Irene Amanda Gutierrez MD, MPH

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• Lyme Disease: Making a Diagnosis

  Lyme disease is an infectious disease caused by four different species of bacteria. In Europe and Asia, it spreads through Borrelia afzelii and Borrelia garinii, while in the USA, it spreads through Borrelia burgdorferi and Borrelia mayonii. The disease is transmitted to humans via a common...

• What Could a Swollen Eyelid Mean?

  Your eyelid’s skin is stretchy and loose with a thickness of less than 1 mm. Your eyelids can swell if there is a buildup of fluid in the tissues that surround your eyes.In most cases, swollen eyelids are not a cause for concern and can return back to its normal shape and size after a few days....

• How Is Insomnia Diagnosed?

  Insomnia is the inability to sleep that people of all ages can experience. It may be caused by a wide range of factors including physical discomfort or psychological problems. There is a direct relationship between insomnia and psychosocial factors. Factors such as increased age, conflicts with...

• What Could an Itchy Vulva Mean?

  The vulva is the external part of the female genitalia, which includes the skin between the anus and the vagina, and the lips of the vagina. An itchy vulva is medically called pruritus vulvae. It is normal for women to experience a slight vulvar itch, but if you have an uncomfortable and persistent...

• Anemia Symptoms

  What is anemia?Anemia occurs when there are low levels of red blood cells (RBCs) in the body. Red blood cells are the ones that carry oxygen all over the body. So when a person's RBC count is lower than normal, it means that there is not enough oxygen in the blood, causing symptoms of anemia, such...

• Can You Get Mumps More than Once in Your Lifetime?

  Mumps is a highly contagious viral infection that’s preventable by vaccination. The virus is usually spread by coming in contact with infected individuals. It’s common for newborns, children, as well as young adults. Symptoms associated with the condition include:...