How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Rick, MD Your Own Question

Dr. Rick, MD
Dr. Rick, MD, Board Certified MD
Category: Medical
Satisfied Customers: 7364
Experience:  20+ years as a doctor. Internal Medicine Internship in NYC
Type Your Medical Question Here...
Dr. Rick, MD is online now
A new question is answered every 9 seconds

Hi, I have some constant mild nausea (I have vomited few

Resolved Question:

Hi,
I have some constant mild nausea (I have vomited few times) with mild pain and cramping in my abdomen. nausea sometimes goes away after eating, but then mild to moderate pain start to occur in upper abdomen ( about 30 min) Also I have feeling of haviness in my lower back. I was adminstered omeprazol 20 mg for GERD but did not help much. (I was told that I have IBS too) I had USG but did not show anything to worry. I have a possibilty to do abdomen MRI, but I would like to avoid dye. My question - Is MRI 1.5T w/o contrast much inferior to with contrast to show general conditions of organs (major issues), Is the procedure (wo contrast) much superior to USG ?
Submitted: 7 months ago.
Category: Medical
Expert:  Dr. Rick, MD replied 7 months ago.

Dr. Rick, MD :

Hi. Dr Rick here. I completed an Internal medicine internship in NYC and have two decades of clinical experience. How can I assist you today?

Dr. Rick, MD :

Dye does add some information to the MRI but you could have the MRI without contrast first and, if the radiologist thinks it is necessary, have it repeated with contrast.

Dr. Rick, MD :

MRI contrast material is not the same as contrast you get with normal Xrays....

Dr. Rick, MD :

If I were in your shoes, I would -- if the radiologist thinks it is indicated -- have the MRI with contrast.

Dr. Rick, MD :

Does this make sense to you

Dr. Rick, MD :

I hope this information was helpful for you. But I do work for tips so I want to make sure you are happy with me before rating me. If you have another question on this or a related issue feel free to fire away. You may also receive an email survey after our chat, if you don’t feel that I have earned a “10” rating in all areas, please let me know what I can do to meet your expectations.

Thanks in advance,

Dr. Rick MD FACS

Expert:  Dr. Rick, MD replied 7 months ago.
Our chat has ended, but you can still continue to ask me questions here until you are satisfied with your answer. Come back to this page to view our conversation and any other new information.

What happens now?

If you haven’t already done so, please rate your answer above. Or, you can reply to me using the box below.
Expert:  Dr. Rick, MD replied 7 months ago.

Dr. Rick, MD : Hi. Dr Rick here. I completed an Internal medicine internship in NYC and have two decades of clinical experience. How can I assist you today?
Dr. Rick, MD : Dye does add some information to the MRI but you could have the MRI without contrast first and, if the radiologist thinks it is necessary, have it repeated with contrast.
Dr. Rick, MD : MRI contrast material is not the same as contrast you get with normal Xrays....
Dr. Rick, MD : If I were in your shoes, I would -- if the radiologist thinks it is indicated -- have the MRI with contrast.
Dr. Rick, MD : Does this make sense to you

Dr. Rick, MD : I hope this information was helpful for you. But I do work for tips so I want to make sure you are happy with me before rating me. If you have another question on this or a related issue feel free to fire away. You may also receive an email survey after our chat, if you don’t feel that I have earned a “10” rating in all areas, please let me know what I can do to meet your expectations.

Thanks in advance,

Dr. Rick MD FACS
Customer: replied 7 months ago.

Hi Doctor,


I was told that the procedure is worthless w/o contrast. My main concern is renal failure after dye.

Expert:  Dr. Rick, MD replied 7 months ago.
My entire post was eaten by the Gremlins. Let me re-type it.

I would not worry about gadolinium MRI contrast dye. The risk to kidneys is very low and really only a problem if you already have kidney problems. Also, the only other contrast material available for MRIs is only used to look at liver disease.

I, personally, have had 3 MRIs in my lifetime with gadolinium and suffered no ill effects from it.

Also, if your doctor said that the test would not be valuable without contrast then you should not waste your time and money on a non-contrast MRI.

Does this make sense to you?


It's safe for you to press the positive feedback button now if you so desire. And, never fear, even after you press that button I don't go up in a puff of smoke -- I'll still be right here to continue helping you, but, as I do work for tips, I want to make sure you are happy before rating me.

Dr. Rick, MD, Board Certified MD
Category: Medical
Satisfied Customers: 7364
Experience: 20+ years as a doctor. Internal Medicine Internship in NYC
Dr. Rick, MD and 6 other Medical Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Thomas, MD's Avatar

    Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    44473
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/DrThomasMd/2012-7-25_134438_Imagess1.64x64.jpg Dr. Thomas, MD's Avatar

    Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    44473
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
  • http://ww2.justanswer.com/uploads/MY/mysticdoc/2012-6-8_15615_mysticdoc3.64x64.jpg Dr. D.J.'s Avatar

    Dr. D.J.

    Board Certified Physician

    Satisfied Customers:

    13579
    MD
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2522
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/DrDLove/2009-08-12_141522_DrDLove.jpg Dr. D. Love's Avatar

    Dr. D. Love

    Doctor

    Satisfied Customers:

    11042
    Family Physician for 10 years; Hospital Medical Director for 10 years.
  • http://ww2.justanswer.com/uploads/DO/DoctorRich/2012-9-12_72454_Doctorweb.64x64.jpg Dr. Natasha's Avatar

    Dr. Natasha

    Doctor

    Satisfied Customers:

    8749
    American Board Certified in Emergency Medicine and Ivy League trained. Medical Review Officer trained in Drug Testing