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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.
Family Medicine
Licenses
United States: Georgia, Michigan, Wisconsin
Languages spoken
English
Doctor Q&A
2.3K Answers
453 Agrees
The number of answers this doctor has agreed with.
A 36-year-old male asked:

Dr. Karen Butleranswered
Family Medicine 23 years experience
Ans: You are best to see your doctor for a good history and examination. Did you have any trauma to this area?
Created for people with ongoing healthcare needs but benefits everyone.
2.4k viewsReviewed >2 years ago
A 28-year-old male asked:

Dr. Karen Butleranswered
Family Medicine 23 years experience
See below: You really need to continue your evaluation. Sinus can cause your symptoms. Hopefully you have not had any trauma to the brain. Also you should have l... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.6k viewsAnswered >2 years ago
A 20-year-old female asked:

Dr. Karen Butleranswered
Family Medicine 23 years experience
See ans: Many possibilities. You need a complete exam and history. For example how was the birth history. Ask your mother if there were any complications in bi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.5k viewsAnswered >2 years ago
A 18-year-old male asked:

Dr. Karen Butleranswered
Family Medicine 23 years experience
See below: Carpal tunnel involves the median nerve and will usually cause symptoms of tingling numbness pain in certain fingers and part of the palm of the hand.... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.6k viewsReviewed >2 years ago
A 31-year-old female asked:

Dr. Karen Butleranswered
Family Medicine 23 years experience
Ans: Best to see your doctor here. The temporal artery runs here and you may be feeling this as blood flows through if it is tortuous Best for you to get... Read More
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2.5k viewsReviewed >2 years ago
A 36-year-old female asked:

Dr. Karen Butleranswered
Family Medicine 23 years experience
See ans: Co must be taken seriously at any age. Cardiovascular issues can present with many or no symptoms. The best ans safest thing to do is to go to your do... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.6k viewsAnswered >2 years ago
A 29-year-old female asked:

Dr. Karen Butleranswered
Family Medicine 23 years experience
Ans: You need to rest and hydrate well try liquids like Gatorade with sugar in them. This will give you energy but again you better rest and let your body ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.4k viewsAnswered >2 years ago
A 37-year-old female asked:

Dr. Karen Butleranswered
Family Medicine 23 years experience
And: Not abnormal for the Arellano to darken as one ages, number ofpregnancies etc. however the dryness is another issue. You did not say there was any dr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.5k viewsAnswered >2 years ago
A member asked:

Dr. Karen Butleranswered
Family Medicine 23 years experience
Ans: Sounds like an abscess. Apply heat to see if infection comes up otherwise see your doctor
Created for people with ongoing healthcare needs but benefits everyone.
2.2k viewsReviewed >2 years ago
A 26-year-old male asked:

Dr. Karen Butleranswered
Family Medicine 23 years experience
Ans: Best to see your doctor. Could be caused by several things from visual or heating issues to mental health issue like adhd. You will need a good histor... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.4k viewsAnswered >2 years ago
A female asked:

Dr. Karen Butleranswered
Family Medicine 23 years experience
Ans: Yes possible. Methotrexate is a toxic medication. Are you on folic acid as well? Best to see your doctor and get examined
Created for people with ongoing healthcare needs but benefits everyone.
2.3k viewsAnswered >2 years ago
A 30-year-old male asked:

Dr. Karen Butleranswered
Family Medicine 23 years experience
Ans: Well a few things. First you must be healthy and if treated for any illnesses. Then you must like your partner. Then if all that is good. More sex is ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.1k viewsAnswered >2 years ago
A 24-year-old male asked:

Dr. Karen Butleranswered
Family Medicine 23 years experience
Ans: Well depends. Usually laparoscopic procedures will focus on the gallbladder and the common bile duct. Unless there is a reason the focus will stay on ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.5k viewsReviewed >2 years ago
A 21-year-old female asked:

Dr. Karen Butleranswered
Family Medicine 23 years experience
Ans: You are so young. More history is needed like trauma to the chest? Any family history of heart disease? Do you exercise? Once a good history is obt... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.4k viewsAnswered >2 years ago
A 41-year-old female asked:

Dr. Karen Butleranswered
Family Medicine 23 years experience
Ans: To dis your problem you must first have the issue diagnosed interesting that it is both knees. Give a good history of the issue and your medical histo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.4k viewsAnswered >2 years ago
A 22-year-old male asked:

Dr. Karen Butleranswered
Family Medicine 23 years experience
Ans: Watch out for Tylenol (acetaminophen) for it is metabolized through the liver. Now you did not say your hepatitis was active. Know what your liver enz... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.4k viewsAnswered >2 years ago
A 24-year-old female asked:

Dr. Karen Butleranswered
Family Medicine 23 years experience
Ans: Sounds muscular. You may be having spasms vtry to rest and hydrate if it persists be sure to see your doctor
Created for people with ongoing healthcare needs but benefits everyone.
2.5k viewsAnswered >2 years ago
A 28-year-old female asked:

Dr. Karen Butleranswered
Family Medicine 23 years experience
Ans: Check a pregnancy test. Then if negative just some breakthrough bleeding you should regulate again so be patient
Created for people with ongoing healthcare needs but benefits everyone.
2.1k viewsReviewed >2 years ago
A 31-year-old female asked:

Dr. Karen Butleranswered
Family Medicine 23 years experience
Ans: There are several treatments for hepatitis c. Only one cute as of now. You may or may no need treatment. See your doctor for this. Your milk drinking ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.2k viewsReviewed >2 years ago
A member asked:

Dr. Karen Butleranswered
Family Medicine 23 years experience
Ans: You need to see your doctor for an exam. You are talking about many systems. So get a good physical exam. If all checks out then a mental health exam ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.5k viewsAnswered >2 years ago
A 28-year-old male asked:

Dr. Karen Butleranswered
Family Medicine 23 years experience
Abs: Both scenarios are normal. You have a good peristalsis of the colon. Are you exercising and drinking your water?
Created for people with ongoing healthcare needs but benefits everyone.
2.3k viewsAnswered >2 years ago
A 16-year-old female asked:

Dr. Karen Butleranswered
Family Medicine 23 years experience
Ans. : You are just panicking and doing to much. First of all irregular periods are not necessarily abnormal. Now take your pregnancy test and see if it is b... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.4k viewsAnswered >2 years ago
A 19-year-old female asked:

Dr. Karen Butleranswered
Family Medicine 23 years experience
Ans: You should not have taken the shot if you desired aboregnancy. You may still get pregnant on the shot but not recommended. What is the hurry? Better ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.4k viewsReviewed >2 years ago
A 31-year-old male asked:

Dr. Karen Butleranswered
Family Medicine 23 years experience
Answer: There are a few medications to try to control the side effects off the antipsychotic medications. Cogentin (benztropine) works well and is well tolera... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.5k viewsReviewed >2 years ago
A 27-year-old female asked:

Dr. Karen Butleranswered
Family Medicine 23 years experience
Ans: Yes it is. Check a preg test and if negative not unusual to have breakthrough bleeding for a few months
Created for people with ongoing healthcare needs but benefits everyone.
2k viewsAnswered >2 years ago
A 20-year-old male asked:

Dr. Karen Butleranswered
Family Medicine 23 years experience
Ans: Should see your doctor for examination. When wild animals are involved
Created for people with ongoing healthcare needs but benefits everyone.
2.2k viewsReviewed >2 years ago
A 25-year-old male asked:

Dr. Karen Butleranswered
Family Medicine 23 years experience
Ans: You are young so you will learn to control the climax. Try to control the excitement. This will come with some time then your control will be better a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.3k viewsReviewed >2 years ago
A member asked:

Dr. Karen Butleranswered
Family Medicine 23 years experience
And: Not unusual. You can check a pregnancy urine test. If negative it is not abnormal to have an irregular period
Created for people with ongoing healthcare needs but benefits everyone.
2.4k viewsAnswered >2 years ago
A 39-year-old female asked:

Dr. Karen Butleranswered
Family Medicine 23 years experience
Ans: Irregular periods are common. A good history is needed for instance. Do you use birth control? Any chance of a pregnancy? Did you miss any of your per... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.5k viewsAnswered >2 years ago
A 28-year-old male asked:

Dr. Karen Butleranswered
Family Medicine 23 years experience
Ans: Few causes are possible. You may be developing an upper respiratory infection. For this you need to rest and hydrate. If worsening symptoms see your d... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.4k viewsAnswered >2 years ago
A 21-year-old female asked:

Dr. Karen Butleranswered
Family Medicine 23 years experience
Ans: This is most likely old residual blood. The deli shot alters the hormones. Do could get more slitting. Depends on if your hormones regulate
Created for people with ongoing healthcare needs but benefits everyone.
2.5k viewsAnswered >2 years ago
A 33-year-old female asked:

Dr. Karen Butleranswered
Family Medicine 23 years experience
Ans: Need more history. Hopefully no head trauma. You sound more sinus. Try hot fluids and see if any of the pressure is lessened. Start with this if no re... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.4k viewsAnswered >2 years ago
A female asked:

Dr. Karen Butleranswered
Family Medicine 23 years experience
Ans: Well if this has been going on for long time I would assume you have had a conscious and lab work. I would also assume you are taking some kind of sto... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.4k viewsAnswered >2 years ago
A member asked:

Dr. Karen Butleranswered
Family Medicine 23 years experience
Ans: You may not have a boil sounds more like a fissure by you need to be examined. See your doctor and get a correct diagnosis
Created for people with ongoing healthcare needs but benefits everyone.
2.4k viewsAnswered >2 years ago
A 20-year-old female asked:

Dr. Karen Butleranswered
Family Medicine 23 years experience
Ans: The lymph nodes can become inflamed for many reSons. You may have had an infection and thus the lymph nodes become reactive. They do eventually resolv... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.3k viewsAnswered >2 years ago
A 33-year-old female asked:

Dr. Karen Butleranswered
Family Medicine 23 years experience
Ans: Well first you need to give a thorough history. Are you a smoker? Do you hydrate enough? There are many issues to explore best to see your doctor for... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.4k viewsAnswered >2 years ago
A 42-year-old female asked:

Dr. Karen Butleranswered
Family Medicine 23 years experience
Ans: You still have the right ovary for perimenapausal symptoms try the essential oil peppermint on your wrist. Does in some cases relieve the hot flashes.... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.1k viewsAnswered >2 years ago
A 20-year-old male asked:

Dr. Karen Butleranswered
Family Medicine 23 years experience
As below: The vertebral arteries run up the back of the neck. These are large arteries for an additional blood supply for the brain
Created for people with ongoing healthcare needs but benefits everyone.
2.6k viewsAnswered >2 years ago
A 22-year-old male asked:

Dr. Karen Butleranswered
Family Medicine 23 years experience
Ans: Need more history from you. How long has the pain been going on? Describe the pain? Any trauma ? Any fever? Any travel? You seem to be functioning fi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.4k viewsAnswered >2 years ago
A 31-year-old member asked:

Dr. Karen Butleranswered
Family Medicine 23 years experience
Ans: Why are you using clomid (clomiphene). You are young. A low Foch indicates no pregnancy. There are serious risk factors with clomid (clomiphene) just ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.4k viewsAnswered >2 years ago
A 21-year-old female asked:

Dr. Karen Butleranswered
Family Medicine 23 years experience
Ans: Anytime you have sex you have the possibility of pregnancy. Can check a preg test if beg check again in 10 days
Created for people with ongoing healthcare needs but benefits everyone.
2.4k viewsAnswered >2 years ago
A 32-year-old male asked:

Dr. Karen Butleranswered
Family Medicine 23 years experience
See answer: Well listen to your body and avoid ice cream. There are so many tests that can be done. You can go to a gi doctor but if ice cream is the only irritat... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.5k viewsReviewed >2 years ago
A member asked:

Dr. Karen Butleranswered
Family Medicine 23 years experience
Ans: Well did you burn your tongue or eat something irritating. Need more history here. Give it a few day if not improved see your doctor
Created for people with ongoing healthcare needs but benefits everyone.
2.4k viewsAnswered >2 years ago
A 36-year-old female asked:

Dr. Karen Butleranswered
Family Medicine 23 years experience
Ans: The follicles are the immature eggs Only 1 will mature and be ovulated or ruptured from the ovary. This is the normal cycle. The medication alters thi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2k viewsAnswered >2 years ago
A 26-year-old female asked:

Dr. Karen Butleranswered
Family Medicine 23 years experience
Abs: Well can take a while for the body to regulate itself after altering the hormones. Sounds like you have a very sensitive system. Recognize this and ta... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.4k viewsAnswered >2 years ago
A 35-year-old female asked:

Dr. Karen Butleranswered
Family Medicine 23 years experience
Ans: Could be as simple as a positional issue or could be more serious. Did you have any injuries? You need a good history and exam.
Created for people with ongoing healthcare needs but benefits everyone.
2.3k viewsAnswered >2 years ago
A 30-year-old female asked:

Dr. Karen Butleranswered
Family Medicine 23 years experience
See ans: Sounds like this is the first time this has happened to you. Did you have a bad dream? Dronk lots of coffee? Alcohol? Trauma? Frightened? A history ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.5k viewsAnswered >2 years ago
A 18-year-old male asked:

Dr. Karen Butleranswered
Family Medicine 23 years experience
Ans: It sounds like you have been seen for your symptoms but no diagnosis yet. You need to give a thorough history and then further testing. Go back to you... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.3k viewsReviewed >2 years ago
A 29-year-old female asked:

Dr. Karen Butleranswered
Family Medicine 23 years experience
Ans: Ok. The bright red blood is the normal shedding of the uterine wall each montage Dir your age you should always check a preg test. The brown discharge... Read More
Created for people with ongoing healthcare needs but benefits everyone.
1.9k viewsAnswered >2 years ago
A 20-year-old female asked:

Dr. Karen Butleranswered
Family Medicine 23 years experience
Ans: Get off that pot. If you have a clinical depression take your Zoloft (sertraline). If you just can't cope with life the Zoloft (sertraline) will not h... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.3k 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.
4
Recommendations
1.2K
Thank you notes
HealthTap member
Dec 14, 2016
I do not recommend u see this Dr at all. she up n left all her patients here in door County Wisconsin without any notice. no letter or call no nothing n now don't know how to get our meds or where ou...Read More
HealthTap member
Mar 31, 2015
Dr. Butler is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Nov 26, 2015
I am grateful for this doctor this Thanksgiving!
HealthTap member
This was very helpful. Thanks! My jaw does the same thing. And I noticed that when I don’t open as wide as I can it doesn’t pop out. So I thank you for your answer. I thought it was weak on that side ...Read More
HealthTap member
This was very helpful. Thanks! Well it only cause that chest and stomach pain that once time but tonight i had ice cream and was fine. i will see a Gi doctor. i trying to get my main dr to let me do h...Read More
HealthTap member
This was very helpful. Thanks! The # was confusing. I wondered how many fail before there is full bone osseointegration. After this healing, I agree that there is 90% success rate as touted by DDS's. ...Read More
Education & Training
Medical/Graduate school
Ross University School of Medicine, Dominican Republic
Graduated 2000MD
Awards
Top Family Physician, Third Place, National - Fall
2015
Most Influential Doctor, First Place, Green Bay Region - Fall
2015
Top Doctor, First Place, Wisconsin - Fall
2015
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