Dr. Miles Mitchell

A 52-year-old member asked:

Can i take cbd oil if i take paxil clonapam lamogrine i have gad depression agoraphobia ptsd anxiety is really bad tried everything ?

Dr. Miles Mitchellanswered

Specializes in Family Medicine

CBD interacts: CBD interacts with Clonapam and lamotrigine. Is lamotrigine what you referred to as lamogrine? I'm not familiar with that exact name. It could be p... Read More

198 viewsReviewed >2 years ago

Dr. Navita Modi agrees1 doctor agrees

A 22-year-old female asked:

Scalp has been itching for a couple months but no sign of head lice....dry scalp, scalp doesnt always itch what could it be?

Dr. Miles Mitchellanswered

Specializes in Family Medicine

Need more info: There is quite a range of possibilities. Does your scalp have any scaly areas, or pimples, or bumps, or blisters, or sores, or areas of rapid hair lo... Read More

198 viewsReviewed >2 years ago

Dr. Navita Modi and another doctor agree2 doctors agree

A 19-year-old female asked:

Can pijama t-shirt become contaminated by pinworms while i sleep?

Dr. Miles Mitchellanswered

Specializes in Family Medicine

Yes: Transmission from one person to another involves some sequence where contamination from the infected person's anus makes it to the other person's mout... Read More

197 viewsReviewed >2 years ago

Dr. Gurmukh Singh and 7 doctors agree8 doctors agree

A 21-year-old female asked:

I have severe back pain , lower and upper abdominal pain along with leg pain sometimes i feel like nausea and i have pain while urination....is this a sign of pregnancy or periods..

Dr. Miles Mitchellanswered

Specializes in Family Medicine

Seek medical consult: What you describe may (or may not) be serious. You should seek medical consultation right away, so that a doctor can get more information, & advis... Read More

53 viewsReviewed Aug 15, 2020

Dr. Frank Kuitems and another doctor agree2 doctors agree

A 34-year-old male asked:

Experiencing pain and swelling accompanied by warmth to the touch with a red patch around my elbow. also experiencing body aches. what could be the problem?

Dr. Miles Mitchellanswered

Specializes in Family Medicine

Might need treatment: Could be infection or other condition requiring urgent treatment. Seek evaluation, but preferably on phone or online, to avoid coronavirus exposure. ... Read More

90 viewsAnswered >2 years ago

A 30-year-old female asked:

Can i still exercise even positive with covid and dont have symptoms. also after 14 days should i get tested to confirm i am negative?

Dr. Miles Mitchellanswered

Specializes in Family Medicine

Yes, and no: You may (and should!) exercise. And, you don't need to be retested.

64 viewsAnswered Jul 04, 2020

A 24-year-old female asked:

I have some tightness in my chest for a week. at night it's worst .. i feel some discomfort on my chest. i have no other symptoms. no fever. no sore throat. no muscle pain. no muscle pain. no fatigue. i do have trouble breathing fully?

Dr. Miles Mitchellanswered

Specializes in Family Medicine

Seek medical consult: What you describe may (or may not) be serious. You should seek medical consultation right away, so that a doctor can get more information about this, ... Read More

63 viewsReviewed Jul 08, 2020

A 31-year-old female asked:

My husband tested positive for covid19 and our baby is 1 month old. i am very worried about her, can she get covid and what should i look out for?

Dr. Miles Mitchellanswered

Specializes in Family Medicine

Recommendations:: You should isolate your husband and baby from one another if you can (separate room/bathroom/towels). If baby develops any symptoms, call her doctor.... Read More

53 viewsReviewed Aug 16, 2020

Dr. Heidi Fowler and another doctor agree2 doctors agree

A 37-year-old female asked:

Do i need to get tested for covid if i have a loss of taste and smell ?

Dr. Miles Mitchellanswered

Specializes in Family Medicine

Maybe: That would depend on some other factors. Why don't you try the CDC's Covid-19 Health Bot, at https://covid19healthbot.cdc.gov/. Stay safe!

62 viewsAnswered Jul 11, 2020

A 34-year-old female asked:

I am 9 days late on my period i pee a lot havent taken a test is everything ok ?

Dr. Miles Mitchellanswered

Specializes in Family Medicine

Seek evaluation: You should get tested for both pregnancy, and for a bladder infection. Should have a pelvic exam. As you are possibly pregnant, no alcohol, caffeine... Read More

57 viewsAnswered Aug 01, 2020

A 27-year-old female asked:

My mom is covid + and has been experiencing body pains, headache, back pain and more recently nausea that has caused continuous vomiting. she has been vomiting for 3 days now and hasn't been able to keep anything down. should we take her in?

Dr. Miles Mitchellanswered

Specializes in Family Medicine

Probably yes: If she can't keep anything down, she's going to get dehydrated, and that can be serious. She may need IV fluids to turn her health around. This may ... Read More

57 viewsReviewed Aug 02, 2020

Dr. Frank Kuitems and another doctor agree2 doctors agree

A 36-year-old male asked:

I have tested positive for a coronavirus and diabetic, just tested my sugar level is 31.1 mmol/l?

Dr. Miles Mitchellanswered

Specializes in Family Medicine

Seek medical care: That is a very high blood sugar. How to manage that depends on a lot of other factors. If you do not already have clear instructions as to how to ma... Read More

57 viewsReviewed Jul 29, 2020

Dr. Heidi Fowler and another doctor agree2 doctors agree

A 37-year-old female asked:

My chest is very tight and i can feel movement in my chest when i cough. no fever, but ive been feeling dizzy for the last day or so. ?

Dr. Miles Mitchellanswered

Specializes in Family Medicine

Seek local advice: Please seek local advice, preferably by telemedicine. Knowledge of your community's health and resource status, as well as of your background health,... Read More

92 viewsAnswered >2 years ago

A 30-year-old female asked:

Upper right abdominal pain, nausea, shoulder pain, fever for two weeks. stools, greasy and infrequent. ultrasound showed nafld, nothing else.

Dr. Miles Mitchellanswered

Specializes in Family Medicine

Continue evaluation: If you've had a fever for two weeks, and continue to have one, and there is not an explanation for your fever, then the doctors need to keep investiga... Read More

198 viewsReviewed >2 years ago

Dr. Robert Kwok and 2 doctors agree3 doctors agree

A 39-year-old female asked:

Is it ok to have fried rice with bean sprouts during pregnancy?

Dr. Miles Mitchellanswered

Specializes in Family Medicine

Caution advised: Some types of bean sprouts are concerning for the possibility of bacterial contamination, unless cooked thoroughly. Gauging whether a bean sprout is ... Read More

617 viewsAnswered >2 years ago

A 46-year-old male asked:

I had my gallbladder out 4 weeks ago, today i took paracetamol and codeine, after few hours i had severe upper back pain and nausea, is it related?

Dr. Miles Mitchellanswered

Specializes in Family Medicine

Call doctor: These symptoms could be due to problems related to your recent surgery. You should contact a doctor, ideally your surgeon, right away.

622 viewsReviewed >2 years ago

Dr. Heidi Fowler and 6 doctors agree7 doctors agree

A 29-year-old female asked:

I believe i had a uti last week and took a 2 day course of sachets which finished on sunday. since then i've had a constant pain in my side and nausea?

Dr. Miles Mitchellanswered

Specializes in Family Medicine

See doctor: Pain in your side could be kidney pain, which could be due to a kidney infection, or to passing a kidney stone. You should be evaluated by a physicia... Read More

622 viewsAnswered >2 years ago

A 65-year-old female asked:

I have a uti and have taken 5 of 20 pills of macrobid. i am still experiencing blood in the urine. (no pain in urinating now)?

Dr. Miles Mitchellanswered

Specializes in Family Medicine

Probably OK: As you are improving (no pain), and if you have no new symptoms, or symptoms like fever, then OK to wait and see if this treatment ultimately resolves... Read More

622 viewsAnswered >2 years ago

A male asked:

Hi, i have been given beclometasone dipropionate nasal spray in regards to blocked ears, would this be correct?

Dr. Miles Mitchellanswered

Specializes in Family Medicine

Yes: Anti-inflammatory nasal sprays such as you have been given are often used for blocked ears, or, more particularly, for eustachian tube dysfunction. T... Read More

649 viewsReviewed >2 years ago

Dr. Kenny Chuu agrees1 doctor agrees

A 27-year-old member asked:

I fell of my motorbike and knee is swallon and it feels like there fluid around the knee and it sort of hurts to walk what should i do ?

Dr. Miles Mitchellanswered

Specializes in Family Medicine

See a doctor: You need to be evaluated to make sure you do not have a fracture, which could require immediate attention for a good outcome. I wish you well!

584 viewsReviewed >2 years ago

Dr. Heidi Fowler and another doctor agree2 doctors agree

A 30-year-old male asked:

Is singulair safe to take long-term? can it cause churg-strauss syndrome? on and off it for 3 years, only drug that clears up mucus in nose and throat

Dr. Miles Mitchellanswered

Specializes in Family Medicine

Considered safe: All medications have potential side effects, some of them severe, and Singulair is no exception. Churg-Strauss is among those possible effects. Howe... Read More

621 viewsReviewed >2 years ago

Dr. Amrita Dosanjh and 3 doctors agree4 doctors agree

A 25-year-old female asked:

Hi, i have notice orange like oil leaking out of my anus, and i saw it in the toilet water after a bowel movement. i also noticed that i get sharp pains in my womb during intercourse, kindly assist me.

Dr. Miles Mitchellanswered

Specializes in Family Medicine

Seek medical consult: What you describe may (or may not) be serious. You should seek medical consultation right away, so that a doctor can get more information about this, ... Read More

63 viewsReviewed Jul 08, 2020

A 21-year-old female asked:

Hello ive been having dark brown discharge for a week and this has been happening the past few months. one month i had it for a week and never got a period but im not pregnant. what could be the issue?

Dr. Miles Mitchellanswered

Specializes in Family Medicine

Seek medical consult: What you describe may (or may not) be serious, such as an infection. You should seek medical consultation right away, so that a doctor can get more in... Read More

63 viewsAnswered Jul 08, 2020

A 23-year-old female asked:

Chances of pregnancy from only using a condom? and if the guy pulls out before finishing (still with a condom on)?

Dr. Miles Mitchellanswered

Specializes in Family Medicine

Pretty low: No method of birth control is 100%, and condoms are on the low end, mostly because of being used incorrectly, but it sounds like the condom was used a... Read More

63 viewsAnswered Jul 08, 2020

A 47-year-old female asked:

Does a person get all the covid 19 symptoms all at once eg temperature, cold , tiredness , or we can get any of them eg cold but no temperature?

Dr. Miles Mitchellanswered

Specializes in Family Medicine

Many possibilities: Seek care right away if difficulty breathing, other severe symptoms. Seek testing if sick, PLUS known COVID-19 contact, or travel to high risk country... Read More

90 viewsAnswered >2 years ago

A member asked:

My period has been going on for 10 days now. it has been brown blood the entire time except for some clots here and there. im not sure whats happening or what i should do. ?

Dr. Miles Mitchellanswered

Specializes in Family Medicine

Seek medical consult: What you describe may (or may not) be serious. You should seek medical consultation right away, so that a doctor can get more information about this, ... Read More

63 viewsAnswered Jul 08, 2020

A 30-year-old male asked:

I have low back pain for almost 4 months, it detonates when i bend my low back forward, when i do that it get worse while the day goes on, picking in the night before sleep, less pain in the morning when wake up, and no pain if i don't bend forward.

Dr. Miles Mitchellanswered

Specializes in Family Medicine

May need tests: If you haven't already, you should have some X-rays, and some blood and urine tests, as well as an in-person exam with a doctor. Depending on what th... Read More

55 viewsAnswered Aug 05, 2020

A 23-year-old female asked:

My chest feels heavy as if i swallowed a huge apple and it got stuck ?

Dr. Miles Mitchellanswered

Specializes in Family Medicine

Seek medical consult: What you describe may (or may not) be serious. You should seek medical consultation right away, so that a doctor can get more information, & advis... Read More

62 viewsAnswered Jul 11, 2020

A 34-year-old female asked:

Good evening, on saturday i was feeling very dizzy, and after feeling like that i started vomiting and running stomach, it stopped on sunday. now from monday to taday my body is painful and weak. on the evenings i feel cold kind of fever, but mild.

Dr. Miles Mitchellanswered

Specializes in Family Medicine

Seek medical consult: What you describe may (or may not) be serious. You should seek medical consultation right away, so that a doctor can get more information about this, ... Read More

63 viewsAnswered Jul 08, 2020

A 43-year-old female asked:

Is it possible that your tempatature can be 37 degrees, while you have coronavirus?

Dr. Miles Mitchellanswered

Specializes in Family Medicine

Yes.: Although fever is one of the most common symptoms, it is not always there. In fact, you can have no symptoms at all, especially at first.

63 viewsReviewed Jul 08, 2020

A 22-year-old male asked:

I have swelling between my balls and anus but closer to my balls, its almost black in color. when im sitting on the toilet i can feel it bulging out but it doesnt cause my any pain or anything. im wondering what it is and how to it to go away.

Dr. Miles Mitchellanswered

Specializes in Family Medicine

Seek medical consult: What you describe may (or may not) be serious. You should seek medical consultation right away, so that a doctor can get more information, & advis... Read More

60 viewsAnswered Jul 18, 2020

A 36-year-old female asked:

My 5 year old woke up complaining his cheeks and his chin pains. his cheeks are red. it hurts when he opens his mouth wide or smiles. no fever.

Dr. Miles Mitchellanswered

Specializes in Family Medicine

Seek medical consult: What you describe may (or may not) be serious. You should seek medical consultation right away, so that a doctor can get more information, & advis... Read More

57 viewsAnswered Aug 01, 2020

A 20-year-old female asked:

Sharp pain in my left lowerback, hurts more when i breathe, earache and cold fever please could you advise possibly?

Dr. Miles Mitchellanswered

Specializes in Family Medicine

Seek medical consult: What you describe may (or may not) be serious. You should seek medical consultation right away, so that a doctor can get more information, & advis... Read More

60 viewsAnswered Jul 18, 2020

A 26-year-old male asked:

Ear ache and the jaw pain is going hand in hand. pain unbearable sometimes causing me to clench my teeth to relieve pain. tender behind my ear and sore?

Dr. Miles Mitchellanswered

Specializes in Family Medicine

It's complicated: The ear and the jaw, or temporomandibular, joint (TMJ) are separated by a thin layer of tissue, such that pain and inflammation in one is often experi... Read More

91 viewsReviewed >2 years ago

Dr. Arnold Malerman and another doctor agree2 doctors agree

A 67-year-old female asked:

Just found out that my md tested positive for covid-19. i had direct interaction with him. he has no symptoms, he was tested because he traveled in february to switzerland. should i be tested. im 67 , or wait to see if i develop any symptoms. ?

Dr. Miles Mitchellanswered

Specializes in Family Medicine

Per RSA NICD:: Self-isolate for 14 days. Seek testing if sick. Call 0800 029 999 for test information. Seek consultation if sick, preferably by phone or telemedicine... Read More

91 viewsAnswered >2 years ago

A male asked:

Hi. regarding rabies vaccines, i have heard that if have received three or more in would not require anymore in your lifetime. is this true?

Dr. Miles Mitchellanswered

Specializes in Family Medicine

Usually.: The standard vaccination protocol involves a total of three shots, with the second a week after the first, and then the third between 3 & 4 weeks ... Read More

649 viewsAnswered >2 years ago

A 22-year-old female asked:

Is the defensive spray from skunks or any other animal dangerous for my infant to touch? dog got sprayed by something and spread oils in house.

Dr. Miles Mitchellanswered

Specializes in Family Medicine

Call poison control: If you were in my office, I would call Poison Control at 1 800 222-1222 for the best information pertinent to your particular situation. They often n... Read More

620 viewsAnswered >2 years ago

A 30-year-old male asked:

I am experiencing leg swelling. the following also describes me: lower leg pain. what should i do?

Dr. Miles Mitchellanswered

Specializes in Family Medicine

See a doctor: One significant concern would be that these could be the symptoms of DVT, or deep venous thrombosis. This is potentially life-threatening, so you sho... Read More

617 viewsReviewed >2 years ago

A 34-year-old female asked:

I'm experiencing shoulder, back, neck pain(mod-severe), & headaches, due to 2 car accidents. i have fibro, scoliosis, & carpal tunnel(rt hand)?

Dr. Miles Mitchellanswered

Specializes in Family Medicine

Need more info: Unfortunately, without more information, it is not possible to give you much help or guidance. However, unless it has been several months or more sin... Read More

621 viewsAnswered >2 years ago

A 33-year-old male asked:

I took 2 excedrin migraine extra strength 1000 milligrams total when can i take my two 81 milligrams baby aspirin?

Dr. Miles Mitchellanswered

Specializes in Family Medicine

Depends: Aspirin and Excedrin together increase risk of bleeding, so generally not advisable. Also, the Excedrin will reduce some of the positive effects of t... Read More

91 viewsAnswered >2 years ago

A 28-year-old female asked:

We are trying to get pregnant. i might be, but i have a massive headache. can i talk panado for it or will it harm early pregnancy?

Dr. Miles Mitchellanswered

Specializes in Family Medicine

Paracetamol: I'm in the U.S., but I believe Panado contains only paracetamol (acetaminophen). At any rate, any med that contains only paracetamol (acetaminophen) ... Read More

90 viewsAnswered >2 years ago

A 45-year-old male asked:

I have addison disease and hypothioridism. with the caronavirus getting closer to my area should i be worried about this virus with my condition? should i work from home if possible?

Dr. Miles Mitchellanswered

Specializes in Family Medicine

Yes: Your Addison's in particular would complicate managing an infectious illness, and I would advise avoiding work if possible, as well as shopping or din... Read More

92 viewsAnswered >2 years ago

A 24-year-old male asked:

Is covid-19 airborne? if someone sick was coughing few hours ago and other person come the same location and inhale, what will happen?. if many people wear masks so for what?. although they arent sick who wear masks. also, what about wearing gloves?

Dr. Miles Mitchellanswered

Specializes in Family Medicine

Theoretically...: See "Preventing COVID-19" on HealthTap website. Theoretically, virus could linger in air for a few hours, but that doesn't seem consistent with the f... Read More

90 viewsReviewed >2 years ago

Dr. Vahe Yetimyan agrees1 doctor agrees

A 31-year-old male asked:

How would small fiber neuropathy of the face be diagnosed? would a skin punch be done there as well?

Dr. Miles Mitchellanswered

Specializes in Family Medicine

Yes: Small fiber sensory neuropathy is diagnosed, or ruled out, using lab tests, electromyography, and, yes, skin biopsies, but the biopsy is usually after... Read More

198 viewsReviewed >2 years ago

Dr. Navita Modi and another doctor agree2 doctors agree

A female asked:

Am having sharp intermittent pain to my left temporal lasting less than 10 secs, what are some of the causes?

Dr. Miles Mitchellanswered

Specializes in Family Medicine

Consult a doctor: You should see, or at least have a discussion with, a doctor. There are some serious causes of temporal headaches. One of these is temporal arteriti... Read More

650 viewsAnswered >2 years ago

A 39-year-old female asked:

Pregnant 24/25 - can i take extra strength tylenol ? i would take 2 and they are 500 mg each.

Dr. Miles Mitchellanswered

Specializes in Family Medicine

Safe in pregnancy: Tylenol is safe in pregnancy, up to 8 tabs a day of extra-strength 500 mg tabs. There could be other reasons, allergy to med, e.g., for which you sho... Read More

620 viewsAnswered >2 years ago

A 22-year-old male asked:

Today at barbershop my barber used alcohol aftershave. sprayed it all over my face and some got into my mouth and lips. am i in danger ?

Dr. Miles Mitchellanswered

Specializes in Family Medicine

Probably not: This would be unlikely to cause you any problems. Take care!

198 viewsReviewed >2 years ago

Dr. Navita Modi and another doctor agree2 doctors agree

A 27-year-old male asked:

I have a sore inside my right butt cheek for 5 days. and a stress rash appeared on the upper thigh and lower buttock on the right side today. ?

Dr. Miles Mitchellanswered

Specializes in Family Medicine

See a doctor!: These could be symptoms of infection, and you should have a doctor examine you. I wish you the best of health!

198 viewsReviewed >2 years ago

Dr. Navita Modi and another doctor agree2 doctors agree

A 41-year-old female asked:

Do i have underactive thyroid? my tests says thyroid simulating hormone is 0.91miu/l and my thyroxine free t4 is 13.6 pmol/l

Dr. Miles Mitchellanswered

Specializes in Family Medicine

Normal thyroid tests: There are some adjustments to what constitutes the normal range based on age, gender, and pregnancy, but your tests are normal. It is not generally a... Read More

198 viewsReviewed >2 years ago