Dr. Nestor Del rosario

Addiction Medicine 36 years experience

Hydration: Expectoration is improved with good hydration. The color of the phlegm usually don't portend to infections unless there are other constitutional sympt... Read More

Created for people with ongoing healthcare needs but benefits everyone.

4.7k viewsReviewed >2 years ago

Dr. Jeff Livingston and another doctor agree2 doctors agree

A 27-year-old male asked:

What's the cure for chronic hyperventilation syndrome?

Addiction Medicine 36 years experience

Hyperventilation: We always say use a bag for rebreathing, i guess it would be funny to keep a bag over your head all the time (joke only). This is usually a form of hy... Read More

Created for people with ongoing healthcare needs but benefits everyone.

4.4k viewsAnswered >2 years agoMerged

A 27-year-old female asked:

How is diaphragmatic paralysis diagnosed ? who is at risk for it?

Addiction Medicine 36 years experience

Sniff test: A radiologist does fluoroscopy and ask a person to sniff to see the initial downward movement of the diaphragm. Paralysis can be from lesion interrupt... Read More

Created for people with ongoing healthcare needs but benefits everyone.

4.7k viewsReviewed >2 years ago

Dr. Mary Bergum agrees1 doctor agrees

A 18-year-old male asked:

Can to much prune juice cause electrolyte imbalance?

Addiction Medicine 36 years experience

Diarrhea: Prune juice on its own does not cause the problem. Prune juice is taken to make stool looser and if there is diarrhea, yes that can cause electrolyte ... Read More

Created for people with ongoing healthcare needs but benefits everyone.

4.6k viewsReviewed >2 years ago

Dr. George Klauber agrees1 doctor agrees

A 30-year-old member asked:

Need expert help here. what are the symptoms of lung cancer and emphysema?

Addiction Medicine 36 years experience

Subtle: Initially lung cancer may be asymptomatic. Eventually both can cause cough, dyspnea, weight loss. Cancer can spread and can cause pain, fractures or s... Read More

Created for people with ongoing healthcare needs but benefits everyone.

4.7k viewsAnswered >2 years ago

A 44-year-old member asked:

Please tell me, could i take nyquil and allergy medicine together?

Addiction Medicine 36 years experience

Antihistamine: Nyquil has Diphenhydramine in it, i believe, which is Benadryl (diphenhydramine) which is an allergy medicine and causes somnolence. The dose is not h... Read More

Created for people with ongoing healthcare needs but benefits everyone.

4.5k viewsReviewed >2 years ago

Dr. John Chiu agrees1 doctor agrees

13 thanks

A 54-year-old male asked:

So low ace is related to copd, i can't get answer on pulmonary, they refuse to answer.ggt i can't follow, as i have never drnk alcoho.how liver disease ?

Addiction Medicine 36 years experience

No: Low ace is not related to copd. There is really no such thing as a low ace. We are more worried about a high ace as it is related to granulomatous dis... Read More

Created for people with ongoing healthcare needs but benefits everyone.

4.5k viewsAnswered >2 years ago

A 39-year-old female asked:

What is a ct guided nfac[whats involed in procedure] pls, where nodule is seen in lung?

Addiction Medicine 36 years experience

FNA: The ct is used to guide where a fine needle is inserted from the chest wall to where the nodule is. The ct is used in pulses to locate it not continuo... Read More

Created for people with ongoing healthcare needs but benefits everyone.

4.5k viewsAnswered >2 years ago

A 29-year-old male asked:

Is it possible my migraines are triggered by pollen, allergies, or sinus pressure? i notice i get full blown migraines on high pollen days.

Addiction Medicine 36 years experience

Yes: Headaches or some people call it loosely migraine if bad enough without proper diagnostic tools, can be triggered by humidity, time of day, and other ... Read More

Created for people with ongoing healthcare needs but benefits everyone.

4.7k viewsReviewed >2 years ago

Dr. Clifford Gevirtz agrees1 doctor agrees

A 21-year-old male asked:

Hi im ahmed from macedonia, i want to ask about oral thrush or yellow coated tongue im not sure what is but i want to know if there is medical help for?

Addiction Medicine 36 years experience

Unclear diagnosis: At your age, and if healthy, there is no reason for you to have thrush in the mouth unless your immune system is not working well or you use meds that... Read More

Created for people with ongoing healthcare needs but benefits everyone.

4.7k viewsAnswered >2 years ago

2 thanks

A 18-year-old female asked:

How would i know if i had luwings angina?. what swells up? where does it swell? and what happens first swelling or the breathing and swallowing?

Addiction Medicine 36 years experience

Ludwig's angina: This is a type of skin bacterial infection under the tongue or the tooth or the gum the gets the tongue swollen and can cause breathing or swallowing ... Read More

Created for people with ongoing healthcare needs but benefits everyone.

4.5k viewsAnswered >2 years ago

A 23-year-old female asked:

What is the exact cause of rising esr count in blood?

Addiction Medicine 36 years experience

Inflammation: The erythrocyte sedimentation rate is a nonspecific measure of inflammatory proteins in the blood causing the settling of erythrocytes slower. It also... Read More

Created for people with ongoing healthcare needs but benefits everyone.

4.5k viewsAnswered >2 years ago

A 28-year-old female asked:

Sister died @ 29.diag was meth od.she's 3rd in us born w/ beckwith weidmann.her organs are very enlarged. ex:heart 720gr. consumed 24hrs b4 death. 65mcg/l in blood. can that much kill 24hrs later?

Addiction Medicine 36 years experience

Misleading: The amount of a substance in the blood is misleading. The rest of a substance is bound to tissues like fat and protein first then the extra is in the ... Read More

Created for people with ongoing healthcare needs but benefits everyone.

4.5k viewsAnswered >2 years ago

A 28-year-old female asked:

I've been experiencing mid sentence cut off with a full zone out and all goes black. it can last a few seconds or up to a few minutes. ?

Addiction Medicine 36 years experience

Better see your MD: It difficult to make diagnosis and help when we can't really see you and evaluate you and rely on tests which are not available to us. You may just ha... Read More

Created for people with ongoing healthcare needs but benefits everyone.

4.7k viewsAnswered >2 years ago

A 36-year-old female asked:

What could cause me to have upper arm pain in both arms mostly at night? pain that keeps me awake. i'm in good shape and doubt due to activity.

Addiction Medicine 36 years experience

Neck: To involve both arms, unless there really is problem in each arm separately, it is best to explain from the root that goes to both arms and that's the... Read More

Created for people with ongoing healthcare needs but benefits everyone.

4.6k viewsReviewed >2 years ago

Dr. Mohammed Parvez agrees1 doctor agrees

4 thanks

A 67-year-old male asked:

I am having throbbing pains on my right side - level with my breast. for several months, i have experienced what seems sharp angina on left side.

Addiction Medicine 36 years experience

Sometimes: We only worry about left sided pain for angina. The right side of the heart is on the right side of the chest beyond the midline and can cause pain on... Read More

Created for people with ongoing healthcare needs but benefits everyone.

4.4k viewsAnswered >2 years ago

A 29-year-old female asked:

Getting over cold with thick post nasal drip at night. the past few nights i remember waking up multiple time s to breath. can drip cause temp apnea?

Addiction Medicine 36 years experience

Gagging: The drip causes obstruction the breathing through the nose and people breath through the mouth. The back of the throat dries up and people can wake up... Read More

Created for people with ongoing healthcare needs but benefits everyone.

4.6k viewsAnswered >2 years ago

A 49-year-old female asked:

I caught a cold about a week ago i also have asthma so the cold is messing with my asthma here it going on another week and i am still having trouble?

Addiction Medicine 36 years experience

Asthma treatment: At times when you are having problem with asthma is when you should see your doctor to treat the exacerbating factor and to intensify your meds to imp... Read More

Created for people with ongoing healthcare needs but benefits everyone.

4.6k viewsAnswered >2 years ago

A 33-year-old female asked:

Can nicotene withdrawal cause hallucinations?

Addiction Medicine 36 years experience

Yes: Like any withdrawal, it can cause sweating, nausea, vomiting, headache, high blood pressure , etc, . The patches themselves can cause vivid dreams or ... Read More

Created for people with ongoing healthcare needs but benefits everyone.

4.5k viewsAnswered >2 years ago

A 26-year-old female asked:

I'm trying to get back into cardio after walking pneumonia and after 15 minutes feel like i'm breathing through a straw. is there breathing exercises?

Addiction Medicine 36 years experience

Take it slow: Your infection took a toll on you. You start exercising with a regimen of progressive rigor. Start slowly, by walking and when you feel you are strong... Read More

Created for people with ongoing healthcare needs but benefits everyone.

4.5k viewsAnswered >2 years ago

A 49-year-old female asked:

My doctor put me on cefdinir and benzonatate also give me a shot of steroids for my sinus infection. what else can i take to dry sinus up?

Addiction Medicine 36 years experience

Sinus vs lung: Cefdinir is antibiotics, broad spectrum. Benzonatate is an anesthetic geared to decrease the cough reflex in the lungs. Antihistamines are anti allerg... Read More

Created for people with ongoing healthcare needs but benefits everyone.

4.5k viewsReviewed >2 years ago

Dr. Ryan Phasouk and another doctor agree2 doctors agree

4 thanks

A 50-year-old female asked:

Had breast cancer 2 yrs ago now getting pain in ribs not feeling well really worried?

Addiction Medicine 36 years experience

Need evaluation: Unfortunately, breast cancer can recur in the ribs or the chest wall. Go see your md and they can start with a cxr or rib xr to make sure no mets and ... Read More

Created for people with ongoing healthcare needs but benefits everyone.

4.5k viewsReviewed >2 years ago

Dr. Jeffrey Kass agrees1 doctor agrees

A 23-year-old male asked:

I went to the doctor and he told me that i have cheats and throat infection.. and people say i might have broncitis.. idk wich to believe.

Addiction Medicine 36 years experience

Both: The throat infection is the one that can lead to chest infection, as they say. Unless there is a chest xr showing pneumonia, bronchitis is presumed. S... Read More

Created for people with ongoing healthcare needs but benefits everyone.

4.5k viewsAnswered >2 years ago

A 22-year-old female asked:

What does it mean nt 2 hv a gag reflux and is it dangerous?

Addiction Medicine 36 years experience

Yes: The lack of gag reflex is a neurologic problem and has to be evaluated. The gag reflex is the safeguard that if anything goes from the mouth to the lu... Read More

Created for people with ongoing healthcare needs but benefits everyone.

4.7k viewsAnswered >2 years ago

A 35-year-old member asked:

Need doctor's help! will lung nodules be caused from exposure to mold?

Addiction Medicine 36 years experience

Yes: The inflammatory reaction to the fungus can form a round aggregate of inflammatory cells and form a granuloma which looks like a lung nodule. This sti... Read More

Created for people with ongoing healthcare needs but benefits everyone.

4.7k viewsAnswered >2 years ago

3 thanks

A 31-year-old female asked:

My 8 yr old got out the shower, she got real dizzy & hit her head but not hard cause i grabbed her. she got real pale. her sugar was 111?

Addiction Medicine 36 years experience

Evaluation needed: People just don't faint or have syncope for no reason. The simplest one is vasovagal but that still has to be determined. There are rhythm abnormaliti... Read More

Created for people with ongoing healthcare needs but benefits everyone.

4.6k viewsAnswered >2 years ago

A 54-year-old male asked:

Radiology/neurology. ct scan shows bone, mri shows soft tissue, so therefore can't indentify disease of skull bones. intercrainial means misdiagnosis?

Addiction Medicine 36 years experience

Misinformation: These scans can show the bone especially the ct. They are designed to see the brain when done in that area but the bones can be seen and can give indi... Read More

Created for people with ongoing healthcare needs but benefits everyone.

4.6k viewsReviewed >2 years ago

Dr. Kenny Chuu agrees1 doctor agrees

A 34-year-old female asked:

Pain in upper left side of chest while sleeping frequent burping fullness and heaviness after eating fatigue. what can this be?

Addiction Medicine 36 years experience

GERD: It seems more like reflux. There are other causes of dyspepsia which may be what you are feeling after eating and symptoms of gerd, and one example is... Read More

Created for people with ongoing healthcare needs but benefits everyone.

4.7k viewsAnswered >2 years ago

A 34-year-old male asked:

I suffer from panic attacks. have been to er many times fearing heart attack only to be told i am fine. now suffering left arm pain. is this cardiac?

Addiction Medicine 36 years experience

Likely no: You probably have been worked up several times and found that even the risk of heart attack in you is low. An arm pain associated with heart attack wi... Read More

Created for people with ongoing healthcare needs but benefits everyone.

4.7k viewsReviewed >2 years ago

Dr. Donald Jacobson agrees1 doctor agrees

2 thanks

A 22-year-old female asked:

Dull ache in left ovary at 4 weeks pregnant, previous eptopic pregnancy, this time pain is dull on and off with no bleeding, is this eptopic?

Addiction Medicine 36 years experience

Go to MD: There is no other way to find out but to do an ultrasound and see where the pregnancy is.

Created for people with ongoing healthcare needs but benefits everyone.

4.7k viewsReviewed >2 years ago

Dr. Matthew Wilson agrees1 doctor agrees

A 27-year-old male asked:

Can a woman who is 6 weeks into pregnancy travel in a long distance flight?(around 6 hrs flight)

Addiction Medicine 36 years experience

Yes: There is no contraindication but a word of caution. You are more at risk for blood clots by hormones and by impediment of blood flow. Keep moving your... Read More

Created for people with ongoing healthcare needs but benefits everyone.

4.7k viewsAnswered >2 years ago

A 64-year-old female asked:

Are the symptoms of labrynitis similar to the symptoms of low blood sugar is it possible to have both . i don't have diabetes?

Addiction Medicine 36 years experience

Not necessarily: Labyrinthitis is the inflammation or abnormality in the semicircular canals causing dizziness esp with head movement, there may be nausea. When one ha... Read More

Created for people with ongoing healthcare needs but benefits everyone.

4.7k viewsAnswered >2 years ago

A 55-year-old male asked:

I have stage 4 emphasema and nonischemic cardiomyopathy. i am worn out all the time even after a good niter sleep. is this from copd? all labs r good

Addiction Medicine 36 years experience

Most likely: Work of breathing, i.e., the energy spent to breath in people with COPD is high. On top of this, your cardiomyopathy does not help to push blood throu... Read More

Created for people with ongoing healthcare needs but benefits everyone.

4.7k viewsReviewed >2 years ago

Dr. Darrell Herrington agrees1 doctor agrees

3 thanks

A 63-year-old male asked:

I have low testosterone 148. i have had heart attack and stroke 4 yes ago. can i take aandrogel 1.62 safely?

Addiction Medicine 36 years experience

Yes.: As in any medication or substance, well-being is measured the level. Yes it has cardiovascular side effects which can be mitigated by giving a dose th... Read More

Created for people with ongoing healthcare needs but benefits everyone.

4.7k viewsReviewed >2 years ago

Dr. Donald Jacobson agrees1 doctor agrees

A 17-year-old male asked:

I release gases involuntarily which smells like fart/poop/sewage.i don't feel while iam releasing gas , suddenlysurprised with the bad odour?

Addiction Medicine 36 years experience

Spinal problem: There is a sphincter which controls the release of anything down there. When a stool or gas is released, there is a sensation. Your lack of sensation ... Read More

Created for people with ongoing healthcare needs but benefits everyone.

4.7k viewsAnswered >2 years ago

2 thanks

A 23-year-old female asked:

I have a cold and my left eye that has a chalazia became bloodshot red i have tried using eyedrops but its becoming worse, what's wrong with it? help

Addiction Medicine 36 years experience

Infection?: It is best to see your doctor. I don't know the specifics but it seems you could have an infection that is left untreated. I don't know if it has a di... Read More

Created for people with ongoing healthcare needs but benefits everyone.

4.7k viewsAnswered >2 years ago

A 36-year-old member asked:

What number of units/cc's of air will kill someone. (air embolism)?

Addiction Medicine 36 years experience

Variable: Air embolism through the vein requires higher amount of air to cause death, in the range of 50-100 ml of air injected fast like a ball can cause obstr... Read More

Created for people with ongoing healthcare needs but benefits everyone.

4.7k viewsAnswered >2 years ago

A 23-year-old female asked:

20 hour roadtrip with my family will this put me at risk for dvt or pulmonary embolism? no health risks, fam history or factors

Addiction Medicine 36 years experience

Precaution only: Just keep moving your legs even now and then, flex your foot up and down, just little things, and you'll be fine.

Created for people with ongoing healthcare needs but benefits everyone.

4.6k viewsReviewed >2 years ago

Dr. Bennett Werner agrees1 doctor agrees

A 35-year-old male asked:

Aortography and coronary angiography.differences?could be both made at the same time?risks? syntomps:chest pain, low diuresis. all other exams ok

Addiction Medicine 36 years experience

Differences: This is putting a dye to image the specific vessels. Aortography or course is the aorta and coronary are the blood vessels that go to the walls of the... Read More

Created for people with ongoing healthcare needs but benefits everyone.

4.5k viewsAnswered >2 years ago

A 27-year-old male asked:

Ok how long does it take for dulera (formoterol and mometasone) to work?

Addiction Medicine 36 years experience

Dulera (formoterol and mometasone): Is not meant to work to alleviate symptoms. It is an anti-inflammatory medicine which takes time to take effect and a long acting bronchodilator whic... Read More

Created for people with ongoing healthcare needs but benefits everyone.

4.4k viewsReviewed >2 years ago

Dr. Elise Sadoun agrees1 doctor agrees

4 thanks

A 54-year-old male asked:

Alpha-1 antitrypsin deficiency. can this relate to high ggt in liver, breathing heart and lung issues, can it affect medications like ace inhibitors

Addiction Medicine 36 years experience

ACE: Is produced in the kidneys and lungs. A-1at deficiency affect the lungs and the liver to cause emphysema and cirrhosis. Due to lung problem, the heart... Read More

Created for people with ongoing healthcare needs but benefits everyone.

4.4k viewsAnswered >2 years ago

A 39-year-old female asked:

Wife has dizziness, headaches, passing out episodes, and numbness of both legs to the point she can not use them?

Addiction Medicine 36 years experience

Go to doctor: Grave symptoms as she does can't be diagnosed in a forum such as this. Good examination, proper tests have to be done, so proper treatment can be give... Read More

Created for people with ongoing healthcare needs but benefits everyone.

4.6k viewsAnswered >2 years ago

A 39-year-old male asked:

Do you agree children should move on to a better life for themselves when they grow up? my mom passed up a better life to stay close to grandma.

Addiction Medicine 36 years experience

Principles: Our principles and philosophies are different from each other. We make decisions and most of us move on to live our own lives and staying in contact w... Read More

Created for people with ongoing healthcare needs but benefits everyone.

4.6k viewsReviewed >2 years ago

Dr. James Ferguson agrees1 doctor agrees

A 27-year-old female asked:

If the pleural effusion is associated with pulmonary tb is this serious?

Addiction Medicine 36 years experience

TB pleuritis: Started from the lung. It is still serious due to having spread and needs to be treated. Treatment will take longer than a usual lung infection due to... Read More

Created for people with ongoing healthcare needs but benefits everyone.

4.4k viewsAnswered >2 years ago

A 18-year-old female asked:

How long do you have to use amoxicillin 500 mg to cure a urinary trait infection ?

Addiction Medicine 36 years experience

UTI: If the bug is sensitive to the antibiotics, perhaps a good one time dose is enough if it just started. We never see patients that way, they always com... Read More

Created for people with ongoing healthcare needs but benefits everyone.

4.4k viewsAnswered >2 years ago

A 25-year-old female asked:

Why do allergies get worse every time you are exposed to the allergen?

Addiction Medicine 36 years experience

Memory cells: Every time you are exposed there are memory cells created and when there are more, the recruitment of the inflammatory cells or allergy cells would be... Read More

Created for people with ongoing healthcare needs but benefits everyone.

4.4k viewsReviewed >2 years ago

Dr. Martin Raff agrees1 doctor agrees

A 35-year-old male asked:

Is airomir a newer kind of bronchodilator? how effective is it compared to others?

Addiction Medicine 36 years experience

No: Airomir is salbutamol, has been used in asia and australia for a long time, but not in the us. Don't we wonder why, with all the need for studies here... Read More

Created for people with ongoing healthcare needs but benefits everyone.

4.5k viewsAnswered >2 years ago

A 17-year-old female asked:

I fell and hit my head now i am dizzy have vomited and have blurred vision and a headache. any clue if it is serious?

Addiction Medicine 36 years experience

Yes: It is better for it to end up being nothing than to miss something grave. Injury causes pain but your's is beyond pain as now there is vomiting and bl... Read More

Created for people with ongoing healthcare needs but benefits everyone.

4.6k viewsReviewed >2 years ago

Dr. Evan Altman and another doctor agree2 doctors agree

A 34-year-old female asked:

Rattling in my chest for 3 days dry cough 3rd day & medicine hasn't helped i have a clogged nose sometimes runny coughed up some mucus hurts in chest?

Addiction Medicine 36 years experience

URI/bronchitis: The rattling is likely mucous or fluid breaking up as you breath or cough (rhonchi). Drink fluid and may use mucolytic to make expectoration easier an... Read More

Created for people with ongoing healthcare needs but benefits everyone.

4.4k viewsAnswered >2 years ago

3 thanks

A 34-year-old female asked:

Why are my questions not being answered is it because i use the free one?

Addiction Medicine 36 years experience

We all answer: For free, there is no fee at least as i know for me. Sometimes the questions are out of our expertise and we skip, hoping that someone specialized for... Read More

Created for people with ongoing healthcare needs but benefits everyone.

4.4k viewsAnswered >2 years ago