What is the difference between complementary and conventional medicine?

Question: What is the difference between complementary and conventional medicine?

Answer: Hi and thanks for your question. Complementary therapies are used alongside conventional medicines or treatments. These include: 1. Alternative health approaches such as traditional Chinese medicine, homeopathy, and naturopathy. 2. Mind and body practices like acupuncture, massage therapy, and tai chi. 3. Natural products like herbs, dietary supplements, and probiotics.

People often use complementary practices along with care from their medical doctor to deal with chronic health problems, treat symptoms, or stay healthy.

In the U.S., the National Center for Complementary and Integrative Health was formed within the National Institutes of Health to test the safety and effectiveness of these treatments. The center has guidelines to help you choose safe treatments that are right for you.

In other countries, complementary medicine is used regularly and may also be officially recognized and subsidized by governments.

One benefit is that many people who practice complementary medicine take a “whole person,” or holistic, approach to treatment.

In some cases, this type of medicine works as well as standard medicine. Also, these treatments may cost less and have fewer side effects than standard treatment.

Talk with your doctor about any complementary health practice that you would like to try or are already using. Your doctor can help you manage your health better if he or she has the whole picture about your health.

Please take advantage of the expertise of complementary medicine practitioners – they can sometimes prove to be invaluable – especially when conventional medical intervention provides unsatisfactory results.

Dr. D. Zluf
Dr. D. Zluf

How dangerous is Omicron variant?

Question: I am about to travel and just wandering if I should. How dangerous is the Omicron variant? Should I be concerned?

Answer: Hello. Based on the info coming out of South Africa (where it was first identified) and the latest data, this variant is very contagious but does not seem to be very dangerous – many patients seem to suffer from cold-like symptoms. However this is very, very preliminary data and the data will evolve quickly. We will have a better idea of what we are up against withing a couple of weeks. In the meantime, precaution is the right thing to do.

Regards,

I have a drug abuse problem, will info be kept confidential?

Question: I have a drug abuse problem, will info I give to my personal doctor be kept 100% confidential?

Answer: Absolutely. Your doctor is bound by his/her own code of ethics to keep your information confidential. This being said, your doctor will be using an EMR (electronic medical record) so there may be other healthcare workers that may be able to access the info on a – need to know basis – but this can be prevented if your doctor indicates the info as -confidential- on the EMR. Of course, electronic info, like all info in this day and age can be leaked or hacked. But do be completely honest with your doctor regarding the use of street drugs, OTC or prescription medication, if you want your doctor to help you, you need to provide him/her with all the info that is necessary for a proper evaluation.

Regards,

Doctor Beverly Lewis
Dr. Beverly Lewis

Does sudafed work for a bad sinus infection?

Question: Hi doc! I had a really bad sinus infection – really bad and I blew my nose non stop for awhile, now my ears are completely blocked. I feel as though my head is underwater. Does sudafed work? If not – what should I do????

Answer: Hi and thanks for your question. A sinusitis may cause your ears to clog. First and foremost, stop blowing your nose. Start using Xylometazoline nasal drops followed by steam inhalation. Also take an anti-inflammatory like Ibuprofen (advil). You may need best prescription based oral and topical steroids as well as antibiotics if there is evidence of a bacterial infection. If symptoms persist order please consult, you will need to get blood and CT scan for sinuses, nose and mastoids. Rest and avoid extreme weather changes.

Regards,
Doctor Beverly Lewis

Dr. Beverly Lewis

I am pregnant and worried about getting vaccinated. Why none of the clinical trials for covid vaccines included pregnant women?

Question: I am pregnant and worried about getting vaccinated. Why none of the clinical trials for covid vaccines included pregnant women?

Answer: We are presently at phase 1 and phase 2 clinical trials and these usually don’t include pregnant women and vulnerable people.

As phase 3 trials are carried and results presented we’ll get more info.

Regards,

Dr. John Claude

 

I had a feeling on the left of my Adam’s apple as if someone was placing their thumb on it.

Question: I am a 51 year old male. I have had heart burn from July 2018. Then July 2019 the acid went to my throat and just sits there. Even if i clear it it still sits there. From December 2020 i had a feeling on the left of my Adam’s apple as if someone was placing their thumb on it. Not with pressure but just placing it on my throat. But also at the same time December 2020 my throat became very itchy and dry. Then 28th of April i got a burning sensation in the exact same spot. Left of my Adam’s apple. I would not say it was painful but very uncomfortable and very conscious of it. Also my heart burn did clear from when i first got it in July 2018. Can’t remember when but it has come back and it seems higher up like just below my neck not my chest. Also from December 2020 along with my other symptoms i would say i had a voluntary cough. It is actually when i eat or drink that it makes me feel the urge to cough. I think also my burning pain i have now fluctuates to just a burning that i can feel to something bordering on quite painful. I think thats all and i dont think i have missed anything out.

Answer: Hello. Thanks for your question. Looks like you had (and still have) a serious GERD –
Gastroesophageal Reflux – problem. The pressure you describe in your throat -feeling of pressure or what some patients descibe as a lump like sensation is probably caused by LPR (Laryngopharyngeal reflux disease) – a result of your history and battle with acid reflux. As a result of acid reflux in your throat, your body is reacting through excess mucus and inflammation. In my opinion you need to get your acid reflux problem under control. First: Watch your diet – cut out coffee, acidic drinks, spice, fats, alcohol. Eat small meals. Don’t lie horizontal after your eat. 2. Other treatments you can use involves the use of antiacids, H-2-receptor blockers, proton pump inhibitors. If problem persists or worsens, you may also want to consult an ENT/Gastroenterologist for prescription strength medications as well as possible x-ray, acid (pH) probe test and upper endoscopy.

Let us know how it goes.

Dr. D. Zluf
Dr. D. Zluf

I have pain not only in my hand but from my leg up to my neck.

Question: Hello. I am a 39 year old. Male. I do some activities like dancing and recently I think I pulled a muscle or maybe twisted a nerve in my arm and right hand while dancing. But the result was pain not only in my hand but from my leg up to my neck. Pain is precisely in neck, shoulder, arm and hand.  And I am quite worried about this. A week ago I  had an MRI scan taken and I would like to have an opinion from you, I guess  a second opinion. I uploaded the results. Please provide best possible answer. Thanking you in advance.

Answer: Hi. Thanks for contacting QuestionDoctors.com. Based on the information you have provided and uploaded, I can see your MRI indicates:

  1. Disc bulge indenting the theca at c4/c5
  2. Disc protrusion indenting the theca – left lateral recess at c5/c6
  3. Degenerative cervical disc disease.

In  my opinion, development of the degenerative cervical disc disease results from the cervical spine fractures.

Sensory pain radiates in the direction of the cushioning discs and nerve roots involvement. The pain you feel along your neck, shoulder, arm is probably caused by c4/c5 involvement. The pain you feel specifically in hand is probably caused by the  c5/c6 involvement.

Naproxen can be used to help alleviate degenerative cervical disc disease.  Tens machine can also be used to help with the pain. Your doctor may recommend the use of Baclofen and calcium. I would also recommend you consult with a Physio Therapist who may suggest further treatment and the use of a cervical collar and hot/cold compress treatments.

Regards,

Dr. Javez Ernesto
Dr. Javez Ernesto

Bleeding from vagina. Is this normal or caused by blood clotting?

Question: Hello. I am suffering from vaginal bleeding. I gave birth about a month and a half ago by C-Section. I had bleeding for about a week afterwards. Then it stopped for about 2 weeks and then it started again daily about 2 weeks ago. Can this be due to blood clotting or is this normal after a c-section? I have uploaded CBC, PT, INR/PTT results for you. Thanks again ahead of time for your answer or help.

Answer: Based on the information you have provided you seem to be suffering from postpartum hemorrhage and from the docs you sent they do indicate some type of blood clotting disorder  raised prothrombin time (PT) and international normalized ratio (INR). This needs to be examined and treated immediately. I recommend you go to an ER or hospital. The following tests need to completed: blood, liver function tests (LFT), urea, creatinine, platelet count, bleeding time (BT), clotting time (CT) prothrombin time (PT) and activated partial thromboplastin (APTT) as well as an USG (ultrasonography) . Administration of IV antibiotic as well as FFP transfusion and blood reserve will probably be required.

Regards,

Dr. John Claude

I have been having headaches for about 4 to 5 years?

Question: I have been having headaches for about 4 to 5 years. The headaches will last sometimes all day and sometimes 2 to 3 hours. I don’t have any other symptoms when I have these headaches. But a few days ago while having a headache I vomited as well. I take a flexon tablet when I get a headache. What should I do?  And is Flexon good for headaches?

Answer: Hello. I suggest you get an an MRI brain scan done and also get an ophthalmic examination to identify intraocular pressure and fundus examination to rule out papilledema. As far as taking Flexon is concerned, Naproxen can also be a good choice.

Regards,

Dr. Beverly Lewis

Doctor Beverly Lewis

 

Can I stop my epilepsy medication? Haven’t had a seizure in over 6 years.

Question: Can I stop my epilepsy medication? I have been diagnosed with epilepsy 8 years ago and been put on Lamictal for awhile and then Epilim. But the meds are making me miserable feeling anger,anxiety and depression. I haven’t had a seizure in over 6 years. Can I stop the meds?

Answer: Hi. I understand that the medication may be affecting you. However you will need to consult with your Doctor before doing any modification whatsoever. You will need to undergo MRI Brain (plain and contrast) with MRA, MRV, MRS and whole spine screening and EEG. If results are normal, the drugs can be tapered and eventually eliminated. Until then I recommend you continue as is.

Regards,
Dr. Deepak Patel

I want to take the best possible Covid 19 vaccine. Which one is the best?

Question: I want to take the best possible Covid 19 vaccine. Between the Pfizer-BioNTech, Moderna, AstraZeneca and Johnson vaccines. Which one is the best? I am a 54 year old woman with no health problems.

Answer: Hi. There has been a lot of talk about the efficacy of the different vaccines and talk about some folks preferring one to the other because of its efficacy % rate, etc. But I would recommend you take whichever vaccine is offered to you first.  All these vaccines are highly effective against severe illness caused by covid 19 and that is what really counts. Just to give you an idea, when it comes to flu shot vaccines the average efficacy is between 40 to 60%. But all covid 19 vaccines are efficacious 70% plus! And when it comes to severe illness they all range near the 80-95% range. That is really impressive for any kind of vaccine! So getting any one of these vaccines will do what it takes to protect you.

Regards,

Dr. D. Zluf

Dr. D. Zluf

I am having heartburn and stomach pain. Is it due to GERD or peptic ulcer?

Question: I am a 52 year old woman, suffered from allergies and was prescribed antihistamine, omeprazole sometime ago.  and after about 10 weeks began experiencing heartburn, regurgitation, difficulty in swallowing, and sleep disorder. So I consulted a doctor and I was diagnosed with malaria and acidity. I did an ultrasound and it showed excess gas present in my stomach but no ulcer. I was prescribed Spasmodigestin for 10 days and Rabeprazole for a month. Felt better. I now am feeling more acidic with heartburn and having stomach pain occasionally. Is it due to GERD or peptic ulcer?

Answer: Ulcer in the stomach is not shown as a diagnosis in the ultrasound. Some antibiotics that you are taking can cause side effects with an erosion of the stomach wall. I am not sure whether you are taking medications to reduce the secretion of acid in the stomach. Based on the info you have provided, your stomach burn seems to be mostly antibiotic-induced. If you have heartburn with an acid taste in the mouth after sleeping for few hours, then it is likely due to regurgitation. Consult your Doctor who may recommend you take Omeprazole. It is used to treat certain stomach and esophagus problems (such as acid reflux, ulcers). It works by decreasing the amount of acid your stomach makes. It relieves symptoms such as heartburn, difficulty swallowing, and persistent cough. This medication helps heal acid damage to the stomach and esophagus, helps prevent ulcers, and may help prevent cancer of the esophagus. Omeprazole belongs to a class of drugs known as proton pump inhibitors (PPIs).  Drink plenty of fluids. Avoid taking excess coffee or tea and spicy foods. Avoid smoking and drinking alcohol. Take a break of ninety minutes between your dinner and sleep. Do not sleep immediately after taking food. Keep your head end raised by placing pillows between your shoulder blades. Your Doctor may recommend you can take an upper GI (gastrointestinal) endoscopy if the severity persists or if the symptoms reappear after a month to know what is happening.

Regards,

Dr. Javez Ernesto
Dr. Javez Ernesto

Are my home EKG results good? Or is there a problem?

Question: Are my home EKG results good? Or is there a problem? I have very mild mitral valve regurgitation. Before I did the EKG, I just ate and I was very concerned about the chest pain. I have attached my two EKG reports here. Are they normal? They were taken consecutively, 1 minute apart, the one with 106 heart rate was taken first and the second one with 93 heart rate was taken later). I see some broad peak in the second one. I am not sure if it is an error or something else.

Answer: Hello. I have received, read your question and have taken a look at the info you uploaded. The EKG (electrocardiogram) mainly seems to be of a normal heart. There is no obvious sign of ischemic heart disease or any other issues of rhythm and electrical conduction of heart. The peak you are most concerned about is a simply nothing. It is an artifact and is a recording error of the stylus.

Regards,

Dr. Deepak Patel

I suffer from persistent acne problems?

Question: I suffer from persistent acne problems. I am a male 34 years old and have had acne problems since I was 16 years old. My acne is mostly on my face and a lot is found on my upper back. To the point I am ashamed of it. What can I do to make it go away?

Answer: Hi. I have received and read your question. You are suffering from acne vulgaris but since it is now showing up on your upper back and has become a problem you need to deal with this. Proper hygiene and washing is the first step that needs to be taken.

  1. Use a mild soap and avoid scented, medicated soap.
  2. While washing the face, the skin of the face must not be scrubbed roughly. It should be sponged gently.
  3. Wash your face three or four times a day with plain water – soap is to be used only twice a day.
  4. Avoid exposure to dust, dirt or oily cosmetics.
  5. I would also recommend to avoid fatty foods.
  6. Do not squeeze the acne as it may leave a scar permanently.

As far as treatment is concerned you should consult a dermatologist. Possible medication that will be recommended by your doctor may include:

Doxycycline 100 mg two times a day. Ibuprofen 400 mg two times for five days. Isotretinoin once a day for 15 days. Retino-A (Tretinoin) locally at night.

Regards

Dr. Deepak Patel

 

I have had ovulation induction but no pregnancy?

Question: I am trying to have a baby for 3 years now. I’m 26 years of age and in good health except for a Polycystic Ovarian Disease – pcod –  issue. I had Clomid and hCG injections twice. Both were unsuccessful. My  doctor said egg growth is OK. I have uploaded my hormonal test report and ultrasound . Please help.

Answer: Hi. I have received and read your question. In my opinion the hormone reports submitted are normal and the ultrasound seems fine. But, as there is no detail about the sizes of follicles reached during both cycles of ovulation induction it is difficult to make a comment here. There are some points that need to be clarified: Other hormone levels like serum testosterone, serum estradiol, DHEAS (dehydroepiandrosterone), 17-OHP (hydroxyprogesterone) levels also need to be done. If you have been forming adequate size follicles 222 x 22mm by midcycle then hCG (human chorionic gonadotropin) can help you ovulate but if hCG fails at this size then it is likely that your androgenic hormone levels are higher. You should upload the ultrasound pelvis report to assess the size of the ovaries. An anti-mullerian hormone level report is needed for evaluation. Based on the info provided I believe pregnancy is possible however I strongly recommend you consult with a reproductive endocrinologist (fertility doctor). This is your best avenue forward.

Regards,

Dr. John Claude