Dr. Hamendra Rana

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Dr. Hamendra Rana
M

Family Medicine

Ehrenberg, AZ

Insurance accepted as payment

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I specialize in

Family Medicine

I have been in practice

48 years

I speak

English

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Helped 20 people

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This Thanksgiving, I wanted to share my appreciation for all that you do! Thank you, doctor! :)

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Dr. Hamendra Rana M

Dr. John Berryman answered:

Past 4 months, getting cramps and anxiety on week 3 of active birth control pill (Enskyce). Withdrawal bleed is consistently on time, is this normal? In brief: Low dose bcp's

Even an hour or so difference in the time one takes a low dose pill can cause PMS like symptoms.

Try taking the pill within the same hour as the previous active pill, and in the evening, so you don't run out of estrogen during the night, and have bad dreams or insomnia. ...See more

BIRTH CONTROL CONTRACEPTION DRUG WITHDRAWAL ORAL CONTRACEPTIVE WATER BIRTH FEMALE HEALTH

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Dr. Heidi Fowler answered:

I am of the view that i require some form of psychological assistance with respect to an issue that i have not dealt with from years ago, however i am not sure whether i should consult a psychologist or a physiatrist ? In brief: Taking on the Past

It sounds like you may be wanting to deal with a past situation (vice specific symptoms or conditions).

If that is the case, consider evaluation by a psychologist, a clinical social worker or other credentialled therapist. Any one of those professionals would likely know if a psychiatric referral were needed. It takes courage to take on past pain. Take care. ...See more

CLINICAL PSYCHOLOGY IMPROVING MENTAL HEALTH PSYCHIATRY HEALTH EDUCATION PSYCHOTHERAPY COUNSELING AND THERAPY CLINICS

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Dr. John Berryman answered:

Since April. DX as episcleritis, scleritis, or uveitis.Not responded to NSAIDS(oral or drops) or steroids(oral or topical) FT4,TSH,SED rate, ANA(twice)rheumatoid factor,hla-b27,vdrl,lyme,hsv,rpr,TB all in normal range,CRP elevated? In brief: Eye problems

See a specialist at the department of Ophthalmology at Washington University of St.

Louis School of Medicine. This is probably viral and should be able to be treated successfully. As far as "frequent bowel movements shortly after eating", you may have a lack of the enzyme which breaks lactose, causing lactic acid, a potent GI stimulant. Stop milk and milk products to see if that helps. ...See more

RHEUMATISM STEROIDS

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Dr. John Berryman answered:

Can depo birth control help lipedema or make it worse? I stopped shot to lose weight but I gained instead. I lost on it maybe bc more “active” In brief: Depo shots

Depo-progesterone shots are effective birth control, but can inhibit regular ovulation, and therefore periods are frequently not "regular".

They do not make one "gain weight", but lack of exercise, and carbohydrates in the diet are mostly responsible for weight fluctuations.

BIRTH CONTROL CONTRACEPTION LOSE WEIGHT FEMALE HEALTH

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Dr. John Berryman answered:

A penis with semen touched my vulva and it was the last day of my period. Took morning after pills the next day but Im paranoid that I might be preg. In brief: Pregnancy?

Contact with semen is always a risk for pregnancy, but if this was the only contact, and it was on the last day of your period, the chance for pregnancy is very low.

If your period is delayed, get a serum HCG test, which is much more accurate than "home tests".

MENSTRUAL CYCLE MENSTRUAL PERIOD PARANOID SEMEN FEMALE HEALTH MALE HEALTH

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Dr. Heidi Fowler answered:

I have had what I think is durnial variation/morning depression for 2 years, and no matter what I've tried it isn't getting better. What do I do? In brief: What have you done?

The first thing I would recommend is a comprehensive psychological assessment.

Treatment plans are often developed after we determine what the condition is that requires the treatment. There are many different treatment options - depending on what the condition is. Take care. ...See more

IMPROVING MENTAL HEALTH DEPRESSION DYSTHYMIC DISORDER LIVING WITH MAJOR DEPRESSION CLINICAL DEPRESSION HEALTH EDUCATION PSYCHIATRIC PROBLEM PSYCHIATRY

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Dr. Heidi Fowler answered:

TRUVADA for PrEP (Pre-Exposure Prophylaxis) 1. Do I require a prescription to obtain Truvada to use as a precautionary measure; 2. Will Truvada have any negative interaction with my chronic medication i.e. Lamictin, Dopaquel, Exsira, Tareg, Ritilan? In brief: Truvada for PrEP

Try using a drug interaction checker (like Drugs.

Com). Some of your medications can interact. I didn’t see specific interactions between Truvada (emtricitabine/ tenofovir) & Ritalin (methylphenidate), Lamictal (lamotrigine), Tareq (valsartan), Dopaquel(quetiapine) & Pristiq Exsira (desvenlafaxine). In the United States a prescription is required. Talk to your psychiatrist about any new meds. ...See more

PROPHYLAXIS TRUVADA DRUG SAFETY PSYCHIATRIC DRUG LAMICTAL RITALIN PRISTIQ DESVENLAFAXINE QUETIAPINE VALSARTAN

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Dr. John Berryman answered:

Can my GERD be exacerbated with the start of the first month of YAZ birth control? In brief: GERD and BCP's

Birth control pills (including "YAZ") contain less estrogen and progesterone than a normal cycle (i.

e., without bcp's), and the occurrence of GERD is related to increased acid production and regurgitation of the acid into the throat, and is related to stress, anxiety, etc., and not caused by estrogen/progesterone in any form. ...See more

BIRTH CONTROL CONTRACEPTION ORAL CONTRACEPTIVE FEMALE HEALTH ADULT HEALTH

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Dr. John Berryman answered:

Can semen/ sperm run down from inner thighs and cause pregnancy? In brief: Pregnancy?

Whenever semen can contact the vaginal mucosal wall, sperm can "swim" up to and enter the cervix, and cause pregnancy.

If most of the semen is left on the thigh, the chances for pregnancy are minimal, but still possible.

RUNNING SEMEN SPERM SPERMATOZOA MALE HEALTH ADULT HEALTH

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Dr. John Berryman answered:

How do I know if am ovulating? In brief: Ovulation

If your periods are regular, your ovulation occurs 14 days before the onset of a period.

To ovulate, a hormone is released from the pituitary called "LH" the day or so before ovulation, which can be detected by a simple test which you can purchase in most drug stores. If test is positive, within 24-48 hours an egg will be release from the ovary, and pregnancy is possible. ...See more

OVULATION FEMALE HEALTH

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Dr. Hamendra Rana M

Dr. Hamendra Rana
M