Dr. Estylan Arellano

Emergency Medicine 16 years experience

Not necessarily: If you are taking levothyroxine or thyroid 'pills' to replace your thyroid hormone levels, it maybe that you are over therapeutic - or have too much i... Read More

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4.9k viewsAnswered >2 years ago

A 18-year-old female asked:

What can i use for the pimples in my face and neck?

Emergency Medicine 16 years experience

Try benzoyl peroxide: You can try 2.5% benzoyl peroxide. Studies have shown that 2.5% works just as well as 5% benzoyl peroxide, with less side effects and irritation on y... Read More

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210 viewsReviewed >2 years ago

Dr. Gurmukh Singh and 2 doctors agree3 doctors agree

A 50-year-old female asked:

Amylase is > 400 and lipase is 6000. all tests have been done. no pain. have ckd 3?

Emergency Medicine 16 years experience

Interesting: Elevated amylase/lipase are not just from pancreatitis. Sometimes, it could be from medications (lasix, steroids, valproic acid, etc.), malignancy, a... Read More

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4.9k viewsAnswered >2 years ago

A 19-year-old male asked:

Will toradol help lower back pain?

Emergency Medicine 16 years experience

Yes: It is a non steroidal anti-inflammatory that is usually given IV or im. But comes as an oral formulation as well. It does help with back pain. It is... Read More

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4.9k viewsReviewed >2 years ago

Dr. David Rosenfeld agrees1 doctor agrees

1 comment

5 thanks

A 37-year-old member asked:

What is crawling sensation in ear?

Emergency Medicine 16 years experience

Depends.: You can truly have an insect inside your ear (have seen a small cockroach in a pt's ear canal). So have your doctor take a look. If someone is under... Read More

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4.9k viewsAnswered >2 years ago

3 thanks

A 47-year-old member asked:

Can i use zithromax and suprax (cefixime) to treat gonnera?

Emergency Medicine 16 years experience

Perhaps: Usually gonorrhea and chlamydia are treated together with rocephin/ceftriaxone (as a one time dose) and either zithromax or doxycycline. For more inf... Read More

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4.9k viewsAnswered >2 years ago

A 58-year-old female asked:

I have had pain coming from my parotid gland area for several months. is it possible to have something going wrong when there is no obvious swelling ?

Emergency Medicine 16 years experience

Yes...: It may not be an infection but you can also develop a stone.

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4.9k viewsAnswered >2 years ago

A 27-year-old female asked:

I had echo in june, stress test in feb, ct chest in july , pulse ox 100% bp good would all that rule out interstitial lung disease- i get sob at times?

Emergency Medicine 16 years experience

Almost: Chest ct is pretty good - would also rule out infection and blood clot. The echo would evaluate the efficiency of your heart as well as the patency of... Read More

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4.9k viewsAnswered >2 years ago

A 27-year-old male asked:

Is bench pressing safe/okay for a person with degenerative discs?

Emergency Medicine 16 years experience

To an extent: I assume the degenerative disc disease is in your spine (cervica/thoracic/lumbar) in that case, bench press should be fine as long as you are lifting ... Read More

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4.9k viewsReviewed >2 years ago

Dr. Kevin Vaught agrees1 doctor agrees

2 thanks

A 18-year-old female asked:

When do you find out the gender of your baby? and what does it mean if you have stomach ache every now and then while pregnant?

Emergency Medicine 16 years experience

20 weeks.: The gender of your baby is determined at your scheduled 20 week appointment with your OB doctor. Heartburn and constipation is a frequent complaint du... Read More

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4.9k viewsAnswered >2 years ago

A 22-year-old female asked:

Hi i felt a pop in my right eye an now i keep getting head achs on the right side should i go to the doctors or hospital is this something bad plz hel?

Emergency Medicine 16 years experience

YES go see a DR: Were there any trauma to your eye/head? Also, how long have you had it? Any other symptoms (changes in vision, numbness to your face,arms/legs, balan... Read More

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767 viewsAnswered >2 years ago

A 44-year-old member asked:

Can cetrizine tablet be taken for epilepsy patient?

Emergency Medicine 16 years experience

Yes: It should be fairly safe. Most common side effects are somnolence, fatigue, and dry mouth. Of course, just like other medications, Cetirizine has rar... Read More

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4.9k viewsAnswered >2 years ago

A 40-year-old female asked:

Pain and bloating in lower right abdomen after 24 hr flu or food poisoning. no more vomiting or diarrhea. is this normal or should i see a doctor?

Emergency Medicine 16 years experience

Gastroenteritis...: Sometimes, "food poisoning" from salmonella, e. coli, shigella, etc. can cause localized pain to the right lower quadrant (abdomen) area. However, rig... Read More

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210 viewsReviewed >2 years ago

Dr. Frank Kuitems and 3 doctors agree4 doctors agree

A 34-year-old female asked:

If i had a chlamydia, gonorrhea and trich test in december, a year after possible exposure and haven't had sex since, can i trust the negative results?

Emergency Medicine 16 years experience

Yes: However, you should be aware that other sexually transmitted infections (STI) are also possible. If you do not have symptoms, then you should be fine... Read More

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209 viewsReviewed >2 years ago

Dr. John Chiu and 7 doctors agree8 doctors agree

A 36-year-old male asked:

Please share some do's and don'ts when it comes to diabetic diets.

Emergency Medicine 16 years experience

Low: Low glycemic index foods will help. There are books you can buy about glycemic index.

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4.9k viewsReviewed >2 years ago

Dr. Alan Ali agrees1 doctor agrees

A 27-year-old female asked:

Is there anyway to get rid of geographic tongue? possible causes?

Emergency Medicine 16 years experience

No. It's genetic.: No, sorry there is no way to get rid of your geographic tongue. This is genetic - a unique aspect of yourself!

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4.9k viewsAnswered >2 years ago

A 74-year-old female asked:

I hit my leg & hardly bruised. it was 5 months ago. i hv raised skin bump. doctor says it is fluid & it will disolve.sure hasn't so far.

Emergency Medicine 16 years experience

Maybe: It could be a simple cyst. Not a big deal. It would be concerning if it is growing in size. Maybe worth it to have it drained or aspirated.

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4.9k viewsAnswered >2 years ago

A 29-year-old male asked:

What is the definition or description of: congestive heart failure?

Emergency Medicine 16 years experience

CHF...: Basically, it is a condition in which your heart becomes an inefficient pump. As a result, fluid backs up into your lungs and also your lower extremi... Read More

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4.9k viewsAnswered >2 years ago

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A 36-year-old female asked:

Is it normal to get atypical lymphocytes in blood film ? cbc normal . thank you

Emergency Medicine 16 years experience

Mono: Atypical lymphocytes are usually associated with infectious mononucleosis. It is a viral infection that causes sore throat, fever, and flu-like sympto... Read More

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3.8k viewsAnswered >2 years ago

A 16-year-old female asked:

Does an ankle or a foot sprain all ways swell up?

Emergency Medicine 16 years experience

Typically: Whenever you sprain your ankle or your foot, there is going to be an inflammatory reaction which causes swelling and pain. You may not appreciate the... Read More

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4.9k viewsReviewed >2 years ago

Dr. Heidi Fowler and 3 doctors agree4 doctors agree

A 19-year-old female asked:

What are cures or things that can help with low iron?

Emergency Medicine 16 years experience

See below: If you have confirmed iron deficiency anemia, there are things you can do to help. Your doctor may prescribe iron supplements but there are also plen... Read More

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4.9k viewsAnswered >2 years ago

A 30-year-old female asked:

I have muscles problem. my age is 30 and i am not merriad.

Emergency Medicine 16 years experience

Elaborate please: When you say muscle problems, do you mean muscle pain? Cramps? Spasm? I take it you mean you are not married. Shouldn't be related to muscle problem... Read More

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4.9k viewsAnswered >2 years ago

A 36-year-old member asked:

Can zithromax be chopped up to swallow?

Emergency Medicine 16 years experience

Yes: You can break it down to smaller pieces if you need to as long as you take the prescribed dose.

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4.9k viewsAnswered >2 years ago

A 56-year-old female asked:

I have very high alt elevation, can ambien (zolpidem) be the cause?

Emergency Medicine 16 years experience

Possibly: However, if you are having abdominal pains, then you should have your doctor evaluate you for gallbladder disease. If you have any risk factor for he... Read More

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4.9k viewsReviewed >2 years ago

Dr. Evan Altman and 3 doctors agree4 doctors agree

2 thanks

A 22-year-old female asked:

Is there a possiblity that i can be preganat if i had unprotected sex but he did not finish inside me?

Emergency Medicine 16 years experience

Slim chance: If he did not ejaculate 'inside' you, then the chances of you being pregnant are slim. However, when in doubt, it's always safe to do a pregnancy tes... Read More

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4.9k viewsAnswered >2 years ago

A 26-year-old female asked:

Why do i have water coming out of my nose and should i worry?

Emergency Medicine 16 years experience

Usually not: This is usually from a common condition called post nasal drip. Basically excess mucus builds up in the nose and back of throat. Usually due to aller... Read More

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4.9k viewsReviewed >2 years ago

Dr. Albert Pizzo agrees1 doctor agrees

3 thanks

A 18-year-old female asked:

Follow up question: my friend has had a clear ekg, been cleared, for asthma and still has shooting left arm pain/chest twinges. what should she do?

Emergency Medicine 16 years experience

Further test: Depends how old your friend is as well as the medical history. In a teenager, it rarely could be anything serious unless he/she has a history of conge... Read More

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4.9k viewsReviewed >2 years ago

Dr. Bennett Werner agrees1 doctor agrees

A 36-year-old female asked:

Pain after the removal of wisdom tooth, is getting worse by day?

Emergency Medicine 16 years experience

Could be dry socket: Dry socket can occur three to four days after an adult tooth is removed. It's a condition in which blood clot at the site of extraction fails to devel... Read More

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202 viewsReviewed >2 years ago

Dr. Arnold Malerman agrees1 doctor agrees

A 54-year-old male asked:

Lower esophageal cancer... if there is perforation, during eus... what would i expect to experience??? and how long in hospital?

Emergency Medicine 16 years experience

Pain: Perforated esophageal cancer will cause pain. Typically chest pain/back pain and abdominal pain depending on where the location of the perforation is... Read More

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212 viewsReviewed >2 years ago

Dr. Frank Kuitems agrees1 doctor agrees

A member asked:

Will sterilization of cities help with covid-19?

Emergency Medicine 16 years experience

Yes but...: It can help but if the people living in the cities are infected, they can continuously spread the infection. The best course of action is to isolate ... Read More

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82 viewsReviewed >2 years ago

A member asked:

I shared a drink with some friends at dinner the other night. we live in santa clara county, california where covid-19 is circulating? we don't have symptoms, but should we be worried?

Emergency Medicine 16 years experience

Depends...: Sometimes it takes time before you become symptomatic, if in fact infected with covid-19. On average, 5-6 days before you become symptomatic, but can... Read More

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81 viewsReviewed >2 years ago

A 54-year-old male asked:

If you feel not quite well 3 or 4 evenings in a row,no fever,minor dry cough,little stuffy,maybe scratchy throat very minor,just crummy feeling in general and evenings only (feel fine during the day) could that be a mild case of coronavirus? thanks.

Emergency Medicine 16 years experience

Viral syndrome: You're symptoms are likely viral syndrome; could be the flu, however, given the current COVID outbreak, it may very well be corona virus. Please foll... Read More

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90 viewsAnswered >2 years ago

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A 42-year-old male asked:

I get dull aches, mostly on the left side of my chest. i sometimes get a "poking" feeling in my middle tricep. i alsoget occasional slight headches. i got myself checked thricein three weeks but found nothing. what should i do?

Emergency Medicine 16 years experience

Need more info: What exactly where done for your evaluation within 3 weeks? As stated in earlier posts, cardiac cause is of concern, but if you've had negative blood ... Read More

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4.9k viewsAnswered >2 years ago

A 47-year-old member asked:

What does sharp pain in ribs, short of breath mean?

Emergency Medicine 16 years experience

Pleurisy: Sharp pain while taking deep breaths could be pleurisy. Basically an inflammation around the linings of the lungs. When taking deep breaths, they rub... Read More

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4.9k viewsAnswered >2 years ago

A 49-year-old male asked:

Does a tooth extraction blood clot turn white and start shrinking by fifth day. not sure if its bone now or just blood clot shrinking into the socket?

Emergency Medicine 16 years experience

Dry socket: If you are experiencing more pain, this can be dry socket or alveolar osteitis. Basically, when a tooth is removed, a blod clot forms where the 'hole... Read More

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4.9k viewsAnswered >2 years ago

4 thanks

A 21-year-old male asked:

I have got swollen left tonsil and swollen lymb nodes on neck, jaw and red skin on penis and pimpels on penis after sexual intercause can this be hpv?

Emergency Medicine 16 years experience

Maybe...: Your symptoms could be from numerous sexually transmitted infections. You should go to your doctor for an evaluation. This could be lymphogranuloma... Read More

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4.9k viewsAnswered >2 years ago

A 18-year-old female asked:

I have swelling in my right thigh. it's not painful just swollen. is it possible that i have a blood clot or cancer?

Emergency Medicine 16 years experience

Depends: Usually a deep venous thrombosis (clot) on the legs are in the calf, but occasionally can be seen above the knee. They are usually tender or painful.... Read More

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4.9k viewsAnswered >2 years ago

A 22-year-old female asked:

My mom is a 65year old and she just becomes dizzy out of the blu what could be the casuse of that?

Emergency Medicine 16 years experience

Many: There are many causes of 'dizziness'. But perhaps you can elaborate on the symptoms. Does she feel like she's going to pass out? Lightheaded? Room s... Read More

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4.9k viewsAnswered >2 years ago

A 48-year-old member asked:

Why is my spider bite warm?

Emergency Medicine 16 years experience

Agree with dr G.: It is likely cellulitis. You should see your doctor for treatment.

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4.9k viewsReviewed >2 years ago

A 23-year-old female asked:

In the past i told my psych. about my bouts anxiety, but received no help. now it's worsened, how can i finally get diagnosed & get help 4 anxiety?

Emergency Medicine 16 years experience

See your doctor: It's best to see your doctor for treatment. Your primary care doctor will be able to manage you or may refer you to psychiatry. Medications may be p... Read More

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4.9k viewsReviewed >2 years ago

Dr. Heidi Fowler and another doctor agree2 doctors agree

3 comments

A 23-year-old male asked:

Used bit of hand sanatizer then went and got cheetos maybe 3 minutes later and licked my fingers not thinking. and tasted the sanatizer ill be fine right?

Emergency Medicine 16 years experience

Yes: Not a big deal. You will be fine.

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4.9k viewsReviewed >2 years ago

Dr. Mary Vanko agrees1 doctor agrees

A 29-year-old female asked:

I was stung by a wasp a week ago, and i think the sting area has become infected. it's purple and inflamed. should i get meds for this or should i just leave it to heal on it's own? i've been applying antiseptic cream

Emergency Medicine 16 years experience

Cellulitis: Sometimes the site of the wasp or bee stings can become infected - called cellulitis. Typically it's inflammed but should get better within a week or... Read More

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65 viewsReviewed >2 years ago

A 25-year-old male asked:

Are metronidazole, azithromycin and cefixime or ciprox if cefixime not availablesafe to be taken concurrently?

Emergency Medicine 16 years experience

Too much: I agree with the other docs. It's is a lot of medication to be taking. However, Metronidazole and Azithromycin is given for sexually transmitted inf... Read More

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4.9k viewsAnswered >2 years ago

A 17-year-old female asked:

What is the best product to prevent pimples and acne on face? my skin has mild sensitivity. preferably facial cleanser i can use everyday. thank you!

Emergency Medicine 16 years experience

Healthy food: Acne is really dependent on multiple factors. Hormones, oily skin, clogged pores, bacteria, stress level, greasy food (to some people), etc. From pers... Read More

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4.9k viewsAnswered >2 years ago

A 23-year-old female asked:

Got negative pregnant test 3 weeks after lmp, a week later tested positive. would this be accurate or late ovulation? time of conception unknown.

Emergency Medicine 16 years experience

See below: Sometimes urine pregnancy test can be falsely negative especially if your urine is very dilute. If in doubt, a blood test will confirm it.

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4.9k viewsAnswered >2 years ago

A 19-year-old male asked:

Is it ever bad to have a resting heart rate of 50?

Emergency Medicine 16 years experience

Not necessarily: if you're not on medications, normal resting heart resting heart rate is around 60 - 100 beats per minute. However, some people who physically fit/in... Read More

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3.8k viewsReviewed >2 years ago

Dr. Jovita Anyanwu and 2 doctors agree3 doctors agree

A 52-year-old female asked:

Undiagnosed rt upper abd pain for 9 months, ua has trace blood, 10mg/dl ketones, hemoglobin in blood 15.5, not diabetic, glucose 89. kidney u/s neg?

Emergency Medicine 16 years experience

Could be gallbladder: Did you have your gallbladder checked by your dr? usually, liver enzyme tests as well as an US can help in your dx. Also, does your pain get better/wo... Read More

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3.8k viewsAnswered >2 years ago

A 58-year-old male asked:

My son,17,has 54.3 hematocrit and 18.3 hemoglobine.is too high?all other values are normal.could it be a sign of use of some sort of drug?

Emergency Medicine 16 years experience

Not necessarily: Drug use doesn't directly cause your hemoglobin to increase. His levels are a little bit over the normal range but as previously stated, there are nu... Read More

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3.7k viewsAnswered >2 years ago

A 21-year-old female asked:

My mother has two uterine fibroids. she is taking the treatment for 2.5 years. is it dangerous if not operated?

Emergency Medicine 16 years experience

Generally not: Fibroids are benign growth from the muscle layers of the uterus. They are not cancerous but do cause other problems such as heavy painful periods, an... Read More

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3.8k viewsAnswered >2 years ago

A 18-year-old female asked:

Sudden aches/pains in my back, chest and stomach. muscles feel very tense/dull. on alesse and 4th day of my period plus anxiety? what can i do? im 18.

Emergency Medicine 16 years experience

Need more info..: What kinds of pain are you experiencing? And what seems to trigger the pain? Is it related to your period, food, any activity etc? How long has this b... Read More

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3.8k viewsAnswered >2 years ago