Recently Answered Questions
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My father-in-law has high blood pressure that does not lower even after taking medications. Why?
Query: Hello doctor, This query is for my father-in-law, who is a 60-year-old and has high blood pressure. In winter, he always has a blood pressure reading on the higher side and has been taking blood pressure medicines daily for the last few years. These days, his blood pressure is regularly in the range... Read Full »
Answer: Hello, Welcome to icliniq.com. I can understand your concerns. I have seen the attached prescription (attachment removed to protect the patient's identity). Your father-in-law is taking three medicines as a combination at one time and one tablet for high blood pressure at another time. Although he... Read Full »
If I quit smoking, will my RBC, hemoglobin, and PCV levels come back to normal?
Query: Hello doctor, I am suffering from hypertension since few years, and I am currently on medication Telmisartan. I am an alcoholic and smoker, and I smoke approximately 15 cigarettes a day for the last five years. My current CBC report suggests high RBC, hemoglobin, and PCV. Though it reduced slightly ... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to icliniq.com. I have gone through your attached reports (attachment removed to protect patient identity). The diagnosis is polycythemia. Polycythemia can be secondary or primary. Secondary polycythemia occurs because of hypoxia, which activates the oxygen sensor and more erythrop... Read Full »
How to use my automatic blood pressure-checking device?
Query: Hello doctor, I have an automatic device for checking blood pressure at home. There are 3 options of which first says "sys", the second one says "dia" and the third one "pulse'. Which option is for checking the blood pressure and how much should is normal? Read Full »
Answer: Hi, Welcome to icliniq.com. The automatic blood pressure machine is a good investment, and it is good to have one at home even if you are not struggling with your blood pressure. The ideal position to take your blood pressure is with the machine located at the level of the heart. The best way to do ... 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 »
Query: Hi doctor,Sometimes I experience headaches and right shoulder pain. My blood pressure readings for the past years have been normal and show 82/125. However, last year, a medical checkup conducted by the company revealed that my blood pressure had reached the level of 102/155, with a heart rate of 65... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern. You are doing a great job by eating well and exercising regularly. However, you need to monitor your blood pressure every day, 2-3 times at random, for a month to get your average blood pressure. Medication will be prescribed if the moderate ... Read Full »
Please give advise regarding low BP, low sugar blackouts, and palpitations.
Query: Dear doctor, Sometimes I get low BP, low sugar blackouts and palpitations. Please advise. Read Full »
Answer: Hi, Welcome to icliniq.com. Low blood pressure may be due to genetic factors. Do you have a family history of low blood pressure? Hydration and correction of electrolytes might help you. Mix one teaspoon of Electral powder (essential electrolytes) in a glass of water and drink thrice a day for a ... Read Full »
Is it safe to fly when you keep passing out a lot?
Query: Hi doctor, I am suffering from dizziness. I was getting lightheaded and close to fainting. Lately, I have been passing out a lot. I have an early morning flight tomorrow. Is it safe to fly? Is there a possibility of me fainting on the plane? My current medication includes Prozac, Trazodone and Gabap... Read Full »
Answer: Hi, Welcome to icliniq.com. As you complaint of frequent passing out, I will advise you to see a doctor to examine you and find the cause behind it. However, the most common cause of frequent pass out can be orthostatic hypotension. It means that when you get up fast there is not enough blood supp... Read Full »
In a hypertensive patient, how to manage a sudden fall in BP?
Query: Hi doctor, Since two years my mom is taking Atenolol for hypertension. Her dose is 50 mg per day which she eats half in the morning and half at night. About a week ago, her blood pressure became low and today it was 104/65 mmHg and pulse rate is 51. I would be very grateful for your help. Thanks. Read Full »
Answer: Hi, Welcome to icliniq.com. I have carefully worked through your case and want to assure that I will manage your mother's case. It sometimes happens with hypertensive patients and we need to adjust dosage time to time. She should take only 25 mg Atenolol or half the tablet of 50 mg in the ... Read Full »
Can lack of sleep cause dizziness?
Query: Hi doctor, I am a college teacher. I feel fatigue and dizzy for past one year. I slept very late one night and the next day while taking class had a dizzy feeling for a second. I felt that my head was reeling and on that afternoon I took off. It did not happen again but I felt myself weak with less ... Read Full »
Answer: Hi, Welcome to icliniq.com. I have read your complaints very carefully. Believe me, it has happened to many highly educated people and they have recovered quickly. The giddiness you felt when you were taking class without sleep was a single episode which should not be confused with other symptoms. D... Read Full »