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Dr. David Earle

General Surgery
North Chelmsford, MA
31 years experience male

Locations

New England Hernia Center

North Chelmsford, MA

Address

20 Research Place, Suite 130, North Chelmsford, MA, United States
Directions

About

Bio

Dr. Earle is the director of the New England Hernia Center, and Associate Professor of Surgery at Tufts University School of Medicine. He has dedicated his career to research, education, device development, and patient care focused on hernia disease and benign esophageal disorders. He is involved in guideline development, and worked as a Medical Officer for the FDA in 2017. His love of travel has led him to teach hernia disease and minimally invasive surgery on 5 continents, primarily as a volunteer. His personal time is spent with family, or participating in photography, mountain biking, golf, and mountaineering.

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

General Surgery

Doctor Q&A

3.0K Answers
1.2K Agrees
The number of answers this doctor has agreed with.
A 23-year-old female asked:
Dr. David Earle
General Surgery 31 years experience
No need: Approximately 90% of infant umbilical hernias will close by themselves by age 4-5 without any treatment. It is of course impossible to predict if the ... Read More
A 67-year-old female asked:
Dr. David Earle
General Surgery 31 years experience
Yes: Hiatal hernias can get larger, but if it is going to happen, there is nothing you can do about it. These are common, and most don't enlarge, regardles... Read More
A 44-year-old member asked:
Dr. David Earle
General Surgery 31 years experience
Yes: Yes it is possible. You should however limit your activity based in pain and discomfort as it relates to the hernia. If you find it isnlimitin your ac... Read More
A 22-year-old female asked:
Dr. David Earle
General Surgery 31 years experience
Surgical consult: You should ask about a surgical consultation. Age alone is not a reason to avoid removing the gallbladder surgically, the only definitive treatment fo... Read More
A 35-year-old member asked:
Dr. David Earle
General Surgery 31 years experience
Exam: Physical exam by your doctor is the best way to find out.
A 57-year-old female asked:
Dr. David Earle
General Surgery 31 years experience
Maybe scar tissue: If your pain is in the location of a previous hernia repair, scarring within the abdominal wall may cause pain. It also could be muscle spasms due to ... Read More
A 44-year-old member asked:
Dr. David Earle
General Surgery 31 years experience
Yes, but: This is something that can happen after an operation in the chest, and is more common with open operations compared to those done thoracoscopically (m... Read More
A 31-year-old member asked:
Dr. David Earle
General Surgery 31 years experience
Unlikely: While it possible in extreme or regency situations, the presence of a hernia if any kind should no cause blood in the stool. Hope this helps!
A 45-year-old member asked:
Dr. David Earle
General Surgery 31 years experience
Maybe: If the hernia is firm and painful, itchy be the cause. If this is so, you need to see a doctor asap. If this is not the case, the two are probably unr... Read More
A 45-year-old male asked:
Dr. David Earle
General Surgery 31 years experience
Maybe: Generally, small hiatal hernias cause no symptoms. You can't really "press" on a hiatal hernia anyway. Large hernias, also known as paraesophageal he... Read More
A 38-year-old member asked:
Dr. David Earle
General Surgery 31 years experience
No: Inguinal hernia is a hole in the abdominal wall of the groin, and is unrelated to a rectocele, which is part of a spectrum of pelvic floor muscle weak... Read More
A 34-year-old member asked:
Dr. David Earle
General Surgery 31 years experience
complex: In general, less sugaris a good idea. Pay attention to what foods cause more reflux, and try to avoid those. Unfortunately, reflux is one of the many ... Read More
A 24-year-old female asked:
Dr. David Earle
General Surgery 31 years experience
See the surgeon: While this is likely to be normal postoperative pain, she should see her surgeon for an exam, and determination whether to order any blood tests or im... Read More
A 41-year-old member asked:
Dr. David Earle
General Surgery 31 years experience
Big difference: A sore groin due to muscle strain or torn ligament is much different than a hernia that is an actual hole in the abdominal wall muscle through which a... Read More
A 45-year-old female asked:
Dr. David Earle
General Surgery 31 years experience
Maybe: Not sure what you mean by the term "adjusted", but it can take a while. Diarrhea would be one side effect that can be treated with a medication called... Read More
A 42-year-old member asked:
Dr. David Earle
General Surgery 31 years experience
Can't predict: There are many different types of hernias, but generally they can become larger, and cause problems due to the increased size such as difficulty perfo... Read More
A 33-year-old male asked:
Dr. David Earle
General Surgery 31 years experience
Time: A surgical procedure can change things temporarily, and this is very common. Give it some time, say 6-12 weeks to get back to normal.
A 44-year-old female asked:
Dr. David Earle
General Surgery 31 years experience
Yes: Yes, but pain at an incision site is normal. One site may hurtle than the others if that was the extraction site for the uterus, and they sdid extra s... Read More
A 52-year-old male asked:
Dr. David Earle
General Surgery 31 years experience
Depends: It depends on the specifics, particularly the size and location of the hernia, as well as the size if the mesh, and strength and amount if mesh fixati... Read More
A 43-year-old female asked:
Dr. David Earle
General Surgery 31 years experience
Very unlikely : Elle - these symptoms are almost certainly not related to the bochdalek her is you describe. Not sure what they are from, but its not the hernia.
A 41-year-old male asked:
Dr. David Earle
General Surgery 31 years experience
Too nonspecific: It's difficult to say because the symptom is very nonspecific. In other words, it doesn't pint to a specific diagnosis. May be best to see a primary c... Read More
A 25-year-old male asked:
Dr. David Earle
General Surgery 31 years experience
Depends: Depends on the size of the defect in the abdominal wall, and whether or not there is intestine that is included in the herniated contents. Both types... Read More
A 56-year-old female asked:
Dr. David Earle
General Surgery 31 years experience
Hand surgeon: Nerve damage after wrist surgery is a well know possibility even the best of hands. It can take up to 1-2 years, butay reaolce on its own. Consider ho... Read More
A 37-year-old male asked:
Dr. David Earle
General Surgery 31 years experience
Don't smoke: This should be obvious, but its the number one preventable risk factor that is modifiable. Its not easy to quit, but its worth it.
A 40-year-old female asked:
Dr. David Earle
General Surgery 31 years experience
Maybe: Biliary dyskinesia is overall a poorly misunderstood entity. If there is a low, or in some cases a high gallbladder ejection fraction on the cck hida ... Read More
A 51-year-old member asked:
Dr. David Earle
General Surgery 31 years experience
Depends: This depends on the severity and duration. The more severe, the more urgent. If it's been there for weeks or months, less urgent. If there's a lump in... Read More
A 40-year-old male asked:
Dr. David Earle
General Surgery 31 years experience
Usually none: HIatla hernias can be associated with heartburn and regurgitation. Only large hernias, also known as paraesophageal hernias, are asociated with signif... Read More
A 33-year-old member asked:
Dr. David Earle
General Surgery 31 years experience
There is no way now: Currently, there is no known way to reduce abdominal adhesions after intra-abdominal operations. There are a variety of films and fluids that can be u... Read More
A 45-year-old female asked:
Dr. David Earle
General Surgery 31 years experience
See your doctor: Large hiatal hernias can cause bloating an upper back pain. It's also possible your symptoms are unrelated. You should really see your doctor for a mo... Read More
A 46-year-old member asked:
Dr. David Earle
General Surgery 31 years experience
Yes: Especially if the ct scan was done for something else. An upper GI contrast study, often referred to as an esophagram is usually very good at making t... Read More
A 18-year-old female asked:
Dr. David Earle
General Surgery 31 years experience
A little to the side: These hernias are holes just to the side of the "six pack" muscle, usually in the lower abdomen. Repair requires an operation, often done laparoscopic... Read More
A 37-year-old member asked:
Dr. David Earle
General Surgery 31 years experience
Maybe: It depends on whether or not the hernia is causing a problem with your bowel movements. Hernias that contain parts of the colon can cause those types ... Read More
A 35-year-old member asked:
Dr. David Earle
General Surgery 31 years experience
Maybe: Reflux of stomach contents can come all the way up to your throat causing redness, pain, hoarse voice, chronic cough, and even pneumonia. More likely ... Read More
A 43-year-old member asked:
Dr. David Earle
General Surgery 31 years experience
Sun exposure : Sun exposure in moderation is actually healthy, particularly for vitamin D. Too much however can burn the skin, and in the long run can cause melanoma... Read More
A 35-year-old male asked:
Dr. David Earle
General Surgery 31 years experience
A few: Usually chest pain and pressure, associated with the inability to eat, and / or vomiting. The vomiting is frequently in the form wretching without liq... Read More
A 35-year-old member asked:
Dr. David Earle
General Surgery 31 years experience
Depends: Groin hernias are very common. Usually a lump in the groin the is larger when standing or coughing. If you're not sure and want to find out, see your ... Read More
A 22-year-old female asked:
Dr. David Earle
General Surgery 31 years experience
Tincture of time: Often, an emergency operation is a big impact on your body, and even though the wounds are healing well, it is common to have a poor apetite and get f... Read More
A 29-year-old female asked:
Dr. David Earle
General Surgery 31 years experience
Could be: Pregnancy is certainly well known to cause or make gerd worse. Amongst the symtoms of gerd is reflux if gas, or belching. Whether or not this mimicks ... Read More
A 38-year-old member asked:
Dr. David Earle
General Surgery 31 years experience
Dysphagia: It is common to have dysphagia, or difficulty swallowing, for 3-6 weeks after the operation. You can avoid this by eating soft, "slippery" foods such ... Read More
A 27-year-old female asked:
Dr. David Earle
General Surgery 31 years experience
Call your surgeon: You need to call your surgeon right away. My need to go back to the hospital to prevent dehydration if you cannot reach your surgeon by phone.
A 35-year-old female asked:
Dr. David Earle
General Surgery 31 years experience
Prenatal care: There's nothing you or your doctor can do about it at this point, so no cause for alarm. Make sure however that you do go for regular prenatal care wi... Read More
A 38-year-old female asked:
Dr. David Earle
General Surgery 31 years experience
Always hope: There is always hope, but what are you hoping for? Sounds like an awful existence right now, and may be appropriate to hope for a peaceful passing. Wh... Read More
A 37-year-old female asked:
Dr. David Earle
General Surgery 31 years experience
Soon: I'm sorry you are going through this. It doesn't sound like there is much time left, probably 'weeks" timeframe depending on how aggressive supportive... Read More
A 37-year-old female asked:
Dr. David Earle
General Surgery 31 years experience
Call your surgeon: Obviously pain is normal in the area of a surgical incision, particularly if you developed cellulitis. If it doesn't seem like it's getting better on ... Read More
A 23-year-old female asked:
Dr. David Earle
General Surgery 31 years experience
Depends: It depends on the technique, and extent of the operation. In general, laparoscopic operations have less pain and recovery time compared to open operat... Read More
A 53-year-old female asked:
Dr. David Earle
General Surgery 31 years experience
Maybe: I presume the 7% of the hida scan is for a cck induced study. If so, another indicator of symptomatic biliary dyskinesia is whether or not the cck adm... Read More
A 37-year-old male asked:
Dr. David Earle
General Surgery 31 years experience
No: While the mouth is ultimately connected to the anys, there is no mechanism for gerd to cause discomfort at the off ramp.
A 26-year-old male asked:
Dr. David Earle
General Surgery 31 years experience
Maybe: It depends on the type of repair and the location of the pain in the thigh. The only type of repairs where mesh can possibly migrate are preperitoneal... Read More
A 36-year-old member asked:
Dr. David Earle
General Surgery 31 years experience
Unclear: I'm not sure what your asking, but ct scans can frequently miss hernias, or the radiologist may not mention it. If your seeing a surgeon, have them lo... Read More
A 23-year-old male asked:
Dr. David Earle
General Surgery 31 years experience
Pain and tingling: Pain, numbness, and tingling, are the typical symptoms associated with nerve entrapment after inguinal hernia repair. Diagnosis is typically made with... Read More

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Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

26
Recommendations
1.8K
Thank you notes
Apr 13, 2013
I enjoy reading Dr. Earle's answers and find myself agreeing and often learninfg something. He is clear, thorough and up to date. I recommend him as an excellent resource for your surgical questions
Nov 7, 2014
he is a surgical expert who is knowledgeableGroin hernia, Hiatal hernia, Hernia repair, Hernia, Gastroesophageal reflux disease We are fortunate to have him contributing to the health tap community.
Oct 23, 2013
Fast, Fantastic answers to often complex questions, truly an asset to the Medical Community. A true national leader in General Surgery.
HealthTap member
This was very helpful. Thanks! Thanks I will ask the ENT at my follow up. He gave me dexamethasone. Not sure why. My throat can feel ok but when I work out and after sleep it really triggers it and...Read More
HealthTap member
This was very helpful. Thanks! Thank you very much I had no idea what it was and its been bothering me.getting worse lately so thank you I I will take your advice a seak a general surgeon...again tha...Read More
HealthTap member
This was very helpful. Thanks! Much appreciated. It is a complicated reply to understand well enough. But this is ok. Good that the surgical oncologist is at a major medical center.

Education & Training

Medical/Graduate school

University of Arizona College of Medicine, AZ
Graduated 1990MD

Residency

NY

Awards

Associate Professor of Surgery Tufts University School of Medicine
Top Doctor, First Place, Springfield, MA - Winter
2013
Most Influential, First Place, Springfield, MA - Winter
2013

Affiliations

American College of Surgeons
Society of American Gastrointestinal and Endoscopic Surgeons
American Hernia Society

Publications

Prospective evaluation of poly-4-hydroxybutyrate mesh in CDC class I/high-risk ventral and incisional hernia repair: 18-month follow-up.
SAGES guidelines for laparoscopic ventral hernia repair.
Development of a rapid response plan for intraoperative emergencies: the Circulate, Scrub, and Technical Assistance Team.
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
in 24 hours or less