Recently Answered Questions
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Will glucosamine taken for osteoarthritis interact with Clopidogrel?
Query: Hello doctor, I have osteoarthritis of shoulders. Which glucosamine products do not interact with Clopidogrel? What medication or supplement can I take? Read Full »
Answer: Hello, Welcome to icliniq.com. I am assuming, based on the drugs, you are in your middle ages. Without knowing your medical condition and why are you on Clopidogrel, I am assuming that you may have a cardiac condition that needs anti-platelet medicines. Also, arthritis of the shoulder is rather un... Read Full »
I am a 37-year-old male suffering from swelling in both legs since a month. Please help.
Query: Hi doctor, I am a 37-year-old male suffering from swelling in both legs for a month. I had heart failure three years ago and was hospitalized for six weeks. I discontinued my treatment a few days back. My last checkup was done last year. Until now, I did not go for a checkup. I am taking Ketoanalogu... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern. As you have a history of heart failure, this can explain swelling in the legs. But the medicine Amlodipine you are taking is known to cause leg swelling. You should consult your cardiologist and get echocardiography done to determine heart ... Read Full »
Can chronic constipation cause hematuria in older adults?
Query: Hello doctor, My uncle is 62 years old. He had CAD post-PTCA (eight years back) and hemorrhoids. Today he had blood in the urine with occasional burning micturition. He recently got a few routine investigations, including urine analysis, which shows 4-6 pus cells, and USG abdomen showed grade 1 pros... Read Full »
Answer: Hi, Welcome to icliniq.com. The probable reason for hematuria here will be cardiac drugs. He needs to stop Clopitab (Clopidogrel) for a few days, at least until the hematuria settles. He needs to continue Tamsulosin, and a dose of antibiotics for five days may also help the infection part of any... Read Full »
Can Clopidogrel cause chest pain?
Query: Hello doctor, My dad got three stents in his heart, one is five years ago, and the other two are 40 days ago. He is under medication for diabetes, hypertension and high cholesterol levels. The doctor prescribed him blood thinners, and Plavix was one of them. For the past five days, he did not take ... Read Full »
Answer: Hello, Welcome to icliniq.com. Kindly answer me the following. Did he have similar pain during his recent cardiac event, or was it different? Is he having other symptoms like breathlessness, sweating or does this pain increase on exertion? In the prescription attached (attachments removed to prote... Read Full »
What is the cause and treatment for interatrial septal aneurysm?
Query: Hello doctor, I am 31 years old. During my second echo with bubble test, it says that I have an interatrial septal aneurysm, but there are no holes in my heart. I was given blood thinners. I am currently taking Clopidogrel. What is the cause and cure for this? What kind of lifestyle I should be mai... Read Full »
Answer: Hello, Welcome to icliniq.com. Do not worry about it. It is a congenital problem, and there is no particular reason for it. It is seen in one to two percent of normal individuals. Although, there is a slightly increased risk of clot formation over the bulging of aneurysm and stroke, however, it do... Read Full »
Will taking anabolic steroids affect 75 mg Clopidogrel?
Query: Hello doctor, Will taking anabolic steroids affect 75 mg Clopidogrel? I have been prescribed 75 mg Clopidogrel for a stent I have recently had fitted in my heart. I am a bodybuilder and so I wanted to know if taking anabolic steroids, T3, Clenbuterol, and Accutane will reverse the effect the Clopido... Read Full »
Answer: Hello, Welcome to icliniq.com. Here the relationship of Clopidogrel is not straightforward. Firstly, I would like to tell, little data is available on this topic as such patients are very less, so definitive answers are available. Now, regarding anabolic steroids, there is no randomized contro... Read Full »
Can medicines reduce heart block?
Query: Hi doctor, My father had a major heart attack 15 days ago. The angiography report showed LAD or Diagonal - type III LAD. Mid has 90% stenosis. LCX/OM non-dominant. Early OM1 has 90% stenosis. OM2 has 80% stenosis. PTCA with DES to LAD has been performed. Now, what to do with OM1 and OM2? Please guid... Read Full »
Answer: Hi, Welcome to icliniq.com. Any blockage of more than 70% if possible should be stented. In your father's case heart attack was due to mid LAD block (left anterior descending coronary artery) which has been treated. OM (obtuse marginal) branches supply papillary muscles and posterolateral wall of le... 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 »
How to prevent the spread of PAD to the rest of my body?
Query: Hello doctor, I am a 47 year old female, who has had a 90 % blocked carotid artery and subsequent endarterectomy at the age of 42 years. A year later, I had a massive heart attack and 100 % block in my right coronary artery. I was just diagnosed with PAD (Peripheral Artery Disease) last week. Additi... Read Full »
Answer: Hi, Welcome to icliniq.com. I have read through your query in detail. Please find my observations below. Statins are widely used to treat PAD. Depending on other conditions, antihypertensives and medicines to control blood sugar levels are prescribed to patients with hypertension and diabetes res... Read Full »
Kindly suggest treatment for someone who had TIA for two hours.
Query: Hello doctor, My father had a TIA for two hours nearly four months ago where he could not understand what was going around him and had some difficulties with walking. He was released from the hospital after five days. Before this, he had a fever. His CRP level was also 2.328 and he was taking Atorva... Read Full »
Dr. Mahmoud Ahmed Abdelrahman Abouibrahim
Answer: Hello, Welcome to icliniq.com. TIA (transient ischemic attack) for more than 60 minutes in a hypertensive and diabetic patient is a very serious sign that could lead to a stroke. I suggest you control your blood pressure andblood glucose with medications with regular followup. I suggest you takeCl... Read Full »