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Dr. Ernest Fischer

Internal Medicine and Pediatrics
DC
12 years experience male

About

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 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 Fischer
Internal Medicine and Pediatrics 12 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
A 37-year-old female asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 12 years experience
Long standing T1DM: Unfortunately, there are complications of having diabetes for a long time. It can affect the nervous system and the way it controls your bodily functi... Read More
A 40-year-old female asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 12 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
A 27-year-old female asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 12 years experience
Short of breath?: An embolus to the lung typically would be painful as you describe and lead to shortness of breath.
A 27-year-old male asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 12 years experience
Contrast not needed: many other causes of knee pain, perhaps those need to be explored.
A female asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 12 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
A 28-year-old female asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 12 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.
A 32-year-old male asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 12 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?
A 22-year-old female asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 12 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
A member asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 12 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
A 22-year-old female asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 12 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
A 23-year-old female asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 12 years experience
Moderation: You don't have to limit too much. Make sure to get lots of leafy greens. A vitamin d supplement is also a good idea. Also limit caffeine intake to o... Read More
A 22-year-old male asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 12 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
A female asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 12 years experience
Be seen immediately: if your symptoms are that extensive please be evaluated immediately.
A 41-year-old female asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 12 years experience
Not always so high: It just inflates until it is past your highest pressure and then starts coming down.
A 17-year-old female asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 12 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
A 35-year-old male asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 12 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
A 36-year-old female asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 12 years experience
Bruising?: When you get cirrhosis you tend to bruise easier, so if it looks like a bruise then that is expected. If it look red or swollen has someone check it.
A 30-year-old male asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 12 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
A female asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 12 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
A 23-year-old female asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 12 years experience
No routine screening: It is only recommended to screen based on symptoms which at this age would be for poor growth.
A 30-year-old male asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 12 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.
A 28-year-old male asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 12 years experience
Celiac disease: In Celiac disease the body reacts to gluten (in wheat and gluten like proteins in rye and barley) in the small intestine causing damage. This limits t... Read More
A 39-year-old female asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 12 years experience
Increased risk: There are heritable predispositions but it is still more likely the child will NOT develop the disease (4 to 1).
A 31-year-old male asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 12 years experience
None: There are not any proven OTC medications. What you can do in the meantime is lower added salt intake, decrease alcohol and caffeine and start regular ... Read More
A 56-year-old female asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 12 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.
A 40-year-old member asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 12 years experience
Not all pain is AI: Arthritis can be from overuse or trauma as well as autoimmune.
A 37-year-old female asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 12 years experience
Yes: A common cause is a recent intestinal infection. However if you have symptoms with the right HLA and + biopsy sounds like you should discuss with your... Read More
A 35-year-old female asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 12 years experience
There is a rash: That can rarely be associated with Celiac called dermatits herpetiformis. If tends to be on arms around elbows or lower back. You can look up images o... Read More
A 42-year-old member asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 12 years experience
No consensus: There are only a few small studies and animal studies of variable quality that suggest possible weight benefits. At this point, too soon to say anythi... Read More
A 43-year-old female asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 12 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
A 36-year-old female asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 12 years experience
Ferritin of 5 = low: That is a very low ferritin, so this is most likely iron deficiency, though you may not yet have anemia. With this ferritin it is likely you eventuall... Read More
A 63-year-old female asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 12 years experience
Unlikely: Sounds like environmental allergies. Even food allergies do not typically cause these symptoms.
A 28-year-old female asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 12 years experience
Pseudo relapse?: Infection can cause what is referred to as pseudo relapse - where someone with MS feels like they have flared but in fact the MS is stable. It may fee... Read More
A 49-year-old female asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 12 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.
A 61-year-old female asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 12 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
A 21-year-old female asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 12 years experience
Low but higher risk: the risk is low but goes up if your disease is not controlled.
A 22-year-old male asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 12 years experience
Not really: This bug is everywhere in our environment and only people with immune problems typically are affected/
A 26-year-old female asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 12 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
A 49-year-old member asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 12 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
A 18-year-old male asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 12 years experience
100% no: It is not infectious. A slight predisposition can be inherited though.
A 36-year-old male asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 12 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
A 24-year-old male asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 12 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
A 20-year-old female asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 12 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.
A female asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 12 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
A 19-year-old female asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 12 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
A 18-year-old male asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 12 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
A 22-year-old female asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 12 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
A 30-year-old female asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 12 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
A 28-year-old male asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 12 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

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Testimonials
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

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