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Dr. Thomas Alfreda jr

Internal Medicine
Las Vegas, NV
15 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 51-year-old female asked:
Dr. Thomas Alfreda jr
15 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.
A 24-year-old member asked:
Dr. Thomas Alfreda jr
15 years experience
Low libido: Could be anxiety and depression. I would follow up with your physician. There are new medications that can help.
A 32-year-old member asked:
Dr. Thomas Alfreda jr
15 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
A 23-year-old female asked:
Dr. Thomas Alfreda jr
15 years experience
Anxiety : Most likely anxiety at your age. But please see your primary care physician to be fully evaluated. It depends on your family history and risk factors.
A 36-year-old female asked:
Dr. Thomas Alfreda jr
15 years experience
MVP: Mvp is common. The maxim heart rate equation is 220 minus your age. Mvp shouldn't effect your work outs.
A 28-year-old female asked:
Dr. Thomas Alfreda jr
15 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.
A 44-year-old male asked:
Dr. Thomas Alfreda jr
15 years experience
Sexual dysfunction : Very simple...Control you blood sugars. Keep your a1c between 6-7 and you should be ok.
A 44-year-old member asked:
Dr. Thomas Alfreda jr
15 years experience
Hospice: Each hospice usually has their own support system. Ask their social worker.
A 38-year-old female asked:
Dr. Thomas Alfreda jr
15 years experience
Discharge: This could be normal discharge. But i would see still my gynocologist for an accurate diagnosis.
A 22-year-old female asked:
Dr. Thomas Alfreda jr
15 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.
A 67-year-old male asked:
Dr. Thomas Alfreda jr
15 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
A 30-year-old male asked:
Dr. Thomas Alfreda jr
15 years experience
Fungal: You can try otc lotrimin (clotrimazole). If not, see your physician.
A 36-year-old female asked:
Dr. Thomas Alfreda jr
15 years experience
Spasm: You unfortunately probably need a physical exam. Make an apt to see your pcp.
A 23-year-old female asked:
Dr. Thomas Alfreda jr
15 years experience
Reaction: This could be a reaction to latex condoms, lubricant, or lotions used. More unusual could be body soap or cologne.
A 47-year-old member asked:
Dr. Thomas Alfreda jr
15 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.
A member asked:
Dr. Thomas Alfreda jr
15 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
A 20-year-old female asked:
Dr. Thomas Alfreda jr
15 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
A 16-year-old male asked:
Dr. Thomas Alfreda jr
15 years experience
Lipoma: No correlation that I am aware of.
A 18-year-old male asked:
Dr. Thomas Alfreda jr
15 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
A 26-year-old male asked:
Dr. Thomas Alfreda jr
15 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.
A 53-year-old female asked:
Dr. Thomas Alfreda jr
15 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
A 39-year-old female asked:
Dr. Thomas Alfreda jr
15 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
A 63-year-old female asked:
Dr. Thomas Alfreda jr
15 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
A 16-year-old male asked:
Dr. Thomas Alfreda jr
15 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
A 43-year-old female asked:
Dr. Thomas Alfreda jr
15 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
A 22-year-old female asked:
Dr. Thomas Alfreda jr
15 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
A 23-year-old female asked:
Dr. Thomas Alfreda jr
15 years experience
Flagyl: This is an antibacterial and anti parasitic. Covers anaerobic bacteria.
A 23-year-old female asked:
Dr. Thomas Alfreda jr
15 years experience
STI: Yes only through unprotected sex.
A 20-year-old female asked:
Dr. Thomas Alfreda jr
15 years experience
Orgasm: Try masturbation and find your spot. This way, you can help your boyfriend.
A 20-year-old male asked:
Dr. Thomas Alfreda jr
15 years experience
Practice: To build endurance and stamina you must practice. Try interval training and slowly build.
A 30-year-old member asked:
Dr. Thomas Alfreda jr
15 years experience
Rhythm : Atrial fib is a rhythm that comes from the upper right chamber. It is a common abnormal rhythm. It has multiple foci, and doesn't follow a synchroniz... Read More
A 43-year-old female asked:
Dr. Thomas Alfreda jr
15 years experience
Hypotension: Typical orthostatic hypotension occurs 3-5 minutes between change of position. This is a serious medical condition, please following up with your ph... Read More
A 22-year-old female asked:
Dr. Thomas Alfreda jr
15 years experience
Bactrim (sulfamethoxazole and trimethoprim) and monostat: Yes. However, Bactrim (sulfamethoxazole and trimethoprim) is antibacterial, and not effective to treat yeast infections. Monostat or Diflucan are the ... Read More
A 23-year-old female asked:
Dr. Thomas Alfreda jr
15 years experience
Blood clots: An ultrasound of the lower extremity is fast, cheap, and easy to detect a deep venous thrombus.
A 40-year-old member asked:
Dr. Thomas Alfreda jr
15 years experience
Sexual anxiety : That's a difficult question. I recommend you sit down with a mft. In the mean time protect both of yourselves.
A 32-year-old female asked:
Dr. Thomas Alfreda jr
15 years experience
Breast pain: The good news is breast cancer isn't painful. My work up would include physical exam, chest x-ray, mammography and probably an MRI too. I wonder if i... Read More
A 27-year-old female asked:
Dr. Thomas Alfreda jr
15 years experience
ETD, OM or wax: You may have an underlying otitis media. The only way to accurately diagnose this is through a physical exam. Another possibility could be a wax imp... Read More
A 41-year-old female asked:
Dr. Thomas Alfreda jr
15 years experience
Adderall (dextroamphetamine and racemic amphetamine): The half life is 9-14 hours.
A 31-year-old female asked:
Dr. Thomas Alfreda jr
15 years experience
Yeast: You can try probiotics, plain yogurt, and over the count monostat.
A 58-year-old male asked:
Dr. Thomas Alfreda jr
15 years experience
Hypertension: One reading doesn't make you a hypertensive. However, i would see you pcp sooner than later with such an initial elevation. You TSH was within normal... Read More
A 78-year-old male asked:
Dr. Thomas Alfreda jr
15 years experience
Corn starch : Nothing that i know of, but seeing your primary are to inspect the area my lead to some clues as to other treatment options.
A 22-year-old female asked:
Dr. Thomas Alfreda jr
15 years experience
UTI: Sounds like you have an urinary tract infection. See your physician. Also drink lots of water. It's common to get uti's after sex. Urinate before and... Read More
A 29-year-old female asked:
Dr. Thomas Alfreda jr
15 years experience
UTI: Could be. Please see your primary care physician or urgent care. I worry about pyelonephritis, and infection that goes up to your kidneys. The most wo... Read More
A 23-year-old female asked:
Dr. Thomas Alfreda jr
15 years experience
Electric shock: Most likely. However, if you are concerned, visit the er or urgent care to obtain an ecg.
A 26-year-old male asked:
Dr. Thomas Alfreda jr
15 years experience
Gastric acidity : It is normal for the stomach to be acidic. If the stomach is too acidic, and you feel "heart burn" or gerd, you can try an proton pump inhibitor or h2... Read More
A 21-year-old male asked:
Dr. Thomas Alfreda jr
15 years experience
Constipation: Try adding psyllium to your diet daily. Also if possible avoid narcotics because they will also making having a bowel movement difficult. In addition ... Read More

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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
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