Dr. Candido Otero, M.D.

Urine sample to test bacteria, any blood in the urine and even pus secretion. Thank you.

Sir, please, visit an UC/ER for those signs and symptoms. You probably have a nerve compression in the cervical area that needs to be investigated further. Most probably they will take neck x-rays, head MRI's and other tests that are important for the diagnosis based on the presentation that you just described. Please, do it as soon as you can. Thank you.

Yes, pain in the area between the anus and the scrotum is common from few days to several weeks. Also, blood in the urine can be found for a few days to few weeks. Any surgical procedure has their risk. The main thing that happens after a probate biopsy is pain in the area between the anus and the scrotum is common from few days to several weeks. Also, blood in the urine can be found for a few days to few weeks. Fever, pain or burning sensation during urination could be an indication of infection. Consult your healthcare provider. Thank you.

Yes, inflammatory reactions occur with infectious diseases anywhere in the body. That’s a natural response of the body tissue to any infectious invader to the body and with toxic substances. The fact that they order additional biopsies of the esophagus is because they need to see if the treatment with antibiotics helped the infectious process, and the swelling/inflammatory response went away. Also, they need to check for cancer of the esophagus that they present with an inflammatory respond around the cancer area. Neoplastic only means that it is an abnormal growth of cells (non-cancerous and cancerous). When a pathologist receives a specimen, is a biopsy done by the medical doctor who did the procedure. What the pathology reports are based on the biopsy taken out by the Dr. Remember, the pathologist, who is the Dr. of Drs., is the one who tells the diagnosis based on what is submitted by the surgeon who did the biopsy. Thank you.

Pain at the biopsy site is pretty common after a kidney biopsy, however, it usually lasts for far hours. They give you local anesthesia that last for minutes to probably an hour., so the pain is more tolerable. It is an easy procedure. Thank you.

Normal protein level in an adult range from 5.5 to 9.0 grams. You presently are in the normal range established by the American Board of Internal Medicine. Different laboratories have different ranges of normalcy. Eating too much protein including supplement is not necessary. a balance regular diet will suffice. In addition, too much protein in blood can cause kidney damage. In other words, high protein intake can cause intraglomerular hypertension, resulting in kidney hyper filtration, glomerular injury , and proteinuria. Thank you.

A neck cyst can be represented by different etiologies. The neck is a very delicate area important vessels, nerves, and structures are located. try to see a dermatologist because if it's a cyst, he/she can take it out. If not, they will tell you who can medically treat you. Thank you.

No. Now a days contracting HIV is very low, less than 1%. I assume that you washed your hands immediately. HIV can be transmitted by sexual intercourse and by contaminated blood but not the way you described it. Usually spreads from body fluids of an infected person, including blood, semen, breast milk, and vaginal fluids. It isn't spread from kisses, hugs, or sharing food. Most people who get HIV are through Anal or vaginal sex, or sharing needle, other drug injection equipment (drug cooker). Now a days contracting HIV is very low, less than 1%. Thank you.

Yes, it is dangerous. However, it all depend on the quality absorbed in the GI tract. Now, the amount licked could be inconsequential. The patient needs to be tested for the levels of those toxic substances in blood. Thank you.

Vitamin B 12 ia a water soluble vitamin, it is generally safe. There is no upper intake level. It has low toxicity. Doses of 1,000 mcg aren't necessary even though they aren't harmful. Again, Vitamin B12 is not harmful the body will spell them in urine. But there is no need to take an excessive amount of it. The body will absolve what's needed and stop absorbing it. The Vitamins that you have to be more careful are ADEK (Bit. A, D, E, K). Thank you.

Yes, I certainly recommend a Urologist and an endocrinologist. The urologist will take care of your kidneys by doing the necessary testing to give you a reliable diagnosis as we as the endocrinologist to give you recommendation about how to keep you blood glucose (sugar) regulated to stop the kidney damage or at least stop the progression of it. On stage 3 damage, you probably have mild to moderate damage, so the kidneys are less able to filter waste and fluid out of your blood. The goal is to prevent further progression. There is no cure for any stage of CKD stage 3, but you can reverse the kidney damage. Please contact a specialist (Urologist for the kidneys and an Endocrinologist to control the diabetes. Thank you.

Glomerular Filtration Rate (GFR) greater than 60 or higher is the normal range. GRR lower than 60 may mean kidney disease. GFR 15 or lower may mean kidney failure. There are urine tests, Dipstick urine test, Urine albumin-to-creatinine ratio (UACR) which compares albumin to creatinine in your urine. Blood tests, Serum creatinine, glomerular filtration rate (GFR), Blood Urea Nitrogen, Blood test, Imaging, and others. BUN/Creatinine ratio is usually between 10:1 to 20:1, and its depend on hydration, protein consumption and multiple other factors. Even tough your creatinine leve is normal, a great natural way to reduce your creatinine level is to by reducing you protein intake. Eating fiber-rich foods. Also fruits with high content ox antioxidants like cranberries, kiwi, applet, and blueberries. Thank you.

HIV can be transmitted by sexual intercourse and by contaminated blood but not the way you described it. Usually spreads from body fluids of an infected person, including blood, semen, breast milk, and vaginal fluids. It isn't spread from kisses, hugs, or sharing food. Most people who get HIV are through Anal or vaginal sex, or sharing needle, other drug injection equipment (drug cooker). Now a days contracting HIV is very low, less than 1%. Thank you.

Leukopenia as you said, means low WBC’s (leukocytes) and indicates a decrease in disease-fighting cells in the human blood. It can cause potentially a serious complication that if untreated could be detrimental for you. It could represent a mild infection. The conditions that cause leukemia are: Autoimmune conditions (lupus, HIV), bone marrow damage, chemotherapy, radiation therapy, exposure to toxins, bone marrow disorders, leukopenia, lymphoma, sepsis (severe infection) vitaminB12 deficiency and others. Life-threatening infections such as sepsis and septicemia can occur. Positive ANA means that antinuclear antibodies are found in your blood. A positive result can indicate Systemic Lupus Erythematosus (SLE). In viral infections antinuclear antibodies from the virus are usually temporary. There are other diseases that can cause positive antinuclear antibodies. They are SLE, Sjogren’s syndrome, scleroderma, or mixed connective tissue disease. Antinuclear Antibodies are proteins produced by your immune system. Please, make an appointment to see hematologist or a hemato oncologist for a thorough examination..

High prostate PSA levels could mean different things. They include infection (prostatitis), enlarge prostate or benign prostate hypertrophy (BPH), rise with age, and even though cancer is one of the differential diagnoses, is not the only diagnosis. Things that reduce prostate PSA levels are plant-based diet, stress management, anti-inflammatory supplements, low fat dairy products, consider quitting cigarette smoking, and exercise. Thank you.

It's called Leukoplakia. Although the causes are unknown, chronic irritation as from tobacco use, including smoking and chewing. It may occur everywhere in the oral cavity. They usually clear up in few weeks by removing the source of irritation. Check with your healthcare provider. Thank you.

No, I assume that you washed your hands immediately. HIV can be transmitted by sexual intercourse and by contaminated blood but not the way you described it. Usually spreads from body fluids of an infected person, including blood, semen, breast milk, and vaginal fluids. It isn't spread from kisses, hugs, or sharing food. Most people who get HIV are through Ana or vaginal sex, or sharing needle, other drug injection equipment (drug cooker). Now a days contracting HIV is very low, less than 1%. Thank you.

Yes, local anesthesia though the glans Pennis. It is an office procedure. The Urologist insert a scope thru the Pennis after the local anesthetic and take the biopsy. You are awake at all time. You could feel some discomfort but not pain. it is a quit procedure. Thank you.

High prostate PSA levels could mean different things. They include infection (prostatitis), enlarge prostate or benign prostate hypertrophy (BPH), rise with age, and even though cancer is one of the differential diagnoses, is not the only diagnosis. Things that reduce prostate PSA levels are plant-based diet, stress management, anti-inflammatory supplements, low fat dairy products, consider quitting cigarette smoking, and exercise. Thank you.

You will receive IV sedation and a local anesthetic, and after the procedure you will be taken to a recovery area. Plan to have someone to drive you back home. You can continue your daily activities as soon as you feel adequate. However, it is recommended not submerging the skin area of biopsy in water (no swimming or wetting the area), and not strenuous exercises for at least a week. Please, check with your healthcare provider. Thank you.