expert type icon EXPERT

Michael James

Family Practitioner

Dr. Michael James is a family practitioner practicing in Ocho Rios, Jamaica. Dr. James 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. James 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.
Michael James
  • Ocho Rios, Jamaica
  • University of the West Indies
  • Accepting new patients

Can a 6-year-old take allergy medicine?

Yes, a 6 yr old can be placed on allergy medications.  Help  her with giving her medications and supplements that boost her immune system rather than fighting it with medications.. READ MORE
Yes, a 6 yr old can be placed on allergy medications.  Help  her with giving her medications and supplements that boost her immune system rather than fighting it with medications..

What can I do to get relief from my tetanus injection pain?

Sometimes these shots with be uncomfortable and might require using a mild anti-inflammatory medication, ice compression, or a topical pain rub to alleviate the discomfort.

My mother has a blood clot in her leg. What should I do?

I hope you did take her to the doctor. Normally clots that are produced by blunt force trauma and appear to be beneath the skin will go away with time. But, deeper clots will have READ MORE
I hope you did take her to the doctor. Normally clots that are produced by blunt force trauma and appear to be beneath the skin will go away with time. But, deeper clots will have to be diagnosed by your doctor by examination and a simple Ultrasound.

Is Otrivin nasal spray safe?

Otrivin nasal spray, active ingredient Xylometazoline HCl is used as a decongestant and should be used for that purpose. Overuse of any pharmaceutical can have its side effects. READ MORE
Otrivin nasal spray, active ingredient Xylometazoline HCl is used as a decongestant and should be used for that purpose. Overuse of any pharmaceutical can have its side effects. (See Otrivin side effects).
and interact with other medications. (See Otrivin interactions).
He could try other methods of de congestion eg. diet, exercise or other formulation which can be used occasionally.

Are frequent headaches normal?

Frequent headaches is a symptom of an underlying condition...so have it checked out by your doctor.

What can I do to make my nose piercing heal faster?

Hi,
This sounds like an infected nose piercing and it will probably need an antibiotic to help in the clearing of the infection so it can heal.

My wife is disinterested in sex. What should I do?

Hi.
This sounds like something your wife needs to be asked. Just take sometime and let her explain herself...and be willing to listen.

How long does take for rib pain to go away?

Severe repetitive coughing can cause intercostal muscle tears and sometimes a fractured rib/s, pleuritis with splinting so have a chest x-ray to have a look at what might be the READ MORE
Severe repetitive coughing can cause intercostal muscle tears and sometimes a fractured rib/s, pleuritis with splinting so have a chest x-ray to have a look at what might be the cause if any.

Can urgent care treat allergic reactions?

Yes, that is the purpose for emergency care...and should be able to deal with that situation.

Could taking gabepentin make me overeat NS gain 13 pounds in 6 weeks?

Call FDA at 1-800-FDA-1088 if you have a side effect that is not listed. If there are no other medications been taken, then it can be assumed that this could be the cause. Lifestyle READ MORE
Call FDA at 1-800-FDA-1088 if you have a side effect that is not listed. If there are no other medications been taken, then it can be assumed that this could be the cause. Lifestyle has been barred and drug interactions have been out of the picture.

Medication question?

Amlodipine (Spelling) is used for the treatment of hypertension. Unless you have allergies to acetaminophen, aspirins or /and caffeine then it can be taken with or after the hypertensive READ MORE
Amlodipine (Spelling) is used for the treatment of hypertension. Unless you have allergies to acetaminophen, aspirins or /and caffeine then it can be taken with or after the hypertensive medication.

Is it ok to take Tums while taking Eliquis twice daily?

Question: did your heart burn or stomach discomfort start when you started with Eliquis? If so, then see your doctor. If not what is causing your stomach irritation, then consider READ MORE
Question: did your heart burn or stomach discomfort start when you started with Eliquis? If so, then see your doctor. If not what is causing your stomach irritation, then consider discontinuing use of the irritant. Tums can be taken for minor relief, but are not a cure. Or, consider seeing your doctor.

Yeast infection?

Hi, Couple of things can be done. Short term: get an antifungal (assuming it is) vaginal insert to be used for the duration on the package. Sitz bath twice daily and wash with READ MORE
Hi,

Couple of things can be done. Short term: get an antifungal (assuming it is) vaginal insert to be used for the duration on the package. Sitz bath twice daily and wash with clean water dry properly.
Long Term: cut down on your sweet intake. Test for diabetes. Include large amounts of fresh green vegetables washed properly (uncooked) in your diet.

Cyst antibiotics?

Hi, I think you should call your dr. and inform Him /Her. Lowering the insulin amount by 3 units might be helpful.. Normal Blood sugar ranges from 3.8 to 6.1 Mmol/l for fasting READ MORE
Hi, I think you should call your dr. and inform Him /Her. Lowering the insulin amount by 3 units might be helpful.. Normal Blood sugar ranges from 3.8 to 6.1 Mmol/l for fasting bllod sugar. Hope he will be well.

Throat and lungs mucus plugs?

Hi, it would be nice to know that smoking and having asthma does NOT help your problem. Mucus plug becomes softer and easier to expel when the "inciting" factors are removed, (eg READ MORE
Hi, it would be nice to know that smoking and having asthma does NOT help your problem. Mucus plug becomes softer and easier to expel when the "inciting" factors are removed, (eg cold dry air, dust and dander, smoke which creates decrease bronchial ciliary hair movement} there is a good state of hydration, and a good mucus softening agent. Bromhexine in tabs or liquid might just help.. ...Try, other wise you might need to consult your physician.

When to take my medicine?

I would ask you to call your pharmacist or dispensary and ask that question....

Antibiotic side effect?

While taking antibiotics, most times it will cause a yeast vaginitis so create spotting or irritation with friction...treated with an insert for yeast infection can help...it can READ MORE
While taking antibiotics, most times it will cause a yeast vaginitis so create spotting or irritation with friction...treated with an insert for yeast infection can help...it can recur with high sweet intake...consider taking a test for Diabetes if recurrent.

Chemical burn?

I hope you have discontinued using this medication. This looks quite erosive, sore with pustules ... so you will need to be assessed and treated by your physician. Please find READ MORE
I hope you have discontinued using this medication. This looks quite erosive, sore with pustules ... so you will need to be assessed and treated by your physician. Please find one asap. This is not something that can be looked at in a screen display and come to a conclusion....with recommendation for therapy.

Could this be lyme disease?

A bite from the black legged ticks is normally the cause for Lyme disease. If this is endemic to your area, then it could be. Common symptoms of Lyme disease are rash, fever, body READ MORE
A bite from the black legged ticks is normally the cause for Lyme disease. If this is endemic to your area, then it could be. Common symptoms of Lyme disease are rash, fever, body aches, arthritis, facial paralysis, which will need urgent medical attention. Did you pick a tick off your skin?

Level vi Lymph - Delphian?

If you know what you are searching for with palpation, yes, it can be felt, especially in a thin neck individual. But why do you need to know this? As it is part of a group of READ MORE
If you know what you are searching for with palpation, yes, it can be felt, especially in a thin neck individual. But why do you need to know this? As it is part of a group of lymph nodes which are all adjoining each other, and what affects one affects all.