Questions & Answers

Q&A

Answered by Dr. Prakashkumar P Bhatt

Does someone at 28 need treatment after 1st seizure?

Hello, Welcome to icliniq.com. I have read your query and understand your concern. A first seizure can be very frightening, both for the patient and family members. After a first seizure, the main goal is to determine whether it was provoked by a temporary medical issue or whether it may represent an underlying seizure disorder such as epilepsy. Doctors usually evaluate for possible provoking factors such as: Low blood sugar.

July 13, 2026

How can my daughter manage hypothalamic obesity at 24?

Hello,Welcome to icliniq.com.I understand how distressing this situation is.Hypothalamic obesity is not due to lack of willpower. Damage to the hypothalamus changes hunger signals, fullness, and energy use, so the body behaves as if it is always starving, even when eating normally. This is why a usual diet, exercise, and common weight-loss medicines often fail.

July 13, 2026

How long do I need treatment for a MAC lung infection?

Hello, Welcome to icliniq.com. Your worries are justified. Infection with Mycobacterium avium complex is a slowly developing lung infection that usually occurs in patients with bronchiectasis and is characterized by chronic coughing, weight loss, tiredness, and fever. The therapy is a long one. Normally, the Azithromycin, Rifampin, and Ethambutol combination is continued for at least 12 months after sputum cultures become negative.

July 13, 2026

What new physical therapy helps my dad with his mobility?

Hello, Welcome to icliniq.com I understand your concern. Freezing of gait and increased falls in Parkinson's disease can be challenging, especially when early cognitive slowing is present. Living with these symptoms daily can be physically and emotionally exhausting for both the patient and their caregivers. Whereas drugs such as Carbidopa-Levodopa and Rasagiline target the motor problems, increasing the number of dopaminergic agents can result in confusion. In terms of movement, new techniques include cueing in physical therapy (either visual or auditory cues), rhythmic stepping, and even laser walkers and exercise regimens designed for people with Parkinson's.

July 13, 2026

What are the lifestyle modifications for lupus nephritis?

Hello, Welcome to icliniq.com. I understand your concern. You have lupus nephritis, which means lupus has affected your kidneys. Understandably, it is frightening, but many patients respond well to treatment and improve greatly over the years. The swelling in your legs and face, as well as the foamy urine, is due to inflamed kidneys that are leaking protein into the urine.

July 11, 2026

Why is my irritable bowel syndrome so unpredictable at 31?

Hello, Welcome to icliniq.com. I have gone through your question, and I know how draining it can be for you. The irritable bowel syndrome is a functional of the bowel because the intestine appears to be perfectly fine when tested but functions abnormally. Since you have both diarrhea and constipation, this is likely IBS-mixed type (IBS-M, a chronic functional gastrointestinal disorder characterized by alternating, unpredictable episodes of both constipation and diarrhea, accompanied by abdominal pain, cramping, and bloating). Stress and gut-brain interaction play a major role.

July 10, 2026

Will biologics help to manage ulcerative colitis?

Hello, Welcome to icliniq.com. I understand your concern You have ulcerative colitis, an autoimmune inflammation of the large bowel. It causes abdominal pain, urgency and bloody stools. Stress can worsen symptoms, but it does not cause the disease. Mesalamine works for mild to moderate disease.

July 10, 2026

Why is my acid reflux worsening despite treatment?

Hello, Welcome to icliniq.com. I understand the concern. The described symptoms are typical of gastroesophageal reflux disease (GERD). Nighttime burning sensation and a sour taste in the mouth indicate that stomach acid is reaching the esophagus, especially when lying flat. People do not develop true resistance to proton pump inhibitors (PPIs).

July 9, 2026

At 31, can CGRP inhibitors for migraine affect my fertility?

Hello, Welcome to icliniq.com. I read your query and can understand your concern. Calcitonin Gene-Related Peptide (CGRP) inhibitor injections such as Erenumab, Fremanezumab, Galcanezumab, and Eptinezumab work by blocking the CGRP pathway involved in migraine attacks rather than affecting hormones directly. Current evidence suggests that these medicines do not interfere with ovulation, fertility, or menstrual cycles. These medicines are generally not recommended during pregnancy or breastfeeding because adequate human safety studies are not yet available.

July 9, 2026

What medications can manage cysts and protect my kidneys?

Hello, Welcome to icliniq.com. I understand your concern. This sounds consistent with autosomal dominant polycystic kidney disease. A dull ache on one side is common when cysts enlarge and stretch the kidney capsule. Mild bloating or heaviness can also happen.

July 9, 2026

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