Dr. Roman Sapozhnikov

Internal Medicine 18 years experience

Headache: Could be different reasons. Best to see your doctoe especially if its worse headache of your life. Better ASAP! Best would be to go to ER.

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3.4k viewsAnswered >2 years ago

A 45-year-old male asked:

Hi, does 55 alt test mean you have hepatitis? thank you,

Internal Medicine 18 years experience

Liver: If it's first time, just repeat it since it can be simply hemolyzed test which can have false positive elevation of liver tests. The rest similar in f... Read More

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3.6k viewsAnswered >2 years ago

A 48-year-old male asked:

My wife has back pain between her as shoulders what could this be?

Internal Medicine 18 years experience

Back: Best to be seen by doctor. Could be couple of things. It will also depens (penicillamine) on severity of the pain, if pain travels anywhere, previous ... Read More

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3.4k viewsAnswered >2 years ago

A 23-year-old female asked:

Tingling/soreness in last 3 fingers, pain in inner wrist. i thought maybe cubital tunnel but i also have occasional swelling on radial side of wrist.

Internal Medicine 18 years experience

Nerves: Better to see a doctor to be evaluated for nerves injury or rule out carpal tunnel syndrome. May require to have surgery depending on injury.

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A 33-year-old female asked:

I'm on acebutolol 200mg and my blood pressure is 98/77 my doctor put me on this 3x day to keep my heart rate down i feel very tied is that normal?

Internal Medicine 18 years experience

Side effect: If you did not feel like this before, ask your doctor to change it. If you felt like this before medication was started, then you will need to have mo... Read More

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A 23-year-old female asked:

Is peppermint tea good for getting rid of bloating?

Internal Medicine 18 years experience

Bloating: Yes, it may help. You can also try camile tea.

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A 33-year-old male asked:

Can gerd cause pain feelings in pectoral muscle area? what could be the cause of pain/stinging in the pectoral,liver,and stomach area? gas?

Internal Medicine 18 years experience

Acid: Could be due to increase acid production. Also depending your age heart also should be checked. So its better if you talk to your doctor about it.

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A 33-year-old female asked:

My doctor has diagnosed me as having costroconditis , but it is so painful. is this normal?

Internal Medicine 18 years experience

Pain: It could be. Hard to tell what you have only based on your question. It depens (penicillamine) on location of the pain, area of involvement, depending... Read More

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3.4k viewsAnswered >2 years ago

A male asked:

I took aleve (naproxen) at noon today how long do i have to wait untill i can take advil or ibuprofen?

Internal Medicine 18 years experience

Meds: Depens (penicillamine) for what you are taking, also depens (penicillamine) on dose of both of them. But safest at least 8hours, best after meal.

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A 19-year-old female asked:

Would u feel lung pains in your back? or the front of ur chest? i'm healthy 17 feeling small burns in chest area maybe acid reflux?

Internal Medicine 18 years experience

Possible: Acid reflux can cause it. Also depending if you have high blood pressure or diabetes, your heart has to be checked. Muscles can do that too. Its bette... Read More

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A 46-year-old male asked:

Noticed i never have a fixed wbc and differential count they always go up and down but my rbc and rest of cbc are usually very close to each other?

Internal Medicine 18 years experience

Cells count: It can flactuates on different reasons, some of them are smoking, clumping of blood cells, infection. If difference is big, follow with hematologist.

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3.5k viewsAnswered >2 years ago

A 55-year-old female asked:

I am told my glomerular filtration rate is 57.6. does this indicate kidney disease? creatinine is 1.0 bun is 20 total protein is 7.0

Internal Medicine 18 years experience

Kidney function: based on new formulas yes, sorry for saying this but you do have kidney disease. Which most likely related to age. Older we get, our body gets older t... Read More

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A 54-year-old male asked:

54/m 2 days ago took an intense aerobic test for work. since then, bronchial area feels irritated like bronchitis. no other symptoms ?

Internal Medicine 18 years experience

Dehydration: It also could be secondary to dehydration. Also depens (penicillamine) on your medical problems could be heart related.

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A 37-year-old male asked:

I've been lifting heavy weights and i've been told i have a bone spur in my neck could this be the cause of throbbing in my ear.

Internal Medicine 18 years experience

Possible: Possible since pain can be transfered. Also you should see ENT doctor to be sure that no other problems.

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A 28-year-old female asked:

I am so tired every day ?

Internal Medicine 18 years experience

Check up: Need to go to see your doctor in order to do regular blood tests, to be checked for anemia, check thyroid, check vitamin B12, viamin D. Also could be ... Read More

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A 32-year-old male asked:

I'm exper sharp pains in the cntr of my chest, when i breathe deeply or turn my head it heightens it usually subsides wen i stretch bcz my chest pop?

Internal Medicine 18 years experience

Chest pain: Likely its osteochondritis, inflammation cartilage that connects ribs to sternum. Could be due to not doing enought exercise since stretching helps. L... Read More

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3.6k viewsAnswered >2 years ago

A 41-year-old male asked:

I know someone who is having a lot of memory loss. doctors have taken brain scans but cant find anything. he loses days at a time. ?

Internal Medicine 18 years experience

Memory: Consider to be checking vitamins levels such as B12 and B1, if any of those low, can be reason for memory problems. Person can be depressed also, tha... Read More

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Dr. Johanna Fricke agrees1 doctor agrees

A 39-year-old male asked:

Sometimes i have a pain starting under my left brest and passes to the under arms and then to arms.what is this and why this happens?

Internal Medicine 18 years experience

Arthritis: It coUld be due to arthritis eithwr in your spine or shoulder, due to nerve compression.

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3.6k viewsAnswered >2 years ago

A 22-year-old female asked:

Does alcohol affect heart valves, does it weaken them.?

Internal Medicine 18 years experience

Alcohol: May be not so much heart valves as heart itself. It can cause alcoholic cardiomyopathy, which means that heart is big and also getting weak.

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A 32-year-old female asked:

My husband, 41 has a burning sensation on the bottom of his feet. what causes the burning? he saids " it feels like he's walking on fire"

Internal Medicine 18 years experience

Feet: Different things can be reason for that. Commonly could be due to Neuropathy-nerve problems which could be due to diabetes, nerves problems at the bac... Read More

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3.5k viewsAnswered >2 years ago

A 20-year-old female asked:

Unusual discharge and i haven't had sex in a year but can't figure out what it may be. ?

Internal Medicine 18 years experience

Discharge: Better to see your doctor, so tests can be done in order to get right answer. Not necessary to have sex in order to have a discharge.

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Dr. Diane Minich agrees1 doctor agrees

A 41-year-old member asked:

Can sinus problems be caused by a deviated septum?

Internal Medicine 18 years experience

Sinus: Yes it can be since it can block connection between sinus and nasal cavity.

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3.6k viewsAnswered >2 years ago

A female asked:

Dark red blood in stool and abdominal pain, lower left. bad smelling,sticky,blood. went to bed and woke up to all around stomach pain.what could it be?

Internal Medicine 18 years experience

Bleeding: Should go to Er to be evaluated for GI bleeding, can be secondary to diverticulitis. Need to have blood tests done ASAP!also may need CatScan and/or c... Read More

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Dr. Heidi Fowler and another doctor agree2 doctors agree

A 29-year-old male asked:

Spasm of pubococcygeal muscles after orgasm.any solutions. which specialist to visit?

Internal Medicine 18 years experience

Spasm: Consider psychologist, also there some physical therapy people may help.

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A 43-year-old male asked:

I have dull pain and feeling as if something is moving just below my ribcage in the abdomen. it is pronounced after eating. pl help.

Internal Medicine 18 years experience

Pain: You need to be evaluated by gastroeneterologist, for possible endoscopy, to rule out ulcer.

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3.4k viewsAnswered >2 years ago

A female asked:

I have bronchitis. today i woke with what felt like air caught in my lung, popped, then it slowly released like a balloon, wheezing. any idea why?

Internal Medicine 18 years experience

Bronchitis: Go to see your doctor as soon as possible or go to emergency room to be evaluated since you may need emergent chest x-ray.

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3.3k viewsAnswered >2 years ago

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A 24-year-old male asked:

Me and my wife has had unprotected sex, right now she is a whole month late with her period, but the pregnancy test says she's not pregnant. help me?

Internal Medicine 18 years experience

Pregnancy: Go see your doctor and ask to do blood test for pregnancy which is more accurate.

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3.5k viewsAnswered >2 years ago

A 24-year-old female asked:

Feeling of tightness in pelvic area during period, on and off kind of thing but when it strike it feel like suffocating. normal?

Internal Medicine 18 years experience

Pain: Yes and no. Some people get that. But also need to hvae futher evaluation done. Could consider doing pelvic sonogram or may be even MRI. So better.to ... Read More

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3.6k viewsAnswered >2 years ago

A 22-year-old female asked:

What is the medicine for asthma.

Internal Medicine 18 years experience

Depens (penicillamine): There are different medications. Depens (penicillamine) how bad asthma is. Starts from simple albuterol pump. Then can be steroids inhaler, tablet for... Read More

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Dr. Martin Raff and another doctor agree2 doctors agree

A 30-year-old female asked:

My husband has a hard walnut size lump on the right hand side back of head. you can slightly move it around and it's not painful? really worried

Internal Medicine 18 years experience

Lump: Could be different things but better to be checked by the doctor. Depending how long is there, getting bigger or not. Still better to be evaluated.

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3.5k viewsAnswered >2 years ago

A 26-year-old male asked:

Recently, i've been having a sensation of "skipped beats". what could they be? what do i need to do?

Internal Medicine 18 years experience

Heary: Likely due to problem in the heart. So will need to do electrocardiogram, also holter monitor. Blood for thyroid should be done. Also check electrolyt... Read More

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3.6k viewsAnswered >2 years ago

A 29-year-old female asked:

Hi there i have had swollen ankles and calfs for the past 5 days my doctor said fluid retention i've tried everything but nothing has helped me!

Internal Medicine 18 years experience

Swelling: You need to find out why you have swelling. Depending on ethiology of swelling, you will need to use appropriate treatment for that. So talk to your d... Read More

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3.4k viewsAnswered >2 years ago

A female asked:

I have been diagnosed with fibromyalgia by 3 different rheumatologists. i have tried lyrica, savella, (milnacipran) and neurontin without relief and/ or side effect?

Internal Medicine 18 years experience

Pain: Can try daily no very strong exercise 30-45mins. Be an active person. Sometimes Flexeril (cyclobenzaprine hcl) 10mg at bedtime to begin with may help ... Read More

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A male asked:

I have abdominal pain in the llq with fever & i'm 70 years old. what could it be?

Internal Medicine 18 years experience

Emergency: You may have diverticulitis which can cause perforation and infection spreading inside of your abdomen, urinary tract infection. Both of them in your... Read More

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3.6k viewsReviewed >2 years ago