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Q&A

Answered by Dr. Vivek S Narayan Pillai

What causes profuse perspiration, nausea, and tremors?

Hello, Welcome to icliniq.com. Are you diabetic? If yes, these symptoms could be explained by low blood sugar. Otherwise, they may resemble a panic attack or anxiety. I hope this helps you. Thank you.

June 11, 2026

How to manage long COVID symptoms and weakness?

Hello, Welcome to icliniq.com. Thanks for the query and description of your symptoms. It does appear like post-COVID myalgia or post-COVID fatigue syndrome. Also, dizziness and lightheadedness could be part of the dysautonomia in post-COVID patients. The best treatment is to increase your fluid intake and add salt to the diet.

June 1, 2026

Is mitral valve prolapse common in Marfan syndrome?

Hello, Welcome to icliniq.com. I have reviewed the ECG (electrocardiogram) and images (attachment removed to protect patient identity). The abnormally high QRS voltage could be due to the chest wall deformity, which may cause the heart to be closer to the chest wall than usual. As a result, the recording electrodes capture higher voltages from the heart muscle. The QT interval also appears normal.

May 15, 2026

What conditions can cause exercise intolerance?

Hello, Welcome to icliniq.com. The overall picture indicates exercise intolerance, as you should not have a heart rate exceeding 200 beats per minute during exercise. The primary cause here appears to be anemia, which you need to address before starting any exercise program. Additionally, the muscle soreness you are experiencing may be due to rhabdomyolysis, a condition characterized by muscle breakdown resulting from very intense exercise. Along with an anemia workup, I recommend a thyroid profile, as thyroid issues can also lead to myopathy (muscle disease).

May 11, 2026

Can a chest injury increase the risk of heart disease?

Hello, Welcome to the icliniq.com. I understand your concern. Glad to know your husband is following a healthy lifestyle now. From the description of his leg pain and obesity, I feel there is a high likelihood that he could suffer from deep vein thrombosis, i.e.

May 8, 2026

Does 140/90 mm Hg BP in my runner husband mean hypertension?

Hello, Welcome to icliniq.com. I read your query and understood your concern. It is really good that you are keeping an eye on your husband’s health like this. A lot of people who exercise regularly assume everything must be fine, so it is good that you noticed this and decided to ask. To answer your question, yes, a reading of 140/90 mm Hg does count as hypertension.

May 5, 2026

What causes blood pressure fluctuations despite medications?

Hi, Welcome to icliniq.com. I have read your query and can understand your concern. I do feel she needs ambulatory BP (blood pressure) monitoring to see her BP and variations throughout the day, rather than just measurements at the physician's clinic. This is to rule out what is known as white coat hypertension (which is due to high BP at the time of measurement in the physician or nurse's office and normal BP at other times also given that her BP is 190/90 mmHg. Hence, pulse pressure is the difference between systolic and diastolic BP, which is 100 mm hg.

May 5, 2026

Can rheumatoid arthritis increase my risk of heart disease?

Hello, Welcome to icliniq.com. I understand your concern. Rheumatoid arthritis (RA) can affect the heart in multiple ways, mainly due to chronic inflammation. It can involve the coronary arteries by causing vasculitis (inflammation of blood vessels) and aorto-ostial disease (narrowing at the origin of the coronary arteries). This increases the risk of blockages and coronary artery disease.

March 24, 2026

What could be the cause of left-sided chest pain?

Hello, Welcome to icliniq.com. The left-sided chest pain, as well as shoulder blade pain, suggests a possibility of pericarditis. Does it worsen on inspiration? If so, it could suggest some pleuropericardial inflammation, that is inflammation of the covering of the lungs and the heart. I suggest you get an ECG (electrocardiogram) as quickly as possible. Regards.

February 2, 2026

Is it safe to take Telmisartan and Diltiazem together?

Hello, Welcome to icliniq.com. Based on the description of your father's echocardiogram findings over the past two months, it seems that he experienced a blood clot in the pulmonary arteries following his leg surgery. The good news is that the treatment was appropriate, and he has responded well, as his RA-RV is now normal, and the pressures have decreased to 40 mmHg. I would suggest considering Diltiazem once daily, given that he is also taking Telmisartan. You should consult your doctor and share your concerns.

December 11, 2025

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