Dr. Klaus Appel

Family Medicine

21 years experience

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About

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.

Family Medicine

Licenses

United States: Arizona

Languages spoken

English

Doctor Q&A

49 Answers

0 Agrees

A 30-year-old female asked:

Cough started 1st wk in march. had urti (2 rounds of antibiotics). always had chronic sinusitis. septoplasty 7months ago. still have lots of phlegm (clear/light yellow) and still coughing for 8weeks (not as much as before). worried about cough. pnd?

Dr. Klaus Appelanswered

21 years experience

Chronic cough: at your age it is likely post nasal drip with possibly cough variant asthma. I recommend a netti pot with "alkalol" menthol sinus rinse. You could imp... Read More

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A 28-year-old female asked:

I have startes to bleed heavily, red blood, 5 weeks postpartum and i am exclusively breastfeeding. should this be a concern?

Dr. Klaus Appelanswered

21 years experience

Call your OBGYN: bleeding should be much less after 10 days. mild spotting out to 6 weeks. If this heavy bleeding has just started recently,this is not normal. be saf... Read More

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A 27-year-old female asked:

My son who is 2 has a rash between his thighs that has now spread to under his armpits . its not responding to tropical creams and its been almost two weeks now ?

Dr. Klaus Appelanswered

21 years experience

What creme?: if you are treating a fungal rash with steroid creme, it will make it worse. If it itches it could be lice, scabies, contact dermatitis. Armpits and ... Read More

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A 35-year-old male asked:

My work has been taking everyone's temperature at the doors before entering. anything over 100deg they are sent home for the week. my temp is 100.4 off and on for 3 weeks. can you just run a higher temperature then normal? i feel great otherwise.

Dr. Klaus Appelanswered

21 years experience

Yes: you could have a strong immune system and fought off one or more viruses, even covid19. There are a lot of other reasons, but if you are 35 and otherw... Read More

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A 28-year-old female asked:

Went hiking, when got back i had developed an itch on the ball of my foot. itch same as the itch of a healing bee sting. can't be a bee sting though (i'm allergic) and there is no stabbing pain (thorn). it's 4 weeks now, still itching badly.

Dr. Klaus Appelanswered

21 years experience

Interesting : I could only guess: a wart that has not come up yet: a cutaneous larva from walking through water...a callus that is loosening up. A tiny sliver in y... Read More

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A 24-year-old male asked:

After the 5th month of knee dislocation, i began jogging. initially, there was a bit of pain right on top of the knee cap but its no more. about two weeks of no training, i feel some pain on the right side of my right knee. what could wrong?

Dr. Klaus Appelanswered

21 years experience

Many things: Dislocation is a serious injury. Was diagnosed with x rays in an ER? I would follow up with a primary car provider. Young people heal up very will if... Read More

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A 28-year-old female asked:

At the beginning of october 2019, i underwent a myomectomy and one large fibroid was removed. 6 months on, i am still experiencing pain which is getting worse, this pain is on the side where the operation took place. what could be the cause?

Dr. Klaus Appelanswered

21 years experience

Adhesions etc...: If you were having pain before surgery, then a fibroid may not have been the cause. The incision can cause pain. Adhesions can form after surgery. It ... Read More

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A member asked:

How can i know whether what i'm feeling is a normal reaction to the covid-19 crisis we're all dealing with, or something more serious? i've been feeling depressed and anxious and having trouble sleeping and staying motivated to do anything. depression o

Dr. Klaus Appelanswered

21 years experience

Probably: Lots of us carry our anxiety in our tense muscles, poor sleep, irritable bowels etc... fever, severe headache, and a dry cough are the main covid19 sy... Read More

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A 35-year-old male asked:

I have had a high temp of 100.4 that comes and goes for three weeks now. what could cause this. i feel perfectly normal ? i should add i have had untreated high blood pressure for about 1year

Dr. Klaus Appelanswered

21 years experience

100.4 is not high: 100.4 is the bare minimum for fever. I would start by seeing your doctor and getting your blood pressure under control. While you are doing this, you ... Read More

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A 39-year-old female asked:

Are people with hyper/overly active immune systems, such as those with ms, at high risk of covid-19 like those weakened immune systems?

Dr. Klaus Appelanswered

21 years experience

No one really knows: auto immune disease is an immune system that targets the cells of your own body. People are usually on immune suppression such as steroids and more ad... Read More

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A 31-year-old female asked:

I currently take 2 claritins a day to deal with my symptoms from my nonallergic rhinitis and a minor dust/dustmite allergy. is there something else i can take instead that would be less medication on a daily basis?

Dr. Klaus Appelanswered

21 years experience

Serrapeptase: an enzyme used for sore muscles .A major side effect is that it clears up your sinuses. you can buy it at a vitamin store or amazon. take 250,000 uni... Read More

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A 25-year-old female asked:

My tonsil looks like it has split in half, is this normal? i often get tonsil stones and i remove them myself.

Dr. Klaus Appelanswered

21 years experience

Very common: food and bacteria get trapped in the folds of your tonsils. sometimes you can dislodge them by pressing against the side with your finger or brushing ... Read More

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A 18-year-old female asked:

What does it mean for my urine to be a light green to light blue hue?

Dr. Klaus Appelanswered

21 years experience

Mountain dew: usually it is coloring from what you ate or drank. The classic example is red beets. They make it look like you have blood in your urine. Green and b... Read More

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A 21-year-old female asked:

Ive been constipated and today i suddenly starting having lower abdominal pain and now it moved to my belly button. i keep having pains in my lower abdomen and belly button. what could this be?

Dr. Klaus Appelanswered

21 years experience

Appendix still in?: this is the most important diagnosis to think about. Is the pain located in the right lower part of you abdomen just above your right hip bone? appen... Read More

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A 42-year-old female asked:

Is it normal if i had my period towards the end of last month to have it the 10th this month? i had a tubal is no chance of pregnancy or anything like that.

Dr. Klaus Appelanswered

21 years experience

No worries: this alone is no reason to be worried. If your periods change in number of days, the amount of blood changes, or you have any physical symptoms where ... Read More

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A 37-year-old female asked:

Evening , may i kindly ask for assistance. my tongue is swollen burning like fire , hands burning like fire , feet are burning like fire . two and a half weeks ago i had my 2 nd hiatal hernia surgery, still not successful , nausea, vomiting, ?

Dr. Klaus Appelanswered

21 years experience

Not good: If your tongue swells to the point that you can no longer breathe you will be in severe danger. Burning can be B vitamin deficiency, lifelong heavy a... Read More

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A 24-year-old female asked:

My ear has a popping or clicking noise on the left side when hearing sound on the right side of the ear (like on cell phone or person talking to me on the right). what could this be? is it normal sometimes?

Dr. Klaus Appelanswered

21 years experience

See below: I'm not ENT. But I know both eardrums will react to the same sound, which is why you hear it in the other ear. The clicking may be some fluid build up... Read More

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A 30-year-old male asked:

If someone touches surface having germs of hepatitis b or c (tiny blood), is washing hands with soap is enought?i mean to washing with soap will kill hep b or c germs on hands?

Dr. Klaus Appelanswered

21 years experience

Yes: unless you had an open wound on your hand. Just wash with soap and water, do it for 30 seconds, do a thorough job. You do not need anti bacterial soap... Read More

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A 26-year-old female asked:

Hi there, this morning i woke up with what feels like a pinch nerve. i took a mypaid forte which did nothing, then took two norflex at 2pm still nothing worked and now im trying two gen-payne? is it okay to have mixed all of these meds?

Dr. Klaus Appelanswered

21 years experience

Be careful: you are responsible for knowing what medications you are taking, and taking them as directed. I would hope you have an actual diagnosis for you "pinc... Read More

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A 17-year-old male asked:

I have an anxiety disorder and something has been worrying me. hopefully i can relieve my stress if someone can answer the question. im wondering if its common for teens to have heart transplants since im scared of having high blood pressure.

Dr. Klaus Appelanswered

21 years experience

You have anxiety: Follow a healthy diet, avoid alcohol, caffeine, and drugs. Exercise is very helpful. Please see your mental health specialist regularly, you can work... Read More

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A 28-year-old male asked:

When i breathe or talk i'm experiencing a tickle at the back of throat/chest which is causing me to cough every time it gets worse at times, any idea what could be causing this ..

Dr. Klaus Appelanswered

21 years experience

Post nasal drip: try an antihistimine, decongestant, or netti pot. If you cough does not get better in a week, see a doctor

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A 41-year-old female asked:

Nerve in left hand thumb was cut off in jan. was still busy with rehab when lockdown happened. been overcompensating with right hand. pain in right hand just below thumb started yesterday. ice & splitting helps a bit. is there a hand brace i can buy?

Dr. Klaus Appelanswered

21 years experience

Very common: pain at the base of the thumb is often a tendinitis from overuse and no history of trauma. A bowling type splint or wrist splint at walmart can help. ... Read More

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A 51-year-old female asked:

After being exposed to hsv1 i now have symptoms. i have never had this before. never tested because i never had symptoms before. will i be able to deal with this. how can you tell if he gave me vaginally without symptoms after he gave oral?

Dr. Klaus Appelanswered

21 years experience

Very common: You have it for life. You can transmit it even if you have no symptoms. 60% of people under age 60 have it. L Lysine supplement taken daily may reduce... Read More

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A 30-year-old male asked:

Does stress and anxiety affect your hiv results. since cortisol suppresses your immune system can it suppress antibody development when taking a test?

Dr. Klaus Appelanswered

21 years experience

Probably not: Maybe severe immune suppression from cancer chemotherapy, bone marrow or organ transplants......maybe. But in no way chronic stress. The only way you ... Read More

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A 57-year-old female asked:

5th uti (ecoli) in 7 months. had cysto, ultra & kub last uti 2.5 months ago. taking d-mannose and azo cranberry pills. started burning today, high wbc in urine and rbcs. (have strips) starting macrodantin 50mg bid for 5 days. why do i keep getting?

Dr. Klaus Appelanswered

21 years experience

Menopause: probably 50% of women carry bacteria in their urine without pathology. Test strips are inaccurate. Check your urine when asymptomatic to see if you te... Read More

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A 28-year-old female asked:

I have a discoloration on my collarbone and now my next please help ?

Dr. Klaus Appelanswered

21 years experience

Need more info: can you describe the color, how large it is? is it tender? is it a bruise? do you have any other symptoms?

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A 28-year-old female asked:

I have discoloration on my collarbone and now moved to only the front of my neck. it is not black but darker than my skin tone, looks almost bruised. ive had this for months now. no pain ?

Dr. Klaus Appelanswered

21 years experience

See a doctor: this is an uncommon presentation without any simple answers. I think someone needs to see it with their own eyes

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A 33-year-old female asked:

How soon can my combi pill work? i started it on first day of period.. been sexually active since my period was over. 2nd month on the pill

Dr. Klaus Appelanswered

21 years experience

It depends: BC pills work 99% of the time when you take 100% of the required doses. If you miss a dose here and there, now you are down to 91% effective. Smoker... Read More

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A 20-year-old female asked:

Can an ulcer patient exercise

Dr. Klaus Appelanswered

21 years experience

Usually: if you are 20 years old and otherwise healthy, and you do not have an actively bleeding ulcer, and you are taking your ulcer medications as prescribed... Read More

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A 20-year-old female asked:

Can sitsups upset stomach ulcer

Dr. Klaus Appelanswered

21 years experience

Possibly: if you do crunches you are increasing the pressure on your stomach wall, and this could irritate ulcers. If it hurts to do that....then don't do that.... Read More

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A 21-year-old male asked:

I cant move my neck to the left side. and when i trying to move my neck left side i feeling pain in my neck and throat.

Dr. Klaus Appelanswered

21 years experience

It all depends: the fact that the pain is in your throat makes me think that is not just somatic dysfunction in you C spine. I would have a primary care provider exam... Read More

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A 32-year-old member asked:

What is the best way to get antibiotics for painful tooth and inflamed mouth at this time ?

Dr. Klaus Appelanswered

21 years experience

Urgent care: getting an exam and a diagnosis is the first step. An inflamed mouth is not common with a painful tooth. An antibiotic may not even be the right treat... Read More

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A 17-year-old male asked:

How much is too much heart palpations does it become dangerous for a day?

Dr. Klaus Appelanswered

21 years experience

You are 17: Smoking cannabis ( weed ) is the #1 reason teenagers have palpitations. Also too many monster drinks, and dehydration. I would stop all caffeine and ... Read More

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A 29-year-old female asked:

What can be the results to the human health if fire in the chernobyl area cannot be stopped? how quick the radiation spreads to the neighbour countries and to the world? what measures can be taken? nuclear masks?

Dr. Klaus Appelanswered

21 years experience

Serenity: I am not worried about this at all. The radiation increase was probably burning of radioactive vegetation and old fallout getting circulated in the sm... Read More

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A 24-year-old female asked:

Are black specs inside of a mole normal?

Dr. Klaus Appelanswered

21 years experience

Depends: there are benign moles with specks, and there are melanomas with specks. I always say: "when in doubt, cut it out"...go have it looked at, a biopsy w... Read More

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A 23-year-old male asked:

Cluster of non-itchy tiny bumps/rashes on the shaft of penis for about 6 months. absence of painful urination, ejaculation, discharge & other std symptoms. test for gonorrhea, syphilis and other common stds negative. antifungal creams failed.

Dr. Klaus Appelanswered

21 years experience

See a doctor: there are a dozen things it could be. you want to make sure it's not warts, and you want to get a diagnosis so it will ease your mind. I would recomme... Read More

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A member asked:

This is my third uti. i read articles stating it could be related to menopause, sprays and deodorants , and other factors. should i be concerned? uti

Dr. Klaus Appelanswered

21 years experience

Yes: if you have more than 3 UTI's in a 6 month period I would get it worked up. If a urologist is not available, then labs, urine analysis and a CT scan a... Read More

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A 33-year-old female asked:

My daughter who is 10 years chipped 4 of her front bottom teeth. can they be repaired?

Dr. Klaus Appelanswered

21 years experience

Probably: I'm not a dentist. At 10 years her baby teeth should have been replaced with permanent teeth in the front. I think it would be worth seeing a dentist ... Read More

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A 35-year-old male asked:

Are oral pde5 agents effective for ve nous leakage

Dr. Klaus Appelanswered

21 years experience

In your legs?: Edema can be caused by heart, liver,kidney failure, obesity, venous valve dysfunction, lymphatic damage, allergic reactions,even filariasis..... ther... Read More

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A 24-year-old female asked:

Is metronidazole safe to take during pregnancy in pill form for bv? 14 weeks

Dr. Klaus Appelanswered

21 years experience

Yes: metronidazole is commonly used in pregnancy. Try to look into ways of preventing BV. Chronic antiobiotic use can throw your entire digestive/vaginal f... Read More

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A 36-year-old male asked:

Hi i have a pain on my upper back (core) and buttocks when i hop / skipping the rope. and my lower back pains when i stretch / touch my toes... any ideas what could be wrong?

Dr. Klaus Appelanswered

21 years experience

Somatic dysfunction: unless you have a history of major trauma to your skeletal system, surgeries, plates, screws etc...and no chronic spinal conditions, no symptoms of n... Read More

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A 17-year-old male asked:

Im 17 with anxiety disorder. should i buy a blood pressure monitor?

Dr. Klaus Appelanswered

21 years experience

No: Unless you happen to already have a diagnosis of high blood pressure and are taking medications, you do not need to monitor your blood pressure. If yo... Read More

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A 24-year-old female asked:

I have a 5mm black mole (i have brown skin) on my shoulder since i was a teenager. i havent noticed big size change, but it has black specs inside of the mole. the borders are not perfectly round, but are defined.are spots inside of a mole abnormal?

Dr. Klaus Appelanswered

21 years experience

Only under a microso: there is no 100% sure way to distinguish a benign nevus from cancer by looking at it. Lets use the acronym ABCDE: Asymmetry (no), Border uneven(yes),... Read More

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A 24-year-old female asked:

Hi my period was late for a 2weeks if i remember correctly, then i got my period it started with 1week or 2weeks of spotting then i started to bleed and been getting blodclots since. i still have my period is this normal?

Dr. Klaus Appelanswered

21 years experience

Check pregnancy: if you are otherwise young and healthy, and you had a one time change in your period and it all went back to normal, I would not worry about it. If yo... Read More

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A member asked:

Im currently experiencing pain in both of my breast. they are really sore. ive started running over the last 3 weeks. could the jarring of running on pavement cause this? thats when i started noticing the soreness. breast pain

Dr. Klaus Appelanswered

21 years experience

Probably: breast cancer does not hurt as a rule. Make sure you are having your scheduled mamograms. If there are no other symptoms, try a sports bra, ibuprofen ... Read More

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A 29-year-old female asked:

Is slow mag safe to drink during pregnancy?

Dr. Klaus Appelanswered

21 years experience

No: you need less than 400mg a day. The best source is magnesium rich foods such as nuts,grains,seeds,beans,green leafy veg, avacados, bananas, dates, fig... Read More

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A 40-year-old male asked:

Chest pain night sweats weight loss joint pain dry mouth ?

Dr. Klaus Appelanswered

21 years experience

Not good: this is too complicated for a Doctor to answer without looking at you and getting a detailed interview. South African doctors know what is common in S... Read More

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A 39-year-old male asked:

How safe is domestic travel within the us right now ? an what precautions should be taken on a flight or at the airport?

Dr. Klaus Appelanswered

21 years experience

Shelter in place: Travel is not recommended right now. Will YOU be OK?: probably. Will WE be OK if everybody starts breaking the rules?...not so much. Be kind to you si... Read More

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A 41-year-old female asked:

My eyes are red and sore for the past three days?

Dr. Klaus Appelanswered

21 years experience

See a doctor: there are just too many things a red eye can be. Someone needs to actually take a look. Pain and change in vision are warning signs and your doctor v... Read More

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