Dr. Miguel Antonatos, MD

Internist

4803 N Milwaukee Ave IL 60630 Phone: 855-767-8559 Suite B Unit #220 Chicago IL, 60630 Show map

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About

Dr. Miguel Antonatos, a board-certified internist based in Chicago, IL, brings over 15 years of experience in Internal Medicine and Functional Medicine to his practice. He completed his medical residency at Morristown Memorial Hospital in Morristown, NJ, which is affiliated with The Mount Sinai Hospital and Icahn School of Medicine at Mount Sinai in NYC.

Dr. Antonatos has had a special interest in telemedicine since 2017. In 2019, he established Text2MD, an innovative telemedicine practice that functions as a virtual clinic, offering a range of services.

Notably, during the COVID-19 pandemic, Dr. Antonatos developed a keen interest in exploring treatment approaches for patients with COVID Long Haul. He has successfully treated COVID-19 Long Haul patients through a holistic approach to functional medicine. He is also a global member of the Front Line COVID-19 Critical Care Alliance, actively contributing to worldwide research efforts focused on COVID-19 long-haul treatment modalities with functional medicine.

Education and Training

UAG MD 2004

Board Certification

Internal MedicineAmerican Board of Internal MedicineABIM

Provider Details

Male English, Spanish, Greek

Dr. Miguel Antonatos, MD

Dr. Miguel Antonatos, MD's Expert Contributions

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Repurposing Drugs as COVID Therapies
The COVID pandemic has forced everyone to adapt and improvise. While healthcare providers are thinking outside the box and repurposing pharmaceuticals to be used as COVID-19 therapies, patients seek more accessible forms of healthcare. Unfortunately, navigating how to receive safe healthcare is a...
Upper Respiratory Infections During The COVID-19 Pandemic
If you’ve ever suffered from a cold, you are probably familiar with upper respiratory tract infections (URIs). It's a contagious infection that affects your upper respiratory tract – which includes your throat, nose, larynx, and bronchi. For an upper respiratory tract infection to develop, your...

Do you need local anesthesia for ear tube surgery?
Local anesthesia is typically used for ear tube surgery, especially in children and adults who can tolerate the procedure without being under general anesthesia. The specific type of local anesthesia used may vary depending on individual circumstances and the preferences of the surgeon. In most cases, a local anesthetic is applied to the ear canal to numb the area before the insertion of the ear tubes. This helps reduce discomfort during the procedure and allows for a more comfortable experience. However, it's important to note that each patient's situation may be different, and you should consult with your healthcare provider or surgeon for personalized information and recommendations regarding your specific ear tube surgery. READ MORE
How long is the treatment for delayed speech?
The duration of treatment for delayed speech in children can vary widely depending on the underlying causes and the individual child's progress. Speech therapy and interventions for delayed speech are typically tailored to the specific needs of the child and may involve various strategies and techniques. Here are some factors that can influence the duration of treatment for delayed speech: 1. **Underlying Causes**: The cause of delayed speech can vary. Some children may have speech delays due to developmental factors, while others may have delays related to hearing impairments, neurological conditions, or other medical issues. The duration of treatment may be influenced by addressing the underlying cause. 2. **Severity of the Delay**: The severity of the speech delay can also impact the duration of treatment. Children with milder delays may make quicker progress, while those with more significant delays may require more extended therapy. 3. **Age at Intervention**: Early intervention is often associated with better outcomes. Starting speech therapy or interventions at a younger age can lead to faster progress and potentially shorter treatment durations. 4. **Consistency and Practice**: Success in speech therapy often depends on consistent practice and reinforcement of skills outside of therapy sessions. Parents and caregivers play a crucial role in providing ongoing support and practicing speech exercises with their child. 5. **Individual Progress**: Every child is unique, and their rate of progress in speech therapy can vary. Some children may catch up to their peers relatively quickly, while others may require more time and ongoing support. 6. **Speech Therapist's Expertise**: The experience and expertise of the speech therapist working with your child can also impact the duration of treatment. A skilled therapist can tailor interventions and strategies to meet the child's specific needs effectively. 7. **Parental Involvement**: Parental involvement in the therapy process is crucial. Parents who actively engage in therapy exercises and continue to work with their child at home can contribute to more rapid progress. It's important to approach the treatment of delayed speech with patience and a long-term perspective. While some children may make significant improvements in a matter of months, others may require ongoing therapy for a year or more. The goal is to help the child develop age-appropriate speech and language skills that will support their communication abilities as they grow. If you have concerns about your child's speech development or the progress they are making in therapy, it's essential to maintain open communication with their speech therapist. The therapist can provide insights into your child's progress and adjust the treatment plan as needed to best meet their needs. Early intervention and consistent support are key factors in helping children with delayed speech reach their full communication potential. READ MORE
Can you travel after a heart transplant?
After a heart transplant, it is possible to travel, but there are some important considerations and precautions that individuals who have undergone this procedure should keep in mind. Traveling after a heart transplant is generally allowed, but it requires careful planning and communication with healthcare providers. Here are some key points to consider: 1. **Medical Clearance**: Before planning any travel, it's essential to obtain medical clearance from your transplant team. Your healthcare providers will assess your overall health, the stability of your transplanted heart, and any potential risks associated with travel. 2. **Destination**: Consider the destination of your travel. Are you planning a domestic trip or international travel? Different destinations may have specific requirements and healthcare systems, so it's important to research and plan accordingly. 3. **Timing**: The timing of your travel is crucial. It's generally recommended to wait for a certain period after your transplant surgery before considering travel. Your transplant team will provide guidance on the appropriate timing based on your individual recovery and health status. 4. **Medications**: Heart transplant recipients typically take a regimen of immunosuppressant medications to prevent rejection of the transplanted organ. It's important to ensure you have an adequate supply of medications for the duration of your trip and follow your medication schedule diligently while traveling. 5. **Healthcare Access**: Research the availability of healthcare facilities at your travel destination, especially if you are traveling internationally. Be aware of local healthcare providers who are familiar with transplant care. 6. **Immunizations**: Consult your transplant team before receiving any vaccinations or immunizations, as some vaccines may not be recommended or may require special considerations for transplant recipients. 7. **Travel Insurance**: Consider obtaining travel insurance that covers potential medical emergencies or complications related to your heart transplant. Review the policy carefully to ensure it meets your needs. 8. **Air Travel**: If you plan to fly, inform the airline about your medical condition and any special requirements you may have, such as the need for oxygen during the flight. 9. **Climate and Altitude**: Extreme climates, high altitudes, and temperature variations can impact your health, so take precautions and plan accordingly. 10. **Documentation**: Carry important medical documents, including a letter from your transplant team explaining your medical condition and the need for immunosuppressant medications. 11. **Lifestyle and Diet**: While traveling, continue to follow a heart-healthy lifestyle and diet. Pay attention to dietary restrictions and avoid foods that may interact with your medications. 12. **Follow-Up Care**: Plan for follow-up care with your transplant team after returning from your trip to ensure your health and the stability of your transplanted heart. Traveling after a heart transplant can be an enriching experience, but it should be approached with careful consideration of your health and unique medical needs. Always consult with your transplant team and follow their recommendations to ensure a safe and enjoyable travel experience. READ MORE
What treatment is the most successful for high blood pressure?
The most successful treatment for high blood pressure depends on various factors, including the severity of the condition and an individual's overall health. In many cases, lifestyle modifications are recommended as a first-line approach. These may include: 1. Adopting a healthy diet: A diet rich in fruits, vegetables, whole grains, lean proteins, and low-fat dairy products can help lower blood pressure. It is essential to reduce sodium (salt) intake and limit the consumption of processed and fatty foods. 2. Regular physical activity: Engaging in regular exercise such as brisk walking, jogging, or swimming can help lower blood pressure. Aim for at least 150 minutes of moderate-intensity aerobic activity or 75 minutes of vigorous-intensity aerobic activity per week. 3. Weight management: Maintaining a healthy weight or losing weight if overweight can significantly help reduce blood pressure levels. 4. Limit alcohol consumption: Consuming excessive alcohol can raise blood pressure levels. Recommended limits are up to one drink per day for women and up to two drinks per day for men. 5. Avoid tobacco/smoking: Smoking or using tobacco products can cause a temporary increase in blood pressure and damage blood vessels over time. In addition to these lifestyle changes, your doctor may prescribe medication to manage your high blood pressure appropriately. Different classes of medications are available that work in different ways to lower blood pressure. The selection of medication will depend on various factors like your age, overall health conditions, and any other medications you may be taking. It's crucial to work closely with your healthcare provider to determine the best treatment plan for you based on your individual needs and circumstances. They will regularly monitor your blood pressure and make adjustments as necessary to manage your condition effectively. READ MORE
Can a heart stent fix arrhythmia?
A heart stent is not typically used to treat or correct heart arrhythmias. Heart arrhythmias are irregular heart rhythms that occur when the electrical signals that control the heart's pumping action are disrupted. Stents, on the other hand, are small mesh tubes used to open narrowed or blocked blood vessels in the coronary arteries. They are primarily used to improve blood flow to the heart muscle in cases of coronary artery disease (CAD) or blockages in the blood vessels. The treatment for heart arrhythmias depends on the specific type and cause of the arrhythmia. Some common treatments for arrhythmias include: 1. **Medications**: Many arrhythmias can be controlled or managed with medications that help regulate the heart's rhythm and rate. 2. **Cardioversion**: This procedure uses electrical shocks (electrical cardioversion) or medications (chemical cardioversion) to restore a normal heart rhythm in certain types of arrhythmias. 3. **Ablation**: Catheter ablation is a procedure where a catheter is used to deliver energy (such as radiofrequency or cryotherapy) to the area of the heart responsible for the arrhythmia, effectively "scarring" the tissue and preventing abnormal electrical signals. 4. **Implantable Devices**: In some cases, implantable devices like pacemakers or implantable cardioverter-defibrillators (ICDs) may be used to manage or correct arrhythmias. 5. **Lifestyle Changes**: Lifestyle modifications, such as reducing stress, avoiding triggers, and maintaining a heart-healthy diet, can help manage some arrhythmias. 6. **Management of Underlying Conditions**: Treating or managing underlying medical conditions that contribute to arrhythmias, such as hypertension, diabetes, or thyroid disorders, can be important for overall heart health. It's important to note that the treatment approach for arrhythmias is individualized based on the type of arrhythmia, its severity, and the patient's overall health. If you have been diagnosed with a heart arrhythmia, it's crucial to work closely with your healthcare provider or a cardiac specialist to determine the most appropriate treatment plan for your specific condition. If you also have coronary artery disease (CAD) or blockages in your coronary arteries, your healthcare provider may recommend stent placement to improve blood flow to the heart muscle. However, this would be a separate treatment aimed at addressing the blockages, and it would not directly treat the arrhythmia itself. READ MORE
Can I swim with heart palpitations?
If you are experiencing heart palpitations, it is important to consult with your primary healthcare provider to determine the cause and appropriate treatment. In general, swimming with heart palpitations may not be recommended until the underlying condition causing the palpitations is diagnosed and managed. Some potential causes of heart palpitations include stress, anxiety, caffeine or nicotine consumption, certain medications, hormonal changes, and underlying heart conditions. Swimming while experiencing heart palpitations can increase physical exertion and may potentially exacerbate symptoms or lead to complications in individuals with certain cardiac conditions. Always seek medical advice regarding your specific situation as your healthcare provider will have a better understanding of your medical history and can provide guidance tailored to your needs. READ MORE
What is the cause of arrhythmia?
Heart arrhythmias, also known as irregular heart rhythms, can have various causes, and they can occur in individuals with or without underlying heart conditions. The specific cause of an arrhythmia can vary depending on the type of arrhythmia and the individual's health. Here are some common causes and contributing factors of arrhythmias: 1. **Electrical System Abnormalities**: Arrhythmias often result from abnormalities in the heart's electrical system, which controls the timing and sequence of heartbeats. These abnormalities can include: - **Atrial Fibrillation (AFib)**: AFib is one of the most common arrhythmias and occurs when the atria (upper chambers of the heart) quiver instead of contracting normally. - **Ventricular Arrhythmias**: These affect the lower chambers of the heart (ventricles) and can be life-threatening. Examples include ventricular tachycardia and ventricular fibrillation. 2. **Heart Disease**: Underlying heart conditions can increase the risk of arrhythmias. These include: - **Coronary Artery Disease (CAD)**: CAD can cause damage to the heart muscle and disrupt the heart's electrical system. - **Heart Valve Disease**: Malfunctioning heart valves can affect blood flow and contribute to arrhythmias. - **Cardiomyopathy**: Conditions that weaken the heart muscle can lead to arrhythmias. 3. **High Blood Pressure (Hypertension)**: Chronic high blood pressure can strain the heart and increase the risk of arrhythmias. 4. **Structural Heart Abnormalities**: Congenital heart defects or structural abnormalities in the heart's chambers can disrupt normal electrical signals. 5. **Heart Attack (Myocardial Infarction)**: A heart attack can damage heart tissue, affecting electrical conduction and leading to arrhythmias. 6. **Aging**: Aging is a risk factor for arrhythmias, as the heart's electrical system may deteriorate over time. 7. **Medications and Substances**: Some medications, particularly certain antiarrhythmic drugs, and recreational substances like alcohol, caffeine, and illicit drugs, can trigger or worsen arrhythmias in susceptible individuals. 8. **Electrolyte Imbalances**: Abnormal levels of electrolytes (such as potassium, calcium, and magnesium) in the bloodstream can affect the heart's electrical signals. 9. **Stress and Anxiety**: Emotional stress and anxiety can occasionally lead to arrhythmias, particularly in individuals with underlying heart conditions. 10. **Infections**: Infections, such as myocarditis (inflammation of the heart muscle) or endocarditis (infection of the heart's inner lining), can disrupt normal heart function. 11. **Genetics**: In some cases, arrhythmias may have a genetic component and run in families. It's important to note that some arrhythmias, like atrial fibrillation (AFib), can occur without any underlying heart disease and may be related to factors such as age, genetics, or lifestyle. The treatment and management of arrhythmias depend on the specific type and cause of the arrhythmia, as well as the individual's overall health. If you have been diagnosed with an arrhythmia, it's essential to work closely with a healthcare provider or cardiologist to determine the underlying cause and develop an appropriate treatment plan. READ MORE
What foods should you avoid after gastric sleeve?
After gastric sleeve surgery, it is important to follow specific dietary guidelines to ensure proper healing and long-term success. Here are some foods you should generally avoid or consume in moderation after gastric sleeve surgery: 1. Carbonated beverages: These can cause discomfort and gas buildup. 2. Sugary foods and drinks: These can lead to dumping syndrome (rapid movement of food from the stomach to the small intestine) or hinder weight loss. 3. High-fat foods: These can contribute to weight regain or digestive issues. 4. Tough meats: These are difficult to digest and may cause discomfort. 5. Fibrous vegetables: Raw vegetables with high fiber content may be challenging for digestion initially but can be gradually reintroduced over time. 6. Bread, rice, pasta, and other starchy foods: Consume these in moderation as they are high in carbohydrates. Remember to consult your healthcare provider or a registered dietitian who specializes in bariatric nutrition for personalized dietary recommendations based on your specific needs and stage of recovery after surgery. READ MORE
Can the COVID vaccine affect my blood pressure?
There have been reports of blood pressure changes occurring after receiving the COVID-19 vaccine, but these instances are rare. In clinical trials, there was no significant increase in blood pressure observed among vaccinated individuals compared to those who received a placebo. It is important to note that any temporary changes in blood pressure following vaccination are generally mild and transient. However, if you have a pre-existing cardiovascular condition or concerns about how the vaccine may interact with your specific health circumstances, it is advisable to consult with your healthcare provider for personalized guidance. As always, it is essential to make an informed decision based on reliable information and consult with medical professionals who can provide individualized advice. READ MORE
How long is kidney surgery for removing a cyst?
The duration of kidney cyst surgery can vary depending on several factors, including the size and location of the cyst, the surgical approach used, and the individual patient's anatomy. In many cases, kidney cyst removal surgery can be performed as a minimally invasive procedure, which tends to have a shorter recovery time compared to traditional open surgery. Here are some general guidelines regarding the duration of kidney cyst removal surgery: 1. **Laparoscopic Surgery**: Laparoscopic or minimally invasive surgery is a common approach for removing kidney cysts. During laparoscopic surgery, small incisions are made, and specialized instruments and a camera are used to access and remove the cyst. This approach often results in a shorter surgery duration. - Laparoscopic kidney cyst removal surgery typically lasts anywhere from 30 minutes to a few hours, depending on the complexity of the case. 2. **Open Surgery**: In some cases, an open surgical approach may be necessary, especially if the cyst is particularly large, located in a challenging position, or if there are concerns about cancerous growth. - Open surgery can take longer, often ranging from 1 to 3 hours or more, depending on the specific circumstances. 3. **Recovery Time**: The duration of the surgery is just one part of the overall process. Recovery time after kidney cyst removal surgery can vary from a few days to several weeks, depending on the type of surgery, the patient's overall health, and any potential complications. 4. **Hospital Stay**: Laparoscopic surgery usually requires a shorter hospital stay compared to open surgery. Patients may be discharged within a day or two after laparoscopic kidney cyst removal. 5. **Postoperative Care**: After surgery, patients will need to follow postoperative care instructions, including restrictions on physical activity, lifting, and medications to manage pain and prevent infection. It's important to note that the above time frames are general estimates, and the actual duration of surgery and recovery will depend on the specific circumstances of your case. Your healthcare provider or surgeon will provide you with more precise information about the expected duration of surgery, as well as detailed preoperative and postoperative instructions to ensure a successful recovery. They will also discuss potential risks and benefits associated with the surgery, as well as any alternatives. READ MORE
Can I fly after radiotherapy?
The ability to fly after undergoing radiotherapy can depend on several factors, including the type and location of the radiotherapy treatment, your overall health, and any potential side effects or complications. Here are some general considerations to keep in mind: 1. **Type of Radiotherapy**: The type of radiotherapy you receive can influence your ability to fly. External beam radiotherapy, which is the most common type, typically does not pose a significant barrier to air travel. However, internal radiation treatments (brachytherapy) may require specific precautions due to the presence of radioactive sources within the body. 2. **Treatment Site**: The location of your radiotherapy treatment can affect your ability to fly comfortably. For example, if the treatment site is near your chest or lungs, you may experience some discomfort while flying due to changes in cabin pressure or radiation-induced side effects. 3. **Side Effects**: Radiotherapy can cause side effects, which may vary from person to person. Some individuals may experience fatigue, skin irritation, or other symptoms during or after radiotherapy. These symptoms can impact your comfort and ability to travel. 4. **Immune System**: Radiotherapy can weaken the immune system temporarily. It's important to consider your risk of infection when traveling, especially if you will be in crowded or enclosed spaces, such as airports and airplanes. 5. **Consult with Your Healthcare Team**: Before making any travel plans, it's crucial to discuss your intention to fly with your healthcare team, including your radiation oncologist. They can provide personalized guidance based on your specific treatment and health status. 6. **Timing**: The timing of your flight relative to your radiotherapy sessions is also important. It may be advisable to wait for a specific period after completing radiotherapy before flying to allow your body time to recover. 7. **Travel Insurance**: Consider obtaining travel insurance that covers medical emergencies, as well as any potential complications related to your radiotherapy treatment. Review the policy carefully to ensure it meets your needs. In many cases, individuals who have undergone radiotherapy can fly safely, especially if they are feeling well and their treatment site is not in an area that would be significantly affected by air travel. However, it's essential to have open communication with your healthcare team and follow their recommendations. They can assess your specific situation, provide guidance on travel precautions, and address any concerns or potential risks associated with flying after radiotherapy. Always consult with your radiation oncologist or treating physician before making travel plans, and be sure to inform airline staff and security personnel about your medical condition and any concerns you may have when traveling after radiotherapy. READ MORE
Can you drink water after the CT scan with dye?
Yes, you can typically drink water after a CT scan with contrast dye, and it's often encouraged to help flush the contrast dye from your system. Here's what you should know: 1. **Contrast Dye**: Contrast dye, also known as contrast medium or contrast agent, is used during CT scans to help enhance the visibility of certain structures and tissues within your body. It's usually administered through an intravenous (IV) line. 2. **Post-Scan Hydration**: After the CT scan, it's a good idea to drink water to help your body eliminate the contrast dye more efficiently. Staying hydrated can assist in flushing the dye out of your kidneys and urinary system. 3. **Follow Medical Advice**: Follow any specific instructions given to you by your healthcare provider or the radiology staff regarding post-scan hydration. They may provide guidance on how much water to drink and when to do so. 4. **No Restrictions on Water**: In general, there are typically no restrictions on drinking water after a CT scan with contrast dye. However, you may be advised to avoid other beverages like caffeinated or alcoholic drinks, which can have diuretic effects and potentially lead to dehydration. 5. **Potential Allergic Reactions**: While contrast dye is generally safe for most people, some individuals may have an allergic reaction to it. If you experience symptoms such as hives, difficulty breathing, or swelling of the face or throat after the scan, seek immediate medical attention. 6. **Individual Variations**: Keep in mind that individual responses to contrast dye can vary. Some people may experience mild side effects like a metallic taste in the mouth or a warm sensation during the injection. It's essential to communicate any concerns or questions you have about the CT scan, including the use of contrast dye, with your healthcare provider or the radiology team before the procedure. They can provide specific guidance based on your medical history and the purpose of the scan. Remember that staying hydrated is generally beneficial for your overall health, and it can be particularly important after medical procedures like a CT scan to support your body's natural processes in eliminating any substances introduced during the procedure. READ MORE
How painful is radiation treatment?
The experience of pain during radiation treatment can vary depending on various factors such as the individual and the specific area being treated. In general, most people do not experience significant pain during radiation therapy. However, some side effects may occur that can cause discomfort, such as skin irritation, fatigue, or soreness in the treated area. During radiation treatment, you will be positioned in a way that allows precise targeting of the radiation beams to the affected area while sparing surrounding healthy tissue as much as possible. The treatment itself is painless and typically lasts only a few minutes. You will not feel anything during this time. It's important to communicate any changes or discomfort you experience during treatment to your healthcare team. They may be able to provide guidance or recommend interventions to manage any side effects and ensure your comfort throughout the process. READ MORE
How long is the treatment for chronic pain?
The duration of treatment for chronic pain, including chronic neck pain, can vary widely depending on several factors, including the underlying cause of the pain, the specific treatment approach, and individual responses to therapy. Chronic pain is generally defined as pain that persists for 12 weeks or longer. Here are some factors that can influence the duration of treatment for chronic pain: 1. **Underlying Cause**: Identifying and addressing the underlying cause of the chronic pain is a crucial step in treatment. The duration of treatment may depend on whether the cause can be fully resolved, managed, or mitigated. 2. **Treatment Approach**: The treatment approach for chronic pain can vary widely. It may include a combination of therapies such as physical therapy, medications, injections, behavioral therapy, or alternative treatments like acupuncture or chiropractic care. The duration of treatment depends on the complexity of the pain condition and the effectiveness of these interventions. 3. **Pain Management Plan**: Healthcare providers typically work with patients to develop a personalized pain management plan. The plan may involve multiple stages or phases, with the goal of improving pain control and function over time. 4. **Progress and Response**: The rate of progress and the response to treatment can vary from person to person. Some individuals may experience significant relief and functional improvement relatively quickly, while others may require longer-term management. 5. **Maintenance and Follow-Up**: For chronic pain conditions that cannot be fully cured, ongoing maintenance and follow-up care may be necessary to manage symptoms and prevent exacerbations. This may include periodic visits to healthcare providers, adjustments to medications, or additional therapies as needed. 6. **Lifestyle Factors**: Lifestyle factors such as diet, exercise, sleep habits, and stress management can play a significant role in chronic pain management. Learning and implementing strategies for pain self-management may be an ongoing process. 7. **Psychological Factors**: Addressing psychological factors such as depression, anxiety, or stress that can contribute to or exacerbate chronic pain may be an integral part of treatment. Therapy or counseling may be needed. 8. **Multidisciplinary Approach**: In some cases, a multidisciplinary approach involving a team of healthcare professionals, including pain specialists, physical therapists, and mental health providers, may be necessary for comprehensive pain management. It's important to understand that chronic pain management is often a long-term process. The goal is to improve your quality of life by reducing pain, enhancing function, and helping you regain control over your daily activities. Patience, persistence, and open communication with your healthcare provider are key during the treatment of chronic pain. Additionally, pain management strategies may evolve over time based on your progress and changing needs. Be sure to follow your healthcare provider's recommendations, attend follow-up appointments, and communicate any changes in your pain or overall health to ensure the most effective and personalized treatment plan. READ MORE
Does gastric sleeve make reflux worse?
Gastric sleeve surgery, also known as sleeve gastrectomy, is a surgical procedure that involves removing a portion of the stomach to create a smaller sleeve-shaped stomach. While gastric sleeve surgery does not typically exacerbate pre-existing reflux, it can still have an impact on symptoms related to gastroesophageal reflux disease (GERD). Many individuals with obesity and GERD experience improvement in their reflux symptoms after undergoing gastric sleeve surgery. This can be due to weight loss, as excess weight can contribute to increased pressure on the stomach, leading to reflux. However, in some cases, gastric sleeve surgery may cause new or worsened reflux symptoms. This could be due to factors such as changes in the shape and function of the stomach or a decrease in the lower esophageal sphincter (LES) pressure, which normally helps prevent acid from flowing back into the esophagus. If you have existing GERD or are concerned about potential worsening of reflux symptoms after gastric sleeve surgery, it's important to discuss this with your surgeon before proceeding with the procedure. They will be able to provide you with personalized information and recommendations based on your specific health situation. READ MORE
How can low sperm motility be fixed?
Low sperm motility, also known as asthenozoospermia, can be a contributing factor to male infertility. While it may not always be possible to completely "fix" low sperm motility, there are several approaches and strategies that can help improve sperm motility and increase the chances of achieving pregnancy. Here are some steps to consider: 1. **Lifestyle Changes**: - **Healthy Diet**: Maintain a balanced diet rich in essential nutrients such as vitamins, minerals (especially zinc), and antioxidants. Antioxidants like vitamin C and E may help protect sperm from damage. - **Regular Exercise**: Engage in regular physical activity, but avoid excessive or intense exercise, which can negatively affect sperm production. - **Maintain a Healthy Weight**: Being overweight or underweight can impact sperm quality. Achieving and maintaining a healthy weight through diet and exercise can be beneficial. 2. **Avoiding Environmental Factors**: - **Limit Exposure to Toxins**: Reduce exposure to environmental toxins, such as pesticides, chemicals, and pollutants, which can negatively affect sperm motility. - **Avoid Hot Baths and Saunas**: Excessive heat can temporarily reduce sperm motility. Avoid hot baths, saunas, and tight-fitting underwear that can raise scrotal temperatures. 3. **Reduce Stress**: - Chronic stress can negatively impact fertility. Consider stress-reduction techniques such as meditation, yoga, or counseling. 4. **Avoid Smoking and Alcohol**: - Smoking and excessive alcohol consumption can impair sperm motility. Quit smoking and limit alcohol intake. 5. **Medications**: - Some medications, such as those used to treat infections or high blood pressure, may negatively affect sperm motility. Discuss any medications you are taking with your healthcare provider to explore alternative options. 6. **Manage Underlying Medical Conditions**: - Medical conditions like varicocele (enlarged veins in the scrotum) can affect sperm motility. Treating these conditions may improve sperm quality. 7. **Supplements and Nutritional Changes**: - Some supplements, like Coenzyme Q10 (CoQ10) and L-carnitine, have been studied for their potential to improve sperm motility. Consult with a healthcare provider before taking supplements. 8. **Medical Treatments**: - If low sperm motility is severe or persists despite lifestyle changes, your healthcare provider may recommend assisted reproductive techniques, such as intrauterine insemination (IUI) or in vitro fertilization (IVF). In some cases, intracytoplasmic sperm injection (ICSI), a procedure where a single sperm is injected directly into an egg, may be used. 9. **Consult a Specialist**: - If you are struggling with infertility due to low sperm motility, consider consulting a fertility specialist or urologist with expertise in male reproductive health. They can perform a comprehensive evaluation and recommend tailored treatments. It's important to note that improving sperm motility may take time, and success is not guaranteed. Additionally, the effectiveness of interventions can vary depending on the underlying causes and individual factors. Couples experiencing fertility challenges should work closely with healthcare providers to develop a personalized treatment plan that addresses their specific needs and goals. READ MORE
How long is it safe to stay on antidepressants?
The duration for which it is safe to stay on antidepressants can vary widely depending on individual factors, including the nature and severity of your depression, your response to treatment, and the guidance of your healthcare provider. Antidepressants are commonly used for both short-term and long-term management of depression. Here are some key considerations: 1. **Short-Term Use**: In some cases, antidepressants are prescribed for a relatively short duration to address acute episodes of depression or anxiety. Short-term use may last for a few months, and the goal is often to help alleviate symptoms and stabilize mood during a difficult period. 2. **Maintenance Treatment**: For individuals with recurrent or chronic depression, longer-term or even indefinite use of antidepressants may be recommended. Maintenance treatment aims to prevent the recurrence of depressive episodes. Your healthcare provider will assess the need for maintenance treatment based on factors like the number of prior episodes, their severity, and your response to medication. 3. **Individualized Approach**: Decisions about the duration of antidepressant treatment are highly individualized. Your healthcare provider will consider your specific circumstances and work with you to determine the most appropriate treatment plan. 4. **Regular Monitoring**: If you are on long-term antidepressant treatment, your healthcare provider will likely schedule regular follow-up appointments to monitor your progress and assess the ongoing need for medication. They may adjust the dosage or consider discontinuation if your symptoms improve and remain stable. 5. **Tapering Off**: If you and your healthcare provider decide to discontinue antidepressant treatment, it's essential to do so gradually and under medical supervision. Stopping antidepressants abruptly can lead to withdrawal symptoms and a potential relapse of depression. 6. **Lifestyle Factors**: Alongside medication, it's important to address lifestyle factors that can impact mood, such as diet, exercise, sleep, stress management, and psychotherapy (talk therapy). These factors can play a significant role in managing depression. 7. **Psychotherapy**: In many cases, psychotherapy, such as cognitive-behavioral therapy (CBT) or interpersonal therapy, is used in conjunction with antidepressants. Psychotherapy can help you learn coping strategies and address the root causes of depression. 8. **Long-Term Benefits**: For some individuals, the long-term use of antidepressants can provide significant benefits by reducing the risk of relapse and improving overall quality of life. However, the decision to continue or discontinue medication should be made collaboratively with your healthcare provider. It's important to maintain open and honest communication with your healthcare provider throughout your treatment. They can help you weigh the benefits and potential risks of long-term antidepressant use, as well as discuss any concerns or side effects you may be experiencing. Ultimately, the duration of antidepressant treatment should be based on your individual needs and goals, and it should be part of a comprehensive approach to managing depression that includes ongoing monitoring, lifestyle modifications, and psychotherapy when appropriate. READ MORE
Can varicocele cause infertility?
Varicocele is a condition characterized by the enlargement of veins in the scrotum, similar to varicose veins that appear in the legs. While not all individuals with varicoceles experience infertility, it can indeed be a contributing factor to fertility problems. Varicoceles can affect male fertility in several ways. The increased blood flow and pooling of blood in the affected veins can lead to an increase in scrotal temperature, which can negatively impact sperm production and quality. Additionally, varicoceles may cause hormonal imbalances or impaired testicular function, further affecting fertility. If you are experiencing fertility issues and have been diagnosed with a varicocele, it is recommended to consult with a healthcare professional specializing in fertility or urology. They can provide further evaluation and guidance on potential treatment options based on your individual circumstances. READ MORE
When can I go back to work after the colon biopsy?
The recovery time after a colon biopsy can vary depending on individual factors and the specific procedure performed. In general, most people are able to resume their normal activities, including work, within a day or two following a colon biopsy. However, it is important to follow the guidance provided by your healthcare provider. They will give you specific instructions based on your unique situation and may recommend additional rest or restrictions depending on the extent of the biopsy or any complications that may have arisen. Always consult with your healthcare provider for personalized advice and recommendations regarding when you can safely return to work after a colon biopsy. READ MORE
How long is recovery after laparoscopic kidney resection surgery?
Recovery after laparoscopic kidney resection surgery can vary from person to person, depending on several factors, including the extent of the surgery, your overall health, and how well you follow post-operative instructions. Laparoscopic kidney resection, also known as laparoscopic nephrectomy, is a minimally invasive surgical procedure used to remove part or all of a kidney. Here's a general timeline for recovery: **Immediately After Surgery (Hospital Stay):** - You will spend a day or two in the hospital for monitoring and pain management. - You may have a catheter to drain urine from the bladder. - You'll be encouraged to get up and walk as soon as possible to prevent blood clots and promote healing. **First Few Days at Home:** - Pain and discomfort are common during the first few days. - You may have restrictions on lifting heavy objects and strenuous activities. - You'll need to follow a restricted diet and stay hydrated, as recommended by your healthcare provider. **First Two Weeks:** - Pain and discomfort should gradually improve during this time. - You may still need prescription pain medication, which will be tapered down. - Light activities and short walks are encouraged. - You'll likely have follow-up appointments with your surgeon during this period. **Two to Four Weeks:** - Many people can return to light, non-strenuous activities, such as office work, within this time frame. - You should still avoid heavy lifting and strenuous exercise. - Continue to follow dietary guidelines and stay hydrated. - Listen to your body and rest when needed. **Four to Six Weeks:** - You may start to resume more normal activities and exercise, but consult with your surgeon before doing so. - Continue to attend follow-up appointments as scheduled. - You may be able to return to work if your job is physically non-demanding. **Six Weeks and Beyond:** - By this time, most people can gradually resume their normal activities and exercise routines. - Your surgeon will provide guidance on when it's safe to return to more strenuous activities. - Continue to attend follow-up appointments as recommended. It's important to note that the above timeline is a general guideline, and individual recovery experiences can vary. Your healthcare provider will provide specific instructions based on your condition and progress. Be sure to follow their recommendations closely and communicate any concerns or questions you may have during the recovery process. Also, keep in mind that laparoscopic kidney resection is associated with a shorter recovery period compared to traditional open surgery, but the specifics of your recovery will depend on the complexity of the surgery and your overall health. READ MORE

Areas of expertise and specialization

TelemedicineCOVID-19Functional MedicineMedical Cannabis

Awards

Top doctor 2021 Top Doctor

Professional Memberships

American Medical Association
American Telemedicine Association

Treatments

I-Mask Protocol for COVID-19 AAPS Protocol for COVID-19 I-Recover Protocol for COVID -19 Long Haul

Internships

Morristown Memorial Hospital, Morristown NJ

Professional Society Memberships

American Medical Association American Telemedicine Association

Professional Affiliations

AAPSFLCCC, associate physician member

Areas of research

Covid-19 long haul

Teaching and speaking

Dr. Antonatos Discusses COVID management https://www.youtube.com/watch?v=0G2nBJT_xUkDr. Antonatos Discusses COVID Long Haul management (7/14/2021) https://www.youtube.com/watch?v=gfskyH8pXlM

Favorite Place to Vacation

Panama and Greece

Hobbies / Sports

Sailing, hiking, soccer

Areas of research

COVID-19 Long Haul

Dr. Miguel Antonatos, MD's Practice location

Text2MD

4803 N Milwaukee Ave IL 60630 Phone: 855-767-8559 Suite B Unit #220 -
Chicago, IL 60630

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New patients: 855-767-8559

www.text2md.com

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Sat:Closed
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