Over 100 million American adults now have diabetes or prediabetes. Whether you’re dealing with type 1, type 2, or pre-diabetes, it’s important to get the diagnosis and treatment you need now to preserve your health long-term. At his Savannah, Georgia, practice, Stephen M. Herman, MD, LLC, highly-experienced physician Stephen M. Herman, MD, can support and guide you through the diabetic care you need, now and in the future. Book now through the online tool or by phone.
Type 1 diabetes usually starts in childhood, or you may have it at the time of birth. If you suffer from type 1 diabetes, your body doesn't make the insulin you need for healthy glucose levels. You can't prevent type 1 diabetes, but you can work closely with Dr. Herman to maintain good health.
Type 2 diabetes usually starts in adulthood, and it's preventable. If you have type 2 diabetes, your body does make insulin, but you don't process it properly. This is known as insulin resistance. If you're at-risk for type 2 diabetes, you can work with Dr. Herman to prevent the disease.
Am I at-risk for type 2 diabetes?
Knowing your risk factors can be key to type 2 diabetes prevention. The main risk factors are as follows:
- Extra weight, especially obesity
- Lack of activity
- Hypertension (high blood pressure)
- High cholesterol
There are also several uncontrollable risk factors, including:
- Being over 45 years of age
- Having African American, Alaskan, American Indian, Asian, or Hispanic ethnicity
- Having a family history of diabetes
Dr. Herman can help you manage the controllable factors so you have the best chance of avoiding type 2 diabetes if you're at risk.
How is diabetes diagnosed?
The glycated hemoglobin (A1C) blood test checks your blood sugar levels over the last few months. The A1C test is simple and easy because you don't need to fast beforehand and it requires just a small blood sample.
Your A1C results indicate whether you're pre-diabetic, diabetic, or have healthy blood sugar levels. If you do have diabetes, Dr. Herman can start your treatment right away.
What is the treatment for diabetes?
If you have type 1 diabetes, you have to supplement insulin through injections or an insulin pump to stay healthy. If you have type 2 diabetes, your treatment depends on your blood sugar levels, your overall health, and your symptoms.
Sometimes, changes like an improved diet and consistent exercise can help you manage type 2 diabetes without medication. But, you may need daily medication, along with lifestyle changes.
A healthy lifestyle is important, whether you use supplemental insulin or not.
Diabetes doesn't have to mean poor health any longer. Work with Dr. Herman at Stephen M. Herman, MD, LLC to enjoy optimal health by using the online appointment tool or calling the office today.
Hypertension, commonly called high blood pressure, doesn’t have many symptoms in its early stages, and that makes it especially dangerous. During your visits to Stephen M. Herman, MD, LLC in Savannah, Georgia, with physician Stephen M. Herman, MD, you’ll get blood pressure monitoring, diagnosis, and treatment if needed. Make sure your hypertension is well-managed by using the online appointment tool or calling the office today.
Hypertension is high blood pressure. Ideally, your blood pressure should be less than 120/80 mmHg. There are different levels of hypertension as follows.
- 120-129 and less than 80 mmHg: elevated blood pressure
- 130-139 or 80-89 mmHg: stage 1 hypertension
- 140 or higher or 90 mmHg or higher: stage 2 hypertension
- Higher than 180 and/or higher than 120 mmHg: hypertensive crisis
If you have consistently elevated blood pressure or hypertension, you should see Dr. Herman regularly to monitor your condition. If your blood pressure reading indicates hypertensive crisis, it's a medical emergency and you should get to the closest emergency room immediately.
Am I at risk for hypertension?
In most cases, the cause of hypertension isn't clear, but the risk factors are well-established. The following factors typically play a role in hypertension.
- Age: hypertension is most common in middle age and beyond
- Family history: immediate relatives with it means you're more likely to have it
- Weight: being overweight or obese increases your risk of hypertension
- Poor eating habits: a diet high in saturated fat increases hypertension risk
- Sedentary lifestyle: a lack of physical activity raises your hypertension risk
Although you can't change your age or family history, you're very much in control of your eating habits, physical activity, and weight with Dr. Herman’s help. By working with Dr. Herman to improve your health, you can reduce your risk of hypertension, or even bring high blood pressure down.
What can happen if hypertension isn't treated?
You could suffer from any of the following without hypertension treatment.
- Heart disease
- Blocked arteries
- Eye problems, including retina and optic nerve damage
- Kidney problems
Hypertension can have serious or even fatal consequences, which is why treatment is so vital.
How is hypertension treated?
Dr. Herman treats hypertension according to the stage, its effects, and your general health. In many cases, a few healthy lifestyle adjustments can lower your blood pressure to healthy levels. This typically includes weight loss if you need it, a healthier diet with low saturated fat intake, and regular exercise.
If your blood pressure isn't in the healthy range after lifestyle changes, you may need prescription medication. As long as you make healthy choices and stick with your treatment plan, you can take control of your hypertension.
Book your appointment at Stephen M. Herman, MD, LLC through the online tool or by phone now.
Abdominal pain is one of the most common pain complaints that patients see the doctor for today. At Stephen M. Herman, MD, LLC in Savannah, Georgia, empathetic physician Stephen M. Herman, MD, gets to the bottom of your abdominal pain to make sure you get relief fast. Use the online booking tool to arrange your appointment now, or call the office to schedule today
There are many possible causes of abdominal pain, including:
- Gastroesophageal reflux disease (GERD) and reflux esophagitis
- Peptic ulcer disease
To get long-term relief for your abdominal pain, you've first got to find out its cause. Dr. Herman is a highly-experienced internal medicine physician who can diagnose you and then treat your issue right away.
What is GERD?
GERD is a disease in which your stomach acids move the wrong way — up, instead of down — and irritate your esophageal lining. In GERD, you can have reflux esophagitis, which makes it hard to swallow and often causes chest pain. In some cases of GERD, you may also have abdominal pain and bloating.
Treatment for GERD depends on the severity and how your symptoms affect you. Dr. Herman may recommend lifestyle changes like weight loss, dietary changes, and avoiding alcohol.
Dr. Herman may recommend an over-the-counter antacid for occasional GERD, and if you need further treatment, Dr. Herman may prescribe medication to control acid production, medication that helps your damaged esophagus heal, or different antacids.
What is peptic ulcer disease?
Peptic ulcer disease, in which you grow sores (ulcers) inside your stomach lining and small intestine, is a common cause of abdominal pain. You may also experience stomach burning, bloating, heartburn, and nausea.
Dr. Herman can prescribe antibiotics if bacteria causes your peptic ulcer disease. Other treatment options include stomach acid neutralizers, medicine to coat your stomach lining, and medication to stop your stomach acid production so your ulcers can heal.
What is gastritis?
If you have gastritis, your stomach lining is irritated. In erosive gastritis, your stomach lining wears down and you may develop peptic ulcer disease. Gastritis can cause serious abdominal pain, and may also cause nausea and vomiting.
Dr. Herman can prescribe medicine to control stomach acid production or antacids to neutralize your stomach acids for symptom relief.
What is colitis?
Colitis is an inflammatory bowel disease that often causes abdominal pain, diarrhea, and sometimes constipation and bloody stool. The medications for colitis can include nonsteroidal anti-inflammatory drugs, antibiotics, corticosteroids, and sometimes biologic drugs.
If abdominal pain is affecting your quality of life, get the help you need now. Use the online appointment maker or call the office of Stephen M. Herman, MD, LLC for help today.
There are many different causes of chest pain, and they can range from life-threatening to not serious at all. But, you need to know which is which and get the appropriate treatment from a highly-experienced physician like Stephen M. Herman, MD, at Stephen M. Herman, MD, LLC in Savannah, Georgia. Click the online appointment maker or call the office to schedule an appointment with Dr. Herman today.
What are the symptoms of chest pain?
Chest pain typically feels like a squeezing or heavy pressure on your chest. It may be sporadic or continuous, and you may also have accompanying symptoms, including:
- Breathing problems
- Erratic heartbeat
- Sudden exhaustion
Although chest pain is sometimes due to a bout of acid reflux, it can also be something serious and even life-threatening like a heart attack. Don't take chances when you're dealing with chest pain symptoms; see Dr. Herman as soon as possible.
What are the most common causes of chest pain?
Angina is a common cause of chest pain that occurs when your heart's not getting sufficient blood. Around 9 million men and women in the U.S. have angina today. Although angina may sometimes be a symptom of heart disease, it doesn't cause permanent heart damage itself. However, it does require treatment.
Some other causes of chest pain include:
- Pulmonary hypertension
There are also many other possible causes of chest pain, so it's always safest to get checked out.
What are the warning signs of a heart attack?
Although many patients worry that chest pain automatically means heart attack, it's often something else. However, it's smart to know the warning signs of a heart attack, according to the American Heart Association:
The sensation is often more uncomfortable than outright painful, although chest pain is possible. Usually, heart attacks cause middle-of-the-chest discomfort that continues for more than a few minutes.
UPPER BODY DISCOMFORT
Often, heart attacks also cause discomfort in one or both of your arms, in your neck, back, jaw, or abdominal area.
You may have shortness of breath, feeling like you have to struggle to draw air, when you're having a heart attack.
You may also experience cold sweats, nausea, or a feeling of dizziness or lightheadedness.
How is chest pain diagnosed and treated?
Dr. Herman can perform electrocardiograms and pulmonary function tests on-site in addition to comprehensive exams. If you need treatment for chest pain, Dr. Herman can recommend lifestyle changes, prescribe appropriate medications, and help put the pain behind you for good.
Book your appointment at Stephen M. Herman, MD, LLC online or by phone now.
Depression is one of the most common mental disorders in the world today, with over 300 million sufferers worldwide. If you’re struggling with depression, you can take control of your health by getting diagnosis and treatment from an expert like Savannah, Georgia, physician Stephen M. Herman, MD. Use the online appointment maker or call Stephen M. Herman, MD, LLC today to take the first step towards feeling better.
There are many possible causes of depression, and in fact, there's rarely one single cause. Sometimes, family history contributes — if your immediate relatives suffer from depression, your odds of also having it increase.
Depression may begin after a traumatic event, a painful loss, or for no discernible reason. Every case is unique, so it's important to be evaluated by a skilled physician with psychiatric experience like Dr. Herman. If you're ready to put in the effort, you can manage your depression effectively with Dr. Herman's help.
What are the signs of depression?
Although every depression sufferer has a unique situation, certain behaviors tend to occur when you're depressed. These things can include:
- Lack of interest in family or social activities
- Preferring to spend time alone
- Sleeping pattern changes
- Weight loss or gain
- Decreased energy
- Persistent thoughts of death
- Feelings of hopelessness
- Suicidal ideation
- Poor choices
If you recognize these symptoms in yourself, or in someone you love, it's important to acknowledge the problem by having a depression evaluation with Dr. Herman as soon as possible. Dr. Herman has special training in psychiatry and is skilled in recognizing, diagnosing, and treating depression effectively.
Am I at risk for depression?
Although anyone, from children to geriatrics, can suffer from depression, certain groups are at risk. Factors that may put you at risk for depression are:
- Being female
- Having poor self-esteem
- Having a history of abuse (emotional, physical, sexual, or other)
- Loss of a loved one
- Relationship difficulties
- Financial difficulties
- Chronic health problems
- Drug or alcohol abuse
- Being gay, lesbian, bisexual, or transgender
- Being a new parent
Being in one or more of these groups doesn't automatically mean you'll suffer from depression, but it does mean that you need to be especially watchful for the signs that you're depressed and respond quickly if you notice them.
How is depression treated?
Dr. Herman treats depression on a case-by-case basis, after carefully considering your unique needs. From support with lifestyle changes to daily medication like antidepressant drugs, Dr. Herman can support and guide you into a happier and healthier place.
Schedule your depression consultation at Stephen M. Herman, MD, LLC using the online appointment tool or by phone now.
If you’re having difficulty breathing, there can be a number of possible causes. A deep cough, allergies, bronchitis, asthma, or other respiratory conditions can make breathing a painful struggle, but fortunately compassionate physician Stephen M. Herman, MD, can help at Stephen M. Herman, MD, LLC in Savannah, Georgia. Use the online booking tool or call the office to breathe free again.
There are many possible reasons that you're having difficulty breathing. Usually, breathing problems are closely tied to respiratory system problems like bronchitis, asthma, allergies, and pneumonia.
You may also have short-term breathing difficulties after strenuous exercise, when you've got a cold, or when you're in a high-altitude climate. If you're struggling to breathe, it's important to get diagnosis and treatment as soon as possible.
Why does bronchitis affect my breathing?
Bronchitis develops when the bronchial tubes leading to your lungs become inflamed. This inflammation can cause overproduction of mucus, coughing, chest pain, and difficulty breathing.
Bronchitis usually starts with a viral infection, which means antibiotics can't treat it effectively in most cases. Dr. Herman can help you feel more comfortable and breathe more easily with treatments like cough medicine, inhaled corticosteroids, and other medications customized for you.
How does asthma affect my breathing?
When you have an asthma attack, your breathing passages grow swollen, making them too narrow for air to pass through normally. In an asthma attack, you may feel like a fish that's out of water, gasping to get enough air. The lack of air can cause dizziness, chest pain, fainting, and can even be life-threatening in serious cases.
Dr. Herman can treat your asthma in several ways, including inhaled corticosteroid medications, oral medications, and prescribed lifestyle changes.
How does pneumonia affect my breathing?
If you have pneumonia, the tiny sacs inside your lungs get infected, causing serious irritation. Liquid or pus fills the sacs, and this makes it hard to breathe. Often, pneumonia causes a deep and painful cough, chills, and fever, as well.
Dr. Herman can treat pneumonia in several ways depending on your needs. You may take antibiotics, cough medicine, and fever-reducing medications to help you feel better.
Can allergies cause breathing problems?
Although you may think of allergies as the cause of a runny nose and watery eyes, they can also cause breathing difficulties. Many allergy sufferers have breathing issues after being around a trigger like animal dander, pollen, or dust mites.
Dr. Herman can prescribe medications to help, and can also help you identify your triggers so you can avoid your allergens as much as possible.
For better breathing, book your appointment at Stephen M. Herman, MD, LLC online or by phone now.
Strep throat and other conditions that cause a sore throat often come along with fever, swallowing difficulty, and other frustrating issues. At Stephen M. Herman, MD, LLC in Savannah, Georgia, caring physician Stephen M. Herman, MD, can help you overcome your sore throat to feel like yourself again. Use the online appointment scheduler now, or call the office to book your appointment today.
A sore throat, which can range from a mild discomfort to terrible pain, happens when your throat gets inflamed. Often, this inflammation starts with an illness like a cold, the flu, or strep throat. Other possible reasons for a sore throat include chronic cigarette smoking, chemical exposure, and heartburn.
No matter what the cause of your sore throat, you need relief as fast as possible. To get sore throat relief, you first need to get an accurate diagnosis.
How does the doctor diagnose a sore throat?
Dr. Herman starts by performing a careful exam, checking for symptoms including:
- Red throat
- Swollen neck glands
- White spots in your throat
You'll discuss your symptoms with Dr. Herman as well. You may have symptoms like chills, swallowing difficulty, exhaustion, and poor appetite when you have a sore throat.
Dr. Herman will determine whether your sore throat is viral or bacterial based on your symptoms and a quick throat swab. In most cases, Dr. Herman can make a diagnosis and begin your treatment immediately.
What is the treatment for a sore throat?
Sore throat treatment depends on the cause of your pain. If your sore throat comes from a bacterial infection like strep, Dr. Herman typically prescribes antibiotics. Within just a few days of taking your antibiotics, you'll feel much better — but you should finish all of your medicine to make sure the infection is all gone.
If you have a sore throat caused by a virus, antibiotics won't help with your symptoms. However, Dr. Herman can recommend some things you can do to feel more comfortable. Usually, with a viral sore throat, you simply need to make sure that you do the following things:
- Lots of rest
- Plenty of liquids
- Gargle with a salt-water solution
- Avoid talking too much
- Use a vaporizer in the room where you're resting
- Don't smoke, and avoid second-hand smoke as much as possible
Most viral sore throats resolve within less than a week. If you're still not feeling well after that time, get in touch with Dr. Herman for advice.
Don't let your sore throat keep you down. Schedule your appointment for sore throat help at Stephen M. Herman, MD, LLC using the online tool or by phone now.
Headaches are so common that nearly everyone has one sometimes. But, for many men and women today, headaches can not just be a pain — they can be nearly disabling. At Stephen M. Herman, MD, LLC in Savannah, Georgia, expert physician Stephen M. Herman, MD, diagnoses your type of headache and creates a personalized treatment solution just for you. Use the online appointment maker or call the office to schedule help for your headaches now.
What are the different types of headaches?
There are many different types of headaches, but the most common are:
Stress headaches, also called tension headaches, are the most commonly occurring type of headache. Stress headaches cause a dull ache and pressure in your skull and can also cause sore neck and shoulder muscles.
There are two main types of migraine headaches: migraine with aura and migraines without aura. An aura is a visual disturbance such as flashing lights, blind spots, or stars. Auras are a warning that a migraine is coming, and they usually last for less than 30 minutes, and then the migraine sets in.
Migraines cause major head pain, usually on one side of your head. Often, migraines also cause light sensitivity, sound sensitivity, nausea, and vomiting.
Cluster headaches cause serious pain, like a relentless stabbing around the eyes. This type of headache may plague you daily or near-daily for months, and then go away for a long period.
Regardless of which kind of headache you're suffering from, you need an effective diagnosis to get relief.
How are headaches diagnosed?
First, Dr. Herman gets all the important details about your headaches, including:
- Pain intensity
- Pain location
- Pain description
- Pain duration
With these details and a comprehensive exam, Dr. Herman may be able to diagnose your type of headache right away. In some cases, particularly if your headaches are severe or have unusual characteristics, you may need an MRI or CT scan to rule out causes like brain tumors.
How are headaches treated?
Dr. Herman customizes headache treatment for your type of headache and your symptoms.
For stress headaches, Dr. Herman may prescribe medications like ibuprofen or a combination drug that includes aspirin or acetaminophen along with caffeine. You may take a preventive medication daily.
For migraine headaches, treatment may include oral medications, nasal sprays, or injected medications. You may also need a daily oral migraine prevention drug.
For cluster headaches, your treatment plan will typically include medicine to take during the headaches and daily drugs like calcium channel blockers to stop the cluster headache cycle.
Don't let headaches keep you from enjoying life. Schedule your headache evaluation at Stephen M. Herman, MD, LLC through the online appointment maker or by phone now.