Dr. Manuel Lopez diaz

Emergency Medicine 30 years experience

No interaction : There no interaction between Nucynta (tapentadol) ER and Cymbalta sometime for chronic pain conditions they are prescribed together .

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3.6k viewsReviewed >2 years ago

Dr. Heidi Fowler and another doctor agree2 doctors agree

A 53-year-old female asked:

What does scattered groundglass nodules grossly unchanged mean? thank you!

Emergency Medicine 30 years experience

Bening: Some nodules that may calcified secondary to old infection or inflamamation . No new change. Good Luck.

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3.2k viewsAnswered >2 years ago

A 22-year-old female asked:

Plz help dr!!!! got a q tip cotton ball stuck in ear please help how to get it out? i don't want to go to the er/urg. oil?

Emergency Medicine 30 years experience

Blow aie: Try blowing air with a blower with cold air or try water and moving the head on opposite direction.

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3.7k viewsReviewed >2 years ago

Dr. Marsha Davis and another doctor agree2 doctors agree

A 44-year-old female asked:

What, if any, are the negative effects to having repeated steroid injections for bursitis of the greater trochanters?

Emergency Medicine 30 years experience

More joint damage: Steroids are good for short time , when injected frequently in the same joint tend to destroyed more the joint. not to mention absorption into the... Read More

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3.7k viewsAnswered >2 years ago

A 19-year-old female asked:

I am starting to dislike meat, what others foods can i take to replace meat?

Emergency Medicine 30 years experience

Proteins: poultry,fish,pork,grains dairy eggs any sort of protein. Good Luck!

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3.3k viewsAnswered >2 years ago

A 30-year-old male asked:

For a couple of days following resistance training, i have noticed my bp slightly elevated. it reverts to normal within a week w/o exercise. concern?

Emergency Medicine 30 years experience

Time: That the normal response as who get more fit your Blood pressure will stabilize and even drop.

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3.4k viewsAnswered >2 years ago

A 55-year-old female asked:

What can happen if you take expired prescribed medication?

Emergency Medicine 30 years experience

Nothing: Most medications may still be effective up to some time like 6 months after expiration.

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3.3k viewsAnswered >2 years ago

A 17-year-old female asked:

How long does the excess saliva from when you first get braces last?

Emergency Medicine 30 years experience

Couple of days: it may last couple of days as teeth get a costumed to increase pressure. Don't worry.!!

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3.4k viewsAnswered >2 years ago

A 16-year-old female asked:

I "sprained" my ankle 6 weeks ago, i still can't be on it for a long time, still can't fully rotate it without pain. when should i see a specialist?

Emergency Medicine 30 years experience

Now: Go to see an orthopedic surgeon as soon as possible. Ankle sprains usually do not take that long to heal.

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3.6k viewsReviewed >2 years ago

Dr. Susan Rhoads and 3 doctors agree4 doctors agree

A 34-year-old female asked:

On 50 mcg synthroid (thyroxine).2wks before tsh ws 4.57.today found tht i am pregnant (11dpo),my endo increased dose to 75mcg,bt will test my tsh 3 wks later.ok?

Emergency Medicine 30 years experience

Yes: Usually pregnancy may increase your demand for thyroid hormones you are now producing for two you and baby. Trust your doctor and good luck.

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3.6k viewsReviewed >2 years ago

A 27-year-old female asked:

I feel my throat or cords vibrates when talk. ent scoped did not find anything. he thinks i have reflux. what are the causes? i also feel my swallow

Emergency Medicine 30 years experience

Trust your DR: it is normal for vocal cords to vibrate when you speak it is their function to produce voice.

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3.6k viewsAnswered >2 years ago

A 41-year-old female asked:

Is it still a hot flash if your face doesn't feel hot/burning but you are sweating all over. i do not have a fever.i am in surgical menopause.

Emergency Medicine 30 years experience

Menopause: What is responsible for the hot flashes is the hormones produced by the ovaries not the uterus which was removed.

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3.7k viewsAnswered >2 years ago

A 37-year-old male asked:

Please share an interesting fact about dealing with a sprained ankle.

Emergency Medicine 30 years experience

Use: Use ice, elastic bandages, elevation first couple of days, ice , Advil / Aleve (naproxen) if not allergic, PT.

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3.7k viewsAnswered >2 years ago

A 37-year-old male asked:

Please provide some do's and don'ts on dealing with pancreatitis.

Emergency Medicine 30 years experience

Ignore: Never alcohol. Low amount of fatty food. Take your meds regularly. Go to your doctor frequently.

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3.6k viewsAnswered >2 years ago

A 37-year-old male asked:

Please provide some do's and don'ts on dealing with a sprained ankle.

Emergency Medicine 30 years experience

First: First put some ice, elevate the leg and put an elastic bandage. If not allergic, Motrin or Advil (ibuprofen).

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3.6k viewsAnswered >2 years ago

A 26-year-old female asked:

Around 4.2wks prego, having normal pregnancy symptoms but also having non-stop cramps/burning in my lower tummy, abdomen (4days). normal or maybe uti?

Emergency Medicine 30 years experience

Could be UTI: Could be a urinario tract infection go and get check. If it persist

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3.7k viewsReviewed >2 years ago

A 18-year-old female asked:

Lower abdominal pain below belly button feels like menstrual pain but its not and very nauseous with diarrhea. been happening for awhile. any ideas?

Emergency Medicine 30 years experience

Go to your doctor: Get a physical exam by your doctor may have a sonogram &/or abdomen -pelvic CT so you can get a diagnosis.

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3.5k viewsAnswered >2 years ago

A 35-year-old female asked:

How do i fix my cut ?

Emergency Medicine 30 years experience

Depends: It depends on what , length and with what the cut was made with.

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3.3k viewsReviewed >2 years ago

Dr. Tanya Russo and another doctor agree2 doctors agree

A 37-year-old male asked:

Please share an interesting fact about reducing ingrown hairs.

Emergency Medicine 30 years experience

Ignore: If it is on the armpit or groin area NEVER razor hairs on the opposite side which they grow.

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3.6k viewsAnswered >2 years ago

A female asked:

Should i still go to the gyno while heavily bleeding if it's been happening for 21 days?

Emergency Medicine 30 years experience

Yes: It might be DUB dysfunction uterine bleeding may need biopsy or D and C for both treatment and diagnosis.

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3.6k viewsReviewed >2 years ago

Dr. Frank Kuitems agrees1 doctor agrees

A 37-year-old male asked:

Its is ok to give paracetamol to 7old month baby (brand calpol suspension)?

Emergency Medicine 30 years experience

Yes it is fine: Yes give at 10-15 mg per kilogram of weight every 4 - 6 hours if fever greater than 38.4*f or 100.4*c for fever.

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4.3k viewsReviewed >2 years ago

4 thanks

A 24-year-old male asked:

My anxiety is skyrocketing. i just moved to texas from ohio and have been on clonazapam for a little over a year. i'm starting withdraw ?

Emergency Medicine 30 years experience

Get a primary doctor: Go to see your doctor if you had been on clonazepam for long time and the dosage is not wean adequately you may have some consequences like seizures.... Read More

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3.6k viewsReviewed >2 years ago

Dr. Jacob Petrosky agrees1 doctor agrees

A 19-year-old female asked:

I just recently found out i was pregnant. i have been in terrible stress and have been crying myself to sleep everynight. will this hurt the baby ?

Emergency Medicine 30 years experience

No: No May affect the baby but may affect your state of mind. If it persist for long time may require professional help.

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3.7k viewsAnswered >2 years ago

A 21-year-old male asked:

How can i take probiotics as supplement. before food after food.can probiotics be taken with multi vitamin. pls help?

Emergency Medicine 30 years experience

Do not matter: probiotics are bacteria cultures that are taken to promote good bacteria numbers on the gut so it will take some time to make effect . While they mult... Read More

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3.6k viewsReviewed >2 years ago

Dr. Olakitan Akinjagunla agrees1 doctor agrees

5 thanks

A 22-year-old male asked:

Does generic medicine have the same potency of branded medicine? i was wondering if generic mefenamic acid will work the same as ponstan brand.

Emergency Medicine 30 years experience

Yes: Generic medications have the same active ingredients as trade mark medications so the therapeutic effect is the same.

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3.6k viewsReviewed >2 years ago

Dr. Cynthia Archer and another doctor agree2 doctors agree

A 37-year-old male asked:

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

Emergency Medicine 30 years experience

Ignore: Use hydrating creams or Better oinment DAILY .

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3.9k viewsAnswered >2 years ago

A 23-year-old male asked:

I'm having a hard time breathing, feel dizzy & starved of oxygen and off-balance. salbutamol and budesonide not helping much. tips besides obvious er?

Emergency Medicine 30 years experience

Go to ER: You may need to use rescue inhalers as albuterol but if the symptom worsen go to er fast. The faster the symptom worsen the fastest you have to go to... Read More

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4.3k viewsReviewed >2 years ago

A 38-year-old member asked:

How deadly are the risks of birth control pills?

Emergency Medicine 30 years experience

May get DVT OR PE : The mayor risk are deep vein thrombosis which are clots on the legs that may travel to the heart a from there to the lungs. If it is sufficiently larg... Read More

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3.8k viewsAnswered >2 years ago

1 comment

A 17-year-old male asked:

Does short term alcohol consumption cause gastritis ? how much alcohol consumption will cause gastritis ?

Emergency Medicine 30 years experience

Gastritis: Alcohol causes gastritis because if is errodes the gastric mucosa such as NSAIDS, caffeine and nicotine from smoking .

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3.6k viewsAnswered >2 years ago

A 20-year-old member asked:

My grandmother has been diagnosed with chikungunya after returning from a trip from st.thomas.

Emergency Medicine 30 years experience

Plenty of liquids: Take plenty of liquids Tylenol (acetaminophen) for fever and NSAIDs for the joint pain if not allergic. The joint paint could last couple of months. ... Read More

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3.6k viewsReviewed >2 years ago

Dr. Moshe Lewis and 2 doctors agree3 doctors agree

1 comment

A 22-year-old female asked:

Rash turned out to be skint yeast infection, took ketonazole & calmposeptine, rash gone but itching persists, do i need more ketonazole cream?

Emergency Medicine 30 years experience

Could be allergic: Could be an allergy to underwear or laundry detergent put some hydrocortisone cream if it does not resolved go to your doctor. Good Luck.

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3.5k viewsReviewed >2 years ago

Dr. Martin Raff agrees1 doctor agrees

A 49-year-old female asked:

I have been having pain in my left leg, w/ pain going into foot. pain is hot like, numbish, kinda asleep like. could this be a prob w/ l5&s1 region?

Emergency Medicine 30 years experience

Yes: Yes usually nerve roots exit the spinal cord at the low back area and travel down to the foot. L5. & S1 travel downward to the lateral aspect of y... Read More

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3.6k viewsReviewed >2 years ago

A 19-year-old female asked:

Today's my last day of ovulation i was curious the chances of pregnancy if i was ejaculated in during my last day period not due till the 21?

Emergency Medicine 30 years experience

No: Ovulation occurs in a 24 hour period if having vaginal intercource one day before, on , one day after ovulation this increased significantly chances o... Read More

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3.4k viewsAnswered >2 years ago

A 37-year-old male asked:

Please share an interesting fact about living with asthma.

Emergency Medicine 30 years experience

Ignore: Take your medications as indicated ALWAYS. Avoid your asthma triggers.

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3.6k viewsReviewed >2 years ago

A 32-year-old female asked:

How long does it take a 25mg benadryl (diphenhydramine) pill to start working on allergy?

Emergency Medicine 30 years experience

25-45 min: It usually takes from 25 to 45 for a pill to start to make effect has to be dissolved and absorb into the blood stream to make effect.

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4.3k viewsReviewed >2 years ago

Dr. Heidi Fowler and another doctor agree2 doctors agree

A 37-year-old male asked:

Please share a tip in the form of a haiku on overcoming suicidal thoughts.

Emergency Medicine 30 years experience

Ignore: Talk with your PCP, Psychustrist AND or psychologist. And follow your treatment.Good Luck.

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3.6k viewsAnswered >2 years ago

A 37-year-old male asked:

Please share an interesting fact about overcoming anorexia.

Emergency Medicine 30 years experience

Ignore: Be patient and trust people that may help you. And continue to eat as indicated no matter whAt.

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3.7k viewsAnswered >2 years ago

A 27-year-old female asked:

I just got an ultrasound for my breasts. they didn't saw anything. but sometimes still feel pained. could it be stress,that's why it hurts?

Emergency Medicine 30 years experience

Normsl: Your hormones cyclically affect your breast with your cycle may take Advil (ibuprofen) and or Motrin if not allergic and follow up with tour doctor if... Read More

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3.6k viewsReviewed >2 years ago

Dr. Heidi Fowler and another doctor agree2 doctors agree

A 21-year-old female asked:

There is a hard knot/ lump like thing near my lower buttocks almost near the outside of my vaginal wall. it's very painful and secreting clear fluid occasionally.

Emergency Medicine 30 years experience

Bartholin cysts: Could be a Bartholin's cysts put hot compress take NSAIDS and if not resolve go to your dr it may need to be cut open and drained.Good luck.

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3.5k viewsReviewed >2 years ago

Dr. Heidi Fowler and another doctor agree2 doctors agree

A 29-year-old male asked:

Should clonidine and gabapentin be stopped before taking an emg or eeg?

Emergency Medicine 30 years experience

No: ask the doctor that prescribe them.

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3.6k viewsReviewed >2 years ago

Dr. Heidi Fowler and another doctor agree2 doctors agree

A 26-year-old male asked:

What drug can i use to treat herpes. because it keeps coming virtually every three - four months thanks?

Emergency Medicine 30 years experience

Antivirals: Unfortunately Herpes is never eradicated from the body you may take antivirals like acyclovir to treat outbreaks and be on prophylactic doses to try t... Read More

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3.6k viewsReviewed >2 years ago

Dr. Martin Raff and another doctor agree2 doctors agree

A 38-year-old female asked:

I had my gallblader removed 3 weeks ago and short after start feeling a lump in throat with pain in my chest. does acid reflux increase with no gall?

Emergency Medicine 30 years experience

Throat irritation : Could be throat irritation secondary to the tube place on your throat for doing the surgery for the general anesthesia/ breathing machine used .

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3.6k viewsAnswered >2 years ago

A 50-year-old female asked:

Can hypertrophic spurs of the anterior margin of the cervical vertebras cause constant urge to clear your throat ?

Emergency Medicine 30 years experience

Yes: Bone Spurs are bone overgrow that may irritate or co press adjacent structures on neck most things are pretty close including larynx and esophagus.Go ... Read More

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3.6k viewsReviewed >2 years ago

Dr. Martin Raff agrees1 doctor agrees

A 65-year-old male asked:

5 month ago my mri results is sinusitis maxilaris at right side. along 10 months i just 1x flu, when mri i wasn't flu, could i do heart cabg?

Emergency Medicine 30 years experience

Yes: yes you can go ahead with the CABG. And good luck with the surgery

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3.6k viewsAnswered >2 years ago

A 37-year-old male asked:

Please provide some do's and don'ts on dealing with the stomach flu.

Emergency Medicine 30 years experience

Ignore: Plenty of water, pedialyte. Avoid milk for 24 hours. Brat diet.

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3.5k viewsAnswered >2 years ago

A 25-year-old female asked:

I constantly feel sick like throwing up every day i have been to the docs and they gave me anti sickness tabs but now they finished i feel sick again?

Emergency Medicine 30 years experience

Go to doctor: Go to doctor may need more med and a full work up which may include pregnancy test, endoscopy and gastric emptying studies among other things.

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3.7k viewsAnswered >2 years ago

A 17-year-old male asked:

What are risk factors for getting serious parasite like toxocariasis? i live in the uk, i rarely am in contact with animals is risk still high ?

Emergency Medicine 30 years experience

Clean all produce: Toxoplasma may be acquired from eating produce contaminated by feces of animals specially cat way to eradicate is to clean through all produce and veg... Read More

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3.6k viewsAnswered >2 years ago

A 56-year-old male asked:

I have been taking ptescription omeprozole 20mg for over 2 yrs. is yhat bad?

Emergency Medicine 30 years experience

Low Mg: It may decrease your magnesium level ask your Doctor to do levels next time .

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3.9k viewsReviewed >2 years ago

A 25-year-old female asked:

Hi, my two week old is congested with a congested nose could it be the formula ?

Emergency Medicine 30 years experience

No URTI: probably has a Cold OR viral infection suctioned and clean the secretions with saline solution an ear bulb frequently and aggressively until airway in... Read More

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3.4k viewsAnswered >2 years ago

A 22-year-old female asked:

Will taking birth control pills after getting the implanon stop my everyday spotting & bleeding?

Emergency Medicine 30 years experience

Probably NOT: It adding more hormones on top of hormones go to your GYN Dr for appropriate treatment.

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3.6k viewsReviewed >2 years ago

Dr. John Munshower and 2 doctors agree3 doctors agree