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Q&A

Answered by Dr. Sreejith. M. G

What is the best treatment for osteoarthritis?

Hello,Welcome to icliniq.com.Thank you for your query.I understand your concern. We have to rule out the possibilities like gastric bleeding or other systemic problems for the cause of anemia. Gastric ulcers and erosions may occur due to NSAIDs like Naproxen so reduce such tablets.

May 8, 2026

What is the treatment for fibromyalgia?

Hello, Welcome to icliniq.com. I can understand your concern. You are suffering from a vascular headache or migraine. These are the classic symptoms of migraine. You have to take plenty of water and avoid chocolates, food preservatives, and cheese.

May 6, 2026

My mom has been suffering from head spinning. Why?

Hi, Welcome to icliniq.com. The possibilities for her head spinning are as follows. Probably, your mom is suffering from benign paroxysmal positional vertigo (BPPV). It can be controlled by a tablet like Vertin16 mg (Betahistine) or Stugeron (Cinnarizine) at bedtime or twice daily. The second possibility is as she is diabetic and hypertensive, we have to think about circulation deficiency to the brainstem, which controls balance.

May 5, 2026

Can Enalapril cause psychosis with auditory hallucinations?

Hi,Welcome to icliniq.com.As you said ACE (angiotensin-converting enzyme) inhibitors usually will not produce any hallucination or psychosis but some rare reports of hallucinations are available which was mainly visual hallucination not auditory, but psychosis is unlikely. Anyway, you change Enalapril to some other antihypertensive tablets like calcium channel blockers or beta blockers and see the change. Consult a specialist doctor, discuss with them, and take medications with their consent.If it is not improving with above medicine change, you have to evaluate further by getting a thyroid function test (hypo or hyperthyroidism), hemoglobin (Vitamin B12 deficiency anemia or iron deficiency) and calcium level with serum phosphorous (hyperparathyroidism- high calcium and parathyroid hormone).

April 27, 2026

What are the reasons for tenderness in the abdominal area?

Hello, Welcome to icliniq.com. We are pleased to have you on board. This could probably be just muscular pain, which will improve with analgesics. But if it persists, you have to think about possibilities like: 1. Renal Calculus- In this condition, sharp intermittent pain will radiate from the loin to the groin area 2.

March 6, 2026

Can I substitute Amaryl tablet with Kombiglyze tablet?

Hi, Welcome to icliniq.com. Amaryl has Metformin 500 mg and Glimepiride 2 mg and Kombiglyze contains Metformin and Saxagliptin. Both combinations are different, so the level of sugar control will be different. Glimepiride is a sulfonylurea and Saxagliptin is a DPP4 (Dipeptidyl peptidase 4) inhibitor, but both are good. So, you can ask for Metformin and Glimepiride combination in that country, it will be available, but with a different company.

July 8, 2025

Postprandial glucose 200 despite diet control and exercise. What to do?

Hi, Welcome to icliniq.com. Please update your FBS (fasting blood sugar) and HbA1c (glycosylated hemoglobin). Anyway, your sugar values are high. So, you have to take the necessary precautions to prevent the progression of the disease. First is adequate exercise.

May 7, 2025

Kindly suggest a permanent cure for penile yeast infection.

Hi, Welcome to icliniq.com. Always evaluate the cause of recurrent yeast infection. It can be any of the following reasons. Maintain good genital hygiene. Daily wash the genital area with soap and water and keep it dry.

April 24, 2025

There is severe headache triggered by indigestion. Do we consult a neurologist?

Hello, Welcome to icliniq.com. The first possibility is a vascular headache (migraine). Usually, it is a throbbing-type pain (or pulsating blood vessel-like feel). It is associated with difficulty in hearing sounds or looking at light, followed by vomiting. Sometimes, vomiting reduces pain.

April 23, 2025

Am I diabetic or are my readings due to Seroquel?

Hello, Welcome to icliniq.com. Quetiapine (Seroquel) in such high doses may produce hyperglycemia. So, the first possibility is drug-induced hyperglycemia. So, try to reduce the dosage after consulting your doctor. You have to monitor your blood sugar regularly when you are taking these type of drugs.

April 10, 2025

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