Dr. Javier Amhed De La Cruz Martiniez M.D.
Internist10101 Forest Hill Blvd Wellington Florida, 33414
Dr. Javier De La Cruz Martiniez is an internist practicing in Wellington, Florida. Dr. De La Cruz Martiniez specializes in the medical treatment of adults. Internists can act as a primary physician or a consultant to a primary physician. They manage both common and rare diseases. Dr. De La Cruz Martiniez provides comprehensive care and manages treatment with surgeons as well. Internists establish long-term relationships with their patients and incorporate disease prevention and mental health care into their practice.
Dr. Javier Amhed De La Cruz Martiniez M.D.'s Expert Contributions
Hello, Pulsing in the anterior neck, just above the sternal manubrium, could be seen infrequently in healthy adults, especially those with lower BMI, as well as with some disorders. In the absence of symptoms, normal radial (wrist) pulse, and no significant findings on neck CT, the most likely explanation would be a normal variant. Patients with aortic insufficiency would have a jumping pulse at the wrist, groin or soft palate. Thanks. READ MORE
Hello, I am not aware of evidence showing a contraindication to take both supplements, TUDCA and trimethylglycine. In the absence of diabetes, weight loss is one of the most beneficial interventions to improve non-alcoholic fatty liver. Thanks. READ MORE
Hello, In the context of acute sore throat, signs of severe or uncontrolled infection that warrant evaluation and possible admission to the hospital include high fever (> 39 C; 102.2 F ), severe throat pain, difficulty swallowing or painful swallowing, difficulty breathing, fatigue, and inability to tolerate oral intake. Please also consider the high incidence of positive coronavirus cases in the hospital environment during the current Covid-19 pandemic. Thanks. READ MORE
Hello, There are many important considerations for pain control in patients with diabetes, especially for type 1 diabetes, which is the most common type at a very young age. One, is the type of pain itself; neuropathic pain (from diabetic neuropathy) is effectively treated with medications such as gabapentin or pregabalin. For other (somatic) types of pain, one very important consideration is kidney function, as all common NSAIDs (ibuprofen, naproxen, ketorolac, etc.) can affect kidney function both in the short and long term. In essence, the selection of pain medications depends on the individual complete clinical picture. Thanks. READ MORE
Hello, Cognitive behavioral therapy (CBT) can be very effective as part of the non-pharmacological treatment of a variety of mood disorders, including anxiety. For best results, it is conducted by a train psychiatrist prior to, or as an adjunct to medications for mood stabilization. Since it's outside my area of expertise, I would recommend an evaluation by such specialist. Thanks. READ MORE
Hello, Effectively, there are multiple causes of nosebleeds. Most commonly, however, nosebleeds are due to either trauma, nose/sinus inflammation or irritation, or drugs- including illicit drugs and common pain killers such as NSAIDs (aspirin, ibuprofen, etc.) Bleeding disorders and elevated blood pressure can certainly also cause nose bleeding; finally, tumors of the nose, nasal cavities or sinuses can lead to bleeding, which is a rare occurrence in young patients. Thanks. READ MORE
Hello, Common cold is caused by a variety of virus types, and these virus can also infect lower portions of the respiratory system leading to bronchitis. This is fairly common, especially in children and the elderly. Treatment is typically supportive; no antibiotics are indicated. READ MORE
Hello, Back pain is commonly attributed to kidney disease. The pain of kidney disease is typically constant where the kidneys' location is- near the angle formed by the last rib on either side and the spine. However, other signs of kidney disease are more specific, such as fever, N/V, blood in the urine, burning or pain with urination, or protein in the urine. A simple urine analysis typically provides more useful information that the pain itself. READ MORE
Hello, The best - and only evidence-proven- recommendation in terms of drinking when kidney stones are present is to drink plenty water. Keeping well hydrated facilitates stone passing and improves symptoms. Thanks. READ MORE
By definition, fibromyalgia is not a disease that has a cure. It symptoms, however, can be controlled or minimized with lifestyle changes, medications and/or psychotherapy. READ MORE
Hello. There are many causes for blood in the urine. There are also some other substances- named pigments- that can cause the urine to appear as if there may be blood; for example myoglobin- from muscle breakdown- and bilirubin- from liver or bile disorders. Even true blood in the urine, associated with no symptoms can be caused by a variety of problems in the upper or lower urinary systems, from kidney inflammatory diseases to simple urinary tract infection. The very first step would be to confirm hematuria (blood in the urine) by urinalysis, with a microscopic analysis to differentiate between renal vs non-renal causes of hematuria. READ MORE
Vitiligo can be well controlled. With effective medical treatment normal pigmentation of the skin can return. By definition, however, vitiligo is an autoimmune disease for which there is presently no cure. READ MORE
Yes. Diverticulosis and diverticulitis are the main ways diverticular disease presents. Diverticulitis means a diverticulum (or more than one diverticuli) is now infected, with significant inflammation; this leads to typical symptoms of fever, abdominal pain in the area of the diverticulum, and elevated white blood cells. READ MORE
Most common causes of rectal bleeding include diverticulosis, angiodysplasia (which is a type of malformation making blood vessels prone to bleeding) and polyps, as well as more severe disorders such as inflammatory bowel disease and malignancy. One of the most common causes, however, especially in persons with constipation or after a bowel movement is internal hemorrhoids. READ MORE
In the absence of throat pain, redness or swelling, those "stones" are most likely benign and do not require any treatment. READ MORE
Anemia, especially moderate to severely low Hgb, is a contraindication for blood donation. READ MORE
Hello, The presence of Factor V Leiden would make a person have a higher risk of blood clots. Pregnancy itself, also increases the risk of blood clots compared to non-pregnant females. In this scenario, during pregnancy there can be a much higher risk of developing clots in the legs or the lungs, as well as pregnancy loss such as abortions. READ MORE
Gallbladder polyps are relatively common. Estimated frequency in some studies is up to 6%-7%. More importantly, most gallbladder polyps are benign, but premalignant polyps can certainly convert into gallbladder cancer. Age above 50, and polyps larger than 1 cm are among the important risk factors for malignant transformation. READ MORE
In my experience, kidney stones rarely cause irregular bowel habits, although they commonly cause N/V and abdominal pain. Some types of stones, however, are caused by the same bacteria that cause diarrhea (Proteus sp.; Klebsiella sp.). If you have also blood in the stools, I would complete a workup for a bleeding disorder, or medications that can cause bleeding. READ MORE
Patients with Type 2 diabetes typically have insulin resistance, which leads to high sugar levels but also contributes to weight gain. Weight loss, by way of aerobic exercise, is a proven lifestyle modification to reduce insulin resistance, and aid control sugar levels better. It is not expected thought to get rid of diabetes as a disease since, by definition, diabetes is a chronic degenerative disease; however, weight loss and aerobic exercise can definitely help reduce sugar levels to completely normal values, just like a person without diabetes. READ MORE
- Centenario Hospital Miguel Hidalgo, Mount Sinai Medical Center, West Palm Beach VA Medical Center
Professional Society Memberships
- American Medical Association, American College of Physicians, Florida Department of Health / Florida Board of Medicine
Articles and Publications
- Mihos CG, De La Cruz JA, Hernandez A, Santana O. Vitamin D Deficiency and Supplementation in Cardiovascular Disorders. Cardiol Rev. 2017 Jul/Aug;25(4):189-196. PMID: 28574937
- Issa O, Peguero JG, Podesta C, Diaz D, De La Cruz JA, Pirela D, Brenes JC. Left Atrial Size and Heart Failure Hospitalization in Patients with Diastolic Dysfunction and Preserved Ejection Fraction. J
- King J, de la Cruz J, Lutzky J. Ipilimumab-induced thrombotic thrombocytopenic purpura (TTP). J Immunother Cancer. 2017 Mar 21;5:19. PMID: 28344807
- Barajas Medina JC; De La Cruz Martnez JA; Reyes Rodrguez AA.; Robles Vargas MT; Ziga Hernndez A; Rosas Cabral A; Terrones Saldvar MC. Tratamiento de la diabetes mellitus gestacional (Treat
What do you attribute your success to?
- Commitment and dedication.
Hobbies / Sports
- Music, Poetry, Boxing
Favorite professional publications
- The New England Journal of Medicine
Dr. Javier Amhed De La Cruz Martiniez M.D.'s Practice location
Wellington, Florida 33414 Get Direction
SULLIVAN, MO 63080Get Direction
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