Ischemia

Ischemia is when the blood supply to a part of the body is restricted, resulting in a lack of oxygen. The signs and symptoms include pain, redness, loss of sensation, cyanosis (bluish discoloration of the skin), and necrosis.

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Diagnosed with inducible ischemia and recommended to do coronary angiogram. Is that mandatory?

Query: Hello doctor, I am a 34-year-old male. I have recently done a master health check-up. One of the key observations of the checkup was TMT (stress test) is borderline positive for inducible ischemia. Upon consulting cardiologist and post-screening echo, he has suggested doing a coronary angiogram. Cou...  Read Full »


Dr. Sagar Ramesh Makode

Cardiologist, General Medicine Physician, Internal Medicine Physician, Family Physician, General Practitioner

Answer: Hello, Welcome to icliniq.com. Although you do not have any symptoms, but your ECG and TMT shows changes. Your echo is also normal. But we cannot neglect your ECG changes which are striking. So it is better to undergo angiography and get it clarified. Also, sometimes such changes may be seen in hy...  Read Full »

MRI shows stroke and brain changes. Is it due to untreated sleep apnea?

Query: Hello doctor, The patient underwent extensive routine physical examination including MR/CT imaging and laboratory analysis earlier this month. The MR Brain shows evidence of lacunar stroke and ischemic brain changes. Please advise if these might be connected to untreated obstructive sleep apnea (mor...  Read Full »


Dr. Aida Quka

Neurologist

Answer: Hello, Welcome to icliniq.com. I carefully went through your question and the patient's medical history. I reviewed her medical report and the uploaded brain MRI study (attachment removed to protect patient identity) and would explain that those changes are indicative of small vessel disease, whic...  Read Full »

Why is there a twitch or spasm in the upper left chest?

Query: Hi doctor, I have an unusual strange feeling system. There is a twitch or spasm in the upper left chest where the heart is. It has been twitching constantly on and off all day. I have not been sleeping well for the last 3 to 4 days and I am on Adderall 20 mg XR and 2 x 30 mg IR daily. I am sure the...  Read Full »


Dr. Ilir Sharka

Cardiologist

Answer: Hello, Welcome to icliniq.com. I passed carefully through your concern and would explain that your symptoms do not seem to be related to cardiac ischemia. These muscle twitching may be caused by possibile water and electrolytes imbalances. This, in turn, is favored also by Adderall (Amphetamine) i...  Read Full »

What causes burning sensation of legs in an arthritis patient?

Query: Hello doctor, My mother is 80 years old. She is suffering from arthritis or spondylolysis for more than 30 years. She is receiving treatment from a local orthopedician. She is having NSAID and other general medicines since five years. Her ESR level suddenly rose. From last few months she felt extrem...  Read Full »


Dr. Sumit Chawla

Orthopaedician And Traumatologist

Answer: Hello, Welcome to icliniq.com. I have gone through the MRI report (attachment removed to protect patient identity). Your mother is having nerve compression at two levels. Grade I spondylolisthesis is mild and an osteoporotic compression fracture D12 vertebra. Burning pain is due to ischemia of ner...  Read Full »

How to treat breathlessness in a metastatic breast cancer patient?

Query: Hi doctor, The patient is oxygen dependent because of pleurodesis since 1 month. She is suffering from breathlessness after talc pleurodesis. She has metastatic breast cancer with distant spread to the lung and liver. There is residual pleural effusion along with bilateral lower lobe consolidation. ...  Read Full »


Dr. Amolkumar W Diwan

Allergy Specialist, Pulmonologist

Answer: Hello, Welcome to icliniq.com. I have read all the reports (attachment removed to protect patient identity) including your CT scan. It is very sad to be in such a situation with multiple problems. Metastatic breast cancer with underlying lung comorbidities is the cause of her breathlessness. Overal...  Read Full »

What can cause diffuse cerebral atrophy?

Query: Hi doctor, My sister is a 45 year old female. She had two episodes of unconsciousness. Her BP usually is normal at 80/58 mmHg and pulse 76 to 80 beats per minute.  We got an MRI done which showed diffuse cerebral atrophy with chronic ischaemic changes. MRA normal with no flow limiting significant ...  Read Full »


Dr. Ashok Kumar Choudhary

Andrologist, General Practitioner, Geriatrician, Psychiatrist, Psychologist Counsellor, Psychotherapist, Sexologist

Answer: Hi, Welcome to icliniq.com. From the attached MRI report (attachment removed to protect patient identity) it seems that vascular pathology is the primary cause for the MRI changes in brain. The current pathology indicates that she had poor blood supply for last few years. The reason may be hypotens...  Read Full »

My brother is on OCD treatment for 15 years without improvement. What is your opinion?

Query: Hi doctor, My brother, who is 32 years old, is undergoing treatment for OCD for the last 15 years without much improvement. In fact, his condition has only worsened since the start of the treatment. For the last several days, he has been complaining of erectile dysfunction, urinary hesitancy, droopi...  Read Full »


Dr. Ashok Kumar Choudhary

Andrologist, General Practitioner, Geriatrician, Psychiatrist, Psychologist Counsellor, Psychotherapist, Sexologist

Answer: Hi, Welcome to icliniq.com. First of all what you mentioned over in the MRI report could be coincidental finding, and there is less to do with these changes if OCD (obsessive-compulsive disorder) is considered provided there is no family history of OCD or related psychiatric disorder. Now regardi...  Read Full »

Why am I experiencing angina symptoms for past five months?

Query: Hello doctor,I have been experiencing angina symptoms for past five months. I had an angiogram and that came back clear but I am still experiencing chest pain and back pain along with extremities pain coldness sweaty. I have ruled out gastro as well as a carpal tunnel with a neurologist. I have been...  Read Full »


Dr. Devender Singh

Cardiologist, Cardiothoracic Surgeon, General Surgeon

Answer: Hello, Welcome to icliniq.com. I have seen all your ECG reports (attachment removed to protect patient identity). These are all near normal. If your angiogram is normal then you need not worry. You would need to have an adequate control of your blood pressure. You would obviously need to rule out ...  Read Full »

I have constant squeezing pain for past three weeks. What is the reason?

Query: Hello doctor, I have been using Adderall for about three years now. About one year ago, I started experiencing chest pains that would quickly go away after awhile. Then, there were a few occasions where I abused my medication and took too much. Since the last time that this happened (about six mont...  Read Full »


Dr. Sagar Ramesh Makode

Cardiologist, General Medicine Physician, Internal Medicine Physician, Family Physician, General Practitioner

Answer: Hello, Welcome to icliniq.com. Likely, this is gastritis and reflux disease. Pain occurs due to acid reflux and esophageal spasm. You should avoid fatty, oily and spicy diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sle...  Read Full »

What do my MRI reports suggest?

Query: Hello doctor, I am diabetic and hypertensive and have neuro problems. I want you to look at my MRI reports and advice me accordingly. I have attached the reports.  Read Full »


Dr. Sudheer Ambekar

Neuro Surgeon, Neurologist

Answer: Hello, Welcome to icliniq.com. I have gone through the attachments (attachment removed to protect patient identity). The MRI (magnetic resonance imaging) report says that there are chronic ischemic changes suggestive of small vessel ischemia. These changes are usually seen in people with underly...  Read Full »

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