Dr. Miguel Antonatos, MD

Internist

4803 N Milwaukee Ave IL 60630 Phone: 855-767-8559 Suite B Unit #220 Chicago IL, 60630 Show map

About
Contacts & Locations

About

Dr. Miguel Antonatos, a board-certified internist based in Chicago, IL, brings over 15 years of experience in Internal Medicine and Functional Medicine to his practice. He completed his medical residency at Morristown Memorial Hospital in Morristown, NJ, which is affiliated with The Mount Sinai Hospital and Icahn School of Medicine at Mount Sinai in NYC.

Dr. Antonatos has had a special interest in telemedicine since 2017. In 2019, he established Text2MD, an innovative telemedicine practice that functions as a virtual clinic, offering a range of services.

Notably, during the COVID-19 pandemic, Dr. Antonatos developed a keen interest in exploring treatment approaches for patients with COVID Long Haul. He has successfully treated COVID-19 Long Haul patients through a holistic approach to functional medicine. He is also a global member of the Front Line COVID-19 Critical Care Alliance, actively contributing to worldwide research efforts focused on COVID-19 long-haul treatment modalities with functional medicine.

Education and Training

UAG MD 2004

Board Certification

Internal MedicineAmerican Board of Internal MedicineABIM

Provider Details

Male English, Spanish, Greek

Dr. Miguel Antonatos, MD

Dr. Miguel Antonatos, MD's Expert Contributions

My Latest Posts
My Answers

Repurposing Drugs as COVID Therapies
The COVID pandemic has forced everyone to adapt and improvise. While healthcare providers are thinking outside the box and repurposing pharmaceuticals to be used as COVID-19 therapies, patients seek more accessible forms of healthcare. Unfortunately, navigating how to receive safe healthcare is a...
Upper Respiratory Infections During The COVID-19 Pandemic
If you’ve ever suffered from a cold, you are probably familiar with upper respiratory tract infections (URIs). It's a contagious infection that affects your upper respiratory tract – which includes your throat, nose, larynx, and bronchi. For an upper respiratory tract infection to develop, your...

I have been coughing and now my left side is hurting?
If you're experiencing severe pain in your side that is exacerbated by coughing or movement, it could be due to a variety of causes, some of which may require medical attention. Here are a few potential causes to consider: 1. **Muscle Strain:** Intense coughing or sudden, forceful movements can sometimes lead to muscle strain, which can cause pain in the affected area. 2. **Rib Fracture:** Severe coughing can occasionally result in a rib fracture, leading to sharp pain that worsens with movement. 3. **Pleurisy:** Pleurisy is inflammation of the lining around the lungs. It can cause sharp chest or side pain that intensifies with breathing, coughing, or movement. 4. **Pneumonia:** Pneumonia is an infection of the lungs that can cause chest or side pain, along with symptoms like coughing, fever, and difficulty breathing. 5. **Other Lung Conditions:** Conditions such as bronchitis or a lung infection can lead to coughing and pain, especially if there is inflammation in the chest area. Given the severity of the pain and its association with coughing, it's advisable to seek medical attention in person promptly. You can start by contacting your primary care physician, an urgent care clinic, or visiting the emergency room if the pain is severe and worsening. A healthcare provider can perform a physical examination, possibly order diagnostic tests like X-rays or a CT scan, and determine the cause of your pain. Treatment will depend on the underlying condition. It's essential not to delay seeking medical care, especially if the pain is severe, as some causes may require immediate intervention. READ MORE
Stomach bug?
If you keep getting a stomach bug that seems to worsen with time, it's essential to consult with a healthcare professional for a proper evaluation and diagnosis. Here are some possibilities to consider: 1. **Recurrent Infections:** Stomach bugs can be caused by various pathogens, including viruses, bacteria, and parasites. If you're experiencing repeated episodes of gastrointestinal symptoms, it's essential to identify the specific cause through medical evaluation. 2. **Food Sensitivities or Allergies:** Some individuals may have sensitivities or allergies to certain foods that can trigger gastrointestinal symptoms. Identifying and avoiding problem foods can help manage these issues. 3. **Underlying Medical Conditions:** Gastrointestinal symptoms can be associated with underlying medical conditions such as irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), or other gastrointestinal disorders. These conditions often require medical diagnosis and management. 4. **Hydration and Nutrition:** It's important to stay hydrated and maintain adequate nutrition, especially if you're experiencing repeated episodes of vomiting or diarrhea. Dehydration and malnutrition can worsen symptoms. 5. **Hand Hygiene:** Frequent handwashing and proper hygiene can help reduce the risk of infection, particularly when it comes to viral and bacterial stomach bugs. Make sure you're practicing good hand hygiene to prevent the spread of pathogens. 6. **Travel and Food Safety:** If you've been traveling to areas with different food and water sources, you may have encountered different pathogens. Be cautious about food and water safety when traveling. 7. **Medications:** Certain medications can irritate the stomach lining or cause gastrointestinal symptoms as side effects. If you're taking any medications, consult your healthcare provider to discuss potential associations. It's crucial to see a healthcare provider to discuss your symptoms, medical history, and any patterns or triggers you've noticed. They can perform tests, such as stool cultures or blood tests, and conduct a thorough evaluation to determine the underlying cause of your recurrent stomach issues. Based on their findings, they can provide appropriate treatment or recommendations for managing and preventing future episodes. In the meantime, focus on staying hydrated, following a bland diet if tolerated, and avoiding any potential trigger foods. Keep track of your symptoms, including their onset, duration, and any specific foods or activities that seem to precede them. This information can be valuable when discussing your condition with a healthcare provider. READ MORE
Swelling of my feet and legs?
I can offer some general information that may help you understand your symptoms. However, it's important to consult in person with a healthcare professional for a proper evaluation and diagnosis, especially given the concerning symptoms you're experiencing. The swelling of the feet and legs, along with redness and pain, can have various potential causes, and it's crucial to identify the underlying issue for appropriate treatment. Some possible causes to consider include: 1. **Medication Side Effects:** Hydrochlorothiazide, which you're taking for high blood pressure, can cause fluid retention and swelling in some individuals. If you suspect this is a side effect, it's essential to discuss it with your healthcare provider. They may consider adjusting your medication or recommending an alternative. 2. **Venous Insufficiency:** Venous insufficiency occurs when the veins in the legs have difficulty returning blood to the heart, leading to fluid buildup, swelling, and discomfort. This condition can be associated with redness and pain. 3. **Deep Vein Thrombosis (DVT):** DVT is a blood clot that forms in the deep veins of the legs. It can cause swelling, redness, and pain, and it's a serious condition that requires immediate medical attention. 4. **Cellulitis:** Cellulitis is a bacterial skin infection that can cause redness, swelling, and pain. It often requires antibiotic treatment. 5. **Heart or Kidney Problems:** Swelling in the legs and feet can be associated with heart or kidney issues, which may not be adequately controlled by blood pressure medication alone. Given the progression and severity of your symptoms, I strongly recommend that you seek urgent medical attention. You should go back to the emergency room or visit a healthcare facility as soon as possible for a thorough evaluation. They can perform tests, such as ultrasounds to rule out DVT, and determine the cause of your symptoms. Timely diagnosis and appropriate treatment are crucial for addressing the underlying issue and relieving your discomfort. In the meantime, try to keep your legs elevated when sitting or lying down, avoid prolonged standing, and continue taking your prescribed medications. However, do not hesitate to seek immediate medical care for your current condition. READ MORE
Kidney stones?
The symptoms you're describing, including lower left-sided pain, nausea, sweating, and the presence of microscopic blood in the urine, are indeed suggestive of a possible kidney stone. Kidney stones can cause significant discomfort and other related symptoms. Kidney stones are solid masses that form in the kidneys and can sometimes travel down the urinary tract, leading to various symptoms. Common symptoms of kidney stones can include: 1. **Flank Pain:** Pain in the side or lower back is a hallmark symptom of kidney stones. The pain can be severe and may come and go. 2. **Nausea and Vomiting:** Nausea and vomiting can occur due to the pain and discomfort caused by kidney stones. 3. **Blood in the Urine:** Kidney stones can sometimes cause microscopic or visible blood in the urine, known as hematuria. 4. **Frequent Urination:** You may feel the need to urinate more frequently than usual, and urination can be painful or uncomfortable. 5. **Painful Urination:** Some individuals experience pain or a burning sensation when urinating. 6. **Urinary Urgency:** A strong, sudden urge to urinate can be a symptom of kidney stones. If you suspect you have kidney stones based on your symptoms, it's crucial to seek medical attention in person. Your healthcare provider can diagnose kidney stones through imaging tests, such as a CT scan or an ultrasound, and provide appropriate treatment. Treatment options may include pain management, hydration to help pass the stone, or, in some cases, surgical intervention if the stone is large or causing severe symptoms. Given your medical history and the presence of multiple conditions and medications, it's especially important to consult with a healthcare professional who can consider your overall health and tailor the treatment plan accordingly. Kidney stones can be managed effectively with proper medical care, so don't hesitate to reach out to your healthcare provider for an evaluation and guidance on the next steps. READ MORE
How do I engage my gastrocolic reflex better and relieve my bloating after eating?
I can offer some general advice on promoting healthy digestion and potentially enhancing the gastrocolic reflex. However, it's important to consult with a healthcare provider for a proper evaluation if you're experiencing persistent digestive issues and discomfort. Here are some strategies that may help: 1. **Eat Smaller, More Frequent Meals:** Instead of large, heavy meals, consider eating smaller, more frequent meals throughout the day. This can reduce the strain on your digestive system and help prevent bloating. 2. **Chew Food Thoroughly:** Make sure to chew your food thoroughly to aid in the initial digestion process and signal your body to prepare for digestion. 3. **Mindful Eating:** Take your time when eating, and be mindful of your meals. Avoid rushing through meals, as eating too quickly can lead to overeating and indigestion. 4. **Fiber-Rich Diet:** While you mentioned that you eat enough fiber, it's important to consume a variety of fiber-rich foods, including fruits, vegetables, whole grains, and legumes. Fiber can help regulate bowel movements and promote healthy digestion. 5. **Probiotics:** Consider incorporating probiotic-rich foods, such as yogurt or kefir, into your diet. Probiotics can promote a healthy gut microbiome, which is essential for digestion. 6. **Regular Physical Activity:** Engaging in regular physical activity, such as walking, can help stimulate peristalsis (the muscle contractions that move food through your digestive tract) and promote regular bowel movements. 7. **Stay Hydrated:** Ensure you are adequately hydrated throughout the day. Dehydration can contribute to digestive issues. 8. **Stress Management:** Stress and anxiety can affect digestion. Practice stress-reduction techniques such as deep breathing exercises, meditation, or yoga. 9. **Avoid Trigger Foods:** Pay attention to any specific foods that seem to trigger bloating or discomfort and consider reducing or eliminating them from your diet. 10. **Consult a Healthcare Provider:** If your digestive issues persist despite trying these strategies, it's essential to consult with a healthcare provider. They can assess your specific situation, conduct tests if necessary, and provide guidance or recommend treatments tailored to your needs. The gastrocolic reflex should naturally occur after eating, but individual variations can affect its intensity and effectiveness. If you continue to experience significant discomfort or digestive issues, seeking medical advice is crucial to rule out underlying conditions and receive personalized recommendations. READ MORE
Stage 3 kidney?
It's important to remember that specific medical advice should come from a healthcare professional who has reviewed your medical history and conducted a thorough examination. From the information you've provided, it sounds like you have several concerning health issues, including: 1. **Stage 3 Kidney Disease:** Stage 3 kidney disease means that your kidneys are not functioning at their optimal level. Kidney disease can have various causes, including high blood pressure and other medical conditions. It's essential to follow up with a healthcare provider to determine the underlying cause and develop a treatment plan. 2. **Pre-Diabetes:** Pre-diabetes indicates that your blood sugar levels are higher than normal but not high enough for a diabetes diagnosis. Lifestyle changes, such as diet and exercise, can often help prevent the progression to diabetes. 3. **Low Vitamin D:** Low vitamin D levels can be related to various factors, including diet, sun exposure, and medical conditions. Your healthcare provider can recommend appropriate supplementation if needed. 4. **Low Estrogen:** Low estrogen levels may be related to hormonal changes, and it's essential to discuss this with a healthcare provider who can provide guidance based on your specific situation. 5. **Swelling:** Swelling in the lower extremities can be related to various conditions, including kidney disease and high blood pressure. It's important to have this evaluated by a healthcare professional. 6. **Hand Lumps:** The lumps on your hand should also be evaluated by a healthcare provider to determine their cause and whether they require further investigation or treatment. Given the complexity of your health concerns and the need for multiple evaluations and potential interventions, it may be advisable to consult with a specialist or multiple specialists, depending on your primary healthcare provider's recommendations. Specialists who may be involved in your care could include a nephrologist (kidney specialist), endocrinologist (for diabetes and hormonal issues), and a rheumatologist or orthopedic specialist (for hand lumps and swelling). In the meantime, it's crucial to continue following up with your family doctor and communicate your concerns about the progression of your symptoms. It's also important to adhere to any prescribed medications or treatment plans, maintain a healthy lifestyle, and keep track of your symptoms and any changes in your condition. If you have difficulty waiting until your appointment in February, you can consider reaching out to your healthcare provider's office to discuss whether an earlier appointment or consultation with a specialist is necessary based on the severity of your symptoms. READ MORE
I have low RDW, high immature granulocytes and a few other things?
It's important to note that specific medical advice should come from a healthcare professional who has access to your complete medical history and can conduct a thorough examination. The combination of symptoms you've described, including joint pain, muscle pain, nausea, tingling in the hands and feet, low alkaline phosphatase, positive ANA (antinuclear antibody), low RDW (red cell distribution width), low sodium, low urine specific gravity, and high immature granulocytes, is complex and may require further evaluation by a healthcare provider. These symptoms could be indicative of various underlying medical conditions or factors, and it's essential to investigate them comprehensively. Here are some potential considerations: 1. **Autoimmune Disorders:** A positive ANA, even at a low titer, can sometimes be associated with autoimmune disorders. However, a diagnosis of an autoimmune disorder typically requires further specific antibody testing and clinical evaluation. 2. **Electrolyte Imbalance:** Low sodium levels can cause symptoms such as nausea, muscle weakness, and tingling. An evaluation by a healthcare provider can help determine the cause of your electrolyte imbalance and guide appropriate treatment. 3. **Hematological Abnormalities:** Low RDW and elevated immature granulocytes can be indicative of various blood-related conditions, including certain infections, inflammation, or bone marrow disorders. Additional blood tests and clinical assessment may be needed. 4. **Nausea:** Nausea can have numerous potential causes, including gastrointestinal issues, medication side effects, or systemic conditions. Your healthcare provider can investigate the cause and provide appropriate management. 5. **Muscle and Joint Pain:** These symptoms can have many causes, including inflammatory conditions, musculoskeletal issues, or other underlying medical conditions. Given the complexity of your symptoms and the range of potential underlying causes, it's crucial to maintain open communication with your healthcare provider. They may recommend further testing, such as additional blood work, imaging studies, or consultations with specialists, to determine the root cause of your symptoms. Be sure to provide your healthcare provider with a detailed medical history, including the timing and progression of your symptoms. This information will be essential for accurate diagnosis and appropriate treatment planning. If you ever experience severe or worsening symptoms or have concerns about your condition, don't hesitate to seek prompt medical attention. READ MORE
How to make sure I don't catch a bacterial infection along with covid?
If you suspect you have COVID-19 or are experiencing symptoms consistent with COVID-19, it's crucial to follow appropriate measures and consult with a healthcare professional for guidance on managing your symptoms and potential complications. Here are some general steps you can take to reduce the risk of bacterial superinfections during or after a COVID-19 infection: 1. **Follow COVID-19 Guidelines:** Continue following local public health guidelines for COVID-19, including isolation and quarantine requirements, mask-wearing, and social distancing, to reduce the risk of transmission to others. 2. **Consult a Healthcare Provider:** If your COVID-19 symptoms have reappeared or worsened, it's important to consult with a healthcare provider for a proper evaluation. They can determine whether antibiotics are necessary based on your specific symptoms and medical history. 3. **Avoid Self-Medication:** Do not take antibiotics without a prescription from a healthcare provider. Antibiotics are effective against bacterial infections, not viral infections like COVID-19. Taking antibiotics unnecessarily can lead to antibiotic resistance and other side effects. 4. **Practice Good Hygiene:** Continue practicing good hand hygiene by washing your hands frequently with soap and water for at least 20 seconds. Use hand sanitizer with at least 60% alcohol when soap and water are not available. 5. **Stay Hydrated and Rest:** Proper hydration and rest can support your immune system in fighting off infections, including viral infections like COVID-19. 6. **Monitor Symptoms:** Keep a close eye on your symptoms. If you develop symptoms suggestive of a bacterial infection, such as high fever, productive cough with green or yellow mucus, severe sore throat, or difficulty breathing, seek prompt medical attention. 7. **Vaccination:** Consider getting vaccinated against COVID-19 if you haven't already. Vaccination can significantly reduce the risk of severe illness and complications associated with the virus. 8. **Follow Treatment Recommendations:** If prescribed antiviral medications or other treatments for COVID-19 by your healthcare provider, be sure to follow their instructions and complete the recommended course of treatment. 9. **Isolation:** If you have COVID-19, continue to isolate yourself to prevent the potential spread of the virus to others. It's important to remember that only a healthcare provider can determine whether antibiotics are necessary based on a thorough evaluation of your symptoms and medical history. Taking antibiotics without a prescription can be ineffective and potentially harmful. Please consult with a healthcare professional to discuss your symptoms and receive appropriate guidance and treatment recommendations. They can provide personalized care to address your specific situation and concerns. READ MORE
My 16 year old old daughter hardly ever has an appetite?
It's important to remember that consulting with a healthcare professional, especially a pediatrician and possibly a mental health specialist, is crucial for a proper evaluation and diagnosis. Here are some considerations and steps you can take: 1. **Consult with a Pediatrician:** It's a good idea to revisit your daughter's pediatrician, and possibly seek a second opinion, to further investigate her lack of appetite and weight concerns. While her blood panel and thyroid tests were normal, it's important to continue monitoring her health and explore potential underlying medical issues that may not have been identified initially. 2. **Consult with a Mental Health Professional:** Given her history of anxiety and the possibility of an eating disorder, it's essential to consult with a mental health professional who specializes in adolescent mental health and eating disorders. Eating disorders can have complex psychological components, and a thorough assessment is necessary. 3. **Nutritionist Consultation:** Consulting with a registered dietitian or nutritionist can help create a balanced and nutritious meal plan that accommodates her limited appetite and food preferences. They can provide guidance on how to increase nutrient intake while addressing her concerns about feeling full quickly. 4. **Address Procrastination:** Procrastination can be a significant contributor to her overall stress and anxiety, which may further affect her appetite. Consider working with her on time management and organizational skills to help her reduce academic stress and allocate more time for meals. 5. **Promote Regular Physical Activity:** Encouraging regular physical activity can have multiple benefits, including improving appetite, reducing stress, and enhancing overall well-being. Encourage her to engage in activities she enjoys, even if they are not formal workouts. 6. **Open Communication:** Maintain open and non-judgmental communication with your daughter. Let her know that you are there to support her, both physically and emotionally. Listen to her concerns and feelings without pressuring her about eating. 7. **Consider Family Counseling:** Family counseling can be helpful in addressing both the individual's and the family's concerns and dynamics. It can provide a supportive environment for discussions and problem-solving. 8. **Monitor for Warning Signs:** Be vigilant for any signs of deteriorating physical or emotional health, such as significant weight loss, isolation, or an increase in anxiety or depression symptoms. Seek professional help promptly if any concerning signs arise. Remember that eating disorders, including atypical presentations like avoidant/restrictive food intake disorder (ARFID), can be challenging to diagnose and treat. Early intervention and a multidisciplinary approach that includes medical, nutritional, and mental health components can be most effective. Ultimately, it's crucial to work closely with healthcare professionals who specialize in adolescent health and eating disorders to determine the most appropriate course of action for your daughter's specific situation. READ MORE
What medication should I avoid after heart attack?
I can offer some general guidance on medications to avoid or be cautious with after a heart attack. It's essential to follow your healthcare provider's recommendations, as they will tailor your medication regimen to your specific condition and needs. Here are some medications and substances to be cautious with or avoid after a heart attack: 1. **Non-Steroidal Anti-Inflammatory Drugs (NSAIDs):** These medications, such as ibuprofen and naproxen, can increase the risk of bleeding and may have adverse effects on the heart. Your healthcare provider may recommend alternative pain relievers or prescribe a specific NSAID if necessary. 2. **Corticosteroids:** Long-term use of corticosteroids can raise blood pressure and increase the risk of cardiovascular events. If you require corticosteroids for a medical condition, your healthcare provider will carefully assess the risks and benefits. 3. **Certain Antidepressants:** Some antidepressants, such as tricyclic antidepressants, can affect heart rhythm and blood pressure. Your healthcare provider will evaluate your mental health needs and prescribe medications that are safer for your heart if necessary. 4. **Decongestants:** Over-the-counter decongestants, such as pseudoephedrine, can elevate blood pressure and should be used cautiously or avoided. Consult your healthcare provider or pharmacist for suitable alternatives. 5. **Stimulants:** Medications or substances that stimulate the heart, such as certain weight loss drugs or recreational substances like cocaine, can be dangerous after a heart attack and should be avoided. 6. **Excessive Caffeine:** While moderate caffeine consumption is generally safe for most people, excessive caffeine intake can increase heart rate and blood pressure. Monitor your caffeine consumption and consult your healthcare provider for guidance. 7. **Alcohol:** Excessive alcohol consumption can have adverse effects on the heart. If you consume alcohol, do so in moderation and discuss your alcohol use with your healthcare provider. 8. **Herbal Supplements:** Some herbal supplements can interact with medications or have effects on the cardiovascular system. Inform your healthcare provider about any herbal supplements you are taking. 9. **Prescription Medications:** Always inform your healthcare provider about all prescription medications you are taking, as some may need adjustment or modification after a heart attack. It's crucial to attend all follow-up appointments with your healthcare provider, adhere to your prescribed medication regimen, and communicate any side effects or concerns you may have. Your healthcare team will carefully monitor your condition and make necessary adjustments to ensure your medications are safe and effective in reducing the risk of future cardiac events. Please consult your healthcare provider for personalized advice regarding your specific medications and health status. READ MORE
What happens if you give the wrong blood transfusion?
Administering the wrong blood transfusion, such as giving a patient blood that is not compatible with their blood type, can have serious and potentially life-threatening consequences. This is why blood transfusion procedures are meticulously controlled and verified to prevent such errors. Here are some of the potential complications and risks associated with a wrong blood transfusion: 1. **Acute Hemolytic Reaction:** This is the most severe and immediate consequence of a wrong blood transfusion. It occurs when the recipient's immune system reacts against the transfused blood. Symptoms can include fever, chills, nausea, vomiting, chest pain, shortness of breath, and rapid and potentially life-threatening complications like kidney failure, shock, and blood clotting problems. 2. **Delayed Hemolytic Reaction:** In some cases, the reaction to an incompatible blood transfusion might not be immediate but can occur days or weeks later. Symptoms may include unexplained anemia, jaundice (yellowing of the skin and eyes), and kidney problems. 3. **Febrile Non-Hemolytic Reaction:** This type of reaction is characterized by fever and chills and is generally less severe than acute hemolytic reactions. It is often due to immune factors or antibodies present in the recipient's blood. While not life-threatening, it can be uncomfortable. 4. **Allergic Reactions:** Some individuals may experience allergic reactions to components in the transfused blood, such as plasma proteins. Symptoms may include itching, hives, and difficulty breathing. These reactions are typically not life-threatening but should be addressed promptly. 5. **Infections:** There is a very small risk of transmitting infections through blood transfusions, although this risk has been significantly reduced due to rigorous testing and screening of donated blood. To prevent wrong blood transfusions, healthcare facilities have strict protocols in place. These protocols include verifying the patient's identity, confirming the blood type and compatibility, and performing final checks before the transfusion. Automated systems and barcode scanning are often used to enhance safety and accuracy. If there is any suspicion of a wrong blood transfusion, it must be reported immediately to healthcare providers so that appropriate interventions can be taken to minimize the potential harm. If you are receiving a blood transfusion, it's essential to have confidence in the healthcare team's procedures and to communicate any concerns or questions you may have. The risk of a wrong blood transfusion is low but not entirely eliminated, so vigilance and adherence to safety protocols are crucial in medical settings. READ MORE
How long do you stay on blood thinners after stents?
The duration of blood thinner (anticoagulant) therapy after receiving stents can vary depending on several factors, including the type of stent placed, the reason for the stent placement, and an individual's overall health and medical history. In general, here are some guidelines: 1. **Drug-Eluting Stents (DES):** If you received a drug-eluting stent, which is coated with medication to prevent restenosis (re-narrowing of the blood vessel), it is common to continue dual antiplatelet therapy (DAPT) for at least 12 months. DAPT typically consists of aspirin and a P2Y12 inhibitor (such as clopidogrel, prasugrel, or ticagrelor). 2. **Bare-Metal Stents (BMS):** If you received a bare-metal stent, which is not coated with medication, the recommended duration of DAPT may be shorter, often around 1 to 3 months. 3. **Complex Procedures or High Risk:** In some cases, particularly when stent placement is part of a complex procedure or for individuals at high risk for clotting, the duration of blood thinners may be longer, up to 6 to 12 months or more. 4. **Individualized Decision:** Ultimately, the decision on how long to stay on blood thinners is individualized and should be made in consultation with your cardiologist or healthcare provider. They will consider your specific medical history, the reason for the stent, your risk of clotting or bleeding, and other factors when determining the appropriate duration. 5. **Lifelong Aspirin:** In many cases, even after discontinuing the P2Y12 inhibitor component of DAPT, individuals are often advised to continue taking aspirin on a long-term basis to prevent clotting. It's crucial to follow your healthcare provider's recommendations regarding blood thinner therapy closely. Stopping blood thinners too early can increase the risk of clot formation, while staying on them for an extended period may increase the risk of bleeding. Your healthcare provider will weigh these risks and benefits to provide you with the most appropriate treatment plan. Remember to communicate any side effects or concerns about your medications with your healthcare provider, and attend follow-up appointments as scheduled to monitor your progress and adjust your treatment plan as needed. READ MORE
Diarrhea from surgery?
Chronic diarrhea following surgery, such as the one you described, can have various causes, including changes in the gastrointestinal tract, alterations in bowel habits, and underlying conditions. Here are some steps to consider: 1. **Consult a Gastroenterologist:** If you haven't already, it's essential to consult with a gastroenterologist, a specialist in digestive disorders. They can perform a thorough evaluation, including a review of your medical history, imaging studies, and possibly additional tests like colonoscopy, to identify the underlying cause of your chronic diarrhea. 2. **Dietary Modifications:** Certain dietary changes may help manage diarrhea. Your gastroenterologist or a registered dietitian can provide guidance on a suitable diet plan. They might recommend a low-residue diet, which limits high-fiber foods that can exacerbate diarrhea. 3. **Medications:** Your healthcare provider may prescribe medications to help manage diarrhea, such as anti-diarrheal medications, bile acid binders, or medications that reduce bowel motility. It's crucial to follow your healthcare provider's recommendations and not self-medicate. 4. **Lifestyle Modifications:** Lifestyle factors can influence bowel habits. Managing stress, getting regular exercise, and ensuring you stay well-hydrated can be beneficial. 5. **Monitoring for Infections:** Diarrhea can sometimes be associated with infections. Your healthcare provider may test for and treat any underlying infections that could contribute to diarrhea. 6. **Consideration of Surgical Complications:** Since you had surgery to address a fistula infection, it's essential to ensure that there are no complications or residual issues related to the surgery. Your surgeon and gastroenterologist should collaborate to assess this. 7. **Bowel Rest:** In some cases, temporary bowel rest, which involves avoiding solid foods for a period while providing nutrition through intravenous (IV) fluids, may be recommended to give the gastrointestinal tract time to heal. Remember that chronic diarrhea can have various causes, and the treatment approach will depend on identifying and addressing the underlying issue. It's important to maintain open communication with your healthcare providers and follow their recommendations closely to find an effective solution for your specific situation. READ MORE
Will I have scars after gallbladder surgery?
Gallbladder surgery, also known as cholecystectomy, can be performed using different techniques, and the presence and size of scars can vary depending on the surgical approach. The two primary methods for gallbladder removal are laparoscopic (minimally invasive) surgery and open surgery. Here's what you can generally expect in terms of scars for each approach: 1. **Laparoscopic Gallbladder Surgery (Laparoscopic Cholecystectomy):** - **Scars:** With laparoscopic surgery, several small incisions (usually 3 to 4) are made in the abdominal area. These incisions are typically less than an inch in length. - **Scar Appearance:** The scars from laparoscopic surgery are often referred to as "keyhole" or "buttonhole" scars. They tend to be small and discreet. Over time, they typically fade and become less noticeable. - **Healing Time:** The healing time for these small incisions is usually shorter than for open surgery, and patients often recover more quickly. 2. **Open Gallbladder Surgery (Open Cholecystectomy):** - **Scars:** Open surgery involves a single, larger incision, typically made below the ribcage on the right side of the abdomen. - **Scar Appearance:** The scar from open gallbladder surgery is more prominent and noticeable compared to laparoscopic surgery. It tends to be longer, and its appearance can vary from person to person. - **Healing Time:** The healing time for an open incision is generally longer, and recovery may take more time compared to laparoscopic surgery. It's important to keep in mind that while scars are an expected outcome of surgery, their size and appearance can be influenced by factors such as your individual healing process, the skill of the surgeon, and how well you care for the incisions during the healing process. To minimize the appearance of scars and promote healthy healing: - Follow your surgeon's post-operative care instructions. - Keep the incision areas clean and dry. - Avoid exposing the incisions to direct sunlight. - Use scar management techniques such as silicone gel sheets or creams (as recommended by your surgeon) once the incisions have healed to help reduce the appearance of scars. Over time, scars typically fade and become less noticeable. If you have specific concerns about scarring or any aspect of your surgery, be sure to discuss them with your surgeon before the procedure. They can provide you with personalized information and advice based on your individual situation. READ MORE
How long does it take to recover from kidney resection surgery?
Recovery from kidney resection surgery, also known as a partial nephrectomy, can vary depending on several factors, including the type of surgery, the extent of the procedure, your overall health, and how well you follow post-operative care instructions. Here's a general overview of what to expect during the recovery period: 1. **Hospital Stay:** You will typically spend a few days (2 to 5 days) in the hospital after kidney resection surgery. During this time, medical staff will monitor your condition, manage pain, and ensure that your kidney is functioning well. 2. **Pain Management:** Pain and discomfort are common after surgery. Your healthcare team will provide pain relief medications as needed to keep you comfortable. 3. **Return to Normal Activities:** The time it takes to return to normal activities can vary but generally ranges from a few weeks to a few months. Here's a rough timeline: - **Hospital Stay:** 2 to 5 days - **Full Recovery:** Several weeks to a few months - **Return to Desk Job:** Typically within a few weeks - **Heavy Lifting and Strenuous Activities:** Usually restricted for at least 4 to 6 weeks 4. **Diet:** Your healthcare provider may recommend dietary modifications, such as avoiding certain foods or limiting sodium intake, to support kidney health during the recovery period. 5. **Follow-Up Appointments:** You will have follow-up appointments with your surgeon to monitor your progress, assess kidney function, and address any concerns or complications. 6. **Incision Care:** You'll need to keep the surgical incision clean and dry to reduce the risk of infection. Your surgeon will provide specific instructions for incision care. 7. **Physical Activity:** Initially, you'll need to take it easy and gradually increase physical activity. Walking is often encouraged as a gentle form of exercise during recovery. 8. **Pain and Discomfort:** Some degree of pain and discomfort can persist for a few weeks after surgery, but it should gradually improve. Your healthcare provider will provide pain management guidance. 9. **Complications:** While complications are rare, it's important to be aware of signs of infection, bleeding, or other issues and to contact your healthcare provider if you experience any concerning symptoms. It's essential to follow your healthcare provider's post-operative instructions carefully to ensure a smooth recovery. These instructions may include restrictions on activities, dietary guidelines, and medications. Recovery times can vary from person to person, so it's crucial to be patient with your body and allow it the time it needs to heal fully. Your healthcare provider can give you a more personalized estimate of your expected recovery time based on your specific circumstances and the details of your surgery. READ MORE
How much weight should I have gained at 20 weeks?
The amount of weight a woman should gain during pregnancy can vary depending on several factors, including her pre-pregnancy weight and overall health. Generally, weight gain recommendations during pregnancy are based on pre-pregnancy body mass index (BMI) categories. Here are the guidelines provided by the American College of Obstetricians and Gynecologists (ACOG): 1. **Underweight (BMI less than 18.5):** Recommended weight gain is approximately 28 to 40 pounds during pregnancy. 2. **Normal Weight (BMI 18.5 to 24.9):** Recommended weight gain is approximately 25 to 35 pounds during pregnancy. 3. **Overweight (BMI 25 to 29.9):** Recommended weight gain is approximately 15 to 25 pounds during pregnancy. 4. **Obese (BMI 30 or higher):** Recommended weight gain is approximately 11 to 20 pounds during pregnancy. It's important to note that these are general guidelines, and individual weight gain can vary. Some women may gain more or less weight than the recommended range, and that can be perfectly healthy depending on their individual circumstances. Weight gain is not evenly distributed throughout pregnancy. Typically, in the second trimester (around 20 weeks), most women have gained some weight, but the rate of gain may vary. It's essential to focus on overall health and nutrition rather than fixating solely on the number on the scale. A healthcare provider will monitor your weight gain during prenatal visits and can provide guidance specific to your situation. Healthy weight gain during pregnancy is important for both your health and the baby's health. It's also important to maintain a balanced diet, stay active (as recommended by your healthcare provider), and attend regular prenatal check-ups to ensure you and your baby are progressing well throughout the pregnancy. If you have concerns about your weight gain or any other aspect of your pregnancy, don't hesitate to discuss them with your healthcare provider. They can offer personalized guidance to help ensure a healthy pregnancy. READ MORE
I purposely slammed my head (possibly multiple times) into a wall due to emotional distress?
I'm really sorry to hear that you've been experiencing these symptoms and distress. I can try to provide some general information that might help you decide what to do next. 1. **Seek Medical Evaluation:** Given the severity and duration of your symptoms, it is advisable to consult a healthcare professional, preferably a neurologist or a specialist in head injuries. They can conduct a thorough evaluation to assess your condition and determine whether there are any underlying issues, such as a concussion or other neurological concerns. 2. **Consider Mental Health Support:** It's essential to address the emotional distress and anxiety you're experiencing, which may be exacerbating your physical symptoms. You mentioned a history of anxiety, OCD, and possibly ADHD. Consulting a mental health professional, such as a therapist or psychiatrist, can help you manage these conditions and explore potential treatment options, including medication or therapy. 3. **Medication Changes:** It's essential to consult with a healthcare provider before making any changes to your medication regimen, including discontinuing medications like Zoloft. Abruptly stopping medications can lead to withdrawal symptoms and may affect your mental health. 4. **Be Honest About Your Symptoms:** When you see a healthcare provider, it's crucial to provide a complete and honest history of your symptoms, including the head trauma and any other concerns. This information will help them make an accurate diagnosis and develop an appropriate treatment plan. 5. **Consider Therapy:** Therapy, such as cognitive-behavioral therapy (CBT), can be highly effective in managing OCD and anxiety, as well as helping you develop coping strategies for emotional distress. 6. **Stay Connected:** Reach out to friends, family members, or support networks to share your feelings and experiences. Having a support system can be crucial during challenging times. It's important not to self-diagnose or dismiss your symptoms, especially if they have been ongoing for an extended period and are impacting your daily life. A healthcare professional can provide a proper evaluation and guidance tailored to your specific needs. Please seek medical attention promptly to address your concerns and get the appropriate help and support you need. READ MORE
How long does aneurysm surgery take?
The duration of aneurysm surgery can vary widely depending on several factors, including the location, size, and complexity of the aneurysm, as well as the specific surgical technique used. In general, the time it takes to perform an aneurysm surgery can range from a few hours to several hours. Here's a general overview: 1. **Clipping Surgery:** Aneurysm clipping is a surgical procedure in which a neurosurgeon places a small metal clip at the base of the aneurysm to prevent blood flow into it. The duration of this surgery can vary but typically ranges from 2 to 4 hours, although more complex cases may take longer. 2. **Coiling Surgery:** Aneurysm coiling, also known as endovascular coiling, is a minimally invasive procedure in which a neurointerventional radiologist inserts a catheter through an artery, navigates it to the aneurysm, and fills the aneurysm with coils to block blood flow. Coiling procedures can be shorter than clipping surgeries, often taking around 1 to 3 hours, but the time can vary. 3. **Hybrid Procedures:** In some cases, a combination of surgical techniques may be used, which can extend the duration of the surgery. 4. **Complex Cases:** Very complex or large aneurysms may require more extensive surgery and can take longer, potentially up to 6 hours or more. 5. **Preparation and Recovery Time:** It's important to note that the total time spent in the operating room includes not only the surgical procedure itself but also the time required for preparation and recovery in the operating room. The exact duration of your aneurysm surgery will be determined by your medical team based on the specific characteristics of your aneurysm and your overall health. Your surgeon will discuss the estimated duration with you before the procedure. Keep in mind that the time in surgery is just one aspect of your overall experience. Recovery from aneurysm surgery varies from person to person and may involve a period of hospitalization and rehabilitation. Your healthcare team will provide you with detailed information about what to expect during and after the surgery, including the recovery process and potential complications. READ MORE
Can lung damage be repaired?
The ability to repair lung damage depends on several factors, including the cause and extent of the damage, the individual's overall health, and how early the damage is detected and treated. Here are some key points to consider: 1. **Cause of Lung Damage:** The cause of lung damage can vary widely. Common causes include smoking, exposure to environmental pollutants, respiratory infections, chronic diseases like chronic obstructive pulmonary disease (COPD) or interstitial lung disease, and more. The specific cause of the damage often influences the potential for repair. 2. **Extent of Damage:** The degree of lung damage matters. In some cases, the damage may be mild and reversible, while in others, it can be severe and irreversible. Lung damage can range from inflammation and scarring to the destruction of lung tissue. 3. **Early Intervention:** Detecting and addressing lung damage in its early stages can improve the chances of repair and recovery. For example, quitting smoking or treating respiratory infections promptly can prevent further damage and promote healing. 4. **Medical Treatment:** Some causes of lung damage can be managed with medical treatment. For example, medications, oxygen therapy, and pulmonary rehabilitation can help individuals with certain lung diseases manage symptoms and improve lung function. 5. **Lifestyle Changes:** Lifestyle modifications, such as quitting smoking, avoiding exposure to harmful pollutants, and adopting a healthy diet and exercise routine, can significantly impact lung health and potentially facilitate repair. 6. **Surgical Options:** In some cases, surgical interventions, such as lung volume reduction surgery or lung transplant, may be considered for individuals with severe lung damage and specific conditions. It's essential to consult a healthcare provider for a thorough evaluation and diagnosis if you suspect or have been diagnosed with lung damage. They can determine the underlying cause, assess the extent of the damage, and provide appropriate treatment recommendations. While not all lung damage can be completely reversed, many individuals can experience improvements in lung function and overall quality of life with the right interventions and lifestyle changes. The prognosis and potential for repair depend on various factors, so it's crucial to work closely with a healthcare team to develop a personalized treatment plan and monitor progress over time. READ MORE
Which is better laparoscopy or open surgery for hernia repair?
The choice between laparoscopic (minimally invasive) and open surgery for inguinal hernia repair depends on several factors, including the patient's individual circumstances and the surgeon's expertise. Both approaches have their advantages and potential disadvantages. It's essential to discuss your specific situation with a healthcare provider to determine the most suitable option for you. Here's a comparison of the two approaches: **Laparoscopic Hernia Repair:** 1. **Smaller Incisions:** Laparoscopic surgery involves making several small incisions through which the surgeon inserts specialized instruments and a camera (laparoscope). This often results in smaller scars and less tissue trauma. 2. **Faster Recovery:** Patients typically experience less post-operative pain and a quicker return to normal activities compared to open surgery. Many people can go home the same day or the day after the procedure. 3. **Lower Risk of Infection:** The smaller incisions and reduced exposure of the hernia to external contaminants can lower the risk of surgical site infections. 4. **Potential for Less Chronic Pain:** Some studies suggest that laparoscopic repair may be associated with a lower risk of developing chronic pain after surgery. **Open Hernia Repair:** 1. **Well-Established Technique:** Open surgery for hernia repair has been used successfully for many years and is a well-established technique. 2. **Versatile:** Open surgery allows the surgeon to have direct access to the hernia, making it suitable for various types and sizes of hernias. 3. **Lower Equipment Costs:** Open surgery generally requires fewer specialized instruments and equipment, which can be more cost-effective. 4. **Suitable for Some Complex Cases:** In some complex hernia cases, such as recurrent hernias or large hernias, open surgery may be the preferred option. The choice between laparoscopic and open surgery should be based on factors such as the size and type of hernia, the patient's overall health, the surgeon's experience and preference, and the patient's preferences and lifestyle. Ultimately, both laparoscopic and open hernia repair techniques can be effective, and the success of the procedure often depends on the skill and experience of the surgeon. Discuss your options and concerns with a surgeon who specializes in hernia repair. They can provide personalized recommendations and help you make an informed decision that aligns with your specific needs and circumstances. READ MORE

Areas of expertise and specialization

TelemedicineCOVID-19Functional MedicineMedical Cannabis

Awards

Top doctor 2021 Top Doctor

Professional Memberships

American Medical Association
American Telemedicine Association

Treatments

I-Mask Protocol for COVID-19 AAPS Protocol for COVID-19 I-Recover Protocol for COVID -19 Long Haul

Internships

Morristown Memorial Hospital, Morristown NJ

Professional Society Memberships

American Medical Association American Telemedicine Association

Professional Affiliations

AAPSFLCCC, associate physician member

Areas of research

Covid-19 long haul

Teaching and speaking

Dr. Antonatos Discusses COVID management https://www.youtube.com/watch?v=0G2nBJT_xUkDr. Antonatos Discusses COVID Long Haul management (7/14/2021) https://www.youtube.com/watch?v=gfskyH8pXlM

Favorite Place to Vacation

Panama and Greece

Hobbies / Sports

Sailing, hiking, soccer

Areas of research

COVID-19 Long Haul

Dr. Miguel Antonatos, MD's Practice location

Text2MD

4803 N Milwaukee Ave IL 60630 Phone: 855-767-8559 Suite B Unit #220 -
Chicago, IL 60630

Get Direction

New patients: 855-767-8559

www.text2md.com

Mon:09:00 AM - 05:00 PM
Tue:09:00 AM - 05:00 PM
Wed:09:00 AM - 05:00 PM
Thu:09:00 AM - 05:00 PM
Fri:09:00 AM - 05:00 PM
Sat:Closed
Sun:Closed

Dr. Miguel Antonatos, MD's reviews

(0)

Write Review

Nearby Providers

Mr. Demetrios John Giokaris MD4921 North Western Avenue Chicago Illinois 60625
Dr. Theodore Morrison Homa MD3295 N Arlington Heights Rd Arlington Heights IL 60004
Dr. Jaroslaw Leszczak MD1550 N NORTHWEST HWY PARK RIDGE IL 60068
Dr. Haresh Sawlani M.D.3445 North Central Avenue Chicago Illinois 60634
Dr. Gretel Ruiz Jorge M.D.3048 N Wilton Ave Chicago IL 60657
Dr. Irma Kuptel MD1550 N. NW Highway Park Ridge Illinois 60068