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Doctor insights on: Fiore Russo

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My little one is 5 months and is having heat rush, have been using Johnson products also tried epimax but it’s not working. Any advice?

My little one is 5 months and is having heat rush, have been using Johnson products also tried epimax but it’s not working. Any advice?

Heat rash - keep dry: If it is truly a heat rash, there is no specific treatment, other than sponging, bathing with cool (not cold) water and ensuring that he/she wears natural, absorbing fiber, like cotton next to the skin, as a heat rash is usually caused by sweating a lot. Also keeping cool and well ventilated. If the rash gets worse, it is better to see a doctor to confirm the diagnosis. ...Read more

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Can my adrenaline rush problems be a form of anxiety?

Can my adrenaline rush problems be a form of anxiety?

Yes it can: Anxiety and its manifestation whethe cognitive, physical or behavioral involve the serotonin and the adrenergic / noradrenergic systems...So anxiety attacks are practically synonym to the famous fight or flight response that relies heavily on a surge of noradrenergic activity. ...Read more

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How to put out the fire in your anus while battling the runs?

How to put out the fire in your anus while battling the runs?

Proctocort: Cream or suppositories work best for me. I prefer the suppository bc it I absorbed in the tissue better. So if you can tolerate the supp will make you feel better sooner. ...Read more

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I've a 1/8-inch deep by 1/4 wound from rusty metal. Last t-shot was 5-10 or 10-15 yrs ago. Can I wait 16 hrs to see doc for booster?

I've a 1/8-inch deep by 1/4 wound from rusty metal. Last t-shot was 5-10 or 10-15 yrs ago. Can I wait 16 hrs to see doc for booster?

Tetanus Shot: If the wound is not actively bleeding and closes well it likely does not need stitches. There is no need to go to the ER for an immunization. However, please make sure you get a tdap in the morning. Your wound and mechanism of injury put you at risk for tetanus. ...Read more

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I am having trigiminy sometimes 5 runs in a row. Have stent in my circumflex. Do not have fainting etc I detected the trigiminy via stetescope.?

I am having trigiminy sometimes 5 runs in a row. Have stent in my circumflex. Do not have fainting etc I detected the trigiminy via stetescope.?

By Jiminiy!!: Well, if that's new, contact your cardiologist. It could mean nothing but it could also mean something. With a history of heart problems like you do it's best to let the doctor know of any changes, symptoms or no symptoms. But I'd assume you felt something to get you to check for a weird heart rhythm so it's now time to contact your specialist for a review of your condition. Why take any chances? ...Read more

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I scratched myself it broke the skin on a ride and never cleaned it no blood I wasn't sure if the ride had rust on it's day 5 no shot in maybe 10 yrs?

I scratched myself it broke the skin on a ride and never cleaned it no blood I wasn't sure if the ride had rust on it's day 5 no shot in maybe 10 yrs?

Tetanus shot: Typically if someone hasn't had a tetanus shot in 10 years and has had an injury on metal, it is prudent to ensure that the area is cleaned well and you get a tetanus shot. This can help prevent tetanus. Tetanus shots are recommended routinely every 10 years. ...Read more

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So my mom was bent over cleaning outside & she got up too fast & hit her he'd on this old rusty, fire extinguisher box and now she's bleeding. What do we do?

So my mom was bent over cleaning outside & she got up too fast & hit her he'd on this old rusty, fire extinguisher box and now she's bleeding. What do we do?

What to do.: If she doesn't know when her last tetanus shot was, or it has been > 10 years, she needs to get another shot. If the wound is very deep or is gaping - she may need staples, stitches or to have it taped. If she is dizzy, has visual changes, loss of consciousness, headache - she needs to be evaluated for a concussion. I just now saw this question - so don't know how long ago you asked it. ...Read more

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I m 39 years old and recently started morning runs for 4 to 5 km every morning. Please suggest is it good for my health, specially my knee.

I m 39 years old and recently started morning runs for 4 to 5 km every morning. Please suggest is it good for my health, specially my knee.

Just make: Sure you have good running shoes and avoid hard surfaces, in order to protect your knees. Congratulations on your great new habit. ...Read more

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Is it too late if I have a tetanus shot 72 hours or + after I got a minor cut from a rusty paperclip in a toilet tank? My last tetanus shot: 5 yrs ago.

Is it too late if I have a tetanus shot 72 hours or + after I got a minor cut from a rusty paperclip in a toilet tank? My last tetanus shot: 5 yrs ago.

May have vaccine: Usually tetanus vaccinations are given every ten years. Since you are dealing with the rusty paperclip, it would be reasonable to update sooner. Make sure the area is clear of any infection and be seen to be placed on antibiotics if any redness or swelling is seen. ...Read more

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Ismoked about 7 months abou 5-10 puffs of electronic cigaret a day I have quit but im ve afraid of cancer. I'm 16 years old. What is my risk. So afraid?

Ismoked about 7 months abou 5-10 puffs of electronic cigaret a day I have quit but im ve afraid of cancer. I'm 16 years old. What is my risk. So afraid?

Glad you're afraid: You won't give yourself cancer from E-cigs but they're addicting. Although your risk of getting cancer from this particular adventure is zero, I wish every teen shared your fear of cancer and didn't take up real smoking. The risk is cumulative. Best wishes. Stay fit. ...Read more

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I've started to feel like throwing up after going for runs. 16 y/o started pill 5 months ago. What's wrong??

I've started to feel like throwing up after going for runs. 16 y/o started pill 5 months ago. What's wrong??

May be dehydration: Or low blood sugar, Eat a protein snack before running and drink 16 z of water prior to running and take a water bottle with ou to hydrate along the way. ...Read more

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After standing for 5+ mins I get this pressure or like my head has a lot of blood flow, head rush. I think ill faint but dont. BP is always fine.

After standing for 5+ mins I get this pressure or like my head has a lot of blood flow, head rush. I think ill faint but dont. BP is always fine.

Head flush: I would like to know your blood pressure sitting and then see if it rises upon standing. If there is a significant elevation, it could explain your symptom. It's normal to see a mild rise in systolic bp upon standing, but it's abnormal to see it drop. ...Read more

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1+months ago I had 4+daily head rush/see white/dizzy when I stand or stretch (even if I sit) past of ^bp but lost 50 lbs BP is fine now but no change?

1+months ago I had 4+daily head rush/see white/dizzy when I stand or stretch (even if I sit) past of ^bp but lost 50 lbs BP is fine now but no change?

Possibly meds: Based on your list of meds I see you are taking bystolic (nebivolol). It is common for blood pressure meds to cause sudden BP changes especially if you stand up too quickly. In this case I would advise getting up slowly from prolonged laying or sitting. Alprazolam can cause dizziness and similar symptoms. In any case if happens again and if you have lost consciousness you should be seen asap by your pcp. ...Read more

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Bs runs 250 only after I eat, BMI of 22. Is that typical of type 2 or is it 1.5? Very insulin sensitive, insulin works great but only 5-6 units a day.

Bs runs 250 only after I eat, BMI of 22. Is that typical of type 2 or is it 1.5? Very insulin sensitive, insulin works great but only 5-6 units a day.

Insulin and glucose: If you are a diabetic currently taking insulin, you should have an endocrinologist. And, if so, it would seem like a good time to discuss proper dosing and glucose monitoring. ...Read more

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Swollen vein like form runs perpendicular from lower rib for few days had pain now pain gone but vein like form still there?

Swollen vein like form runs perpendicular from lower rib for few days had pain now pain gone but vein like form still there?

Have it checked: Swollen veins anywhere is not normal, and if you had painful, swollen veins, you need to see a doctor. So, s/he can determine the cause, the extent, and work you up further. It would be unusual to have a vericosity there (vericose vein), and is much better to visualize upon abdominal examination. ...Read more

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Having rusty brown followed by black spotting 5 days before period. Progesterone on cd 21 was 9. Should I try OTC progesterone cream?

Having rusty brown followed by black spotting 5 days before period. Progesterone on cd 21 was 9. Should I try OTC progesterone cream?

You need to: See your gyn for treatment and use script progesterine if necessary and be floolwed as u may it may need to be increased do not self tx this. ...Read more

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Is it a rush withdrawing Paxil 20mg (been on 5 yrs) to 10mg in 2 weeks and 10mg every other day? I'm starting Effexor 37, 5mg & lyrica (pregabalin) 150mg.

Is it a rush withdrawing Paxil 20mg (been on 5 yrs) to 10mg in 2 weeks and 10mg every other day? I'm starting Effexor 37, 5mg & lyrica (pregabalin) 150mg.

Paxil (paroxetine) withdrawal: Paxil (paroxetine) withdrawal maybe difficult. You may want to take a longer time. I generally withdraw Paxil (paroxetine) 5 mg a month. Cross titrating slowly venlafaxine will help. If you have problems with side effects, then take more time. Serotonin syndrome is a dangerous adverse event, if you take two serotonin drugs. Talk with your doctor. ...Read more

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What can I give my baby who is 5 months old to eat he has the runs and he had a gastro virus?

What can I give my baby who is 5 months old to eat he has the runs and he had a gastro virus?

Fluids: Don't worry about solids for a couple of days - he needs fluids right now. If he is active vomiting, then give tiny amounts of pedialyte or other rehydration solution. If no vomiting, give small amounts frequently of formula - you may want to go to a lactose-free formula for a few days until the diarrhea settles down. There are a number of no lactose formulas out there, pick one. ...Read more

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My pulse rate in the morning runs 48-50 beats per min, I do run 5-6 day's a week. Is this normal? Once I get moving it slides up to the mid 60s.

My pulse rate in the morning runs 48-50 beats per min, I do run 5-6 day's a week. Is this normal? Once I get moving it slides up to the mid 60s.

Athletic heart rate: Normal heart rate is 60-100 bpm. If you exercise regularly 40-60 BPM is considered normal and actually quite athletic, assuming there is no associated weakness, dizziness or lightheadedness. ...Read more

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