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Doctor Q&A for Dr. John Wigneswaran

A female asked:
Dr. John Wigneswaran
Nephrology and Dialysis 26 years experience
Yes: There are sometimes secretions put forth my the proud even prior to ejaculation. This could cause pregnancy. Check a pregnancy test with your physician to make sure.
A female asked:
Dr. John Wigneswaran
Nephrology and Dialysis 26 years experience
Repeat urinalysis: it may be that the presumed urinary tract infection is not sensitive to your antibiotic. Alternatively one would need to consider another possibility for urinary urgency. I would recheck your urine for infection and make sure culture and sensitivity is done as well.
A 30-year-old female asked:
Dr. John Wigneswaran
Nephrology and Dialysis 26 years experience
Swelling/balance: There are multiple reasons you mate such symptoms including protein in your urine, thyroid disease, medication reactions etc. Its important you call your physician immediately to understand how acute these things are particularly if accompanied by shortness of breath and chest or calf pain.
A 20-year-old female asked:
Dr. John Wigneswaran
Nephrology and Dialysis 26 years experience
Some possibilities: This could be many things- most commonly, sinusitis, corrective vision needs, migraines, tensions headaches, evidence of low or high blood sugar, and others including if you have had a significant fever/neck pain, meningitis or even the common cold/flu. See your doctor to get a full workup as this has persisted.
A 33-year-old female asked:
Dr. John Wigneswaran
Nephrology and Dialysis 26 years experience
Don't assume: In order to know whatnots conclusively going on see your doctor. He or she will likely order a urinalysis and culture to confirm whether you have an infection. After this further decision will be made based on the results.
A 42-year-old female asked:
Dr. John Wigneswaran
Nephrology and Dialysis 26 years experience
Seek help: A tight and distended abdomen with pain is not something to take likely. It could be obstruction, reflux, a bleeding ulcer, gastritis etc- the list goes on. Please see your doctor asap for this- particularly with you history I would possibly consider going to the ER today. Other conditions can mimic this such as heart disease, diabetes (gastroparesis). You need a full work-up and exam.
A 44-year-old male asked:
Dr. John Wigneswaran
Nephrology and Dialysis 26 years experience
Vitamin D: A calcium of 10.4 or around that is a higher level. If one supplements with D3, or cholecalciferol, this can actually elevate your calcium levels. There are multiple players within this axis including, the parathyroid hormone, calcium , phosphorous, albumin and Vitamin D. Please see your doctor where you can have a full work-up and avoid supplements until doing so.
A 20-year-old male asked:
Dr. John Wigneswaran
Nephrology and Dialysis 26 years experience
Thoughts: Scrotal swelling in a young male is not at all normal and needs to be looked at quickly. Possibilities include, cancer, epidydimitis, testicular torsion or a hernia. Please seek help as this is something that can be treated if caught early.
A 21-year-old female asked:
Dr. John Wigneswaran
Nephrology and Dialysis 26 years experience
Troubling..: First of all I hope you are okay, and you need to seek help immediately. Aleve, (naproxen) is a non-steroidal anti-inflammatory (NSAID) like Motrin, Ibuprofen etc. In itself would not cause you to die, however it can be associated with other conditions such as ulcers, gastrointestinal bleeding and/or kidney injury if taken in specific settings. Please, please see your physician and let them know. ASAP.
A 17-year-old female asked:
Dr. John Wigneswaran
Nephrology and Dialysis 26 years experience
Good question: I assume you mean "cystitis" and pelvocaliectasis otherwise known as hydronephrosis. Typically cystitis itself would not, however if cystitis causes urinary obstruction by for example predisposing one to kidney stones, or causes urethral irritation and thickening, I suppose it could be possible. This would need to occur chronically. I hope that helps.
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