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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.
Internal Medicine
Preventive Medicine
Licenses
United States: Massachusetts
Languages spoken
English
Doctor Q&A
60 Answers
15 Agrees
The number of answers this doctor has agreed with.
A 32-year-old female asked:

Dr. Arthur Sgaliaanswered
Internal Medicine 50 years experience
Pericardium: The pericardium, the fine liner around the heart, can be inflamed or filled with fluid. This can be the cause of such symptoms. Similarly, fluid or in... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsReviewed >2 years ago
A 25-year-old female asked:

Dr. Arthur Sgaliaanswered
Internal Medicine 50 years experience
Ascending, transvers: The entire colon consists of the ascending, the transfers, and the descending colon. The proximal two thirds consist of the ascending and transfers po... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsReviewed >2 years ago
A 34-year-old female asked:

Dr. Arthur Sgaliaanswered
Internal Medicine 50 years experience
Other causes: Kidney stones can cause pain like you describe, on either side. Pain on the left can be due to diverticular disease. All women with vague lower abdomi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsAnswered >2 years ago
A female asked:

Dr. Arthur Sgaliaanswered
Internal Medicine 50 years experience
Needs to be checked.: A pigmented mole which grows back and drains fluid is concerning enough to warrant prompt attention. This needs to be seen by your physician or dermat... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsReviewed >2 years ago
A male asked:

Dr. Arthur Sgaliaanswered
Internal Medicine 50 years experience
Avoid sun exposure: Mupirocin is the ointment of choice for certain staph infections. I would not recommend applying sunscreen to an open wound or rash. You would be wise... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsAnswered >2 years ago
A 19-year-old male asked:

Dr. Arthur Sgaliaanswered
Internal Medicine 50 years experience
Prostatitis...: ...is a diagnosis which usually involves an examination, including an examination of the prostate through the rectum. True prostatitis is extremely di... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsAnswered >2 years ago
A 17-year-old female asked:

Dr. Arthur Sgaliaanswered
Internal Medicine 50 years experience
Privacy!: There is no reason why a parent need be with you. There are many things that a gynecologist, or any doctor, for that matter, need know that your paren... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 34-year-old male asked:

Dr. Arthur Sgaliaanswered
Internal Medicine 50 years experience
Life can get better!: Anxiety, depression can feel so very permanent. But here's the good news. They are not! Dont try to solve your whole life today. Deal with today, this... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsReviewed >2 years ago
A 55-year-old female asked:

Dr. Arthur Sgaliaanswered
Internal Medicine 50 years experience
Possibilities..: Include mumps, a bacterial infection, a saliva stone blocking the duct of the gland, or even a tumor. But how are you sure it's your parotid?
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsReviewed >2 years ago
A 25-year-old female asked:

Dr. Arthur Sgaliaanswered
Internal Medicine 50 years experience
Unlikely.: I have not seen the common cold cause heartburn. I have seen tea, including herbal teas, cause such symptoms, especially in those who already require ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsReviewed >2 years ago
A 27-year-old male asked:

Dr. Arthur Sgaliaanswered
Internal Medicine 50 years experience
Rashes must be seen.: My first reaction to a burning blistering rash on one side of the body is shingles, or Herpes zoster. But every rash needs to be seen in order to be d... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsReviewed >2 years ago
A 34-year-old female asked:

Dr. Arthur Sgaliaanswered
Internal Medicine 50 years experience
Many: Egg whites are extremely high quality protein. Fish too have a lot of protein with little fat, not fried of course! Beans are high in protein but not ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsReviewed >2 years ago
A 34-year-old female asked:

Dr. Arthur Sgaliaanswered
Internal Medicine 50 years experience
ER: It may be just bruised, but a sternal fracture is possible. With breathing difficulty, an ER is the place to be. Sounds like a police report is also i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsAnswered >2 years ago
A 53-year-old female asked:

Dr. Arthur Sgaliaanswered
Internal Medicine 50 years experience
Different tests: An MRI uses an atom's response to a strong magnetic field. A CT uses X-rays. The X-rays won't pass through the contrary, so it creates a shadow. No su... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsAnswered >2 years ago
A 40-year-old female asked:

Dr. Arthur Sgaliaanswered
Internal Medicine 50 years experience
Neuropathy..: The symptoms you describe sound like peripheral neuropathy, a disorder caused most commonly by an abnormal metabolism. Diabetes is far and away the mo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsReviewed >2 years ago
A 42-year-old male asked:

Dr. Arthur Sgaliaanswered
Internal Medicine 50 years experience
Hmmm....: Can be caused by fluid retention from heart failure, or liver or kidney disease. Swelling can also be the result of a generalized acute allergic react... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsAnswered >2 years ago
A 26-year-old male asked:

Dr. Arthur Sgaliaanswered
Internal Medicine 50 years experience
Too many medications: It is not usually a good idea to be mixing so many different mind altering medications. Discuss your mental and neurological issues with just one doct... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsReviewed >2 years ago
A 38-year-old female asked:

Dr. Arthur Sgaliaanswered
Internal Medicine 50 years experience
Gastritis: That sounds like the diagnosis to explain your problem! You probably will be started on a kind of drug known as a proton pump inhibitor, such as omepr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsAnswered >2 years ago
A 31-year-old female asked:

Dr. Arthur Sgaliaanswered
Internal Medicine 50 years experience
Normal?: If what you are seeing is the outer skin of the corn kernels, you should be aware that no human can to my knowledge digest cellulose, the chemical ing... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsReviewed >2 years ago
A 23-year-old female asked:

Dr. Arthur Sgaliaanswered
Internal Medicine 50 years experience
Avoid laxatives: The laxative industry has promoted for years the misconception that everyone should have a bowel movement every day. Each individual is unique. Some m... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsReviewed >2 years ago
A 25-year-old female asked:

Dr. Arthur Sgaliaanswered
Internal Medicine 50 years experience
Not the best idea..: If you want to taper off your antidepressant it is best to discuss it with your doctor first and explain to him or her what you want to do, and why. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsReviewed >2 years ago
A member asked:

Dr. Arthur Sgaliaanswered
Internal Medicine 50 years experience
A warning sign?: A flashing light or curtain in your field of vision raises the concern of a retinal detachment. That should be ruled out promptly. Please give your op... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsReviewed >2 years ago
A 23-year-old male asked:

Dr. Arthur Sgaliaanswered
Internal Medicine 50 years experience
No worry!: The ejection fractions measured by echo and by MRI are just estimates. Both the results are close to each other and the difference is no cause for con... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsReviewed >2 years ago
A 29-year-old female asked:

Dr. Arthur Sgaliaanswered
Internal Medicine 50 years experience
Get checked!: A young woman can have significant rhythm problems, some quite harmless, others can be very serious. Since such rhythm problems can come and go, it is... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsAnswered >2 years ago
A 51-year-old female asked:

Dr. Arthur Sgaliaanswered
Internal Medicine 50 years experience
BP varies: Our blood pressure varies widely through out the day and night. It is usually highest first thing in the morning.
A 24 hour monitor is the best way to... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsReviewed >2 years ago
A 21-year-old male asked:

Dr. Arthur Sgaliaanswered
Internal Medicine 50 years experience
MVP: Mitral valve prolapse can cause chest pain and shortness of breath, yes. But there are other causes too and a visit to your doctor would be an excelle... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsReviewed >2 years ago
A 29-year-old male asked:

Dr. Arthur Sgaliaanswered
Internal Medicine 50 years experience
In short, no.: In order for a limb to grow cold, the blood supply TO the limb needs to be cut off. This is most commonly is caused by the occlusion of the ARTERY, no... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsReviewed >2 years ago
A 31-year-old male asked:

Dr. Arthur Sgaliaanswered
Internal Medicine 50 years experience
It depends.: This would depend entirely upon the test desired. Some tests must be done immediately while others can be refrigerated or even frozen for long periods... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsAnswered >2 years ago
A 83-year-old female asked:

Dr. Arthur Sgaliaanswered
Internal Medicine 50 years experience
Be concerned: At 83, we must take any change in bowel pattern very seriously. You should consult with your doctor soon. Be well!
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsAnswered >2 years ago
A 57-year-old female asked:

Dr. Arthur Sgaliaanswered
Internal Medicine 50 years experience
Do not ignore it: Any new growth is concerning and warrants attention. Leukoplakia, a white growth on the mucous membranes of the mouth and elsewhere, can be malignant ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsAnswered >2 years ago
A 23-year-old female asked:

Dr. Arthur Sgaliaanswered
Internal Medicine 50 years experience
A difficult problem.: SIck sinus syndrome can be difficult to treat because it is often a combination of episodes when the heart rate is too fast, alternating with episodes... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsAnswered >2 years ago
1 comment
A 21-year-old male asked:

Dr. Arthur Sgaliaanswered
Internal Medicine 50 years experience
Worried?: What are you worried about, Julia? A rapid heart beat and shortness of breath need to be addressed. The blood work, echo and stress test are all helpf... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsAnswered >2 years ago
A 56-year-old male asked:

Dr. Arthur Sgaliaanswered
Internal Medicine 50 years experience
Examine colon: Colonoscopy allows the gastroenterologist to directly examinr the inner lining (mucosa) of the entire large intestine. In so doing, conditions like co... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsReviewed >2 years ago
A 38-year-old female asked:

Dr. Arthur Sgaliaanswered
Internal Medicine 50 years experience
An emergency!: When lower abdomen hurts when you breathe in, it is likely that you are developing peritonitis in that area. This can be cause by an appendix about to... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsReviewed >2 years ago
A 17-year-old male asked:

Dr. Arthur Sgaliaanswered
Internal Medicine 50 years experience
AND HEALTHY GUMS!: Regular brushing and flossing is just as important for gum health! People lose even good teeth from unhealthy gums. Brushing properly (up and down, al... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsReviewed >2 years ago
A 52-year-old female asked:

Dr. Arthur Sgaliaanswered
Internal Medicine 50 years experience
Cold sores: first, you need to be sure they are indeed cold sores, or herpes simplex. A physician or dentist can help. If they are indeed a herpes simplex infecti... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsReviewed >2 years ago
A 19-year-old male asked:

Dr. Arthur Sgaliaanswered
Internal Medicine 50 years experience
Yes: The metal in earrings, especially the inexpensive ones, often contains nickel, to which many people are allergic. Using solid gold posts is the best c... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 31-year-old male asked:

Dr. Arthur Sgaliaanswered
Internal Medicine 50 years experience
Family matters: Usually uncommon, unless you have a genetic predisposition to clotting. This is not uncommon and can run in families. Specialized blood tests are need... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsAnswered >2 years ago
A 19-year-old female asked:

Dr. Arthur Sgaliaanswered
Internal Medicine 50 years experience
Not necessarily...: Ulcers, or gastritis without ulcer, can cause pain, or bleeding, or both. The pain can be quite severe without bleeding. On the other hand, bleeding c... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsReviewed >2 years ago
A 16-year-old female asked:

Dr. Arthur Sgaliaanswered
Internal Medicine 50 years experience
Dad: harry, you need to have a chat with your dad. He can explain it to you. If he is not around, ask your mom, or have her take you to talk with your doct... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsReviewed >2 years ago
A male asked:

Dr. Arthur Sgaliaanswered
Internal Medicine 50 years experience
No: It sounds like you were treated for a cold sore, herpes simplex type 1, and a possible bacterial infection on top of it. It sounds like the treatment ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsAnswered >2 years ago
A 60-year-old female asked:

Dr. Arthur Sgaliaanswered
Internal Medicine 50 years experience
Controversy: the new guidelines allowing higher blood pressures in patients over 60 are very controversial. They fly in the face of many other studies suggesting l... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsReviewed >2 years ago
A 26-year-old male asked:

Dr. Arthur Sgaliaanswered
Internal Medicine 50 years experience
Infection?: A bladder infection is the first thing to come to mind. A urinalysis and culture are in order. In some cases, especially with fever, it might be good ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 36-year-old female asked:

Dr. Arthur Sgaliaanswered
Internal Medicine 50 years experience
Not your ear: The sound is not likely coming from the ear itself, or a muscle at all. More likely a ligament or bone in your upper neck is the source. You would be ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsAnswered >2 years ago
A 48-year-old female asked:

Dr. Arthur Sgaliaanswered
Internal Medicine 50 years experience
A few possibilities: There are a few causes of fluid collection in the ankles. All are typically worse at the end of a day of being on your feet. Commonly, this is just an... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsAnswered >2 years ago
A 24-year-old female asked:

Dr. Arthur Sgaliaanswered
Internal Medicine 50 years experience
Maybe..: While the sour taste and sore throat suggest GERD, gastroesophageal reflux disease, the lump is a little out of the ordinary. Your doctor may want to ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsReviewed >2 years ago
A 20-year-old female asked:

Dr. Arthur Sgaliaanswered
Internal Medicine 50 years experience
No need to fear..: You did not say why your periods stopped. At your agree it I'd very likely the lack of glow can be reversed. Most doctors went into their profession b... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsReviewed >2 years ago
A 36-year-old male asked:

Dr. Arthur Sgaliaanswered
Internal Medicine 50 years experience
Several possibilitie: Unless someone, a doctor, told you that you have ALS, I don't think that is the first thing to come to mind. Electrolyte abnormalities (K, Ca, Mg) sho... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsAnswered >2 years ago
A 31-year-old male asked:

Dr. Arthur Sgaliaanswered
Internal Medicine 50 years experience
Kegel: There are exercises known as Kegel which are used to strengthen the "pelvic floor " muscles. If you squeeze in ,as though you have urinate but are try... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsAnswered >2 years ago
A 22-year-old male asked:

Dr. Arthur Sgaliaanswered
Internal Medicine 50 years experience
Workup is not done!: The most common cause at your age would be something called exercise induced asthma. These attacks usually occur when exercising of in cold weather. A... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k 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
76
Thank you notes
HealthTap member
Mar 31, 2015
Dr. Sgalia is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Sgalia is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer was very helpful! I will pass along your info to my GP & Urologist! Thanks again. H.
HealthTap member
Thanks! I'm always very careful about paracetamol, because it can be dangerous! I think it was the tea :)
HealthTap member
Thank you, your answer was very helpful! I have only recently been diagnosed 2/3 years ago. Thank you
Education & Training
Medical/Graduate school
University at Buffalo, The State University of New York School of Medicine & Biomedical Sciences, NY
Graduated 1973MD
Awards
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