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I recently retired after practicing general pediatrics for 31 years.
SpecialtiesDoctors 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.
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.
Pediatrics
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English
Doctor Q&A
55 Answers
27 Agrees
The number of answers this doctor has agreed with.
A 32-year-old female asked:

Dr. Frank Buteraanswered
Pediatrics 46 years experience
Usually normal.: In girls her age, physiologic leukorrhea is the most common vaginal discharge not accompanied by other symptoms. The vulva is not inflamed and there ... Read More
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4.6k viewsReviewed >2 years ago
A 29-year-old female asked:

Dr. Frank Buteraanswered
Pediatrics 46 years experience
Yes: It sounds like he has a cold that has been complicated by pinkeye. Many cases of pinkeye are accompanied by an ear infection, so it is better to have ... Read More
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4.6k viewsReviewed >2 years ago
A 32-year-old female asked:

Dr. Frank Buteraanswered
Pediatrics 46 years experience
Most anything.: An 8 month old should not have whole cow's milk due to a risk of intestinal blood loss and anemia. He should not have anything that he could choke on,... Read More
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4.9k viewsReviewed >2 years ago
A 35-year-old member asked:

Dr. Frank Buteraanswered
Pediatrics 46 years experience
Labor.: It is not really unsafe in and of itself. However, it is not pretty if one goes into labor during the flight, especially if the baby is premature.
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4.9k viewsAnswered >2 years ago
A 40-year-old member asked:

Dr. Frank Buteraanswered
Pediatrics 46 years experience
Not necessarily: Some boys have leg hair from a young age (certain ethnic groups). Now, he is done growing when he grows enough facial hair to require shaving every da... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 44-year-old member asked:

Dr. Frank Buteraanswered
Pediatrics 46 years experience
Age varies: But it is about 3-4 years after puberty starts. Normal puberty can start any time between 9 and 14 years old.
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4.9k viewsAnswered >2 years ago
A 34-year-old female asked:

Dr. Frank Buteraanswered
Pediatrics 46 years experience
Close enough: As a former weight watcher's member, i calculated that one point is roughly equal to 50 calories, so staying within the number of points allotted will... Read More
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4.9k viewsAnswered >2 years ago
A 25-year-old female asked:

Dr. Frank Buteraanswered
Pediatrics 46 years experience
Maybe none...: Benadryl only relieves symptoms, it is not needed just because there is an allergy. It helps if the symptoms are hives or runny nose, but likely won't... Read More
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4.9k viewsReviewed >2 years ago
A 17-year-old female asked:

Dr. Frank Buteraanswered
Pediatrics 46 years experience
Not flu: Influenza (the flu) is a respiratory disease - runny nose and cough with fever and body aches including headache. If it just started and you get the r... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.6k viewsReviewed >2 years ago
A 34-year-old member asked:

Dr. Frank Buteraanswered
Pediatrics 46 years experience
Usually, nothing.: Although mold is not pleasant, they rarely, if ever, cause disease in a healthy person, unless the person is allergic to that mold. For the allergic, ... Read More
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4.9k viewsReviewed >2 years ago
A 34-year-old member asked:

Dr. Frank Buteraanswered
Pediatrics 46 years experience
No: Candida only causes symptoms in the vaginal area, so it may cause burning there, especially with urination, but would not cause any pain higher up in ... Read More
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4.7k viewsReviewed >2 years ago
A 28-year-old female asked:

Dr. Frank Buteraanswered
Pediatrics 46 years experience
Ear infection...: ... is most likely. It could be a middle ear infection or an infection of the ear canal, so you will need to see a doctor to get an accurate diagnosis... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.3k viewsReviewed >2 years ago
A female asked:

Dr. Frank Buteraanswered
Pediatrics 46 years experience
No wait: You can start the antibiotic right away. There is no interaction.
Created for people with ongoing healthcare needs but benefits everyone.
4.7k viewsReviewed >2 years ago
A 25-year-old male asked:

Dr. Frank Buteraanswered
Pediatrics 46 years experience
No one knows: Researchers seem to be too busy studying cancer and heart disease. Although philosophers have had theories about tickling, there is no scientific rese... Read More
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4.9k viewsReviewed >2 years ago
A 17-year-old female asked:

Dr. Frank Buteraanswered
Pediatrics 46 years experience
Probably not: Allergy to nickel, which is found in most of the products used as posts for earnings and other piercings, is very common. Allergy to copper is much le... Read More
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3.2k viewsReviewed >2 years ago
A member asked:

Dr. Frank Buteraanswered
Pediatrics 46 years experience
Not much....: ...If done with proper local anesthesia. I did hundreds over the past few years with some oral sugar water followed by a local injection of xylocaine... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 42-year-old female asked:

Dr. Frank Buteraanswered
Pediatrics 46 years experience
It's not unusual: Girls generally stop growing about a year or two after their first period, generally adding another 1-2 inches. So, if your daughter had her first per... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.3k viewsReviewed >2 years ago
A 51-year-old female asked:

Dr. Frank Buteraanswered
Pediatrics 46 years experience
Should be better....: ...If it was just a minor bruise. He needs to be seen by his pediatrician or family doctor to make sure he does not have a more significant injury or ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.4k viewsReviewed >2 years ago
A 44-year-old member asked:

Dr. Frank Buteraanswered
Pediatrics 46 years experience
Neither: Neither one works as well as honey.
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 38-year-old member asked:

Dr. Frank Buteraanswered
Pediatrics 46 years experience
Not typically, but..: ...It can infect an already present diaper rash. It is more likely to cause one large "boil" than an all over rash, but if the rash is pustular then i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 49-year-old member asked:

Dr. Frank Buteraanswered
Pediatrics 46 years experience
54 inches: 54 in (50th percentile) normal range (5th to 95th percentile) is 51 - 59 inches.
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A male asked:

Dr. Frank Buteraanswered
Pediatrics 46 years experience
Unfortunately.......: Very few cases of eczema are improved by eliminating foods from the diet. Also, skin tests usually used to determine allergies (for hay fever, for exa... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 17-year-old male asked:

Dr. Frank Buteraanswered
Pediatrics 46 years experience
It's depends....: ...On when a boy starts puberty. Those who start at 10 years old are usually done growing by 15. If he does not start puberty until 16, he may grow un... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsAnswered >2 years ago
A 35-year-old male asked:

Dr. Frank Buteraanswered
Pediatrics 46 years experience
Either, but...: 1. Eczema is rarely caused by a food allergy. Nothing wrong with trying, but it probably won't help.
2. Children over 1 year old do not need &qu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsReviewed >2 years ago
A 30-year-old female asked:

Dr. Frank Buteraanswered
Pediatrics 46 years experience
Laxatives or enemas: ...Are safe if used once in a while, but not if used frequently. For fast relief, a pediatric fleets enema or oral milk of magnesia (magnesium hydroxi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsReviewed >2 years ago
A 35-year-old member asked:

Dr. Frank Buteraanswered
Pediatrics 46 years experience
Immune to mumps: The most common test done for mumps is an antibody level. If you have had the mumps or the mumps vaccine, then your test will be positive for antibodi... Read More
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4.7k viewsReviewed >2 years ago
A member asked:

Dr. Frank Buteraanswered
Pediatrics 46 years experience
No, but....: ..It is very common. A large, hard stool can cause a tiny tear in the anus and hence the blood. But you need to ask his pediatrician about dietary cha... Read More
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4.6k viewsReviewed >2 years ago
A 20-year-old female asked:

Dr. Frank Buteraanswered
Pediatrics 46 years experience
Very unlikely: IF you have had one measles shot, you are 95% sure that you will not get measles and if you have had two (which is what you should have had) you are 9... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.3k viewsReviewed >2 years ago
A 17-year-old female asked:

Dr. Frank Buteraanswered
Pediatrics 46 years experience
No: Although a parent needs to accompany children under 18 to doctor visits, one exception is for treatment related to sexual activity. The physician is p... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.2k viewsReviewed >2 years ago
A 47-year-old member asked:

Dr. Frank Buteraanswered
Pediatrics 46 years experience
Any: You are 47 years old - you will not get any taller or shorter by working out.
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 44-year-old member asked:

Dr. Frank Buteraanswered
Pediatrics 46 years experience
Late puberty: In later puberty, around the time when all of the pubic hair is in and there is underarm hair and the need for shaving the face every day. However, ma... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 46-year-old member asked:

Dr. Frank Buteraanswered
Pediatrics 46 years experience
Yes: The basic ingredient is zinc oxide which is a barrier cream that protects the skin from wetness, so if this is a problem for you, if could help and wo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 43-year-old member asked:

Dr. Frank Buteraanswered
Pediatrics 46 years experience
No: Live sperm are not produced until puberty, so unless he has entered puberty abnormally early (i.e., has pubic hair), he can't.
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 42-year-old female asked:

Dr. Frank Buteraanswered
Pediatrics 46 years experience
Need more info......: Age (if a newborn could be erythema toxic, if a teenager could be acne......)
itchy? (if yes, could be allergic reaction)
fever? (if yes, could be ... Read More
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4.7k viewsReviewed >2 years ago
A 19-year-old female asked:

Dr. Frank Buteraanswered
Pediatrics 46 years experience
Yes: In a non-smoking, otherwise healthy 19 year old, bronchitis is hardly ever caused by a bacteria, so antibiotics have no effect. Most cases are viral a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsReviewed >2 years ago
A 32-year-old member asked:

Dr. Frank Buteraanswered
Pediatrics 46 years experience
BRAT is an acronym..: ...For bananas, rice, applesauce, and toast. It does tend to help, but is probably too restrictive. Just avoid dairy, sweets (including juices), and v... Read More
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4.9k viewsReviewed >2 years ago
A 37-year-old female asked:

Dr. Frank Buteraanswered
Pediatrics 46 years experience
No..: ..A trial of the diet at the university of rochester in 2010 showed that it did not help autistic children compared to a regular diet.
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4.8k viewsReviewed >2 years ago
A 33-year-old female asked:

Dr. Frank Buteraanswered
Pediatrics 46 years experience
Normal...: He just hasn't learned proper table manners yet!. Actually, it just means that you have a good milk supply and it comes out easily and quickly.
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4.8k viewsReviewed >2 years ago
A 47-year-old member asked:

Dr. Frank Buteraanswered
Pediatrics 46 years experience
110 lbs: This would be for average build, not fat, not thin. But a healthy weight could still be between about 100 and 120.
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4.9k viewsAnswered >2 years ago
A 36-year-old male asked:

Dr. Frank Buteraanswered
Pediatrics 46 years experience
Viral or allergic: Bronchitis in children is common and almost always caused by a virus, an extension of the virus that caused a cold. Asthmatic bronchitis is also a pos... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsReviewed >2 years ago
A 43-year-old female asked:

Dr. Frank Buteraanswered
Pediatrics 46 years experience
Need more info......: Crytococcus albidus is a fungus (yeast) found in soil. It is possible to find it on someone's skin or other body part that is not sterile and it would... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.7k viewsReviewed >2 years ago
A 27-year-old female asked:

Dr. Frank Buteraanswered
Pediatrics 46 years experience
11 years: 4 years college + 4 years medical school + 3 years pediatric residency.
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 19-year-old male asked:

Dr. Frank Buteraanswered
Pediatrics 46 years experience
Itching: Scabies shows up as tiny bites but the "bugs" are too small to see. The bites can be anywhere on the body, including the back of the hand (not so muc... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 31-year-old female asked:

Dr. Frank Buteraanswered
Pediatrics 46 years experience
No, but....: ...The important thing is if she is acting normally or sick. If she is not loosing weight, not vomiting, has no fever and is otherwise well, then ther... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 38-year-old male asked:

Dr. Frank Buteraanswered
Pediatrics 46 years experience
Yes: No reason not to. Rarely, children have skin sensitivity and will get a harmless rash if the juice touches the skin. It is a common food for babies l... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 19-year-old male asked:

Dr. Frank Buteraanswered
Pediatrics 46 years experience
No.: It is small for a pornography actor, but slightly larger than average, which is 5 inches. I understand why you might think it is small - most boys you... Read More
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4k viewsReviewed >2 years ago
A 26-year-old male asked:

Dr. Frank Buteraanswered
Pediatrics 46 years experience
Never from birth: The body has to first be exposed to a protein (in this case gluten) before it can develop antibodies against it. This may take place after the first e... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 31-year-old member asked:

Dr. Frank Buteraanswered
Pediatrics 46 years experience
Lactose intolerance?: If you have lactose intolerance, you would also get a stomach ache if you drink a large glass of milk. You might also pass a lot of gas and have diarr... Read More
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4.9k viewsReviewed >2 years ago
A 46-year-old member asked:

Dr. Frank Buteraanswered
Pediatrics 46 years experience
Hydrochloric acid: .... Is always present in the stomach to digest foods and always curdles milk. You just don't see it unless it comes back up.
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4.9k viewsReviewed >2 years ago
A 38-year-old member asked:

Dr. Frank Buteraanswered
Pediatrics 46 years experience
See Your Golf Pro: There is likely something wrong with your swing causing you to strain those abdominal muscles. Either that or you are holding in a bm when you need to... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
TestimonialsRecommendations and Thank you notes are endorsements given from patients or other doctors.
Recommendations and Thank you notes are endorsements given from patients or other doctors.
2
Recommendations
52
Thank you notes
HealthTap member
Mar 31, 2015
Dr. Butera is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Butera is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer was very helpful! Thank you! Just wondering if giving pred. As rx'd wld also help pain.
HealthTap member
It is growing on his scalp.....looks like cradle crap with scabs. Help
HealthTap member
Thanks for your quick reply! No cause found so ibs is the diagnoses
Education & Training
Medical/Graduate school
University of Pittsburgh School of Medicine, PA
Graduated 1977MD
Residency
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