Dr. Axel Martinez-Irizarry

Family Medicine 19 years experience

Hospice : Needs a doctor referral to a hospice agency. If you have no primary care doctor. The hospice agency has a doctor that can evaluate if they meet th... Read More

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Dr. Nayana Trivedi and another doctor agree2 doctors agree

A 31-year-old member asked:

Could the use of olive oil prevents cardiovascular diseases?

Family Medicine 19 years experience

Some protection.: Studies have shown that olive oil offers protection against heart disease by controlling LDL ('bad') cholesterol levels while raising HDL (the 'good' ... Read More

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4k viewsAnswered >2 years ago

A 35-year-old member asked:

Will it be okay if i only consumed about 400-500 calories a day?

Family Medicine 19 years experience

For a short time.: 500 calories is very low, and if prescribed by a physician can be used for a short time. Long time on low calories could lower metabolism.

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4k viewsReviewed >2 years ago

Dr. Donald Alves agrees1 doctor agrees

A 34-year-old member asked:

I have been inflicted with liver function one says u had siviour jaundis another says it is in starting stage.tell what stage it is?

Family Medicine 19 years experience

Liver Biopsy: Severe Jaundice doesn't determine stage. It is a symptom that happens when an increase in bilirubin is high enough that it tints the skin\sclera, yel... Read More

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4k viewsReviewed >2 years ago

Dr. Diane Minich and another doctor agree2 doctors agree

A 46-year-old member asked:

Can you tell me how i can naturally or holistically cure a low grade fever?

Family Medicine 19 years experience

Fever is 101.: Fever is not a disease, but a sign of a disease. Generally important to find out the cause for fever. It can mean something dangerous is going on. ... Read More

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4k viewsReviewed >2 years ago

Dr. Milroy Samuel agrees1 doctor agrees

A 33-year-old male asked:

Been on every antipsychotic under the sun, but can't stop the bad thoughts, what should i do?

Family Medicine 19 years experience

Different options.. : There are different options. Psychologists/Psychiatrists can provide psychotherapy or cognitive behavioral therapy and this might be of benefit to d... Read More

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4k viewsAnswered >2 years ago

A 43-year-old member asked:

Could find on the web that cause vertigo is labyrinthitis and vestibular neuritis, are there anymore or is it only those two?

Family Medicine 19 years experience

There are more.: Meniere's Disease and Benign Paroxismal Positional Vertigo are two others that come to mind. Migraine can cause it too.

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4k viewsAnswered >2 years ago

A 50-year-old member asked:

What to do if i have a low grade fever. it is in the 99s and had never reached moment i feel warm, the next i'm cold! is this normal?

Family Medicine 19 years experience

Not fever: Fever is 101 or greater, some believe 100 or greater. Older people have more leeway due to physiologic changes in aging and 99 in elderly is consider... Read More

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4k viewsReviewed >2 years ago

Dr. John Munshower and another doctor agree2 doctors agree

A 42-year-old female asked:

I had 3 pins removed from ankle because were causing pain. problem is its been 7 wks out of surgery i hurt worse and cant walk. therapy not helping?

Family Medicine 19 years experience

Follow up.: Let your orthopedic surgeon know of your worsening condition. The surgeon will be able to establish what's going on, and how he can help. Those comp... Read More

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4k viewsReviewed >2 years ago

Dr. Diane Minich and another doctor agree2 doctors agree

A 17-year-old female asked:

What is the difference between pcos and cysts? plz help

Family Medicine 19 years experience

Differences:: Simple cysts result from failure of the maturing follicle to ovulate and involute and are quite common. Polycystic ovary syndrome (PCOS) is the ... Read More

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3.9k viewsAnswered >2 years ago

A 31-year-old male asked:

How many calories total in my water, if i put 2 or 3 slices lemon in my water? (my tumbler contain 400 ml water) thanks, can i keep it for 8 hours?

Family Medicine 19 years experience

About 10 calories: One whole lemon is 17 calories. So If it's half it's about 9 calories. Estimated 10 calories or less. yes you can keep it for 8 hours.

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3.9k viewsAnswered >2 years ago

A 19-year-old male asked:

Sir. my elbow's angle has increased and i have medical test in next monnth. so sir, tell me how it will be cured. my elbows hasn't fractured.

Family Medicine 19 years experience

Not to worry.: Not abnormal finding unless causing pain or decreased range of motion. You can do pushups to strengthen arm muscles and tendons.

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A 50-year-old member asked:

What do you suggest if i have dark urine, dehydration, and liver issues?

Family Medicine 19 years experience

See your doctor.: Dehydration is resolved with consumption of fluids, especially water. Liver issues are treated with your doctor. Your doctor might consult you to a ... Read More

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4k viewsReviewed >2 years ago

A 28-year-old female asked:

Think i ruptured my eardrum how can i tell and how long till it heals?

Family Medicine 19 years experience

Otoscope.: A physical exam with an otoscope will be able to see if you have a ruptured eardrum or not. The degree of the rupture, if at all present will determi... Read More

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A 36-year-old member asked:

What to do if emergency head injury!?

Family Medicine 19 years experience

Emergency Room: If you consider the injury to be severe, lost consciousness or have a severe headache, go to the Emergency Room where they can evaluate you and depen... Read More

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4k viewsReviewed >2 years ago

Dr. Evan Altman and another doctor agree2 doctors agree

A 44-year-old member asked:

Do i need to get a pelvic exam for a yeast infection?

Family Medicine 19 years experience

Depends on doctors.: Physical exam is the best way to see a yeast infection. Some doctors feel comfortable prescribing antifungals without physical exam. If the problem ... Read More

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3.9k viewsAnswered >2 years ago

A 40-year-old member asked:

Can you tell me what is tiny lacunar infarct of left basal ganglia?

Family Medicine 19 years experience

Small Stroke.: Those findings are small strokes of specific areas of the brain that are subcortical or below the cortex. Two of the three mechanisms for those strok... Read More

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4k viewsAnswered >2 years ago

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A 44-year-old member asked:

What do you advise if i'm going crazy and not getting help from doctors for symptoms of nausea, head aches, shakes, anxiety?

Family Medicine 19 years experience

To get help.: Anxiety and other serious medical conditions can cause these symptoms, a complete history and physical exam, and some labs that would probably includ... Read More

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3.9k viewsReviewed >2 years ago

Dr. Marc Zimmermann agrees1 doctor agrees

A 32-year-old member asked:

Can you tell me how could health care deductible work?

Family Medicine 19 years experience

Tricky.: Your health insurance resets yearly. Every year you have to pay the 'deductible' before your health insurance covers most services. If it is 2000$, ... Read More

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4k viewsReviewed >2 years ago

Dr. Tanya Russo agrees1 doctor agrees

A 40-year-old member asked:

How is morphine used now and in the 1930s?

Family Medicine 19 years experience

Several reasons.: Morphine is used for pain (acute and chronic) and shortness of breath. It has always been used for pain, earlier on it was for sleep, and during the ... Read More

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4k viewsAnswered >2 years ago

A 42-year-old member asked:

Could protein shakes cause thirst?

Family Medicine 19 years experience

No.: Thirst is a complex response that the brain processes, usually used to communicate to the person on the needs of fluids. If you are not drinking enou... Read More

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3.9k viewsReviewed >2 years ago

Dr. Thomas Namey agrees1 doctor agrees

A 32-year-old member asked:

I have high ammonia possible with normal liver function tests?

Family Medicine 19 years experience

Yes. It's possible.: End Stage Liver failure (Cirrhosis) can present with normal liver function tests, and presents with high ammonia. Ammonia results from breakdown of p... Read More

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4k viewsReviewed >2 years ago

Dr. Diane Minich and another doctor agree2 doctors agree

A 33-year-old member asked:

Can you tell me about side effects or symptoms with megace or megestrol acetate ?

Family Medicine 19 years experience

Many side effects.: Body as a Whole: abdominal pain, chest pain, infection, thrush and sarcoma Cardiovascular System: cardiomyopathy and palpitation Digestive System: ... Read More

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3.9k viewsAnswered >2 years ago

A 34-year-old member asked:

What to do if i have a uti and they are painful with a capital p?

Family Medicine 19 years experience

See your doctor.: Your physician will usually prescribe a course of oral antibiotics and if it is painful Pyridium (phenazopyridine) is sometimes used for pain when voi... Read More

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3.9k viewsReviewed >2 years ago

Dr. John Munshower and another doctor agree2 doctors agree

A 20-year-old female asked:

I seem to get alot of headaches behind the eye. i also have bad sinus problems. is there any way to help it get better & for those headaches to stop?

Family Medicine 19 years experience

Yes: Usually behind the eye headaches are sinus headaches. So treat the sinus, and the headaches might improve. If you've tried OTC antihistaminics and s... Read More

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4k viewsReviewed >2 years ago

Dr. Kenny Chuu agrees1 doctor agrees

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A female asked:

I suck hard, but my cheeks gets cut by my teeth in the act. my mouth doesn't bleed, but the tissue on my cheek peel like after a long bath. normal?sex

Family Medicine 19 years experience

Yes.: Eventually your cheek will develop calluses, which is normal too. To clarify, normal to what you are doing.

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4k viewsAnswered >2 years ago

A 31-year-old member asked:

Can you tell me how i can recover from male candidiasis ?

Family Medicine 19 years experience

Antifungals: Depending on where it is, usually antifungals via cream and/or pills can help you resolve the fungal infection. If it is skin, keeping area dry is im... Read More

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4k viewsReviewed >2 years ago

Dr. Albert Pizzo and another doctor agree2 doctors agree

A 33-year-old member asked:

Could you take remeron (mirtazapine) and ultram?

Family Medicine 19 years experience

Yes.: It could increase sleepiness, and effects of mirtazapine, and increase risk of seizures, It is not contraindicated, but if you notice any of these st... Read More

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3.9k viewsReviewed >2 years ago

A 35-year-old member asked:

Help docs! how to tell if i have breast cancer?

Family Medicine 19 years experience

See your doctor.: Usually breast exam and screening mammography (x-rays) are first step. If something is suspicious you then get a breast biopsy by a surgeon that is t... Read More

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4k viewsReviewed >2 years ago

Dr. Regina Hampton agrees1 doctor agrees

A 37-year-old male asked:

Please share a tip in the form of a haiku on dealing with skin allergies.

Family Medicine 19 years experience

Ignore: If the itch don't stop, go see your doc. Moisturize and care, protect your skin if you dare.

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4k viewsAnswered >2 years ago

A 30-year-old female asked:

There any home remedies to dry up blisters/make rash of hand foot mouth disease for my 2 yr old son? family event saturday and it tues. he wants to go

Family Medicine 19 years experience

HFMD: If your child has hand, foot, and mouth disease, keep him or her away from other people during the first week of the illness. Hand, foot, and mouth d... Read More

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3.9k viewsAnswered >2 years ago

A 48-year-old member asked:

What to do if i have genital warts. please woman only an please don't be rude?

Family Medicine 19 years experience

Go see your doctor.: There are medications or surgical procedures done at the office that can help remove them. •Take the necessary precautions to prevent trauma to the... Read More

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4k viewsReviewed >2 years ago

Dr. Mohammed Parvez agrees1 doctor agrees

A 54-year-old female asked:

Do you still get tenderness in your breast after 50?

Family Medicine 19 years experience

You can.: Tenderness is a symptom of pain. Hormones, infections, and trauma can cause tenderness in the breast. If you have a mass on a self-exam or are conce... Read More

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4k viewsAnswered >2 years ago

A 31-year-old member asked:

Diabetes mellitus problem with my wife. who can i talk to about this?

Family Medicine 19 years experience

Your doctor.: If it's a diabetes mellitus problem, or any of it's complications, your doctor should be able to help with the treatment. Primary care physicians and... Read More

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3.9k viewsAnswered >2 years ago

A 35-year-old female asked:

I have a callus on my hand that hasn't gone away. how to i treat that? what are little white bumps on my palm that disappear after showering? no itch.

Family Medicine 19 years experience

Pumice Stone: Calluses can be treated with pumice stones or a doctor can shave it off in his office, if it doesn't go away at home. Little bumps would benefit to p... Read More

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3.9k viewsAnswered >2 years ago

A 45-year-old member asked:

Can stress cause stomach aches, reflux and diarrhoea? any answers appreciated!

Family Medicine 19 years experience

It can.: So can other causes. Important to check with your doctor about why you have them. It could be serious. But back to the question, the gastrointestin... Read More

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3.9k viewsReviewed >2 years ago

Dr. Liesa Harte and 2 doctors agree3 doctors agree

A 24-year-old female asked:

How long does ultram last for pain? vicodin is stronger but doesn't seem to work as well or last as long. is ultram safer

Family Medicine 19 years experience

6-8 hours.: Half of the medicine is gone from your body in 6-8 hours. Medication is generally prescribed every 6 hours. Vicodin is stronger and half of the medi... Read More

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3.9k viewsReviewed >2 years ago

A 54-year-old female asked:

Can colds or allergies cause loss of smell?

Family Medicine 19 years experience

Yes.: Not the first cold or the first allergy. But over time getting chronic allergies and colds irritates the nasal mucosa and ends up slowly killing the ... Read More

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4k viewsAnswered >2 years ago

A 28-year-old female asked:

I had all my upper teeth pulled. when can i stop worrying about infection?

Family Medicine 19 years experience

When they heal.: The healing process in the mouth is a challenge due to the presence of so many bacteria there. But your body can handle it. After you heal and skin ... Read More

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4k viewsReviewed >2 years ago

Dr. John Munshower and 2 doctors agree3 doctors agree

A 58-year-old female asked:

On cefuroxime for sinus infection. have stomach ulcers.took my am dose and pm dose. and probiotic at lunch.will diahrea get better. first day on med.

Family Medicine 19 years experience

It should. : Generally they do. Keep taking the probiotics. Keep eating and drinking fluids to prevent dehydration. If diarrhea persists after finishing ant... Read More

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4k viewsAnswered >2 years ago

A 20-year-old female asked:

If mifepristone and misopristol are taken without pregnancy what happens??

Family Medicine 19 years experience

Side Effects: Misoprostol is a synthetic prostaglandin E1 (PGE1) analog that is also used to prevent gastric ulcers. So it protects the stomach when you take Ibup... Read More

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4k viewsReviewed >2 years ago

A 37-year-old member asked:

What to do if i'm feeling so scared and bad now. i did shrooms, coke, pills, was drinking and top it off, meth. will my baby be ok?

Family Medicine 19 years experience

Seek Help.: If you did all of the above it is important to seek help to stop doing them. With help and adequate prenatal care, the child will be better off. Go ... Read More

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3.9k viewsReviewed >2 years ago

Dr. John Munshower and another doctor agree2 doctors agree

A 42-year-old member asked:

Can i take benadryl (diphenhydramine) with another antihistamine? thanks in advance.

Family Medicine 19 years experience

Not recommended.: 2 antihistamines together will probably exacerbate negative side effects without necessarily increasing the positive effect of the medication. Not re... Read More

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4k viewsAnswered >2 years ago

A 44-year-old member asked:

What to do if i had my blood test done and the result sgot 211 but my sgpt is normal. i am worried about the result of my sgot. is it normal?

Family Medicine 19 years experience

See your doctor.: AST (SGOT) levels double or triple that of ALT (SGPT) are consistent with alcoholic liver disease. See your doctor about it. The doctor will be bett... Read More

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4k viewsReviewed >2 years ago

A 46-year-old member asked:

Can you tell me how to live with both legs amputated (above knees)?

Family Medicine 19 years experience

Adjusting.: When you lose both legs, you lose a high degree of independence. Prosthesis could be discussed with your doctor if you are a good candidate. Occupat... Read More

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3.9k viewsAnswered >2 years ago

A 33-year-old female asked:

Im extremely allergic to bactrim (sulfamethoxazole and trimethoprim). my husband is not. our two sons are both allergic to bactrim (sulfamethoxazole and trimethoprim) too. what are the chances our daughter is allergic too?

Family Medicine 19 years experience

Higher than average.: Just because of family history there is a higher than usual chance that your daughter is allergic. Due to the nature of allergies, they should never ... Read More

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Dr. James Ferguson and another doctor agree2 doctors agree

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A 46-year-old member asked:

Could having orange oily stools (steatorrhea) be a serious issue?

Family Medicine 19 years experience

Vitamin Deficiencies: Vitamins A, D, E, K are fat-soluble and having steatorrhea could mean you would not be absorbing these vitamins and could result in deficiencies on th... Read More

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4k viewsAnswered >2 years ago

A 27-year-old male asked:

Hit on top of head while boxing 7 days ago. it is hard to concentrate & headache worsens when i shake my head. how long do these symptoms linger?

Family Medicine 19 years experience

Concussion: Important to see your doctor about this, as a baseline workup is indicated, and you still plan on boxing. Your answer is that for athletes it usually... Read More

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3.9k viewsAnswered >2 years ago

A 21-year-old female asked:

What can i use to stop my hair falling and increase its thickness !? its really thin and falling a lot !! no history of hair fall in my family !

Family Medicine 19 years experience

See your doctor.: Sometimes hair loss is associated with hormonal imbalances such as high thyroid hormones. Simple lab tests could rule this out.

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4k viewsAnswered >2 years ago

A 33-year-old male asked:

Pls which drugs can cure gonorrhea within oneweek ?

Family Medicine 19 years experience

Antibiotics : Rocephin (ceftriaxone) or azithromicin. Both require prescriptions. Be sure to treat yourself and your partner. Otherwise you ping pong the dise... Read More

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