Colonoscopy

A colonoscopy is a diagnostic test used to see abnormalities and changes in the large intestine and rectum. During this examination, a long flexible tube with a camera attached at its end (colonoscope) is inserted into the patient's rectum, and the doctor visualizes the entire colon. If needed, a polyp can be removed, and tissues can be collected for biopsy.

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How is the cause of abdominal bloating diagnosed?

Query: Hi doctor, For the past one year or more I have been suffering from occasional severe abdominal bloating. But, for the last few months it has been all day. I have been tested for celiac disease and the result was negative. My stomach becomes so big and I cannot walk or when sit. I cannot see or clot...  Read Full »


Dr. Sadaf Mustafa

Answer: Hello, Welcome to icliniq.com. Vomiting blood is a red flag for gastritis, peptic ulcer or erosions in the stomach or duodenum. I would highly suggest you follow up with a gasteroenterologist personally for upper GI endoscopy. If possible get a colonoscopy with biopsy for celiac disease in blood tes...  Read Full »

Please suggest ways to convince my husband about my gluten-free diet.

Query: Hi doctor, I have been having abdominal and thoracic pain for the past 16 years. I do like to describe the pain as irritation, burning, feeling like eating sandpaper; constant pulse to puff and burp, acid reflux and fire in my breast and stomach. I used tons of medications for years, such as proton ...  Read Full »


Dr. Sadaf Mustafa

Answer: Hello, Welcome to icliniq.com. Thank you for the excellent history and sharing your background as a dietitian really helped. First of all, as you might now, the celiac disease cannot be proved by chemical basis. You can very well have a negative serology with biopsy proven celiac disease. The invest...  Read Full »

Is it advisable to consume alcohol with my medicines?

Query: Hi doctor, I am suffering from the following symptoms. Left lower abdomen pain, constant mushy stools (twice had blood), constant watery stools, heart twitches a couple of times a day, abdomen hurts more when I sit or lay down. I am a chronic alcoholic. I have searched in the internet resources and ...  Read Full »


Dr. Sadaf Mustafa

Answer: Hello, Welcome to icliniq.com. Lorazepam should not be taken with alcohol since both can cause respiratory suppression if you over do it. Having said that this is the drug of choice to treat alcohol withdrawal symptoms. It has a short half life, so requires multiple doses in a day. I would suggest t...  Read Full »

What is your opinion regarding my wife's colon polyp?

Query: Hi doctor, My wife has been detected to have a 1.5 cm sessile polyp in descending colon in colonoscopy. One doctor said that there is nothing to be worried as it is harmless and the other says just opposite. Please give your opinion.  Read Full »


Dr. Sadaf Mustafa

Answer: Hello, Welcome to icliniq.com. Before I answer your question, can you please kindly share some more information. Is this the only polyp detected? Does she have a family history of colon cancer? Did she have any bleeding or it was a screening colonoscopy? Is this her first colonoscopy? If no, then w...  Read Full »

How to diagnose the cause of shortness of breath and extreme fatigue?

Query: Hi doctor, My mom, who is 76 years old, has a transferritin saturation level of 17. She has been scheduled for iron infusion therapy. She feels extremely fatigued, short of breath and arthritic pain. She cannot tolerate oral Iron. She has had iron infusions before, but do not last long. What to do? ...  Read Full »


Dr. Sadaf Mustafa

Answer: Hello, Welcome to icliniq.com. I am trying to understand whether she has iron deficiency anemia or anemia of chronic disease or myelodysplastic syndrome. Did she ever get a bone marrow biopsy or hemoglobin electrophoresis? Can you share her latest complete blood count (CBC) before and after the inf...  Read Full »

How to diagnose stomach problems?

Query: Hi doctor, Yesterday, I had roti with spinach, which is home made. Today morning, I experienced a stomach bout, but not watery. Should I take a combination of antibiotics Ridol and Ulticept 500 mg along with Metrogyl and Eldoper? I am still feeling uneasy. Please guide me on this. Every 20 days, I...  Read Full »


Dr. Sadaf Mustafa

Answer: Hello, Welcome to icliniq.com. I was trying to understand your blood work. Is your TSH 14 and HbA1c 7%? The reason why I am concerned about these tests is because hyperthyroidism can cause recurrent diarrhea and if your HbA1c (diabetes) number is high it can also cause diarrhea. You can use the Rido...  Read Full »

Why can I not digest dairy products?

Query: Hi doctor, I cannot digest dairy products, oily foods and sweets. These all give me loose motion. What treatment should I take to combat it? My current medication is Normaxin 2.5 mg. In the past, I had Mahacef OZ, Nougat capsules and Ilaprazole during aggravation. Please help.  Read Full »


Dr. Sadaf Mustafa

Answer: Hello, Welcome to icliniq.com. I have a few questions for you. Did you get gallbladder surgery in the past? Have you consumed alcohol either in the past or present? If yes, how much? Do you have abdominal pain with the loose stools? Have you seen any worms? Have you seen blood in your stools? Had ...  Read Full »

Side Effects of Doxycycline, Which I Took for UTI

Query: Hello doctor, I have been sick with side effects from Doxycycline for two weeks. I had a UTI which has cleared. I have been to the doctor twice, they checked my urine, and there is no infection. I feel tired, have chills, I feel cold, have a back and joint pain. I do not have a fever. I have read t...  Read Full »


Dr. Sadaf Mustafa

Answer: Hello, Welcome to icliniq.com. I understand that you had a urine test, but there are different types of urine test like a dipstick, which is done at the office, a complete analysis, which is done in the laboratory and a urine culture. I am more interested in the last two. With all due respect to you...  Read Full »

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