Dr. Gena Kluwe

Internal Medicine
Paris, TN
26 years experience female

Locations

St Thomas Health

Murfreesboro, TN

Address

Murfreesboro, TN
Directions

My office hours

Thursday: 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 37-year-old member asked:
Dr. Gena Kluwe
Internal Medicine 26 years experience
Most common side: Effects of Diphenhydramine are drowsiness, dry mouth, constipation, blurry vision, thickenened secretions, impaired coordination. There is a big laund... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Gena Kluwe
Internal Medicine 26 years experience
Sort of: The american society of addiction medicine (asam.Org).
Created for people with ongoing healthcare needs but benefits everyone.
A male asked:
Dr. Gena Kluwe
Internal Medicine 26 years experience
Sounds like an addic: To me. It's not up to you to decide if he has a problem. This is about him. Sounds like he does. Suboxone is no panacea. He will not feel high. People... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old male asked:
Dr. Gena Kluwe
Internal Medicine 26 years experience
Do: Do make an advance directive regarding your end of life wishes. Don't think it's too early!
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old female asked:
Dr. Gena Kluwe
Internal Medicine 26 years experience
Yes. : However, it's a pretty common side effect from medicines. Just because you could get constipation doesn't mean you will. Sometimes people have constip... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Gena Kluwe
Internal Medicine 26 years experience
Depends. Sometimes: It means there is mucosal irritation. Make sure you're getting adequate lubrication.
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Gena Kluwe
Internal Medicine 26 years experience
Expired. : Is expired. Medicines lose potency and some become toxic. Suggest you toss it.
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old female asked:
Dr. Gena Kluwe
Internal Medicine 26 years experience
A rainbow. : They probably drew what we call a " rainbow". Tubes with enough to cover for the typical things and then some. The tubes have different colored tops, ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old female asked:
Dr. Gena Kluwe
Internal Medicine 26 years experience
Yes! Believe it or: Not! one can develop sensitivities including life threatening allergies to foods and medications to which one has been previously exposed without har... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old female asked:
Dr. Gena Kluwe
Internal Medicine 26 years experience
Can be: It's not abnormal. Thanks to hormones.
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old female asked:
Dr. Gena Kluwe
Internal Medicine 26 years experience
Yes. Can take them : At the same time. Caution is always advised with multiple medications. They are both metabolized through the liver and too many medications going th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old female asked:
Dr. Gena Kluwe
Internal Medicine 26 years experience
Yes!: I'd go with all those + be pregnancy tests. Scoot on down to see OB for doppler. I'll bet you can hear your baby even if you can't feel it yet.
Created for people with ongoing healthcare needs but benefits everyone.
A 17-year-old male asked:
Dr. Gena Kluwe
Internal Medicine 26 years experience
No. That's expected: The trick is not to overdo it so much that you injure yourself and don't want to workout anymore. I work out (well, i practice yoga) and i expect to ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 19-year-old male asked:
Dr. Gena Kluwe
Internal Medicine 26 years experience
No cure for vitiligo: Vitiligo is an autoimmune disease which causes depigmintation of the skin. There is no cure.
Created for people with ongoing healthcare needs but benefits everyone.
A 17-year-old female asked:
Dr. Gena Kluwe
Internal Medicine 26 years experience
Hysterosalpingogram,: But, we only do this sort of test after a patient has had unprotected sex ttc for ~ 1 year. At age 17 , this is probably not the case? Suggest safe s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Gena Kluwe
Internal Medicine 26 years experience
Bulk. : Leg press will strengthen and enlarge quadriceps muscles. For leaner look, lunges and stretching would be better.
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old female asked:
Dr. Gena Kluwe
Internal Medicine 26 years experience
Best thing for hypo-: Chondria is cognitive therapy. E.G., talking with a therapist. Giving you medications because you worry that you have a dread disease that you don't... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old female asked:
Dr. Gena Kluwe
Internal Medicine 26 years experience
Chronic urticaria : If you are telling us that you took Aspirin every day which caused you to have "hives" or chronic urticaria every day for five years, why on earth wou... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old male asked:
Dr. Gena Kluwe
Internal Medicine 26 years experience
In a way. : It only has carbohydrates (simple sugar). Calories that are readily burned. So called "empty calories". No protein. No fat. No vitamins. No mineral. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 60-year-old female asked:
Dr. Gena Kluwe
Internal Medicine 26 years experience
Knee replacement : Shouldn't make you itch by itself. Usually people have problems with medicines they are given for pain post-operatively. I don't see anything listed f... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 63-year-old female asked:
Dr. Gena Kluwe
Internal Medicine 26 years experience
Yes.: Naproxen and Lyrica (pregabalin) are okay to take together, but i notice that you're already on plavix, and aspirin. The addition of Naproxen makes m... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old female asked:
Dr. Gena Kluwe
Internal Medicine 26 years experience
Multifactorial: Could b many things. Depression makes some people feel really tired. U only list one anti depressant, but also an anti histamine, which for some can c... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Gena Kluwe
Internal Medicine 26 years experience
Pregnancy depends on: If you're sexually active. If you're sexually active and not using protection, i'd say the chances of a late period being a pregnancy are pretty high.... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old male asked:
Dr. Gena Kluwe
Internal Medicine 26 years experience
Yes and no. : While we typically use "hot flash" or "hot flush" to describe the vasomotor instability if menopause or peri menopause, when you have your period, you... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 63-year-old female asked:
Dr. Gena Kluwe
Internal Medicine 26 years experience
Need more info: Dilantin (phenytoin) has a therapeutic window. You can be taking six pills a day of 100 mg which wouldn't be abnormal ad long as your level is ok... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old female asked:
Dr. Gena Kluwe
Internal Medicine 26 years experience
Yes.: Hsv virus sheds even when not visible.
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old female asked:
Dr. Gena Kluwe
Internal Medicine 26 years experience
With unprotected sex: And irregular menses, it's just a great big pregnancy waiting to happen. Well. Unprotected sex is just pregnancy waiting to happen, provided it takes ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old female asked:
Dr. Gena Kluwe
Internal Medicine 26 years experience
Sounds most like: Fibromyalgia. It could be something else, but at your age with your symptoms, with blurred distant vision, it sounds like you may need your eyes chec... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old female asked:
Dr. Gena Kluwe
Internal Medicine 26 years experience
No. Get seen. : Having cramps "like menstrual cramps" can mean preterm labor. It can be braxton hicks contractions, which are normal, but shouldn't hurt so much. Cal... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 61-year-old female asked:
Dr. Gena Kluwe
Internal Medicine 26 years experience
Yes. Pseudocysts can: Recur. Even without recurrence of pseudocysts one can have pain from chronic pancreatitis. Even with normal lipase, etc. You may be one of the unlucky... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 52-year-old male asked:
Dr. Gena Kluwe
Internal Medicine 26 years experience
Not really. : Best for losing weight is the tried and true: diet + exercise. Sorry. Give it a try!
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Gena Kluwe
Internal Medicine 26 years experience
No. : Most weight loss in first 10 days would be water. A realistic goal would be more 1-2 kg.
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old female asked:
Dr. Gena Kluwe
Internal Medicine 26 years experience
"Pull out" is: A great way to get pregnant. I suggest hpt and reliable birth control in the future.
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old female asked:
Dr. Gena Kluwe
Internal Medicine 26 years experience
Get checked. : Could be something wrong inside... Or something simple like inadequate lubrication. Please discuss with your gyn.
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old male asked:
Dr. Gena Kluwe
Internal Medicine 26 years experience
That's a low dose : Unlikely to cause withdrawal symptoms. People with benzodiazepine withdrawals can be severe enough to cause seizure -- this is why they are tapered do... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old female asked:
Dr. Gena Kluwe
Internal Medicine 26 years experience
Autoimmune disease: Sjogren's is one of many autoimmune diseases. Organ donation would be very ill-advised since the likelihood that multiple organs are involved with aut... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 19-year-old male asked:
Dr. Gena Kluwe
Internal Medicine 26 years experience
If any : Effect, it would be feminization. "weed" is known to decrease testosterone levels, cause male breast growth and make infertility. On that theory , les... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old female asked:
Dr. Gena Kluwe
Internal Medicine 26 years experience
Yes. Decongestants : And antihistamines can dry * everything* out including your GI tract which can cause constipation. Anything that causes a dry mouth can cause constipa... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old female asked:
Dr. Gena Kluwe
Internal Medicine 26 years experience
Probably not. : Gbs treatment with 5 days of ivig is standard. Plasmapheresis, when used, is generally 4-6 treatments. Your doctor/neurologist knows what's right for... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old female asked:
Dr. Gena Kluwe
Internal Medicine 26 years experience
Not "over it": While not thinking about your past (avoidance) may seem like a good way to deal with it, you are not working through whatever issues there are that ca... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Gena Kluwe
Internal Medicine 26 years experience
Probably No. : Gatorade has added electrolytes which need to be accounted for in renal diets. The potassium and sodium is there a fluid restriction? Depends on how s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old female asked:
Dr. Gena Kluwe
Internal Medicine 26 years experience
Sharp pains : During pregnancy are always worrisome. You need to be seen or at least call your OB for advice. It may be gas pains, but you need to give your whole s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old female asked:
Dr. Gena Kluwe
Internal Medicine 26 years experience
No.: Keratosis pilaris is best treated with a topical retinoid. I'd suggest seeing your pcp or a dermatologist.
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old female asked:
Dr. Gena Kluwe
Internal Medicine 26 years experience
Probably. : The drugs are very similar. Pregabalin (lyrica) has some habit forming potential that Neurontin (gabapentin) doesn't appear to have. We use both drugs... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old male asked:
Dr. Gena Kluwe
Internal Medicine 26 years experience
Depends on: The nature and the cause of the chronic pain. For instance, if your chronic pain is from a bulging disk and you have that repaired, odds are pretty g... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old female asked:
Dr. Gena Kluwe
Internal Medicine 26 years experience
Use am urine: Hormones are most concentrated at that time. I wouldn't do this 2 times daily. Waste of money.
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old female asked:
Dr. Gena Kluwe
Internal Medicine 26 years experience
Estrogen leves fall: To a low point during menses. This could account for you feeling "freezing cold" during your period. Some people are more sensitive than others to t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old male asked:
Dr. Gena Kluwe
Internal Medicine 26 years experience
Leave it alone : Quit looking. Be glad you aren't having any pain. Even time takes care of a dry socket. It hurts like crazy, though. Time to not worry and be glad you... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old male asked:
Dr. Gena Kluwe
Internal Medicine 26 years experience
Yes it is. Any time: Is a good time to develop adhesions. Old or new. More surgeries = more opportunity for adhesions. Not every surgery develops adhesions. Sometimes ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old female asked:
Dr. Gena Kluwe
Internal Medicine 26 years experience
Tough to say: General rule of thumb, and this can be way off, depending on body type and muscle mass, etc. Women at 5 foot even 100 pounds. 5 pounds per inch therea... Read More
Created for people with ongoing healthcare needs but benefits everyone.

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

2
Recommendations
337
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
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