Dr. Vakas Sial
Internal Medicine
SAN DIEGO, CA
26 years experience male
Locations
Office
About
Bio
I practice in multiple platforms. I am an hospitalist caring for patients on the medical wards and ICU. I also practice mobile medicine seeing patients in their own homes. I also work in the real time of telemedicine for multiple companies currently. My interests are diabetic management and hypertension.
SpecialtiesDoctors 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.
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
Licenses
United States: California
Languages spoken
Hindi
Doctor Q&A
135 Answers
1.1K Agrees
The number of answers this doctor has agreed with.
A 35-year-old member asked:
Dr. Vakas Sialanswered
Internal Medicine 26 years experience
It is dangerous: Alcohol lowers your blood sugar and can continue to lower it up to 24 hours. If you have type 1 diabetes your blood sugars can run high or after Insul... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A member asked:
Dr. Vakas Sialanswered
Internal Medicine 26 years experience
Infection: You may have an infection. Please return to the doctor that performed the sutures.
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A 19-year-old female asked:
Dr. Vakas Sialanswered
Internal Medicine 26 years experience
Normal period: This may be that your period is just late. I would refer you to see your ob/gyn.
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A female asked:
Dr. Vakas Sialanswered
Internal Medicine 26 years experience
STD: You may have an sexually transmitted infection. Please see your doctor and have a culture done on your urethra. You may benefit from antibiotics.
Created for people with ongoing healthcare needs but benefits everyone.
3.2k viewsReviewed >2 years ago
A 20-year-old female asked:
Dr. Vakas Sialanswered
Internal Medicine 26 years experience
Possible infection: You may have an infection. Please go see your pcp or ob/gyn asap.
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A 26-year-old female asked:
Dr. Vakas Sialanswered
Internal Medicine 26 years experience
Radiculpathy: You may have this left shoulder pian because of a pinched nerve in your neck. It a called cervical radiculopathy. It can casue pain in your shoulder a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 24-year-old male asked:
Dr. Vakas Sialanswered
Internal Medicine 26 years experience
Yes.: The ativan is an anti-anxiety medication which can cause daytime sleepiness and it is addictive. Consider starting Ambien or another hypnagogic (sleep... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.6k viewsAnswered >2 years ago
1 comment
A 45-year-old male asked:
Dr. Vakas Sialanswered
Internal Medicine 26 years experience
Nocturia: There are many possible causes of nocturia, depending on the type:
Causes of polyuria
High fluid intake
Untreated diabetes (Type 1 and Type 2)
Diabet... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.2k viewsReviewed >2 years ago
A 19-year-old female asked:
Dr. Vakas Sialanswered
Internal Medicine 26 years experience
Yes: Low lower quadrant pain may be constipation but it can also be many other conditions such as diverticulitis or a colon abscess. You should be evaluate... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.2k viewsReviewed >2 years ago
A 40-year-old female asked:
Dr. Vakas Sialanswered
Internal Medicine 26 years experience
Yes: If you have a pinched nerve in your spine you can have pain even after getting an epidural block. Espescially if there are multiple compressed nerves.
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A 30-year-old male asked:
Dr. Vakas Sialanswered
Internal Medicine 26 years experience
No: Antibiotics usually are not as effective with alcohol.
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A 41-year-old female asked:
Dr. Vakas Sialanswered
Internal Medicine 26 years experience
Vagal maneuver: With the increase in intraabdomial pressure you may be causing compression of certain blood vessels that lead to hypotension.
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 41-year-old male asked:
Dr. Vakas Sialanswered
Internal Medicine 26 years experience
All ages: Nearly 5 million americans are currently living with congestive heart failure (chf).
Approximately 550, 000 new cases are diagnosed in the U.S. Each ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.4k viewsAnswered >2 years ago
A 55-year-old male asked:
Dr. Vakas Sialanswered
Internal Medicine 26 years experience
Possibly: It depends on the location of the tumor and it also depends on the type of tumor. Some are benign and some are malignant.
Created for people with ongoing healthcare needs but benefits everyone.
4.4k viewsAnswered >2 years ago
A 18-year-old female asked:
Dr. Vakas Sialanswered
Internal Medicine 26 years experience
Yes: You should resume your Paxil (paroxetine) under the guidance of a physician as soon as possible.
Created for people with ongoing healthcare needs but benefits everyone.
4.4k viewsAnswered >2 years ago
A 45-year-old member asked:
Dr. Vakas Sialanswered
Internal Medicine 26 years experience
See a hematologist: This is a genentic disease of the blood. You would best be served by seeing a hematologist.
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years agoMerged
A 26-year-old female asked:
Dr. Vakas Sialanswered
Internal Medicine 26 years experience
Hormones: You maybe experiencing this secondary to hormone changes during mensruation.
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A member asked:
Dr. Vakas Sialanswered
Internal Medicine 26 years experience
Possible clot: This may be from a clot or retained placenta. See your ob/gyn.
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 22-year-old female asked:
Dr. Vakas Sialanswered
Internal Medicine 26 years experience
Serious condition: Intestinal or stomach pain may be from an ulcer. Please see your pcp asap.
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A member asked:
Dr. Vakas Sialanswered
Internal Medicine 26 years experience
Within a few days: They should start hormonal changes after taking and should be effective within a few days. Please see your doctor before proceeding with the use of or... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A member asked:
Dr. Vakas Sialanswered
Internal Medicine 26 years experience
Diet: It is important to look at your diet adjustments to your diet such as avoiding foods with seeds. There is an entire list of foods that one kind find ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A member asked:
Dr. Vakas Sialanswered
Internal Medicine 26 years experience
Multiple causes: He may have multiple causes such as migraines, or a circulatory disorder. Certain neurological conditions may also present with prolonged headache.
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 18-year-old female asked:
Dr. Vakas Sialanswered
Internal Medicine 26 years experience
Dermatitis: It could be an infection, or an immune problem or an allergy problem.
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 34-year-old member asked:
Dr. Vakas Sialanswered
Internal Medicine 26 years experience
Yes: If you comply with current medical care standards and take your Insulin regularly you may have a normal life. It is important that you remain educated... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 45-year-old male asked:
Dr. Vakas Sialanswered
Internal Medicine 26 years experience
Possibly: It is important to drink water daily. It replenishes all of our cells. It can help to keep your immune system working better. If you have a poor immun... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 34-year-old female asked:
Dr. Vakas Sialanswered
Internal Medicine 26 years experience
Antiviral therapy: Cold sore are usually a form of herpes simplex virus. Using an antiviral such as Acyclovir at the beginning of an outbreak may be helpful.
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 35-year-old member asked:
Dr. Vakas Sialanswered
Internal Medicine 26 years experience
Yes: Type 1 diabetes requires monitoring of your blood sugars and Insulin therapy. Both having too low of a blood sugar or too high of a blood sugar can be... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 63-year-old female asked:
Dr. Vakas Sialanswered
Internal Medicine 26 years experience
Conjunctivitis: You may have acute conjunctivitis. This may be from allergy, bacteria or virus.
Created for people with ongoing healthcare needs but benefits everyone.
4.4k viewsAnswered >2 years ago
A 31-year-old female asked:
Dr. Vakas Sialanswered
Internal Medicine 26 years experience
Need workup: Your doctor or nurse may discover a cyst during a pelvic exam, or when you have an ultrasound test for another reason.
Ultrasound may be done to diag... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.4k viewsAnswered >2 years ago
A 39-year-old female asked:
Dr. Vakas Sialanswered
Internal Medicine 26 years experience
Dietary: There can be many reasons that stool appears to be green. The first and most obvious reason for a stool to be green is from eating green foods. Green,... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.4k viewsAnswered >2 years ago
A 59-year-old female asked:
Dr. Vakas Sialanswered
Internal Medicine 26 years experience
No benefit: I don't see any benefit to this type of treatment. As long as you get the necessary amount of B12 injection to replenish any deficiency you will have ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.4k viewsReviewed >2 years ago
A female asked:
Dr. Vakas Sialanswered
Internal Medicine 26 years experience
Not common reaction: Feeling drowsy or somnolent is nota common reaction to aspirin. If this happens again you should report it to your primary care physician.
Created for people with ongoing healthcare needs but benefits everyone.
3.3k viewsReviewed >2 years ago
A female asked:
Dr. Vakas Sialanswered
Internal Medicine 26 years experience
Hypothyroidism: You should undergo a workup for possible hypothroidism and get a TSH level drawn as well as thryoid function testing.
Created for people with ongoing healthcare needs but benefits everyone.
4.4k viewsAnswered >2 years ago
A 22-year-old male asked:
Dr. Vakas Sialanswered
Internal Medicine 26 years experience
Possibly: If you have recently broken your leg and/or ankle and have sex with vigoruos movement of your leg you impede healing.
Created for people with ongoing healthcare needs but benefits everyone.
4.4k viewsAnswered >2 years ago
A 18-year-old female asked:
Dr. Vakas Sialanswered
Internal Medicine 26 years experience
I agree: I would defer to the opinion of your dentist and agree that if your molars are impacting your teeth you should consider removal and braces.
Created for people with ongoing healthcare needs but benefits everyone.
4.4k viewsAnswered >2 years ago
A 58-year-old female asked:
Dr. Vakas Sialanswered
Internal Medicine 26 years experience
Impingement: You should see a neurologist to consider a workup. You may have impingement of a nerve or a more central defect in your brain or spinal cord.
Created for people with ongoing healthcare needs but benefits everyone.
4.4k viewsReviewed >2 years ago
A 21-year-old male asked:
Dr. Vakas Sialanswered
Internal Medicine 26 years experience
Allergic rhinitis: You may have an allergy related issue. Try using an antihistamine daily such as zyrtec or claritin (loratadine).
Created for people with ongoing healthcare needs but benefits everyone.
2.7k viewsReviewed >2 years ago
A female asked:
Dr. Vakas Sialanswered
Internal Medicine 26 years experience
Viral exanthem: You may have develped a skin manifestation of your flu virus. This may present with a rash that spreads.
Created for people with ongoing healthcare needs but benefits everyone.
3.3k viewsReviewed >2 years ago
A 26-year-old male asked:
Dr. Vakas Sialanswered
Internal Medicine 26 years experience
Sinarest.: Sinarest is a combo med. Acetaminophen, chlorpheniramine, and pseudoephedrine is a combination medicine used to treat headache, fever, body aches, run... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.2k viewsReviewed >2 years ago
A 28-year-old female asked:
Dr. Vakas Sialanswered
Internal Medicine 26 years experience
Self limited: Most cases of acute diarrhea are self limited and it should resolve in a few days. Make sure to hydrate well. Consder a diet with bananas, rice, appl... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.3k viewsAnswered >2 years ago
A 43-year-old female asked:
Dr. Vakas Sialanswered
Internal Medicine 26 years experience
Dermatitis: You may have a form of dermatitis. Also if you have warmth this may be a sign of vasodilation from an allergy reaction or possibly be related to a ski... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.3k viewsReviewed >2 years ago
A female asked:
Dr. Vakas Sialanswered
Internal Medicine 26 years experience
See dentist: This may be some scar tissue or granulation tissue. You should have this evaluated by your dentist.
Created for people with ongoing healthcare needs but benefits everyone.
3.3k viewsReviewed >2 years ago
A 40-year-old male asked:
Dr. Vakas Sialanswered
Internal Medicine 26 years experience
No: It wouldn't harm to drink water but it is not neccessary.
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 26-year-old male asked:
Dr. Vakas Sialanswered
Internal Medicine 26 years experience
Avoid amantadine: Please see your neurologist before starting therapy while pregnant. Amantadine has been linked to birth defects in pregnant women.
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A female asked:
Dr. Vakas Sialanswered
Internal Medicine 26 years experience
Pregnancy test: If by conception you mean pregnancy i would recommend a pregnancy test.
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A 33-year-old member asked:
Dr. Vakas Sialanswered
Internal Medicine 26 years experience
Inactive pancreas: Type 1 diabetes is an immune disorder in which the body attacks and destroys insulin-producing beta cells in the pancreas. As a result, the body canno... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 18-year-old female asked:
Dr. Vakas Sialanswered
Internal Medicine 26 years experience
Yes: Yes it is possible to get pregnant if you are not taking any oral contraceptives and are on a 26 day cycle.
Created for people with ongoing healthcare needs but benefits everyone.
4.4k viewsAnswered >2 years ago
A 55-year-old male asked:
Dr. Vakas Sialanswered
Internal Medicine 26 years experience
Depends: It depends on the extent of your spine problems. It may help if you have an anatomical compression.
Created for people with ongoing healthcare needs but benefits everyone.
4.4k viewsReviewed >2 years ago
A 27-year-old male asked:
Dr. Vakas Sialanswered
Internal Medicine 26 years experience
Intrahepatic calculi: Liverstones are another name for gall stones. These are rock hard concretions inside your gall bladder or in the tubes that leave your liver as they d... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.4k viewsAnswered >2 years ago
A 19-year-old female asked:
Dr. Vakas Sialanswered
Internal Medicine 26 years experience
When you feel ready: If you have not had a complicated vaginal delivery then you may start when you feel ready. Some physicians feel that you should wait at least six week... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.4k viewsAnswered >2 years ago
TestimonialsRecommendations and Thank you notes are endorsements given from patients or other doctors.
Recommendations and Thank you notes are endorsements given from patients or other doctors.
17
Recommendations
175
Thank you notes
HealthTap member
Mar 18, 2015
i really never had a doctor who was willing to listen and help me and help me understand terms so i would be able too answered questions i feel confident and well as well i feel safe and i appreciate ...Read More
HealthTap member
Feb 11, 2015
Was able to go over exactly everything that is going on with my body! So glad I chatted with Dr. Vakas Sial!!!
HealthTap member
Feb 17, 2015
Very thorough, fast and thoughtful responses to my questions. I'm really glad I connected with Dr. Sial.
HealthTap member
This made me feel good. Thanks! thank you for being the only accurate doctor, where yes, sometimes the symptoms does appear in my second arm, but at a lower pain, any clue? plz help
HealthTap member
This was very helpful. Thanks! Tks for the reply, soft tissue spread, no bacteremia yet. Current medical opinion here is that this is impossible.
HealthTap member
I go December 12th. The cramping has actually stopped. I have little bit of pressure on the left side of my vagina now. Not enough to hurt.
Education & Training
Medical/Graduate school
Ross University School of Medicine, Dominica
Graduated 1997MD
Residency
WEST VIRGINIA UNIVERSITY HOSPITALS
Awards
Grand Master Rx Editor, First Place, National - Winter
2015
Affiliations
American Telemedicine Association
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