Recently Answered Questions
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Query: Hi doctor, One year ago, I was diagnosed with RA. I believe that there is more going on. I am currently taking Methotrexate 20 mg once a week, Folic acid 1 mg daily, Hydrochlorothiazide 25 mg daily and Cyclobenzaprine 10 mg twice a day. Also, I just began taking Celecoxib 200 mg for pain. I saw the ... Read Full »
Answer: Hi, Welcome to icliniq.com. Based on your query and attached report (attachment removed to protect patient identity), my opinion is as follows: The C-reactive protein level is highly elevated indicating ongoing high level of damage in the tissues of the body.Now, the immediate need is to reduce infl... Read Full »
What is your opinion about my general blood test report?
Query: Hello doctor, I recently took a general blood test. I request you to go through my blood test report and give me suggestions. Especially, I would like to mention about high-sensitivity C-reactive protein (hs-CRP) using nephelometry mg/L, where the reference range is 4.69. Any of your proposals wil... Read Full »
Answer: Hi, Welcome to icliniq.com. I have gone through all your reports in details (attachment removed to protect patient identity). Most of the work up is perfectly normal, except a few borderline elevations in LFT (liver function tests), which are not significant. You CRP is very high. CRP is a m... Read Full »
There is a drastic decrease in my platelet count in the last five months. Why?
Query: Hi doctor, My hemoglobin level increased from 15 to 17, and platelet count decreased from 3.1 to 1.4 lakhs in the last five months. The only symptom I have is occasional skin itching. Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to icliniq.com. As your platelet count decreased over four months duration, chronic infection and drug history have to be ruled out first. If they are not causative then a detailed investigation plan should be decided according to the examinations as follows: ESR (erythrocyte sedimen... Read Full »
Why am I having intermittent fever for the last three days?
Query: Hi doctor, I have been suffering from a fever for the last three days, which is not present the entire day. My temperature is 100.5 F now. May I know the reason? Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. If there are any other associated symptoms, please provide details about them. I suggest you get the following tests: Auscultation. CBC (complete blood count). CRP (C-reactive protein). This basic investigation can be done first for primary workup. According t... Read Full »
My 9 month old son is suffering from low platelet count. Please help.
Query: Hi doctor, My son is 9 months old. He had a high fever and low platelet count (70 k). We admitted him immediately and done blood platelet transfusion (100 ml). The next day, the platelets went down to 16 k. He was discharged from the hospital when it came up to 95 k. Now after a week, the count wen... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to icliniq.com. I have gone through the query (attachment removed to protect patient identity). Your son's latest report shows neutrophilia. It is suggestive of bacterial infection. Further workup can be done in the form of CRP (C- reactive protein) estimation, blood culture, and flow cy... Read Full »
Can being on your menstrual period raise the platelet count?
Query: Hello doctor, I am 40 years old. I recently had a full panel of laboratory tests done and my platelet count was elevated as was my hs-CRP. All other reports were in optimal or normal range. My ferritin was on the lower end and my HbA1c was on the higher end of normal. I am currently being treated wi... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. In the provided report (attachment removed to protect patient identity), the serum ferritin and hemoglobin are within the limit. A slightly elevated platelet and high CRP (C-reactive protein) can be from a temporary inflammation, in which the platelet is raised becaus... Read Full »
What is the best remedy for back pain?
Query: Hi doctor, I have been battling with back pain since a year. I associated this pain with a kidney stone which I had for a couple of years. I had a ureteroscopy, crushing and removal of the stone a month ago, but however the back pain still persists. An x-ray done today is attached. I had some back... Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through the investigation reports (attachment removed to protect patient identity). Your blood investigation appears to be fine apart from high CRP (C-reactive protein), which could either be a manifestation of any inflammation or infection somewhere in the... Read Full »
Is surgery needed for a labrum tear?
Query: Hello doctor, My wife has been diagnosed with a labrum tear. She is 37 years old. She wants to get a second opinion on the treatment options. Is surgery the only option available? Will not the labrum heal on its own? Currently, she is on ayurvedic treatment. I have attached a few files for your refe... Read Full »
Answer: Hello, Welcome to icliniq.com. I went through the copies of the investigations you posted (attachment removed to protect patient identity). My interpretations are as follows: 1. She has arthritis of the hip joint with features of sacroiliitis (inflammation of one or both of the sacroiliac joints)... Read Full »
What medicines can be taken for pain in the joints of fingers, knees, and toes?
Query: Hello doctor, I had very mild pain in my finger joints about 10 days ago. But, with due course of time, I also developed pain in my knee joints which is mild to severe, and also a mild pain in the toes of the foot. I also have a headache. Further, I took Sinarest last night, and in the morning, I wa... Read Full »
Answer: Hello, Welcome to icliniq.com. There are a number of causes that clinically present with symptoms like joint pains and fever. The few conditions are chikungunya and rheumatic fever. A detailed history needs to be obtained, and I advise you to go for blood investigation like CBP (complete blood pr... Read Full »
My CRP level is 8.3. Does it mean anything serious?
Query: Hi doctor, I am a 19 year old male. I lately made blood and urine test to check my kidneys and liver. Thankfully, I found everything to be within the normal range except for the C-reactive protein serum, and it was 8.3 mg/L. I would like to know what that mean. Also, I am feeling cramps in my stomac... Read Full »
Answer: Hello, Welcome to icliniq.com. All your reports are normal (attachment removed to protect patient identity) except CRP (c-reactive protein). It is a marker of inflammation in the body. It indicates that some damage is going on in the body and your case it is because of smoking. It also indicates t... Read Full »