Recently Answered Questions
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Can you explain cardiac dysfunction in a patient with deep vein thrombosis?
Query: Hello doctor,I need to know about cardiac dysfunction. I was told it was found on venous Doppler looking at DVT. What all information can you tell me about the blood vessels having a pulse and it being a cardiac dysfunction? That is all I was left with until the cardiologist consult. Read Full »
Answer: Hello, Welcome to icliniq.com. DVT or deep vein thrombosis is a condition where blood clot accumulates in lower limb veins due to prolonged bedridden state, reduced physical activity, after a major surgery or fracture of bones. These blood clots can often dislodge and go through the right heart to... Read Full »
I have cellulitis in the lower part of the leg. Kindly suggest an antibiotic.
Query: Hi doctor, I am suffering from cellulitis in the lower part of the leg from the last 15 days. I had consulted a doctor and he prescribed Clarithromycin 500 mg. The infection was greatly reduced. As soon as I stopped using antibiotic, it became red and pain started again over the part where it was pr... Read Full »
Answer: Hi, Welcome to icliniq.com. Please get your blood sugar checked and send a blood culture. If the organism shows resistance to certain drugs, then we need to change the antibiotics to cure cellulitis. Also get an ultrasound of the abdomen to rule out inguinal lymphadenopathy. Please send a picture... Read Full »
Query: Hi doctor, I am having DVT in my left leg. I had about a year of Warfarin treatment and it was stopped two months back. I had my thrombophilia profile and it shows protein C deficiency. What to do? Read Full »
Answer: Hi, Welcome to icliniq.com. Based on your query, my opinion is as follows: Protein C deficiency (blood coagulation factor XIV) can be congenital or acquired. Being on Warfarin therapy can show protein C deficiency. However, it should get corrected after two weeks and it has not so if there are n... Read Full »
Does positive factor V cause heavy bleeding and blood clots?
Query: Hi doctor,My factor V Leiden showed a positive outcome before three months. I got a Depo birth control shot before three months. I have heavy bleeding and blood clots now. Please suggest. Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to icliniq.com. You have factor V Leiden showing a positive result. So you are at high risk for developing blood clots in various organs of the body especially in the lungs and leg as pulmonary embolism and deep vein thrombosis. If you have major clots occurring in the future, then blo... Read Full »
Query: Hi doctor,For two weeks or so I observed bluish clot-like spots on my legs. The day before yesterday my BP fell to 85/60 mm of Hg and I was very giddy. I have been having pain in my legs, especially during the night. I was sweating heavily that night and still felt cold. I felt very weak. My hemogra... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. I have reviewed your query and here is my advice according to provided history. The bluish lesion along with pain in the leg could be because of a deep vein thrombosis-like clot problem. For that, I suggest a color doppler investigation and physical examination. Your b... Read Full »
Why is the pulmonary embolism patient having burning sensation in legs?
Query: Hello doctor,I am having a burning sensation in my leg. I am wondering whether that is a blood clot and whether I should go to the emergency room. I had a massive pulmonary embolism and have been coded for 45 minutes. I am on a blood thinner called Eliquis. I am very freaked out right now, as I have... Read Full »
Answer: Hello, Welcome to icliniq.com. DVT (deep venous thrombosis) is a blood clot in the legs that does not cause burning sensation but causes swelling of the affected leg and you are already on blood thinners. I hope you INR (international normalized ratio) is within therapeutic range unless you are t... Read Full »
Is it necessary to take Warfarin based on my blood report?
Query: Hello doctor, I have attached my blood report, my doctor suggested me Warfarin sodium daily and a skin-tight sock and he said that may be I have to take it for a lifetime. What would you suggest? Please reply as soon as possible. Read Full »
Answer: Hi, Welcome to icliniq.com. Based on your query, my opinion is as follows: 1. It appears you have suffered from deep vein thrombosis. Due to this, your protein C and S values are low. 2. Once thrombosis has been seen, future risk of thrombus formation is present. 3. Yes, you will need to take W... Read Full »
Why does my mother have fluctuations in the oxygen saturation levels?
Query: Hello doctor, My mother is 97 years old. She had a minor heart failure with a BNP of 110. Recently, she had a bad UTI and asthma. Up to that point, her O2 saturation levels without supplemental oxygen were 95 to 96. Now that she is recovering from UTI, her O2 levels are 97 to 98 with 2 liters of su... Read Full »
Answer: Hi, Welcome to icliniq.com. I do not understand the correlation between urinary tract infection (UTI) and low oxygen saturation. If the UTI has caused sepsis and multiorgan failure, then only it can affect lungs and saturation would drop. Asthma is a chronic disease and does not occur suddenly. She... Read Full »
I have factor V clotting disorder. How to prevent having a blood clot?
Query: Hi doctor, I am a 37 year old male with factor V clotting disorder. How can I prevent blood clot? Read Full »
Answer: Hello, Welcome to icliniq.com. Most people with factor V Leiden never have any symptoms. But, some are at a higher risk of getting blood clots, especially in the leg or the lungs. When clots do occur, they can cause, warmth, redness, pain, and swelling in the leg. These are symptoms of a cond... Read Full »
Does intake of Xarelto cause an increase in AST and ALT?
Query: Hi doctor, I am taking Xarelto 20 mg daily for DVT from the past four weeks. My blood work shows increased AST, which is double than normal, and ALT, which is triple than normal. Should I take today's dose? I take a lot of medicines for different health conditions. I have attached the photo of my pr... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. I have seen the attached prescription (attachment removed to protect patient identity). You are taking Alendronate, Alprazolam, Rivaroxaban, and Simvastatin for your different conditions. For example, Alendronate for osteoporosis, Simvastatin for hyperlipidemia, and... Read Full »