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Doctor Q&A for Dr. Lynn Wung

A 30-year-old female asked:
Dr. Lynn Wung
Family Medicine 27 years experience
Concerning changes: Many of us can have enlarged, palpable lymph nodes following an ear or respiratory infection. However, these are usually painless. As you have had this for 6 years and only now are starting to have symptoms from it, I recommend having this evaluated. It is possible an ultrasound or biopsy might be needed as the next step
A 36-year-old female asked:
Dr. Lynn Wung
Family Medicine 27 years experience
Thyroid and biotin : Biotin can interfere with the accuracy of thyroid testing and management. I recommend you speak with your provider about alternatives for hair loss that do not involve Biotin. Scalp massage, avoidance of chemical coloring/perms, shampoo about 2-4 times per week (not daily), good nutritional intake and hydration, as well as regular exercise are safe options for now
A 25-year-old male asked:
Dr. Lynn Wung
Family Medicine 27 years experience
Tension headache: Bright lights can cause eye strain, which can then lead to tension-type headaches. If you are not able to adjust the brightness of your screen downward, you may wish to try wearing blue-light blocking sunglasses or screen protectors. Rest, warm compresses to the forehead, and, if need, Tylenol or Ibuprofen can be helpful as well.
A 37-year-old male asked:
Dr. Lynn Wung
Family Medicine 27 years experience
Quite likely : Each repeated exposure to the same allergen (kiwi, in this case) can cause a more severe allergy reaction each time. It would be wise to avoid kiwis for a while. The good news is that there are some food allergic reactions that can decrease in time, as with egg allergies.
A 25-year-old female asked:
Dr. Lynn Wung
Family Medicine 27 years experience
Chest pain: If i understand the question correctly, you are wondering why an upper endoscopy has been recommended for your left upper abdominal pain. If there is concern there may be acid reflux disease, ulcers related to an infection or Ibuprofen usage, or other upper digestive tract problem. The scope test will provide the most answers. I'd recommend you hold both the Ibuprofen and naproxen, just in case.
A 31-year-old female asked:
Dr. Lynn Wung
Family Medicine 27 years experience
Not usually : Not usually... With certain exceptions. If one is on certain medications (steroids, chemotherapy, etc), has a weakened/absent immune system (premature infant, hiv, etc), severe malnutrition, or multiple poorly controlled health problems (diabetes, heart failure, copd, etc)-- then more potential complications can develop after a cold.
A 42-year-old male asked:
Dr. Lynn Wung
Family Medicine 27 years experience
Sweating profusely : If this is a new symptom, it is important to see your provider to check your vital signs (blood pressure, pulse, etc) and obtain some bloodwork (to evaluate your thyroid, check electrolytes and glucose, other hormones, etc.) can sometimes be medication/supplement/substance side effect-related also.
A 35-year-old male asked:
Dr. Lynn Wung
Family Medicine 27 years experience
Gout flare: Gout flares are often treated with some combination of steroids (prednisone), Colchicine (colcrys) and indomethacin. Whenever taking prednisone, it is vital to discuss if a titration/wean schedule is recommended.
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A 35-year-old male asked:
Dr. Lynn Wung
Family Medicine 27 years experience
Different meds: Although most flare ups of various autoimmune conditions will respond to similar steroid medications, the actual maintenance/routine medications and long term treatment plans are often quite different.
A female asked:
Dr. Lynn Wung
Family Medicine 27 years experience
Hip pain: The pregnancy hormone Progesterone causes ligaments in the pelvis to relax. This can often lead to discomfort when standing or walking too long, but is considered normal. If your pains are only on one side, however, i recommend you see your medical provider about this, to be safe.
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