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General Medicine

General Medicine Online Doctors Consultation — page 732

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 is psoriasis, and what are the common treatment options?

41 days ago
1 answers

I've noticed red, scaly patches on my skin, and my dermatologist mentioned it might be psoriasis. I'm eager to learn more about this condition and how to manage it. What exactly is psoriasis, and what causes this chronic skin condition? Are there different types of psoriasis, and how do they manifest on the skin? What are common triggers—does stress, certain medications, or infections play a role in flare-ups? How is psoriasis diagnosed—do doctors perform skin biopsies or rely on visual examinations? What treatment options are available—do topical treatments, phototherapy, or systemic medications offer relief? Also, can lifestyle changes, such as diet modifications or stress management, help in managing psoriasis symptoms?


Dr. Evgeny Arsentev
40 days ago
Psoriasis is a chronic autoimmune condition that causes the rapid growth of skin cells, resulting in thick, scaly patches. It occurs when the immune system mistakenly attacks healthy skin cells, leading to inflammation. There are several types of psoriasis, with the most common being plaque psoriasis, which presents as red, inflamed skin with silvery scales. Other types, such as guttate psoriasis or pustular psoriasis, have different patterns but are also caused by immune system dysfunction. Common triggers for psoriasis flare-ups include stress, infections, certain medications (like beta-blockers), and even changes in the weather. Psoriasis is typically diagnosed through a visual examination, but in some cases, a skin biopsy might be done to confirm the diagnosis. Treatment options include topical treatments like corticosteroids and vitamin D analogs, phototherapy (light treatment), and systemic medications that work on the immune system, such as biologics. The right treatment will depend on the severity and type of psoriasis you have. Lifestyle changes, such as managing stress, avoiding triggers, and maintaining a healthy diet, can help reduce flare-ups and improve symptoms. I recommend continuing to work with your dermatologist to find the best approach for you.
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What are the different types of IV fluids, and how are they used in medical treatment?

41 days ago
1 answers

I recently had an IV drip at the hospital, and I was curious about what was inside the bag. I know there are different types of IV fluids, but I don’t understand their specific uses. What exactly are IV fluids, and how do they help in treating dehydration, infections, or electrolyte imbalances? What are the different types of IV fluids, and how are they categorized—what’s the difference between crystalloids and colloids? When are normal saline, Ringer’s lactate, dextrose, or albumin used in medical treatment? How do doctors decide which IV fluid to give—does it depend on a patient’s condition, such as shock, blood loss, or kidney failure? Also, are there any risks or side effects of receiving IV fluids, such as fluid overload or electrolyte imbalances?


Dr. Evgeny Arsentev
40 days ago
IV fluids are solutions given through a vein to hydrate the body, restore electrolytes, or support other bodily functions. The two main categories are crystalloids and colloids. Crystalloids, like normal saline and Ringer’s lactate, contain small molecules that can easily pass through blood vessel walls. These are commonly used for hydration, treating dehydration, and balancing electrolytes. Colloids, like albumin, have larger molecules that stay in the blood vessels longer, helping to maintain blood volume, especially in conditions like shock or severe blood loss. Doctors choose the right IV fluid based on your condition. For instance, normal saline is often used for dehydration, while Ringer’s lactate is great for balancing electrolytes during severe fluid loss. Dextrose may be used for patients with low blood sugar, and albumin helps restore blood volume in critical situations. It's important to be aware that, while IV fluids are generally safe, there can be risks, like fluid overload or electrolyte imbalances, especially in patients with kidney problems or heart conditions. If you're concerned about how the fluids affected you, I recommend discussing it with your healthcare provider for a thorough assessment and any necessary follow-up tests.
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How does the brain function, and what are the roles of different brain parts?

52 days ago
1 answers

I’ve always been fascinated by how the brain works, but I never really understood what each part does. How exactly does the brain function, and what are the major brain parts and their roles? For example, I’ve heard of the cerebrum, cerebellum, and brainstem, but what are their specific functions? How do they control things like movement, memory, and emotions? Also, what happens if one part of the brain gets damaged—can other areas compensate for the loss? Are there exercises or habits that can help keep the brain healthy as we age? I’ve read that learning new skills and puzzles can improve brain function, but are there other ways to boost memory and cognitive abilities?


Dr. Evgeny Arsentev
51 days ago
The brain is incredibly complex, and different parts have distinct functions that all work together to control everything from basic bodily functions to higher cognitive abilities. The cerebrum is the largest part and controls thought, memory, movement, and emotions. It's divided into two halves, each controlling the opposite side of the body. The cerebellum is responsible for coordination and balance, helping you with tasks like walking, dancing, or even typing. The brainstem controls essential functions like breathing, heart rate, and swallowing—basically, it's what keeps us alive without us thinking about it. When part of the brain gets damaged, the brain can sometimes compensate by having other areas take over the lost function, but this depends on the severity and location of the damage. For example, after a stroke, some people may recover lost skills through rehabilitation and brain plasticity, although it might not be a full recovery. To keep your brain healthy as you age, staying mentally active is key. In addition to learning new skills and doing puzzles, physical exercise, healthy eating, and social interaction are all vital. Regular cardiovascular exercise can boost blood flow to the brain, which helps with memory and cognitive function. Getting enough sleep and managing stress are also important for maintaining brain health.
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WBC normal range and what high or low levels mean

23 days ago
1 answers

I recently had a blood test done, and my doctor mentioned my WBC count was slightly higher than normal. I know WBC stands for white blood cells, but I don’t fully understand what that means for my health. What is the WBC normal range, and how much fluctuation is considered normal? Does a higher WBC count always mean infection, or could it be something else like stress or inflammation? I wasn’t sick at the time of my test, so I don’t know why it was elevated. Also, what happens if the WBC count is too low—is that a sign of a weak immune system? How do doctors determine whether a WBC level is something to be concerned about or just a temporary change? I haven’t had any major symptoms, but I do feel more tired than usual, and I don’t know if that could be connected. Should I get tested again to see if my WBC count changes over time, or is one test enough? Are there any natural ways to maintain a healthy white blood cell count, like diet or supplements? I just want to understand what my blood test results mean and whether I need to do anything about them.


Dr. Evgeny Arsentev
22 days ago
Understanding your white blood cell count (WBC) is important, as it can provide insights into your immune system's health. The normal range for WBC counts typically falls between 4,000 and 11,000 cells per microliter of blood, although this can slightly vary based on the laboratory and individual factors like age and sex. A slight elevation, such as a count above 11,000, can occur due to various reasons, not just infections. Besides infections, elevated WBC counts can be influenced by several factors, including: 1. Inflammation: Chronic inflammatory conditions can lead to elevated WBC counts. 2. Stress: Physical or emotional stress can transiently raise WBC levels. 3. Allergic reactions or autoimmune diseases could also contribute to increased WBC counts. Conversely, a low WBC count, known as leukopenia, can indicate a potential weakness in your immune system. Causes may include bone marrow disorders, certain medications, viral infections, and more. Low WBC counts can make you more susceptible to infections. Regarding your concern about fatigue, it's worthwhile to consider that while fatigue can be linked to many factors, including lifestyle and sleep quality, it could also be associated with an underlying health issue. However, elevated WBC counts may not directly cause tiredness. To address your follow-up testing: if your doctor deems the elevation of your WBC count to be minor and without any accompanying significant symptoms, they might advise monitoring it without immediate retesting. However, if your fatigue persists or you develop new symptoms, it would be prudent to follow up with your healthcare provider. They might suggest additional tests to gather more information on your immune function and overall health. In terms of maintaining a healthy WBC count, here are some evidence-based strategies: 1. Balanced Diet: Focus on consuming a variety of fruits, vegetables, lean proteins, healthy fats, and whole grains. Foods rich in antioxidants and vitamins (such as vitamin C, vitamin D, and zinc) can support immune health. 2. Regular Exercise: Moderate physical activity is known to promote overall health and can positively impact immune function. 3. Adequate Sleep: Prioritize good sleep hygiene to ensure restorative sleep, as this is essential for a healthy immune response. 4. Stress Management: Engage in activities that help reduce stress, such as mindfulness, yoga, or other relaxation practices. Make sure to discuss your specific results and symptoms with your healthcare provider to determine the best course of action tailored to your situation. Regular follow-up and open communication with your doctor will help ensure that any potential issues are adequately addressed.
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Dopamine Side Effects

31 days ago
1 answers

I recently heard that dopamine is one of the most important neurotransmitters in the brain, but I also read that too much or too little of it can cause problems. What exactly are the dopamine side effects, and how does this chemical affect both mental and physical health? From what I read, dopamine is involved in motivation, pleasure, and movement. But if someone has too much dopamine, can it lead to conditions like anxiety, restlessness, or even psychosis? I saw that some medications for Parkinson’s disease and schizophrenia alter dopamine levels—how do they work, and what are the side effects of increasing or decreasing dopamine artificially? I also saw that drugs like stimulants (used for ADHD) and antidepressants can affect dopamine levels. If someone takes these medications long-term, can they develop tolerance, withdrawal symptoms, or dependency? Can having too much dopamine from these drugs cause side effects like paranoia, aggression, or compulsive behaviors? Another thing I’m wondering about is whether dopamine side effects happen naturally, without medication. If someone experiences a "dopamine crash" after excessive pleasure-seeking activities (like gambling or binge-watching TV), does that mean their brain is temporarily low on dopamine? Can diet, exercise, or supplements help regulate dopamine levels, or is medication the only way to correct imbalances? For those who have experienced dopamine side effects, what were the symptoms, and how did you manage them? Did medications help, or did lifestyle changes make a difference? I just want to understand more about how dopamine affects mental health and the body, and what happens when levels are too high or too low.


Dr. Evgeny Arsentev
30 days ago
When dopamine levels are too high, it can contribute to issues like anxiety, restlessness, and even conditions like psychosis. This is why medications that alter dopamine levels, such as those used for Parkinson's disease or schizophrenia, need to be carefully managed. They can increase or decrease dopamine, which can improve symptoms but may also lead to side effects like mood swings or even addictive behaviors. You mentioned stimulants and antidepressants, which can also affect dopamine. Long-term use of these can lead to tolerance and potential withdrawal symptoms. Too much dopamine, especially from these drugs, may indeed cause paranoia or compulsive behaviors. Regarding natural dopamine fluctuations, after engaging in pleasurable activities, some people experience what's called a "dopamine crash," where they feel temporarily low. This could be due to a temporary dip in dopamine, but lifestyle changes such as regular exercise, a balanced diet, and stress management can help regulate dopamine naturally. Medications are often considered when there's a significant imbalance.
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Influenza A – Why Do I Have a Fever, Body Aches, and Extreme Fatigue?

37 days ago
1 answers

For the past three days, I’ve had a high fever, chills, severe body aches, and fatigue. I thought it was just a cold, but my symptoms feel much worse. I went to the doctor, and they said I might have Influenza A. What’s the difference between Influenza A and Influenza B, and why does one strain seem to cause more severe symptoms? How long does Influenza A last, and is there any specific treatment besides rest and fluids? Should I be taking antiviral medications like Tamiflu, or do they only work in the early stages? I also have asthma, and I’m worried about developing complications like pneumonia. What are the signs that my flu is turning into something more serious? Also, how can I prevent getting Influenza A in the future—is the flu vaccine effective, or are there other ways to boost immunity?


Dr. Evgeny Arsentev
35 days ago
Influenza A and B are both strains of the flu virus, but Influenza A is typically more severe. This is because it can lead to more widespread outbreaks and has a greater ability to mutate, making it harder for the body to fight off. The symptoms you're experiencing, such as high fever, body aches, and extreme fatigue, are common with Influenza A. Influenza A generally lasts 5-7 days, but symptoms like fatigue can persist longer. Rest, fluids, and over-the-counter medications to reduce fever and body aches are typically the best approach. Antiviral medications like Tamiflu can be helpful if started early in the course of the illness (within 48 hours), but they are not necessary for everyone. Your doctor will decide if they are right for you, especially given your asthma. Since you have asthma, it's important to monitor for signs that the flu may be developing into something more serious, like pneumonia. Symptoms to watch for include increased shortness of breath, chest pain, confusion, or a high fever that doesn't improve. If any of these occur, seek medical help immediately. The flu vaccine is effective in reducing the risk of getting the flu and can also lessen the severity of symptoms if you do get sick. In addition to the vaccine, washing your hands regularly, avoiding close contact with sick individuals, and maintaining a healthy lifestyle can help boost your immunity.
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What are the symptoms and treatments for goiter disease?

72 days ago
1 answers

I recently noticed swelling in my neck, and my doctor mentioned it could be related to goiter disease. What exactly is goiter disease, and how is it connected to thyroid function? What are the common symptoms of goiter disease, like difficulty swallowing or a visible lump in the neck? Are there specific causes of goiter disease, such as iodine deficiency or thyroid disorders like hypothyroidism and hyperthyroidism? What are the best treatment options for goiter disease, and do all cases require surgery, or can it be managed with medications or lifestyle changes? If you’ve experienced goiter disease, I’d love to hear how it was diagnosed and treated.


Dr. Evgeny Arsentev
67 days ago
A goiter refers to an enlarged thyroid gland, which is located in the front of your neck. The thyroid is responsible for producing hormones that regulate many body functions, including metabolism. A goiter can form when the thyroid gland is underactive (hypothyroidism), overactive (hyperthyroidism), or when there's a lack of iodine in your diet. It can also be caused by autoimmune diseases like Hashimoto's thyroiditis or Graves' disease. Common symptoms of goiter include a visible lump or swelling in the neck, difficulty swallowing or breathing, and sometimes discomfort or tightness in the throat. Depending on the size of the goiter, symptoms may range from mild to more noticeable. Treatment for goiter depends on the underlying cause. If it’s caused by iodine deficiency, increasing iodine in your diet or through supplements may help. For thyroid disorders, medications can be prescribed to balance thyroid hormone levels. In cases where the goiter is large, causing significant discomfort or difficulty breathing, or if there are signs of cancer, surgery may be necessary. I recommend discussing with your doctor whether blood tests to check thyroid hormone levels or an ultrasound of the neck would be appropriate. Most cases of goiter can be managed with medication and lifestyle changes, but it's important to follow your doctor's advice for the best outcome.
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What is hypothermia, and how does it affect the body?

41 days ago
1 answers

I recently read about hypothermia, and I was surprised to learn how dangerous it can be. I want to understand its causes, symptoms, and treatments. What exactly is hypothermia, and how does it happen when body temperature drops below normal levels? What are the most common causes—does it only occur in cold weather, or can it happen due to immersion in cold water or medical conditions? What are the early symptoms of hypothermia—does it always start with shivering, confusion, and fatigue, or can it develop suddenly? How is hypothermia diagnosed, and what are the best first-aid treatments—should warming methods like blankets, warm fluids, or body heat be used? Also, what are the long-term effects of severe hypothermia, and how can it be prevented in cold environments?


Dr. Evgeny Arsentev
40 days ago
Hypothermia occurs when the body’s core temperature drops below 95°F (35°C), which can happen when exposed to cold weather, immersion in cold water, or even due to certain medical conditions that affect body temperature regulation. When the body loses heat faster than it can produce it, the body’s systems begin to shut down, and this can be life-threatening. Common causes of hypothermia include prolonged exposure to cold temperatures, getting wet in cold conditions, or being unable to move or get warm. It can happen not only in cold weather but also in water, as water conducts heat away from the body much faster than air. Early symptoms often include shivering, confusion, slurred speech, and fatigue. However, in severe cases, it can develop rapidly, without warning, and may not involve noticeable shivering. Hypothermia is diagnosed by measuring body temperature, and first-aid treatments focus on gradually warming the body. This can include using warm blankets, applying warm (not hot) fluids, and using body heat by skin-to-skin contact. It’s important to avoid warming the body too quickly, as it can cause complications like shock.
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Why does sugar appear in urine, and is it always a sign of diabetes?

48 days ago
1 answers

I recently had a urine test, and my doctor said they found sugar in my urine. They suggested I take a blood glucose test to check for diabetes, but I’ve never had any symptoms before, so I’m confused about what this means. Does having sugar in urine always indicate diabetes, or could it be caused by something else? I read that kidney issues, high-carb meals, and certain medications can also lead to sugar spilling into urine. How do doctors determine the real cause? If this is an early sign of diabetes, can I reverse it by changing my diet and exercise habits? Or once sugar starts appearing in urine, does that mean blood sugar levels are already dangerously high? For those who have had sugar in their urine, what steps did you take next, and what was your final diagnosis?


Dr. Evgeny Arsentev
47 days ago
Sugar in the urine, also known as glycosuria, can be a sign of high blood sugar levels, which is commonly associated with diabetes. However, it can also occur for other reasons. For example, if you’ve had a high-carb meal recently, it could temporarily raise your blood sugar. Kidney issues can also cause sugar to spill into the urine, as the kidneys might not filter properly. Certain medications (such as those used to treat high blood pressure or certain diuretics) can have similar effects. To determine the cause, your doctor will likely recommend a blood glucose test to check your blood sugar levels. If diabetes is suspected, further tests like an A1C test or oral glucose tolerance test may be needed. If the blood sugar levels are high, your doctor will work with you on a plan to manage it, which may include dietary changes, exercise, and potentially medication. If you’re in the early stages of diabetes, making lifestyle changes can help prevent or manage the condition. However, if blood sugar levels are already high, it’s important to take action to avoid complications.
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What are the symptoms of pregnancy in the first month?

51 days ago
1 answers

I think I might be pregnant, but it’s still very early, and I’m not sure what signs to look for. I want to understand the common symptoms of pregnancy in the first month. What are the earliest symptoms of pregnancy? Do missed periods, nausea, and fatigue always happen, or can some women experience very mild symptoms? Can breast tenderness, mood swings, or frequent urination also indicate early pregnancy? How soon after conception do pregnancy symptoms start? Can implantation bleeding happen in the first month, and how is it different from a normal period? Are pregnancy test kits accurate at this stage, or should blood tests be done for confirmation? Are there any signs that might indicate a problem, like severe cramping or spotting? Also, what are the best steps to take in the first month of pregnancy—should prenatal vitamins, dietary changes, or doctor visits begin immediately?


Dr. Evgeny Arsentev
48 days ago
The first month of pregnancy can bring some common symptoms, but not all women experience the same signs. Missed periods, nausea, fatigue, and breast tenderness are some of the most common symptoms, but they can vary in intensity. Some women may have very mild symptoms or even none at all. Mood swings and frequent urination can also occur during this time. Pregnancy symptoms typically start around 1-2 weeks after conception, though it can take a bit longer for some. Implantation bleeding, which is lighter and shorter than a typical period, can occur and may be mistaken for a light period. At this stage, home pregnancy tests are generally accurate, but blood tests can provide more confirmation if needed. If you're experiencing severe cramping or spotting, it’s important to consult a doctor, as these could be signs of a potential problem. If you suspect pregnancy, starting prenatal vitamins with folic acid is a good step, along with eating a balanced diet. It's also helpful to schedule a visit with your doctor to confirm the pregnancy and start early care.
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