Dr. William Coutts ii

Family Medicine 28 years experience

Urgent vs emergent: Call 911 and have them take you to the emergency room. I am reading this 7 hrs after it was submitted, so don't know know how you are doing now. This... Read More

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2.4k viewsReviewed >2 years ago

Dr. Hirenkumar Italia agrees1 doctor agrees

A 18-year-old male asked:

If i smoked 3 grams of marijuana in one night, how long would it take to leave my system? i was a chronic user up until a month ago.

Family Medicine 28 years experience

A long time: The half-life of THC, which is the active ingredient in marijuana is 30 days. In other words, 30 days after you completely stop using marijuana, 1/2 ... Read More

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2.4k viewsReviewed >2 years ago

Dr. Evan Altman and 4 doctors agree5 doctors agree

1 comment

A 58-year-old female asked:

Jaicy 32years has endometriosis. she has severe pain . what to do?

Family Medicine 28 years experience

OB/GYN evaluation: Since you live in the UAE, I would try to go to Mumbai, India, or Tel Aviv or Jerusalem. Israel to get evaluated and treated. There may be an America... Read More

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2.4k viewsReviewed >2 years ago

Dr. Susan Rhoads agrees1 doctor agrees

A 27-year-old female asked:

I bumped my elbow hard today on something. no bruising or swelling but really hurts! should i ice it? or what?

Family Medicine 28 years experience

Ice: I would definitely recommend icing your elbow for 20 minutes 3-4 times per day for a few days. Asking as it is relatively functional. If it contin... Read More

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3.6k viewsReviewed >2 years ago

Dr. Carrie Cannon agrees1 doctor agrees

A 19-year-old female asked:

I'm not on birth control and im sexually act, i feel as if i'm pregnant for certainly, i have a missed period,sore breast an other symptoms could i be?

Family Medicine 28 years experience

Possibly: Those women who are sexually active without using birth control usually get the name Mother at some point in time. You should definitely do a home pre... Read More

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3.6k viewsReviewed >2 years ago

Dr. Melissa Gowans and another doctor agree2 doctors agree

A female asked:

Was given provera (medroxyprogesterone) 10mg for 14 days once a day. how many days after last tablet should i expect my period? thank you in advance

Family Medicine 28 years experience

Very soon: You should have a heavy period within one to three days after stopping the Provera (medroxyprogesterone). Wear a heavy pad of tampon.

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3k viewsReviewed >2 years ago

Dr. Natalie Hodge agrees1 doctor agrees

A 32-year-old female asked:

Is it ok to get a tattoo on my right shoulder a few days before carpal tunnel release surgery? ( having surgery on my right hand)

Family Medicine 28 years experience

No!: Getting tattoos and body piercings greatly increase the risk of hepatitis (viral infection of the liver ) or some other infection. There has been an ... Read More

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3k viewsAnswered >2 years ago

A 26-year-old female asked:

I have two small bumps on my right buttcheek. they are very small and rub against the left cheek. they have been there for about 3 days.

Family Medicine 28 years experience

Infection: You more than likely have a staphylococcal infection. Make an appointment with your family doctor or go to an urgent care center to get this infecti... Read More

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2.9k viewsAnswered >2 years ago

A 23-year-old female asked:

Me and my girlfriend are both itching between our legs and getting small weltz that worsen the itching what is it??? how can i treat it???

Family Medicine 28 years experience

Pubic lice: You both may have pubic lice. See your PCP or go to an urgent care clinic ASAP and get them treated.

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2.9k viewsAnswered >2 years ago

A 62-year-old female asked:

What causes intermittent vaginal itching. i'm 62 and have had a complete hysterectomy years ago . i do not take hormones.

Family Medicine 28 years experience

Postmenopausal: For most women, their ovaries begin to decrease their function around age 35. This results in decreasing production of estradiol, progesterone and tes... Read More

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2.4k viewsReviewed >2 years ago

Dr. John Feola and another doctor agree2 doctors agree

A 31-year-old male asked:

Can a tight bladder neck go back to normal on med and bladder training like my doc said? or will i have until need surgery? he said try train bladder

Family Medicine 28 years experience

Hormonal: Urinary/bladder problems in females is often due to a hormone problem. Get your estradiol, progesterone, LH, FSH, TSH, FT4, FT3, thyroid peroxidase a... Read More

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2.4k viewsReviewed >2 years ago

Dr. Kathirae Severson agrees1 doctor agrees

2 comments

A 35-year-old male asked:

I got a problem with swallowing solid food. i got the problem after taking cipro. i went to a gi doctor had a upper edoscopy and it came back normal. i been taking nexuim and doesn't help much. i called the doctor back he just started me on pantoprazole.

Family Medicine 28 years experience

Magnesium: You may be magnesium deficient. Magnesium is critical for proper nerve & muscle function. Nexium (esomeprazole) depletes body stores of magnesiu... Read More

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2.4k viewsAnswered >2 years ago

A 24-year-old female asked:

I haven't had a period since january. i had a trauma occur in january. i've been put on anxiety meds and risperidone. do i need to be worried about it?

Family Medicine 28 years experience

Hormones: Make an appointment with your family doctor or OB/GYN and have them check your estradiol, progesterone, LH and FSH on day 21 of your menstrual cycle. ... Read More

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2.8k viewsReviewed >2 years ago

Dr. Alvin Lin agrees1 doctor agrees

A 23-year-old male asked:

I have a shooting pain in my left leg. it's hard to find a comfortable position while laying in bed. what can i do to address this?

Family Medicine 28 years experience

Hard to tell: I would go to an urgent care clinic in the morning to get your leg pain evaluated and treated. If the pain bothers you too much during the night, the... Read More

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2.7k viewsReviewed >2 years ago

Dr. John Feola agrees1 doctor agrees

A 59-year-old female asked:

Is it safe to take a digestive enzyme when your taking levoxyl (thyroxine)?

Family Medicine 28 years experience

No problem: Taking digestive enzymes should not cause a problem with your thyroid medicine.

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2.5k viewsAnswered >2 years ago

A 23-year-old female asked:

I'm in a lot of pain in my abdomen and my lower back?

Family Medicine 28 years experience

Depends: Abdominal pain, even if severe can be due to a number of causes. It could be anything from simple constipation to something very serious. If constipat... Read More

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2.8k viewsReviewed >2 years ago

Dr. Alan Ali and another doctor agree2 doctors agree

A 66-year-old female asked:

I am chronic diarrhea big time. i have tried many things to stop it. added fiber, cut out certain foods, etc. my stool is stringy with mucos....any?

Family Medicine 28 years experience

Probiotics : I have found the use of probiotics to be very useful to treat many forms of diarrhea. Probiotics are the good kinds of bacteria that are needs for pro... Read More

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2.3k viewsReviewed >2 years ago

Dr. Liesa Harte and another doctor agree2 doctors agree

A 67-year-old member asked:

What can be done for neuropathy in my feet after i had chemotherapy?

Family Medicine 28 years experience

Supplements: I have a regimen that I have found to be very effective for neuropathy: 1) alpha lipoic acid 300 mg 2-3 x / day 2) B-complex 1 tab daily 3) magnesium ... Read More

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2.7k viewsAnswered >2 years ago

A 36-year-old male asked:

Please share an interesting fact about tmj syndrome.

Family Medicine 28 years experience

Ignore: Magnesium supplements will help relax the muscles controlling the joint and help relieve the pain.

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3.5k viewsAnswered >2 years ago

A 36-year-old male asked:

Please share an interesting fact about hair care.

Family Medicine 28 years experience

Ignore: Healthy hair is more about eating a good nutritional diet, than anything that you put on your hair.

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3.5k viewsAnswered >2 years ago

A 22-year-old female asked:

When should i test again if no normal period comes?

Family Medicine 28 years experience

About a week.: Test again in seven to ten days.

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3k viewsReviewed >2 years ago

Dr. Hirenkumar Italia agrees1 doctor agrees

A 23-year-old female asked:

I've had cramps for 1 1/2 mths. i had my period for one day. doc said my ultrsd was negative and negative pelvic exam. i still have pain.whatcoulditbe?

Family Medicine 28 years experience

Hormones vs GI tract: You need a thorough menstrual hx: PMS, breast tenderness, menstrual flow, clots, cramps. Are you having regular bowel movements? Changes in stool colo... Read More

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3.3k viewsAnswered >2 years ago

A 32-year-old male asked:

Asthma...i take both preventive and rescue inhaler but my asthma not under control..i know it's not good to take ventolin a lot but i do..6 times aday?

Family Medicine 28 years experience

Know your triggers: Asthma always has certain things (your "triggers") that cause the bronchospasm and inflammation of the lining of your airways. Common triggers are: ex... Read More

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2.7k viewsReviewed >2 years ago

Dr. Al Hegab and 2 doctors agree3 doctors agree

2 comments

A 26-year-old female asked:

I have dark spot on my cheeks since one month. will you please suggest me any medication. ?

Family Medicine 28 years experience

Dermatologist: The best option would be to see a dermatologist and have them evaluate the cause and then recommend the best treatment.

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2.7k viewsReviewed >2 years ago

Dr. Dariush Saghafi agrees1 doctor agrees

A 20-year-old female asked:

I look after a friend with seizures, both absence and grand mal. when she has a major seizure, what should i do besides clear the space? how can i help her?

Family Medicine 28 years experience

Airway: Always make sure that she has an unobstructed airway while she is having a seizure. Pay close attention to the sound of her breathing. There should be... Read More

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2.7k viewsReviewed >2 years ago

Dr. Sewa Legha agrees1 doctor agrees

A 40-year-old male asked:

When i was having sex went soft now think going to happen again if i'm on my own have no problems could be anxiety need to relax but how thanks?

Family Medicine 28 years experience

Better diet: Make sure tha you are getting all essential amino acids , adequate minerals especially zinc and magnesium, omega-3 fatty acids.

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2.5k viewsAnswered >2 years ago

A 46-year-old female asked:

Any chance of adding couple inches of height at my age(41)? heard that bones in some people (rare) don't close & they can still grow more. is it true?

Family Medicine 28 years experience

No: Once the growth plates fuse in your late teens to early twenties, growth in skeletal height stops. Focus on a good healthy life style and enjoy your g... Read More

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2.4k viewsAnswered >2 years ago

A male asked:

I work as a clerk in a supermarket. i have to bend down on my knee often, and overtime, my right knee feels mushy, should i get checked out?

Family Medicine 28 years experience

Orthopedic eval: Yes you need a thorough history and physical examination to evaluate your knee. Repetitive movements like you do on a daily basis require aggressive e... Read More

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2.8k viewsReviewed >2 years ago

Dr. Alan Ali and 2 doctors agree3 doctors agree

A 30-year-old female asked:

Im having mild cramps my cycle has been off since friday. what should i do?

Family Medicine 28 years experience

Magnesium / hormones: Magnesium is a great muscle relaxer and can help with menstrual cramps. Try taking magnesium glycinate 200 - 300 mg orally 3x/d as soon as the menstr... Read More

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2.4k viewsAnswered >2 years ago

A 29-year-old male asked:

I have developed brown spots that look like dead skin on my left hand near my knuckles. i'm freaked out. please help.

Family Medicine 28 years experience

Doctor appointment: Without a detailed history plus a photograph or a more detailed description, it is hard to make a diagnosis. I would encourage you to make an appointm... Read More

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3.9k viewsAnswered >2 years ago

A 41-year-old member asked:

What are the signs of a heart issue even though my ekg is normal?

Family Medicine 28 years experience

Cardiac evaluation: You may need a treadmill stress test. Laboratory blood work such as: fasting lipid panel, C reactive protein, homocysteine, basic metabolic panel. If... Read More

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3.9k viewsAnswered >2 years ago

A 48-year-old female asked:

I have reflux. pepcid (famotidine) used to work. i took prilosec 2 months ago and that worked. what would you recommend for treatment?

Family Medicine 28 years experience

Stomach infection?: Frequently this is caused by a stomach infection. Go see your family doctor or a gastroenterologist. He/She will take a history , do a physical exam a... Read More

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3.9k viewsReviewed >2 years ago

Dr. Walter Husar agrees1 doctor agrees

A 19-year-old female asked:

I m having chronic nausea for d past 2 years..doctors say these r medically unexplained symptoms..is it a cause for worry? i m not pregnant..

Family Medicine 28 years experience

Not pregnant: I am sure that you have not been pregnant the past two years. You would probably benefit from seeing a gastroenterologist. This is doctor that speci... Read More

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3.9k viewsAnswered >2 years ago

A 21-year-old female asked:

I got my iron hemoglobin checked today and it was 9.2. how low is that? am i anemic?

Family Medicine 28 years experience

Anemic: Your hemoglobin level should be about 11.7 -12.5 depending on the lab's reference values. So yes you are anemic. You may not be gtting enough iron in ... Read More

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3.7k viewsReviewed >2 years ago

Dr. Jovita Anyanwu and 2 doctors agree3 doctors agree

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A 25-year-old female asked:

I have adult add and haven't been taken my medication for a long one i was just wondering if a sign or symptom of add was not neon able to keep a job?

Family Medicine 28 years experience

Yes it is a sign.: ADD is a very challenging condition. Without your medication, probably have significant difficulty completing your tasks at any job. I encourage you t... Read More

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3.7k viewsAnswered >2 years ago

A 30-year-old female asked:

Hi, i have a problem with my skin ,my skin is dry skin?

Family Medicine 28 years experience

Multiple causes: Dry skin can be due to various causes. It may be due to a thyroid problem, contact with harsh chemicals, dry climate, etc. Make an appointment with yo... Read More

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3.3k viewsAnswered >2 years ago

A 55-year-old female asked:

Is it possible that i cannot tolerate ssri's anymore. in the past they worked but after menopause, they seem to cause me extreme anxiety?

Family Medicine 28 years experience

Change medication.: Venlafaxine or desvenlafaxine may be more effective in treating your anxiety.

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3.8k viewsAnswered >2 years ago

A 23-year-old female asked:

My hair has been falling out alot, my hair has thinned so much that you can start to see balding spots, would using biotin shampoo help?

Family Medicine 28 years experience

Thyroid deficiency: I see that you have had a thyroidectomy. Your thyroid hormones are probably not at the levels that they need to be. Ask your doc to check your thyroi... Read More

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3.6k viewsReviewed >2 years ago

Dr. Kenny Chuu agrees1 doctor agrees

A 26-year-old male asked:

I don't think i have diabetes but i get a warm sensation in my right foot once in a while?

Family Medicine 28 years experience

Neuropathy : Diabetes can cause neuropathy (nerve damage) from the high blood sugars. You should be evaluated for diabetes and get treated as indicated.

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3.7k viewsReviewed >2 years ago

Dr. Jovita Anyanwu and another doctor agree2 doctors agree

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A female asked:

I have a large painful squishy lump on top of my head, haven't had any recent head injury, its been getting gradually larger and more painful.

Family Medicine 28 years experience

Examination: You need to make an appointment with your family doctor or a dermatologist to have this area of your head examined.

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3.2k viewsReviewed >2 years ago

Dr. Melissa Gowans agrees1 doctor agrees

A female asked:

I have a lump on my left shoulder notice it 3 years ago, since then i notice its getting a bit bigger maybe a size of a quarter.please help

Family Medicine 28 years experience

Physical examination: You need to make an appointment with your family doctor/internest to have the lump on your shoulder physically examined in person. The lump could be o... Read More

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3.2k viewsAnswered >2 years ago

A 36-year-old female asked:

What is it when my lower abdomen is fluttering or twitching it lasts almost 20 seconds, never felt this before, just wondering, no other issues?

Family Medicine 28 years experience

Water, fruits, veget: Make sure that you are drinking 1.5-2 liters of water/day. Also eating 5-7 servings of fruit/vegetables/seeds/nuts daily to get your minerals(especia... Read More

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3.2k viewsReviewed >2 years ago

Dr. Martin Raff and another doctor agree2 doctors agree

A 25-year-old female asked:

I started spotting on 13 to 16 now again on 28 and still going its not coming down only when i wipe all i want to do is sleep everyday all day?

Family Medicine 28 years experience

Hormone imbalance: It sounds like you may have relatively too much estrogen and not enough progesterone. This can cause irregular menstrual bleeding. This type of hormo... Read More

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2.9k viewsAnswered >2 years ago

A 27-year-old female asked:

Breast pain in left breast for 6 months. had a negative ultrasound. what could it be?? can't sleep on that side. too tender.

Family Medicine 28 years experience

Caffeine, hormones: Many females have problems with caffeine causing breast pain. Sometimes breast pain is due an imbalance between too much estrogen and/or too little pr... Read More

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2.4k viewsAnswered >2 years ago

A 20-year-old female asked:

Can i take one 325 mg of aspirin if i have a jaw ache?

Family Medicine 28 years experience

Jaw pain relief: You can take an adult asprin (325 mg) four times a day for your jaw ache. You should see your doctor or your dentist if the pain does not resolve or g... Read More

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3.9k viewsAnswered >2 years ago

A 17-year-old female asked:

If i hurt my rotators cuff will i ever be able to play volleyball or tennis again?

Family Medicine 28 years experience

Shoulder evaluation: Your should see an orthopedic surgeon and let him/her evaluate your shoulder. He/She may recommend physical therapy or surgery depending on their eval... Read More

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3.9k viewsAnswered >2 years ago

A 45-year-old female asked:

Fasciculation on chest/pec muscle that's been steady.how long could this go on?have seen neuro and had head/neck mri.never had such a steady one.

Family Medicine 28 years experience

Low minerals: You may be low in magnesium and potassium intake. Do a search for magnesium rich foods and try to get 400 mg/d. Search for potassium rich foods and tr... Read More

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3.8k viewsAnswered >2 years ago

A 24-year-old male asked:

I went to er my nose stuffy throat soar itches doc said its my allergies he gave me allegra (fexofenadine) 180mg can i take it again before 24hrs? taking shots again

Family Medicine 28 years experience

Just once a day: Taking more than the recommeded dose or frequency will not be over all beneficial. Dizziness, drowsiness, and dry mouth have been reported with ALLEG... Read More

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3.8k viewsReviewed >2 years ago

Dr. Carrie Cannon and another doctor agree2 doctors agree

A 35-year-old female asked:

Green tea and acne connection? recently i have been drinking large amounts of it coupled with high doses of biotin. my acne scars are nearly gone.

Family Medicine 28 years experience

Green tea: I think that it is mainly the antioxidants in the green tea that reduces inflammation and may decrease the androgenic hormonal effects to some extent ... Read More

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3.8k viewsAnswered >2 years ago

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A 24-year-old female asked:

Why the ob's are calculating the due date based on lmp? period can happen over pregnancy also,...how relevant is lmp then?

Family Medicine 28 years experience

Ovulation: The menstrual cycle is very structured. The first day that you bleed is the first day of your menstrual cycle. You ovulate or release an egg from one ... Read More

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3.8k viewsAnswered >2 years ago