Daily Column

DEAR DR. GOTT:
My son has bumps on his head. They itch and break open. He has had them for three years and once a year he sees a skin doctor who told him he had folliculitis. He has been put on 500 mg of ampicillin daily. It helps but if he stops, they come back.

My son is now 24 years old and I am worried that he will have long-term effects from taking ampicillin for so long. We have tried lots of herbs, tea tree oil and liquid silver but nothing seems to work. I have noticed that you say Vicks is good for fungus but you only recommend it for nail fungus. Is there anything else that can be done for him?

DEAR READER:
Folliculitis is an inflammation of one or more the hair follicles. It can occur anywhere on the body and is usually the result of shaving, friction from clothing or blockage of the follicle. [Read more...]

Daily Column

DEAR DR. GOTT:
My sister has a skin condition called Morphea. It started under her breast and she now has a patch on one of her buttocks.

The condition is quite annoying and she was hoping you would have a home remedy or some idea of how to combat the condition.

DEAR READER:
Morphea is a type of scleroderma, a rare skin condition that can cause a variety of problems such as skin discoloration or internal organ damage. There is no known cause but it is believed it may be an autoimmune response.

Morphea is a less serious form which usually affects only the outermost layers of skin only, leaving the internal organs alone. It generally causes hardening, thickening and discoloration of the skin in patches. It can also limit the flexibility of the skin in the affected area. [Read more...]

Daily Column

DEAR DR. GOTT:
It bothers me hearing the cooks on TV all saying to use sea salt or other salts.

I was always told to use iodized salt to prevent goiters. Is this true?

DEAR READER:
Goiters are rarely caused by too little iodine intake. They are simply swelling of the thyroid gland. They can occur when the thyroid is under-or over-active or even when it is functioning normally.

Iodine is necessary in the diet to ensure the thyroid can function properly, but in today’s society, deficiency is incredibly rare. Continue to use iodized salt if you like, but remember salt can cause water retention and can cause or worsen high blood pressure. Use it in moderation.

DEAR DR. GOTT: Would you please discuss double vision?

DEAR READER:
Certainly. [Read more...]

Daily Column

DEAR DR. GOTT:
I am a 71-year-old woman in relatively good health. About six months ago I had an upper molar capped. My dentist has a new system where the procedure is done all at one time. Immediately following the capping, it started feeling as though I had a cement like discharge from that area. As were we getting ready to head north for the summer, I opted to do nothing until we returned.

Upon returning, I immediately made an appointment with my dentist again. She determined that the cap was chipped and drilled it out. It was then replaced during another three hour procedure. This made the discharge worse. It felt waxy and sticky but she was unable to see it. I have had several X-rays but none detected anything wrong so I was told I had dry mouth that coincidentally started when I got the first cap. I was given all sorts of dry mouth treatments including toothpastes, rubs, and mouthwashes. Nothing helped so my dentist then determined it was a medical problem and told me to go back to my gerontologist.

When I went to see him, he looked in my mouth but couldn’t see any discharge either. He ordered all kinds of blood tests which were all negative. He then ordered a CT scan to see if the discharge was coming from my sinuses. It was negative so he sent me to an ear-nose-and-throat specialist who had no idea why I was there. He gave me a “magic” mouthwash that didn’t help. He thought it was a dental problem and that I might be allergic to the cement or porcelain that was used, so he referred me to his dentist. This dentist then removed my cap and put in a temporary acrylic one with “old-fashioned” cement. It didn’t help and while flossing recently, the cap came out. I decided to leave it alone and see if the problem went away but it hasn’t yet.

Both my dentist and doctor are stymied. The discharge feels like sticky paste yet no one can see it. I am going nuts and don’t know where to turn. Please help!

DEAR READER:
I, too, am stymied. In my opinion this is a dental problem and you need to be seen by an orthodontist who is a specialized dentist. He or she can then investigate the cause of your sticky discharge and determine the cause.

You don’t say why the tooth was capped. Perhaps the discharge is coming from the tooth itself and the best option would be to have a root canal or the tooth pulled. Pus from an infected tooth can often feel sticky but can usually be seen upon examination. Make an appointment with an orthodontist and let me know what happens.

To give you related information, I sending you a copy of my Health Report “Medical Specialists”. Other readers who would like a copy should send a self-addressed, stamped number 10 envelope and $2 to Newsletter, PO Box 167, Wickliffe, OH 44092. Be sure to mention the title.

Sunday Column

DEAR DR. GOTT:
I have a 13-year-old son with autism. He is very pleasant, tries real hard at everything, does well in school, and never complains. Although he is verbal, he has great difficulty expressing his thoughts. He’s 5’4”, maybe 100 pounds, and is a big eater. He’s going through puberty.

About 8 months ago he began having difficult and painful swallowing, indicating pain from his neck, along the esophagus, to his stomach. It was torture for him to eat and torture for us to watch him. He lost 10 pounds over Christmas break. Our family doctor put him on Prevacid 30 mg daily. Within two days he was able to eat. He’s also been on a multi-vitamin, amino acids and digestive enzymes for years. Although he is now eating, he still experiences pain in his throat for up to 2 hours after each meal. [Read more...]

Daily Column

DEAR DR. GOTT:
I am a 23-year-old female and should have a great social life. But, I don’t because of one serious problem. I have bad breath! It is so embarrassing it has cost me every ounce of confidence I have and has ruined my relationship with everyone.

I’ve tried just about everything from my local drug store, but nothing seems to work. I brush, floss and use mouthwash at least twice a day. I’ve done some research and know this is not the root of the problem that began when I was in high school and was allowed to chew gum in school. Is there anything in gum that could have started this? Mints and gum seem to be only a temporary fix and most of the time they make my problem worse.

I know I am going to have to see a doctor, but whom do I make an appointment with? This is so embarrassing I don’t want to go to more doctors than I need to.
I really need some answers. [Read more...]

Sunday Column

DEAR DR. GOTT:
Could you kindly explain the results of my recent electrocardiogram? My family doctor does not respond to my questions.

The following is from the letter I got from the imaging center: “Baseline electrocardiogram shows first degree atrioventricular block, non specific ST-T changes, prominent left ventricular voltage. There were no significant dysrhythmias induced by exercise. There are diffuse ST changes on the electrocardiogram, particularly in inferior limb leads, but these changes were primarily upsloping and did not meet definite criteria for ischemia. Immediate recovery phase was unremarkable. The remainder of the recovery phase was unremarkable.”

What is your take on all this? I am a healthy 66-year-old male.

DEAR READER:
I will break down the results so that they are easier to understand. [Read more...]

Sunday Column

DEAR DR. GOTT:
I am a 61-year-old male in very good health. I take Zoloft and a multi-vitamin daily.

Four months ago I was in an auto accident and suffered a crush injury to my right (dominant) hand and forearm. I was pinned to the ground by a car. The two bones in my forearm had compound fractures that were repaired surgically. I also suffered from skin and tissue loss that required skin grafting from my palm to the underside of my wrist.

Following the accident and corrective surgeries I had no feeling in four of my fingers (my pinky finger was spared). Seven weeks after the accident the median nerve was released.

I have been in physical therapy since that time and have had only modest improvement in function, even less improvement with regard to pain and no recovery feeling in the fingers. [Read more...]

Daily Column

DEAR DR. GOTT:
I am a 78-year-old woman in good health. Recent laboratory blood tests were normal. However, during a routine fecal occult test, blood was found in all three slides. I had followed the instructions carefully, so there was no possibility of contamination. My gastroenterologist then performed a colonoscopy, endoscopy and a capsule endoscopy. All three procedures proved negative.

Two and a half years ago I had the same test for the same reason. All three endoscopic tests were negative. The two physicians who performed these tests could not give me any advice as to the source of the blood in the stool samples.

This is a worrisome problem for me. Please advise me if, in your opinion, I should seek further medical advice or simply forget about it.

DEAR READER:
Rectal bleeding and positive fecal occult testing can result from numerous causes, [Read more...]

Daily Column

DEAR DR. GOTT:
I have been suffering with Bell’s palsy for over one year. Although I have shown remarkable recovery, I have not returned to normal. I still can’t whistle, nor do I have total control of the left side of my face.

From this point, I am at my wit’s end about getting back to normal. Is there anything I can do to improve my condition? Over the course of the last four months, I have not shown any more progress.

DEAR READER:
Bell’s palsy is facial paralysis that results from damage or trauma to one of the two facial nerves. As a general rule, one side of the face is affected; however, both sides can be involved. Symptoms can come on suddenly without warning and reach their peak within 48 hours. The condition can occur at any age, but generally doesn’t affect individuals under the age of 15, or those over 60. [Read more...]