Doctor insights on:
Dr Andrew Germanovich
Hi Andrew, I have just one question related to the pain which I am experiencing near navel when pressing the above part of circumference of the navel.
Need more info: Hour symptom is significant but I can't give you an accurate answer without knowing more about you medically. Please consult with your family physician very soon. Many things may be going on depending on your age, other medical problems etc. ...Read more
Good afternoon Dr Andrew if your blood pressure is high but you're not hypertensive you advise to take tablets for it??
Hello dr. Andrew I have a quick question I am 24 and on methadone maintenance my dose is 70mg for 2 months when I work all day I feel as if I sweat out a lot of my methadone and was wondering if when I'm ready to go to sleep can I take. 25 mg of Xanax? It
Methadone, Xanax (alprazolam):
I understand your need to have good sleep.
Your Health is Precious!
Using Xanax (alprazolam) with Methadone may increase dizziness, drowsiness, and difficulty concentrating. You may also experience some impairment in thinking and judgment.
Be the Captain of your pain, not victim.
Feel good about your achievements.
See Psychiatrist for Diagnosis, Therapy to cope with pain, anxiety and depression; Relaxation ...Read more
I seen that a doctor on here named Dr. Andrew Michaels said Anxiety can cause a heart attack. Not all people who have anxiety have one correct? True??
Anxiety & The Heart: Hi German, Anxiety (or chronic anxiety) is what we consider a "psychosocial risk factor" for cardiac disease and potential heart attacks. Other risk factors include work stress, social isolation, chronic anger, Type A behavior, etc. They increase the likelihood of experiencing cardiac events and/or risk for cardiac disease. You can have a heart attack without these but they increase your chances. ...Read more
Andrew has 104-105fever for 5days now, awful huge ulcer looking sores all over tonsils, strep was neg dr doesn't knw what could be wish I cld load a pic?
Pic: Photos can be viewed for Healthtap Prime & Concierge. Take care. ...Read more
Dr. Andrew reeves lt sd paralysis caused by blood clot rupture on facial nerve surgically confirmed. Pushing up on forehead/brow helps nose brow lft?
Not so intended...: The product in question is an effervescent powder containing magnesium sulphate (dihydrate) 17.4% w/w, sodium hydrogen carbonate 22.6 % w/w and citric acid (anhydrous) 19.5% w/w & excipient sucrose 40.5% w/w. Is intended as a laxative & antacid. Diarrhea may occur with excessive use, & in patients with severe renal dysfunction may lead to hypermagnesemia & hypocalcemia. Don't hurt yourself please. ...Read more
Unknown: It contains mostly large amount of MgSO4, NaHCO3, Citric Acid & sucrose. Excessive Mg may cause diarrhea, cramps, bloating, Na may worsen HTN, edema & heart failure. Citric acid may worsen acid reflux & sucrose will worsen glucose control in diabetes. All these have a negative effect on kidney & vice versa. Effect on liver & ovary is unknown. Check kidney function & talk to PCP before using it. ...Read more
What do you advise if doctor andrew weil doesn't believe in liver cleansing. How is he mistaken or correct?
He is correct: A lot of those 'cleansers' can be quite harmful to the liver, completely unregulated as they are. No need. Stay healthy with good food and good habits. ...Read more
If I masturbate for say ten years. Will it take ten years to re-make all the sperm making it difficult to have kids? Well I think it was a doctor andrew something who told me that if I were to masturbate one day, the next day I would have a low sperm coun
Andrew came home with a blue circle around his mouth today - what could be the reason? He was at swimming practice, but this is a first...
Try washing it off: This does not sound like a disease or abnormality. It is likely to be something he got into or perhaps a trick played on him by his fellow swimmers using a blue magic marker. It could be a hazing ritual that he is embarased to relate to you. ...Read more
Hi doc. Andrew, I been diagnosed erosive gastritis but negative in h.pylori that was six month ago after taking pantropazole and domperidone still exp?
Erosive gastritis: Erosive gastritis in absence of Helicobacter pylori bacteria infection is usually due to aspirin, nonsteroidal anti inflammatory drugs (NSAIDS), alcohol or smoking. Elimination of these factors helps healing. Medications that coat the stomach such as over the counter gaviscon or prescription sucralafate/carafate can help symptoms and promote healing. Acid blockers such as proton pump inhibitors ...Read more
See below: In order to increase your weight you must eat or drink more calories daily than you burn up. But you don't want just more fat on the body so it's important to build muscle also. In order to do this you increase the amount of food you eat daily. Follow a mediterranean type diet and start a strength training muscle building program. For information on diet go to http://bit. Ly/1FMQO4d ...Read more
Search internet: Physicians really can't hide from the public. Most state boards of medicine make our information available (online) to the general public. Many online sites collect information on us & republish for you to compare & access. This site (as do most) also gives you access to our practice information including both address & phone. ...Read more
Mean BP: I'm guessing you are not interested in the concept of mean arterial pressure which incorporates aspects of systolic & diastolic pressure. Mean or average BP is the same thing. When trying to assess effectiveness of BP control I tell my patients to keep a log of BP & hr so we can average or take a mean of those values & make treatment decisions at their next office visit. Hope that helps. ...Read more
Sure: I hope your intentions are good asking for a hug. I love to hug my patients and usually I am the one who initiates it and so far have not had a problem with any of patients. I don't just hug them out of the blue but I spent quality time with them to make them ready for that. You should probably do that with your doc as well, rather than asking him to hug you w/out any warning. ...Read more
Casual gift yes.: It's ok to send Christmas Cards. Would not really do much more than that. The occasional cookie tin for the entire practice is ok. Don't single the doctor out with a gift or there will be questions raised about your relationship. ...Read more
No definitive rules: According to the ama, "gifts that patients offer to physicians are often an expression of appreciation and gratitude or a reflection of cultural tradition, and can enhance the patient-physician relationship." one criterion to consider is whether the doctor would be comfortable if acceptance of the gift were known to colleagues or the public. The dr-pt relationship is always first. ...Read more