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General Medicine

General Medicine Online Doctors Consultation — page 4

7325 questions

Experience the Precision of Evidence-Based Medicine in Managing General Health Concerns Through Our Online Consultations Discover reliable, science-backed solutions for a variety of general health concerns with our online consultations. Our platform connects you with experienced medical professionals specializing in evidence-based treatments to address common illnesses and maintain overall health. We handle conditions such as fever, fatigue, headaches, joint pain, digestive discomfort, minor infections, body aches, and general wellness concerns. Through confidential and accessible consultations, our doctors provide personalized recommendations and treatment plans based on the latest clinical research. Early intervention can prevent complications, improve recovery times, and enhance your quality of life. Whether you’re experiencing mild symptoms or need guidance on preventive healthcare, our team is ready to provide expert support and solutions tailored to your needs. Our evidence-based approach ensures accurate diagnoses and effective treatments, with both free and paid consultation options available. Without requiring site registration, our licensed practitioners deliver professional and anonymous advice, all from the comfort of your home. Take control of your health today—consult an evidence-based medicine specialist online!

Questions about General Medicine

What are pearly penile papules, and should they be a concern?

67 days ago
1 answers

I recently noticed small white bumps on my penis and want to understand what they are and if they need treatment. What are pearly penile papules (PPP), and how are they small, harmless, dome-shaped bumps that appear around the corona of the penis? How do they differ from sexually transmitted infections (STIs) or genital warts? I’m curious about whether PPP requires treatment, the effectiveness of cosmetic removal procedures (like laser therapy or cryotherapy), and whether they go away on their own. If anyone has experience with PPP, I’d love to hear about their approach to management.


Dr. Evgeny Arsentev
66 days ago
PPP are small, dome-shaped, white or flesh-colored bumps that typically appear around the corona (the ridge of the head) of the penis. They are completely harmless and are considered a normal anatomical variation. They are not caused by an infection or a sexually transmitted disease (STD), and they are different from genital warts, which are usually irregular in shape and are caused by the human papillomavirus (HPV). PPP generally do not require treatment, as they do not pose any health risks. However, if their appearance bothers you, cosmetic removal procedures such as laser therapy or cryotherapy are available and can be effective. Keep in mind, though, that these procedures may have side effects and may not be necessary unless they significantly affect your comfort or confidence. If you’re uncertain or concerned, I recommend seeing a doctor for a proper diagnosis. Most cases of PPP do not need treatment, and they typically do not cause any medical issues.
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What are the signs of kwashiorkor disease in children?

73 days ago
1 answers

I’ve been reading about malnutrition in children and came across kwashiorkor disease. It seems serious, but I’m not sure what the early warning signs are. How can you tell if a child has kwashiorkor disease? Is it just caused by a lack of protein, or are other factors involved? What’s the best way to treat it and prevent long-term damage? If anyone has experience dealing with kwashiorkor disease, I’d appreciate any insights about the recovery process and how to avoid it.


Dr. Evgeny Arsentev
67 days ago
Early signs of kwashiorkor include swelling (edema), especially in the legs, feet, and face, irritability, weakness, and a loss of appetite. The skin may appear thin and dry, with peeling or changes in pigmentation. Children may also have a distended belly due to fluid buildup, and hair can become thin and brittle. While protein deficiency is the main cause, other factors like a lack of essential vitamins and minerals can contribute to its development. Treatment involves gradually reintroducing proper nutrition, including protein, in a controlled manner. It’s important to address fluid imbalances and other medical complications first, and then focus on nutritional rehabilitation. Preventing long-term damage requires prompt treatment. If you suspect kwashiorkor, I recommend seeking immediate medical attention. Early intervention can lead to a full recovery, but severe cases may result in lasting health issues if untreated.
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What is a tracheostomy, and when is it needed?

65 days ago
1 answers

I recently heard about tracheostomy and want to understand its medical purpose. What is a tracheostomy, and how does it involve creating an opening in the trachea (windpipe) to assist with breathing in patients with blocked airways, respiratory failure, or long-term ventilation needs? What are the risks and recovery processes associated with tracheostomy care? I’m curious about how tracheostomies are managed, potential complications, and when they can be removed. If anyone has experience with tracheostomy care, I’d love to hear their insights.


Dr. Evgeny Arsentev
61 days ago
A tracheostomy is a surgical procedure where an opening is made in the trachea (windpipe) to help with breathing. It’s typically done when someone has a blocked airway, is unable to breathe on their own, or requires long-term ventilation. It can also be used in cases of respiratory failure, severe obstruction, or chronic lung conditions. After the procedure, the patient needs to take good care of the tracheostomy tube to avoid infections or complications like bleeding or tube displacement. Risks include infection, difficulty swallowing, and damage to the trachea. However, with proper care, many of these can be managed. Recovery time varies based on the individual’s overall health and the reason for the tracheostomy. Tracheostomies can be reversed if the underlying issue improves or the patient no longer needs assistance with breathing. The removal process depends on the individual’s recovery and whether they can breathe independently.
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Tooth Implant

32 days ago
1 answers

I’ve been considering getting a Tooth Implant, but I don’t know much about the process. I know it’s a permanent replacement for missing teeth, but how does it actually work? Is it painful, and how long does the whole procedure take?? From what I read, a Tooth Implant involves placing a titanium post into the jawbone, which then fuses with the bone over time. But how long does it take for the implant to fully integrate? I heard it can take several months, so does that mean you have to go without a tooth during that time?? I also saw that Tooth Implants are better than dentures or bridges because they don’t move around and they last longer. But are they suitable for everyone? Can someone with bone loss or gum disease still get an implant, or would they need a bone graft first?? One thing I’m really curious about—what are the risks of a Tooth Implant? Can the body reject it, or is failure rare? And what’s the best way to take care of an implant so that it lasts a lifetime?? For those who have gotten a Tooth Implant, what was your experience like? How long did it take to heal, and was it worth it??


Dr. Evgeny Arsentev
30 days ago
To clarify, a Tooth Implant involves placing a titanium post into your jawbone, which integrates with the bone over a few months. This process, known as osseointegration, typically takes around 3-6 months, but the exact time can vary depending on factors like your bone health. During this time, it’s common to have a temporary crown or gap, so you won’t be without a tooth for too long. To answer your concern about bone loss or gum disease—while these conditions can make implants more challenging, they don’t automatically rule you out. In cases of significant bone loss, a bone graft might be recommended to provide the foundation needed for the implant. As for the risks, implant failure is rare, but it can happen, often due to infection or issues with healing. To ensure success, keeping up with good oral hygiene and regular dental check-ups is essential.
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What is dopamine, and how does it affect mood and motivation?

46 days ago
1 answers

I’ve been hearing a lot about dopamine lately, especially in relation to motivation and happiness. That got me wondering—what exactly is dopamine, and how does it affect mood and behavior? From what I understand, dopamine is a neurotransmitter that plays a role in pleasure and reward. But how does it actually work in the brain? Does having more dopamine always mean feeling happier? I also read that low dopamine levels are linked to conditions like depression and Parkinson’s disease. What causes dopamine deficiency, and can it be treated with medication or lifestyle changes? Another thing I’m curious about is whether certain activities boost dopamine naturally. Does exercise, music, or social interaction increase dopamine levels, and how long do the effects last? For those who have tried to boost dopamine naturally, what worked best for you?


Dr. Evgeny Arsentev
45 days ago
Dopamine is a neurotransmitter, which means it helps transmit signals in the brain. It's often referred to as the "feel-good" chemical because it plays a key role in reward, motivation, and pleasure. When you experience something rewarding, like eating your favorite food or achieving a goal, dopamine is released, helping reinforce the behavior and making you feel good. However, having more dopamine doesn’t always equate to happiness. The balance and timing of dopamine release are crucial for how it affects mood. Low dopamine levels can indeed be linked to conditions like depression and Parkinson’s disease, where the brain's ability to produce or respond to dopamine is impaired. This deficiency can be caused by genetic factors, lifestyle choices, or certain medical conditions. Treatment may involve medications that boost dopamine or lifestyle changes like exercise, diet, and stress management. Activities like exercise, listening to music, and engaging in social interactions can naturally boost dopamine. The effects can vary but typically last a few hours, helping to improve mood and motivation temporarily.
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What are the early symptoms of TB?

73 days ago
1 answers

I’ve been feeling very tired lately, and I’ve had a persistent cough that hasn’t improved in weeks. Someone mentioned TB as a possibility, but I thought it wasn’t common anymore. What are the early symptoms of TB, and how can I know for sure if I might have it? Should I get tested right away?


Dr. Evgeny Arsentev
67 days ago
Persistent fatigue and a cough that lingers for weeks can be frustrating, and it’s understandable that you’d be concerned about the possibility of tuberculosis (TB). The early symptoms of TB can include persistent cough (often lasting more than three weeks), unexplained weight loss, night sweats, fever, and fatigue. While it’s true that TB is less common in some places, it hasn’t disappeared entirely. Given your symptoms, it’s a good idea to get checked out by a healthcare provider. I recommend scheduling an appointment with your doctor as soon as possible. They might suggest a chest X-ray, along with a test called a sputum smear or culture, to rule out TB. If TB is confirmed, it is treatable with antibiotics
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What Conditions Do They Treat and When Should You See One?

62 days ago
1 answers

I’ve been having digestive issues, and my doctor suggested I see a gastroenterologist. What exactly does a gastroenterologist specialize in, and what conditions do they treat? Do they only handle common digestive problems like acid reflux, bloating, and constipation, or do they also diagnose serious conditions like Crohn’s disease, ulcers, liver disease, and colon cancer? What symptoms indicate a need to see a gastroenterologist—should someone go if they have persistent stomach pain, blood in stool, or unexplained weight loss? Also, what are the most common tests performed, such as endoscopy, colonoscopy, and liver function tests? If anyone has seen a gastroenterologist, what was your experience like, and what tests or treatments helped diagnose your condition?


Dr. Evgeny Arsentev
60 days ago
Digestive issues can definitely be troubling, and seeing a gastroenterologist is a good step. These specialists focus on diagnosing and treating conditions related to the digestive system, which includes the stomach, intestines, liver, and pancreas. They treat both common issues like acid reflux, bloating, and constipation, as well as more serious conditions such as Crohn’s disease, ulcers, liver disease, and colon cancer. You should consider seeing a gastroenterologist if you have symptoms like persistent stomach pain, blood in your stool, or unexplained weight loss. These could signal something more serious, and a specialist can help with early diagnosis and treatment. Some common tests include endoscopy (to look at the upper digestive tract), colonoscopy (for examining the colon), and liver function tests. These help doctors identify the underlying cause of your symptoms. I recommend scheduling an appointment with the gastroenterologist to discuss your symptoms in detail. It’s helpful to bring a list of your symptoms, any medications you're on, and any changes in your digestive health.
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How can scoliosis affect your daily life?

73 days ago
1 answers

I was recently diagnosed with scoliosis after years of mild back pain, and I’m starting to notice how it’s affecting my posture and daily activities. The doctor said it’s a mild case, but I’m still worried about it getting worse. What are the long-term effects of scoliosis, and how do you manage the pain and discomfort? Are there exercises or treatments that help improve posture and prevent the curve from worsening? If anyone else has scoliosis, I’d love to hear about your experience and what worked best for you.


Dr. Evgeny Arsentev
67 days ago
In mild cases, scoliosis may cause some discomfort or changes in posture, but it typically doesn’t lead to major long-term issues. However, over time, if the curve progresses, it could lead to more pain, stiffness, and possibly affect lung or heart function in severe cases. It’s great that your doctor has labeled it as mild, as that often means it’s manageable with the right care. To help manage pain and prevent the curve from worsening, regular exercise is key. Strengthening and stretching exercises, particularly for your core, back, and posture, can improve muscle support and help maintain a proper spine alignment. Physical therapy might be useful to create a personalized exercise plan. Also, bracing may be recommended if the curve is worsening, though it’s more common in growing children or teenagers. In adulthood, maintaining a healthy weight, avoiding prolonged sitting, and practicing good posture can help alleviate discomfort.
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Charcot Joint Causing Foot Pain – Is There Any Way to Stop It from Getting Worse?

34 days ago
1 answers

I’ve been dealing with foot pain for a while now, but recently it’s been getting a lot worse. At first, I thought it was just from walking too much or wearing bad shoes, but my doctor mentioned something called Charcot joint. I had never heard of it before, but from what I understand, it’s a condition where the bones in the foot weaken and break down over time. I have diabetes, and I read that Charcot joint is more common in people with nerve damage. My feet do feel kind of numb sometimes, but I didn’t think it was serious. Now I’m worried that I won’t be able to feel if my foot gets worse. Is that why Charcot joint is so dangerous—because you don’t notice the damage until it’s already bad? I was told to stay off my foot as much as possible, but is there anything else that can help? Do special shoes or braces actually slow down Charcot joint, or is surgery the only option? I really don’t want to lose my mobility over this, but I also don’t want to make it worse by ignoring it. If anyone has Charcot joint, how did you manage it? Were you able to keep it from progressing, or did you need surgery?


Dr. Evgeny Arsentev
32 days ago
Charcot joint disease happens when nerves are damaged, leading to a loss of feeling in the foot. Without sensation, you might not notice any damage, which can cause the bones and joints to weaken or break over time. That's why it’s so important to manage the condition early. Staying off your foot is a crucial first step, and it’s great that your doctor has advised this. Special shoes, braces, or casts can indeed help by protecting the foot and preventing further injury. In some cases, surgery might be necessary if the damage becomes severe, but it’s usually considered a last resort. I recommend staying in close contact with your healthcare provider. They might suggest further testing, like X-rays or a more thorough exam, to assess the extent of the damage. It’s also important to keep managing your diabetes and any associated nerve damage to reduce the risk of further complications. With proper care and the right footwear, many people with Charcot joint disease can slow the progression and maintain their mobility. Don’t hesitate to follow up with your doctor for a tailored treatment plan.
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What is epinephrine, and when is it used in medical emergencies?

69 days ago
1 answers

I recently heard about epinephrine being used to treat severe allergic reactions, and I want to understand more about how it works and its other uses. What is epinephrine, and how does it act in the body to treat conditions like anaphylaxis or asthma attacks? Are there specific situations, like cardiac arrest, where epinephrine is critical? I’m curious about the proper use of an EpiPen for allergies and whether there are side effects or precautions to consider. If anyone has experience with epinephrine, I’d love to hear about its effectiveness and how it’s used in emergencies.


Dr. Evgeny Arsentev
66 days ago
Epinephrine, also known as adrenaline, is a hormone and neurotransmitter that plays a crucial role in the body’s “fight or flight” response. In medical emergencies, it helps reverse the life-threatening symptoms of severe allergic reactions, such as anaphylaxis. By constricting blood vessels, relaxing the muscles around the airways, and increasing heart rate, epinephrine quickly opens the airways, raises blood pressure, and reduces swelling. It is also used in emergencies like asthma attacks or cardiac arrest, where it can stimulate the heart and improve blood circulation. If you’ve been prescribed an EpiPen, it’s vital to use it as directed during an allergic emergency. Typically, you’ll inject it into the outer thigh muscle. While side effects like increased heart rate or nervousness can occur, they are usually short-lived. However, if you experience any significant side effects, contact your doctor.
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