Questions & Answers

Q&A

Answered by Dr. Hafiz Muhammad Hassan Shoukat

Aspirin for stroke risk during flight with high RBC?

Hi, Welcome to icliniq.com. 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 325 mg (not 75 or 81 mg) one hour before flight with meal.

July 14, 2026

Why does my heart rate increases very fast on exercising?

Hi, Welcome to icliniq.com. As you are concerned about this HR (heart rate) being atrial fibrillation or atrial flutter, or SVT (supraventricular tachycardia), first, HR is usually more than 130 to 140 in these conditions, especially in SVT. Secondly, these disorders do not have any specific relationship with exercise or rest, meaning this does not start with exercising. It can kick in while resting all of a sudden and can convert back at any time. Your pattern is more consistent with sinus tachycardia.

June 8, 2026

What alternate treatments are available for femoroacetabular impingement other than surgery?

Hi, Welcome to icliniq.com. Femoroacetabular impingement is abnormal contact and rubbing between the anterior femoral head and its socket that cause inflammation and pain over there. Most pain is in the groin area. This condition also increases the risk of osteoarthritis of the hip. Mostly due to athletic activities, the treatment is surgical.

May 8, 2026

What steps to take for high urea and creatinine levels?

Hi, Welcome to icliniq.com. He has a worsening kidney function secondary to hypertension and diabetes. His hemoglobin is low, (attachment removed to protect patient identity) and it is 7.6 g/dL. I believe that it is low due to kidney failure and he also has a bladder infection.

May 6, 2026

Can generalized anxiety disorder be treated with ayurvedic medications?

Hello, Welcome to icliniq.com. I understand you have sickle cell trait and hypothyroidism, and I am sorry you have trouble going through this. The medication given above is herbal or homeopathic, not well studied, and its side effects are not well known. Also, anyone on this forum is not expected to know that drug. So I suggest that the medication you suggested is not suitable.

April 24, 2026

Can nail cosmetics allergy cause symptoms such as headaches, burning nose, clogged ears, and chest tightness?

Hello, Welcome to icliniq.com. I read your query and can understand your concern. It looks like you initially had some allergic reaction to a chemical, maybe acetone, and there is suspicion of a superimposed bacterial infection. You can use over-the-counter antihistamines, like Allegra, once or twice daily with Flonase nasal spray. But kindly go to the doctor if you have a fever, chills, ear pain or discharge, difficulty in breathing, or shortness of breath despite using an inhaler or if symptoms do not get better with antihistamines or nasal spray, as in those cases, you may need antibiotics to clear the infection.

April 16, 2026

What causes itching all over the body during pregnancy?

Hi,Welcome to icliniq.com.I have gone through the attachment (attachment removed to protect patient identity). This condition is known as pregnancy-related cholestasis. Your other liver enzymes are normal. It is a benign condition, and it will go away after delivering a baby.

April 13, 2026

Can passive smoking cause lung damage?

Hi, Welcome to icliniq.com. Second-hand smoke is problematic sometimes, but the amount of time you inhale will probably not have any effect on the lungs. But it can affect you if you have to stay with them every day for a couple of hours. Even then, a significantly longer period of time is needed, like months or years, actually, to cause damage in the long term. But yes, short-term side effects like a cough and a headache can happen, temporarily, and go away once you are off the site.

April 2, 2026

Is it risky to combine painkillers and antidepressants?

Hello, Welcome to icliniq.com. If he does not need pain medications, he should get rid of these, especially the tablet Hydrocodone (Codeine). Also, he is taking too many antidepressants, which can not only risk his driving skills but also put him at high risk of serotonin syndrome. Tablet Prozac (Fluoxetine hydrochloride) and Nortriptyline (colloidal Silicon dioxide, Magnesium stearate, pregelatinized starch, and Sodium lauryl sulfate) are about the same class of drugs, and the tablet Atarax (Hydroxyzine hydrochloride) also makes one drowsy. But I suggest stopping all at once, as he may have withdrawal effects; discuss with his primary doctor and decrease doses one by one to stop all unnecessary medications.

March 20, 2026

What are the ways to manage muscular dystrophy symptoms?

Hi, Welcome to icliniq.com. Most of the muscular dystrophies are genetic diseases, like myotonic dystrophies, Duchan- baker dystrophy. If someone has that, no treatment discovered yet, we did not have anything to cure disease, rather diseases are progressive. But dystrophy is due to some medication like statins medication or steroids, we can discontinue medicine and dystrophy will be reversed. Hopefully, I answered your questions.

March 11, 2026

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