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Questions & Answers

Q&A

Answered by Dr. Mohammad Saquib Alam

What is meant by bilateral maxillary and ethmoid sinusitis?

Hello, Welcome to icliniq.com. I can understand your concern. It is good that you got checked after the fall, and your CT (computed tomography) scan showed only a mild blood clot; nothing to worry about there. Regarding the CT finding of bilateral maxillary and ethmoid sinusitis, it means there is inflammation or infection in the sinus cavities on both sides of your face and between your eyes. This is a common condition and not related to your fall.

May 7, 2026

Can Semaglutide cause a decline in kidney function?

Hello, Welcome to icliniq.com I have read your query and understand your concern. The increase in creatinine and reduction in eGFR (estimated glomerular filtration rate) are concerning and should not be ignored, especially with symptoms such as increased thirst, foamy urine, and ankle swelling. These findings may indicate a decline in kidney function that requires prompt evaluation. Semaglutide can contribute to kidney issues in some cases, particularly if there is associated dehydration, reduced fluid intake, nausea, or vomiting. However, it is important to evaluate for other causes such as hypertension-related kidney changes or underlying kidney disease.

May 1, 2026

Why am I getting recurrent infections with Tezepelumab?

Hello, Welcome to icliniq.com I have read your query and understand your concern. The pattern of recurrent infections you are describing is important and should not be ignored. While this medication is not a broad immunosuppressant, it works by targeting specific pathways in the immune system involved in asthma. In some individuals, this may slightly alter the body’s defense mechanisms and increase susceptibility to infections. A normal white blood cell count is reassuring, but it does not provide a complete picture of immune function.

April 17, 2026

Can surgery reduce my need for diabetes medications?

Hello, Welcome to icliniq.com. I can understand your concern. Metabolic surgery, such as gastric bypass or sleeve gastrectomy, can significantly reduce blood sugar levels and often leads to diabetes remission or a decreased need for medication. While all surgical procedures carry risks, metabolic surgery is generally considered safer than the long-term complications of uncontrolled diabetes, which can result in kidney failure, heart disease, and amputations. Given your eGFR (estimated glomerular filtration rate) of 58, a thorough preoperative evaluation would be essential, including assessments of your cardiac health, kidney function, and nutritional status.

February 13, 2026

How to manage pregnancy-related hip or pelvic joint dysfunction?

Hi, Welcome to icliniq.com. I read your query and can understand your concern. The onset of limping during pregnancy that worsened after delivery and has now left her bedridden is certainly concerning. Several possible causes need to be considered. One possibility is nerve compression, such as from a herniated disc or a nerve injury during childbirth.

December 29, 2025

What are the causative factors for heart murmurs?

Hello, Welcome to icliniq.com. I understand your concern. It is very reasonable to be concerned. Severe mitral regurgitation, especially with a new murmur and a prior history of prolonged viral-like illness with high fever, shortness of breath, and chest pain, does raise the question of missed subacute endocarditis or rheumatic carditis, even if SLE (systemic lupus erythematosus) was ruled out. Endocarditis can be culture-negative or subtle, especially if antibiotics are taken early.

November 27, 2025

How can probiotics help improve symptoms of SIBO and SIFO?

Hello,Welcome to icliniq.com.I understand your concern.You are on a solid path with your approach to managing SIBO (small intestinal bacterial overgrowth) and SIFO (small intestinal fungal overgrowth), and the BioMatrix formula (probiotic supplement) does contain beneficial strains. Saccharomyces boulardii at 3 billion CFU (colony forming units) is a reasonable dose, especially when combined with 20 billion CFU of Lactobacillus and Bifidobacteria. While freeze-dried probiotics can still be effective if stored properly, spore-based probiotics (such as Bacillus strains) are generally more resilient and tend to survive the gastrointestinal tract more reliably.

November 14, 2025

How to manage psoriasis during chemotherapy?

Hi,Welcome to icliniq.com.I can understand your concern.Managing psoriasis during chemotherapy is tricky, especially with low immunity. Humira is too risky, but non-immunosuppressive options like Apremilast (Otezla) or topical vitamin D analogs (Calcipotriene) may help without increasing infection risk. For colostomy site irritation, use barrier creams and silicone-based adhesives.

October 29, 2025

How to deal with head injury in children with hemophilia?

Hi,Welcome to icliniq.com.I read your query and can understand your concern.With hemophilia A (a genetic bleeding disorder caused by a deficiency of factor VIII), any head injury requires close monitoring due to the risk of internal bleeding, even if there is no loss of consciousness. Since your son has a persistent headache after his fall, it is important to take this seriously. Headaches can be an early sign of a brain bleed, so consulting his hematologist or going to the ER (emergency room) for evaluation is recommended.

September 8, 2025

Does hemophilia affect delivery outcomes and the baby?

Hello, Welcome to icliniq.com. I read your query and understood it. It is understandable to be anxious. Given that you are a hemophilia carrier, your baby boy has a 50 percent chance of being affected. If he is, the delivery team will be prepared to manage bleeding risks.

September 2, 2025

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