1. Home
  2. Expert
  3. Rex L. Mahnensmith

expert type icon EXPERT

Dr. Rex L. Mahnensmith

Internist

Dr. Rex Mahnensmith is an internist practicing in Southington and Waterbury, Connecticut. Dr. Mahnensmith specializes in Internal Medicine, Nephrology, Metabolism, Diabetes, Nutrition, and Urgent Care.
Learn More About Me
Dr. Rex L. Mahnensmith
Specializes in:
  • Diabetes
  • Kidney Diseases
  • Hypertension
  • Waterbury, Connecticut
  • MD at Yale School of Medicine
  • Accepting new patients

Heart attack, stroke, or both?

All right. Holistic approaches can be very beneficial. Eating just right: whole vegetables and fruits; healthy liquids only; egg whites; and most importantly: organic fruit and READ MORE
All right. Holistic approaches can be very beneficial. Eating just right: whole vegetables and fruits; healthy liquids only; egg whites; and most importantly: organic fruit and vegetable powders that are loaded with Polyphenols. One scoop four times daily.

Can hernia mesh push through skin?

Very rare for this to happen. But yes. Skin can become thin around the mesh. And pressure from within could result in mesh movements.

Left side of brain pulse and sometimes pain?

Called a cluster headache. A common ailment. Responds to verapamil and Motrin and Tylenol.

Do you take blood thinners after heart stent surgery?

The cardiologist will advise and prescribe these.

Enlarged heart?

Enlarged hearts with swollen ankles plus difficulty breathing collectively are consistent with congestive heart failure syndrome. Diuretic therapy is warranted. And heart medication READ MORE
Enlarged hearts with swollen ankles plus difficulty breathing collectively are consistent with congestive heart failure syndrome. Diuretic therapy is warranted. And heart medication is also essential to unload your heart. If you have asthma or chronic bronchitis then an inhaler is needed.

What is the most effective treatment for tinnitus?

Tinnitus arises most commonly from middle ear inflammation. It can be a lingering problem after an ear infection or from allergies that affect our eustachian tubes and sinuses. READ MORE
Tinnitus arises most commonly from middle ear inflammation. It can be a lingering problem after an ear infection or from allergies that affect our eustachian tubes and sinuses. Antihistamine can help. Anti-inflammatory drops can help. Daily over a few weeks. Ear physical therapy helps.

I purposely slammed my head (possibly multiple times) into a wall due to emotional distress?

It seems you are okay. A professional health evaluation is a good idea for you to be reassured. And to follow you with care. Assure an excellent nutritional daily diet of fruits READ MORE
It seems you are okay. A professional health evaluation is a good idea for you to be reassured. And to follow you with care. Assure an excellent nutritional daily diet of fruits and vegetables and vitamins and nutrients. Avoid alcohol. Engage in regular exercises. Rest at night.

Neurological issue?

Your symptoms are consistent with neuralgia. Neuralgia may arise from pressure, from compression, from inflammation, from infection, from prior injury or prior compression, or READ MORE
Your symptoms are consistent with neuralgia. Neuralgia may arise from pressure, from compression, from inflammation, from infection, from prior injury or prior compression, or previous infection or inflammatory process. MRI tests do assess for bone pressures or tumor growths or focal infection from an abscess. Nerve conduction studies are helpful to localize which nerve branches are affected. Blood testing is valuable to assess kidney and liver disease. Vitamin testing is essential. Hormone testing is essential. Avoiding tight clothing is important.

I desperately need help?

Pain and tenderness are tight where you state most commonly comes from the pancreas and or stomach. A gall stone can plug the pancreas duct and make the pancreas swell and be inflamed. READ MORE
Pain and tenderness are tight where you state most commonly comes from the pancreas and or stomach. A gall stone can plug the pancreas duct and make the pancreas swell and be inflamed. Ultrasound exams and blood testing are essential.

How long does a bone marrow biopsy procedure take?

The actual procedure will take 15 or 20 minutes. They will prepare skin with betadine the n inject xylocaine then insert a biopsy needle and extract the biopsy. Then they apply READ MORE
The actual procedure will take 15 or 20 minutes. They will prepare skin with betadine the n inject xylocaine then insert a biopsy needle and extract the biopsy. Then they apply pressure.

Do you have to stay on high blood pressure medication for life?

Medication requirements for hypertension vary over time from person to person. One goal of blood pressure medication is to normalize blood pressure measurements to 120-130/70-80. READ MORE
Medication requirements for hypertension vary over time from person to person. One goal of blood pressure medication is to normalize blood pressure measurements to 120-130/70-80. A second very important goal is to reduce blood vessels’ thickness and wall tension. This takes time and is essential. A third goal is reducing heart muscle tension and any abnormal thickness, too. This takes time. A fourth goal is the normalization of body salt balance. This is essential. If a person tries medication cessation, relapse may occur because all internal organ changes have not regressed enough. Regression is possible… Takes time… And necessitates diet changes, body weight changes, activity changes, stress reductions, and then their maintenance.

I have hyperinflated lungs?

Hyperinflation of lungs develops because of tightening of bronchi and bronchioles. The bronchi are large-caliber airways. Bronchioles are small caliber airways that connect directly READ MORE
Hyperinflation of lungs develops because of tightening of bronchi and bronchioles. The bronchi are large-caliber airways. Bronchioles are small caliber airways that connect directly to alveoli. Alveoli are air exchange circular microstructures. Air trapping in alveoli will give a hyperinflation X-ray photo. Thus under treatment of asthma can leave a hyperinflation X-ray picture. Clinical context matters. Chronic obstructive pulmonary disease can show similar hyperinflation X-ray.

What is causing this feeling and what do I do?

It is essential that you be fully examined immediately. You have signs and symptoms of gastritis and esophagitis and spasm with vasovagal reflex.

Stomach bug?

Get tested for Helicobacter pylori infection.

What kind of anesthesia is used for ankle joint surgery?

It is variable. Depends upon the extent of surgery. Bone versus soft tissue.

Blood clot?

Local tenderness where a vein resides plus firmness.

Is it concerning to have a crevice on your head?

The crevice is a consequence of softening of the cranial bone structure at that particular site. Likely it is a site that sustained a hit in your past. It most likely is not an READ MORE
The crevice is a consequence of softening of the cranial bone structure at that particular site. Likely it is a site that sustained a hit in your past. It most likely is not an active progressive problem and it is not a derivative or result of a brain problem. Yes, have your primary care provider know what your concerns are.

Blood in poop?

The beetroot powder may in part pass into the colon and not be totally absorbed and then appear in a bowel movement. Beetroot powder is very healthy. For a few days hold off consumption READ MORE
The beetroot powder may in part pass into the colon and not be totally absorbed and then appear in a bowel movement. Beetroot powder is very healthy. For a few days hold off consumption of the beet powder to assess colon evacuation results.

Hep B lab results?

Positive Hep B antigen indicates viral infection with Hep B virus; Positive Hep B surface antibody indicates an immune response to the HB Virus; Negative Core Antibody means incomplete READ MORE
Positive Hep B antigen indicates viral infection with Hep B virus; Positive Hep B surface antibody indicates an immune response to the HB Virus; Negative Core Antibody means incomplete immunity.

Do you know if I have a urinary infection?

A urinary infection is a strong possibility with those symptoms. Evaluation is essential.