Recently Answered Questions
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Can fibrotic tissue from my past inflammation cause orbital pain?
Query: Hello doctor, After experiencing idiopathic orbital inflammation over a decade ago. I underwent a biopsy twice due to inflammation accompanied by fibrosis and sclerosis. Although doctors have stated that the disease has subsided. I continue to experience pain and am now taking 15 mg of Prednisone d... Read Full »
Answer: Hello, Welcome to icliniq.com. I saw the MRI (attachment removed to protect patient's identity), the sclerotic tissue from which we have to confirm that the pain you are experiencing is mainly neuropathic and emerging not from the sclerotic tissues as much as from the adjacent structures that are ... Read Full »
Why did I have three recurrent miscarriages?
Query: Hello doctor, I have had three recurrent miscarriages. I had some tests done. I am not really sure what it reveals. Could you please explain why this is happening based on my results? I was on Progesterone during my third pregnancy. Please help. Thank you. Read Full »
Answer: Hello, Welcome to icliniq.com. The presence of ANA (antinuclear antibody) positivity (attachment removed to protect patient identity) indicates that you have thrombophilia (a condition where blood clots easily), and this could be acquired or inherited. Hence, you would have to get a complete t... Read Full »
Why swollen nodes in my daughter with a non-malignant biopsy?
Query: Hello doctor, My daughter is 15 years old and has swollen lymph nodes. A biopsy is done. It is non-malignant. No tuberculosis. But ANA has come positive. I would like to share the reports and take your opinion. Read Full »
Answer: Hello, Welcome to icliniq.com. There is a possibility of autoimmune disorder with underlying ANA and large lymph nodes. It is a good thing the malignancy is ruled out. But I would like to see the detailed biopsy report as well to be sure where we are heading. As for ANA positive, I would like to k... Read Full »
I suspect of having osteoarthritis. Please help.
Query: Hi doctor,I am a 24-year-old female. My BMI is normal. I am fairly active on my feet all day because of work and I used to walk instead of transport. I was a lot more active when I was younger. I used to dance for roughly 20 hours a week and swim five hours a week. Since I have got older and due to ... Read Full »
Answer: Hello, Welcome to icliniq.com. It does seem like osteoarthritis, but I would suggest ruling out rheumatological diseases as well and check vitamin D and repeat it. For your shoulder I would like to know how much is your range of motion. Thank you. Read Full »
How to diagnose if someone has systemic lupus erythematosus?
Query: Hi doctor, How to confirm that a person is suffering from SLE (Systemic Lupus Erythematosus)? Read Full »
Answer: Hi, Welcome to icliniq.com. Get ANA test (Antinuclear antibodies) done to diagnose SLE. Though ANA is positive in other autoimmune diseases too, it is strongly positive in SLE. Once this test is found to be positive, it is correlated with signs and symptoms to confirm SLE. In case of doubt, other ... Read Full »
Can Modafinil help with my tiredness and sleepiness?
Query: Hello doctor, I am 34 years old mom of a 5 year old. I am excessively tired and have a need to sleep at all times. I had CBC done, and my eosinophils are high, and my MPV is low, but everything else came back fine. My body aches, and I feel horrible. I have bruises that appear out of nowhere all ove... Read Full »
Answer: Hi, Welcome to icliniq.com. The symptoms which you described are suggestive of hematological disorder, which can explain both easy fatigability and bruises. You need to get your coagulation profile tested, and peripheral smear for any abnormal cell. Get ANA (antinuclear antibody) and CRP (C-reactive... Read Full »
What causes painless swelling in the feet?
Query: Hi doctor, A couple of months ago, my mother had fever. She had medicines, which was prescribed by her doctor. After three days of fever, she developed rashes and was hospitalized. Then, her rashes started disappearing, but she has some burning sensation on the soles of her feet. Right now, she has ... Read Full »
Answer: Hi, Welcome to icliniq.com. After reviewing the reports, I noticed that the patient's ESR (erythrocyte sedimentation rate) and CRP (C-reactive protein) levels are elevated. Such high levels often indicate the presence of an autoimmune disease, wherein antibodies in the blood form complexes with ant... Read Full »
My ANA-positive daughter is negative now. Is pregnancy safe?
Query: Hello doctor,My daughter had a little girl four years ago. About three months postpartum, she fell down a flight of stairs injuring her back. At the same time, she had a very bad cold. When her back continued to give her pain after seeing the orthopedist, she went to a neurologist. Her blood work sh... Read Full »
Answer: Hello,Welcome to icliniq.com.Yes, there have been cases where ANA once positive becomes negative towards the later part. Initially, it may have been induced by pregnancy or any infection but over course of time, it becomes negative. As for your friend, I would suggest we do ENA (extractable nuclear ... Read Full »
How to reduce the pain caused by cutaneous vasculitis?
Query: Hi doctor,My 18-year-old daughter has cutaneous vasculitis, which mainly covers her lower legs, according to the ER doctor and family doctor as of 3 weeks ago. She is so miserable. I have had to keep her home from school and let her put her feet up. When she goes to school or is on her feet for any ... Read Full »
Answer: Hi, Welcome to icliniq.com. I have gone through your history. It seems a bit weird that no one is starting the treatment yet. Firstly, with vasculitis, one needs to see if it is limited only to the skin or the internal organs as well. We need to see her blood routine, urine routine, and a chest x-... Read Full »
I have chronic rashes inspite of having medicines. What is it?
Query: Hello doctor, I have had a chronic rash for two months to date. It usually lasts anywhere from one hour to six hours. But it seems to go away mostly. It is worse at night. The rash tends to run mostly along both sides of my torso, my back up to my shoulders, thighs, occasionally arms and calves but... Read Full »
Answer: Hello, Welcome to icliniq.com. Based on your history and attached image (attachment removed to protect patient identity), it looks like chronic urticaria to me. Now I would like to know, 1. Does the rash disappear on its own? 2. Does it leave any mark? 3. Try to remember that in case any new m... Read Full »