Questions & Answers

Q&A

Answered by Dr. Arun Tungaria

At 25, can I take Mycophenolate mofetil for the long term?

Hello, Welcome to icliniq.com. I read your query and understand your concern. Being diagnosed with NMOSD at 25 is understandably frightening, but treatment today is far better than it was a decade ago, and many people live active, productive lives with proper management. The primary goal of treatment is relapse prevention, since damage in NMOSD occurs during attacks, not through gradual progression, and attacks affecting the optic nerves, spinal cord, or brainstem can cause permanent disability. Mycophenolate Mofetil (MMF) is an immunosuppressive drug that reduces the abnormal immune activity that drives your attacks.

July 2, 2026

Could my tension headaches be causing nerve pain and fatigue?

Hi, Welcome to icliniq.com. You have multiple symptoms, but some symptoms, like weakness in limbs, are significant. I would recommend you go for a physical, neurological examination by a neurologist. Nerve compression can give this kind of symptom, so if a neurologist feels then you should go for an MRI (magnetic resonance imaging) or any other investigation. Meanwhile, you can continue with your current medicines.

May 21, 2026

Does Lamotrigine help control epilepsy in a 33-year-old?

Hello, Welcome to icliniq.com I have read your query and understand your concern. Lamotrigine is considered one of the commonly used and effective medications for epilepsy management. It works by stabilizing abnormal electrical activity in the brain and helps reduce seizure occurrence in many patients. One of the advantages of Lamotrigine is that it is generally well tolerated and often associated with fewer side effects compared to some older anti-epileptic medications. Because of this, it is frequently preferred for long-term treatment, especially in younger adults who wish to maintain normal daily functioning.

May 13, 2026

Which is the best treatment for brain tumors?

Hi, Welcome to icliniq. I understand your concern and will try to help you with it. Please reply with the clinical history, like what symptoms are there? Usually, low-grade glioma requires surgery and, after a histopathology report, may require radiotherapy. It may have an overall good prognosis. I am thankful that you have confidence in me to help you. Thank you.

May 13, 2026

Why does Parkinson’s at 37 cause mid-sentence confusion?

Hello, Welcome to icliniq.com I have read your query and understand your concern. Parkinson’s disease is commonly associated with movement symptoms such as tremors, stiffness, and slowed movements. However, it can also affect thinking speed, attention, speech, and mental processing. Because of this, some patients may experience pauses during conversation, difficulty finding words, or slowed speech flow. In your father’s case, the symptom you are noticing is most likely related to cognitive slowing, also called bradyphrenia, which means that the brain processes and retrieves information more slowly.

May 13, 2026

Can a blood clot in the brain be removed by medicines alone?

Hi,Welcome to icliniq.com.I saw the attached reports (attachment removed to protect patient identity). The problem is an insufficient blood supply to the brain due to a clot in the brain. It is a severe problem. The prescribed medicines are alright.

April 13, 2026

How can I manage dementia as a 50-year-old female?

Hello, Welcome to icliniq.com. I understand your concern. Dementia primarily affects the hippocampus area of the brain. Yes, individuals with dementia often experience difficulties with memory, including forgetting daily routines and tasks they once performed routinely. As dementia progresses, these memory impairments can worsen, making it challenging for individuals to remember how to perform tasks such as cooking, grooming, managing medications, or even basic self-care activities.

March 9, 2026

What are the possible outcomes after craniotomy surgery?

Hi, Welcome to icliniq.com. The biopsy report and MRI (magnetic resonance imaging) findingsindings suggest astrocytoma, which is a kind of cancerous brain tumor. Post-operation MRI is showing that the cancer was not entirely removed during surgery. That usually happens in these kinds of tumors because it is sometimes not possible to remove the whole tumor. Please consult with a good radiation oncologist to decide on radiotherapy if not yet given.

December 1, 2025

Can blood clots in arteries of the neck be treated?

Hi, Welcome to icliniq.com. I think you are talking about carotid vessel disease, with blockage on both sides. Management depends on the degree of blockage in an investigation called an angiography. So, the next step is to get a CT (Computed Tomography) or MRI (Magnetic Resonance Imaging) angiography. Thank you.

November 10, 2025

Is it possible to detect stroke early with blood tests?

Hello, Welcome to icliniq.com. I went through your query and understand your concern. The following are the answers to your questions. Yes, the following tests can be performed to know the future risk of stroke: lipid profile, serum homocysteine levels, and color doppler test of neck vessels. Various studies have shown that the risk can be reduced by the intake of antiplatelet drugs like Aspirin (a nonsteroidal anti-inflammatory drug) or Clopidogrel (an antiplatelet).

November 5, 2025

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