Dr. Tania Mathew

It is important to change your diet. Avoid fatty foods, caffeine, chocolate, spicy foods, food with high fat content, carbonated beverages, and peppermint.
Make these lifestyle modifications: weight loss, elevation of the head of the bed, refraining from assuming a supine position after meals and avoidance of meals two to three hours before bedtime.
Talk to your primary care physician about reflux medications if symptoms don't improve with changes in weight loss and diet.

Adolescents with obesity experience bias and bullying from their peers; many, particularly females, develop a negative self-image that persists into adulthood.
Overweight children and adolescents may engage in unhealthy eating behaviors in an attempt to lose weight.
It is important to promote healthy eating habits without prompting or worsening an eating disorder, and care should be taken to minimize this risk through counseling that supports a positive body image and healthy eating patterns.
The goal of behavioral therapy is to help patients(of any age group) make long-term changes in their eating behavior by modifying and monitoring their food intake, modifying their physical activity, and controlling cues and stimuli in the environment that trigger eating.

Please get evaluated by your primary care physician. There are certain laboratory tests that need to be evaluated to see why you are having these symptoms, like thyroid labs and anemia labs.

After receiving 1 dose of menACWY, you do not need a 2nd dose after the age of 21 if you are not at increased risk.
CDC recommends MenACWY vaccination for adults older than 21 if they:
1) Have a rare type of immune disorder called complement component deficiency or
2) Are taking a type of medicine called a complement inhibitor (for example, Soliris® or Ultomiris®) or
3) Have a damaged spleen or sickle cell disease, or their spleen has been removed or
4) Have HIV or
5) Are a microbiologist who is routinely exposed to Neisseria meningitidis or
6) Are traveling to or residing in countries in which serogroup A, C, W, or Y meningococcal disease is common or
7) Are part of a population identified to be at increased risk because of a serogroup A, C, W, or Y meningococcal disease outbreak or
8) Are not up to date with this vaccine and are a first-year college student living in a residence hall or
9) Are a military recruit.

Please go to the nearest Urgent Care or Emergency Room to get evaluated right away.

Please go to a primary care provider to get evaluated right away for migraines. For at home remedies to help with migraine pain relief please take over the counter Non-Steroidal Anti-Inflammatory Drugs such as ibuprofen. You can take over the counter Dimenhydrinate (brand name are: Dramamine; Driminate; GoodSense Motion Sickness) to help with relief from dizziness. At home remedies you can try to prevent migraine attacks are good sleep hygiene, exercise regularly, maintain a routine meal schedule and have adequate fluid intake. Getting sufficient sleep along with keeping relatively constant bedtime and wake-up times on weekdays and weekends are particularly important to help prevent migraines. Increased daily water intake has been associated with reduced headache severity. Fasting or skipping meals is a migraine trigger and should be avoided.

Please get evaluated by an optometrist for your left eye strain.
Please get evaluated by your primary care provider for your headache and lip twitching.
For at home remedies to help with headache pain relief please take over the counter Non-Steroidal Anti-Inflammatory Drugs such as ibuprofen. You can also take over the counter migraine relief medication which contains the following active ingredients: Acetaminophen, aspirin, and caffeine; however limit use of such a medication to less than 10 days per month to avoid medication-overuse headache. An example of such a medication would be Excedrin migraine.
At home remedies you can try to prevent headaches are good sleep hygiene, exercise regularly, maintain a routine meal schedule and have adequate fluid intake. Getting sufficient sleep along with keeping relatively constant bedtime and wake-up times on weekdays and weekends are particularly important to help prevent headaches. Increased daily water intake has been associated with reduced headache severity. Fasting or skipping meals is a headache trigger and should be avoided.

For a healthy pregnancy, ensure that you eat the following to meet your nutritional needs:
•Vegetables of all types: dark green, red, and orange vegetables; beans, peas, and lentils; starchy vegetables; other vegetables.
•Fruits, especially whole fruits.
•Grains, at least half of which should be whole grains.
•Dairy, including fat-free or low-fat milk, yogurt, and cheese, and/or lactose-free versions and fortified soy beverages and yogurt as alternatives. Avoid unpasteurized foods. Avoid soft cheeses, such as brie, feta and blue cheese, unless they are clearly labeled as being pasteurized or made with pasteurized milk.
•Protein foods, including lean meats, poultry, and eggs; seafood; beans, peas, and lentils; and nuts, seeds, and soy products. Avoid raw, undercooked or contaminated seafood. Examples of raw or undercooked foods to avoid include sushi, sashimi, ceviche and raw oysters, scallops or clams.
•Oils, including vegetable oils and oils in food, such as in seafood and nuts. Expert panels worldwide suggest a minimum DHA intake of 200 to 300 mg/day.
•Limit caffeine intake to less than 200 to 300 mg per day. Avoid Herbal Teas.
•Take Prenatal Vitamins. For pregnant people at high risk (history of neural tube defects, diabetes, and anticonvulsant medication use), folic acid recommendations are higher (4 mg/day).
•Do not drink alcohol. No level of alcohol has been proved safe during pregnancy.
•The Food and Drug Administration (FDA) encourages you to avoid: Bigeye tuna, King mackerel, Marlin, Orange roughy, Swordfish, Shark and Tilefish.

Please follow the COVID home quarantine guidelines given by the CDC (https://www.cdc.gov/coronavirus/2019-ncov/your-health/quarantine-isolation.html#). You can take over-the-counter cold medication for nasal congestion and cough. You can take over-the-counter Acetaminophen and/or Ibuprofen for body aches and fever. Speak with a primary care provider or go to ER/Urgent Care immediately if you have symptoms of fever that are not resolved with over-the-counter medication, wheezing or shortness of breath.

Please see your primary care doctor or Gynecologist and have this evaluated immediately.

As soon as you know you are pregnant, you should make an appointment with an Obstetrician. They will schedule you for an Ultrasound immediately to confirm your pregnancy. They will inform you when follow up Ultrasounds will need to occur once pregnancy is confirmed.