Recently Answered Questions
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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 »
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 »
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 »
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 »
I got chest pain and jaw pain suddenly. Do I need to be concerned?
Query: Hi doctor, I am a 41 year old, and since the past five years, I have had some heart issues. I was hospitalized for SVT, five years back. The medications had it under control for a while, but I got older, a little bit heavier, and had some life changes, so things changed. It was also recommended that... Read Full »
Answer: Hello, Welcome to icliniq.com. Firstly, I think you should upload your reports like the echocardiogram to know the severity of aortic regurgitation, and electrocardiography to know what kind of SVT (supraventricular tachycardia) it was. It will give a better idea if it is PSVT (paroxysmal supraventr... Read Full »
After a viral infection, I have tiredness, faint feeling, and weakness. Kindly advise.
Query: Hi doctor, Three weeks ago, I was admitted to hospital with a viral infection and stayed in the hospital for two nights. During viral infection, I woke up early in the morning shaking uncontrollably and my heart rate was 152, so the ambulance took me to the hospital. I was told that I have a viral... Read Full »
Answer: Hello, Welcome to icliniq.com. Two points are very important here. They are abnormal heart rhythm and tiredness. Which type of abnormal heart rhythm are they trying to treat with Propranolol? It seems like you have supraventricular tachycardia and the type depends upon the EKG and EP study. Did... Read Full »
Please suggest treatment for pain in anus and blood loss.
Query: Hi doctor, I have pain in my anus with difficulty in passing stools. I have a huge amount of blood loss. Read Full »
Answer: Hi, Welcome to icliniq.com. First of all, try to reduce your weight. Most of the time, obesity causes problems. Bleeding while passing stools can occur secondary to anal fissure, hemorrhoids, and rectal ulcer due to difficult defecation. I need to know more about your symptoms for better clari... 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 »
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 pain is on the back of the rectum, and discomfort lowers when I lay on my side than on my back. This discomfort seemed to happen after four straight days of mil... 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 »
How to treat thrombosed piles?
Query: Hi doctor, I have been suffering from thrombosed piles since two years. Initially, it took a week to subside. I showed it to doctor, who has conducted a physical examination and he had diagnosed it as thrombosed piles. Before 11 months, when I was exercising in gym, I again suffered from thrombosed ... Read Full »
Answer: Hi, Welcome to icliniq.com. I have gone through your query and can understand your health concern. Thrombosed piles can be a cause of your pain and bleeding, but the other causes need to be ruled out. In my opinion, you should consult a surgeon, so that your proper examination and intervention could... Read Full »