Dr. Hratch Karamanoukian

Phlebology
Buffalo, NY
33 years experience male

Locations

Office

Williamsville, NY

Address

5225 Sheridan Drive, Williamsville, NY
Directions

My office hours

Thursday: 7:00am - 7:00pm
Show more

Fax

(716) 626-7701

About

Bio

I am board certified in surgery (American Board of Surgery), thoracic surgery (American Board of Thoracic Surgery) and have added certification from the American Board of Venous and Lymphatic Medicine. I also have certification as a Registered Vascular Technician (RVT), Registered Physician in Vascular Interpretation (RPVI) and Registered Phlebology Sonographer (RPhS).

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.

Phlebology

Thoracic Surgery

Licenses

United States: New York

Languages spoken

Armenian

Doctor Q&A

153 Answers
24 Agrees
The number of answers this doctor has agreed with.
A female asked:
Dr. Hratch Karamanoukian
Phlebology 33 years experience
Back pain: Sound like you need an adjustment by a chiropractor. If that does not help, get in to see a back specialist. Also, seek guidance from your primary car... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 19-year-old female asked:
Dr. Hratch Karamanoukian
Phlebology 33 years experience
Ov cyst rupture: Ovarian cyst rupture does NOT cause hematochezia or melena.
Created for people with ongoing healthcare needs but benefits everyone.
A 19-year-old female asked:
Dr. Hratch Karamanoukian
Phlebology 33 years experience
Thyroid function: Hypothyroidism is related to burn out of the thyroid with low production of thyroid hormone. Hyperthyroidism is excess production of thyroid hormone. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old female asked:
Dr. Hratch Karamanoukian
Phlebology 33 years experience
Lump LLQ: That is not normal. You should see your GYN doctor immediately for pelvic exam and ultrasound. It is very important for you to make that appointment.
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old female asked:
Dr. Hratch Karamanoukian
Phlebology 33 years experience
Leg pain & cancer: Cancer increases likelihood deep vein thrombosis in the legs. I recommend that you get a venous Doppler ultrasound scan to exclude this problem as it ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 60-year-old male asked:
Dr. Hratch Karamanoukian
Phlebology 33 years experience
ClariVein: ClariVein is technically easier. However, in thin patients, especially below the knees, it seems to leave hemosiderin staining along the course of the... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 53-year-old female asked:
Dr. Hratch Karamanoukian
Phlebology 33 years experience
DVT and CVI: Symptoms of chronic venous insufficiency are 'chronic' and rarely of abrupt onset. Patients will report having longstanding symptoms of aching and pai... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Hratch Karamanoukian
Phlebology 33 years experience
Surgical value: Medical or cosmetic?
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Hratch Karamanoukian
Phlebology 33 years experience
Epigastric mass: You don't provide enough information and detail for me to help answer the question. But, given that it is pulsatile, you should be seen by a doctor so... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old female asked:
Dr. Hratch Karamanoukian
Phlebology 33 years experience
Arm DVT: If there is swelling of the arm, a Duplex vein scan should be done. D-Dimer is borderline positive. I would request a scan to be done.
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old female asked:
Dr. Hratch Karamanoukian
Phlebology 33 years experience
Skin rash: It is not likely that taking meds will alter your skin. There is great data now that suggests that taking certain probiotics will improve skin health ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old female asked:
Dr. Hratch Karamanoukian
Phlebology 33 years experience
BP measurement: no and there is no need to take it 20 times a day either. Twice a day at specified times is good enough.
Created for people with ongoing healthcare needs but benefits everyone.
A 16-year-old female asked:
Dr. Hratch Karamanoukian
Phlebology 33 years experience
Kidney stent: It is not clear where the discharge is from, your nephrostomy site or in the urine ... It is best to call the urologist for an in person examination a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old female asked:
Dr. Hratch Karamanoukian
Phlebology 33 years experience
DVT prophylaxis: Keyhole incision is good but DVT prophylaxis with TED stockings, ambulation, targeted leg exercises is excellent. If you are having recurrent leg symp... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 62-year-old male asked:
Dr. Hratch Karamanoukian
Phlebology 33 years experience
Altace cough: it is worth trying again as you will know quickly whether you are sensitive to it, and if you are, you can stop it. Best to check with your cardiologi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old female asked:
Dr. Hratch Karamanoukian
Phlebology 33 years experience
IV Thrombophlebitis: Thrombophlebitis can extend proximally into the forearm and arm. If it is becoming more symptomatic, you need to get a Duplex vein scan of the upper e... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old female asked:
Dr. Hratch Karamanoukian
Phlebology 33 years experience
Hyperhidrosis: Palmoplantar hyperhidrosis can be treated with topicals, oral anticholinergic agents or Botox injections. Treatments are excellent with high patient s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old male asked:
Dr. Hratch Karamanoukian
Phlebology 33 years experience
Esophageal spasms?: Non cardiac related chest pain and pressure requires a thorough evaluation including upper endoscopy and often manometric studies of the esophagus. Hi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old male asked:
Dr. Hratch Karamanoukian
Phlebology 33 years experience
Venous edema: One of the hallmarks of chronic venous insufficiency is ankle and leg swelling. In the early stages of venous insufficiency, ankle and leg swelling oc... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old female asked:
Dr. Hratch Karamanoukian
Phlebology 33 years experience
Lightheadedness: If it does not improve soon, go to the emergency room as there are many reasons for this. They will make sure there are no life threatening issues lik... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 16-year-old male asked:
Dr. Hratch Karamanoukian
Phlebology 33 years experience
Advil (ibuprofen) metabolism: Most of this medication will be metabolized or excreted by the kidney in 48 hours.
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old male asked:
Dr. Hratch Karamanoukian
Phlebology 33 years experience
Calcification: Vascular calcification in of itself does not mean anything. These are common in patients > 50 and in patients with hypercholesterolemia. It is more... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old male asked:
Dr. Hratch Karamanoukian
Phlebology 33 years experience
Hydradenitis: Recurrent infections in the underarms and groins are called hydradenitis suppurativa. This is a different entity than hyperhidrosis. It is comedolike ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old male asked:
Dr. Hratch Karamanoukian
Phlebology 33 years experience
C diff infection: Antibiotic therapy can cause bacterial overgrowth of C difficile in the colon. You may need a stool culture for C diff or PCR test to clinch diagnosis... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old female asked:
Dr. Hratch Karamanoukian
Phlebology 33 years experience
Phenteramine: Phenteramine is an amphetamine derivative and is known to cause heart palpitations and can cause chest pain. I recommend that you stopp taking it and ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 51-year-old female asked:
Dr. Hratch Karamanoukian
Phlebology 33 years experience
Compartment syndrome: The only way to exclude this is to place a needle catheter after exercise to measure compartment pressures in the legs. There are 4 compartments in th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old female asked:
Dr. Hratch Karamanoukian
Phlebology 33 years experience
DVT v venous reflux: DVT causes pain and there is swelling in the extremity. Unfortunately, the same symptoms occur with venous insufficiency but the symptoms in the latte... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 51-year-old member asked:
Dr. Hratch Karamanoukian
Phlebology 33 years experience
Retinoid creams: Retinoid creams are best for fine wrinkles. I recommend RR Retinoid Repair cream from Kare Skin. Remember, dynamic wrinkles require treatment with Bot... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Hratch Karamanoukian
Phlebology 33 years experience
Venous stasis ulcer: Vein specialists who take care of all aspects of venous disease best manage venous stasis ulcers. Treatments are supportive to help heal the stasis ul... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old female asked:
Dr. Hratch Karamanoukian
Phlebology 33 years experience
Pagett-Schroetter: Subclavian steal is an arterial phenomenon and does not present this way. Axillo subclavian vein thrombosis may present in this manner. This is called... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Hratch Karamanoukian
Phlebology 33 years experience
Leg burning: Burning feeling may be related to neuropathy and you should see a neurologist to determine the underlying cause with diagnostic testing.
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Hratch Karamanoukian
Phlebology 33 years experience
Thrombophlebitis: itis means inflammation. Thrombo means clot. Thrombophlebitis is inflammation of a vein. There is superficial vein thrombophlebitis and deep vein thro... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Hratch Karamanoukian
Phlebology 33 years experience
Rosacea: If oral antibiotcs and topicals don't relieve rosacea, there are some lasers on the market that help relieve this condition. The 595 nm V Beam laser s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Hratch Karamanoukian
Phlebology 33 years experience
Micro ETS: micro ETS is very effective and time tested for palmoplantar hyperhidrosis. Seek someone with expertise who has done a large number of cases.
Created for people with ongoing healthcare needs but benefits everyone.
A 52-year-old member asked:
Dr. Hratch Karamanoukian
Phlebology 33 years experience
Pda repair: If repaired during early childhood, should have no consequences. Repaired late, there may be underlying pulmonary hypertension.
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old female asked:
Dr. Hratch Karamanoukian
Phlebology 33 years experience
Serum creatinine: It should. It could. All of the mentioned will, in theory, improve kidney function: better BP control, less protein load, better diabetes control ... ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old female asked:
Dr. Hratch Karamanoukian
Phlebology 33 years experience
Syncope, SOB: It is prudent to admit for telemetry observation for at least 24 hours, unless there is an obvious cause which is treatable. The shortness of breath n... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 59-year-old female asked:
Dr. Hratch Karamanoukian
Phlebology 33 years experience
Nerve injury: This is the distribution for the ulnar nerve (4th and 5th fingers) and some of the radial (top of hand). You may want to see a neurologist or hand sur... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 56-year-old female asked:
Dr. Hratch Karamanoukian
Phlebology 33 years experience
Stress test: The injectate is not dye but most likely to be a nuclear agent like Cardiolyte. It will not conflict with your ankle surgery. It will determine if you... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old male asked:
Dr. Hratch Karamanoukian
Phlebology 33 years experience
Cardiac cath ?: If this was arterial catheterizationf through the groin, you need to inform the doctor who did the catheterization and get Duplex scan of the groin to... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 62-year-old male asked:
Dr. Hratch Karamanoukian
Phlebology 33 years experience
Advil (ibuprofen): This is safe as it is a short duration treatment, unless you have renal insufficiency (kidney function reduction) or significant acid reflux (GERD) or... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 17-year-old member asked:
Dr. Hratch Karamanoukian
Phlebology 33 years experience
Abdominal pain: At this point, I recommend that you see a gastroenterologist for EGD and proper guidance and treatment.
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old female asked:
Dr. Hratch Karamanoukian
Phlebology 33 years experience
Epigastric pain: Chest pain or epigastric pain may indicate a lot of things in the differential diagnosis. But, in a healthy 20 year, the likelihood of coronary diseas... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old female asked:
Dr. Hratch Karamanoukian
Phlebology 33 years experience
Platelet count: Normal platelet count is 150-450 K. I would consider yours normal at this point. It should be safe to do cardiac catheterization. If it goes lower, se... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Hratch Karamanoukian
Phlebology 33 years experience
Axillary nodes: If there is breast pain along with the axillary lymph node, you MUST get evaluated by a breast surgeon for biopsy to exclude cancer. It is very import... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old male asked:
Dr. Hratch Karamanoukian
Phlebology 33 years experience
Manuka honey: Manuka honey, derived from my family surname (Kara Manuk ian) ... is from Australia and NZ and has one ingredient in it that has antibacterial propert... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Hratch Karamanoukian
Phlebology 33 years experience
Pacer life: Pacemakers should be interrogated regularly in a pacemaker clinic and one of the parameters tested is battery life.
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Hratch Karamanoukian
Phlebology 33 years experience
Varicose veins: Varicose veins are not normal but have increased prevalence with aging and sedentary lifestyles. Targeted leg exercises and strong calf muscles reduce... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Hratch Karamanoukian
Phlebology 33 years experience
Thrombosed hemorrhoi: Hemorrhoids can thrombose and such thrombosis can be painful, especially if they are external. i.e. external hemorrhoids. Internal hemorrhoids are rar... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 51-year-old female asked:
Dr. Hratch Karamanoukian
Phlebology 33 years experience
Groin pain: It is important to get a Duplex vein scan but this rarely shows anything above the groin. In thin patients, the iliac veins may be visualized. Duplex ... Read More
Created for people with ongoing healthcare needs but benefits everyone.

Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

1
Recommendations
76
Thank you notes
Mar 25, 2016
Dr. Karamanoukian is a very experienced and knowledgeable vein specialist.
HealthTap member
Surgeon said too small to do FNA so to do another ultrasound in one year. Had previous hemithyroidectomy 11 years ago. Have several small foci in remaining lobe with this dominant one.
HealthTap member
I'd love to have a normal 1 on 1 conversation about but I know that won't happen but in case there is a small chance 1-812-208-1562 thanks for the reply though :-)
HealthTap member
This was very helpful. Thanks! So greatful for your kind answer. May you be blessed a thousandfolds. Thank you so much doc Hratch.

Education & Training

Medical/Graduate school

Keck School of Medicine of University of Southern California, CA
Graduated 1990MD

Residency

University at Buffalo

Residency

University at Buffalo

Awards

Top Phlebologist, First Place, National - Spring
2016
Thought Leader, First Place, Buffalo Region - Spring
2016
Most Influential Doctor, Third Place, Buffalo Region - Spring
2016
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