Dr. Jose Prieto-hernandez

Infectious Disease 37 years experience

Muscle breakdown: Breakdown of Muscle Tissue is Rhabdomyolysis. It may occur to people who overdose on Drugs or Alcohol and stay in the floor for a long time causing p... Read More

750 viewsReviewed >2 years ago

Dr. Al Hegab and 3 doctors agree4 doctors agree

A 33-year-old female asked:

Having regular urinary infections. v strong & bad smelling, often leads to kidney pain & fever. samples coming back "borderline". nothing in cultures?

Infectious Disease 37 years experience

Renal abscess?: If Urine cultures are negative then either an atypical organism is causing infections or there may be a kidney abnormality like an abscess! In either ... Read More

741 viewsAnswered >2 years ago

A 30-year-old male asked:

I am experiencing genital discomfort and what appears to be balanitis. i am in a hot and humid climate and have been wearing non-cotton drawers.

Infectious Disease 37 years experience

Get Lotrimin AF OTC : Sounds like Candida ( Yeast) Balanitis so antifungal cream like Over the counter Lotrimin twice daily for two weeks and trying to keep your genitals a... Read More

568 viewsReviewed >2 years ago

Dr. Kenny Chuu agrees1 doctor agrees

A 26-year-old female asked:

3 weeks after sex i had a rash, swollen glands, night sweats, weight loss but tested negative for stds & hiv. what caused my symtoms? cbc is abnormal.

Infectious Disease 37 years experience

Mononucleosis: Sounds like Mononucleosis Syndrome. Differential is EBV,CMV, Hepatitis and other viruses. Best follow up with your PCP or go to ID Specialist for furt... Read More

509 viewsReviewed >2 years ago

Dr. Kenny Chuu agrees1 doctor agrees

A 38-year-old member asked:

Does typhoid have an effect on menstruation?

Infectious Disease 37 years experience

Yes sometimes: It can lead to delayed periods

627 viewsReviewed >2 years ago

Dr. Kenny Chuu agrees1 doctor agrees

A female asked:

I have spots all over my stomach, chest, back, and upper arms. i literally mean all over. the spots on my arm changed color but every where else has?

Infectious Disease 37 years experience

Pox ?: Have the ER check you out! Chickenpox,Small pox, Syphilis,,Ehrlichiosis, Rocky mountain Spotted Fever, Rickettsial pox are in the differential

759 viewsAnswered >2 years ago

A 40-year-old female asked:

Got bit by a tick a day ago have a bump hurts to touch red ring around it is growing and having stapping pain at the site of the bite.

Infectious Disease 37 years experience

Go to your Doc: Get evaluated and treated for Infection. Especially if you live in a Lyme Disease area! Target Lesion or Erythema Chronica Migrans is a Pathognomonic ... Read More

502 viewsReviewed >2 years ago

Dr. Jovita Anyanwu and another doctor agree2 doctors agree

A 22-year-old male asked:

I have a small red bump on my penile head. it's painless just one. been there since april it is now the end of august. the thing that raises my concern is that it used to be almost unnoticeable and just red and u couldn't feel it out of the skin. since ap

Infectious Disease 37 years experience

Cherry Angioma: Probable Penile Cherry Red Hemangioma. A benign skin growth. Best see Dermatologist to confirm this since you said it has grown!

568 viewsAnswered >2 years ago

A 32-year-old male asked:

109mg/dl sugar fasting after novidate ivf and 1cap cipro500mg for enteric fever of 102f with alt100, 77% neutrophil. widal/ mp negative. am i diabetic?

Infectious Disease 37 years experience

No: No Diabetes unless FBS above 120 mg/dl all the time, best way is get Hba1c and if more than or equal to 6.5% then Diabetes would be confirmed . Or do ... Read More

298 viewsAnswered >2 years ago

A 38-year-old female asked:

I just have a medication question. i take wellbutrin and have a cold i decided to check before i took cold medicine and a lot of sites say some interaction exist. i wanted to know if i can take wellbutrin and mucinex sinus max or mucinex dm?

Infectious Disease 37 years experience

No major interactio: No major drug interactions between Bupropion and Oxymetalozine decongestant. Bupropion in people with alcoholism can precipitate alcohol withdrawal an... Read More

17 viewsReviewed Dec 23, 2020

Dr. Bennett Machanic and another doctor agree2 doctors agree

A 43-year-old member asked:

Does nyquil cold and flu give you you vivid, weird, or nightmarish dreams? please, need some answers?

Infectious Disease 37 years experience

Yes: Dextromorphan in NyQuil can give rise to a high and in some people vivid dreams or nightmares

615 viewsAnswered >2 years ago

A 53-year-old member asked:

Can i take my h. pylori treatment once a day over a longer period instead of twice over a shorter period? thanks in advance.

Infectious Disease 37 years experience

Best bid: It is a difficult organism to eradicate so best follow the directions faithfully if you want to get rid of it. Three common Triple regimens for 14 day... Read More

660 viewsAnswered >2 years ago

A 37-year-old male asked:

Please provide a tip on how to ask your doctor about a kidney infection.

Infectious Disease 37 years experience

Ignore: Ask your Doctor to do a dipstick or Urinalysis frequently when you have burning on Urination !

768 viewsAnswered >2 years ago

A 38-year-old member asked:

What happens if i have a fungal infection on my fingers and touch this onto another part of my body will the fungus spread?

Infectious Disease 37 years experience

Possible but rare: Fungal infections can be acquired from animals or the environment like Ringworm ! others are from your own skin flora. Like candida intertrigo or yeas... Read More

615 viewsAnswered >2 years ago

A 48-year-old member asked:

What to do if i am on amoxicillin 500mg 3 times a day for bronchitis i'm not 5 days into taking them so 2 days left is it ok to drink alcohol on them?

Infectious Disease 37 years experience

It is fine: Limit your drinking to one drink daily,more than this could lead to alcohol abuse and affect your liver and brain

644 viewsAnswered >2 years ago

A 49-year-old member asked:

How can a person treat parainfluenza virus?

Infectious Disease 37 years experience

Supportive : No real treatment ! Experimental in transplant patients using IV / nebulized RIBAVIRIN WITH IV GAMMAGLOBULIN, EXPERIMENTAL AGENT DAS181 ( SIALIDASE ).... Read More

667 viewsReviewed >2 years ago

Dr. Susan Rhoads agrees1 doctor agrees

A 40-year-old member asked:

Does minocycline decrease bbt?

Infectious Disease 37 years experience

No: Basal body temperature return to baseline if organism being treated is susceptible to this antibiotic.!

631 viewsAnswered >2 years ago

A 55-year-old male asked:

I am experiencing hemorrhoids. i have one large one that has had bleeding off and on. will nystatin & triamcinolone acetonide cream help?

Infectious Disease 37 years experience

HC Suppository: Best treat with Hydrocortsone Suppository, Sitz Bath,. If not effective go to Proctologist or Gastroenterologist to get Rubber banding of your hemorr... Read More

759 viewsAnswered >2 years ago

A 21-year-old female asked:

Why do i keep getting styes in the same spot for months?

Infectious Disease 37 years experience

Styes: Staphylococcus aureus bacterial skin Infection Use OTC antibacterial soap to clean your face! Safeguard or Dial! Besides warm compresses have your do... Read More

759 viewsAnswered >2 years ago

A member asked:

My spouse has had flu like symptoms for 2 days hot, cold, he also is feeling an ache in his testicles and having sharp pains in his groin, help?!

Infectious Disease 37 years experience

Epididymitis: Painful Testicles is worrysome for Infection of outer lining of the testicle the epididymis and needs acute attention. If Blood flow decreases then it... Read More

741 viewsAnswered >2 years ago

3 thanks

A member asked:

I put dettol on my already sore anus and now im in the worst pain ever . help?

Infectious Disease 37 years experience

Rinse with water: It is a disinfectant antiseptic but for external use! It is irritating especially to anal mucosa and poisonous when swallowed or breathed in large amo... Read More

568 viewsReviewed >2 years ago

Dr. Jack Morgan agrees1 doctor agrees

A 24-year-old female asked:

Recently had and treated yeast infection with monistat. i went to my gyn and she prescribed a vaginal form of metrizidanole due to my reaction 2 the antibiotic. she asked if i used it before and i said yes thinking i had. will this give me vertigo 2?

Infectious Disease 37 years experience

No: Metrogel or Metronidazole vaginal does not give vertigo Rarely dizziness

502 viewsReviewed >2 years ago

Dr. Jovita Anyanwu and another doctor agree2 doctors agree

A 38-year-old female asked:

Allergic to flu shot? in the past very severe pain after shot (1st time neck froze, next time severe back spasms). needed vicodin to get past pain.

Infectious Disease 37 years experience

Idiosyncratic Rx: Neomycin, Egg Allergy Most reactions of Fever, swelling at the injection site, Hives , Shortness of breath and wheezing! Worsening pain is idiosyncr... Read More

759 viewsAnswered >2 years ago

4 thanks

A 21-year-old female asked:

How can i fall asleep with diarrhea and nausea?

Infectious Disease 37 years experience

Peptobismul liquid!: !0 ml of Peptobismol Liquid every 2-4 hours should help with the Diarrhea and Nausea! Also drink plenty of Gatorade to keep yourself hydrated!

759 viewsAnswered >2 years ago

A 23-year-old male asked:

Hi there :) i've been on cilift for a number of years now and while i've been taking it religiously it feels like it hasn't been working as well as it used to. should i be using something else? i used cilate for a bit but it didn't seem to work.

Infectious Disease 37 years experience

Try different agent: When SSRI fail, Options are add NE antidepressant like Bupropion or try SNRI or consult a Psychiatrist for different treatment options!

575 viewsAnswered >2 years ago

A 18-year-old female asked:

I had unprotected sex while on the pills metronidazole, can that make my birth control less efficient? should i worry about being pregnant?

Infectious Disease 37 years experience

No : Metronidazole, Doxycycline, Ampicillin, Flouroquinolones and Diflucan do not affect Oral Contraceptive steroid levels în women taking OC . IT IS STILL... Read More

605 viewsAnswered >2 years ago

A male asked:

Finger is healing from infection is it safe to peel off the skin?

Infectious Disease 37 years experience

No: There is chance of secondary infection from removing or peeling crust or dead skin from an infected finger that is healing! Only debridement is done ... Read More

734 viewsAnswered >2 years ago

A female asked:

I'm 25 and get my period regularly. it lasts 6-7 days i've been spotting and having brown discharge for an additional 7 days now after my period shoul?

Infectious Disease 37 years experience

Test for Pregnancy!: Check for early Pregnancy if spotting after period ended . Check with your doctor!

759 viewsAnswered >2 years ago

A male asked:

My husband gets a headache then he gets cold, then he starts shivering real bad where his body hurts, after its done he as fever , then he feels blah?

Infectious Disease 37 years experience

Fever from what?: If this is repeating itself thru time ( Years) then it could be Familial Mediterranean Fever ! Rare conditions! Have his physician or Hospital Check ... Read More

759 viewsAnswered >2 years ago

A 29-year-old female asked:

Can you teach me how to hold in diarrhea and turn it into banana consistency so it will come out as banana and not diarrhea?

Infectious Disease 37 years experience

Kaopectate: Use a lot of bulk forming agents like Kaopectate to make watery stools hard again!

582 viewsAnswered >2 years ago

A 31-year-old male asked:

Normal blood tests rule cancer ? my brother died lukemia every doc is saying anxiety. heart doc tests echo / holter / stress echo / ekg lung doc bronchosco / ct scan and full gastro workup / all scopes endo colons capsule. headach daily weak pulse

Infectious Disease 37 years experience

N Test Normal Pt: If normal Blood Test/Normal Work ups Then I agree Anxiety is the culprit of your headaches. Recommend Sleep at least 8 hours, Meditation, Yoga ,Tai Ch... Read More

759 viewsReviewed >2 years ago

Dr. Anne Phelan-adams agrees1 doctor agrees

A 21-year-old male asked:

After epididymal-orchitis infection recovered, what's the shortest amount of time for swelling that can be seen to go away?

Infectious Disease 37 years experience

4 to 5 weeks: Supportive measures Ice packs, Scrotal Supports, NSAIDs by mouth and making sure you finished the antibiotic course if it was a bacterial infection! U... Read More

759 viewsAnswered >2 years ago

A 34-year-old female asked:

I didn't have my period since feb 1st and march 13-15 i bled for two days n now i'm spotting brown stuff all negative test what's wrong?

Infectious Disease 37 years experience

Spotting: Check with your doctor or OBGYN Depending on your age spotting can be from different things! Fibroids, IUP, Endometriosis, etc

759 viewsAnswered >2 years ago

A 31-year-old male asked:

Shallow breath and sharp pain in left chest 2 inch top nipple. comes and goes for about a month now. heart beat feels weaker daily. barely hold breathe anymore or walk my car without heavy. all tests normal heart lung every. click noise lump throwt?

Infectious Disease 37 years experience

Pleurisy : Sometimes difficult to detect Best to go to pulmonary specialist for evaluation Sometimes detected by CT of chest with pleural fluid and thickening ... Read More

694 viewsReviewed >2 years ago

Dr. Susan Rhoads agrees1 doctor agrees

A male asked:

Hello doctor, my gf has ureaplasma parvum and is going to take antibiotics. we don't want her to infect me and have me reinfect her during this time.

Infectious Disease 37 years experience

Condoms : Have yourself checked for Ureaplasma if your Urine Analysis demonstrates Pyuria. Use condoms for sex in the meantime.

541 viewsAnswered >2 years ago

A female asked:

I had the stomach flu 4 days ago that lasted 24 hours and since then i have been experiencing chest pain similar to severe acid reflux, chest tightnes?

Infectious Disease 37 years experience

Get evaluated: Chest pain due to reflux is a diagnosis of exclusion. Go to your PCP and get evaluated for Chest Pain or to the ER if they last more than 5 minutes or... Read More

541 viewsReviewed >2 years ago

Dr. Marc Serota and another doctor agree2 doctors agree

A male asked:

I have my elbow leaking synovial fluid from an open wound. my doc checked for infection and it's clear but continues to swell and leak.

Infectious Disease 37 years experience

Wound Closure!: Open Wounds especially if draining liquid are a good nidus for Infection! Best go to Wound Care Center and get it closed soon!

759 viewsAnswered >2 years ago

A member asked:

I have azithromycin tablets 500mg dated expire 2 /2010 should i still be able to take them for the same illness i had originally today?

Infectious Disease 37 years experience

Best discard old tab: Best to discard more than a year old antibiotic tablets since efficacy is probably gone! Get new tablets from your doctor!

759 viewsAnswered >2 years ago

3 thanks

A 41-year-old member asked:

How much time does it take for metronidozole to work?

Infectious Disease 37 years experience

Depends route: If given intravenous just minutes to start working If given orally in 2 hours to start seeing results .

660 viewsAnswered >2 years ago

A 22-year-old male asked:

Is it alrite to take laxatives while on anti biotic,anti inflammatory and alpha blocker for prostatitis? constipation everyday

Infectious Disease 37 years experience

Best Stool Softener: Best use Docusate Sodium and high fiber diet! Avoid Laxatives while on antibiotic therapy so you don't mask if you develop antibiotic associated diar... Read More

734 viewsAnswered >2 years ago

A 40-year-old male asked:

Is dark urine with blood in it and achy thighs a symptom of stds such as chlamydia or gonorrhea?

Infectious Disease 37 years experience

No ,Blood in Urine: Dark urine is usually sign of blood in urine or Broken Red blood cells ! Chlamydia and Gonorrhea cause painful urination! Dysuria! Urethritis and pus... Read More

750 viewsAnswered >2 years ago

A female asked:

Hi doctor...i'm on my 12 th week of pregnancy..yesterday i walked a lot and after that i'm having cramping in my lower abdomen and i feel a hook kind ?

Infectious Disease 37 years experience

1st trimester cramps: Tylenol, plenty of oral hydration with Gatorade and rest ! Call your OBGYN if the cramps continue!

759 viewsReviewed >2 years ago

Dr. Al Hegab agrees1 doctor agrees

A 30-year-old female asked:

Is it likely to have a primary outbreak of genital herpes over a decade after contracting it? or do you usually have an outbreak soon after?

Infectious Disease 37 years experience

It recurs !: Genital Herpes recurs! Sometimes with Asymptomatic Shedding! No signs or Symptoms but cultures out of Vaginal or penile urethral secretions!

759 viewsAnswered >2 years ago

A 28-year-old female asked:

Was on antibiotic treatment while getting a chlamadyia antigen test,will it affect the accuracy of result ?

Infectious Disease 37 years experience

Probably not: The antigen will be detected even if the organism is dead. Azithromycin and Doxycycline are used to treat these infections commonly!

759 viewsAnswered >2 years ago

A 39-year-old female asked:

Some docs on healthtap have said that antibiotics should make one better by 48 or even 24 hrs. true? should i go to er if otitis pain after 2 days?

Infectious Disease 37 years experience

By 48 to 72 hrs: By 48 to 72 hours your ear pain from Otitis Media should improve ! As well as any fever or chills! If no improvement after three days go back to your... Read More

750 viewsAnswered >2 years ago

A 16-year-old female asked:

Suffered from uti. last year have been doctors but results negative. antibiotics dont work. symptoms worse inflammation burning pressure urgency help!

Infectious Disease 37 years experience

Urethritis ?: Best see Urologist for evaluation of urethral problems like strictures or urethritis and may need Urethroscopy and cystoscope!

575 viewsAnswered >2 years ago

A 31-year-old female asked:

Tested positive for influenza b, and on day 6 of the flu started getting a sore throat, but fever is gone now. strep test negative. cause?

Infectious Disease 37 years experience

Flu Pharyngitiis: Influenza inflammation of the Naso-pharyngeal mucosa, so sore throat from the active infection!

715 viewsAnswered >2 years ago

4 thanks

A female asked:

Is it unusual to have a low protein total (5.9) and a high a/g ratio (2.7) when i'm in my 30's?

Infectious Disease 37 years experience

Check your IGG level: High A/G ratio is seen with Immunoglobulin deficiency states! Low Protein may be seen in Malnutrition,Malabsorption,( Celiac Disease,Inflammatory Bow... Read More

750 viewsAnswered >2 years ago

3 thanks

A 58-year-old male asked:

Small clear fluid bumps on lower legs an ankles?

Infectious Disease 37 years experience

Clear fluid bumps: Check with your doctor or dermatologist! Differential Pemphigus Vulgaris, Bullous Pemphigus, Pemphygoid, Insect bites ,etc

759 viewsAnswered >2 years ago

A 20-year-old male asked:

It's been 4 weeks after exposure to hbv i got my titer i'm immune 66ui/ml i can't sleep i'm worried that i might caught the disease help me no symtp ?

Infectious Disease 37 years experience

Above 10 Okay: You are immune to HBV ! So no use in worrying! Check for HCV and HAV ! There is vaccine for HAV but not for HCV! HCV is now treatable! Check for HIV ... Read More

759 viewsAnswered >2 years ago