Questions & Answers

Q&A

Answered by Dr. Nawrin Hossain

Why do I have a fever and rash after traveling?

Hello, Welcome to icliniq.com. I understand your concern. Your symptoms and recent travel history are highly suggestive of Scrub Typhus. You should not ignore it, as it can be very serious. If left untreated, scrub typhus can lead to multi-organ failure, meningitis, pneumonia, myocarditis, encephalitis, or even death.

July 16, 2026

Can chemotherapy and surgery help manage urothelial cancer?

Hello, Welcome to icliniq.com. I understand your concern. His diabetes may have indirectly contributed to his cancer. Chronic inflammation and high blood sugar increase cancer risk. Diabetic kidney disease could explain his elevated creatinine (1.

July 10, 2026

How to treat dehydration due to norovirus virus infection?

Hello,Welcome to icliniq.com.I understand your concern.It sounds like you have norovirus gastroenteritis with signs of moderate dehydration and mild electrolyte imbalance. Since norovirus causes severe fluid loss, you should focus on rapid but safe rehydration and gradual recovery before returning to intense training. Your dizziness, low urine output, and hypokalemia indicate dehydration and you need urgent rehydration.

July 3, 2026

Is it normal to have heavy bleeding seven months after Nexplanon?

Hi,Welcome to icliniq.com.I read your query and can understand your concern.Irregular and heavy bleeding is a common side effect of Nexplanon, especially within the first six to 12 months. However, if your bleeding is excessive (soaking through a pad or tampon every 1 to 3 hours), lasts for an extended period (more than 10 days), or significantly affects your daily life, it may be a cause for concern.What you can do:Non-steroidal anti-inflammatory drugs (NSAIDs): Medications like Ibuprofen or Mefenamic acid may help reduce menstrual flow.

June 24, 2026

Can BC return after 7 years of remission at age 62?

Hello, Welcome to icliniq.com. I am sorry your aunt is going through this again. A breast cancer recurrence means that some cancer cells remained undetected after the initial treatment and have now grown back. You can confirm whether it is a new primary breast cancer or a recurrence via biopsy and molecular testing. If the new tumor has the same hormone receptor and HER2 (human epidermal growth factor) status as her original cancer, it is likely a recurrence.

June 12, 2026

Can scrub typhus infection cause delayed kidney damage?

Hello, Welcome to icliniq.com. I understand your concern Leg swelling after recovering from scrub typhus can have several causes. It is good that his kidney tests were fine in the hospital, but complications can develop later. Scrub typhus can cause acute kidney injury (AKI). While his kidney function was fine before, mild damage could have worsened.

June 5, 2026

How to manage scrub typhus?

Hello,Welcome to icliniq.com.I read your query and can understand your concern.In severe scrub typhus with multiorgan failure that is not improving after 48 hours of Doxycycline, alternative therapies should be considered immediately.If Doxycycline was started late, your bacterial load might have increased and it is causing a delayed response or you might be resistant to Doxycycline. Do a blood culture to be sure.

June 5, 2026

What is the treatment for scrub typhus?

Hi, Welcome to icliniq.com. I can understand your concern. This is a life-threatening emergency, and you need immediate ICU (intensive care unit) care. Bleeding varices and coagulopathy indicate a high risk of shock. You need band ligation or sclerotherapy (a chemical solution to treat abnormal blood vessels) to control bleeding.

June 1, 2026

How to prevent bone loss during hormone therapy?

Hello, Welcome to icliniq.com. I understand your concern. Hormone-blocking therapy can impact bone density, cardiovascular health, and more, but she can follow some tips to reduce the risk. She should have calcium supplements (Caltrate) 500 mg twice daily after meals and vitamin D supplements 40,000 IU one tablet weekly before breakfast. She should also eat calcium-rich foods like milk and milk-based products.

June 1, 2026

Does mechanical circulatory support help neonates with HMPV?

Hello, Welcome to icliniq.com. I understand your concern. This is a very unfortunate situation. The HMPV (human metapneumovirus) outbreak in neonatal cardiac surgery recovery units with infants showing signs of acute heart failure is a critical situation. It will require multidisciplinary intervention to manage this situation.

May 21, 2026

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