Recently Answered Questions
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Why does my stress test show abnormality?
Query: Hi doctor,Shortness of breath and rapidly reaching maximum heart rate has been my concern for many years. I turned 50 this year. It is impacting my ability yo exercise, so thought it was time to investigate. I just had a cardiac catheterization test. No blockages were discovered. However, they were ... Read Full »
Answer: Hi,Welcome to icliniq.com.First, you need to be started on medicines called as diuretics like Torsemide 10 mg once a day in the morning and also Amlodipine should be replaced with Beta blockers like Metoprolol XR 25 mg once a day. Both drugs will help you in relief of symptoms and also other benefit... Read Full »
Should I be worried of having lymphocyte percentage of 44%?
Query: Hello doctor, I just got a blood test conducted and the results indicate that my hemoglobin is 17.9 g/dL. My packed cell volume is 52.5%, RBC is 6.42 milliliter/mm3. Total leukocyte count is 14.3 thou/mm3. In differential leukocyte count, lymphocytes are 44% and in absolute leucocyte count, l... Read Full »
Answer: Hello, Welcome to icliniq.com. There is nothing to worry about your investigations. The number of red cells normally present varies according to person's age and sex. The normal hemoglobin value in an adult male can range up to 18 g/dL. It can be raised due to many reasons and these causes may b... Read Full »
Will the increased creatinine levels decrease?
Query: Hello doctor, I am a 70 year old male. I am a long-term diabetic patient. My weight is 69 kg. I am suffering from CKD for the past one year. About one year back, my creatinine was 3. Now it has gradually increased to 5.18. It is my doubt. Once increased, will the creatinine level decrease? 10 days b... Read Full »
Answer: Hello, Welcome to icliniq.com. Since your creatinine has gradually increased over a period of a year, it will not decrease. In acute settings, like some infection or diarrhea, creatinine will temporarily rise and then comes down. But, in your case, it is a progression of the disease itself. So, it... Read Full »
What is the cause behind breathlessness after CABG?
Query: Hello doctor, My father had undergone a CABG x3 a year ago, but for the last three days, he is feeling breathlessness. What could be the reason? Read Full »
Answer: Hello, Welcome to icliniq.com. How much is his ejection fraction in echo? The likely cause for his shortness of breath is an accumulation of fluid in lungs which occurs in patients with heart diseases. This is especially common in patients with reduced ejection fraction. I guess he does not ha... Read Full »
How to get cured from peripartum cardiomyopathy?
Query: Hi doctor, My wife is suffering from peripartum cardiomyopathy for the past six months. She is taking beta blockers and diuretic medicine for the past four months. Her heart EF is 38 % with flat T in ECG reports. Her heart function is normal. How many days does it take to get cured? Read Full »
Dr. Mahmoud Ahmed Abdelrahman Abouibrahim
Answer: Hi, Welcome to icliniq.com. Peripartum cardiomyopathy is a condition with an unknown cause. It follows after delivery for a few days to few weeks and manifests with the symptoms of heart failure. Beta blockers and diuretics are suitable. But the condition is not completely curable. The symptoms ca... Read Full »
Due to high uric acid, my father feels drowsy with leg swelling. How to manage it?
Query: Hello doctor, My father is 42 years of age, and he has a congestive and congenital heart disease by birth. He visited many doctors, but all of them suggested that there is no need for any immediate treatment and that he can live with it. He is now under medications, and he is doing well. The reason ... Read Full »
Answer: Hello, Welcome to icliniq.com. Sorry to hear about your dad's health issues. Your dad seems to be suffering from Eisenmenger's syndrome. This is a long-term complication of congenital heart disease. It is the cause of his kidney problems. In my practice, I usually suggest diuretics for my pati... Read Full »
Can taking normal diet develop edema in a cirrhosis patient?
Query: Hi doctor, The patient is suffering from liver cirrhosis. Will the liver remain enlarged? Or do come back to its normal size after some time? Does having a normal diet develop edema? Read Full »
Answer: Hello, Welcome to icliniq.com. I had gone through the details posted. Edema in cirrhosis patients is mainly due to low oncotic pressure in blood vessels because of low albumin.Cirrhosis compromise the synthetic function of the liver and so albumin production gets decreased. It is the albumin, whic... Read Full »
What is the treatment for prolonged sodium loss in my dad?
Query: Hello doctor, My father underwent a brain aneurysm repair one and a half years ago, after which, he is having a constant loss of sodium. He is taking one Tolsama 15 mg tablet every alternate day to stabilize his sodium levels. He is also currently taking Encorate Chrono 500, Absolut 3G, Nexfolin and... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query about your father and it appears that he has SIADH (syndrome of inappropriate antidiuretic hormone secretion). It commonly occurs after a brain surgery, due to excessive fluids and use of diuretics. The sodium levels usually return to normal soon, ... Read Full »
Please suggest ways to remove excess abdominal fluid in a colon cancer patient.
Query: Hi doctor, My aunt has colon cancer for the past three years. She has a tumor of 8 cm. As all other organs are not compromised, she stopped with the chemotherapy like one year ago. Now, she has peritoneal pseudomyxoma and ascites. In the hospital, the doctors say that the liquid in her abdominal cav... Read Full »
Answer: Hello, Welcome to icliniq.com. In the case of concerns regarding the spread of the tumor, a trial of albumin and furosemide, which are diuretics, can be administered intravenously in a carefully monitored setting. Meanwhile, oral diuretics can also be considered, such as Furosemide and Spironolacton... Read Full »
Query: Hello doctor.Amiloride was prescribed for my lithium-induced nephrogenic diabetes insipidus. It significantly lowered my water use. But there is still some extra. Amiloride is not accessible in the country I live on its own. Can you recommend another potassium-sparing diuretic to replace it?Please h... Read Full »
Answer: Hello, Welcome to icliniq.com. Spironolactone is the name of a potassium sparing diuretic.Tablet Aldactone 25 or 50 mg is the brand name for it. Please consult with your doctor before taking on my suggestions. I hope this helps. Thank you. Read Full »