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About Charles Cusumano, FMP, PA-C
(Top Expert on this page)

Expertise
I`m a Physician Assistant in medical practice since 1975. I`m a nationally certified Physician Assistant and am a nationally credentialed Family Medicine Practitioner. I was also honored as a Distinguished Fellow in the AAPA.

Experience
Radiologic Technologist 1963-1973; Training in Hand and Upper Extremity Microvascular Surgery at the Mayo Clinic; and injury of the hand and upper extremity. I have taught pediatric ambulatory trauma. I'm ACLS certified. I serve as Honorary Chairman from Kentucky to the Republican National Congressional Committee Physician Advisory Board.
   

You are here:  Experts > Health/Fitness > Women's Health > Family, Internal Medicine, General Medical Questions

Questions Answered By Expert  Charles Cusumano, FMP, PA-C 
In Category  Family, Internal Medicine, General Medical Questions

SubjectDate Asked

Breast Issue8/29/2008
  Q: For about 4 months I had noticed my left breast was noticeably but not grossly larger than my right. ...
  A: I would disagree with waiting. It is really necessary to have an excisional biopsy so the cancer ...
Breast Issue8/26/2008
  Q: For about 4 months I had noticed my left breast was noticeably but not grossly larger than my right. ...
  A: To be frank, this doesn't sound good based on the rapidity of the enlargement and the skin ...
protein in urine8/25/2008
  Q: when protein is going from urine will it cause serious harm to kidney? my daughter is 4 years and ...
  A: There are differenty kinds of proteinuria (protein in the urine). It really depends on the amount ...
numbness in leg8/23/2008
  Q: I am 49 years old and had a blootclot in my leg about a year ago after a 10hr plane ride.I was ...
  A: This is probably due to what is called “post phlebitic syndrome”. That is a constellation of ...
Breast Issue8/22/2008
  Q: For about 4 months I had noticed my left breast was noticeably but not grossly larger than my right. ...
  A: I understand your concern. As you may know one breast is always larger than the other and the extra ...
poison ivy8/18/2008
  Q: I have been Suffering with poison ivy for about 3 weeks. I have had 2 treatments with a dacaron ...
  A: Can't really be poison Ivy if you are still breaking out after three weeksa based on the nature of ...
abcess near the kidney area8/18/2008
  Q: My husband had a gallbladder operation right after this in January he was diagnosed by an ...
  A: Abscesses don't have fibroids. This sounds like a very tough infection to treat. If the abscess is ...
adenocarcinoma metastatic dr. thinks colon my husband8/15/2008
  Q: I am trying to find answers to this type cancer, I am having a Breakdown. the Oncologist are ...
  A: I can not speculate on prognosis without a lot more information but from what you have SAID, I would ...
calcification of the plural8/15/2008
  Q: my father has copd - heart disease due to it and just diagnosed with a calcification on heart valve ...
  A: I don’t think the calcification of the pleura is causing the pain. Getting rid of the pain may help ...
Bone density8/15/2008
  Q: I'm 73 and recently had a bone density test. The results showed that I have normal bone density from ...
  A: Personally, with those findings, I would ask for a Vitamin D 1,25/25 test to determine your need for ...
gallbladder issues8/14/2008
  Q: im a 40 year old male, and 5 years ago i had an ultrasound done of my gallbladder which showed ...
  A: Of course it could. Yellow stools could indicate a disruption in the gall bladder function. The HIDA ...
shot period followed by morning spotting a week later8/13/2008
  Q: i just had a baby 5 months ago. i have not been on any contaceptives since i had her, but i am ...
  A: This sounds like the normal irregularity following birth and breastfeeding. If you are concerned ...
adenocarcinoma metastatic dr. thinks colon my husband8/13/2008
  Q: I am trying to find answers to this type cancer, I am having a Breakdown. the Oncologist are ...
  A: Yes it does. If he hasn’t had any surgery yet and his cancer is in the left colon that is most ...
allergy testing8/10/2008
  Q: I have a question regarding allergy testing. My daughter was tested for allergies, and her report ...
  A: I would have to know how they measure the results. High in one sort of testing may not be high in ...
Flexeed Oil, Omega 3 & 68/8/2008
  Q: I'm a 34 yrs old female. No babies. Interested in starting to take essential oils above, since i do ...
  A: Omega 3//6/9 fatty acids can be found in Flaxseed and fish oil. Thse are very good for heart a ...
Severe swelling of the hands when hiking8/6/2008
  Q: I am a 22 year old professional who has recently taking up hiking as a form of exercise/hobby. ...
  A: Unfortunately you can't. This is what is called dependent edema from letting the arms hang down for ...
Low transferrin8/6/2008
  Q: Recent blood tests showed that I have normal ferritin: 84 (20 - 288 ng/ml) but low transferrin: 181 ...
  A: Transferrin is an iron binding globulin protein. It is made by the liver. Thre are a few underlying ...
facial nerves8/6/2008
  Q: i am a tablet controlled diabetic. i went to the docs today because since last friday i have had a ...
  A: This sounds more like a mild case of Bell's palsy. You apparently HAVE eakness if you can not sip ...
Possible Lymphoedemia8/5/2008
  Q: I don't know if you can answer this exactly but I thought I'd give it a go. I was born with my left ...
  A: Given your description, this just sounds like a normal variant of swelling in a larger arm. You may ...
Hypothyroid with low TSH8/5/2008
  Q: I've been felling massively fatigued, sleeping a lot, nauseated, having a very difficult time ...
  A: Marisa, Usually hypopituitaryism. That is to say that the pituitary is sluggish and isn't making ...
Autoimmune thyroid issues8/4/2008
  Q: 57yo F w/fatigue,weight gain,foggy brains,sed rate 50-60; hx of osteoporosis,hi ...
  A: Hashimoto's is self limiting and the thyroid supplementation should be enough. If you feel swelling ...
I feel like I'm going crazy8/4/2008
  Q: I am a breast cancer survivor in remission since 2001 i've had chemo and radiation. I am 35 and live ...
  A: I would love to simplify this for you, but episodic diarrhea can be a symptom of a number of things. ...
Autoimmune thyroid issues8/3/2008
  Q: 57yo F w/fatigue,weight gain,foggy brains,sed rate 50-60; hx of osteoporosis,hi ...
  A: The Mevacor can raise the ALT and AST. The TPO antibodies suggest a thyroiditis, probably ...
can't find the answer...please help8/1/2008
  Q: Charles, Thanks so much for taking time to read this long, long novel I'm about to write. I've ...
  A: The “popping larynx” is a normal phenomenon and nothing to concern yourself with. As for the nodes, ...
ovarian cancer7/31/2008
  Q: why does the abdomen fill up with fluid when ovarian cancer is present? ANSWER: Hi Colleen, When ...
  A: That is no mystery. That fluid would otherwise be produced at a much lower level and disposed of. ...
ovarian cancer7/30/2008
  Q: why does the abdomen fill up with fluid when ovarian cancer is present?
  A: When the abdomen fills with metastatic tumor implants , it pulls fluid from the bowel and well as ...
Potassium Limits7/29/2008
  Q: I have been studying a bit, on the internet that is, concerning sodium/potassium imbalance as I ...
  A: Potassium metabolism is not as clear cut or straight forward as these other folks imply. There are a ...
Higher Pulse, Lower Blood Pressure, Lump in Stomach, Headaches7/21/2008
  Q: Good Morning, My sister is 26 years old and has had asthma all her life. She has been having a ...
  A: This could be any number of things. I do not think any of this is due to the virus or meningitis. A ...
Constant Headache7/20/2008
  Q: I have had a constant headache (temple,back of head, neck) for almost 2 years. Recently, I have had ...
  A: First I’d get off Armour thyroid. It is a poor way to treat thyroid disease. As for the headache, it ...
cuts and scrapes7/13/2008
  Q: Over the weekend I got a scrapes on my leg from roller bladding when i fell,( I was learning how to ...
  A: Scrapes usually heal in a week or two. A scrape over a tattoo may leave a pigment change on the ...
general7/11/2008
  Q: iam planning on having a second child, but i have had no periods and have seen a gynocologist which ...
  A: Provided you have normal ovarian function, your fertility will be OK. Clomid is used to treat ...
Child's Health7/9/2008
  Q: My youngest daughter, Emily, has been complaining that she doesn't feel well for the past week. Her ...
  A: As a rule, these symptoms in a child he age suggest a viral illness. Any sore throat, ear ache, ...
cystocele7/6/2008
  Q: can a stage 1 cystocele be reversed. Do exercises help and kegels? age 72, three major ops. bp ...
  A: At this point in your life, there is not much left of pelvic muscle that will be aided by kagel’s. I ...
diabetes7/6/2008
  Q: what are trigliserides
  A: Triglycerides are basically “fat” that floats around in the blood. In some people their ...
Qiuck Question7/3/2008
  Q: First of all thank-you for your participation on "Allexperts" and any knowledge you may have ...
  A: Personally, I feel it is very risky to be manipulating the neck of an 86 year old. There are so many ...
female sexuality7/2/2008
  Q: Is their any way to stop a woman from climaxing so much that she actually sprays and soaks ...
  A: You are of course entitled to your opinion. The fact is that there is no substantive proof of the ...
Getting Pregnant on The Pill7/2/2008
  Q: i was wondering what happens scientifically if a woman misses about 2 birth control pills and gets ...
  A: If you miss the pill, you can ovulate and potentially become pregnant in a 24 hour period. If you ...
question6/17/2008
  Q: I know you cannot get HIV from a toilet seat. But something got me thinking the other day. I took ...
  A: The likelihood of catching an STD is miniscule but not 100% impossible. As long as the kids don't ...
Shingles6/16/2008
  Q: H Charles - My wife suffers from shingles. She’s 57 years old. So far it’s been 8 weeks. What ...
  A: Shingles is tough. Pain can be long lasting after the blisters go away. A couple of things that may ...
dog bite (that won't heal)6/15/2008
  Q: my dog bit me 3 weeks ago on my thumb and it still has not healed in the slightest bit. i took 15 ...
  A: Seems a little long for a bite not to heal. The antibiotic choices were not what I would have chosen ...
Blow to the back of hand6/14/2008
  Q: My wife was walking in the store and hit the back of her hand on a shopping cart. The back of the ...
  A: What probably happened is that the trauma ruptured a blood vessel and she bled under the skin ...
Bone pain6/13/2008
  Q: I have been having horrible pain in mostly my long bones for about 3 months now. I also have what I ...
  A: I would be very concerned about petechiae especially on your face. A negative RA test does not mean ...
sciatic nerve???6/12/2008
  Q: I get extreme pain that runs from my buttocks, thighs to above my knee. When it happens, it is so ...
  A: This sounds like sciatic nerve pain. An MRI would show your discs and if nerves are being pressed ...
confused :(6/10/2008
  Q: I am 26 yr old female married for last few months. I have hypothyroid as well as PCOS. Earlier ...
  A: First, I would NEVER use homeopathic medicines to treat serious medical conditions such as thyroid ...
swollen gland above vagina6/8/2008
  Q: i am very concerned about something i have noticed. recently i was treated for bacterial vaginosis. ...
  A: OK, now we're talking. This is what I was trying to get you to tell me. This "knot" is a sebaceous ...
weight6/8/2008
  Q: I am a 5’2” 140 lb 44-year-old female. About 5 years ago, I was diagnosed with hypothyroidism. ...
  A: There is a condition called “sick euthyroid” that can appear as a normal thyroid tes but still have ...
swollen gland above vagina6/6/2008
  Q: i am very concerned about something i have noticed. recently i was treated for bacterial vaginosis. ...
  A: I’m afraid you’ll have to be a bit more specific as to location. You say “a few inches about my ...
food poisoning, panicked6/4/2008
  Q: I don't have insurance should I go to the hospital? Can you get botulism from crab salad? Please any ...
  A: Botulism is very rare and more likely if it is food poisoning it is Salmonella. This is usually self ...
surgical incision inflamation6/2/2008
  Q: My husband had quadruple heart bypass surgery a year ago. The incision healed well leaving a thin ...
  A: Unfortunately steroids can cause elevation in blood sugar, not a great thing for diabetics. A ...
Methadone for pain5/28/2008
  Q: If a person died from taking methadone prescribed for pain- within the first 24 hours of starting ...
  A: That's hard to say. Sudden death can be from a number of things. It may have been respiratory ...
Headaches5/22/2008
  Q: I have been getting headaches off and on for about the last month, always during the night and ...
  A: A runny nose with this sort of headache, especially if it comes on in the afternoon or evening could ...
lumbar spine mri5/22/2008
  Q: what is small posterior marginal osteophytes,discal degeneration,diffuse bulging ...
  A: What this means in essence, is that you have arthritic changes of your spine, a small amout of disc ...
recurrent localized head pain5/20/2008
  Q: I'm a 22 year old otherwise healthy male. About 4 months ago I developed a really bad localized ...
  A: if you can touch this painful area and repoduce the headache this could be an occipital neuralgia ...
I know this isn't the place to ask this question, but..5/16/2008
  Q: Can you please tell me the difference between a general practice, internal medicine, and a family ...
  A: At age 20 you certainly do NOT want a Pediatrician. A Family Doctor (Same as general practice) will ...
Skin Rash5/14/2008
  Q: I have been diagnosed with open angle glaucoma in 2006. I'm currently on Lumigan 1x daily (0.03%) ...
  A: This rash sounds like a fungal/candida rash. You might get relief from over the counter antifungals. ...
Switching Doctors5/13/2008
  Q: My boyfriend's mom has internal bleeding and other bacteria problems. We are looking at switching ...
  A: Is she now in the hospital? if so, she may not be stable enough to be transferred right now. If she ...
recurrent localized intermittent head pain5/12/2008
  Q: This is my post from 3 months ago. I'm a 22 yr old healthy male. About 4 months ago I had this new ...
  A: An aneurysm is always a considerartion , although a RARE one, when headaches are severe and ...
Very Severe Sore Throat5/5/2008
  Q: A. Cusumano, I wonder if you can shed any light on possible origins of a very severe sore throat ...
  A: I think the mutiple doses of antibiotics will ultimately do more harm than good. All those drugs are ...
cutting weight5/4/2008
  Q: i am 35. i currently weigh 146 before i go to bed. 3 months ago i decided to start a combat sport ...
  A: I apologize about the delay. I was on call for the 3 practices and the hospital ER. Very busy ...
Mystery illness4/30/2008
  Q: Ok...So I have had several weird symptoms that have been going on for sometime, and they seem to be ...
  A: This is a large symptom complex. Off hand, I can not think of a medical problem that would include ...
fosamax4/29/2008
  Q: On CNN today, 4/29/08, there was a report saying fosamax may cause a problem with the heart. Is this ...
  A: You are correct about this information. I read the report myself and found that there is risk of ...
burning off alcohol4/25/2008
  Q: Can the body burn off alcohol with exercise? Some say no and some say yes.Those who say no claim ...
  A: Alcohol can be "metabolized" differently by different people. A lot has to do with liver health and ...
swollen ankel4/25/2008
  Q: my ankle gets swollen during the day and goes down at night. It is not painful but feel heavy when ...
  A: Ankle swelling can have a number of causes. Most commonly it is from poor vein system in the legs ...
phentermine4/23/2008
  Q: I am a 36 year old mom. I have battled weight issues all my life and after having kids there seems ...
  A: There are indeed health risks with phentermine use, specifically heart valve dysfunction and ...
jolivette4/23/2008
  Q: i am sexually active, however, i was placed on combination birth control pills to help with my ...
  A: You should find some relief from the Progesterone. if that isn't enough, you might try Ponstel as an ...
Rash or something??4/15/2008
  Q: My daughter is 9 months old and very healthy. Yesterday I noticed what I thought were a few bug ...
  A: Rashes secondry to viral illnesses are quite common in children. Flu does not charactaristically ...
objects shoved in ears4/15/2008
  Q: My 3 yr old son put a crayon in his ear 2 weeks ago and pulled it back out and had no complaints but ...
  A: How about simply irrigating the ear with some luke warm water and an ear bilb syringe? Do it gently. ...
Foot Spur4/9/2008
  Q: Back on 6/22/2007 you responed to a question from 'Robin', who had a heel spur, you mentioned that ...
  A: Plantar fascitis is an inflammation of the tissue on the bottom of the foot, deep to the skin. The ...
spitting up bloob with sputum4/9/2008
  Q: My mother is 65 years old she had HCV from 7 years her Lft is normall but she had contineousley bad ...
  A: With a Hgb of 10.5, I'd be worried about blood loss from another site, such as the gastrointestinal ...
Blood Pressure4/8/2008
  Q: During this time my blood pressure is very much elevated usually my bp is around 118/68 or 120/70 ...
  A: Your blood pressure goes up and down all day long sick or not. If you are taking over the counter ...
carotid artery disease4/4/2008
  Q: I am a 39 year old female that has been diagnosed with carotid artery disease. My blockage is in ...
  A: The 60% blockage is not as severe as it would appear. There is nothing to do other than what is ...
small lumps on neck4/2/2008
  Q: I was rubbing my 3 yr old son's neck this morning & noticed he has a small lump on each side of his ...
  A: Don't freak out. It is not unusual for little kids to have enlarged lymphnodes even if they aren't ...
Unwell..not sure why3/31/2008
  Q: I am aware that it will be difficult to diagnose but just wanted to get some ideas - I am generally ...
  A: This is quite a constellation of symptoms. They do sound like those of a viral illness given your ...
Nerve3/31/2008
  Q: Hey I wasn't able to ask this anywhere on the site, so I figured general med could be most helpful. ...
  A: There are three main types of nerve injury as it pertains to your scenario: neurapraxia, axonotmesis ...
red spots3/25/2008
  Q: Good Morning - I'm a 23 yr old female living in NW Ohio. About a month ago, I noticed what I ...
  A: I would say that this is definitely not shingles. It could simply be a folliculitis from irritation ...
Lymph Node Confusion3/23/2008
  Q: I have some lymph node questions. I have had a couple small yet feelable lymph nodes on my neck, I ...
  A: Lymphnodes that swell do so as a result of infection or inflammation. ANY of the things that you ...
strange medical problem3/22/2008
  Q: I am a 25 yr old female and this started off with feeling like I had to urinate all the time. There ...
  A: This certainly is unusual. The white blood count should be followed to be sure that it comes down. A ...
routine blood test results3/21/2008
  Q: I am a 24 yr old female with no known health problems, good blood pressure. I had a routine physical ...
  A: Well, it really depends on what your doctor deems as “routine.” I couldn’t speculate and it wouldn’t ...
GENERAL QUESTION BOWEL3/20/2008
  Q: My Mom is in her 80's and when she has a bowel movement she says it feels like acid coming out. What ...
  A: Hard to say exactly. It may just be that she is having loose stools which can be irritating to the ...
Symptoms3/18/2008
  Q: I was hoping you could possibly just tell me what virus it is I have. My symptoms include: runny ...
  A: From what you say, you have probably contrated one of the numerous upper respiratory viruses going ...
Leg Pain3/16/2008
  Q: Ever since I can remember, I've dealt with pain in my legs which will usually occur during the ...
  A: Bad circulation at your age is very unlikely. I trust you have no other medical condition, don’t ...
constant stomach pain3/14/2008
  Q: I am a female, 42, smoker. For the past 6 weeks, I’ve had constant upper abdominal pain, just under ...
  A: Those symptoms could be from pancreatitis, stomach ulcers, H. Pylori infection (which it sounds like ...
diabetes testing3/13/2008
  Q: When fasting for blood sugar testing, any correlation between a high reading and anticipation ...
  A: As a rule morning blood sugars are higher. Improper diet and Stress can raise blood sugars as can ...
Gynecomastia3/12/2008
  Q: i have had gynecomastia for five years and im really tired of having this condition, i have no ...
  A: Although is theory that makes sense, you probably have enough testoterone. It’s just that the ...
flu, and rash?3/7/2008
  Q: I developed the flu a week ago, my boyfriend had it before me, I am feeling better, but the last ...
  A: This sounds like a “viral exanthem.” In essence, it is a viral rash that we not uncommonly see ...
Worried about elevated liver enzymes?3/7/2008
  Q: I've been on Lipitor 10 mgs for almost a year. My GP did a test in October, all was fine. Just did ...
  A: IF your liver enzymes are slightly elevated from the Lipitor, simply stopping it will reverse the ...
Pain in right side3/3/2008
  Q: I have had stomach pain since January 8 of this year. Last week the pain moved to my right side and ...
  A: Here are a couple of ideas. This could be Gall Bladder disease even wth a normal CT. You can have a ...
chest pains3/3/2008
  Q: "Hello, I have had chest pain for two months. I have seen a cardiologist and have had 4 ekg's and ...
  A: Costochondritis can last for months. Unfortunately there is no tried and true treatment. ...
chest pains3/3/2008
  Q: "Hello, I have had chest pain for two months. I have seen a cardiologist and have had 4 ekg's and ...
  A: Sounds like your heart is OK. Can I assume that they evaluated your stomach for causes? If the pain ...
uterine fibroids3/2/2008
  Q: I also volunteer on this board in the orthopedic section, and I appreciate anyone who donates time ...
  A: None of this is serious except for the pain and dysfunctional bleeding fibroids are associated with. ...
psoriasis on scalp only...2/29/2008
  Q: I was originally diagnosed with a condition called sebhoric dermatis, but my hair stylist is ...
  A: While it is always possible to have localized Psoriasis, my bet is that it IS seborrheic dermatitis. ...
Medical field2/27/2008
  Q: In your opinion, would you say the best choice of graduate school would be medical or dental if ...
  A: You won’t find any of that in medicine. There are never any steady schedules and pay depends on what ...
medication's and herb's2/27/2008
  Q: I have high blood pressure and high cholesterol I take metoprolol 50mg for the bp and simvastatin ...
  A: You can mix those. The erectile dysfunction and drop in Libido is more likely the metoprolol. I’d ...
Infection from Arm Cut2/27/2008
  Q: sorry I might be in the wrong group but this looked like the closet match. if there's a better ...
  A: The answer is no. These are two separate infections and have no connection with each other. On an ...
Hives2/26/2008
  Q: In December 2007 I got an allergic reaction to Levaquinn and developed chronic hives. The hives are ...
  A: Certainly exposure to an initiator can bring on chronic urticaria. These cases usually resolve ...
Arm pain after shingles2/26/2008
  Q: I am a 49 y/o female. Diabetic, diagnosed with shingles approx. 6 months ago. At the time I had ...
  A: This is not unusual after a Herpes Zoster episode. This kind of pain can potentially last for months ...
Leg Pain2/24/2008
  Q: My mother is 77 years old. In 1998 she bumped her leg and formed a blood clot in her thigh. Very ...
  A: Like you I would be suspicious that this is the cause of her leg pain. Just what it is, is unclear. ...
Dizzy when I move my eyes...2/23/2008
  Q: In order to save time typing, this is my response to someone else's question regarding the same ...
  A: If your dizziness occurs when moving your eyes, it may simply be an inner ear dysfunction brought on ...
numbness during menstral cycle2/22/2008
  Q: I am a 32 year old woman no kids from alberta canada. I have an IUD. My last 4 menstral cycles I ...
  A: The only thing that comes to mind, and I certainly hope this isn’t the case, is the surfacing of a ...
depression2/21/2008
  Q: I think there is a chance I am depressed at times. I find myself sad and looking at the worst in ...
  A: Firstly, everybody has “blue days” and a diagnosis of depression really requires a continuous sad ...
hi2/21/2008
  Q: Please answer what u can as this is a cross and inter disciplinary question. And I don’t expect u to ...
  A: Every state has their own laws. If a mother knowingly puts her fetus in danger through behavior that ...
BULIMIA2/19/2008
  Q: I HAVE HAD BULIMIA FOR FIVE YEARS NOW.ITS EVERY DAY WITH EVERY MEAL.I GO ON A 2 HOUR BINGE MAYBE ...
  A: Bulemia can lead to rupture of the esophagus which can be fatal. I’m surprisd your doctor hasn’t ...
Wife passed out2/17/2008
  Q: My wife was coughing(from a cold she has).....turned a red so red I have never seen before, she then ...
  A: Severe coughing can, in some people, cause what is known as post tussive syncope (fainting after ...
chlorine taste when coughing2/16/2008
  Q: I found this forum while Googling "chlorine taste when coughing" and found the letter to you on ...
  A: I have heard the rumors surrounding Splenda but I have been withholding reservations as none have ...
sudden hearing loss in dad2/15/2008
  Q: Charles, my dad lost his hearing in his one ear about 2 weeks ago, he was to see both an ear ...
  A: The two drugs do not have ototoxic effects. If they did, both ears would have been affected. A ...
brain2/12/2008
  Q: What is the connection between getting hit on the head and brain damage? I had heard when you are ...
  A: That is not entirely true. Getting hit in the head hard enough to alter consciousness can cause ...
is margarine safe for health2/12/2008
  Q: I am wondering which one is more good for health if taken daily.... one table spoon of margarine OR ...
  A: There is less fat in margarine but there are also oils that may not be totally healthy-unsaturated ...
recurrent intermittent localized head pain2/9/2008
  Q: I'm a 22 yr old healthy male. About 4 months ago I had this new onset of a headache that made me ...
  A: To really know if an aneurysm is the cause, you would need to have a Brain MRI Angiogram. The other ...
recurrent intermittent localized head pain2/9/2008
  Q: I'm a 22 yr old healthy male. About 4 months ago I had this new onset of a headache that made me ...
  A: As it is this well localized, it may be neuralgia. This would be an irritation of the nerve that ...
earlobe infection2/8/2008
  Q: I wore a pair of earrings that were purchased from a company that only sells nickle-free earrings. ...
  A: I wouldn't ever use neosporin for anything as that can make infections worse. Polysporin is OK but ...
strep throat2/7/2008
  Q: What antibiotic is typically used for an adult with strep throat? Will amoxicillin kill it? ...
  A: Perfect time for education. You do not take antibiotics to “kill” strep throat. It lives there all ...
Bruised Penis2/4/2008
  Q: this morning my penis is bruised very badly, like there is blood under the skin,it is actually black ...
  A: You need to nothing.This is the result of excess suction. It drew blood into the penis and caused, ...
positive pregnancy test2/3/2008
  Q: I had blood clots in my lungs and legs and so I terminated a pregnancy on the 29th dec. I was about ...
  A: I would get a “Beta Serum HCG-Quantatative“ done. This more reliable as a detrmining factor of ...
Gerd Ulcer2/3/2008
  Q: I am trying to find out if this is all related. First i had pneumonia. a month went by then i had ...
  A: It is hard to say that the MRSA was directly related to the pneumonia but with your immune system ...
Broken blood vessel in thumb without any trauma2/2/2008
  Q: I am doing nothing and then I get this severe pain in my thumb and I see a purple mark...remember I ...
  A: This sounds serious and I would ask your doctor about it. If it IS a broken blood vessel and it has ...
flu vaccine2/1/2008
  Q: I live in Houston, Texas where the flu is spreading like wildfire. The local paper said the strain ...
  A: You should get a Flu vaccine booster ASAP as it takes up to 6 weeks for immunoity to be established. ...
colon1/28/2008
  Q: i have been reading about it and i have a few questions about the procedure. they are doing it for ...
  A: The side effects from Colonoscopy are real but extremely rare. They have to tell you all the ...
stomach issue1/27/2008
  Q: I am 31 male, weight 153, no matter what i eat , when i eat my stomach begins to rumble about 5 mins ...
  A: You may have irritable bowel syndrome. As for the pulse in your stomach, that is normal. Nexium or ...
trouble and accurate diagnosis1/27/2008
  Q: I have had more than eight EKG's in the past 8 months: Mostly at LAC+USC in Los Angeles. The results ...
  A: This is indeed a complex issue on many levels. The elevated blood pressure during a stress test is, ...
Transitioning from RT to Physician's Assistant1/25/2008
  Q: I stumbled upon your profile during a random google search about Radiologic Technologists. I'm ...
  A: Yes, I was a RT for 13 years before entering PA school. I was working for a doctor that had ...
SO BORING 21/24/2008
  Q: I was wondering would you please explain to me: why do we yawn? Thanks C Barwick ANSWER: Hi ...
  A: It is a nervous system reflex that comes for the reasons I sited last time. It also comes if one ...
Flutters / Palps / Spasms1/23/2008
  Q: I am an active 50+. I have a funky tummy that has really made my life difficult !!! My eating is ...
  A: The Zegrid is well known to cause that reaction. It has sodium bicarbonate which can cause gas. I ...
Sleep Patterns1/21/2008
  Q: I am 49,in good health. In the last couple years,I have noticed a change in my sleep patterns. I go ...
  A: Although gradual change in sleep patterns may be normal as you age, a radical change in sleep ...
Alcohol Induced Myopathy1/21/2008
  Q: soreness and generalized puffiness the day after drinking alcohol. It lasts for 24-48 hours then is ...
  A: Unfortunately there is no testing for this. It is a diagnosis of exclusion. Also unfortunately, ...
Joint pain1/20/2008
  Q: What is the best over-the-counter remedy for pain in my shoulders and hips?
  A: This kinda depends on what’s causing the pain. If you are talking about the garden variety pains day ...
SIGNS/SYMPTOMS OF BRUITS1/17/2008
  Q: My Doctor, today, said she heard "bruies" in my abdoma, while using her stethoscope. What is the ...
  A: I wouldn't go so far as to worry about an impending problem. Once the bruit is evaluated then ...
"Bruie" (sp): Detected by physician1/16/2008
  Q: My Doctor, today, said she heard "bruies" in my abdoma, while using her stethoscope. What is the ...
  A: A BRUIT is a sound made by blood traveling through atreries that are patially obstructed. Normally ...
Pain in the left hand side of my stomach1/15/2008
  Q: I have a pain in the left hand side of my stomach and its been there for a fews weeks may a ...
  A: This could simply be gas trapped in the left side of the colon. There is even a name for it. It is ...
coronary artery spasms??1/13/2008
  Q: i went to my doc yesterday and i told him about my pain and symptoms still and i told him that when ...
  A: Your chances of blockages of coronary arteries is extremely low. The EKG would not show anything if ...
coronary artery spasms??1/11/2008
  Q: i went to my doc yesterday and i told him about my pain and symptoms still and i told him that when ...
  A: If you had all those tests recently and they were normal, repeating them wouldn't be necessary. ...
how do you test for impotance1/8/2008
  Q: I am going to a urologistin a couple of weeks. i have high blood pressure and the effects of the ...
  A: They will ask questions and do some blood work to rule out diabetes and possibly thyoid disease and ...
CF VS Sleep Apnea1/7/2008
  Q: I have a 5 1/2 yr old daughter. Who has a history of Asthma and at age 18 months, and then at age 3 ...
  A: I can understand your concern. CF can be diagnosed at birth to one year of age and early childhood ...
excess sweating1/4/2008
  Q: I am a 28 yo female and seem to lately sweat more than I think I should be. It doesn't matter ...
  A: There may be a number of reasons for excess sweating. Suggesting treatment depends on an established ...
22 yr old male rightward axis on ekg1/1/2008
  Q: i dont really have chest pain after exertion. and its not a constant pain, it comes and goes ...
  A: The best way to determine this is with a 24 hour holter monitor. Your heart activity is measured for ...
22 yr old male rightward axis on ekg12/31/2007
  Q: i dont really have chest pain after exertion. and its not a constant pain, it comes and goes ...
  A: Right atrial enlargement can come from smoking. It can also be related to the tricuspid ...
thumb numbness12/30/2007
  Q: three weeks ago i did alot of cutting with a pair of scissors, ever since then the end of my thumb ...
  A: I apologize for not getting back to you sooner. I was on call for three Family Practice Groups and ...
Please help...12/30/2007
  Q: My girlfriend has been getting dizzy, nauseous, and is tired all the time. We went to a Physicians ...
  A: I apologize for not getting back to you sooner. I was on call for three Family Practice Groups and ...
22 yr old male rightward axis on ekg12/29/2007
  Q: i dont really have chest pain after exertion. and its not a constant pain, it comes and goes ...
  A: I apologize for not getting back to you sooner. I was on call for three Family Practice Groups and ...
chest pain?12/27/2007
  Q: I have a 22 year old daughter whom has had this pain for about 4 years, she suddenly will get a ...
  A: I would feel safe in saying that at age 22, heart disease is not high on the list of things causing ...
22 yr old chest pain left side12/23/2007
  Q: I want to start off by thanking you for taking the time to answer some questions that I have about ...
  A: With normal enzymes that pretty much rules out heart disease. The only other thing to consider is an ...
22 yr old chest pain left side12/22/2007
  Q: I want to start off by thanking you for taking the time to answer some questions that I have about ...
  A: After looking at all the info and reading your account of symptoms My feeling is that this is an ...
UTI12/19/2007
  Q: I've had UTI symptoms for the past 2 months, i was given Cipro but a few weeks later development ...
  A: Leukocytes are white blood cells that fight infection and are often seen in urine that is infected. ...
sinus drainage12/14/2007
  Q: Good Evening, I have a question about sinus drainage. I am a 42 year old female, I have always had ...
  A: Are you a smoker? Could be just the residual from the upper respiratory infection or allergy ...
Triglycerides12/7/2007
  Q: My husband, 37, found out that his Triglycerides level is 340. How bad is that? What should he do? ...
  A: That is pretty high. He needs to exercise and diet to see if that helps bring it down. My guess is ...
health12/6/2007
  Q: i have been to a doctor and had my first papsmear, he said everything was fine. for a while now, i ...
  A: This may simply be a case of poor lubrication that causes tissue trauma. Either continue foreplay ...
Was I mistreated?12/5/2007
  Q: Ok... I have come to a realization about something and I need some clarity from someone who may know ...
  A: The urethral opening is at the FRONT of the vaginal canal and urine doesn't flow backward into the ...
Painful Intercourse11/26/2007
  Q: I'm not looking for a diagnosis but maybe just some comfort in knowing if you may have heard of this ...
  A: The vagina itself is a muscle that expands and contracts for any number of reasons. If these muscles ...
Reoccuring urinary and vaginal infections11/26/2007
  Q: I am an eighteen-year-old sexually active female and I have been having recurrent genital health ...
  A: One thing conspicuously absent from your correspondence was a urine culture. Was one ever done or ...
numbness in leg11/21/2007
  Q: Not sure if you can help but i thought i would give it a try. for the last three days the outside of ...
  A: This is interesting. The way you describe it makes me think that the original outbreak may have been ...
un-controlled diabetes11/20/2007
  Q: sir my details: indian male, age 48,weight 100 kg height 5.7, excercise not regular--I have ...
  A: Changing eating habits is one of the hardest things a Diabetic has to do BUT it is one of the most ...
14 day headache11/19/2007
  Q: I'm a 22 yr old healthy male. I woke up tuesday morning at 6 am, which was 14 days ago. I was ...
  A: This sounds like an acute muscle strain. I would highly doubt that there will be any serious finding ...
Pain in chest and throat11/16/2007
  Q: I am 27 years old, recently I have had this issue where sometimes after I eat I get this symptom ...
  A: This sounds like a problem with esophageal emptying. In other words, there is spasm in the lower ...
Zinc during pregnancy....11/13/2007
  Q: I am just wondering how much zinc is okay to take during pregnancy? I am currently about 7 weeks ...
  A: As with any nutritional substance, if a little is good, more may not be better. I would not take any ...
general10/16/2007
  Q: because me and my husband were trying to concieve our 2nd child and i noticed that my periods were ...
  A: Being overweight aloows you to store excess estrogen in fat tissue. This probably explains the ...
general10/16/2007
  Q: because me and my husband were trying to concieve our 2nd child and i noticed that my periods were ...
  A: The menstrual irregularity probably has to do with the PCOS. The weight loss is concerning. Some ...
growing10/13/2007
  Q: well I'm currently 16 years old and i am turning 17 at the beginning of next year. I'm only 5'6 and ...
  A: Unfortunately at age 16 your bone growth has stopped.Your spine will continue to grow till your ...
women's health10/12/2007
  Q: I had a pap smear today my doctor found abnormal discharge and she said my cervix was inflammed and ...
  A: Depending on your age, it could just be from hormonal deficiency. Another possiblilty that must be ...
Making noises while sleeping10/4/2007
  Q: The issue I'm having is that I make a moaning like noise when sleeping which is stopping my wife ...
  A: I’m not sure how the box spring versus the mattress on the floor plays into this unless it IS ...
removing stitches9/25/2007
  Q: I cut the medial side of my index finger. The local emergency room gave me 5 or 6 stitches ...
  A: If you don't know someone with medical training that can do it, you can remove the stitches ...
Any idea?9/25/2007
  Q: I can't see my Dr. til Oct 2nd... any ideas about the following? for the past 3 weeks A.) my skin ...
  A: Well, don't go insane just yet. Hard to tell what all these mean and if they are even connected. The ...
post strep throat rash9/24/2007
  Q: I'm an American living in Russia.I just recovered from strep throat/tonsillitis. The stones on my ...
  A: I am not familiar with the Linex tablets as we don't have them here in the US. This might be a drug ...
Swollen feet9/19/2007
  Q: For the last couple of months or so my feet have been swollen. I am overweight and am bothered ...
  A: Leg swelling can have many causes including something as simple as the ambient temperature. Thyroid, ...
throat9/15/2007
  Q: for the past 9 days i have had a very bad sore throat. mainly on the left side and pretty much only ...
  A: I doubt that this is from cancer at your age. STD's would show up on exam. This might be from ...
Blood Test Results9/14/2007
  Q: I just had a physical and got a copy of my blood work. My physician said I was fine, but looking at ...
  A: I believe that the elevated blood count (henatocrit and hemoglobin and RDW is from smoking. At least ...
plaque9/13/2007
  Q: My eye dr. believes I have Hollenhorst Plaque. I did go to my family dr. who is going to run a ...
  A: These findings could represent carotid artery or great vessel cholesterol plaque formation, pieces ...
Excedrin future effects9/10/2007
  Q: I take Excedrin about 5-6 times per week for headaches and other minor aches/pains I may have. I'm ...
  A: First, I would doubt that your headaches are caused by your body being mis-aligned. Just doesn't ...
Fever of unknown origin9/6/2007
  Q: I'm a 46 year old Caucasian female. 5'1"and weigh 130#. Ihad a CBC,basal metabolic panel,urinalysis ...
  A: This is a conundrum for sure. Some things I would be interested in would be rheumatic disease ...
Foot issues9/6/2007
  Q: My nephew dropped at 10 pound weight about five feet onto his foot. I haven't heard what his ...
  A: I assume that he had xrays taken. If negative for fracture, he should recover just fine with ...
eyes9/5/2007
  Q: Today I went for further testing to check for possible Lasik surgery to correct my vision. While ...
  A: The difference in testing results of the eye pressure may be only a technical difference. The ...
pain and spasms in leg9/4/2007
  Q: i have my right leg swollen but my left leg i get numbness and a lot of spasms.. one leg is 18in and ...
  A: If you are right hand dominant, that could explain the difference in girth. In thye abscence of ...
Possible conflict with meds preventing healing?9/4/2007
  Q: I went to the doctors this past friday 8/31, I had a sore throat and was sick for the couple days ...
  A: The prednisolone could be delaying the healing of the sores. I don't think the anitbiotics are to ...
health9/3/2007
  Q: i have something that looks like the size of a bug bite on my private where hair is. im not sure ...
  A: A staph infection refers to an infection with staphlococcus species. Right now there is an emergence ...
Beer belly8/31/2007
  Q: I am 39,no medical issues. I work out and dont eat much,but my belly sticks way out. I can even see ...
  A: I can't suggest milk thistle out of hand. I would never start an herbal treatment before knowing ...
Vitamin D levels very low8/30/2007
  Q: First of all thank you for offering your help on this site. I am an expert on another site ...
  A: By definition, you have Ricketts. Your Vitamin D levels have been dropping for a while. Symptoms of ...
Rash8/30/2007
  Q: I have a deep red rash in the crotch between my right leg and my testical. It looks like a heat rash ...
  A: This is probably a fungus. Wash it well, dry it and apply a antifungal cream that you can buy over ...
Neuro exam8/28/2007
  Q: I had a neurological exam today, the Dr. thinks I fibromylagia or MS, if I don't improve in a month ...
  A: Those tests are part of the routine Neurologic exam. They test for muscle strenght and ...
hi8/25/2007
  Q: went to a doc in ny for initial visit doc drew blood and also gave b12 shot and total visti time was ...
  A: It makes no difference how much he charges you. He "codes" all visits and is paid by the "code" he ...
Infected Blister8/22/2007
  Q: My 6 year old daughter had a pimple on her thumb that grew into a very large blister. I took her to ...
  A: This could be what is called a Herpetic Whitlow. Antibiotics won't help much if this is the case. ...
Bleeding disorder8/21/2007
  Q: I am absolutely lost My daughter is 15 years old, with general good health. She had her first period ...
  A: She could simply have very heavy periods and iron deficiency anemia as a result. That could explain ...
Lightheaded8/20/2007
  Q: for quite a while now i have been getting Lightheaded when bending down.Ihave had my blood pressures ...
  A: Bending down can cause lightheadedness because the blood gets trapped in the brain and can't ...
Ear lobe infection8/20/2007
  Q: I recently purchased (what I thought were) Nickle Free earrings. After wearing them for a few days ...
  A: Avoid neosporin and peroxide like the plague. That may be most of your problem. Wash the ear lobes ...
hand sanitizer8/19/2007
  Q: Have you heard of Zero Plus hand sanitizer with an ingredient called Amosilk? It claims it will ...
  A: I don't now about the validity of this claim BUT be CAREFUL about how many germs you plan to kill. ...
Sweaty Pits8/18/2007
  Q: okay i dont really know what category this fits in so i guessed this one. i have a sweaty pit ...
  A: If you only have sweaty armpits try a stronger form of antiperspirant called DRYSOL. It IS powerful ...
Back/chest pain and yawning8/17/2007
  Q: Yesterday out of the blue I started experiencing back pain. Didn't feel like surface typical muscle ...
  A: Back pain can be from any number of things. The yawning seems to suggest anxiety. You may simply ...
Please advice8/15/2007
  Q: i dont have the prescription right know). I felt little ok but did not get complete relief from pain ...
  A: At your age to have esophagitis is significant. You should avoid chocolate, caffiene and peppermint. ...
My Knee & Legs are swallon8/13/2007
  Q: Iam having a problem with my knee and my right leg also are swelling and Iam having problem of ...
  A: From that much information, it is hard to know what is wrong. Do you have any underlying medical ...
Rabies exposure8/12/2007
  Q: I am a 59 year old male in overall good health.Last nite,I stepped out on my front porch after ...
  A: Sounds unlikely that this was a bat unless you are sure that you encountered one. Bat bites can ...
Broken Blook Vessels8/7/2007
  Q: 3 days ago I accidentally caught my thumb in a lease on a surfboard (while teaching a child to surf) ...
  A: This sounds a little more serious than just broken blood vessels. I can't believe that this is from ...
holding in bowel movements8/5/2007
  Q: im 18 years old & every since i was a young child i had a bad habit of holding in my bowel ...
  A: Your white count would be elevated only during an acute flare up. A colonoscopy is a good idea given ...
"Hot Legs"8/1/2007
  Q: I've asked most every doctor I've been to in the last few years... I sometimes have a problem when ...
  A: This may be a varient of resteless leg syndrome. Narcotic and alcohol use cause brain chemistry ...
Strep B Infection7/31/2007
  Q: Back in January I went to my doctor's office because I thought I had a bladder infection. What it ...
  A: It may be hard to tell the difference between the two. Strep is an omnipresent bacteria. You could ...
fish oil7/29/2007
  Q: I am 35 ys old female. I was thinking of taking fish oil pills for heart health. Last time I tried ...
  A: Unfortunately fish oil, to be effective for health, needs to be taken in large quantities. That ...
Blood Glucose7/28/2007
  Q: I recently had blood work done and my blood glucose was 102. My other lipid levels were all good. ...
  A: By strict definition, FASTING blood sugar should be less than 99. A value of 102, although ...
Red spot7/27/2007
  Q: I have had a red spot on the head of my penis for several months now. Over the last several weeks it ...
  A: This is probably not a Fordyce Spot based on your description. I also doubt masturbation trauma is ...
White Blood Cells7/27/2007
  Q: my cousin who is female 13 yrs have her docs told that she has no white blood cells ,I Would like to ...
  A: Well, if she truly doesn't have any white cells, she wouldn't be alive, so I doubt that comment. Low ...
osteoporosis7/26/2007
  Q: I have been told that I have osteoporosis. Is osteoporosis in just my back or in all my bones? I ...
  A: From the sounds of it, you probably have wide spread Osteoporosis. A DEXA scan can tell you which ...
Abdominal pain, I know, Common7/25/2007
  Q: I have been having severe, intermittent abdominal pain with a constant fever of 99-101 since March. ...
  A: Unfortunately there are a host of problems that can cause chronic intermittant abdominal pain. The ...
weight, etc.7/24/2007
  Q: I have 2 questions....unrelated to each other. The first is in regard to weight. My daughter is 27 ...
  A: I wouldn't be concerned. It isn't unusual for kids to become "picky eaters" at this age. She's ...
uti since May, breastfeeding7/23/2007
  Q: It's July now and I've had a uti that won't go away since May. I take the antibiotics for the ...
  A: There may be another cause for the protracted UTI. Are you currently having intercourse? This can ...
celiac's disease7/18/2007
  Q: i have spoken to you before about digestional issues i have been having & you said IBS most likely ...
  A: Celiac Disease or SPRUE can not be diagnosed by the blood work you had done. If you have these ...
Body temperature7/16/2007
  Q: I have a friend that claims a lower than normal body temperature, normal being 98.6, she claims ...
  A: "Nomal" body temperature ranges from 96 to 99. Average is around 98. When your body temperature is ...
sinus problems7/15/2007
  Q: In the mornings when i wake i normally expel some yellow materinal from my sinues, then it normally ...
  A: Morning nasal discharge can be from allergies, chronic sinus inflammation and smoking. Flonase can ...
Confused and Scared7/13/2007
  Q: First a little background, I believe I have contacted you before. About a month ago I found ...
  A: So far, none of this sounds ominous. The sonogram will show if there are nodules or cysts in the ...
lymphocyte level7/13/2007
  Q: my 3 year old son has had swollen lymph nodes in his neck for over three months, i recently asked ...
  A: There are any number of illnesses that can cause swollen lymph nodes. It would be hard to pick any ...
abdominal pain7/13/2007
  Q: im horrified about colon cancer. im an 18 year old female. i have been to doctor after doctor, even ...
  A: From what you've said, I believe that you have IBS and an anxiety neurosis about cancer. It is ...
fees/cost of stress incontinence surgery7/9/2007
  Q: I am trying to get an average figure for surgical cost of sling procedure for stress incontinence ...
  A: Unfortunately prices vary greatly depending on surgeon and location. I have no personal knowledge of ...
x-rays7/9/2007
  Q: My 5 year old daughter broke her elbow a few months ago. It was a very bad fracture and was not ...
  A: As a rule, xrays taken of an extremity shouldn't dose the pelvic area in any significant quantity. ...
is it internal sinus or weakness?7/6/2007
  Q: my condition: since last 4-5 months..i used to droop when iused to get up from a resting position.it ...
  A: Sorry for the delay. My regular practice has been unbelievably busy. First, you are not consuming ...
bruising tired/weak7/5/2007
  Q: I am 41 years old. In the past after a pregnancy and nursing for over 1 year I have been diagnosed ...
  A: Sorry for the delay. My regular practice has been unbelievably busy. It sounds like you are ...
severe back pain7/5/2007
  Q: I have constant lower back pain, but some days I experience a severe excrutiating jolt of pain in my ...
  A: Sorry for the delay. My regular practice has been unbelievably busy. The report is describing ...
Warm sensation on the left side of ankle7/5/2007
  Q: I have been having a warm sensation on the left side of my ankle. It starts just left of the ankle ...
  A: Sorry for the delay. My regular practice has been unbelievably busy. Really hard to tell. If warmth ...
Hormonal?7/4/2007
  Q: I am a 24 year old female, I have been having blue and clear discharge from my left breast for ...
  A: Those are a lot of symptoms from which to make head or tail. Any or all of those can represent many ...
birth control pills7/2/2007
  Q: Can you explain to me why there is a controversy over the bc pills that eliminate a period for 3 ...
  A: There are no "fake" periods. It's just that the body is designed to menstruate monthly and asking it ...
bladder6/30/2007
  Q: Good Morning, I am concerned over the last 6 nights, I wake up needing to go to the bathroom ...
  A: First, I would never start any medicine without checking with your doctor. Besides you should never ...
hyperthyroidism6/27/2007
  Q: please could you advise me, My mother has an over-active thyroid she had the iodine drink 4/5 years ...
  A: It sounds to me like she has been more HYPO-thyroid (under active) and her doctor is putting her on ...
liver function test6/26/2007
  Q: I recently went in for a routine physical and the results came back that my liver function was ...
  A: From the results of your testing, so far so good. A recheck is in order to see which direction the ...
Diabetes6/25/2007
  Q: I have been diagnosed with type 2 diabetes recently and am on Actos. I have never been much of a ...
  A: Sweet craving isn't unusual. You can replace pure sugars with fruits. Too much of anything with ...
Intermittent elevated AST/ALT levels6/25/2007
  Q: I am one year post op modified whipple for benign tumor. two months ago, my AST/ALT were slightly ...
  A: Not likely. Elevated Liver Function Test's can be from any number of things. It really depends on ...
smoking6/22/2007
  Q: I had a few quick questions: My sister recently confessed to me that she has been smoking for the ...
  A: I guess I would suggest you speak to a pulmonologist at the hospital. You have someone right there ...
bone spurs6/22/2007
  Q: I have recently been diagnosed with a small heel spur. at the time it was in the heel area. I seems ...
  A: Heel spurs are not the problem; they are the result of another problem called plantar fascitis. ...
scar tissue or hernia near a c-section6/22/2007
  Q: well I'm having this problem i started having pain on my lower right abdomen and it was constant it ...
  A: Sounds like a hernia to me till proven different. A CT will show this area and clear up the mystery. ...
accidental dosage of aspirin6/21/2007
  Q: My two yr old got a hold of 2 aspirins what should i do???
  A: First, in a potential medication overdose, this is not the forum to ask about it. You should either ...
What Was Going On?6/20/2007
  Q: Let me begin at the beginning. Yesterday, around 4pm I began having some mild muscle pain in the ...
  A: This could have been a migraine headache brought on by muscle spasm in the neck. Some migraines come ...
Bruising6/19/2007
  Q: Hi Dr. Aukerman, You have helped me in the past and I wondering if you could shed some light on ...
  A: Your thoughts are correct. Is there any bruising anywhere else or is the bruising evident without ...
Brething problem6/19/2007
  Q: I often gasp for breath as I fall to sleep or wake up. Could this be sleep apnea or something else?
  A: As a rule, sleep apnea occurs during sleep as opposed to starting or ending sleep. There are a ...
where to go from here? need advice.6/18/2007
  Q: I am waiting for my test results for celiac disease to return. I have symptoms of bad gas (24/7 ...
  A: Unfortunately nothing is available for a temporary fix. Has lactose intolerance been investigated? ...
itching6/18/2007
  Q: I recently started having severe "prickly" itching on my right upper arm; it occasionally starts on ...
  A: This doesn't sound like a contact reaction as I would have expected a rash and a symmetric one at ...
strange rash6/18/2007
  Q: My legs have been itching off and on for several weeks, and in the last week it has grown much ...
  A: Dermatologic questions are the hardest to answer because signs can mimic many different conditions. ...
strep throat?6/16/2007
  Q: how accurate is the rapid strep test? My test came back negative but I was exposed to strep 3 days ...
  A: The rapid strep tests are reasonably accurate. A strep infection not treated could have adverse ...
Lymphnodes6/14/2007
  Q: I really appreciate being able to ask this. I have a large bump on the back of my head(upper neck). ...
  A: The bump on the back of your neck, if it is a lymph node, is usually from some sort of irritation on ...
throat6/14/2007
  Q: i woke up with a sore throat three days ago. the pain is only on one side and mostly present when i ...
  A: This is not likely from oral sex. It is more likely from a virus or allergies that causes drainage ...
testiculle health6/14/2007
  Q: okay when i was younger i say about 17 i had noticed that there was blood in my seamen now this ...
  A: Well, you can’t rally tell when the seminal vesicles are filling up. You may have a chronic ...
skin problem6/13/2007
  Q: I HAVE DOTS ALL OVER MY BODY,THEY LOOK LIKE BITE,BUT THEY ARE ITCHY,WHEN I SCRATCH THEM THEY GET ...
  A: I can't tell you how much I appreciate the picture. It makes Dermatology questions so much easier to ...
hurt wrist/hand6/11/2007
  Q: I'm from Toronto, Ontario Canada. I tired to do a cartwheel(and my wrist had been paining me a bit ...
  A: Cartwheels at age 43, Hmmmmmmmmmmmm :-). OK, you may have torn ligaments in your wrist. The clicking ...
Swelling of the foot6/10/2007
  Q: My Husband's left foot is swollen. His ankle up to his knees is swollen too. He hasn't recently ...
  A: One legged swelling is a serious thing. Without seeing him, the first thing I’d worry about is a ...
geriatric medicine6/6/2007
  Q: My mother is 80 yrs old and has just had bi-pass surgery this past Feb. She is doing well. I have 5 ...
  A: I think either a family practitioner or a general practitioner (who have experience in dealing with ...
Symptoms worsening6/6/2007
  Q: I am 51,no other health issues except for this. For the past several months I have been plagued with ...
  A: Anal itching can be caused by food allergies, hemorrhoids, skin diseases or in rare cases, anal ...
yellow-brownish stools6/5/2007
  Q: My daughter just turned 3. She drinks alot of milk still. Milk is the only fluid she will drink. I ...
  A: Stool color is often based on what foods the person takes in. If she is otherwise healthy, I ...
Pelvic Pain + Abdominal Swelling6/4/2007
  Q: The doctors are pretty sure I have endometrosis. I've had two cystectomies in the past year. The ...
  A: I doubt this is appendicitis. You'd be very sick, worse that you appear to be by your email. ...
11 year old daughter5/31/2007
  Q: My 11 year old daughter has had "vomiting" episodes on the following dates: 11/28/06, ...
  A: Clearly this isn't a virus. Are the vomiting days on the weekend, Sunday specifically? She may have ...
cancer...5/29/2007
  Q: I just read an answer you gave to a woman who just found out she has non-hodgkin's lymphoma, and ...
  A: First, thank you for your kind words. Unfortunately stage 4 melanoma with spread to the brain leaves ...
Mystery illness5/23/2007
  Q: Charles, Thank you for volunteering your time. I'm writing to you because my wife has been ...
  A: Has she had any blood tests? Certain testing for those symptoms could point to a cause. It is ...
throat congestion5/18/2007
  Q: A number of years ago i was diagnosed with copd ,now,i never seem to get colds and flu,and yet a ...
  A: I'm not Glen. Charles Cusumano PA-C. A diagnosis of COPD and one of Bronchitis can't be equated. One ...
Implantation bleeding5/15/2007
  Q: I went off birth control in the beginning of January because my husband and I wanted to start trying ...
  A: OK, thanks. I thought for a moment you had an implanted birthcontrol device such as a IUD. I suppose ...
Apendix issues???5/11/2007
  Q: I was curious to know your opinion about the sharp pain I have been getting on the left side of my ...
  A: Fortunately, your appendix is on the left lower side of your abdomen. Hard to say why you have this ...
Osteopenia5/10/2007
  Q: I am a 23 year old female and I had an Ultrasonometer done on my ankle today at a health fair at ...
  A: An ultrasound is a very poor way of determinig Osteopoenia. You should have a DEXA Scan. That is the ...
PANCE5/10/2007
  Q: I have been reading lots of your previous questions and answers and you seem to be very well ...
  A: As a matter of fact, I just took my resertification exam a few weeks ago. Unfortunately I am ...
nevibolol 2.5 mg and sildenafil 25mg with metformin 500 mg5/5/2007
  Q: sir whether nevibolol 2.5 mg in morning, metformin sr 500 mg or (rimonabant once in morningat) 6 pm ...
  A: India, I am not familiar with the drug "nevibolol". Slidenafil is not used in this country for blood ...
Breast Leaking4/28/2007
  Q: first a little background, I have been on the pill Nordette for about 6 years with a 3 month break ...
  A: This may only be a result of you body's confusion over your broken menstrual cycles. Certainly bring ...
tennis elbow/ treatment4/27/2007
  Q: I am 18 and I think I have had tennis elbow for around 3 to 4 months now from playing racquetball. ...
  A: It's OK to use that cream but will probably be of little value. I'm not so sure I'd go for the shot ...
white blood cells4/25/2007
  Q: My friends 13 mo old son has sever staff, and initally his white blood cells were exstreamly low, ...
  A: By "severe staph" I assume that he had it in his blood stream? A low white blood count can be a sign ...
Period4/25/2007
  Q: I stopped my birth control pills back in January to start trying to conceive. My first cycle off the ...
  A: Of course I can't confim that you wouldn't be pregnant, but from the sounds of what you say, It is ...
sudden contracting of muscles, bruising, blood inflammation4/25/2007
  Q: My Mother has been having many medical problems that seem to have no answers. Lately her blood work ...
  A: Unfortunately this does not sound good. The source of the problem is probably very complex and needs ...
Confused4/25/2007
  Q: My husband was told he is type 2 diabetic 3-13-07, he went to the Dr. with leg pains, fatigue and ...
  A: Based on the tests you've provided, he would technically have diabetes. His blood sugar should be ...
Discolored and Painful Skin4/19/2007
  Q: approximately 7 years ago I was diagnosed with Cellulitis in my left ankle. It was treated but it ...
  A: This represents a post -cellulitic inflammatory change in the skin. This is not uncommon especially ...
Mole4/13/2007
  Q: I have a mole on my leg, at least I think that is what it is, it has been there for a long time, it ...
  A: of course any mole that sparks YOUR concern, concerns me. From what you describe, it doesn't sound ...
fevers4/5/2007
  Q: why is it o.k for a child to have a fever higher than an adult
  A: First, it isn't OK for a child to have a high fever. Fevers in kids are a sign of the body's attempt ...
pits and mederma4/4/2007
  Q: Am I wasting my time applying mederma and neosporin on chicken pox pits that i suffer from that are ...
  A: I would do nothing but keep them clean with normal bathing. Of course there is no guarantee that ...
cough4/4/2007
  Q: i have had a cough and runny nose with headache for the past few days. i was coughing up alot of ...
  A: This is not likely to be pneumonia based on what you say. It sounds viral and the fact that the ...
pits and mederma4/4/2007
  Q: Am I wasting my time applying mederma and neosporin on chicken pox pits that i suffer from that are ...
  A: With all due respect to your doctor, Neosporin is the worst thing that you can put on your skin (for ...
effective sleep4/3/2007
  Q: What would be the more effective form of sleep? A straight say 8 hours of sleep at night or 7 hours ...
  A: I don't have any scientific data at hand to support what I say except everything we know about sleep ...
time management4/3/2007
  Q: Especially in the aspects of time management and effectiveness of getting work done,how much truth ...
  A: Everyone has different times of the day that hey get their best work done. I am a morning person and ...
Shaky hands, muscle twitching4/2/2007
  Q: i am a 22 year old male, average build, and fairly healthy as far as i can tell, however: I've ...
  A: Well, on the face of it, this sounds like anxiety. Before diagnosing yourself with some horrible ...
cervix3/31/2007
  Q: What are the risks/side effects associated with a woman having her cervix removed? Thanks ANSWER: Hi ...
  A: The cervix offers no support to the vaginal cuff. Vaginal prolapse is not a common occurrence and is ...
Sore vs. Strep throat3/30/2007
  Q: I was just wondering what the differences are between just a sore throat and strep throat? My ...
  A: Strep throat is a very serious illness with high fever, prostration, swollen neck nodes. Compared to ...
cervix3/30/2007
  Q: What are the risks/side effects associated with a woman having her cervix removed? Thanks
  A: Risks are infection and bleeding. Side effects are none. I assume that you are talking about a ...
kidney stone but this time something dont seem right3/23/2007
  Q: Ok I will start with I have kidney stones. I have had alot of them.18 to 32 about 20 of them. This ...
  A: This could easily be reflux esophagitis and even a hiatus hernia. You should have a work up for ...
Pylori infection3/22/2007
  Q: My husband, 35 years old, has been suffering from chronic belching/ burping (only gas, no acid) for ...
  A: There is more to treating H. Pylori than just antibiotics. For your doctor to "leave it up to you" ...
My brothers baby3/21/2007
  Q: My brother's wife had a baby last june and he was born 6 months before the due date weighing 1 lb 3 ...
  A: This is a very complicated case. I am unable to offer very much as I don't have a good handle on ...
upper abdominal, lower chest pain3/17/2007
  Q: for a couple of weeks I've been getting sickening dull pain in my upper abdominal, lower chest ...
  A: A hiatal hernia can cause nausea and vomiting but only in rare circumstances. This could be ...
post viral infection3/17/2007
  Q: less than 2 weeks ago, I was diagnosed wioth the flu. This morning I was awoken with what appeared ...
  A: If I didn't know any better I'd think these sounded like something called Dermatitis Herpetiformis. ...
post viral infection3/17/2007
  Q: less than 2 weeks ago, I was diagnosed wioth the flu. This morning I was awoken with what appeared ...
  A: Actually without being able to see what these look like, I'm at a loss to explain this outbreak. ...
Black Widow Spider bites3/16/2007
  Q: Cusumano, My brother (35years old and can not handle bug bites a bee sting almost does him in) was ...
  A: You are essentially correct about ICU stays. In the case of a Black Widow bite, symptoms may not ...
water in the ears3/10/2007
  Q: After I take a shower there is some water in my ears despite the fact that I try to dry inside my ...
  A: None really. Just gently tilt your head to theside and slide a Q-tip in and let it absorb the water. ...
Dry humping no ejaculation and pregnant?2/24/2007
  Q: A few weeks ago my girlfriend and I were dry humping with no clothes on. We are both virgins and ...
  A: She's not pregnanat based on what you tell me. A late period is not all that unusual. It may be ...
not who I use to be2/24/2007
  Q: Starting almost 2 yrs ago,I started getting severe pain in my feet and shins.The doctor thought it ...
  A: It could be fibromyalgia. It also could be Polymyalgia Rheumatica. Unfortunately, without a face to ...
Cut Thumb2/20/2007
  Q: I'm Nick and I have a question. At the restaurant I work at, I was cutting bread with a serrated ...
  A: At five days, it is too late to sew the flap back on. Super glue is a good choice at this point and ...
Motion Sickness2/20/2007
  Q: I noticed that Barry Manilow wears bands on his wrist because he has extreme motion sickness. Do ...
  A: There has been no evidence in any study to show that these bands do anything for any illness or ...
Stopping birth control2/20/2007
  Q: I stopped my birth control pills (ortho tri cyclen) after 4yrs of usage in the beginning of January. ...
  A: This probably represent your body's re-adjustment to "normal". Your Ovaries have to wake from their ...
cold2/12/2007
  Q: What over the counter medicine do you recommend for a cold? ~ mine started with a sore throat last ...
  A: A "cold" is a rhinovirus. The only treatment is over the counter medicines and even at that, not all ...
pls. answer my questions!2/9/2007
  Q: good day, i am a 34 years old man from bronx new york suffering from lower and middle back pain i ...
  A: Pus and blood in the urine usually indicates and infection somewhere in the Urinary tract. Where ...
Pain in Side2/2/2007
  Q: I get a pain in my left side around the kidney area when I sleep. It subsides some when I lay on ...
  A: This could represent a muscle strain which would worsen when sleeping. Also a hernia in the oblique ...
lymph nodes1/30/2007
  Q: the other day my face got lypmh nodes , under my chin, and on my cheek. i got kinda freaked out. i ...
  A: I guess I'm confused about the time line. You say the "other day" and then mention that hey went ...
frequent colds1/25/2007
  Q: Ever since having my daughter two years ago, I have been experiencing frequent colds - about one a ...
  A: Colds are common this time of year. If you're getting them at the same time as your daughter, it is ...
Shoulder pain1/24/2007
  Q: My husband is 40. He says the pain is under his right shoulder blade. He says it is a burning ...
  A: Based on this, shingles is still a possibility as rash doesn't always show up right away or rarely, ...
height1/22/2007
  Q: I just turned 50.I have no health issues,dont smoke or drink,and am quite active. My only concern is ...
  A: In your 50's you need to be checked for hypertension, hypercholesterolemia, diabetes and Prostate ...
Shingles1/12/2007
  Q: On Dec. 28,06 I was diagnosed w/shingles. Sharp, shooting pain through chest to back underneath ...
  A: It isn't common to have a shingles outbreak without blisters. If the pain moves, it makes it less ...
infant botulism1/11/2007
  Q: We were just notified today by our local city goverment that there has been an on going outbreak ...
  A: Unlike the "food borne" botulism, Infant botulism isn't caused by ingeston of the PREFORMED toxin. ...
tonsils1/8/2007
  Q: my question is i had strep throat for the last few days and started antibiotic treatment three days ...
  A: The tonsils may never get smaller even though the infection has cleared. Sometimes the swelling and ...
split in bottom lip1/8/2007
  Q: I have a split in my bottom lip that just doesnt want to heal...it is accompanied by what appeared ...
  A: These things although annoying and painful will eventually heal. Keeping it moist with a vaseline ...
Mono count elecated1/5/2007
  Q: It is the epstein-barr virus count. I also wanted to know if it is normal to faint when you have ...
  A: You can only get Infectious Mono once. Fainting is not part of the illness. What you have is a flare ...
Mono count elecated1/5/2007
  Q: It has been about 4 months now that I have been feeling really fatigued and achy. I do not sleep ...
  A: I guess I need to know what your "mono" means. Is it a monocyte level on a blood count or an ...
Rabies Worrier1/4/2007
  Q: We are on the "hunt" for a new pet, we have visited several shelters and homes, even took one dog ...
  A: Rabies is fatal for dogs. No dog in a shelter would have rabies. They might have other diseases, so ...
chest pain and only 251/2/2007
  Q: As I mentioned in my subject line I am only 25 year old. However, I have been experiencing chest ...
  A: Chest pain in a young woman rarely indicates heart disease. It may be related to ribs or rib ...
knee pains1/2/2007
  Q: I've had slight discomfort in my left knee off and on for a few years. I was told it was simply ...
  A: You may have Chondromalacia Patella (C.P.). It is a common problem for women due to the anatomy of ...
varicose vains in scrotum12/28/2006
  Q: "sorry for bothering you but i have to know some things about varicose vains in the ...
  A: Well, what you have heard is not quite correct. The incidence of infertile men WITH varicocele is ...
sore lungs12/27/2006
  Q: I don't know if you can help me or not, but here's my problem: I'm 14, and for about a year or so, ...
  A: Costochondritis doesn't have to hurt all the time. There are clearly flare ups that can be worse and ...
left hand12/24/2006
  Q: 2 weeks ago i felt weird and then after that my left hand it seems to have no strength i lost half ...
  A: I think that this needs to be evaluated. There can be any number of reasons for your symptoms, none ...
Bruises12/23/2006
  Q: I have what I will call a "blood bruise" for lack of a better term, on my right hand middle finger ...
  A: You probably should punture it. Do so with as sterile a technique as possible. Watch for signs of ...
PA or Med School12/22/2006
  Q: I graduated with an undergrad degree in May and just left a job in sales to work for an integrative ...
  A: The PA profession gets better each year. A lot depends on the state in which you practice and the ...
I am looking for my Sensei12/21/2006
  Q: Mr. Cusumano, My name is Neil Shapiro. I was a Karate student of yours during the 1970-71 school ...
  A: As a matter of fact, your name is familiar to me although I can't remember your face. I fondly ...
knee/leg pain12/18/2006
  Q: My dr. says I have infra patellar tendonitis. I was very active, jogging, spinning etc. But I also ...
  A: The bump my be Osgood-Schlatter's. This, however, isn't something that came about from your current ...
help needed12/17/2006
  Q: Here is a sample problem I have and was wondering if you could answer it... You notice a swelling ...
  A: Typically, generalized swelling is from fluid retention. This can be caused by a number of medical ...
Pain in the feet12/12/2006
  Q: This symptom occurs only after I have been off my feet for some time (relaxing in a chair, sleeping ...
  A: This sounds like Plantar Fascitis---in lay terms, heel spurs---. Ideally treatment is stretching of ...
hyperhidrosis12/12/2006
  Q: ,,,,i am 33 years of age and was taking cocaine and alcohol once a week for 10 years,,about 9 years ...
  A: Hyperhidrosis is a life long condition. There weren't very many options for treatment and that never ...
Alt Blood Level12/9/2006
  Q: I just had a physical for work and my alt level showed as being in the high range (74) The norm ...
  A: The ALT is one of a number of measured enzymes for liver disease. It is the most specific. An ...
general health12/4/2006
  Q: ..im 17 years old tht is 5'6". i juss wanted to know if there is any type of vitamins that are good ...
  A: You may not WANT me to tell you it's genetic but that doesn't change the fact is that it is. At age ...
Pharyngolaryngitis12/4/2006
  Q: Greetings, Dr. Cusumano. I am a 23 year old working professional. I have to use my voice a lot. ...
  A: I