Recently Answered Questions
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What can cause very sore joints and muscles?
Query: Hi doctor,I have been sick for the last two years with the following symptoms. Fatigue, ringing in ears, very sore joints, sore muscles, follicular carcinoma, passing out, and extreme headaches. I am taking Synthroid currently. I just had a flow cytometry and numerous bouts of blood work. I have att... Read Full »
Answer: Hi,Welcome to icliniq.com.Based on test results, my opinion is, it could be chronic Lyme disease. Low CD57 with additional symptoms provided except follicular carcinoma, could be due to chronic Lyme disease.Chronic Lyme disease is associated with a decrease in the CD57 lymphocyte subset that may per... Read Full »
My allergy does not subside with 10 mg Cetirizine. Should I take 20 mg?
Query: Hi doctor, I have been taking 10 mg Singulair and 10 mg Cetirizine for five years for allergies, asthma, and Lyme. I just got two more kittens, and the medicines do not work anymore. I am miserable and desperate. I asked my doctor to give me 20 mg of Cetirizine and something else because I think my... Read Full »
Answer: Hello, Welcome to icliniq.com. Please get an allergy testing done, either a skin prick or a blood comprehensive. Next, based on the allergens you are sensitive to, we can advise you on further course of action. With respect to getting tolerant to Cetirizine 10 mg, why not try Fexofenadine... Read Full »
I had elbow joint pain after a tick bite from my pet dog. Is it due to Lyme disease?
Query: Hello doctor, I had elbow joint pain after encountering a tick bite, most probably from my pet dog. Could this be Lyme disease? How and where should I get tested? Is there any facility for testing it? If so, how much would it cost, and what would happen during the test? Is it curable? Read Full »
Answer: Hello, Welcome to icliniq.com. Your elbow joint pain may or may not be related to Lyme disease from a dog tick bite. Untreated Lyme disease can produce a wide range of symptoms, depending on the stage of infection. These include fever, rash, facial paralysis, and inflammatory disease, including ar... Read Full »
Query: Hello doctor, I had a recent GI lab test which showed high levels of the below: Pseudomonas spp. Staphylococcus aureus. Proteus spp. Proteus mirabilis. Escherichia spp. I need an infectious disease specialist to consult on the proper treatment for these. I have a 17+ year history of chronic ... Read Full »
Answer: Hello, Welcome to icliniq.com. I acknowledge the test report attached (attachment removed to protect the patient's identity) with this message. Higher levels of these commensal bacteria usually do not warrant antibiotic use. The unnecessary use of antibiotics will lead to the development of antib... Read Full »
Is Lyme’s disease causing me joint pains and depression?
Query: Hi doctor, Recently, I visited my primary doctor's office, but he was on vacation. I was seen by a nurse practitioner. My main complaint is leg swelling, joint pain, and stomach aches. She asked me to do a series of lab tests and to return a week and a half later. When I went back, she told me that... Read Full »
Answer: Hi, Welcome to icliniq.com. I assure you not to worry at all as things may get settled with proper care and follow-up. Read Full »
Can Lyme disease cause any change in the ECG report?
Query: Hi doctor, Can you please review my ECG? I am on long-term Azithromycin and Minocycline for Lyme disease. Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through your ECG result (attachment removed to protect patient identity), and I can see evidence of a second degree AV block (atrioventricular block), which is a common finding amongst patients with Lyme's disease. Since you have already been placed on anti... Read Full »
What can be the white hyperintensities on MRI?
Query: Hello doctor, I am a 39-year-old female who is otherwise healthy. I recently had an MRI due to smelling smoke. Some white hyperintensities were found on the MRI. As a result, I had a lumbar puncture. Everything came back normal, no oligoclonal banging was present. However, my IgG synthesis rate appe... Read Full »
Answer: Hello, Welcome to icliniq.com. The increase of protein (IgG and albumin) production in the LCS (liquide cerebro-spinal) could be related to different chronic neurological disorders like an autoimmune disorder, a chronic infection like Lyme disease, multiple sclerosis (MS), etc. Although the presen... Read Full »
Query: Hello doctor, I have a few questions regarding Lyme disease. 1. Is there any chance of developing an infection after an infective deer tick bite with no obvious symptoms, such as a bull's eyes rash? 2. What are the chances of getting serious symptoms like joint inflammation after infection? 3. Are t... Read Full »
Answer: Hello, Welcome to icliniq.com. Lyme disease is a common vector-borne disease caused by bacteria, Borrelia, and transmitted by blackleg ticks. It can cause fever, rash, joint pain, and headache. The rash is typical bull's eye rash and can spread. If left untreated, it can spread to various organ sy... Read Full »
Query: Hello doctor, Over a year, I have had polyclonal B cell activation, elevated IgM, and positive ANA with systemic flu-like symptoms. However, the reports are confusing. They suggest that ANA was positive six times but negative twice (homogenous pattern 1:320), ENA and dsDNA were negative, complemen... Read Full »
Answer: Hello, Welcome to icliniq.com. Thank you for the query. I understand your concern and would be happy to help. Your condition appears inflammatory, as it has both infective and autoimmune features. The causative agent of lyme disease is a bacteria called borrelia burgdorferi. The disease in its ea... Read Full »
I have a swaying sensation as if the entire earth is a boat. What could it be?
Query: Hello doctor, Have you seen any long term damage caused by cephalo-antibiotics? I have a debilitating balance issue and dizziness that feels like the entire earth is a boat. It had been like this for two and a half weeks after two of the 1 g Ceftriaxone injections. Please assume that I do not have a... Read Full »
Answer: Hello, Welcome to icliniq.com. It is unlikely to have vestibular damage due to Ceftriaxone and that too when you have taken only two doses. I have not seen until now in my practice Ceftriaxone causing vestibular damage. Can you please tell me for what medical illness Ceftriaxone was presc... Read Full »