Dr. Sharon Orrange - February 22, 2017
Esophagitis is the term for irritation and injury to the mucosal lining of the esophagus. Medications are a common culprit and medication-induced esophagitis will give you pain behind the sternum (retrosternal pain) or heartburn 60% of the time. Other symptoms include pain with swallowing or the sensation of food getting stuck in your throat. Medications that irritate the esophagus usually cause the problem at the spot of esophageal narrowing. See More
Dr. Sharon Orrange - May 10, 2016
Not all big toe pain is gout—but you may have been hearing more about it recently. The prevalence of gout has increased greatly over the past 30 years.
So what is gout, why do we get it, and how can you get rid of it?
Why more gout? There is more gout for three main reasons: we live longer, more people have high blood pressure and diabetes, and common medications like aspirin and diuretics increase the risk of gout. See More
Dr. Sharon Orrange - February 16, 2016
Only a third of people who have acute back pain see their doctor. In some ways this is good news—it implies that most improve on their own. If you have new onset back pain, (that you’ve been experiencing for less than 4 weeks), here some OTC and prescription medication options that can help you.
- Nonsteroidal anti-inflammatory drugs (NSAIDS). You will see more improvement of your symptoms after 1 week of taking NSAIDS than taking nothing. See More
Dr. Sharon Orrange - July 16, 2015
Update July 2015: The FDA is strengthening the existing black box warning on all prescription and over-the-counter NSAIDs. The current warning has been in place since 2005, but based on a recent review, the labeling will be updated with new information and stronger language. You should know that there is greater risk at higher doses, and there may be an increased risk of heart attack or stroke as early as the first weeks of use. See More
Dr. Sharon Orrange - July 13, 2015
You probably already know that many prescriptions have side effects. Most are mild—annoying issues like nausea or sleepiness that are inconvenient at worst. Others, however, can be deadly.
A very small number of medications are responsible for the majority of adverse side effects and hospitalizations from harmful drug reactions. How bad are these drugs? Between 2007 to 2009, almost 100,000 patients older than 65 had emergency hospitalizations for dangerous drug reactions, and almost 20,000 people die from prescription drug overdoses annually. See More
Dr. Sharon Orrange - December 02, 2013
With the holidays comes more drinking. You will be buried in folk remedies for hangover but you want to know what has actually been studied, what actually works when compared to folks doing nothing (or taking a placebo).
First, know what does NOT cause a hangover. A hangover is not an electrolyte imbalance, not lactate, not ketones and, this will surprise you, markers of dehydration (e.g., vasopressin) are not significantly related to hangover severity. See More
The GoodRx Pharmacist - August 22, 2013
Have you had a minor sprain, strain, or muscle ache that took some time to heal? Minor musculoskeletal injuries are a common complaint for many people. These injuries can affect your muscles, tendons, ligaments, cartilage, or bones. Your GoodRx pharmacist’s advice: get some RICE!
Minor aches, sprains and strains occur due to a variety of reasons. These can include hyperextensions, twists, blunt trauma, and many other causes. See More
Dr. Sharon Orrange - July 30, 2013
You should wonder if a medication you often take for pain is safe. There are some misconceptions about NSAIDS (ibuprofen, naproxen, Motrin, Advil) and some truths. How much can or should you take and is it bad for your liver or kidneys? Every week I’m asked this question.
For the treatment of mild to moderate pain, minor fever, and acute or chronic inflammatory conditions 200 mg to 400 mg of ibuprofen will work, and is comparable to 650 mg of acetaminophen (Tylenol) or aspirin. See More
Dr. Sharon Orrange - April 18, 2013
You are all stopped up and can’t find an obvious reason. Look over your medication list and you may find the source. Constipation has many causes but medications are among the most common.
First, if your stools are too hard or too small or pooping is too difficult or infrequent you are constipated. Officially, constipation is defined as a stool frequency of less than three per week. It can be miserable and medications prescribed by us, your physicians, are frequently to blame. See More
Dr. Sharon Orrange - August 16, 2012
In my primary care practice, many of my female patients worry about taking over the counter medications when they are trying to conceive, afraid they may take something bad before knowing they are pregnant.
So it is important to know: what over-the-counter (OTC) medicines can you take while you are pregnant, or trying to get pregnant?
First, what are the common things you will need OTC meds for?
– Cough and cold
– Skin rashes or hives
– Diarrhea or constipation
Now, there are some grey areas where doctors aren’t sure if a medication is safe or not because that medicine hasn’t been studied well enough in pregnant women. See More