Recently Answered Questions
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I am pregnant and have a positive ANA. Kindly help.
Query: Hello doctor, I am eight weeks and six days pregnant and am currently on LMWH (Injection Innohep 40 mg) as tests prior to pregnancy indicated a positive ANA. I have a history of a previous mid-trimester miscarriage which was believed to be due to an incompetent cervix, and so have been on vaginal pr... Read Full »
Answer: Hello, Welcome to icliniq.com. How are you doing? I know it is a tough situation for you to decide. Do not panic. Relax, you are doing fine. Let me answer you one by one. 40 mg dose of LMW Heparin once a day is a prophylactic dose. Twice a day is a therapeutic dose. So just by getting once a day d... Read Full »
I had thrombophilia panel test as I had two miscarriages. Do I need any treatment to get pregnant?
Query: Hi doctor,I am a 36-year-old female. I had two chemical pregnancies this year, and I am childless. Due to my age, I decided to investigate more. The thrombophilia panel test results recommended me to see a hematologist. I have positive results (heterozygous) for MTHFR C677T, PAI 4G by 5G, AGT M235T,... Read Full »
Answer: Hi, Welcome to icliniq.com. I have reviewed your case. It seems that you had two miscarriages. So, you have to know a little detail about your condition and to understand thrombophilia. The risk of abortion is none to minimal in normal pregnancy, whereas intermediate and high in heterozygous and h... Read Full »
What can we do to have a healthy baby after my wife has had three miscarriages?
Query: Hello doctor, I am writing on behalf of my wife. She is 28 years old. She has PCOD. We have been trying for a baby for the past three and a half years. My wife conceived thrice, but all the times, the pregnancy got aborted in the second month. We have checked with infertility specialists in my area.... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and understand your concern regarding your wife's recurrent miscarriages. She can take these measures in the next pregnancy if she had missed any in the previous ones: Start taking Folic Acid 5 mcg once a day and tablet Ecosprin (Aspirin) 75 mcg on... Read Full »
Is it necessary to take Heparin for low protein S during pregnancy?
Query: Hello doctor, I am 7 months pregnant and my first pregnancy was a missed abortion. During this pregnancy, I underwent tests like thrombophilia profile and protein S antigen test in which my protein S levels were found low: 58% according to protein S antigen and 32.90% as per protein S functional te... Read Full »
Answer: Hi, Welcome to icliniq.com. Based on your query, my opinion is as follows: 1. Protein S antigen levels are borderline, however the functional activity level is a bit low. 2. This increases the risk of clotting, which is always increased in pregnancy. 3. To reduce anticoagulants like Heparin is ... Read Full »
Is Heparin cream advisable for visible and painful penis veins?
Query: Hello doctor, In my penis, veins are visible and it is painful. Last month I consulted urologist, and he gave me Evion 400 tablet for 20 days. I masturbate daily. What I have to do now? Shall I keep Heparin cream on penis vein? Please help me. Read Full »
Answer: Hello, Welcome to icliniq.com. There are always large veins on the upper aspect of the penis, and they transport blood back towards the heart. Since the penis is an erectile organ, the veins have to be large and zigzag (tortuous), so they can elongate when the penis becomes erect. Sometimes the pa... Read Full »
What is the treatment for swollen veins on my penis shaft?
Query: Hello doctor, I am a healthy 33 year old male. I have sex regularly and masturbate regularly. Over the years, I dabbled in penis enlargement exercises. I quit doing them a while back because I felt it was causing a damage to the penis. Recently, I used a cock ring, but for not more than ten minutes.... Read Full »
Answer: Hello, Welcome to icliniq.com. I have seen the images sent by you (attachment removed to protect patient identity). If there is a pain of veins, especially when you touch them, or any signs of inflammation, only then it is a thrombophlebitis of veins. In your case, it could be thrombophlebitis, but ... Read Full »
I have pain after getting a Heparin injection. Why?
Query: Hello doctor, I was in the hospital for 3 days for the flu. A nurse came in and said she was going to give me an injection in my stomach that would help me not to get blood clots. The medication is called Heparin. I told her that I had stomach ulcers before. She said it was fine. I was so sick with ... Read Full »
Dr. Mahmoud Ahmed Abdelrahman Abouibrahim
Answer: Hello, Welcome to icliniq.com. I understand your concerns. Heparin injections in low doses are given routinely in the hospital for patients who are not moving much in order to avoid blood clotting in their leg veins. Heparin in such low doses is safe, and you should not worry. Why do you think the... Read Full »
Is it advisable to give LMWH to treat PVT?
Query: Hello doctor,The patient was diagnosed with autoimmune hepatitis for 27 years and portal hypertension for at least 10 years and was recently diagnosed with portal vein thrombosis (almost complete thrombosis to the level of confluency) through a CT scan. The patient takes Azathioprine for treatment f... Read Full »
Answer: Hi, Welcome to icliniq.com. The information given here (attachment removed to protect patient identity) shows that she has liver cirrhosis. Also, she has portal hypertension. In this setting, treatment should be directed at liver cirrhosis which has ultimately resulted in portal vein thrombosis. T... Read Full »