Locations
Office
Fargo, ND
About
SpecialtiesDoctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
Internal Medicine
Languages spoken
English
Doctor Q&A
46 Answers
94 Agrees
The number of answers this doctor has agreed with.
A 35-year-old member asked:

Dr. Shelby Terstriepanswered
Internal Medicine 22 years experience
No: Typically you would see a geneticist who would determine the likelihood of having a gene abnormality and discuss what you and your family would do wit... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 27-year-old member asked:

Dr. Shelby Terstriepanswered
Internal Medicine 22 years experience
Metastatic cancer: Breast cancer can spread to the lungs, but we still consider it breast cancer (we call it metastatic then). Other than that i don't know of a link wi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.2k viewsReviewed >2 years ago
A 24-year-old member asked:

Dr. Shelby Terstriepanswered
Internal Medicine 22 years experience
Possible lymphedema: It is best to see your oncologist. Arm swelling most often is from lymphedema which can be evaluated and treated by a trained specialist. Other proble... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.4k viewsReviewed >2 years ago
A 41-year-old member asked:

Dr. Shelby Terstriepanswered
Internal Medicine 22 years experience
Multiple reasons: For many it is a personal decision, they may feel there body failed them and they don't "need them anymore". For those with a gene mutation that puts ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.4k viewsReviewed >2 years ago
A 45-year-old member asked:

Dr. Shelby Terstriepanswered
Internal Medicine 22 years experience
Detected late: It is often detected late because it doesn't cause symptoms in it's earliest stages. In addition, chemotherapy doesn't kill the cancer cells very effe... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.4k viewsReviewed >2 years ago
A 39-year-old member asked:

Dr. Shelby Terstriepanswered
Internal Medicine 22 years experience
No-opposite: Typically it means there is not as much fat. As we age and have less estrogen the breasts get fatty replaced which makes them not as dense and easier ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 26-year-old member asked:
Is it reasonable to have a mastectomy for early-stage breast cancer and not have chemo or radiation?

Dr. Shelby Terstriepanswered
Internal Medicine 22 years experience
Yes: It is reasonable but survival is equivalent with lumpectomy and radiation. A mastectomy would be recommended for inflammatory breast cancer, multiple ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.4k viewsReviewed >2 years ago
A 29-year-old member asked:

Dr. Shelby Terstriepanswered
Internal Medicine 22 years experience
Needs workup: Boy, it sounds like you've have a lot of issues that have come up. I would see your physician this week. Many things will need to be looked into inclu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 25-year-old member asked:

Dr. Shelby Terstriepanswered
Internal Medicine 22 years experience
Caught late: Symptoms from pancreatic cancer often do not happen until it is in later stages where it starts to press on nerves or the bile tubes (causing jaundice... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.4k viewsReviewed >2 years ago
A 44-year-old member asked:

Dr. Shelby Terstriepanswered
Internal Medicine 22 years experience
Many: Breast, endometrial (uterine), colon, kidney and esophageal.
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 30-year-old member asked:

Dr. Shelby Terstriepanswered
Internal Medicine 22 years experience
See your physician: Lots of different things can cause fatigue. Keep track of your sleep habits, other symtoms that may be associated with it , what makes it better or wo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 39-year-old member asked:

Dr. Shelby Terstriepanswered
Internal Medicine 22 years experience
See doc: From your symptoms i would recommend seeing a physician. If you are bleeding tests will need to be done to determine where it is coming from and what ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 35-year-old member asked:

Dr. Shelby Terstriepanswered
Internal Medicine 22 years experience
Unkown: So far the data for eating soy is okay and may be beneficial. I usually recommend staying away for soy supplements (ex. Daily soy protein shakes, estr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.2k viewsReviewed >2 years ago
A 35-year-old member asked:

Dr. Shelby Terstriepanswered
Internal Medicine 22 years experience
Yes: In the United States about 70, 000 women and 70, 000 men were diagnosed with colorectal cancer in 2010. (seer data)
survival for colon cancer found i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.4k viewsReviewed >2 years ago
A 36-year-old member asked:

Dr. Shelby Terstriepanswered
Internal Medicine 22 years experience
Abnormal moles: Change in the color, shape, size of a mole deserve further checking. Also non healing skin lesions.
It you have any of the above, have family history ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A member asked:

Dr. Shelby Terstriepanswered
Internal Medicine 22 years experience
Yes: These are two separate diseases. Carcionoid syndrome is flushing and diarrhea associated with a carcinoid tumor and sarcoidosis is a disorder in which... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6k viewsReviewed >2 years ago
A 50-year-old member asked:

Dr. Shelby Terstriepanswered
Internal Medicine 22 years experience
Yes: Chemotherapy is the primary treatment for non hodgkins lymphoma. It's effectiveness depend on several favors like stage, type of lymphoma, and the int... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 63-year-old member asked:

Dr. Shelby Terstriepanswered
Internal Medicine 22 years experience
Spread: Cancer that has spread outside of where it started.
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 37-year-old member asked:

Dr. Shelby Terstriepanswered
Internal Medicine 22 years experience
No: Allogenic transplant is mainly used for blood cancers. It is not used in lung cancer.
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 24-year-old member asked:

Dr. Shelby Terstriepanswered
Internal Medicine 22 years experience
No: Carcinoid tumors are not benign. They are typically (but not always) slower growing than other tumors. They can spread if not found and therefore sho... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 37-year-old member asked:

Dr. Shelby Terstriepanswered
Internal Medicine 22 years experience
Biopsy: Typically it is diagnosed by doing an endometrial biopsy after a women presents with post menopausal bleeding or a thickened uterine lining is seen on... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 35-year-old member asked:

Dr. Shelby Terstriepanswered
Internal Medicine 22 years experience
Depends: Liver lesions can be used to describe an area of cancer (from liver or from other areas) but can also be used to describe hemangiomas (collection of b... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.4k viewsReviewed >2 years ago
A 40-year-old member asked:

Dr. Shelby Terstriepanswered
Internal Medicine 22 years experience
Yes: I would recommend seeing someone who is familiar with breast disorders ( breast clinic). A mammogram of the breasts and an ultrasound directed at that... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 41-year-old member asked:

Dr. Shelby Terstriepanswered
Internal Medicine 22 years experience
Several things: Vertebroplasty can be used, treating, the underlying myeloma, and pain meds.
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 22-year-old member asked:

Dr. Shelby Terstriepanswered
Internal Medicine 22 years experience
Avoid Processed food: The best "diet" for breast cancer is what is recommended for everyone. Avoid refined sugars (processed foods), eat whole grain foods, lots of fruits a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.2k viewsReviewed >2 years ago
A 41-year-old member asked:

Dr. Shelby Terstriepanswered
Internal Medicine 22 years experience
Months: From chemotherapy it usually takes 6 months from the time of completing chemotherapy to have a very short haircut.
If the radiation was done to the l... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.4k viewsReviewed >2 years ago
A 29-year-old member asked:

Dr. Shelby Terstriepanswered
Internal Medicine 22 years experience
Same thing: Breast cancer is cancer arising in the breast tissue. The most common tissue is the breast duct.
Created for people with ongoing healthcare needs but benefits everyone.
6.2k viewsReviewed >2 years ago
A 34-year-old member asked:

Dr. Shelby Terstriepanswered
Internal Medicine 22 years experience
Hormones: It is more common primarily because women have more estrogen and progesterone.
Created for people with ongoing healthcare needs but benefits everyone.
6.2k viewsReviewed >2 years ago
A 40-year-old member asked:

Dr. Shelby Terstriepanswered
Internal Medicine 22 years experience
Sometimes: A transplant is typically is used for lymphoma that has relapsed. It can be effective as long as the lymphoma is responsive to chemotherapy. The perce... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 24-year-old member asked:

Dr. Shelby Terstriepanswered
Internal Medicine 22 years experience
No: Typical symptoms of ovarian cancer is bloating, abdominal or pelvic pain, bowel changes. Amenorrhea typically happens if ther are alterations in hormo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 21-year-old member asked:

Dr. Shelby Terstriepanswered
Internal Medicine 22 years experience
Depends: Every cancer is different and we are even learning that each tumor may act very different depending on its genetic makeup. For example we are learning... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.4k viewsReviewed >2 years ago
A 24-year-old member asked:

Dr. Shelby Terstriepanswered
Internal Medicine 22 years experience
Mammograms: To diagnose breast cancer mammogram, ultrasound and biopsy or done. Sometimes an MRI of the breasts are done depending on the situation. Basic blood... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.2k viewsReviewed >2 years ago
A 37-year-old member asked:

Dr. Shelby Terstriepanswered
Internal Medicine 22 years experience
Yes: From the way it looks on ct scan it can be concerning for cancer therefore a biopy is need to determine if cancer is present.
Created for people with ongoing healthcare needs but benefits everyone.
6.4k viewsReviewed >2 years ago
A 51-year-old member asked:

Dr. Shelby Terstriepanswered
Internal Medicine 22 years experience
Care plan: The follow up plan for breast cancer is a good history and physical every 3-6 months for the first 2 years then every 6 months until 5 years then year... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 40-year-old member asked:

Dr. Shelby Terstriepanswered
Internal Medicine 22 years experience
Rarely: Rarely radiation to the breast can cause inflammation of a portion of the lung. This can cause cough. It is typically treated with steroids. If you ex... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.4k viewsReviewed >2 years ago
A 44-year-old member asked:

Dr. Shelby Terstriepanswered
Internal Medicine 22 years experience
Yes: There are very few contraindications now to breast radiation.
Created for people with ongoing healthcare needs but benefits everyone.
6.4k viewsReviewed >2 years ago
A 50-year-old member asked:

Dr. Shelby Terstriepanswered
Internal Medicine 22 years experience
Cysts, fibroadenomas: Cysts and fibroadenomas are the most common benign lumps. But if someone feels a lump it is best to see a breast disease specialist and get a mammogra... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.4k viewsReviewed >2 years ago
A 41-year-old member asked:

Dr. Shelby Terstriepanswered
Internal Medicine 22 years experience
Egd: And egd is the most important test as it looks with a camera at the lining of the stomach and a biopsy can be done.
Other test would be done if cancer... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsAnswered >2 years ago
A 22-year-old member asked:

Dr. Shelby Terstriepanswered
Internal Medicine 22 years experience
No: It would not be normal to feel lymph nodes in that area. I would see your physician. The first thing would be to see if they are in fact lymph nodes. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 43-year-old member asked:

Dr. Shelby Terstriepanswered
Internal Medicine 22 years experience
It can be: It can be part of a genetic cancer syndrome called lynch syndrome. Colon cancer (especially when it is seen in younger age people). Other cancers like... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 21-year-old member asked:

Dr. Shelby Terstriepanswered
Internal Medicine 22 years experience
No home test: I'm not aware of a home medical test for hodgkin's lymphoma but some of the symptoms can be night sweats, lymph node enlargement, weight loss, shortne... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.4k viewsReviewed >2 years ago
A 23-year-old member asked:

Dr. Shelby Terstriepanswered
Internal Medicine 22 years experience
Yes: But you may have numbness in different areas especially over the incisions.
Created for people with ongoing healthcare needs but benefits everyone.
6.4k viewsReviewed >2 years ago
A 24-year-old member asked:

Dr. Shelby Terstriepanswered
Internal Medicine 22 years experience
Less likely: The thyroid would be an unusual spot for breast cancer to spread. More common sites would be bone, liver, lung and brain. But with cancer, anything is... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.2k viewsReviewed >2 years ago
A 41-year-old member asked:

Dr. Shelby Terstriepanswered
Internal Medicine 22 years experience
Typically not: The risks of complications does however depend on what is being biopsied.
Created for people with ongoing healthcare needs but benefits everyone.
6.4k viewsReviewed >2 years ago
A 27-year-old member asked:

Dr. Shelby Terstriepanswered
Internal Medicine 22 years experience
Your presence: Your presence, your touch.
Look at picture albums together, sing her favorite songs or bring in music, tell her your favorite memories growing up, dec... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.2k viewsReviewed >2 years ago
A 35-year-old member asked:

Dr. Shelby Terstriepanswered
Internal Medicine 22 years experience
Multiple reasons: Most likely multiple factors at play including genetics, exposures (including alcohol), and hormonal factors.
Created for people with ongoing healthcare needs but benefits everyone.
6.2k viewsReviewed >2 years ago
TestimonialsRecommendations and Thank you notes are endorsements given from patients or other doctors.
Recommendations and Thank you notes are endorsements given from patients or other doctors.
3
Recommendations
179
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Terstriep is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Terstriep is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Jan 14, 2012
because she cares
HealthTap member
Thanks for your quick reply! Trying To Find Out What Life Expectancy Is After Diagnosis Of Stage Four Lymohoma Which HaS Gone To The Bone
HealthTap member
this wasnt my question but your answer was beautiful. a great response
HealthTap member
This saved my life. Thank You! I am soooo hapy u rot dis fow may
Education & Training
Medical/Graduate school
University of MissouriâKansas City School of Medicine, MO
Graduated 2001MD
Awards
Lane Adam Quality of Life Award from American Cancer Society
HealthTap ClubMD
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
in 24 hours or less