For most women, a couple of irregular menstrual cycles or an occasional yeast infection are just a part of life -- nothing that time or simple treatment won’t cure. However, there are a few symptoms that warrant a call to the doctor.  This article will cover when you should call your doctor for problems "down there"? 1. Pelvic pain. Pain at the time of ovulation is referred to as Mittelschmerz.  However, if ...

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shutterstock_144663938 A recent issue of Pediatrics includes a new report detailing the need for doctors to improve patient teaching about fever and fever-reducing drugs. Many parents fear their child getting a fever or have "fever phobia." I certainly can understand why. Kids can do crazy things when they get fevers. They don’t sleep well, eat poorly, and behave strangely. Some children ...

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A guest column by the American College of Physicians, exclusive to KevinMD.com. It is easy to continue practice patterns we establish over the years. In my daily life as a general internist I am more likely to look for more information on a condition I don’t see regularly than on one that I see all the time. While we want ...

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We all know that outdoor aerobic exercises like running and biking are good for your health. But during the hottest days of summer, it’s not just excess heat we have to worry about, but smog, the concentrated air pollution you can often see hovering over the cityscape. During the hot summer months, smog can become a serious health problem in the Boston area. We are often downwind from the Midwest’s ...

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Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 76-year-old woman is reevaluated after results of thyroid function tests performed 2 weeks ago are abnormal. The patient otherwise feels well. She has a history of hypertension, atrial fibrillation, gastroesophageal reflux disease, and depression. Current medications are metoprolol, amiodarone, warfarin, omeprazole, and sertraline. On physical ...

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Though the recession has blunted overall demand for cosmetic surgeries, one subcategory appears to be entering a growth phase, at least judging from the fifth annual Congress on Aesthetic Vaginal Surgery, held late last year in a luxury resort outside Tucson. There, about 60 doctors, most of them OB-GYNs, converged to discuss the expanding field of "cosmetic-gyn"—elective surgeries for women seeking to "rejuvenate" and/or "beautify" their vaginas. Attendance at the ...

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I like my patients vertical.  Not horizontal. If I can help it, I want to make sure that nobody gets a disease that could have been prevented.  Sure, accidents happen.  And illnesses show up every day in the lives of people who did nothing to deserve them, and who could have done nothing to prevent them.  But not all illnesses. Physicians know that newly diagnosed diabetic patients present to the doctor ...

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A fever in an infant can be the first sign of an illness. While a rise in body temperature above 100.4 degrees Fahrenheit is part of a healthy immune system response, it does signal potential danger and need for further evaluation. Since a reading may lead to a call or visit to the child’s doctor or emergency room, accuracy is key. What is the best type of infant thermometer? A ...

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Recently, I saw one of my sons blithely dipping a chip into salsa, happily munching away while multi-tasking at something else – not a care in the world about his food. It brought a smile to my face – but there was a touch of sadness with it. You see, my work has brought me into contact with a number of PWDs (People With Diabetes) who are active on-line. And as I’ve ...

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When you and your gynecologist have decided on hysterectomy as the treatment of choice for your gynecologic diagnosis, there are several routes by which a hysterectomy may be accomplished. A total hysterectomy is the surgical removal of the uterus, and when indicated, the additional removal of the fallopian tubes and ovaries (termed salpingoophorectomy) may be recommended. There are several routes by which a hysterectomy can be performed. You and your gynecologist ...

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