Dr. Jana Tomsky Corvalan

Family Medicine 28 years experience

Better await 30 min: There is not known true interaction between Synthroid (thyroxine) and Ibuprofen . But in general Ibuprofen should NOT be taken on empty stomach for ri... Read More

1.1k viewsReviewed >2 years ago

Dr. Al Hegab agrees1 doctor agrees

A female asked:

I work at a post office where i use my hands and wrist often. today i noticed a bruise above my right wrist. i lift alot of stuff. what could it be?

Family Medicine 28 years experience

Bruise: Repetitive work by hands is very common reason of tendon, muscle strains. Blood vessels in area can also sometime break and create hematoma/ bruise - ... Read More

1k viewsReviewed >2 years ago

Dr. Kenny Chuu agrees1 doctor agrees

A female asked:

I have thyroidnodule 1.9x2.4x3.9 what exactly is the critical measurement?

Family Medicine 28 years experience

4 : If you have new thyroid module close to number 4 in size - that's cut of point to have more exam done . Ultrasound of thyroid and based on result fine... Read More

549 viewsReviewed >2 years ago

Dr. Heidi Fowler and 8 doctors agree9 doctors agree

A 40-year-old female asked:

What can i do for my back issues and how do i go about asking the neuro surgeon, no pcp, about pain mgt without liking like a drug seeker? see imaging

Family Medicine 28 years experience

Pain managment clini: If you have chronic back pain for injury or inborn problem and if surgical managment is not optionsl now- best to see Pain managment specialist. Besid... Read More

1.1k viewsAnswered >2 years ago

A member asked:

My last menstration was 27/7/16 i did an ultrasound today but no sac seen could it have burst? am worried? help, test said positive pregnant!

Family Medicine 28 years experience

See Doctor ASAP: According your dates LMP you may be about 6 weeks pregnant. If nothing visible on U/S and pregnancy test positive - it creates suspicion on tubal pre... Read More

1k viewsAnswered >2 years ago

A 20-year-old female asked:

I just started my cycle yesterday and had unprotected sex can i still get pregnant even if he did not ejaculate anywhere near me?

Family Medicine 28 years experience

No: If you had unprotected sex and no ejaculation into vagina= NO chance to be pregnant. Pregnancy can occur only at ovulation . Since sperm lives about 5... Read More

1k viewsAnswered >2 years ago

A 57-year-old female asked:

I had a colonoscopy three days ago no polyps were found their report states i have a torturous: colon i have a lot of gas and pain in my lower abdom?

Family Medicine 28 years experience

Very common colon .: Torturous colon is common variation of shape of colon ( much more curves and twists") It can make colonosocpy technicly difficult and sometime only p... Read More

272 viewsAnswered >2 years ago

A male asked:

Is there anything that i can take to increase ease my breathing or increase lung capacity? ( oxygen intake capacity) i get extremely winded running.

Family Medicine 28 years experience

Get tested: If you in general healthy young person and feel extremely winded - it is good idea to have " PFT's" - pulmonary function test. If you not smoker and h... Read More

849 viewsAnswered >2 years ago

2 thanks

A 22-year-old female asked:

Fell on the back of neck and lost consciousness for a minute bc of the intense pain. feeling fine now but why do we lose consciousness bc of pain? thx

Family Medicine 28 years experience

Emergency: If you fall and lost consciousness for any time ... and hurt neck and back of head ... always see MD ASAP!! Concussion happen as " brain go back and f... Read More

1.4k viewsAnswered >2 years ago

2 thanks

A 19-year-old male asked:

Recently started having itching while peeing that i also felt in my anus, a week later it was mild pain when ejaculating or peeing only in my penis...

Family Medicine 28 years experience

Get checked : Young man with all above symptoms should be routinely screened for STD. If discomfort with urination, rash, burning.. or any other concern , please se... Read More

1.4k viewsAnswered >2 years ago

A 21-year-old female asked:

I have a lump size of a pea on my left thumb knuckle, it's really painful and i have no idea where it has come from. it's first time i've had this.

Family Medicine 28 years experience

Ganglion cyst: On knuckle where tendon bent over a joint - is common area where cyst in tendon sheet ( protective layer of tendon) may develop. Either form repetitiv... Read More

1.2k viewsAnswered >2 years ago

4 thanks

A 24-year-old female asked:

A little below left rib there is gurgling grumbling feeling & sometimes sound. it moves down sometimes as well.has been going on for weeks. is it gas?

Family Medicine 28 years experience

Possibly...: Left re under rib anatomically corresponds with " splenic flexure of the colon" or " loop of gut " where gas gets easily entrapped before it moves dow... Read More

810 viewsAnswered >2 years ago

A 24-year-old male asked:

Hi. i have vegetable (different types) everyday nearly every meal. does this count as towards my 5 a day and is this healthy way of eating veggies ?

Family Medicine 28 years experience

Yes: If you have daily various vegetables .. variety id good , colors, ... should be daily part of nutrution along with serving of fruit. Also helthy to in... Read More

1.5k viewsAnswered >2 years ago

A 28-year-old female asked:

My premature baby 30week now 16'corrected14 mnth, is not sitting or standing by herself bt if i make her she sits with out support &stands with suppor?

Family Medicine 28 years experience

See pediatrician: Full term 14 month baby can sit and stand without support - but not always walking w/o support. Prematurity needs to be considered in developmental mi... Read More

854 viewsAnswered >2 years ago

A 35-year-old male asked:

The area around my naval is swollen and painful. i had my button pierced in 99.ihavent wore a ring since 06. i recently was sun burned but thepain dif?

Family Medicine 28 years experience

See doctor: Any area of skin red, painful, swollen indicate possible infection. History of ring removed 10 years ago does not seems to be significant. But sunbur... Read More

1.2k viewsAnswered >2 years ago

A 25-year-old female asked:

Why does my skin face changes color when i do not get 8-9 hours of sleep?if i get less than 7-8 hours of sleep my face gets a brown-reddish tone.26f

Family Medicine 28 years experience

Individual need for: Everybody has different need for sleep . In general 6-8 hours is sufficient. Sleep promotes brain and body restoration as well as skin blood circulati... Read More

1.2k viewsAnswered >2 years ago

A 34-year-old female asked:

Been 6 weeks since i had the tip of my index finger amputated following an accident. i'm having a hard time straightening the middle joint. any tips?

Family Medicine 28 years experience

Physical therapy : Sounds like the trauma was treated but now you deal with consequences ! any joint not used for period of time will " stiff"! best safe help would be t... Read More

4.6k viewsReviewed >2 years ago

Dr. Bradford Romans agrees1 doctor agrees

3 thanks

A 38-year-old female asked:

I'm experiencing upper abdomen pains no vomiting not really nauseous just concerned it's been a day and a half?

Family Medicine 28 years experience

Able to drink...?: Few questions to understand your problem - are you able to keep hydrated? When Last period? How is your diet - any fever? , diarrhea? blood in stool ... Read More

860 viewsAnswered >2 years ago

A 19-year-old female asked:

Dry humped in underwear 3 months ago. did home pregnancy test 3 weeks ago twice- was negative, but why is my period like spotting. can i be pregnant?

Family Medicine 28 years experience

Unlikely ...: If you had 2 x pregnancy test negative - you are not pregnant. Sometimes period may become as 'spotting" or slightly irregular . it may be triggered ... Read More

844 viewsAnswered >2 years ago

A 24-year-old female asked:

Is it good taking calcium vitamins every day? when i don't take them, i start to lose hair and it becomes much thinner. i also take multivitamins and omega 3 every day.

Family Medicine 28 years experience

Depends on your diet: If you consume daily calcium rich diet ( yogurt , cottage cheese, almonds ..) and you not post menopausal - it’s enough . After menopause add 500 mg C... Read More

14 viewsAnswered Jan 02, 2021

A 25-year-old female asked:

Can a person live with diabetes and high blood pressure?

Family Medicine 28 years experience

Both High BP and Diabetes is a " time bomb" and if untreated the risk of heart attack, stoke , blindness, kidney failure is very likley to occur. A... Read More

Answered Feb 06, 2022

A 28-year-old female asked:

I have been on amox 500 mg 3x/day for 6 days, 4 more to go. no change in neck lymph node pain, pain is bouncing on all nodes f/submand to clavicle???

Family Medicine 28 years experience

Finish it and see .: You have most likely " reactive lymphadenopathy" due to some infection - Need to finish Amox 10 days and yet after it may take longer to get lymph nod... Read More

962 viewsAnswered >2 years ago

A female asked:

Hi, my period started yesterday but it stopped in the evening. i had a phone sex yesterday night. i am worried.

Family Medicine 28 years experience

No worry: Period may sometimes be short - if doubt ok to check pregnancy . But if you had phone sex - no way to be pregnant. If you been sexually active ( vagin... Read More

854 viewsAnswered >2 years ago

A 19-year-old female asked:

I'm not sure if it's just an irregular period from past 3 months or is it spotting. hpt was (-) can spotting occur every month of pregnancy? thanks!

Family Medicine 28 years experience

Check with doctor..: If you not pregnant ( as your test was confirmed negative) than irregular period may happen. or spotting - light brownish discharge like bleeding. ... Read More

844 viewsAnswered >2 years ago

A female asked:

I am 4weeks pregnant. urnating is painful as well as i am unable to sleep because then the urine stops altogether and it is extremely painful.

Family Medicine 28 years experience

See MD ASAP... UTI: If you pregnant urinary tract infection ( UTI)(common in woman ) it needs to be treated ASAP. Your symptoms are very classic. See MD for urinalysis a... Read More

885 viewsAnswered >2 years ago

A 26-year-old female asked:

I have had night sweats all year. i went for blood & urine work & it all came back great! i'm a female under 30, healthy & active. no fever or pain.

Family Medicine 28 years experience

Temperature ...: In your age doubt menopause, if regular periods. If last test including CBC, TSH normal - unlikely infectious process, but TB test may be good idea... Read More

827 viewsAnswered >2 years ago

A 34-year-old female asked:

I have a 15 hour flight ahead of me and i need to sleep, or ill suffer migraine. can i take .50mg ativan with 1 tab dimenhydrinate safely for sleep?

Family Medicine 28 years experience

Either or : For travel ( anxiety and sleep ) Ativan 0.5 mg - 1 mg while boarding ok. DO NOT combine with alcohol and/ or Benadryl . It would cause too much of dro... Read More

220 viewsAnswered >2 years ago

A 47-year-old female asked:

Massive bruising(up+down half of arm)following blood draw.been 5 days.pain/aching/sore throughout arm. concern for blood clot or anything else?

Family Medicine 28 years experience

Hematoma: If you had just blood draw most likley vein " burst" and there was blood " spilled " to subcutaneous tissue creating massive hematoma - discoloration ... Read More

313 viewsReviewed >2 years ago

Dr. Philip Miller agrees1 doctor agrees

A 38-year-old male asked:

After stop taking flecainide 2 days ago for pvcs my average heart rate went from avg 55-60 to now 80-90. should i be concerned?

Family Medicine 28 years experience

Check with cardiolog: Flecainide is very specific medication for heart rate control. If you have condition which causing PVC or other tachycardia it may be necessary to sta... Read More

1k viewsAnswered >2 years ago

A member asked:

My nana has a massive brain bleed on the left side of her brain. they will not operate or give her any medications besides pain medications. she is 90?

Family Medicine 28 years experience

Comfort care: Yes, at any age massive brain hemorrhage is deadly tragic kind of stroke( CVA). There is much damage to brain done to operate and in your nanna's age ... Read More

1.2k viewsReviewed >2 years ago

Dr. Kenny Chuu agrees1 doctor agrees

A 34-year-old female asked:

Took cipro for uti - no improvement in symptoms. got a urinalysis and nitrites present - now on bactrim. culture came back neg but i still have sympto?

Family Medicine 28 years experience

Culture & sensitivit: UTI very common but if u use frequently antibiotics as Cipro antibiotic resistance can develop and culture + sensitivity important to pick right choic... Read More

943 viewsReviewed >2 years ago

Dr. Natalie Hodge agrees1 doctor agrees

A 21-year-old female asked:

I was moving a bed frame and nicked my leg with it i did bleed a little.. what are my chances of getting tetnus? it was a little rusty i cleaned it and put neosporn on it.. don't remember the last tetnus shot i had..

Family Medicine 28 years experience

Unlikely.., but: If you nicked skin and cleaned well ... if not dirty with outdoor soil it is most unlikely that Tetanus spores would be present in such environment a... Read More

976 viewsAnswered >2 years ago

A male asked:

I took a dose of advil cold and sinus then two hours later took a dose of advil pm. is that ok?

Family Medicine 28 years experience

Depends how much ?: Of you took Advil sinus is Advil with decongescent and Advil PM is Advil with Benadryl. Usually there is 200 - 400 mg in a pill of Advil . maximum do... Read More

946 viewsReviewed >2 years ago

Dr. Jeffrey Juchau and 2 doctors agree3 doctors agree

A female asked:

I have strep throat and bronchitis they proscribed me both cipro (ciprofloxacin) and amox is this safe?

Family Medicine 28 years experience

Its " overkill": If you have respiratory bacterial infection as a Strep throat 99% Strep group A.. best treated by Penicillin like antibiotics ( Amox..), but bronchit... Read More

1.1k viewsReviewed >2 years ago

Dr. Sandra Lora Cremers agrees1 doctor agrees

6 thanks

A male asked:

When my penis is flaccid and puffy i can feel a lump or a scar in left side of corpus cavernosa. i have difficulty with erections even with ed pills. ?

Family Medicine 28 years experience

Peyronie's disease.?: If you eperience some lump or " tight bend" on penis and with erection may get " bended" and painful it may be condition i mentioned above. it is con... Read More

366 viewsAnswered >2 years ago

A male asked:

Sharp temporary pain on my left scrotum tend to happen when i have negative thoughts (going on for approx 10 months). left scrotum is a more sensitiv?

Family Medicine 28 years experience

Unlikley related but: negative thoughts or emotions can affect body and some people may experience various baody ahces related to stress or anxiety. No patricular body area... Read More

284 viewsAnswered >2 years ago

A 27-year-old male asked:

Hello, i did on 27 april a chest ct scan 64 after one month, 27 may , i did an abdomen+pelvic ct scan 64. is it dangerous for my health?

Family Medicine 28 years experience

Yes.. But: CT scan has much higher dose of radiation than other immaging methods including plain X ray. It is now trend to avoid it unless absolutly necessary or... Read More

316 viewsAnswered >2 years ago

A member asked:

Babys temperature has dropped to 35.6. shes not feeding well and shes sweating. we have tried to keep her warm with blanket and heater?

Family Medicine 28 years experience

Tke baby to doctor: What is age of baby? If baby less 12 monhts any not feeding well and change of temprerature is concern. baby shoud be seen in hospital and rule out se... Read More

164 viewsReviewed >2 years ago

Dr. Frank Kuitems agrees1 doctor agrees

A 32-year-old female asked:

Is it ok to take probiotics, in particular vsl 3, while breast feeding and taking antibiotic?

Family Medicine 28 years experience

Yes!: If you take antibiotics - it disturb normal bowel flora and makes you prone to yeast and other more aggressive infections . VSL is life probiotic like... Read More

393 viewsReviewed >2 years ago

Dr. Randy Baker agrees1 doctor agrees

A 57-year-old male asked:

I suffered from memory loss and confusion. when i stopped taking statins (anti cholesterol) all bad symptoms dispensary. i don't want to use this poison again. is there anything else that will work for high cholesterol?

Family Medicine 28 years experience

Benefits vs. risks: Lipid disturbance is result of life style and genetics. Risk of high choleserol LDL depends on many factors ( comorbidities - like diabeets, previous ... Read More

404 viewsAnswered >2 years ago

A 31-year-old male asked:

Blisters on mouth and thrush. tried creams and medicines. not going away ?

Family Medicine 28 years experience

Have complete exam: if you deal with blisters " Herpes & cold sores' and thrush & yeast oral infection . Revise your nutritoon and lifestyle . Immune system may b... Read More

328 viewsAnswered >2 years ago

A 35-year-old female asked:

I tested positive for covid 19 and my 8 month old baby is okay. he's breastfed and i am not sure what to do? i don't have anyone else who could look after him so he's stuck with me during this period, will i not infect him?

Family Medicine 28 years experience

Keep breastfeeding : So far no eveidence of COVID transmission via Breat milk . Keep your face mask when breastfeeding and whenever you are in close contact with baby. Was... Read More

26 viewsReviewed Nov 15, 2020

Dr. Frank Kuitems agrees1 doctor agrees

A 55-year-old male asked:

I can not remenber if i took my 20mg xarelto pill. what happens if i take 2 20 mg pills?

Family Medicine 28 years experience

Don’t take 2 tablets. If you forget one day , most likely will be no harm . But if you take double dose - too high risk of bleeding . If you need sur... Read More

Answered Apr 20, 2021

A 18-year-old female asked:

I had intercourse on 9/28 but my partner said did not ejaculate. i took a test 10/13 it was negative. cramps started 10/19 period came 10/23 it was heavy the toilet was filled with heavy blood but became light the next day. is this implantation bleed?

Family Medicine 28 years experience

Not pregnant : Sounds like you got normal period. Sometimes may be heavier than other . As long as it stopped within normal time frame I wouldn’t worry . If you worr... Read More

32 viewsAnswered Oct 26, 2020

A 41-year-old female asked:

Cellulitis of scalp (via psoriasis) was prescribed generic bactrim and a bacitracin ointment plus tea tree oil on cuts. safe to wash hair now or wait?

Family Medicine 28 years experience

Gentle wasch ok : Cellulitis in scalp can happen if you scratched some psoriasis leasions and bacgerial infection got in. If you are on antibiotics and lesions are he... Read More

272 viewsReviewed >2 years ago

Dr. Al Hegab and another doctor agree2 doctors agree

A male asked:

I had a a double mastectomy about 6-7 months ago. i am constantly in the weight room. would gyno reoccur if i started a natural testosterone booster?

Family Medicine 28 years experience

May be...: After double mastectomy... depends how advanced was cancer? if preventive because of family histry and positive BRCA GENE? I would consult gyn/ Onco... Read More

1.6k viewsAnswered >2 years ago

A member asked:

Hi, my nipples seem to have a crust or hard crust inside . what could this be ?

Family Medicine 28 years experience

Nursing ? or no: Nipple discharge can became dry crusted inside. If you recently stop bresfeeding it is normal still produce some milky discharge. If not pregnant and ... Read More

1.4k viewsAnswered >2 years ago

2 thanks

A 53-year-old male asked:

I got my menstrual period on the 13th of february 2016 and lasted for 6 days. i had intercourse with my husband yesterday and this morning i sa?

Family Medicine 28 years experience

Likely no pregnant..: Sounds like u still have normal cycle!? Feb/13?LMP... you could be in ovulation now and pregnancy still needs to be considered! Recommend testing! If ... Read More

1.6k viewsAnswered >2 years ago

A 19-year-old female asked:

Hi i'm having problems and i need advice i've been having mucousy blood come out of my urine and it's painful really painful i've been having this problem for more than a month so much problems and no one is helping can you please help me ?

Family Medicine 28 years experience

Have a test: Please, if your symptoms lasting a months.?Definitely need to check urine for possible urinary infection . In woman is common. Pain can be excruciatio... Read More

1.4k viewsAnswered >2 years ago

A 20-year-old female asked:

What causes period like cramps a few days after stopping birth control? i stopped in the middle of a pack. also, what if i dont hav withdraw bleeding?

Family Medicine 28 years experience

Period to start soon: If u stopped birth control - it is expected to have period in 1 week (" withdraw bleeding") ... commonly its precede with cramps just like before any ... Read More

1.4k viewsAnswered >2 years ago