Dr. Reid Holtzclaw-swan

Internal Medicine 27 years experience

Turn the volume down: That ringing is telling you that you are damaging your ears. If the damage occurs for a long enough period of time that ringing will become permanent.... Read More

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816 viewsReviewed >2 years ago

Dr. Kenny Chuu agrees1 doctor agrees

A 41-year-old member asked:

I am a kickboxer from the uk. i train a lot 6 hours a a day but i can never get sleep or i struggle to?

Internal Medicine 27 years experience

Overtraining: Overtraining can cause insomnia. I would recommend decreasing your workouts for at least several weeks to see if that helps.

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805 viewsAnswered >2 years ago

A female asked:

I got mild frost nip on my toes and they turned into hard white callouses. now they are very sensitive and dark red around the affected areas?

Internal Medicine 27 years experience

Normal progression: If it is in fact frost nip and not frostbite, then this is normal. The callouses are dead skin and the surrounding red areas are irritated tissue. It ... Read More

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822 viewsAnswered >2 years ago

A member asked:

I have an arteriovenous malformation located deep to the right vestus mediales muscle in my right leg i went to several doctors but no one can explain to me why i'm having pain?

Internal Medicine 27 years experience

AV malformation : If the AV malformation is near a nerve, then that could be causing the pain. Embolization may be an option. If the pain is bothersome enough, seeing a... Read More

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838 viewsReviewed >2 years ago

Dr. Susan Rhoads agrees1 doctor agrees

A 50-year-old member asked:

What are diseases caused by francisella tularensis?

Internal Medicine 27 years experience

Tularemia : It is a bacteria that mainly causes disease in animals, but can be transmitted to humans.

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816 viewsAnswered >2 years ago

A 18-year-old female asked:

Accelerated sinus tachycardia in athlete with exertion causes?feel very fatigued when it's bad. complete blood work norm, no anxiety.

Internal Medicine 27 years experience

Probably not: ?PSVT. Have you had an ECG? It could also be Wolff-Parkinson-White syndrome. Please request a cardiology referral.

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829 viewsAnswered >2 years ago

A 21-year-old female asked:

Why does my uterus area feel very tingly and slightly crampy the day after sex? neither of us have any stds

Internal Medicine 27 years experience

Cervical irritation: It may be cervical irritation if you are engaging in deep intercourse. If the cervix is irritated, the uterus will likely be irritated a bit. Probably... Read More

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805 viewsAnswered >2 years ago

A 19-year-old male asked:

There is dull pain in the suprasternal notch when pressure is applied and sharp pain during eructation. maybe reflux? antacids do not help?

Internal Medicine 27 years experience

Esophageal ??: This sounds more upper esophageal. Antacids usually help reflux symptoms, even if just for a short time. I would request an upper endoscopy.

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829 viewsAnswered >2 years ago

A 21-year-old male asked:

Is polyisoprene safe to use if i have a severe latex allergy? i know it is "synthetic latex" so it won't have the protien so am allergic to?

Internal Medicine 27 years experience

Yes: It is a synthetic latex but does not have the allergens that latex does. It should be safe for most latex allergy sufferers.

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818 viewsAnswered >2 years ago

A 58-year-old female asked:

Sore throat for 2 weeks..no fever..ear has been clogged as well..just got over sinus infection?

Internal Medicine 27 years experience

May still be sinus: It may still be the sinus infection. Sometimes they are undertreated and they do not fully resolve. The sore throat could be from drainage, and the cl... Read More

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800 viewsReviewed >2 years ago

Dr. Heidi Fowler and another doctor agree2 doctors agree

A 22-year-old female asked:

I have pain on my right side it hurts when i lay on it it's been like this for two days do u think its my appendix?

Internal Medicine 27 years experience

Possibly: It may be your appendix, but could be other things such as kidney, ovary, or a hernia. If the symptoms do not resolve in several days, I would recomme... Read More

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800 viewsAnswered >2 years ago

A 44-year-old male asked:

I dont have vertigo but last month i been feeling off balance at times, light headed, it doesnt come with certain movements, doc says bppv, correct?

Internal Medicine 27 years experience

Lightheaded ?: If you were lightheaded (feeling like you're going to pass out), that it may not be BPPV. That is usually more a spinning sensation when you turn your... Read More

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802 viewsAnswered >2 years ago

A female asked:

Hi i was in bad car accident this is what was wrong with me l1vertebral burst fracture will i work ever?

Internal Medicine 27 years experience

Probably. : The neurosurgeons, interventional radiologists, and orthopedic spine surgeons can do some amazing things these days.

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805 viewsReviewed >2 years ago

Dr. Al Hegab and 2 doctors agree3 doctors agree

A 43-year-old member asked:

Why might someone have a gold ring around both pupils?

Internal Medicine 27 years experience

Keyser-Fleischer: They are copper deposits due to a condition called Wilson's disease. It could also be Fleischers disease which is caused by iron deposits and affects ... Read More

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835 viewsReviewed >2 years ago

Dr. Susan Rhoads agrees1 doctor agrees

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A 49-year-old member asked:

Why do computer games look blurry to me?

Internal Medicine 27 years experience

Eye examination: As you get older... you are not old... your eyes change. I would recommend going to see an optometrist. Computer screens are especially tough on the e... Read More

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835 viewsAnswered >2 years ago

A 33-year-old member asked:

Will i be able to drink while taking medicine?

Internal Medicine 27 years experience

Maybe: It really depends on the type of medication you're taking. Please check with your primary care provider or pharmacist. And as always, moderation i... Read More

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835 viewsAnswered >2 years ago

A 46-year-old member asked:

What can i do about these itchy circular patches all over my body?

Internal Medicine 27 years experience

See your provider: This may be ringworm. It is a fungal infection of the skin that can easily be treated in most cases.

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805 viewsAnswered >2 years ago

A 39-year-old member asked:

How can you improve black women's health and birth outcomes?

Internal Medicine 27 years experience

Pre-natal care: The best way is to ensure good prenatal care. Finding that is not always easy but it is worth doing for both the mother's sake and the baby's

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818 viewsAnswered >2 years ago

A 46-year-old member asked:

What are cameron lesions?

Internal Medicine 27 years experience

Gastric erosions : Cameron lesions are linear gastric ulcers or erosions on the mucosal folds at the diaphragmatic impression in patients with a large hiatal hernia. The... Read More

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812 viewsAnswered >2 years ago

A 38-year-old member asked:

What are specific health hazards that affect immigrants?

Internal Medicine 27 years experience

Varies: It really depends on from where they immigrated.

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835 viewsAnswered >2 years ago

A 42-year-old member asked:

What body cavity houses the females reproductive organs?

Internal Medicine 27 years experience

The pelvis: The organs in question are in the pelvis.

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828 viewsAnswered >2 years ago

A 43-year-old member asked:

Why do my earlobes itch when i put in my earrings?

Internal Medicine 27 years experience

A metal sensitivity : Possibly a metal sensitivity. Depending on what metal your earrings are made from, that could explain the itching. A good percentage of people have a ... Read More

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829 viewsAnswered >2 years ago

A 33-year-old member asked:

Is gaucher's disease dominant?

Internal Medicine 27 years experience

No: Gaucher's syndrome is an autosomal recessive disease.

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829 viewsAnswered >2 years ago

A 28-year-old female asked:

Would giving oral sex to someone with syphilis quickly turn to neuro syphilis and would it show in standard blood tests if it were not passed vaginaly?

Internal Medicine 27 years experience

No and yes: Neurosyphilis (also called tertiary syphilis) is a slow process. It usually occurs 3-15 years after the initial infection, if that infection is not tr... Read More

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831 viewsReviewed >2 years ago

Dr. Al Hegab and 2 doctors agree3 doctors agree

2 comments

A 47-year-old female asked:

It hurts to breath in my chest and upper back, i feel very tired and aggetated, when i take a deep breath i feel dizzy, but its like my body is making?

Internal Medicine 27 years experience

Go see your provider: Those symptoms are definitely not normal. I would go to urgent care, the ER, or if you can get in quickly, your primary care provider.

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838 viewsAnswered >2 years ago

A female asked:

I a's just told that a ct scan showed an enlarged ovary due to varicose veins what does this mean?

Internal Medicine 27 years experience

Collection of veins: It is a benign tangle of veins. Only do something if gets larger and/or causes pain. Men can have them in their scrotums and they are called varicocel... Read More

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800 viewsAnswered >2 years ago

A female asked:

My eye pulses quite regularly; it has not done it before. does my blood pressure medicine need to be increased?

Internal Medicine 27 years experience

Possibly: I would certainly go have it checked out to make sure your blood pressure is not too high. You don't want to mess with your eyesight.

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802 viewsAnswered >2 years ago

A male asked:

Bp 134/96 plus 108 heart sounds like its fast n speeds up 3-4beats then skips one every 20-30 secs i'm 40 almost good health should i be concerned ?

Internal Medicine 27 years experience

Yes: Blood pressure and heart rate are too high. The skipping beats are likely not a concern. Please see your primary care provider so these things can be ... Read More

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833 viewsAnswered >2 years ago

A 40-year-old male asked:

Dull ache/pain right side below belt line where bladder would be. comes & goes. notice more when i bend over at times. urine clear. no fever. felt no lumps. ab ultrasound for kidney stones in may was ok. i strain when pooping tho. muscle? cancer?

Internal Medicine 27 years experience

Likely muscle strain: If not improved in 1-2 weeks, I would go see my primary care provider. It will likely get better on its own.

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838 viewsAnswered >2 years ago

A 36-year-old female asked:

I took 2 mucinex dm at 10 this morning is it safe to take a breathing treatment while taking mucinex, its albuterol ipatropium bromide mix?

Internal Medicine 27 years experience

Yes: There should be no interaction between the three medications.

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838 viewsAnswered >2 years ago

A member asked:

How to control tsh 14.41?? thyroid test shows tsh value 14.41 how do i control it?? do need to worry for such high value?? do i have any risks??

Internal Medicine 27 years experience

Hypothyroidism : TSH is how the brain tells the thyroid what to do. When the TSH is elevated it is trying to make a thyroid produce more thyroid hormone. When the TSH ... Read More

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804 viewsReviewed >2 years ago

Dr. Gurmukh Singh and 4 doctors agree5 doctors agree

A 51-year-old female asked:

My father has had a chronic cough for over four years. what could be the cause? he often times throws up after a coughing episode.

Internal Medicine 27 years experience

Smoker?: There are a number of common things that cause a chronic cough. Post nasal drip from allergies is one, asthma is another, reflux disease, and emphysem... Read More

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801 viewsReviewed >2 years ago

Dr. Ed Friedlander and 3 doctors agree4 doctors agree

1 comment

A 36-year-old male asked:

Cramp im left upper calf muscle intense cramping. stays for 20 min how do i make it go away for good. happens often.

Internal Medicine 27 years experience

Low potassium: Please have your potassium level checked. That is the most common reasons for muscle cramps. Others include magnesium and calcium.

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828 viewsReviewed >2 years ago

Dr. Susan Rhoads and 3 doctors agree4 doctors agree

A 24-year-old male asked:

Is a painless swollen mastoid lymph node for 10 months a cause for concern?

Internal Medicine 27 years experience

It could be. : Painless masses that persist are worrisome. Please see your primary care provider to have it evaluated. You may need to see a specialist.

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833 viewsAnswered >2 years ago

A 17-year-old female asked:

I have been on the implant for nearly a year. my periods completely stopped. recently i have been bleeding and having pains?

Internal Medicine 27 years experience

Office visit needed: I would go see my primary care provider. You may need an ultrasound or PAP smear.

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838 viewsAnswered >2 years ago

A 23-year-old male asked:

Is an ejection fraction of 50-55% on 2d echo dangerous in a young person? the official report would state it is the lower limit of normal.

Internal Medicine 27 years experience

Likely not: It sounds like you're being evaluated for a possible heart condition. I would ask my primary care provider or cardiologist, whoever ordered the echo, ... Read More

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801 viewsAnswered >2 years ago

A 32-year-old female asked:

I have been getting rashes all over body (looks like clusters of mosquito bites) which go and come again.

Internal Medicine 27 years experience

?????: Not sure what the rash is from. Could be insect bites such as mites or bedbugs or it could also be due to a chemical exposure such as a new laundry de... Read More

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802 viewsAnswered >2 years ago

A 38-year-old member asked:

Is it safe to take protein bars?

Internal Medicine 27 years experience

Yes: As long as they are in moderation and you drink plenty of water. The body requires water and energy to metabolize protein.

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827 viewsAnswered >2 years ago

A male asked:

What do purple squiggly lines beneath my eyelids mean?

Internal Medicine 27 years experience

Veins: They are likely superficial veins. Nothing of concern except possibly cosmetic.

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800 viewsReviewed >2 years ago

Dr. Heidi Fowler agrees1 doctor agrees

A male asked:

What does encapsulated inguinal hernia mean?

Internal Medicine 27 years experience

Incarcerated : You may mean incarcerated hernia. That means part of the bowel has gotten through the hernia and has gotten stuck. That is an emergency.

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813 viewsAnswered >2 years ago

A 18-year-old female asked:

What is it? i have ankle swelling, ankle stiffness, limb pain, ankle weakness, popping or snapping sound from joint, ligament laxity, ankle pain, difficulty moving joint, painful swollen joints (better by: splinting joint, compression wrap, ice, rest) (qu

Internal Medicine 27 years experience

Juvenile arthritis?: It may be an inflammatory process. Please see your primary care provider for an evaluation.

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824 viewsAnswered >2 years ago

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A 32-year-old female asked:

Strep test was negative but lung x-ray showed bronchitis. is that what's causing my throat to be sore with white spots? dr prescribed augmentin

Internal Medicine 27 years experience

Maybe: If the spots were there before the augmentin, then very likely. If they appeared after starting the antibiotic, it may be oral thrush. If you are pron... Read More

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812 viewsAnswered >2 years ago

A 31-year-old female asked:

Was supposed to start steroids for ms flare today. but i feel much better than before. do i still have to take them? i dont like taking unnecessarily.

Internal Medicine 27 years experience

Please call Dr. : I would call your Dr. right away to discuss this. That is a very large dose, so they are obviously are concerned. Better safe than sorry. Please call ... Read More

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812 viewsAnswered >2 years ago

A 22-year-old male asked:

Can abzorb dusting powder releive itching caused when sweat?

Internal Medicine 27 years experience

Maybe or not. : Abzorb will absorb moisture, which can reduce itching, but because it is made of sunflower husks, it could just as easily make you itch more.

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818 viewsAnswered >2 years ago

A 46-year-old member asked:

My i's and o's remained negative - what does it mean?

Internal Medicine 27 years experience

IN's & Out's: It means your urine output exceeds your total fluid intake in a 24 hour period.

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805 viewsAnswered >2 years ago

A 23-year-old female asked:

I have flu like symptoms for a little over 2 1/2 weeks with a foot rash thats blistered and sore and a stomach ache / nausea? not sure what it is.

Internal Medicine 27 years experience

See your provider. : This is outside the normal duration of a viral infection, even influenza. You may have a bacterial infection. I would recommend a visit to your primar... Read More

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838 viewsReviewed >2 years ago

Dr. Al Hegab agrees1 doctor agrees

A 27-year-old female asked:

I take the medicine gravol everyday for sleep, the medication none organic type. will it have long time affects?

Internal Medicine 27 years experience

Should not: It is a first generation antihistamine similar to Benadryl. These medications have been around for years and there have been no reports of adverse eff... Read More

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824 viewsAnswered >2 years ago

A 36-year-old female asked:

I quit my ppi after 3 months, cold turkey. my acid has been awful for two weeks. taking zantac. will the rebound acid end soon?

Internal Medicine 27 years experience

Maybe : The Zantac should help calm things down. Other things you can do to help is avoid acidic foods such as orange juice and tomato sauce. Drink plenty of ... Read More

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807 viewsAnswered >2 years ago

A 22-year-old female asked:

Labia minora swollen after oral sex. do i have to go to a doctor or will it go away on its own, if so what can i do to help it go away.

Internal Medicine 27 years experience

Should go away : Not to worry. A cool wash cloth should help. Would hold off on oral sex until feeing better.

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807 viewsAnswered >2 years ago

A 37-year-old male asked:

Wife 7 weeks preg and disg with hg. on meds and iv. can't eat much high hormones. current issue; bloated pain, burps but no passing gas. any tips?

Internal Medicine 27 years experience

See her OB : If she is not passing any gas, she may have a bowel obstruction. If no bowel obstruction, she can try some crystallized ginger. Please make sure she i... Read More

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813 viewsAnswered >2 years ago