Recently Answered Questions
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What is the cause of fatigue, night sweats, chills, and appetite changes?
Query: Hi doctor,My illness started with fatigue and joint pain and then progressed to whole-body pain. Every day I feel like I have the flu. I had consistent night sweats, day sweats, and chills, loss of appetite at times, nausea on and off, and terrible fatigue. It includes 12 CBCs with differentials, me... Read Full »
Answer: Hi, Welcome to icliniq.com. Cancer is practically ruled out by doing all the scans. However, I am intrigued by the fear of cancer. Do you have a family history of cancer? Regarding joint pain, I will suggest you use hydroxychloroquine if routine painkillers are not working. Consult your doctor, disc... Read Full »
Are severe dry mouth, fatigue, memory problems autoimmune rections to antibiotics?
Query: Hello doctor,I have a problem with dry eyes, mouth, and vagina. I cannot cry because there is no tear production. I also have episcleritis in my right eye. Now I am afraid that I have Sjogren's syndrome. The other thing that is even worse is I cannot tolerate any antibiotics. I discovered that when ... Read Full »
Answer: Hello,Welcome to icliniq.com.Please do not panic. Yes, this can be an autoimmune disease. In fact, as there are dry mouth and dry eyes, the clinical diagnosis is Sjogren's disease as you mentioned which is an autoimmune disease. Sjogren's disease is basically of two types, primary where there is no ... Read Full »
Is the damage caused to the liver in autoimmune hepatitis reversible?
Query: Hi doctor, I am 26 years old. Two years back, I found that I have autoimmune hepatitis. At that time they did Fibroscan, in that kPa is 14.5 (F4). Last one year I took medicines (steroids) and I stopped. Now it again came back and doctors did a biopsy, in that it is showing: Portal and lobular he... Read Full »
Answer: Hi, Welcome to icliniq.com. In autoimmune hepatitis, it is possible to decrease the fibrosis. Or other possibility may be that, initial fibroscan was done in acute inflammatory state hence it may be falsely high. We need to compare it with the liver enzymes at that point of time. Autoimmune disease ... Read Full »
My friend is diagnosed with microscopic polyangiitis. Please help.
Query: Hello doctor, I am very distressed as my friend has recently been diagnosed with microscopic polyangiitis. The doctor mentioned something about vasculitis and some cytoplasmic antibodies. Can you please help me understand what the right treatment approach is? I am very worried for him. Please help. ... Read Full »
Answer: Hello, Welcome to icliniq.com I understand your concern. Microscopic polyangiitis is an autoimmune disease and that is why they are talking about monoclonal antibody treatment. As you know autoimmune diseases are caused when our system starts producing antibodies or destroying antibodies. So it is s... Read Full »
I have been diagnosed with multiple sclerosis. Please help.
Query: Hi doctor, I am a 40-year-old man and have recently been diagnosed with multiple sclerosis. I have been prescribed Mavenclad. I find it difficult to understand the condition and the medication. Could you provide more information about multiple sclerosis and how Mavenclad works? What are the potentia... Read Full »
Answer: Hi, Welcome to icliniq.com. I read your query and understand your concern. In easy and common terms, it is a slowly progressive disease of the nerves. The nerves are affected following an attack by the body's immune system. Medication nowadays prolongs the patient's life and allows a more product... Read Full »
I suspect having autoimmune disease. Please help.
Query: Hello doctor,Based on the following, do I have an autoimmune disease:An overall feeling of sickness.Irregular heartbeat sometimes.Swollen and painful joints.Swollen legs, ankles, fingers, and toes.Headaches sometimes.Shortness of breath.Psoriasis arthritis.Visual problems, burning, itching, very dry... Read Full »
Answer: Hello, Welcome to icliniq.com. I went through your post. Things which favor the diagnosis of autoimmune disease in your case are as follows: Pain and swelling of joints. Puffiness of hands and feet. Dryness of mouth and eyes. Psoriasis. You need to be investigated for UCTD (undifferentiated... Read Full »
Does Hodgkin's lymphoma elevate CD3 and CD57 NK cells?
Query: Hello doctor, I recently tested positive for Lyme disease. I have a history of stage IIA lymphoma, 15 years ago, and I am in full remission ever since. My reports, that I have attached, show elevated CD3 and CD57 NK cells. The lab recommended that an oncologist looks at this for a possible Hodgkin'... Read Full »
Answer: Hello, Welcome to icliniq.com. I have seen your reports (attachment removed to protect patient identity). Lyme disease is usually associated with decreased CD57, especially in the chronic form. But, the lab findings reveal a high CD57. It also reveals high CD3 levels. Both high CD57 and CD3 levels... Read Full »
My absolute neutrophil count and WBC count decreased within 15 days. What does that indicate?
Query: Hello doctor, I am concerned about low absolute neutrophils and WBC. I have had two blood tests. The first was six months ago, which showed my absolute neutrophil level was 2100 per microliter of blood and dropped to 1700 per microliter of blood after 15 days when I checked the blood for the second ... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. Your absolute neutrophil count does not seem to be decreased much. Usually, it can be considered low if AEC (absolute eosinophil count) is below 150 per microliter of blood. Your total count is low as per your history. Sometimes the infection can lead to low WBC (whi... 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 »
Is Hashimoto's disease a serious condition?
Query: Hello doctor, I am an 18-year-old girl. I have had thyroid problems since I was around 11. It used to be just considered hypothyroidism but now we have figured out that it is Hashimoto’s disease. I rotate daily between 88 mcg and 100 mcg of Levothyroxine to keep my TSH in check because that is the... Read Full »
Answer: Hi,Welcome to icliniq.com.Hashimoto disease also causes hypothyroidism and you are already taking medication for hypothyroidism. So do not worry. It is a type of autoimmune disease. So kindly go for detecting which autoimmune problem causes your Hashimoto's disease means along with Levothyroxine you... Read Full »