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Dr. Gena Kluwe

Internal Medicine
Paris, TN
25 years experience female

Locations

St Thomas Health

Murfreesboro, TN

Address

Murfreesboro, TN
Directions

My office hours

Wednesday: 12am - 12am
Show more

About

Bio

FACP, FHM; Internal Medicine; Focused Practice Hospital Medicine; Hospice and Palliative Medicine; Addiction Medicine

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

Addiction Medicine

Hospital-based practice

Palliative Care

Licenses

United States: Alaska, Florida, Georgia, New York, Tennessee

Languages spoken

English

Doctor Q&A

235 Answers
358 Agrees
The number of answers this doctor has agreed with.
A member asked:
Dr. Gena Kluwe
Internal Medicine 25 years experience
Let's see...: If you are not using protection; had sex on your "fertile day"; your partner is a fertile male; your period is late ... I vote for a home pregnancy t... Read More
A 48-year-old female asked:
Dr. Gena Kluwe
Internal Medicine 25 years experience
Yes, but: The rule of thumb is always caution with combining sedating meds. Combining medications, any medications, presents problems with drug-drug interaction... Read More
A 18-year-old female asked:
Dr. Gena Kluwe
Internal Medicine 25 years experience
there are sites : Like vitals.Com or healthgrades and the like. The reviews and ratings are subject to bias, however. Probably word of mouth (someone that you know w... Read More
A 23-year-old female asked:
Dr. Gena Kluwe
Internal Medicine 25 years experience
No. Not if: Taking exactly as prescribed. That's the whole point of ocps. To prevent pregnancy. If you started them while you were definitely not pregnant and hav... Read More
A 21-year-old female asked:
Dr. Gena Kluwe
Internal Medicine 25 years experience
Yes.: Unprotected sex and late menses always makes me want to check a pregnancy test. Look there first!
A male asked:
Dr. Gena Kluwe
Internal Medicine 25 years experience
Just a wild guess: But it sounds like a "banana bag". Sometimes we give patients IV fluids with vitamins, electrolytes, minerals, etc. This is most frequently done in th... Read More
A 42-year-old female asked:
Dr. Gena Kluwe
Internal Medicine 25 years experience
Won't cause syndrome: Buproprion and Pristiq (desvenlafaxine) can be taken together. Those drugs are different. You could get a serotonin syndrome from Pristiq (desvenlaf... Read More
A 16-year-old female asked:
Dr. Gena Kluwe
Internal Medicine 25 years experience
If your anemia : Is iron deficiency, which is the most common type in women of your age group, take your iron supplement. Taking it with vitamin c will help absorption... Read More
A 28-year-old female asked:
Dr. Gena Kluwe
Internal Medicine 25 years experience
Hmmmm. no.: These do tend to travel in the same circles. E.G. People with one std often have another. However, someone with just genital warts won't give you he... Read More
A 37-year-old male asked:
Dr. Gena Kluwe
Internal Medicine 25 years experience
No: Bentyl (dicyclomine) is an antispasmodic. It is typically used for ibs (irritable bowel) or other issues which make one have crampy bowels. It is un... Read More
A 30-year-old male asked:
Dr. Gena Kluwe
Internal Medicine 25 years experience
Sounds like: Possibly reynauds phenomenon. Discuss with your provider. It is most often a benign process, but can be part of an autoimmune process. Discuss with... Read More
A 21-year-old female asked:
Dr. Gena Kluwe
Internal Medicine 25 years experience
May not b related: But part of a routine "review of systems". Although, hormonal changes which can be part of breast issues can certainly cause headaches in many women. ... Read More
A 20-year-old male asked:
Dr. Gena Kluwe
Internal Medicine 25 years experience
Should be fine : A young man like yourself with a mild mitral valve issue should sail through an appendectomy no problem.
A 22-year-old female asked:
Dr. Gena Kluwe
Internal Medicine 25 years experience
No. : No effect on gallstones.
A 43-year-old female asked:
Dr. Gena Kluwe
Internal Medicine 25 years experience
Yes. Upper endo +: Colonoscopy are commonly performed at the same time. First the upper, then the colon. People are generally not put out, but typically we use what is... Read More
A 20-year-old female asked:
Dr. Gena Kluwe
Internal Medicine 25 years experience
Pregnancy test: You didn't mention if you are sexually active, but since you mentioned your period is late, i'm going out on a limb here and guess that you ... Read More
A 56-year-old female asked:
Dr. Gena Kluwe
Internal Medicine 25 years experience
Possibly he is: Retaining co2. If your dad has COPD and has been given a lot of supplemental oxygen in an effort to increase his oxygen saturation (spo2) he may not h... Read More
A 19-year-old female asked:
Dr. Gena Kluwe
Internal Medicine 25 years experience
Yes, but a better : Plan is regular contraception. The "ohmygosh" we need Plan B is a terrible plan. Be good to yourself.
A 29-year-old female asked:
Dr. Gena Kluwe
Internal Medicine 25 years experience
Sounds like BV: Bacterial vaginosis. An overgrowth of normal vaginal flora. If you've seen your gyn and it's not an std, this is the most likely. It's usually treated... Read More
A 19-year-old female asked:
Dr. Gena Kluwe
Internal Medicine 25 years experience
Bad idea. : Alcohol in and around the vagina is a *terrible* idea. If you have vaginal itch without discharge, try an over the counter remedy. Discuss with pharma... Read More
A 43-year-old female asked:
Dr. Gena Kluwe
Internal Medicine 25 years experience
On average : About 2 hours.
A 35-year-old member asked:
Dr. Gena Kluwe
Internal Medicine 25 years experience
Not normal. : Some persons with COPD can tolerate a low o2 level (usually in the high 80s or low 90s) but below 88 it's usually getting problematic even for the wor... Read More
A 55-year-old male asked:
Dr. Gena Kluwe
Internal Medicine 25 years experience
Call 911: Crushing chest pain with history of mi is worrisome. Take a nitro if you haven't already and Aspirin and call 911. Now! don't wait. Good luck.
A 29-year-old female asked:
Dr. Gena Kluwe
Internal Medicine 25 years experience
No. : Metformon and Folic Acid don't interact. Women of childbearing age should take Folic Acid to reduce the incidence of neural tube defects. Continue as ... Read More
A 24-year-old female asked:
Dr. Gena Kluwe
Internal Medicine 25 years experience
Should not gain : Weight. As for the other issues, what were you like before you started taking ocp? Most women worry about wright gain with ocp -- not coming off. Rem... Read More
A 35-year-old female asked:
Dr. Gena Kluwe
Internal Medicine 25 years experience
Walking : Is probably the safest most maintainable exercise for most persons throughout.
A 21-year-old male asked:
Dr. Gena Kluwe
Internal Medicine 25 years experience
Your brain:: Use it or lose it. One of the most excellent ways to enhance your brain power is through physical wellness. Good restorative sleep; physical exercis... Read More
A 26-year-old male asked:
Dr. Gena Kluwe
Internal Medicine 25 years experience
Not all GERD : Becomes barrett's esophagus. Barrett's is a special kind of transformation of the cells in the esophagus called "metaplasia". The normal cells are r... Read More
A female asked:
Dr. Gena Kluwe
Internal Medicine 25 years experience
Fine lines: Never completely go away. As we age, we develop "personality" in our facial contour. How much wrinkling can you possibly have at age 25? Enjoy who ... Read More
A 39-year-old female asked:
Dr. Gena Kluwe
Internal Medicine 25 years experience
Hmmmm: What kind of sleeping tablets are you taking? Sounds unlikely. I'd put my money on the other meds you've listed; the underlying insomnia (stress-rel... Read More
A 36-year-old male asked:
Dr. Gena Kluwe
Internal Medicine 25 years experience
Methotrexate not bc: While Methotrexate isn't *helpful* with conception, it isn't going to make your wife sterile. I would suggest good contraception.
A 19-year-old female asked:
Dr. Gena Kluwe
Internal Medicine 25 years experience
Leave it.: Leave it. As tempting as it is to "pop" blisters, leave them alone.
A 25-year-old female asked:
Dr. Gena Kluwe
Internal Medicine 25 years experience
In this case: I would agree with your endocrinologist. Low TSH in the setting of thyroid cancer is appropriate. (suppressive). You're taking levothyroxine. If your ... Read More
A 20-year-old male asked:
Dr. Gena Kluwe
Internal Medicine 25 years experience
No. : Mild mvp with mild mr shouldn't give you any symptoms at all. Especially at age 20.
A 16-year-old female asked:
Dr. Gena Kluwe
Internal Medicine 25 years experience
Ingrown hair: Sounds like he has an "ingrown hair". Makes a bump with the hair growing the wrong way and then when he opens them up there's a longer hair inside? ... Read More
A 18-year-old male asked:
Dr. Gena Kluwe
Internal Medicine 25 years experience
Max-heart rate 4 age: Varies. If you are exercising or if it's just racing for no reason. A rule of thumb for max hr for exercise is 80% of 220-age. If you're having restin... Read More
A 21-year-old female asked:
Dr. Gena Kluwe
Internal Medicine 25 years experience
A common cause: Of hirsutism is family history or ethnicity. Some hormonal manipulation can be helpful for many women with things like spironolactone and ocp with low... Read More
A 21-year-old female asked:
Dr. Gena Kluwe
Internal Medicine 25 years experience
Not significant : The difference between these two medicines is insignificant. You should be fine changing one for the other. There are anecdotal reports of one working... Read More
A 23-year-old female asked:
Dr. Gena Kluwe
Internal Medicine 25 years experience
Could be: With pad and stents in your legs "years ago" and "many other health conditions", i would worry about claudication. Please get seen asap for eval.
A 31-year-old female asked:
Dr. Gena Kluwe
Internal Medicine 25 years experience
No. Freaking out is : Never the correct answer. If taking ocp as prescribed, pregnancy is unlikely, but not impossible. Instead of freaking out, why not buy a home pregnan... Read More
A 34-year-old female asked:
Dr. Gena Kluwe
Internal Medicine 25 years experience
Maybe: Vaniqa, but it is an expensive prescription and takes a while to work. A cream applied 2-3 x day. Takes 4-8 weeks for results and hair regrows when d/... Read More
A 46-year-old female asked:
Dr. Gena Kluwe
Internal Medicine 25 years experience
Probably not. : People vary in how quickly they metabolize drugs. I'm assuming you were taking the medicine only as prescribed. I would take the prescription just on ... Read More
A 42-year-old member asked:
Dr. Gena Kluwe
Internal Medicine 25 years experience
No. : A lot of people become addicted to opiods because if a pain issue, but pain management or pain clinics are very different than people who treat addict... Read More
A 40-year-old member asked:
Dr. Gena Kluwe
Internal Medicine 25 years experience
See below: To become board certified by the abam (american board of addiction medicine) you can be many kinds of doctor. Psychiatrist is probably most common but... Read More
A 52-year-old member asked:
Dr. Gena Kluwe
Internal Medicine 25 years experience
Negative feedback: If you're talking about (for instance) too much cortisol, in some cases, a suppressive dose of a steroid will turn off your adrenal function and you w... Read More
A 20-year-old member asked:
Dr. Gena Kluwe
Internal Medicine 25 years experience
Many things: Most common is salt. Where ever sodium goes, water will follow.
A 38-year-old member asked:
Dr. Gena Kluwe
Internal Medicine 25 years experience
Not addictive. : You may develop a psychological habit or dependence, but it is absolutely not addictive. There is no withdrawal syndrome.
A 24-year-old female asked:
Dr. Gena Kluwe
Internal Medicine 25 years experience
Many things : Causes of constipation are vast. Common ones include changes in diet. Some foods can be constipating such as cheeses and low fiber diets. Medications,... Read More
A 59-year-old male asked:
Dr. Gena Kluwe
Internal Medicine 25 years experience
Depends...: On the sensitivity of the bacteria. Your doctor can help you select appropriate antibiotic therapy for you.
A 22-year-old female asked:
Dr. Gena Kluwe
Internal Medicine 25 years experience
Probably not: But you can't be too careful. Safe sex.

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Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

2
Recommendations
336
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Kluwe is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Kluwe is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, I read a site that said you must wait a week in between and was worried as we have a birthday party to go to.
HealthTap member
Thank you, your answer was very helpful! Dr urine was negative but he is.positive I'm.PG...now bw testing conf.
HealthTap member
Thank you, your answer was very helpful! Thank you so much! I wish it was just fade.. It's not a great tan line

Education & Training

Medical/Graduate school

Spartan health sciences univ
Graduated 1997MD

Residency

University of Rochester

Awards

2010 Most Compassionate Doctor Award,
2011 Most Compassionate Doctors, One of Americas Most Compassionate Doctors, Patient's Choice
America's Most Compassionate Doctor 2012

Affiliations

Fellow American Society Addiction Medicine
Fellow American College of Physicians
Fellow Society of Hospital Medicine
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