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Dr. Christopher Cirino

Infectious Disease
24 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 31-year-old female asked:
Dr. Christopher Cirino
Infectious Disease 24 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
A 43-year-old male asked:
Dr. Christopher Cirino
Infectious Disease 24 years experience
F/up CT 1yr: This is a difficult request to provide an answer in this format. Subcentimeter nodules are rarely malignant. It is suggest that nodules of 4-6mm in ... Read More
A male asked:
Dr. Christopher Cirino
Infectious Disease 24 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
A 35-year-old male asked:
Dr. Christopher Cirino
Infectious Disease 24 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
A 22-year-old male asked:
Dr. Christopher Cirino
Infectious Disease 24 years experience
Neglible risk: There is a negligible risk of HIV transmission with oral sex, so there would be no indication for PEP. Syphilis and gonorrhea and less commonly Chlam... Read More
A 36-year-old male asked:
Dr. Christopher Cirino
Infectious Disease 24 years experience
Maybe : Visine can have a drying effect on the eyes - and as they are already irritated from the conjunctivitis, I would consider just cold compresses and may... Read More
A female asked:
Dr. Christopher Cirino
Infectious Disease 24 years experience
Conjunctivitis 3-5 d: I would expect conjunctivitis to have improved by 3-5 days after the peak in severity.
A 24-year-old male asked:
Dr. Christopher Cirino
Infectious Disease 24 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
A female asked:
Dr. Christopher Cirino
Infectious Disease 24 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
A 21-year-old female asked:
Dr. Christopher Cirino
Infectious Disease 24 years experience
Russian roulette: Uncooked or undercooked meat is generally considered contaminated. Chicken is associated with bacteria such as Salmonella (GI flora of chicken)along ... Read More
A 40-year-old male asked:
Dr. Christopher Cirino
Infectious Disease 24 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
A female asked:
Dr. Christopher Cirino
Infectious Disease 24 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
A 37-year-old female asked:
Dr. Christopher Cirino
Infectious Disease 24 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
A 37-year-old female asked:
Dr. Christopher Cirino
Infectious Disease 24 years experience
No interactions: There is no interaction that I am aware with regarding monistat and cbd oil.
A 27-year-old female asked:
Dr. Christopher Cirino
Infectious Disease 24 years experience
Is that Dx?: Clindanycin is safe for breastfeeding. It may be absorbed in your infant and may cause diarrhea. The diagnosis that you have stated does not suggest... Read More
A 46-year-old male asked:
Dr. Christopher Cirino
Infectious Disease 24 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
A member asked:
Dr. Christopher Cirino
Infectious Disease 24 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
A 21-year-old male asked:
Dr. Christopher Cirino
Infectious Disease 24 years experience
It is okay: Lactulose is safe if taken as written in the guidelines - 15-30ml - once to twice daily (60ml/day). It is a rare cause of metabolic acidosis when tak... Read More
A 32-year-old male asked:
Dr. Christopher Cirino
Infectious Disease 24 years experience
PVCs and hydration: Sometimes PVCs can come on more when one is dehydrated, febrile or caffeinated. It sounds like there was a good explanation. I am assuming you had a... Read More
A 20-year-old female asked:
Dr. Christopher Cirino
Infectious Disease 24 years experience
Yes: Super high amounts of sugar can have an osmotic diarrhea effect, drawing water into the bowel .
A 20-year-old female asked:
Dr. Christopher Cirino
Infectious Disease 24 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
A 60-year-old male asked:
Dr. Christopher Cirino
Infectious Disease 24 years experience
Lice or scabies or?: Although scabies usually doesn't affect the scalp, if it were, it would be behind ears and at base of head. Shaving your hair off would usually have ... Read More
A male asked:
Dr. Christopher Cirino
Infectious Disease 24 years experience
Complex : If it is tiny, it should most likely resolve as the omentum seals it. Usually with a leak, bowel rest with TPN, antibiotics for a short period (not es... Read More
A 21-year-old female asked:
Dr. Christopher Cirino
Infectious Disease 24 years experience
Assume nothing.: If the person was checked for gonorrhea and chlamydia (asymptomatic carriage) and you were the next person they had sex with, then you would not get i... Read More
A female asked:
Dr. Christopher Cirino
Infectious Disease 24 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.
A 31-year-old male asked:
Dr. Christopher Cirino
Infectious Disease 24 years experience
No : Naproxen is an anti-inflammatory medication and is used to reduce swelling and pain. It does not have antibiotic properties.
A 44-year-old member asked:
Dr. Christopher Cirino
Infectious Disease 24 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
A 21-year-old female asked:
Dr. Christopher Cirino
Infectious Disease 24 years experience
Post-inflammatory?: If they are bite marks / wounds that get dark, this may be related to your skin color/type. In people with darker skin (e.g. Italian, Latino, African... Read More
A 22-year-old female asked:
Dr. Christopher Cirino
Infectious Disease 24 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
A 32-year-old female asked:
Dr. Christopher Cirino
Infectious Disease 24 years experience
More details: From what I reviewed in your questions, I was unable to answer completely. What do you have as a reaction to amoxicillin? A yeast infection after am... Read More
A 16-year-old female asked:
Dr. Christopher Cirino
Infectious Disease 24 years experience
120/80 is expected: less than 130 (usually less than 120) for the top number or systolic ; less than 90 for the bottom number (diastolic). Obviously, if your blood press... Read More
A 51-year-old female asked:
Dr. Christopher Cirino
Infectious Disease 24 years experience
Low likelihood: Sternal clavicular septic arthritis is an unusual form of septic arthritis generally seen in diabetics. It is usually caused by Staphylococcus aureus... Read More
A female asked:
Dr. Christopher Cirino
Infectious Disease 24 years experience
Consult your md: re: an alternative if possible. Macrodantin or Bactrim are popular first line drugs to treat uncomplicated UTIs. Cipro can have multiple drug issue... Read More
A female asked:
Dr. Christopher Cirino
Infectious Disease 24 years experience
Not enough info: It would be unusual for a systemic Staph infection just from casual contact. I would consider other options, include reactive arthritis, crystalline... Read More
A male asked:
Dr. Christopher Cirino
Infectious Disease 24 years experience
Not likely bacterial: To differentiate cellulitis from rhus (poison ivy) : Cellulitis is. Condition that.presents with fever and systemic symptoms and is characterized as a... Read More
A 27-year-old female asked:
Dr. Christopher Cirino
Infectious Disease 24 years experience
Most likely viral: With the description that you have provided, it is most likely a viral syndrome, associated with rhinosinusitis and laryngitis. I would suggest mucin... Read More
A 37-year-old female asked:
Dr. Christopher Cirino
Infectious Disease 24 years experience
Not indicated: At this point doxycycline Prophylaxis is only indicated for a high risk tick bite in a highly endemic Lyme disease area. The tick testing positive f... Read More
A female asked:
Dr. Christopher Cirino
Infectious Disease 24 years experience
Depends : It would likely not be a long period of withdrawal, possibly as short as 3-5 days. It might be mitigated by reducing the dose gradually over 2-3 week... Read More
A 37-year-old male asked:
Dr. Christopher Cirino
Infectious Disease 24 years experience
Specific creams: For the most part, for typical "ringworm" or tinea corporis infections, which are usually caused by Trichophyton group. Other fungal skin infections ... Read More
A 26-year-old female asked:
Dr. Christopher Cirino
Infectious Disease 24 years experience
Unlikely: Dried blood would be unlikely to transmit any viruses - the general rule of hepatitis C transmission is 2% from a needle-stick injury from hepatitis C... Read More
A 28-year-old female asked:
Dr. Christopher Cirino
Infectious Disease 24 years experience
More info needed: Morganella can cause kidney stones (struvite crystals). If the organism was found simultaneously with the original urine culture, it is possible that... Read More
A 20-year-old female asked:
Dr. Christopher Cirino
Infectious Disease 24 years experience
Yes - mucus/saliva: If you have an illness,e.g. gastroenteritis, it is still possible to vomit ; more like dry heaves. Usually it results in some saliva and mucus. The ... Read More
A 22-year-old male asked:
Dr. Christopher Cirino
Infectious Disease 24 years experience
Start hydrating: It sounds like you have a viral gastroenteritis . You may be feeling weak from dehydration of electrolyte deficiency (low potassium after vomiting). ... Read More
A 43-year-old male asked:
Dr. Christopher Cirino
Infectious Disease 24 years experience
Prescription: It is a prescription drug, ie a doctor needs to write you a prescription after reviewing your case. A primary doctor can write for this and may even ... Read More
A male asked:
Dr. Christopher Cirino
Infectious Disease 24 years experience
Arrange for a visit: I wonder if you have a sore that is slowly bleeding and causing you to taste the blood. This could be coming from the nasopharynx, the throat or even... Read More
A 50-year-old female asked:
Dr. Christopher Cirino
Infectious Disease 24 years experience
Acid reflux ?: Interstitial fibrosis can result from small particles that are inhaled in the air - that leads to the development of inflammation and scarring in the... Read More
A 27-year-old female asked:
Dr. Christopher Cirino
Infectious Disease 24 years experience
Viral process: Viruses are known to trigger bronchospasm. Given the providing symptoms, I suspect that this is a viral syndrome. If the cough is of significant dis... Read More
A 41-year-old member asked:
Dr. Christopher Cirino
Infectious Disease 24 years experience
Yes and why?: There are no interactions with these medications. The Bactrim is commonly used for Staph infections or urinary tract infections. The Azithromycin is... Read More
A 30-year-old female asked:
Dr. Christopher Cirino
Infectious Disease 24 years experience
Avoid mixing: By now you have realized that it is generally not a good idea to mix alcohol with medications, even over the counter cough syrups. Robitussin contain... Read More
A 28-year-old male asked:
Dr. Christopher Cirino
Infectious Disease 24 years experience
Limited help online: The answer to diagnosing a sore throat from across the world is limited. Things that can cause of sore throat: acid reflux with a term known as lary... Read More

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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.
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