Recently Answered Questions
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I am being tested for antiphospholipid syndrome. What will the treatment be?
Query: Hi doctor,Following a DVT, my hematologist sent me for a blood test and it needs to be repeated again. According to the test request form, the request is 'antiphospholipid ab blood' and clinical details are 'previous VTEs, lupus ab positive last year'.I am keen to understand the impact of a second t... Read Full »
Answer: Hello,Welcome to icliniq.com.Systemic lupus erythematosus (SLE) is an autoimmune condition. The condition can affect a single organ or multiple organ systems.DVT (deep vein thrombosis) in SLE is multifactorial. The most common cause is the presence of antiphospholipid antibodies. However, some patie... Read Full »
I am diagnosed with DVT and under Xarelto. Should I continue it for three months or six months?
Query: Hello doctor, I have diagnosed with DVT before four months and currently on Xarelto 20 mg once a day. My hematologist has advised me to take six months of Xarelto. However, the literature says three months is enough. My all test results like protein C deficiency, protein S, factor 5, and prothrombi... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to the icliniq.com. I should appreciate your awareness of health. For venous thrombosis, anticoagulant should be taken for at least three months. However, when the risk of thrombosis is high then duration can be extended for the next additional three months. So the clinical correlatio... 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 »
How does high altitude affect DVT?
Query: Hello doctor, Last month I was diagnosed with DVT in my left calf, one perineal vein has occlusive thrombus 3.94 inches below the knee extending 19 cm below knee, also mild occlusive thrombus of posterior tibial vein 3.94 inches below knee and extending to 4.72 inches below knee. I was immediately ... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to icliniq.com. I have read your query thoroughly and checked your attached ultrasound as well (attachment removed to protect patient identity). Below is the answers of your questions as per my opinions. 1. You can travel by aeroplane for visiting any place. You have to take care in w... 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 »
My D-dimer is 1.28 ug/ml. Should I continue to pursue the D-dimer?
Query: Hello doctor, I got blood work for recurrent chest pain. All was normal, but my D-dimer was 1.28 ug/ml (normal below 0.50). Chest CT with contrast normal, doppler u/s both legs normal, abdomen/pelvic CT, as well as abdominal ultrasound normal. The doctor says not to worry about D-dimer, but it was n... Read Full »
Answer: Hello, Welcome to icliniq.com. I think we should retest D-dimer maybe after a few weeks, three to four weeks. This is to see the trend and confirm the elevated levels. The usual causes for elevation include DVT (deep vein thrombosis), pulmonary embolism, infection, stroke, trauma, and rarely some ... Read Full »
Please comment on the treatment and Doppler result of my mother for DVT.
Query: Hello doctor, My mother is suffering from DVT which was diagnosed just yesterday. I want a second opinion on her treatment and Doppler results. The doctor said that there is no need to admit her in the hospital and he prescribed Rivaroxaban 15 mg twice daily for 21 days along with Ibuprofen 400 mg. ... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to icliniq.com. I can understand your concern. The following are the answers of your asked questions. Yes, your mother has been put on the best anticoagulant medication. Rivaroxaban and Apixaban are the best anticoagulant oral drugs. Enoxaprin is injectable anticoagulant drug to treat... Read Full »
Do constant pain in leg indicates DVT?
Query: Hello doctor, I have some pain in my lower left leg. It is more focused behind and around the knee, in my upper calf, and in the arch of my foot. It is not discolored or swollen or warm or colder than the other side. It is just uncomfortable. I have been pretty stationery due to an infection, but I... Read Full »
Answer: Hello, Welcome to icliniq.com. Leg pain behind the knees which is localized, non radiating in nature with no swelling, no history of prolonged bed rest and no fracture of a limb. Hence, this is not deep vein thromboembolism. DVT occurs when there is a prolonged history of immobilization with sudd... Read Full »
Can you give me a second opinion regarding my DVT and knee injury?
Query: Hi doctor, Recently, I met with an accident and the doctor diagnosed my knee with complete ACL tear and partial MCL injury. So, I started using a knee brace. Two days later, I took a long duration flight without taking any medication of thrombosis. However, I started taking Ibuprofen tablets (twice ... Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through your query and would like to give replies to your queries accordingly. The issue is that you have a concomitant knee ACL (anterior cruciate ligament) and MCL (medial collateral ligament) injury for which a surgical procedure will be required as you ... Read Full »
I have spasm and twitching in leg. Is it due to DVT?
Query: Hello doctor, I had a calf DVT in my paired perineal veins about 4 months ago. This was probably the result of dropping a heavy object on my foot. I did not have any pain in my calf, but foot pain just foot bruising and pain that would not let up (with no fracture). I was out on Eliquis for 3 month... Read Full »
Answer: Hello, Welcome to icliniq.com. This slight tightness or twitching is not classically indicative of development of DVT. This may be related to past injury or after effect of DVT. Also, there is no provoking factor now for DVT and there are no classical symptoms of DVT. I guess, provocation last tim... Read Full »