Dr. Christopher Cirino

Infectious Disease
25 years experience male

Locations

Office

Office

About

Bio

I have been a physician for more than 20 years. My original drive to becoming a doctor was to discover factors that interfere with optimal health and wellness and how to reduce the strain of chronic diseases on our health. I am boarded in internal medicine and infectious diseases. Recently, I have formed a business with a health and wellness blog and I am getting out in the community, participating in "walk with a doc" and health seminars, which I give monthly. For more information on my blog, refer to the site at yourhealthforumbydrcirino.org. Thank you for allowing me the opportunity to participate in your health journey, Dr. Christopher Cirino

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.

Infectious Disease

Licenses

United States: Oregon

Languages spoken

English, German, Italian

Doctor Q&A

92 Answers
18 Agrees
The number of answers this doctor has agreed with.
A 24-year-old male asked:
Dr. Christopher Cirino
Infectious Disease 25 years experience
Difficult to know: Antibiotics are not always needed. You may have a felon - which is an infection of the pulp - or a paronychia - an infection of the nail base/edge. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old female asked:
Dr. Christopher Cirino
Infectious Disease 25 years experience
Usually yeast: If a labial fungal infection were to occur, it is usually yeast (Candidia species). These can occur after antibiotic exposure or wear tight, nonbreat... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old male asked:
Dr. Christopher Cirino
Infectious Disease 25 years experience
Embedded?: I take it that you mean "embedded" to suggest a more difficult to treat infection, as this term is not used to describe urinary tract infections. The... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Christopher Cirino
Infectious Disease 25 years experience
Might be at risk: If your Eustachian tubes are blocked, there would be a potential risk of trauma to the tympanic membranes, particularly high with descent. I would re... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old male asked:
Dr. Christopher Cirino
Infectious Disease 25 years experience
Depends: SSRI withdrawal severity is usually with respect to rapidity of taper. The symptoms can last for several weeks, but can be less severe with a slower ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Christopher Cirino
Infectious Disease 25 years experience
Otitis externa?: The information you provided of ear pain, difficulty eating because of left side pain and pain with moving the ear is mostly consistent with otitis ex... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A male asked:
Dr. Christopher Cirino
Infectious Disease 25 years experience
Yes and no: In the past this has always been a "no-no". There are several potentiating effects that can be potentially harmful, such as increasing risk of low bl... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old male asked:
Dr. Christopher Cirino
Infectious Disease 25 years experience
No: No risk of low ammonia.
Created for people with ongoing healthcare needs but benefits everyone.
A male asked:
Dr. Christopher Cirino
Infectious Disease 25 years experience
See your doctor: Are you having some loose stools or watery stools? What was the antibiotic for - a respiratory infection? Antibiotics can alter gut flora and lead t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 65-year-old female asked:
Dr. Christopher Cirino
Infectious Disease 25 years experience
Prob 3 hours: Pharmokokinetics suggest that the drug has a peak plasma level of 3 hours after undergoing absorption in GI tract. This would suggest that it is acti... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old female asked:
Dr. Christopher Cirino
Infectious Disease 25 years experience
Prob not an issue: Sometimes after having a tonsillopharyngitis, the tonsils may stay swollen for some time. Differences in size is not uncommon. Outside of the possib... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 51-year-old male asked:
Dr. Christopher Cirino
Infectious Disease 25 years experience
May need EGD: It is generally recommended that someone over 50 years old presenting with dyspepsia symptoms be considered for an endoscopy. I think that if your sy... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 19-year-old female asked:
Dr. Christopher Cirino
Infectious Disease 25 years experience
Anosmia?: It is not unusual to lose the sense of smell/taste during a viral infection. Is it persisting because there are some background allergies. Is she ha... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A male asked:
Dr. Christopher Cirino
Infectious Disease 25 years experience
May need an inhaler: You may have bronchitis, which is caused by a viral process. Sometimes, I prescribed an inhaler with a steroid and another medication to reduce cough... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old male asked:
Dr. Christopher Cirino
Infectious Disease 25 years experience
Unlikely: If you pricked yourself with a pin, it would be unlikely that this pin would harbor any pathogens. Viruses (most of what make up the blood borne pat... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old male asked:
Dr. Christopher Cirino
Infectious Disease 25 years experience
Incidentaloma: There is a low likelihood of malignancy in subcentimeter nodules. To some extent there are important distinguishing factors - the benign appearance of... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old male asked:
Dr. Christopher Cirino
Infectious Disease 25 years experience
Reasonable: Without knowing which medications you were prescribed, there is supportive data looking at a course of 7 day therapy with lansoprazole (prevacid), amo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Christopher Cirino
Infectious Disease 25 years experience
Get checked : She should be checked for TB and MAI - risk of TB is very high in South Africa. With her CD4 count under 100, she could have cryptosporidiosis, micro... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old female asked:
Dr. Christopher Cirino
Infectious Disease 25 years experience
How sure is the dx?: Reactivated mononucleosis is unusual. Most cases of mono are caused by EBV but CMV also can cause. While exceptions exist, usually mononucleosis con... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A male asked:
Dr. Christopher Cirino
Infectious Disease 25 years experience
Black hairy tongue: The finding is usually a result of taking antibiotics and leads to an overgrowth or dysbiosis of bacteria or yeast. Other causes include smoking or d... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 67-year-old female asked:
Dr. Christopher Cirino
Infectious Disease 25 years experience
Not complete story: The cholesterol panel includes LDL, HDL, non-LDL/HDL cholesterol making the total cholesterol score. The rosuvastatin would lower the LDL value. Ide... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 61-year-old male asked:
Dr. Christopher Cirino
Infectious Disease 25 years experience
Stool test?: As we get older, colon cancer rates go up. It is advisable to have a colonoscopy at least once. Nevertheless, there are newer tests which check the ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 60-year-old female asked:
Dr. Christopher Cirino
Infectious Disease 25 years experience
Unlikely,?endoscopy: It is unlikely that the inicidental finding of a liver cyst is contributing to the pain. Perhaps a larger cyst or multiple cysts could cause some mil... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old female asked:
Dr. Christopher Cirino
Infectious Disease 25 years experience
Wouldn't advise OTC.: For the weight loss plans that you have, I would re just limiting your intake of carbohydrates over fat and protein and adding mostly a plant based di... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old female asked:
Dr. Christopher Cirino
Infectious Disease 25 years experience
?athlete's foot: You could consider a trial of athlete's foot spray (usually lotrimin or tinactin spray) which are active against yeasts,e.g. Candida albicans. It is ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 50-year-old female asked:
Dr. Christopher Cirino
Infectious Disease 25 years experience
Doubtful: I wouldn't think so. I wonder if you may have pushed some cerumen back toward the tympanic membrane, in the process of using these cotton balls. Som... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Christopher Cirino
Infectious Disease 25 years experience
Unlikely but serious: Usually these types of infections would be after trauma/contacts(fungal keratitis) or w/underlying. Risk factor that would affect someone's immune sta... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old male asked:
Dr. Christopher Cirino
Infectious Disease 25 years experience
Visit: That is a part of the body that probably should be seen and reviewed rather than left to conjecture. I would make an appointment with a primary docto... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Christopher Cirino
Infectious Disease 25 years experience
Online: Fatty liver is a condition often seen in association with obesity, diabetes and excessive alcohol ingestion. I would recommend efforts be made in red... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old female asked:
Dr. Christopher Cirino
Infectious Disease 25 years experience
Time to go to er : I am not sure what exactly you are asking about, having listed out several different problems that need further explanation. Best place to do this is... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old male asked:
Dr. Christopher Cirino
Infectious Disease 25 years experience
Doubtful: If you have confirmed strep throat, the treatment of amoxicillin or azithromycin would protect from rheumatic fever, scarlet fever, etc. There are ot... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old male asked:
Dr. Christopher Cirino
Infectious Disease 25 years experience
Orchialgia: This is a problem which could have many sources and I would request a doctor visit - things that can cause pain - spermatocele, varicocele, low grade ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old female asked:
Dr. Christopher Cirino
Infectious Disease 25 years experience
Clotrimazole: Fluconazole is often used since it has a good effect after taking 1 or 2 doses. Instead of this, there are various topical formations of azole compou... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old female asked:
Dr. Christopher Cirino
Infectious Disease 25 years experience
Not c/w UTI: What was the reason for the Urine sample? Without symptoms, having some white cells in the urine (and bacteria) is non-specific. There is no indicati... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Christopher Cirino
Infectious Disease 25 years experience
Whitlow ?HSV: Whitlow, or felon, can be caused by bacteria, usually streptococci or staphylococci and affects the pulp/finger pad of finger. It often requires a sm... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Christopher Cirino
Infectious Disease 25 years experience
Conjunctivitis 3-5 d: I would expect conjunctivitis to have improved by 3-5 days after the peak in severity.
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old female asked:
Dr. Christopher Cirino
Infectious Disease 25 years experience
Read permit: Most permits are provided for those that require an assisted device to ambulate or cannot ambulate comfortably without one for greater than 200 feet. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old male asked:
Dr. Christopher Cirino
Infectious Disease 25 years experience
Cure rates high: The cure rates for single dose azithromycin for Chlamydia urethritis are high at 97%. Causes of persistent urethritis include re-infection from untr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old male asked:
Dr. Christopher Cirino
Infectious Disease 25 years experience
Cat bites -high risk: If the bite broke the skin, it is a high risk of causing infection. Up to eighty percent of cat bites become infected. One organism, Pastuerella mul... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Christopher Cirino
Infectious Disease 25 years experience
Give it a few days : Are you feeling unwell - recent viral infection. Acid reflux? Have you raised/strained your voice singing recently? Give it a few days
Created for people with ongoing healthcare needs but benefits everyone.
A male asked:
Dr. Christopher Cirino
Infectious Disease 25 years experience
Unlikely: It is not a question that can be answered well on this format, but it is doubtful that the contact with smoking for 5 months would lead to cancer. If... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Christopher Cirino
Infectious Disease 25 years experience
Viral symptoms: It is possible that these are all related to a viral pharyngitis or rhinosinusitis. Sometimes if you are having post nasal drainage and swallowing se... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old female asked:
Dr. Christopher Cirino
Infectious Disease 25 years experience
Ideas: Have you gained any weight over the last several months? Since you have hypertension and SVT, it does make me wonder about sleep apnea being signific... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old male asked:
Dr. Christopher Cirino
Infectious Disease 25 years experience
Ongoing trial: You may wish to evaluate your activities during the day. Are you straining your back in some of the activities? Carrying a child in your arms? Are ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old female asked:
Dr. Christopher Cirino
Infectious Disease 25 years experience
More details: The UTI test is only checking for wbc and other features found when WBC are present (e.g. leukocyte esterase,etc). It can be positive if there is vag... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old female asked:
Dr. Christopher Cirino
Infectious Disease 25 years experience
No interactions: There is no interaction that I am aware with regarding monistat and cbd oil.
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Christopher Cirino
Infectious Disease 25 years experience
This is a negative: Congratulations! This is a negative test. It is an assessment for antibody to the Hepatitis C virus. This result suggests no prior exposure.
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old male asked:
Dr. Christopher Cirino
Infectious Disease 25 years experience
Consider oral option: Regarding cream for genital herpes, you could try acyclovir (Zovirax). I would recommend oral preemptive therapy with acyclovir, famciclovir or valac... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Christopher Cirino
Infectious Disease 25 years experience
Might need treatment: Has he been seen by a doctor for this? Keeping from straining, avoiding hard stools, and the use of topical nitroglycerin (a prescription) or diltiaz... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old female asked:
Dr. Christopher Cirino
Infectious Disease 25 years experience
Work to slow down: Food like other substances can sometimes be involved in behavioral loops. To prevent this from happening, it is often useful to view this in the opti... Read More
Created for people with ongoing healthcare needs but benefits everyone.

Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

2
Recommendations
43
Thank you notes
Jul 10, 2017
Provides very helpful answers.
HealthTap member
Aug 22, 2017
Dr.Cirinos is a valuable contributer to healthTap great professional detailed answers .
HealthTap member
This was very helpful. Thanks! Hi Dr Cirino thank you for your kind professional advice ,regards from England UK.
HealthTap member
Your answer was very helpful! Thanks :) thanks for the response.in consult with my doc, hope to feel good soon
HealthTap member
Your answer was very helpful, thanks! I had sudden abdominal pain &server pelvic pressure only lasted 30min.

Education & Training

Medical/Graduate school

Ohio University College of Osteopathic Medicine
Graduated 1998MD

Residency

GEORGE WASHINGTON UNIV HOSPITAL

Awards

Board Certified in Internal Medicine, American Board of Internal Medicine
HealthTap Doctor Mom

Publications

Hypokalemia in HIV patients on tenofovir.
An elderly man receiving hemodialysis who had diarrhea, weight loss, and liver mass.
Transfusion-associated babesiosis with an atypical time course after nonmyeloablative transplantation for sickle cell disease.
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