Recently Answered Questions
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There is no improvement in my father's cough. What to do?
Query: Hi doctor, My father is 67 years old. His past history included pneumonia several years ago, leg cramps once in every two weeks or so and vitamin B helps with it and minor daily coughing of unsure cause. He never smoked and does not drink alcohol. Three and a half weeks ago, he went to the ER due to... Read Full »
Answer: Hi, Welcome to icliniq.com. It is good to hear that you are concerned and participating in treating your father's health issues. From your description, it looks like he has congestive heart failure. It means the fluid around his heart is causing the Atrial fibrillation and the cough. This is typic... 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 c... Read Full »
Answer: Hello, Welcome to icliniq.com. She can be given a trial of albumin and furosemide, which is diuretics, intravenously slowly in a monitored setting. They are afraid of the spread of the tumor further by putting needles through the peritoneum. Please, also try oral diuretics meanwhile. Both... Read Full »
Query: Hi doctor, My head got injured after some part of a concrete ceiling collapse. CT Scan done and I have attached the reports. I was hospitalized three days. An ENT opinion was taken and also, an audiometry was done. It showed a minor injury in the right ear and less audibility. Now, I have some pa... Read Full »
Dr. J. Mariano Anto Bruno Mascarenhas
Answer: Hi, Welcome to icliniq.com. You are suffering from brain contusions (microhemorrhages) as well as scalp injuries (attachment removed to protect patient identity). This is the cause of the pain and heaviness. You have to take antibiotics, anti-epileptics and painkillers. I suggest the followin... Read Full »
Is surgery mandatory for normal pressure hydrocephalus in a long term diabetic?
Query: Hello doctor, My mother is 70 years old and has long diabetes (almost 40 years). For the last 20 years, she have a memory problem. She fell two times almost eight years ago. After that she have walking difficulty, for the last five years, she also have a problem controlling urine also. These proble... Read Full »
Answer: Hello, Welcome to icliniq.com. I recommend trying Furosemide 40 mg twice daily and Acetazolamide 250 mg twice daily. She should start these drugs gradually at a low dose and increase gradually the dose. These drugs will help reduce brain fluid. But, if this is not normal pressure hydrocephalus and ... Read Full »
Will pulmonary hypertension interrupt with the urinary output?
Query: Hi doctor, I want to ask your opinion regarding my sister having severe pulmonary artery hypertension. Now she is on Macitentan and Tadalafil. After that, she developed edema requiring multiple trip to ED for fluid overload. She is on Furosemide, Spironolactone, and Verapamil after that. The proble... Read Full »
Answer: Hello, Welcome to icliniq.com. I am sorry to hear about your sister's health problems. She is not making urine at the moment because most likely she suffered kidney injury. Is her body swollen? Is she on urinary catheter? How long has she been on Furosemide? Read Full »
Why are my dad's feet so puffy?
Query: Hi doctor, My dad is 83 years old. He keeps coughing up phlegm and sleeping all the time. He is cold and his feet are very swollen. His feet are so puffy and he feels difficult to wear shoes or walk. He weighs about 300 lbs. He is suffering from congestive heart failure. Currently, he is on Lisinop... Read Full »
Answer: Hello, Welcome to icliniq.com. I am worried about depressed cardiac function, kidney dysfunction or liver disease. If the swelling is increasing; after he saw his doctor, then he should be seen again sooner rather than later. He would need further testing and evaluation for the swelling. It is not n... Read Full »
Please suggest treatment for swollen feet?
Query: Hi doctor, I have got swelling in feet and excess pain over last few days. I have breathing problem while walking. I also feel weakness since few days. Please help. Read Full »
Answer: Hello, Welcome to icliniq.com. If your leg is swelling like when you press your finger on your leg and see pushing marks of your finger (use thumb) then there is a real need for emergency care and treatment. If your leg swelling is also associated with swelling of the body and face then it needs ur... Read Full »