Doctor Q&A for Dr. Vlad Apostol

A 20-year-old male asked:
Dr. Vlad Apostol
Internal Medicine 12 years experience
IBS or something.: IBS (irritable bowel syndrome) is different than IBD (inflammatory bowel disease). Both must be considered when presenting with abdominal pain, change... Read More
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A 24-year-old female asked:
Dr. Vlad Apostol
Internal Medicine 12 years experience
Common things first.: Usually, changes in a young child-bearing female's menstrual cycle can be attributed to a few things. Among those "few" diagnoses, the most common are... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old female asked:
Dr. Vlad Apostol
Internal Medicine 12 years experience
Vessel damage.: I will assume you mean "Meth" not "Method" being "shot up". When injecting a foreign chemical in one's body, there is a tendency for the body to react... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old female asked:
Dr. Vlad Apostol
Internal Medicine 12 years experience
In the setting of?: L:P ratio > 30 suggests inherited disorders of the respiratory chain complex or tricarboxylic acid cycle disorders. An elevated lactate and a L:P r... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old female asked:
Dr. Vlad Apostol
Internal Medicine 12 years experience
Could be: If appendicitis was ruled out with a CT scan in the ER, it's reasonable to assume it may be musculoskeletal or even some referred back pain. A CT scan... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A male asked:
Dr. Vlad Apostol
Internal Medicine 12 years experience
Drug interactions: Sucralfate can indeed affect / reduce the extent of absorption (bioavailability) of certain medications (full list at WebMD) . Cipro (ciprofloxacin) (... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old male asked:
Dr. Vlad Apostol
Internal Medicine 12 years experience
Family history: Usually a family history (first degree relatives) of heart attacks or strokes can be a red flag for developing similar conditions in the future. This ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old female asked:
Dr. Vlad Apostol
Internal Medicine 12 years experience
Stomach or heart: Valvular heart disease, although possible, is less likely unless other symptoms appear. Seems most cardiac tests have been done to rule in heart probl... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old male asked:
Dr. Vlad Apostol
Internal Medicine 12 years experience
Anything possible: Short answer is yes, long answer is if you have family history of IBD (Irritable Bowel Diseases) like UC (ulcerative colitis) or Crohn's, you should d... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Vlad Apostol
Internal Medicine 12 years experience
Emergency room visit: It is advisable to go to the emergency room if you feel you are having such large amounts of bright red blood per rectum, especially with associated s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
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