Dr. Charles Talakkottur

Internal Medicine 63 years experience

Helps pigment issues: Ipl is light energy which is used to address pigment problems such as sunspots, acne, rosacea and blood vessel problems. Here at TLC aesthetics tampa... Read More

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A 24-year-old member asked:

My anti-ccp is >300, and i have been on ra meds but still in great pain for 7 years. is it possible that anything else could cause that test result?

Internal Medicine 63 years experience

Yes but less likely: Anti ccp is fairly specific for ra. Other conditions such as psoriatic arthritis, lupus, and hepatitis c can also cause elevations in anti ccp. Perh... Read More

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A 32-year-old member asked:

Is my diet still good if i eat at 5 portions of fruit a day, but no vegetables?

Internal Medicine 63 years experience

No: A well balanced diet is important for many aspects of health and the intake of vegetables has anti cancer properties which also serve as bulking agent... Read More

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A 40-year-old member asked:

What are possible eye diseases that slowly cause blindness?

Internal Medicine 63 years experience

See below: Glaucoma and macular degeneration.

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A 39-year-old member asked:

Clariton were not working at all ! would benedryl work better ? what if i use one in the morning and the other at night?

Internal Medicine 63 years experience

Depends: You can try this. Would consider if you are doing this, do Benadryl (diphenhydramine) at night. May want to try Allegra or zyrtec before Benadryl (d... Read More

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A 47-year-old member asked:

I have rhabdomyolysis caused by caduet. can it be cured?

Internal Medicine 63 years experience

Yes: Iv fluids and eliminate the offending medication. In this case it is probably the Atorvastatin component of the caduet(caduet is 2 medications in one... Read More

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A 31-year-old member asked:

Is nitroglycerin always safe to give in case of heart arrest or attack?

Internal Medicine 63 years experience

No: Not if the blood pressure is low.

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A 36-year-old member asked:

What are some suggestions for food allowed on water and salt restricted diets for chf patients?

Internal Medicine 63 years experience

Avoid canned: No canned foods, no tv dinners, no deli meats. Veggies and fruits no added salt, less than 2, 000mg(2 grams of sodium per day).

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A 46-year-old member asked:

Why do the testes enlarge during sexual arousal? how does this happen?

Internal Medicine 63 years experience

See below: Heightened sexual arousal sends signals from the brain to increase bloodflow to these areas.

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A 48-year-old member asked:

What is the best way to quit smoking without nicotine patches or gum?

Internal Medicine 63 years experience

Self help groups: Consider Chantix or electronic cigarettes.

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A 21-year-old female asked:

What can happen to a person tht drinks nd at the same time takes medication over the counter?

Internal Medicine 63 years experience

It depends on the me: If a person is drinking alcohol and is taking prescription medication or even over the counter medicine at the same time, it can sometimes make a pers... Read More

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A 45-year-old member asked:

Any natural help with achalasia?

Internal Medicine 63 years experience

No: You would need to see a gastroenterologist/gi doctor and get an egd done(a video camera with a long flexible tube down the throat) to evaluate further... Read More

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A 27-year-old female asked:

Pain which starts from upper neck to both arms, what could be the reasons. i am an it professional. is it because of my profession?

Internal Medicine 63 years experience

See below: What you may describing is radiculopathy. This is a condition when there is pressure on the nerves which exit the bones of the neck. You would proba... Read More

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A 37-year-old male asked:

Please share an interesting fact about dealing with low blood pressure.

Internal Medicine 63 years experience

Ignore: Cut down your salt intake! Look at package labels and have less than 2,000 mg of sodium per day.

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A 27-year-old male asked:

Woke up in middle of night got up to go to bathroom was walking back my body got so hot it was burning and i was sweating this happened three times last night i havebad anxiety could it have been that heart or blood pressure?

Internal Medicine 63 years experience

Panic attack?: Hi. If you have underlying anxiety chances are you may have had a panic attack. See if you had something stressful happen recently?try deep breathing,... Read More

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A 25-year-old male asked:

I am 25 years old. i do not smoke. i have had a barking cough (sounds similar to a seal) for about two weeks now. ?

Internal Medicine 63 years experience

Croup?: You need to be evaluated for a condition called croup. Go and see your local doctor.

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A 29-year-old female asked:

Will ulcer once cued will reappear? any food diet to avoid ulcer?

Internal Medicine 63 years experience

Yes: Avoid caffeinated products, alcohol and spicy foods. Also reduce consumption of Motrin, alleve etc

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A 20-year-old female asked:

I am a 20 year old female with systemic sclerosis. i have a pain in the left side of my chest which has got worse over the past couple of weeks.

Internal Medicine 63 years experience

Try this: Is it worse when you take a deep breath, cough or press on the chest wall? Concern about possible fluid on the chest area. Consider chest X-ray.

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A 39-year-old female asked:

A friend have c h f notice his stomach is getting big is that normal he is on medication should he cut down on salt and do push up excise ?

Internal Medicine 63 years experience

Partially: if you are referring to chf as in congestive heart failure, he should also weigh himself daily and see if he gains 5 pounds. he should see the doctor... Read More

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A 35-year-old member asked:

Is there a good way to get rid of spider veins on my face?

Internal Medicine 63 years experience

Different ways: Laser, ipl (intense pulsed light) would be options i would suggest. We offer both treatments at TLC aesthetics in tampa.

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A 19-year-old female asked:

I found a small bump on my pubic area a day ago it has gotten smaller and its soft and gushy like there is fluid in there i haven't shaved in a month?

Internal Medicine 63 years experience

Abscess probably: Probably an abscess-pus collection and small skin infection. Use loose fitting clothing and use warm moist compresses and it should decrease in size a... Read More

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A 17-year-old female asked:

I have had stomach bloating and cramping in the middle and then on my right side for about a week. i ended my period last saturday. what could it be??

Internal Medicine 63 years experience

Probably your period: more than likely you have menstrual cramps which could be controlled better with medications such as midol.

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A 63-year-old male asked:

During a chest exray for a cold, doctor notice a nodule by rib number 8 left side. now a ct scan. what could this be anyway ? thanks

Internal Medicine 63 years experience

Unknown: lung nodules are things which are found enough if you look for them. we classify lung nodules based on the size of the nodule and there are more spec... Read More

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A 17-year-old male asked:

1 small bright red spot in my bm. microscopic, had to bend down near bm to see, 3 days now. sore mild anal pain today during and after bm, gone now?

Internal Medicine 63 years experience

It depends: if your symptoms persists of having blood in the bowel movements, you need to see a gastroenterologist(gi doctor). you will want to discuss your trav... Read More

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A 24-year-old female asked:

What could it be if i've been sick for sometime of a cold and sore throat and now im getting major headaches similar to a brain freeze ?

Internal Medicine 63 years experience

Sounds like....: sinusitis perhaps. this is an infection of your sinuses. can be treated with antibiotics.

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A 25-year-old female asked:

Hello.. so i'm having the diarreaha systems the cramping bloating and diarreaha. but when i go to the bathroom the diarreaha is just a clear liquid an?

Internal Medicine 63 years experience

What to do: if it persists you may need to go to see the doctor for some antibiotics. start with immodium first.

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A female asked:

Ever since i was 11 i've been struggling with acne. my acne has gotten better but now i'm left with red marks. what can i do ? please help

Internal Medicine 63 years experience

Hydroquinone : Skin lightening with hydroquinone or peels are good. Viderm makes great products.

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A 50-year-old male asked:

Former smoker, weightloss & fatigue. ct scan&colonoscopy clear apr 15. feb16 2nd ctscan clear (chest&abs). should i scan again in say 6 months?

Internal Medicine 63 years experience

No: Too much radiation. Look for other causes. Check labs especially hemoglobin which is a marker of anemia. Hemoglobin is the oxygen carrying molecule an... Read More

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A 30-year-old male asked:

I have had yellow mucus come out twice in the last week when i pass gas. should i be concerned? i sometimes get diarrhea within 1 hour of eating.ibs?

Internal Medicine 63 years experience

Yes: Get stool studies done. Mucous is not good not is oily droplets. Could be something more serious and needs further evaluation

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A 16-year-old male asked:

I have patches of skin that are scaly on my face how do i treat them, i also have some dark and light patches on my face do you recommend any products?

Internal Medicine 63 years experience

Depends....: Hi there FShelton. I'm sorry to hear about your skin changes. If the patches of skin are scaly, I would assume they are dry and you may potentially h... Read More

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A 24-year-old female asked:

I have been experiencing pain on my right side. my hand is cold, my foot is cold, and i have been having tingling on the right side of my face. today ?

Internal Medicine 63 years experience

NEED MORE INFO: Would like to know more information, perhaps you can try a consult? Would like to know how long the symptoms have started, were you exposed to cold e... Read More

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A 19-year-old female asked:

Can i use adapalene gel (0.01%) and maxipeel exfoliant 2 (tretinoin and hydroquinone) together?

Internal Medicine 63 years experience

Yes: No problem. Just may have some excessive drying/irritation. If this happens alternate days in which you use them

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A 58-year-old female asked:

What's wrong? ua that are off . renal epithelial cells, mucus, amorphous calcium exalate, leukocytes estarase, squamous epithelial, wbcs, bacteria.

Internal Medicine 63 years experience

UTI: Hi. Sorry you are having a concern. It appears you have a urinary tract infection. I would also be concerned to know if you had any kidney stones r... Read More

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A 26-year-old male asked:

Should i be tested for hypomagnesemia?i took prilosec for over a year and i heard it can cause this with prolonged qt interval. my legs feel sore also

Internal Medicine 63 years experience

Yes: If having muscle aches, it sometimes can be a sign of imbalance such as potassium& magnesium but not necessarily related to prilosec. A comprehe... Read More

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A 25-year-old male asked:

Does heart rate say anything about the health of the heart? if heartrate is normal then is the heart working fine?

Internal Medicine 63 years experience

It can: If the heart rate is too fast(over 100) it can be concerning. If it is too slow(less than 60) it could be that the person is a conditioned athlete or... Read More

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A 18-year-old male asked:

Have a life deciding exam . what should i do before the exam day, so that my mind works perfect and superfast during the exam ?

Internal Medicine 63 years experience

Rest: Get plenty of rest the night prior and eat a good breakfast with protein

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A 40-year-old member asked:

I did a botox with a cosmetic doctor its been a month now i can't lift my right eye up and its very pain full is that normal please i need answer as soon as possible or i have to see a doctor for my problem.

Internal Medicine 63 years experience

Not normal: Eyelid droop appears to have occurred. There are are eyedrops which can be prescribed to try to help alleviate the problem, the problem is not a perm... Read More

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A 34-year-old member asked:

Is it normal for a 22 year old male to have to use the bathroom at night?

Internal Medicine 63 years experience

Sometimes: It depends if you have other symptoms like always eating, always thirsty, decreased sexual function, frequent urination. These could be signs of diab... Read More

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A 34-year-old member asked:

How long does it take for patient to recover from coronary artery bypass surgery?

Internal Medicine 63 years experience

3 months: At least. Up to 6 months.

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A 62-year-old member asked:

Have fast heartbeat then slows down sometimes skips a beat?

Internal Medicine 63 years experience

Need further evaluat: I would recommend you get an electrocardiogram(ekg) which measures the electrical activity of your heart. You could possibly be having something know... Read More

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A 45-year-old member asked:

Does peripheral arterial disease only affect old people?

Internal Medicine 63 years experience

No: Risk factors include age over 50 years old, tobacco abuse, diabetes, high blood pressure, prior stroke, prior heart attack.

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A 26-year-old male asked:

I wanna reduce 16kg of weight.i recently joined gym also.pls suggest me a good diet plan?

Internal Medicine 63 years experience

Cut carbs, more veg: Would recommend you to reduce your carbohydrate intake, increase your vegetable intake and pursue more of a plant based diet. Meat should be lean and... Read More

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A 29-year-old female asked:

Could my 9 week old have a lactose problem? she spits up quit a bit & we have been putting rice cereal in her bottles, but not much change.

Internal Medicine 63 years experience

Yes: Could be lactose intolerance or esophageal reflux(gerd), defer to your pediatrician.

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A 41-year-old member asked:

Droopy lid, sudden facial numbness?

Internal Medicine 63 years experience

Possible emergency: You need to see a doctor as soon as possible to rule out worrisome things such as stroke.

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A 30-year-old member asked:

How do people die when they have a pulmonary thromboembolism?

Internal Medicine 63 years experience

BLOOD SUPPLY STOPS: It can stop the blood supply to the heart and or lungs.

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A 40-year-old member asked:

What causes sudden chest and back pain when sneezing ?

Internal Medicine 63 years experience

Inflammation: A lot of the time there is inflammation of the chest wall and this may be termed costochondritis. Once your symptoms improve the pain should go away.... Read More

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A 40-year-old member asked:

What is the best way of treating gas at night?

Internal Medicine 63 years experience

Simethicone: Or gasx. Also avoid gas producing foods such as beans, broccoli etc.

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A 21-year-old female asked:

Getting pegnancy symptoms, 3rd day of missed periods. negative home strip test. found occult blood in urine?

Internal Medicine 63 years experience

SEE THE DOCTOR: Having blood in the urine is not normal. Check a quantitative pregnancy test(more specific than home tests).

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A female asked:

I have diarrhea, is it normal at the same time i vomit?

Internal Medicine 63 years experience

Could be: Hi. Sorry you are not feeling well. If you are having diarrhea and vomiting at the same time, there is a concern you may have had some food poisonin... Read More

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A 27-year-old male asked:

I am 27 years old and i work about 55 hours every week and my profession is based of customer service. i feel exhausted and tired everyday .any advice?

Internal Medicine 63 years experience

See below: May need to cut down your hours! also, may need to check your hemoglobin level to test for anemia which may make you tired. Also, need to consider t... Read More

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