Dr. Nicholas Martin

Family Medicine 51 years experience

Long talk needed: There are books written on this question. The obvious chemicals to avoid are chemicals that can damage dna. Certain secosteriods such as vitamin a wil... Read More

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5.6k viewsReviewed >2 years ago

A male asked:

If your thyroid produces too much hormone, will removing part of it correct the problem?

Family Medicine 51 years experience

All or none removed: Hyperthyroidism has many causes, from inflammation to pituitary tumors to emotional stress states. Autoimmunity(the attack of one self by your own ... Read More

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5.6k viewsReviewed >2 years ago

A 18-year-old male asked:

How can you tell if your getting a blood clot ?

Family Medicine 51 years experience

Maybe: The word "getting" is difficult to answer in reference to the signs of getting a blood clot compared to the signs of a blood clot. So the discussio... Read More

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5.7k viewsReviewed >2 years ago

Dr. Jeffrey Juchau and another doctor agree2 doctors agree

A 31-year-old female asked:

Hi. i recently found out i'm pregnant and had my labs drawn. my mch and mchc were slightly elevated and my rdw was slighlty low. what could this mean?

Family Medicine 51 years experience

Sphereocytoses: Sphereocytoses is an rbc product that has a greatter volume than normal rbcs, consequently its size is smaller but the MCH and MCHC elevations are... Read More

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5.6k viewsAnswered >2 years ago

A 54-year-old female asked:

Are lasers effective on removing spider veins?

Family Medicine 51 years experience

Yes: The smaller the spider vein the easier to treat.

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5.7k viewsReviewed >2 years ago

Dr. Alan Ali and 2 doctors agree3 doctors agree

A 43-year-old male asked:

Is sodium score 132 dangerosly low that would indicate serious symptomology?

Family Medicine 51 years experience

No short answer: A low sodium has a cause, and there are potential risks that if not addressed in a timely manner, elevated aldosterone can develop, and Insulin resis... Read More

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5.3k viewsReviewed >2 years ago

Dr. Michael Rothman agrees1 doctor agrees

A member asked:

My sister in law is sufferrimg from thyroid and she is not regular to her medicines also plss suggest what precautions should she take can it be cured?

Family Medicine 51 years experience

Followup with M.D.: The issues of thyroid replacement are straight forward. Always take your thyroid, always get follow up labs, and monitor your available iodine to ma... Read More

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5.6k viewsReviewed >2 years ago

Dr. Luis Villaplana and 2 doctors agree3 doctors agree

A 24-year-old male asked:

What else can i do besides surgery that can help with pain due to lack of a meniscus? most of it was removed from my left knee 5 years ago.

Family Medicine 51 years experience

Stimulate healing: I have documented repeately that man, horses and dogs can heal joint problems if the connective tissue and a stimulus to cause healing is taken by mo... Read More

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5.6k viewsReviewed >2 years ago

Dr. Richard Mallia agrees1 doctor agrees

A member asked:

My husband had antibiotic for ten days for a throat infection got better now he has a lot of big ball on his face that are red hard they hurt and itchy what could that be?

Family Medicine 51 years experience

Drug allergy or: Lab studies will assist in the diagnosis to determine causation. Treatment for allergic rash is opposite tor treatment of infection. Drug allergic r... Read More

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5.6k viewsReviewed >2 years ago

A 31-year-old male asked:

Question for my dad: he wants to get some joint supplement, he do not suffer any joint pain/do not exercise a lot just once a week, what content of glucosamine should he get? w msm/chondrotin sulfate? thanks!

Family Medicine 51 years experience

Chicken collagen-MSM: Glucosamine and chondrotin are both in a good absorable form in chicken collagen taken with msm 3000mg two times a day, the chicken collagen provide... Read More

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5.6k viewsAnswered >2 years ago

A 29-year-old female asked:

39wks. pregnant and believed to have already lost my mucus plug, it was red, as the day went on brown pieces came out. is this normal?

Family Medicine 51 years experience

This finding is not : This finding is not rare. Some patients start labor with uterine contractions that they are not aware of. The brown discharge usually reflects early... Read More

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5.6k viewsReviewed >2 years ago

Dr. Martin Raff agrees1 doctor agrees

A 26-year-old female asked:

Is it possible to ovulate 8 days after a d and c?

Family Medicine 51 years experience

Yes: Yes, since there is no connection between ovulation and D&C in terms of one reacting to the other. It is true that incomplete growth due to lack o... Read More

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5.6k viewsAnswered >2 years ago

A 49-year-old female asked:

When my stomach is upset or i just feel bad. why do i crave pickle vinegar? and it makes me feel better.

Family Medicine 51 years experience

Alkalosis: Alkalin state is know as alkalosis , usually from a marked potassium deficiency. The ph is high due to the loss of, hydrogen ions which are lost by ... Read More

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5.2k viewsReviewed >2 years ago

Dr. Heidi Fowler and another doctor agree2 doctors agree

8 thanks

A 51-year-old female asked:

What cause vaginal dryness?

Family Medicine 51 years experience

Estrogen deficiency : Estogen deficiency or decreased blood supply to the vagina are the most frequent causes of dryness, but chronic vaginal inflammation(allergic or infec... Read More

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5.7k viewsReviewed >2 years ago

10 thanks

A 25-year-old member asked:

Is insulin resistance reversible? if so, what can one do to reverse it?

Family Medicine 51 years experience

YES,INSULIN RESISTAN: Insulin ressistance(ir) is a survival trait that allowed your ancesters to survive famines, and is caused by the loss of the phosphate group on the ac... Read More

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5.7k viewsAnswered >2 years ago

A 56-year-old female asked:

I have a guest cold, no fever, not coughing much, just feel tired. should i see a doctor for antibiotics or should i let the cold run it's course? thanks!

Family Medicine 51 years experience

ZITHROMYCIN IS PROBA: Atypical infections such as mycoplasma or chlamydia pneumoniae responds to zithromycinmon and doxycycline, and are associated with fatigue, which is ... Read More

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5.7k viewsAnswered >2 years ago

A 33-year-old male asked:

My daughter backed into a hot grill and burned the top layer of skin. what home products can i apply to the burned area?

Family Medicine 51 years experience

Cool the area quicky: After cooling for minutes, with no direct ice to skin, cortisone, with a and d cream will minimize the tissue damage.

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5.6k viewsReviewed >2 years ago

A 29-year-old female asked:

29y female with bone pain x 1 wk pain travels to different areas e g isolated to side bones of feet toes 1 day and maybe thigh bone another sides of hands or arms maybe cobo of any or all of these another day worse night no fever but tired a lot started p

Family Medicine 51 years experience

Complex presentation: This presentation is resolved, hopefully.Since it developed recently, and its cause can be of many origins, from bone pain, to nerve pain, , caused... Read More

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5.6k viewsReviewed >2 years ago

Dr. Michael Sparacino and 2 doctors agree3 doctors agree

A 45-year-old female asked:

My question is in regard to my son, 18 years old, who has had itching for the past 4 weeks without a rash. itching started in genital area, but jumps from different areas of his body at different times. recent blood work done in may of this year was norma

Family Medicine 51 years experience

Mast cell fragility,: mast cell fragility is a condition where the mast cell ruptures easily. This problem of the cell rupture without a substantial slap or pressure to t... Read More

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2.6k viewsAnswered >2 years ago

A 29-year-old female asked:

I went under the surgery of cholecystectomy last january 2011. i would like to know if it is prohibited for me to take any alcoholic drinks. thanks.

Family Medicine 51 years experience

Alcohol is not fat: Gall from a gallbladder is needed by the body to dissolve fats. The loss of a gall bladder___ does limit the amount of fat one can consume per meal. A... Read More

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5.6k viewsReviewed >2 years ago

Dr. Mark Hoepfner agrees1 doctor agrees

A 19-year-old female asked:

I haven't woken up refreshed in months, what can i do to help this? sleeping pills don't work

Family Medicine 51 years experience

Start with a sleep s: A sleep study will often give you the answer, especially when the oxygen level falls during sleep. The lack of deeper sleep states( where one rest be... Read More

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5.6k viewsAnswered >2 years ago

A 33-year-old female asked:

How do oral steriods help when your wheezing due to asthma and can steriods cause u to have trouble sleeping at night?

Family Medicine 51 years experience

Treatment verses pre: -steroids are preventative, therefore they are not the drug of choice during an acute wheezing episode. Steroids do enhance energy and therefore can c... Read More

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5.5k viewsReviewed >2 years ago

A 30-year-old female asked:

What does an elevated monocyte count mean?

Family Medicine 51 years experience

Can be mononucleosus: Monocytes become elevated when the immune system needs to produce more antibodies to handle the intracellular invading agents.. Mononucleosis is caus... Read More

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5.5k viewsReviewed >2 years ago

Dr. Kenny Chuu agrees1 doctor agrees

7 thanks

A 55-year-old female asked:

I have a chronic ear infection responding to no antibiotic yet. what's going to happen? i'm nervous.

Family Medicine 51 years experience

different approach : Obstruction of ear drainage both from the external and from the middle ear via internal eustation tube into the throat must be one of the first to ... Read More

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5.6k viewsAnswered >2 years ago

A 30-year-old member asked:

How does laser treatment for vitiligo work?

Family Medicine 51 years experience

Decreases the contra: Laser treatment for vitiligo decreases the surrounding normal pigment to decrease the contrast of having no pigment in the vitiligo with normal undam... Read More

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5.6k viewsAnswered >2 years ago

A 43-year-old female asked:

I have neck shoulder and joint pain in the left arm with painful red rashes?

Family Medicine 51 years experience

Herpes zooster infe: Herpes zoster causes nerve pain when you have an immune depression for many possible reasons. This virus infects nerves and is felt as pain when the v... Read More

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5.6k viewsReviewed >2 years ago

Dr. Chan Hwang agrees1 doctor agrees

A 26-year-old male asked:

I was off citopram for 11 months, got off, got back on for month, then went to the er and they switched me to 10mg. will my side effects get better?

Family Medicine 51 years experience

Yes but your treatme: Yes but your symptoms suggested to someone that you needed treatment, with Celexa (citalopram) at a certain dose. You must help your physician b... Read More

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5.6k viewsAnswered >2 years ago

A member asked:

How do i know if i have mono?

Family Medicine 51 years experience

Exam of sumandibular: Monucleosis is caused by the epstein-barr virus which causes swelling of the submandibular glands and lymph nodes in the upper neck. There are two dif... Read More

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5.6k viewsAnswered >2 years ago

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A 19-year-old female asked:

I'm consuming a suplement tablet which contains selenium 100mcg + vit.e 200i.u + vit.c500mg + vit.a 5000i.u every morning. is it good or too much? tx

Family Medicine 51 years experience

Vitamins can be toxi: The doses you are consuming are probably safe, and helpful. Your only concern is with vitamin a dose. The vitamin dose must be added to your food cont... Read More

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5.3k viewsReviewed >2 years ago

Dr. Heidi Fowler agrees1 doctor agrees

A 30-year-old female asked:

My period stops during a migraine, when migraine stops my period came back with big clots for about 8 -12 hours then the cycle would repeat for 4 days?

Family Medicine 51 years experience

Migraine induced vas: Migraine headache are induced by vasoconstriction. This body wide vasoconstriction would affect vessels in the uterus to cause a decreased blood supp... Read More

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5.7k viewsAnswered >2 years ago

A 30-year-old male asked:

I have a lump in my left armpit. what can cause it and how do i get rid of it?

Family Medicine 51 years experience

Infection anb cancer: Lumps in the area of lymph nodes that drain that area suggest an immunological reaction which is most likely a bacterial infection. The most common c... Read More

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5.7k viewsAnswered >2 years ago

1 comment

A 23-year-old member asked:

My child had a qtip in his ear and ran into the wall and now he says it hurts bad. what should i do?

Family Medicine 51 years experience

Go to ER: You must make sure that he is given proper treatment to insure that minimum loss of hearing results from this accident.

Created for people with ongoing healthcare needs but benefits everyone.

5.6k viewsAnswered >2 years ago

A 54-year-old female asked:

What would cause hyper-sensitive patella reflex?

Family Medicine 51 years experience

Neuropathy: Neuropathy from metabolic diseases are the first consideration, and often associated abdominal obesity and adult onset diabetes. If you have your ph... Read More

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5.6k viewsReviewed >2 years ago

Dr. Michael Sparacino and another doctor agree2 doctors agree

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A member asked:

I think there might be a genetic link. my (maternal) aunt and i both have pretty severe postural hypotension (fainting occasionally).?

Family Medicine 51 years experience

You are correct: A genetic defect resulting in low aldosterone could be found in genetically related people. Low aldosterone results in low sodium, and low sodium re... Read More

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5.6k viewsReviewed >2 years ago

A 46-year-old female asked:

Can trazodone and venlafaxine cause nose bleeds?

Family Medicine 51 years experience

NO: I have used trazadone for many years for maintaining good quality sleep without possibility of overdose abuse. I never saw a nosebleed with the use of... Read More

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5.7k viewsReviewed >2 years ago

Dr. Mark Reynolds agrees1 doctor agrees

A 42-year-old member asked:

What causes a grey tinit to your skin ?

Family Medicine 51 years experience

Lack of oxygen or bl: A number of etiologies can cause abnormal tinted skin. Anemia, hypoxia(low oxygen), elevated adrenaline, and the many causes leading to the above list... Read More

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5.6k viewsReviewed >2 years ago

Dr. Alan Ali and 2 doctors agree3 doctors agree

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A 48-year-old male asked:

I have started feeling growth under my right nipple for the last one and half year when toucvhed it pains sharpely. there is no oain wothout touching

Family Medicine 51 years experience

MALE OR FEMALE ?: Males can convert testosterone to estrogen, especially if they have stored fat.This estrogen can stimulate the male breast to hypertrophy state with p... Read More

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5.7k viewsAnswered >2 years ago

A 36-year-old female asked:

Why do birth control pills and childbirth continue to protect against uterine cancer for years after you stop taking the pills or give birth?

Family Medicine 51 years experience

LESS STIMULATION OF : The uterus is continually stimulated except during pregnancy, and less stimulated on low dose birth control treatment.

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5.7k viewsAnswered >2 years ago

A 26-year-old female asked:

Does second hand crack smoke effect children?

Family Medicine 51 years experience

Yes: Crack affects the nervous system, sleep patterns, and therefore needed sleep for normal development of the child(especially the brain development) the... Read More

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5.6k viewsReviewed >2 years ago

Dr. Pamela Pappas and 3 doctors agree4 doctors agree

A 24-year-old male asked:

Hi i am 24 male i get frequent urination especially at night while sleeping... i have this problem for years.. please help me?

Family Medicine 51 years experience

Increased frequency : Increased urination or increased frequency is the question to be answered. Each problem has a separate answer. Increased urination reflects increased ... Read More

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5.6k viewsReviewed >2 years ago

Dr. Evan Altman and another doctor agree2 doctors agree

A 26-year-old female asked:

Sometimes i have severe pain down the left and right side of my stomach aligning with my ribs with severe bloating, bending over helps pain??

Family Medicine 51 years experience

Cholycyststittis: anytime you suffer from inflammation in your upper area of your abdomen(gallbladder duodenum, pancreas) the small bowel loses its peristalsis and pain... Read More

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3.9k viewsAnswered >2 years ago

A 20-year-old male asked:

To be precise enough, my mother suffers from pain in different parts of the body like shoulders, knees or head. she is 44.?

Family Medicine 51 years experience

INFLAMMATION, HIGH U: You need to expand on your presentation for a more precise answer. I will assume that your pain is with rest and activity or post activity. On the pai... Read More

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5.7k viewsAnswered >2 years ago

A 42-year-old member asked:

What is your opinion about a breast augmentation over the long term if i have risk of diabetes?

Family Medicine 51 years experience

Take vitamin pyridox: Since diabetics have elevated cortisol receptors, leading to Insulin resistance, (elevated sugar), and compromised immunity from the cortisone effect... Read More

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5.4k viewsAnswered >2 years ago

1 comment

A 44-year-old female asked:

A roman candle blew up in my hand saturday and i've got areas of exposed skin and several blisters and areas of dead skin. do i remove dead skin & bli

Family Medicine 51 years experience

do not remove intac: When skin is intact over a blister of low pressure it is better left intact, unless signs of infection exist, then it should be removed.

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5.7k viewsReviewed >2 years ago

Dr. James Eitner agrees1 doctor agrees

A 20-year-old female asked:

Severe memory loss? causes?

Family Medicine 51 years experience

Many causes: The common causes of memory loss are usually metabolic developments found in older peoples' brains. When a young man suffers marked memory loss, head ... Read More

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5.3k viewsAnswered >2 years ago

A 25-year-old male asked:

Abdominal pains with belching. had barrium swallow ct of chest abdomen negative. had colonscopy negative. any suggestions? i'm 25

Family Medicine 51 years experience

Pyloric pump dysfunc: What you are describing is most likely a pyloric pump dysfunction. The pyloric valve(the opening at the lower end of the stomach) is controlled by the... Read More

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5.6k viewsReviewed >2 years ago

Dr. Michael Sparacino and 2 doctors agree3 doctors agree

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A 25-year-old female asked:

Hi every 3 to 4 months i seem to get a build of mucous its so bad that im nearly vomiting all day.?

Family Medicine 51 years experience

Seasonal allergies: I knew people who moved to the ocean to avoid seasonal allergies. First approach is to remove allergens by nasal irrigation, but you need to see you c... Read More

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5.6k viewsReviewed >2 years ago

A 24-year-old male asked:

Hi iam 25 year old iam week suggest me some medicine and i want to be strong and healthy...

Family Medicine 51 years experience

Check for products o: The issue of fatigue should be looked at from two basic causes; low atp(energy source from the mitochondria) and depressed brain metabolism, which can... Read More

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5.4k viewsAnswered >2 years ago