Recently Answered Questions
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What is the treatment for pancreatic rest?
Query: Hi doctor, Please find the attachment of the endoscopy report of my wife. She had stomach pain a long time ago, and we did the endoscopy. But, the doctor did not explain the reason to us. Could you please explain to me? What is pancreatic rest? What do you think about the nature of her polyps and th... Read Full »
Answer: Hi, Welcome to icliniq.com. I have seen the endoscopy reports of your wife (attachment removed to protect patient identity). She has gastroesophageal reflux (heartburn). A pancreatic rest is a sort of ectopic pancreatic tissue in the gastroduodenal mucosa. It is always better to wait for a biopsy ... Read Full »
What can cause extreme pain in the upper right abdominal area on breathing?
Query: Hi doctor, My boyfriend is having pain in his right upper abdominal area while breathing. This is the third time and it started around 7 pm in the night and so he went to the hospital yesterday. They told me that they are unable to find anything on X-ray or blood work. He waked up in the morning an... Read Full »
Answer: Hi, Welcome to icliniq.com. Pain in the abdominal area can occur due to gall bladder stones and bile duct stones, ulcers in the stomach, and pancreatitis. You can take capsule Esomeprazole 40 mg half an hour before meals. He can take Tramadol 100 mg for pain. If it is not available, he can take ca... Read Full »
What does a bitter taste in the mouth during the morning indicate?
Query: Hello doctor, My father is 54 years old. He had a gallbladder surgery for gallstone removal 14 years ago. He takes medicines for BP and for hypothyroidism. His SGPT is 56, SGOT is 46 and ALP is 278. Earlier, for triglycerides, he used to take Fenofibrate. His HDL and LDL were not very high, rather... Read Full »
Answer: Hello, Welcome to icliniq.com. I went through your post. A bitter taste in the early morning hours is seen in people with acid regurgitation or gastroesophageal reflux disease (GERD) and in smokers.I would suggest a course of PPI (proton pump inhibitors) with Levosulpride like capsule Sampraz L (a c... Read Full »
I was diagnosed with IBS many years back. How to get rid of its symptoms?
Query: Hi doctor, I am a 42 year old male, who weighs 210 lbs, and I am 5.11 feet tall. I have been having severe digestive and related symptoms for quite some time. I was diagnosed with IBS many years ago, but I would like a second opinion. My symptoms include severe nausea, vomiting, diarrhea, fatigue,... Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through your reports (attachment removed to protect patient identity), they are fine except some neutrophilia, which is indicative of some inflammation or infection somewhere. Overall, it is fine. Do you have any fever or burning while urination?There is a ... Read Full »
Query: Hi doctor, I had all symptoms of vitamin B12 deficiency and have been on medications like tablet Esomeprazole, Omeprazole, and Pantoprazole for the last 16 years. So requested a test. The fasting test result shows 1522 pg/ml for vitamin B12 serum, a complete opposite of what I had expected. So I too... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. I have reviewed your query, and here is my advice. Your main concern is regarding the high vitamin B12 level. Let me know if even a single supplement of vitamin B12 can increase your vitamin B12 level. You have been using the supplement for ten days. So that is the r... Read Full »
Can cold and sinus problem aggravate my peptic ulcer symptoms?
Query: Hello doctor,I have been diagnosed with peptic ulcer four months back, and I was put on Omeprazole. I took it for three and a half weeks, but then due to horrendous side effects and the need for an H.pylori test, I stopped taking it for around 10 days. The H.pylori test came back negative. I was th... Read Full »
Answer: Hi, Welcome to icliniq.com. Most likely, your symptoms are aggravated by the sinus infection. As H.pylori is negative and you are responding to Lansoprazole, I do not think an urgent endoscopy is required. I would suggest you switch over to Nexium (Esomeprazole), initially take it 40 mg twice... Read Full »
I have ankle and calf muscle pain. Could it be RA?
Query: Hello doctor, I am a 38-year-old male, suffering from RA from the last two years and recently started the treatment with an orthopedic doctor for AVN of the hip. I have been told by my orthopedician at icliniq to consult a rheumatologist for my ankle and calf muscle pain, and for my RA medication an... Read Full »
Answer: Hello, Welcome to icliniq.com. After going through the details of your query, there are a few things to be clarified first. You have not mentioned any involvement of the small joints of hands, wrists or feet. The joints you have mentioned only include large joints. If it is really so, then the li... Read Full »
I am a 17-year-old female suffering from bad acid reflux. Please help me.
Query: Hi, I am a 17-year-old female who has been suffering from bad acid reflux for the past three months. It is bad enough that I sometimes get vomit in my mouth when I bend over, and this does not happen after a meal. I have a healthy weight and eat a well-balanced diet. I tried Zantac 300 mg, but it di... Read Full »
Answer: Hi, Welcome to icliniq.com. I read your query and can understand your concern. I have gone through the history, and according to the details, it could be gastro esophageal reflux disease (GERD). I suggest you consult a specialist and continue avoiding spicy food. Do walking for about 15 to 20 min... Read Full »
How to deal with gastric symptoms after eating very spicy food?
Query: Hello doctor, I have constipation with a stomach ache. I recently had a few meals of spicy food and I am facing the consequences for the last four to five days. The symptoms include constipation, narrowing of stools, pain in lower abdomen (especially the lower right portion towards groin), acidic ir... Read Full »
Answer: Hello, Welcome to icliniq.com. I am worried about the location of your pain. A right lower quadrant pain indicates appendicitis. Constipation can be well managed if there is no evidence of appendicitis. In case of appendicitis, we should be cautious to give any kind of laxatives. So before giving ... Read Full »
What is the cause for something stuck in my throat?
Query: Hi doctor, I have a feeling that something is stuck in my throat for the past 4 to 5 days. There is no pain but I feel uneasy. On drinking water, I feel better, but the feeling of something stuck in my throat still remains. I cannot see any swelling in the neck area. Please suggest the diagnosis and... Read Full »
Answer: Hi, Welcome to icliniq.com. This could be due to acid reflux. Try taking Pantocid DSR (Domperidone and Pantoprazole) on an empty stomach for a few days, once or twice daily. For a decisive diagnosis, we need these details as well. 1. Are you diabetic or hypertensive? 2. Did you eat anything from... Read Full »