Recently Answered Questions
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Uric acid is increasing. Can I shift to Aldactone from HCTZ?
Query: Hello doctor, I am a hypertensive 31-year-old. ECG, TMT normal, echo normal except mild concentric LVH. On Telmisartan/ Amlodipine (80/5) at night and Amlodipine/Hydrochlorothiazide (5/12.5) in morning. HCTZ was started one month back but after monitoring Na, K are alright but uric acid is on the i... Read Full »
Answer: Hello, Welcome to icliniq.com. I agree with you that Hydrochlorothiazide increases uric acid levels, while Amlodipine may increase the leg swelling (peripheral edema). Coming to this point, Aldactone can be added to your therapy, but it has a weak antihypertensive effect and it may lead to high pota... Read Full »
Is Infliximab a safe pregnancy drug?
Query: Hi doctor, I am 26 years old. I am currently working in a hospital. I have been diagnosed with psoriatic spondyloarthropathy six years back. I had severe pain in the right SI joint. Currently, I am not taking medicines except NSAIDs. My MRI was done and it showed MRI joint inflammation. I was advis... Read Full »
Answer: Hi, Welcome to icliniq.com. We are here to help you. Infliximab is a pregnancy category B drug that is it has not shown till now any birth defects in babies in trials. So, it can be used if required. I would not recommend SI joint (sacroiliac joint) radiofrequency at this stage. I would ... Read Full »
Does myoglobinuria affect the kidneys?
Query: Hi doctor, High abdomen exercise resulted back and thigh stiffness and pain. For pain, I had heat application, but no medicines. It was bearable. I ate five to six mangoes at night. My urine and other things were normal. The next day, I had Diclofenac in the morning as muscles were more stiff at t... Read Full »
Answer: Hi, Welcome to icliniq.com. Do not worry, nothing will happen to your kidneys. All you need to do is just check your creatinine and urine deposits. Even if there is myoglobinuria (muscle destruction result in the presence of myoglobin in urine), it usually settles with adequate hydration ... Read Full »
How to reduce the levels of iron and ferritin?
Query: Hello doctor, I am a 61 year old male. For many years, I was treated for hemochromatosis. Then, about 12 years ago, I had a genetic test. The results prompted the hematologist to abruptly stop the recurring phlebotomies. I do not recall the test result and apparently, it cannot be located. But, I r... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. Your iron saturation and serum ferritin is high and these are suggestive of iron overload or hereditary hemochromatosis (HH). You talked about a test that was done and then the hematologist stopped the phlebotomy. I think, probably he mus... Read Full »
What medicines can help treat renal hypertension?
Query: Hello doctor, I have renal hypertension. I am on tablet Cilaheart 20 BD. My BP is 160/100 mm Hg. My creatinine is 4.18 mg/dL and urea is 104. Please help. Read Full »
Answer: Hello, Welcome to icliniq.com. I suggest you add up a diuretic like a tablet Torasemide 10 mg once daily along with tablet Arkamin (Clonidine and Hydrochlorothiazide) 0.1 mg thrice daily. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. These would... Read Full »
I have hot flushes and anxiety at 4 pm every day. Please help.
Query: Hello doctor, I recently was referred to a renal specialist for low sodium levels by my primary care physician. After a complete kidney workup, he said that they were functioning well. But, he changed my hypertension medicine from Lisinopril to Losartan and discontinued my diuretics. As a result, my... Read Full »
Answer: Hello, Welcome to icliniq.com. I am not sure why he was reluctant to put you back on Lisinopril when you had no real issues with it in the first place. Both Lisinopril and Losartan are sister medications but from two different groups that works pretty much in the same way. If your kidneys are tol... Read Full »
I have been taking the medications but I still have high BP. What to do?
Query: Hi doctor,I am in my late forties, with a height of 185 cm and a weight of 95 kg.I have a diabetic family history form both sides. Currently, I am taking the following medicines:1, For BP - The tablet Concor 5 mg, one tablet daily at night for the past eleven years.2, For Cholesterol - The tablet Li... Read Full »
Answer: Hi, Welcome to icliniq.com. Thank you for the query and I can understand your concern. According to your statement, you have been suffering from uncontrolled hypertension or high blood pressure despite taking the antihypertensive drug, the tablet Concor (Bisoprolol) 5 mg. You can take antihypertensi... Read Full »
What effect would late night sleep have on elevated blood pressure?
Query: Hello doctor, I am 37 years old. My BP reading is 160/115 mmHg and I am sleeping late. Please advise what I should do. Read Full »
Dr. Ahmed Mohamed Mahmoud Goha
Answer: Hi, Welcome to icliniq.com. I can understand your concern. High BP (blood pressure) can be due to various reasons and sometimes can affect organs such as heart, kidney, etc. as well. To rule out if there are any secondary causes to your hypertension (high BP), I suggest you, to get a few addition... Read Full »
What are the side effects of Hydrochlorothiazide?
Query: Hi doctor, I am concerned about carbon dioxide and the range of absolute eosinophils. Please review my laboratory report. Currently, I am under daily medication of HCT (Hydrochlorothiazide). Also, taking Vitamin D3 supplement daily and Vitamin C powder packs once a week. Read Full »
Answer: Hi, Welcome to icliniq.com. Thank you for the query. I can understand your concern. According to your statement, you have recently done some blood tests, and the investigation reports (attachment removed to protect the patient's identity) have revealed that your absolute eosinophils and blood ... Read Full »
I am worried about my diastolic dysfunction. Kindly help me.
Query: Hi doctor, I am a 59 year old male. My weight is 230 kg and height is 5'11". I am suffering from high blood pressure for the last 15 years. I am taking Metoprolol and a combination of Triamterene and Hydrochlorothiazide. I had an echocardiogram before four years. It was mostly normal except for enla... Read Full »
Answer: Hi, Welcome to icliniq.com. Do not worry. Your report is not that bad. Most of the regurgitant lesions are very well tolerated by our body. Unless you are symptomatic like you have breathlessness or angina, etc., it is nothing to worry. Repeat your echocardiogram once every year and keep taking Meto... Read Full »