Dr. Candido Otero, M.D.

Yes, pain in the area between the anus and the scrotum is common from few days to several weeks. Also, blood in the urine can be found for a few days to few weeks. Any surgical procedure has their risk. The main thing that happens after a probate biopsy is pain in the area between the anus and the scrotum is common from few days to several weeks. Also, blood in the urine can be found for a few days to few weeks. Fever, pain or burning sensation during urination could be an indication of infection. Consult your healthcare provider. Thank you.

There is no specific treatment for viral meningitis. Most people with viral meningitis recover completely in 7 to 10 days. The drug of choice for viral meningitis are acyclovir, valaciclovir, and famciclovir. The treatment for meningitis is given into a vein, as well as fluids to prevent dehydration and oxygen through a face mask. Thank you.

A skin biopsy report takes 24 to 48 hours. However, if there are additional studies that needs to be done because of atypical cells, it could take a week. Thank you.

Normally you don’t need to prepare for a breast biopsy. They will numb you in the needle area, but you will be awake. Now, if you are going to have a deeper breast biopsy or lumpectomy, they will give you general anesthesia. You must not drink or eat anything at least 8 hours before the surgical procedure. In this case, the procedure may last from 10 minutes to an hour.. Follow your Dr. recommendation. Thank you.

Cancer is due to mutations in genes that lead to uncontrolled cell growth and eventually cancer. Most cancers in children and newborn are of random mutations (changes) in the genes of growing cells. We don’t know the cause of childhood cancers or hoe to prevent those cancers. The most common cancer in children are leukemias, brain and central nervous system (CNS) tumors, and lymphomas. Thank you.

You treat it with antifungal medication. Consult your health care provider and they may recommend a fungal cream. Also, can go to the pharmacy, talk to the pharmacist so he can recommend an antifungal. However, your best choice is going to you health care provider. Thank you.

Brush your teeth twice a day, or after meals, floss at least once a day. By flossing you stop getting food trapped between the teeth and in hard-to-reach areas. Clean your tongue to prevent plaque and bacteria. People who have more tonsillar crypts tend to develop more tonsil stones. To remove the stone permanently you can have a tonsillectomy (removal of the tonsils). Thank you.

Without anesthesia, it could be very painful. However, since you are going to receive general anesthesia for that type of surgical procedure, no foreseen pain is expected during the procedure. Nevertheless, soreness after the procedure for approximately one week to few weeks is expected. Your doctor will give you some pain killers to use them as directed. Thank you.

The tests are Hepatitis C (HCV) antibody test, RNA, or viral load test, polymerase chain reaction (PCR) test. Most people believe that because they had a blood test, they are going to be tested automatically for hepatitis B, and C. No, you are not tested for hepatitis as part of a routine blood test. It must be ordered by you physician. High viral load, which is usually greater than 800,000 IU/L (international units per liter or low viral load which is less than 800,000 IU/L. Your liver enzymes, (normal liver Enzymes are Aspartate Transferase (AST), 10 to 40 units per liters (u/L), and Alanine Transferase (ALT), 7 to 56 units per liters (u/L). The normal range to Gamma Glutamyl Transferase GGT is 9 to 48 U/L Then, Alkaline phosphatase (ALP), 30 to 120 IU/L, will be elevated.
Hepatitis C is treated with direct-acting antiviral (DAA) medications. Your doctor will determine the hepatitis C genotype for a specific medication. About 75% of American are genotype 1a or 1b according to the American Liver Foundation. Thank you.

No, unfortunately there is no swab or blood test for HPV. HPV shows in vulva, vagina, cervix, rectum, anus, penis, and scrotum. Also, can be seen in mouth and throat. The way to confirm the diagnosis is when you get genital warts. Thank you.

You should seek ER when you develop pain, lethargy, chills, fever, nausea, vomiting and blood in the urine. Bacterial infection in urine is treated with antibiotics. There are many different of types of antibiotics to treat urinary tract infection. The most commonly ones are Trimethoprim and sulfamethoxazole, Fosfomycin, cephalexin, ceftriaxone, and others. Vitamin C seems to work by increasing the acidity of the urine and killing off the bacteria that cause infection. Health care provider usually uses antibiotics to kill the bacterial. Now, it would be recommended to see your health care provider and have a urinalysis to identify the bacteria, and therefore the specific antibiotic can be used to kill the microorganism. Thank you.

Hepatitis C is treated with direct-acting antiviral (DAA) medications. Your doctor will determine the hepatitis C genotype for a specific medication. About 75% of American are genotype 1a or 1b according to the American Liver Foundation. Thank you.

It is diagnosed from history, physical examination, and laboratory studies. Blood and urine test will identify the infection and rule out condition with similar presentation. CT images from the abdomen can see an inflamed appendix (Appendicitis). Thank you.

Usually takes one to three business days. A positive IgG ELISA result indicates that a person has antibodies to Varicella Zoster Virus, either in the past or vaccination. Thank you.

It should be tested around the fourth day after your symptoms have begun. The body needs time to make specific antibodies to fight Dengue. A hematocrit level greater than 20% is a sign of hemoconcentration and precedes shock. The early test for Dengue is immunoglobulin M (IgM) enzyme-linked, immunosorbent assay (ELISA), and immunoglobulin G (IgG) ELISA are the tests of choice after the first five days of illness. Thank you.

Pus and fluid are released by the popping cause the infection to spread out in the mouth and any vulnerable area can be infected forming more boils. Attempting to pop and abscess in the month on you own is not recommended. Visit your dentist immediately. There is a specific procedure to be follow for not to infringe damage to your healthy tissue in the mouth. I recommend for you to go to the dentist. Thank you.

A gump bump could have many etiologies (causes). It could be an abscess which is commonly painful. It is usually soft to the touch, warm bump on the gums develops when there is an overgrowth of bacteria from plaques. Also, from an open wound that has been infected. A tooth decay can be another reason from the bump. In addition, oral fibromas which are the most common causes, as well as oral cancer which is rare specially at your age. I recommend for you to go to the dentist to check it out. Thank you.

Depending at what stage and what type of anemia you get. It is a very serious disease. Usually the patient feels tired, fatigue, sometimes unable to do their daily living activity. The complete blood count (CBC) is the most common test used to confirm anemia. It is part of the routine tests done. The complete CBC test the hemoglobin and hematocrit. The hemoglobin is the iron-rich protein part in the red blood cell that carries the oxygen. The hematocrit is a measure how much space the red blood cells take up in your blood. Low level of hemoglobin or hematocrit signify anemia. Everything has to do with the type of anemia and how it was acquired. For example, iron deficiency anemia due to blood loss or due to lack of nutrients, can be corrected by stopping the blood loss and eating food that are reach in iron. Diet: beans, dried fruits, eggs, lean red meat, salmon, iron-fortified bread and cereal, peas, tofu, dark green leafy vegetables (Spanish cucumber, broccoli) among others. No, anemia due to hereditary condition, the etiology (cause) of that condition needs to be assessed to find the right treatment. Severe anemia could be very serious. Loosing blood quickly can be fatal. The three main causes are red blood cell loss, lack of red blood production in the bone marrow or red cell destruction by the immune system. A hematologist would be a great choice. They will send the test to the lab. For analysis. But a complete work up is appropriate to find the etiology of the anemia. Thank you.

There are drugs prescription for pain and antidepressants. Laser treatment to restore some sensation. External neurolysis to remove the scar tissue. Nerve block to reduce the pain. Nerve grafts and relaxation therapy and hypnosis. Consult the neurologist. Thank you.

It is diagnosed in blood with a blood test for Hepatitis A, B or C. Thank you.