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Can I redo the sleeve surgery cause I gained 20 kilos after 4 years?
Dr. Zakia Dimassi,
Pediatrics
- There are no known effective procedures for weight regain after bariatric surgery. The stomach pouch and outlet to the small intestine may get slightly larger over time following gastric bypass. Howev... Read More
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My jaw hurts every time I eat. The doctor said I have tmj. My gum also hurts as well as my left ear and throat. Do I need surgery for that? Is my case dangerous?
Dr. Zakia Dimassi,
Pediatrics
- Your symptoms are typical of TMD (temporo-mandibular joint disease), as this joint is traversed by two major nerves that supply the head, face and neck, as such any disturbance in the TMJ may very wel... Read More
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All the kidney tests were fine, no proteins. If the liver is bad, doesn't it affect other parameters? Albumins. Every other test is normal.
Dr. Zakia Dimassi,
Pediatrics
- As I have explained in my previous response, this mildly decreased globulin is most likely due to either a lab error or poor absorption of nutrients from the intestines due to irritable bowel syndrome... Read More
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Is there any connection between drinking wine and mouth ulcers? Every time I drink wine I seem to get them.
Dr. Zakia Dimassi,
Pediatrics
- Mouth sores or ulcers is a general term used to describe cold sores, canker sores and other kinds of irritation to the inner lining of the mouth. The most typical and common precipitating factors incl... Read More
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How can I tell if I have a micro penis?
Dr. Zakia Dimassi,
Pediatrics
- Microphallus, or micropenis, is defined as a stretched penile length (SPL) of less than 2.5 standard deviations (SDs) below the mean for age, and this is usually discovered during infancy. Traditional... Read More
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My facial hair hasn't grown out yet and my voice hasn't thickened yet. Should I be concerned and visit an endocrinologist?
Dr. Zakia Dimassi,
Pediatrics
- The definition of delayed puberty in males is: no testicular enlargement by age of 14 years or when more than five years have lapsed between initial and complete development of genitalia. In other wor... Read More
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What are the latest news regarding multiple sclerosis?
Dr. Zakia Dimassi,
Pediatrics
- Here is the latest information on multiple sclerosis (MS) in a nutshell:
1- The 2014 Americas Committee for Treatment and Research in Multiple Sclerosis (ACTRIMS)/European Committee for Treatment and ... Read More
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I have irritable bowel syndrome, albumine 6, 27 globulin 1, 7. Low globulin but everything else is normal. Total cholesterol 138 hdl 37 (low). Anything to worry about? Liver, kidney?
Dr. Zakia Dimassi,
Pediatrics
- If your irritable bowel syndrome pattern is diarrhea-dominant, then this explains the mildly decreased globulin level, and that is due to malabsorption. Causes of low globulin level include malnutriti... Read More
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Does being gay have any effect on fertility, sperm count and testosterone in men?
Dr. Karim Farah,
Pulmonology
- Testosterone level, fertility and sperm count have nothing to do with one's sexuality. To know the fertility quantity and quality of your sperm, you can do a sperm count and check it in the lab.
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Why don't doctors recommend flu vaccination?
Dr. Karim Farah,
Pulmonology
- Everyone above 6 months of age should receive the flu vaccine unless contraindicated, i.e. previous allergy to it. Starting this October, you should take it from any pharmacy or hospital.
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