Dr. Laura Armas-Kolostroubis

Internal Medicine 37 years experience

Antihistaminics: You may use over the counter anti-histaminics, especially the non-drowsy ones, like loratadine (claritin) or cetirizine (zyrtec). use daily during you... Read More

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A 24-year-old female asked:

How do i know i am dehydrated to the point of needing to go to the er? i have had diarrhea for a week now

Internal Medicine 37 years experience

Urine output, dizzy: If you feel weak, dizzy when standing up or if you are producing small amounts of very concentrated urine and you cannot keep fluids down you must see... Read More

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A 37-year-old male asked:

Please provide some do's and don'ts on dealing with syphilis.

Internal Medicine 37 years experience

Ignore: Use protection for all sexual activities (oral, anal, vaginal), inform partner, finish antibiotics.

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A 18-year-old female asked:

Feeling very nauseous from taking metronidazole for bv.should i stop taking it or not?

Internal Medicine 37 years experience

Finish it: This is a common side effect as well as an after taste. Take it with food, chocolate or peanut butter help with the metallic after-taste (watch calori... Read More

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A 21-year-old female asked:

Is it true that if a male takes medications daily , there are chances of his sperm being low and not getting a women pregnant?

Internal Medicine 37 years experience

It depends: Some medications can interfere with fertility, either by interfering with sperm production, decreasing libido or blocking the sperm ability to fertili... Read More

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A 21-year-old female asked:

Had a horrible vaginal odor and watery brown discharge. found a tampon left inside me for 3 weeks and removed it. what do i do now?

Internal Medicine 37 years experience

May need evaluation: As bad as it sounds, it is not uncommon. You already removed the offending agent. Here are some signs that you may need to be seen by your doctor: Per... Read More

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A 41-year-old female asked:

Is bile the same as stomach acid when a person has the dry heaves or stomach acid?

Internal Medicine 37 years experience

No, different source: Bile is a fluid produced in the biliary tree in the liver, whereas stomach acid is the fluid produced in your stomach to assist with digestion. Dry he... Read More

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A 25-year-old female asked:

I have sharp stabbing pain across my right abdomen under ribs. also nausea and vomiting every time i move pain is worse?

Internal Medicine 37 years experience

Go to the ER: Nausea, vomiting and right upper quadrant pain may be due to gallstones which may require immediate medical attention. Go to the ER

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A 25-year-old female asked:

Sprained wrist 7mo ago. still having pain in wrist and now pain in the base of my thumb nightly. what should i do? surgeon said it just hasn't!t heal

Internal Medicine 37 years experience

Physical therapy: Non healed sprain can cause persistent pain and loss of function. Simple exercises like a stress ball or even use a hand grip device (sold at most spo... Read More

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A 45-year-old female asked:

What does it mean for blood test - hiv serology - last test equivocal. i have only had 4 partners. is this usual and what could be the issue?

Internal Medicine 37 years experience

Need re-test: Equivocal results could happen if early in the infection for which is better to get re-tested, depending o where you are testing you must wait from 2-... Read More

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A 29-year-old female asked:

I just got put on cymbalta (duloxetine). i have been taking it for 3 days when i wake up i fell dissy and sleepy still do i need to take in the morning?

Internal Medicine 37 years experience

Change schedule: It is normal to have side effects when you start a medication, if it makes you sleepy don't take it during the daytime as it may interfere with your a... Read More

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2 thanks

A 58-year-old male asked:

M58, is it necessary that metformin decrease blood sugar levels in each and every person that uses it.

Internal Medicine 37 years experience

Mainly for diabetes: Metformin works by suppressing glucose (sugar) production by the liver, decreases glucose absorption in the gut and increases insulin sensitivity. Als... Read More

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A 19-year-old female asked:

Very paranoid. is it bad i put two gel things from monisat in my vagina ?

Internal Medicine 37 years experience

Not necessary: Monistat comes in different preparations and for different duration. Both the applicator and the gel caps are single dose units. Putting a double dose... Read More

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A 25-year-old female asked:

If i take in on my ovulation day...and i hv an infection that i am currently treating same time i took in...will it affect me being pregnant?

Internal Medicine 37 years experience

Depends on infection: I'm going to assume that "take in" means you had intercourse and you are concerned about getting pregnant while on medication. It will depend on which... Read More

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A 17-year-old female asked:

I have really bad nose bleeds that would last for 10-25 minutes and then i would have a headache that last a day or two. and i don't know what's wrong. could it be a brain tumor?

Internal Medicine 37 years experience

Check: Also have a complete blood count (CBC), to make sure that you have not become anemic from the bleeding and to check your platelets, which are the cell... Read More

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A 17-year-old female asked:

Can having very low iron levels kill you?

Internal Medicine 37 years experience

Can cause anemia: Low iron levels lead to anemia, which depending on how severe can make you feel weak, tired and if severe bleeding occurs, it can lead to death.

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A 22-year-old male asked:

My neck hurts and iam very ill and my tummy hurts?

Internal Medicine 37 years experience

Go to the ER: If you feel very ill is better to be evaluated. We would need to have more details to even guess a diagnosis, but if you are feeling weak, have fever,... Read More

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A 22-year-old female asked:

I bled a little during ovulation not enough to soak a pad only when i wiped!! im now almost 5 days late for period i had sex 4 days before ovulation?

Internal Medicine 37 years experience

Do a pregnancy test: Many women bleed during ovulation, usually is just spotting but since you are late in your menses is better if you take a home pregnancy test.

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A 37-year-old male asked:

Please share an interesting fact about having a healthy second trimester.

Internal Medicine 37 years experience

Ignore: Have a healthy diet, stay hydrated, and take your prenatal vitamins.

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A 34-year-old female asked:

How can you get sick with anemia?

Internal Medicine 37 years experience

Depends on severity: Depending on what type and how severe it can range form feeling tired to fainting. Also how fast you become anemic plays a role. Acute anemia, like in... Read More

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A 23-year-old male asked:

I have no health issues other than anxiety.adrenaline is unbearable all day.should i usebetablocker?would it help?best betablocker for adrenaline?help

Internal Medicine 37 years experience

Talk to your doctor: If you suffer from frequent bouts of anxiety you may benefit from other treatments. Beta blockers are more commonly used for the treatment of high blo... Read More

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A 18-year-old female asked:

Not pregnant for sure but my period was a week late but i had sex was i ovulating even tho my period was late? had sex took planb less than 1hr later

Internal Medicine 37 years experience

Do a test: Although you used Plan B, the best way to verify is by doing a pregnancy test. Make sure to always use protection and if in doubt or have symptoms tes... Read More

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A 17-year-old female asked:

I was wondering if there was a way that i can make my vagina sensitive during sex? i have had sex 5/6 times and it always hurts or feels like nothing

Internal Medicine 37 years experience

Foreplay: You probably need more foreplay. Lubrication also helps. Fortunately most condoms come lubricated. You should always use protection

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A 36-year-old female asked:

Having movements around my where use to be uterus for 2 days.still have one ovary..what is it? it's moves off and on..i can tell more when i'm laying.

Internal Medicine 37 years experience

Bowel: This sensation is probably your bowel, especially if you are suffering from constipation. If you develop pain consult with your physician.

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A 39-year-old female asked:

I was at the beach and got sunburn on my legs, i noticed this evening that if i press on my leg near my shinbone it leaves a indentation. common?

Internal Medicine 37 years experience

Mild swelling: This is probably some mild swelling. Elevate your legs and should be gone.

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A female asked:

My hives spread from my armpits to almost my entire body in under 20 minutes, and my eye started to swell. is this a sign of a severe reaction?

Internal Medicine 37 years experience

Yes, go to ER: Yes, take an anti-histaminic immediately. If your throat feels tight or swollen go to the ER or call for help NOW!!! Also if you hear yourself wheezin... Read More

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A 17-year-old male asked:

I'm at a lake and we ran out of water all we have is milk i take pills can i use the milk to get it down and will i be hydrated is tap water safe?

Internal Medicine 37 years experience

Yes: Although is better to take medications as indicated, you may take them with milk if no other fluid is available. One exception would be if your medica... Read More

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A 21-year-old female asked:

Bump on mons pubis that once was bigger, now is flat. it wasnt raised, it was a bump under the skin. what is it? never once painful.

Internal Medicine 37 years experience

Ingrown hair: Without examining it is most likely an ingrown hair. If when raised was red or felt tender it cold have been a small infection. If it recurs have an O... Read More

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A 40-year-old female asked:

We have insurance but we are no longer able to afford our daily medications like blood pressure is there anyway to get samples or something?

Internal Medicine 37 years experience

Generics, coupons: Talk to your doctor about switching to cheaper generics that many pharmacies carry for $4.00/month If you need a specific brand name, depending on you... Read More

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