Dr. Ernest Fischer
Internal Medicine and Pediatrics
DC
13 years experience male
About
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 and Pediatrics
Licenses
United States: District Of Columbia, Maryland
Languages spoken
English
Doctor Q&A
227 Answers
9 Agrees
The number of answers this doctor has agreed with.
A 49-year-old member asked:
Dr. Ernest Fischeranswered
Internal Medicine and Pediatrics 13 years experience
Variable: People with celiac disease may not have the typical bloating, abdominal discomfort and loose stool. They may just be found to have nutritional deficie... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsReviewed >2 years ago
A 25-year-old female asked:
Dr. Ernest Fischeranswered
Internal Medicine and Pediatrics 13 years experience
Not if GF: Supplements can be made with binders that can contain gluten. Check the label. The collagen will not affect the celiac.
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsReviewed >2 years ago
A female asked:
Dr. Ernest Fischeranswered
Internal Medicine and Pediatrics 13 years experience
Unclear: Not enough info to determine. Are you taking more caffeine those days?
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsAnswered >2 years ago
A 30-year-old male asked:
Dr. Ernest Fischeranswered
Internal Medicine and Pediatrics 13 years experience
Rash common: A very common rash in this are / for this age is from moisture (baby's drool and spit up a lot). But no way to tell without seeing. Any fever, change ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsAnswered >2 years ago
A 35-year-old male asked:
Dr. Ernest Fischeranswered
Internal Medicine and Pediatrics 13 years experience
Most likely: Since they attack "nerve" pain by different mechanisms then there is a potential for additive benefit. They are often used in combination for that pur... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsReviewed >2 years ago
A female asked:
Dr. Ernest Fischeranswered
Internal Medicine and Pediatrics 13 years experience
Increase is normal: This is the appropriate response to stimulation. Roughly at least a 15point increase is expected.
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsAnswered >2 years ago
A 36-year-old member asked:
Dr. Ernest Fischeranswered
Internal Medicine and Pediatrics 13 years experience
Few options: Most likely is a false test. The urine dip stick test can react abnormally if there are high amounts of chemicals in the urine (like antibiotics or vi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.6k viewsAnswered >2 years ago
A 18-year-old male asked:
Dr. Ernest Fischeranswered
Internal Medicine and Pediatrics 13 years experience
Unlikely: Most people do not relapse. Older people seem to be highest risk. A well accepted and proven preventative option does not yet exist. Many infections d... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsReviewed >2 years ago
A 21-year-old female asked:
Dr. Ernest Fischeranswered
Internal Medicine and Pediatrics 13 years experience
Low but higher risk: the risk is low but goes up if your disease is not controlled.
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsReviewed >2 years ago
A 61-year-old female asked:
Dr. Ernest Fischeranswered
Internal Medicine and Pediatrics 13 years experience
May be a fissure: If this occurs with a large stool and no hemorrhoids were seen then consider a fissure (or tear of skin). These can heal rapidly so your doctor may no... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsReviewed >2 years ago
A female asked:
Dr. Ernest Fischeranswered
Internal Medicine and Pediatrics 13 years experience
Yes but...: This could be a benign lesion, or if you are having other symptoms (like joint or muscle pain) it could point to a different condition & treatment... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsAnswered >2 years ago
A 45-year-old female asked:
Dr. Ernest Fischeranswered
Internal Medicine and Pediatrics 13 years experience
Be seen: Though this is likely a muscular problem, it could also be related to nerve of blood flow ("claudication" or "pseudo-claudication"). Talk to you r doc... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.6k viewsReviewed >2 years ago
A female asked:
Dr. Ernest Fischeranswered
Internal Medicine and Pediatrics 13 years experience
Variable: Typical symptoms include bloating, abdominal discomfort and loose stool. But not everyone has this. Some may just be found to have nutritional deficie... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsAnswered >2 years agoMerged
A member asked:
Dr. Ernest Fischeranswered
Internal Medicine and Pediatrics 13 years experience
No: The only reports I found with atarax (hydroxyzine) are of false positive for TCA (an anti depressant) which is not tested on standard drugs of abuse s... 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. Ernest Fischeranswered
Internal Medicine and Pediatrics 13 years experience
You could wait: It sounds like that work up is for a chronic condition so if you can wait go ahead and wait. There is a chance the CRP and ferritin would be altered d... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsAnswered >2 years ago
A 28-year-old female asked:
Dr. Ernest Fischeranswered
Internal Medicine and Pediatrics 13 years experience
Atypical bleeding: This is not due to nursing. Please see your ob gyn as they may want to check you blood counts and can help stop the bleeding and figure out why.
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsAnswered >2 years ago
A 40-year-old female asked:
Dr. Ernest Fischeranswered
Internal Medicine and Pediatrics 13 years experience
Echo unremarkable: Trace insufficiency is common and typically is an incidental finding. If you are not symptomatic then I would not be concerned. The short PR can be n... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsAnswered >2 years ago
A 22-year-old female asked:
Dr. Ernest Fischeranswered
Internal Medicine and Pediatrics 13 years experience
Variable: This question is difficult to answer because it really depends on what is being eaten.
In general some people "respond" to limiting gluten despite no... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsAnswered >2 years ago
A 26-year-old female asked:
Dr. Ernest Fischeranswered
Internal Medicine and Pediatrics 13 years experience
I'd stay away: The supplement has not been shown to really help much with the muscle development so it is not worth the risk (or money).
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsReviewed >2 years ago
A 38-year-old female asked:
Dr. Ernest Fischeranswered
Internal Medicine and Pediatrics 13 years experience
Only mildly elevated: Some viruses can cause mild elevations of sgpt (ALT) or sgot (AST). Repeat it when you are feeling better, if still elevated talk to your doctor about... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsAnswered >2 years ago
A 26-year-old female asked:
Dr. Ernest Fischeranswered
Internal Medicine and Pediatrics 13 years experience
Talk to your OB: Hopefully your delivery will go to term but that is not always the case. To predict how dependent the baby is on the pain medication depends on quit d... 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. Ernest Fischeranswered
Internal Medicine and Pediatrics 13 years experience
No MRSA: def no to MRSA
H pylori is treated with combination medications, Flagyl is sometimes one, but there is no evidence it can work for H. Pylori on its o... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsAnswered >2 years ago
A female asked:
Dr. Ernest Fischeranswered
Internal Medicine and Pediatrics 13 years experience
Be seen immediately: if your symptoms are that extensive please be evaluated immediately.
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsAnswered >2 years ago
A 21-year-old male asked:
Dr. Ernest Fischeranswered
Internal Medicine and Pediatrics 13 years experience
Skipping normal: Skipping a beat is commons and completely normal. It could definitely feel strange when it happens. Sounds like you have had extensive work up where r... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsAnswered >2 years ago
A 29-year-old female asked:
Dr. Ernest Fischeranswered
Internal Medicine and Pediatrics 13 years experience
Headache: In my experience people complain more of headache and then will sometimes have neck pain when examined. There are different types of meningitis, some ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsReviewed >2 years ago
A 28-year-old female asked:
Dr. Ernest Fischeranswered
Internal Medicine and Pediatrics 13 years experience
Anytime: Biotin is in most foods already so you are taking some all the time. It is very safe. That being said most people with a regular diet do not need extr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsReviewed >2 years ago
A 22-year-old male asked:
Dr. Ernest Fischeranswered
Internal Medicine and Pediatrics 13 years experience
Not really: This bug is everywhere in our environment and only people with immune problems typically are affected/
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsReviewed >2 years ago
A 17-year-old female asked:
Dr. Ernest Fischeranswered
Internal Medicine and Pediatrics 13 years experience
Uterine lining: A period is when the uterine lining that built up for possible egg implantation is lost when a pregnancy does not occur. Some birth control pills not ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsAnswered >2 years ago
A 27-year-old female asked:
Dr. Ernest Fischeranswered
Internal Medicine and Pediatrics 13 years experience
Short of breath?: An embolus to the lung typically would be painful as you describe and lead to shortness of breath.
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsAnswered >2 years ago
A 36-year-old male asked:
Dr. Ernest Fischeranswered
Internal Medicine and Pediatrics 13 years experience
Not much: Typically pericarditis pain will be worse when lying flat and better leaning forward. Pericarditis may occur while you have a viral infection or are j... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsAnswered >2 years ago
A 21-year-old female asked:
Dr. Ernest Fischeranswered
Internal Medicine and Pediatrics 13 years experience
No different: Not different than anyone else. Just ensure the medication being used is gluten free (can ask the pharmacist).
Created for people with ongoing healthcare needs but benefits everyone.
3.6k viewsAnswered >2 years ago
A 30-year-old female asked:
Dr. Ernest Fischeranswered
Internal Medicine and Pediatrics 13 years experience
Reflux?: Reflux can cause a chronic cough. There are over the counter medicines for reflux. But probably more effective is weight loss, avoiding triggering foo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.6k viewsAnswered >2 years ago
A male asked:
Dr. Ernest Fischeranswered
Internal Medicine and Pediatrics 13 years experience
Crevast more potent: The rosuvastatin (Crevast) is 4 times more potent then atorvastatin (Aztor) so it would not be equivalent. Talk to your doctor about switching.
Created for people with ongoing healthcare needs but benefits everyone.
3.6k viewsReviewed >2 years ago
A 19-year-old female asked:
Dr. Ernest Fischeranswered
Internal Medicine and Pediatrics 13 years experience
Talk to your Dr: 1) Your doctor can check antibody levels as a surrogate to celiac disease activity. If they are up you may be eating gluten in hidden items (for examp... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsAnswered >2 years ago
A 22-year-old female asked:
Dr. Ernest Fischeranswered
Internal Medicine and Pediatrics 13 years experience
Viral infection: As long as the breathing is ok and the baby is taking most bottles (and keeping them down) you can manage this from home.
You can help the babies bre... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsAnswered >2 years ago
A 22-year-old female asked:
Dr. Ernest Fischeranswered
Internal Medicine and Pediatrics 13 years experience
Anytime: You can take an over the counter test to check, it would be valid at this point. While breast feeding may lead to irregular menses it is definitely no... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsAnswered >2 years ago
A 24-year-old male asked:
Dr. Ernest Fischeranswered
Internal Medicine and Pediatrics 13 years experience
Yes, but...: This is not often done as chlamydia is hard to grow in culture. Often what is done it trying a second line antibiotic. More likely though is that some... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsAnswered >2 years ago
A 20-year-old female asked:
Dr. Ernest Fischeranswered
Internal Medicine and Pediatrics 13 years experience
Maybe but...: But not common in the US. More common causes are related to hygiene, an irritant (i.el a new soap), hemorrhoid or an anal fissure just to name a few.
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsAnswered >2 years ago
A 49-year-old member asked:
Dr. Ernest Fischeranswered
Internal Medicine and Pediatrics 13 years experience
Neither: While you may inherit the immune risk factor from a parent that does not guarantee getting Celiac disease. If you have a 1st degree relative with con... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsReviewed >2 years ago
A 18-year-old male asked:
Dr. Ernest Fischeranswered
Internal Medicine and Pediatrics 13 years experience
100% no: It is not infectious. A slight predisposition can be inherited though.
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsReviewed >2 years ago
A 20-year-old female asked:
Dr. Ernest Fischeranswered
Internal Medicine and Pediatrics 13 years experience
Reflux?: When we eat late we lie down sooner after eating. This makes it easier to reflux foods and it can be painful. Vomiting is not as common unless you are... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsAnswered >2 years ago
A 21-year-old member asked:
Dr. Ernest Fischeranswered
Internal Medicine and Pediatrics 13 years experience
Uncommon: Vomiting is not typical. Diarrhea is the classic symptom but even that may not always occur.
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsReviewed >2 years ago
A 28-year-old male asked:
Dr. Ernest Fischeranswered
Internal Medicine and Pediatrics 13 years experience
Depends: Though I have not seen a case, I have seen other hemorrhagic fevers. With these diseases, course cannot be predicted. Just a fever would not be enough... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsAnswered >2 years ago
A 41-year-old female asked:
Dr. Ernest Fischeranswered
Internal Medicine and Pediatrics 13 years experience
It can: But risk obviously goes up with each risk factor. 41 is quite young though. Other factors include weight, cholesterol level, fruit/veggie intake, acti... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsAnswered >2 years ago
A 32-year-old male asked:
Dr. Ernest Fischeranswered
Internal Medicine and Pediatrics 13 years experience
Reflux vs dyspepsia: You may not have reflux (24hr test) but could still have dyspepsia or gastritis that responds to acid blocking? Have you had H. Pylori testing?
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsAnswered >2 years ago
A 49-year-old female asked:
Dr. Ernest Fischeranswered
Internal Medicine and Pediatrics 13 years experience
Not really: It is a very mild elevation and there are multiple reasons that it could be elevated. Talk to your Dr. to figure out which one it is for you.
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsAnswered >2 years ago
A female asked:
Dr. Ernest Fischeranswered
Internal Medicine and Pediatrics 13 years experience
Were both Rx-ed?: If the doctor that prescribed each knew about the other then they thought it was ok. Each is not without its risks and if you can get by with just one... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsReviewed >2 years ago
A 21-year-old male asked:
Dr. Ernest Fischeranswered
Internal Medicine and Pediatrics 13 years experience
Be seen asap: Hands are so vital to are day to day activities and are often taken for granted. You do not want any limitation in your hand so be seen to make sure e... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.6k viewsReviewed >2 years ago
A 30-year-old male asked:
Dr. Ernest Fischeranswered
Internal Medicine and Pediatrics 13 years experience
Normal workup.. IBS?: When everything is normal the diagnosis of IBS is often considered. Talk to your doctor about this and other alternatives.
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsAnswered >2 years ago
A 56-year-old female asked:
Dr. Ernest Fischeranswered
Internal Medicine and Pediatrics 13 years experience
Yes: A superimposed infection can have a similar appearance on biopsy, so if someone had or just got over a gi bug it could lead to false positive.
Created for people with ongoing healthcare needs but benefits everyone.
3.7k 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
158
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Fischer is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Fischer is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
This made me feel good. Thanks! Thank you so much. While my gp is attributing my cardiomyopathy to a sub clinical virus I thought it couldn't hurt to ask. Thanks again.
HealthTap member
I Am taking sodium valporate and olanzapine to control bipolar
my GP has noticed a smal decline in memory recently as has my family.
HealthTap member
My DX ended up being familial hypobetalipoproteinemia,apparently rare. Seeing a liver specialist & on the mend. Many thanks
Education & Training
Medical/Graduate school
University of Texas Southwestern Medical School at Dallas, TX
Graduated 2010MD
Awards
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