Dr. Odhett Cojocaru

Internal Medicine 26 years experience

When taking most oral birth control medications, you get a breakthrough bleeding monthly, it is not a regular menstruation, it is usually light and pa... Read More

Created for people with ongoing healthcare needs but benefits everyone.

Answered Nov 09, 2021

A 79-year-old male asked:

Is it safe to take calcium supplements in moderation as i can't eat dairy produce..thanks?

Internal Medicine 26 years experience

600mg of Ca a day should be safe, but the safety of taking Ca in general has been debated, make sure supplementation is indeed needed. I prefer Ca ric... Read More

Created for people with ongoing healthcare needs but benefits everyone.

Answered Sep 01, 2023

A 21-year-old male asked:

Would pancreatic cancer show up in a routine physical?

Internal Medicine 26 years experience

Unfortunately pancreatic cancer is not easily detectable on regular exam or usual tests. This is why most cases are discovered at an advanced stage. T... Read More

Created for people with ongoing healthcare needs but benefits everyone.

Reviewed >2 years ago

Dr. Theodore Davantzis and 2 doctors agree3 doctors agree

A 31-year-old male asked:

I gave my partner genital herpes through oral sex (hsv1) with no symptoms but had an outbreak a few weeks beforehand. she then passed it on to me through sex as she was unaware. does this mean i have hsv2 and 1 now?

Internal Medicine 26 years experience

HSV 1 and 2 are 2 different viruses. HSV 1 is more prevalent on the lips, but in the recent years it has been found more often in the genital area. HS... Read More

Created for people with ongoing healthcare needs but benefits everyone.

Answered >2 years ago

A 33-year-old female asked:

When i press my right breast, i see some discharge. sometimes, its white and sometimes yellow. there is no pain. my gynecologist did a physical exam and found no lump. should i be worried?

Internal Medicine 26 years experience

Breast discharge is considered suspicious when it occurs spontaneously and is persistent, only on one side, bloody or serous (clear) and also in patie... Read More

Created for people with ongoing healthcare needs but benefits everyone.

Answered >2 years ago

A 41-year-old male asked:

I was using jelly as a lubricant for sex i am constipated what should i do?

Internal Medicine 26 years experience

The lubricant has nothing to do with constipation. In most cases, for resolving constipation, you need to increase the amount of fibers in your diet-w... Read More

Created for people with ongoing healthcare needs but benefits everyone.

Answered Jul 29, 2022

A 18-year-old male asked:

So how do i upload the pictures of my penis to the consultants?

Internal Medicine 26 years experience

This platform is trying to help answer questions and not intended for diagnosing or treating any conditions. If you do not have a doctor to provide t... Read More

Created for people with ongoing healthcare needs but benefits everyone.

Answered Jul 29, 2022

A 30-year-old male asked:

Is a prohormone called epistane safe to take? does it effect the heart?

Internal Medicine 26 years experience

Epistane is a prohormone in the category of anabolic steroids. Like with any anabolic steroids it is not safe. Side effects include infertility, small... Read More

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Answered >2 years ago

A 32-year-old female asked:

An a pcp run these lap tests? or does it have to be a specialist? cea psa ca125?

Internal Medicine 26 years experience

These labs can be ordered by any physician if there is a clear indications to order them (of course after a history and exam are obtained).

Created for people with ongoing healthcare needs but benefits everyone.

Answered Nov 09, 2021

A 21-year-old male asked:

I have a new mole i'm worried if it's melanoma please help me?

Internal Medicine 26 years experience

Any new mole needs to be properly evaluated and the best way to evaluate a mole is by an "in person" exam. Most primary care providers are able to do ... Read More

Created for people with ongoing healthcare needs but benefits everyone.

Answered >2 years ago

A 19-year-old male asked:

My alkaline phosphate level is 184 u/l higher than normal. is there something i can do?

Internal Medicine 26 years experience

Alkaline phophatase varies with age and sex and also with eating before the test. It should be repeated to confirm the value. It comes mainly from liv... Read More

Created for people with ongoing healthcare needs but benefits everyone.

Answered >2 years ago

A 27-year-old male asked:

Is an ultrasound of the spleen accurate for spleen ruptures?

Internal Medicine 26 years experience

Ultrasound has a moderate sensitivity for detecting splenic rupture around 75%. CT is the preferred test.

Created for people with ongoing healthcare needs but benefits everyone.

Answered Sep 01, 2023

A 27-year-old male asked:

Best medicine/treatment for postnasal drip? dealing with thick mucus in the throat causing globus sensation?

Internal Medicine 26 years experience

Globus sensation is a feeling of a lump in the throat and it is usually caused by an esophageal problem, most commonly acid reflux. Postnasal drainage... Read More

Created for people with ongoing healthcare needs but benefits everyone.

Answered Feb 15, 2022

A 46-year-old male asked:

Hello doctor/s, just a doubt to clear. does choledocholithiasis and the obstruction of the bile duct for around 4 weeks cause secondary biliary cirrhosis?

Internal Medicine 26 years experience

It takes much longer than 4 weeks of biliary obstruction to get secondary biliary cirrhosis, infection of the biliary tree is more of a risk.

Created for people with ongoing healthcare needs but benefits everyone.

Answered Mar 31, 2022

A 42-year-old female asked:

Psychologists and therapists claim that narcissists hate boundaries. when you don't allow a narcissist to cross a boundary you've set, how are they affected by this? is this a narcissist injury to them? do they feel bound?? a lack of control?

Internal Medicine 26 years experience

Even when one has a personality disorder, we can only guess their feelings. The only way to know is to find out through direct communication (not all ... Read More

Created for people with ongoing healthcare needs but benefits everyone.

Answered >2 years ago

A 18-year-old male asked:

My tsh, t3, t4 levels are normal but i have symptoms of graves disease for sure. can radio uptake scan detect graves disease??

Internal Medicine 26 years experience

Graves disease is ruled out with normal TSH, T3 and T4. However, symptoms of hyperthyroidism are not very specific and they are common in many other c... Read More

Created for people with ongoing healthcare needs but benefits everyone.

Answered >2 years ago

A 38-year-old male asked:

Does taking iron tablet raise blood pressure? im 27 weeks and scared of taking iron. i am anemic?

Internal Medicine 26 years experience

Deficiency of iron can cause anemia and iron deficiency anemia is treated with iron. Iron will not increase one's blood pressure. Anemia is fairly com... Read More

Created for people with ongoing healthcare needs but benefits everyone.

Answered >2 years ago

A 17-year-old male asked:

I want to know if theyre is anyway i can make the process of puberty come faster because my penis hasnt grown since i was a child?

Internal Medicine 26 years experience

Puberty is the time in life when one becomes sexually mature. It usually happens between ages 10 and 14 for girls and ages 12 and 16 for boys. One can... Read More

Created for people with ongoing healthcare needs but benefits everyone.

Reviewed >2 years ago

Dr. Susan Rhoads agrees1 doctor agrees

A 56-year-old male asked:

Egfr read as: value =>60. all the other numbers within range,creatine was .83 &urinalysis was normal.so is value =>60 my actual number or is that just the normal range and they didn't calculate my egfr? tested during er visit for afib no fasting?

Internal Medicine 26 years experience

EGFR is estimated glomerular filtration rate. It is not really measured in the blood, it is just an estimation of the kidney function based on a formu... Read More

Created for people with ongoing healthcare needs but benefits everyone.

Answered Jan 26, 2022

A 25-year-old male asked:

I've had a painful rash on my penis for about 2 weeks and i don't know what it means. what's wrong with me?

Internal Medicine 26 years experience

There are many causes for painful rashes, but a common one is herpes. In general it resolves on its own in 2-3 weeks but it can come back on and off a... Read More

Created for people with ongoing healthcare needs but benefits everyone.

Answered Mar 31, 2022

A 28-year-old female asked:

Pcp performed general lab work. the results showed high ana (1:1280) rnp (8) crp (18) and sed rate (90), low vit d and b12. i have no symptoms other than mild raynauds. is this indicative of autoimmune disease now or in future?

Internal Medicine 26 years experience

These positive tests are indicating a connective tissue disease (autoimmune disorder) and ongoing inflammation is present. A referral to rheumatology ... Read More

Created for people with ongoing healthcare needs but benefits everyone.

Answered Feb 15, 2022

A 33-year-old female asked:

Will sudafed affect my birth control? it has acetaminophen, guaifenesin, and phenylephrine?

Internal Medicine 26 years experience

Acetaminophen, guaifenesin and phenylephrine will not affect the efficacy of birth control pills if the birth control pills are taken correctly.

Created for people with ongoing healthcare needs but benefits everyone.

Reviewed May 17, 2022

Dr. Deborah Ungerleider agrees1 doctor agrees

A 62-year-old male asked:

Hello doctors. can people who are on dialysis still have any type of freedom/independence? are they able to visit family? are they able to travel and sightsee and take bus tours and cruises? how often dopeople who require dialysis need to receive it?

Internal Medicine 26 years experience

2 ways to do dialysis - peritoneal dialysis (usually done at home, every night) and hemodialysis (usually done in a dialysis center and usually 3 time... Read More

Created for people with ongoing healthcare needs but benefits everyone.

Answered Mar 02, 2022

A 47-year-old male asked:

Why would a hidascan show no tracer in bowel after 90 minutes but yet mrcp is normal (except little sludge in gbneck)?the intra&extra hepatic biliary are non-dialated.hs shows hepatic tracer with excretion into biliary system and gb seen in 16 mins?

Internal Medicine 26 years experience

After the tracer is injected in the vein, it goes to the liver, gets excreted in the bile, goes throughcthe biliary ducts and accumulates in the gallb... Read More

Created for people with ongoing healthcare needs but benefits everyone.

Answered Feb 17, 2022

A 37-year-old female asked:

My vagina gets a mild fishy odor, but it only happens right before i get my period. ive gotten tested at obgyn and its all normal. could it be my period changing my smell?

Internal Medicine 26 years experience

The fishy smell around menstruation is common with BV - bacteroal vaginosis. You have to be tested specifically for BV at the time of the symptoms to ... Read More

Created for people with ongoing healthcare needs but benefits everyone.

Answered Jul 29, 2022

A 33-year-old female asked:

What causes upper stomach pain n nasious been having it for a month now ultrasound was ok just showed 16.74 cm liver?

Internal Medicine 26 years experience

The one liver dimension does not mean anything by itself. Nausea and upper stomach pain for one month could be due to gastritis, gall bladder disease,... Read More

Created for people with ongoing healthcare needs but benefits everyone.

Answered Mar 20, 2022

A 39-year-old female asked:

I took excedrin this am for a migraine. it didnt work. how long after that dose do i need to wait before getting a toradol shot?

Internal Medicine 26 years experience

The sooner you treat a migraine, the more successful the treatment is. Excedrin has aspirin and aspirin is related to Toradol, but combining them afte... Read More

Created for people with ongoing healthcare needs but benefits everyone.

Reviewed >2 years ago

Dr. Bennett Machanic agrees1 doctor agrees

2 thanks

A 38-year-old male asked:

Took miralax for 5 days i have loose thin diarrhea is there any help i can do to stop the diarrhea?

Internal Medicine 26 years experience

If diarrhea is strictly caused by a laxative, like Miralax, simply stopping the laxative will make the diarrhea stop in 24-48 hours. It is better to n... Read More

Created for people with ongoing healthcare needs but benefits everyone.

Answered Mar 09, 2022

A 18-year-old female asked:

Is my pill still going to be effective if i took some cups of tea which contain st. johns wort (about 15% of 1,5g of tea) for 2 days? help!?

Internal Medicine 26 years experience

St. John's Wort will decrease the effectiveness of birth control pills.

Created for people with ongoing healthcare needs but benefits everyone.

Answered Jul 29, 2022

A 38-year-old male asked:

Stop taking miralax yesterday and still have very loose and thin green stools how long after stopping miralax does the diarrhea stop?

Internal Medicine 26 years experience

It can take 24-48 hours for laxative induced diarrhea to resolve, it depends on the transit. It takes time to have results from laxatives and the same... Read More

Created for people with ongoing healthcare needs but benefits everyone.

Answered Mar 09, 2022

A 57-year-old female asked:

Yellow poop with a feeling of mass/ something inside abdomen low right. daily bowel movements as normal sometimes can be a little soft or a little hard. bloating/gas any thoughts? thanks?

Internal Medicine 26 years experience

There are many possible explanations for these symptoms, some reasons are benign (like IBS), but others can be very serious (like colon cancer). These... Read More

Created for people with ongoing healthcare needs but benefits everyone.

Reviewed Feb 16, 2022

Dr. Silviu Pasniciuc agrees1 doctor agrees

A 17-year-old female asked:

Doctors told me i have right ventricle hyprotrophy and told me its caused by my anxiety and dont want to treat it for me could it be dangerous to me?

Internal Medicine 26 years experience

Right ventricle hypertrophy is not caused by anxiety. If it is a correct diagnosis, at young age it is usually caused by a congenital heart condition.... Read More

Created for people with ongoing healthcare needs but benefits everyone.

Reviewed >2 years ago

Dr. Jane Steiner agrees1 doctor agrees

A 26-year-old female asked:

Can you drink alcohol a week after having your gallbladder removed, currently taking no medication?

Internal Medicine 26 years experience

If everything is well and no pregnancy, if you are healthy, 1 week after gallbladder surgery, it is safe to drink alcohol. It is not safe to drink mor... Read More

Created for people with ongoing healthcare needs but benefits everyone.

Answered >2 years ago

A 17-year-old female asked:

What does a non obstructive bowel gas pattern mean on an abdominal x-ray?

Internal Medicine 26 years experience

Non obstructive bowel pattern on abdominal X-ray means no evidence of bowel obstruction (normal).

Created for people with ongoing healthcare needs but benefits everyone.

Reviewed >2 years ago

Dr. Silviu Pasniciuc agrees1 doctor agrees

A 57-year-old female asked:

I'm a 58 year old woman. for the last 2ish years my platelets have been high and very slowly rising, 460 in jan, 549 2 days ago. i have an appt with hemotologist in may, but that's a long time to wait, thought i'd see what y'all say in the meantime?

Internal Medicine 26 years experience

The 2 most common causes are reactive (due to anemia, inflammation etc.) or essential thrombocytosis (due to a bone marrow issue). More testing will b... Read More

Created for people with ongoing healthcare needs but benefits everyone.

Answered Mar 18, 2022

A 50-year-old male asked:

What is the meaning of mechanical bile duct obstruction? does an obstruction caused by a gallstone come under mechanical obstruction?

Internal Medicine 26 years experience

Mechanical bile duct obstruction means the passage of bile in the duct is blocked by something physically present there. It could be a stone or sludge... Read More

Created for people with ongoing healthcare needs but benefits everyone.

Answered Feb 15, 2022

A 22-year-old male asked:

Dr says rapid weight loss and diet change increased my liver enzymes and i searched on google it says it can be nash now is it possible to stop progress of nash i am worried now?

Internal Medicine 26 years experience

Sometimes rapid weight loss can cause a transitory mild increase in liver enzymes. For NASH the best treatment is weight loss. Elevated liver enzymes ... Read More

Created for people with ongoing healthcare needs but benefits everyone.

Answered Mar 09, 2022

A 18-year-old female asked:

I have been bleeding for 11 almost 12 days. spotting first 4 now heavy bleeding sometimes. not like period. help! pregnancy or miscarriage? or none?

Internal Medicine 26 years experience

You are describing an abnormal uterine bleeding in a premenopausal woman. There are many reasons for this but the first test to be done is a pregnancy... Read More

Created for people with ongoing healthcare needs but benefits everyone.

Answered >2 years ago

A 74-year-old female asked:

I think i took 2 of meloxicam and hour apart thinking i didnt take it yet. but im not sure. what should i do?

Internal Medicine 26 years experience

The maximum daily dose for Meloxicam is 15mg. A higher dose can be dangerous and can give GI side effects, heart, kidneys and liver abnormalities and ... Read More

Created for people with ongoing healthcare needs but benefits everyone.

Answered Mar 31, 2022

A 36-year-old female asked:

Do patients with heart pacemakers and taking steroids and immunosuppression for autoimmune disorder need antibiotic prophylaxis before dental extraction?

Internal Medicine 26 years experience

Based on the most recent guidelines, antibiotic prophylaxis is not needed for regular teeth extractions for immunosuppressed patients if their conditi... Read More

Created for people with ongoing healthcare needs but benefits everyone.

Reviewed Jul 31, 2022

Dr. Arnold Malerman and another doctor agree2 doctors agree

A 56-year-old female asked:

I was prescribed buspirone as a as needed basis. i questioned this and told it was fast acting and would help anxiety symptoms in the moment but for on going therapeutic effectiveness it would be prescribed as a routine medication. is this true?

Internal Medicine 26 years experience

Buspirone is approved for anxiety treatment starting at 7.5mg twice a day and increasing the dose up to a max dose of 60mg total. It achieves peak con... Read More

Created for people with ongoing healthcare needs but benefits everyone.

Answered >2 years ago

A 47-year-old female asked:

How can you lose weight during menopause? i'm 270 lbs, i tried everything, my thyroid is fine, i don't take any meds, my doc said healthy diet and exercise but nothing seem to be working. what can i do? im pretty desperate on this weight?

Internal Medicine 26 years experience

I dont think there is a straightforward answer that fits everybody when we talk about weight loss. For best results we have to work with a team and co... Read More

Created for people with ongoing healthcare needs but benefits everyone.

Answered Jul 29, 2022

A 45-year-old female asked:

My recent triglyceride is 191 mg/dl? should i worry? how can i normalize?

Internal Medicine 26 years experience

There is no reason to worry about it because triglycerides can be brought back to normal. It can happen if you just had a big meal before your blood w... Read More

Created for people with ongoing healthcare needs but benefits everyone.

Answered Jul 25, 2022

A 17-year-old male asked:

Can people make a full recovery from a stroke?

Internal Medicine 26 years experience

About 10% of people recover completely after a stroke and another 25% recover with a minor impairment. Recovery is different for everyone, it take a l... Read More

Created for people with ongoing healthcare needs but benefits everyone.

Answered May 17, 2022

A 31-year-old male asked:

Hi dr in my childhood in india i was given 2 doses of hepatitis b vaccine when i was 9-10 years old that is in 2001-02 before coming to usa and i have never taken hepatitis b in usa.does the hepatitis b vaccine still protects me from hepatitis b ?

Internal Medicine 26 years experience

The only way to know if you have protection against hepatitis B is to have the antibodies tested - Hepatitis B Virus Surface Antigen antibodies.

Created for people with ongoing healthcare needs but benefits everyone.

Reviewed Jun 12, 2022

Dr. Deborah Ungerleider agrees1 doctor agrees

A 18-year-old female asked:

It's been 11 days now i've taken the morning after pill and i've not seen spotting is it normal not to have this side effect?

Internal Medicine 26 years experience

If we are talking about the Levonorgestrel emergency contraception, the first period after taking it can be earlier or later than expected. It is not ... Read More

Created for people with ongoing healthcare needs but benefits everyone.

Answered >2 years ago

A 55-year-old female asked:

My son was diagnosed with mono today last week he lifted a heavy nightstand i am scared that maybe he caused a spleen issue without us knowing. dr felt spleen today said it didnt feel enlarged could it just be festering?

Internal Medicine 26 years experience

Spleen rupture is a rare complication of mono if one has splenomegaly (enlarged spleen) and engages in a full contact sports or suffers other abdomina... Read More

Created for people with ongoing healthcare needs but benefits everyone.

Reviewed >2 years ago

Dr. Edward Jorgensen agrees1 doctor agrees

A 19-year-old female asked:

I had the stomach flu on wednesday, it is tuesday of the next week and i still feel sensitivity in my stomach and i cant eat anything that isnt part of the brat diet without my stomach feeling queasy. is that normal?

Internal Medicine 26 years experience

Any infection of mostly the upper GI tract, like a viral gastroenteritis ( stomach "flu") can affect the motility of the stomach. This is usually mani... Read More

Created for people with ongoing healthcare needs but benefits everyone.

Answered >2 years ago

A 56-year-old female asked:

Had vein ablation on right leg 7 years ago. is it possible to have to have another ? causes? i have a new vein bulge on calf. new dr. ultrasound said yes. should i get second opinion ?

Internal Medicine 26 years experience

Even after ablation, varicose veins do reappear. This is because varices are due to increased pressure in the veins of the legs. Ablation is not resol... Read More

Created for people with ongoing healthcare needs but benefits everyone.

Answered Feb 17, 2022

A 26-year-old female asked:

Will amoxicillin prevent chlamydia if condom breaks?

Internal Medicine 26 years experience

It is unlikely that Amoxicillin will be protective against Chlamydia. There is a very easy way to test the urine for Chlamydia and if positive tgere a... Read More

Created for people with ongoing healthcare needs but benefits everyone.

Answered Feb 09, 2022