Recently Answered Questions
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Query: Hi doctor, My head got injured after some part of a concrete ceiling collapse. CT Scan done and I have attached the reports. I was hospitalized three days. An ENT opinion was taken and also, an audiometry was done. It showed a minor injury in the right ear and less audibility. Now, I have some pa... Read Full »
Dr. J. Mariano Anto Bruno Mascarenhas
Answer: Hi, Welcome to icliniq.com. You are suffering from brain contusions (microhemorrhages) as well as scalp injuries (attachment removed to protect patient identity). This is the cause of the pain and heaviness. You have to take antibiotics, anti-epileptics and painkillers. I suggest the followin... Read Full »
My father is not able to walk properly. Should we get a CT scan?
Query: Hi doctor, My father is not able to walk properly. His x-ray is fine. I guess it as some brain issue. Shall I go with CT scan? Kindly suggest. Read Full »
Dr. Hardik Nareshbhai Rajyaguru
Answer: Hi, Welcome to icliniq.com. If patient not able to walk properly, then there are three most common possibilities. He has problem in the brain. He has problem in the spine. He has problem in peripheral nerves. If he has brain problem, then he might have a stroke or NPH (normal pressure hy... Read Full »
I fell along with my 13-month old daughter. Can she have a traumatic brain injury?
Query: Hi doctor, The other night, my 13 months old daughter started screaming like crazy, I ran and picked her up and tried to walk around the room to soothe her, and I accidentally slipped while holding her and she fell on the floor. As I was slipping, I fell knee first, and at that point in that micros... Read Full »
Dr. Hardik Nareshbhai Rajyaguru
Answer: Hi, Welcome to icliniq.com. I understand your question. There are two ways of judgement in our practice.Clinical judgement. Evidence-based judgement.The clinical one is based on the history, which you gave me. I appreciate the detailed description of the mode of injury and symptoms. Based on that, w... Read Full »
After a fall, nose started bleeding. Is it dangerous?
Query: Hi doctor, Two days ago, my father fell on the road facing down. He is 71 years old. He got injured on his knee, wrist, and nose started bleeding due to injury. I took him to a local doctor who prescribed a few medicines and a tetanus injection. I am attaching the prescription along with this for y... Read Full »
Answer: Hi, Welcome to icliniq.com. I have checked the pictures (attachments removed to protect patient identity). Bleeding from the nose and clots below the eye are dangerous signs of internal bleeding or hemorrhage in the brain. I would suggest you immediately carry out a CT scan of the head and neck re... Read Full »
Is my father's treatment being done properly?
Query: Hi doctor, The patient is a 65 year old, slim and athletic body male. He did not have diabetes or any health issues in the past. He was a little unwell for about last one week. He had a slight fever for about three to four days, following which he only had some cough without any fever for two days.... Read Full »
Dr. Hardik Nareshbhai Rajyaguru
Answer: Hi, Welcome to icliniq.com. It is possible to have such clinical picture after heavy chest infection in an elderly male (attachment removed to protect patient identity). But, a few things which do not fit into classic case scenarios of septic encephalopathy are he did not have continuous feve... Read Full »
Am I receiving the right treatment for my headache?
Query: Hi doctor, I am a male of 31 years. I have suffered from migraines or headaches ever since I was a child. Recently, I was told that I had enlarged blood vessels in my brain, and my neurologist has said they are tortuous vessels. I suffered a brain injury eight months before. I collapsed at home, and... Read Full »
Answer: Hi, Welcome to icliniq.com. I have read your query, and I understand your concern. Regarding the first brain injury incident, I understand that collection of blood was there following the skull fracture. I guess it was an extradural hemorrhage. It is not always necessary to perform surgery in suc... Read Full »
What do unenhanced intracranial appearances mean on brain CT?
Query: Hello doctor, I have headaches. I had a CT scan of the brain, and the result was normal unenhanced intracranial appearances. What does this mean? I am currently on Omeprazole, Domperidone, Mebeverine, Fexofenadine, Avamys, Ventolin, Seretide, and Ranitidine. I have uploaded photos of my scan. Read Full »
Answer: Hello, Welcome to icliniq.com. I reviewed carefully your uploaded scan report and images (attachment removed to protect patient identity) and would explain that they indicate a normal brain structure. The term "nonenhanced" means that there is no enhancement from the IV (intravenous) contrast, which... Read Full »
Can a minor head injury due to fall from a height result in brain tumor?
Query: Hello doctor, My now 18-year-old son fell from a height 14 years ago. He got a minor injury. I consulted a neurologist for a CT scan just for my satisfaction. But, the doctor said no he is absolutely fine. I am still worried whether in future he will suffer from a brain tumor because of this injury.... Read Full »
Answer: Hello, Welcome to icliniq.com. First of all, I would like to inform you that head injury is not a major risk factor for a brain tumor. Most of the brain tumors occur because there are genetic predispositions and mutations ingermline cellsand no such event occurs due to head injury. Secondly, since... Read Full »
After a head injury, my daughter is not sitting and speaking correctly. Why?
Query: Hi doctor, My 4 year old daughter hit her head against a wall and was not speaking properly for half an hour. She is not sitting properly. She is feeling drowsy. We took her to a doctor, who said she is in a shock and there is no need to worry. Then, she had milk, talked for a while, and we observe... Read Full »
Answer: Hi, Welcome to icliniq.com. Head injury followed by drowsiness, unable to speak and sit properly is an indication for getting a brain scan for looking if any bleeding has occurred in the brain or any fracture. Get her admitted in hospital with pediatric ICU facilities for observation for at l... Read Full »
What are the investigations done in a mental illness patient?
Query: Hello doctor, I am doing research regarding diagnosis and treatment of mental illnesses. Please answer a few questions of mine. What routine medical examinations apart from MMSE and history would you conduct? By this I mean standard routine blood investigations plus other investigations. What clini... Read Full »
Answer: Hi, Welcome to icliniq.com. I have read your queries and shall answer accordingly. Keep in mind that standard procedures for management may differ in different countries. Answers for your questions: In blood investigations we usually go for complete blood count (CBC), liver function tests (LFT)... Read Full »