Questions & Answers

Q&A

Answered by Dr. Mohamed Abdirahman Ali

How do I manage anal pain, bleeding, and gas issues?

Hello, Welcome to icliniq.com. I read your query and understand your concerns. After going through your case, it seems like you are suffering from an anal fissure. Anal fissure is a type of ulcer in the distal anal canal. This condition is usually associated with hypertonia of the internal anal sphincter, which increases the traumatic effect of passing hard stools.

July 17, 2026

How is a dermoid cyst in the parotid region treated?

Hello, Welcome to iCliniq.com. I understand your concern. A dermoid cyst in the left parotid region is a benign, slow-growing tumor that contains tissues like hair, teeth, or glandular structures. It can develop in various locations, including the face, neck, and intracranial regions, and is usually asymptomatic unless it enlarges or becomes complicated. Diagnosis is typically clinical, but an ultrasound and FNAC (fine needle aspiration cytology) can confirm the nature of the swelling.

July 16, 2026

Is chemo or hormone therapy best for my grandma's cancer?

Hello, Welcome to icliniq.com. I read your query and can understand your concern. Your grandmother has been diagnosed with HR-positive (hormone receptor-positive) breast cancer. I would like to inquire about any additional tests, such as an MRI (magnetic resonance imaging) or a PET (positron emission tomography) scan, to determine if the disease has spread (metastasis). Also, what is the size of the tumor? I would like to inform you that this type of tumor is estrogen and progesterone hormone receptor-positive, which generally has a better prognosis compared to hormone receptor-negative tumors.

July 10, 2026

How does laminectomy help spinal cancer patients?

Hi, Welcome to icliniq.com. Sorry to hear about your uncle. Based on what you have described he has cancer that has metastasized to the spine and is now placing pressure on the spinal cord or nerves. The lamina is a portion of the vertebra that is surgically removed to alleviate pressure on the spinal cord during a laminectomy. This surgery may assist in alleviating pressure on nerves, which is often responsible for symptoms such as discomfort, weakness, numbness, and in severe cases, paralysis.

June 29, 2026

How can a woman manage HER-negative breast cancer at 48?

Hello, Welcome to icliniq.com. I read your query and can understand your concern. The breast lump size is 1.38 inches, with no lymph nodes and no other lesions in the body that need to be investigated (CT (computerized tomography) scan, contrast chest, abdomen, pelvis), and it falls under stage II breast cancer. The patient is feeling pain and needs painkillers.

June 23, 2026

Is breast cancer genomic testing different from BRCA?

Hi, Welcome to icliniq.com. I completely understand your concerns. Genetic and genomic testing are distinct yet complementary tools in cancer care. Genetic testing: This assesses inherited mutations, such as BRCA1 (BReast CAncer gene 1) and BRCA2 (BReast CAncer gene 2), which can increase an individual's risk for certain cancers, including breast and ovarian cancers. Identifying these mutations can inform preventive strategies and guide family members on their potential risks.

June 22, 2026

What are the treatment options for GERD if medicines fail?

Welcome to icliniq.com. I read your query and can understand your concern. You are experiencing a burning sensation and symptoms of GERD (gastroesophageal reflux disease) that persist despite the use of PPIs (proton pump inhibitors). Additionally, you have a sensation of food being stuck and a bitter taste throughout the day, indicating the need for a repeat upper GI endoscopy. An upper GI (gastrointestinal) endoscopy is necessary if symptoms continue or worsen despite PPI treatment, particularly in cases of dysphagia, anemia, weight loss, or reflux.

June 18, 2026

How can HR-positive and HER2-negative BC be diagnosed early?

Hello, Welcome to icliniq.com. I understand your concern. You are concerned about the type of cancer, HR-positive or HER-2neu negative. They are a type of breast carcinoma with a good prognosis. HR-positive means this tumor is estrogen- and progesterone-hormone receptor-positive, while HER2-neu is epidermal growth factor receptor-negative.

June 11, 2026

Does a woman with breast cancer need an ultrasound?

Hello, Welcome to icliniq.com. I read your query and can understand your concern. At her age, 35 years, if there is a lump in her breast, then it needs to be done by ultrasound or ultrasonography, which is the same. First, she needs an ultrasound for screening of her breast to see any lump, size, whether it is mobile or fixed, and texture. If ultrasound shows a lump, then she may need to do a true cut or ultrasound-guided biopsy (a medical procedure that involves collecting a small sample of tissue or cells from the body to check for the presence of disease or damage) of the lump, which will be done under local anesthesia, not painful.

June 11, 2026

Can I undergo metabolic surgery for type 2 diabetes?

Hello, Welcome to icliniq.com. I can understand your concern. As you mentioned, you tried different lifestyle modifications and treatments, but nothing has worked so far, with uncontrolled diabetes and hypertension. So you are a strong candidate for bariatric or metabolic surgery. In such cases, the risk of not opting for surgery and continued progression of diabetes, cardiovascular disease, and kidney damage can outweigh the risks of surgery itself, especially if medications and lifestyle changes have not been effective.

June 10, 2026

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