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Q. What are the chances of developing a heart attack in a GAD patient? | Hello,I am a 28-year-old female. I always worried about her heart. I have GAD specifically focus on health anxiety and often experience heart attack symptoms so much so that I have gone to my doctor and the ER many times (always to be cleared). I continue to worry whenever the symptoms come back. I have been cleared so... | Hello. A heart attack usually occurs in those with risk factors for ischemic heart disease such as high BP, high sugar, high cholesterol, family history of a heart attack in young age, etc. Your tests are normal thats good. To estimate the lifetime risk of development of atherosclerotic diseases such as stroke and hear... |
Q. I am suffering from burning sensation and inflammation in anus after intercourse. Will this be HPV? | Hello doctor, I am a 24-year-old bisexual male. 10 months ago a friend stroked his penis between my thighs, and suddenly his penis slipped and entered my anus for merely an inches, and he pulled out then we stopped performing it. And after four months I got constipation and hard stools, and then day by day I started to... | Hello. HPV (Human papillomavirus), usually HPV infection does not cause any noticeable symptoms or health problems. Some time produce genital warts.For your complaints, constipation and burning sensation may be due to piles or anal fissure. So better go for the rectal exam and proctoscopy examination to rule it out. Fo... |
Q. Can high lipoprotein and hs-CRP cause cardiac problems? | Hi doctor, I had high hs-CRP of 3.86 around 8 months back. I have got it rechecked and it has gone even higher to 5.36. I have attached the reports of blood test done a couple of days back. This blood test report includes other tests too apart from hs-CRP. I have previously been advised that high lipoprotein and hs-CRP... | Hello. I understand your concern regarding the raised hs-CRP (high-sensitivity C-reactive protein) and lipoprotein levels (attachment removed to protect patient identity). These biomarkers are predictors of future events. They tell you that there is an inflammatory state that is going on and that will contribute to you... |
Q. What is the reason for burning discomfort in my legs, buttocks, arms, hands, and lower back? | Hello doctor, I am a 46-year-old female. I have burning discomfort in my legs, buttocks, arms, hands, and lower back for six days. There is no weakness, no tingling, no numbness, no confusion, and no stroke symptoms. My friend told me that I might have multiple sclerosis. What could it be? | Hello. I would like to know some more details about your symptoms, 1. Did you have burning sensations over the whole body below the neck at one time? Or had uneven patchy distribution? Or the location of burning sensation was varying with time like, sometimes at legs, sometimes at arm and sometimes back? 2. Do you have... |
Q. Kindly guide me about the difference between birth control and combined contraceptive pills. | Hi doctor,I had a question about birth control for acne. I was initially on Tri-sprintec. However, that did not help my acne. My doctor initially prescribed my YAZ. I was wondering if I should just stop birth control altogether or give Lo-Lo a try. What is the difference between birth controls and how that would help o... | Hi. Birth control contraceptive pills are hormonal pills that help to prevent conception by interfering with the normal menstrual cycle and inhibits ovulation, conception, fertilization, and implantation. These pills are hormonal contraceptive pills that have generalized as well as a specific short and long term effect... |
Q. Why does MRI shows sequela of lacunar type infarction with gliotic changes? | Hello doctor, I am a 53-year-old male with 6'2" height and weight 220 lbs. My HbA1c is 8.5, high triglycerides, vertigo, and some gait issues. I had a massive pulmonary embolism two years ago, not on any blood thinners, and sometimes I have high blood pressure. Contrast MRI shows a small focus of T2 prolongation presen... | Hello. MRI findings are compatible with an ischemic stroke in the brain. The stroke could be related to atherosclerosis and diabetes. HbA1c is high, indicative of diabetes. For this reason, I recommend physiotherapy and take daily baby Aspirin to help prevent a future stroke. It is also necessary performing a Doppler u... |
Q. Is it possible to achieve orgasm without a vibrator? | Hello doctor, I have never achieved orgasm without a vibrator. For years, I have experimented with different pressures, methods, stuffs and followed the advice of hundreds of articles, but nothing worked. I always make sure that I have enough time and relaxation. I have tried so many methods involving fingers, my partn... | Hello. Female masturbation is a complicated one. Yes, I have few patients who were not satisfied with many methods. Male masturbation works only more physical, and few mental work but female masturbation works with more psychological and few physical tasks. Method, if anything needs to be changed. 1. Fingers are used g... |
Q. Is it advisable for TIA patient to take turmeric and blood thinning medications? | Hello doctor,My amazing 67-year-old dad who runs 10 miles a day just had his first TIA. The hospital did an array of tests and did not see any sign of it afterward but they are sure that is what it was. He and my mom are changing their diet and I am researching supplements. They are changing his blood thinning medicati... | Hi. I would like to bring into your notice that he should avoid turmeric as well as Fenugreek seeds in diet, as they have blood thinning potential. However, the potential is low, but can get aggravated by blood thinner medicines. As far as diet is concerned, he should completely avoid fast food, oil, alcohol, and smoki... |
Q. What can be done for vertigo with bilateral hearing loss? | Hello doctor, Suffering from vertigo from past two years. Diffuse narrowing of basilar arteries. Bilateral ear loss 60 percent. | Hello. I understand your concern and would explain that your symptoms could be related to an inner ear disorder. When did you perform the brain MRI? Your symptoms are not suggestive of stroke, but if you have not performed a brain MRI recently, I recommend performing it. Regarding your therapy, I would recommend using ... |
Q. What causes nonsustained ventricular tachycardia with orthostatic hypotension? | Hello doctor,I was recently diagnosed by my cardiologist with nonsustained ventricular tachycardia, unspecified syncope type, and orthostatic hypotension. Also, during an echocardiogram, it was reported. I was recently diagnosed by my cardiologist with nonsustained ventricular tachycardia, unspecified syncope type and ... | Hello. When was it diagnosed? Yes, during the episode of ventricular tachycardia you may feel syncope and palpitations due to reduced stroke volume. You may get it done tilt table test, 24-hour ambulatory blood pressure, ECG monitoring is useful. Do not worry, mild MR, TR may not cause much problem. In severe cases, a ... |
Q. Echo shows evidence of atrial septal aneurysm. Please help. | Hello doctor, I had an echo done yesterday, after having chest pains and palpitations for about a month. I looked up to my results and while my results mostly looked good, there was something very alarming in there. It said evidence of atrial septal aneurysm. I cannot get another appointment with my cardiologist until ... | Hello. Your symptoms are unlikely to be related to this. An isolated atrial septal aneurysm is a benign condition most of the times, but this may be associated with atrial septal defects which can cause symptoms. So, if you are just having an atrial septal aneurysm and since there is no history of stroke or TIAs in you... |
Q. Please let me know, is there any health issue in my routine health checkup. | Hello doctor, I have no issues as such but not feeling fit. I am more concerned about my health. I would like to know whether my routine checkup results are alright or not. I have no symptoms of any kind. I have taken ayurveda treatment for SGPT, SGOT, and high protein. I am attaching my reports for your reference. Ple... | Hello. I went through your reports (attachment removed to protect patient identity) and came across a few significant values. Elevated uric acid can increase the risk of kidney stones and joint pains. I would suggest you have plenty of water and avoid having non-vegetarian. Your blood cholesterol is not under control, ... |
Q. Is stroke along with bleeding inside brain worrisome? | Hi doctor, I got a stroke but I do not know how to explain it. Twice I was bleeding along with the stroke. One type of bleeding was chronic and the other one was acute. I would like to know which type of bleeding is dangerous? And also explain the reason for the same. | Hi. An acute hemorrhage is for a short duration but very dangerous. The reason being a sudden build up of pressure in the brain. In case of chronic bleeding it is not so dangerous but it will remain for a long period. In this case there is a gradual increase of pressure in the brain. Patient goes to a doctor only when ... |
Q. How can damage to neurotransmitters be diagnosed after a stroke? | Hello doctor, My question is hypothetical. If one has suffered brain edema as a result of a stroke, is there any way to determine whether or not the transmitters or neurotransmitters in the brain have sustained any type of damage? Is there any test available that can ascertain this information? | Hi. If someone has brain edema secondary to brain injury, there is definitely a disturbance in the neurotransmitters in the brain. The only way to identify this is by a procedure called microdialysis wherein a probe is inserted into the area of the brain under consideration and the biochemical parameters analyzed. |
Q. What can be done to treat memory and concentration issues with sensation loss? | Hello doctor, I was in the hospital and thought I may have had a small stroke. But I did not. The MRI showed some white tissue changes. Since I got out three weeks ago I have had problems with dull senses and memory and concentration issues. It is causing a lot of anxiety. In the evenings I do seem to feel better. But ... | Hello. I understand your concern and would explain that your symptoms do not seem to be related to a stroke. Low blood perfusion to the brain could mimic this clinical situation. Anxiety too. White matter changes could be related to different possible causes: chronic arterial hypertension, vasculitis, migraines, etc. C... |
Q. What causes headache with dizziness and stomach ache? | Hello doctor, I am 18 years old and healthy but lately, I have been waking up with headaches that continue throughout the day and now the last few days I feel very light headed and dizzy when standing and get a stomach ache. I eat regularly and drink five bottles of water a day. I take regular medicines and multivitami... | Hello. According to the history provided, here you are having a headache, dizziness mainly. Your blood pressure should be checked as fluctuations in blood pressure or high blood pressure can lead to a headache. Second otological causes should be evaluated as an ear infection can lead to a headache with dizziness. Viral... |
Q. What does the MRI brain taken for balancing issues indicate? | Hello doctor, I suddenly felt out of balance and threat of falling. Occurred frequently. Took MR brain with angio. In observation, the report said the following. Chronic lacunar infarct with gliosis in left corona radiata. Discreet diffusion non restricted subcortical FLAIR hyperintensities noted- small vessel ischemic... | Hello. I read carefully your MRI report (attachment removed to protect patient identity) and would explain that it indicates small repeated strokes due to small vessel disease of the brain. For this reason, it is important for taking daily Aspirin 100mg or 80mg and closely monitor your blood pressure values. It is also... |
Q. Why is there inability to walk or move after a stroke? | Hello doctor, My mother is not able to walk properly and she cannot move properly. She met with ischemic stroke eight years back and she is diabetic and has BP, and seizures (epilepsy) treated with Insulin, and BP suppressants, Atorvastatin, Levetiracetam, Phenytoin (Eptoin) since seven years, but she is not able to wa... | Hi. Ischemic stroke is a condition where there is incomplete blood supply to a certain part of the brain leading to permanent damage to that part of the brain. Consequently, the function carried out by the affected part of the brain is lost. The only way to recover function following permanent damage is physiotherapy w... |
Q. Is sudden seizure common in elderly people? | Hi doctor, I am an 86 year old healthy male. I had sudden seizures. What is the reason behind it? I have attached my MRI brain with this. Please explain. | Hi. I have read through your query and reports (attachment removed to protect patient identity) in detail. Please find my observations below. There are mild age-related changes like prominent markings on the surface of the brain, prominent ventricles which are fluid spaces and periventricular hyperintensities. This is ... |
Q. Will unprotected sex while on birth control prevent pregnancy? | Hello doctor, I had questions about birth control. If I take a contraceptive, will it be okay for me to have unprotected sex with my partner? And will it cause any complications in the future if we are ready to have a baby? | Hi. If you have been on contraceptives then your body would have got used to this. Most of the contraceptive methods are hormonal and all having short and long term side effects and differs in every Individual a bit. If contraceptives are taken regularly as per advised with proper timings and dosage without vomitings, ... |
Q. What are the recommended measures to control high BP in a stroke patient? | Hello doctor, My father is 65 years old. He had a stroke (left thalamic ich) a few months back, but now his blood pressure remains very high which is 110/180-200. Presently he is taking Prazopress 2.5 1-1-1, Olmesan 40 1-0-1, and Cardobis 1-0-1. Please advise. | Hi. If there is any acute stressful condition, tackle it. BP will be fine. Measures to control BP (blood pressure): 1. Avoid smoking and other addictions. 2. Reduce salt intake in diet. 3. Reduce fatty foods, junk foods, and saturated fats. 4. Avoid stress and anxiety. 5. Do regular moderate intensity exercise such as ... |
Q. Will exercise or diet help to maintain lipid levels? | Hello doctor, My father is 77 years old. Just had quad bypass surgery. Too clogged for a stent. Not overweight (ever). Smoked 2 or 3 cheap cigars a day for 15 to 20 years. No regular exercise, but stayed busy in the yard, walked the dogs, etc. Generally ate what he wanted, including both a lot of good foods. But he cer... | Hi. There are three things you are asking, statin, diet, exercise, right? 1. Statin: Scientific evidence shows elevated lipid especially LDL is a major risk factor for coronary artery disease, peripheral vascular disease, and stroke. And guidelines tell us that everyone aged 40 or above, in familial cases even before 4... |
Q. Is Aripiprazole safe for my father who is 65 years old? | Hello doctor, My father is 65 years old. He has bipolar disorder for 40 years. He also has diabetes. He is taking medicine for high blood pressure. For a very long time, he took lithium 1000mg and oxcarbazepine 900mg. 2-3 episodes used to happen, normally of long manic spell followed by gloomy/not so active spell. He s... | Hi. I have read through your query in detail. Please find my observations below. Medicines for mental health conditions should be taken under the strict supervision of the psychiatrist. As mentioned above, lithium toxicity is a serious concern and it is good that you have stopped lithium due to toxicity. Quetiapine is ... |
Q. I am having spotting randomly every few days after abortion. Please advise. | Hello doctor,I had an abortion four months back. My period returned seven weeks later and ever since then I have been spotting randomly every few days. I was 13 weeks pregnant at the time of the procedure. Is this normal? If not, what could it be? There are no other symptoms aside from very very light cramping. Previou... | Hi. Please ensure if you had a complete abortion or there are still bits of retained products of conception in your uterus by doing a transvaginal scan. Since it was a second-trimester pregnancy, there may be chances of RPOC, which can lead to irregular spotting or bleeding. In such case, you may need a D and C (dilata... |
Q. Will having 130 bpm during exercise increase the risk of stroke in heart patient? | Hello doctor, I am a 76-year-old woman, weigh 121 lbs, BMI 20. The exam results from annual wellness check-up are as follows: Coronary calcium scan: LMA 0, LAD 185, LCX 1, RCA 90, Total: 276. Routine wellness EKG summary: aortic valve thickened and calcified. Normal mitral valve with mild mitral regurgitation. Mild cus... | Hello. Firstly, answering your queries, you should visit a cardiologist regularly and avoid strenuous activities in order to reduce the risk of acute coronary syndrome. Your echo has some abnormalities which are age-related and there is no evidence of CAD. However, calcium score is elevated which implies there is a sig... |
Q. What does pain in hand starting from shoulder to elbow indicate? | Hello doctor, My mother got pain in the right hand, severe pain starting from shoulder backside to elbow for the past 4 to 5 months. She could not lift her hand, drag the things with her hand. | Hi. I have thoroughly gone through your case and can well understand your genuine concern. Pain and limited range of movement of the shoulder joint can be due to various reasons like fracture of the bones forming the joint, injury to the joint capsule, injury to ligaments of the joint or any muscular injury or spasm or... |
Q. Will taking Diane pills for polycystic ovary cause any side-effects? | Hi doctor, I am 25 years old with the polycystic left ovary. I have been taking Diane pills (Cyproterone Acetate or EthinylEstradiol) for about three years now. I would like to ask if it is okay for long term use? I mean does it have any severe complications of side effect on prolonged use? And I took the pill primaril... | Hi. Diane pill is a fourth generation OCP (oral contraceptive pill), that is, an advanced generation pill. Apart from its contraceptive use, it is more often used for its wonderful non contraceptive use. As it is an OCP, it will definitely prevent pregnancy. For a young girl of your age (taken into consideration, that ... |
Q. How to perform CPR (Cardiopulmonary Resuscitation)? | Hello doctor, My mom recently died due to heart attack. She was an asthma patient and also had depression. She was having medicines for all these. One morning, I saw her biting her tongue and was unconscious. I rubbed her chest slowly that she breathed. When I stopped rubbing, she stopped breathing after some time. Aft... | Hi. First of all, I appreciate your interest to know the emergency life-saving procedure. Tongue bite usually occurs in seizures and not in heart attacks. There is a possibility of a seizure in her case. Many reasons can be there for such an incident. It can be due to fall in sugar levels, due to side effect of asthali... |
Q. I have severe gum recession in a single tooth. Why? | Hi doctor, This afternoon I noticed some pretty severe gum recession on my left lower cuspid (approximately 5 mm). As far as I can tell, it is the only tooth with any signs of gum recession, and I think it might be due to crowding (my lateral incisor and first bicuspid are slightly behind and might well be pushing forw... | Hi. It is okay. You do not need to rush to the dentist. The clinical scenario of teeth that you told indicates that most probably this gum recession is caused by yourself. You brush like giving a slight high power stroke on right and left bicuspids and then with normal force on rest of the teeth. Because of high-pressu... |
Q. Is it normal to hear voices continuously which others cannot hear? | Hello doctor, My father aged 83 years is physically healthy but he is hearing some of the old friends sound continuously which we cannot hear, for 10 days. So, kindly give us some advice as soon as possible. | Hello. This symptom of hearing things when there is no sound is known as an auditory hallucination. At his age, there could be a number of causes of the same as: 1. A stroke which has affected the blood supply of the part of the brain responsible for hearing. This is likely if he has untreated hypertension. 2. If there... |
Q. Can Aspirin reduce the risk of stroke during flight travel in a patient with high RBC, Hb, hematocrit? | Hello doctor, I am a 49-year-old male, 6'4" and 300 lbs. I take very low doses testosterone, an estrogen blocker, and HGH. All very low dosages. I will be on a six hours international flight tomorrow and I am concerned about some health risks. I have high levels of the following: RBC of 6.61, hemoglobin of 19, hematocr... | Hi. I agree with you. There is a risk of leg vein thrombosis in deep veins of legs due to prolong sitting. Aspirin do help according to some studies, might be not as beneficial as full anticoagulants like Heparin, etc., but take Aspirin 325mg (not 75 or 81mg) one hour before flight with meal. Walk during flight in aisl... |
Q. I want to completely cure paralysis in extremities caused due to stroke. Please help. | Hello doctor, I am 55 years old. For the past 20 years, I have been paralyzed in the right extremities. Initially, I took allopathy treatment but it was not helping. So, took Ayurveda and really it helped a lot. My voice came back but with stuttering. When I talk about something I forget some words. My right leg is at ... | Hi. I have read your query. You have weakness of the right half of body which is more in right arm than in right leg for the last twenty years. There is a history of hypertension. You had a stroke involving left cerebral cortex leading to weakness in the right half of body. I cannot be sure without neuroimaging like CT... |
Q. Kindly explain whether MRI brain and CSF studies show any relation to NPH. | Hello doctor,Can you please give the diagnosis of the uploaded MRI brain and CSF studies with a detailed report? Please advise on the action plan as to how to get the CSF findings treated. The MRI report is enclosed. Does the enclosed report co-relate with your findings? The MRI report CSF studies report shows CSF hype... | Hi, Welcome back to icliniq.com. The findings in the report and the images are matching and acceptable (attachment removed to protect patient identity). The term NPH is usually applied in cases where there is abnormal CSF hyperdynamic circulation with gait problems or without gait problems if incontinence is there. Con... |
Q. I have a 3 mm patent foramen ovale. Is treatment required? | Hello doctor, I recently suffered severe chest pains. Blood results were all fine but heart sonar indicated a 3 mm patent foramen ovale. I just want to know if there is a need for treatment. | Hi. Small PFO (patent foramen ovale) is usually silent but may cause a stroke or pulmonary embolism if thrombus travels across it from right to left or left to right respectively. Moreover, your report says aneurysm of 12 mm, that needs consideration. I would suggest transesophageal echo to study it in detail. Usually,... |
Q. Kindly suggest the treatment for homogenous hemianopia due to stroke. | Hello doctor,My father aged 54 years had PCA infarction (stroke) two years back. He is suffering from homogenous (right) hemianopia. Is there any treatment for this? Please suggest me. | Hi. How has the hemianopia fared over these two years? Is it increasing or decreasing? PCA (posterior cerebral artery) is one of the arteries supplying the visual pathway and its lesions usually cause visual field defects. Most of the defects will improve over time as and when the blood supply to the affected part (occ... |
Q. Why is there numbness in face, arm, and hand on one side? | Hello doctor, I have numbness in my right side of the face and right arm and right hand. Blood pressure is normal. | Hello. Is it sudden onset or gradually develops from last many days. If it is gradual and it is there since long time period, then it is most probably spondylosis both cervical spine. It is a spine problem where you get numbness, pain, and other symptoms due to compression of nerves between spine. Do you have any histo... |
Q. My mother (80 years old) got hemiparalysis attack. She feels and talks as if she were in her twenties. | Dear doctor, My mother (80 years old) got a hemiparalysis attack last week. She has developed a mental disorder. She feels and talks as she were in her twenties. Kindly diagnose. | Hi. Stroke in elderly people, especially resulting in residual weakness, paralysis or other motor sensory deficits, invariably leads to a major depressive episode that may not improve on its own. Silliness, childishness, and immature behaviors are consistent with mental regression that accompanies depression in elderly... |
Q. Please have a look on CT scan taken for two strokes and advise. | Hello doctor, A 76-year-old female's CT scan showed the following. Clinical information: CT scan of the head, volume scan of the whole brain obtained without IV contrast administration. Findings: Large CSF density hypodense lesion is seen in the right cerebellar hemisphere. Left cerebellar hemisphere, brainstem, and fo... | Hi. The CT report which you have uploaded suggests large brain infarcts (attachment removed to protect patient identity). I would appreciate if you can upload the CT film also to have a better view of the same. Besides, in such large infarcts, many patients may not recover and some may recover partially. It depends on ... |
Q. Please suggest methods to control BP in a diabetic. | Hello doctor, My mother is 76 years old. She is diabetic and has high BP. She takes Co-Diovan 160/12.5 in the morning, Bisoprolol 10mg on lunch and Lekarnidipine 10mg in the evening but the BP yet is not stabilized. What should be done? | Hi. What is your mother's BP on these medicines? Your mother is taking multiple medicines to control BP, still, BP is not under control, the cause may be due to secondary hypertension. The most common cause is kidney disease. Is there any history of heart disease or stroke? For proper BP control follow these guidelines... |
Q. I am suffering from headache from the last 20 years. Please advise. | Hello doctor, I am suffering from a headache from the last 20 years. I am a male, 40 years old, 65 kg, smoker (four cigarettes per day). I am taking Saridon per day two tablets. | Hello. It looks like you are having a chronic headache which was not resolved by Saridon which are painkillers. Chronic headaches can be one of the disabling problems. You have to see a doctor for an evaluation if your headache is of the following nature. You usually have two or more headaches a week. You take painkill... |
Q. Having extremely high triglyceride level and VLDL. Advise medicines. | Dear doctor, I am a 31 year old male. Below is my lipid profile report: Total cholesterol: 186 mm/dL. Triglycerides: 876 mm/dL. HDL: 38 mm/dL. LDL: 27 mm/dL. VLDL: 175 mm/dL. Please advise medicines if needed. | Hi. Your triglyceride level and VLDL (very low density lipoprotein) is extremely high. This can put you at the risk of heart attack, stroke, and pancreatitis. My advise is to start taking tablet Roseday-F (10/160) daily night after food. Also stop eating non-vegetarian food, especially mutton and beef. Repeat your lipi... |
Q. Why is there a penile movement when I concentrate on my penis? | Hello doctor, I have semen in urine sometimes. While sitting or lying if I concentrate on my penis, I start having strokes. I cannot control in the flaccid position. While I do sit-ups there is a movement in the penis. It started from nightfall and my urge of not to masturbate. It is because of depression only and when... | Hello. I can understand your concern. Lack of masturbation and lack of sex results in a spontaneous flow of semen via urine. This occurs in order to allow new sperm to form. This is a normal phenomenon and this does not cause any effects on health. This will not result in weakness of any kind. The secretion which you h... |
Q. How to gain weight through ayurvedic treatment? | Hi doctor, I fell sick seriously before 13 years. I have lost my weight after that. It was due to sunstroke, and I am facing digestive issues after having it. I have a heaviness in my chest. I consulted a doctor and checked it. There was no infection. I find difficult to gain weight after having digestive problems. Ple... | Hi. I can understand your concern. You are thinking in the right way. Indigestion may affect weight gain. Your lifestyle, food habits and lack of physical activity may cause indigestion, and it leads to acidity. Take the following ayurvedic medicines and follow these instructions. Take Chitrakadi Vati (Chitraka with Vi... |
Q. My concern is dry foreskin and painful retraction. Please help. | Hi doctor, I had a little bit of itching on the foreskin. I had sex with my partner, and I used a condom. After the first ejaculation, I used the second condom. I started to have pain in the penis after the first ejaculation. But still, I went for the second one. After several strokes, when I was not able to ejaculate,... | Hi. You have developed an allergy to latex. You have developed redness and pain while using a condom. This is probably a hypersensitive reaction to the condom. As you have dryness, and if there is a pain, I advise you visit a dermatologist for an opinion. The problem is not severe, and this will become fine within a fe... |
Q. How to improve the function of left hand and leg after a stroke attack? | Hi doctor, I am 60 years old male. Before a year, I got a stroke. After recovering from it, my left side ear, hand, and leg are not functioning well. Please suggest. | Hi. After a stroke, usually, recovery is maximum in initial three to six months. After that, you can have a slight improvement up to one to one and a half years. Some residual weakness usually persists. You need to do regular physiotherapy. Few patients develop spasticity, and it needs to be taken care by proper medici... |
Q. I recovered from left side paralysis. Why do I face difficulty in left leg while walking? | Hi doctor, I am a 31-year-old male, and my weight is 52 kilograms. I am a brain stroke recovered patient. My left side got paralyzed before two years. Now, I am doing all my movements independently. My blood pressure remains low in 100 by 70 mmHg. I face a problem while walking on the left side, in the legs middle, for... | Hi. I suggest you wear well-cushioned footwear made of MCR (microcellular rubber) material. It will help you to reduce the impact on the bone while walking and it reduces the pain. Keep yourself warm by wearing socks and avoid exposure to cold. Pain in cold temperature occurs due to decreased blood flow to the foot. Do... |
Q. I have not got my periods post surgical abortion even after taking Cytomis. Why? | Hi doctor, I am 21 years old and I had a surgical abortion when I was two months pregnant. I bled for about two weeks. On the third week, my doctor prescribed me Cytomis 200mg to induce my period. Still no sign of period. Also, I had unprotected sex three days back but I used an emergency contraceptive. | Hello. It is a very short history for too many events and drugs you have taken and a very short time period. Second, you have not mentioned your detailed medical, drug, menstrual, gynecological, and obstetric history. First of all, you had a miscarriage (surgical) and bled only for two weeks and only in the third week ... |
Q. I feel tightness in the right side of my body. Why? | Hello doctor, The right part of my body feels tighter that the left. I feel pain in my right calf and thigh when I wear trousers and in my right underarm when I wear a shirt. What can I do to solve this? | Hi. I understand your concern. I need to know more about your symptoms. When and how does it start? Is it increasing day by day or it is the same? Is it associated with any pain or muscle ache? Is it aggravated by activity? Are there any diurnal variations? Is there any back pain or neck pain? Any numbness or loss of s... |
Q. My father lose his conscious when he holds back his sneeze. What to do? | Hello doctor, My father is 54 years old. He has a very heavy sneeze. When he sneezes he holds it back and he loses consciousness. I tell him not to hold it back but he is physically not able to let it go alone. Is there anything I can do to help him or anything he should do and are there any dangers in his life? | Hi. First, we need to find out what is the cause of recurrent sneezing. If you look into the physiology, sneeze is a protective reflex often in response to something irritative and offensive which the body wants to push out in order to prevent it from reaching the lungs and thereby into the circulation. Most commonly i... |
Q. Can urine be foamy due to any kidney issues? | Hi doctor, My father has suffered from a stroke 12 years back (left hemisensory infarct) and four years back has undergone CABG. He is also a diabetic for the past 27 years. Three days back he developed high fever 103.5 with stomach ache and chills. 650 or Meftal forte SOS for high fever. He is better now but during th... | Hi. Yes, an acute infection is known to cause protein in the urine that can cause frothy urine. Moreover, urinary tract infection can also cause this. I would recommend you to get his urine test repeated after two weeks. A strict blood sugar and blood pressure control would control proteinuria. |
Q. Is it safe to take tablet Januvia to control blood sugar levels? | Have hypothyroidism last 2 years down to 75mg levothyroxine. The issue now is blood sugar levels. Over last one yr dr has put me on several meds which I reacted to. At that time level under 200. This yr changed dr. He said no medication. Lifestyle change. Has been difficult. Weight up sugar levels 299. Dr put me on jan... | Hi. Good day. Thanks for your query Ur weight is quite high with uncontrolled diabetes. Definitely u need to change lifestyle and thinking pattern as well. U need to trust a doctor and follow his advice. Every medication has effects otherwise it will not be effective but we always weigh risk and benefits. If ur sugar w... |
Q. What can be done for atrial fibrillation in a patient with stent? | Hello doctor, My grandfather is experiencing atrial fibrillation. He got stents 20 years back. | Hello. There is nothing to worry about it. It is common in elders and heart patients. There are two aspects of treatment, one is to control the heart, which is already controlled in ECG report (attachment removed to protect patient identity) and another is to have blood thinners to avoid the risk of stroke. So, he has ... |
Q. What will be the consequence of high blood pressure if not treated? | Hello doctor, I want to know what will be the consequences of high blood pressure if it is not treated. | Hi. I want to assure you that do not worry as everything is going to be fine soon. I have thoroughly gone through your case and can well understand your genuine concerns. If left untreated, high blood pressure may damage badly your lungs, kidneys, heart, blood vessels, brain, peripheral nerves and many more effects tha... |
Q. I have low levels of vitamin D and B12. Do I need any medicine? | Hi doctor, I am 46 years old male. In my health check-up, I saw my vitamin D range was 25 ng/mL, and my vitamin B12 range was 181 pg/mL. Do I need any medicine? I am suffering from laziness. | Hi. I have gone through the attachment (attachment removed to protect patient identity). Please answer my questions. What is your BP (blood pressure) usually? What is your daily routine? Do you have the habit of smoking and alcohol? From the above reports, I can find out a few abnormalities like insufficient vitamin D,... |
Q. My diabetic father had mild stroke with BP reading of 140/80 mmHg. Does emergency treatment needed? | Hi doctor, My father is 63 years old. He suffered from a mild stroke yesterday and we would like to seek the second opinion on the proper treatment for his case. He was given Catapres to lower his blood pressure and was asked to continue taking his maintenance medicines for hypertension (Losartan). His latest BP taken ... | Hello. Regarding your concern, I would like to explain that his blood pressure values are normal. I would like to know his symptoms. Did he perform a brain CT scan? As he suffers from diabetes, the most probable cause would be an ischemic stroke (blood clot). For this reason, besides antihypertensive drugs, antidiabeti... |
Q. I am 6 months pregnant and my gums are bleeding on brushing. Please help. | Hello doctor, I am 6 months pregnant. I have bleeding gums from the back of the front tooth while brushing. I have a history of plaque formation on teeth even before pregnancy. What is the remedy for gums bleed? | Hello. Gum bleeding, foul breath are symptoms of gingivitis. It is rather common during pregnancy and known as pregnancy gingivitis because of hormonal changes. Nothing to worry about. You can use Betadine mouthwash, gargle in lukewarm water twice or thrice a day, take tablet Metrogyl 400mg one tablet BD for five days.... |
Q. I experience heart pain after relpacing Azathioprine for HCQ. Why? | Hello doctor, I have been diagnosed with catastrophic antiphospholipid syndrome before three years and had a brain stroke in the same month due to blood clots. Since then I have not encountered any blood clot and have been on Acitrom 5mg, Ecosprin 75mg and Azathioprine 100mg. Three weeks back neurologist had replaced A... | Hello, Welcome to icliniq.com. What treatment did you get during Catastrophic antiphospholipid syndrome? Was your APLA, LA test was positive? Azoran is an immunomodulatory drug and has some role in APLA syndrome. HCQS is a good drug for APLA as it has an anti-inflammatory plus anticoagulant effect but your symptoms sta... |
Q. Painkillers caused kidney problem, please suggest oil or ointment for knee pain. | Hi doctor, This query is for my aunt who is 60 years old. She has knee pain (both) for more than 15 years. Initially, she used to get swelling around the knee and pain. She keeps taking injection and painkillers for pain for the last 15 years. Recently, she was ill for around three months with a bacterial infection in ... | Hi. You need to take the following tablets: Tablet Tramadol 50mg 1-0-1 for 10 days after food, Rabeprazole 20mg 1-0-0 for 10 days before food, Shelcal (calcium) 500mg 1-0-0 for 30 days before food, Wintogeno cream (Ayurveda formulation) which can be purchased from eBay can be used by her twice daily. Take these tablets... |
Q. I feel sleepy, tired, and headache with high Hb and hematocrit. Do I need blood thinners? | Hello doctor, I am having too many health issues for the last three weeks. I feel sleepy all the time even I sleep eight hours already. I am feeling weak, tiredness, dizziness, and headache on the right side of my head (pressure and dullness). My bowel habit changed to three to four times a day. I have attached my bloo... | Hello, Welcome to the icliniq.com. Hereby I am giving opinion regarding your case. First, let me know do you have any stress or anxiety issues? As severe stress can lead to hyperventilation and dizziness. Stress can change bowel habits as well and it can lead to headaches as well. If stress is present consult a psychia... |
Q. Do I need medications for grade 1 fatty liver? | Hello doctor, I got my annual health check-up done last weekend. From the report, the values show I have Blood readings variations(Page 3 and 4 of 26). Do I need to take any medication? Variation of CYSTATIN C - 1.07 against max of 1.03. Any medication required if so please suggest tables? Vitamin D deficiency (page 8 ... | Hello. I have seen the attachment. (attachment removed to protect patient identity). The USG (ultrasound) abdomen and the TMT (treadmill test) are not cause for concern. The prostatomegaly (i.e prostate enlargement seen on the USG has been correlated with a normal PSA level). The high hemoglobin 17 gm% may cause sympto... |
Q. My aldosterone to renin ratio is 33. 3. How likely is this to be primary hyperaldosteronism? | Hello doctor, I have fluid retention and high blood pressure which caused me multiple strokes and TIAs. My plasma renin activity is 0.12 and my aldosterone-to-renin ratio is 33.3, which qualifies clinically as primary hyperaldosteronism. My aldosterone LC/MS is 4. My potassium level 4.0. CT scan of my abdomen did not s... | Hello, Welcome to icliniq.com. I just read your query and from what you have mentioned it appears that you do have primary hyperaldosteronism and it is a very high likelihood for it to be a possibility based on your results. You can try MRI (magnetic resonance imaging) scan for proper visualization of your abdomen. I h... |
Q. I get movements in feet and tingling before I fall asleep. Is it Parkinson's disease? | Hi doctor, About 10 months ago after a workout, I had pins and needles on the left side of my body. After months of MRIs and EMGs, I got a skin biopsy that showed you gave small fiber neuropathy. Before I knew this, I got a deep tissue massage and started getting fasciculations. They had calmed down much since October ... | Hello. I have studied your data. 10 months ago, I have a sudden onset of tingling on the left side after workout but with normal MRI (magnetic resonance imaging) brain and spine which means the stroke is less likely. Later you noted random twisting of muscles (fasciculations) with right-hand action tremor occasional. M... |
Q. How does lack of sleep contribute to stroke? | Hello doctor, I would like to know the causes of stroke and its prevention. What are some of the causes of stroke? What are some signs and symptoms? How can you prevent a stroke? Could a lack of sleep or stress cause a stroke? Please suggest. | Hi. There are major risk factors for stroke such as hypertension, diabetes mellitus, old age, smoking, alcohol, obesity, high cholesterol and family history of heart disease or stroke. Though there are many more rare causes of stroke. Common presentations are acute onset deviation of angle of the mouth, change in voice... |
Q. Can stroke cause facial droop in the lower half of the left side of my face? | Hi doctor, I am 34 years old and I have facial droop in the lower half of the left side of my face. It has been with me for years. I would not call it a paralysis or bells palsy as I have full control of my forehead and eyebrows, but the lower part when I talk it is noticable that the lip from the left side is way lowe... | Hello. I would like to know some details about your symptoms: 1. When, first time, you noticed facial drop in left lower half face? 2. Did it happen suddenly? Or it happened slowly and gradually? 3. Did you had any weakness in left arm/ hand / left leg along with? 4. Had you any change in voice that time? 5. Have you e... |
Q. I have decay in the front tooth with gingival recession and bleeding. Please help. | Hello doctor, For the past one month, I am facing a frontal tooth decay with receding gum. Sometimes, I have bleeding gums. Please help. | Hello. I went through your query. As an endodontist, I would like to assure you there is no major issue with your gums and teeth. Just minor caries in upper left lateral incisor and bit of inflamed gums due to deposition of tartar and improper brushing techniques. First, try to brush in a proper technique that is in so... |
Q. After recovery from ischemic stroke, I experience exhaustion, tiredness, ED, etc. Why? | Hello doctor, I am 54 years old. I have been diabetic for long years and under insulin. I also suffer from diabetic retinopathy for two years. I did more Avastin injection and laser sessions. Eight months ago, I had an ischemic stroke just a few months after the injections. My blood pressure was very high. The left gau... | Hello. I went through your post, you seem to have diabetic neuropathy which is the cause of your erectile dysfunction and easy fatiguability. In addition, there are features of osteoarthritis. Instead of Paracetamol 325 I would suggest sustained-release form like XT Para 1g half tablet twice daily, and neurotropic medi... |
Q. How does high sodium levels affect heart patients? | Hello doctor, My mom had a heart attack at my house. They did a stunt and then she had some brain bleed and had mini strokes. She was in a coma and recovered, even had a temporary tracheotomy. She went to a rehab facility and was very dehydrated so bad she had to go to the ER. The doctor said her sodium was the highest... | Hello. I understand your concern and would explain that it is quite normal to have high sodium levels due to dehydration. Anyway, there is no reason to lose voice while rehydration, which causes the normalization of sodium levels. Anyway, the changes in concentration of sodium can lead to temporary brain dysfunction, d... |
Q. How can low triglyceride level be managed? | Hi doctor, I am a 33-year-old unmarried female with no disease ever diagnosed. I live a sedentary lifestyle with very little or no exercise. I do not smoke, and I do not diet, I am taking normal oily currys with bread. Recently I got my lipid profile done and saw that my triglycrides are 30. Is it severly low? Am I at ... | Hi. Your triglyseride level is too low and causes are low fat diet, hyperthyroidism, malabsorbation syndrome, malnutrition. These all are important causes of low triglyceride levels and minimum level must be up to 145. So how we can increse and what we should do, let us see. Consequences you may have low vitamins absor... |
Q. Is Epilex chrono recommended for partial seizure in an 8-year-old kid? | Hello doctor, My daughter is 8 years old and got a stroke for the first time that lasted for 25 minutes. After EEG, we came to know that she had a partial seizure. Doctor prescribed her Epilex chrono 200. Is it fine? She is complaining of occasional headaches for the past two years. | Hi. Surely, I would like to answer this with my best concerns but for that what actually happened during the event? Did she have involuntary movements like head turning, uprolling of eyeballs, frothing from the mouth, and loss of consciousness? Seizure and stroke are entirely different things and their treatment is dif... |
Q. Will similar group of drugs cause unnecessary problems in a heart patient? | Hello doctor, My father recently had a heart attack and a stroke. Then had two heart valves repaired and they want to put a stent in. His list of medications does not seem to make sense and although he loves his cardiologist. I do not think he is paying enough attention. I am in the medical field and although I am not ... | Hi. Let us evaluate all medications your father is receiving. Diagnosis: Valvotomy, CAD with MI (coronary artery disease with myocardial infarction) and CVA (cerebrovascular accident) (recovered). Tablet Metoprolol is essential in patients with heart attacks as it slows the heart and keeps it healthy. So we cannot omit... |
Q. Can high BP with migraine cause stroke? | Hello doctor, I am 42 years old, single parent with two kids aged 15 and 10. The last 19 years, I have had several stress related (in my view) ailments. History: Erratic bowel syndrome 19 years back, corrected now. Polycystic ovaries, corrected now (was on Metformin for one year.). Severe migraines twice a week that la... | Hello. I would largely comment from cardiac point of view. So overall, other than BP, your cardiac status is normal. Your heart function is normal and no RWMA, your blood vessels were clean on CT coronary angiography (attachment removed to protect patient identity). So, I do not think there is anything to worry from ca... |
Q. What is the relation between lead poisoning and heart problems? | Hello doctor, I am 42 years old. I had a heart attack 12 years ago and now have three stents. By the way, I have no family history of heart disease, high blood pressure, cholesterol and anything of that nature. I am a disabled military veteran and am 40% disabled as a result of being exposed to lead and asbestos during... | Hello. It saddens me to hear of the whole difficulties you have gone through in the past years. I must recommend you for staying strong in the face of all these difficulties. I have thoroughly gone through all your detailed explanation and here is my view. Although I have not had clinical experience of a patient with s... |
Q. Will dry eyes cause blurring of vision? | Hello doctor, Would dry eyes cause cloudy vision with little nonmoving black dots? This is my normal vision and every once in a while I can see perfectly. The eye doctor said everything in the eye looks perfect. I have noticed when I sleep one eyelid does not close all the way but this is the vision in both eyes. I did... | Hi. Yes, dry eyes can cause blurring of vision. As you said you feel your one eye is not closed properly while sleeping, so there is a greater chance of getting cornea dry and can lead to exposure keratopathy. But you have not mentioned any history of stroke or Bell's palsy? Did you have any? Did your doctor notice tha... |
Q. My father is having bipolar disorder and is restless even after medication. Why? | Hello doctor, My father is 60 years old. He is having a psychological problem of bipolar disorder as termed by his doctor. For the last fifteen days, he is feeling restless all day long. He gets relief when he sleeps. So all the day he sleeps or just layover. He is depressed and does not talk much. He is also diabetic ... | Hello. The first thing I like to tell you that as per my knowledge there is no Dimax 250mg and Lamex 50mg. I am assuming that Dimax in query stands for Diamox (Acetazolamide) 250mg and Lamex 50mg stands for Lamex (Levofloxacin) 500mg. The problem you described is very much inadequate to make any conclusion, but I will ... |
Q. How can imbalance in walking be cured? | Hello doctor, Age : 55 years old. Sex : Male. Height: 5.4 feet. Weight : 70 kg. Initial symptoms noticed before two months: 1. Slight imbalance in walking. 2. Unable to walk properly, unable to control the direction of legs. 3. Needed support of wall (sometimes) or a person. 4. Unable to walk on uneven road. | Hi. It appears that the patient is having neurological problem at multiple levels. 1. Causes for imbalance while walking: - Problem in cerebellum (part of brain), unlikely in this case as the MRI of brain was normal (attachment removed to protect patient identity). - Weakness in one part of the body might have happened... |
Q. How can paralysis after brain stroke be managed? | Hello doctor, One of my close friend has suffered a heart attack yesterday. He has gone into coma. One side is paralytic. We are trying to seek advice as to if we can do something more for him. I can attach the MRI brain report. The doctors have kept him in ICU under 72 hours observation. Please suggest if something ca... | Hello. From your description and the MRI report, it is quite clear that the patient is suffering from what is commonly known as brain stroke (attachment removed to protect patient identity). It occurs when part of the brain loses its blood supply and the brain cells of this area die out, resulting in loss of function o... |
Q. Can stroke cause altered sensation in face? | Hello doctor, Six months back, I had a bad sinus infection with a cough that caused a left internal carotid artery dissection. I had a stroke as well that left infarcts on my left parietal lobe and caused problems with my speech and I was not able to use my cellphone correctly. Thankfully I had no lingering damage. Two... | Hi. Post stroke, during periods of illness, fever, cold, etc., previous symptoms of stroke may reappear but to lesser degree. They usually go away as the illness resolve. It does not mean you have new stroke. With left parietal stroke, one can expect sensory symptoms over right side and depending on your location, body... |
Q. I am unable to recollect things suddenly for sometime. What could be the reason? | Hello doctor, I am having blood pressure and diabetes. Currently, I am using Triolmezest 40mg and Starpress XL 25mg for blood pressure and Glimestar-M1 for diabetes. All levels are normal including lipid, echo, HbA1c, etc. Two days back, all of a sudden, my neck started paining and there was a blurredness for sometime.... | Hello, Welcome to icliniq.com. Since you are a diabetic and hypertensive, in such a case I would like to evaluate you for the possibility of transient ischemic stroke (TIA). I would recommend an MRI (magnetic resonance imaging) brain and a color Doppler. If all results are normal, then this could be a postural fainting... |
Q. I have AF with serious left atrium dilation. What is the level of risk for life? | Hello doctor, I have AF for six years. Tried DCC and got sinus rhythm for 12 months, then back to AF six months ago. My echo showed serious left atrium dilation (more than 200% i.e. 180ml compared to the normal 60ml) and mild ventricular dilation. 24 hour tape ranges from tachycardia of up to 120 and bradycardia with u... | Hello. I had gone through your query. So as ablation can prevent AF (atrial fibrillation) but the return of atrial size to normal is unlikely. The risk due to atrial dilation in AF is due to the formation of blood clots inside left atrial appendage and chance of embolism producing a stroke. We normally perform transeso... |
Q. I have bumps on penis and concerned as my condom broke during sex. Am I at risk of HIV? | Hello doctor, I always had tiny and small bumps on my penis head, from the time I started noticing my penis. But today I saw some white and tiny dot like bumps. Is it any kind of STD? I had intercourse with a sex worker five weeks ago. It was protected and I kept checking my condom after every three or four strokes. I ... | Hello. First of all, there is no risk of HIV. Secondly, the tiny bump can be a healed ulcer. Third, to be honest, a condom will not protect from HIV. The size of the virus is far small than microscope holes in the condom. Condom promotion is done to prevent STD (sexually transmitted disease) which may cause an increase... |
Q. My echo with bubble test shows interatrial septal aneurysm. What is the cause and cure? | Hello doctor, I am 31 years old. During my second echo with bubble test, it says that I have an interatrial septal aneurysm, but there are no holes in my heart. I was given blood thinners. I am currently taking Clopidogrel. What is the cause and cure for this? What kind of lifestyle I should be maintaining? I am scared... | Hello. Do not worry about it. It is a congenital problem, and there is no particular reason for it. It is seen in one to two percent of normal individuals. Although, there is a slightly increased risk of clot formation over the bulging of aneurysm and stroke, however, it does not cause any problems in most individuals.... |
Q. After a brain infarct, my dad is unable to open his eyelids on his own. Why? | Hello doctor, My dad is 78 years old. Recently, (one month back) he had acute left medullary infarct with hyperacute infarct of the midbrain. After which he is unable to open both of his eyelids on his own but can see when we lift the eyelids, also his voice was very low. After a month now his speech has improved but t... | Hello. As you have described, your father had brain infarct after that he developed all symptoms related to eye right. So let me explain you that in case of stroke or infarct in the brain there will be involvement of cranial nerves also. The cranial nerve which is responsible for elevation of eyelid will also get affec... |
Q. Is Prevagen or Prevagen extra strength pills safe for brain boost? | Hello doctor, I would like to know if the Prevagen or Prevagen extra strength pills are safe. I heard that the FDA issued a warning but am not sure if it is true or not. I am in my mid-20s, male with no medical conditions. I sometimes feel mentally tired because of work and responsibilities. I believe I need something ... | Hello. It is a fact that the FDA (Food and drug administration) has issued a warning because of some potentially serious side effects of Prevagen and in fact FDA is planning to take legal action against the firm who manufactures and promotes Provagen. Provagen is promoted as a brain vitamin which is a myth and moreover... |
Q. Does ankle surgery increase the risk of ischemic stroke? | Hello doctor, I am a 49-year-old male. Is it possible to suffer from an ischemic stroke as a result of ankle surgery? The stroke is on the left side of the brain causing paralysis in my right side. I am healthy otherwise. | Hello. If you were immobilized for a few days after the surgery there is a possibility in the development of deep vein thrombosis in a male above 40 years of age. If suppose that thrombus got dislodged, it may traveled to the brain resulting in ischemic stroke. The possibility is low, as almost all the venous origin em... |
Q. I am going to get married in some months and suffering from premature ejaculation. Please give some advice. | Hello doctor,I am 27 years old and going to get married after three months. I am facing premature ejaculation. I have a bad dream after two or three days regular basis. So fearing about marriage as I have this problem. Semen maybe not thick enough and ejaculate after only 12 to 15 strokes. Need valuable suggestions fro... | Hello. 1. Getting sex dreams is not a bad thing. It is a part of normal sexual life. It is nature's way. You will not get any sexual problems on account of this. You can happily get married. 2. Semen thickness varies from time to time, depending on many factors. It does not have to be thick. It should become thin soon ... |
Q. I feel weak and exhausted due to hot weather. How to stay active? | Hello doctor, I am actually facing some weakness issues since 2 or 3 days. I am a self-employed guy, my work timings are quite odd like 10 pm to 5 am. I wake up by 12 pm and then work from 2 pm - 8 pm (this includes working, meetings, get together with friends and coffee). I do not prefer eating outside, to be safe. My... | Hi. Please find my observations below. It appears that your body is not prepared for the heat conditions prevailing in your place. Since you have work schedules which start in the early afternoon, it is possible that you got dehydrated with electrolyte loss which might have resulted in your feeling unusual weakness. Th... |
Q. Will Cilnidipine help to control BP instead of Amlodipine? | Hello doctor, Currently, I am on Telvas AM and BP is well controlled. My question is: 1. I want to shift to Cilnidipine instead of Amlodipine. Heard from many patients and clinical trials that Cilnidipine is useful in sympathetic nervous system hyperactivity as it is dual type CCB. I have that. Will it be a good altern... | Hello. Regarding your concern, I would explain that Cilnidipine is a good alternative for treating hypertension, especially in patients with uncontrolled hypertension or after a stroke. It may be more effective that Amlodipine and with fewer adverse effects (less edema). You may use them (Telmisartan and Cilnidipine) s... |
Q. PTSD following domestic and sexual abuse. How to come out of it? | Hi doctor, PTSD is controlling my life. I was raped six to seven times and faced domestic abuse for four months until I escaped. Each time sex has been hard for me. After the domestic abuse, it is so bad that I have to stop in some strokes and if not then I will throw up on them.Sometimes it happens with just fingers i... | Hi. Thank you for sharing your concern with me. I can understand your situation and feelings. I can assure you that this is not going to be with you forever. You would benefit from counseling and therapeutic techniques such as cognitive behavior therapy (CBT) by a clinical psychologist experienced in handling of PTSD (... |
Q. Is it advisable to take anti-malarial drug in a patient with positive ANA and CRP 1. 9? | Hello doctor, I have pain all over my body, positive ANA and CRP 1.9. My doctor thinks I have lupus even though all the rest of the tests were negative. She wants me to take anti-malaria drugs. I am worried she is treating me full force without the proper positive tests. | Hi. High levels of CRP means that there is an inflammation going on inside your body. What is inflammation? It is a process where our white blood cells who are our protectors are attacking foreign bacterial or viral cells. Sometimes these white cells may turn against our own cells leading to chronic inflammation. That ... |
Q. What are the ways to reduce weight in a hypertensive patient? | Hello doctor, I am a 42-year-old male. My blood pressure is 158/107. I have been on blood pressure medications for some time now. I no longer have medical insurance. I was on Hydrochlorothiazide, Lisinopril 12.5/20. I was supposed to get medical benefits but my job has not given me them. The problem has been going on f... | Hi. I have read through your post and it seems like you really need to take the medications to keep your blood pressure in control. Particularly since the diastolic is quite high. If it is not controlled it can lead to complications like heart attack, stroke and kidney failure. You might want to drop by the emergency d... |
Q. My height is 168 cm. Will Oxandrolone help in increasing my height? | Hello doctor, I am a 16-year-old guy. My height is 168 cm. My weight is 65kg. My father's height is 178 cm and my mother's height is 164 cm. I wanted to ask to can I consume Oxandrolone? Is it safe for me? Also, how can I increase my height in this stage? | Hi. Your height is almost the average of your parents. At 15-17 years in males growth plates close and then there is no increase in height possible after that. You are almost in that age. Do you have any other symptoms of impaired secondary sexual characteristics? You can have bone age checked if you want to confirm it... |
Q. What is causing racing heartbeat and arrhythmia with swelling of legs? | Hello doctor, Elevated blood pressure first detected at age 18 (runs in family on maternal grandmother's side). Never really treated until age 72 (anesthesiologist requirement prior to cataract surgery). Lisinopril 20mg and Amlodipine 10mg. Continued until age 76 with doctor altering dosage and frequency as that medica... | Hello. I understand your concern and would recommend checking thyroid hormone levels for possible thyroid gland dysfunction and continue taking antihypertensive medication. Regarding possible arrhythmia, I would recommend performing an ambulatory 24 to 48 hours ECG monitoring in order to investigate for possible arrhyt... |
Q. Will doing amateur fighting and sparring with headgear cause long term brain damage? | Hello doctor, I am a 21-year-old male. I want to start amateur fighting, sparring, with headgear how likely is long term damage? Is it more with continuous high impact to the head, or one serious blow could ruin it? I am a physicist and value my reasoning a lot, I just wonder how dangerous is it. | Hello. I understand your concern and would explain that headgear or amateur fighting can lead to chronic damage to the brain (related to the repeated trauma). This can lead to small strokes and an increased risk of dementia in the future. It can also lead to increased risk of intracranial bleeding, due to the head trau... |
Q. Had a CT scan for brain stroke. Please tell how serious is this. | Hello doctor, This query is for my grandmother. She is hospitalized and the doctor is saying some brain stroke. She is in conservative medical management. CT scan and other investigations are done. Sharing the reports here. Please let me know how severe is this? What should be the treatment at present? | Hello. Your grandmother, 85 years old, she is admitted to a local hospital with symptoms of stroke as suggested to you by your doctor. I saw her CT scan which shows minor ischemic changes in her brain (attachment removed to protect patient identity), which means old blood clots which is not that significant at her age.... |
Q. I have right-sided head, neck, and shoulder pain. Please suggest treatment. | Hello doctor, I am a 27-year-old female. I have pain on the right side of the head, neck, and shoulder. Please suggest. | Hi. I can understand your concern. According to your statement, you have been suffering from right-sided head, neck, and shoulder pain. Most head, neck, and shoulder pain is resulted from sprains and strains by incorrect posture or mechanical injury due to daily works. It may result from soft tissue injury (including m... |
Q. Does having intercourse while on warfarin cause hemorrhage? | Hello doctor,I am taking warfarin, and my INR is 2.8. I am a woman, and I am a virgin, I never had complete sexual intercourse involving penetration. My question is if I have my first complete sexual intercourse and lose my virginity while on warfarin, could it be dangerous and cause a hemorrhage? | Hello, Welcome to the icliniq.com. Usually for thrombotic events, warfarin like anticoagulant drug prescribed with INR monitoring. Duration of therapy can be up to six months (only if risk if thrombosis high then life long anticoagulant is given). So for this six month while on warfarin you can delay intercourse if pos... |
Q. I am suffering from pressure, pain and tightness in my head and forehead. Why does it last so long? | Hello doctor, I am having pressure, pain, and tightness in the right side of my head and forehead. And I have numbness in my right leg (lower leg). I am having this kind of right side headache and pressure with dizziness some time. I do not have any double vision or vomiting. No fever and not any other symptoms. Mainly... | Hello. Right-sided headache or any unilateral headache moderate to severe accompanied with or without photophobia, eye-watering, nausea, etc. are typical of migraine. Numbness of the affected side may be due to migraine, or it could be a neurological problem. What concerns me is the leg numbness as well. Do you feel li... |
Q. What is the chance of getting stroke while on medications? | Hello doctor, My mom had a stroke two years ago related to AFib. They put her on Eliquis, maximum dose. Last week she had another stroke, and they believe it is heart-related. They are still puzzled though and have added a baby Aspirin a day on top of the Eliquis. Has anyone heard of a recurrent stroke while on this me... | Hello. Recurrent strokes are very common. As your mom have atrial fibrillation, she must be on regular anticoagulants for prevention of stroke. But as now she has developed new stroke while taking anticoagulants, Its right decision to add ecosprin for further prevention of stroke. Must check your mom's compliance of me... |
What is the treatment for premature ejaculation? | I have premature ejaculation problem. I release in less than a minute, in just 3-4 strokes... i cannot stay longer. Memy girl friends had tried to do in many ways in relaxed conditions but still i am not able to do it. we have tried it again and again but still failed......please suggest me medicine OR healthy food to ... | Hello! Many things are there for this cause. little elobrated history could be better, how ever i will try to make it simple. One of the reason is mind related ( its depends upon your thinking and so) but as you said you tried in different conditions it could partially ruled-out.Other thing is due to the blood supply r... |
Could thin penis and small testicles be due to masturbation? | Age : 28 years old Problems are stated below... 1) I have masterbated since 5 years 2)My pennis is thinless than 5 inch 3) when pennis is excited the semen comes out within 40 SECONDS. 4) Even after 2 or 3 strokes of pennis with soft things the semen comes out very quickly. 5) My testicles is also very thin. | No, your penis size and testicle size is related to puberty. Some men are bigger and some are smaller.Please leave 5 star rating! |
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