins and needles
renal tubular acidosis, pins and needles, potassium level: First of all, why did your potassium go low...... are you on a water pill like lasix or HCTZ that would lower it..... if not, then there is a possibility of a kidney problem.... not a bad one, called renal tubular acidosis. Also, vomiting or diarrhea...

Family, Internal Medicine, General Medical Questions: Medican Questions, brain functions, briain
brain functions, briain, open eyes: the brain functions for a couple of seconds after the heart has stopped.... it requires a lot of oxygen for metabolism and goes out quickly.... Sometimes eyes are left open when someone dies, so closing them is reasonable.... but they aren t seeing anything...

Family, Internal Medicine, General Medical Questions: Migraines, preconceived notion, dark circles
preconceived notion, dark circles, cat scan: I would go to emergency if the pain is unbearable.... in the ER, we treat these commonly and our goal is pain control and making sure that something obvious that isn t a migraine is going on but your regular doctor can intervene with preventative medicines...

Family, Internal Medicine, General Medical Questions: multiple health problems, paroxysmal supraventricular tachycardia, chronic kidney disease
paroxysmal supraventricular tachycardia, chronic kidney disease, stage 3 chronic kidney disease: You are right.... you have a complicated situation.... I don t see a connection with all the different medical symptoms and conditions you have. You didn t list your meds or cause of kidney problems. When I first look at symptoms, I wonder whether some...

Family, Internal Medicine, General Medical Questions: Parsireotide LAR Treatment of a Non-secreting Ectopic Pituitary Macroadenoma, rare tumor, negative consequence
rare tumor, negative consequence, optic nerve: This is somewhat outside of my comfort zone.... what is appropriate for a tumor.... I would suggest consulting an oncologist and I would look for ones that subspecialize in pituitary tumors..... they would be the ones that would be able to better answer whether...

Family, Internal Medicine, General Medical Questions: Pinworm infection, garlic clove, garlic pills
garlic clove, garlic pills, power of suggestion: just hearing about pinworms makes my backside itch... the power of suggestion... even if you had it, a course would have wiped it out.... I would wait and see if you have any persistent symptoms.... the garlic in vagina and rectum is not a good idea.......

Family, Internal Medicine, General Medical Questions: PPD Test, antibody test, mild infection
antibody test, mild infection, ppd test: that late afterwards makes me think of a mild infection or possibly a late bruise occurring.... the antibody test occurs sooner, which we read as positive or negative in 2-3 days. I would be tempted to wait for it to resolve then repeat the PPD....... if...

Family, Internal Medicine, General Medical Questions: Swollen feel and ankles, swelling feet and ankles, swollen feet and ankles
swelling feet and ankles, swollen feet and ankles, congestive heart failure: This sounds like dependent edema.... the diuretics help a little, but the biggest help would be limiting salt in the diet, walking to motivate the circulation and elevating the legs when not walking. Weight loss is this is appropriate will help also. ...

Family, Internal Medicine, General Medical Questions: Tender lump in armpit, enlarged lymph node, mild viral illness
enlarged lymph node, mild viral illness, lump in armpit: next weeks appointment is fine for this... it is unlikely to be a cancer. More likely a little skin infection inflaming the sweat glands or nodes. But I would not wait months to have this looked at.... with tenderness, much more likely to be an infection........

Family, Internal Medicine, General Medical Questions: tetanus and tetanus shot, guillan barre, tetanus shot
guillan barre, tetanus shot, pinky finger: your immune system doesn t shut down with an immunization, you just devote a few resources towards boosting your immunity.... the big problem is a sore arm. The package insert lists potential problems that occur with any immun..... like the guillan barre...

Family, Internal Medicine, General Medical Questions: TIA, slow heart rate, tia stroke
slow heart rate, tia stroke, low blood sugar: it is a common misconception, but TIA s or strokes typically do not cause loss of consciousness..... with the slow heart rate info.... that can cause someone to pass out... much more likely that it was a heart cause or blood pressure drop cause or metabolic...

Family, Internal Medicine, General Medical Questions: Trying to understand the immune system better, game terms, white cell count
game terms, white cell count, minimal symptoms: When it comes to resisting sickness, is there a unit of measure like ‘pathogen resistance’ that will tell you ‘oh, *sickness or disease*? Your resistance should be able to beat that.’ Is it just better to say ‘immune system’ or ‘white cell count’ to be general?...

Family, Internal Medicine, General Medical Questions: 16 days postpartum, still bleeding?, first few days, weekend time
first few days, weekend time, hemorrhages: Most bleed for the first few days, some for a couple weeks. The concern is any retained placenta that will keep someone bleeding..... since it is a little, not an emergency, but let your OB know an if it doesn t stop through the weekend, time to get checked...

Family, Internal Medicine, General Medical Questions: 5 year old blood test, low white blood cells, white blood cells
low white blood cells, white blood cells, weird coincidence: having a low white cell count probably means nothing.... sometimes viral illnesses can suppress the bone marrow production for a while. If he is not getting frequently sick, then this probably does not indicate a problem. Don t lose sleep over it.........

Family, Internal Medicine, General Medical Questions: Angiogram Question, health care dollars, acoustic neuroma
health care dollars, acoustic neuroma, definite diagnosis: a repeat MRI will not help..... the cerebral angiogram has a higher risk but can show this type of lesion. It is possible that an MRA might.... a magnetic resonance angiogram. with this kind of specialized workup, you will need to trust the evaluating...

Family, Internal Medicine, General Medical Questions: Cervix, female organs, cervix
female organs, cervix, uterus: cervix is the entire round pink object.... the hole is called the os. Why not just call the entire organ (hole and all) the uterus? I guess you could start a movement to rename the female organs.... but because the tissues are different, it pays to differentiate...

Family, Internal Medicine, General Medical Questions: Coming off Diprivan, traumatic brain injury, facial fractures
traumatic brain injury, facial fractures, heart issues: Do not resuscitate orders are complex and difficult especially if you have already started them. Most people who sign no respirator do not want it if it is only used to keep them alive but many will want it if it is a bridge to getting back to normal,...

Family, Internal Medicine, General Medical Questions: Ears, bony prominences, benign tumors
bony prominences, benign tumors, ear canal: Anon, Surfer s Ear is the formation of bony prominences in the ear canal due to CHRONIC cold water entering the ear canal. After years of such insult, formation of benign tumors in the canal that can narrow the lumen of the ear canal. The KEY term here...

Family, Internal Medicine, General Medical Questions: Fatality timeframe on liver failure, memory lapses, liver failure
memory lapses, liver failure, enlarged liver: Hello Sam and thank you for writing, I m so sorry to hear about your Grandfather s prognosis. I will try to share some brief details about what to expect as his condition worsen. He will gradually grow weaker, have less energy to do things, eat and drink...

Family, Internal Medicine, General Medical Questions: Fatigue and just dragging, thyroid function tests, rapid heart rate
thyroid function tests, rapid heart rate, sleep apnea test: This could easily be low testosterone. I think the sleep apnea test is also a good idea. I would also check thyroid function tests. Sometimes we consider a diagnosis of depression if the workup has not found any answer...... Good luck with everything...

Family, Internal Medicine, General Medical Questions: Fiance's Health Issue, moderate alcohol consumption, yellowish substance
moderate alcohol consumption, yellowish substance, gall bladder: Are you sure there was no alcohol consumption during some of those episodes..... I would have a full workup if it is bad enough to cause vomiting... is it related to her periods? But I would check for urinary infection, pregnancy, gall bladder... there is...

Family, Internal Medicine, General Medical Questions: foot pain, stress fracture, tippy toes
stress fracture, tippy toes, nail bed: it is easy to bruise the bottom, also when running on sand, easy to jam the nail into the nail bed and cause some trauma... make sure there is no blood under the nail.... if so that should be released, by making a small hole in the nail over the bruise. (should...

Family, Internal Medicine, General Medical Questions: groin/inner thigh area, ace bandage, groin area
ace bandage, groin area, sports hernia: I think you are right.... more likely a strain or a true hernia.... if there is not a big bulge, then you can wait and see if the pain goes away... meaning just a strain. That is a hard area to wrap with an ace.... they do (did) make trusses.... reinforced...

Family, Internal Medicine, General Medical Questions: Health improvements with sobriety?, low carb diets, low calorie diet
low carb diets, low calorie diet, health improvements: Congratulations on your recovery.... remember, alcoholism is cunning, baffling, powerful.... and very patient... it pays to continue to respect your recovery and what happens if you get complacent..... Weight and diet.... different issue... the drinking...

Family, Internal Medicine, General Medical Questions: help!!!, pro biotic, blood sugars
pro biotic, blood sugars, yeast infection: it is not anything you are laying on... pillows/carpet.... Yeast likes warm and wet.... so the goal is to keep areas cool and dry. Clotrimazole usually works but it is slow... you have to treat twice daily for two weeks and use lots of powder to keep those...

Family, Internal Medicine, General Medical Questions: can you help with this?, nit removal, head lice
nit removal, head lice, little critters: Dear Teg, I feel your frustrations; however guidelines are just that, guidelines. It is the minimum recommended requirement to rid and prevent the pests from returning. These recommendations have a scientific component to them. Research has shown that lice...

Family, Internal Medicine, General Medical Questions: hypersensitive TSH details, hsTSH, T4
hsTSH, T4, T3: L, Your symptoms list reflects many of the symptoms of hypothyroidism (low thyroid function). Your hsTSH is indeed elevated at 25.06. Most reference labs call for 0.5 to 4.5 (but should be 2.0) as the normal. So this indicates a lab positive confirmation...

Family, Internal Medicine, General Medical Questions: increasingly painful periods, birth control pills, brands of birth control pills
birth control pills, brands of birth control pills, extreme nausea: I would try other brands of birth control pills..... or consider depo provera shots...that is the easiest.... Causes could be simply bad periods, endometriosis, a low grade pelvic infection. Other more aggressive options are uterine ablation.... but...

Family, Internal Medicine, General Medical Questions: Liver Disorder?, symptoms of liver dysfunction, sinus headache
symptoms of liver dysfunction, sinus headache, liver disorder: you need a good primary care doctor.... the endocrine said thyroid is OK, so you need a primary doctor to sort this out..... could depression be an issue, or sleep apnea with the weight gain and napping..... or anemia.... or a medication side effect.......