Dr. James A Coomes M.D.

Introduction A GI cocktail or gastrointestinal cocktail is a mixture of liquid antacid, viscous lidocaine, and an anticholinergic agent. A GI cocktail is primarily used to treat dyspepsia.There are a wide variety of GI cocktail recipes nowadays. One popular recipe is a mixture of viscous lidocaine,...

What is creatine phosphokinase (CPK)?Creatine phosphokinase (CPK) is an enzyme, which is predominantly present in the heart, brain, and skeletal muscles. Converting creatine into phosphate is the main task of this enzyme. The cells of the body then quickly consume or burn this phosphate and use it...

What is lightheadedness?Lightheadedness or feeling faint may not always be a cause for concern. However, it may also indicate an underlying health problem and can increase the risk of falling and fall-related injuries. If you feel lightheaded, drink water or fluids containing electrolytes and take...

Uncontrollable shivering is characterized by the rapid shifting between muscle relaxation and contraction. It is through these contractions that the body warms itself up when exposed to cold. Shivering is not always accompanied by fever. In some cases, shivering may occur before the onset of...

OverviewA transient ischemic attack (TIA) is a mini-stroke, which only lasts for a few minutes. It occurs when blood stops flowing to a part of the brain for a short time. The symptoms of TIA are similar to other symptoms of stroke, but they do not last long, so TIA does not lead to permanent...

What is encephalitis?Encephalitis means inflammation of the brain. Fever, headache, and joint pain are often experienced in the early stages of encephalitis. Other severe symptoms may develop over some days or hours. They include personality changes, seizures, disorientation, confusion, or...