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Dr. Crystal Twynham

General surgery, Breast Surgery, Cancer Surgery, Bariatric (weight loss) surgery, Endocrine surgery, Minimally invasive surgery
Elk River, MN
33 years experience female

Locations

Crystal Twynham MD PLC

Elk River, MN

Address

13395 - 185th Lane NW, Elk River, MN
Directions

My office hours

Thursday: Closed
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Practice website

About

Bio

Hi! I am a doctor because I have an intense desire to help figure out problems with their health, and assist them in making changes to improve their wellbeing. As a surgeon, that sometimes involves operations, but more often than not, my role is a "puzzle solver" and a coordinator -- taking pieces of information that don't seem to connect, and using them like a jigsaw puzzle to see the answer!

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.

General surgery, Breast Surgery, Cancer Surgery, Bariatric (weight loss) surgery, Endocrine surgery, Minimally invasive surgery

General Surgery

Doctor Q&A

511 Answers
135 Agrees
The number of answers this doctor has agreed with.
A 17-year-old male asked:
Dr. Crystal Twynham
General surgery, Breast Surgery, Cancer Surgery, Bariatric (weight loss) surgery, Endocrine surgery, Minimally invasive surgery 33 years experience
Difficult Problem!!: Enlargement of male breasts, especially teenagers, can be due to fluctuations in hormones, especially from puberty. You do not mention what your weig... Read More
A 25-year-old female asked:
Dr. Crystal Twynham
General surgery, Breast Surgery, Cancer Surgery, Bariatric (weight loss) surgery, Endocrine surgery, Minimally invasive surgery 33 years experience
Many possibilities: Your question asks about a 21yo, but you list yourself as 25. I am assuming you are asking about you. Lower abdominal pain after c-section could be ... Read More
A 25-year-old female asked:
Dr. Crystal Twynham
General surgery, Breast Surgery, Cancer Surgery, Bariatric (weight loss) surgery, Endocrine surgery, Minimally invasive surgery 33 years experience
Not normal, see Dr.: Generally, if you are taking your pills every day, your natural hormones are blocked. The last week of pills has no hormones, which triggers a period... Read More
A 38-year-old member asked:
Dr. Crystal Twynham
General surgery, Breast Surgery, Cancer Surgery, Bariatric (weight loss) surgery, Endocrine surgery, Minimally invasive surgery 33 years experience
Yes, or other things: Are you on birth control pills? Antibiotics may reduce the effectiveness of birth control pills, and trigger an early period (which means you can get... Read More
A 34-year-old member asked:
Dr. Crystal Twynham
General surgery, Breast Surgery, Cancer Surgery, Bariatric (weight loss) surgery, Endocrine surgery, Minimally invasive surgery 33 years experience
Lots of things...: Our brain can't tell the difference in pain signals from heart, esophagus, stomach, duodenum, liver, pancreas, bile ducts, liver, or gallbladder. So i... Read More
A 36-year-old member asked:
Dr. Crystal Twynham
General surgery, Breast Surgery, Cancer Surgery, Bariatric (weight loss) surgery, Endocrine surgery, Minimally invasive surgery 33 years experience
Lots of things...: Our brain can't tell the difference in pain signals from heart, esophagus, stomach, duodenum, liver, pancreas, bile ducts, liver, or gallbladder. So i... Read More
A 25-year-old female asked:
Dr. Crystal Twynham
General surgery, Breast Surgery, Cancer Surgery, Bariatric (weight loss) surgery, Endocrine surgery, Minimally invasive surgery 33 years experience
Can be normal! :): A brown discharge after menses at age 25 can simply be retained blood and uterus lining that didn't fully leave the uterus or vagina. Sometimes the u... Read More
A 31-year-old member asked:
Dr. Crystal Twynham
General surgery, Breast Surgery, Cancer Surgery, Bariatric (weight loss) surgery, Endocrine surgery, Minimally invasive surgery 33 years experience
Strip the drain: When a string of clotted blood or clotted proteins (looks like a clear yellow worm in the drain or bulb) blocks a drain, you can help restore flow by ... Read More
A 23-year-old female asked:
Dr. Crystal Twynham
General surgery, Breast Surgery, Cancer Surgery, Bariatric (weight loss) surgery, Endocrine surgery, Minimally invasive surgery 33 years experience
1/1000 people get it: A metallic taste in the mouth can be caused by many medications. Arcoxia is one, occurs in only about 1/1000 people. Here's a link about side effect... Read More
A 25-year-old female asked:
Dr. Crystal Twynham
General surgery, Breast Surgery, Cancer Surgery, Bariatric (weight loss) surgery, Endocrine surgery, Minimally invasive surgery 33 years experience
No problem! :): Montgomery tubercles are simply raised areas of glands in the areola (the colored part of the breast surrounding the nipple). They secrete oils and c... Read More
A 22-year-old female asked:
Dr. Crystal Twynham
General surgery, Breast Surgery, Cancer Surgery, Bariatric (weight loss) surgery, Endocrine surgery, Minimally invasive surgery 33 years experience
Agree - many causes: Chronic appendicitis is possible, but VERY rare. Getting an opinion from a gastroenterologist and a general surgeon known for taking on "challenges" ... Read More
A 37-year-old member asked:
Dr. Crystal Twynham
General surgery, Breast Surgery, Cancer Surgery, Bariatric (weight loss) surgery, Endocrine surgery, Minimally invasive surgery 33 years experience
Sorry ... None work: Only estrogen enlarges breasts, it should only be taken under a doctor's care. Enlarging pectoral muscles can push your breasts out and make them A... Read More
A 40-year-old member asked:
Dr. Crystal Twynham
General surgery, Breast Surgery, Cancer Surgery, Bariatric (weight loss) surgery, Endocrine surgery, Minimally invasive surgery 33 years experience
Several answers: If you have had abnormal periods lately, your breasts may be responding to a change in hormones. Breast pain can also be "referred" from the esophagu... Read More
A 42-year-old member asked:
Dr. Crystal Twynham
General surgery, Breast Surgery, Cancer Surgery, Bariatric (weight loss) surgery, Endocrine surgery, Minimally invasive surgery 33 years experience
Get checked out!: You are assuming you have reflux. Our brain can't tell the difference in painful signals from heart, esophagus, stomach, duodenum, liver, pancreas, b... Read More
A 22-year-old female asked:
Dr. Crystal Twynham
General surgery, Breast Surgery, Cancer Surgery, Bariatric (weight loss) surgery, Endocrine surgery, Minimally invasive surgery 33 years experience
Gallbladder stones: Babies are the number one cause of gallstones forming. The symptoms of gallstones are usually upper abdominal pain after eating, especially fatty/ric... Read More
A 41-year-old member asked:
Dr. Crystal Twynham
General surgery, Breast Surgery, Cancer Surgery, Bariatric (weight loss) surgery, Endocrine surgery, Minimally invasive surgery 33 years experience
VERY normal!: In cycle, hormones rise to release an egg; if it doesn't get fertilized and stick to our uterus = not pregnant = have a period. Those hormones have p... Read More
A 35-year-old member asked:
Dr. Crystal Twynham
General surgery, Breast Surgery, Cancer Surgery, Bariatric (weight loss) surgery, Endocrine surgery, Minimally invasive surgery 33 years experience
Is alcohol involved?: If yes, you may have alcohol poisoning; or pancreatitis (alcohol is a toxin to the liver & pancreas). This is also a common presentation of gallstone... Read More
A 46-year-old member asked:
Dr. Crystal Twynham
General surgery, Breast Surgery, Cancer Surgery, Bariatric (weight loss) surgery, Endocrine surgery, Minimally invasive surgery 33 years experience
Not recommended: Using st. John's wort together with alcohol can increase nervous system side effects such as dizziness, drowsiness, and difficulty concentrating. Some... Read More
A 39-year-old member asked:
Dr. Crystal Twynham
General surgery, Breast Surgery, Cancer Surgery, Bariatric (weight loss) surgery, Endocrine surgery, Minimally invasive surgery 33 years experience
Yes.: The only reasons that you would not do this is if the person has sepsis (blood stream infection from typhoid fever) or is allergic to the medication. ... Read More
A 21-year-old male asked:
Dr. Crystal Twynham
General surgery, Breast Surgery, Cancer Surgery, Bariatric (weight loss) surgery, Endocrine surgery, Minimally invasive surgery 33 years experience
Growth abnormality: Your leg is likely bowed from an injury or a local problem with different rates of growth on the outside compared to the inside of the bone. You are ... Read More
A 18-year-old female asked:
Dr. Crystal Twynham
General surgery, Breast Surgery, Cancer Surgery, Bariatric (weight loss) surgery, Endocrine surgery, Minimally invasive surgery 33 years experience
Ovarian cyst or Appx: With your associated symptoms, this could be a large ovarian cyst, or possibly even ruptured appendicitis, now with an abscess. You definitely need t... Read More
A 35-year-old member asked:
Dr. Crystal Twynham
General surgery, Breast Surgery, Cancer Surgery, Bariatric (weight loss) surgery, Endocrine surgery, Minimally invasive surgery 33 years experience
Very unlikely: Bariatric surgery is expensive ($15, 000+ depending on procedure), it's a clear, up-front cost, and those with morbid obesity often carry significant ... Read More
A 28-year-old female asked:
Dr. Crystal Twynham
General surgery, Breast Surgery, Cancer Surgery, Bariatric (weight loss) surgery, Endocrine surgery, Minimally invasive surgery 33 years experience
Not effective at all: No creams can reduce breast size, except temporarily reducing the water in your breast tissue -- but this will only last a very short period of time, ... Read More
A 39-year-old member asked:
Dr. Crystal Twynham
General surgery, Breast Surgery, Cancer Surgery, Bariatric (weight loss) surgery, Endocrine surgery, Minimally invasive surgery 33 years experience
Yes: The size and shape of your stool is determined by how long the stool is in your rectum, and the tightness of your anal muscles. Long duration in the ... Read More
A 34-year-old member asked:
Dr. Crystal Twynham
General surgery, Breast Surgery, Cancer Surgery, Bariatric (weight loss) surgery, Endocrine surgery, Minimally invasive surgery 33 years experience
Could be many things: Big list: muscle spasms from position when you sleep; poor support from mattress/pillow; poor 'posture' changing the alignment of the bones & pinchin... Read More
A 32-year-old member asked:
Dr. Crystal Twynham
General surgery, Breast Surgery, Cancer Surgery, Bariatric (weight loss) surgery, Endocrine surgery, Minimally invasive surgery 33 years experience
No.: Caffeine in tea (green or black) increases the damaging effect of our own natural stomach acid and will worsen both ulcers and reflux. Sorry. A prot... Read More
A 31-year-old member asked:
Dr. Crystal Twynham
General surgery, Breast Surgery, Cancer Surgery, Bariatric (weight loss) surgery, Endocrine surgery, Minimally invasive surgery 33 years experience
Normal variation: The z-line, where the esophagus lining connects to the stomach lining varies quite a bit from person to person. Not everyone has a straight circle --... Read More
A 57-year-old female asked:
Dr. Crystal Twynham
General surgery, Breast Surgery, Cancer Surgery, Bariatric (weight loss) surgery, Endocrine surgery, Minimally invasive surgery 33 years experience
Consequences: That's the biggest thing to consider. Small hernias are much easier to repair than large ones .... And especially if you've just had a major hernia r... Read More
A 40-year-old member asked:
Dr. Crystal Twynham
General surgery, Breast Surgery, Cancer Surgery, Bariatric (weight loss) surgery, Endocrine surgery, Minimally invasive surgery 33 years experience
How do you feel?: If you don't have burning pain just below your breastbone, under your breastbone, in your neck or throat; no sour taste in your mouth; no sore throat ... Read More
A 49-year-old member asked:
Dr. Crystal Twynham
General surgery, Breast Surgery, Cancer Surgery, Bariatric (weight loss) surgery, Endocrine surgery, Minimally invasive surgery 33 years experience
Sounds normal!: During periods, we shed the inner lining of the uterus -- the endometrium -- if we're not pregnant. Sometimes that shed layer may not come out for a... Read More
A 43-year-old member asked:
Dr. Crystal Twynham
General surgery, Breast Surgery, Cancer Surgery, Bariatric (weight loss) surgery, Endocrine surgery, Minimally invasive surgery 33 years experience
Nothing; LESS food!: Many people say they 'rarely eat, ' but when they keep a food journal (day, time, what eaten, how much [oz, cups, etc.], calories, grams protein, and ... Read More
A 34-year-old member asked:
Dr. Crystal Twynham
General surgery, Breast Surgery, Cancer Surgery, Bariatric (weight loss) surgery, Endocrine surgery, Minimally invasive surgery 33 years experience
Blocked intestine: Your "gut" is a hollow tube from your mouth, to esophagus, to stomach, to small intestine, to large intestine (colon), to rectum, and out your anus. ... Read More
A 39-year-old female asked:
Dr. Crystal Twynham
General surgery, Breast Surgery, Cancer Surgery, Bariatric (weight loss) surgery, Endocrine surgery, Minimally invasive surgery 33 years experience
Failed ovulation: I assume you mean you are 2 weeks late for your period. Any woman may not release an egg, & upset the delicate cascade of hormones which lead to our ... Read More
A 18-year-old female asked:
Dr. Crystal Twynham
General surgery, Breast Surgery, Cancer Surgery, Bariatric (weight loss) surgery, Endocrine surgery, Minimally invasive surgery 33 years experience
Upper belly pain: Ulcers cause middle upper abdominal pain, maybe a 'boring' feeling straight through to back. Sometimes more left, or right, & can be confused w/ gall... Read More
A 32-year-old member asked:
Dr. Crystal Twynham
General surgery, Breast Surgery, Cancer Surgery, Bariatric (weight loss) surgery, Endocrine surgery, Minimally invasive surgery 33 years experience
Most likely...: Do the 'sugary foods' you're eating have anything else in common? High fat? Citrus? Tomatoes? Caffeine? All of these food elements can allow stom... Read More
A 41-year-old member asked:
Dr. Crystal Twynham
General surgery, Breast Surgery, Cancer Surgery, Bariatric (weight loss) surgery, Endocrine surgery, Minimally invasive surgery 33 years experience
Make sure is Reflux!: You are assuming you have reflux. Our brain can't tell the difference in painful signals from heart, esophagus, stomach, duodenum, liver, pancreas, b... Read More
A 31-year-old member asked:
Dr. Crystal Twynham
General surgery, Breast Surgery, Cancer Surgery, Bariatric (weight loss) surgery, Endocrine surgery, Minimally invasive surgery 33 years experience
Citrus & Tomatoes: Contrary to popular belief, tomatoes are a fruit, not a vegetable. Citrus and tomatoes lower the tightness of the top of the stomach, and allow more ... Read More
A 19-year-old female asked:
Dr. Crystal Twynham
General surgery, Breast Surgery, Cancer Surgery, Bariatric (weight loss) surgery, Endocrine surgery, Minimally invasive surgery 33 years experience
You're likely right!: Pain inside lips of vagina after sex is likely a small tear or part of the skin rubbed off (abrasion). Puffiness, redness, and tenderness may mean tr... Read More
A 33-year-old member asked:
Dr. Crystal Twynham
General surgery, Breast Surgery, Cancer Surgery, Bariatric (weight loss) surgery, Endocrine surgery, Minimally invasive surgery 33 years experience
Not recommended: Using zithromax together with alcohol can stress your liver significantly, even (rarely) to the point of liver failure. If you have liver disease, ar... Read More
A 46-year-old female asked:
Dr. Crystal Twynham
General surgery, Breast Surgery, Cancer Surgery, Bariatric (weight loss) surgery, Endocrine surgery, Minimally invasive surgery 33 years experience
Not w/out more info!: I'm assuming you had a 'core needle biopsy' where an ultrasound was used to see the abnormal area, and numbing medicine injected, and a needle took se... Read More
A 32-year-old female asked:
Dr. Crystal Twynham
General surgery, Breast Surgery, Cancer Surgery, Bariatric (weight loss) surgery, Endocrine surgery, Minimally invasive surgery 33 years experience
Not normally: There could be an underlying condition that is causing the hydrocephalus that could cause sweating. These are definitely issues that need to be addre... Read More
A 26-year-old female asked:
Dr. Crystal Twynham
General surgery, Breast Surgery, Cancer Surgery, Bariatric (weight loss) surgery, Endocrine surgery, Minimally invasive surgery 33 years experience
Sounds like it...: Tightness, especially at the top of the head is usually your scalp muscles (yes, you DO have muscles in your scalp) spasming. The question is why? N... Read More
A 22-year-old female asked:
Dr. Crystal Twynham
General surgery, Breast Surgery, Cancer Surgery, Bariatric (weight loss) surgery, Endocrine surgery, Minimally invasive surgery 33 years experience
Usually fine: Some fungal (candida) infections (often called "thrush") can come back. Make sure you both use the medication as directed for its full course. If he... Read More
A 43-year-old member asked:
Dr. Crystal Twynham
General surgery, Breast Surgery, Cancer Surgery, Bariatric (weight loss) surgery, Endocrine surgery, Minimally invasive surgery 33 years experience
For cancer or want?: Presuming for cancer: PROS: Improved body image, better fit for clothing, sense of "wholeness," giving symmetry to chest, psychological improvement,... Read More
A 34-year-old member asked:
Dr. Crystal Twynham
General surgery, Breast Surgery, Cancer Surgery, Bariatric (weight loss) surgery, Endocrine surgery, Minimally invasive surgery 33 years experience
Yes, you are fine: A galactocele is a more technical term for a breast cyst. All breast cysts are raw, unformed, unrefined breast milk! Galact = milk, cele = sac -- so... Read More
A 30-year-old female asked:
Dr. Crystal Twynham
General surgery, Breast Surgery, Cancer Surgery, Bariatric (weight loss) surgery, Endocrine surgery, Minimally invasive surgery 33 years experience
Yes .. but check out: Since diverticulitis is an infection inside the colon, there can be yellow pus and mucus mixed with stool. However, similar discharge can be from inf... Read More
A 18-year-old female asked:
Dr. Crystal Twynham
General surgery, Breast Surgery, Cancer Surgery, Bariatric (weight loss) surgery, Endocrine surgery, Minimally invasive surgery 33 years experience
Make sure is Reflux!: You are assuming you have reflux. Our brain can't tell the difference in painful signals from heart, esophagus, stomach, duodenum, liver, pancreas, b... Read More
A 32-year-old member asked:
Dr. Crystal Twynham
General surgery, Breast Surgery, Cancer Surgery, Bariatric (weight loss) surgery, Endocrine surgery, Minimally invasive surgery 33 years experience
Need more info: First of all, her doctor is a good source of information. The American Cancer Society has a great website with resources, help, and support. Without... Read More
A 19-year-old female asked:
Dr. Crystal Twynham
General surgery, Breast Surgery, Cancer Surgery, Bariatric (weight loss) surgery, Endocrine surgery, Minimally invasive surgery 33 years experience
No; slower healing: Bowels eliminate waste on their own schedule. Eating can trigger bowel movements, especially in the morning. Fasting actually with SLOW the excretio... Read More
A 34-year-old member asked:
Dr. Crystal Twynham
General surgery, Breast Surgery, Cancer Surgery, Bariatric (weight loss) surgery, Endocrine surgery, Minimally invasive surgery 33 years experience
Well .... yes and no: Most nasopharyngeal carcinomas Type II and Type III are related to (and possibly caused by) a common virus called Epstein-Barr virus - the same virus ... Read More

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

9
Recommendations
511
Thank you notes
Very impressive knowledge of medicine in general and quite able to convey that in her answers.
Apr 4, 2015
Great doctor. Consistently gives thoughtful, insightful and expert advice.
Jul 28, 2013
Great responses, accurate & thorough. Highly recommend.
HealthTap member
This was very helpful. Thanks! Thank you, I've been to E.R every week since surgery, and seen surgeon the same, I knew this wasn't right, I will press harder now, thank you. Is been very worrisome!
HealthTap member
Hi, thanks. I know it doesn't directly lead to PD, I'm concerned because it seems to be a common presenting symptom, ~2 yrs in advance of PD symptoms.
HealthTap member
This is why I am recommending dr's ask about nicotine intake on their questionnaires. I was vaping so said no to smoking. I quit at 1st THR.

Education & Training

Medical/Graduate school

University of Minnesota Medical School, MN
Graduated 1988MD

Residency

Marshfield Clinic, Marshfield WI

Awards

National Merit Scholar
University of Minnesota Presidential Leadership Scholar
William Brasted Teaching Fellowship in Chemistry

Affiliations

Essentia Health Detroit Lakes MN
Sanford Health, Perham MN
Avera Marshall Medical Center, Marshall MN
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