Questions & Answers

Q&A

Answered by Dr. Ajeet Kumar

I have rectal discomfort since two weeks and there is no sign of healing. Are these symptoms of cancer?

Hello, Welcome to icliniq.com. I understand your concern. The discomfort or pain can be due to a small anal breach or an acute anal fissure. I do not think that it is a previous anal fissure that has re-opened because that would have caused excruciating pain and usually causes bleeding. An acute anal fissure is common with diarrhea, repetitive washing, and using a water jet while washing.

July 6, 2026

How to manage the symptoms of IBS-D at 41?

Hello,Welcome to icliniq.com.I can understand your concern.I do not think that you have any serious illness like IBS-D (inflammatory bowel syndrome with diarrhea) or cancer, given the fact that you had a normal Colonoscopy almost a week before. IBS can be very serious and can cause frustration, including uncontrollable bowel movements with cramps.If an IBS did not get better with conventional medications, we always consider giving medications that control the symptoms besides controlling the underlying mechanisms that cause IBS.

July 1, 2026

What is the reason for asymptomatic indirect bilirubinemia?

Hello, Welcome to icliniq.com. I can understand your concern. However, I do not think that the information you provided is enough to make a diagnosis. I would need a complete history of your problem. And all the investigations that have been performed.

June 23, 2026

Why is the antacid for stomach pain not giving relief?

Hi, Welcome to icliniq.com. I understand your concern. From your history, you seem to have pain secondary to hypersecretion of acid. You seem to have uninvestigated dyspepsia. There are many other reasons to have upper abdominal pain.

June 23, 2026

How to manage cutaneous larva migranes with constant itching?

Hi, Welcome to icliniq.com. Your symptoms seem to be caused by cutaneous larva migrans, a skin infection that happens due to a hookworm called Toxocara, usually spread by infected cats or dogs. It is best to get some tests done to confirm this, such as an ELISA (enzyme-linked immunosorbent assay) test for Toxocara canis and Toxocara cati. For treatment, you can take Albendazole (antihelmintic) 400 milligrams twice a day for five days. If this infection keeps coming back, try to find out the source; it could be from your pet dog, cat, or other animals nearby.

June 22, 2026

My bilirubin level keeps on increasing with negative hepatitis test. What is my problem?

Hello, Welcome to icliniq.com. Well, your US (ultrasound) and CT (computed tomography) scan are normal which is kind of satisfying to me. Of course you suppose to have more blood tests to confirm the origin of this jaundice. Hepatitis, although common, but they are not the only one to cause liver problem there are many other causes such as nonhepatotrophic virus infections as herpes virus, Ebstein Barr virus, cytomegalovirus. Non-viral causes are Wilson hemochromatosis, alpha-1 trypsin deficiency.

June 17, 2026

How to know if you have crohn’s or ulcerative colitis?

Hello, Welcome you to icliniq.com. I know you must be very upset about your ongoing condition. Your symptoms suggest that you have Crohn's disease, not ulcerative colitis. Humira and biological medications like this work for a while before losing effect until the next dose. So yes, if the interval between two doses is extended, the patient can develop flare in the interval period.

June 8, 2026

Do my high ferritin levels indicate ferroportin disease?

Hello, Welcome to icliniq.com. Having H63D (histidine at amino acid position 63) carrier does not indicate a diagnosis of hemochromatosis. Similarly, you have one of the gene alleles for ferroportin disease. However, the transferrin saturation should be low in ferroportin disease. On the other hand, the same gene is also associated with hemochromatosis, the excessive accumulation of iron in the liver and other tissues like bones, heart, and pancreas.

June 5, 2026

What causes severe bloating during pregnancy?

Hello, Welcome to icliniq.com. Since you have constipation since birth, there is a possibility of Hirschsprung disease. Second, you might have functional constipation or pelvic dyssynergia. The latter is most likely. The pelvic dyssynergia is basically an incardinated mechanism of passing stool.

June 3, 2026

What causes mucus-like feeling in my throat and nausea?

Hello, Welcome to icliniq.com. I understand your concern. For how long do you have these symptoms? Also, are you having a fever? Are you taking any medicines? Kindly revert with answers to the above questions. Thank you. .

June 2, 2026

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