Mira Chockalingam, MD
Specialty: Internal Medicine
Location and Office HoursMira Chockalingam MD
Penfield, NY 14526
- monday: 9:00AM - 5:00PM
- tuesday: 9:00AM - 5:00PM
- wednesday: 9:00AM - 5:00PM
- CIGNA HealthCare
- Empire HealthChoice (Empire BC/BS)
- Excellus Blue Cross Blue Shield (Blue Choice)
- Family Health Plus (Excellus BCBSRA)
- HMOBlue (Excellus BCBSCNY)
- MVP Health Care
- Univera Healthcare WNY
- Rochester General Hospital
How common is transposition of the great arteries?
SCAI answeredOf the thousands of babies born each year with a heart defect, 10 to 11 percent have transposition of the great arteries, according to the American Heart Association.
Can lack of digestive enzymes lead to indigestion?
Michael T. Murray, Naturopathic Medicine, answered
Lack of digestive enzymes from the pancreas is a functional cause of indigestion. Typically when heartburn, abdominal bloating, abdominal discomfort, and gas occur within the first 15 to 30 minutes after eating, the cause is usually a lack of hydrochloric acid (HCl) secretion. If these effects occur after 45 minutes, they usually indicate a lack of pancreatic enzymes. Keep in mind that the secretion of pancreatic enzymes is triggered by the HCl secreted in the stomach. So sometimes taking HCl supplements can lead to improved release of pancreatic enzymes.
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What are the symptoms of nephrotic syndrome?
Many people who have nephrotic syndrome do not have any noticeable physical symptoms. When symptoms are present, they can include:
- Swelling in the tissues around the eyes (periorbital edema) or in the feet or ankles (peripheral edema). This is the most common early symptom of nephrotic syndrome in both children and adults.
- Shortness of breath caused by fluid buildup in the lungs (pulmonary edema).
- Adults older than 65 may be misdiagnosed with heart failure.
- Children are often thought to have allergies.
- Dry skin.
- Swelling of the scrotum (scrotal edema), which may cause a cord in the testicles to twist ( testicular torsion ).
- Protein in the urine (proteinuria).
- Low protein (albumin) in the blood.
- High cholesterol and triglyceride levels.
- Low blood levels of iron and vitamin D.
Signs of nephrotic syndrome in blood and urine tests can include:
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