Locations
Beth Israel Nephrology and Hypertension
New York, NY
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.
Nephrology and Dialysis
Anti-Aging Medicine
Diabetology
Licenses
United States: New York
Languages spoken
English
Doctor Q&A
70 Answers
19 Agrees
The number of answers this doctor has agreed with.
A 65-year-old female asked:

Dr. Richard Amerlinganswered
Nephrology and Dialysis 42 years experience
Not necessarily: Amlodipine often causes edema, or swelling, of the feet and ankles, that can be severe. Whether or not it needs to be replaced will depend on your bl... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsReviewed >2 years ago
A 51-year-old female asked:

Dr. Richard Amerlinganswered
Nephrology and Dialysis 42 years experience
Good doctor!: The treatment of high blood pressure should not always be pharmacological. And your blood pressure might be somewhat elevated in doctor's office but n... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A male asked:

Dr. Richard Amerlinganswered
Nephrology and Dialysis 42 years experience
No: Gatorade does not cause kidney stones. It is mostly sugar water (with high fructose corn syrup, which is worse than sugar!), has minimal amounts of el... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsAnswered >2 years ago
A 19-year-old male asked:

Dr. Richard Amerlinganswered
Nephrology and Dialysis 42 years experience
No: Pomegranate juice has no effect on kidney stones. There are dietary treatments but need to know chemical constitution of urine, which can readily be m... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsReviewed >2 years ago
A 38-year-old female asked:

Dr. Richard Amerlinganswered
Nephrology and Dialysis 42 years experience
Don't think so.: Never heard that one! It is conceivable that edema of the intervertebral discs could cause minimal increase in height.
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsReviewed >2 years ago
A male asked:

Dr. Richard Amerlinganswered
Nephrology and Dialysis 42 years experience
Needs evaluation: You should consult with nephrology or urology. Chemical analysis of 24-hour urine collections can provide insight as to why stones are forming. Simple... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A female asked:

Dr. Richard Amerlinganswered
Nephrology and Dialysis 42 years experience
Yes: Xanax (alprazolam) is typically given 3 or 4 times/day. I'm not sure why you were prescribed Ativan at night; an extra Xanax (alprazolam) should wor... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsReviewed >2 years ago
A 35-year-old female asked:

Dr. Richard Amerlinganswered
Nephrology and Dialysis 42 years experience
Yes.: If those numbers were taken at rest (as opposed to just after exercise) they are definitely high and should be addressed by your doctor. Obesity can ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsReviewed >2 years ago
A 48-year-old female asked:

Dr. Richard Amerlinganswered
Nephrology and Dialysis 42 years experience
Urology, Nephrology: If you have colic, i.e. are currently passing a stone, suggest you see a urologist, or go to ER if in severe pain. Long term, you need to see nephrolo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.4k viewsAnswered >2 years ago
A member asked:

Dr. Richard Amerlinganswered
Nephrology and Dialysis 42 years experience
Yes.: Yes, but as always, in moderation.
Created for people with ongoing healthcare needs but benefits everyone.
3.3k viewsReviewed >2 years ago
A 31-year-old male asked:

Dr. Richard Amerlinganswered
Nephrology and Dialysis 42 years experience
Diuretic: "Water pills" are lay terms for diuretics. These are several, but all block the kidney from re- absorbing sodium, which allows the body to eliminate e... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsAnswered >2 years ago
A 33-year-old male asked:

Dr. Richard Amerlinganswered
Nephrology and Dialysis 42 years experience
Should evaluate: Various medications cause dry mouth, which is often perceived as thirst. A rare possibility is diabetes insipidus. In this condition, the kidneys fai... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsReviewed >2 years ago
A 36-year-old male asked:

Dr. Richard Amerlinganswered
Nephrology and Dialysis 42 years experience
Nothing: This is usually not a significant finding on ultrasound and doesn't require treatment.
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsAnswered >2 years ago
A 40-year-old female asked:

Dr. Richard Amerlinganswered
Nephrology and Dialysis 42 years experience
Probably not: These numbers difficult to interpret in absence of symptoms or medical history. You need to know at least the HDL, LDL, and triglycerides. High carb... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 55-year-old male asked:

Dr. Richard Amerlinganswered
Nephrology and Dialysis 42 years experience
Get to a doctor: Chest pain that occurs with exercise must be considered angina until proven otherwise. This means a compromised circulation to your coronary arteries... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 23-year-old male asked:

Dr. Richard Amerlinganswered
Nephrology and Dialysis 42 years experience
Characteristic: Simple cysts are fluid-filled and have well-defined appearance on ultrasound. Complex cysts could potentially be cancerous and require further evalua... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsReviewed >2 years ago
A 32-year-old female asked:

Dr. Richard Amerlinganswered
Nephrology and Dialysis 42 years experience
Could be: You may have a kidney (as opposed to bladder) infection. See your doctor and have a urinalysis and urine culture. I usually treat a kidney infection ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.3k viewsReviewed >2 years ago
A 60-year-old female asked:

Dr. Richard Amerlinganswered
Nephrology and Dialysis 42 years experience
See a nephrologist: Could be a primary disease of the kidney, though probably benign. A kidney biopsy would provide diagnosis and prognosis, but you might be fine with o... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.4k viewsAnswered >2 years ago
A 40-year-old female asked:

Dr. Richard Amerlinganswered
Nephrology and Dialysis 42 years experience
Should have check up: Please do have your lymph node checked out. That is an atypical location.
Created for people with ongoing healthcare needs but benefits everyone.
3.2k viewsAnswered >2 years ago
A 34-year-old male asked:

Dr. Richard Amerlinganswered
Nephrology and Dialysis 42 years experience
Yes!: Orthostatic hypotension can be a sign of volume depletion ("dehydration"). You should see your doctor and hold off on exforge (amlodipine and valsart... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 41-year-old female asked:

Dr. Richard Amerlinganswered
Nephrology and Dialysis 42 years experience
To the ER: Go to a nearby Emergency Room and have it checked out. Don't put it off. Go now. Call your doctor.
Created for people with ongoing healthcare needs but benefits everyone.
3.3k viewsAnswered >2 years ago
A 60-year-old female asked:

Dr. Richard Amerlinganswered
Nephrology and Dialysis 42 years experience
Hyperparathyroidism: Sounds like classic primary hyperparathyroidism. The symptoms are probably from high calcium.
A nuclear scan can likely confirm (sestamibi). Suggest ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 24-year-old male asked:

Dr. Richard Amerlinganswered
Nephrology and Dialysis 42 years experience
No.: Noodles are carbohydrates and readily digested. Consume only in moderation if you want to lose weight
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 31-year-old female asked:

Dr. Richard Amerlinganswered
Nephrology and Dialysis 42 years experience
Yes.: Iron supplements typically discolor the stool.
No worries.
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsReviewed >2 years ago
A member asked:

Dr. Richard Amerlinganswered
Nephrology and Dialysis 42 years experience
Chicken soup better: You could be dehydrated. Lightheadedness suggests you need salt and fluid. There is not much salt in Gatorade. Suggest you try a bowl of soup, with... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsReviewed >2 years ago
A 22-year-old male asked:

Dr. Richard Amerlinganswered
Nephrology and Dialysis 42 years experience
No, it's normal.: The level of calcium in the blood moves up and down with albumin, so your calcium is normal. The albumin level is higher than usual, most likely refl... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsReviewed >2 years ago
A 55-year-old male asked:

Dr. Richard Amerlinganswered
Nephrology and Dialysis 42 years experience
MRI: CT scan requires IV contrast, which could potentially harm your kidney. Get an MRI.
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsAnswered >2 years ago
A 19-year-old male asked:

Dr. Richard Amerlinganswered
Nephrology and Dialysis 42 years experience
Yes: T-wave abnormalities are common with potassium disorders. A U-wave is also commonly seen with low potassium. This is a small hump right after the T-wa... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 27-year-old female asked:

Dr. Richard Amerlinganswered
Nephrology and Dialysis 42 years experience
Yes: Pregnancy increases the glomerular filtration rate (GFR), which lowers the urea and creatinine levels in blood. This is a normal and healthy response.... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.1k viewsReviewed >2 years ago
A 38-year-old female asked:

Dr. Richard Amerlinganswered
Nephrology and Dialysis 42 years experience
No worries: If your BUN and creatinine are both normal, the ratio has little significance. It may reflect mild dehydration. Drink more water.
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsReviewed >2 years ago
A 17-year-old male asked:

Dr. Richard Amerlinganswered
Nephrology and Dialysis 42 years experience
No, but don't: The normal kidney can eliminate 6-12 liters of water per day, If you overwhelm the kidney's ability to get rid of water, you risk "water intoxication... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsReviewed >2 years ago
A 24-year-old female asked:

Dr. Richard Amerlinganswered
Nephrology and Dialysis 42 years experience
No: Standard electrolyte panel includes sodium, potassium, bicarbonate, (sodium bicarbonate) and chloride. You need to specifically request calcium. Shoul... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 37-year-old male asked:

Dr. Richard Amerlinganswered
Nephrology and Dialysis 42 years experience
Ignore: Staying trim through regular exercise and a healthy low carb diet is very important.
Created for people with ongoing healthcare needs but benefits everyone.
3.5k viewsAnswered >2 years ago
A 53-year-old male asked:

Dr. Richard Amerlinganswered
Nephrology and Dialysis 42 years experience
Consult nephrologist: A nephrologist can screen for hormonal causes of hypertension, and sort out your medications. Kidney function should be checked, as Celebrex (celecoxi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsReviewed >2 years ago
A 46-year-old female asked:

Dr. Richard Amerlinganswered
Nephrology and Dialysis 42 years experience
That's thin: 4mm seems thin. Renal cortex ought to be 10-15 mm. Certainly should be evaluated by a nephrologist, if report is accurate.
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsAnswered >2 years ago
A 52-year-old female asked:

Dr. Richard Amerlinganswered
Nephrology and Dialysis 42 years experience
Probably not high Ca: Many possibilities including low magnesium, calcium, potassium, or sodium. Statins and untreated hypothyroidism also commonly cause muscle pain. Check... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 25-year-old male asked:

Dr. Richard Amerlinganswered
Nephrology and Dialysis 42 years experience
Yes and no: Fatty liver at age 25 with elevated enzymes is clearly not good. Almost certainly you are overweight and have a high sugar/carb intake, and have high... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 17-year-old male asked:

Dr. Richard Amerlinganswered
Nephrology and Dialysis 42 years experience
Probably not: These symptoms are not likely to be a sign of kidney disease. You can confirm this by getting a urinalysis at your doctor's office. If the symptoms ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 40-year-old female asked:

Dr. Richard Amerlinganswered
Nephrology and Dialysis 42 years experience
Probably nothing: The potassium is slightly elevated, as is the white cell count. Without a clinical context these numbers don't mean much. You should have the potassiu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 19-year-old male asked:

Dr. Richard Amerlinganswered
Nephrology and Dialysis 42 years experience
Could be: Bicarbonate (sodium bicarbonate) of 32 mEq is clearly abnormal and should be evaluated by a nephrologist. Since it appears you also have hypokalemia (... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 24-year-old female asked:

Dr. Richard Amerlinganswered
Nephrology and Dialysis 42 years experience
Perhaps: I assume you mean slow down the progression of kidney disease to delay dialysis. This can sometimes be accomplished with close monitoring by a nephro... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.3k viewsAnswered >2 years ago
A 27-year-old male asked:

Dr. Richard Amerlinganswered
Nephrology and Dialysis 42 years experience
Change your diet: In my practice, most cases of fatty liver are related to poor diet, that is, one overloaded with carbohydrates. Change to a low carb diet (Atkins, So... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.4k viewsAnswered >2 years ago
A female asked:

Dr. Richard Amerlinganswered
Nephrology and Dialysis 42 years experience
See your doctor: Without actual numbers, I can't be of much help. You should definitely be fully worked up, with protein and urine electrophoresis, and X-rays of your... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsReviewed >2 years ago
A 42-year-old male asked:

Dr. Richard Amerlinganswered
Nephrology and Dialysis 42 years experience
Build muscle: Not clear how you lost so much weight. If you had bariatric surgery, it's important to see your doctor and check for deficiencies in vitamins, particu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.4k viewsAnswered >2 years ago
A 39-year-old female asked:

Dr. Richard Amerlinganswered
Nephrology and Dialysis 42 years experience
Probably: It's unusual to have a potassium that low strictly on a dietary basis, unless you were having frequent vomiting. A balanced diet should provide adequ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsAnswered >2 years ago
A 18-year-old member asked:

Dr. Richard Amerlinganswered
Nephrology and Dialysis 42 years experience
Check blood Ca, Mg: Muscle twitching could be a sign of low calcium or magnesium in the blood. This can easily be checked with a blood test. Mg deficiency is fairly com... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsReviewed >2 years ago
A 62-year-old female asked:

Dr. Richard Amerlinganswered
Nephrology and Dialysis 42 years experience
At least 2 drugs...: The antibiotic rifampin and the urinary analgesic phenazopyridine are known to change the color of urine to orange +/or brown.
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsAnswered >2 years ago
A 21-year-old female asked:

Dr. Richard Amerlinganswered
Nephrology and Dialysis 42 years experience
Check with Gyn: A normal urinalysis means the kidneys and urinary tract are not the problem. Pain could be musculoskeletal, or possibly ovarian. Consult your gynecol... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsAnswered >2 years ago
A 26-year-old female asked:

Dr. Richard Amerlinganswered
Nephrology and Dialysis 42 years experience
Good!: You don't need vitamin B12 treatment (unless the level is due to getting B12 shots).
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsReviewed >2 years ago
A 34-year-old female asked:

Dr. Richard Amerlinganswered
Nephrology and Dialysis 42 years experience
Not kidney-related: This is very likely musculoskeletal, or GI discomfort. Please have your physician evaluate with complete history and physical exam.
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >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.
2
Recommendations
88
Thank you notes
HealthTap member
Mar 31, 2015
Dr. Amerling is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Amerling is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
This made me feel good. Thanks! Thanks, I use intermitant catheter. The stones are to be removed next month thank goodness.
HealthTap member
This was very helpful. Thanks! I don't know how else to answer the question to get back to you, but yes, it is ovarian.
HealthTap member
Thank you, your answer was very helpful! Thank you for taking the time to answer my question. I appreciate it!
Education & Training
Medical/Graduate school
Catholic University of Louvain Faculty of Medicine, Belgium
Graduated 1981MD
Residency
NY Hospital Queens
Completed 1985
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