Recently Answered Questions
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Please suggest ways to remove excess abdominal fluid in a colon cancer patient.
Query: Hi doctor, My aunt has colon cancer for the past three years. She has a tumor of 8 cm. As all other organs are not compromised, she stopped with the chemotherapy like one year ago. Now, she has peritoneal pseudomyxoma and ascites. In the hospital, the doctors say that the liquid in her abdominal c... Read Full »
Answer: Hello, Welcome to icliniq.com. She can be given a trial of albumin and furosemide, which is diuretics, intravenously slowly in a monitored setting. They are afraid of the spread of the tumor further by putting needles through the peritoneum. Please, also try oral diuretics meanwhile. Both... Read Full »
Can you give me any advise based on my lab reports?
Query: Hello doctor, I am a 68-year-old male. I am currently on tablet Gluformin G2 Forte for diabetes, tablet Cinod-N 10/2.5 for blood pressure and tablet Olmezest 20. The below is my laboratory report is from last week. HbA1c - 6.8. Uric acid - 7.41 mg/dL. Fructosamine - 299.7 mmol/L. eGFR - 83. APO B /... Read Full »
Answer: Hello, Welcome to icliniq.com. Your HbA1c is in good control and the other parameters are within the normal range. ACR (albumin creatinine ratio) is slightly high. You need to recheck the albumin-creatinine ratio after three months. Please repeat your uric acid levels after two weeks. If it is sti... Read Full »
In how many days does the swelling due to nephrotic syndrome in a baby reduce?
Query: Hello doctor, My daughter, 2.8 years old was diagnosed with nephrotic syndrome. She had swelling in limbs, private part, stomach, and eyes. She also had slight cold during that time, but no running nose or cough. I have attached her reports. From the last one week, we started medicine, post which ... Read Full »
Answer: Hello, Welcome to icliniq.com. I can see clearly that your daughter’s condition is improving (attachment removed to protect patient identity). This is the nephrotic syndrome of minimal change type as usually comes in the children. The reason behind less improvement in the private area and stomac... Read Full »
Are my kidneys damaged if I have high uric acid and albumin levels?
Query: Hello doctor, I am a 44-year-old male with a BMI of 26. During a recent health checkup of blood and urine, the following readings were observed. I have mentioned only the ones who have the higher readings. Protein 1+ detected in dipstick, serum uric acid at 9.2 mg/dL, MPV at 12.5 fL, FBS at 112 mg/... Read Full »
Answer: Hello, Welcome to icliniq.com. I have seen all your reports (attachment removed to protect patient identity). The main problem is with the serum lipid profile which is HDL (high-density lipoprotein), LDH (lactate dehydrogenase), cholesterol, serum uric acid, urine albumin-creatinine ratio whic... Read Full »
Does normal diet cause edema in a liver cirrhosis patient?
Query: Hi doctor, The patient is suffering from liver cirrhosis. Will the liver remain enlarged? Or do come back to its normal size after some time? Does having a normal diet develop edema? Read Full »
Answer: Hello, Welcome to icliniq.com. I had gone through the details posted. Edema in cirrhosis patients is mainly due to low oncotic pressure in blood vessels because of low albumin. Cirrhosis compromise the synthetic function of the liver and so albumin production gets decreased. It is the albumi... Read Full »
Can high blood pressure and diabetes decrease serum albumin or globulin levels?
Query: Hello doctor, I am a 48-year-old male. I have a high blood pressure since five years and type 2 diabetes mellitus since two years. I had a master health checkup last week. My reports showed serum albumin at 3.2, total protein at 5.8, and globulin at 2.6. The urine analysis report and the X-ray an... Read Full »
Answer: Hello, Welcome to icliniq.com. From your reports (attachment removed to protect patient identity), it is clear that apart from serum protein and albumin, all other parameters look normal. However, even these values are not grossly abnormal. As you may be knowing, the liver is the site of productio... Read Full »
How to find the stage of multiple myeloma?
Query: Hi doctor,My 97-year-old mother, who is in a nursing home, is more tired and feeling unwell. A blood test has shown she has likely got multiple myeloma. She had left-sided paralysis from a stroke six years ago. She cannot speak, and she is slow in understanding and writing, but she has no dementia. ... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to icliniq.com. Sorry to hear about your mother's condition. I have read all the test values that you have mentioned. From which, I can see that her total protein is high and albumin is low with elevated gamma globulin. Immunofixation electrophoresis is the best test to detect p... Read Full »
What can cause increase in blood albumin?
Query: Hi doctor, My uncle has +3 albumin in his blood. He is not hypertensive and diabetic. What is the reason for the increase in albumin? What is the treatment? I have attached his reports. Read Full »
Answer: Hi, Welcome to icliniq.com. I have evaluated his report (attachment removed to protect patient identity), and his urine test shows the presence of RBC (red blood cells) and protein in his urine. This is serious and requires attention. The most common causes are diabetes and hypertension, so they ... Read Full »
My globulin level is 4.3 and A/G ratio is 0.08 for the last two years. Is it normal?
Query: Hi doctor, I got a bloodwork question. I had a wellness exam and was fasting for the bloodwork. I did a complete metabolic panel. My globulin level was high at 4.3, and the range was from 2.4 to 4.0. My A/G (albumin and globulin) ratio was low at 0.08, and the range is 1.0 to 1.8. The results were ... Read Full »
Answer: Hi, Welcome to icliniq.com. I am a hematologist with 20 years of experience. I hope you are doing well in the pandemic. Globulins are a group of proteins. It also includes antibodies which are part of an immune response. Globulins are raised during chronic inflammation, chronic bacterial infec... Read Full »
What can be the reason for my low albumin levels?
Query: Hello doctor, I had an SPEP test, liver function tests, and kidney tests done. All the reports were normal except my albumin level which was slightly below normal. Is this a concern? It is 34. Can it be caused by my current medications? I take oral contraceptives, spironolactone, Prozac, and antihis... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and understand your concerns. Albumin is synthesized in the liver and the presence of normal liver function tests clearly indicates that everything is normal. I would also like to clarify that the lower limit of albumin is 35 gram per liter and the pr... Read Full »