Dr. Ronald J Appel MD

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...

What is epistaxis?Epistaxis or commonly called a nosebleed is defined as a type of bleeding that occurs from the nostrils, the nasal cavity, or the nasopharynx. Nosebleeds are mostly caused by the rupture of blood vessels inside the nose. Bleeding may be spontaneous or caused by injuries or trauma....

Almost every cell in the body has a primary source of energy, which is usually glucose. However, when the body doesn't have enough glucose, the liver responds by producing chemicals known as ketones, converting stored fatty acids into ketone bodies. Ketones are used as a backup fuel source when...

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...

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...