Dr. Thomas Alfreda jr

Internal Medicine
Las Vegas, NV
16 years experience

Locations

Internal Medicine Specialist

Las Vegas, NV

Address

201 North Buffalo Drive, Las Vegas, NV
Directions

About

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

Languages spoken

Telugu

Doctor Q&A

79 Answers
15 Agrees
The number of answers this doctor has agreed with.
A 39-year-old female asked:
Dr. Thomas Alfreda jr
16 years experience
Mental health: Your primary care physician will be more than qualified to help you with this situation. I would also recommend counseling too. Good luck.
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old male asked:
Dr. Thomas Alfreda jr
16 years experience
Antiparasitics: It appears the two meds you listed above are correct. Make sure you take and finish all medications as directed.
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old male asked:
Dr. Thomas Alfreda jr
16 years experience
Rx change: See you physician and ask about vilazodone, or viibryd (vilazodone hydrochloride). Has a lower sexual side effect profile.
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old female asked:
Dr. Thomas Alfreda jr
16 years experience
Allegra (fexofenadine) 12: If it's the 12 hour, yes. You can take 60mg every 12 hours.
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old male asked:
Dr. Thomas Alfreda jr
16 years experience
Bloating: A good otc medication is gas-x. If this continues, please see your pcp.
Created for people with ongoing healthcare needs but benefits everyone.
A 49-year-old female asked:
Dr. Thomas Alfreda jr
16 years experience
Weight loss: Unintentional weight loss is serious. I would see your primary physician first for a metabolic panel, complete blood count, thyroid panel, and stool ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old female asked:
Dr. Thomas Alfreda jr
16 years experience
Pain Meds : Depending on the diagnosis and recent imaging studies. However, i would recommend nucynta (tapentadol).
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old male asked:
Dr. Thomas Alfreda jr
16 years experience
Pulmonary function : Most internal medicine physicians should have them in their offices. Myself or my partners would be happy to see you in summerlin.
Created for people with ongoing healthcare needs but benefits everyone.
A 16-year-old male asked:
Dr. Thomas Alfreda jr
16 years experience
Breathing problems: Don't mess with breathing problems. Go to the er or urgent care immediately.
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old male asked:
Dr. Thomas Alfreda jr
16 years experience
Cold: Most of the time colds are viruses and antibiotics will not help. However, during the change of seasons, most "colds" appear to be allergy related. T... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old female asked:
Dr. Thomas Alfreda jr
16 years experience
Drug test: As long as a medicine is prescribed and reported, they shouldn't have a problem with a drug screen.
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old female asked:
Dr. Thomas Alfreda jr
16 years experience
Orders. : Talk to the physician, charge nurse, and patient advocate. If nothing is being done, talk to the executive director of the facility.
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old female asked:
Dr. Thomas Alfreda jr
16 years experience
Psoriasis : Could possible be psoriasis. I recommend seeing your pcp or a dermatologist. Hard to say without seeing in person. Try using lotions and moisturizers... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old female asked:
Dr. Thomas Alfreda jr
16 years experience
Hydration : Water is the best to consume during exercise. If you use sports drinks, use the low sugar ones.
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old female asked:
Dr. Thomas Alfreda jr
16 years experience
PCI: Percutanous intervention. This is a procedure where a catheter is place in an artery and run up to the heart where the cardiologist balloons or stent... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old male asked:
Dr. Thomas Alfreda jr
16 years experience
BMI : 150-180 pounds. Or a bmi of 19-24.
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old female asked:
Dr. Thomas Alfreda jr
16 years experience
Medication: Most medication such as xanax (alprazolam) will be fine after heat exposure. You can always call your pharmacist to confirm. Please be careful with ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old male asked:
Dr. Thomas Alfreda jr
16 years experience
Mono: Although rare as an adult, it does occur. The only treatment is symptomatic. Avoid contact sports, and don't share saliva, drinks, or food. It can tak... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old male asked:
Dr. Thomas Alfreda jr
16 years experience
Exam: For the rare and difficult cases, it's best to be seen in a tertiary medical facility. Good luck.
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Thomas Alfreda jr
16 years experience
Puritis : No. Unless you are scratching you anus out of anxiety.
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Thomas Alfreda jr
16 years experience
Atrial fibrillation : The maze procedure is not commonly used these days. However, electrophysiologist cardiologist do ablations in the lab that can cure atrial fib, if the... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old member asked:
Dr. Thomas Alfreda jr
16 years experience
Low libido: Could be anxiety and depression. I would follow up with your physician. There are new medications that can help.
Created for people with ongoing healthcare needs but benefits everyone.
A 51-year-old female asked:
Dr. Thomas Alfreda jr
16 years experience
Xanax (alprazolam): Xanax (alprazolam) is highly addictive and should only be used as needed and less than a month at a time. Four mg is the max dose in 24 hours.
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old male asked:
Dr. Thomas Alfreda jr
16 years experience
Sexual dysfunction : Very simple...Control you blood sugars. Keep your a1c between 6-7 and you should be ok.
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old male asked:
Dr. Thomas Alfreda jr
16 years experience
Anxiety: I am happy to hear you saw a specialist. The most common causes include anxiety and caffeine use. Discontinue coffee, tea, soda, energy drinks, and an... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old male asked:
Dr. Thomas Alfreda jr
16 years experience
Memory loss : I don't see that listed as a common side effect or adverse event. Please see you pcp or pain management physician.
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old female asked:
Dr. Thomas Alfreda jr
16 years experience
Spasm: You unfortunately probably need a physical exam. Make an apt to see your pcp.
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old female asked:
Dr. Thomas Alfreda jr
16 years experience
Flagyl: This is an antibacterial and anti parasitic. Covers anaerobic bacteria.
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old female asked:
Dr. Thomas Alfreda jr
16 years experience
Prenatal vitamins: This is the second best thing you can do prior to getting pregnant. The first is to stop smoking if you smoke.
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old male asked:
Dr. Thomas Alfreda jr
16 years experience
Bruise: Just a matter of time, your average bruise to heal.
Created for people with ongoing healthcare needs but benefits everyone.
A 16-year-old male asked:
Dr. Thomas Alfreda jr
16 years experience
Pregnancy: Depends on ovulation. If pregnancy is desired intercourse around day 14 is recommend. If you wish to avoid pregnancy, abstaining is the only 100% met... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old female asked:
Dr. Thomas Alfreda jr
16 years experience
Antiviral: Yes you can take Valtrex (valacyclovir) or acyclovir. Both are category b drugs.
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Thomas Alfreda jr
16 years experience
STI: Any and all sti or stds can be passed through oral, vaginal or anal sex. Protection is a must to prevent the spread of infections.
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old female asked:
Dr. Thomas Alfreda jr
16 years experience
Pregnancy : Anytime you have unprotected sex, you can risk pregnancy. The highest risk includes unprotected sex during ovulation, approximately day 14. To avoid ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old female asked:
Dr. Thomas Alfreda jr
16 years experience
Reaction: This could be a reaction to latex condoms, lubricant, or lotions used. More unusual could be body soap or cologne.
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Thomas Alfreda jr
16 years experience
UTI, kidney stones: The most likely cause is infection. Usually seen with flank pain and polyuria. However, kidney stones are a common cause of pain. This usually radia... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old female asked:
Dr. Thomas Alfreda jr
16 years experience
MVP: Mvp is common. The maxim heart rate equation is 220 minus your age. Mvp shouldn't effect your work outs.
Created for people with ongoing healthcare needs but benefits everyone.
A 53-year-old female asked:
Dr. Thomas Alfreda jr
16 years experience
Physical therapy: Only services under the hospice diagnosis are covered. Typically pt/ot are never covered. If the patient has a secondary insurance you possibly have... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old male asked:
Dr. Thomas Alfreda jr
16 years experience
Fungal: You can try otc lotrimin (clotrimazole). If not, see your physician.
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old female asked:
Dr. Thomas Alfreda jr
16 years experience
Discharge: This could be normal discharge. But i would see still my gynocologist for an accurate diagnosis.
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old female asked:
Dr. Thomas Alfreda jr
16 years experience
Migraines: You need to see your pcp. Look up foods that trigger migraines and keep a diary. Include your periods, food, activity and try to find a correlation.
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old female asked:
Dr. Thomas Alfreda jr
16 years experience
STI: Yes only through unprotected sex.
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old female asked:
Dr. Thomas Alfreda jr
16 years experience
Orgasm: Try masturbation and find your spot. This way, you can help your boyfriend.
Created for people with ongoing healthcare needs but benefits everyone.
A 67-year-old male asked:
Dr. Thomas Alfreda jr
16 years experience
Pain: Low back to abdominal and testicular pain is classical kidney stones. However, other causes include hernia, torsion, muscle strain, and even an append... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 63-year-old female asked:
Dr. Thomas Alfreda jr
16 years experience
Asthma or COPD: I worry about other underlying conditions. If you smoke, please stop. Also, you may want to obtain a chest x-ray and pulmonary function tests. Things... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old female asked:
Dr. Thomas Alfreda jr
16 years experience
Hospice: To qualify for hospice the patient needs to have less than 6 months of life. You can extend if they live longer. This should be a topic discussed wit... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Thomas Alfreda jr
16 years experience
Hospice: Each hospice usually has their own support system. Ask their social worker.
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old male asked:
Dr. Thomas Alfreda jr
16 years experience
Practice: To build endurance and stamina you must practice. Try interval training and slowly build.
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old female asked:
Dr. Thomas Alfreda jr
16 years experience
Possible yes: Ovulation typically occurs approximately on day 14 of your cycle. "pre cum" cannot get you pregnant, however, there could be sperm available to aid i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old female asked:
Dr. Thomas Alfreda jr
16 years experience
Bone scan: The question is why do you want one? Insurance won't approve testing unless it is indicated. Ensure proper calcium and vitamin d. As well as proper w... 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.

3
Recommendations
141
Thank you notes
Every single patient that I send to Dr Alfreda have only the best things to say about him. He provides exceptional service to all his patients.
HealthTap member
Mar 30, 2015
Dr. Alfreda jr is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Alfreda jr is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
I'm not constipated I went to the rr but when I push it hurts I was wondering if laxatives will help
HealthTap member
Thanks for your quick reply! Thank you! i forgot to include that the problem is getting better.
HealthTap member
Thanks for your quick reply! Thanks but im in Canada and not sure they have NSAID here.

Education & Training

Medical/Graduate school

Lake Erie College of Osteopathic Medicine, PA
Graduated 2007MD

Awards

Top General Internist, Second Place, Nevada - Summer
2013
HealthTap Founding Doctor

Affiliations

AOA
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