Dr. Shadia Constantine

Internal Medicine
Sapporo-shi, Hokkaidō, Japan
female

About

Bio

I am currently working in Sapporo, Japan teaching residents at a hospital. Rounding and precepting always in the presence of a licensed physician.

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

Licenses

United States: Pennsylvania

Doctor Q&A

95 Answers
18 Agrees
The number of answers this doctor has agreed with.
A 37-year-old male asked:
Dr. Shadia Constantine
Specializes in Internal Medicine
If: If you see somebody having a seizure DO NOT put anything in their mouth, including your fingers.
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A 16-year-old male asked:
Dr. Shadia Constantine
Specializes in Internal Medicine
Its a possibility: Dear THyunh, the location you describe makes a pilonidal cyst (PC) a possibility however, other more superficial reasons can give you a bump in that a... Read More
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A 25-year-old female asked:
Dr. Shadia Constantine
Specializes in Internal Medicine
Culture?: Even though I was trained in the US, I am originally Latina and we are huggers! However, I only hug a patient after I have developed a long trusting ... Read More
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A 33-year-old male asked:
Dr. Shadia Constantine
Specializes in Internal Medicine
Likely Type 2: Dear EternalC, if you were just diagnosed by lab work because your symptoms are "mild", you are most likely at Type 2. Type 1 people usually get very... Read More
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A 17-year-old female asked:
Dr. Shadia Constantine
Specializes in Internal Medicine
Yes: I would suggest to check your liver again. So yes, you should go back to the doctor.
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A 23-year-old female asked:
Dr. Shadia Constantine
Specializes in Internal Medicine
Any symptoms?: Hello JSwenson, I am sorry you are concerned about this. Since this is the first time you had a sexual encounter, I wonder if what you are feeling has... Read More
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A 23-year-old female asked:
Dr. Shadia Constantine
Specializes in Internal Medicine
Yes: Dear WHarris, yes, if you have had kidney stones in the past and this pain feels the same, then it would be better to have a doctor evaluation. Som... Read More
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A 67-year-old male asked:
Dr. Shadia Constantine
Specializes in Internal Medicine
Not proven: Dear Mr. DLow, I might need more time to do a more thorough search for you. So far, I have found more studies associating agent orange with cancer. I ... Read More
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A 20-year-old female asked:
Dr. Shadia Constantine
Specializes in Internal Medicine
Pregnant?: First, please make sure you are not pregnant if you are sexually active. Regarding inducting the period immediately, there are several unscientifical... Read More
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A 55-year-old female asked:
Dr. Shadia Constantine
Specializes in Internal Medicine
No problem: Not dangerous. What happens with the metal is that it can disturb the images but the tech probably looked at them when you were done and deemed them ... Read More
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A female asked:
Dr. Shadia Constantine
Specializes in Internal Medicine
Need exam: If several days with these symptoms, I would suggest checking for strep throat and mono but a careful history is still necessary. Go to the doctor. ... Read More
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A 35-year-old female asked:
Dr. Shadia Constantine
Specializes in Internal Medicine
No: Dear NakishaP. No. These test results are not related to the symptoms you describe. Your symptoms sound like a sinusitis but there are other possib... Read More
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A 35-year-old female asked:
Dr. Shadia Constantine
Specializes in Internal Medicine
Need consult: Dear AmandaV, the neck has many vital structures and I would be concerned about any swelling/pressure there. You need to give a doctor more informat... Read More
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A 30-year-old female asked:
Dr. Shadia Constantine
Specializes in Internal Medicine
Not medical reason: Dear NermeenS, as a mom doctor, I assure you that there is no medical reason behind a recommendation of when to cut a baby's hair. You will not cause... Read More
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A female asked:
Dr. Shadia Constantine
Specializes in Internal Medicine
New or always?: Every woman is different and some might experience shorter periods, however, what you describe are quite short. I wonder if this is a new issue for y... Read More
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A 42-year-old female asked:
Dr. Shadia Constantine
Specializes in Internal Medicine
Miscarriage?: Any chance you were pregnant? Since you have been bleeding continuously for more than one month, I would suggest visiting a doctor for an examination... Read More
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A 35-year-old male asked:
Dr. Shadia Constantine
Specializes in Internal Medicine
Is this new?: Dear DerrickA, these constellation of symptoms require more questions and probably a physical exam. I would suggest a visit to the doctor. This could... Read More
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A female asked:
Dr. Shadia Constantine
Specializes in Internal Medicine
Carefull!: I don't think you cause any permanent damage. Don't worry. But please be careful, maybe put some pillows under you before trying again. I hope this h... Read More
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A 22-year-old female asked:
Dr. Shadia Constantine
Specializes in Internal Medicine
Probably need pictur: Dear TChamberlain, I am sorry to hear about your concern. A really small green spot that is sore...uhmm, that is rare. I can only wonder if it it a ... Read More
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A 31-year-old female asked:
Dr. Shadia Constantine
Specializes in Internal Medicine
Probably yes: Viral gastroenteritis can last a week or so. If you are not vomiting anymore, I would consider that an improvement. Stay hydrated and with a light d... Read More
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A 29-year-old female asked:
Dr. Shadia Constantine
Specializes in Internal Medicine
Yes: Dear SerenaL, yes, people can develop arrhythmia a without an apparent reason and being sudden actually its hallmark. It seems you have heart awaren... Read More
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A 26-year-old female asked:
Dr. Shadia Constantine
Specializes in Internal Medicine
Probably normal: After the surgery, there probably will be inflammation that will affect the surrounding nerves. This might explain the tingling, numbness and lack of ... Read More
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A member asked:
Dr. Shadia Constantine
Specializes in Internal Medicine
More information: Dear JackG, unfortunately you gave us little information. Pain in the tip of the fingers could be many things like trauma/microtrauma/excessive use,... Read More
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A 17-year-old female asked:
Dr. Shadia Constantine
Specializes in Internal Medicine
Need more info: Dear XKane, I would need to know for how long you have been experiencing this sensation. Is it after you do a specific activity? do you see any chang... Read More
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A 21-year-old female asked:
Dr. Shadia Constantine
Specializes in Internal Medicine
No: No. Negligible risk of contracting a disease from this kind of brief contact. I hope this makes you feel better. Dr C
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A 34-year-old male asked:
Dr. Shadia Constantine
Specializes in Internal Medicine
No: Dear MyronZ, there is no medical evidence that copper or magnetic bracelets work for pain. I hope this helps. Dr. C http://www.ncbi.nlm.nih.gov/pub... Read More
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A 18-year-old female asked:
Dr. Shadia Constantine
Specializes in Internal Medicine
False negative: Is still a possibility that you are pregnant. At this point the levels of hormone might be too lownformthebtest to detect. Repeat 7-10 days after mi... Read More
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A male asked:
Dr. Shadia Constantine
Specializes in Internal Medicine
Authorized pharmacy: Dear NSteinberg, I am not sure I can understand completely your question. Female hormones are considered a medication and because they can potentiall... Read More
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A 43-year-old female asked:
Dr. Shadia Constantine
Specializes in Internal Medicine
You are right!: They are not balanced. I don't recommend them.
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A female asked:
Dr. Shadia Constantine
Specializes in Internal Medicine
Enteritis: This sounds like an acute gastroenteritis. If it is, you should expect diarrhea, maybe fever, nausea, lack of appetite and cramping belly pain less t... Read More
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A 22-year-old female asked:
Dr. Shadia Constantine
Specializes in Internal Medicine
Yes: Yes, it would be ok to take another Aleve (naproxen), (naproxen) now. However, be careful about combining these two medications since they both act on... Read More
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A 42-year-old male asked:
Dr. Shadia Constantine
Specializes in Internal Medicine
Maybe lisinopril: Dear Jerry34, I did a quick review of the literature, and it seems that theoretically all "pril" drugs should help. However, I found that perindopril ... Read More
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A female asked:
Dr. Shadia Constantine
Specializes in Internal Medicine
Coincidence?: If the discomfort started a few days after the surgery, I would not blame it for your sore throat. You probably got infected either during or after th... Read More
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A member asked:
Dr. Shadia Constantine
Specializes in Internal Medicine
Infection?: Dear IMArks, this may be an infection. Your ear needs to be examined and unfortunately, we cannot do that virtually. You might indeed consider visitin... Read More
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A 22-year-old female asked:
Dr. Shadia Constantine
Specializes in Internal Medicine
Rest: Hydrate very well and rest. If you have diarrhea, the pain is probably related to it. However, monitor for any spotting of blood. Unfortunately, at t... Read More
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A 32-year-old female asked:
Dr. Shadia Constantine
Specializes in Internal Medicine
Reflux?: Dear ZBriggs, these symptoms sound like gastric reflux to me, even though they could be other things. Many times, reflux doesn't feel like a burning... Read More
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A 22-year-old male asked:
Dr. Shadia Constantine
Specializes in Internal Medicine
Need more: At your age, the development of hypertension definitely requires in depth evaluation. Unfortunately, a CT scan is not enough to eliminate your kidney... Read More
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A female asked:
Dr. Shadia Constantine
Specializes in Internal Medicine
Heart attack NOT my: First though in a 13 year old girl. However, not knowing her past medical history, it would be better to have her evaluated by a doctor. I am sorry ... Read More
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A member asked:
Dr. Shadia Constantine
Specializes in Internal Medicine
What is prolapsing?: Dear QRich, you forgot to tell us what is prolapsing: the bladder, the uterus, the rectum? Please give your your age, sex and the part is prolapsing ... Read More
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A 49-year-old male asked:
Dr. Shadia Constantine
Specializes in Internal Medicine
Depends: Dear SastryN, I guess my answer will depend on what chemical you are using, marihuana, tobacco products, other? Please repost your answer with the sub... Read More
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A 32-year-old female asked:
Dr. Shadia Constantine
Specializes in Internal Medicine
Check for pregnancy: Dear NicoleT22, irregularities in our periods happen during our life normally even for women that consider themselves "regular." If this is the first ... Read More
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A 21-year-old female asked:
Dr. Shadia Constantine
Specializes in Internal Medicine
Probably not: Unless it starts draining pus or the redness expands beyond the bite site. Put ice on it, don't scratch anymore and monitor. Dr. C
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A member asked:
Dr. Shadia Constantine
Specializes in Internal Medicine
Irritation vs. blood: Any additional symptoms besides the rash? do they disappear when you press at them, or do they stay? If they disappear with pressure, this might be a ... Read More
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A 67-year-old male asked:
Dr. Shadia Constantine
Specializes in Internal Medicine
Maybe...: Dear BobP, the diagnosis of atypical neuralgia is an unclear one but in general, problems in the nerves can cause changes in the perception of tempera... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old male asked:
Dr. Shadia Constantine
Specializes in Internal Medicine
Yes: C diff is a member of our normal gut flora but in small quantity. The rest of bacteria predominates but this normal flora its destroyed by antibiotics... Read More
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A 24-year-old female asked:
Dr. Shadia Constantine
Specializes in Internal Medicine
Visit your doctor: You sound like you have "googled" these symptoms already. The toes going upward after a plantar stimuli makes me wonder about Babinski sign, which wou... Read More
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A 19-year-old female asked:
Dr. Shadia Constantine
Specializes in Internal Medicine
Do you feel it?: Do you feel like you are "rushing to breath" or "struggling to breath"? if you don't, I wouldn't worry. Maybe your cousin is too sensitive. If you h... Read More
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A 18-year-old female asked:
Dr. Shadia Constantine
Specializes in Internal Medicine
Infection: With 6 days of duration, the majority of times these constellation of symptoms are secondary to an infection (either viral or bacterial) even in the a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old female asked:
Dr. Shadia Constantine
Specializes in Internal Medicine
Walking bare foot: Do you mean in the bottom of the feet? I am not sure in what part of the feet it is hurting, but plantar fasciitis comes to my mind. if you use flip ... Read More
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A member asked:
Dr. Shadia Constantine
Specializes in Internal Medicine
Probably not: you will most likely be OK. Be careful on how much laxatives you take. Maybe you will need to take a look at your diet. I wouldn't want to scare you... Read More
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Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

70
Thank you notes
HealthTap member
This was very helpful. Thanks! Thank you very much for your insight, on the other note, soon as i posted my question, loaded up on probiotics, next morning, brown poop, normal size, albeit a little sq...Read More
HealthTap member
This was very helpful. Thanks! My feet get really red and hot when I stand for short periods. I injured my left ankle and thats when it started, now i get redness and heat in both feet. Seen many doct...Read More
HealthTap member
This was very helpful. Thanks! Thank you Dr Constantine for the useful information!

Education & Training

Medical/Graduate school

University of Panama Faculty of Medicine, Panama
Graduated 1998MD

Residency

GEISINGER MEDICAL CENTER

Awards

Life long member of the University of Panama Medical Student Association
HealthTap Doctor Mom
HealthTap Founding Doctor

Affiliations

Teine Keijinkai Hospital, Sapporo, Japan

Publications

S. Santos Constantine. ACGME Has Gone Global!. SGIM Forum. Vol.38 Num.6. June 15 S. Santos, C. Mracek, L. Shah. Eruptive Xanthoma. Consultant. 2014: 5...
Constantine, S. Teaching Evidence-Based Medicine: Why Is It So Hard? Topic of the month. Continuing Professional Development. Weill Cornell Medicine-Q...
Takamatsu, A.; Nagai, Y.; Constantine, S. Liver Abscesses with Bacteria-Associated Hemophagocytic Syndrome. Ann Hematol Oncol –2015; 2(9): 1064
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