Recently Answered Questions
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Can Melatonin be taken with Diltiazem?
Query: Hi doctor,I am 67 years old. I am taking Diltiazem 120 mg twice daily. It was given to me when I had borderline hypertrophy of the heart due to undiagnosed sleep apnea. I also take it when I have tachycardia once or twice a year. It was not given to me for high blood pressure. When my doctor examine... Read Full »
Answer: Hi, Welcome to icliniq.com. Diltiazem is not given in a high dose to cause serious disturbance in you. Melatonin interferes with testosterone production. Melatonin deficiency initiates or aggravates the clinical course of all somatic pathologies. It also leads to testosterone deficiency at any age... Read Full »
How to get rid of external piles?
Query: Hi doctor, I have blood in my stool without pain. I am suffering from external piles. But there is no itching and pain. I am having blood going regularly in my stool for a week. Read Full »
Answer: Hi, Welcome to icliniq.com. External hemorrhoid causes bleeding and pain when they get enlarged. It occurs secondary to constipation producing abnormal pressure over the anus causing swelling of piles. The definite therapy is surgery and having lifestyle modification helps to control hemorrhoids. ... Read Full »
Please review my ECG report and advice.
Query: Hello doctor, Please review my ECG report. I am on Diltiazem. Read Full »
Answer: Hello, Welcome to icliniq.com. The report on your ECG (electrocardiography) states that (attachment removed to protect patient identity) there is a presence of nonspecific intraventricular conduction delay. Some of the causes of this disorder are amyloidosis, cardiomyopathy, and electrolyte imbala... Read Full »
What are the symptoms of an acute anal fissure?
Query: Hi doctor, I am 36 years old. Since last week, I have been dealing with rectal discomfort. There is no bleeding. I tried to self-check, and the pain is on the back of the rectum, and the discomfort lowers when I lay on my side rather than my back. This discomfort seemed to happen after four straight... Read Full »
Answer: Hi, Welcome to icliniq.com. The discomfort or pain can be due to a small anal breach or an acute anal fissure. I do not think that it is a previous anal fissure that has re-opened because that would have caused excruciating pain and usually causes bleeding. An acute anal fissure is common with dia... Read Full »
Is surgery necessary for treating anal fissure?
Query: Hello doctor, Four years back, I got constipation for two days and due to that I had some mass near my anal opening, but it does not cause any pain or bleeding while defecation. Doctor told it is a sentinel and no treatment is required. Now two years back I had an anal fissure. It got healed but re... Read Full »
Answer: Hi, Welcome to icliniq.com. The sentinel pile mass you have is due to an underlying chronic fissure. The issues with fissure are usually aggravated by constipation. The main factor to avoid fissure is to avoid constipation or hard stools or even straining at stools. When you have a chronic fissure... Read Full »
Is surgery necessary for anal fissure?
Query: Hi doctor,I have pain while passing stools and I have blood along with it. Sometimes, I have many blood spots on my stool. I consulted a doctor and did a physical examination. He told me that I have an anal fissure. He suggested me to take GTN 0.2% and tablet Brixen. If there is no relief in ten day... Read Full »
Answer: Hi, Welcome to icliniq.com. An anal fissure is a cut in the anal passage. It occurs due to the passage of hard stools. It presents with pain and bleeding in ninety-nine percent of cases. Surgery is not required in most cases. But proper medicines and prevention are necessary to be taken. I suggest... Read Full »
My anion gap remains around 20 mmol/L. Is this bad?
Query: Hello doctor, I am a 32 year old female, and I went to the ER four days back for SVT. Apparently, my anion gap was 20 mmol/L. Is this bad? The BUN was less than 3, ionized calcium was 1.11 and low creatinine. I am freaking out as no one went over the results with me. I have had four cases of SVT ... Read Full »
Answer: Hello, Welcome to icliniq.com. Firstly, low BUN (blood urea nitrogen) and creatinine levels are not a matter of worry. Normal BUN range is from 2.5 to 7.1 mmol/L. Also, ionized calcium is a bit lower but still normal. Anion gap is high, but it has got significance if you have acidosis as well low... Read Full »