Doctor Q&A for Dr. Nikolaos Zacharias

A female asked:
Dr. Nikolaos Zacharias
26 years experience Maternal-Fetal Medicine
Not likely.: if pregnancy tests are negative two weeks later you should not be pregnant. Rare exceptions would include late ovulation and test failure. Consult wit ... Read More
A 35-year-old female asked:
Dr. Nikolaos Zacharias
26 years experience Maternal-Fetal Medicine
Hormones likely: The estrogen and progesterone surge in the second trimester commonly triggers headaches in pregnancy in predisposed women. Try Reglan + Tylenol (aceta ... Read More
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A 23-year-old male asked:
Dr. Nikolaos Zacharias
26 years experience Maternal-Fetal Medicine
NO: Fasting is not required to check for pregnancy hormones in your blood.
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A 23-year-old female asked:
Dr. Nikolaos Zacharias
26 years experience Maternal-Fetal Medicine
Rare, but possible.: PPROM is rare before 20 weeks, but not unheard of; please see your obstetrician ASAP if you think that you are leaking amniotic fluid vaginally, as th ... Read More
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A 23-year-old female asked:
Dr. Nikolaos Zacharias
26 years experience Maternal-Fetal Medicine
Too soon to tell.: Serial checks of your serum beta hCG and weekly pelvic ultrasounds will give you the answer soon enough; do not despair, your pregnancy may be younger ... Read More
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A 24-year-old female asked:
Dr. Nikolaos Zacharias
26 years experience Maternal-Fetal Medicine
Impossible.: The maximum length of a well-dated pregnancy is 42 weeks. My recommendation is to deliver after 3-7 days past the due date, if that is based on a reli ... Read More
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A 19-year-old female asked:
Dr. Nikolaos Zacharias
26 years experience Maternal-Fetal Medicine
Yes - go to the ER.: If your contractions are painful [especially if they are coming every 5-10 minutes] please see a physician ASAP - you may be going into labor or exper ... Read More
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A 24-year-old female asked:
Dr. Nikolaos Zacharias
26 years experience Maternal-Fetal Medicine
Relax: Your results are within normal range - relax. Make sure you drink plenty of fluids daily (water is best), take folic acid ~1 mg orally daily and accep ... Read More
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A 28-year-old female asked:
Dr. Nikolaos Zacharias
26 years experience Maternal-Fetal Medicine
Yes.: Ultrasound will only start showing evidence of pregnancy after 5 weeks - or at least a week after a positive pregnancy test. Take folic acid 1 mg oral ... Read More
A 17-year-old female asked:
Dr. Nikolaos Zacharias
26 years experience Maternal-Fetal Medicine
Sure.: The main ingredient of prenatal vitamins is 800 mcg of folic acid or vitamin B9. Cyanocobalamin or vitamin B12 may also be included but is not essenti ... Read More
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