Recently Answered Questions
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What are the treatment options for antiphospholipid syndrome?
Query: Hi doctor,Following a DVT, my hematologist sent me for a blood test and it needs to be repeated again. According to the test request form, the request is 'antiphospholipid ab blood' and clinical details are 'previous VTEs, lupus ab positive last year'.I am keen to understand the impact of a second t... Read Full »
Answer: Hello,Welcome to icliniq.com.Systemic lupus erythematosus (SLE) is an autoimmune condition. The condition can affect a single organ or multiple organ systems.DVT (deep vein thrombosis) in SLE is multifactorial. The most common cause is the presence of antiphospholipid antibodies. However, some patie... Read Full »
What could be the reason for intermittent calf and chest pain?
Query: Hi doctor, I am a 24-year-old female. I am 5'7" and weigh approximately 280 lbs. I am overweight. My question is that I have had this calf pain intermittently ever since I went bowling over a month ago. It comes and goes and the pain is honestly very random when it appears. It does not hurt worse wi... Read Full »
Answer: Hi, Welcome to icliniq.com. After reviewing your info, I think there are a couple of things I can tell you. I am assuming you have a B/ L (bilateral) pain and aching discomfort and not a sharp localized pain. Some of the causes for your pain are: Most likely you have dehydration. My second different... Read Full »
I felt a pulse in the leg, which had DVT. Is it due to smoking?
Query: Hello doctor, I hurt my leg a few years ago due to which my muscle got ruptured and there developed DVT in my left leg. I was on Warfarin for a year after which I stopped taking the medicine. During that time I was smoking weed. I still smoke it every day and I feel veins pulsing in my legs. Do you ... Read Full »
Answer: Hello, Welcome to icliniq.com. Thanks for asking. Based on your query, my opinion is as follows: 1. Smoking increases the risk of DVT (deep vein thrombosis). 2. Symptoms do not appear to be of DVT, however, it is important to avoid the risk. 3. Being active and doing leg exercises will be help... Read Full »
Is blood disorder the reason for not having periods and exterme fatigue?
Query: Hello doctor, I am a 19-year-old female. I am always fatigued. I have not got my periods for around eight months now. I went to my gynecologist and done a lot of blood tests. She also gave me Provera to trigger my period but still, I did not get it. Several blood test results were abnormal. I have ... Read Full »
Answer: Hello, Welcome to icliniq.com. I have seen your reports. (attachment removed to protect patient identity). You are not having four different blood disorders as shown in your reports but they come under thrombocheck panel where there is a defect in coagulation of blood. It is an autoimmune disord... Read Full »
How to prevent blood clot formation post COVID-19 recovery?
Query: Hello doctor, I have been self-isolating for three weeks due to Coronavirus symptoms and spent two nights in the hospital where I was given oxygen and a chest X-ray showed typical COVID-19 changes. I was discharged a week ago and told some COVID-19 patients have been coming back with DVT and or PE. ... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. Kindly answer the following questions to guide you further. Do you have any risk factors for thrombosis like family history, smoking history, prolonged bedridden, or excess weight? Does your doctor recommend to take heparin? Have you confirmed your COVID-19 by RT PC... Read Full »
A 26-year-old has heterozygous factor V Leiden and DVT. Is Xarelto a safe drug for her?
Query: Hello doctor, My girlfriend is 26 years old and was diagnosed with heterozygous factor V Leiden and heterozygous prothrombin 20210. She is very active, runs half marathons, and works out three to five times a week. She had broken her ankle, and we watched TV for two weeks and noticed some swelling. ... Read Full »
Answer: Hello, Welcome to icliniq.com. Based on your query, my opinion is as follows, 1. Being positive for factor V Leiden and prothrombin is a considerable risk for thrombosis and is very much prone for thrombus formation in the future. This is very much common in homozygous inheritance individuals. 2. I ... Read Full »
Does intake of Xarelto cause an increase in AST and ALT?
Query: Hi doctor, I am taking Xarelto 20 mg daily for DVT from the past four weeks. My blood work shows increased AST, which is double than normal, and ALT, which is triple than normal. Should I take today's dose? I take a lot of medicines for different health conditions. I have attached the photo of my pr... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. I have seen the attached prescription (attachment removed to protect patient identity). You are taking Alendronate, Alprazolam, Rivaroxaban, and Simvastatin for your different conditions. For example, Alendronate for osteoporosis, Simvastatin for hyperlipidemia, ... Read Full »
I have pain in the upper abdomen, left chest and shoulder with upper back pain. Please advice.
Query: Hello doctor, I am 34-year-old female with pain in the upper abdomen, left chest, left shoulder and mostly middle-upper back pain (although back pain has been all over) upon standing, walking and on any exertion. Healthy otherwise and not overweight. I went to the ER yesterday, and they did two ECGs... Read Full »
Answer: Hello, Welcome to icliniq.com. Unlikely to be related to a cardiac cause. Firstly, cardiac pain typically comes on exertion and relieves at rest and should persist for at least a few minutes. And rest cardiac pain suggest acs, in which pain persists for few minutes, ECG changes and positive enzyme... Read Full »
I had panic attacks and want a second opinion on my ECG report. Please help.
Query: Hello doctor, I had a DVT with massive pulmonary embolism with infarction before four years. I had a few änxiety or panic attacks since then. Had a heart sonar and ECG done two months ago, which according to the physician was perfectly normal. I stopped taking Bisoprolol on his advice, and started ... Read Full »
Answer: Hello, Welcome to icliniq.com. Your ECG is fine (attachment removed to protect patient identity). There is left axis deviation, which is expected in hypertension or with age. Probably this left axis deviation is mistakenly read as Q waves by a physician and thought of right side not getting enough... Read Full »
Query: Hi doctor, I am having DVT in my left leg. I had about a year of Warfarin treatment and it was stopped two months back. I had my thrombophilia profile and it shows protein C deficiency. What to do? Read Full »
Answer: Hi, Welcome to icliniq.com. Based on your query, my opinion is as follows: Protein C deficiency (blood coagulation factor XIV) can be congenital or acquired. Being on Warfarin therapy can show protein C deficiency. However, it should get corrected after two weeks and it has not so if there are n... Read Full »