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Dr. Vakas Sial

Internal Medicine
SAN DIEGO, CA
25 years experience male

Locations

Office

My office hours

Wednesday: 9:00am - 6:00pm
Show more

Insurances accepted

Medicare

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.

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

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 22-year-old female asked:
Dr. Vakas Sial
Internal Medicine 25 years experience
Serious condition: Intestinal or stomach pain may be from an ulcer. Please see your pcp asap.
A member asked:
Dr. Vakas Sial
Internal Medicine 25 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.
A 18-year-old female asked:
Dr. Vakas Sial
Internal Medicine 25 years experience
Dermatitis: It could be an infection, or an immune problem or an allergy problem.
A 30-year-old male asked:
Dr. Vakas Sial
Internal Medicine 25 years experience
No: Antibiotics usually are not as effective with alcohol.
A member asked:
Dr. Vakas Sial
Internal Medicine 25 years experience
Infection: You may have an infection. Please return to the doctor that performed the sutures.
A 58-year-old female asked:
Dr. Vakas Sial
Internal Medicine 25 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.
A 26-year-old male asked:
Dr. Vakas Sial
Internal Medicine 25 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
A female asked:
Dr. Vakas Sial
Internal Medicine 25 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.
A 28-year-old female asked:
Dr. Vakas Sial
Internal Medicine 25 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
A 21-year-old male asked:
Dr. Vakas Sial
Internal Medicine 25 years experience
Allergic rhinitis: You may have an allergy related issue. Try using an antihistamine daily such as zyrtec or claritin (loratadine).
A female asked:
Dr. Vakas Sial
Internal Medicine 25 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.
A 59-year-old female asked:
Dr. Vakas Sial
Internal Medicine 25 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
A 55-year-old male asked:
Dr. Vakas Sial
Internal Medicine 25 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.
A 18-year-old female asked:
Dr. Vakas Sial
Internal Medicine 25 years experience
Yes: You should resume your Paxil (paroxetine) under the guidance of a physician as soon as possible.
A 39-year-old female asked:
Dr. Vakas Sial
Internal Medicine 25 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
A 19-year-old female asked:
Dr. Vakas Sial
Internal Medicine 25 years experience
Normal period: This may be that your period is just late. I would refer you to see your ob/gyn.
A 26-year-old female asked:
Dr. Vakas Sial
Internal Medicine 25 years experience
Hormones: You maybe experiencing this secondary to hormone changes during mensruation.
A 20-year-old female asked:
Dr. Vakas Sial
Internal Medicine 25 years experience
Possible infection: You may have an infection. Please go see your pcp or ob/gyn asap.
A 22-year-old male asked:
Dr. Vakas Sial
Internal Medicine 25 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.
A 35-year-old member asked:
Dr. Vakas Sial
Internal Medicine 25 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
A 35-year-old member asked:
Dr. Vakas Sial
Internal Medicine 25 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
A 45-year-old male asked:
Dr. Vakas Sial
Internal Medicine 25 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
A 26-year-old female asked:
Dr. Vakas Sial
Internal Medicine 25 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
A 34-year-old female asked:
Dr. Vakas Sial
Internal Medicine 25 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.
A member asked:
Dr. Vakas Sial
Internal Medicine 25 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
A member asked:
Dr. Vakas Sial
Internal Medicine 25 years experience
Possible clot: This may be from a clot or retained placenta. See your ob/gyn.
A member asked:
Dr. Vakas Sial
Internal Medicine 25 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
A 40-year-old female asked:
Dr. Vakas Sial
Internal Medicine 25 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.
A 34-year-old member asked:
Dr. Vakas Sial
Internal Medicine 25 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
A 45-year-old member asked:
Dr. Vakas Sial
Internal Medicine 25 years experience
See a hematologist: This is a genentic disease of the blood. You would best be served by seeing a hematologist.
A 41-year-old female asked:
Dr. Vakas Sial
Internal Medicine 25 years experience
Vagal maneuver: With the increase in intraabdomial pressure you may be causing compression of certain blood vessels that lead to hypotension.
A 43-year-old female asked:
Dr. Vakas Sial
Internal Medicine 25 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
A 24-year-old male asked:
Dr. Vakas Sial
Internal Medicine 25 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
A 31-year-old female asked:
Dr. Vakas Sial
Internal Medicine 25 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
A female asked:
Dr. Vakas Sial
Internal Medicine 25 years experience
Hypothyroidism: You should undergo a workup for possible hypothroidism and get a TSH level drawn as well as thryoid function testing.
A 45-year-old male asked:
Dr. Vakas Sial
Internal Medicine 25 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
A 19-year-old female asked:
Dr. Vakas Sial
Internal Medicine 25 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
A female asked:
Dr. Vakas Sial
Internal Medicine 25 years experience
See dentist: This may be some scar tissue or granulation tissue. You should have this evaluated by your dentist.
A female asked:
Dr. Vakas Sial
Internal Medicine 25 years experience
Viral exanthem: You may have develped a skin manifestation of your flu virus. This may present with a rash that spreads.
A 41-year-old male asked:
Dr. Vakas Sial
Internal Medicine 25 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
A 63-year-old female asked:
Dr. Vakas Sial
Internal Medicine 25 years experience
Conjunctivitis: You may have acute conjunctivitis. This may be from allergy, bacteria or virus.
A 18-year-old female asked:
Dr. Vakas Sial
Internal Medicine 25 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.
A female asked:
Dr. Vakas Sial
Internal Medicine 25 years experience
Baker's cyst: You may have had a baker's cyst which is a cyst that occurs behind the knee. If it ruptured you may have bruising and swelling related to this. Baker'... Read More
A 18-year-old female asked:
Dr. Vakas Sial
Internal Medicine 25 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.
A 27-year-old male asked:
Dr. Vakas Sial
Internal Medicine 25 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
A 19-year-old female asked:
Dr. Vakas Sial
Internal Medicine 25 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
A 18-year-old male asked:
Dr. Vakas Sial
Internal Medicine 25 years experience
Pyelonephritis: This may be a sign of a serious kidney infection called pyelonephritis. You should consider evaluation by a primary care physician.
A 29-year-old female asked:
Dr. Vakas Sial
Internal Medicine 25 years experience
Chostochondral pain: This sounds like the pain that occurs in the muscles between your ribs when you cough. This will improve when your cough improves.
A 23-year-old female asked:
Dr. Vakas Sial
Internal Medicine 25 years experience
20 weeks gestation: In clinical practice, recording the actual fundal height measurement from the palpable top of the uterus to the superior edge of the pubic symphysis i... Read More
A 18-year-old male asked:
Dr. Vakas Sial
Internal Medicine 25 years experience
Secondary cause: Secondary hypothyroidism is due to a failure of the pituitary gland to release thyroid stimulating hormone (TSH) or thyrotropin releasing hormone (trh... Read More

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Testimonials
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
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