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Dr. Douglas Mund

Rheumatology
Holtsville, NY
47 years experience

About

Specialties
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.

Rheumatology

Languages spoken

English

Doctor Q&A

304 Answers
4 Agrees
The number of answers this doctor has agreed with.
A 46-year-old member asked:
Dr. Douglas Mund
Rheumatology 47 years experience
Pain and FUNCTION: As with consideration of any joint replacement the factors involved include pain that cannot be controlled and loss of function. This will depend on a... Read More
A female asked:
Dr. Douglas Mund
Rheumatology 47 years experience
Possibly nothing: This is a low concentration of ANA and oftentimes has no clinical meaning. It really ddepends on what symptoms and other findings there are. Crampynes... Read More
A 33-year-old member asked:
Dr. Douglas Mund
Rheumatology 47 years experience
Dirrent appearance: The typical lyme lesion is referred to as a bulls eye lesion. It typically has central redness with clearing arounbd it and then another red rim furth... Read More
A 28-year-old female asked:
Dr. Douglas Mund
Rheumatology 47 years experience
A diificult answer: Basically uctd involves a collection of symptoms, . Physical findings and lab work that don't neatly fit into a particvualr disease category. These si... Read More
A member asked:
Dr. Douglas Mund
Rheumatology 47 years experience
Appear normal: It is very difficult to interpret lab results without knowing the clinical picture of the persone to whom these values are attached however it would s... Read More
A 38-year-old member asked:
Dr. Douglas Mund
Rheumatology 47 years experience
Most likely lupus: Impossible to say for sure without more details but the arthritis, pleuritis and malar rash are three out of 11 cardinal features of lupus. More infor... Read More
A 42-year-old member asked:
Dr. Douglas Mund
Rheumatology 47 years experience
Impossible to answer: Since there are many many types of arthritis it is impossible to answer this question safely. Most types of arthritis may be benefitted by tylenol (ac... Read More
A 46-year-old member asked:
Dr. Douglas Mund
Rheumatology 47 years experience
Many possibilities: There are many possibilities to your question these include local factors like arthritis or internal damage to the knee, possible referred pain from t... Read More
A 30-year-old female asked:
Dr. Douglas Mund
Rheumatology 47 years experience
Possible: I would first want to know if there is really joint pain or pain around the joints. If there is no inflammation and if symptoms are not truly in the j... Read More
A 24-year-old male asked:
Dr. Douglas Mund
Rheumatology 47 years experience
Usually not: Taking one alive daily if otherwise health should not be a problem(chronic use of any anti inflammatory drug could cause liver disease or kidney probl... Read More
A 40-year-old member asked:
Dr. Douglas Mund
Rheumatology 47 years experience
No: This is not a typical side effect seen look for other reasons.
A 22-year-old male asked:
Dr. Douglas Mund
Rheumatology 47 years experience
Yes you can: The meningitis vaccine is a killed vaccine - no live organisms so it does not pose a threat. Anyone on biologic medication, like the tnf drugs cannot ... Read More
A 33-year-old female asked:
Dr. Douglas Mund
Rheumatology 47 years experience
See a rheumatologist: Lupus is a disease that can affect many organs in the body .The skin and joints are most common but many others can be involved.Vit is impossible to d... Read More
A 21-year-old male asked:
Dr. Douglas Mund
Rheumatology 47 years experience
Serious: You describe symptoms that strongly suggest significant intestinal irritation and bleeding likely due to the disclose ad stop it immediately and week ... Read More
A 25-year-old female asked:
Dr. Douglas Mund
Rheumatology 47 years experience
Speak to your rheum: Pain can be from many causes if it is a flare in arthritis then your therapy may need to be changed. Depending on what you are taking and how often yo... Read More
A 27-year-old female asked:
Dr. Douglas Mund
Rheumatology 47 years experience
Arthritis: First of all, it may cause ongoing loss of function and pain it will also lead to the earlier emergence of osteoarthritis with even more potential pai... Read More
A 39-year-old member asked:
Dr. Douglas Mund
Rheumatology 47 years experience
Follow docs advise: Reuters or reactive arthritis so often self limiting and treated with anti inflammatory medications for a period of time it may become more chronic in... Read More
A 40-year-old member asked:
Dr. Douglas Mund
Rheumatology 47 years experience
Yes: This is a large dose, higher than recommended and could cause problems with stomach upset bleeding or kidney damage. If done on a one time basis proba... Read More
A 57-year-old female asked:
Dr. Douglas Mund
Rheumatology 47 years experience
See a hand surgeon: With these symptoms you may have a pocket of infection that is walled off like an access. Opening it up and allowing for open drainage of infection ma... Read More
A 50-year-old female asked:
Dr. Douglas Mund
Rheumatology 47 years experience
Yes: It could be a sign of severe irritation of thecesophagus or even a hole in the esophagus You should seek immediate attention
A 68-year-old female asked:
Dr. Douglas Mund
Rheumatology 47 years experience
Yes: Omeprazole or Prilosec is usually taken once a day but you can take it as you are
A 57-year-old male asked:
Dr. Douglas Mund
Rheumatology 47 years experience
Possible: Your symptoms and blood work are most comparable with an acute infection. You should be evaluated medically for any infectious process many other poss... Read More
A 25-year-old female asked:
Dr. Douglas Mund
Rheumatology 47 years experience
Consider a biologica: If you have psoriasis that is not responding to Methotrexate in adequate doses (20-25mg weekly) then you should consider adding a biological medicatio... Read More
A 27-year-old male asked:
Dr. Douglas Mund
Rheumatology 47 years experience
Rheumatologist: As the acknowledged master detectives of the medical world a rheumatologist is best suited to figure out your problem especially since it involves th... Read More
A 46-year-old female asked:
Dr. Douglas Mund
Rheumatology 47 years experience
Many possibilities: Most likely a local problem due to so, me form of trauma could be a bursitis or tendinitis. See an orthopedist or rheumatologist for help.
A 31-year-old female asked:
Dr. Douglas Mund
Rheumatology 47 years experience
Yes: While flexeril (cyclobenzaprine hcl) helps with sleep it should not have a significant additive effect with distant alcohol use
A 49-year-old female asked:
Dr. Douglas Mund
Rheumatology 47 years experience
These are elevated: Values differ in different labs but a value above 15 is usually positive having a mildly elevated rheumatoid factor however does not mean you have ra.... Read More
A 16-year-old male asked:
Dr. Douglas Mund
Rheumatology 47 years experience
Hydrate well: Often cramps are due to poor hydration and/or loss of electrolytes. Make sure you drink lots of fluids with electrolytes, like Gatorade , slow the pac... Read More
A female asked:
Dr. Douglas Mund
Rheumatology 47 years experience
Possible stenosis: If these symptoms occur with prolonged standing or walking they are certainly consistent with spinal stenosis. If they are occurring street other poss... Read More
A 25-year-old female asked:
Dr. Douglas Mund
Rheumatology 47 years experience
About a week: The regular lyme test is specific but not very sensitive .There can be many reasons for a false positive result. If it is positive on the screening te... Read More
A 53-year-old male asked:
Dr. Douglas Mund
Rheumatology 47 years experience
Yes it can: If your arthritis is in the upper segments of the spine it could cause dizziness and a sense of light headed ness however it is also very important ... Read More
A 53-year-old male asked:
Dr. Douglas Mund
Rheumatology 47 years experience
Try therapy: The cracking noise is usually not serious but represents the disease and loss of normal smooth motion of muscles ligaments and hits may feel better wi... Read More
A 25-year-old female asked:
Dr. Douglas Mund
Rheumatology 47 years experience
Bony fusion: By definition a synonyms is inca fusion of two bones with the loss of joint space. In an inflammatory disease like RA this can happen as a response to... Read More
A 32-year-old member asked:
Dr. Douglas Mund
Rheumatology 47 years experience
None: There are no proven helpful supplements although many people feel better with glucosamine/chondroitin sulfate.
A 23-year-old female asked:
Dr. Douglas Mund
Rheumatology 47 years experience
Many things: Ultrasound is helpful to many things . It may show soft tissue swelling. Or other problems within the joint like narrowing or early erosion of bone. ... Read More
A 34-year-old male asked:
Dr. Douglas Mund
Rheumatology 47 years experience
Yes: This is a significantly elevated title of ANA the rash may be indicative of an autoimmune disease like lupus. More information is needed as to other s... Read More
A 41-year-old member asked:
Dr. Douglas Mund
Rheumatology 47 years experience
Many things: Raynauds is caused by a spasm of very small blood vessels usually in response to coled exposure or occasionally with emotional upset. The main objecti... Read More
A 23-year-old male asked:
Dr. Douglas Mund
Rheumatology 47 years experience
Normal: Having a negative rheumatoid factor is, in fact, the normal situation. Getting more frequent or easier joint injuries has nothing to do with the rheu... Read More
A 41-year-old member asked:
Dr. Douglas Mund
Rheumatology 47 years experience
See an orthopedist: The causes of knee pain while running are many. You may have damage to cartilage or a meniscus, chronic trauma to the joint, possible stress fracture ... Read More
A 37-year-old member asked:
Dr. Douglas Mund
Rheumatology 47 years experience
Yes: This a form of vasculitis generally sen in younger individuals in their 20s or 30 s with varied symptoms. It generally involves the largest blood vess... Read More
A 16-year-old male asked:
Dr. Douglas Mund
Rheumatology 47 years experience
See an orthopedist: It sounds like you may have injured the knee and may now have a torn meniscus or other damage to the internal structures of the knee .See an orthopedi... Read More
A 60-year-old female asked:
Dr. Douglas Mund
Rheumatology 47 years experience
Need to be seen imme: This could be many things but the most severious possibility is a blood clot in a leg vein which potentially is life threatening if it breaks off and ... Read More
A 43-year-old female asked:
Dr. Douglas Mund
Rheumatology 47 years experience
See neurologist: While many symptoms can be seen in fibromyalgia these symptoms could potentially indicate more serious neurological problems .Brain or spinal disease... Read More
A 28-year-old female asked:
Dr. Douglas Mund
Rheumatology 47 years experience
Lupus most likely: You are describing a complex of symptoms and findings consistent with lupus. The positive ana, rash and joint pain gives you a 75% likelihood fo havin... Read More
A 28-year-old female asked:
Dr. Douglas Mund
Rheumatology 47 years experience
Vasculitis: While a rare occurrence if a patient has vasculitis - an inflammation of the blood vessels, it could potentially affect the adrenal glands causing adr... Read More
A 37-year-old female asked:
Dr. Douglas Mund
Rheumatology 47 years experience
Related to thyroid : The association between thyroid disease and swelling or puffiness in the hands is common. Often, especially with underactive thyroids, there may be sw... Read More
A 20-year-old female asked:
Dr. Douglas Mund
Rheumatology 47 years experience
Unlikely: The centromere antibody, especially in high concentration, is fairly specific for crest variant of systemic sclerosis. It may often precede any clinic... Read More
A 53-year-old female asked:
Dr. Douglas Mund
Rheumatology 47 years experience
Yes: The osteoporosis is significant and searches for causes other than just age is needed. Given your young age and advanced osteoporosis aggressive thera... Read More
A 51-year-old female asked:
Dr. Douglas Mund
Rheumatology 47 years experience
Possible organ damag: Taking extra voltaren (diclofenac) on a routine basis may cause liver or kidney disease it could also cause abdominal pain or bleeding. On a short ter... Read More
A 24-year-old female asked:
Dr. Douglas Mund
Rheumatology 47 years experience
Diffucult situation: Many of your conditions make pregnancy difficult especially since a pregnancy may make the diseases worse specifically lupus may worsen significantl... Read More

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Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

2
Recommendations
598
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Mund is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Mund is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thanks for your quick reply! Thank you have been having hives and red flushing have been on predesone 5mg for 2 yrs to control four attacks
HealthTap member
Thank you, your quick reply made me feel good! I'm with rheumatoid arthritis can and vitamins d problem I in chronic
HealthTap member
Thank you, your answer was very helpful! Thank you, I'm seeing my surgeon next week. Just wanted reassurance.

Education & Training

Medical/Graduate school

State University of New York Downstate Medical Center College of Medicine, NY
Graduated 1975MD

Awards

Top Rheumatologist , First Place, New York - Winter
2013
Top Rheumatologist , First Place, New York - Summer
2013
HealthTap Founding Doctor
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