Dr. Mihir Patel

Dr. Sari Nabulsi agrees1 doctor agrees

A 24-year-old male asked:

Is it safe to take benadryl (diphenhydramine) or pseudophedrine for my cold if i have a low grade fever? was up to 100.3, but took 2 advil and went down to 99.6

Dr. Mihir Patelanswered

Internal Medicine 16 years experience

Yes: low grade Fever is not a contraindication for Benadryl (diphenhydramine) or pseudophed.

3.3k viewsReviewed >2 years ago

Dr. Stuart Hickerson and another doctor agree2 doctors agree

A 27-year-old female asked:

Having chest pain that comes goes and pain in left arm went to the doc and had ekg everything normal. i checked bp 10 times could that cause arm pain?

Dr. Mihir Patelanswered

Internal Medicine 16 years experience

I don't think so: your pain may be musculoskeletal or stress induced. At your age, coronary artery disease is very low probability. Bp check usually doesn't cause Arm p... Read More

3.3k viewsReviewed >2 years ago

Dr. Mathew Chengot agrees1 doctor agrees

A 24-year-old female asked:

What does sweating while you sleep mean ?

Dr. Mihir Patelanswered

Internal Medicine 16 years experience

Night sweats: it can be a sign of infection ,malignancy, menopause, hormonal imbalance, neurological conditions etc. sometimes it is idiopathic

3.3k viewsAnswered >2 years ago

A 37-year-old male asked:

I'm having severe left arm pain feel dull/ ache non stop would it be caused by hypertrophic cardiomyopathy ?

Dr. Mihir Patelanswered

Internal Medicine 16 years experience

HCMP doesn't cause: hypertrophic cardiomyopathy itself doesn't cause chest pain unless you have any coronary artery disease.

3.3k viewsAnswered >2 years ago

A 16-year-old female asked:

What's does it mean when i'm having a lot of back pain. when i lay down my back hurts a lot. it's been having for a couple of months now ?

Dr. Mihir Patelanswered

Internal Medicine 16 years experience

Many possibilities: most common back pain is due to muscle spasm of your back due to abnormal posture ; radiculopathy due to vertebral disc abnormalities can also cause b... Read More

3.3k viewsAnswered >2 years ago

A 28-year-old female asked:

If you got rust in a scratch that didnt bleed can u get tetanus? if so how long does it take to show symptoms? no booster since childhood

Dr. Mihir Patelanswered

Internal Medicine 16 years experience

Don't worry: You can still get tetanus but chances are very low; recommendation is to have tetanus booster every 10 years with this minor wounds. You are due for y... Read More

3.3k viewsReviewed >2 years ago

Dr. Cynthia Archer agrees1 doctor agrees

A 25-year-old male asked:

I have itchy throat and excess mucus, the muscles in my chest hurts. it all began when i started at a new university. antihistamine does not help.

Dr. Mihir Patelanswered

Internal Medicine 16 years experience

Viral or allergic: Hi Norma, you may have viral or allergic pharyngitis. It involves upper respiratory tract; it is an inflammation in your throat responsible for pain ... Read More

3.3k viewsAnswered >2 years ago

A 42-year-old male asked:

Hi im worried about angina ive had over th past few days weak or achey upper arms i suffer from acute anxiety but no pain on excertion any clues?

Dr. Mihir Patelanswered

Internal Medicine 16 years experience

Get EKG done: It may be musculoskeletal or psychogenic but still you need EKG . Also if nitroglycerin resolves your pain then you may need further evaluation.

3.3k viewsAnswered >2 years ago

A 43-year-old male asked:

My 68 yo mom just took about a shot glass full of a homemade magnesium mixture and is now itchy and skin is turning red. do do we need to go to an er?

Dr. Mihir Patelanswered

Internal Medicine 16 years experience

Go to Er: if she does have any swelling in her throat, mouth, lips, tongue etc go to ER NOW, if symptoms are not getting better go to ER NOW

3.3k viewsAnswered >2 years ago

A 20-year-old female asked:

Had chest pain near my sternum on my right side all day. pain is slowly creeping down arm. suggestions/concerns? if pain continues, will be at er

Dr. Mihir Patelanswered

Internal Medicine 16 years experience

Mostly benign: mostly it is benign pain due to stomach acid, gas, musculoskeletal etc at your age. If continues with other symptoms like shortness of breath or fever... Read More

3.3k viewsAnswered >2 years ago

A 30-year-old female asked:

I have a hard lump on my inner thigh thought it was a boil and had it about a month now. it is painless ?

Dr. Mihir Patelanswered

Internal Medicine 16 years experience

May be benign: Most probably it may be benign like lipoma but better to get it checked up by a doctor

3.3k viewsAnswered >2 years ago

A 41-year-old male asked:

Sometimes after urinating a will "drip" extra drops of pee, even after i'm "all done." usually occurs when i have to go badly. is this concerning?

Dr. Mihir Patelanswered

Internal Medicine 16 years experience

Postvoid dribbling: Post-void dribbling or post-micturition dribbling is the phenomenon where urine remaining in the urethra after voiding the bladder slowly leaks out af... Read More

3.3k viewsReviewed >2 years ago

Dr. Zafar Khan agrees1 doctor agrees

A 37-year-old male asked:

Please provide some do's and don'ts on dealing with clostridium difficile infection.

Dr. Mihir Patelanswered

Internal Medicine 16 years experience

Ignore: Always wash your hands with soap and water after using toilet and after coming in contact with a pt.

3.3k viewsAnswered >2 years ago

A 42-year-old female asked:

When you get over pneumonia after having it for 3 weeks how long does it take before you stop coughing up fluids?

Dr. Mihir Patelanswered

Internal Medicine 16 years experience

Varies: cough is die to irritation of your respiratory tract and secretions. If your pneumonia is treated properly it can disappear in 3-7 days.

3.3k viewsAnswered >2 years ago

A male asked:

Yesterday i was vomiting very much. and today i have sever back pain. is this just from vomiting so much?

Dr. Mihir Patelanswered

Internal Medicine 16 years experience

Most probably : Most probably. But if it continues , or u have a fever then get it checked

3.3k viewsAnswered >2 years ago

A 22-year-old male asked:

2nd opinion* went 2 er kidney stone r kidney. he said they dont hurt if inside the kidney&when they hit the ureter/bladder, can they hurt n kidney?

Dr. Mihir Patelanswered

Internal Medicine 16 years experience

Yes: stone in kidney doesn't cause pain most of the time: stone in renal pelvis and upper ureter cause flank pain while stone in lower ureter and bladder c... Read More

3.3k viewsAnswered >2 years ago

A 20-year-old female asked:

How does an opioid reduce the perception of pain as well as the emotional response to pain? what's the emotional response? what's it do?

Dr. Mihir Patelanswered

Internal Medicine 16 years experience

Three receptors: opioid acts on three types of receptors -my, kappa and delta distributed throughout the body in various organs in various densities which are responsi... Read More

3.3k viewsAnswered >2 years ago

A 30-year-old female asked:

I get a sharp pain to the left of my belly button but at the same level as my belly button. it's off and on throughout the day. ?

Dr. Mihir Patelanswered

Internal Medicine 16 years experience

Need more details: any other symptoms ? Can be intestinal spasm; need further eval

3.3k viewsReviewed >2 years ago

Dr. Irving Harper agrees1 doctor agrees

A 33-year-old male asked:

12-months old baby, hospitalized 5 days for bacterial pneumonia. how long before coughing will disappear?

Dr. Mihir Patelanswered

Internal Medicine 16 years experience

It varies: first if all antibiotics should be effective for treatment of pneumonia. If it is then it can take upto 3-7 days.

3.3k viewsAnswered >2 years ago

A 19-year-old female asked:

Can a slipped disc or herniated disk in your neck kill you?

Dr. Mihir Patelanswered

Internal Medicine 16 years experience

It can't: Can't kill you but it can definitely cause weakness and numbness; sometimes severe dysfunction

3.3k viewsReviewed >2 years ago

Dr. David Dinhofer agrees1 doctor agrees

A 42-year-old male asked:

No chest pain upon climbing steep road going up three flights of stairs and general being active could i still have angina?

Dr. Mihir Patelanswered

Internal Medicine 16 years experience

No: no it shouldn't be angina like pain

3.3k viewsReviewed >2 years ago

Dr. Nayana Trivedi agrees1 doctor agrees

A 47-year-old female asked:

Son had flu,now i am sneezing,coughing,white yellow mucous _from lungs,coldness in chest,cold sweats on and off,chest tightness,no fever?

Dr. Mihir Patelanswered

Internal Medicine 16 years experience

No worries: It is less likely you will have flu.. Usually flu has more fever and body aches than respiratory symptoms but if your symptoms doesn't improve much in... Read More

3.3k viewsAnswered >2 years ago

A 28-year-old male asked:

Is it possible to develop acute bradycardia (p/40) combined with reduced rr (106/66) because of doing a diet / eat way lesser than before too fast?

Dr. Mihir Patelanswered

Internal Medicine 16 years experience

In extreme cases: yes, it is possible due to lack of electrolytes/ nutrients and severe fasting.

3.3k viewsAnswered >2 years ago

A 26-year-old male asked:

88yrs old lady complain of sudden loss of voice after 2hrs return voice without rx cns ex normal serum calcium 4.5mg/dl how ican deal with her?

Dr. Mihir Patelanswered

Internal Medicine 16 years experience

Go to ER: needs calcium replacement immediately . Needs to get ionized calcium level checked and monitor for further similar cns symptoms. Aspirin should be giv... Read More

3.3k viewsAnswered >2 years ago

A 67-year-old female asked:

Multiple foci of extramural vascular invasion .., this was stated on pathology report after colon cancer surgery . what is this ?

Dr. Mihir Patelanswered

Internal Medicine 16 years experience

Advanced cancer: it means colon cancer is at higher stage prone to spreading other organs

3.3k viewsAnswered >2 years ago

A 19-year-old male asked:

Squeezing chest pains radiating to back & down left arm. troponin, d-dimer, ekg, chest x-ray & heart monitor.. all normal! could it still be cardiac?

Dr. Mihir Patelanswered

Internal Medicine 16 years experience

No: most ptobably it is not cardiac at this age .

3.3k viewsReviewed >2 years ago

Dr. Jeffrey Juchau agrees1 doctor agrees

A 23-year-old female asked:

Does appendicitis cause metallic taste in mouth amongst other symptoms?

Dr. Mihir Patelanswered

Internal Medicine 16 years experience

Least common : It can but not a common symptom.

3.3k viewsAnswered >2 years ago

A member asked:

I have shooting pain inside my right shoulder and it can happen at anytime ?

Dr. Mihir Patelanswered

Internal Medicine 16 years experience

Need X-ray: you may need a x Ray and shoulder exam by physician. It can be related to arthritis, synovitis or muscular pain; it can also be radiating pain from ce... Read More

3.3k viewsAnswered >2 years ago

A female asked:

I have very uncomfortable chest pain all of a sudden. i just checked my bpm on my galaxy gear and it says its 104 and the pain is very tight. i'm 20?

Dr. Mihir Patelanswered

Internal Medicine 16 years experience

Many differentials : At your age most common causes of Cheat pain are musculoskeletal, pleuritic - due to inflammation of lung wall, psychogenic. If you are doing strenu... Read More

3.3k viewsAnswered >2 years ago

A female asked:

My father has diarrhea for two week, the doctor didn't do anything since no blood in stool , he throw up, he is 80 every year same symptoms no cancer?

Dr. Mihir Patelanswered

Internal Medicine 16 years experience

Needs blood work : Hi, your father needs blood work done to make sure that his electrolytes are not messed up due to diarrhea and vomiting. Considering his age, he is at... Read More

3.3k viewsReviewed >2 years ago

Dr. Adrian Baudy IV agrees1 doctor agrees

A female asked:

Should i take hepatitis b 3rd shot 2 days early instead of 22 jan. my 1st was done on 7.22.14.we want to try for baby and i am suppose to ov on 20jan.

Dr. Mihir Patelanswered

Internal Medicine 16 years experience

It doesn't matter: it doesn't matter if you take it 2 days earlier or after 2 days; it also doesn't matter if you take it with ovulation or conception.

3.3k viewsReviewed >2 years ago

Dr. Nayana Trivedi agrees1 doctor agrees

A 23-year-old male asked:

Can a diabetc wth controlled blood sugar cause diabetic nephropathy? ua plenty rbc, wbc and bacteria? ecoli is resitant to ciprofloxacin

Dr. Mihir Patelanswered

Internal Medicine 16 years experience

Yes it can: yes it can be there regardless of blood sugar control; resistant E. coli needs to be treated with sensitive antibiotics. ESBL POSITIVE e.coli needs hi... Read More

3.3k viewsAnswered >2 years ago