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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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 »

I do usually feel tired and lazy. How can I improve?

Query: Hi doctor, I had a full blood count done and the report mentioned that there were microcytic normochromic cells noted. What does the report mean? Am I anemic or vitamin deficient? What do I do to get better? What are the concerning signs from this report? I do usually feel fatigued and lazy. How can...  Read Full »


Dr. Parth R Goswami

Answer: Hello, Welcome to icliniq.com. Microcytic RBC (red blood cell) means that the size of the RBC is decreased. Usually, it is seen in iron deficiency anemia. But, your hemoglobin level is within the range. So, anemia is ruled out. Excess stress, anxiety, being overworked, lack of exercise, lack of slee...  Read Full »

Why am I having leg cramps after taking a gluten-free diet?

Query: Hi doctor,I am having leg cramps, especially after taking lunch. I am on a gluten-free diet because of irritable bowel syndrome. This gluten-free diet helped cure my loose motion.  Read Full »


Dr. Muhammad Majid Hanif

Answer: Hi, Welcome to icliniq.com. There are a lot of reasons for leg cramping: Muscular spasms. Least physical activity. Hemoglobin and other constituents of blood not in the normal range. If the blood supply to muscles is interrupted for a short time. Fluid and electrolytes im...  Read Full »

What could be done for the semi-conscious state of my mother-in-law?

Query: Hello doctor, This query concerns my mother in law. She has an imbalance of sodium due to which she becomes semi-conscious. Her condition has not improved since more than six months now. When I enquired with her doctor, he says that her health will remain this way throughout her life. She was oper...  Read Full »


Dr. Saravan Pramod Settipalli

Answer: Hello, Welcome to icliniq.com. I read your query and understand your concern. I have seen the reports attached by you (attachment removed to protect patient identity). Your mother in law is diagnosed with multiple conditions such as hypertension, diabetes mellitus, left ventricular dysfunction with ...  Read Full »

My son has diarrhea after having certain types of meals. Why?

Query: Hello doctor,Hope you are doing fine. My son consulted a doctor for diarrheal syndrome. He suffers from diarrhea after having certain types of meals and also when he drinks a glass of wine or beer. Attached to this message, you will find his recent laboratory test results. His liver values seem to b...  Read Full »


Dr. Muhammad Majid Hanif

Answer: Hello,Welcome to icliniq.com.I can understand your concern. I have gone through the reports (attachments removed to protect the patient's identity) and found some important things regarding his liver and lipid profile. He has a bad lipid profile. It is bad because he has to keep an eye on this issue...  Read Full »

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. Muhammad Zubayer Alam

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. Muhammad Zubayer Alam

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. Penchilaprasad 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 »

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