Every month, Dr. Sandy Vieder of Lakes Urgent Care answers your questions about timely health issues.

From asthma to flu shots, sports injuries to seasonal health topics, Dr. Sandy Vieder, Medical Director and co-owner of Lakes Urgent Care, answers questions asked by his patients every month.



Most-Recently Answered Questions

Foodborne Illness

The term food poisoning is oftentimes misused and applied to a broad range of gastrointestinal (GI) illnesses. However, generally speaking if food that you have eaten was tainted with a virus, bacteria or parasite, the symptoms often begin within an hour of ingestion. Most often, this type of gastrointestinal illness is self-limited and will spontaneously resolve once your immune system gets to work on the infecting agent. Tolerating and keeping up with the symptoms is usually the challenge.

It can be very challenging to differentiate the cause of stomach upset initially. Generally speaking, food borne illnesses come on very quickly after eating, are very intense for a short period of time and then quickly resolve. More significant viral, bacterial or parasitic GI illnesses often come on gradually and may last for several days. GI infections have many similar symptoms regardless of cause and may include fever, nausea, with vomiting and/or diarrhea. Most mild foodborne illnesses do not have the feature of fever.

Food allergy typically presents with different symptoms including skin rash, tongue or lip swelling, difficulty swallowing and difficulty breathing. Simple food intolerance, such as, lactose intolerance, will have symptoms of gas, bloating and possibly mild isolated diarrhea. If you believe that you are having an allergic reaction to a food, try taking diphenhydramine and contact your primary care physician for follow-up. However, if you are having difficulty breathing or swallowing as a result of a possible food allergy you should seek care in a certified urgent care or emergency center.

The greatest concern associated with foodborne illness is the intensity and length of the symptoms experienced. If there is a significant amount of fluid loss associated with vomiting and diarrhea, this can lead to electrolyte imbalances and dehydration. These more advanced symptoms typically will not occur unless the illness has lasted more than 24 hours and are the initial reason to seek medical attention. The signs of dehydration will include dry mouth, increased thirst and a reduction in urine output. If you begin to feel weak, lightheaded and unable to tolerate oral fluid rehydration to keep pace with fluid losses, it is wise to seek care in a certified urgent care like Lakes Urgent Care, where you can be treated with IV hydration and medications to mitigate the nausea and vomiting. If you begin to experience confusion, intolerable abdominal pain, notice yellowing of your skin or eyes (otherwise known as jaundice) or see any blood in your stool, you should seek care in an emergency center.

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Foodborne Illness

The term food poisoning is oftentimes misused and applied to a broad range of gastrointestinal (GI) illnesses. However, generally speaking if food that you have eaten was tainted with a virus, bacteria or parasite, the symptoms often begin within an hour of ingestion. Most often, this type of gastrointestinal illness is self-limited and will spontaneously resolve once your immune system gets to work on the infecting agent. Tolerating and keeping up with the symptoms is usually the challenge.

It can be very challenging to differentiate the cause of stomach upset initially. Generally speaking, food borne illnesses come on very quickly after eating, are very intense for a short period of time and then quickly resolve. More significant viral, bacterial or parasitic GI illnesses often come on gradually and may last for several days. GI infections have many similar symptoms regardless of cause and may include fever, nausea, with vomiting and/or diarrhea. Most mild foodborne illnesses do not have the feature of fever.

Food allergy typically presents with different symptoms including skin rash, tongue or lip swelling, difficulty swallowing and difficulty breathing. Simple food intolerance, such as, lactose intolerance, will have symptoms of gas, bloating and possibly mild isolated diarrhea. If you believe that you are having an allergic reaction to a food, try taking diphenhydramine and contact your primary care physician for follow-up. However, if you are having difficulty breathing or swallowing as a result of a possible food allergy you should seek care in a certified urgent care or emergency center.

The greatest concern associated with foodborne illness is the intensity and length of the symptoms experienced. If there is a significant amount of fluid loss associated with vomiting and diarrhea, this can lead to electrolyte imbalances and dehydration. These more advanced symptoms typically will not occur unless the illness has lasted more than 24 hours and are the initial reason to seek medical attention. The signs of dehydration will include dry mouth, increased thirst and a reduction in urine output. If you begin to feel weak, lightheaded and unable to tolerate oral fluid rehydration to keep pace with fluid losses, it is wise to seek care in a certified urgent care like Lakes Urgent Care, where you can be treated with IV hydration and medications to mitigate the nausea and vomiting. If you begin to experience confusion, intolerable abdominal pain, notice yellowing of your skin or eyes (otherwise known as jaundice) or see any blood in your stool, you should seek care in an emergency center.

As in most instances of illness, everybody responds differently. Some individuals will have very mild symptoms, while others may go on to have more significant complications associated with Escherichia coli or other foodborne illness. If your symptoms are mild and have been time-limited, just keeping up with the fluid demand by drinking plenty of water or sport drinks containing electrolytes should be adequate to keep hydrated. Vomiting greater than 24 hours is a key indicator that you should seek medical treatment. If diarrhea becomes bloody, this too would be a reason to seek medical advice.

With more severe cases of food poisoning, it is best to seek medical treatment at a certified urgent care that is capable of providing you with IV fluids and medication to stop the vomiting cycle.

Unfortunately, there is no vaccine available to protect us from Escherichia coli-based illness. When eating in a restaurant, there may be online sources that provide readings or grades for restaurants, based upon such factors as cleanliness and prior history of foodborne health problems. Many large cities are now adopting a grading system, which in the case of New York City has proved helpful, significantly reducing the number of food-related illnesses there in the last year.

Making wise food choices can also help prevent problems. Make sure all beef and poultry products are cooked to a temperature of 160° or higher (most menus in restaurants today require this notification). Also, don’t be afraid to ask restaurant staff if they thoroughly wash raw produce or if kitchen assistants typically wear vinyl or latex gloves while preparing foods.

Escherichia coli is a bacteria which normally lives in our intestines harmlessly, but there are several different strains of it, some of which can cause severe abdominal cramps, excessive or bloody diarrhea, as well as vomiting. Typical exposure to Escherichia coli is from contaminated water or food, especially raw vegetables or ground beef that is undercooked. When multiple cases occur it is typically from exposure to a common food source, such as in a restaurant. There are numerous possibilities as to the exact source within a restaurant, but they could include accidentally contaminated food from restaurant staff, undercooked beef and poultry, or contaminated work surfaces from raw or poorly-washed foods.

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"They are in and out and they mean business, love it here"

Manuela

Lakes Urgent Care
5.0
2017-11-29T10:22:39-05:00

Manuela

"They are in and out and they mean business, love it here"
"My primary care doctors were on vacation and their office staff recommended Lakes Urgent Care. 1st time going and was promptly seen and diagnosed with scripts. Friendly staff and open late. Would definitely recommend."

Tony

Lakes Urgent Care
5.0
2018-05-22T14:07:29-05:00

Tony

"My primary care doctors were on vacation and their office staff recommended Lakes Urgent Care. 1st time going and was promptly seen and diagnosed with scripts. Friendly staff and open late. Would definitely recommend."
"I had gone in for a broken toe, to make sure it wasn't worse then I thought. Facility was very clean. Front desk was great. Got me in. MA was in and quick. Dr. was great, did a thorough exam for an broken toe. X-rays. All the staff was personable, friendly, and fast. Glad I found them."

Adrienne

Lakes Urgent Care
5.0
2017-07-21T14:25:07-05:00

Adrienne

"I had gone in for a broken toe, to make sure it wasn't worse then I thought. Facility was very clean. Front desk was great. Got me in. MA was in and quick. Dr. was great, did a thorough exam for an broken toe. X-rays. All the staff was personable, friendly, and fast. Glad I found them."
"The doctors were prompt, had great bedside manner, and were accurate with their diagnosis and treatment. We also appreciated their follow up care and genuine care."

Annette

Lakes Urgent Care
5.0
2016-12-21T11:13:45-05:00

Annette

"The doctors were prompt, had great bedside manner, and were accurate with their diagnosis and treatment. We also appreciated their follow up care and genuine care."
"The doctor was AMAZING!! I got in quick, he was the most thorough and no-nonsense doctor I've ever been to!"

Gail

Lakes Urgent Care
5.0
2017-07-21T14:55:59-05:00

Gail

"The doctor was AMAZING!! I got in quick, he was the most thorough and no-nonsense doctor I've ever been to!"
"Excelente servicio, muy recomendable para turistas que necesiten atención médica, no es muy barato pero ofrecen descuentos :)"

Pamela

Lakes Urgent Care
5.0
2017-07-21T15:07:01-05:00

Pamela

"Excelente servicio, muy recomendable para turistas que necesiten atención médica, no es muy barato pero ofrecen descuentos :)"
"The urgent care here is wonderful. Everyone is caring and kind and not condescending or rude. I was greeted promptly and brought to a room quickly. As far as my past experiences at urgent cares, this is far and beyond the best one I've been to! They were kind and quick with the check up, and honest about medications and possibilities."

Jennifer

Lakes Urgent Care
5.0
2017-07-21T13:12:19-05:00

Jennifer

"The urgent care here is wonderful. Everyone is caring and kind and not condescending or rude. I was greeted promptly and brought to a room quickly. As far as my past experiences at urgent cares, this is far and beyond the best one I've been to! They were kind and quick with the check up, and honest about medications and possibilities."
"The staff was very friendly, respectful, and knowledgeable. I will definitely return for any health issues that will challenge me."

Erika

Lakes Urgent Care
5.0
2016-12-21T11:13:15-05:00

Erika

"The staff was very friendly, respectful, and knowledgeable. I will definitely return for any health issues that will challenge me."
"The staff was wonderful with my 11 month old daughter. They were fast, thorough and very helpful. The office was clean and they got us in quickly to the room and the doctor came in shortly after. I had to call them back to get a different prescription because our pharmacy was out. The doctor gladly called a new one in and even called me back to tell me that everything was now good. I will definitely recommend them to friends and go there in the future if needed."

Emily

Lakes Urgent Care
5.0
2017-07-21T15:10:09-05:00

Emily

"The staff was wonderful with my 11 month old daughter. They were fast, thorough and very helpful. The office was clean and they got us in quickly to the room and the doctor came in shortly after. I had to call them back to get a different prescription because our pharmacy was out. The doctor gladly called a new one in and even called me back to tell me that everything was now good. I will definitely recommend them to friends and go there in the future if needed."
"With a child, urgent care facilities are such a peace of mind--and until I found Lakes, I never knew where to go. ...the staff at Lakes (owners included) made my wife and I feel so confident in their physicians. We were seen in a matter of 5 minutes which is unheard of, and I just can't explain enough how positive of an experience it was. As long as I live where I do, I'll never worry about where I'm going if urgent care is what my family needs."

Anthony

Lakes Urgent Care
5.0
2017-07-21T14:21:29-05:00

Anthony

"With a child, urgent care facilities are such a peace of mind--and until I found Lakes, I never knew where to go. ...the staff at Lakes (owners included) made my wife and I feel so confident in their physicians. We were seen in a matter of 5 minutes which is unheard of, and I just can't explain enough how positive of an experience it was. As long as I live where I do, I'll never worry about where I'm going if urgent care is what my family needs."
"Best urgent care ever they have never failed me great friendly staff and I have health issues so I'm always their and they go out of their way for me."

Ray

Lakes Urgent Care
5.0
2016-12-21T11:11:37-05:00

Ray

"Best urgent care ever they have never failed me great friendly staff and I have health issues so I'm always their and they go out of their way for me."
"The Doctor did everything she could do for me and i was able to walk out (i was wheeled in) and to top it off I got a follow up call from Nicole today."

Jessica

Lakes Urgent Care
5.0
2016-12-21T11:12:30-05:00

Jessica

"The Doctor did everything she could do for me and i was able to walk out (i was wheeled in) and to top it off I got a follow up call from Nicole today."
"When I have to use the urgent care services, it's usually pretty quick. The staff is nice. Today's visit was for a mandolin slicer accident. The nurse had a good attitude and the PA that worked on me was very nice and very gentle while cleaning and looking over my wound. I was in and out within an hour and highly recommend this place."

Lea Anne

Lakes Urgent Care
5.0
2017-06-07T14:26:59-05:00

Lea Anne

"When I have to use the urgent care services, it's usually pretty quick. The staff is nice. Today's visit was for a mandolin slicer accident. The nurse had a good attitude and the PA that worked on me was very nice and very gentle while cleaning and looking over my wound. I was in and out within an hour and highly recommend this place."
"Fast service and very friendly staff! Had a good experience! Kim and Hailey were awesome helpful and very friendly! Highly recommend!"

Tania

Lakes Urgent Care
5.0
2018-05-22T14:08:16-05:00

Tania

"Fast service and very friendly staff! Had a good experience! Kim and Hailey were awesome helpful and very friendly! Highly recommend!"
"I was seen quickly, less than 5 minutes. Very professional. They sent my prescriptions to my pharmacy so I could pick them up quickly. Very satisfied."

Janet

Lakes Urgent Care
5.0
2018-05-22T14:06:38-05:00

Janet

"I was seen quickly, less than 5 minutes. Very professional. They sent my prescriptions to my pharmacy so I could pick them up quickly. Very satisfied."
"It took less than 40 min to register, complete paperwork, see the doctor, get test results, and be discharged. Best doctor experience ever."

Greg

Lakes Urgent Care
5.0
2018-05-22T14:38:59-05:00

Greg

"It took less than 40 min to register, complete paperwork, see the doctor, get test results, and be discharged. Best doctor experience ever."
"During a recent visit to the Detroit area, I experienced sudden and debilitating pain in my left hip. I had no idea what was wrong and was concerned that I would not be able to make the trip back home to Los Angeles. To my extreme relief, the staff at Lakes Urgent Care was able to diagnose and treat my problem quickly and efficiently. I found the staff to be compassionate and professional, and the facility clean and comfortable. I would recommend them to anyone needing urgent care."

Leslie

Lakes Urgent Care
5.0
2018-05-22T14:10:49-05:00

Leslie

"During a recent visit to the Detroit area, I experienced sudden and debilitating pain in my left hip. I had no idea what was wrong and was concerned that I would not be able to make the trip back home to Los Angeles. To my extreme relief, the staff at Lakes Urgent Care was able to diagnose and treat my problem quickly and efficiently. I found the staff to be compassionate and professional, and the facility clean and comfortable. I would recommend them to anyone needing urgent care."
"The doctor was AMAZING!! I got in quick, he was the most thorough, and no nonsense doctor I've ever been to! He listened to me, gave me the correct prescriptions"

Gail

Lakes Urgent Care
5.0
2016-12-21T11:07:36-05:00

Gail

"The doctor was AMAZING!! I got in quick, he was the most thorough, and no nonsense doctor I've ever been to! He listened to me, gave me the correct prescriptions"
"We've been to Lakes Urgent Care many times and I have never had anything but a great experience with friendly staff, quick service, and accurate diagnosis. Yesterday my son was there with another bout of Strep Throat. I had lots of questions and the doctor was friendly and answered all of them with patience. I have always been satisfied there. I would recommend it to anyone."

Marla

Lakes Urgent Care
5.0
2017-07-21T15:04:51-05:00

Marla

"We've been to Lakes Urgent Care many times and I have never had anything but a great experience with friendly staff, quick service, and accurate diagnosis. Yesterday my son was there with another bout of Strep Throat. I had lots of questions and the doctor was friendly and answered all of them with patience. I have always been satisfied there. I would recommend it to anyone."
"With a child, urgent care facilities are such a peace of mind—and until I found Lakes, I never knew where to go."

Anthony

Lakes Urgent Care
5.0
2016-12-19T12:52:20-05:00

Anthony

"With a child, urgent care facilities are such a peace of mind—and until I found Lakes, I never knew where to go."
"In and out within an hour with a sick young child. The staff was very friendly and worked hard to gain the child's trust so they could run some tests. I will be going here for all my urgent care needs!"

Robin

Lakes Urgent Care
5.0
2018-05-22T14:14:55-05:00

Robin

"In and out within an hour with a sick young child. The staff was very friendly and worked hard to gain the child's trust so they could run some tests. I will be going here for all my urgent care needs!"
"I've only had great experiences here. For an urgent care facility, they are quick and efficient. The staff is very friendly and wait times are minimal."

Amanda

Lakes Urgent Care
5.0
2016-12-19T12:54:48-05:00

Amanda

"I've only had great experiences here. For an urgent care facility, they are quick and efficient. The staff is very friendly and wait times are minimal."
"I went to Lakes Urgent Care after my doctor suggested going to an ER and let me tell you I was SO impressed by this facility. The location is so convenient, the facility is so clean and the staff was incredible. They are running a well-oiled machine! The doctor went through a thorough exam and made me feel that all my questions and symptoms were addressed. I would recommend this place to family and friends and of course know where I will be going the next time I do not feel well. Thank you Lakes Urgent Care!"

Heather

Lakes Urgent Care
5.0
2017-07-21T14:52:21-05:00

Heather

"I went to Lakes Urgent Care after my doctor suggested going to an ER and let me tell you I was SO impressed by this facility. The location is so convenient, the facility is so clean and the staff was incredible. They are running a well-oiled machine! The doctor went through a thorough exam and made me feel that all my questions and symptoms were addressed. I would recommend this place to family and friends and of course know where I will be going the next time I do not feel well. Thank you Lakes Urgent Care!"
"Great care, friendly staff. Good medicine isn't always quick medicine but i did not spend a lot of time there but left with great results. Thanks to all that work there."

Dodie

Lakes Urgent Care
5.0
2017-06-07T14:29:51-05:00

Dodie

"Great care, friendly staff. Good medicine isn't always quick medicine but i did not spend a lot of time there but left with great results. Thanks to all that work there."
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