Recently Answered Questions
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What does stress have to do with Crohn's disease?
Query: Hello doctor, I have Crohn's disease. Two years back, I was fine. I had gone through extreme stress early that year and after that, I had a flare-up. I lost 9 kg in a month. Then, the doctors detected ulcers in my ileum I was diagnosed with Crohn's. I was out of work for 14 months. Assuming that it... Read Full »
Answer: Hi, Welcome to icliniq.com. You have a very good treatment response to Adalimumab. You are on top-down therapy. Usually, flares are due to non-compliance with medications, secondary infections or malignant transformation. Usually, stress does not cause flare-ups. You may be switched back to Pentasa... Read Full »
Does protein leak from the larger filter of kidney in nephrotic syndrome?
Query: Hi doctor, I heard that in nephrotic syndrome the filtering unit of kidney becomes larger and so protein comes in urine. I am a patient of cortisone dependent nephrotic syndrome over 15 years. Doctor says that about 95 percent of children will get cured at the age of 18. I am 17 years old now. When... Read Full »
Answer: Hi,Welcome to icliniq.com.Yes, you have heard the things right. Due to increased pore there is protein in urine. The best treatment remains the Cortisone. In cases where there is no response to Cortisone as evidenced by persistence of albumin in urine, we need to shift those patients on Cyclophospha... Read Full »
What is the treatment for PAN and multiple aneurysms?
Query: Hello doctor, My 21 years old daughter suffered from severe abdominal pain and vomiting one month back. I consulted a local physician for treatment. He gave some antibiotics, but no relief. I consulted gastrologist too. He prescribed some medicines, but no relief. He advised me to do the abdominal ... Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through your query. The diagnosis of Polyarteritis nodosa looks quite certain. Microaneurysms, high blood pressure, and high CRP are favoring it as well. I understood that she had been started on steroids and Azoran (Azathioprine). My personal recommendat... Read Full »
Is it fine to take Prednisone and Azathioprine for autoimmune hepatitis?
Query: Hi doctor, I have been itching throughout my body, especially after eating, for about two years. I noticed fatigue and shortness of breath about 18 months ago. I stopped smoking before seven years. I stopped drinking before a year as my upper abdominal area started paining after drinking. Before fi... Read Full »
Answer: Hi, Welcome to icliniq.com. There are a few important facts I would want you to consider. We have to rule out other forms of hepatitis like viral hepatitis, amyloid or iron deposition, NASH (nonalcoholic steatohepatitis) and alcoholic liver disease. All three markers are non-specific;... Read Full »
Will Mometasone help in atropic dermatitis flareup?
Query: Hi doctor, I have been experiencing flare-ups for weeks now. I do not know if this has something to do with the change of weather. I have been having trouble sleeping lately since I am very uncomfortable right now. I am using Cetaphil gentle wash and shampoo because my scalp gets itchy as well. I a... Read Full »
Answer: Hi, Welcome to icliniq.com. Atopic dermatitis is relatively more sort of relapsing with seasonal aggravation. It has a genetic and familial component as well. If you have severe symptoms which is hampering your daily activities you need to start with systemic immunosuppressants like Prednisolone ... Read Full »
Taking Azoran for myasthenia gravis. Will it cause any side effect?
Query: Hi doctor, My brother is a myasthenia gravis patient. He had undergone thymectomy four years back. Since then he is continuously taking Azoran 50, an acetylcholinesterase inhibitor. Surgeons are not able to suggest him for reducing the amount of drugs. Available neurologists also do not have any exp... Read Full »
Answer: Hi, Welcome to icliniq.com. We are here to help you. See, there are no definitive criteria to stop Azoran (Azathioprine). Usually, if thymus is removed and patient is asymptomatic then your doctor may taper and stop Azoran. However in case one gets a repeat episode then he would need to continue i... Read Full »
What is the treatment for focal segmental glomerulosclerosis in a 12-year-old?
Query: Hello doctor, My 12 year old son is suffering from nephrotic syndrome since the last seven years. Two years ago, when his biopsy was done, the result said FSGS. His creatinine levels at that time was 4. Now it is raised to 10.1. He is currently taking Calcium, Folic acid, Pantoprazole, Sodium bicar... Read Full »
Dr. Geetha Priyadarsini Kamminana
Answer: Hello, Welcome to icliniq.com. Please furnish the following medical information, so that I will be able to give you further advice. What is the cause of focal segmental glomerulosclerosis (FSGS)?Has dialysis been done? What is his urine output?What does his antinuclear antibody (ANA) profile say?Has... Read Full »
Why do I have multiple itchy lesions all over my body?
Query: Hello doctor, I am 72 years male, who weighs 66 kg and I am 166 cm tall. I have multiple itchy lesions all over my body which responses temporarily to oral steroids. RAST test showed I am allergic to dogs and cats. My dermatologist diagnosed it as type 3 hypersensitivity (IgG mediated), and I am no... Read Full »
Answer: Hi, Welcome to icliniq.com. I have read your query. It seems you have developed either allergic contact dermatitis or tinea corporis. Please sent pictures of the lesions, for a better understanding. Revert with more information to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-o... Read Full »
What kind of dietary changes should I make if I have Crohn's disease?
Query: Hi doctor, I have Crohn’s disease. I would like to know how long it takes for the affected area of the small bowel to end up causing scarring (scar tissue). Do you feel if I have a lower number CRP on regular blood tests, that it should not lead to scarring, thickening or narrowing of the bowel? I... Read Full »
Answer: Hello, Welcome to icliniq.com. Azathioprine helps in controlling the disease and hence should be continued. We cannot say how long it will take for scarring. CRP (C-reactive protein) helps in determining disease activity. It may not correlate with scarring. Not all inflammation results in scarring. ... Read Full »
Is there any alternate for steroid drugs?
Query: Hello doctor, My son is taking steroids for the past six months, and he is facing a lot of issues concerning the side effects of the medicines. Please have a look at the attached details of the problems faced by him till date. You had also told us that the medication he is taking would have side ef... Read Full »
Answer: Hello, Welcome to icliniq.com. Firstly, most of these side effects are attributed to steroids, which were going on in high doses for the initial few weeks. Now the dose is significantly reduced by his treating doctor to 6 mg only, so most of his side effects will gradually subside. Next, regar... Read Full »