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Questions & Answers

Q&A

Answered by Dr. Muhammad Arslan Azhar

How to manage postmenopausal osteoporosis at 62 years of age?

Hello,Welcome to icliniq.com.Thank you for your query. I understand your concern regarding gastric irritation while managing osteoporosis.A T-score of –2.9 confirms osteoporosis, and continuing anti-osteoporosis treatment is important to reduce fracture risk.

June 5, 2026

Is blood in urine normal for a 66-year-old man after BCG?

Hello, Welcome to icliniq.com. I have gone through your query and understand your concern. I understand that noticing blood in the urine and burning after urination can be worrying, especially after going through TURBT (transurethral resection of bladder tumor, a procedure that healthcare providers use to diagnose and treat bladder cancer) and BCG (Bacillus Calmette–Guérin vaccine is a vaccine primarily used against tuberculosis) treatment. Let me address your questions clearly. First, mild hematuria (blood in urine) and burning during urination are common side effects after BCG therapy.

June 3, 2026

Is immunotherapy effective for my mother's bladder cancer?

Hello, Welcome to icliniq.com. I understand how overwhelming this diagnosis is for your mother and your family. Bladder cancer, especially when detected at an early stage, can often be managed effectively. Concern about her quality of life is completely natural. Transurethral resection of bladder tumor (TURBT) is the standard first step for most bladder cancers.

May 3, 2026

Can I take Hydroxychloroquine for lupus during my pregnancy?

Hello, Welcome to icliniq.com. I understand how stressful and frightening it is to face lupus nephritis during pregnancy. Your concerns about your kidneys and your baby’s health are completely valid. Your rising proteinuria (2.4 grams/day), worsening blood pressure (150/95), increased creatinine (1.

May 2, 2026

Is bladder removal necessary for my invasive bladder cancer?

Hello, Welcome to icliniq.com I have read your query and understand your concern. Muscle-invasive bladder cancer means that the tumor has grown into the muscle layer of the bladder, which requires more aggressive treatment compared to early-stage disease. The standard and most effective treatment in many cases is removal of the bladder (radical cystectomy), often combined with chemotherapy given before surgery to improve outcomes. There are alternative approaches, such as combined chemotherapy and radiation therapy, which aim to preserve the bladder, but these are usually considered in selected cases where surgery is not suitable or based on patient preference and overall health. After bladder removal, different urinary diversion options are available, including internal pouches or external collection systems.

April 28, 2026

How do I plan a pregnancy at 34 with hypothalamic obesity?

Hello, Welcome to icliniq.com. I read your query and can understand your concern. I can understand how frustrating and disheartening this journey has been for you. Hypothalamic obesity after craniopharyngioma surgery is extremely challenging because the brain’s appetite and metabolism centers are affected, making conventional diets and weight-loss medications far less effective. Hypothalamic obesity is causing your symptoms like, Rapid weight gain.

April 28, 2026

Can I give honey to my four-month-old infant for a cough?

Hello, Welcome to icliniq.com. I am deeply concerned about your worries. Thank you for your question. At the age of 4 months, it is very important to be very cautious with what is given to a baby. According to pediatric guidelines, honey should not be given to infants below the age of 12 months due to the risk of infant botulism, a rare but serious condition caused by botulinum spores that may be present in honey.

April 21, 2026

Should my ART be modified after TB diagnosis?

Hello, Welcome to icliniq.com. I read your query. I understand this feels overwhelming, but HIV (human immunodeficiency virus, a virus that attacks the body’s immune system, specifically the CD4 or cluster of differentiation 4 cells, making it harder to fight infections and diseases) and TB (tuberculosis, a bacterial infection caused by Mycobacterium tuberculosis that mainly affects the lungs) can absolutely be managed together with proper coordination. First, regarding your HIV numbers: your CD4 (cluster of differentiation 4) count is 340 cells/µL (cells per microliter). CD4 cells are the white blood cells that help your body fight infections.

April 17, 2026

Why do I feel tired and have hair loss at 29 years?

Hello, Welcome to icliniq.com. I have thoroughly gone through your reports. I understand how concerning fatigue and hair fall can be at this young age, and I will keep this explanation clear and concise. According to your reports, your iron profile clearly shows iron deficiency: Serum Iron: 28 µg/dL (low). Ferritin: 14.

April 10, 2026

My daughter has Hodgkin's lymphoma. Will it affect her fertility?

Hello,Welcome to icliniq.com.I understand your concern.Stage II A Hodgkin lymphoma in a young woman has an excellent prognosis, with cure rates well above 85 to 90 percent with modern treatment. ABVD (Adriamycin (Doxorubicin), Bleomycin, Vinblastine, and Dacarbazine) chemotherapy has been used for decades and is considered both highly effective and relatively gentle compared with many other regimens.Fertility after ABVD is one of the most common and valid concerns in young women.

April 9, 2026

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