Recently Answered Questions
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What medication can be taken for my long-term migraine?
Query: Hello doctor,I am 54 years old, and I have had migraines for the last 32 years. They are increasing day by day and always shifting from the right to the left side. I have had an MRI, CT scan, EEG, and echo, and all are normal. I have tried Ciplar, Sibelium, Betacap, and Zoly Plus, etc., for migraine... Read Full »
Answer: Hello, Welcome to icliniq.com. The chronic migraines respond well to Topiramate 50 mg once a day for seven days and then 50 mg twice a day for a month. See if this works for you. Consult your specialist doctor, discuss with him or her and take the migraine prescription medicines with their consent... Read Full »
Though my tests are normal, why am I having palpitations and chest pain?
Query: Hi doctor,I am 18 years old. I have been a competitive athlete in my whole life. About a year ago, I started experiencing palpitations, near syncopal episodes, and chest pain. I have seen three cardiologists. I have had a bicycle stress test, limited echocardiogram looking at just the thickness of m... Read Full »
Answer: Hello, Welcome to icliniq.com. Your health issues do not show a relationship to your cousin's health problems because most babies do not survive more than a year with treatment in a case of ALCA (anomalous left coronary artery). Studies have shown that patients with Goldenhar syndrome (birth de... Read Full »
Query: Hello doctor, I get pain in my right leg mid-shaft femur when I walk a lot but it reduces while sleeping. The doctor denied the presence of any tumor after checking my MRI, CT scan, and X-ray reports. But the doctor mentioned that I had a hairline crack and suggested 14 days of physical therapy. I a... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern. As the doctor has mentioned that you do not have any tumor, it can be due to the weakness of muscles. I suggest you do hip abductor exercises regularly. In case of severe pain, I suggest you consult a pain physician and opt for a trigg... Read Full »
In what conditions can a person have cyclical Cushing's syndrome?
Query: Hi doctor, I am 21 years now. I weigh 132 lbs and was diagnosed with cyclical Cushing's syndrome at the age of 20. I had an MRI scan for a pituitary tumor in my brain. But, the clinical findings did not match up. I went to a top end endocrinologist who is a professor in endocrinology. I have beard ... Read Full »
Answer: Hi, Welcome to icliniq.com. No, there is no other pituitary in the brain and sometimes urinary test fails to detect hormones. In cyclical Cushing's, the cortisol levels fluctuate over time, making the diagnosis even more difficult. The source of ectopic hormone production should be searched for, o... Read Full »
Will my bowel infection be detectable by a nuclear scan?
Query: Hi doctor, I am a 70 year old female. My height is 165 cm (5'5") and weight is 70.3 kg (155 lbs). My current medications are Quinapril-HCTZ 20-25 mg and Diltiazem 24HR ER 120 mg. I am experiencing discomfort in the right buttock for the past one year. I had a total body nuclear scan done recently a... Read Full »
Answer: Hi, Welcome to icliniq.com. I have read through your query and reports (attachment removed to protect patient identity) in detail. Please find my observations below. The x-ray is always useful when reporting a CT scan. It provides a two-dimensional picture of the screw which is seen to be partly ... Read Full »
What is the root cause of pancreas problem in a 17-year-old?
Query: Hello doctor,I herewith attach the medical reports of my son aged 17 years old who had a pancreas problem. He does not have any bad habits. He is taking medicine as per the doctor's advise. Mild home food is being given. But still now and then he reports mild stomach pain. Kindly clarify the followi... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand the anxiety you have regarding your son. He has pancreatitis. Is this the first time he is getting this? Does he take alcohol? Did he have any injury to the abdomen? Have you checked his serum triglycerides and calcium? Is he on any long-term me... Read Full »
Query: Hello doctor, I would like to have an evaluation of the CT scans of the abdomen and pelvis without contrast. How can I upload the disc of the CT scan? Please help. Read Full »
Answer: Hello, Welcome to icliniq.com. I went through your query and understood your concern. I have reviewed your CT (computed tomography) scan images (the attachments were removed to protect the patient's identity). So, I suggest the findings mentioned below. 1. There are a few calcified granulomas in bo... Read Full »
My abdominal pain did not reduce even after taking antibiotics. Please help.
Query: Hello doctor,I am a 52-year-old female. Two weeks back, I had severe abdomen pain and got a sonography done. I have been diagnosed with amebic liver abscess. It was identified 13 days back and I was admitted in hospital for three days and was given saline and Metronidazole dosages, but still not rec... Read Full »
Answer: Hi, Welcome to icliniq.com. If no improvement is present even after antibiotics, I would recommend a CT scan to confirm whether it is an abscess or something else. If CT scan confirms that it is liver abscess, then would just put a sonographic guided needle in the abscess and drain out all the pus... Read Full »
Does the CT report show peritoneal metastasis?
Query: Hello doctor, Please can you look at this letter and report as they differ. We have been told the following are metastases which we agree with: 1 liver met, 1 aortocaval node, 1 sub pleural nodule. But the oncologist letter says possible peritoneal disease? Why did the CT report not state periton... Read Full »
Dr. Amol Kumar Wasudeorao Diwan
Answer: Hello, Welcome to icliniq.com. I can understand your situation at the moment. But you have to accept the facts about your patient. First thing is he has incurable disease, he has undergone a major surgery, in spite of treatment underlying disease is progressive, and most important the disease is w... Read Full »
Is a cystic mass in the kidney with perfusion of the rim indicative of renal cell carcinoma?
Query: Hi doctor, A 44-year-old female and has no symptoms. The incidental finding on CT is a small renal mass. Ultrasound with contrast finding is the lesion within the left kidney. It is well defined with fundamental imaging. The lesion measures approx 1.8 cm and has solid appearances on baseline examin... Read Full »
Dr. Samer Sameer Juma Ali Altawil
Answer: Hi, Welcome to icliniq.com. 1.8 cm cystic mass in the left kidney. The cyst which enhances on CT (computed tomography) scan is likely to be renal carcinoma with the precision of 90% as it is classified as type four renal cyst. The size is small, and the best treatment for you, in my opinion, is to... Read Full »