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Doctor Q&A for Dr. Brian Kaufman

A 38-year-old female asked:
Dr. Brian Kaufman
Internal Medicine 19 years experience
Heart or stomach: The scary thing is could this be your heart? I would need to know more to tell you, but could be, although unusual in your age, but sometimes happens. More likely, ulcer in stomach gastritis in stomach, or possibly just musculoskeletal. If you have breathing problem, or it gets worse, go to ED immediately and get seen. In either case, see a doc about this, as they can all be serious.
A 34-year-old female asked:
Dr. Brian Kaufman
Internal Medicine 19 years experience
Complicated question: Benzo withdrawal can lead to CNS hyperactivity, from lower GABA and unopposed glutamate. Increased pain from increased CNS reactivity, more anxiety, and possibly seizures (not common) in the extreme. Central sensitization (CS) is usually a longer process from chronic hyper-sympathetic states/CNS changes. Transient increase in pain perception, is like a form of CS but should not persist.
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A 26-year-old female asked:
Dr. Brian Kaufman
Internal Medicine 19 years experience
Could be a couple...: ...of things! 1) Possible otitis externa: a painful infection of the outer part of the ear (outside the eardrum), associated with swimming (swimmers ear) and typically responds to drops. 2) TMJ: May be TMJ syndrome: painful condition of the joint where the jaw attaches. You might have popping, locking, uncomfortable with chewing. Avoid gum, chewy foods, and excessive motion. Seek help from your DO
A 32-year-old female asked:
Dr. Brian Kaufman
Internal Medicine 19 years experience
Possible sleep apnea: You are describing symptoms of sleep apnea. With Chiari, you may be having Central sleep apnea, from brainstem involvement, rather than obstructive, but this is a more complicated question. The Swallowing issues may also represent some brainstem involvement. You should touch base with your docs as soon as you can. This can be a serious problem. if you do not have a following doc, find someone.
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A 23-year-old female asked:
Dr. Brian Kaufman
Internal Medicine 19 years experience
It depends...: For a young healthy person of 23, who smokes regular strength cigarettes, 20 cigarettes, or a pack is about 20mg of nicotine daily. The average time is about 2 hours to physical withdrawal symptoms. If you smoke less than about 14 regular cigarettes, you may not get any physical symptoms. In both cases, you are going to get symptoms related to mental and emotional withdrawal. That varies. Quit!
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A 23-year-old male asked:
Dr. Brian Kaufman
Internal Medicine 19 years experience
Many things!: I'm assuming your doc ordered the test for a symptom, or anemia work up. If so, could be stomach ulcer, ulcer anywhere along gut, to bleeding diverticula in colon or even a hemmoroid. Also, vitamin with iron, nosebleed (because swallowed blood) or anything where blood gets into GI tract. Older tests would also turn positive if you had eaten red meat or spinach due to iron. Hope that helps!
A 27-year-old male asked:
Dr. Brian Kaufman
Internal Medicine 19 years experience
Seek Help! : Sleep is essential to health! Night terrors are very scary but they are not real. Anxiety has many causes beyond the scope of this answer but the treatment is probably going to be a combination of medications with counseling. You may also have a sleep disorder and this may contributing to your syndrome. You should seek out professional help with your PCP. You don't need to live like this!
A 30-year-old male asked:
Dr. Brian Kaufman
Internal Medicine 19 years experience
Probably Nothing: I don't want to make too little of this but given what you described, didn't sound like anything more than a muscular or skeletal pain. If it gets worse Or you start getting any shortness of breath, seek immediate medical attention. Otherwise, I expect it will get better soon. Take a hot soak and stretch.
A 23-year-old male asked:
Dr. Brian Kaufman
Internal Medicine 19 years experience
Can be: The area has some sensitive nerves and it is common to experience some numbness, tingling or even pain in the groin area after a repair. Try some gentle massage in the area along with cold therapy. Most of these symptoms should go away by 9 months.
A 31-year-old male asked:
Dr. Brian Kaufman
Internal Medicine 19 years experience
Depends on Goal...: For overall health shoot for a total of 150 minutes a week, or about 30 minutes a day for 5 days a week, with your pulse about 60% of your max predicted. Studies show you can break this up in other ways but the key is getting your pulse to the desired level before starting the clock. aerobic conditioning, anaerobic conditioning, and other techniques are approached differently.
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