expert type icon EXPERT

Dr. Jerold J. Fadem, M.D.

Internist

Dr. Jerold J Fadem M.D. is a top Internist in Orlando, . With a passion for the field and an unwavering commitment to their specialty, Dr. Jerold J Fadem M.D. is an expert in changing the lives of their patients for the better. Through their designated cause and expertise in the field, Dr. Jerold J Fadem M.D. is a prime example of a true leader in healthcare. As a leader and expert in their field, Dr. Jerold J Fadem M.D. is passionate about enhancing patient quality of life. They embody the values of communication, safety, and trust when dealing directly with patients. In Orlando, FL, Dr. Jerold J Fadem M.D. is a true asset to their field and dedicated to the profession of medicine.
43 years Experience
Dr. Jerold J. Fadem, M.D.
  • rutherfordton, N.C.
  • University of Florida
  • Accepting new patients

Passing out?

I strongly advise you to see a good doctor and have a brain CT scan right away to make sure you do not have bleeding in or around your brain.

What is the fastest way to fix seasonal allergies?

I suggest taking a daily antihistamine like Claritin or Zyrtec, and if that does not markedly improve symptoms, she should take a nightly sniff or two in each nostril of nasal READ MORE
I suggest taking a daily antihistamine like Claritin or Zyrtec, and if that does not markedly improve symptoms, she should take a nightly sniff or two in each nostril of nasal fluticasone(Flonase). She also could sniff nasal saline(Ocean spray) 3-4 times a day to rid the nose of pollen and irritants but be sure to take the nasal Flonase at BEDTIME so as not to wash it out by any daytime nasal saline usage.

Could my medical problems be due to my past hysterectomy?

There is not enough info to make a definite diagnosis, but below are a few possibilities that need to be clarifed by a good INTERNAL MEDICINE MD or KIDNEY SPECIALIST: 1) low anion READ MORE
There is not enough info to make a definite diagnosis, but below are a few possibilities that need to be clarifed by a good INTERNAL MEDICINE MD or KIDNEY SPECIALIST:

1) low anion gap can be a clue to MULTIPLE MYELOMA--so a BONE SURVEY(xrays of your skeleton looking for lucencies), a SERUM and URINE PROTEIN ELECTROPHORESIS, and a BONE MARROW BIOPSY(to be done if clues to the diagnosis are present)

2) Elevated chloride can be a clue to the presence of METABOLIC ACIDOSIS--which can weaken bone and other tissues--it can result from chronic diarrhea or kidney issues

3) Chronic dic dz results from injury or trauma to the spine--sports injuries, car accidents, falling, military service, doing heavy/physical work like lifting or moving heavy weights

Still having symptoms?

The possible causes of this include (but aren't limited to): 1) A traumatic brain injury 2) Seizure 3) Hypertension (from bleeding, cardiac dysrhythmia, cardiac contusion, READ MORE
The possible causes of this include (but aren't limited to):

1) A traumatic brain injury
2) Seizure
3) Hypertension (from bleeding, cardiac dysrhythmia, cardiac contusion, or ischemia)
4) Lung injury

Not knowing the details--I would be sure you have at least seen a cardiologist, pulmonologist, and neurologist to r/o any TREATABLE heart, lung, or brain issues. Good luck!

Fever after surgery?

Yes, call your doctor right away!

Blood pressure medication?

Ramipril can definitely be titrated upward incrementally until the BP is controlled or the maximum dose is reached. If the BP goal is still not achieved, then another BP medicine READ MORE
Ramipril can definitely be titrated upward incrementally until the BP is controlled or the maximum dose is reached. If the BP goal is still not achieved, then another BP medicine could be started or substituted. Of course, salt could be restricted and/or attempt at regular exercise and weight loss might be tried.

Stomach pain?

If you still have a duodenal ulcer you need to take a good daily dose of a PPI like omeprazole or pantoprazole. If you do have H Pylori you need to take a good course of appropriate READ MORE
If you still have a duodenal ulcer you need to take a good daily dose of a PPI like omeprazole or pantoprazole. If you do have H Pylori you need to take a good course of appropriate antibiotics and Pepto Bismol (Bismuth). But other causes of chronic RLQ pain include chronic appendicitis, inflammatory bowel disease, and kidney stones. MRI or CT of the abdomen may ned to be done, and upper(and maybe lower) endoscopy needs to be repeated. Good luck!

Annual exam results?

If you have never exchanged body fluids with someone else, are not an IV drug user, have not needed transfusions, have never had sexual contact with anyone, have never been stuck READ MORE
If you have never exchanged body fluids with someone else, are not an IV drug user, have not needed transfusions, have never had sexual contact with anyone, have never been stuck with a needle used by someone else, have never been bitten by someone else, and arent a firefighter or elementary teacher, it very very unlikely you have had HIV exposure and thus probably dont need an HIV test. On the other hand--it is a quick, simple test and negative results will definitively rule out any possibility of you having HIV or AIDS.

Meth miss?

Wow, it sounds like you are on borrowed time! But I'm sure you know that all addicts are on borrowed time. In your situation, the two most likely possibilities are 1) INFECTION READ MORE
Wow, it sounds like you are on borrowed time! But I'm sure you know that all addicts are on borrowed time. In your situation, the two most likely possibilities are 1) INFECTION either an ABSCESS which is a collection of PUS under the skin, or CELLULITIS which is an infection of the skin. Both of these will require IMMEDIATE care if you want to live. In your case, I advise going to the local ER ASAP and they will be able to diagnose your condition and offer proper treatment. The 2) possibility is some type of HEMORRHAGE either under the skin or in the muscle. These will usually heal with time(assuming you are healthy enough for your blood to clot and stop the bleeding but it can be very painful and take a LOT of time to heal. But if you happen to survive this acute illness you need to try to get drug rehab! As even if you survive this episode unless you get off of the drugs, this or something worse will inevitably happen again. Good luck!

Does vitamin C increase sperm motility?

VITAMIN C DOES increase sperm motility.

Tb treatment post covid?

Yes--as it can take weeks to months before the lung lesions(that are causing the cough) completely heal. But I would ask your doctor to be sure the drugs you are on to kill the READ MORE
Yes--as it can take weeks to months before the lung lesions(that are causing the cough) completely heal. But I would ask your doctor to be sure the drugs you are on to kill the TB bacteria are actually working to eradicate the infection. And there are tests that can be done to ensure the TB bacilli in your lungs are sensitive to the drugs you are on. But, also remember that if your symptoms are better and resolving(ie--fever, sweats, weight loss, loss of appetite, etc) the drugs will likely be effective in the long run.

Best treatment for hyperprolactinemia?

BROMOCRIPTINE OR CABERGOLINE

Shingles treatment?

These symptoms are c/w POST-HERPETIC NEURALGIA. Largely because this chronic pain syndrome can result from an acute episode of HERPES ZOSTER (shingles), it is recommended that READ MORE
These symptoms are c/w POST-HERPETIC NEURALGIA. Largely because this chronic pain syndrome can result from an acute episode of HERPES ZOSTER (shingles), it is recommended that those age 50 or more get the newer SHINGREX VACCINE(a 2-shot regimen with the 2nd shot given 3-6 months after the 1st). But, if you really have had 4 separate episodes of acute shingles infection, I would advise you to also get the SHINGREX VACCINE as it is 95% protective against another acute episode of Herpes Zoster infection and lasts for as long as you live.

How long does it take to cure myocarditis?

It may depend on the cause of the myodarditis, but in general, it will usually take WEEKS to MONTHS for myocarditis to resolve.

Causes of an enlarged tongue?

Some causes include 1) Hypothyroidism 2) Amyloidosis 3) Various Drug or Environmental Allergies. The diagnosis depends largely on the clinical context, i.e. what is going on with READ MORE
Some causes include 1) Hypothyroidism 2) Amyloidosis 3) Various Drug or Environmental Allergies. The diagnosis depends largely on the clinical context, i.e. what is going on with you at the time of the tongue swelling. I strongly advise seeing a reputable internal medicine or ear/nose/throat doctor for a complete evaulation.

How much blockage requires a stent?

About 70% blockage is usually thought needed to cause significant coronary ischemia(ie--lack of bloodflow to the heart muscle) But, if there is any FUNCTIONAL testing that READ MORE
About 70% blockage is usually thought needed to cause significant coronary ischemia(ie--lack of bloodflow to the heart muscle) But, if there is any FUNCTIONAL testing that suggests a lack of bloodflow in the area of your heart supplied by a partially blocked coronary artery--then it is possible that a blockage of LESS than 70% could be responsible. The other thing that must be understood is that determining 70% from 60% is NOT "black and white"--and takes a LOT of knowledge and experience in interpreting results of verious testing. And there are various ways to determine if a 60-70% blockage seen on a cardiac catheterization test is really a "CULPRIT LESION"--and is in fact causing a reduction in coronary blood flow. If there is any question aboiut your status, a detailed discussion with your cardiologist should help guide whether anymore testing is needed to determine if you might still have a FUNCTIONALLY significant blockage that needs further treatment(ie--medication, stenting, etc.)

Bloody Stools?

Though you may have a totally benign condition(like hemorrhoids, eg), the need for taking a laxative and then noting blood mixed in with your stool indicates the necessity of seeing READ MORE
Though you may have a totally benign condition(like hemorrhoids, eg), the need for taking a laxative and then noting blood mixed in with your stool indicates the necessity of seeing your doctor and having a colonoscopy scheduled. This is VERY important to rule out colon cancer. Colon cancer is not common in 40-year-old people, but it DOES happen! And as I don't know your risk status, prior sx, clinical details, etc--the BEST thing is to have a colonoscopy to rule out cancer. But if you do have it--then you can be diagnosed early on when it is still in a curable stage. Do NOT delay in having this done it can save your life! Good luck.

Do you have antibodies after having covid?

In general terms, with lots of variability, you will start developeing antibodies against covid in 2-3 weeks after the infection, the level will peak in a couple of months, and READ MORE
In general terms, with lots of variability, you will start developeing antibodies against covid in 2-3 weeks after the infection, the level will peak in a couple of months, and then will drop and then disappear in about 5-7 months. Thus, you can get covid again starting a few mos after having it. This is also why it is recommended to get the vaccine and then get BOOSTED about 6 months later--in order to re-stimulate production of antibodies once they have returned to baseline and thus extend immunity.

I have blood in my urine?

Common causes at your age include, but are not limited to: 1) UTI, prostatitis 2) kidney stones 3) bladder cancer 4) kidney cancer If this does not completely resolve READ MORE
Common causes at your age include, but are not limited to:

1) UTI, prostatitis
2) kidney stones
3) bladder cancer
4) kidney cancer

If this does not completely resolve in a couple of weeks with a course of good antibiotics, you need to consider having a CT IVP and then maybe a CYSTOSCOPY (to r/o BLADDER CANCER) if the CT IVP doesn't show any underlying cause.