EXPERT
Dr. Susmita Mookerjee, M.D.
Internist
Dr. Susmita Mookerjee is a Board Certified internist practicing in Cleveland, OH. Dr. Mookerjee specializes in the medical treatment of adults. Internists can act as a primary physician or a consultant to a primary physician. They manage both common and rare diseases. Dr. Mookerjee provides comprehensive care and manages treatment with surgeons as well. Internists establish long-term relationships with their patients and incorporate disease prevention and mental health care into their practice.
12 years
Experience
Dr. Susmita Mookerjee, M.D.
- CLEVELAND, OHIO
- Ross University School of Medicine
- Accepting new patients
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What is the first sign that you have diabetes?
Some of the most common early signs of diabetes are:
- Urinating A LOT (often and copiously). That's from your kidneys basically spilling sugar water into your urine
- Increased READ MORE
Some of the most common early signs of diabetes are:
- Urinating A LOT (often and copiously). That's from your kidneys basically spilling sugar water into your urine
- Increased THIRST (from losing all that water and from such a high level of sugar in the blood)
- Skin infections (recurrent boils, cellulitis, abscesses)
- Light-headed, dizziness, nervousness
- Darkened skin around skin folds ("acanthosis nigricans") is a skin discoloration that can happen due to insulin resistance.
- Weight LOSS actually (from protein spilling into your urine related to damage to kidneys from high sugars)
Sugar is really irritating to the cells in the body, which is why we naturally tightly regulate it. There's no part of the body that's unaffected by diabetes, so how someone presents can be typical or atypical. We screen for diabetes annually for a reason bc caught early, it's VERY MANAGEABLE. IF YOU FEEL "OFF" FOR ANY REASON, a diabetic screen is a fair request.
Best of luck!
Dr. S. Mookerjee, MD
- Urinating A LOT (often and copiously). That's from your kidneys basically spilling sugar water into your urine
- Increased THIRST (from losing all that water and from such a high level of sugar in the blood)
- Skin infections (recurrent boils, cellulitis, abscesses)
- Light-headed, dizziness, nervousness
- Darkened skin around skin folds ("acanthosis nigricans") is a skin discoloration that can happen due to insulin resistance.
- Weight LOSS actually (from protein spilling into your urine related to damage to kidneys from high sugars)
Sugar is really irritating to the cells in the body, which is why we naturally tightly regulate it. There's no part of the body that's unaffected by diabetes, so how someone presents can be typical or atypical. We screen for diabetes annually for a reason bc caught early, it's VERY MANAGEABLE. IF YOU FEEL "OFF" FOR ANY REASON, a diabetic screen is a fair request.
Best of luck!
Dr. S. Mookerjee, MD
Vitamin b12 level?
No. Commonly missed culprits of gastritis are smoking, NSAIDS, stress, alcohol. Definitely look into what you are doing and try cutting these things out and see if you don't start READ MORE
No. Commonly missed culprits of gastritis are smoking, NSAIDS, stress, alcohol. Definitely look into what you are doing and try cutting these things out and see if you don't start to feel better.
Fatty liver- can it get better?
#1 the only way to tell if there is any cirrhosis or scarring (on a microscopic level) is with a biopsy so without that, has it set in at all, no way to know #2 yes fatty liver READ MORE
#1 the only way to tell if there is any cirrhosis or scarring (on a microscopic level) is with a biopsy so without that, has it set in at all, no way to know
#2 yes fatty liver is reversible of you STOP doing the things that irritate the liver (ALCOHOL! TYLENOL!) Fatty liver is that middle stage "fork in the road" where it can be pushed in either direction. Stop drinking, be good to yourself, and it should go back to normal. It took a while to get that way and it will take some time to get back to normal but it will get there!
#2 yes fatty liver is reversible of you STOP doing the things that irritate the liver (ALCOHOL! TYLENOL!) Fatty liver is that middle stage "fork in the road" where it can be pushed in either direction. Stop drinking, be good to yourself, and it should go back to normal. It took a while to get that way and it will take some time to get back to normal but it will get there!
How do you naturally fix diarrhea?
I'm sure you've heard of lactose intolerance. Lactase is an enzyme that we produce and sits on the lining of our intestines til lactose wanders by and gets digested. When we have READ MORE
I'm sure you've heard of lactose intolerance. Lactase is an enzyme that we produce and sits on the lining of our intestines til lactose wanders by and gets digested. When we have diarrhea, for any reason, that lactase enzymes gets washed away. So we need time to build up that puddle of lactase enzyme again. Until that happens, everything that has dairy in (as an ingredient even) can cause a cycle of diarrhea. Try taking some lactase supplements (Lactaid) prior to eating each meal, and also a probiotic to balance out your gut bacteria.
What helps with food poisoning?
Vomit it up and poop it out unfortunately... Or don't get it unfortunately. Have to get the toxins OUT. Don't fight the vomiting. The "poison" is already in the food and needs READ MORE
Vomit it up and poop it out unfortunately... Or don't get it unfortunately. Have to get the toxins OUT. Don't fight the vomiting. The "poison" is already in the food and needs to leave your system so truly the only thing to do is hydrate and wait it out. Gatorade type drinks, magnesium supplements for diarrhea (bc you're losing lytes) and self care.
When should you go to the ER for vomiting and diarrhea?
If you cannot hold down any fluids (orally) for 24 hrs I'd say go to hospital bc your losing fluids rapidly (diarrhea) and not able to replenish any of them. This will inevitably READ MORE
If you cannot hold down any fluids (orally) for 24 hrs I'd say go to hospital bc your losing fluids rapidly (diarrhea) and not able to replenish any of them. This will inevitably lead to severe dehydration and potentially kidney injury and electrolyte derangements. Dont wait til you're too weak to call for help. If you're diabetic, Just go! You cannot let your sugar drop and you can't hold food and liquid down that's a life threatening situation. If you need life sustaining meds and cannot keep them down, GO!!!
When should you go to the ER for elbow pain?
If you cannot bend or move your arm, if there is no improvement with over the counter treatment and a few days of rest of if it is getting worse. Ideally you should be seen by READ MORE
If you cannot bend or move your arm, if there is no improvement with over the counter treatment and a few days of rest of if it is getting worse. Ideally you should be seen by your primary care physician so you still get seen and assessed and treated. Look and see what maybe caused the pain, if you rest your elbows on the desk or lean on your elbows it may just be bursitis so stop doing whatever is causing the pain and see if that allows it to heal. Good luck with that bc even I do it it's a hard habit to break!
How can I treat nerve pain at home?
Depends on what the cause is of the pain. The goal is to figure out the cause and address it. Vitamin B12 is recommended for nerve health, but there are lots of causes of neuropathy READ MORE
Depends on what the cause is of the pain. The goal is to figure out the cause and address it. Vitamin B12 is recommended for nerve health, but there are lots of causes of neuropathy like diabetes etc. He should really be worked up for the cause.
Should you go to the ER for pancreatitis?
If you're asking that question is say yes. Basically pancreatitis is one of those things that can go from bad to dangerous real quick. Chronic pancreatitis is terrible and doesn't READ MORE
If you're asking that question is say yes. Basically pancreatitis is one of those things that can go from bad to dangerous real quick. Chronic pancreatitis is terrible and doesn't require constant ER visits it's mostly chronic pain unfortunately, but acute on chronic or especially acute pancreatitis, can be life threatening, frankly. If you especially cannot hold down fluids, without question you need to go to the hospital.
What happens if you eat before a CT scan with contrast?
The contrast lights up the hollow viscous organs,oral contrast lights up the inside of them so if you eat something prior to, it can obscure the picture, make it hard to tell if READ MORE
The contrast lights up the hollow viscous organs,oral contrast lights up the inside of them so if you eat something prior to, it can obscure the picture, make it hard to tell if there's a mass or obstruction or just a sammich. It could also cause "artifact" on the image and make the test hard to read and when doing a test like that we try to limit technical errors. Also, if you need a CT scan, you probably don't feel well and you have to lay on your back in a tube in a room by yourself and God forbid something happens, and you vomit. We have to wait until they roll the bed back to us before we can try to help you. So if you aspirate water it's not as life threatening as having food stuck in your lungs that we now can't get out.... So kinda a few reasons.
What does the hospital do when you have a stroke?
CT head to rule out a head bleed type stroke, and if you are within a certain window of time to be given clot busters, and are a candidate for it, we give you that and monitor READ MORE
CT head to rule out a head bleed type stroke, and if you are within a certain window of time to be given clot busters, and are a candidate for it, we give you that and monitor in the ICU for improvement (or, God forbid, worsening) if not we work up for the cause of stroke and look for how we can prevent future strokes. Also, work on physical therapy or anything else if that's needed.
What is the best treatment for bulging discs?
Best initial therapy is physical therapy. Strengthen the muscles around the joints in the back and abdomen actually ("core") to support the joints. The discs are essentially cushions READ MORE
Best initial therapy is physical therapy. Strengthen the muscles around the joints in the back and abdomen actually ("core") to support the joints. The discs are essentially cushions between the joint spaces created by the vertebrae. We can't slap a brace around the spine unfortunately like a bulging knee but the idea is still the same. Support the joint. So strength training, and weight loss if that is feasible. The goal is to reduce pressure on the disc so they don't bulge, and the muscles will help distribute the weight once your core is stronger. It takes time to get a bad back and it takes time to fix it but it's doable!
Can TMJ pain radiate to teeth?
One of the causes of TMJ is Bruxism or teeth grinding at night. Your teeth may be hurting from jaw clenching at night actually...
Is walking good for neuropathy?
Actually, if you have neuropathy and cannot feel if your shoes are appropriately fitting or cutting into your skin, it can be detrimental in that sense. As far as exercise and READ MORE
Actually, if you have neuropathy and cannot feel if your shoes are appropriately fitting or cutting into your skin, it can be detrimental in that sense. As far as exercise and maintaining function stamina and coordination, yes it is an excellent form of exercise. For nerve health specifically it is recommended to take Vitamin B12 supplementation.
What is causing this abdominal pain?
You may have an "internal hernia" that comes and goes based on your position. If you think of a telescope, how it opens and closes on itself, that's basically the idea of what READ MORE
You may have an "internal hernia" that comes and goes based on your position. If you think of a telescope, how it opens and closes on itself, that's basically the idea of what an internal hernia is. So laying flat keeps everything nice and straight but when you move your side you close the telescope, and this bunching up causes a bowel obstruction. The explosive diarrhea is a result of your bowel muscles trying to move the obstruction.... That's kinda what it sounds like to me. Low residue diet, the magnesium all that keeps the system moving right along without slowdowns to reduce the chances of it happening... That's what it sounds like but I'd talk to a surgeon
What is the average hospital stay for kidney stones?
Depends on how big it is, if they are obstructing, if there's infection as well, but not very long if it's a straight forward case. Usually 1-2 nights if the urologist is available READ MORE
Depends on how big it is, if they are obstructing, if there's infection as well, but not very long if it's a straight forward case. Usually 1-2 nights if the urologist is available to bust them up! If we are just using meds, about 2 nights to make sure everything is headed in the right direction. Every case is different though.
Prilosec and GERD?
14 days is to give the lining in your stomach and esophagus more time to heal. Every time you eat, your stomach releases acid that again digests your esophagus and stomach lining. READ MORE
14 days is to give the lining in your stomach and esophagus more time to heal. Every time you eat, your stomach releases acid that again digests your esophagus and stomach lining. If it doesn't heal (after yrs and yrs and yrs) it can turn into a precancerous lesion called Barretts Esophagus. So 14 days is better if you have no issues with the medication
Do you have to go to the hospital for a heart attack?
Unless dying at home is the patient's preference, absolutely they need to go to the hospital. Every minute counts when it comes to heart attacks and the days following. No treatment READ MORE
Unless dying at home is the patient's preference, absolutely they need to go to the hospital. Every minute counts when it comes to heart attacks and the days following. No treatment is always an option for every malady, but not if they expect a good outcome. The blood supply has been cut off to a part of the heart muscle in a heart attack. It will die unless something is done to return blood to that muscle. Dead heart muscle is weaken and ruptures or triggers fatal heart rhythms. Either this happens soon after the event or after it has scarred.
Back problem more serious than normal aging?
You may need to get a CT scan to evaluate for a bulging or slipped disc... Sounds like "cauda equina" syndrome which isn't evaluated with x-ray.... You need CT with contrast or READ MORE
You may need to get a CT scan to evaluate for a bulging or slipped disc... Sounds like "cauda equina" syndrome which isn't evaluated with x-ray.... You need CT with contrast or MRI. No that's not normal aging...
How long will this last or is it something else?
You sir need a CT scan of your spine immediately! Kinda sounds like you may have a bulging or a slipped disc and it's pinching nerves that branch off your spinal cord "cauda equina". READ MORE
You sir need a CT scan of your spine immediately! Kinda sounds like you may have a bulging or a slipped disc and it's pinching nerves that branch off your spinal cord "cauda equina". This needs to be ruled out ASAP
