Doctor Q&A for Dr. Shaym Puppala

A 37-year-old member asked:
Dr. Shaym Puppala
Internal Medicine 27 years experience
About sleep hygiene: Try any that apply: 1) Keep a regular sleep schedule (same time in/out of bed), 2) quiet, dark room - no TV/music, 3) use bedroom only for sleep/marit... Read More
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A 39-year-old member asked:
Dr. Shaym Puppala
Internal Medicine 27 years experience
Depends on problem: This depends on the nature of the problem. For a serious problem such as significant rectal bleeding, delay in treatment could have serious consequen... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Shaym Puppala
Internal Medicine 27 years experience
Blood in stool: Melena is dark, tarry, bowel movement with a characteristic odor that comes about from digested blood in the stool. Classically considered a sign of a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. Shaym Puppala
Internal Medicine 27 years experience
Many possibilities: Tingling in the hands and feet at the same time can occur with hyperventilation (can be mild enough that you cannot tell you are hyperventilating; occ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Shaym Puppala
Internal Medicine 27 years experience
Unlikely: Urethritis is a term generally reserved for infection of urethra with gonorrhea or chlamydia, and requires antibiotics.
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Shaym Puppala
Internal Medicine 27 years experience
Blood tests: Iron and TIBC (total iron binding capacity) can be used to detect iron overload (iron/tibc >45 increases suspicion). Hemochromatosis, one cause for i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Shaym Puppala
Internal Medicine 27 years experience
Q suggests dep: That very question suggests depression, as inappropriate feelings of guilt frequently accompany depression. There may not always be an identifiable r... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Shaym Puppala
Internal Medicine 27 years experience
Relative bradycardia: A definition of bradycardia is a heart rate (hr) < 60 beats per minute. Usually, hr increases by approx 10bpm per degree of fever.High fever with nor... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Shaym Puppala
Internal Medicine 27 years experience
Evidence says not: One meta-analysis* (a study pooling results from multiple other studies) suggested that reboxetine is ineffective & may be harmful. *(eyding d et.A... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Shaym Puppala
Internal Medicine 27 years experience
Usually 1-2 days: Labyrinthitis is thought to be caused by a viral infection of part of the 8th cranial nerve.Symptoms include dizziness, impaired balance, nausea/vomit... Read More
Created for people with ongoing healthcare needs but benefits everyone.
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