Dr. Howard Lelvowitz

Internal Medicine 29 years experience

See below: Bactrim does not cause urgency usuallu from infection. Hi resistance to Bactrim Cipro (ciprofloxacin) might be better choice.

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A 44-year-old member asked:

What is the treatment for aldactone (spironolactone) overdose?

Internal Medicine 29 years experience

See below: Aldactone (spironolactone) is a weak k sparing diuretic treatment is IV fluids and treat hi k if pressentinsulin kayexalate.

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A 30-year-old member asked:

Why did i have micturition syncope?

Internal Medicine 29 years experience

See below: Voiding is a vagal maneuver. If your heart rate is low or blood pressure is low or you are elderly you are at risk of fainting usually incombination... Read More

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A 29-year-old member asked:

What is the treatment for antibiotics overdose?

Internal Medicine 29 years experience

See below: Depends on the antibiotic and its metabolic pathway liver or renal.

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A 48-year-old member asked:

Are there long-term effects of taking weight management supplements like biolean? been losing 1 lb per week so i hate to stop, but is there a limit?

Internal Medicine 29 years experience

See below: Welcome risk low potassium and cardiac problems kidney problems if you have hx of otherwise unlikely muscle wasting from weight loss.

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A member asked:

I have a white blood count of 14.2, what would be the reason for this?

Internal Medicine 29 years experience

See below: Welcome most common is infection urine or sinus or lung or any infection less likely is blood disorder see your doc for work up and treatment.

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A 23-year-old male asked:

What are the causes of asthma? can gerd contribute to? i'm often short of breathe.

Internal Medicine 29 years experience

See below: Pneumonia undertreated infections and scarring smoking or occupational exposure gerd can also contribute to asthma see pulm doc for treatment incl... Read More

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A 32-year-old member asked:

Is it dangerous to drink alcohol with a complete heart block and no?

Internal Medicine 29 years experience

See below: If you have a complete heart block you need to see a cardiologist for a pacemaker.

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A 42-year-old member asked:

What is the difference between albuterol and alupent (metaproterenol) for acute asthma relief?

Internal Medicine 29 years experience

See below: They are they same Duoneb has albuterol and atrovent (ipratropium) 2 neb meds for chronic asthma you should be on a steroid inhaler.

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A 39-year-old member asked:

Can you take cefaclor if you have a penicillin allergy?

Internal Medicine 29 years experience

See below: Depends on your pcn allergy 2-3 % cross allergy usually ok be careful if you have a bad reaction to pcn.

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A 45-year-old member asked:

How does enalapril maleate work for high blood pressure?

Internal Medicine 29 years experience

See below: Ace inhibitor angiotensin convert enzyme inhib lowers vasoconstriction in the kidney.

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A member asked:

I have hyperthyroidism with a swollen tongue, is this normal? if not, could it be due to a pituitary adenoma?

Internal Medicine 29 years experience

See below: Hyperthyroid can cause ptosis prom eyes hi metabolic rate pre tibial edema swelling does not cause tongue swellong.

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A 35-year-old member asked:

Does oxybutynin have any side effect on sexual activity or dryness regarding sexual activity?

Internal Medicine 29 years experience

See below: No listing re sexual dysfunction can cause dryness of mucous membranes so need more lubricant for sexual activity to avoid irritation or pain.

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A 20-year-old member asked:

My dentist said i have to get my wisdom teeth removed beforr they brake through do they do it n the office or do i go somewere else?

Internal Medicine 29 years experience

See below: Usually oral surgeons remove impacted molar teeth. They are difficult to remove.With local anesthesia ie lidocaine when you are young.

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A 20-year-old female asked:

Can dehydration be the cause of frequent urination?

Internal Medicine 29 years experience

See below: Dehydratiion will not cause frequent urination as the specific gravity will go up and urine output decrease in the absence of diabetes mellitus and hi... Read More

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A 20-year-old member asked:

What is my iron level supposed to be at while pregnant? at my appointment, i was told my iron was at 10.5 & was low but no iron pills were prescribed.

Internal Medicine 29 years experience

See below: I am guessing 10.5 is your hemoglobin. Iron deficiency is common when pregnant due to fetal growth and supporting maternal and fetal growth simultan... Read More

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A 38-year-old female asked:

I regularly coughed out a bean looking thing that looks brownish and is smelly. it's rather soft too. what can it be plse. thanks!?

Internal Medicine 29 years experience

See below: Could be bronchitis or lung infection see doc to determine cause.

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A 47-year-old member asked:

I have the antibiotic ceftim. will this work for a toothache?

Internal Medicine 29 years experience

See below: It might work not the greatest for anaerobes penicillin Cleocin (clindamycin phosphate) better.

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A 39-year-old member asked:

How many tylenol (acetaminophen) #3 with codeine can the average adult take without overdosing?

Internal Medicine 29 years experience

See below: Not more then 6-8 a day.

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A 17-year-old female asked:

Where do i get a hair transplant from for my receding line and how much will it cost ?

Internal Medicine 29 years experience

See below: Moseley hair center. I believe the cost is high.Propecia may help.This med is topical and any physician can write a prescription for it.

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A 30-year-old female asked:

What is considered first day of period? am on third day of brown/pinky spotting which has got slightly more heavier (brown)?

Internal Medicine 29 years experience

See below: The first day would be the onset of brown drainage can last 3 perhaps 4 days. If continues you should see your doctor to see why.

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5.1k viewsAnswered >2 years ago

A 17-year-old male asked:

Is it possible to die from neosporin toxicity?

Internal Medicine 29 years experience

See below: Used topical in small areas impossible if you have a large area needing treatment see your doctor.

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5.1k viewsAnswered >2 years ago

A 25-year-old female asked:

What can cause excessive saliva and phlegm(mucus) secreation from the mouth?

Internal Medicine 29 years experience

Sinus or cough: Most common is rhinits less common is cough asthma bronchitis see your doctor.

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A 20-year-old female asked:

If i have had frequent urination and if i get an ultrasound what problems could be determined that may have caused my symptoms?

Internal Medicine 29 years experience

See below: Ultrasound can eval size of kidneys. Any renal stones. Hydronephrosis (enlarged ureter reflux can some times be seen. Your doc may order a voidin... Read More

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A 31-year-old member asked:

Any otc can substitute phentermine?

Internal Medicine 29 years experience

See below: Welcome the best way to loose weight is diet and or exercise. One way to loose weight is a nigh protein low carb diet. Lots of veg are very low in ca... Read More

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A 26-year-old member asked:

I can't control my pee since having a baby. i wet my pants when i jump or run. what can ij do to fix this?

Internal Medicine 29 years experience

See below: You can do exercises to strengthen the bladder muscles. If this continues you should have your doc see if you have a cystocele weakness of the wall o... Read More

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5.9k viewsAnswered >2 years ago

A 29-year-old male asked:

Why the last 2 docs i visited able to tell me confidently i don't have bronchitis based on xray n listening to my chest? i tot pulmonary tests needed?

Internal Medicine 29 years experience

See below: Bronchitis is usually an acute infection.It can be bacterial or viral like influenza. Usually with bronchitis you have some abnormal breath sound... Read More

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5.9k viewsAnswered >2 years ago

A 19-year-old member asked:

I have been bad vignal odor and discharge and would like to know what this could be ?

Internal Medicine 29 years experience

See below: If you are sexually active with unknown partners withoutprotection you can develop a sexual disease like gonorrhea or chlamydiae. These infection... Read More

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5.9k viewsAnswered >2 years ago

A 40-year-old member asked:

What is the exact method of urine collection of 24 hours in doing 'creatinine clearance?

Internal Medicine 29 years experience

See below: Usually void first discard then save all urine for 24 hours.

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A 34-year-old female asked:

Im on cipro (ciprofloxacin) for 3 days , i currantly take celexa too , can i take valium with the cipro (ciprofloxacin) ?

Internal Medicine 29 years experience

See,below: U an take Cipro (ciprofloxacin) and Celexa together Valium also id doc pres ribes Valium best fot short term use.

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A 19-year-old male asked:

Is there anything a 19 year old can do for lumbar lordosis with cervical kyphosis?

Internal Medicine 29 years experience

See below: Posture and phy therapy and exercise to help correct theabn back.

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A 33-year-old member asked:

What causes elderly people to start hearing voices?

Internal Medicine 29 years experience

See below: Welcome the elderly are very challenging often live alone or in nursing home dementia memory loss common. With significant dementia or move or dis... Read More

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A 39-year-old member asked:

What are the tests for albuterol overdose?

Internal Medicine 29 years experience

See below: Vital signs ekg chest x ray blood work to eval pulmonary function and acid base eval for prob with lung function IV fluids.

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Dr. Luis Villaplana agrees1 doctor agrees

A 44-year-old member asked:

My son has perpetual pinkish lesions on his elbow that he picks. thought mrsa but peds said just use bacitracin. what is it?

Internal Medicine 29 years experience

See below: Best not to pick or scratch ask doc for Bactroban (mupirocin) Ointment often works for MRSA if mild.

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5.8k viewsAnswered >2 years ago

A 23-year-old male asked:

If my i have an irregular ekg, but my echocardiogram is normal.....? what does that rule out?

Internal Medicine 29 years experience

See below: Echo checks for wall motion ie prior heart attacks and contractile function of the heart. Can have abnormal rhythm like atrial fibrillation or card... Read More

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5.8k viewsAnswered >2 years ago

A member asked:

My 6 year old has had recur. croup and asthma like symptoms since she was two. albuterol doesn't seem to help. what can we do? is it asthma?

Internal Medicine 29 years experience

See below: Get cxr and some blood tests get pulm funct tests try singular and Flovent or asmanax see pulm or allergist for further testing.

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5.8k viewsAnswered >2 years ago

A 24-year-old member asked:

I have reoccuring sinus pains. nothing seems to help. help?

Internal Medicine 29 years experience

See below: See doc get antibiotics and decongestant and or singular if pain continues then sinus x rays and or ct and eval by ENT doc.

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A 22-year-old member asked:

I cut out soda, milk, and fast food out of my diet. just water and beer on weekends now. try eating better but no time and can't cook. no results?

Internal Medicine 29 years experience

See below: To loose weight no sugar no processed foods apples great sliced salad with vilegar vegetables chicken breasts fish radished 1pound is 8 calor... Read More

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5.8k viewsAnswered >2 years ago

A 43-year-old female asked:

I had plica removed about 5 months ago and just recently had a new mri that revealed a superior displacement of the mensical root. what does that mean?

Internal Medicine 29 years experience

See below: For info only not for treatment plica are from the patella membrane incompletely resorbed during development and overuse and injury not infrequently n... Read More

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6k viewsAnswered >2 years ago

A 20-year-old female asked:

I have had frequent urination for 8 months had a urine culture and a urinalysis both negative. what other tests determine the cause of this problem?

Internal Medicine 29 years experience

See below: Diabetes mellitus can cause frequency. Kidney disease can cause frequency. Diabetes insipitus can cause frequency. See your doctor for physical exa... Read More

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5.9k viewsAnswered >2 years ago

A 38-year-old member asked:

Why do i leak urine? when i went for urogyn evaluation i almost overflowed the container i had so much in bladder.

Internal Medicine 29 years experience

See below: Are u drinking too much water. Diabetes can cause hi urine output. Cystocele bladder wall weakness can cause this. If have several children can have s... Read More

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A 38-year-old member asked:

What things could cause a permanent loss of voice?

Internal Medicine 29 years experience

See below: Trouble speaking most frequently would be vocal chord related damage or injury or polyp also intubation related injury to vocal chord see ENT doc for... Read More

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Dr. Alan Ali agrees1 doctor agrees

A 22-year-old male asked:

Dad has copd hr tacky has allergies troubles breathing put on concentrator 2l but claimed to make him worse and nauseated and has severe headache help?

Internal Medicine 29 years experience

See below: Need more information. What is his heart rate. What meds is he on. What is his oxygen sat can use medications to slow his heart rate and diruretics ... Read More

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1 comment

A 29-year-old male asked:

Is gastric reflux or gas known to cause sob for extended periods of a few months?

Internal Medicine 29 years experience

Seebelow: Gastric reflux is acid refluxing up the esophagus. This will not persay cause sob. But if you have reflux up to the hypopharynx then the acid can... Read More

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5.9k viewsAnswered >2 years ago

A 38-year-old member asked:

Safe to take creatine when on a beta blocker?

Internal Medicine 29 years experience

Yes: Creatine oral appears safe if no kidney problems it is excreted in the urine.

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A 45-year-old member asked:

What causes gradual hearing difficulties?

Internal Medicine 29 years experience

See below: Most common is hearing loss related to loud noises loud bands construction shooting etc protect ears from loud noises less likely is scarring f... Read More

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5.8k viewsAnswered >2 years ago

A 37-year-old member asked:

I am so afraid i will poop during delivery. should i give myself an enema before i go in?

Internal Medicine 29 years experience

See below: Discuss with your doctor if in labor dont eat can have doc examine you to see if you need an enema dont do with out doctors ok.

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5.8k viewsAnswered >2 years ago

A member asked:

What can cause a creatinine increase with a low blood pressure and no other signs or symptoms of kidney disease?

Internal Medicine 29 years experience

See below: Diabetes or ureter disease scarring or glomerulonephritis less commond.

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Dr. Luis Villaplana and another doctor agree2 doctors agree

A 44-year-old member asked:

What is the least healthy air to breathe for kids? city or small town (if they have agriindustry spraying)?

Internal Medicine 29 years experience

See below: Usually much more pollution in city.

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A 35-year-old member asked:

I was in a car wreck in dec. i tore my bladder and was catheterized and now my bladder hurts very badly when i pee sometimes. why and how do i fix it?

Internal Medicine 29 years experience

See below: Should see urol is catheter out they are painful. Do u have a bladder infection.

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Dr. Sahba Ferdowsi agrees1 doctor agrees