Dr. Sarvotham Kini retired after 35 years of community and academic practice of Emergency Medicine in Atlanta, GA. Dr. Kini now teaches medical students and other learners at Ross University, located in Dominica, West Indies.
Emergency MedicineAmerican Board of Emergency MedicineABEM
Dr. Sarvotham Kini MD's Expert Contributions
Absolutely. This could be a stomach virus OR could be appendicitis, which needs emergency surgery. READ MORE
Common symptoms of food poisoning are, abdominal fulness or pain Associated with Vomiting, watery diarrhea or both. Unusual to have high fever. Dehydration is common if symptoms last more than 12 hourse. READ MORE
Remember: children have fever for many reasons. One cannot diagnose fever in a child without actually seeing the child. So, you should have your child seen by a doctor, earlier than later. Many a times, it's a viral illness, but to be sure, your child needs to be seen by a doctor. READ MORE
Asthma attacks can occur anytime without warning It can be scary. These are the steps: 1. Make sure she is under the care of a physician. 2. Be sure she never runs out of her medications ( inhalers) 3. She must have the inhalers within her reach at all times. 4. Educate her about how to recognize early symptoms of asthma and how to get help, including 911 5. Take her to ER after hours. 6. Get help early rather than late. Hope this helps. READ MORE
Emergency physicians do not do surgery. Trauma surgeons do surgery on patients that are injured and arrive in the ER. Sam Kini, MD READ MORE
Yes, you should be concerned. She needs to see a nephrologist to decide if she is a candidate for dialysis. Medicines may not work since her kidneys are working well. She needs medical attention urgently. If water builds up, there is risk of heart failure. READ MORE
Please know that younger the child, higher the urgency to get medical care. EG: a month old child with 102 fever needs urgent attention compared to a ten year old. If the child looks sick to you and or not acting her normal, yes go to ER or doctors office. You could give sponge bath with tap water ( not ice cold water) this helps evaporate the heat. Do not give aspirin in any form. Liquid Tylenol or liquid ibuprofen is ok. Best advice I can give you is to get the child seen by a physician. The reason could be viral or more serious bacterial infection. Early better than late, get to the doctor. READ MORE
Immediate steps for hypoglycemia: 1. Recognize the symptoms and confirm by checking finger stick blood sugar. 2. If sugar is low, give sugar containg items such as orange juice, fruit punch etc 3. Recheck sugar after an hour 4. If symptoms do not improve call 911 and go to the mearest ER 5. Stroke mimics hypoglycemia 6. If this happens again and again, you need to find the cause. 7. Current medication may need to changed or dosage adjusted 8. If she is on Insulin, extra care should be taken as to when she takes it and check exact units of insulin. Hope this helps READ MORE
My strongest recommendation is to get help at an ER, by professionals. I assume your grandfather is older and may have other health issues like heart problem, high BP, and he may be on aspirin and blood thinners. All these must be considered. Having said that, you can offer “First Aid” for nose bleeds: 1. Calm him, reassure him 2. Make him sit up 3. Pinch the soft part of his nose with thumb and index fingers 4. Ask him to breathe through the mouth 5. Keep the nose pinched for a full ten minutes, without letting go to check if the bleeding has stopped. 6. Give him something to spit into. 7. Please get him to see a doctor. Some people have self-limiting “minor” nose bleeds. But for older patients, this can be more serious. 8. Blood pressure needs to be monitored and managed. Good luck, Dr. Kini (emergency physician) READ MORE
There are no hard and fast rules that every patient has to have a set of tests. It depends on the "chief complaint" and what the physician finds on the physical examination. I would hope every doctor takes a good history and does a thorough physical exam on every patient and then decides to order "necessary tests." Common tests are CBC, blood chemistry, urine test and maybe a chest X-ray (again, depending on the patient complaint). CT scans and MRIs, ultrasounds are special tests, don't when the doctor considers serious, complicated diagnosis (e.g., brain bleed, blood clot, etc.). Hope this helps. READ MORE
Seizure is a possibility after brain injury. If there is alcohol onboard, they may be at risk for seizure, even before the injury. Many times, seizure is a complication of an old head injury as well. READ MORE
Get the person out of the water. Check for breathing and pulse (in case of small children, feel for pulse in the inside surface of the arm). Call for help (911). If no breathing or pulse, begin chest compressions (CPR). READ MORE
Looks can be deceptive. Have it checked by a doctor. READ MORE
if you just have low grade fever and no abdominal symptoms, it may be from viral syndrome. Peptic ulcer by itself is not known to cause fever. Low grade bladder infection is a possibility in females. If fever persists, seek medical advice. READ MORE
This could be viral or food poisoning. Rest to the gastrointestinal tract is important. Don't eat solid foods until the stomach settles. Drink gatorade, Pediolyte, or fruit-flavored, non-carbonated liquids in small amounts and gradually increase as you can tolerate. If no better, seek medical advice. READ MORE
In pregnancy, production of thyroid hormones T3 and T4 increases by about 50%. As a result, the normal thyroid-stimulating hormone (TSH) level during pregnancy is lower than the normal nonpregnancy level. The new recommendations for TSH levels during pregnancy are the following: First trimester: less than 2.5 with a range of 0.1-2.5 Second trimester: 0.2-3.0 Third trimester: 0.3-3.0. READ MORE
Go to the nearest ER to get checked. It sounds like appendicitis, but there are other conditions that act like appendicitis. Don't neglect. READ MORE
-Call for help (911) -Check for response -Check neck pulse and breathing at the same time. -If no pulse, begin CPR (chest compression = push fast and push hard, center of the chest). Don't stop until EMS gets there. READ MORE
If she does not have symptoms of chest pain, difficulty breathing, stroke-like symptoms, or kidney problems, then this number 210/100 is a "Hypertensive Urgency." This can turn into a Hypertensive Emergency if she does not get proper care. Sam Kini, MD READ MORE
Faculty Titles & Positions
- Professor Ross University 2018 - 2018
- National Faculty Teaching 2008 American College of Emergency Physcians
- American College of Emergency Physicians
- American College of Surgeons
Dr. Sarvotham Kini MD's Practice location
ATHENS, GA 30602Get Direction
Roswell, GA 30076Get Direction
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Dr. Sarvotham Kini MD's reviewsWrite Review
- What Causes Dehydration?
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- Chikungunya Fever: Symptoms, Treatment, and Prevention
Introduction Chikungunya is a viral infection that is transmitted by mosquitoes. The chikungunya virus causes a sudden onset of fever along with severe joint pain. The illness is not considered as contagious, but in rare instances, the virus can get transmitted through contact with a person's...
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What is lightheadedness?Lightheadedness or feeling faint may not always be a cause for concern. However, it may also indicate an underlying health problem and can increase the risk of falling and fall-related injuries. If you feel lightheaded, drink water or fluids containing electrolytes and take...
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