Dr. Rebecca S. Simes, MD is a pediatrician in Fredericksburg, VA specializing in general pediatrics. Dr. Rebecca S. Simes, MD is affiliated with Spotsylvania Regional Medical Center (SRMC) and HCA Virginia.
4701 Spotsylvania Parkway Suite 205
Fredericksburg, VA 22407
Asthma
Asthma is a chronic lung disease where the tissue and airways of the lungs become extremely sensitive to certain substances. When these substances are breathed in, the lungs become inflamed. The muscles around the airways tighten and squeeze the lungs, and passages within the lungs swell and tighten. The airways themselves produce mucus, which further clogs the tightened, swollen airways. A person having an asthma attack finds it very difficult to breathe, and a severe attack can even be fatal.
Asthma affects people of all ages, but people with asthma are most often diagnosed as children. Symptoms can include wheezing, a tight feeling in the chest, shortness of breath, and coughing. Some people have mild symptoms all the time, and some people have no symptoms at all, but everyone with asthma is susceptible to occasional severe attacks or flare-ups of symptoms when they are exposed to triggers. Triggers vary widely but can include:
Treatment for most asthma patients involves three steps. Patients learn what their asthma triggers are and avoid them. They take a daily control medication, usually an inhaled corticosteroid, to reduce inflammation in the lungs. Also, they have rescue medication with them at all times to take in case of a severe attack. These quick-acting inhaled medications relax the muscles around the airways and allow the lungs to open up for air.
There is no cure for asthma, but with treatment it should not interfere with daily life and activities.
Urinary Tract Infection (UTI)
A urinary tract infection, or UTI, happens when bacteria enter the body through the opening where urine is normally released. The bacteria infect the lining of the urethra and bladder, turning them red and inflamed. This causes pain in the abdomen or pelvic area, a burning sensation during urination, a sense of urgency about going to the bathroom, frequent urination, and urine that smells bad and looks cloudy, or even contains traces of blood. If the urinary tract infection is severe, it may travel all the way to the kidneys, a more serious kind of UTI called pyelonephritis. Patients with this kidney infection might have blood in their urine, feel back pain, and develop a fever.
Urinary tract infections are extremely common: 12% of all men and 40-50% of all women will have a urinary tract infection during their lifetime. They are more common in women because women have shorter urethras, so bacteria have a shorter distance to travel from the outside of the body to the bladder and cause an infection. Some people also have urethras that are an unusual shape or have an obstruction in the urethra that makes getting a UTI more likely. Also, certain chronic illnesses like diabetes weaken the immune system, so any bacteria in the body are more likely to cause an infection.
A urinary tract infection can be diagnosed very quickly by a doctor. A sample of urine can be examined under a microscope for the presence of bacteria or white blood cells. There are also diagnostic strips that can be used to test a urine sample without the need for a microscope. Once a diagnosis is made, treatment is a course of oral antibiotics, and most patients feel better within just a few days. There are some things that patients can do themselves to help reduce the risk of getting a urinary tract infection in the future. Stay well hydrated, wipe from front to back after going to the bathroom, wear breathable cotton undergarments, and don't hold it in when patients feel the urge to go.
She completed residency at Virginia Community University. She has a state license in Virginia.
Residency: Virginia Community University (2001)
Licensed In: Virginia
Dr. Rebecca S. Simes, MD is associated with these hospitals and organizations:
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These charts describe general payments received by Dr. Rebecca S. Simes, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.
Shire North American Group Inc |
$40
VYVANSE $40 |
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Cranial Technologies, Inc |
$35
DOC BAND $35 |
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Merck Sharp & Dohme Corporation |
$29
DULERA $18 |
GARDASIL9 $11 |
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SANOFI PASTEUR INC. |
$27
BEYFORTUS $27 |
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Meda Pharmaceuticals, Inc. |
$19
Aerospan $19 |
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Other |
$106
SYNAGIS $31 |
PEDIARIX $17 |
GENERAL - PAIN MANAGEMENT $16 |
PROCLAIM $16 |
QUILLIVANT XR $14 |
Other $13 |
Food and Beverage | $256 |
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Dr. Rebecca Simes sees patients in Fredericksburg, VA. Her medical specialty is general pediatrics. She is professionally affiliated with HCA Virginia.