Fluid And Electrolyte Imbalance

Fluid and electrolyte imbalance occurs when there is a loss of fluid due to vomiting and diarrhea. People with malnutrition have a greater chance to have fluid and electrolyte imbalance. Electrolytes, such as sodium, potassium, and calcium, aid in maintaining homeostasis in the body. Disturbance in the level of electrolytes can cause arrhythmias (irregularity in heart rhythm) and brain herniation.

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What causes low sodium and chloride levels?

Query: Hello doctor, I recently had a blood test done for my liver or kidney concerns as I had abdomen pain and bloating. I was fasting for the test. And I was found to have low chloride and sodium. Should I get some scans as the next step? Thanks.  Read Full »


Dr. Zubayeralam

Answer: Hi, Welcome to icliniq.com. Thank you for the query. I can understand your concern. According to your statement, you had a history of abdominal pain, bloating before six days and undergone liver and renal function tests. According to the investigation reports, all results are normal, except...  Read Full »

Will a back injury cause scoliosis?

Query: Hello doctor, I sustained a back injury three years ago. I was standing on the staircase of a bar when a large woman lost her balance, she grabbed and twisted my arm while placing her full body weight on my back. I have had recurrent muscle spasms all the way down to my back ever since, and I have t...  Read Full »


Dr. Vivek Chail

Answer: Hi, Welcome to icliniq.com. I have seen your MRI scans (attachment removed to protect patient identity), and find that there is no large disc bulge either in the cervical, thoracic or lumbar spine. The scoliosis is there, but it is not causing any significant nerve compression or condition relating ...  Read Full »

When is hospitalization required for a COVID-19 patient?

Query: Hi doctor, From the reports attached, can you please tell me if hospitalization is required for this COVID-19 patient?  Read Full »


Dr. Zubayeralam

Answer: Hi, Welcome to icliniq.com. I can understand your concern. According to the investigation report (attachment removed to protect the patient's identity), it shows: Hb (hemoglobin) level is 10.2 gm/dL where normal value is 13.5-18 gm/dL. So, the patient is anemic, suggesting three units of human ...  Read Full »

How to treat feet and ankle swelling due to a heart problem?

Query: Hi doctor,My mother is 62 years old. She has a severe heart problem. She has high blood pressure for a long time but she is not taking any medication. Now her feet and ankles are swollen. The doctor suggested her to take Triforge 5/160 12.5 mg with Loprin 75 mg. Her blood pressure is under control n...  Read Full »


Dr. Muhammad Zohaib Siddiq

Answer: Hi, Welcome to icliniq.com. Your mother is taking good medicines. In this age, medicines can cause electrolyte imbalance and renal function impairment. So blood urea, creatinine, and electrolytes should be taken after starting this medicine within a week. Swelling of feet can occur due to righ...  Read Full »

What could present as body tremors with dizzy spells?

Query: Hi doctor, I am 48 years old. I have two problems which I believe are related. One of the symptoms would be internal tremors/vibrations, which started as a slight twitch in my left foot and progressed to the whole body and has recently started down the right leg. It is very annoying. I spent a bit ...  Read Full »


Dr. Penchala Prasad Kandikattu

Answer: Hello, Welcome to icliniq.com. Do you have any investigations or an MRI brain with you? Do you suffer from any rigidity, athetosis, and tremors in the hands? Are there any bladder or micturition problems? Do you take any pills for hypertension or diabetes? Without examination and investigations, ...  Read Full »

Why is there a minor change in my ECG?

Query: Hi doctor, I went for an annual health checkup and found there was a minor change in the ECG. I am 28 years old. My weight is 80 kg and height is 163 cm. My BMI is 30 and waist circumference is 90. My BP 130/90 mmHg. I am also attaching my ECG report to you. I need your suggestion. Thank you.  Read Full »


Dr. Muhammad Zohaib Siddiq

Answer: Hi, Welcome to icliniq.com. Your age is 28 and you are obese. Your electrocardiogram (ECG) is normal and no need to worry. The minor changes are hyperacute T waves that may be due to increased potassium levels in blood, but no need to worry. There is day-to-day variation in potassium levels dependin...  Read Full »

Can seizure be provoked?

Query: Hi doctor, I had my first tonic clonic (grand mal) seizure seven days ago at work. It lasted 1 minute 30 seconds. I bit my tongue badly, but did not have any incontinence. Beforehand, I was shaking, had a loud beating heart and had a feeling of vertigo and anxiety. Afterwards, I was confused for app...  Read Full »


Dr. J Mariano Anto Bruno Mascarenhas

Answer: Hi, Welcome to icliniq.com. I have gone through your query with diligence and would like you to know that I am here to help you. From what you have narrated, I am of the opinion that your seizures were provoked or brought on by a combination of non-diabetic hypoglycemia, lack of sleep, dehydrat...  Read Full »

Why am I feeling dizzy and extremely hot?

Query: Hello doctor, The following event has happened twice. I start feeling dizzy and extremely hot. I can feel my body heat through my shirt. I feel nauseated and was about to faint. Oddly, today, when I went to the kitchen to check my food in the microwave, I opened the fridge instead. When I tried to c...  Read Full »


Dr. Tim Evans

Answer: Hi, Welcome to icliniq.com. I think the main thing to consider is whether this is something significant related to any cardiac or circulatory problems or whether this is something relatively minor. I would certainly suggest you visit your GP or family doctor. You will need to undergo an ECG (elec...  Read Full »

Why do I feel fatigue in hot weather?

Query: Hello doctor, I am actually facing some weakness issues since 2 or 3 days. I am a self-employed guy, my work timings are quite odd like 10 pm to 5 am. I wake up by 12 pm and then work from 2 pm - 8 pm (this includes working, meetings, get together with friends and coffee). I do not prefer eating out...  Read Full »


Dr. Vivek Chail

Answer: Hi, Welcome to icliniq.com. Please find my observations below. It appears that your body is not prepared for the heat conditions prevailing in your place. Since you have work schedules which start in the early afternoon, it is possible that you got dehydrated with electrolyte loss which might hav...  Read Full »

Are my weakness and confusion due to low sugar or stroke?

Query: Hello doctor,I am suddenly feeling faint, weak, shaking, confused, and as if moving in slow motion. It has been going on for nearly 24 hours. Is this low blood sugar or stroke?  Read Full »


Dr. Sadaf Mustafa

Answer: Hello, Welcome to icliniq.com. This could be a sign of: Dehydration. Urinary tract infection. Excessive fatigue. Alcohol. Marijuana and other substances intoxication or withdrawal. Postictal state (seizure). Electrolyte disturbances. Others would also include infection of the cen...  Read Full »

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