expert type icon EXPERT

Dr. Albert Gerard Karam, MD

Pediatrician

Dr. Albert Karam is a pediatrician practicing in Dallas, TX. Dr. Karam is a doctor who specializes in the health care of children. As a pedicatrician, Dr. Karam diagnoses and treats infections, injuries, diseases and other disorders in children. Pediatricians typically work with infants, children, teenagers and young adults up to age 21. They practice medical care as well as preventative health care. Dr. Karam can oversee and manage the physical, mental and emotional health of their patients.
37 years Experience
Dr. Albert Gerard Karam, MD
  • Dallas, TX
  • Louisiana State University School of Medicine in Shreveport
  • Accepting new patients

When should a test for mono be done?

Mononucleosis is a set of symptoms consisting of fever, sore throat often with pus on the tonsils, large glands in the neck, fever, and enlarge spleen. In addition, fatigue, stuffy READ MORE
Mononucleosis is a set of symptoms consisting of fever, sore throat often with pus on the tonsils, large glands in the neck, fever, and enlarge spleen. In addition, fatigue, stuffy nose, poor appetite and general malaise are common. It is caused by a virus called “EBV” and can be tested for by two distinct tests. One is the “monospot,” which in some cases is doing in physician’s offices. It has its limitations, as it is often negative early in the disease, and does not reflect a new, or recent infection, from an old infectionThe second test is a direct test of the antibodies, and this test can distinguish early from old infection and is much more reliable. Having said that, fever and runny nose can be due to almost any respiratory virus, so testing may be negative. Realize also that even with a positive test for EBV, there is no direct treatment. We simply treat the symptoms, keep the patient well hydrated and comfortable, and wait. It can be a miserable illness.  

Dr. Karam

Can milk cause loose stool in kids?

The answer is yes. This happens by two main mechanisms. The first is lactose intolerance, or the inability to properly break down the sugar in milk called lactose. This can be READ MORE
The answer is yes. This happens by two main mechanisms. The first is lactose intolerance, or the inability to properly break down the sugar in milk called lactose. This can be diagnosed by testing, however, the easiest way is to allow your kid to have no diary for a few days, then give several ounces of a brand of milk called “Lactaid” (or similar). This milk has no lactose. If your kid tolerates this with no symptoms, then you have made the diagnosis. And if that is the case, avoiding dairy that has lactose is an appropriate way to proceed, or you may have your child take a tablet called “Lactaid,” which is the enzyme responsible for breaking down lactose. I personally take this when I am eating ice cream or other dairy.

The other way milk can cause diarrhea is by an intolerance (some would even say an “allergy”) to the protein in milk. This can be diagnosed the same as above with lactose intolerance, but the patient will get diarrhea with the Lactaid milk. The treatment is avoidance.

Hope this helps,

Albert G. Karam, MD