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UAP Clinic Doc Talk

UAP Clinic Providers Answer Your General Health Questions
Have you tried UAP Clinic Doc Talk? You ask a general health question, either as a private message on our Facebook page or by emailing This email address is being protected from spambots. You need JavaScript enabled to view it., and one of our providers will answer! Example: Why do feet stink, What causes hiccups, how are warts removed, etc.

This is for general info/knowledge only. The contents of the UAP Clinic FB Page/Site, including text, graphics, images, and other material contained "Content" are for informational purposes only. The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a specific medical condition.

Here are some of the recent doc talk questions and answers:

Question: What's the cause of those sharp pain headaches that come on quickly & go away just as quickly?

Answer: Dr. Susan Sharifi, UAP Clinic Neurologist, said: Brief, sharp, jabbing pains that occur either as single episodes or in repeated flurries have been designated by various terms including: "icepick-like pains," "sharp short-lived head pains," "needle-in-the-eye syndrome," and "jabs and jolts syndrome". The International Classification of Headache Disorders, 2nd edition, 2004 uses the term "idiopathic stabbing headaches". The pain resembles a stab from an icepick, nail, or needle and typically lasts from a fraction of a second to 1 to 2 seconds. Idiopathic stabbing headaches may have the shortest duration of all known headaches. The frequency of attacks varies immensely, ranging from 1 attack per year to 50 attacks per day. The pain is characteristically located in the distribution of the trigeminal nerve (around the eye, temporal area). Icepick-like pains are more common in women and do occur in children. They are a benign condition and usually do not require any treatment.

Question: Is it ok to use the over the counter freeze spray for a skin tag ? It is under my armpit but I don't want to have it cut off. What is another effective method if the freeze spray is not recommended?

Answer: Dr. Abhyankar, UAP Clinic Family Medicine said: Sure, It is okay to use freeze spray for a skin tag. If it does not work, then unfortunately other options are excision and cautery, or Burning it off with electrocautery. Both the procedures need local anesthetic, but can be done in the office. You can use over the counter compound W- apply daily to the skin tag until falls off- if it has a stalk then apply to it rather than the body of the tag.

Question: Why do I feel achy before a storm or weather change?

Answer: UAP Clinic Rheumatologist Jeremy Schue, MD, replied: According to a study done by the American Journal of Medicine in 2007, it is both the barometric pressure change as well as the change in ambient pressure that causes one to hurt. Studies have been mostly on the knee, though it could be extrapolated to other joints as well.
The exact reason for this pain is not known. There have been a lot of theories with no great conclusion yet. One thing that remains fairly common though is that people tend to hurt more when a weather front is coming through.

Question: Is occasional ringing in my ears normal and when should I see a Dr. about it?

Answer: Kimberly Mentock, Au.D., CCC-A, Doctor of Audiology, UAP Clinic, Replied:
"Tinnitus is the medical term for the perception of sound in an individual's ear(s) that is present when there is no external noise. Many people with tinnitus describe the sound as a ringing in their ears. However, some people may hear a buzzing, clicking, hissing, or roaring sound. There are a variety of causes of tinnitus including exposure to loud sounds, certain medications, wax build-up, head/neck trauma, misalignment of the jaw, certain disorders, certain types of tumors, cardiovascular disease, etc. Occasional ringing in the ears is fairly common and is generally nothing to worry about. You should consider seeing a doctor if the tinnitus becomes more consistent in nature, fluctuates in volume, is present only in one ear, or is accompanied by any one of the following symptoms: hearing loss, vertigo, or loss of balance and coordination."

Question: Is there anything I can do to prevent UTI's?

Answer: Thomas Yeagley, M.D., UAP Clinic OB/GYN said yes! Here's his complete response:
A UTI is an infection of the urinary bladder that can cause painful urination, urinary frequency, blood in the urine, and sometimes a low grade fever. When treated early with an antibiotic from a medical professional, it can quickly resolve. If untreated over time, a UTI can progress to a kidney infection or blood infection which could be life threatening requiring hospitalization.
Most strategies for preventing UTIs work by decreasing the amount of bacteria in the genital area and by keeping bacteria from traveling up the urethra into the bladder. Here are some things to do:
1) Follow good hygiene. Keep the genital area clean. Take regular showers. When using the toilet, wipe from front to back.
2) Watch what you drink. Increase your fluid intake- stay hydrated by drinking multiple glasses of water a day. The idea of trying to flush out bacteria with frequent urination and not "holding it" for a prolonged time has been shown to decrease infection risk. Cranberry juice and other types of berry juice are beneficial - they seem to have natural antibacterial properties in many studies.
3) Avoid irritants. Don't use a lot of perfumed lotion or "hygiene washes" that could irritate the external vulvar area. Consider urinating both before and after sex to help flush out any bacteria from the urethra. Cotton underwear is less irritating and better ventilated which decreases infection risk, whereas synthetic or very narrow underwear may be more irritating.
By keeping in mind these simple things, you can potentially prevent a troublesome problem.

Question: What causes a boil?

Answer: UAP Clinic Dermatologist Gabriella Castillo, M.D., said "A boil is an abscess of the deeper layers of the skin. They are diagnosed by examination and sometimes culture of the material in the boil. They are treated by drainage of the area and sometimes topical or oral antibiotics. A small boil may be drained by applying heat to the area so that it comes to the surface and drains but larger ones may need to be opened by a physician. They can be spread over the skin by irritation so decreasing irritation of the area affected and using antibacterial soaps is useful. It is infectious, so preventing spread of the infection by keeping the area covered and using good hygiene with antibacterial soaps is important."

Question: I'm a healthy adult, do I need to take a multivitamin?

Answer: UAP Clinic Nutritionist Rao Ivaturi, PhD, says it depends. If you are on a restricted diet (low calorie or vegan), have a chronic disease that interferes with nutrient bioavailability, you should consider taking a multivitamin. Otherwise healthy adults who eat a well balanced diet will get most of the nutrients they need from their diet and wouldn't need to take a multivitamin. It is suggested for those who want to become pregnant, who are pregnant, who are nursing, or in a certain physiological state that warrants additional nutrient requirements.

Question: What causes Hiccups?

Answer: Dr. Mohit Jindal, MD, UAP Clinic Gastroenterology says: Hiccups occur when the diaphragm, muscle membrane separating the chest from the abdomen, contracts involuntarily. This is usually a result of irritation of either the vagus nerve or the nerve supplying the diaphragm (phrenic nerve). There are many possible causes of hiccups, but the exact mechanism of how the nerves get irritated remains unknown. Cause is usually GI related like acid reflux or gastritis, but other possibilities include conditions involving the neck (like thyroid enlargement), or in the chest (lung or heart disease). Hiccups may occur after general anesthesia or placement of a breathing tube in the trachea (windpipe). Stress and anxiety can also cause hiccups.
Common maneuvers that can be tried to stop hiccups:
breath holding,
sipping cold water,
gargling with water,
swallowing a teaspoon of dry sugar,
pulling knees to chest, or
leaning forward to compress the chest.
If hiccups are persistent, medication can help.

Question: Why does my urine smell funny after eating asparagus?

Answer: Melissa Thomas, Nurse Practitioner at UAP Clinic Urology Department, said:
You may notice that your urine has a different odor after eating asparagus. It may resemble the smell of cooked cabbage or hard boiled eggs. This is due to the sulfur component in the asparagus that breaks down during digestion. You should not be alarmed that you may have an infection. This odor is completely normal. You may notice the odor as soon as fifteen minutes after ingestion of the vegetable. Researchers believe that the ability to smell or produce the odor is genetic. If you genetically possess the olfactory receptor gene, you will notice the sulfurous odor.

Question: What causes Heel Spurs?

Answer: UAP Clinic Family Practice Physician Hans Andreasen, MD, said: heel spurs are caused by chronic inflammation of the plantar fascia. This is a strong connective tissue sheet that keep the skin from sliding around and causing blisters on your feet. The plantar fascia inserts into the heel or Os Callous. With chronic irritation over time the body deposits calcium at this insertion and a heel spur is formed. This will cause pain when you first bear weight in the morning and after sitting. There are multiple treatment options including stretching exercises, cushioning, orthotics, medications including injections and finally surgery.

(This is for general info/knowledge only. The contents of the UAP Clinic FB Page/Site, including text, graphics, images, and other material contained "Content" are for informational purposes only. The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a specific medical condition.)

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