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.
SpecialtiesDoctors 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.
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 33-year-old male asked:

Dr. Shadia Constantineanswered
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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1.2k viewsAnswered >2 years ago
A 43-year-old female asked:

Dr. Shadia Constantineanswered
Specializes in Internal Medicine
You are right!: They are not balanced. I don't recommend them.
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1.2k viewsReviewed >2 years ago
A 25-year-old female asked:

Dr. Shadia Constantineanswered
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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1.2k viewsAnswered >2 years ago
A 16-year-old male asked:

Dr. Shadia Constantineanswered
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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1.3k viewsAnswered >2 years ago
A 37-year-old male asked:

Dr. Shadia Constantineanswered
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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1.2k viewsAnswered >2 years ago
A 34-year-old male asked:

Dr. Shadia Constantineanswered
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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1.2k viewsAnswered >2 years ago
A 20-year-old female asked:

Dr. Shadia Constantineanswered
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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1.2k viewsAnswered >2 years ago
A 55-year-old female asked:

Dr. Shadia Constantineanswered
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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1.2k viewsAnswered >2 years ago
A 42-year-old female asked:

Dr. Shadia Constantineanswered
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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1.2k viewsAnswered >2 years ago
A 21-year-old female asked:

Dr. Shadia Constantineanswered
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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1.2k viewsAnswered >2 years ago
A 23-year-old female asked:

Dr. Shadia Constantineanswered
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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1.2k viewsAnswered >2 years ago
A 17-year-old female asked:

Dr. Shadia Constantineanswered
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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1.2k viewsAnswered >2 years ago
A 35-year-old female asked:

Dr. Shadia Constantineanswered
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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1.2k viewsAnswered >2 years ago
A 35-year-old male asked:

Dr. Shadia Constantineanswered
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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1.2k viewsAnswered >2 years ago
A female asked:

Dr. Shadia Constantineanswered
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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1.2k viewsReviewed >2 years ago
A member asked:

Dr. Shadia Constantineanswered
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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1.3k viewsAnswered >2 years ago
A 26-year-old female asked:

Dr. Shadia Constantineanswered
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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1.3k viewsReviewed >2 years ago
A 22-year-old female asked:

Dr. Shadia Constantineanswered
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
Created for people with ongoing healthcare needs but benefits everyone.
1.3k viewsAnswered >2 years ago
A 30-year-old female asked:

Dr. Shadia Constantineanswered
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
Created for people with ongoing healthcare needs but benefits everyone.
1.2k viewsReviewed >2 years ago
A 29-year-old female asked:

Dr. Shadia Constantineanswered
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
Created for people with ongoing healthcare needs but benefits everyone.
1.3k viewsAnswered >2 years ago
A male asked:

Dr. Shadia Constantineanswered
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
Created for people with ongoing healthcare needs but benefits everyone.
1.3k viewsAnswered >2 years ago
A 17-year-old female asked:

Dr. Shadia Constantineanswered
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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1.2k viewsAnswered >2 years ago
A female asked:

Dr. Shadia Constantineanswered
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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1.2k viewsReviewed >2 years ago
A 35-year-old female asked:

Dr. Shadia Constantineanswered
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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1.2k viewsReviewed >2 years ago
A 31-year-old female asked:

Dr. Shadia Constantineanswered
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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1.2k viewsAnswered >2 years ago
A 67-year-old male asked:

Dr. Shadia Constantineanswered
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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1.2k viewsAnswered >2 years ago
1 comment
A 23-year-old female asked:

Dr. Shadia Constantineanswered
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
Created for people with ongoing healthcare needs but benefits everyone.
1.3k viewsAnswered >2 years ago
A female asked:

Dr. Shadia Constantineanswered
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
Created for people with ongoing healthcare needs but benefits everyone.
1.2k viewsAnswered >2 years ago
A 18-year-old female asked:

Dr. Shadia Constantineanswered
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
Created for people with ongoing healthcare needs but benefits everyone.
1.3k viewsAnswered >2 years ago
A male asked:

Dr. Shadia Constantineanswered
Specializes in Internal Medicine
Worrisome: Well, humans can live normally with only one kidney, however, a puncture in one kidney is extremely dangerous and is life-threatening because of inter... Read More
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1.2k viewsAnswered >2 years ago
A 75-year-old male asked:

Dr. Shadia Constantineanswered
Specializes in Internal Medicine
Straight cath: The straight answer to your question, would be to do a straight catheterization to obtain the sample. However, this person is 85-years-old and I don't... Read More
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1.3k viewsAnswered >2 years ago
A 24-year-old male asked:

Dr. Shadia Constantineanswered
Specializes in Internal Medicine
Uncomfortable: A simple urinary catheterization is done without anesthesia, so "in your senses" as you said. I can tell that it is an uncomfortable procedure, class... Read More
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1.2k viewsAnswered >2 years ago
A 44-year-old male asked:

Dr. Shadia Constantineanswered
Specializes in Internal Medicine
Location: Dear WDyer, both can look similar, actually. Shingles tends to happen on the skin versus herpes, tends to happen in the border of soft skin and regula... Read More
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1.3k viewsAnswered >2 years ago
A 24-year-old female asked:

Dr. Shadia Constantineanswered
Specializes in Internal Medicine
Real or not real?: I wonder if you have inhaled the dust from the filing of the nails. This dust can be dangerous. Consider changing salon to one with good ventilation... Read More
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1.3k viewsAnswered >2 years ago
A 25-year-old female asked:

Dr. Shadia Constantineanswered
Specializes in Internal Medicine
Not to worry: Dear ChelsieH, it is normal to feel "quirky" things like hurting or tingling or twitching intermittently. We worry when symptoms happen consistently,... Read More
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1.3k viewsAnswered >2 years ago
A 27-year-old male asked:

Dr. Shadia Constantineanswered
Specializes in Internal Medicine
Rush of adrenaline: I would think most commonly is a rush of adrenaline cause by fear, stress, nervousness, anxiety but also by low sugar. I hope this helps.
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1.3k viewsAnswered >2 years ago
A 52-year-old male asked:

Dr. Shadia Constantineanswered
Specializes in Internal Medicine
Recheck mask: Dear GregS384, When was your last polysonmography? A possibility is that the setting of the CPAP need adjustment and this is why you are to feeling re... Read More
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1.3k viewsReviewed >2 years ago
A 26-year-old male asked:

Dr. Shadia Constantineanswered
Specializes in Internal Medicine
Symptoms only: It has no effect of length of illness. Sorry :(
The truth is that we still have nothing strong enough to help against the common cold.
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1.2k viewsAnswered >2 years ago
A 48-year-old female asked:

Dr. Shadia Constantineanswered
Specializes in Internal Medicine
Stomach?: Several other organs lie in that area. Since the pain is after eating, I wonder if you are having a duodenal/gastric irritation or ulcer. It could al... Read More
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1.2k viewsReviewed >2 years ago
A 65-year-old female asked:

Dr. Shadia Constantineanswered
Specializes in Internal Medicine
Needs drain: Dear QFlanagan,
I am thinking that this might be a Bartholin cyst, and if painful, it might be infected. Depending on the size, it might require dra... Read More
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1.2k viewsAnswered >2 years ago
A 25-year-old female asked:

Dr. Shadia Constantineanswered
Specializes in Internal Medicine
Reflux or anxiety: Dear Nicole, I would first say that a chest pain that happens this intermittently is probably not life-threatening. I wonder if during stressful day... Read More
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1.2k viewsAnswered >2 years ago
A 50-year-old female asked:

Dr. Shadia Constantineanswered
Specializes in Internal Medicine
Consider picture: Dear VMay, it would be difficult to help you without seeing the lesion. I would consider doing a consult where you can attach a picture for us to lo... Read More
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1.3k viewsAnswered >2 years ago
A 39-year-old male asked:

Dr. Shadia Constantineanswered
Specializes in Internal Medicine
Need doctor visit: Dear StuartG, make sure you are well hydrated, dehydration can cause lightheadedness and your heart might beat faster. However, if you have cardiac ri... Read More
Created for people with ongoing healthcare needs but benefits everyone.
1.3k viewsReviewed >2 years ago
A 32-year-old female asked:

Dr. Shadia Constantineanswered
Specializes in Internal Medicine
Real or not: We all have extra beats once in a while that might be interpreted by the BP machine as irregular heart beating. By age only, you are low risk for atr... Read More
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1.2k viewsAnswered >2 years ago
A 23-year-old female asked:

Dr. Shadia Constantineanswered
Specializes in Internal Medicine
Probably not: During your lifetime, you will experience some irregularities in your menstruation because many things can influence our balance: diet, exercise, stre... Read More
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1.2k viewsAnswered >2 years ago
A 35-year-old male asked:

Dr. Shadia Constantineanswered
Specializes in Internal Medicine
Local nerve: trauma? Dear ErikD, I wonder if your sneaker is rubbing your toe in the area where the nerve run. sometimes, tight shoes can cause this or frequent ... Read More
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1.2k viewsReviewed >2 years ago
A 42-year-old male asked:

Dr. Shadia Constantineanswered
Specializes in Internal Medicine
NO: It is very unlikely that you would develop a serious problem with such short exposure. Silicosis usually happens to workers exposed for a long time. ... Read More
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1.3k viewsReviewed >2 years ago
A 24-year-old male asked:

Dr. Shadia Constantineanswered
Specializes in Internal Medicine
It's a process: Finding the right dose of an SSRI for you is a process that might take more time than sometimes we expect. You are taking a small dose. Please be pa... Read More
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1.3k viewsReviewed >2 years ago
A 38-year-old male asked:

Dr. Shadia Constantineanswered
Specializes in Internal Medicine
Monitor...: Dear GCollier, in the left lower abdomen we usually think large intestine but it can be other things. This simply could be constipation. Monitor is... Read More
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1.3k viewsAnswered >2 years ago
A 27-year-old male asked:

Dr. Shadia Constantineanswered
Specializes in Internal Medicine
Why the fear?: Dear ZachA, heart attacks in 27 year men are rare but they do happen and we can predict better if we get more information from you, like your family a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
1.3k viewsAnswered >2 years ago
TestimonialsRecommendations and Thank you notes are endorsements given from patients or other doctors.
Recommendations and Thank you notes are endorsements given from patients or other doctors.
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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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