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Dr. James Long

Internal Medicine
Washington, DC
10 years experience male

Locations

Office

My office hours

Wednesday: 9:00am - 4:00am
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About

Bio

Board Certified in Internal Medicine. Interest in weight loss, healthy aging, and aesthetic medicine. Member of the Governor's Council of the American College of Physicians. Fellow of the American College of Physicians. Clinical Faculty at Virginia Commonwealth University School Medicine. Faculty at International Association of Physicians in Aesthetic Medicine.

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.

Internal Medicine

Languages spoken

English

Doctor Q&A

190 Answers
137 Agrees
The number of answers this doctor has agreed with.
A male asked:
Dr. James Long
Internal Medicine 10 years experience
Step Machine: This is a great way to burn calories. Keep the bar high. Work hard.
A 21-year-old female asked:
Dr. James Long
Internal Medicine 10 years experience
Itching with Fordyce: They aren't supposed to itch. But the number one and two issues that could be causing itching there could be dry skin or a fungal infection. The pet... Read More
A 21-year-old female asked:
Dr. James Long
Internal Medicine 10 years experience
NMR pain: Not specifically. Te meds if taken too much can make you drowsy. They shouldn't directly cause stiffness and tingling.
A 32-year-old female asked:
Dr. James Long
Internal Medicine 10 years experience
Pred and depression: Yes. It could if tapered too rapidly. Prednisone tends to have an "upper effect" when given, especially at higher doses. If tapered too rapidly, it ... Read More
A 17-year-old female asked:
Dr. James Long
Internal Medicine 10 years experience
Sleep-concentration: The first problem can be affecting the second. Work on fixing the sleep problem (which is usually mediated by anxiety ), then after sleep is fixed, e... Read More
A 25-year-old male asked:
Dr. James Long
Internal Medicine 10 years experience
Pantoprazole: You can only maximally suppress the acid. It may be that you could get benefit from two pills, but first change the dosing time. Since it is a once... Read More
A 38-year-old female asked:
Dr. James Long
Internal Medicine 10 years experience
Lasting cold: I hear this a lot after upper respiratory infections. It is not unusual for symptoms to linger from upper respiratory infections . It depends on you... Read More
A 27-year-old female asked:
Dr. James Long
Internal Medicine 10 years experience
Autoimmune: It sounds like good advice and also sounds like lupus might be a diagnosis they are considering. You can get an evaluation by a good rheumatologist t... Read More
A 39-year-old female asked:
Dr. James Long
Internal Medicine 10 years experience
SLE: See a rheumatologist. Plaquenil (hydroxychloroquine) is a well tolerated and often beneficial med for lupus. Always wear sunscreen on sun exposed ar... Read More
A 24-year-old female asked:
Dr. James Long
Internal Medicine 10 years experience
staph: This sounds like it is infected with staph. When to get peeling and pus, this is an indicator that there may be more of an infection. Might be a goo... Read More
A 21-year-old female asked:
Dr. James Long
Internal Medicine 10 years experience
Breast pain: You are young. The risk of cancer is low. More likely can be fibrocystic breast changes that can wax and wane based on caffeine intake or hormones. ... Read More
A 22-year-old female asked:
Dr. James Long
Internal Medicine 10 years experience
Yoga: Erica. I am not aware of any good studies that support yoga to lower pituitary hormones. I think yoga is great however. The true answer to your que... Read More
A 27-year-old female asked:
Dr. James Long
Internal Medicine 10 years experience
Folliculitis : Sometimes these are blocked follicles. Exfoliation can help. Get a good soap and wash every day with a clean wash cloth. Don't scratch or pick at t... Read More
A 34-year-old female asked:
Dr. James Long
Internal Medicine 10 years experience
Brain: These are found on MRI and ct of the brain. It is non specific and just means that the brain has some "scarring" for lack of a better term. Seen in ... Read More
A 17-year-old male asked:
Dr. James Long
Internal Medicine 10 years experience
Dyspepsia : Constipation itself can lead to a "back up" of the digestive system and cause burps. Certain medications and/or foods can make this worse. Anything ... Read More
A 26-year-old male asked:
Dr. James Long
Internal Medicine 10 years experience
Back pain : This is likely a musculoskeletal problem. The spine may be the source. Being upright/standing is probably what is loading (putting pressure) your sp... Read More
A 34-year-old female asked:
Dr. James Long
Internal Medicine 10 years experience
Fade cream: Porcelana is a "fade cream" that had been otc for years. Not sure what is in it or how it works.
A 23-year-old male asked:
Dr. James Long
Internal Medicine 10 years experience
Nausea: Nausea and pain around the belly button deserves a ct scan to rule out appendicitis.
A 18-year-old female asked:
Dr. James Long
Internal Medicine 10 years experience
Early pregnancy: You may feel nothing. At best some fullness. Get one of the drug store ur one tests if you think you are pregnant. They are pretty good. Monitor y... Read More
A 27-year-old male asked:
Dr. James Long
Internal Medicine 10 years experience
Volume : Yes. And the fourth gets lower.
A 21-year-old female asked:
Dr. James Long
Internal Medicine 10 years experience
Hymen: Yes. It is possible that it may bleed.
A 21-year-old female asked:
Dr. James Long
Internal Medicine 10 years experience
Finger pain : Samar. There may have been sown minor trauma or, if you are right handed "micro trauma" / overuse. I would take anti inflammatories ad splint it for... Read More
A 35-year-old member asked:
Dr. James Long
Internal Medicine 10 years experience
Chlamydia: Probably more like a UTI since it presents usually presents as a urethritis. Untreated, many complications could manifest.
A 35-year-old female asked:
Dr. James Long
Internal Medicine 10 years experience
Central back pain : On a healthy young person it is most likely musculoskeletal pain. Red flags to get to your doctor are fever, weakness - loss of strength or sensation... Read More
A 25-year-old male asked:
Dr. James Long
Internal Medicine 10 years experience
Gummy vitamins: Probably not. The best support for a good immune system is eating healthy , avoiding stress, and getting enough sleep.
A 24-year-old female asked:
Dr. James Long
Internal Medicine 10 years experience
Post nasal drip: Post nasal drip from allergies would be the most likely cause.
A 23-year-old male asked:
Dr. James Long
Internal Medicine 10 years experience
Itching: I see hepatitis in your profile. Hepatitis can cause elevated bilirubin which can cause itching. Some meds cause itching, like narcotics. If you are... Read More
A 43-year-old member asked:
Dr. James Long
Internal Medicine 10 years experience
Internal Medicine: Internists should be offended if someone refers to them as a "general practitioner." internists undergo rigorous training with extensive hours on call... Read More
A 20-year-old member asked:
Dr. James Long
Internal Medicine 10 years experience
Diabetes insipidus : Wow. You must've had a pituitary stalk injury. Please see and endocrinologist who will do a water deprivation test to see if you need it anymore.
A 37-year-old male asked:
Dr. James Long
Internal Medicine 10 years experience
Paranychia: Sounds like a parody chia.. Soak it in warm water with salt and express the pus. Then see your doctor.
A female asked:
Dr. James Long
Internal Medicine 10 years experience
Reactive hypoglycemi: Reactive hypoglycemia is not uncommon in young women. It could occur as well in the setting of pcos. It happens when the body over responds to sugar ... Read More
A 39-year-old member asked:
Dr. James Long
Internal Medicine 10 years experience
NAMS position stmt: Please read the north american menopause society's position statement for 2012. It considerably tones down restrictive language used in the wake of t... Read More
A member asked:
Dr. James Long
Internal Medicine 10 years experience
PUPPP: This late in pregnancy it could be a condition called puppp. It stands for pruritic urticarial papules and plaques of pregnancy. It is usually assoc... Read More
A 23-year-old male asked:
Dr. James Long
Internal Medicine 10 years experience
Homocysteine : Rare cases of genetic hyperhomocysteinemia can lead to early-aggressive vascular disease but outside of that, elevated homocysteine has not been estab... Read More
A 27-year-old male asked:
Dr. James Long
Internal Medicine 10 years experience
Interactions : Yes. Additive and sedative (sedating) effects. You might not have problems but they can augment each other.
A 27-year-old female asked:
Dr. James Long
Internal Medicine 10 years experience
Juice: Yes. Many think because they are juice that it is just like eating the fruit or vegetable. It is not. Be careful. All the energy that your blende... Read More
A 22-year-old male asked:
Dr. James Long
Internal Medicine 10 years experience
Insomnia: Meerkat. Work out in the morning. You get better workouts and i truly believe it gives a metabolic advantage for calorie burn through the day. You d... Read More
A 27-year-old female asked:
Dr. James Long
Internal Medicine 10 years experience
Eye bags: Fractional and fully ablative laser can help but a blepharoplasty (eye surgery) is probably most effective.
A 18-year-old male asked:
Dr. James Long
Internal Medicine 10 years experience
Pregnancy: Less if it is just a little bit on outside but if you are not using barrier protection you really don't know what happened on the inside if you had in... Read More
A 39-year-old female asked:
Dr. James Long
Internal Medicine 10 years experience
Rectal bleed: Get evaluated. If it is still bleeding, go to the emergency room. If it stopped, make sure someone sees you next week. Benign conditions like hemo... Read More
A 34-year-old male asked:
Dr. James Long
Internal Medicine 10 years experience
Balanitis : You may need an antibiotic. See a physician quickly. I would need more information to diagnose it but get some attention now.
A male asked:
Dr. James Long
Internal Medicine 10 years experience
Dry mouth: You should see a doctor and get some blood tests. Some medications can do this but so can multiple illnesses - these are very non specific symptoms. ... Read More
A 32-year-old male asked:
Dr. James Long
Internal Medicine 10 years experience
Meloxicam : It may take up to 3 to 4 doses to get to an adequate serum level. Certainly don't give up on one dose. The blood levels of the drug rise in the firs... Read More
A 36-year-old female asked:
Dr. James Long
Internal Medicine 10 years experience
Bed rest: Depending on your age and state of health, bed rest can weaken someone and impair their ability to walk. They shouldn't "forget" how to walk but thei... Read More
A female asked:
Dr. James Long
Internal Medicine 10 years experience
Neuropathic pain : This is likely from an irritated nerve. Often their is an anatomic point where the nerve is being compressed. You will need a good neurologic exam a... Read More
A 37-year-old member asked:
Dr. James Long
Internal Medicine 10 years experience
Depression : Depending n the dose, I would increase (as long as it is safe) to a higher dose first. If the doesn't work, and immediate switch (ie no tapering up o... Read More
A 32-year-old female asked:
Dr. James Long
Internal Medicine 10 years experience
TSH: By most labs, that value would be in the normal range.
A 41-year-old male asked:
Dr. James Long
Internal Medicine 10 years experience
ATF ligament: I am assuming the ATF is the anterior talofibular ligament. It is the most common ligament to tear with an inversion foot injury. If you could bear ... Read More
A 71-year-old female asked:
Dr. James Long
Internal Medicine 10 years experience
Hemorrhoids : You could but it is a very potent steroid and it could be absorbed into your body more readily when put in the rectal area. Most of the steroids used... Read More

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

4
Recommendations
272
Thank you notes
Dr. Donald Jacobson
Oct 30, 2013
Dr. Long's answers are straight and to the point. Accurate and clear. Understandable without a lot of jargon. He provides the type of answers that high in good sense and that most people submitting ar...Read More
Dr. Dave Burns
Oct 22, 2013
Dr. James Long is concerned for your health and I recommend all doctors on HealthTap- Dave
HealthTap member
Mar 30, 2015
Dr. Long is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
This was very helpful. Thanks! Thank you sir. I experienced this second time that gastro infection elevated my blood sugar. later sugar goes down.
HealthTap member
Thank you, your answer was very helpful! I appreciate your suggestions and will follow up with my doctor. Thank
HealthTap member
Thank you, your answer was very helpful! I appreciate your suggestions and will follow up with my doctor. Thank

Awards

Checkbooks Top Rated Primary Care
Patients Choice Award

Affiliations

American College of Physicians
American Board of Internal Medicine
International Association of Physicians in Aesthetic Medicine
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