EXPERT
Rohit Kumar
Family Practitioner
Dr. Rohit Kumar is a retired family practitioner in Windsor, Ontario.
Dr. Rohit Tinni Kumar studied at Dalhousie University in Nova Scotia and interned at the Toronto East General and Orthopedic Hospital. He began his residency in Internal Medicine at Dalhousie University, then at Oakwood Hospital and Medical Centre in Dearborn, Michigan, where he was a Senior Internal Medicine Resident.
His appointments have included the Medical Officer for the Canadian Armed Forces Addiction Rehabilitation Clinic, Area Atlantic and a General Duty Medical Officer in the Canadian Forces Hospital in Halifax, N.S. Dr. Kumar has held positions in London at the Regional Cancer Centre and in Windsor at Hotel Dieu-Grace Hospital.
He has received numerous awards and distinctions that consist of grants, studentships, an award of excellence for Coronary Care Unit Supervision, and most valuably, a letter of commendation from the Registrar of the College of Physicians and Surgeons of Ontario as an asset to the profession and for a high level of medical practice standards.
Dr. Kumar has instructed undergraduate and graduate medicine courses; founded and lectured Continuing Medical Education for Nursing Staff; organized, moderated and presented at conferences in Canada, the United States and Europe, and has authored a medical information column, and over 50 peer-reviwed publications and abstracts.
He has been honoured by Queens University for the excellence of teaching nurse practitioners.
He has also practiced in a teaching position with McMaster University in Northern Ontario for First Nations' Peoples. Dr. Kumar has been very involved with the communities he has worked in through committee memberships such as Hospital Palliative Care.
Dr. Kumar was the first full-time hospitalist in Canada in a team at Hotel Dieu Hospital in Windsor, ON.
"I have an avid interest in teaching, and this along with a strong research component, as well as an active clinical practice, are an integral part of my future career direction as a primary-care practitioner/clinical researcher. In addition, I also have some formal training and experience in palliative care, chronic pain and addiction medicine, which have been an integral part of all my clinical experiences."
Dr. Kumar specializes in comprehensive health care for people of all ages. In addition to diagnosing and treating illnesses, family practitioners also put focus on preventative care with routine checkups, tests and personalized coaching on how to maintain a healthy lifestyle.
Dr. Kumar possesses immense general knowledge on maintaining health and today, family practitioners provide more care for the underserved and rural populations than any other medical specialty.
Dr. Rohit Tinni Kumar studied at Dalhousie University in Nova Scotia and interned at the Toronto East General and Orthopedic Hospital. He began his residency in Internal Medicine at Dalhousie University, then at Oakwood Hospital and Medical Centre in Dearborn, Michigan, where he was a Senior Internal Medicine Resident.
His appointments have included the Medical Officer for the Canadian Armed Forces Addiction Rehabilitation Clinic, Area Atlantic and a General Duty Medical Officer in the Canadian Forces Hospital in Halifax, N.S. Dr. Kumar has held positions in London at the Regional Cancer Centre and in Windsor at Hotel Dieu-Grace Hospital.
He has received numerous awards and distinctions that consist of grants, studentships, an award of excellence for Coronary Care Unit Supervision, and most valuably, a letter of commendation from the Registrar of the College of Physicians and Surgeons of Ontario as an asset to the profession and for a high level of medical practice standards.
Dr. Kumar has instructed undergraduate and graduate medicine courses; founded and lectured Continuing Medical Education for Nursing Staff; organized, moderated and presented at conferences in Canada, the United States and Europe, and has authored a medical information column, and over 50 peer-reviwed publications and abstracts.
He has been honoured by Queens University for the excellence of teaching nurse practitioners.
He has also practiced in a teaching position with McMaster University in Northern Ontario for First Nations' Peoples. Dr. Kumar has been very involved with the communities he has worked in through committee memberships such as Hospital Palliative Care.
Dr. Kumar was the first full-time hospitalist in Canada in a team at Hotel Dieu Hospital in Windsor, ON.
"I have an avid interest in teaching, and this along with a strong research component, as well as an active clinical practice, are an integral part of my future career direction as a primary-care practitioner/clinical researcher. In addition, I also have some formal training and experience in palliative care, chronic pain and addiction medicine, which have been an integral part of all my clinical experiences."
Dr. Kumar specializes in comprehensive health care for people of all ages. In addition to diagnosing and treating illnesses, family practitioners also put focus on preventative care with routine checkups, tests and personalized coaching on how to maintain a healthy lifestyle.
Dr. Kumar possesses immense general knowledge on maintaining health and today, family practitioners provide more care for the underserved and rural populations than any other medical specialty.
Rohit Kumar
- Windsor, Ontario
- Dalhousie University
- Not accepting new patients
The Cost of Mental Health Care in Canada
Thank you to Latimer et. al. for their article: Costs of services for homeless people with mental illness in 5 Canadian cities: a large prospective follow-up study. CMAJO...
I am lactose intolerant. Is this treatable?
Lactose intolerance is very treatable. There are both tablets and liquid solutions that contain the enzyme lactase which is the element missing in lactose-intolerant individuals. READ MORE
Lactose intolerance is very treatable. There are both tablets and liquid solutions that contain the enzyme lactase which is the element missing in lactose-intolerant individuals. By simply taking a dose before consuming a lactose-containing food, the symptoms of bloating and gastrointestinal discomfort can ne totally eliminated.
In addition, lactose-free milk and other dairy products are readily available in most grocery stores. Unfortunately these products are usually a bit more expensive than ordinary dairy products. I do feel they are worth the extra expense to prevent lactose intolerance symptoms.
In addition, lactose-free milk and other dairy products are readily available in most grocery stores. Unfortunately these products are usually a bit more expensive than ordinary dairy products. I do feel they are worth the extra expense to prevent lactose intolerance symptoms.
Is it true that people with PCOD cannot get pregnant?
The infertility rate with polycystic ovaries is very high. these women usually will have difficulty getting pregnant - and usually require treatment to improve chances for pregnancy. READ MORE
The infertility rate with polycystic ovaries is very high. these women usually will have difficulty getting pregnant - and usually require treatment to improve chances for pregnancy. Some women with polycystic ovary syndrome will ovulate (release a mature egg) occasionally - others do not ever ovulate.
Reference: https://www.advancedfertility.com/pcos.htm
Reference: https://www.advancedfertility.com/pcos.htm
Is day time working better than night shifts?
There is strong evidence that shift work is related to a number of serious health conditions, like cardiovascular disease, diabetes, obesity, gastrointestinal problems, certain READ MORE
There is strong evidence that shift work is related to a number of serious health conditions, like cardiovascular disease, diabetes, obesity, gastrointestinal problems, certain types of cancer, fertility problems and more obviously sleep disruption.
The following things may help with shiftwork health issues:
- proper eating habits
- sleep hygiene practices
- exercise
- trying to get day shifts
- see your doctor for other suggestions and ways to accomplish the above stated suggestions
The following things may help with shiftwork health issues:
- proper eating habits
- sleep hygiene practices
- exercise
- trying to get day shifts
- see your doctor for other suggestions and ways to accomplish the above stated suggestions
How long does it take for a bacterial eye infection to subside?
The answer to this question involves one of the most problematic areas of medicine today, namely antibiotic resistance. In diagnosing a bacterial infection, a culture of your conjunctiva READ MORE
The answer to this question involves one of the most problematic areas of medicine today, namely antibiotic resistance. In diagnosing a bacterial infection, a culture of your conjunctiva (pink of lower eye) must be done. The culture must come back positive for a bacteria WITH the antibiotics that are effective against that organism. It is possible that the bacteria in the eye is resistant to the first antibiotic used.
If this culture is negative, the cause is nor a bacteria. The redness could be due to a scratch of the cornea (clear layer over the eye surface), foreign body of the eye, local irritation by allergy/virus (these are usually in both eyes) or dryness in the eye (needs lubricant drops). Depending on the above causes a different treatment is needed.
If this culture is negative, the cause is nor a bacteria. The redness could be due to a scratch of the cornea (clear layer over the eye surface), foreign body of the eye, local irritation by allergy/virus (these are usually in both eyes) or dryness in the eye (needs lubricant drops). Depending on the above causes a different treatment is needed.
Can asthma go away?
Look at IS ASTHMA HEREDITARY? in the blog answers under my name, that provides an answer to this question as well!! Asthma is sometimes outgrown as children get older, less likely READ MORE
Look at IS ASTHMA HEREDITARY? in the blog answers under my name, that provides an answer to this question as well!!
Asthma is sometimes outgrown as children get older, less likely in adults. The other causes of REVERSIBLE reactive airway disease are covered in the topic noted as per above.
Asthma is sometimes outgrown as children get older, less likely in adults. The other causes of REVERSIBLE reactive airway disease are covered in the topic noted as per above.
Motion sickness in children?
The causes for motion sickness in kids are many and to a certain extent not understood. However, certain things can be done to avoid it. - Avoid meals totally before short trips. READ MORE
The causes for motion sickness in kids are many and to a certain extent not understood. However, certain things can be done to avoid it.
- Avoid meals totally before short trips. If longer trips are planned, offer children plain crackers and water 2-4 hours before the trip.
- Have children focus on things outside the car rather than reading or playing games.
- Turn on cool air ventilation in the car.
- If nausea occurs have the child exit the car and walk around. Place a cool wet compress on the head.
- Try plan trips during nap times so the child is asleep for most of the trip.
- Medications are effective for prophylaxis of motion sickness and cause drowsiness which encourages sleep, itself a treatment for motion sickness. Consult your doctor regarding proper dosing. Dramamine and Benadryl are two brand names often used.
- Avoid meals totally before short trips. If longer trips are planned, offer children plain crackers and water 2-4 hours before the trip.
- Have children focus on things outside the car rather than reading or playing games.
- Turn on cool air ventilation in the car.
- If nausea occurs have the child exit the car and walk around. Place a cool wet compress on the head.
- Try plan trips during nap times so the child is asleep for most of the trip.
- Medications are effective for prophylaxis of motion sickness and cause drowsiness which encourages sleep, itself a treatment for motion sickness. Consult your doctor regarding proper dosing. Dramamine and Benadryl are two brand names often used.
Is asthma hereditary?
Asthma CAN be hereditary. The fact that is has skipped a generation in your family is a good sign. Sometimes asthma can come on in response to something in the environment such READ MORE
Asthma CAN be hereditary. The fact that is has skipped a generation in your family is a good sign. Sometimes asthma can come on in response to something in the environment such as dust, pet dander, cold air outside in the winter or a viral chest infection. If it only comes on with triggers, the condition is called reactive airways disease. Avoiding the triggers or using allergy treatments can prevent reactive airway disease.
All in all, I think that the prognosis for you and your family is very good.
All in all, I think that the prognosis for you and your family is very good.
My hands swell when I exercise
Edward R. Laskowski, M.D. from the Mayo Clinic covers this phenomenon in wonderful detail: Hand swelling during exercise is a fairly common problem. The cause isn't completely READ MORE
Edward R. Laskowski, M.D. from the Mayo Clinic covers this phenomenon in wonderful detail:
Hand swelling during exercise is a fairly common problem. The cause isn't completely clear, but hand swelling appears to be a result of the way your body and blood vessels respond to the increased energy demands of your muscles during exercise.
Exercise increases blood flow to your heart and lungs, as well as to the muscles you're working. This can reduce blood flow to your hands, making them cooler. In turn, the blood vessels in your hands may react by opening wider — which could lead to hand swelling.
As you continue to exercise, your muscles generate heat that makes your system push blood to the vessels closest to the surface of your body, to dissipate heat. This response triggers perspiration and may also contribute to hand swelling.
Sometimes, endurance athletes develop hyponatremia (hi-poe-nuh-TREE-me-uh) — an abnormally low level of sodium concentration. Swollen fingers and hands may be a sign of hyponatremia, but other signs, such as confusion and vomiting, are more prominent than is swelling. Drinking too much water, particularly during a marathon or similar long, strenuous event, may cause your body's sodium to become so diluted that you become hyponatremic. Hyponatremia requires immediate medical attention.
There's no proven way to prevent or reduce most exercise-related hand swelling, but these tips may help ease discomfort:
•Remove your rings and loosen your watchband before exercise.
•Perform occasional forward and backward arm circles during exercise.
•Stretch your fingers wide and then make fists several times during exercise.
Hand swelling during exercise is a fairly common problem. The cause isn't completely clear, but hand swelling appears to be a result of the way your body and blood vessels respond to the increased energy demands of your muscles during exercise.
Exercise increases blood flow to your heart and lungs, as well as to the muscles you're working. This can reduce blood flow to your hands, making them cooler. In turn, the blood vessels in your hands may react by opening wider — which could lead to hand swelling.
As you continue to exercise, your muscles generate heat that makes your system push blood to the vessels closest to the surface of your body, to dissipate heat. This response triggers perspiration and may also contribute to hand swelling.
Sometimes, endurance athletes develop hyponatremia (hi-poe-nuh-TREE-me-uh) — an abnormally low level of sodium concentration. Swollen fingers and hands may be a sign of hyponatremia, but other signs, such as confusion and vomiting, are more prominent than is swelling. Drinking too much water, particularly during a marathon or similar long, strenuous event, may cause your body's sodium to become so diluted that you become hyponatremic. Hyponatremia requires immediate medical attention.
There's no proven way to prevent or reduce most exercise-related hand swelling, but these tips may help ease discomfort:
•Remove your rings and loosen your watchband before exercise.
•Perform occasional forward and backward arm circles during exercise.
•Stretch your fingers wide and then make fists several times during exercise.
Why does my head hurt when I blow my nose?
Pressure as you describe signals either allergic or infectious inflammation of the sinuses. Rarely, people can have congenital (from birth) absence of certain sinuses or abnormal READ MORE
Pressure as you describe signals either allergic or infectious inflammation of the sinuses. Rarely, people can have congenital (from birth) absence of certain sinuses or abnormal anatomy of the sinus cavities.
Your doctor can provide antihistamines by mouth or nasal sprays that effectively treat allergic sinusitis. Viral infection are the most common cause of infectious sinusitis. However, these infections can be secondarily infected with bacteria which require two weeks of antibiotics by mouth and nasal spray treatment.
Chronic sinusitis is a totally different entity and needs specialty diagnosis and treatment.
Your doctor can provide antihistamines by mouth or nasal sprays that effectively treat allergic sinusitis. Viral infection are the most common cause of infectious sinusitis. However, these infections can be secondarily infected with bacteria which require two weeks of antibiotics by mouth and nasal spray treatment.
Chronic sinusitis is a totally different entity and needs specialty diagnosis and treatment.
My baby blinks excessively. What's wrong?
A pediatric ophthalmologist will be able to diagnose the cause of the symptoms. A thorough exam will be performed. If there is a problem such as an ingrown eyelash, corneal abrasion READ MORE
A pediatric ophthalmologist will be able to diagnose the cause of the symptoms. A thorough exam will be performed. If there is a problem such as an ingrown eyelash, corneal abrasion (scratch on the front surface of the eye), conjunctivitis (pink eye), foreign body in the eye, or eye dryness, this can easily be diagnosed by performing an examination with an instrument called a slit lamp. This is a special microscope used to magnify the eye. If glasses are needed, this can also be easily detected. Any strabismus (in turning or out turning of the eye) will be diagnosed when the ophthalmologist examines the eye movements.
If an abrasion (scratch of the cornea) or conjunctivitis (inflammation of the red part of the eye and blood vessels on the white sclera) is diagnosed, eye drops or ointment may be given. Glasses may be prescribed if the excessive blinking is caused by blurry vision.
A habitual tic is a small, voluntary body movement. It may be caused by, among other things, stress, fatigue or boredom. It usually affects both eyes at the same time. It affects boys twice as often as girls, with the average age of 5 years when it first appears. It is a benign condition that will resolve without treatment, usually within weeks to years, often recurring intermittently. There is no neurologic cause, and further evaluation and brain scans are not necessary. If the child displays multiple tics and/or auditory (vocal) tics, an appointment with a Neurologist is indicated.
If an abrasion (scratch of the cornea) or conjunctivitis (inflammation of the red part of the eye and blood vessels on the white sclera) is diagnosed, eye drops or ointment may be given. Glasses may be prescribed if the excessive blinking is caused by blurry vision.
A habitual tic is a small, voluntary body movement. It may be caused by, among other things, stress, fatigue or boredom. It usually affects both eyes at the same time. It affects boys twice as often as girls, with the average age of 5 years when it first appears. It is a benign condition that will resolve without treatment, usually within weeks to years, often recurring intermittently. There is no neurologic cause, and further evaluation and brain scans are not necessary. If the child displays multiple tics and/or auditory (vocal) tics, an appointment with a Neurologist is indicated.
Why does hay fever severity fluctuate
Hay fever is very dependent on the load of allergens in the air which is affected by:
(1) Season - Allergens are heaviest in spring and fall
(2) Climate/Weather - Rain and READ MORE
Hay fever is very dependent on the load of allergens in the air which is affected by:
(1) Season - Allergens are heaviest in spring and fall
(2) Climate/Weather - Rain and dry spells can affect seasonal variation of allergens
Most weather apps online now list the hay fever burden from season to season. Following these reports can help predict the need for antihistamines and nasal sprays (the latter can now can replace the need for antihistamine tablets) to treat hay fever. These medications can obviate the need for allergy shots which were used in the past!!!
(1) Season - Allergens are heaviest in spring and fall
(2) Climate/Weather - Rain and dry spells can affect seasonal variation of allergens
Most weather apps online now list the hay fever burden from season to season. Following these reports can help predict the need for antihistamines and nasal sprays (the latter can now can replace the need for antihistamine tablets) to treat hay fever. These medications can obviate the need for allergy shots which were used in the past!!!
Shortness of breath
Shortness of breath (SOB) with minimal exertion is a concern. In general, SOB could be caused by the : - heart - lungs - lack of cardiovascular fitness - obesity, etc. Some key READ MORE
Shortness of breath (SOB) with minimal exertion is a concern. In general, SOB could be caused by the :
- heart
- lungs
- lack of cardiovascular fitness
- obesity, etc.
Some key questions are:
Do you have swelling of the ankles/legs?
Do you feel your heart racing or flip-flopping?
Do yo have to sit up ant night due to SOB?
Do you get SOB when you lay down?
Do you have high blood pressure or family history of heart disease?
Do you have a history of thyroid disease or thyroid disease in your family?
Do you wheeze with the SOB or have a history of asthma?
Regardless of the answers to these questions, I would consult a doctor as soon as possible with the symptoms you have now?
- heart
- lungs
- lack of cardiovascular fitness
- obesity, etc.
Some key questions are:
Do you have swelling of the ankles/legs?
Do you feel your heart racing or flip-flopping?
Do yo have to sit up ant night due to SOB?
Do you get SOB when you lay down?
Do you have high blood pressure or family history of heart disease?
Do you have a history of thyroid disease or thyroid disease in your family?
Do you wheeze with the SOB or have a history of asthma?
Regardless of the answers to these questions, I would consult a doctor as soon as possible with the symptoms you have now?
When to go in?
From the sound of things, you likely have a secondary bacterial bronchitis or pneumonia. What is more worrisome is that you are likely clinically dehydrated as well. I would visit READ MORE
From the sound of things, you likely have a secondary bacterial bronchitis or pneumonia. What is more worrisome is that you are likely clinically dehydrated as well. I would visit your local emergency room as soon as possible for IV fluids, antibiotics and medication to open up your airways!!!
My second child is 14 months old and hasn't taken her first steps. Is something wrong?
Developmental milestones are almost always concerns of new parents and experienced parents alike. A general statement is that infants will walk when they want to!
Research has READ MORE
Developmental milestones are almost always concerns of new parents and experienced parents alike. A general statement is that infants will walk when they want to!
Research has shown that he typical age for walking was 12 months, but the results ranged from eight-and-a-half months to 20 months. More importantly, there is little or no link between such early motor milestones and later development.
The following link is a great article explaining the above issues based on sound research. http://www.dailymail.co.uk/health/article-2304753/Why-shouldnt-worry-baby-starts-walk.html
Parents should only be concerned if walking has not occurred by 18 months</span>. In such cases, other developmental issues have usually arisen before this reported delay, signifying a more serious problem. The cited article should answer all your other questions!
Research has shown that he typical age for walking was 12 months, but the results ranged from eight-and-a-half months to 20 months. More importantly, there is little or no link between such early motor milestones and later development.
The following link is a great article explaining the above issues based on sound research. http://www.dailymail.co.uk/health/article-2304753/Why-shouldnt-worry-baby-starts-walk.html
Parents should only be concerned if walking has not occurred by 18 months</span>. In such cases, other developmental issues have usually arisen before this reported delay, signifying a more serious problem. The cited article should answer all your other questions!
Why do I have a fever after my flu shot?
According to the Center for Disease Control, mild side effects from the flu shot include soreness, redness or swelling at the injection site, low-grade fever and aches. For children, READ MORE
According to the Center for Disease Control, mild side effects from the flu shot include soreness, redness or swelling at the injection site, low-grade fever and aches. For children, side effects from the flu nasal spray can include runny nose, wheezing, headache, vomiting, muscle aches and fever.
These side effects are not due to the flu virus as is often a misconception. They are most likely to occur in the first 1-2 days and then stop. Studies show that only ~5% of people have fever and muscle aches.
Very often a healthy person can tolerate getting the flu, but they. can give it to one of the high risk groups mentioned above. This is the logic behind all people getting this important immunization!
These side effects are not due to the flu virus as is often a misconception. They are most likely to occur in the first 1-2 days and then stop. Studies show that only ~5% of people have fever and muscle aches.
Very often a healthy person can tolerate getting the flu, but they. can give it to one of the high risk groups mentioned above. This is the logic behind all people getting this important immunization!
Is protein powder safe for a protein deficiency?
Use of protein supplements not prescribed by a physician have many downfalls. One of the most important issues is that these compounds are not overseen by any governmental or independent READ MORE
Use of protein supplements not prescribed by a physician have many downfalls. One of the most important issues is that these compounds are not overseen by any governmental or independent health authority. Therefore their constituents need not be what is said on the label and otherwise unregulated. Use of fillers, high carbohydrate or sugar content are not unusual making them unhealthy for diabetics, borderline diabetics or people with obesity. These supplements can also cause stress on the kidney in patients with kidney disease or even in otherwise normal kidney function.
These unregulated compounds make dosage recommendations and monitoring of therapy difficult. Protein levels are so dependent on many medical issues such as liver function, kidney disease, cancer, diabetes malabsorption and other metabolic conditions.
The best avenue for protein supplementation is to have your lab values monitored by a physician and then receive advice from a registered dietitian upon consult from the physician. There are regulated protein supplements recommended by health care professionals that are designed for various disease states.
The bottom line is always consult a physician before starting any type of supplementation.
These unregulated compounds make dosage recommendations and monitoring of therapy difficult. Protein levels are so dependent on many medical issues such as liver function, kidney disease, cancer, diabetes malabsorption and other metabolic conditions.
The best avenue for protein supplementation is to have your lab values monitored by a physician and then receive advice from a registered dietitian upon consult from the physician. There are regulated protein supplements recommended by health care professionals that are designed for various disease states.
The bottom line is always consult a physician before starting any type of supplementation.
Is my vitamin b12 deficiency from my change in diet?
Most people get more than enough B12 from eating meat, eggs, milk, and cheese. Normally, the vitamin is absorbed by your digestive system--your stomach and intestines. Vitamin READ MORE
Most people get more than enough B12 from eating meat, eggs, milk, and cheese. Normally, the vitamin is absorbed by your digestive system--your stomach and intestines. Vitamin B12 deficiency anemia usually happens when the digestive system is not able to absorb the vitamin. This can happen if you have pernicious anemia. In this anemia, your body destroys the cells in your stomach that help you absorb vitamin B12.
You may have had surgery to remove part of the stomach or the last part of your small intestine, called the ileum. This includes some types of surgery used to help very overweight people lose weight.
You may have problems with the way your body digests food, such as sprue (also called celiac disease), Crohn's disease, bacteria growth in the small intestine, or a parasite.This anemia can also happen if you don't eat enough foods with B12, but this is rare. People who eat a vegan diet and older adults who don't eat a variety of foods may need to take a daily vitamin pill to get enough B12. Other causes include drinking alcohol and taking some prescription and nonprescription medicines.
You may have had surgery to remove part of the stomach or the last part of your small intestine, called the ileum. This includes some types of surgery used to help very overweight people lose weight.
You may have problems with the way your body digests food, such as sprue (also called celiac disease), Crohn's disease, bacteria growth in the small intestine, or a parasite.This anemia can also happen if you don't eat enough foods with B12, but this is rare. People who eat a vegan diet and older adults who don't eat a variety of foods may need to take a daily vitamin pill to get enough B12. Other causes include drinking alcohol and taking some prescription and nonprescription medicines.
