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 am a diabetic diagnosed with gangrene and lower limb blockage. What is the treatment for it?
Query: Hello doctor, I am a diabetic and blood pressure patient diagnosed with lower limb blockage of the leg. Gangrene is present as well.I am worried. What is the treatment for this problem? Please help.Thank you. Read Full »
Answer: Hello, Welcome to icliniq.com. Sorry to hear about your health issues. Based on the results presented (attachments removed to protect the patient's identity), there is severe arterial insufficiency, which is why gangrene is present. Gangrene and lymphadenopathy are a consequence of insufficiency. ... Read Full »
What causes burning sensation of legs in an arthritis patient?
Query: Hello doctor, My mother is 80 years old. She has been suffering from arthritis or spondylolysis for more than 30 years. She is receiving treatment from a local orthopedician. She has been taking NSAIDs and other general medicines for five years. Her ESR level suddenly rose. For the last few months,... Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through the MRI report (attachment removed to protect patient identity). Your mother has nerve compression at two levels. Grade I spondylolisthesis is mild and an osteoporotic compression fracture D12 vertebra. Burning pain is due to ischemia of the nerv... 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. Amol Kumar Wasudeorao Diwan
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. Overall... Read Full »
Please suggest ways to cure spinal deformity.
Query: Hi doctor, I would like to know which avenue to go down to treat my issues. I believe I have something wrong with my legs which cause my body to strain. The first memory I can remember was having very excruciating pain in my legs at night when I was a young teenager. As I got older my knees started ... Read Full »
Answer: Hi, Welcome to icliniq.com. Excruciating pains at night could be due to muscle cramps or due to vascular ischemia (compromised blood supply). Cold feeling in ankles and feet suggest vascular compromise. Pinching of nerve could be due to spinal deformity. Nerve compression when it exits spinal... Read Full »
Is bariatric surgery advisable for a coronary artery disease patient?
Query: Hi doctor,I planned to go in for bariatric surgery and was instructed to take some pre-op tests for medical clearance. It included lab work, chest X-rays, and cardiology. So, today I received my EKG test results back. What does this mean? I immediately sent an email to my doctor, but he is yet to re... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. It is not a very serious matter but suggests that there can be ischemia that is decreased blood supply in one region. It can also be a normal variant in inferior leads and females. To confirm and rule out any coronary artery... 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 »
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 b... Read Full »
Is a child diagnosed with cerebral palsy considered as disabled?
Query: Hello doctor, I am attaching details of a girl. Her left side of the body is not working properly. She cannot hold or pick things from her left hand. She cannot move her left thumb. She walks on her left toes. She cannot stand straight without support on her legs. Attached are the MRI findings. Ple... Read Full »
Answer: Hello, Welcome to icliniq.com. This looks like an old ischemic insult to the brain, which has led to cerebral palsy with hemiparesis. Unfortunately, this is an incurable condition, but some changes and improvements can be seen with proper and long-term physiotherapy. Read Full »
What do my MRI reports suggest?
Query: Hello doctor, I am diabetic and hypertensive and have neuro problems. Please look at my MRI reports and advise me accordingly. I have attached the reports. Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through the attachments (attachments removed to protect patient identity). The MRI (magnetic resonance imaging) report says chronic ischemic changes suggestive of small vessel ischemia. These changes are usually seen in people with underlying diabetes... Read Full »
What could cause epilepsy and arachnoid cyst in a 30-year-old?
Query: Hello doctor,My 30 year old brother has an arachnoid cyst displacing his hypoglossal nerve. He has no tongue problems, but he has epilepsy since the last 10 years. If I send over his MRI report, can you tell me what causes his epilepsy? Thank you in advance for your time. Due to his new medicine Epi... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and reviewed the attached MRI report. As per the available MRI report, it appears that your brother suffered some ischemic (blood circulation related) damage during his early part of life, especially around his birth. It is possible that the same dam... Read Full »
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 Sameer Juma Ali 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 »