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Questions & Answers

Q&A

Answered by Dr. Saumya Mittal

How is ARDS and shock from scrub typhus managed?

Hello,Welcome to icliniq.com.I understand your concern.This is a complex scrub typhus case with multiple organ involvement, including ARDS (acute respiratory distress syndrome), shock, AKI (acute kidney injury), DIC (disseminated intravascular coagulation), and global hypokinesia. The worsening clinical course despite initiating Doxycycline and the presence of significant systemic complications suggests severe disease with possible progression to multi-organ failure. Here is a breakdown of the current management options and considerations:1.

June 4, 2026

What treatment helps cure my uncle’s dengue fever at home?

Hello,Welcome to icliniq.com.I have read your message and reports (attachment removed to protect patient identity). The descriptions indicate that he seems to be suffering from dengue fever and maybe bordering on stage 2 of dengue, known as dengue hemorrhagic fever. I would first and foremost recommend admission irrespective of the COVID-19 status.He is going to need iv fluids and other injectable medicines and regular blood tests and monitoring.

June 3, 2026

What are the complications of psoriasis?

Hello, Welcome to icliniq.com. I can understand your concern. I am sorry you are dealing with this, and I understand how challenging it must be. Psoriasis can indeed have widespread effects on various aspects of health, and the symptoms you describe, such as skin issues on your feet, cracks that do not heal, black spots, itching, and digestive problems, can be connected. Psoriasis is a chronic autoimmune condition that can sometimes influence other parts of the body, including your digestive system and hair health.

June 2, 2026

Who is eligible for metabolic surgery for weight loss?

Hello, Welcome to icliniq.com. I understand your concern. Losing weight can be challenging, especially when dealing with high blood pressure and joint pain. It is great that you are exploring your options, including metabolic surgery, which is also known as bariatric surgery. Metabolic surgery is typically recommended for individuals who have struggled with sustainable weight loss through diet and exercise alone and have obesity-related health conditions.

May 30, 2026

How to use emergency contraceptives effectively with PCOS/PMOS?

Hello, Welcome to icliniq.com. I have read your query and can understand your concern. Since you had unprotected sex and are unsure whether semen entered the vagina, it is understandable that you are concerned about the risk of pregnancy. Based on your situation, here are my suggestions: Emergency contraceptive pill (ECP): If you are worried about a potential pregnancy, taking an emergency contraceptive pill (ECP) can help reduce the risk. The sooner you take it after unprotected sex, the more effective it will be.

May 29, 2026

How can NF1 be managed in a 7-year-old child?

Hello, Welcome to icliniq.com. Thank you for reaching out with such a thorough and concerning account. Your daughter is exhibiting multiple signs of rapidly progressive neurofibromatosis type 1 (NF1) complications, and her symptoms are serious. 1. Optic pathway glioma (OPG) Optic pathway gliomas occur in approximately 15 to 20 percent of children with NF1.

May 27, 2026

What is the treatment for pneumococcal disease in a child?

Hello, Welcome to icliniq.com. I read your query and can understand your concern. I understand that this situation must be very concerning for you. Invasive pneumococcal disease (IPD) is a serious infection caused by the bacterium Streptococcus pneumoniae, which can affect various parts of the body, including the blood (bacteremia- bacterial infection of the blood), meninges (meningitis), and lungs (pneumonia). IPD is a leading cause of severe illness and can be particularly dangerous in young children, as their immune systems are still developing.

May 21, 2026

How to address lower abdomen bloating or fat gain?

Hello, Welcome to icliniq.com. I have read your query and can understand your concern. It sounds like you are dealing with persistent bloating or fat retention in your lower and middle abdomen, despite maintaining a healthy diet, staying active, and staying hydrated. This can be frustrating, especially when you are lean in other parts of your body. Several factors could contribute to this issue, even if your overall lifestyle is healthy.

May 19, 2026

What are the risks of delaying DCIS treatment in pregnancy?

Hello,Welcome to icliniq.com.I am sorry you are going through this, and I can understand how overwhelming it must be. Balancing cancer treatment with pregnancy, especially in a case like yours, requires careful consideration of both the immediate health risks to you and the baby, as well as long-term outcomes. Understandably, conflicting opinions from doctors are adding to your stress. The concern with delaying treatment, especially for a tumor that is 4.

May 14, 2026

What is the emergency management of acute ICH in hemophilia A?

Hi, Welcome to icliniq.com. I read your query and can understand your concern. This is a life-threatening situation involving a patient with severe hemophilia A (factor VIII deficiency with levels <1 percent) who has developed an acute intracranial hemorrhage (ICH) (explain) along with an expanding subdural hematoma (SDH) (brain bleed under dura). Immediate intervention is required to stabilize hemostasis (blood clotting and control) and manage the worsening neurological condition. Key challenges and management considerations: Severe hemophilia A with critically low factor VIII levels: The patient’s baseline factor VIII levels (<1 percent) place them at extremely high risk for spontaneous and uncontrolled bleeding.

May 6, 2026

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