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Q&A

Answered by Dr. Md Nuralom Seddik

Why does itching persist despite treating prurigo nodularis?

Hi, Welcome to icliniq.com. Thank you for reaching out. I am truly sorry to hear about the challenges you are facing with prurigo nodularis (PN), especially with your wedding approaching. It is entirely understandable to feel concerned during this time. Prurigo nodularis is a chronic skin condition characterized by multiple itchy, firm nodules commonly found on the arms, legs, and trunk.

May 26, 2026

What treatments are available for recurring bladder cancer?

Hello, Welcome to icliniq.com I read your query and understand your concern. I am sorry to hear about your bladder cancer recurrence. I will do my best to guide you on the treatment options and help you understand your current situation better. You mentioned a recurrence after undergoing transurethral resection of bladder tumor (TURBT) and Bacillus Calmette-Guérin (BCG) therapy. Unfortunately, non-muscle invasive bladder cancer (NMIBC) can be recurrent in nature, especially in high-risk cases.

May 5, 2026

What is he side effect of taking extra blood pressure pills?

Hello, Welcome to icliniq.com. I read your query and can understand your concern. Since you accidentally took an extra dose of tablet Amlodipine (a calcium channel blocker for blood pressure regulation) 10 mg last night, I recommend skipping your morning dose today to avoid the risk of low blood pressure (hypotension). Amlodipine has a long half-life, meaning it stays in the system for an extended period, and taking another dose now could further lower your blood pressure. Please monitor for symptoms such as: Dizziness or lightheadedness.

August 8, 2025

Is Nexium safe for teenagers with acid reflux?

Hello, Welcome to icliniq.com. I have read your case and can understand your concern. Based on the information provided, it is generally considered safe for your 17-year-old son to take Nexium (Esomeprazole) 20 mg once daily for a short period, such as a few days to two weeks, if he is experiencing a recurrence of acid reflux symptoms and had previously responded well to the medication. Nexium is a proton pump inhibitor (PPI) that reduces the production of stomach acid and is commonly prescribed for conditions such as gastroesophageal reflux disease (GERD), gastritis, and acid-related indigestion. In adolescents over the age of 12, short-term use is typically regarded as safe, particularly under appropriate supervision.

August 4, 2025

How to manage pain and fever due to lens use?

Hello, Welcome to icliniq.com. I have read your query and can understand your concern. Based on your symptoms, persistent eye pain, redness, and fever, after using contact lenses, it is possible that you may have developed infective keratitis or corneal abrasion, especially since this was your first time using contact lenses. Here are a few important points: Infection risk: Improper handling or intolerance to lenses can introduce bacteria or cause corneal injury. The presence of fever suggests a possible underlying infection that may require systemic treatment.

August 4, 2025

What causes pain in the lower arm after donating plasma?

Hello, Welcome to icliniq.com. I understand your concern. Based on your description, it does not sound too serious, so try not to worry. Here are my suggestions for you: Rest your arm and avoid repetitive movements or heavy lifting for a few days. Apply a warm compress (using a hot water bottle or sandbag) for 15 to 20 minutes, two to three times a day.

August 4, 2025

Is transitional cell carcinoma curable in a 45-year-old?

Hello, Welcome to icliniq.com. I read your query and can understand your concern. It is a matter of sorrow that you have been diagnosed with carcinoma bladder. At this stage, options that may be chosen for you are, 1. Transurethral resection of bladder tumor (TURBT) - The prognosis is very good.

July 31, 2025

Will biologics help to manage asthma-COPD overlap?

Hello, Welcome to icliniq.com. I understand how distressing it can be to deal with both asthma and COPD (chronic obstructive pulmonary disease), especially when symptoms persist despite regular inhaler use. Given your condition, asthma-COPD, and your age (60 years), biologic therapies like Dupixent (Dupilumab) or Tezspire (Tezepelumab) may be beneficial, particularly if your asthma has an eosinophilic or allergic component. While these are currently approved for severe asthma, emerging evidence suggests they might help in select cases, especially those with frequent exacerbations and steroid dependency. Your pulmonologist can assess eligibility by evaluating blood eosinophil counts and IgE (immunoglobulin E) levels.

July 30, 2025

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