Recently Answered Questions
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I am a 20-year-old with anxiety issues after I lost a person due to a heart attack. Please help.
Query: Hi doctor,I am 20 years old. Recently I lost a person from a heart attack, but he was not a relative. And then I started getting nervous about my heart. I went three times to the hospital five months and a month ago and checked my heart. The doctors did not find anything pathological and told me to ... Read Full »
Dr. Mahmoud Ahmed Abdelrahman Abouibrahim
Answer: Hello, Welcome to icliniq.com. I understand all your concerns. Heart disease is one of the most common conditions causing significant morbidity and mortality. Heart disease is now common at a young age, especially if you are a smoker. In order to exclude heart disease, please describe the chest p... Read Full »
Query: Hi doctor, My husband got hit in the heart during karate and got a clot over there, and he has had occasional pain over there for the past five years. He was taking medication to alleviate the clot. The doctor told me it is healed, and it has now been ten years without any chest pain, but from th... Read Full »
Answer: Hello, Welcome to the icliniq.com. I understand your concern. Glad to know your husband is following a healthy lifestyle now. From the description of his leg pain and obesity, I feel there is a high likelihood that he could suffer from deep vein thrombosis i.e. blood clots in the veins. I would sug... Read Full »
I was suggested taking Rituximab injection for ITP. Will that worsen my heart condition?
Query: Hello doctor, I am a 36-year-old female. I was recently diagnosed with ITP with platelets between 23 to 33 eight months ago, with symptoms of gum bleeding and knee joint pains but no bruises. I am taking 5 mg Prednisolone, with which my platelets became 65 to 71 last month. I have a history of con... Read Full »
Answer: Hi, Welcome to icliniq.com. Your current platelets, that is, 65, are quite a handsome level in ITP (immune thrombocytopenia). We call it chronic ITP. At this point, we do not treat ITP. You are taking 5 mg per day of Prednisolone which is called a maintenance dose. In my practice, I prescribe Rituxi... Read Full »
Query: Hi doctor, My father is 71 years old and recently got malaria (vivax), due to which his platelet counts dipped to 44000 mcL. In addition to blood tests, the doctor did an ECG as a routine procedure and found RBBB. The doctors said RBBB was not there in his ECG 10 years ago. During malarial shivers,... Read Full »
Answer: Hi, Welcome to icliniq.com Thank you for consulting with us on icliniq.com. The right and left bundles are conducting structures of an electrical signal. But with aging and due to other reasons, it does not transmit an electrical signal. So it leads to the right bundle branch block, so the right ... Read Full »
Query: Hello doctor, Does this look like an early nail clubbing? I came across something on the internet and started looking at my nails. I did a Schamroth test and I have a very small window. I am a bit concerned. Read Full »
Answer: Hello, Welcome to icliniq.com. Nail clubbing is present if oxygen saturation is low or if there is an increase in reduced hemoglobin for a long time. All clinical tests like Schamroth have its own drawback. So do not rely on Schamroth. Clubbing can occur without any disease. You ne... Read Full »
My father is diabetic and hypertensive, and his ECG is abnormal. What to do?
Query: Hi doctor, My father is 68 years old, and he has had diabetes and hypertension for a long time. He is taking medication for diabetes and hypertension. He got his annual health check-up done two months ago. On ECG, it was showing a large PTFV1 value, normal sinus rhythm, inverted T wave, and short QR... Read Full »
Answer: Hello, Welcome to icliniq.com. I have read your query in detail and will help you out. I have seen the ECG (electrocardiogram) report (attachment removed to protect the patient's identity). It shows minor changes in the heart. There has been no major acute event, which is a good sign. But the dang... Read Full »
I am diagnosed with heart disease and also dealing with stress. How can I cure this?
Query: Hello doctor, I’ have been having “heart issues” over the past month. Like pain and skipping a beat, I also suffer severe anxiety. I have been diagnosed with an enlarged heart. I did have high blood pressure for almost a year. I was very stressed combined with the stress, I have diabetes type ... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern. The calcium score is good, but the X-ray states enlargement (attachment removed for patient's identity). Although the heart might be enlarged on X-ray, this might not affect its function. Would you please tell me the following, 1) Do you e... Read Full »
Will Nitroglycerin patch prolong life of an elderly person?
Query: Hello doctor, My 96-year-old mother is getting to where she only eats breakfast. She has hearing loss and is blind. Does the Nitroglycerin patch she is using will prolong her life? She is miserable and ready to go. She is sleeping a lot and had three seizures two weeks back. She has refused to go t... Read Full »
Answer: Hello, Welcome to icliniq.com. As you mentioned, your mother has deafness and blindness, you did not mention why she is using Nitrogen glycerine patches. It is only useful when the patient is suffering from heart disease with recurrent anginal chest pain (heart attack), but it is used to reduce BP... Read Full »
How dangerous is diastolic dysfunction grade 2?
Query: Hi doctor, I am a 40-year-old healthy female. I am mildly obese. I have diastolic dysfunction grade 2, normal ejection fraction, structurally normal heart, some palpitations, and have NSVT at times. I had no diastolic dysfunction seen on echocardiogram until three years back. But three years back, i... Read Full »
Answer: Hello, Welcome to icliniq.com. Thanks for writing in, and I understand your concern. For proper evaluation, I need some more information, Do you have shortness of breath or fatigue? Do you have any foot swelling or any episodes of cough? Do you have any history of high blood pressure? Kindly rev... Read Full »
Why do I have a strange feeling in my heart?
Query: Hello doctor, This has been going on for about four to five days. My oxygen level is 93, my pulse is 95, and my heart feels different, like maybe it is skipping beats or something. Should I go to the ER? Read Full »
Answer: Hello, Welcome to icliniq.com. Do you have any history of diabetes or hypertension? These risk factors for atrial fibrillationare quite common for people of your age. It is better to go to the emergency room and get an ECG (electrocardiogram) to confirm the diagnosis. Read Full »