Dr. Paul W. Koch M.D.

Humans have approximately 60 percent of water in the body. Even if 1.5-2 percent of that water is lost, mild dehydration will start, which can lead to severe dehydration requiring immediate medical attention. Because your mood, energy level, and coordination deteriorate with the loss of body fluids,...

Uncontrollable shivering is characterized by the rapid shifting between muscle relaxation and contraction. It is through these contractions that the body warms itself up when exposed to cold. Shivering is not always accompanied by fever. In some cases, shivering may occur before the onset of...

OverviewA transient ischemic attack (TIA) is a mini-stroke, which only lasts for a few minutes. It occurs when blood stops flowing to a part of the brain for a short time. The symptoms of TIA are similar to other symptoms of stroke, but they do not last long, so TIA does not lead to permanent...

Almost every cell in the body has a primary source of energy, which is usually glucose. However, when the body doesn't have enough glucose, the liver responds by producing chemicals known as ketones, converting stored fatty acids into ketone bodies. Ketones are used as a backup fuel source when...

What is encephalitis?Encephalitis means inflammation of the brain. Fever, headache, and joint pain are often experienced in the early stages of encephalitis. Other severe symptoms may develop over some days or hours. They include personality changes, seizures, disorientation, confusion, or...

Copperhead snake bites are one of the frequently reported snakebites annually. However, they are rarely fatal. Most of the time, snakebites happen when people accidentally step on or touch snakes, which are excellent at blending into their surroundings. When copperhead snakes are disturbed, they...