Questions & Answers

Q&A

Answered by Dr. Yash Kathuria

Can adjusting Dilzem and Telma doses help control BP?

Hello, Welcome to icliniq.com. I understand your concern. Diltiazem is generally prescribed for controlling heart rate and certain cardiac rhythm abnormalities, along with its effect on blood pressure. If there is no history of rhythm abnormality, medications such as angiotensin receptor blockers like Telmisartan or thiazide diuretics are usually preferred for better blood pressure control. However, there may be a specific reason your cardiologist prescribed Diltiazem based on your clinical condition.

June 30, 2026

How can high levels of SGPT, SGOT, and bilirubin be managed?

Hello, Welcome to icliniq.com. I read your query and can understand your concern. First, high bilirubin, SGPT (serum glutamic-pyruvic transaminase), and SGOT (serum glutamic-oxaloacetic transaminase) are the markers of liver injury. This can occur due to the following reasons - 1) Excess alcohol intake. 2) Consumption of toxic liver drugs like ayurvedic drugs with heavy metals and painkillers.

June 4, 2026

Can a treated ASD cause palpitations and dizziness in COPD?

Hello, Welcome to icliniq.com. Thank you for writing, and I understand your concern. After carefully examining your ECG (attachment removed to protect the patient’s identity), I noticed deep T-wave inversions in the anterior and lateral parts of the heart, which could indicate heart enlargement or ischemic changes. Given your history of COPD (chronic pulmonary obstructive disease) and higher blood pressure, I recommend that you undergo echocardiography to rule out any structural or new changes in the heart. In COPD, pulmonary vascular pressures can be increased, leading to similar symptoms of palpitations and dizziness.

May 14, 2026

Is a prolonged PR interval and conduction delay concerning?

Hello, Welcome to icliniq.com. I read your query and understand your concern regarding palpitations and ECG (electrocardiogram) changes. I have gone through the reports that you have provided. All your reports are alright. Your ECG shows normal rate and rhythm, PR interval seems full but not significantly prolonged, QRS complexes are normal, there are no PVCs (premature ventricular contractions) in this ECG, and there is no intraventricular conduction delay.

May 8, 2026

What could be the reason for atherosclerotic calcifications on the aorta and nonspecific bilateral echogenic medullary renal pyramids?

Hi, Welcome to icliniq.com. The calcification shown in the aorta (a large vessel coming out of your heart) and the echogenic renal pyramids in your kidneys, seem to have a common cause. There is a possibility that calcium is building up in your heart vessels and kidneys. This kidney echogenicity is likely nephrocalcinosis which means stones in your kidneys. I would advise you to get some tests if not done already.

May 8, 2026

What do SPAP and tricuspid regurgitation indicate on an ECG?

Hello, Welcome to icliniq.com. I understand your concerns regarding your echocardiography report. Upon reviewing the findings of the echo, I did not identify any abnormalities in your heart. The purpose of an echocardiogram is to assess various aspects of your heart, including the size of the chambers, the presence of any valve defects, the pumping capability, blood flow capacity, pressure in each chamber, and any thickening of the heart walls. Based on the values provided in the report, all measurements fall within the normal range, indicating no abnormalities present.

May 8, 2026

What's the treatment for an elderly patient with 15% heart function?

Hello, Welcome to icliniq.com. I read your query and understand your concern. I understand your concern regarding your father's condition. I have gone through the summary and reports (attachments removed to protect the patient's identity) you have provided. The situation here is multiorgan dysfunction, including heart and kidneys, along with systemic infection.

May 8, 2026

Can radiating chest pain in a 23-year-old suggest heart disease?

Hello, Welcome to icliniq.com. I have read your query and understand your concern. You are very young to have chest pain due to cardiac disease. However, I would like to know more about your medical history so that I can understand your case better. Do you feel pain in the chest after physical exertion? Do you have a family history of cardiac diseases? Do you have tightness in the chest? Have you checked your blood sugar and cholesterol levels? Have you checked your blood pressure? Since you are overweight, we need to rule out any cardiac issues before looking for other causes of chest pain.

May 8, 2026

Why do itching and muscular pain occur in a stage 3 CKD patient who is on medications?

Hello, Welcome to icliniq.com. Thank you for your query. I understand your concern regarding itching. Itching may happen due to various reasons in CKD (chronic kidney disease) patients like increased urea or high phosphate, but these are normal here. Secondly, a high amount of parathormone may cause this.

May 8, 2026

Can Tamsulosin and Solifenacin cause bladder retention?

Hello, Welcome to icliniq.com. I understand your concern regarding your urinary symptoms and the changes you have experienced since starting your medication. It sounds like there has been a very frustrating change in the symptoms. Moving from the discomfort of incomplete bladder emptying to a loss of bladder sensation and severe constipation is a significant change, and it is important to understand why this may be happening. To better understand the current situation, it is important to look at how Tamsulosin and Solifenacin work together.

May 6, 2026

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