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Family, Internal Medicine, General Medical Questions/Questions Answered by Expert Charles Cusumano, PA-C, DFAAPA

SubjectDate Asked
Quicken the proces of healing7/16/2009
  Q: It had been a month. I am having small bulged dots (like tiny boils) on my legs, slightly blackish, ...
  A: I would love to suggest something but I haven’t got a clue to the diagnosis of these bumps. ...
MRI and hormones7/14/2009
  Q: I have a few questions related to the MRI I have scheduled for later in the week. I'm getting the ...
  A: All this hormonal activity is primarily pituitary mediated. The reproductive hormones and thyroid ...
G-spot damage?7/14/2009
  Q: I am a 24 year old female from Australia. I am just wondering if it is possible to damage the female ...
  A: First of all, there has never been any substatiation of a “G spot”. You may indeed be urinating and ...
Swollen Lymph nodes.7/13/2009
  Q: I am a 20 y/o female. I have had swollen lymph nodes on the right side of my neck and under the left ...
  A: he is just waiting to see how the antibiotics work before proceding. He is probably talking about a ...
Neurological Issue??7/13/2009
  Q: For the past 6 months or so I've felt a tickling sensation on my legs. It's almost like there is ...
  A: I’m afraid I’m as confused as you. If you’ve had it for 6 months and nothing has come of it, I would ...
If not peristalsis...other possibilities ???7/11/2009
  Q: ..Back in the fall of 2008, I had a sinus infection and took Z-Pak that was prescribed by my Doctor. ...
  A: Sounds like you’re describing the sensation of your pulse. That isn’t unusual at all. You can be ...
"peristalsis"???7/10/2009
  Q: ..Back in the fall of 2008, I had a sinus infection and took Z-Pak that was prescribed by my Doctor. ...
  A: With all due respect to the doctor that answered your first question, I would doubt this is ...
Urology7/8/2009
  Q: When my husband ejaculate it's watery and leaks back out of my vagina. We are trying to concieve, I ...
  A: The more often you have sex the thicker the ejaculate. If you wait long periods, the ejaculate gets ...
black stool7/8/2009
  Q: im a 17yo male, 5-8 150lbs.... the past 2 days i have had a stomach ache followed by dirraha... it ...
  A: The diarrhea may be black because of the viral infection that caused the symptoms. There is of ...
chill, then digestive problem7/6/2009
  Q: About 2 weeks ago I caught a chill around my waist on the right side. About a day later I felt the ...
  A: Frankly, I have never herd of “a chill” to a local part of the abdomen. Nor can I say that I can ...
ear7/5/2009
  Q: My husband cannot take off work until Friday to get to the doctor, so I was hoping you might have ...
  A: This sounds like eustacheon tube dysfunction. The tube will swell shut and impede drainage from the ...
Health problems7/3/2009
  Q: my daughter is 22. She had a horrible pain 10-15 minutes after intercourse twice last year. We went ...
  A: Pain with intecourse is not normal. I am assuming that the pain was pelvic and not vaginal. If the ...
Old injury of thigh muscle7/2/2009
  Q: I was injured 15 years ago in a baseball game with a line drive to my thigh. I received a hematoma ...
  A: This could be something called Myositis ossificans. This is when traumatized muscle turns to a bone ...
MRSA6/27/2009
  Q: My sister has been in the hospital for two weeks and is hooked up to a ventilator. My mom has been ...
  A: Chances are sligh that she has been contaminated. I would say that her doctors are playing it safe. ...
Stroke6/24/2009
  Q: My younger brother suffered from a massive stroke in 06 42 years old. he had had complication after ...
  A: You can have him transferred to any hospital you like if you are his medical surrogate or power of ...
heart rate6/24/2009
  Q: Im a 23 yr old male, with cholesterol of 245, 6ft and 205 lbs. I have intermittent recurring left ...
  A: Sleep apnea may be exactly what you are experiencing. It isn’t uncommon for the blood pressure and ...
heart rate6/22/2009
  Q: Im a 23 yr old male, with cholesterol of 245, 6ft and 205 lbs. I have intermittent recurring left ...
  A: Frankly, it sounds like you are just out of shape and your heart is the most obvious sign. If you ...
systemic infection6/21/2009
  Q: I have slight blood in urine and few epithelial and bacteria urine hpf= few, specific gravity, ua ...
  A: All this information is measured in a moment in time. To know if these represent serious issues, a ...
general6/18/2009
  Q: could you please tell me if there is any chance that my bone structure will grow at all at the age ...
  A: There is no late growth period. Genetics do not always follow a standard path. Your brothers could ...
general6/16/2009
  Q: could you please tell me if there is any chance that my bone structure will grow at all at the age ...
  A: At age 24, there is no further bone growth. It sounds like you are in need of psychologic counseling ...
heart question6/14/2009
  Q: I'm 23 yrs old and been having skipped beats and weird feelings in my chest for about 2 yrs now. I ...
  A: Your heart rate can go up that high. If it was that high in a v-tach pattern you’d have been dead ...
high cholestrol and left side chest pain6/12/2009
  Q: I'm a 23 yr old male, 6ft, and 205lbs, very inactive person and don't eat the greatest. I also ...
  A: I would agree that you are consuming way to much alcohol. Yes, alcohol does contribute to high ...
CT BRAIN SCAN w/- Contrast dye.6/11/2009
  Q: Please would you explain my CT Brain Scan results for a head injury involving bruising to the brain, ...
  A: If all the CT says is “brain damage” that is very little to go on. The type of brain damage is ...
breast growth6/10/2009
  Q: flax seeds,fenugreek,fennel,maca root help increase breast growth..i would appreciate ur help since ...
  A: Unfortunately there is nothing, and I STRESS nothing, that will increase breast size save surgery. ...
nail fungus6/10/2009
  Q: I have had a recurring nail fungus to my left great toe. It was treated by a podiatrist with ...
  A: Fungus is notoriously hard to treat and irradicate. You may need long term antifungals. Keep your ...
narcotics contract6/9/2009
  Q: Isn't the narcotics contract that a patient who needs to receive narcotic medication for legitimate ...
  A: there are a number of endocrinologic reasons for low testosterone. The cause needs to be determined ...
narcotics contract6/7/2009
  Q: Isn't the narcotics contract that a patient who needs to receive narcotic medication for legitimate ...
  A: No. People who perceive it like that have issues that go beyond pain control. That is a simple as I ...
narcotics contract6/7/2009
  Q: Isn't the narcotics contract that a patient who needs to receive narcotic medication for legitimate ...
  A: The contract is to protect both you and the prescribing physician. It isn’t saying that you can’t ...
Epididymectomy, scar tissue,pain6/6/2009
  Q: PRIORITY:HIGH Part#2 Dear Charles: Thanks so very much... I have a few other things I needed to ...
  A: A bit too many questions so I will answer them briefly #1:contune the meds #2:can’t comment on that ...
returning customer6/4/2009
  Q: New question, but I appreciated your wisdom, sincerity, and positivity. For about three weeks, I ...
  A: I wouldn’t put a lot of faith in a pharmacist‘s opinion. They are not trained in diagnosis and ...
weight gain for seniors6/2/2009
  Q: I am 62 & all of my life have always been between 180 - 195 lbs. 4 years ago I stopped smoking & ...
  A: Weight gain after smoking cessation is common. At age 62 weight loss is very difficult. You may only ...
UTI5/31/2009
  Q: I have gotten several UTI's recently after not having one for over 20 years. The only thing that ...
  A: There is no connection. This may be a function of dryness at the vaginal opening where the urethra ...
arm/shoulder severe pain during sleep5/31/2009
  Q: i am woken up most every night with a pain in my arm that is unbearable i can not move my shoulder ...
  A: I would seriously look into carpal tunnel as the cause of the night time arm pain. This is a classic ...
ra? and osteopenia in a 24 yr old??5/31/2009
  Q: I am 24 y/o wf. In the past few years i have had pain and stiffness in my hands, and swelling. The ...
  A: You SHOULD have a dexa scan without question. methotrexate has no specific causality with ...
Few general medical concerns...5/30/2009
  Q: A few things I would like to ask, since its very hard to get into seeing a doctor. 1st - Tired all ...
  A: #1: being tired all the time is a vague symptom and can represent a myriad of issues #2: Hormones ...
Symmetry5/29/2009
  Q: I think there are a few disorders where a person's body grows more on one side than the other. I've ...
  A: If you are a lefty, that would explain it. Everyone’s body is asymmetrical to one degree or another ...
Recovering from Flu = Anxiety?5/25/2009
  Q: I'm a 30-year-old female recovering from the flu. I'm not sure if it's the regular kind or the Swine ...
  A: Missing even a day of Paxil can cause the symptoms you mention. Just because you missed a day or two ...
c-def bacteria5/23/2009
  Q: to make a long story short, I had a bowel resection March 31, 2009 due to an abdominal blockage. ...
  A: C-Diff can be “caught” by transmission from an infected person (not washing hands after exposure). ...
additional comments5/20/2009
  Q: !!!!!!! Charles,I do have Plant Enzymes, 120 Vcaps that contain Lactase,Protease,Papain and ...
  A: Hair analysis has no scientific validity at all. It’s a scam as are so many other “medical” things. ...
additional comments5/19/2009
  Q: !!!!!!! Charles,I do have Plant Enzymes, 120 Vcaps that contain Lactase,Protease,Papain and ...
  A: You might try another fiber product. Benefiber doesn’t produce gas and bloating. Cancer can develope ...
additional comments5/18/2009
  Q: !!!!!!! Charles,I do have Plant Enzymes, 120 Vcaps that contain Lactase,Protease,Papain and ...
  A: Unfortunately fiber can cause increased gas and bloating. I don’t know much about that herbal stuff ...
Blood and Tissue with stool5/18/2009
  Q: I'm hoping you can help me. I have had issues with constipation for years. Never really seaking ...
  A: I doubt your OB/Gyn doctor will have a lot to offer regarding this problem, especially with a ...
Lymphedema-Follow up5/18/2009
  Q: I was finally diagnosed as having Lmyphedema as water retention was proven not to be the case which ...
  A: Good question. Normally thelymph flows up and out of the legs through the lymph ducts. When this ...
Excess Mucous in Stool5/18/2009
  Q: PRIORITY:HIGH Dear Charles: I have a constipation issue and every so often I see strands/mucous like ...
  A: You might consider pancreatic enzymes to help digestion. The DNA test is better than the FOBT but as ...
fever and urination5/17/2009
  Q: my boy aged 1 year of age has been suffering from fever for about 3 weeks,firstly he had retching ...
  A: It sounds as though he has a viral illness of some kind. I’m more concerned that he hasn’t been ...
chest pain5/17/2009
  Q: I am a 37 y/o female w/ history of MVP, right bundle branch block. I have been having chest pain, ...
  A: Despite what your cardilogist says, MVP can cause symptoms similar to what you are experiencing. A ...
Excess Mucous in Stool5/16/2009
  Q: PRIORITY:HIGH Dear Charles: I have a constipation issue and every so often I see strands/mucous like ...
  A: My answer hasn’t changed. If you had an obstructed bowel you wouldn’t pass anything. More fiber, ...
Excess Mucous in Stool5/16/2009
  Q: PRIORITY:HIGH Dear Charles: I have a constipation issue and every so often I see strands/mucous like ...
  A: Mucous in the stool used to be called Mucous Colitis. Now a days we call it irritable bowel ...
What are MAO inhibitors?5/15/2009
  Q: For 2 and half years I have had anxiety and mild depression, I am on Ativan ( Lorazepam) and am ...
  A: MAO (monoamine oxidase inhibitors) inhibitors are potent antidepressants. These are rarely used any ...
Burning & tiredness in shoulders, elbows, wrists......5/15/2009
  Q: I am a 32yr old female suffering from extreme burning and fatigue in my shoulders, ...
  A: I don’t see how you equate your symptoms with “complaining for no reason”. These sound serious to ...
lower abdomom pain5/14/2009
  Q: Since Oct 2007 my daughter (16 now)has had lower pain on her right side (front). This pain came on ...
  A: Looks like she’s had a thorough workup. Abdominal pain is difficult to assess. There are a myriad of ...
Sprained ankle - 4 weeks and still pain5/13/2009
  Q: I sprained my ankle 4 weeks ago. It was black and blue and quite swollen and I was on crutches, but ...
  A: I trust you were immobilized for a week or so, had rehab also?? Sprains take up to 6 weeks to heal. ...
recurrent localized intermittent head pain5/12/2009
  Q: I'm a 23 year old otherwise healthy male. About 14 months ago I developed a really bad localized ...
  A: Based on the negative CT and MRI/A, I would completely discount an aneurysm as the cause. From the ...
antibiotics5/12/2009
  Q: I have questions in regards to antibiotics, and to make it clear, I have spaced out the questions so ...
  A: Your three courses were not too much; Never stop antibiotics before they are finished. The ...
pain in penis5/12/2009
  Q: my boyfriend's had pain in his penis for two days now, his scrotum is sagging and he's complained of ...
  A: Pain could be caused by infection. A “sagging scrotum” is a normal thing. If he has a discharge then ...
sore on vagina5/11/2009
  Q: I'm a 22 and I woke up on saturday morning with some kind of sore on the bottom right side of my ...
  A: I would opt for a gynecologist as well. It may simply be a cyst which should be drained. In the mean ...
blood wrk5/11/2009
  Q: i got my metabolic panel labs back ,my BUN (4) ALT/sgpt 27, ALS/sgot 14 all came back a bit lower ...
  A: I too, wouldn’t worry about the lower numbers. The bad cholesterol should be corrected. As you are a ...
Shoulder, Neck, Arms, Leg Burning Aching Tingling5/11/2009
  Q: I'm from North Texas are but have recently moved to IL. Started experiencing aching in ankles about ...
  A: Generalized aching and burning as you describe can be from a circulatory problem but can also be ...
Pains all over body5/9/2009
  Q: I am a 24 year old caucasian male. I have no history of illness aside from allergies/sinuses. I have ...
  A: Random pains throughout the body are unfortunately vague symptoms. They don’t point to any one ...
Daughter's illness5/8/2009
  Q: My daughter is a 17 year old, active athlete ...or, used to be. Her history is a little ...
  A: You have learned your nursing lessons well. That was an outstanding history. Thank you. Give this ...
multisymptoms help5/7/2009
  Q: My mother is going downhill fast. Recent dr. visits seem to just focus on ONE thing, she has ...
  A: I appreciate your concern but these symptoms can be connected to so many things that it is virtually ...
Feet rash5/7/2009
  Q: I will be honest I do not have a family doctor I dont have insurance, but this is driving me crazy. ...
  A: Sounds like you have hyperhidrosis. There are a number of “cures” for this. First off, be sure that ...
COLON CLEANSES5/6/2009
  Q: WHY ARE COLON CLEANSERS A NO NO? I HAVE BEEN ON A COLON CLEANSE FOR A FEW MONTHS.....WOULD YOU ...
  A: Colon cleanses are unnatural and can deplete the normal bacteria that are needed to maintain colon ...
sprained ankle5/6/2009
  Q: I think i have a sprained ankle, but maybe you can help me a bit here. My ankle is sore at the ...
  A: There are ligaments at all joints as these are what hold joints together. If there is pain and ...
Crepitus // Urgent I think :(5/6/2009
  Q: First of all; how does air or liquid get trapped under the skin after a dog bite wound? Secondly; ...
  A: Air gets trapped under the skin via the tooth punctures. This can be a serious complicaion as this ...
clogged ear/ringing in ear5/5/2009
  Q: I'm starting to recover from a sinus infection that caused severe ear, neck and throat pain on the ...
  A: This may simply be eustacheon tube dysfunction. The eustacheon tube drains the middle ear into the ...
Random Vaginal Bleeding5/4/2009
  Q: I'm a 29 year old woman. In September last year I noticed lumps on my genitals. I went for STI ...
  A: If you do have genital warts , then you have HPV. The bleeding can come from the warts. It may also ...
pain in foot5/3/2009
  Q: Yesterday morning I got out of bed and as soon as I stepped on my left foot, I had a sharp pain in ...
  A: My guess is that this represents a metatarsalgia (bone pain). You could also have an inflammation of ...
Swine flu vaccine back in the 70s4/30/2009
  Q: When I was in college back in the mid-70s I was vaccinated on campus (I think the year was 1977) for ...
  A: You were vaccinated for the Swine Flu that was around in the mid 70’s. THAT Swine Flu was not the ...
flu4/30/2009
  Q: My daughter (almost 5 years old) woke up in the middle of the night two nights ago saying her throat ...
  A: Based on what you say, this doesn’t sound like Flu. She may have a simple viral upper respiratory ...
Whats wrong with me?4/30/2009
  Q: I live in Canada. I feel tired all of the time and always get sharp pains in my sides. I always have ...
  A: Unfortunately these symptoms are quite vague and don’t point to any single disease entity. There are ...
mattresses4/29/2009
  Q: Hay Charles,I have bulging disks in my back and neck. I've been seeing a doctor for the condition,he ...
  A: First of all, we ALL have bulging discs based on the fact that we are upright walkers. This is not a ...
Could they be related?4/29/2009
  Q: For a couple of years now I have had pain in the upper right quadrant of my belly, vomitting of ...
  A: I think the prednisone is what made you feel so good (no rash, itching and tummy pain). I doubt the ...
localized intermittent headache4/28/2009
  Q: Ok, you may remember me from several months ago, I previously asked about a localized intermittent ...
  A: A localized headache in the area you mention may well be a muscle tension headache. Increased ...
blood pressure after exercise4/27/2009
  Q: I want to start off by thanking you for taking your time out to help others. I know that I greatly ...
  A: Your blood pressure is too high to start with. The irregular heart beats during exercise can be a ...
Digestive issues?4/27/2009
  Q: I have stomach ulcers, but that's less of a problem right now. The ulcers don't hurt often. Was ...
  A: Given the digestive symptoms this may be a problem called irritable bowel. Fiber an cause gas and ...
Digestive issues?4/27/2009
  Q: I have stomach ulcers, but that's less of a problem right now. The ulcers don't hurt often. Was ...
  A: I’m sorry but I still can’t figure out what you want answered. What’s causing what? The ...
Strep Throat4/27/2009
  Q: My husband and I have both had a severe sore throat for 6 days. I just thought to check for white ...
  A: Yes there is. IF you have strep, you should be treated regardless of the 6 day delay. Strep is self ...
is a hernia accoiated with epididymo-orchitis4/24/2009
  Q: been to 5 dr's and 2 specialist my partner is 46 diognosed with epididymo-orchitis. not an std (been ...
  A: There is no connection between orchido-epididymitis and a hernia. These infections are slow to heal ...
Tissue? pain in right back4/22/2009
  Q: Pain/discomfort when probed/squeezed for approximately 2 weeks. Beginning approx 4 inches right of ...
  A: Healing a muscle strain or rib fracture can last up to 6 weeks before resolution of symptoms. This ...
CT Scans4/22/2009
  Q: Just a quick question...I am having an abdominal/pelvic CT scan done this week to check for ovarian ...
  A: The conundrum is real. That’s a lot of radiation. By the same token, if that’s the only way to ...
screening at pharmacy4/21/2009
  Q: Don't know if you would know about this but thought I'd ask anyway. My local pharmacy is offering ...
  A: My feeling about this is that it is not a very reliable way of testing. Does your community have a ...
unexplained pain4/21/2009
  Q: I have been having this terrible pain in my lower back close to my kidneys for the past 5 months. I ...
  A: I would only ask if they did any lab work aside from a urine test? How about spinal xrays to check ...
Pain almost one year after ectopic4/17/2009
  Q: in July 08 I was diagnosed with an ectopic pregnancy. Since it had ruptured my right tube had to ...
  A: It isn’t unusual to have intermittant pelvic pain with a history of Ovarian cysts. If your pain is ...
lymph node swelling4/17/2009
  Q: My 22 year old daughter had mono at age 17. She continues to have problems with lymph node swelling ...
  A: Your daughter should not have any remaining swollen lymph nodes from her bout with mono. The ...
Urology4/16/2009
  Q: My husband was diagnosed with the form of HPV which causes genital warts about a year ago. Many ...
  A: The white bump is a collection of sebaceous material in a hair follicle. This is benign and not ...
brain tumour4/13/2009
  Q: my brother,just 17 years, has had severe headaches n vominting for the past one year, last november ...
  A: I would need a little more information. By septic do you mean an abscess? If it is a tumor and he ...
flu shot injection site4/12/2009
  Q: I received a flu shot in Nov.2008. A few days later I began having pain where the injection was, ...
  A: The injection could have gone through the bursa. Your symptoms are more consistent with a post ...
Impossible To Clear Ears4/12/2009
  Q: I had my Dr. look into it, but she says I'm fine...I know it's NOT normal. For the past 4 mos or so ...
  A: The eustachian tube is a tube that connects the middle ear to the throat for purposes of equalizing ...
hpv- how quick can warts appear?4/11/2009
  Q: i have been told by my docter that i have hpv and ithinking back i remember having mild flat warts ...
  A: HPV is, of course, an STD. The warts will either fade or have to be removed. The virus, depepnding ...
I don't exercise a lot and i am an overweight teen4/9/2009
  Q: Hallo!!my question is :if a teen from the begging of puberty has more kg,is more fat more than ...
  A: As I said earlier, there is no connection between penis size, exercise and obesity. Your penis size ...
bp reading4/8/2009
  Q: My blood pressure has never been high on a reading before. I then had an appointment a few days ...
  A: Store monitors are generally OK. Blood pressure will bounce around all day depending on the ...
numbness in left hand4/8/2009
  Q: For over a month now i have had numbness in my ring and pinky fingers back to my wrist. Also the ...
  A: This numbness could be a nerve entrapment problem anywhere from your wrist to your neck. I don’t ...
bite4/8/2009
  Q: i think i was bit by a spider i am taking 2 kinds of antibiotics one is making my pee orange bactrim ...
  A: If it was a bite, it was probably a brown recluse. These bites can last for weeks before they ...
I'm very late, clotting, & w/ heavy flow4/7/2009
  Q: I have a Doctors appointment soon but the reality is that military health care is lacking in many ...
  A: I’m sorry you were told something as ambiguous as “a mass and nothing to worry about”. That leaves ...
possable Bartholin Gland Cyst4/7/2009
  Q: i am hoping you could give me some advice,i think i have a Bartholin Gland Cyst,i have a small hard ...
  A: These cysts are not uncommon a you well know. I wouldn’t leave it go too long so that it gets ...
Missed Period4/7/2009
  Q: I know I should probably be asking a gynecologist about this but I looked at the past answers ...
  A: It isn’t uncommon to miss a few periods. I wouldn’t be surprised if this was all due to stress. ...
Lump under arm4/6/2009
  Q: I Have a question, well I have a long like an oval shaped quarter or bean shaped not hard flat type ...
  A: This still may be a cyst. They don’t always have to be tender or reddedned. The other possibility ...
numbness in hands4/2/2009
  Q: For the last couple of years I will wake up and one or both of my hands will be completely numb. I ...
  A: I would stop seeing the chirporactor. Their “treatments“ are a waste of your time and money. You may ...
HIGH PSA RESULT4/1/2009
  Q: Whilst performing some routine tests my father's PSA turned out to be 20.9. Today he is 81 years ...
  A: Radiation has a high adverse side effect profile. There is no chemo to treat prostate cancer, only ...
HIGH PSA RESULT4/1/2009
  Q: Whilst performing some routine tests my father's PSA turned out to be 20.9. Today he is 81 years ...
  A: There is new data that says that PSA should not be checked in men over 70 years of age. The reason ...
Pain in vagina3/29/2009
  Q: I am 43 yrs old, I had a hysterectomy 3 yrs ago( I still have my ovaries), I was diagnosed with ...
  A: Given the information you provided, this could be from large ovarian cysts or even a problem with ...
pain in legs3/29/2009
  Q: i am heart patient and OPERATED IN SEPTEMBER 2005. I AM USING 75 MG ASPIRIN AND10 MG ATORVASTATIN.MY ...
  A: If the blockage is suspected in the leg arteries, then you wll need additional testing to show this ...
red lips3/27/2009
  Q: Since I was litle child of 8 years ol. I started to see my lips geting red and I would like to get ...
  A: I would say that this is normal for you. The only thing I can suggest is that you see your doctor ...
i need your help3/27/2009
  Q: i have a missed period and i am having pain during and after sex my cervix is swollen and i don't ...
  A: The first thing I would is to take a pregnancy test. If the breast pain is around your cycles that ...
bowel movement3/25/2009
  Q: stools for months now had sample checked and bloods taken by g.p. but nothing abnormal, but problem ...
  A: Well , I can see where this might be embarrassing, but do not substitute a web site for a doctor ...
deep bone pain & blood test results3/24/2009
  Q: I was going to ask the same about what ABS Segs meant, but you have already provided us the answer. ...
  A: First I would stay off the internet (except AllExperts :-). You are getting too much confusing ...
Painful eyelashes3/24/2009
  Q: I get, from time to time, painful eyelashes. I don't know how else to explain it. The root of the ...
  A: Have you discussed this with your doctor or even better a dermatologist? I’ll assume that you don’t ...
Diagnosing sypmtoms3/24/2009
  Q: I've been having persistent headaches for the past three days, fatigue and stomach pain. What ...
  A: All of your symptoms are vague and don’t really point to any one diagnosis. If all of this was ...
pain in legs3/24/2009
  Q: i am heart patient and OPERATED IN SEPTEMBER 2005. I AM USING 75 MG ASPIRIN AND10 MG ATORVASTATIN.MY ...
  A: For starters, your blood glucose is too high 2 hours after a meal. Cholesterol is too high as well. ...
foot ulcer - diabetic3/22/2009
  Q: Mom developed a ulcer on her heel due to pressure while hospitalized. Recently the podiatrist ...
  A: Podiatrists are not doctors of medicine. They are ONLY foot an ankle doctors. I would feel better ...
Constipation and Hemoroids3/21/2009
  Q: I am a 27 year old female. I had a baby in February 2008 and a week after being home I experienced ...
  A: Hemorrhoids and pregnancy go together , hand and glove. Try this simple treatment: drink lots of ...
abnormal periods?3/21/2009
  Q: i am 20 years old and after 40kg weight loss (down to 55kg) four or so years ago, my periods ...
  A: Major weight loss/gain can alter periods. The discharge you describe is simply old blood coming from ...
Blood Test Results3/21/2009
  Q: A low (33.9) Hematocrit level,(chem 7) serum creatine low (0.51), Bun/Creat Ratio elevated (41) Low ...
  A: A low hematocrit, if an isolated number, is not diagnostic of anything in particular. If it is low ...
warm body issues3/20/2009
  Q: i am a 26yrs old female, my body is always warm from childhood itself. its like always i am having ...
  A: This is a difficult issue. Natural warmth could be a factor of your normal body metabolism. That ...
undereye puffiness and redness3/18/2009
  Q: I'm Madison I'm 18 years old. I've had puffiness under my eyes for 4+ years now, it just won't seem ...
  A: Unfortunately these symptoms are vague and can point to a host of issues. It would be nearly ...
Burning3/18/2009
  Q: I am Martha, 27, married since 1 year. I am writing this mail because my family doctor is out of ...
  A: This could simply be a vaginitis from the condoms(if they contain a spermacide) and/or not being ...
Ear/Jaw Pain3/16/2009
  Q: I was just wondering if you could help me in any way, considering my orthodontist and doctor didn't ...
  A: I believe that this is a mixed problem. Given what you have written this sounds like a combination ...
Nerve Pain in Foot3/16/2009
  Q: I have "hot burning needle" pain on the inside side (instep?) of my right foot which occasionally ...
  A: This could represent a nerve inflammation. The nerves that run into the foot can become entraped ...
ear infection3/16/2009
  Q: My almost 5 year old daughter seems to have an ear infection. She is getting over a cold and has ...
  A: It is inadviseable to put anything irritating into the ear canal if there is an infection. This can ...
lower internal organ pain3/15/2009
  Q: im a 37year male in pretty good shape but for the last three or four years ive had pain in my lower ...
  A: Given you age, this is probably either muscle (even though you don’t think that’s the cause as there ...
Irregular menstrual cycle3/15/2009
  Q: I hope you can provide me with some insight on my situation, as my family physician didn't. I'm 19 ...
  A: Irregular menses are not that uncommon. I would suggest the first thing you do is get on birth ...
Painful Bump3/15/2009
  Q: I have a recurring bump under the skin of my right wrist. It comes and goes, every couple of months ...
  A: This sounds like a classic case of a ganglion cyst. These are not dangerous save for the discomfort ...
strep3/14/2009
  Q: Can a rapid strep test come out as a "weak positive"? Also, I would like to know how to find out ...
  A: Based on what you say, I wouldn’t have handled either of these cases like he did. I would ...
Tricor and Fenofibrate are they same in effectiveness?3/13/2009
  Q: I would like to get a second opinion on my medication to treat high triglycerides. I was on Tricor ...
  A: If you switched soley for saving money, I don’t see why he would not want to change you back. He ...
strep3/13/2009
  Q: Can a rapid strep test come out as a "weak positive"? Also, I would like to know how to find out ...
  A: People that have strep infections as well as those that just carry the germ can be positive. I’m not ...
Nodular density in lung3/13/2009
  Q: My husband recently had a physical for his new job and received his results today. It says the ...
  A: The report basically says that this area is suspicious and a CT is recommended to better deliniate ...
Tricor and Fenofibrate are they same in effectiveness?3/13/2009
  Q: I would like to get a second opinion on my medication to treat high triglycerides. I was on Tricor ...
  A: Sometimes generics do not have the same effectiveness as branded products. We see this all the time ...
hair shedding daily3/11/2009
  Q: Most of the males in my family have MPB, but I would also say the ones with balding, have a lot more ...
  A: Daily hair shedding is not a sign of male pattern baldness. That happens over a long period of time, ...
throat issues3/10/2009
  Q: I have a question...before I ask it I want to let you know that I HAVE been to see my family dr and ...
  A: I don’t have any pictures of a “normal” throat. Given what you say, this does not sound at all ...
Knee numbness/tingling3/8/2009
  Q: PRIORITY:HIGH Hi Charles, I woke up this morning and there was numbness/tingling in my left knee ...
  A: You may have hit the nail on the head. There isn't much between the skin of your knee at that point ...
parotid gland3/8/2009
  Q: I am not sure you can tell what has been happening with this problem but here goes anyway.....16 ...
  A: This is probably from sympathetic nervous system firing over the area causing sweat. The surgery ...
Gastroparesis3/7/2009
  Q: I am a 40 year old woman with stomach issues. I was recently diagnosed with gastroparesis after the ...
  A: Gastroparesis can be casued by diabetes and hypothyroidism but usually only in severe cases. Have ...
inhalation of tar residue and/or concrete dust3/5/2009
  Q: Is it harmful to a person in their 60's+ to inhale tar residue and/or concrete dust that may be ...
  A: This is all predicated on the total exposure time, the amount of inhaled particles and just what the ...
Off-balance problems3/3/2009
  Q: I suffer from sinus problems and have had an MRI, MRA and CT scan of the brain and spine to rule out ...
  A: Given the timing of this problem, I would think this is a problem with inner ear function due either ...
sugar levels and possible diabetes3/2/2009
  Q: I am the parent of an 8 year old girl. She is quite petite in size and stature. She is only 43 ...
  A: That is quite a weight shift for her in a short period of time. Growth spurts don’t generally cause ...
Labored Breathing & Stomach Bloating2/28/2009
  Q: How much of the asthma,emphysema,COPD diagnoses are being given incorrectly, when really the problem ...
  A: I don’t know of any misdiagnoses for COPD due to stomach bloating. COPD can be easily diagnosed with ...
Broken pinkie toe with spreading blood2/27/2009
  Q: About two weeks ago i injured my pinkie toe. I was weraring flip flops and tripped when my foot ...
  A: The spread is normal as the body tries to reabsorb the blood. The constant walking is helping spread ...
2 wk. + Flu-like symptons2/26/2009
  Q: I have had what I thought was the flu for over 3 weeks.The symptoms are: constant aching, fatigue, ...
  A: This sounds like Flu but garden variety viral illnesses can cause same symptoms. Unless you were ...
acid reflux2/25/2009
  Q: Are acid reflux and hyetal (sp) hernia the same thing? Are they related? How?
  A: A hiatal hernia is when a portin of the stomach herniates through the diaphragm into the chest. They ...
frequent urination2/23/2009
  Q: I frequently need to urinate about every 20 minutes. It is not so bad if I am sitting or lying ...
  A: You may not have been treated long enough with Cipro. The other and very likley possibility is that ...
Differing symptoms, no answers!2/23/2009
  Q: Although this is very involved, I will try to make it as brief as possible. My daughter 1s 16. She ...
  A: A concussion can have lasting consequences. That is called post concussion syndrome. It is comprised ...
Post-Birth Control Woes2/22/2009
  Q: I had a question regarding periods after birth control.I was irregular (about 30-60 days apart) ...
  A: If you were irregular before taking the pill, you could certainly be going back to the way you were. ...
burping2/22/2009
  Q: I have a problem with burping constantly.I can take one bite of any kind of food and after I have ...
  A: Burping is a normal phenomena. It could be as simple as air swallowing. it could be from stomach ...
lightheadedness2/22/2009
  Q: This is a follow up to my question on lightheadedness on Feb 8. You're answer was that it could be ...
  A: You could have Meniere’s disease also. This can last a lifetime and cause intermittent dizziness and ...
high cholesterol/liver problems2/21/2009
  Q: my name is John. I am 47 (almost 48) and on disibility. Too many health problems to list. My current ...
  A: “Dr. Jack”? Easy now. Osteoporosis should not prevent you from walking. It doesn’t sound like you ...
high cholesterol/liver problems2/21/2009
  Q: my name is John. I am 47 (almost 48) and on disibility. Too many health problems to list. My current ...
  A: What your doctor is referring to is a ‘fatty liver” known as steatohepatitis. This caused by fat ...
CBC & Cholesterol Tests2/19/2009
  Q: How many times should a person get a CBC and Cholesterol blood tests? My doctor likes to give them ...
  A: Discuss it with your doctor. Ask him why he is exceeding established guidelines for testing if you ...
CBC & Cholesterol Tests2/18/2009
  Q: How many times should a person get a CBC and Cholesterol blood tests? My doctor likes to give them ...
  A: In my practice, I would do a cholesterol test every 6 months. No real need to do them more often. A ...
lightheadedness, tingling hands/feet, intermittent chest/jaw/left arm discomfort, rapid heart rate2/18/2009
  Q: I am a 51 y/o female who 5 months ago experienced lightheadedness, nausea, visual depth perception ...
  A: It sounds like you have had a very thorough workup. From what I have read, it sounds to me like ...
foot2/17/2009
  Q: About a week ago the top of my foot started hurting and I noticed a bruise on the top. I have been ...
  A: My guess is that you haven’t fractured it if you’ve been getting around. This bruise could have been ...
Diabetic Foot Ulcer2/17/2009
  Q: My husband has been diabetic 18 yrs. & June 08 he developed an ulcer on the bottom of his left foot, ...
  A: By “foot doctor” what exactly are you referring to? An Orthopaedic surgeon or a podiatrist? As for ...
Gastroparesis and thyroid2/15/2009
  Q: Good evening, I found out in Decemeber that I have gastroparesis. The diagnosis was given after a ...
  A: Gastroparesis is a VERY rare side effect of those medicines. GERD does not cause gastroparesis, but ...
Smelly Gas and Bruised ribs2/13/2009
  Q: Hoping you could give me some good information on how to treat "badly bruised" ribs as of 2 weeks ...
  A: Bruised ribs are tough to treat. The best advice I can give is use what feels best (ice and/or ...
ill family2/13/2009
  Q: My 3y/o daughter had cold symptoms & was on OTC meds for almost 2wks that didn't seem to be helping. ...
  A: This description sounds viral. I would simply use over the counter meds as needed and let your body ...
Ongoing light-headedness, multiple symptoms2/13/2009
  Q: ..I am awaiting test results from my Dr. but forgot to ask him a few questions and thought I'd post ...
  A: I don’t think the Protonix caused your symptoms. There are other choices that may not adversely ...
Ongoing light-headedness, multiple symptoms2/12/2009
  Q: ..I am awaiting test results from my Dr. but forgot to ask him a few questions and thought I'd post ...
  A: A few things first. If you have GERD and or peptic ulcers, you probably should be on Protonix full ...
discomfort near rib cage on right2/11/2009
  Q: I was diagnosed w/gallstones last December and had my gallbladder out. Prior to that, I had a ...
  A: It is still possible to have spasm in the remaining biliary ducts which can cause gall bladder like ...
Swelling of the lips and tongue2/10/2009
  Q: For the last couple of months I have had swelling of the lips and tongue, with a rash on the outside ...
  A: This sounds like angioedema except for the rash. It is an allergic reation to foods and or ...
menopause2/10/2009
  Q: I had a hysterectomy 10 years ago. I was on a hormone for about 3 years following the surgery. I am ...
  A: If your ovaries were left in, menopause is a possibility. Estrogen is stored in body fat and is ...
Medical charges2/9/2009
  Q: I don't know if you can help me with this issue, but working as a Physician's Assistance you may be ...
  A: Tetanus shot boosters should be given every ten years. It is true, that it is preventative. The ...
lightheadedness2/8/2009
  Q: 6 weeks ago I had a stomach virus lasting 10 days, during which I was lightheaded at times, but ...
  A: Despite the negative test, you might have a viral labrynthitis. This is a nasty situation and there ...
pain under right rib for 4 months2/6/2009
  Q: doctor. sorry, it might be a bit too long but this strange pain under my right rib started around 4 ...
  A: In the absence of other symptoms, truly this sounds muscle related or cartilege related from the ...
dizziness2/6/2009
  Q: 74 yrs old. no meds, have lbbb. checked regularly for it.Twice now, once 2 mths ago and this a.m. ...
  A: Dizziness with change in position could indicate a change in blood pressure, heart rate, dehydration ...
your thoughts2/5/2009
  Q: my father age 76 recently had a Transpharyngeal Echocardiogram done which showed severe plaque in ...
  A: He wouldn’t necessarily have surgery for plaque in the aorta. If it was in one of his carotid ...
Thyroid or hormone problem?2/4/2009
  Q: My question boils down to wondering if I might have a thyroid problem or a hormonal problem. Over ...
  A: Given your history of migraines, this could either be the manifestation of a neurologic migraine ...
Smelling smoke2/2/2009
  Q: i have been smelling a musky smokey smell for the past few weeks,i am often feeling slightly ...
  A: Given that you are the only one who can smell it, it might be a problem with your sinuses. The cause ...
sleeping2/1/2009
  Q: Nobody is able to answere this for me and its really important for myself .I have trouble sleeping ...
  A: I don’t think I’d drink beer at night. That just makes it more likely that you’ll have to wake up to ...
Blood test1/31/2009
  Q: I'm a 31 year old female. My blood test shows RBC is 5.33 and the range should be 3.80-5.10 mill/ul ...
  A: Well, it could mean a lot of things including a temporary shift in normals. A blood test is a mesure ...
Weird smell in nose1/29/2009
  Q: I've been sick with the flu for about six days now and I have this really weird, gross smell in my ...
  A: This is an alteration in your sense of smell from the illness. There is nothing to do but to wait ...
aching/tingling sensation in foot, leg and arms1/29/2009
  Q: For quite a few months now I have noticed every so often I get a weird sensation, usually in my foot ...
  A: Once again, this doesn’t sound like a blood clot issue. Tingling/numbness and cold extremities can ...
aching/tingling sensation in foot, leg and arms1/29/2009
  Q: For quite a few months now I have noticed every so often I get a weird sensation, usually in my foot ...
  A: You don’t state your age. I assume that you don’t have any other medical problems or family histor ...
Abdominal pain/diarhea1/28/2009
  Q: I am a 41 f. I take coumadin, lasix, aldactone, zaroxalyn, potassium, paxil and neurontin. I have ...
  A: This could be Gastroenteritis yet. Diverticulitis could still be a possibility despite the ...
post nasal drip1/23/2009
  Q: Cusumano, My husband has post nasal drip, and he first detected its onset yesterday during his ...
  A: Post nasal drip is an every day affair. Most people don’t notice it because it’s in very small ...
PCOS1/21/2009
  Q: I was diagnosed with Polycystic Ovarian Syndrome several years ago. I don't have a period and have ...
  A: If this was your first intercourse (you didn’t specify) then this could be from tearing of the ...
painful forearms and hands1/21/2009
  Q: I am 27, of general good health, good level of fitness and BMI. temperature, pulse and blood ...
  A: This sounds like a combination of things but without being able to examine you, this is only a ...
Sluggish Bowels1/21/2009
  Q: This has been an issue for as long as I can remember. I have taken Metamucil and *most recently ...
  A: Constipating foods can be meats and cheeses. Color and odor can change depending on what foods you ...
perioral dermatitis1/21/2009
  Q: I am a 36 yr old woman and I have a rash on the side of my chin that is perioral dermatitis. I have ...
  A: If the “antibiotic” you are using is a triple antibiotic or Neosporin (these are serious skin ...
Sluggish Bowels1/21/2009
  Q: This has been an issue for as long as I can remember. I have taken Metamucil and *most recently ...
  A: Bowel movements are different for each of us. Some have them daily , twice a day or even every 2-3 ...
Bulimia1/20/2009
  Q: I want to get help for my bulimia symptoms, however, I have a HMO insurance so I can't just make an ...
  A: It is very simple. You know you have a problem, you want treatment so just go to your regular doctor ...
STDS?1/20/2009
  Q: I'm 13 now.I just turned 13 in september.But I don't know if I was molested when I was a litte ...
  A: You are quite correct. You should see a doctor and tell this story. You deserve to know if everythng ...
Facial Tightness1/18/2009
  Q: Ok I have kind of a weird question. For several months I've been experiencing what feels like ...
  A: Unfortunately, that is the penalty, if you will by having anxiety and generalized worry. I am ...
Facial Tightness1/17/2009
  Q: Ok I have kind of a weird question. For several months I've been experiencing what feels like ...
  A: Given that it has been several months and not changed appreciably, I would not be concerned. You may ...
Biliurubin, sore ankles and more...1/17/2009
  Q: I went to the ER the other day because my back and stomach really hurt, mainly on my right, also my ...
  A: A temp of 99.4 is not technically considered a fever. The elevated bilirubin without any other ...
abuse, cant orgasm1/14/2009
  Q: i was kicked repeatedly in the vagina and now 5 years later and still cannot have a orgasm. what ...
  A: I don’t think your problem with orgasm is physical. Unless you suffered such sever trauma that there ...
Hair Loss Due To High Blood Pressure Medication1/11/2009
  Q: My mom has been taking the medication called "Atenolol 100 mg. tablet" one a day for several years ...
  A: That is a rare side effect. There are many medicines that (rarely) can cause hair loss. If her ...
gas1/10/2009
  Q: I am a healthy 51 year old, not over weight, nonsmoker a vegetarian weighing 115 pound at 5 feet ...
  A: Gas can be caused by disruptions in intestinal flora as well as in some cases gastric irregularity ...
Sick feeling that won't go away1/10/2009
  Q: I am a 22 year old female college student. For the past six months I have been feeling sick to my ...
  A: Based on what you have written (age 22, in college, exam stress etc) I would say your symptoms are a ...
MRI Contrast1/9/2009
  Q: I just had a brain MRI with contrast, I am now concerned about Nephrogenic Systemic Fibrosis. I ...
  A: Not totally. Anyone can get it although a healthy person is much less likely. If you had normal ...
stomach problems1/8/2009
  Q: Charles, Thank you for your time. I have been recently diagnosed with h-pylori. I have been ...
  A: It may be the combination of meds that are causing the problem. Nexium is not the recommended proton ...
Foot Swelling1/8/2009
  Q: What could cause a sudden swelling of the ankle and foot (toes and bottom of foot are normal; other ...
  A: Edema caused by a systemic illness wouldn’t just pick one foot on which to show up. There is not ...
chronic epstein barr diagnosis1/7/2009
  Q: I am a 25 year old female, no history of major problems. I have been seeing an ARNP for about 5 ...
  A: I’m not sure that you could have had “active” Mono three times. One time confers immunity and ...
chronic epstein barr diagnosis1/7/2009
  Q: I am a 25 year old female, no history of major problems. I have been seeing an ARNP for about 5 ...
  A: EBV CAN be chronic. The elevated titers can be from acute infection or relapse of an old infection. ...
Vomitting and Nuasea1/7/2009
  Q: I have been experiencing a strange kind of internal uneasiness since afternoon and didn't feel like ...
  A: Motilium and Loprin are not drug names that are used in the USA. I don’t konw what they are for. The ...
carpal tunnel surgey1/7/2009
  Q: I had surgery for cts in aug of 08, i have since been alot worse than i was, i saw a hand surgeon ...
  A: Unfortunately this can be a post operative complication with this type of surgery. I would recommend ...
Foot Swelling1/6/2009
  Q: What could cause a sudden swelling of the ankle and foot (toes and bottom of foot are normal; other ...
  A: This is puzzling . Based on the evaluations she has had done, most every possibility has been ...
High Cholesterol1/6/2009
  Q: Dr. Weil, I am a 40 year old white male. I am 5’8” tall and I weigh about 190 lbs. I am a former ...
  A: It may simply be a lack of exercise. The best thing to do is get on an exercise program (simple ...
whats the cause?1/3/2009
  Q: its been a while that i am experiencing numbness and itching problems the itch goes all over my body ...
  A: Your creatinine and BUN are fine. The skin becoming pale with pressure and then red, is normal. As ...
whats the cause?1/3/2009
  Q: its been a while that i am experiencing numbness and itching problems the itch goes all over my body ...
  A: Itching and numbness are vague symptoms and can indicate many things. Since these all started after ...
2 quick questions1/1/2009
  Q: I am in need of carpal tunnel surgury on both of my hands, can you tell me which of the two types of ...
  A: Actually the MRI is more sensitive test for these kinds of knee problems. As for the carpal tunnel ...
question12/30/2008
  Q: I am a 40 yr old caucasian female; about 5' 10", 175 pounds. Currently taking Nabumetone 750 mg tabs ...
  A: C-reactive protein is a marker of inflammation but not a specific marker for heart disease. It’s ...
Jaw pain/Lymph node12/29/2008
  Q: Cold/sinus complications!?! Well, I have this pain/tender spot(that's developed) located right in ...
  A: I have no explanation for this lingering respiratory condition other than what I’ve already said. ...
panic or fibromyalgia12/29/2008
  Q: I have "episodes" off and on in the mornings, that begin with either pain in my legs or my abdominal ...
  A: You seems to equate these occurrences with your cycle, so there would seem to be a connection. I ...
Jaw pain/Lymph node12/28/2008
  Q: Cold/sinus complications!?! Well, I have this pain/tender spot(that's developed) located right in ...
  A: based on the location and the fact that it’s painful it is very likely a lymphnode. It is swollen ...
congestion12/28/2008
  Q: my Q is about fever the mechanism of fever? does fever refer that fereign body as infection in the ...
  A: Yes, there can be venous congestion without edema. Edema is a late phase expression of venous ...
How to boost the immune system12/28/2008
  Q: I've had one infection after another since October. As soon as one clears up, another seems to move ...
  A: You are doing everything you can right now. You might also try multivitamis and taking Omega 3-6-9 ...
Sinus~Colds~Allergies, what's what?12/27/2008
  Q: What are the "defining" differences in these nasty conditions? I wrote to you not long ago. I had ...
  A: The bacterial infection is accompanied by fever, facial pain and what is called “mucopurulent” nasal ...
congestion12/27/2008
  Q: my Q is about fever the mechanism of fever? does fever refer that fereign body as infection in the ...
  A: The reason for edema is that venous blood flow is passive and totally reliant on arterial pressure ...
abnormal eeg12/27/2008
  Q: I had an abnormal EEG and was referred for an MRI and the result of this was normal. Should I ...
  A: The term “abnormal” is ambiguous and doesn’t specifically tell the problem. You’ve left a lot of ...
general feel12/26/2008
  Q: this has been going on for a year and half now....i usually feel dizzy lightheaded and have a hear ...
  A: Parkinsons at your age would be the last thing I would consider. It sounds like you have had a good ...
Sinus~Colds~Allergies, what's what?12/26/2008
  Q: What are the "defining" differences in these nasty conditions? I wrote to you not long ago. I had ...
  A: I think your doctor and myself as well agree that you do not have a bacterial infection based on ...
Sinus~Colds~Allergies, what's what?12/25/2008
  Q: What are the "defining" differences in these nasty conditions? I wrote to you not long ago. I had ...
  A: There isn’t much to add to what I’ve already said and you’ve already done. You just have to do the ...
Sinus~Colds~Allergies, what's what?12/25/2008
  Q: What are the "defining" differences in these nasty conditions? I wrote to you not long ago. I had ...
  A: by nasal drainage I mean stuff you blow out your nose. It is thick, grey and foul smelling. If your ...
Sinus~Colds~Allergies, what's what?12/24/2008
  Q: What are the "defining" differences in these nasty conditions? I wrote to you not long ago. I had ...
  A: The symptoms can overlap. Fortunately a cold, allergies and sinus congestion can all be treated in ...
D.O.12/24/2008
  Q: Having recently moved to Phoenix I asked a trusted associate if he could recommend a doctor as a ...
  A: An MD and a DO (Doctor of Osteopathy) are trained the same, have the same knowledge base.They are as ...
Baby Oil that won't cause an irritation to a womens private areas12/21/2008
  Q: Is their a Baby Oil that I can utilize massaging my girlfriend that will not cause a vaginal ...
  A: There are massage oils for that specific purpose that are sold in Adult Book and Toy stores. I don’t ...
increased iron12/18/2008
  Q: 54yo female, perimenopausal, iron levels suddenly increased. I have used cast iron skillets for some ...
  A: Given the sudden increase in iron levels I would ask your doctor to do a Ferritin and TIBC level. ...
does it have something to my liver or what?12/17/2008
  Q: two months ago i have been on antibiotics (cefixim ,gentamicin)and then after 10 days i got a strep ...
  A: You might have knocked out much of the normal fora in your gut with all those antibiotics. That ...
Would KY Make it Impossible To Concieve?12/17/2008
  Q: I am a 34 yrs old female. i was shocked to read researches online that ky would hurt your chances to ...
  A: KY JELLY is water soluable and as such would not hinder sperm activity or life span. If you use too ...
Boils on feet12/14/2008
  Q: I have three boils about the size of dimes under my right foot. They are very itchy at times. I'm ...
  A: It is exceedingy rare to have true “boils” on the sole of your feet. Are you talking about blisters? ...
Colds?Sinusitus/Allergies???12/11/2008
  Q: We had a drastic temp change and I had a head ache I could not get rid of easily for 2 days. I have ...
  A: I disagree with this statement. Antibiotics are too often given at the first sign of a runny nose ...
Extreme fatigue and leg weakness12/10/2008
  Q: First I want to start off by saying I live in New England I am 25 yrs old and female. Back in the ...
  A: Well, this could be from a number of things. Thyroid doesn’t sound to me like a likely cause. If you ...
left side chest pain, palpatations12/10/2008
  Q: I have written to you before but incase you don't remember since you see alot of emails, I'm a 23 yr ...
  A: If you are having pain everyday and is described by pinching, it is probably not your heart given ...
Hemmorhoids and Vitamin Supplements12/9/2008
  Q: Two questions: 1) Last week (Thursday/Friday), I developed a pretty large and protruding ...
  A: Hemorrhoids will be an intermittent life long problem and get worse with age. Keep your stool soft ...
Liquid going 'down wrong way' when swallowing12/9/2008
  Q: Charles, When you drink something and it goes into the windpipe then you cough you're lungs are ...
  A: This phenomena is due to a problem with the epiglottis closing in time to co-ordinate with ...
lipitor/liver testing12/8/2008
  Q: I've been taking Lipitor for over 12 years without a problem. At the very beginning when Lipitor ...
  A: No, the guidelines haven’t changed. If there is no paticular reason to check liver enzymes more than ...
Hemmroids12/6/2008
  Q: What do you recommend for external hemmroids? They arent painful but they look terrible. THank you. ...
  A: I know nothing about venapro. As a rule, I would not trust or take any medicines sold on eBay. There ...
Amoxicillin12/4/2008
  Q: I know there should never be any left over Amoxicillin, but how long are these pills good for before ...
  A: One year if they’ve been kept in the dark at room temperature. Just remember, If you chose to use ...
amoxicillin: Shelf life12/3/2008
  Q: I'm going on a long hike next month. I like to take along some amoxicillin, just in case I'm out of ...
  A: Well, first, you should never have “left over antibiotics”. That usually means you didn’t finish the ...
cardio excersize12/3/2008
  Q: i was recently diagnosed with fatty liver by ultrasound for abdominal pain. my doctor advised diet ...
  A: The fancy word is “hemangioma”. Those are not uncommon and as a rule are not anything to worry ...
Osteoporosis11/24/2008
  Q: I am 27 years old and struggled with an eating disorder. As a result, I now have low bone density ...
  A: I think you can easily with proper diet, exercise and taking the supplements you are currently on. ...
Overdose insulin11/24/2008
  Q: "Hello, Richard (55 aged) got overdose insulin by mistake. When The Emergency Service injected ...
  A: He responded quickly because the sugar goes to the brain. It uses up all the insulin and the ...
Do results/symptoms indicate MS and/or kidney disease?11/21/2008
  Q: I am a 28yo female w/ all over joint pain/stiffness, sharp radiating pain in wrists, chronic ...
  A: This doesn’t sound like MS to me. In any event, an MRI of your brain would have shown the tell tale ...
Lymph Nodes 14 year old Boy11/20/2008
  Q: My son, 14 has been dealing with swollen lymph nodes since Nov 07. It started with one under his ...
  A: Given this history, he should go straight to biopsy. He has had a long history of enlarged nodes ...
3 different Questions: conceiving, smoking & constipation11/19/2008
  Q: i have questions in 3 different areas: 1. conceiveing: is it possible for a woman's pelvic muscles ...
  A: #1 the answer is no. Ejaculate normally runs out. Pregnany is still possible. #2 it will show in ...
high cholestrol11/19/2008
  Q: I'm a 23 yr old otherwise healthy male. I'm 6ft and weigh about 200 lbs. I eat somewhat healthy but ...
  A: Your HDL is very good. The LDL is high. There is an elevation of total cholesterol which is not ...
high cholestrol11/18/2008
  Q: I'm a 23 yr old otherwise healthy male. I'm 6ft and weigh about 200 lbs. I eat somewhat healthy but ...
  A: I would agree with your doctor about the cholesterol being too high. First I would cut way down on ...
Flu Shot11/18/2008
  Q: I hope you do not mind me giving you a quick interview! But, I was wondering about flu shots: are ...
  A: Flu shots are important in prevention and or lessening the duration of Flu. Flu can be deadly for ...
Intervenous11/17/2008
  Q: If a patient has acute focal bronchopneumonia and is not on intravenous, and is in a coma and not ...
  A: Someone in a coma with pneumonia should be getting IV antibiotics and also supplemental feeding and ...
Stomach Flu or Flu Flu?11/16/2008
  Q: Yesterday I was feeling ok, but very nauseas with a little diarrhea, but when I ate I didn't vomit ...
  A: It sounds like you have a gastroenteritis (viral illness). Just drink fluids and avoid food till all ...
INTESTINE POLUPS11/14/2008
  Q: Charles Hi, I have a question regarding very small Polyps in my mom colon. She is 80 years old and ...
  A: Poylps can turn cancerous. As you wisely said, her age and general health really determine whether ...
post viral immobility11/14/2008
  Q: My 18 year old daughter had a severe case of mono about a month ago. As she began feeling better ...
  A: How high up on the right side is the pain? Is it related to deep breathing? If she had a severe case ...
good circulation vs. fast metabolism11/12/2008
  Q: Charles Are these one and the same or different? The reason I ask is that I have always been ...
  A: There s no correlaton between fast metabolism and good circulation. Sometime people are predisposed ...
colds11/11/2008
  Q: Hope we aren't bothering you with this, but perhaps you can settle a sort of debate that's been ...
  A: Pneumonia is always a risk from ANY virus that casues a cold. It's not a slam dunk, but anyone with ...
strep throat11/11/2008
  Q: I am a 33 yr old otherwise health female on zero meds. I developed a sever sore throat, came out of ...
  A: By consulted do you mean being seen or was this just a phone call? The antibiotics may take a day or ...
Sinus Infection?11/11/2008
  Q: I have had pain in my left cheekbone, gums/teeth, and close to my eye for a couple of days now. I ...
  A: Pain is not always a sign of infection perse. As long as you aren't blowing greenish-gray mucous you ...
colds11/11/2008
  Q: Hope we aren't bothering you with this, but perhaps you can settle a sort of debate that's been ...
  A: Contagion can start before, and last as long as, you have symptoms. Zicam is a good thing to try to ...
heel swelling11/9/2008
  Q: On my left foot in the heel area swelling occurred a week ago for no apparent reason.The swelling ...
  A: On the face of it, given how you describe it, this sounds like a callous. The only thing that goes ...
Swollen Lymph nodes11/9/2008
  Q: Priority:HIGH Dear Charles:Hope your well... Not sure if my recent dentist visit has anything to do ...
  A: Not likely Mono and Lymphoma is a real stretch. I wouldn't want to presuppose what you DDS would or ...
Overall growth concern11/9/2008
  Q: This is Babita from Mumbai,but presently residing in Dubai. My daughter is 2 1/2 years old.I am ...
  A: Based on average weight/height charts, her height is within normal range. Her weight is slightly ...
Swollen Lymph nodes11/8/2008
  Q: Priority:HIGH Dear Charles:Hope your well... Not sure if my recent dentist visit has anything to do ...
  A: This still could be from the procedure. Lymph nodes are in connecting chains so the infection and/or ...
Swollen Lymph nodes11/8/2008
  Q: Priority:HIGH Dear Charles:Hope your well... Not sure if my recent dentist visit has anything to do ...
  A: If these nodes are in the area under the part of the jaw where the dental work was done, it may well ...
Birth Control11/8/2008
  Q: I have moderately bad acne and went to the dermatologist and he prescribed me Yaz for 6 months. It ...
  A: Birth control pills regulate hormones and as a result acne is less a problem. There are other BCP's ...
swollen ankles and feet11/6/2008
  Q: I noticed my feet and ankles swelling this past summer and I went to my MD who listened to my heart ...
  A: First, I would limit or completely exclude salt from your diet as recommended. Fluid collection is ...
general medicine11/5/2008
  Q: i am a first year medical student and iam little confused about using the word vasodilation as it is ...
  A: Veins have valves, not muscles and they work strictly off gravity and what ever pressure comes from ...
Lower Stomach Issues After Eating11/5/2008
  Q: I am 32, female, overweight, Type I Diabetic since age 14 (I've gained all the weight since then). ...
  A: On the face of it, this sounds like something called "diabetic gastroparesis". In essence, this is a ...
stomach11/3/2008
  Q: i asked you a question last week about my stomach and wanted to ask a follow up. i cant get into the ...
  A: I wouldn't think it's your Pancreas. I would, though, stop taking over the counter medicines too ...
general medicine11/3/2008
  Q: i am a first year medical student and iam little confused about using the word vasodilation as it is ...
  A: There is deifnitely blood starvation to to other organs during digestion. That is where that blood ...
tingling in shoulder muscle11/3/2008
  Q: I plan to see a doctor but was wondering if you could give me any ideas what might be going on. I ...
  A: This could simply be an irritation of a branch of a cutaneous nerve (one that serves the skin) in ...
please help me..:(11/2/2008
  Q: .for the past month i have had pin pains in my hands to my elbows..they started by getting numb and ...
  A: Numbness of the hands and arms can have many causes. Did the recent nerve test on your hands show ...
general medicine10/31/2008
  Q: i am a first year medical student and iam little confused about using the word vasodilation as it is ...
  A: Edema is simply a condition of excess fluid in tissue and can be of any color depending on the ...
Erect nipples? On a Man?10/31/2008
  Q: Yeah, that's it in a nutshell. My fiancee has constantly erect nipples. Yup. They don't hurt, ...
  A: I am not aware of any treatment for this other than desensitizing them with constant massage. you ...
general medicine10/30/2008
  Q: i am a first year medical student and iam little confused about using the word vasodilation as it is ...
  A: Vasodilitation is limited to arterial tissue. Arterial dilitation is also a less used term used for ...
Diziness/lightheaded10/30/2008
  Q: I have a question and have asked some of the trainers that work where I workout but none seem to ...
  A: You might benefit from a cardiac stress test and a tilt table test to be sure that your heart ...
Urine problem10/30/2008
  Q: I have got a c-section delivery 8 days back ..i am fine just one problem that i feel is that while i ...
  A: First, I would drink as much water as possible. You may simply have burning from concentrated urine. ...
period10/28/2008
  Q: I just recently had a tubal ligation done and now i am 8 days late on my period. could i be ...
  A: That is possible of course but very unlikely. Tubal Ligation, for some reason that we don't really ...
painful vertebrae, shoulder10/28/2008
  Q: please can can you help.. I am experiencing a lot of pain in my neck and my left shoulder...one ...
  A: On the face of it, this sounds like what is called "cervical radiculopathy". This means that a nerve ...
Bump in Head10/27/2008
  Q: My Brother is 32 years old. He had a pimple in his head from 5-6 months, by time it got big and ...
  A: This needs to be removed. A "pimple" is basically a blocked hair follical. That keeps the normal ...
stomach10/26/2008
  Q: "hi, for the past 2 weeks or so i have been having bloating cramping pains in my stomach area. ...
  A: The only way you can get tape worms from your dog is to get into their feces and then get that into ...
Gall Bladder10/26/2008
  Q: My mom had her gall bladder removed proably 30+ years ago and had an attack a while ago and was told ...
  A: That isn't possible. It doesn't regenerate. When they say her gall bladder wasn't "totally removed" ...
Side effects?10/26/2008
  Q: I am 27 year old, married. I normally have excessive bleeding during menstruation. With a doctor’s ...
  A: Tranexaminic acid is an antifibrinolytic which is to say, it inhibits the enzymes that break down ...
Toenail fungus treatment10/24/2008
  Q: I am hoping you can help me. I think I have had toenail fungus for quite awhile now. This is just on ...
  A: If you are breast feeding, that pretty much eliminates any oral medicines. Only that type will get ...
Undiagnosed Bacteria/Virus10/24/2008
  Q: I've been having an ongoing problem that seems to only get worse. Was in Nevada last year and went ...
  A: Frankly, I don't know where to begin. I WOULD say that your episode in Nevada was certainly not the ...
blood clot10/24/2008
  Q: I was diagnosed about 8 weeks ago with a blood clot in my peroneal vein. I woke one morning and all ...
  A: When you have a blood clot in the leg, you can have what is called Phlebitic Syndrome. This can ...
Birth Control, HPV10/22/2008
  Q: Mr. Cusamano, I was wondering, is there a corrlation between birth control pills and HPV? My bf had ...
  A: It is possible of course but some strains of HPV (there are many) will lie dormant and not show up ...
swollen hand feet10/21/2008
  Q: 2months ago I had an medical abortion. I lightly bled for about 4 weeks off and on. I just had an ...
  A: A sudden swelling change in hands and feet should be brought to your doctor’s attention. This could ...
red bloch on tongue10/21/2008
  Q: there is a bloch on the top of my tongue thats about the size of a dime.there is no bump or other ...
  A: This could be something as simple as a “geographic tongue“. That is a benign problem and no ...
Pinched Nerve10/20/2008
  Q: I have a pinched nerve on my right side, lower back. It is sending shooting pains down my right leg ...
  A: The term pinched nerve is a bit ambiguous. You may have a pinched nerve anywhere from you vertebrae ...
my husbands odd symptom10/20/2008
  Q: My husband has recently gone through alcohol rehab and was diagnosed with PTSD as a result of ...
  A: I would dispute his doctor‘s opinion. In my experience, sleeping “hard” would not cause defecation ...
Any insight would be greatly appreciated10/17/2008
  Q: My brother was JUST diagnosed with multiple sclerosis, after 10 months since the onsight of his ...
  A: Steroids in heavy regular doses can cause: diabetes, osteoporosis, cataracts, adrenal shut down, ...
Any insight would be greatly appreciated10/17/2008
  Q: My brother was JUST diagnosed with multiple sclerosis, after 10 months since the onsight of his ...
  A: This sounds like a rapidly developing form of MS. There are drugs than steroids to treat MS with ...
Synthroid10/16/2008
  Q: I have suffered from fatigue for many years and it has become progressively worse. I have many ...
  A: Despite the normal levels you could have what is called "sick euthyroid". This simply means that ...
4yr old vomiting at night10/15/2008
  Q: I have a 4 yr old boy who constantly complains that his tummy hurts after eating, and he vomits on a ...
  A: The bad breath could be from a chronic sinus infection or even an ulcer. Another thing I thought of ...
4yr old vomiting at night10/14/2008
  Q: I have a 4 yr old boy who constantly complains that his tummy hurts after eating, and he vomits on a ...
  A: Given that he does this only during the evening or at night is a bit strange to say the least. If he ...
Buspar10/14/2008
  Q: I just want to know what is the alternative medicine for Buspar since there is no buspar or effexor ...
  A: Buspar is a medicine unto itself ansd there is no equivalent. You might try St John’s Wort, an over ...
Period or bleeding?10/12/2008
  Q: I'm 50. I think my period has stopped for nearly a year. Last month the doctor put me on blood ...
  A: Given your age and going without a period for all these years, it is not from a “normal” period. It ...
no food or water10/12/2008
  Q: This is not a question per se, but I guess I want to validate whether my 93 yr old Mother should ...
  A: When someone has blocked small intestines, the last thing you want them to do is eat or drink. My ...
Anorexia nervosa and petechiae10/11/2008
  Q: I'm 18 years old and have been suffering from anorexia nervosa for almost 2 years. I have also ...
  A: Thrombocyttopoenia is not caused by Anorexia. Clearly, lack of essential vitamins can make petechiae ...
sebaceous prominence10/11/2008
  Q: I was wondering if I could use a 1% Clindamycin Phosphate Gel on my penis. It was prescribed for my ...
  A: I would not use Clindamycin on your penis. It is an antibiotic and that won’t help this issue. If ...
Period or bleeding?10/11/2008
  Q: I'm 50. I think my period has stopped for nearly a year. Last month the doctor put me on blood ...
  A: If you started bleeding after starting Plavix, that may mean that you have a problem with your ...
So many symptoms10/9/2008
  Q: I apologise for such a long question. My husband is 44 years old. Non smoker & non drinker. Normal ...
  A: This sounds serious. An ACE test is looking for Lupus. The pain under his ribs on the left could ...
lung xray10/9/2008
  Q: "No acute infiltrate is identified. Linear atelectatic change versus scarring is identified in the ...
  A: This simply means that there is a small area of lung tissue collapse and or lung tissue scarring. ...
lower left abdominal inflamation/chronic pain10/3/2008
  Q: Cusumano I have had a recent hysterectomy, (without removing my ovaries) in January 2008 for a ...
  A: I don’t see the splenic cyst as part of the problem. The pain could be from that surgery but that ...
lower left abdominal inflamation/chronic pain10/3/2008
  Q: Cusumano I have had a recent hysterectomy, (without removing my ovaries) in January 2008 for a ...
  A: Given the history of colon polyps, you should have a colonoscopy yearly. As for the abdominal pain, ...
"ball" located in axillary region9/30/2008
  Q: My husband has been complaining of a round "ball" like object in his underarm. I do not believe he ...
  A: This could be a lymph node but also a cyst. A cyst is not anything to worry about as long as it does ...
Could One Become Dependent on a Stool Softener?9/28/2008
  Q: Cusumano, I just have a general question and hope that you would kindly have an answer for me. I'm ...
  A: You will not become dependent on stool softeners but you CAN become dependent on cathartics that ...
tingeling of hands and feet9/28/2008
  Q: I am a 62 year old white female. I have recently started having tingling of my hands when I hold ...
  A: These symptoms are non specific and could all be connected or they could represent two totally ...
hi9/27/2008
  Q: I hope i am asking to the right person..... I am wondering whether it is safe to give weinners and ...
  A: Granola bars are just fine. It isn’t unusual for a 14 month old not to like vegitables and some ...
causes of thalassemia9/26/2008
  Q: want a full fledge description to know what are the causes of the disease and the remedial measure ...
  A: I can't give you a 'Full Fledged" description on this forum. Basically Thalassemia is any of a group ...
leg pain/numbness and dizziness9/24/2008
  Q: I have been having some slight leg/foot pain for over 4 months now. My left leg worse than my right ...
  A: First, stay off the internet. You will get a lot of information that may make little sense and ...
Hernia9/24/2008
  Q: I believe I have a hernia. I can push it in and then it comes out. How long can I go with this ...
  A: As long as it can be pushed back in without pain, it is probably safe to leave it. If it becomes ...
ASAP9/23/2008
  Q: My mother has been having lower abdominal/pelvic pains associated with some back pains. Also has had ...
  A: Without seeing this lump, it would be hard to guess at a cause. The same pertains to his plevic an ...
ASAP9/22/2008
  Q: My mother has been having lower abdominal/pelvic pains associated with some back pains. Also has had ...
  A: A cyst on the ovary (I assume) is not an unusual finding. A “lesion” on the liver is another thing ...
Constipation9/22/2008
  Q: My grandmother is 55, and she is often constipated. She often goes two weeks without going to the ...
  A: Constipation can be caused by a number of things. If she is taking medicines, they might be the ...
redness, discharge from scrotum and burning9/21/2008
  Q: I had been having itching and redness in my scrotum along with some discharge. This was probably due ...
  A: This sounds either skin to skin maceration which will cause a discharge. The other possibility is a ...
Is this possible?9/18/2008
  Q: quick follow up on a mysterious rash i had 2 months ago which elevated my white count up to 17 but ...
  A: Any rash that sets off an immune response can cause an elevated white cell count. Medicines can ...
HPV transmission9/17/2008
  Q: My ex-boyfriend had genital warts and we had unprotected sex so I was probably exposed to it from ...
  A: I would doubt that it was HPV. The lesion could have been scraped and tested for HPV. One can't be ...
HPV transmission9/17/2008
  Q: My ex-boyfriend had genital warts and we had unprotected sex so I was probably exposed to it from ...
  A: A genital wart looks just like a wart anywhere else. HPV warts don't show up as a single wart, they ...
HPV transmission9/17/2008
  Q: My ex-boyfriend had genital warts and we had unprotected sex so I was probably exposed to it from ...
  A: He can but only if he has direct contact with any warts that you have. It is possible to have HPV on ...
stents and food restrictions9/17/2008
  Q: Mother-in-law is going to have a stent put in a restricted (from previous surgery) area in her neck, ...
  A: If she is on a blood thinner, that may be the reason for the dietary restrictions. As for diet in ...
Blood pressure9/15/2008
  Q: I have had fluctuating blood pressure for about a year and it is getting worse. I am on maximum ...
  A: This major drop that causes dizziness may be because you take these meds all at once. You might talk ...
circumcision9/14/2008
  Q: Cusumano I have searched the internet for several days now concerning onewho typically wants ...
  A: In my practice we do not treat newborn infants. There are pro’s and con’s to circumcision. My ...
blue thumb9/13/2008
  Q: My thumb, from first joint to tip of thumb is a light blue,or gray in color, it's tender to ...
  A: I’m glad the your doctor doesn’t think it is Reynuad’s. In my experience, a broken blood vessel in ...
Cellulitis9/11/2008
  Q: My husband a healthy 38 yr old with foot fungus came down with cellulitis on the bottom/ side of his ...
  A: Hard to say what the purple area is. It could be dying tissue or even blood under the skin from the ...
Why am I constantly sick?9/10/2008
  Q: I am 20yrs old and try my best to live a healthy life style. I am overweight and am somewhat ...
  A: Sure do. You are over stressed and your immune system is suffering. As a result you are more ill ...
Painful vertebra.9/9/2008
  Q: I have ONE painful vertebra. I have recently had a bone scan at age 50 and have been diagnosed with ...
  A: By bone scan do you mean Dexa scan for osteoporosis detection? If so that will not give any useful ...
COPD9/6/2008
  Q: I am a 70 year old male and have been diganosed with COPD I'm on Oxygen and spiriva and Advair for ...
  A: Exacerbations of COPD are not uncommon. If your breathing is worse, I would be sure that your oxygen ...
fibromyalgia9/6/2008
  Q: I am 51,diagnosed w/ MGUS, chronic depression/anxiety (controlled 20 yrs w/ meds) migraines usu ...
  A: Congrats to your Daughter for picking a wonderful profession. If you truly HAVE fibromyalgia ...
HPV confusion?9/4/2008
  Q: Cusumano, I'm basically a bundle of confusion at this point. Here is my situation. About 2 years ...
  A: HPV can lie dormant for some time. There is nothing to do now as far as treatment is concerned. You ...
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 would highly doubt that cancer will come from this. As for being dry all the time, have you been ...
Sinusitis12/4/2006
  Q: I have had blocked sinuses for the past three weeks now. It is not painful although I can feel the ...
  A: Steroid nasal sprays an help. Avoid aspirin. People with nasal polyps that use aspirin can induce an ...
My problem12/1/2006
  Q: I got an appointment with doctor in december mid. I am having the pain in upper place of my ...
  A: This may be simply irritation during intercourse or possibly trauma to the urethral opening to the ...
chest11/24/2006
  Q: i am a 23 year old in generally good health with two small children. for the last month or so i ...
  A: This sounds exactly like what you are thinking it is---muscular. The muscles are attached all along ...
Tongue11/24/2006
  Q: The other morning I awoke, and found that my tongue was quite tender. I noticed a long cut on the ...
  A: Perreali, This might be a form of stomatitis (a mouth and tongue inflammation associated with a ...
why all three at one time11/22/2006
  Q: Why would somebody be taking kadian, xanax, and ambien all at one time? Is there a certain illness ...
  A: Each of these three meds treat different things. All three of these meds can be addictive. Only the ...
Nails11/21/2006
  Q: I'm a guitar player, age 64. I use my fingernails to pluck and strum the guitar strings. Lately they ...
  A: This sort of thing is a factor of aging and vitamin deficiency. I would take a multivitamin along ...
taking multiple medications at once11/20/2006
  Q: What would be the effects of taking kadian, ambien, and xanax (alprazolam) for long periods of time ...
  A: Kadian and Xanax can be highly addictive. These drugs should not be stopped "cold". If changes are ...
hi11/17/2006
  Q: is "toxemia of pregnancy" in a 31 year old woman a reason for termination? 6 weeks pregnant what r ...
  A: This is a complex question. Toxemia is a result of uncontolled hypertension and kidney failure. ...
pain under my left rib11/13/2006
  Q: I started out with bleeding from my rectum which lasted 8 days.I went to emergency and they did a CT ...
  A: Sounds like you've had a good evaluation. The only thing you might consider is a chest xray. ...
chest/back11/11/2006
  Q: For over a month now, my chest has been hurting. It doesn't hurt when I breathe. It hurts in the ...
  A: Well, it's quite a jump to suggest Lupus or arthritis without a workup (I assume that this wasn't ...
Help stop my itch please!!11/7/2006
  Q: I hate to ask this over the computer however I have been to my Dr. 2x now, with no relief and need ...
  A: It sounds like a lot of what I would have suggested has been done. Do you have vaginal dryness? It ...
Can Sciaticac Pain get worse?11/6/2006
  Q: I have a sciatica nerve problem, no real cause explained to me, I had x-rays, nothing out of sort ...
  A: If it is true isolated sciatica, it could get worse but not to the point of loss of bowel or bladder ...
very painful feet11/2/2006
  Q: My husband was told that he has plantar fasciitis, he has done the resting of feet, meds, boot at ...
  A: In refractory cases, sometimes a shot of cortisone into the heel area helps. It isn't always ...
Embarrassing set of questions.........11/1/2006
  Q: I am so thankful for a place to ask such an embarrassing set of questions. I have been on birth ...
  A: Coming of BCP's does change hormnes and can alter vaginal flora. As a rule though you shouldn't feel ...
we dont know what is wrong10/27/2006
  Q: My brother for the past 4 months at the end of every month goes way down, he is tired a lot lays in ...
  A: Has anyone suggested that he might be suffering from depression? He could be having ...
dizzy spells at work10/27/2006
  Q: When I lay down on the creeper under the wings of an airplain. I get dizzy while I am laying there. ...
  A: This might be simply a case of dehydration; not enough water on a daily basis. Does this dizziness ...
ear infection10/26/2006
  Q: MY SON HAS TUBES PUT IN HIS EARS , FOR DRAINAGE BECAUSE HE HAD GOTTEN EAR ACHES often , HE HAS JUST ...
  A: It is probably the latter. The tubes will prevent the fluid from accumulating behind the drum and ...
warfarin and Hemocult kit10/22/2006
  Q: Cusumano, I asked this question of several Allexperts doctors: My husband is taking Warfarin and ...
  A: I think the manuacturer described it very well. These tests are not 100% fool proof. As they ...
A NEW SYMPTOM; RASH10/18/2006
  Q: Charles! I'm thrilled my favorite PA in the world is still here! I am 62. About a week ago I began ...
  A: Talk about a 'full plate"---sorry for the cliché. This sounds like an external yeast infection. I ...
sweating10/18/2006
  Q: i sweat really bad constantly even when im sitting down and have been doing this for five years.ive ...
  A: Sweating can be from systemic disease like thyroid dysfunction or TB or "idiopathic", which means we ...
Broken Pinkie Toe10/15/2006
  Q: ) I broke my pinkie toe almost 6 months ago. The break extended from the base of the bone to ...
  A: At 6 months, there isn't much you cn do to change anything. Healing has taken place many months ago. ...
When will the pain go away?10/12/2006
  Q: I have something wrong with my leg! My foot stays in a cramp, shin goes from numb to painful. Pain ...
  A: This is hard to figure out. Your description of this complaint is confusing as it pertains to nerve ...
Cause of numb feeling?10/11/2006
  Q: I have been having problems. From about my left knee down to my ankle I have a numbness on the ...
  A: This may be all positional based on what you've said. It probably isn't from your back because the ...
about water and my health10/9/2006
  Q: I am a 45 year old single mom of a 14 year old daughter. We live in the Bay area. I am a stay at ...
  A: A half gallon of water is a bit too much water. Max 4-6 16 oz bottles should be plenty. Try stopping ...
stomach aches10/8/2006
  Q: she has only eaten salad 2 times;(1st time 3 weeks AGO and this past wednesday, both times at school ...
  A: it IS hard to separate real from made up. I can see hr saying "you don't care" but we both know that ...
stomach aches10/8/2006
  Q: she had a salad at school 3 weeks when she got first stomach ache. now she had another salad and ...
  A: I really don't see the salad and or dressing as the problem. With the recent issue surrounding ...
stomach aches10/6/2006
  Q: i got home from work today, friday oct 6. she stayed home from school(stomachache), took maylox this ...
  A: I'd hate to suggest that she's "playing you" but you have to consider that based on how her symptoms ...
stomach aches10/6/2006
  Q: i have a 16yr daughter.live in ashtabula,ohio;doesnt seem to have it 3 months for summer break.but, ...
  A: Unfortunately this may be a manifestation of "school phobia" or anxiety. I don't know enough about ...
embarassing excess gas10/4/2006
  Q: This is a somewhat embarrassing question. I am 42 year old female, inactive (i am working on ...
  A: Actually, yes, I do have a few suggestions. I would have yourself checked for Diabetes, Thyroid ...
Skin Growth/Penis9/25/2006
  Q: I'm a 20 year old male. I have maybe had 3-6 tiny "bumps" but they are not really bumps on my penis ...
  A: These are most likely normal hair follicles. On the shaft of the penis, they are numerous and may ...
Could it be molestation?9/22/2006
  Q: Was sitting in church in the back pew and the almost 3 year old daughter of a friend climbed up ...
  A: This is of course a very dificult situation. The behavior you described of this three year old girl ...
Sorbitol and raw apples9/21/2006
  Q: I'm doing research on the possible reasons behind, and a cure for, my inability to eat raw apples. I ...
  A: As you have probably have already found out, Sorbitol is a breakdown product of sorbose and ...
lung9/14/2006
  Q: , but my question is that i have a sharp pain in (well bellow my rib cage )and my lung has collapsed ...
  A: This could be from the lung. You may have developed an atalectasis (a small area of collapse) or ...
Worms9/12/2006
  Q: recently I went to the bathroom and before i sat down noticed what looked like a pale coloured worm ...
  A: Can I assume that this "worm" was hanging from the anal opening or was it in your underware? ...
High Pulse9/11/2006
  Q: I am an 18 year old female, who every time I've gone to donate blood have a high pulse rate, even ...
  A: As a rule an 18 year old female with no health problems should not have a high pulse rate, ...
chicken pox marks9/7/2006
  Q: My sister who is 28 is just recovering from chicken pox. she has black marks all over her body ...
  A: I am not familiar with a cream of this sort. These marks will fade in time and should leave small ...
abd pain/ ? due to fibroids or ovarian cyst9/6/2006
  Q: I have been having abd pain for more than a week. I went to my doctor and they performed a ...
  A: I would certainly mention the sickle cell to your doctor. My guess is that with that information he ...
HEmmoroids9/5/2006
  Q: I believe I have a external hemmroids near my anus. Is it necessary or are there minimally non ...
  A: Internal hemorrhoids can be treated but external ones are there for life. There are soem radical ...
Epidural Followup[9/3/2006
  Q: I have a herniated lumbar disc, L4-5. I had surgery (laminectomy) in 2003 after trying 2 epidurals ...
  A: As you know the routine here is three injections per treatment. The epidurals are a lot less ...
Hunger9/3/2006
  Q: I am a 31 y.o. guy living in Australia. I was wondering if i should go on a course of Combantrin or ...
  A: Unfortunately, all countries do not name drugs the same so I can't comment on Combantrin. When you ...
ovarian cyssts9/1/2006
  Q: I am not sure if you can answer this question. I looked on Womans Health and did not see anything ...
  A: Can I assume that you aren’t pregnant? BCP’s can cause hormonal changes but that is what ...
MRI Results8/31/2006
  Q: Kentucky - Had ACDF in 2000 (c6/7). Now having neck pain, shoulder pain, arm pain, numbness, ...
  A: In essence you have arthritis of your neck with arthritic spurs compromising the exiting nerve roots ...
prostate8/27/2006
  Q: I am 69 years old and I only have a very small volumne of clear semem upon ejaculation. My PSA ...
  A: Not really. This happens with aging and a lower production of seminal fluid. Another thing that can ...
infections8/27/2006
  Q: I have missed my period for the 1st time in 8 years. I am 29. In the past I have been pregnant and ...
  A: The blood test that was done is virtually 100% reliable. A UTI or antibiotics would not cause a ...
Swollen lower lip8/27/2006
  Q: Please help! I read a previous post here from someone suffering from an identical condition, and I'm ...
  A: This may be a flare up of herpes type 2 virus. It is brought on by sun exposure and stress as well ...
digestive problems - please help8/26/2006
  Q: I am writing because I am extremely frustrated and don't know what else to do. Over the past few ...
  A: Firstly, it is common to have problems with diarrhea and some abdominal pain and cramping after gall ...
heel spurs8/26/2006
  Q: I emailed yesterday about my sore foot, the swelling, Well, i went to the er and the doctor told me ...
  A: Heel spurs are boney projections from the bottom of the heel. They occur from constant traction of ...
ESI8/23/2006
  Q: I'm having an epidural steroid injection for a herniated lumbar disc. Is this a potentially ...
  A: Anytime you have a spinal injection there are risks. The most common risk is a post spinal headache. ...
DayCare8/21/2006
  Q: My parents took care of our son during the day. He is two years old (27 months). They recently ...
  A: Given the circumstances and were he my son, I don't think it would be at all disruptive to have him ...
liver8/20/2006
  Q: I am male 48.Heavy beer drinker for many years. In the last few months I have drasticly reduced my ...
  A: I would disagree with what you’ve been told. This is likely a combination of poor muscle tone ...
my three year old son8/18/2006
  Q: what would cause and what should I look for and or do to make sure that it isn't just discoloration ...
  A: His condition should not be connected with these discolored bowel movements. The stool should be ...
hello8/18/2006
  Q: i realize it would be ahrd to answer all of this but please help me as much as you can > i ...
  A: The medicines that you take would pose a risk to a healthy pregnancy. I don’t see how you could stop ...
Breast Pain Follow Up8/14/2006
  Q: Mr. Cusumano, I wrote to you yesterday about having severe breast pain when I get cold or even a ...
  A: Angina is essentially “heart pain” caused by lack of oxygen to the heart. The cold exposure that ...
Should I Be Concerned?8/13/2006
  Q: Actually, when this happens, if I push on the bone right between the breasts it is tender.Hi Mr. ...
  A: Given the informtion provided, this sounds like Costochondritis. There is no known cause and no ...
follow-up question8/12/2006
  Q: So, there are no health issues to worry about, even with the wounds and being a diabetic? My son ...
  A: There isn't any risk based on his diabetes. However it isn't goood to repeatedly injure tissue for ...
no subject8/12/2006
  Q: I did not get your response this afternoon. I would appreciate any advice you might be able to give ...
  A: I'm glad we cleared this up. I agree with everything you said. I also agree that this is clearly ...
Pottie Traning8/11/2006
  Q: My son is turning 3 soon and we have been trying to pottie train him.He does not poop in his diapers ...
  A: You'll need to wake him up through the night (twice is usually enough) to go to the bathroom. He'll ...
Bladder Infection?8/9/2006
  Q: I few months ago due to sexual and pelvic issues I was told that I might have PBS (Painful Bladder ...
  A: Bladder infections should be treated for many reasons. Yogurt will not prevent bladder infections. ...
hemmorids8/8/2006
  Q: is there anything i can do to bring the swollen of the hemmoried down?Also my wife noticed two white ...
  A: The most effective treatments are warm sitz baths, hemorrhoidal cream an suppositories an keeping ...
h8/6/2006
  Q: i am a 24 y.o female who was told that i am rh negative what r the implicashuns of this? i ahd one ...
  A: I understand your concern, but I believe a Gynecologist is best suited to answer this in detail. ...
mouth ulcers8/6/2006
  Q: Charles: I take ibuprophen for varoius complaints and if i take it for more than a few days, i ...
  A: Ibuprofen can cause mouth ulcers because of it's Prostiglandin activity. It doesn't happen routinely ...
eye strain?8/4/2006
  Q: eHello. I am primarily a stay-at-home mom and live in the Dallas area. In the last 24 hours I have ...
  A: I suppose that residual from a viral syndrome might be to blame. There are Also a whole host of ...
low iron8/3/2006
  Q: ok i went to the doctor because i have an iron problem i cant seem to get enough i have tried al ...
  A: Unfortunately there is no way to tell how low your Iron is without blood tests. Why is your Iron low ...
medical school8/1/2006
  Q: 1. HOw many years of med school are there for a regualar specialist, in ...
  A: #1: Four yars of med school and a residency is 3-4 years depending on the specialties. There are ...
Arthritis?7/31/2006
  Q: I have been having trouble with my knees, one knee is much worse than the other. It started to pop ...
  A: Arthritis just doesn’t “come on” as your husband puts it. It is years in the making but the symptoms ...
Fungal Infection7/28/2006
  Q: I sent in a question earlier and it was answered by an expert that is now on vacation. The question ...
  A: I am concerned about all these fungal infecions that you have. Have you been examined for diabetes? ...
hair loss7/27/2006
  Q: I have been experiencing hair loss... i am 21 years old. this just started about 1-2 weeks ago.. ...
  A: Hairloss can come from vitamin deficiency, thyroid disease and stress to name the more comon causes. ...
low sodium7/26/2006
  Q: I asked what a male could eat or drink to help bring up sodium. The answer I received was a pinch ...
  A: A low sodium is not normal unless you are taking medicines or have a medical condition that causes ...
Leg Pain -- Chronic Vicodin and ETOH user7/19/2006
  Q: My dad has had leg pain and has started taking vicodin 10 mg for it after a cox II inhibitor did not ...
  A: Both alcohol and narcotics act on the brain and alter brain chemicals.Alcohol causes brain cell ...
chelation - lymphoedema7/10/2006
  Q: I have been told it is best not to use this arm but I do not know why. Could you help me with this? ...
  A: The reason it is inadvisable is that once lymph nodes are removed, out flow of lymph is compromised. ...
Vaginal Discomfort7/8/2006
  Q: For the past three weeks I have had internal vaginal irritation and discomfort. There is no ...
  A: This could just be vaginal dryness lack of sufficient estrogen or what is called bacterial vaginosis ...
chest pain?7/8/2006
  Q: sir my husband has chest pain described as under with full details age: 47 height 5.7 weight 96 kg ...
  A: Chest pain that stays for only a few SECONDS is not heart related. It would be hard to say what it ...
sleeping meds7/3/2006
  Q: I am a 53 year old woman that has had difficulty sleeping since the start of menopause at the age of ...
  A: I apologize for the late response. It's been a very busy holiday week end. They are OK. Just be ...
peritonitisand pacreatitis6/30/2006
  Q: on 4-25-06 I had my gallbladder removed. The surgeon neglected to clamp the valve to my liver, ...
  A: I apologize for the late response. It's been a very busy holiday week end. Pancreatitis is an ...
Steps to becoming a P.A6/27/2006
  Q: I am very interested in becoming a Physician assistant. Heres the thing. Im 29 with not alot of ...
  A: MOST PA programs require college before entry. As a rule 2 years of college and two years of a PA ...
High platlet and LDL count6/26/2006
  Q: Im a 23 years old male, im 179cm height, 85kg weight,bmi 26.i got history of having kidney stone and ...
  A: Panerai, These two are not related. The LDL is minimally elevated and just nees soem fine tuning ...
eye problems6/24/2006
  Q: Can getting heavily fragranced body soap in your eye, then rinsing well..Can further eye ...
  A: Hi Nick. Rest reasurred that ALL the things that you HEARD are false. The only complication of ...
Swollen and irritated taste buds6/23/2006
  Q: I have very swollen tast buds on the the tip of my tongue and they hurt very bad. What can I do to ...
  A: These little painful lesions are common in people with gastic problems. They can be caused by excess ...
BMI?6/16/2006
  Q: I am confused. I keep my height, etc. into the computer on those BMI calculators, and I get a high ...
  A: In order to render an opinion, I would need your height and weight. As for the weight gain after ...
Smelly Burps6/9/2006
  Q: My 11 year old daughter has been suffering from the "smelly" sulfur burps for the last few years. ...
  A: Oddly enough she may have a chronic sinus infection that could account for this. Another ...
Back Problems6/9/2006
  Q: I'm not sure how familiar you are with back injuries, but I thought you may provide an objective ...
  A: If you can avoid surgery, you should. The more surgery you have the more chance of increase in scar ...
Conflicting fertility information6/9/2006
  Q: Figuring out my fertility window involves math, so I'm confused. When I look at online ovulation ...
  A: You are fertile in the interim betwen periods; in essence 2 weeks out of four. You need to take ...
Shoulder Pain and Aerobic Exercise6/6/2006
  Q: I have calcified tendonitis in my right shoulder and have had it for years. It flares up now and ...
  A: This is a "good news-bad news" type of answer. Calcific tendonitis doesn't go away by itself. It can ...
scans safe?6/6/2006
  Q: Are the scans that test for brain injury safe for the brain? Is there any risks as far as the scans ...
  A: A brain scan (I assume you mean CAT Scan) are safe. Like any of these tests there is radiation in ...
Irregular Period5/24/2006
  Q: My period has always been regular, 28-31 days, every month. That is, until I got to law school. I ...
  A: All things being equal, my guess is that your irregular menses is due to stress. The fact that it ...
Too Much Vitamin C...5/19/2006
  Q: . Well I normally take about 1000 mg of vitamin c. I just started coming down with a cold a few days ...
  A: Excess doses of Vitamin C and any other vitamin, is not a good idea. I doubt that the frequent ...
c-reactive protien5/17/2006
  Q: I'm a 53 year old female.I recently had some bloodwork done at a local health fair.It was a general ...
  A: A C-Reactive Protien is a marker for inflammation somewhere in your system. If it was a cardiac ...
Bladder Infection5/15/2006
  Q: I have experienced a very strong odor in my urine for the last 3 months. I have experienced no ...
  A: This may represent a problem with bladder function since your hysterectomy. It is possible that you ...
URGENT:Swollen bloody lip after being boxed5/13/2006
  Q: Last night (12hrs ago) my brother boxed me in the face. When I put my handto my mouth, it was ...
  A: I apologize for the tardiness of my response. I've been out of town for three days. It sounds like ...
Post Menopausal Bleeding5/11/2006
  Q: 14 years ago (at age 34) I was diagnosed with a combination of Hashimoto's Thyroiditis and SubAcute ...
  A: I apologize for the tardiness of my response. I've been out of town for three days. It's OK to wait, ...
antibacterial gels harmful to you?5/9/2006
  Q: I hope I'm finding you in the best of health. I saw places like Crabtree&Evelyn sell antibacterial ...
  A: This probably relates to the toxicity of the chemical that kills bacteria. Soemtimes it is only ...
blood work results5/9/2006
  Q: I am a 26 year old female. I just got my blood work back and everything is normal except for my ...
  A: First, I always recommend you go over the labs with the health care provider who ordered them. A low ...
scaped elbow on a 7 year old5/8/2006
  Q: I 7 year old fell down on the concrete while playing and scaped her elbow las Wednesday. It's ...
  A: NEVER use Neosporin for anything, in fact throw it away. Just keeping it clean with soap and water ...
Allergies? But how?5/1/2006
  Q: I have year-round allergies; I have tried to isolate the cause with no success. I have read that ...
  A: There are more causes to allergy symptoms than you mention. Allergies can be notoriously hard to ...
Question about an incident..4/24/2006
  Q: I had a question about something that happened to me my first time swimming this year. I was ...
  A: Techincally, anything that causes trauma to the brain from whatever cause and causes a neurologic ...
Question about an incident..4/23/2006
  Q: I had a question about something that happened to me my first time swimming this year. I was ...
  A: That might have caused the dizziness. Jolts to the head can occur with sudden sharp movements. The ...
Fosamax Side Effect4/21/2006
  Q: I have taken Fosamax for 5 years for osteopenia and have just learned of a side effect of the drug ...
  A: There is an alternative to Fosamax called Evista. It will help in bone health. Although not quite as ...
excessive sleepiness4/19/2006
  Q: Good Morning, just me again... I would definately think he is diabetic from his symptoms, as I have ...
  A: He obviously has a complex medical history. I think if you want to check his sugar, you should do it ...
excessive sleepiness4/19/2006
  Q: Good Morning, I have a question reguarding my husband. Every time he eats a meal, he needs to take a ...
  A: If the sleepiness is that pronounced right after eating, I would dispute the negative diabetes ...
Electricution4/9/2006
  Q: I have a question for you..can you tell me about electrical injuries..if you are aware if a radio ...
  A: A radio antenna will not shock you. As for low grade exposure to electrical current, if done over a ...
flush feeling4/6/2006
  Q: What could cause hot flashes besides menopause. It's been happening more often now. Any time ...
  A: Hot flashes can be caused by a number of things besides estrogen deficiency. Have you tried estrogen ...
is there any operation to...4/5/2006
  Q: is there any operation to overcome the effects of aging on the cremaster msucle , so that it will ...
  A: The cremasteric muscle does not get very slack with aging. There is no operation for that. And ...
the skull and weight atop of it4/4/2006
  Q: If a large amount of weight is placed on the skull..does the skull have enough firmness to ...
  A: The skull is very strong and can support a lot of weight. I can not give you exact numbers but I am ...
muscle stifness3/27/2006
  Q: I am 63 years old. I have a problem with muscle stifness. I do stretching exercises every day, but ...
  A: Muscle stiffness can be caused by many different things. At your age i would look to athritic ...
Knee problems3/25/2006
  Q: .. I have a question about my left knee. Here's a little history as it might help. I am 25 and ...
  A: Well that was a very descriptive history and much appreciated. It sounds on the face of it, that you ...
cubital carpal subluxation3/16/2006
  Q: i would appreciate if you could please comment on my injury and treatment proposed by my Doctor. ...
  A: This sounds like a Triangular Fibro Cartilege Complex tear. This can leand to pain and dysfunction ...
lung cancer3/7/2006
  Q: Dana Reeve (wife of Christopher Reeve) recently died of lung cancer at the age of 44. She said that ...
  A: This is a tragic story to be sure. Lung cancer commonly comes from an irritant of some kind (Smoke, ...
i was anally and vaginally...3/2/2006
  Q: i was anally and vaginally raped (sodomized) and wanna know if there is any imaging that can prove ...
  A: There is no known imaging technique to show or confirm these attacks. The only way to confirm an ...
9 year old2/26/2006
  Q: my grandaughter is 9. For the past 6 months her symptoms are hives,headaches,sore throat,joint pains ...
  A: These symptoms sound like possibly a rheumatoid or connective tissue disease. I would take her to a ...
Vaginal Discharge2/25/2006
  Q: I am on birth control pills, been with my husband 12 years we are both faithful. I am 27 years old, ...
  A: It probably is sloughing mucosal membrane. If intercourse is painful, as in irritation, then I would ...
Questions about antidepressants2/22/2006
  Q: I have a couple of questions about antidepressants if you can help me. I started taking a low dose ...
  A: I'm a little surprised that such a small amount of Lexapro after such a short time, has made any ...
Intestinal Pain2/17/2006
  Q: ------------------------- Followup To d requested a colonoscopy but my family Dr. said there was no ...
  A: No need to apologize. I understand your fear and long term antibiotic treatment can cause C Diff ...
Intestinal Pain2/16/2006
  Q: I have some questions regarding constant abdominal pain that has been going on about 3 months now. ...
  A: How did you get the C Diff? Flagyl is the treatment of choice for this and it can take up to 10-14 ...
quick sickness2/15/2006
  Q: I am hoping you can shed some light on this situation: Sunday I had a mild headache all day. It ...
  A: I suppose any of the things that you were thinking of might have been the cause. Was the shaking ...
CARPAL TUNNEL SURGERY2/13/2006
  Q: I have had carpal tunnel surgery on December 1, I did not have the traditional open surgery, but one ...
  A: I think that you should tell him that your symptoms have recurred. It sounds like you had the ...
Lightheaded2/11/2006
  Q: What could be causing me to feel lightheaded and dizzy in the morning. When I am standing at the ...
  A: Lightheadedness can have a myriad of causes. A few causes can be dehydration, heart rhythm ...
Echo question1/24/2006
  Q: I have a question about my last three echo tests. Do you know if these numbers are normal? Has the ...
  A: Although I would defer to a cardiologist for the specifics, the Left Atrium appears to be getting ...
carpal tunnel/follow up1/20/2006
  Q: Just a follow up on your recomendation for cortisone shots. 1. is it a waste of time to persue ...
  A: Orthopaedic physicians can give these shots. Physical therapy is OK to try, but rarely helpful. The ...
one more major symptom1/18/2006
  Q: I apologize, but there is one more major thing happening with my husand. In the last 4-6 weeks, he ...
  A: Don't apologize. Weight loss is a VERY significant issue. Again, not having the benefit of talkig to ...
odd symptoms1/18/2006
  Q: Good Morning, My name is Susan and I have very strong concerns about my husband. I am not sure what ...
  A: These are valid concerns. There are unfortunnately a host of medical problems that can show these ...
Inguinal Hernia1/13/2006
  Q: 3 years ago, I had laparascopic surgery to repair an inguinal hernia on the right side. All is ...
  A: It's a little far along to have that sort of sensation when coughing. I assume that there are no ...
antidepressants for sleep1/12/2006
  Q: Followup To Question - Hi again. As Ive mentioned to you before, I have been having a lot of sleep ...
  A: Unfortunately all antidepressants have side effects, some worse than others. You'll have to see how ...
antidepressants for sleep1/12/2006
  Q: As Ive mentioned to you before, I have been having a lot of sleep problems. I have a doctors ...
  A: Each antidepressant can have a different effect on slep habits. For one, Prozac can interrupt sleep ...
potassium supplements1/10/2006
  Q: I emailed before and mentioned that I have been having muscle twitches. Yesterday I drank 1 liter of ...
  A: Be careful with taking too much Potassium. Too much can cause heart rhythm irregularities. Under ...
Herpes1/9/2006
  Q: I just found out a roommate has herpes. Over the year we have shared a bathroom, towels, soap, ...
  A: I doubt it highly. Under any circumstances it isn't wise to share cleaning items for transmission of ...
hi1/8/2006
  Q: i am a 25 y.0. female i was once pregnant and the docotr siad i should return to my boyfirned ...
  A: I'm not really sure what you are asking in the first part of your email. Mostly because of the ...
GABA supplements1/8/2006
  Q: I have been looking at the supplement GABA. I would like to know more about it. I have a lot of ...
  A: Gabapentin and its derivitives are used mainly for seizure control. They are used off label for pain ...
Ongoing warm sensations in foot after surgery1/7/2006
  Q: Not sure if this is within your area of expertise, but here goes: Nine days ago, I had a vaginal ...
  A: This could just be sympathetic nerve discharge. The fact that it goes away in such a short time ...
Stomach Problems12/30/2005
  Q: I'm only fourteen but ever since I can remember I've had stomach problems. My stomach is quite ...
  A: The first thing I would do is ask to have an H. Pylori test to be done. This is a lab test that ...
homeopathic treatment12/29/2005
  Q: Would you consider homeopathic treatment to include chiropractic care? Or does it only related to ...
  A: For me, this is a loaded question. Homeopathic medicine is considered anything outside the realm of ...
high LDL12/28/2005
  Q: My cholesterol is 203, LDL is 144, HDL is 48, TRI. is 57, and sugar is 83. How do I lower the LDL? I ...
  A: You are dong everything that you are supposed to be doing and yet the LDL and Total Cholesterol ...
throat/clavicle pain12/28/2005
  Q: Three weeks ago I developed a severe sore throat, worse when swallowing. Strep was ruled out at ...
  A: There are a number of causes for sore throat. The connection to collar bone pain is interesting to ...
low iron12/18/2005
  Q: Charles, I was wondering if you know about how long it takes the body to replenish iron? I went to ...
  A: I would have this checked into. There are a number of parameters that measure Iron and a serum Iron ...
flu12/14/2005
  Q: I want to know the differences between cold & flu,and can every people get flu vaccinated?how much ...
  A: A "cold" is an upper respiratory infection caused be a rhinovirus. It is common and there is no ...
height and fatness12/13/2005
  Q: Hallow am in a terrible situation and mymain problem is that am short and of no much height. But as ...
  A: A person's height and weight are often decided by genetics. Diet palys a part in weight of course. ...
pemphigoid12/12/2005
  Q: My mum diagnosed with Pemphigoid at March 2003 and she is prescribed with prednisolone start from ...
  A: Unfortunately, prednisone is the only real treatment for Pemphigoid. The Prednisone can cause ...
COLONOSCOPY12/11/2005
  Q: Charles Hi, I am writing on behalf of an elderly parent. She is and was having problems with her ...
  A: There is always a possibility to taumatize the colon during a colonoscopy. Fortunately it is rare. ...
blood pressure12/9/2005
  Q: I want to understand how my medication works better. I was on Norvasc and just recently was ...
  A: There is no real evidence that calcium intake through normal diet has any effect on blood pressue. ...
question12/2/2005
  Q: I usually am on birth control and use condoms but the other day went with out. I had been off birth ...
  A: The chances of pregnancy occur in the 14 day window after your period ends. There is no "24 hour ...
brown recluse11/30/2005
  Q: should you apply heat to a brown recluse spider bite? my father was biten by one 1 week ago and ...
  A: The poison will not spread beyond the bite site. It's OK to use heat. Brown Recluse bites are nasty ...
Intervenous11/30/2005
  Q: Recently in the Hospital my IV was leaking, and caused my right arm to swell twice it's normal size. ...
  A: Well, if it WAS “sugar water (Dextrose and Normal Saline) it will do no harm at all. The body just ...
bulimia and damage done11/26/2005
  Q: About a year ago was the first time that I binged and purged by making myself throw up. For the ...
  A: Based on what you've told me, I seriously doubt that you've done any permanent metabolic damage. I ...
Birth Control Pills11/25/2005
  Q: . I am hoping you can help me. I have been taking ortho tricylin lo birth control pills for probably ...
  A: You can either wait until your period is over or start them now. If you start them now, your period ...
General question11/24/2005
  Q: Is there something which would cause black stool, back pain, and headaches? I have a history of ...
  A: Until proven otherwise, black stool can indicate gastrointestinal bleeding, In this case frm the ...
Diminished sense of taste and smell11/22/2005
  Q: I am 61 years old. I have lost my sense of smell and taste considrably following an episode of cold ...
  A: There are a host of reasons why taste and smell change. Considering that you've had this develope ...
I just recently had a lump...11/22/2005
  Q: I just recently had a lump removed from my left breast. They used I.V. sedation for the procedure. ...
  A: She did hit a nerve. Nerve trauma can take weeks to resolve as nerve tissue is the slowest of all ...
Anemia Blood test results11/17/2005
  Q: 18 months ago RNY Gastric Bypass 300lbs Currently 170lbs BP 100/60 Total Chol 125 I take b-12 ...
  A: Anemia can be from several reason. You can have normal ferritin and still be anemic. I see your ...
drug interaction11/15/2005
  Q: I'm currently taking Yasmin oral contraceptives (in order to stimulate a menstrual period after 2 ...
  A: Milk Thistle and Yasmin may have an interaction that could alter the contraceptive effect of the ...
tongue sensations11/9/2005
  Q: This may sound strange, but lately I have been getting strange sensation in my tongue. Its not ...
  A: Zoloft and it's cousins, can alter neurologic sensations. If you just started the drug, it will most ...
Question about Micronor11/4/2005
  Q: I was wondering what to do if someone does have vomiting or diarrhea-- if the pill loses ...
  A: As long as the pill has had a few hours to get absorbed, then there should be no problems. If they ...
Question about Micronor11/3/2005
  Q: I had a question about Ortho-Micronor (norethindrone). I have recently started on it and was reading ...
  A: All BCP's have the potential to cause nausea, vomiting and diarrhea. Not everyone will have these ...
abnormal EKG10/29/2005
  Q: I am a student in an EKG tech. class and we were over at the hospital running some EKG's the other ...
  A: High R waves can be normal in some people. The machine's reading defaults to an abnormal reading if ...
Long Time To Heal?10/19/2005
  Q: I'm 55 years young and a daily jogger. About 4 days ago, I tripped on a sidewalk and cut/skinned my ...
  A: You have pretty much hit the nail on the head. Cuts or scrapes on boney flexion areas always take ...
am i having piles(my previous mail has wrong mail id sorry and just ignore it)10/18/2005
  Q: can u please explain me a little bit.AS i will go to india by this year end it will be comforatbel ...
  A: Hemorrhoids are veins around the ano-rectal area. In some people they become swollen and can bleed. ...
arthritis10/18/2005
  Q: I am a 60 yr.old man. I am in good health except for hip pain on my right side. I had xrays and the ...
  A: Arthritis pain doesn't always show up as an Xray finding. It is possible to have synovitis of the ...
Belly fat10/13/2005
  Q: I am a 38yr old 5'6" female and I weigh between 135-140lbs. I have noticed that my abdomen has been ...
  A: I know of the commercial that touts a fat/cortisol connection. There is no basis in fact for this. ...
CT scan10/10/2005
  Q: Can you be more specific? I think Xray are measured in Roentgens. How many in a chest xray and how ...
  A: I can not be more specific as there are many variables to consider. This is less a medical question ...
question about metabolism10/8/2005
  Q: I am writing a report for my science class in High School. Junior. I am writing about metabolism, ...
  A: As you said Metabolism is a complicated subject. There are any number of reasons why metabolism ...
fasting blood sugar increase10/8/2005
  Q: I (male;age 66) recently told after glucone tolerance test result is type 2. After fasting result ...
  A: Your body produces its own sugar. In the AM hours it is elevated because of hormonal activity. ...
nephrolithiasis9/30/2005
  Q: I know that groin nodes drain the lower lymphatics, and they are generally larger than cervical or ...
  A: The only thing I can say to this is don't let your medical knowledge get in the way of your health. ...
nephrolithiasis9/29/2005
  Q: I have sought your input for different issues before, and again I am seeking your opinion. I am a ...
  A: Ofcourse, it would be best to evaluate the make up of the stone. As you are aware, dehydration is a ...
possible causes9/24/2005
  Q: I am having many s/s regarding my stomach and hoped you could help me with a possible causes. Daily ...
  A: These symptoms can be anything from Gall Bladder Disease, to ulcers, to IBS. Of course, there might ...
asking interview like questions9/21/2005
  Q: So if you could please answer as many as possible. I appreciate your time. 1. What are the reasons ...
  A: There is a small misunderstanding. I am a Physician Assistant, not a Physician. Unfortunately, this ...
Shingles9/20/2005
  Q: Yesterday, I was diagnosed with a mild case of the shingles and was wondering if its contagious? The ...
  A: The fluid in the blisters formed by shingles carries a herpes virus and can be contagious to anyone ...
Emphysema9/11/2005
  Q: Age 73,no hypertension, diagnosed with Emphysema 8 Years Ago.%Oxygen in blood 94. Still walk a mile ...
  A: Steroids provide a unique benefit to people with COPD. There is nothing that really substitutes for ...
IBS HELP9/9/2005
  Q: I am a 27 year old female, I have had IBS for about 10 years. Every once in a while I get it really ...
  A: I don't see the frequency of urination as tied to your IBS. You might have over active bladder as ...
snoring9/8/2005
  Q: First I want to say thank you for offering your time & concern to All Expert......my question ...
  A: I am not familiar with either of these "remedies". If hi snoring is that bad, then he needs a sleep ...
Heart murmur, Low blood pressure, fatigue8/31/2005
  Q: I am 24, female, 5'0" and about 35 lbs overweight. I have been complaining to my GP about fatigue ...
  A: Actually, your blood pressure and pulse go UP at night. Weight loss might help. Have you been ...
skin8/22/2005
  Q: My wife has a condition in which the skin of the bottom of her feet are very dry, abrisive and has ...
  A: Well, it is possible that it is a fungus. Dermatology questions are hard to evaluate in this forum ...
essays in med school8/14/2005
  Q: I hope I'm finding you in the best of health.I have one final question that will make up my decision ...
  A: Essay's are difficult. They usually want to get a feel for your thought processes more than anything ...
Doctor8/12/2005
  Q: I feel I am too old to continue going to my pediatrician. What is the name of the type of doctor i ...
  A: Pediatric patients should start to look for a Family Practitioner at age 13. You can look in the ...
Yellow Tongue8/7/2005
  Q: I keep getting this bright yellow coating on my tongue. It goes away if I scrub at it with a ...
  A: This is not anything unusual. Some people form coatings on their tongues and it is not a sign of any ...
external hemmorids8/6/2005
  Q: : I am prone to external hemmoroids, i am trying to correct the diet with more fiber yet have a ...
  A: You are doing just about everything you can. If you use fiber, take medicines 2 hours after or an ...
vicodin8/3/2005
  Q: My father in law has bladder cancer that is confined to the bladder. he is 75 years old. He will ...
  A: Providing he is in pain, then there is nothing wrong with taking that. He may very well become ...
Urine Tests7/29/2005
  Q: What are the "scores" in urine tests that would cause a doctor to suspect infection somewhere in the ...
  A: Leukocytes may be present in urine even when no infection is present. If they are, there are other ...
Vitamins-Minerals7/5/2005
  Q: Cusumano, I've learned where our soils have been depleted of minerals from wind, leaching, poor ...
  A: For the most part, vitamins and minerals should be taken in a natural rather than synthetic form. It ...
Genital Warts HPV7/2/2005
  Q: I think my roommate has Genital Warts, HPV. She had an abnormal pap due to this, no visible warts. ...
  A: Genital warts are spread by direct, intimate contact, What you describe is not a way to transmit the ...
Yeast Infection7/2/2005
  Q: I am 26 years old. After a recent dose of antibiotic I got a yeast infection. This normally ...
  A: Some yeast infections can be more serious than others after antibiotics. Burning can be mild to ...
My daughter's hand6/24/2005
  Q: Sorry- I guess I didn't explain it very well. The bumps are solid, and are red. If you run your hand ...
  A: Again, and this is through no fault of yours, Dermatologic description needs to be very specific. I ...
My daughter's hand6/23/2005
  Q: My 12 yr old daughter Anna has recently (in the past 2 weeks) gotten swollen fingers (about two ...
  A: Unfortunately, not being able to see her hands hampers my ability to suggest an answer. The "bumps" ...
Overactive Liver?6/18/2005
  Q: I have this problem that I hope you can help me with. I gave birth six years ago when I was 24 to a ...
  A: I know what your OB is talking about. It is called 'Palmar Erythema'. It is sometimes seen in people ...
muscles6/17/2005
  Q: For several years now I have been plagued with muscle spasms, mostly in the neck and lower back ...
  A: It sounds like you've only sought the help of alternative healthcare providers. This recurrence of ...
Rosacea5/30/2005
  Q: prescribed Differin Gel to be used only at night. Will this help my condition? I read it is for ...
  A: I would get a second opinion. This does not sound like Rosacea. The medicine you are taking is a ...
Rosacea5/29/2005
  Q: prescribed Differin Gel to be used only at night. Will this help my condition? I read it is for ...
  A: That wouldn't have been my first choice. I would try something like metronidazole first. Do you have ...
uninsured5/28/2005
  Q: I know of at least one person who is unemployed and uninsured. And with money being a scarce ...
  A: Unfortunately this sort of situation is becoming the norm rather than the exception. Each ...
Tired all the time5/25/2005
  Q: I'm 31 years old, a mother of 3 kids, married and am working on my career as a real estate agent. ...
  A: Overwhelming fatigue can be caused by many things. For instance, sleep disorders, diabetes, thyroid ...
HIV TEST5/23/2005
  Q: In January my Husband's 15 year old Daughter came to live with us. Knowing she has been sexually ...
  A: A single HIV test that is negative does not mean that she doesn't have the disease. In order to be ...
Botulism5/19/2005
  Q: how does Botulism effect the muscular system?
  A: Clostridium Botulinum is a bacteria found in poorly or improperly processed foods. It makes a toxic ...
Muscle Cramps?5/18/2005
  Q: Lately i have been getting a weird sensation in my joints, yesterday i got a really strong ache in ...
  A: It is possible that what you are experiencing is muscle ahes from straining during exercise. You ...
back pain5/12/2005
  Q: About a month ago, my airbags in my car deployed unexpectedly. Since then, I have had neck ...
  A: In that it was a month ago, it would be unlikely that the pain is related to the airbag. On the ...
Gallbladder surgery5/9/2005
  Q: I had my gallbladder taken out about 10 weeks ago. I had colon cancer surgery last year and, while ...
  A: Diarrhea is common after gallbladder surgery, but this has been going on too long and the weight ...
IBS with Constipation5/9/2005
  Q: I have IBS with constipation, I have never tried a laxative. I decided out of desperation to try ...
  A: IBS with constipation is a potentially serious problem and there are treatments to control the ...
sweating/cooling5/7/2005
  Q: I know this may not be your specific area, but I thought you might have a thought to share. My ...
  A: The first thing is never give him salt tablets. That will create more problems. He should drink ...
tonciles5/3/2005
  Q: I am not sure if you can answer my question, as of there is no ears, nose and throat specialist on ...
  A: This is not likely due to anything connected to your tonsills. Tonsillar tissue rarely grows back ...
Bloating4/26/2005
  Q: Cusumano My question is about abdominal bloating. I am a 37 yr old female who in the past few years ...
  A: First I think you have to distinguish between bloating and just having a full looking lower abdomen. ...
burn on 6 year old4/24/2005
  Q: How can you tell if its a 3rd degree burn?will this scar?hi there my daughter who is 6 burned her ...
  A: A third degree burn is a full thickness burn. It goes all the way through the entire skin thickness. ...
burn on 6 year old4/24/2005
  Q: my daughter who is 6 burned her lip(2nd degree) ona hot fork(it was under fire).The skin turned ...
  A: This might have been a third degree burn based on the description. I don't kow how many days it's ...
brittle nails4/7/2005
  Q: Rather a minor question to put to you but wonder if there are any dietary or vitamin supplements ...
  A: Brittle nails are commonly the result of vitamin deficiencies. A good multi-Vitamin is important for ...
swollen lip4/5/2005
  Q: I need your help! This has happened to me twice in the past week. All of a sudden my lower lip ...
  A: I'll assume that there is no burning, tingling or ulceration. This may be an inclusion cyst. These ...
Could such a thing be possible?4/3/2005
  Q: I'm wondering if this is just my imagination or could there be something real here: I donate blood ...
  A: The fertility issue is not related to blood donation. The Oarian function determines that aside from ...
Supplements to prevent leg cramps3/30/2005
  Q: I get many nocturnal leg cramps for no apparent reason. Since I don't think it's due to overactivity ...
  A: Leg cramps can have a number of causes. Electrolyte disturbances, dehydration, poor venous blood ...
Post Thrombotic Syndrome3/26/2005
  Q: Cusumano, I had a pulmonary embolism. Then, 8 months later, I had a DVT. I'm 55 years old. While in ...
  A: Unfortunately this will be a permanent condition. This is from damage to the vein's valves during ...
thoughts on whats wrong with my elbow?3/24/2005
  Q: In response to your questions, yes, it feels like the joint or something inside the joint, gripping ...
  A: This sounds like a condition called Cubital Tunnel. An EMG might not be the best study to do right ...
thoughts on whats wrong with my elbow?3/24/2005
  Q: I have elbow pain. It has been about 3 months now, with little or no improvement. My doctor has ...
  A: Does gripping hurt as well? Where exactly is the numbness you describe. By "inside" the elbow, I ...
cracked calloused thumb3/24/2005
  Q: my husband is 70. He has some bursitis but is otherwise healthy. No diabetes. he has a deep crack ...
  A: Oddly enough what works wonders is "crazy glue" or one of the like glues. I use it myself for this ...
abdominal pain3/22/2005
  Q: I have pain to my lower left abdomen that began about five days ago. The pain began in the middle ...
  A: This could be a couple of things. Not knowing any more about it than that, the first two things that ...
Cervical MRI3/20/2005
  Q: I am having constant headaches,arm weakness,tingling in both hands,ankles and legs ache and back is ...
  A: This report suggests significant thinning of the discs and arthritis of the cervical spine. The ...
The whole story, what do you think?3/10/2005
  Q: I am a bit paranoid about catching HIV, I am so paranoid that when my Husband's 15 year old Daughter ...
  A: It's good to be concerned about contracting AIDS. Paranoia may be taking it a little too far though. ...
Is there a drug I can take to delay my period3/9/2005
  Q: I have recently been fitted with an IUD called Mirena(levongestrel)as I have been suffering with ...
  A: I would not take any additional hormones with an IUD in place without first checking with the doctor ...
Vitamins???3/7/2005
  Q: I hope you are doing well today. I am 26 years old, live in Miami, and suffer pretty badly from ...
  A: Vitamins are a good idea regardless of other health issues. Vitamin B Complex is a more potent form ...
metabolism?3/3/2005
  Q: My husband is 70 When we eat a hearty meal I get hot but ocasionally he gets very cold to his core ...
  A: This could be a subtle sign of cardiac or peripheral vascular disease. The 'meal' shunts blood to ...
Bulging in the lower abdomen3/2/2005
  Q: I know I am not supposed to ask "symtom questions", but I was wandering if you could help. I am 27 ...
  A: This is a little difficult without the benefit of a face to face exam. Are you sure that this isn't ...
Any advice for gas?2/24/2005
  Q: I have IBS, lately I have been having bad gas, belching and pain in the right back when I breath, ...
  A: With the symptoms you are describing, this may be gall bladder disease. It might be a good idea to ...
Blood Clots2/21/2005
  Q: I have IBS which is really bothering me the last couple of days. The problem is constipation. I ...
  A: Blood clots are a risk with birth control pills, worse if you are a smoker. The symptoms of blood ...
low body temperature2/13/2005
  Q: I have body temperature of 96.8 according to my digitial thermometer. I have good energy overall. ...
  A: This temp. is not a concern. Body temperature varies throughout the day and is also dependent on ...
Neck2/2/2005
  Q: I had an exray of my neck and was told I have three narrowing discs in my neck. What does it mean ...
  A: Your symptoms of headache and arm tingling can be related to these narrow disc spaces. This is a ...
Dilated small intestine1/31/2005
  Q: X-rays of my small intestine, using Gastrograffen, have shown some dilated sections. I use enterral ...
  A: On the surface, this appears to be a complicated issue. You don't mention why you have the tube or ...
Frequent Urination1/30/2005
  Q: I have been to my dr. a couple times in the past few weeks for very frequent urination, being much ...
  A: With the information you provided, a Urology appointment is a good idea. I would stay away from ...
PA Medical legal expert need1/27/2005
  Q: I am a Legal Nurse Consultant out in Salt Lake City, Utah. I have a new case with a local attorney ...
  A: I have been certified as an expert witness in a criminal court in Colorado. I am however, not ...
What do you think?1/26/2005
  Q: I am wondering if people really need antibiotics for things like ear infections, sinus infections, ...
  A: Infections can be caused by virii, fungi and bacteria. Not all of these need be treated with ...
Childrens Immunizations1/26/2005
  Q: I am worried about the presevatives in immunizations such as mercury, aluminum etc accumulating in ...
  A: I am aware of this issue, however, it is anecdotal and no guidelines have been issued as yet to ...
Childrens Immunizations1/25/2005
  Q: I am worried about the presevatives in immunizations such as mercury, aluminum etc accumulating in ...
  A: It is the recommendation to prevent preventable disease. There are school systems that won't allow ...
Multi-viatims?1/19/2005
  Q: I'm 19 years old and male, i just started taking Centreum Performance multi-vitamins once a day this ...
  A: Unless you have an extremely poor diet or have some underlying illness, taking multi-vitamins are ...
TODDLER HEALTH1/17/2005
  Q: YOUR ANSWER MAKES PERFECT SENSE AND I WILL DEFINATELY TRY. I HAD PLANNED ON USING AN ANTIFUNGAL ...
  A: Actually, any of the "jock itch" powders or fungal foot powders are OK. You might find one that is ...
TODDLER HEALTH1/17/2005
  Q: THERE IS A MUSTY (MILDEW-LIKE) ODOR PRESENT WHEN I CHANGE MY 2 YEAR OLD DAUGHTER'S DIAPER. ...
  A: This sounds like a fungus, most likely candida albicans. It's best to bathe her daily and apply an ...
nasal sore1/16/2005
  Q: My husband has some sort of sore? inside his nose, it is right at the top inside, just where he ...
  A: Could be or more likely, he has a viral infection. The nose sore could be from nose blowing or ...
i am a family physician just...1/14/2005
  Q: i am a family physician just i gut my board and i want to have fellowship, so may be you can help me ...
  A: Wafe, To be honest, you would do well to consider Geriatric Medicine Fellowship. There are plenty of ...
intestinal bacteria1/4/2005
  Q: I am looking for some additional information on Klebsiella. I have been very ill the last year and ...
  A: Klebsiella is not an indigenous bacterium to the intestine, so this suprises me. It is most commonly ...
Coma after Anesthesia1/1/2005
  Q: -------------------------Dear Dr. Cusumano, I looked that deficiency up and the problem is they ...
  A: I'm afraid that this is way out of my area of expertise. I appreciate your frustration and concern ...
Coma after Anesthesia12/31/2004
  Q: Cusumano, I resintly had a minor surgery as an out patiant for a cyst removel on my groin. I ended ...
  A: This is indeed a very complicated case. It sounds like they did everything they had to, to bring you ...
flu12/30/2004
  Q: I am 26 years old and I am recovering from the flu. I received a flu vaccination 2 months ago and I ...
  A: The Flu vaccine helps prevent or lessen symptoms of only the most COMMON types of Flu. There are ...
Celebrex12/28/2004
  Q: I've been taking celebrex for 3 years to treat arthritis in my knees. 3 Months ago I had surgery to ...
  A: This is a dicey situation right now. All the bad press about these drugs has doctors running scared. ...
Blood Clot?12/26/2004
  Q: I am 26 year old female on Birth Control Pills. Because of the increased risk of blood clots ...
  A: Not really. Blood clots although serous are rare. Provided that you get a reasonable amount of ...
screening12/26/2004
  Q: A company called Life Line Screening, is coming to our town. They offer 3 screening (Stroke/carotid ...
  A: There is a divided opinion in the medical community about these sorts of things. The plus side is ...
Sore throat, etc..12/24/2004
  Q: Charles, First, happy holidays. My question(s) is this.. I developed a very sore throat and had ...
  A: I believe that you have a viral infection. Unfortunately, antibiotics are of no use. The soreness in ...
Hernia12/22/2004
  Q: Almost 1.5 years ago, I was diagnosed with a inguinal hernia in the right groin area. I had it a ...
  A: At a year and a half, I wouldn't expect you to have any problems associated with the initial repair. ...
Bruising and Blood Spots12/16/2004
  Q: I had a DVT (clot) in my right leg 2 years ago. I had a Greenfield Filter implanted. The MD ...
  A: I am a little concerned that you've chosen this path. Recent studies have shown that taking more ...
Verrtigo12/16/2004
  Q: My wife, 55, is on a critical assognment for work- she is a computer programmer. She has been ...
  A: Vertigo, as you describe, is most likely due to either a virus in the inner ear or a small calcium ...
why do i have swolen inside my mouth right cheek12/15/2004
  Q: DOC I HAVE SWOLEN INSIDE MY MOUTH LEFT CHECK IT GIVES ME HEADACHES, LASTNIGHT MY EYES WERE BURNING . ...
  A: This could be a few things. Unfortunately, your description is not very clear. A dental abscess or ...
A bit germ phobic?12/13/2004
  Q: I am a bit paranoid on germs. Recently we had a female guest in our house. She has been gone about ...
  A: My guess is that unless she "double dipped" you won't catch anything. Even if she did, it's very ...
Abnormal Bone Scan12/13/2004
  Q: Charles, Thankyou for the info. I do not have insurance or a family doctor. And, the ortho doc ...
  A: This is tough. I'm concerned that you had excessive uptake in your breast. I'm not sure why bone ...
Abnormal Bone Scan12/12/2004
  Q: I recently had a bone scan done for a "shoulder injury" and my doctor has only told me that there ...
  A: First, I would hope your family doctor is going to follow up this test with a Mammogram and plain ...
VAGINAL TASTE12/12/2004
  Q: ....! My name is PAUL.Am a 23 yr old boy wanting to know more about female sexuality.Let me tell ...
  A: There will always be an odor or taste to vaginal secretions. Obviously hygiene has a lot to do with ...
red patch on skin (please read below - different e-mail address)12/1/2004
  Q: I got an e-mail from you saying you have answered the question already but I mis-spelled my e-mail ...
  A: Sorry. I received your question but didn't realize the email affected the return. Dermatology ...
Heart11/26/2004
  Q: About 2-3 times per month, my heart has an irregular heart beat. It's sort of hard to describe, but ...
  A: If it happens occasionally and doesn't last but for a couple of beats, it probably isn't anything to ...
Colds & Flu in young children11/26/2004
  Q: My son said that it is important to expose his children, boy 2 1/2 and girl 13 months to colds and ...
  A: In a word, NO. There is no evidence to support that exposure to these viruses confers any immunity ...
Weakness in arms11/26/2004
  Q: My arms always feel weak like I went to a gym for a workout. If I am blow drying my hair after a ...
  A: The symptoms that you describe as it pertains to your arms can be from Carpal Tunnel Syndrome, ...
Not sure you can answer11/25/2004
  Q: I am wondering when a young person is brought to a hospital and dies, (age 36) if the hospital makes ...
  A: Hospitals do not check for contagious diseases as a rule unless the symptoms and testing shows a ...
Leg Cramp11/25/2004
  Q: In 2002, I suffered a DVT in my right leg. I was on coumadin for 3 months. When the DVT occurred, I ...
  A: The problem you are having is from damage to the veins in your leg. This is called "Post Phlebitic ...
Phlegm question11/23/2004
  Q: My name is Roberto and I'm 29 years old. I have suffered from phlegm in my throat since long time ...
  A: If this IS cystic Fibrosis, then yes, excess phlegm production is a problem. It is a little late in ...
tetnus shot11/23/2004
  Q: I am a 37 year old female. Five weeks ago I had a tetnus shot (it had been at least 10 years and ...
  A: The only thing that might have happened is that a nerve was hit during the injection. That could be ...
Possible?11/22/2004
  Q: we recently got my husband's 15 year old Daughter after her mother passed away. We were told by my ...
  A: Blood sugar can fluctuate with diet and activity. Eating properly can often times correct wide ...
ear drum and sinuses11/22/2004
  Q: About six years ago,i had a hole in my eardrum very painful.went to DR.gave me ear drops. went for ...
  A: Probably not from your ear. This sounds like Sinus infection with drainage. It might not be a bad ...
Chronic Back Problem11/18/2004
  Q: Charles; I'm so glad you're still here! We have a long driveway that is so steep it's quite ...
  A: You might have tried too much to quickly. Back pain that is worse in the morning or after a day of ...
Could it be Cancer?11/17/2004
  Q: I have had surgury on my ears, finger and neck for lumps (nodules) that grow in the tissue. No one ...
  A: The best thing I can say is that these should have been sent off for a tissue diagnosis at the time ...
noise in ear11/13/2004
  Q: For about7-8 days now I have had a crackling noise in my right ear. I will push on the ear from the ...
  A: This could be from a couple of things. One would be wax pushed back against the ear drum. The other ...
Sinus Infection11/13/2004
  Q: How do I get rid of a sinus infection without going to a doctor and getting on an antibiotic. I ...
  A: First, do you really have an infection. Facial pain, frontal headache, stuffiness and drainage ...
growth & development11/12/2004
  Q: I'm not sure if you will be able to answer my question but it's worth a shot. I am a male of almost ...
  A: When you turned 15, your long bone growth stopped. You will have negligible growth in your spine ...
what is a kissing spine? (Cervical)11/10/2004
  Q: What is a kissing spine (cervical)?
  A: I apologize for the lateness of my response. I've been ill for the past few days. I'm afraid that ...
pms symptoms?11/10/2004
  Q: I am 23 years old, 0 children, and my last period started on Oct.20. My last period was kind of ...
  A: I apologize for the lateness of my response. I've been ill for the past few days. I'll answer these ...
15 year old daughter11/9/2004
  Q: My daughter has severe joint pain. (hands, knees, elbows, wrists, ankles) A blood test show a ...
  A: This is most likely a swelling caused by swelling of the joint covering called the synovium. If it ...
weakness in arms11/8/2004
  Q: I am having a lot of weakness in my arms,hand. When I lift my arms up after a few seconds they feel ...
  A: You may have a number of things going on at the same time. The arm weakness can be from something ...
weights11/3/2004
  Q: I want to start a weight lifting regimine at home using free weights and I'm worried that it could ...
  A: Weight lifting will not lead to osteoarthritis. Those that you speak of have had joint trauma, but ...
Costocondritis11/2/2004
  Q: My daughter is 17 and she was diagnosed with costocondritis. She has had it for almost 2 years. ...
  A: Unfortunately there is no good treatment for Costochondritis. Her vomiting associate with this makes ...
smelly fart burps11/2/2004
  Q: I have been having the strangest thing happening, for the last 4 days, when I burp,it tastes like ...
  A: This is probably a result of stomach upset from something you ate, viral gastroenteritis or rarely, ...
arthritic thumbs11/2/2004
  Q: I am 65 years old and have arthritis at the base of both of my thumbs. I have been to a hand ...
  A: At this point, as you described it, surgery is a good choice. It isn't as much about pain relief as ...
Stroke?10/29/2004
  Q: I am a NON smoker. I do worry alot, my husband says that is alot of it. I have an appt. with a ...
  A: I apologize. I misread the email. You want to stay away from any stimulants such as sudafed and anti ...
Stroke?10/29/2004
  Q: I have a TMJ problem and sinus problem. Sometimes my face feels funny, my mouth feels tight and ...
  A: At age 26 your chances of stroke are unlikely. Of course, smoking and taking birth control pills ...
heart10/25/2004
  Q: I am 42, 5"3", 111 lbs and workout 2-3 times/week and have mitral valve prolapse. I am in excellent ...
  A: Yes you should. This fluttering can be an irregular rhythm and the fact that it keeps you from ...
Emphysema treatments10/24/2004
  Q: Used Vanceril Inhalers (beclomethasone) for several years (not available now). Presently using QVar ...
  A: You still should ask your doctor to look into Spiriva and Singulair. Thes two drugs, in my ...
Emphysema treatments10/24/2004
  Q: Used Vanceril Inhalers (beclomethasone) for several years (not available now). Presently using QVar ...
  A: Most steroid preparations have the potential to cause yeast infection despite rinsing. You can get a ...
alcohol related pain10/17/2004
  Q: I am a 23yr. old female in good shape. I try to take good care of myself and am rarely sick. Over ...
  A: If this happens ONLY after drinking alcohol, it may represent an alcohol induced myopathy. That is ...
Medical checkup for employment10/13/2004
  Q: I did a medical checkup yesterday for one company, which includes blood test and urine test. I ...
  A: Employers can't legally reject someone with an illness for employment unless the illness directly ...
Itching10/8/2004
  Q: Medically and biologically, why do we itch? More specifically, why does scratching make us feel ...
  A: Itching is a function of stimulation of the sensory portion of the skin for many different reasons. ...
fainting10/7/2004
  Q: is it possible to faint from loud music with pounding bass? this has happened to me three times in ...
  A: It's not likely. This will sound like an overly simplistic answer, but I'd avoid this sort of thing ...
Nodule in the palm10/6/2004
  Q: My daughter (17 years old) has a 'nodule' under he ring finger(right hand). it's the size of a small ...
  A: Well, it ISN'T a ligament. It more likely involves a tendon. Nodules on a tendon of the finger can ...
low blood pressure and low patassium level10/6/2004
  Q: how can a low patassium level harm you and how does that affect your blood pressure.
  A: Potassium is a vital electrolyte that aids in membrane function of muscle. The lack of or excess in ...
pain under my ribs10/4/2004
  Q: I recently developed this pain directly ubder my lef rib, it hurts when i breath,cough and laugh. it ...
  A: There are a couple of organs under your left ribs that can cause this pain. One is your Spleen and ...
Hello. A while back I found...10/3/2004
  Q: A while back I found under my tongue on the left side of the little piece of skin two little pimple ...
  A: I'd love to tell you something about this but it is very hard to diagnose or even suggest something ...
bone10/2/2004
  Q: Seven years ago I broke my right humorous bone in the middle. The x-ray showed a relatively clean ...
  A: At your age when the bone was broken, there should be signs that the bone was broken and has healed. ...
stomach problems9/29/2004
  Q: My girlfriend is having stomach problems lately. We are unsure whether it is a possibility it simply ...
  A: These symptoms are probably not related to her menstrual cramps. Strep throat is not the cause. ...
doctor9/26/2004
  Q: What's the name for the test that measures bone density to make sure a person is normal. If a male ...
  A: The exam of choice for checking bone density is a DEXA Scan. A male at age 38 should not have poor ...
severe pain in hands and feet9/22/2004
  Q: I am a nurse with 11 years experience. Over the past 2 years I have experienced intermittant pain ...
  A: First, It sounds irresponsible to make a charge of hysteria and drug seeking BEFORE a thorough ...
Question about husband's COPD9/18/2004
  Q: Cusumano, A few months ago, I wrote to you about my husband having been recently put on oxygen for ...
  A: Theophylline is probably the cause of his sleeplessness. He needs blood work to be sure that his ...
Body aches9/15/2004
  Q: I have been having body aches, I assume it is from the flu/or virus since my whole family has been ...
  A: Aching is normal with a viral illness but prolonged aching is not. If this continues to improve, it ...
viral gastric or???9/14/2004
  Q: For awhile now I have been suffering from a very windy tummy....just last week there has been a ...
  A: A virus can typically affect any number of organ systems. It may be that the GI portion has lasted ...
knee problem9/13/2004
  Q: I am 32 yrs old and go to the gym 3 times a week (although nothing too strenous mainly weight ...
  A: This may be something called "infra patellar tendinitis". I would just try heat (20 minutes every ...
Rabies9/12/2004
  Q: I have been hearing alot of things about rabies here latley. Someone in our town was bit by a rabid ...
  A: Rabies is rare. In order to get it, you have to be bitten. I would doubt that getting bitten by a ...
Perforated intestine and surgery9/5/2004
  Q: My brother had surgery six weeks ago for a perforated intestine. He has had three abcesses since ...
  A: This could be a lot of things. It could be small abscesses that can't easily be seen by CT; chronic ...
what does a shift (left, etc.)...9/3/2004
  Q: what does a shift (left, etc.) in white count mean? I think you look at the segs, is that correct?
  A: This is an old term to describe immature white blood cells that are liberated by infection response. ...
injury to upper arm9/2/2004
  Q: I have an injury involving my shoulder and upper arm.I had an accident on my trail bike a year ago. ...
  A: I am a little surprised that nothing was done for your Rotator Cuff at the time if it was ...
Tiny Lip bumps/blotchiness9/1/2004
  Q: I am not sure I understand. These bumps on my lips that come and go as very very often as they do ...
  A: It is difficult to give an accurate diagnosis not being able to see them. Your description is good ...
mouth cancer8/31/2004
  Q: I appreciate your prompt response. The type of cancer is squamous cell carcinoma, inside the left ...
  A: Squamous Cell Cancer can be an aggressive cancer. One can only hope that all the cancer was removed. ...
mouth cancer8/30/2004
  Q: A friend had surgery for mouth cancer(buccal mucosa, inside left cheek) and will be going for ...
  A: A lot depends on the type of cancer, it's exact location and the aggressiveness of the cell type. A ...
Tiny Lip bumps/blotchiness8/28/2004
  Q: I have had these tiny lip bumps and/or blotchiness for about 9 months. I can have them off and on ...
  A: These sound like herpes simp0lex eruptions. They can cause cold sores or as in your case, just bumps ...
infection8/26/2004
  Q: Bruned top of right foot about a month ago. Saw a Dermatologist a week and a half ago. Told me ...
  A: After a month, infection is not at all likely. The color can change for an indefinite period after a ...
Effexor xr8/25/2004
  Q: If doctors don't understand how effexor xr works then how do they know it works,& does this imply a ...
  A: Doctors tell you that they don't know HOW it works but it is more like they don't know WHY it works. ...
3 months low grade fever8/15/2004
  Q: My fever ranges from 99 to 100 in the evenings only. I have no other symptoms. I donot know when the ...
  A: That is called a low grade fever. Often it means nothing as fever normally goes up in the afternoon. ...
hurt wrist8/10/2004
  Q: i have hurt my wrist and i really don't even know how i did it. its been hurting for about a month ...
  A: It's hard to say what you could have done as you don't remember anything particular. Wrist injuries ...
Pains8/9/2004
  Q: For about a month or so I get a pain on my left side right where I feel my heartbeat. It is right ...
  A: One breast is always larger than the other. If you feel however that this breast is larger than it ...
numbness in left hand8/5/2004
  Q: Let me start by saying I am left handed, just in case it would have anything to do with it. About a ...
  A: This sounds like Carpal Tunnel. It is not uncommon for pregnancy to worsen Carpal Tunnel due to ...
Nose7/30/2004
  Q: If this situation could cause a preforation on the septum, do you know how long it would take? And ...
  A: It's hard to predict a time. The reason it is doing what it is, is that each time it losses the ...
Stomach Pains7/29/2004
  Q: ------------------------- Followup Answer to your questions-I have lost weight by choice. I have ...
  A: Based on the location of the pain, I think there are a few options to consider. Ulcer disease, ...
throat stuff7/26/2004
  Q: I don't know whether you knew this or not but what is this thing that is yellow in color, ...
  A: If you are talking about the little white/yellow spots on the back of the throat that sit where the ...
cholesterol test7/24/2004
  Q: With regard to taking a full lipid blood cholesterol test, where a person has to fast for 12 hours ...
  A: Taking these test one hour after eating will artificially raise the levels of Cholesterol and ...
vomiting7/23/2004
  Q: my eight year old son has vomited after meals three times in the past l0 days. he shows no other ...
  A: This is hard to say, Jill. Is there any stress in his life? I assume no abdominal pain, correct? No ...
knee pain7/23/2004
  Q: I have a question about my knees I'm hoping you could give me some insight on. For the last 9 ...
  A: You have what sounds like Patello-Femoral dysfunction. This is a problem with patellar tracking on ...
Swelling, painful, tingling, spotted hands7/22/2004
  Q: It has been well over 24 hours and the problem with my hands is still present and starting to get ...
  A: I do not believe that this is due to high blood pressure. In as much as this is still bothering you, ...
Swelling, painful, tingling, spotted hands7/21/2004
  Q: I woke up at 1:30am because my hands were hurting. Like the skin was being stretched. I went to the ...
  A: This might have been just the way you were sleeping. The blood supply might have been cut of causing ...
COPD and Lung Calcifications7/19/2004
  Q: One more question and I promise to quit, could these calcifications be from exposure to asbestos or ...
  A: The only way to tell if this is due to asbestos or silicosis is to biopsy the lung. There is no ...
COPD and Lung Calcifications7/18/2004
  Q: First, my husband is still trying to work and he works outside in the southern heat and humidity, ...
  A: He really needs to stay away from humidity if at all possible. He also needs to limit his exposure ...
COPD and Lung Calcifications7/16/2004
  Q: My husband was diagnosed several years ago with COPD, but recently it has gotten much worse, even ...
  A: Calcifications are due to scarring of the lungs from the COPD. He should be on a multi drug regimen ...
What does the splien do?7/15/2004
  Q: I am 19 and was recently in an accident with a 1200 pound steer and broke two of my ribs. One of ...
  A: Well, a human DOES need a spleen. It's main function is to destroy "old" red blood cells every 90 ...
pain in thumb joints7/13/2004
  Q: i am a 20 years old female who works at a supermarket doing various jobs. about a week ago my right ...
  A: Do your fingers snap when bending them or does the joint refuse to bend all the way like it is being ...
RBC-trace of blood in urine7/12/2004
  Q: I am 22, female, 3 months pregnant with my second child. During a routine urinalysis with my OB ...
  A: There are times when answering a question is not appropriate. To name all of the causes for blood in ...
Thrush7/11/2004
  Q: I am very nervous because while researching on the net it says that AIDS is a big cause of Thrush. ...
  A: I don't see the need for an AID's test if all you say is true. AID's doesn't CAUSE thrush, it allows ...
Do you know what the principle...7/9/2004
  Q: Do you know what the principle of Occams Razor is? How is this used in making a medical diagnosis. ...
  A: Ockham's Razor is a simple theory that supposes that the simplest answer is the correct one. In ...
Pierced ear problem?7/8/2004
  Q: My 8-year-old daughter has had her ears pierced for about 7 years now. She has rarely had any ...
  A: This sounds like an infection or a reaction to the metal. The 'lumps' are scar tissue. You are doing ...
Drs. and diseases7/8/2004
  Q: I am just curious if diseases are ever caught from things done at the Drs. office? I am wondering ...
  A: Of course you would rightly think it is possible to catch a disease at a doctors office. Oddly ...
Sinus Infection7/2/2004
  Q: Are antibiotics always needed for a sinus infection? Symptoms: Sinus pain and pressure. Clear ...
  A: Not always. A problem with sinuses is referred to by patients as an 'infection' when all they are ...
Worried7/1/2004
  Q: I have been having troubles with sinus infections and allergies, this morning I woke up with a ...
  A: I would agree with your husband. Meningitis is a very serious disease and is manifested by other ...
diabetes testing6/30/2004
  Q: My husband was diagnosed with diabetes by our regular doctor and is being treated. The VA would like ...
  A: Good question. Usually a diagnosis of diabetes is made by doing a fasting blood sugar. The elevation ...
swollen ankles6/29/2004
  Q: I have swollen ankles, pain in both legs and broken capillaries (black/purple spots), mostly ...
  A: This may be just a result of poor venous circulation. You said that the labs were normal but without ...
medicine6/27/2004
  Q: What is a headache,and how does medicine releive the pain.Thank you.
  A: Headaches come in many forms and many causes. Treatments are aimed at the cause and not all ...
alcohol reaction6/21/2004
  Q: I am turning to you as I have not been able to receive answers to this problem. Any information you ...
  A: The use of orange and pineapple juice might have been the cause. Both of those are very high in ...
alcohol reaction6/21/2004
  Q: I am turning to you as I have not been able to receive answers to this problem. Any information you ...
  A: This very well could be a reaction to the alcohol itself or a component of the drink (what was it ...
skin/muscle6/15/2004
  Q: I have a reaccurring problem. I have a traveling muscle/skin pain. it takes about a week to run its ...
  A: This sort of pain may be an indicator of a systemic problem. I would highly encourage you to see ...
Swollen Ankle6/13/2004
  Q: 2 years ago, I got a DVT in my right leg. I had a Greenfield Filter installed. At that time, I was ...
  A: What you have is "Post Phlebitic Syndrome". This not uncommon in persons with a history of DVT. You ...
broken pinkie toe6/7/2004
  Q: I broke my pinkie toe this weekend (tripping over my shoes!) I went to the doctor and they X-rayed ...
  A: Unfortunately there isn't much to do for a broken toe. Icing is a good idea for the first 48 hours. ...
creatine6/7/2004
  Q: i took approx as much as a pop can all in total. i also worked out a lot before and after i took it. ...
  A: The creatine in your body is long gone by now. It was metabolized and either used or excreted ...
Chiropractors6/5/2004
  Q: I was not feeling bad or anything but it was free and my husband wanted to stop. He did this thing ...
  A: Let's see, my take on chiropractors---much like mosquitos and flys--useless except for a meal for ...
Pain medication5/30/2004
  Q: Charles, I am curious if you know the answer to my question. It seems my mother and I are both ...
  A: Some people metabolize drugs faster than others. When this happens the therapeutic effects are ...
Hello, Mr. Cusumano, I've...5/27/2004
  Q: Mr. Cusumano, I've been having a little trouble with this e-mail address. (JHarville71@aol.com) ...
  A: If it is any consolation at all, you are going through the grieving process. These are normal ...
Eye Twitch5/26/2004
  Q: Good Afternoon! I have a question regarding a twitch that I have in my eyes. A small twitch towards ...
  A: Fortunately you won't have to use your insurance. This is a sign of fatigue. You don't have to be ...
Pain & fever5/26/2004
  Q: -------------------------Mr. Cusumano, I'm very sorry to hear that your cancer has returned. ...
  A: I appreciate your kind words and your good thoughts. I can't tell you how I've been worrying about ...
ovarian cysts5/26/2004
  Q: I am just writing concerning an ovarian cyst problem that I have been dealing with for a year or so. ...
  A: I don't think that the light-headedness is connected with your menstrual problems. It may be that ...
Pain & fever5/25/2004
  Q: -------------------------Mr. Cusumano, Well, I went to my 2:00 appointment. I'm so scared now, I'm ...
  A: This is what I was concerned you might have when you gave me your symptoms. It is completely normal ...
tetanus shots5/25/2004
  Q: A couple questions about tetanus shots: 1. Are there any side effects? (other than the painful ...
  A: Tetanus is rare and the reason is the inoculation. The side effects are generally mild and if you ...
Pain & fever5/24/2004
  Q: ------------------------- Well, the thing is, I don't know my primary care physician. I've never ...
  A: I appreciate your unease about seeing a doctor with which you are unfamiliar, but I really think ...
Pain & fever5/24/2004
  Q: I am 33 years old, happily married, with one child, a 15-month old little girl. I have had some ...
  A: I would suggest you see your healthcare provider as soon as you can. Left sided upper abdominal pain ...
I am a generally healty 67...5/23/2004
  Q: I am a generally healty 67 year old female. On a recent complete blood test printout, an item ...
  A: The ratio is an indicator that the kidney function is off a little. This may be only due to poor ...
kidneys5/20/2004
  Q: I am a 17 year old girl, and in a physical for the air force (I am joining ROTC next fall) I was ...
  A: The term you are referencing is Orthostatic not Osteopathic. I also believe you are referencing the ...
Gall bladder5/19/2004
  Q: I need gall bladder surgery. My test result was a 7.5. I need a gall bladder diet beside fruits ...
  A: I don't know what "My test result was a 7.5" is in reference to. As for a diet, stay away from foods ...
strep5/18/2004
  Q: A few weeks ago my girlfriend had a sore throat (strep had been going around the school so I thought ...
  A: It sounds like she had a viral infection and not Strep. The upset stomach might still be part of the ...
bumpy rash5/13/2004
  Q: last yr on vac i suddenly got a red itcy bumpy almost small blistes on my legs and arms but mainly ...
  A: Were you wearing a sun screen? This can cause a skin reaction when exposed to sunlight (that may ...
Itchy arms5/13/2004
  Q: My husband's arms get itchy in the warm weather. There is nothing on his arms that can be seen. ...
  A: Itching is a symptom of something (the list of potential cause is exhaustive). It is not a ...
Internal Hardware Removal5/12/2004
  Q: Three and a half years ago, I had a LisFranc Fracture-Dislocation on my left foot, followed by Open ...
  A: Depending on easy access to the screws, scar tissue formation over the screws and the potential for ...
Ear Pain5/12/2004
  Q: Mr. Cusumano My question relates to ear pain. The first time this happened was about a year ago. I ...
  A: Well, this sounds like a Eustachian Tube Dysfunction. During sleep, many people sleep with their ...
thongs5/11/2004
  Q: I tend to get quite a few yeast infections. I heard that it can be caused from wearing thong ...
  A: I really doubt that the thong is the cause unless the strap gets too far into the vaginal opening ...
Nose5/11/2004
  Q: I know cocaine is not the best thing for you, but just for the record, I've been doing cocaine since ...
  A: I would still have it looked into only because it's something new for you, regardless of the cause. ...
Nose5/10/2004
  Q: I'm a 37 year old, phyically fit, attractive female. I was wondering if there is a way to tell if ...
  A: Well, aside from my uncontrollable desire to tell you how bad a habit this is for you on so many ...
Three weeks ago I had my gall...5/7/2004
  Q: Three weeks ago I had my gall bladder removed. Today I still have a knawing pain in the center of my ...
  A: It is an inflammation of the esophagus from reflux disease. It is treatable but left untreated it ...
Questions about your job5/6/2004
  Q: My name is Bradley and I'm a sixth grade student at Valley Elementary in Iowa. I need to ask you a ...
  A: The best part of my job is being able to help people get well. The hardest part of my job is telling ...
Anesthesia5/5/2004
  Q: I'm a 31 y.o. healthy female & a Peds Hem/Onc RN. I'm having a breast augmentation 3-19-04 and a ...
  A: Of course there is always a risk to general anesthesia at any time, but there is really no increased ...
Folliculitis5/5/2004
  Q: I have a recurring problem with folliculitis infections on my armpits. I have been to the doctor a ...
  A: There is no good way to get rid of this. Shaving helps create the problem, sweating, use of ...
nose5/1/2004
  Q: I think my mom is ill, i dont know what is really wrong with her for the past couple of months she ...
  A: The "smell" if coming from her mouth or nose could indicate a stomach problem, sinus disease, tooth ...
infection5/1/2004
  Q: To continue along this line...Why does a doctor order ESR and C-reactive protein blood tests after ...
  A: The ESR and CRP are markers for infection/inflammation. They are non specific tests that only show a ...
running4/29/2004
  Q: I am writing for a friend who will not go to a doctor. She is almost 17 years old, 5 foot 10 or 11 ...
  A: As a 17 year old, she is the responsibility of her parents. They need to take her to a healthcare ...
Diagnosing infection4/28/2004
  Q: If a urine specimen shows the presence of nitrites and leukocytes, what is the next procedure for ...
  A: With this information, I would do a urine culture next. A blood test won't tell you anything. ...
running4/28/2004
  Q: I am writing for a friend who will not go to a doctor. She is almost 17 years old, 5 foot 10 or 11 ...
  A: First, I agree that she needs the advice of a medical professional. Her refusal to go to a doctor is ...
knee discomfort4/28/2004
  Q: A couple of years ago I started noticing both of my knees making noise everytime I went up or down ...
  A: This may be something called Chondromalacia Patella. It is a degenerative/inflammatory condition of ...
Ulcers4/22/2004
  Q: What I really want to know is I have had a bleeding ulcer and was treated. I have had rotator cuff ...
  A: The medication would NOT cause bleeding after being off of it a couple of years. In your situation ...
Why does my arm tingle after golf?4/21/2004
  Q: I recently retired and started playing golf almost daily. After I play, my arm tingles as though it ...
  A: Once again, I'll assume that by behind, you mean the area behind ( along the plane of) the elbow. ...
hyperhidrosis and peeling fingertips4/20/2004
  Q: I have had hyperhidrosis my entire life and for as far back as I can remember whenever there is a ...
  A: Hyperhidrosis currently has no known cure and treatment is often less than successful. If you ...
MRI/ Axilla nodes4/18/2004
  Q: Mr. Cusumano I wrote you awhile back concerning my wife having Lymphedema along with nerve damage. ...
  A: The Path report showing one dominant node doesn't mean that there weren't other smaller nodes. ...
Shaky hands4/17/2004
  Q: My friend was cutting down some thorn bushes with a very powerful and heavy "weed wacker" sort of ...
  A: Not likely. The shaking just represents muscle fatigue. As for the tingling, the vibrations can ...
surface pain in arm4/16/2004
  Q: i've been trying to find answers to this problem i've been having for a few days: my arm is very ...
  A: This could be a couple of things. The kind of pain you describe sounds like nerve pain. In this ...
safe heart rate for excercise4/16/2004
  Q: i'm just not sure what a safe heart rate would be. i'm very overweight. i weigh 240 and am 5'10. i ...
  A: It may just be that your heart is "out of shape" and is reacting accordingly. You don't give your ...
Being a PA4/11/2004
  Q: I have a question related to your career. I am currently in an Nurse Practitioner program, and I ...
  A: I have no regrets what-so-ever. I chose PA School as I was happy with the position I had in the ...
gout/ allopurinol4/5/2004
  Q: I have been taking hydochlorthiazide for hypertension and have frequent gout attacks. I am not on ...
  A: Your doctor's view is debatable. For anyone with a gout attack, the episode can be debilitating. To ...
Burning sensation in hands/urine4/2/2004
  Q: My 80 year old diabetic mother has had these symptons 3 times in the past couple years. She is given ...
  A: I'm not sure about the connection between the urinary burning and the hand burning. Burning of the ...
Overdosed on Depo from a FP4/1/2004
  Q: About 2 years ago, I began having serious problems. We were TTC, and could NOT get pregnant! So I ...
  A: I think that your bleeding issues come from the abrupt withdrawl from the hormone therapy. In view ...
Clinical studies4/1/2004
  Q: i recently talked to a college student who told me he pays some of his expenses by taking part in ...
  A: Yes, there should be some kind of monitoring device in place. More importantly, he should be turned ...
broken wrist3/31/2004
  Q: I broke a bone in my hand and wrist( left wrist, left side of wrist under the thumb) in Oct. at ...
  A: Navicular fractures can, in some cases, take up to a year to heal. In rare cases they can go on to a ...
Boils...... How do I go by dealing with one3/31/2004
  Q: I am 26 yearts old male. I have a boil half an inch abocve my belly button. About 2 weeks ago I had ...
  A: Are you by chance overweight such that the abdominal fold overlaps the belly button. Do you wear ...
broken wrist3/30/2004
  Q: I broke a bone in my hand and wrist( left wrist, left side of wrist under the thumb) in Oct. at ...
  A: Can you tell me the name of the broken bone? Was it by any chance the Navicular/Scaphoid? It would ...
tightness3/21/2004
  Q: What does is mean when there is a tight feeling in your chest as if you needed to stretch, can you ...
  A: You don't give your age or if you have any illnesses, so I'll assume that you're young and healthy. ...
Tetanus shot3/19/2004
  Q: I was just curious about how important getting a tenanus shot every 10 years is. I'm deathy afraid ...
  A: You should get one every ten years to keep your immunity current. Tetanus is fatal, so it is worth ...
Career as a PA3/19/2004
  Q: I have always thought that I would go to medical school. I will be graduating from college in May ...
  A: I've been a PA for 29 years and have no desire to become a doctor. I'm quite happy with my current ...
bp help for mom3/16/2004
  Q: Charles: My mom needs help getting her bp under control, she is on 10mg of norvasc and she is still ...
  A: She can safely take cardiac specific beta blockers with Norvasc. There are no known contradictory ...
birth control3/12/2004
  Q: I don't know if this is in your area or not but my wife recently went off the birth control pill. ...
  A: There are no fool-proof methods to prevent pregnancy except, you guessed it, celibacy. There are ...
Hair3/9/2004
  Q: .plse help. I had my hair straightened in dec. last year & since then it's been falling out!It's so ...
  A: I would doubt that any of these products are going to be helpful. Whether the problem is related to ...
Vision problems3/2/2004
  Q: and he said it was a classic migrane. Any thoughts? Thanks.My wife is experiencing some very ...
  A: I'm glad to hear that it was a Migraine (although I'm sure your wife wouldn't be glad, as it were). ...
facial hands feet swelling2/25/2004
  Q: Greetings, since my teens i have had troubles with swelling. The most severe is overnight- when I ...
  A: The T4 only looks at the stores of Thyroid hormone available for use. It doesn't tell if it is being ...
Hand and arm pain while sleeping....2/24/2004
  Q: For the last few nights when I sleep my arm and hand "goes to sleep". This is only on the right ...
  A: This can be either from compression of the blood vessels or nerves coming from the neck to the arm ...
Lymphedema/ lymph nodes2/23/2004
  Q: Mr. Cusumano, First off, I'd like to thank you very much for the response.I got a better ...
  A: The indentation is the empty space left over from removal of the lymphnodes and fat. That will ...
facial hands feet swelling2/22/2004
  Q: Greetings, since my teens i have had troubles with swelling. The most severe is overnight- when I ...
  A: I was going to ask you about your thyroid, but you already answered that question. Swelling can come ...
Lymphedema/ lymph nodes2/21/2004
  Q: Mr. Cusumano, Would a MRI show the lymph nodes in the axilla area? My wife had a cyst removed in ...
  A: I can understand your confusion about this. If she had a radical node removal from her axilla, she ...
pulmonary function test results2/19/2004
  Q: I recently had a pft done to determine if my respiratory system is affected by a neuromuscular ...
  A: What this is saying is that the lungs are restricted by your disease allowing only 60% of air ...
men's health2/14/2004
  Q: The need for men to get regular check ups and screenings and their reluctance to do so is well ...
  A: Well Steve, men are,well,men. They‘re brought up believing that admitting weakness is not consistent ...
aim hurts2/12/2004
  Q: i think i have a pinched nerve in my left arm. my thumb and index finger feel like they are asleep. ...
  A: Nerve pain is hard but not impossible to treat. Once a diagnosis is confirmed, there are a number of ...
My sister smokes2/8/2004
  Q: Hey, I don't know if you can help me on this subject, but it's really worth a try. I am Donna Piët, ...
  A: I'm sure that this is a very perplexing problem for you. Putting your loyalty to her against what ...

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Charles Cusumano, PA-C, DFAAPA

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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.

Organizations
AAPA, KAPA

Awards and Honors
Distinguished Fellow American Academy of Physician Assistants

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