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Questions & Answers

Q&A

Answered by Dr. Peter Bryant Rapsing Grutas

Does arthritis cause low back pain, leg pain and fatigue?

Hello, Welcome to icliniq.com. I am sorry you are having these symptoms. Have you had any laboratory workups done before? How about imaging studies? There are many causes of your current symptoms, and this makes it more complicated since you have an Arnold-Chiari malformation. This includes autoimmune conditions, degenerative conditions, and metabolic conditions. I would recommend that you do further testing to understand your condition.

May 25, 2026

What can cause one-sided headaches and a blackout?

Hi, Welcome to icliniq.com. Your headache seems to be of the migraine type. I suggest you take a tablet. Celecoxib 200 mg twice a day for pain and Topiramate 25 mg at bedtime for a week. Have a follow-up after a week of taking Topiramate.

May 15, 2026

My spine and neck pain refrains me from work. What should I do?

Hello, Welcome to icliniq.com. I am sorry you are having these symptoms. There are many possible causes of your symptoms that may be related to the cervical disc herniation causing nerve impingement on the cervical area. This may be caused by degenerative changes considering your age and history. It may also be related to your posture that is why you are having acid reflux.

March 11, 2026

What could cause knee pain when bending after an injury?

Hello, Welcome to icliniq.com. I am sorry you are having these symptoms. This might still be due to injury resulting in soft tissue contusion. I am not considering fracture at this point because you were still able to stand up. But an x-ray of the left knee APL would be recommended.

February 2, 2026

What is the survival rate of virus outside human body?

Hello, Welcome to our portal. There are several viral hemorrhagic fevers including Ebola virus disease, Lassa fever, Rift valley fever, Marburg virus disease, Crimean-Congo hemorrhagic fever (CCHF) and yellow fever. Except for Rift Valley fever and the flavivirus diseases that include yellow fever, Omsk hemorrhagic fever, and Kyasanur Forest disease, hemorrhagic fever virus spread is from person to person by close contact. Airborne transmission is rare. It really depends on the pathogen we are talking about. One example of a pathogen that causes hemorrhagic fever is dengue virus.

April 24, 2025

How can one confirm whether a cough is due to COVID-19?

Hello, Welcome to icliniq.com. I understand your concern. I just have a few more questions. Does your cough has phlegm? Any other symptoms like difficulty breathing? Any other medical condition such as asthma, hypertension? Are you a smoker? Alcoholic beverage drinker?.

July 17, 2024

I get loose stools after having an outside food. Help.

Hello, Welcome to icliniq.com. Do you have any other symptoms such as fever, cough, difficulty breathing, and body malaise? Have you been recently exposed with anyone who is confirmed COVID-19 positive for more than 15 minutes or at least one meter away from him? I will need your answers to provide appropriate medical advice..

July 5, 2024

What causes pain in the back of the head for over a week?

Hi, Welcome to icliniq.com. It seems she has cervical myogenic pain syndrome. Therefore, I recommend that she take Eperisone 50 mg thrice daily for five days, Celecoxib 200 mg twice a day for three days, and apply Indomethacin gel on the affected area as needed for pain. In addition, since she has a history of upset stomach, she needs to take Omeprazole 40 mg thirty minutes before breakfast for two weeks. I would also recommend that she undergo a physical therapy program to include cervical range of motion exercises, myofascial release, and ischemic compression therapy by gentle passive stretching.

July 5, 2024

What are the first aid measures for low blood pressure?

Hi, Welcome to icliniq.com. There are many possible causes to have low blood pressure and management depends on the cause of the blood pressure. Several medications can be used to treat low blood pressure. But the choice of medication depends on the cause of the low blood pressure. I recommend that your patient needs to do CBC (complete blood count), BUN (blood urea nitrogen), creatinine, and ECG (electrocardiography).

July 4, 2024

Possible to get anaphylaxis if stung by bee frequently?

Hello, Welcome to icliniq.com. Yes, that is correct. It seems you are allergic to bee sting. For an allergic reaction to develop, initial exposure must occur in order for your body to create an immune response to it. This might have happened a few months ago when you were stung before.

July 3, 2024

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