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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I have both discoloration and numbness in the glans penis. Why?

Query: Hello doctor, I am 31 years old with 5'9 height and weight 150 lbs. I have both discoloration and numbness but only on the glans penis and not the shaft. I have gotten consultations, and no one can find the problem. I have photos to show before and after. I have had this problem for about a year now...  Read Full »


Dr. Samer S J Altawil

Answer: Hi, Welcome to icliniq.com. Thanks very much for consulting us. Discoloration of the glans and penis can have many causes like inflammation, bruises, or ischemia, and numbness can be mainly due to penis or nerve injury. The picture will help with the diagnosis if you send me. Gonococcal infection ...  Read Full »

Can medicines cure minor heart blocks?

Query: Hello doctor,I had chest pain after three weeks of the second shot of the COVID vaccine. My arms went numb. I consulted a doctor, and all my blood tests were normal. So, he referred me to a cardiologist who suggested me do a treadmill test and stress echo test. The results came positive for myocardi...  Read Full »


Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to icliniq.com. Yes, it is appropriate to go for CT (computed tomography) and coronary angiography, as the probability of disease is still low to moderate only. I guess you did not have any symptoms like chest pain or heaviness during the test. With the negative ECG (electroc...  Read Full »

Why am I having LVEDP of 4 mmHg in diastolic dysfunction?

Query: Hello doctor, I am a 57 year old male, and I had episodes of shortness of breath and tachycardia, six months back. I take high doses of Statin and ACE inhibitors from ten years, and my lipid profile is excellent. EKG showed slight ST depression, an echocardiogram showed WMA (wall motion abnormalit...  Read Full »


Dr. Isaac Gana

Answer: Hello, Welcome to icliniq.com. Thanks for providing a detailed explanation. In my practice, normal LVEDP (left ventricular end-diastolic pressure) is considered between 4 to 12 mmHg. I would love to know when you last went for any of these tests, that is EKG (electrocardiography), echocard...  Read Full »

After a severe attack of vertigo, my EKG is abnormal. Why?

Query: Hello doctor, I am a 50 year old male, who weighs 240 lbs. Two weeks back, I had dizziness following an attack of severe vertigo that made me fall to the ground. My psychiatrist sent me for an EKG, I went to the cardiologist to review the reports, and he said that the EKG was abnormal. My psychiat...  Read Full »


Dr. Isaac Gana

Answer: Hello, Welcome to icliniq.com. Have you informed your psychiatrist about vertigo? Because vertigo could be caused by some of the drugs you are using, like Depakote (Divalproex sodium) and Risperdal (Risperidone). So, you could be having the dizziness due to the side effects of the medication. ...  Read Full »

Does pain from splinter hemorrhage spread to other fingers with increased heart rate?

Query: Hi doctor, I am a 19 year old female weighing 100 lbs and 5.6 feet tall. I have had splinter hemorrhages that started in my index finger and now has spread to my thumb, but the pain in spreading to four fingers of my right hand. It becomes unbearable at times when I wake up or when I go into cold e...  Read Full »


Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to icliniq.com. There is a possibility of limb ischemia that is obstruction of blood flow to your hand. As it is progressive, it is likely due to an embolus (clot) getting dislodged and landing in your hand or may be due to local clot formation. I suggest you visit your specialis...  Read Full »

Does pulmonary embolism show up on an ECG?

Query: Hello doctor,I just want to make sure if this EKG is good? No ischemia, or pulmonary embolism, or anything?  Read Full »


Dr. Ahmed Goha

Answer: Hi, Welcome to icliniq.com. From the attached reports (attachments removed to protect the patient's identity), ECG is normal. There is no ischemia.  Read Full »

What causes chest tightness, sweaty palms, and uneasiness?

Query: Hi doctor,My son-in-law aged 44 years, slightly overweight, had symptoms of tightness of chest, sweaty palm and uneasiness. The tests showed blood pressure reading as 140/80 mmHg and ECG showed left ventricle irregularity. Please advise.  Read Full »


Dr. Rishu

Answer: Hi, Welcome to icliniq.com. Left ventricular hypertrophy is because of hypertension, however, ECG is just a baseline test of cardiology. The tightness of chest associated with sweating can be stable angina. Stable angina is chest pain or discomfort that most often occurs with activity or emotio...  Read Full »

How to control constant high blood pressure?

Query: Hello doctor, My father has developed a hypertension crisis, BP not less than 180/120 mmHg, for a month. He has weakness on the left side and slurred speech. He also cannot control his emotions, such as crying and smiling. There is no total paralysis as he can still walk on assistance. MRI shows sm...  Read Full »


Dr. Gursimran

Answer: Hello, Welcome to icliniq.com What is the RFT of the patient? We need to give Arkamin to the patient, and this will help. The main problem is we need to rule out a stroke. Please get an NCCT (non-contrast computerized tomography) head done and let us know and start Arkamin 0.1 mg thrice daily.  Read Full »

Is it dangerous to have ventricular ectopic beats at 28 years of age?

Query: Hi doctor, I am a 28 year old male. My ECG shows ventricular ectopic heartbeat of 56 beats per minute. What should I do? Is it dangerous?  Read Full »


Dr. Rishu

Answer: Hi, Welcome to icliniq.com. At the age of 28, ventricular ectopic beats are really dangerous. The most common cause of ventricular ectopic beats is myocardial ischemia. You have not mentioned your smoking history and your anxiety levels. High levels of anxiety can cause ectopic beats. A detailed hi...  Read Full »

My MIBI scan shows ischemia, whereas the angio scan is normal. Please explain.

Query: Hello doctor, I am a 42-year-old female. Last year my GP recommended me for the MIBI (myocardial perfusion imaging) cardiac scan, and it can out that I have mild anterior wall ischemia (10% total ischaemic burden). He then recommended me for the angio scan, and the result came normal. He advised me...  Read Full »


Dr. Muhammad Zohaib Siddiq

Answer: Hello, Welcome to icliniq.com. I have seen the reports (attachment removed to protect patient identity). Myocardial perfusion imaging showed mild ischemia involving 10% of the myocardium, not a large area. Coronary angiography came out normal means all major vessels are normal. There ...  Read Full »

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