U.S. doctors online nowAsk doctors free

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 24-year-old male asked:
Dr. Shadia Constantine
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
A 26-year-old male asked:
Dr. Shadia Constantine
Specializes in Internal Medicine
No interactions: I looked at the main ingredients and check interactions with clinda using the MedScape and the U of Maryland interaction checkers and did not find any... Read More
A 38-year-old male asked:
Dr. Shadia Constantine
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
A 28-year-old male asked:
Dr. Shadia Constantine
Specializes in Internal Medicine
Maybe...: I only found one head to head comparison and the study was small. Seems that hydroxyzine has more "anti-itch" effect. The side effects were similar. ... Read More
A 50-year-old female asked:
Dr. Shadia Constantine
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
A 32-year-old female asked:
Dr. Shadia Constantine
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
A 26-year-old male asked:
Dr. Shadia Constantine
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.
A 29-year-old female asked:
Dr. Shadia Constantine
Specializes in Internal Medicine
Normal: This is a normal change of the normal vaginal discharge. At the end of the period, the vaginal secretions become white, cloudy, and thick. it is just... Read More
A 27-year-old male asked:
Dr. Shadia Constantine
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
A 33-year-old male asked:
Dr. Shadia Constantine
Specializes in Internal Medicine
Maybe...: Maybe related, especially the low MCV. Did you receive any explanation for that abnormal lab? That means your red blood cells on average are smaller... Read More
A 35-year-old male asked:
Dr. Shadia Constantine
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
A 23-year-old female asked:
Dr. Shadia Constantine
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
A 37-year-old female asked:
Dr. Shadia Constantine
Specializes in Internal Medicine
Unlikely: Very unlikely this is related to the epidural. Maybe related to the conditions of your body at the time you needed the epidural. Was it given for de... Read More
A male asked:
Dr. Shadia Constantine
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
A 52-year-old male asked:
Dr. Shadia Constantine
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
A male asked:
Dr. Shadia Constantine
Specializes in Internal Medicine
No: My answer would be NO. I reviewed reliable sources and atrial fibrillation is not listed as a side effect. I found a website with a very unscientific... Read More
A male asked:
Dr. Shadia Constantine
Specializes in Internal Medicine
Maybe not the same: I would be hesitant to recommend for the penis because it is indicated for fungal infection in areas where skin is stronger and mainly because we don'... Read More
A 75-year-old male asked:
Dr. Shadia Constantine
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
A 44-year-old male asked:
Dr. Shadia Constantine
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
A 24-year-old female asked:
Dr. Shadia Constantine
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
A 27-year-old male asked:
Dr. Shadia Constantine
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.
A 47-year-old female asked:
Dr. Shadia Constantine
Specializes in Internal Medicine
Runny nose?: I have looked around and it has been difficult to find the typical rash caused by methimazole. I would ask about timing of methimazole to when the ra... Read More
A 39-year-old male asked:
Dr. Shadia Constantine
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
A 25-year-old female asked:
Dr. Shadia Constantine
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
A 25-year-old female asked:
Dr. Shadia Constantine
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
A 48-year-old female asked:
Dr. Shadia Constantine
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
A 65-year-old female asked:
Dr. Shadia Constantine
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
A 24-year-old male asked:
Dr. Shadia Constantine
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
A female asked:
Dr. Shadia Constantine
Specializes in Internal Medicine
Probably not: Dear Juan94, I have good news! you are NOT going to die from this. Don't worry. You are probably having a reaction to the chemical. Even if ammonia fr... Read More
A 52-year-old male asked:
Dr. Shadia Constantine
Specializes in Internal Medicine
Not much: We called this a "reproducible" pain, because you can feel it when you press your rib cage. Most likely not your heart and instead, the muscles or car... Read More
A 54-year-old female asked:
Dr. Shadia Constantine
Specializes in Internal Medicine
Probably not from it: Dear UEverett, if the area is indeed small, if very unlikely that this is the reason for your pain, even if it feels close to the right kidney area. ... Read More
A 42-year-old male asked:
Dr. Shadia Constantine
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
A 17-year-old female asked:
Dr. Shadia Constantine
Specializes in Internal Medicine
Probably not worry: Dear DenaS: There are physiologic changes in the volume the heart manages with changes in position but usually we don't feel these changes. Some peopl... Read More
A female asked:
Dr. Shadia Constantine
Specializes in Internal Medicine
Needs eval: Dear NKhan, is this rash painful, itchy? Does it have blisters? With this location and the fact that it is unilateral, I am concerned about herpes or ... Read More
A member asked:
Dr. Shadia Constantine
Specializes in Internal Medicine
Not long: Diclofenac belongs to a family of drugs that can irritate the stomach. Try taking some over-the-counter omeprazole or ranitidine and see if that help... Read More
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
A 46-year-old member asked:
Dr. Shadia Constantine
Specializes in Internal Medicine
Fracture?: That is a long time after the hit, I would expect swelling would be gone by now. Did you ever had X-rays taken? Maybe you had a fracture. Because thi... Read More
A 50-year-old male asked:
Dr. Shadia Constantine
Specializes in Internal Medicine
Many causes: A runner's knee is essentially pain in the knee but it can involve different structures like the problems with the bones (patella), tendons around the... Read More
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
A 25-year-old female asked:
Dr. Shadia Constantine
Specializes in Internal Medicine
Many causes: The symptom of headache is very general and part of many conditions so you probably need to talk directly with a doctor virtually through HealthTap or... Read More
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
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
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
A 25-year-old female asked:
Dr. Shadia Constantine
Specializes in Internal Medicine
Laser?: Have you consulted a dermatologist? Maybe laser treatment can help fade the scar but unfortunately, probably nothing will make it go away completely. ... Read More
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
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
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
A 35-year-old female asked:
Dr. Shadia Constantine
Specializes in Internal Medicine
Gallbladder?: Dear CarlaB, the brown color of the stool is given by bile. Maybe what you have is not gastritis but gallbladder symptoms. I would suggest you do a ... Read More
A 30-year-old female asked:
Dr. Shadia Constantine
Specializes in Internal Medicine
Anywhere else?: Have you notice any yellow in your palms or in the white of your eyes? If the answer is yes, you will need to go to the doctor. Did you do any stron... Read More
A 36-year-old male asked:
Dr. Shadia Constantine
Specializes in Internal Medicine
Picture: Dear HFernandez, we might need more details and probably a picture of this rash. Please consider a consult.

90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.

Ask doctors free
Answer emailed
in 24 hours or less

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
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
in 24 hours or less