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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.
General Practice
Languages spoken
English
Doctor Q&A
65 Answers
1 Agree
The number of answers this doctor has agreed with.
A 23-year-old female asked:
Dr. Melanie Tugaoenanswered
33 years experience
Lets review your que: Menses in PCOS is vary irregular and infrequent. Follow up with your gynecologist. since patients that don't ovulate have a 3 times higher chance of d... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsReviewed >2 years ago
A 35-year-old member asked:
Dr. Melanie Tugaoenanswered
33 years experience
Lets review can ovul: before answering your question i will need to ask some further questions? Are you sexually active? Do you use protection during intercourse? Any vagin... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsReviewed >2 years ago
A 20-year-old female asked:
Dr. Melanie Tugaoenanswered
33 years experience
Lets review your sym: Do you have any discharge? foul-smelling? are you seually active? Any hx of STD or partner having STD's?
Have you recently been on Antibiotics for an... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsAnswered >2 years ago
A 60-year-old female asked:
Dr. Melanie Tugaoenanswered
33 years experience
Lets review your que: They are tests ordered since your Thyroid stimulating hormone (TSH) was high depending on your T4 and T3 (liothyronine) results these were ordered to ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsAnswered >2 years ago
A 41-year-old member asked:
Dr. Melanie Tugaoenanswered
33 years experience
Lets review your que: The main problem would be infection.
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 20-year-old female asked:
Dr. Melanie Tugaoenanswered
33 years experience
Lets review your que: EDD estimated due date is 280 from the date of your first day of your last menstrual cycle. If you know your due date at dec 15 2014, it would appear ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsAnswered >2 years ago
A 43-year-old member asked:
Dr. Melanie Tugaoenanswered
33 years experience
Lets review your que: Sometimes it takes time for your body to start ovulating again. BCP prevent ovulation all together. If you are concerned I would follow up with your g... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsReviewed >2 years ago
A 41-year-old member asked:
Dr. Melanie Tugaoenanswered
33 years experience
Lets review your que: Do you have issues with heartburn/reflux/hiatal hernia?
You could be having an esophageal spasm/severe heartburn, or aggravated a gastric ulcer. A tr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 31-year-old member asked:
Dr. Melanie Tugaoenanswered
33 years experience
Lets review that que: Hearing your heartbeat in your ears is perfectly normal. The main arteries, the carotid arteries, are in that area. These bring oxygenated blood to th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsReviewed >2 years ago
A 34-year-old male asked:
Dr. Melanie Tugaoenanswered
33 years experience
Let us review your q: The answer is no. HIV is a viral disease and takes time to infect the body and is usually symptoms occur later in its course.
The cause of your bleed... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsReviewed >2 years ago
A 24-year-old female asked:
Dr. Melanie Tugaoenanswered
33 years experience
Lets review your que: Have you had a positive pregnancy test. This early it could be an ectopic or a miscarriage. I would go seek medical care.
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsAnswered >2 years ago
A 53-year-old female asked:
Dr. Melanie Tugaoenanswered
33 years experience
Lets review your que: Safety of massage and breastfeeding. Most massage treatments do not use any harmful chemicals and would be safe to do while breast feeding. The massag... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsReviewed >2 years ago
A 33-year-old female asked:
Dr. Melanie Tugaoenanswered
33 years experience
Lets review your que: if you are having trouble getting pregnant you may want to see a fertility specialist to see if both you and your husband are able to conceive. if one... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsAnswered >2 years ago
A 24-year-old female asked:
Dr. Melanie Tugaoenanswered
33 years experience
Lets review your que: I swab test is more accurate than a urine, and usually can dectect smoking up to two weeks. Uine checks a breakdown product and with those with fast m... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsReviewed >2 years ago
A 21-year-old female asked:
Dr. Melanie Tugaoenanswered
33 years experience
Lets review your que: it could be the start of gingivitis. Any bleeding of your gums when flossing or brushing. I would do warm salt water swish and spits minimal of twice ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsReviewed >2 years ago
A 49-year-old male asked:
Dr. Melanie Tugaoenanswered
33 years experience
Lets review your que: Hemiplegic migraine is one of the symptoms of migraines but it is far less common than the more typical symptoms: Scotoma, visual changes, photophobia... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 26-year-old female asked:
Dr. Melanie Tugaoenanswered
33 years experience
Lets review your que: Ectopic pregnancy is a serious medical issue. Did they perform an ultrasound, preferably a vaginal ultrasound to visualize the uterus, ovaries, and fe... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 42-year-old female asked:
Dr. Melanie Tugaoenanswered
33 years experience
Lets review your que: I would call your primary and discuss your symptoms. You are probably feeling that way due to decrease in two of your meds. It would probably better t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsReviewed >2 years ago
A 45-year-old male asked:
Dr. Melanie Tugaoenanswered
33 years experience
Sounds like overuse: Do you do repetitive movements with your hands--computer use, texting, and or playing games on a console or phone? Any injuries or pain in your neck? ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 17-year-old female asked:
Dr. Melanie Tugaoenanswered
33 years experience
Lets review you are : I will ned to ask a few more questions to help you with your issue of low back pain. What is the quality of pain? sharp, dull, aching? Does it radiate... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsReviewed >2 years ago
A 19-year-old male asked:
Dr. Melanie Tugaoenanswered
33 years experience
Lets review your sym: Any fever chills? any other lesions? are you sexually active? Most likely it is just an inflamed taste bud. i would watch to see if more lesions appea... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsAnswered >2 years ago
A 24-year-old female asked:
Dr. Melanie Tugaoenanswered
33 years experience
Lets review your sym: People your age with those symptoms typically could have several issues going on. I just need more information before i can narrow down the most likel... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsAnswered >2 years ago
A 32-year-old female asked:
Dr. Melanie Tugaoenanswered
33 years experience
Lets review your que: Pasteurized is safer than non-pasteurized especially in pregnancy or any immunosuppressive disorder. Whole milk while provide more fat and calories, ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsAnswered >2 years ago
A 23-year-old female asked:
Dr. Melanie Tugaoenanswered
33 years experience
Lets review your que: Areola darkening is not an early sign of pregnancy. Darker signed people rend to have darker areolas. Changes in hormone levels can cause it. Early pr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsAnswered >2 years ago
A 17-year-old female asked:
Dr. Melanie Tugaoenanswered
33 years experience
Lets review your que: is it the same pain you had when you had your dislocation?
I am assuming these are intermittent. What makes them worse? better? any swelling? What sp... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsAnswered >2 years ago
A 34-year-old female asked:
Dr. Melanie Tugaoenanswered
33 years experience
Lets review your que: There is no optimal level that is why there is a normal range. Concern would be if it exceeded the 2.2 level.
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsReviewed >2 years ago
A 29-year-old female asked:
Dr. Melanie Tugaoenanswered
33 years experience
Lets review your que: No the cause is most likely something else .
Yeast infection of the penis usually causes discharge and itching maybe redness. If you were chronically... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsAnswered >2 years ago
A 22-year-old male asked:
Dr. Melanie Tugaoenanswered
33 years experience
Lets review your que: non-descended testicles is of medical concern. I would seek the help of a urologist.
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsReviewed >2 years ago
A 42-year-old member asked:
Dr. Melanie Tugaoenanswered
33 years experience
Lets review your que: Your lungs are lined by 2 thin layers named pleura. Trauma, pulmonary fibrosis, asthma/COPD can cause a break in the lining allowing air to fill this... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 50-year-old member asked:
Dr. Melanie Tugaoenanswered
33 years experience
Lets review your que: Hemiplegic migraine is a serious form of migraines with aura. If you have been thoroughly evaluated by a neurologist to rule out more serious causes o... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 36-year-old member asked:
Dr. Melanie Tugaoenanswered
33 years experience
Lets review your que: No, the trochlear nerve is the 4th cranial nerve and is affected by structures in the brain not the neck. It controls the eye muscle outward and downw... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsReviewed >2 years ago
A member asked:
Dr. Melanie Tugaoenanswered
33 years experience
Lets review your que: Did You have a CT with IV contrast or not. if not then no worries mate. It is not recommended to consume alcohol after an IV contrast CT
If you had s... 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. Melanie Tugaoenanswered
33 years experience
Lets review your que: Pineal cysts are a finding are common and asymptomatic. More common in females ages 20-30. If small like the one you have do not need routine follow u... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsReviewed >2 years ago
A 39-year-old member asked:
Dr. Melanie Tugaoenanswered
33 years experience
Lets review your que: There should never be a cheat day in your diet plan. If you right, you may have cheat items everyday, if planned for.
It takes 1500 calories in defi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 41-year-old member asked:
Dr. Melanie Tugaoenanswered
33 years experience
Lets review your que: Red blood cells carry de-oxygenated blood (loaded with co2) into the lungs. In the lungs CO2 is displaced with O2, and is removed during exhalation
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 56-year-old female asked:
Dr. Melanie Tugaoenanswered
33 years experience
Lets review your que: It is usually caused by hypoventilation. It is seen in COPD patients. COPD patients on oxygen especially with an acute exacerbation resulting in decre... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 21-year-old male asked:
Dr. Melanie Tugaoenanswered
33 years experience
Lets review your que: No, leaving in the foreign body causing the infection is worse. I would remove the piercing and decide to do it in the future use a replicable piercer... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsReviewed >2 years ago
A 17-year-old male asked:
Dr. Melanie Tugaoenanswered
33 years experience
Lets review your sym: You could have developed a dry socket which is when the blood clot is no longer present in the tooth socket and severe pain develops. Some OTC remedie... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsAnswered >2 years ago
A 37-year-old female asked:
Dr. Melanie Tugaoenanswered
33 years experience
Lets review your que: Your bone is still remodeling--I would wear tennis shoes or slip one. Cute sandals are also an option.
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsReviewed >2 years ago
A 45-year-old female asked:
Dr. Melanie Tugaoenanswered
33 years experience
Lets review your que: depends on the severity of the nerve compression. Have you had any studies of the cervical spine such as an MRI or cat Scan? EMG might be helpful to r... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 30-year-old female asked:
Dr. Melanie Tugaoenanswered
33 years experience
Lets review your que: Where were you told the location you have a "cyst". In the vaginal wall, a Bartholin's cyst can form, it is usually painful but will resolve with warm... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 18-year-old female asked:
Dr. Melanie Tugaoenanswered
33 years experience
Lets review you are : You've noticed a painful lump, how long has it been there? What day of your cycle are you on? Have you had this complaint before? Do you drink caffein... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsReviewed >2 years ago
A 42-year-old member asked:
Dr. Melanie Tugaoenanswered
33 years experience
Lets review your que: You ovulate from one ovary each month. There is no definite "order" of which ovary provides the egg that cycle of ovulation. In some people one ovary ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 18-year-old male asked:
Dr. Melanie Tugaoenanswered
33 years experience
Lets review your que: Prozac (fluoxetine) is usually dosed once a day, ie has a half life of 24 hours so a strict 12 hour timing of medicine is not needed. i would take it ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsAnswered >2 years ago
A 63-year-old female asked:
Dr. Melanie Tugaoenanswered
33 years experience
Lets review your que: Any idea the type of bug? Mosquito, spider, tick? With mosquitos we need to worry about the West Nile Virus. Any cases of west nile in your area.
Tic... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsReviewed >2 years ago
A 40-year-old member asked:
Dr. Melanie Tugaoenanswered
33 years experience
Lets review your que: Have you found any lumps/tenderness. You could have hydrocele, hernia, testicular cancer. I would be examined by a professional to help determine if i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsReviewed >2 years ago
A 24-year-old male asked:
Dr. Melanie Tugaoenanswered
33 years experience
Let review you are t: Before i can answer that question, may I ask what type of pain you are having? is it constant or intermittent? sharp, dull, or burning in nature? on a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsAnswered >2 years ago
A 39-year-old female asked:
Dr. Melanie Tugaoenanswered
33 years experience
Lets review your sym: Have you every had hemorrhoids before?
Hemorrhoids are actually blood vessel that are in your anal vault to assist with stool control. There are two ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsAnswered >2 years ago
A 16-year-old female asked:
Dr. Melanie Tugaoenanswered
33 years experience
It is possible.: HAve you been followed by an orthopedic surgeon for your problems. If they have not healed I would consult a specialist. Consider physical therapy as ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsReviewed >2 years ago
A 43-year-old female asked:
Dr. Melanie Tugaoenanswered
33 years experience
Lets review your que: Tonsils are lymph nodes or your infection fighting tissues in your body. They can get larger when fighting infections, just like the glands in your ne... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.9k 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
64
Thank you notes
HealthTap member
Mar 31, 2015
Dr. Tugaoen is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Tugaoen is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer was very helpful! I have had the lump for 2 weeks. No sore throat. Vomiting in episodes.
HealthTap member
Thanks for your quick reply! He swim in swimming pool ( it has chlorine ) may it cause dermatitis ?
HealthTap member
Thank you, your answer was very helpful! Thank you. No other symptoms at all besides the pain in head.
Education & Training
Medical/Graduate school
The Ohio State University College of Medicine, OH
Graduated 1990MD
Awards
Top Doctor, Third Place, Columbus Region - Summer
2014
Top General Practitioner, First Place, Ohio - Summer
2014
Most Influential Doctor, Third Place, Columbus Region - Summer
2014
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