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Dr. Neil Kudler

Internal Medicine
Srpingfield, MA
31 years experience male

Locations

Baystate Medical Practices

Srpingfield, MA

Address

3300 Main Street, Srpingfield, MA
Directions

About

Bio

I am a primary care internist and HIV specialist and serve as chief medical information officer for Baystate Health in Springfield MA.

Specialties
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

Addiction Medicine

Internal Medicine - Infectious Disease

Urgent Care

Languages spoken

English

Doctor Q&A

108 Answers
23 Agrees
The number of answers this doctor has agreed with.
A 24-year-old male asked:
Dr. Neil Kudler
Internal Medicine 31 years experience
None: But it will say that 3mg of Lorazepam is very high dose. It is generally prescribed at 0.5-1mg. There are more effective ways to treat anxiety if tha... Read More
A 32-year-old male asked:
Dr. Neil Kudler
Internal Medicine 31 years experience
No: This is something called a benign fasciculation (twitch). These are harmless though irritating and can be brought on by fatigue or anxiety, though mor... Read More
A 24-year-old female asked:
Dr. Neil Kudler
Internal Medicine 31 years experience
Not likely: Over the counter pregnancy tests are very sensitive and accurate. While it is possible to get pregnant from protected sex, when used properly condoms... Read More
A 43-year-old male asked:
Dr. Neil Kudler
Internal Medicine 31 years experience
Yes: If the rash looks like lots of dots that do not go away when you press on them, he may have something like Henoch Schoenlein purpura, a condition that... Read More
A 25-year-old male asked:
Dr. Neil Kudler
Internal Medicine 31 years experience
Nothing wrong : This may be what is called a "globus" sensation or could be related to your stated history of acid reflux. The globus sensation is generally associate... Read More
A 17-year-old male asked:
Dr. Neil Kudler
Internal Medicine 31 years experience
Maybe : Cannabinoids are fat-soluble, meaning they stick to your fats cells rather than being flushed out of the system by water, like alcohol. This being the... Read More
A 34-year-old female asked:
Dr. Neil Kudler
Internal Medicine 31 years experience
No: Neither steroids or gallstones affect platelets. Your platelet count of 131 is just below the limit of normal. 106 is low but not worrisome. The chan... Read More
A 36-year-old female asked:
Dr. Neil Kudler
Internal Medicine 31 years experience
HIDA scan?: This test can help determine whether you have another related condition, e. g. acalculus cholecystitis, biliary dyskinesia, etc. I don't imagine fanc... Read More
A 22-year-old female asked:
Dr. Neil Kudler
Internal Medicine 31 years experience
No: No, neither Aflamin or esomeprazole are known to have psychoactive effects and they do not have any other interactions with marihuana.
A 22-year-old female asked:
Dr. Neil Kudler
Internal Medicine 31 years experience
Metronidazole: Metronidazole (Flagyl) has replaced penicillin G as the first drug of choice. For mild tetanus, the preferred route is by IV four times a day for ten... Read More
A 57-year-old female asked:
Dr. Neil Kudler
Internal Medicine 31 years experience
See a physician : A 58 year old man with these symptoms should see his physician as soon as reasonable. There are too many possibilities to cover here and some are quit... Read More
A 45-year-old female asked:
Dr. Neil Kudler
Internal Medicine 31 years experience
Low dose: 10mg is a low dose of citalopram. Therapeutic dose is generally 20-40mg daily depending on the severity of your symptoms and response to the medicati... Read More
A 54-year-old female asked:
Dr. Neil Kudler
Internal Medicine 31 years experience
Depends : Stomach spasm and " spastic colon" are outdated names for irritable bowel syndrome. This is characterized by cramps episodic belly pain that is associ... Read More
A 25-year-old female asked:
Dr. Neil Kudler
Internal Medicine 31 years experience
Why?: Mucinex (guaifenesin) is a standard expectorant (loosens mucus) and can relieve symptoms. Similasan is a homeopathic agent. The biggest risk is not kn... Read More
A 26-year-old female asked:
Dr. Neil Kudler
Internal Medicine 31 years experience
It's a multivitamin: Ovacare is a multivitamin that contains Inositol, L-Arginine, Folic Acid, Vit. B12, B6, and Selenium. These are commonly found in other multivitamins... Read More
A 28-year-old female asked:
Dr. Neil Kudler
Internal Medicine 31 years experience
Not pregnant: A beta hCG test showing less than 2 simply means that you are not pregnant. Nothing to worry about.
A 18-year-old female asked:
Dr. Neil Kudler
Internal Medicine 31 years experience
Intervention time: Your mom needs you and whomever else cares for her to intervene and get her to medical attention and drug rehabilitation.
A 24-year-old male asked:
Dr. Neil Kudler
Internal Medicine 31 years experience
Within normal range: This description is not concerning. However, if you feel uncomfortable, you might consider increasing fiber in your first with bran, psyllium, and who... Read More
A 26-year-old female asked:
Dr. Neil Kudler
Internal Medicine 31 years experience
No: If both you and your partner have been adequately treated and you are neither of you are having sexual relations with anyone else, the infection is al... Read More
A 29-year-old female asked:
Dr. Neil Kudler
Internal Medicine 31 years experience
Please clarify: Is your left hand newly weak or just weaker than the right because of your natural right handedness. If you have sudden onset left handed weakness, y... Read More
A 44-year-old female asked:
Dr. Neil Kudler
Internal Medicine 31 years experience
Appendicitis?: If your husband has pain in the right lower side of his belly near and symptoms started within the last 24 hours, he may have appendicitis. If this is... Read More
A 23-year-old female asked:
Dr. Neil Kudler
Internal Medicine 31 years experience
Should be: The morning after pill is effective up to 72 hours after intercourse. It prevents implantation of a potentially fertilized egg into the uterine wall. ... Read More
A 18-year-old female asked:
Dr. Neil Kudler
Internal Medicine 31 years experience
IBS: Assuming your are straining due to constipation, this would be the most likely cause of blood due to the formation of hemorrhoids. Bloating, cramps p... Read More
A 62-year-old female asked:
Dr. Neil Kudler
Internal Medicine 31 years experience
Possibly: You may have had an incomplete disimpaction or may be having some cramping as a result of an increase in intestinal movements or gas. If you have neve... Read More
A 18-year-old male asked:
Dr. Neil Kudler
Internal Medicine 31 years experience
Maybe: Exercise-induced headaches are most always benign and can last for many hours. Like most headache types the cause is not known. But there are more ser... Read More
A 31-year-old female asked:
Dr. Neil Kudler
Internal Medicine 31 years experience
It shouldn't. : Stay well hydrated, rest up and if you have trouble eating and/or drinking, you should contact your OB. The body is a remarkable self-healing machine ... Read More
A 23-year-old female asked:
Dr. Neil Kudler
Internal Medicine 31 years experience
Internist/rheum: You should seek the evaluation of a general internist or rheumatologist. Your description suggests, but is not diagnostic for, certain types of arthr... Read More
A 54-year-old female asked:
Dr. Neil Kudler
Internal Medicine 31 years experience
Yes: If your have a history of cancer in this breast, ultrasound testing may not be adequate to diagnose a benign cyst. See your medical and/or surgical on... Read More
A 30-year-old male asked:
Dr. Neil Kudler
Internal Medicine 31 years experience
Takes time: You were castes for 6 weeks during which your fractured bone healed. It takes at least another 6-8 weeks of rehabilitation to expect return to normal.... Read More
A 25-year-old female asked:
Dr. Neil Kudler
Internal Medicine 31 years experience
Muscle strain: This is a rib cage muscle strain as you describe it. Depending on how you were injured (anything from a sneeze to a bad car accident) you should fully... Read More
A 44-year-old male asked:
Dr. Neil Kudler
Internal Medicine 31 years experience
Depends: The decision to have percutaneous coronary intervention for single vessel dz depends on the presence of heart failure symptoms, predictable chest pain... Read More
A 28-year-old female asked:
Dr. Neil Kudler
Internal Medicine 31 years experience
Ringworm?: Sounds like you have a case of tinea corporis, commonly called ringworm, though is a fungal infection. The warmth and moistness of that part of the b... Read More
A 27-year-old female asked:
Dr. Neil Kudler
Internal Medicine 31 years experience
Anti fungal cream: Over the counter clotrimazole. If this is ineffective, see your doctor to make sure of the cause. Prescription antifungals include ketoconazole and ny... Read More
A 32-year-old female asked:
Dr. Neil Kudler
Internal Medicine 31 years experience
Dehydration: As you said, you needed to receive IV fluids because you were dehydrated. Assuming you weren't when you saw the oral surgeon, your veins are surely a ... Read More
A 22-year-old male asked:
Dr. Neil Kudler
Internal Medicine 31 years experience
Irritant: Alcohol can cause a variety of stomach issues including gastritis and heartburn/acid reflux. These can feel like heat, particularly if you drink on an... Read More
A 41-year-old member asked:
Dr. Neil Kudler
Internal Medicine 31 years experience
Green macaque : It is theorized that HIV has its origin in SIV, simian immunodeficiency virus, a virus that behaves much the same in the green macaque monkey from Cen... Read More
A 37-year-old male asked:
Dr. Neil Kudler
Internal Medicine 31 years experience
Ignore: If your systolic blood pressure is lower than 90mm Hg and you feel dizzy and weak, see your doctor.
A 25-year-old female asked:
Dr. Neil Kudler
Internal Medicine 31 years experience
Low: If you do not have a family history of blood clotting disorders, then your risk of blood clots during pregnancy, and throughout life, is very low. Bir... Read More
A 20-year-old female asked:
Dr. Neil Kudler
Internal Medicine 31 years experience
No: No, this isn't dangerous, but it can be quite uncomfortable. Increase the fiber in your diet, e.g. psyllium, bran cereal, or, if you become uncomfort... Read More
A 20-year-old female asked:
Dr. Neil Kudler
Internal Medicine 31 years experience
MD supervision: Please discuss this with your OBGYN provider. There are options regarding the decision to terminate your unwanted pregnancy and a compassionate provi... Read More
A 35-year-old female asked:
Dr. Neil Kudler
Internal Medicine 31 years experience
Clothing : Depending on the materials of your undergarments the warmth and natural moisture of the waist and pelvic region may be getting "trapped". Try a breath... Read More
A 32-year-old female asked:
Dr. Neil Kudler
Internal Medicine 31 years experience
Costochondritis : This sounds like a typical case of costochondritis, inflammation of the cartilage at the joint of rib to sternum ("chest plate"). Ibuprofen can be hel... Read More
A 37-year-old female asked:
Dr. Neil Kudler
Internal Medicine 31 years experience
Yes: Having your Fallopian tubes cut and tied off on each end does not affect the hormones that maintain and promote pregnancy. Tying tubes prevents the e... Read More
A 26-year-old female asked:
Dr. Neil Kudler
Internal Medicine 31 years experience
6 weeks: It generally takes about 6 weeks for a metacarpal hairline fracture to heal when casted.
A 20-year-old female asked:
Dr. Neil Kudler
Internal Medicine 31 years experience
No problem: These two medications should have no significant interactions.
A 26-year-old female asked:
Dr. Neil Kudler
Internal Medicine 31 years experience
No: Riding a bicycle or scooter would not have any effect on your chance of getting pregnant.
A 25-year-old female asked:
Dr. Neil Kudler
Internal Medicine 31 years experience
Depends: This could be gentile herpes, though herpes generally shows up as painful ulcers that can come and go. This could also be genital warts, a fungal inf... Read More
A 66-year-old male asked:
Dr. Neil Kudler
Internal Medicine 31 years experience
TMJ?: Consider seeing a dentist for evaluation of TMJ (temporomandibular joint) dysfunction. It is often the result of grinding and/or clenching of the jaw,... Read More
A 34-year-old female asked:
Dr. Neil Kudler
Internal Medicine 31 years experience
Possible: While it is surely possible that you are pregnant if you are no longer using contraception, it is also common to have some irregularity of your period... Read More
A 19-year-old male asked:
Dr. Neil Kudler
Internal Medicine 31 years experience
Don't worry : A single measurement of testosterone is not diagnostic. To know whether you have low testosterone, a pooled study should be performed. This is done by... Read More

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Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

2
Recommendations
123
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Kudler is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Kudler is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer was very helpful! My previous lump seemed to be benign even after being removed .Scared.
HealthTap member
Thanks for your quick reply! We have tried sleep hygiene but the insomnia has gotten worse lately.
HealthTap member
Thanks for your quick reply! So much info. out there;thank you for peace of mind.Blessings to U.

Education & Training

Medical/Graduate school

New York University School of Medicine, NY
Graduated 1991MD

Residency

UCSF MEDICAL CENTER
Completed 1994

Awards

Top Doctor, Third Place, Springfield Region - Summer
2014
Top General Internist, First Place, Springfield Region - Summer
2014
HealthTap Founding Doctor
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
in 24 hours or less