Emanuel O. Quay, M.D.

Absolutely.

Weight loss can help you get rid of diabetes. I have several patients who have done so. It takes a willingness on your part to make lifestyle changes. There are many options for you. If you have the will, you can achieve.

I am not making any recommendations because, I don't know enough about you to make recommendations. Talk to your doctor.

In the short term, you can get different kinds of pills over-the-counter at your pharmacy. In the long term, it is a lifestyle issue. If you eat late at night, or wake up to eat and go back to bed, you will likely have reflux. The acid medicines may relieve symptoms, but they also mask a potential problem and may give you a false sense of security. I recommend allow three hours between when you eat your last meal of the day and when you go to bed.

Spironolactone and lisinopril is an unusual combination of drugs for blood pressure. Moreover spironolactone is usually taken more than once daily. You did not say how often you take it. If you're taking it only once a day, that may explain why your blood pressure is high in the morning (I assume) before you take your morning dose. Ask your doctor to review your medication combination.

It seems like you need an enema. Do you exercise? That helps move the bowels. Type of food also makes a difference. More fruits and vegetables and less processed foods helps move bowels.

Yes, your doctor can give you a six month prescription for blood pressure medication but.... Let's look at it this way. If your doctor has 200 patients with hypertension and sees them 4 times a year each. If the doctor gets paid $50 a visit, that's 50x4x200 or 40K a year for seeing those patients. If he sees each two times a year, half that income is gone. You could ask your doctor about a retainer fee so they don't go out of business while taking such good care of you.

PS: I made up the $50.

"How do you lower protein in your blood?"

You need to know what's causing high protein in your blood. It could be a form of blood cancer. Nothing to play with.

The best drug to treat gastritis depends on what is causing gastritis. Since the cause of the gastritis was not included in the question, I would defer to the questioner's primary care doctor. Best regards.

Two ways to raise vitamin D levels are sunlight and supplementation.

Although milk is fortified with vitamin D, there is only 125 units of vitamin D in a cup of milk. One would have to drink a lot of milk to get the daily Vitamin D needed. Up to 15 minutes of sunlight or supplemental vitamin D should do the job. As I do not know how old the child is, and how big they are, I cannot give an amount of vitamin D to take. The pediatrician should be able to answer that. Once the child is taking vitamin D, there should be some checks to see if they are getting enough to raise their blood levels. For supplementation, I understand D3 is better than D2.

It would be inappropriate for me to answer as to what antibiotics to use to treat colitis. This is a question for the treating physician since antibiotics are usually obtained through a prescription here, where I practice. Best of luck.

Childhood obesity is a major health problem for children, yes. At the minimum, it increases the child's risk of hypertension and diabetes, but there are other health risks as well. It also increases the chances that the child will be bullied or made fun of at school. Yes, please take the child to see the doctor.

Dear Patient:

If you are not taking aspirin, and you don't have an allergy to it take

Pain in the arm after blood draw is probably due to local injury, either to blood vessels or more likely nerve injury. It will pass. I would suggest pain medications such as acetaminophen, or ibuprofen or naproxen. If the pain does not resolve in a day or so, consider consulting with her doctor.

Blood in the stool could be a very serious problem, or a not too serious problem. Either way, it is serious enough that it should be checked out. If it persists, you could lose a lot of blood. Please call and see your local doctor.
Regards to your health.

Dear patient:

You asked, "Why does my heart beat so fast after I eat meat?" The quick answer is that you probably are not digesting proteins well.

Investigating why you may not be digesting proteins is where the challenge begins. There are two main reasons why you wouldn't digest proteins well, if your stomach is not making enough acid, or if your pancreas is not making enough digestive enzyme. There are conditions that can cause both of the above. One common reason for lack of stomach acid is acid blocking medications. Less frequent, but also common is a stomach infection with H. pylori, or something called atrophic gastritis. You might want to see your doctor and/or a gastroenterologist about this. If you don't get answers, look for an integrative or functional medicine doctor. You will need food antibody testing, which should include Celiac disease testing.

As you're probably becoming aware, the problem you have cannot be solved without seeing a doctor, and you may have to see a few before you find your answer. Don't delay. Get it checked out.
Regards.

That looks like a normal EKG, but let me explain what the "gibberish" means. Vent rate is how fast the bottom part of your heart is beating. The atrial rate is how fast the top (chamber/s) of your heart is beating. Usually the top of the heart determines how fast the heart beats so in a normal heart the two rates should be the same, as they are in your case. Usually, there is an electrical charge that is generated in the top chambers, which distributes through the heart and makes the muscle contract. The time it takes for the charge to get from the top chambers to the bottom chambers is the PR interval, and it usually takes 120 to 200 milliseconds (ms). The time it takes for the charge to distribute throughout the bottom chambers if the QRS duration. The electrical charge induces muscle contraction. After a contraction, the heart muscle must rest before another charge can induce another contraction. The QT interval has to do with the time that the heart resets itself for another charge to induce a contraction. The P-R-T axes indicate the direction of flow of charges through the heart. The p-axis indicates the direction of flow of charge through the top chambers of the heart, the R and T-axes indicates the direction in the lower chambers, and the direction of flow when the heart is resetting itself for another contraction.

PS: I have written this without the opportunity to read other answers to this question, so forgive my redundancy.

The two big causes of chronic kidney disease are hypertension and diabetes. Please ask your doctor how you got chronic kidney disease. She (or he) is best placed to answer how you got it. If you're not getting answers from your doctor, get another one.

You asked, "Will prediabetes go away?"

Yes, but not if you don't do anything about it. It can go away if you can adopt proper lifestyle strategies to improve your health. The biggest factor is diet, when, what, and how you eat. You should explore time-restricted feeding or intermittent fasting. Let Google be your friend (or healer) in this regard.

A high hemoglobin level should be checked out by a doctor. There are specific medical conditions that make hemoglobin level go up. Some can be serious. Please have it checked out.

Anemia causes fatigue because:
1. Anemia means low levels of hemoglobin
2. Hemoglobin carries Oxygen
3. Oxygen is needed to turn the food we eat into energy
4. Low hemoglobin means low Oxygen, means we cannot make enough energy
5. Hence fatigue

I think you need Celiac disease and stomach acid testing. You may also need stomach biopsy to see if you have atrophic gastritis. I am not sure about folate, but iron and B12 are acid dependent nutrients, which means they depend on you making enough stomach acid to allow their absorption from your food or supplement. And BTW, I consider your B12 to be low, although it's within range.