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Q&A

Answered by Dr. Naresh Kumar Monigari

Do I need vitamin D and iron supplement?

Hello, Welcome to icliniq.com. For vitamin D deficiency you need to take capsule Cholecalciferol 60,000 IU once a week for six weeks. Vitamin D is necessary for our body for general health and for calcium absorption into our body. So, indirectly it helps to maintain bone health. Vitamin D is synthesized by our body when we expose to sunlight.

May 29, 2026

My sister got dengue fever for the second time. Is she in danger?

Hello, Welcome to icliniq.com. I had gone through all the data posted. Dengue is a common viral illness. The difference is that there will be profound dehydration, so keep her well hydrated. Let the saline be there, and if she does not have vomiting, then give her fruit juices or ORS packets (oral rehydration salt) mixed with water for 12 to 16 glasses per day.

May 26, 2026

What could be the reason for giddiness and high BP?

Hello, Welcome to icliniq.com. I had gone through all the data you have posted. Some things are important in what you said. First diagnosis of hypertension (HTN) at 22 years of age has to be seriously looked into unless there is strong family history for the same. For the diagnosis of HTN three office recordings at different hospital visits, each visit mean value of three recordings if more than 140/90 mmHg and patient should not drink tea or smoke within 5 minutes of blood pressure measurement.

May 19, 2026

What tests shall one undergo for hepatitis and liver damage?

Hi, Welcome to icliniq.com. I've carefully reviewed all the provided data (attachment removed to protect patient identity). Two noteworthy abnormalities stand out. Firstly, the high percentage of lymphocytes combined with the low neutrophil count is commonly associated with viral fever. This pattern was also borderline in your previous report.

May 18, 2026

Why is the pus coming from the stitches after a C-section?

Hi, Welcome to icliniq.com. I have reviewed all the details you provided (attachment removed to protect patient identity). Based on your symptoms of pus at the postoperative suture site, it appears that you have developed an infection. I recommend consulting a general surgeon for further evaluation and treatment. It is possible that there is a localized pocket of pus beneath the stitches, which may require drainage for complete healing.

May 15, 2026

What are the risks of severe left atrial dilation?

Hello,Welcome to icliniq.com.I have reviewed your query. While ablation can help prevent atrial fibrillation (AF), it is unlikely to restore the atrial size to its normal state. The primary risk associated with atrial dilation in AF is the formation of blood clots within the left atrial appendage, which can lead to embolism and increase the risk of stroke.Typically, a transesophageal echocardiogram (TEE) is performed to rule out the presence of a thrombus before considering direct current cardioversion (DCC).

May 6, 2026

What might be the reason for high ESR?

Hello, Welcome to icliniq.com. Based on the information provided, the elevated ESR (erythrocyte sedimentation rate) indicates that there may be an ongoing internal issue, but it does not pinpoint the specific problem or its location. It could be related to an infection, inflammation, or low hemoglobin levels. To gain a better understanding of the current health condition, it would be helpful to know if there is a history of joint pains or cardiac problems. To provide a more accurate assessment, I would need to review all the reports, including the ESR value that is over 100, and perform a serum protein electrophoresis to rule out multiple myeloma.

April 28, 2026

Which typhoid fever antibiotic is best for a 36-year-old?

Hello, Welcome to icliniq.com. I have reviewed all the details you provided, including the attachment (which has been removed to protect patient identity). I would like to gather more information about your illness. When you mentioned suffering from this illness for one month, could you please clarify what exactly you mean? Have you been experiencing continuous fever for the past month? Additionally, do you have any abdominal pain? Regarding the Azithromycin dosage, how many doses have you taken so far? I would like to note that the role of serology in diagnosing typhoid fever is limited. If you do not have fever or any other symptoms besides a positive serology report, it is unlikely that you require treatment.

April 17, 2026

When I eat chicken, egg and banana, why am I vomiting blood?

Hello, Welcome to icliniq.com. I had gone through all the information posted by you. I am sorry that you are going through all these at this age. Coming to the question, I will try to help you in a possible manner by giving some differential diagnosis, which might be the cause of your symptoms. Vomiting frank blood occurs in less number of conditions like esophageal varices, which are uncommon at your age and seen in liver disease patients.

April 16, 2026

What are the causes of vitamin B12 deficiency in a non-vegetarian?

Hello, Welcome to icliniq.com. Having vitamin B12 deficiency in a non-vegetarian is unlikely. Why did you get your vitamin B12 levels checked? What is your hemoglobin level? Do you drink alcohol? You can use the Nervijen capsule (a combination of Benfotiamine, Folic acid, Methylcobalamin, Nicotinamide, and Pyridoxine hydrochloride) safely. I hope it helps. Thank you.

April 15, 2026

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