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Dr. Richard Amerling

Nephrology and Dialysis
New York, NY
41 years experience

Locations

Beth Israel Nephrology and Hypertension

New York, NY

Address

10 Union Square East, Suite 2F, New York, NY
Directions

My office hours

Wednesday: Closed
Show more

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.

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 25-year-old female asked:
Dr. Richard Amerling
Nephrology and Dialysis 41 years experience
Unsure: HPP is a rare condition and should be treated by a specialist. In both the genetic and hyperthyroid-related forms, a low carb diet should be first li... Read More
A 50-year-old female asked:
Dr. Richard Amerling
Nephrology and Dialysis 41 years experience
Not first line: Lasix (furosemide) and other powerful loop diuretics are not a first line treatment for uncontrolled hypertension, unless there are clear signs of vol... Read More
A 18-year-old member asked:
Dr. Richard Amerling
Nephrology and Dialysis 41 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
A 58-year-old male asked:
Dr. Richard Amerling
Nephrology and Dialysis 41 years experience
Not much: One shot of hydrocortisone will have a minimal impact on short term glucose levels, and no impact on long term blood sugar levels.
A 23-year-old male asked:
Dr. Richard Amerling
Nephrology and Dialysis 41 years experience
Very possibly: Abilify (aripiprazole) is a highly overprescribed drug and can cause significant weight gain. I'm glad you were able to get off. Very likely your wei... Read More
A 41-year-old female asked:
Dr. Richard Amerling
Nephrology and Dialysis 41 years experience
Yes.: High dose prednisone can cause some skin changes, including thinning and sensitivity. It can rarely cause muscle pain, though statins more likely cau... Read More
A 22-year-old male asked:
Dr. Richard Amerling
Nephrology and Dialysis 41 years experience
See your doctor: Pain could be a sign of disease. It's not a good idea to treat pain without having at least a reasonable explanation of its cause. Your doctor should... Read More
A 36-year-old male asked:
Dr. Richard Amerling
Nephrology and Dialysis 41 years experience
Probably nothing...: The blood results are most likely normal. Get a urinalysis. If this is also normal, kidney disease is essentially eliminated.
A 27-year-old male asked:
Dr. Richard Amerling
Nephrology and Dialysis 41 years experience
Sure: Nothing in carrot juice is relevant to kidney stone treatment. Drinking lots of water (which the kidney then eliminates) may help push the stone down... Read More
A 20-year-old male asked:
Dr. Richard Amerling
Nephrology and Dialysis 41 years experience
Yes and no: Some people are born with one atrophied kidney, and one normal kidney. The atrophic kidney works poorly, if at all, but the normal kidney gets a bit b... Read More
A 26-year-old female asked:
Dr. Richard Amerling
Nephrology and Dialysis 41 years experience
Hyperventilation: You are on iron supplements. Anemia can cause shortness of breath when severe. Be sure your hemoglobin level is OK. Sounds like anxiety/hyperventil... Read More
A 37-year-old female asked:
Dr. Richard Amerling
Nephrology and Dialysis 41 years experience
It's normal: This is a normal component of the menstrual cycle. The luteal phase, which is when ovulation occurs, is triggered by a surge in leutinizing hormone (L... Read More
A 25-year-old female asked:
Dr. Richard Amerling
Nephrology and Dialysis 41 years experience
Yes: Urine pH measures urine acidity and ranges from 5 to 7. Animal protein is the major source of acid in diet and will result in low urine pH. Vegetaria... Read More
A 38-year-old female asked:
Dr. Richard Amerling
Nephrology and Dialysis 41 years experience
Yes: Alcohol is caloric and weight loss is common after stopping alcohol. 10 lbs in 4 months is not excessive. If you are still above your ideal weight, ke... Read More
A 37-year-old male asked:
Dr. Richard Amerling
Nephrology and Dialysis 41 years experience
Yes and no: Are you using an indwelling catheter or doing intermittent straight cath? The former causes bacterial colonization of urine and should not be treated ... Read More
A 41-year-old female asked:
Dr. Richard Amerling
Nephrology and Dialysis 41 years experience
Low carb and salt: Your 72 yr old woman likely is overweight and has the metabolic syndrome, which causes insulin resistance, hypertension, type 2 diabetes, kidney and ... Read More
A 34-year-old female asked:
Dr. Richard Amerling
Nephrology and Dialysis 41 years experience
Needs treatment: Total body edema is caused by excess salt retention by the kidneys and can be seen in certain disorders of the kidney, heart, or liver. All 3 need eva... Read More
A 26-year-old female asked:
Dr. Richard Amerling
Nephrology and Dialysis 41 years experience
Good!: You don't need vitamin B12 treatment (unless the level is due to getting B12 shots).
A 33-year-old female asked:
Dr. Richard Amerling
Nephrology and Dialysis 41 years experience
Wasn't in scan: If they just scanned your cervical spine, they probably missed the sticker on your chest. No biggie!
A 21-year-old female asked:
Dr. Richard Amerling
Nephrology and Dialysis 41 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
A 33-year-old female asked:
Dr. Richard Amerling
Nephrology and Dialysis 41 years experience
Without echoes: Anechoic means without echoes. In other words, it is fluid-filled as opposed to solid. This fits sonographic criteria for a cyst. Simple cysts are ... Read More
A 29-year-old male asked:
Dr. Richard Amerling
Nephrology and Dialysis 41 years experience
Significant: The protein/creatinine ratio is 4.6, which roughly corresponds to 4-5 grams of protein per 24 hours. This is clearly abnormal and consistent with the ... Read More
A 34-year-old female asked:
Dr. Richard Amerling
Nephrology and Dialysis 41 years experience
Not kidney-related: This is very likely musculoskeletal, or GI discomfort. Please have your physician evaluate with complete history and physical exam.
A 41-year-old female asked:
Dr. Richard Amerling
Nephrology and Dialysis 41 years experience
Need evaluation: Not clear what your Mg level is. Symptoms usually due to associated low ionized calcium. Need to know this number. If vitamin D levels low, it is saf... Read More
A 62-year-old female asked:
Dr. Richard Amerling
Nephrology and Dialysis 41 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.
A 51-year-old female asked:
Dr. Richard Amerling
Nephrology and Dialysis 41 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
A 65-year-old female asked:
Dr. Richard Amerling
Nephrology and Dialysis 41 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
A 40-year-old female asked:
Dr. Richard Amerling
Nephrology and Dialysis 41 years experience
Should have check up: Please do have your lymph node checked out. That is an atypical location.
A 36-year-old male asked:
Dr. Richard Amerling
Nephrology and Dialysis 41 years experience
Nothing: This is usually not a significant finding on ultrasound and doesn't require treatment.
A 48-year-old female asked:
Dr. Richard Amerling
Nephrology and Dialysis 41 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
A 60-year-old female asked:
Dr. Richard Amerling
Nephrology and Dialysis 41 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
A 34-year-old male asked:
Dr. Richard Amerling
Nephrology and Dialysis 41 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
A male asked:
Dr. Richard Amerling
Nephrology and Dialysis 41 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
A 32-year-old female asked:
Dr. Richard Amerling
Nephrology and Dialysis 41 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
A 41-year-old female asked:
Dr. Richard Amerling
Nephrology and Dialysis 41 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.
A 19-year-old male asked:
Dr. Richard Amerling
Nephrology and Dialysis 41 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
A 31-year-old female asked:
Dr. Richard Amerling
Nephrology and Dialysis 41 years experience
Yes.: Iron supplements typically discolor the stool. No worries.
A 31-year-old male asked:
Dr. Richard Amerling
Nephrology and Dialysis 41 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
A 60-year-old female asked:
Dr. Richard Amerling
Nephrology and Dialysis 41 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
A 38-year-old female asked:
Dr. Richard Amerling
Nephrology and Dialysis 41 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.
A member asked:
Dr. Richard Amerling
Nephrology and Dialysis 41 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
A 23-year-old male asked:
Dr. Richard Amerling
Nephrology and Dialysis 41 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
A 24-year-old male asked:
Dr. Richard Amerling
Nephrology and Dialysis 41 years experience
No.: Noodles are carbohydrates and readily digested. Consume only in moderation if you want to lose weight
A 55-year-old male asked:
Dr. Richard Amerling
Nephrology and Dialysis 41 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
A male asked:
Dr. Richard Amerling
Nephrology and Dialysis 41 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
A 40-year-old female asked:
Dr. Richard Amerling
Nephrology and Dialysis 41 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
A 35-year-old female asked:
Dr. Richard Amerling
Nephrology and Dialysis 41 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
A 33-year-old male asked:
Dr. Richard Amerling
Nephrology and Dialysis 41 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
A female asked:
Dr. Richard Amerling
Nephrology and Dialysis 41 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
A member asked:
Dr. Richard Amerling
Nephrology and Dialysis 41 years experience
Yes.: Yes, but as always, in moderation.

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Testimonials
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