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Doctor Q&A for Dr. Edwin Perez

A 53-year-old female asked:
Dr. Edwin Perez
Anesthesiology 19 years experience
No need to wean, just stop, at the end of the day its in the same family as ibuprofen/nsaids
A 41-year-old member asked:
Dr. Edwin Perez
Anesthesiology 19 years experience
Not aware: We are not aware of any significant interaction.
1 thank
A 21-year-old female asked:
Dr. Edwin Perez
Anesthesiology 19 years experience
Head bulges: Hello, while we assume that high blood pressure causes arteries/veins to throb that is generally true only in large ones. Small ones respond to high blood pressure by become tighter and more narrow. It is not clear that the blood pressure and bulge are related. However a visit to PCP could help as bulges on side of head associated with tenderness can be temporal arteritis
A 47-year-old member asked:
Dr. Edwin Perez
Anesthesiology 19 years experience
Umbilical hernia: You also might have an umbilical or ventral hernia that has grown over time.
A 24-year-old male asked:
Dr. Edwin Perez
Anesthesiology 19 years experience
Lidocaine: It does have cardiac effects but it is dose based. For nasal scope they wont need too much of it so you should be fine. If your overly concerned inquire about chloroprocaine.
A 37-year-old male asked:
Dr. Edwin Perez
Anesthesiology 19 years experience
The mesh : Sometimes the mesh can impinge and sometimes they transect the genitofemoral nerve. This nerve goes from near the mesh to the testicles. Sadly this is not uncommon. Pain management can now freeze or burn the nerve so that you dont get that sensation.
A 23-year-old male asked:
Dr. Edwin Perez
Anesthesiology 19 years experience
Arthritis: You may have lumbar facet syndrome as cause of pain. If that is the cause, the pain should improve with a trial of an injection called medial branch blocks. If the pain does not improve with this then the arthritis is not primarily responsible for your back pain.
A 38-year-old female asked:
Dr. Edwin Perez
Anesthesiology 19 years experience
Good question: Great question. Honestly...I am not sure. The only thing I can say is this. In POTS Syndrome the blood pools below the waist and heart works harder to pump it. With a celiac block, initially blood with engorge around the intestinal area for a while so maybe the POTS will worsen initially but over time other sympathetic nerves pick up the slack and things get better? I am not sure
A 28-year-old female asked:
Dr. Edwin Perez
Anesthesiology 19 years experience
Missed it?: You might have a second degree burn or infection, either way report to ER
A 23-year-old female asked:
Dr. Edwin Perez
Anesthesiology 19 years experience
Ulcers: Could it be apthous or herpetic ulcers? Usually nothing if goes away, if not gone in 2 weeks please see your provider
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