Recently Answered Questions
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Can Modafinil help with my tiredness and sleepiness?
Query: Hello doctor, I am 34 years old mom of a 5 year old. I am excessively tired and have a need to sleep at all times. I had CBC done, and my eosinophils are high, and my MPV is low, but everything else came back fine. My body aches, and I feel horrible. I have bruises that appear out of nowhere all ove... Read Full »
Answer: Hi, Welcome to icliniq.com. The symptoms which you described are suggestive of hematological disorder, which can explain both easy fatigability and bruises. You need to get your coagulation profile tested, and peripheral smear for any abnormal cell. Get ANA (antinuclear antibody) and CRP (C-reactive... Read Full »
I am asthmatic, and my CRP and hs-CRP are high. Please help.
Query: Hi doctor, I am asthmatic and I do not get frequent attacks. But I am taking inhalers as a precaution. The doctor told me that due to low-grade inflammation, I am at high risk of getting COVID-19. I have asthma and allergy for one and a half years. So my doctor suggested me to take a C-reactive prot... Read Full »
Answer: Hi, Welcome to icliniq.com. Your CRP (C-reactive protein) levels are high due to asthma. High values do not cause cardiovascular risk. In people with a chronic inflammatory disease like you, we can see high CRP levels. I can suspect cardiovascular risk when you have high cholesterol levels. You nee... Read Full »
Why does my son have a continuous fever?
Query: Hi doctor, My son is suffering from a fever. He has constant 100 to 102 degrees Fahrenheit of fever with throat pain for the last 15 days. Blood tests indicate negative for malaria and typhoid. We consulted an ENT specialist and he indicated tonsillitis. No relief is foreseen anywhere shortly. Are ... Read Full »
Answer: Hello, Welcome to icliniq.com. It would be helpful if you did a CBC (complete blood count) and CRP (C-reactive protein). From that, we can understand the level of infection. Also, tonsillitis can be so severe that it may last for up to 10 days. Betadine gargling three times a day with warm wat... Read Full »
Can numbness in fingers be an early sign of diabetes?
Query: Hello doctor, I am a 19-year-old male. A week ago my thumb became numb below the fingernail. It was numb for two days and this went away. Now my left middle finger and the ring finger are numb and my right thumb feels sore. I also have a burning sensation in the feet, sometimes it feels like there i... Read Full »
Dr. M. A. Toyeb, Nazma Parveen
Answer: Hello, Welcome to icliniq.com. I have read through your question and I would like to tell you thaturopathyperipheral necan happen in a patient with diabetes which does present in the form of burning sensation in the feet and neuropathic pain. At your age, type 1 diabetes that is insulin-dependent... Read Full »
Can my 3-year-old will get sepsis again?
Query: Hi doctor, My 3-year-old son was diagnosed with sepsis with SIRS, three days back. But, now his WBC and C-reactive protein are within limits. Will he have sepsis again? He frequently gets wheezing and allergic cough. He is currently taking Amclav. Read Full »
Answer: Hello, Welcome to icliniq.com. 1. Sepsis means infection in the blood. If the investigations like CBC (complete blood count), urine culture, blood culture, CRP (C-reactive protein) are normal, it means that the child has been treated for this infection. 2. Usually, this happens because of infe... Read Full »
Can periods cause a raise in the platelet count?
Query: Hello doctor, I am 40 years old. I recently had a full panel of laboratory tests done and my platelet count was elevated as was my hs-CRP. All other reports were in optimal or normal range. My ferritin was on the lower end and my HbA1c was on the higher end of normal. I am currently being treated wi... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. In the provided report (attachment removed to protect patient identity), the serum ferritin and hemoglobin are within the limit. A slightly elevated platelet and high CRP (C-reactive protein) can be from a temporary inflammation, in which the platelet is raised becau... Read Full »
My wife has a labrum tear. Is surgery needed?
Query: Hello doctor, My wife has been diagnosed with a labrum tear. She is 37 years old. She wants to get a second opinion on the treatment options. Is surgery the only option available? Will not the labrum heal on its own? Currently, she is on ayurvedic treatment. I have attached a few files for your refe... Read Full »
Answer: Hello, Welcome to icliniq.com. I went through the copies of the investigations you posted (attachment removed to protect patient identity). My interpretations are as follows: 1. She has arthritis of the hip joint with features of sacroiliitis (inflammation of one or both of the sacroiliac joints)... Read Full »
My daughter and I have elevated ESR levels. Why?
Query: Hello doctor, I am a 41-year-old female with no health problems as such. For the last six months, I have had ESR values of 61, then 82, and then again 61. My ESR was 60, even two years ago. My physician prescribed me multivitamins. Now I have got my 12-year-old daughter who hit puberty last year and... Read Full »
Answer: Hello, Welcome to icliniq.com. The most common cause of raised ESR (erythrocyte sedimentation rate) in females is low hemoglobin. For every 1 g decrease in hemoglobin below 13 g, the ESR will rise by about 5. ESR has no significance unless the person has underlying inflammation. You need to men... Read Full »
Can erythema nodosum recur at the same spot in the feet?
Query: Hi doctor,I am a 33-year-old female with a history of erythema nodosum. I used to get outbreaks over my bilateral shins and ankles. The last bad outbreak was probably around seven to eight years ago. I woke up this morning with pain and swelling of the lateral parts of both feet around the cuboid bo... Read Full »
Answer: Hi, Welcome to icliniq.com. We are here to help you. Reading your case summary and studying the attached report (attachment removed to protect patient identity); I would say that the favorable diagnosis in your case would be erythema nodosum (inflammation of fat cells under the skin). Characteris... Read Full »
What is the recommended course of action for high CRP level?
Query: Hello doctor, I have Potts disease, and after two months, my C-reactive protein has gone from 48 to 96. What further course of action should I take? Read Full »
Answer: Hello, Welcome to icliniq.com. Your Pott's disease, I assume, is being treated with an anti-tuberculosis drug cocktail (dosage accurately adjusted according to your body weight). The spine surgeon can decide on healing and response to treatment based on your clinical response like a decrease in pa... Read Full »