Conditions We Treat

CARDIOLOGY

Angina

Angina is a type of chest pain caused by reduced blood flow to the heart. Angina is a symptom of coronary artery disease. Angina is often described as squeezing, pressure, heaviness, tightness or pain in your chest.
Symptoms of angina could include: Chest pain or discomfort, pain in your arms, neck, jaw, shoulder or back, nausea, fatigue, shortness of breath, sweating, or dizziness.

Aortic Stentosis

Aortic stenosis occurs when the heart’s aortic valve narrows. This narrowing prevents the valve from opening fully, which reduces or blocks blood flow from your heart into the main artery to your body (aorta) and onward to the rest of your body.
Symptoms of aortic stenosis could include: abnormal heart sound, chest pain or tightness, dizziness, shortness of breath, fatigue, or palpitations.

Arterial Fibrillation

Atrial fibrillation (A-Fib) is an irregular and often rapid heart rate that can increase your risk of stroke, heart failure and other heart-related complications. Episodes of A-Fib can come and go, or you may develop A-Fib that doesn’t go away and may require treatment.
Symptoms of A-Fib could include: Palpitations, weakness, reduced ability to exercise, fatigue, lightheadedness, dizziness, confusion, shortness of breath, or chest pain.

Bradycardia

Bradycardia is a slower than normal heart rate. The hearts of adults at rest usually beat between 60 and 100 times a minute. If you have bradycardia, your heart beats fewer than 60 times a minute. An implanted pacemaker can correct bradycardia and help your heart maintain an appropriate rate.
Symptoms of bradycardia could include: near-fainting or fainting, dizziness, fatigue, shortness of breath, chest pains, confusion or memory problems, or easily tiring during physical exertion.

Cardiac Arrhythmia

Cardiac arrhythmia occurs when the electrical impulses that coordinate your heartbeats don’t work properly, causing your heart to beat too fast, too slow or irregularly. Arrhythmias may feel like a fluttering or racing heart.
Symptoms of cardiac arrhythmia could include: A fluttering in your chest, a racing heartbeat, a slow heartbeat, chest pain, shortness of breath, dizziness, sweating, or fainting.

Cardiomyopathy

Cardiomyopathy is a disease of the heart muscle that makes it harder for your heart to pump blood to the rest of your body. Cardiomyopathy can lead to heart failure.
Symptoms of cardiomyopathy could include: breathlessness with exertion or rest, swelling of the legs, ankles and feet, bloating of the abdomen due to fluid buildup, fatigue, palpitations, chest discomfort or pressure, or dizziness.

Carotid Stenosis

Carotid stenosis is a narrowing of the carotid arteries, the two major arteries that carry oxygen-rich blood from the heart to the brain. Also called carotid artery disease, carotid stenosis is caused by a buildup of plaque (atherosclerosis) inside the artery wall that reduces blood flow to the brain. Treatment aims to reduce the risk of stroke by controlling or removing plaque buildup and preventing blood clots.

Congestive Heart Failure

Congestive Heart Failure (CHF) occurs when your heart muscle doesn’t pump blood as well as it should. Certain conditions, such as narrowed arteries in your heart (coronary artery disease) or high blood pressure, gradually leave your heart too weak or stiff to fill and pump efficiently.

Coronary Artery Disease

Coronary Artery Disease (CAD) develops when the major blood vessels that supply your heart with blood, oxygen and nutrients (coronary arteries) become damaged or diseased. Cholesterol-containing deposits (plaque) in your arteries and inflammation are usually to blame for coronary artery disease.
Symptoms of CAD could include: chest pain, shortness of breath, or heart attack.

Heart Attack

A heart attack -also known as a myocardial infarction- occurs when the flow of blood to the heart is blocked. The blockage is most often a buildup of fat, cholesterol and other substances, which form a plaque in the arteries that feed the heart (coronary arteries). A heart attack can be fatal; however, treatment has improved over the year.
Symptoms of a heart attack could include: Pressure, tightness, pain or a squeezing or aching sensation in your chest or arms. Nausea, indigestion, heartburn or abdominal pain, shortness of breath, cold sweat, fatigue, or dizziness.

Heart Palpitations

Heart palpitations are the feelings of having a fast-beating, fluttering or pounding heart. Stress, exercise, medication or, rarely, a medical condition can trigger them.
Symptoms for heart palpitations could include: skipping beats, fluttering rapidly, beating too fast, pounding, or flip-flopping.

Hypertension

Hypertension – also known as high blood pressure- is a common condition in which the long-term force of the blood against your artery walls is high enough that it may eventually cause health problems, such as heart disease.
Symptoms of hypertension could include: headaches, shortness of breath or nosebleeds.

Mitral Valve Disease

In mitral valve disease, the mitral valve, which is located between your left heart chambers (left atrium and left ventricle), doesn’t work properly.

Mitral Valve Prolapse

Mitral valve prolapse (MVP) occurs when the leaflets of the mitral valve bulge (prolapse) into the heart’s left upper chamber (left atrium) like a parachute during the heart’s contraction.
Symptoms of mitral valve prolapse could include: a racing or irregular heartbeat, dizziness, difficulty breathing, shortness of breath, fatigue, or chest pain.

Pericarditis

Pericarditis is swelling and irritation of the pericardium, the thin saclike membrane surrounding your heart. Pericarditis often causes chest pain and sometimes other symptoms. The sharp chest pain associated with pericarditis occurs when the irritated layers of the pericardium rub against each other.
Symptoms of pericarditis could include: sharp, piercing chest pain over the center or left side of the chest, shortness of breath when reclining, heart palpitations, low-grade fever, weakness, cough, or abdominal or leg swelling.

Peripheral Artery Disease

Peripheral Artery Disease (PAD) is a common circulatory problem in which narrowed arteries reduce blood flow to your limbs. When you develop peripheral artery disease (PAD), your extremities — usually your legs — don’t receive enough blood flow to keep up with demand. This causes symptoms, most notably leg pain when walking (claudication).

Peripheral Vascular Disease

Peripheral vascular disease (PVD) is a blood circulation disorder that causes the blood vessels outside of your heart and brain to narrow, block, or spasm. PVD typically causes pain and fatigue, centered in your legs, and especially during exercise.

Sick Sinus Syndrome

Sick sinus syndrome (SSS) develops when the major blood vessels that supply your heart with blood, oxygen and nutrients (coronary arteries) become damaged or diseased. Cholesterol-containing deposits (plaque) in your arteries and inflammation are usually to blame for coronary artery disease.
Symptoms of SSS could include: slower than normal pulse, fatigue, dizziness or lightheadedness, fainting or near fainting, shortness of breath, chest pains, confusion, and rapid or fluttering heartbeats.

Syncope

Syncope is partial or complete loss of consciousness with interruption of awareness of oneself and one’s surroundings. When the loss of consciousness is temporary and there is spontaneous recovery, it is referred to as syncope or, in nonmedical quarters, fainting. Syncope is due to a temporary reduction in blood flow and therefore a shortage of oxygen to the brain.

Tachycardia

Tachycardia is a common type of heart rhythm disorder (arrhythmia) in which the heart beats faster than normal while at rest. If left untreated, tachycardia can disrupt normal heart function and lead to serious complication like heart failure, stroke, and sudden cardiac arrest or death.
Symptoms of tachycardia could include: shortness of breath, lightheadedness, rapid pulse rate, heart palpitations, chest pain, or fainting.

Tricuspid Valve Regurgitation

Tricuspid valve regurgitation is a condition in which the valve between the two right heart chambers (right ventricle and right atrium) doesn’t close properly. The malfunctioning valve allows blood to flow back into your heart’s upper right chamber (right atrium).

PULMONOLOGY

Allergic Rhinitis

Allergic Rhinitis causes cold-like signs and symptoms, such as a runny nose, itchy eyes, congestion, sneezing and sinus pressure. But unlike a cold, allergic rhinitis isn’t caused by a virus, it is caused by an allergic response to outdoor or indoor allergens, such as pollen dust mites or tiny flecks of skin and saliva shed by cats, dogs and other animal with fur or feathers.
Symptoms of allergic rhinitis could include: runny nose and nasal congestion, watery, itchy, red eyes, sneezing, cough, itchy nose or throat, swollen, blue-colored skin under the eyes, postnasal drip, or fatigue.

Asthma

Asthma is a condition in which your airways narrow and swell and produce extra mucus. This can make breathing difficult and trigger coughing, wheezing and shortness of breath.
Symptoms of asthma could include: shortness of breath, chest tightness or pain, trouble sleeping caused by shortness of breath, coughing or wheezing, a whistling or wheezing sound when exhaling, and coughing or wheezing attacks that are worsened by a respiratory virus such as the cold or the flu.

Chronic Cough

A chronic cough is a cough that lasts eight weeks or longer in adults. A chronic cough can interrupt your sleep and leave you feeling exhausted. In some cases, it can cause vomiting, lightheadedness and even rib fractures.
Symptoms of a chronic cough could include: A runny or stuffy nose, A feeling of liquid running down the back of your throat, Frequent throat clearing and sore throat, hoarseness, wheezing and shortness of breath, heartburn or a sour taste in your mouth, and in extremely rare cases coughing up blood.

Chronic Obstructive Pulmonary Disease

Chronic obstructive pulmonary disease (COPD) is a chronic inflammatory lung disease that causes obstructed airflow from the lungs. It is caused by long-term exposure to irritating gases or particulate matter, most often from cigarette smoke. People with COPD are at increased risk of developing heart disease, lung cancer and a variety of other conditions.

Dyspnea

Shortness of breath — known medically as dyspnea — is often described as an intense tightening in the chest, air hunger or a feeling of suffocation. Exercise, extreme temperatures, and obesity can all cause dyspnea in a healthy person. Outside of these examples, dyspnea could be a sign of a medical problem.

Emphysema

Emphysema is a lung condition that causes shortness of breath. The air sacs in the lungs are damaged. The inner walls of the air sacs weaken and rupture of time – creating larger air spaces instead of many small ones, reducing the amount of oxygen that reaches the bloodstream.

Pulmonary Embolism

Pulmonary embolism is a blockage in one of the pulmonary arteries in your lungs. Pulmonary embolism is typically caused by blood clots that travel to the lungs from the legs or other parts of the body.
Symptoms of pulmonary embolism could include: shortness of breath, chest pain, and cough.

Pulmonary Fibrosis

Pulmonary fibrosis is a lung disease that occurs when lung tissue becomes damaged and scarred. This thickened, stiff tissue makes it more difficult for your lungs to work properly. As pulmonary fibrosis worsens, you become progressively shorter of breath.
Symptoms of pulmonary fibrosis could include: shortness of breath, dry cough, fatigue, unexplained weight loss, aching muscles and joints, or widening and rounding of the tip of the fingers or toes also known as clubbing.

Pulmonary Nodule

A pulmonary nodule is a small round or oval-shaped growth in the lung. It may also be called a “spot on the lung” or a “coin lesion.” Pulmonary nodules are smaller than three centimeters (around 1.2 inches) in diameter. If the growth is larger than that, it is called a pulmonary mass and is more likely to represent a cancer than a nodule.

Reactive Airway Disease

Reactive airway disease is a group of conditions that include reversible airway narrowing due to an external stimulation. These conditions generally result in wheezing.

Respiratory Failure

Respiratory failure occurs when fluid builds up in the air sacs in your lungs. When that happens, your lungs can’t release oxygen into your blood. Your organs, in turn, can’t get enough oxygen-rich blood to function. Respiratory failure occurs when the capillaries surrounding your air sacs can’t properly exchange carbon dioxide for oxygen.
Symptoms of Respiratory failure could include: restlessness, anxiety, loss of consciousness, rapid and shallow breathing, racing heart, irregular heartbeats, profuse sweating, confusions, or an inability to breathe.

Sarcoidosis

Sarcoidosis is the growth of tiny collections of inflammatory cells (granulomas) in different parts of your body — most commonly the lungs, lymph nodes, eyes and skin. There is no cure for sarcoidosis, however, most people do very well with little or only modest treatment. Studies show in half of cases, sarcoidosis goes away on its own.
Symptoms of sarcoidosis could include: Fatigue, fever, swollen lymph nodes, and weight loss.

Sleep Apnea

Sleep apnea is a potentially serious sleep disorder in which breathing repeatedly stops and starts. You may have sleep apnea if you snore loudly, and you feel tired even after a full night’s sleep.

Wheezing

Wheezing is a high-pitched whistling sound made while breathing. It’s often associated with difficulty breathing. Wheezing may occur during breathing out (expiration) or breathing in (inspiration).

INTERNAL MEDICINE/PRIMARY CARE

Alzheimer’s Disease

Alzheimer’s disease is a progressive disease that destroys memory and other important mental functions. Our primary care providers perform simple tests to see if a patient is exhibiting any signs of Alzheimer’s disease. If the test shows positive signs, the clinician will refer to a neurologist for a positive diagnosis. 

Anemia

Anemia is a condition in which you do not have enough healthy red blood cells to carry adequate oxygen to the body’s tissues. Anemia can be temporary or long term and can range from mild to severe.
Symptoms for anemia could include: fatigue, weakness, pale or yellowish skin, palpitations, shortness of breath, dizziness, chest pain, cold hands and feet, and headache.

Bronchitis

Bronchitis is an inflammation of the lining of the bronchial tubes, which carry air to and from the lungs. Bronchitis may be either acute or chronic. Once developing a cold or other respiratory infections, it is common to develop bronchitis. Acute bronchitis is also referred to a chest cold.
Symptoms could include: Cough, production of mucus varying in color, fatigue, shortness of breath, fever and chills, and chest discomfort.

Cellulitis

Cellulitis is a common, potentially serious bacterial skin infection. It occurs when a crack or tear in the skin allows bacteria to enter into the body. Cellulitis typically affects the skin on the lower legs, but it can occur in the face, arms and other areas as well.
Symptoms could include: Red area of the skin that tends to expand, swelling, tenderness, pain, warmth, fever, red spots, blisters, and skin dimpling.

Cerebral Vascular Accident

Cerebral Vascular Accident (CVA) also referred to as a stroke occurs when the blood supply to part of your brain is reduced, depriving brain tissue of oxygen and nutrients. This is a medical emergency and prompt treatment is crucial.
Symptoms of CVA could include: Trouble with speaking and understanding, paralysis or numbness of the face, arm or leg, trouble with seeing in one or both eyes, headache, and trouble with walking.

Constipation

Constipation is known as infrequent bowel movements that persists for several weeks or longer. Occasional constipation is common; however, some people can experience chronic constipation that can interfere with their ability to go about their daily routines. Chronic constipation can also lead to hemorrhoids.
Symptoms of constipation could include: Passing fewer than three stool a week, lumpy or hard stools, straining to have bowel movements, or feeling as though there’s a blockage in your rectum preventing you from having a movement.

Deep Vein Thrombosis

Deep Vein Thrombosis (DVT) occurs when a blood clot forms in one or more of the deep veins in the body, usually the lower extremities. DVT can develop if you have any medical conditions that affect how the bloods in the body. A sedentary occupation could increase these risks as well.
Symptoms for DVT could include: pain in the leg, soreness or cramping of the leg, red or discolor skin on the leg, a feeling of warmth in the affected leg.

Diabetes

Diabetes is a lifelong disease that affects approximately 18.2 million Americans. While there is no cure for diabetes, our primary care clinicians at WHIMA can help you control and manage the disease. Diabetes is the condition in which the body does not properly process food for use as energy.

Diverticulitis

Diverticulitis occurs when one or more diverticula (small, bulging pouches that can form in the lining of the digestive system) become inflamed or infected. This can cause severe abdominal pain, fever, nausea and a marked change in bowel habits.
Symptoms of Diverticulitis could include: Nausea and vomiting, fever, abdominal tenderness, constipation, constant abdominal pain for several days.

Elevated Cholesterol

When you have high cholesterol, you may develop fatty deposits in your blood vessels. Eventually, these deposits make it difficult for enough blood to flow through your arteries. Your heart may not get as much oxygen-rich blood as it needs, which increases the risk of a heart attack. Decreased blood flow to your brain can cause a stroke.
High cholesterol can be inherited, but it’s often the result of unhealthy lifestyle choices, and thus preventable and treatable. A healthy diet, regular exercise and sometimes medication can go a long way toward reducing high cholesterol.
The only way to check for high cholesterol is to do a blood test.

Gastritis

Gastritis is cause by inflammation of the lining of the stomach. It is most often the result of infection with the same bacterium that causes most stomach ulcers. Repetitive use of certain pain relievers and consuming too much alcohol can contribute to gastritis.

Headaches

Headache is pain in any region of the head. Headaches may occur on one or both sides of the head, be isolated to a certain location, radiate across the head from one point, or have a viselike quality. There are many different types of headaches including migraine and cluster headaches.

Hearing Loss

Hearing loss that occurs gradually as you age (presbycusis) is common. About 25 percent of people in the United States between the ages of 55 and 64 have some degree of hearing loss. For those older than 65, the number of people with some hearing loss is almost 1 in 2.

Heartburn

Heartburn is a burning pain in your chest, just behind your breastbone. The pain is often worse after eating, in the evening, or when lying down or bending over. Heartburn is fairly common in adults and it is manageable with over the counter medications such as antacids. If heartburn is more frequent or interferes with daily activities, however, it could be a sign of a more serious medical condition.
Symptoms of heartburn could include: A burning pain in the chest that usually occurs after eating or in the evening, pain that worsens when lying down or bending over, and a bitter or acidic taste in the mouth.

Hemorrhoids

Hemorrhoids, also called piles, are swollen veins in your anus and lower rectum, similar to varicose veins. Hemorrhoids have a number of causes, although often the cause is unknown. They may result from straining during bowel movements or from the increased pressure on these veins during pregnancy.

Insomnia

Insomnia is a common sleep disorder that can make it hard to fall asleep, hard to stay asleep, or cause you to wake up too early and not be able to get back to sleep. You may still feel tired when you wake up. Insomnia can sap not only your energy level and mood but also your health, work performance and quality of life.
Symptoms of insomnia could include: difficulty falling asleep at night, waking up during the night, waking up too early, not feeling well-rested after a night’s sleep, daytime tiredness or sleepiness, irritability, depression or anxiety, difficulty paying attention, increased errors or accidents, and ongoing worries about sleep.

Menopause

Menopause is the time that marks the end of your menstrual cycles. It’s diagnosed after you’ve gone 12 months without a menstrual period. It is a natural biological process.
Symptoms of menopause could include: irregular periods, vaginal dryness, hot flashes, chills, night sweats, sleep problems, mood changes, weight gains, slowed metabolism, thinning hair, dry skin, and loss of breast fullness.

Obesity

Obesity is a disorder involving an excessive amount of body fat. It increases your risk of diseases and health problems, such as heart disease, diabetes and high blood pressure.
Obesity is diagnosed when your body mass index (BMI) is 30 or higher.

Pneumonia

Pneumonia is an infection that inflames the air sacs in one or both lungs. The air sacs may fill with fluid or pus (purulent material), causing cough with phlegm or pus, fever, chills, and difficulty breathing. A variety of organisms, including bacteria, viruses and fungi, can cause pneumonia.
Symptoms of pneumonia could include: chest pain when breathing or coughing, confusion or changes in mental awareness (mostly occurring in elderly adults), phlegm producing cough, fatigue, fever, sweating and shaking chills, lower than normal body temperature, nausea, vomiting or diarrhea, and shortness of breath.

Rectal Bleeding

Rectal bleeding can refer to any blood that passes from your anus associated with bleeding from your lower colon or rectum. Rectal bleeding could show up as blood in the tool, on toilet paper, or in the toilet bowl.

Respiratory Infections

Upper Respiratory Infections (URIs) are one the most common reasons why a patient would visit a primary care provider. Patients are more susceptible to URIs in the fall in winter but can occur year-round. URIs are mostly caused by viruses and there isn’t much that can be done to cure these illnesses, however, in some cases an antibiotic could work.
Symptoms of an upper respiratory infection could include: cough, sneezing, nasal discharge, congestion, runny nose, fever, scratchy or sore throat, nasal breathing.

Seizure

A seizure is a sudden, uncontrolled electrical disturbance in the brain. It can cause changes in your behavior, movements or feelings, and in levels of consciousness. Seizures can vary in times from 30 seconds to two minutes. A seizure lasting longer than 5 minutes is a medical emergency.
Symptoms of a seizure could include: Temporary confusion, a staring spell, uncontrollable jerking movements of the arms and legs, loss of consciousness or awareness, and cognitive or emotional symptoms, such as fear, anxiety or déjà vu.

Sexually Transmitted Diseases

Sexually Transmitted Diseases (STDs) are acquired by sexual contact. The organisms that cause these diseases may pass from person to person in blood, semen, or vaginal and other bodily fluids. Some treatment STDs can be treated in the office by prescribing antibiotics. Please contact your clinician if you have any questions.
Symptoms of STDs could include sores or bumps on the genital or in the oral or rectal area, painful or burning urination, discharge from genitals, unusual or odd-smelling discharge, unusual vaginal bleeding, pain during sex, sore or swollen lymph nodes, lower abdominal pain, fever, rash over the trunk, hand or feet.

Urinary Incontinence

Urinary incontinence is the leaking of urine. The severity ranges from occasionally leaking urine when you cough or sneeze to having an urge to urinate that’s so sudden and strong you don’t get to a toilet in time.

Urinary Tract Infection

A urinary tract infection (UTI) is an infection in any part of your urinary system — your kidneys, ureters, bladder and urethra. Most infections involve the lower urinary tract — the bladder and the urethra. UTIs are typically treated with antibiotics.
Symptoms for a UTI could include: A strong, persistent urge to urinate, a burning sensation when urinating, passing frequent, small amounts of urine, urine that appears cloudy, urine that appears red, bright pink or cola-colored-a sign of blood in the urine, strong-smelling urine, pelvic pain, in women-especially in the center of the pelvis and around the area of the pubic bone.

Vertigo

Vertigo – also known as dizziness- is a term used to describe a range of sensations, such as feeling faint, woozy, weak or unsteady. Some patients may experience a case of vertigo that are mild and acute to severe and chronic.
Symptoms of vertigo could include: A false sense of motion or spinning, feeling faint, unsteadiness or a loss of balance, and a feeling of floating, wooziness or heavy-headedness.

Vitamin B Deficiency

Vitamin B helps to make your DNA and your red blood cells. Most people have enough vitamin B, however, certain changes in the body and age can affect the absorption process for the vitamin. You may be more prone to vitamin B deficiency if you have conditions that affect your small intestine, like Crohn’s disease, celiac disease, or if you have any immune system disorders, such as Lupus or Grave’s disease.

Symptoms could include: weakness, fatigue, palpitations, pale skin, constipation, diarrhea, loss of appetite, a smooth tongue, numb or tingling, muscle weakness, vision loss, and mental health problems like depression, memory loss, or behavioral changes.