Recently Answered Questions
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I am suffering from CFIDS and low thyroid. Please advise.
Query: Hello doctor, I have been searching for answers for over three years. The past two years, my quality of life on a scale of 1 to 10, has been a 2. I am grasping at anything to find the answers. My doctors have not helped. I was diagnosed 15 years ago with fibro/CFIDS, and very low thyroid, which they... Read Full »
Answer: Hello, Welcome to icliniq.com. I went through your post. I will try to address each point one by one. You have been labeled as having chronic fatigue syndrome (CFS). It is a diagram of exclusion, and there are no effective meds except sometimes treatment with antivirals has been seen as effectiv... Read Full »
Can weakness and confusion occur due to low blood sugar?
Query: Hello doctor,I am suddenly feeling faint, weak, shaking, confused, and as if moving in slow motion. It has been going on for nearly 24 hours. Is this low blood sugar or stroke? Read Full »
Answer: Hello, Welcome to icliniq.com. This could be a sign of: Dehydration. Urinary tract infection. Excessive fatigue. Alcohol. Marijuana and other substances intoxication or withdrawal. Postictal state (seizure). Electrolyte disturbances. Others would also include infection of the central nervous syst... Read Full »
Why do my fingers-forming knobs and hurting me?
Query: Hello doctor,I have seen a rheumatologist and all my tests on autoimmune diseases are normal. He even ordered hand X-rays and they are normal. My fingers are forming knobs on them and hurt constantly. My movement is getting more and more limited. I can barely bend my affected fingers. I feel sick al... Read Full »
Answer: Hello, Welcome to icliniq.com. If the markers for inflammatory arthritis are negative, then, the possibility of chronic fatigue syndrome is there. I suggest you start Pregabalin or Duloxetine to see the response which will be helpful in chronic fatigue syndrome. Consult with your specialist do... Read Full »
I am facing emotional struggles and fatigue. What to do?
Query: Hi doctor,I often feel very fatigued and lethargic. It seems like nobody truly cares about me, and I harbor strong self-loathing. When I look at myself in the mirror, I feel a deep sense of self-hatred. I lack confidence entirely and struggle with extreme shyness. I experience persistent body aches,... Read Full »
Answer: Hi,Welcome to iCliniq.com. I have read your query and understand your concerns. It would be advisable to screen for clinical depression. You can take a self-rating depression test, such as Zung's Self-Rating depression Scale, available online. If the results indicate moderate to severe depression, I... Read Full »
Why do I have general weakness with sudden weight loss?
Query: Hello doctor, I have frequent fatigue with recent weight loss. In the past one year, I have been facing quite a few health issues. It all started late last year when I first experienced frequent chest pain, followed by an episode of sinus tachycardia. My 2D echo, stress test, troponin-I (1.5 ng/L) a... Read Full »
Dr. Mahmoud Ahmed Abdelrahman Abouibrahim
Answer: Hello, Welcome to icliniq.com. I understand your concerns. I have checked all the reports you attached (attachment removed to protect patient identity) and all are within the normal range except a hiatus hernia and GERD II, but you should not worry, as you can improve with the medications. From wh... Read Full »
I have reactivated Epstein-Barr for a year. Please help.
Query: Hi doctor, I have had reactivated Epstein-Barr for a year. I recently got a blood test, which said, faint monoclonal band detected in the gamma region, repeat blood test in six months. There is no immunoparesis, and my levels have risen in the last four months, but still in the normal range. What do... Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through your query, and I can understand your concerns. The brief history you have described suggest a possibility of past infection with EBV (Ebstein-Barr virus). Probably you had an episode of IMN( infectious mononucleosis) in the childhood, which is ... Read Full »
Are my tiredness, body pain, and headache due to being overweight?
Query: Hi doctor, I am a 26 year old female. I am a mother of a 3 year old boy. I have been feeling tiredness, body pain and headache for the last one month. My pre-pregnancy weight was 127 lbs. Now I weigh 145 lbs. Am I facing these issues due to my weight? Also, I went for a blood test recently. Most of ... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. I have gone through your reports (attachment removed to protect patient identity). There is no significant abnormality present in the reports. All the values are within limits. Diabetes, thyroid problem and anemia can be excluded from these reports. Here are a f... Read Full »
Do Vitamin B12 injections help fatigue?
Query: Hi doctor, I have been diagnosed with chronic fatigue syndrome. I am taking 0.11 oz of Valtrex a day, which increased from 0.07 oz for four months. Until a month ago, my CFS seemed to be improved. Then last month, I had a major setback with the return of symptoms beyond fatigue, such as heart palpit... Read Full »
Answer: Hi, Welcome back to icliniq.com. Based on your query, my opinion is as follows: Hemoglobin levels are good and should not be causing any of these symptoms. It appears to be more related to medication adverse effects. Vitamin B12 levels are high and injectable B12 will only increase it. Improvem... Read Full »
Can you suggest treatment for chronic fatigue?
Query: Hello doctor, I have chronic fatigue for the last few weeks. I underwent blood tests and have been taking Iron and Vitamin D supplements for a week now. But, I do not see any improvement. Read Full »
Answer: Hello, Welcome to icliniq.com. It can be chronic fatigue syndrome (CFS). At present, there is no cure for CFS. The treatment focuses on symptom relief. It affects people in many different ways. So, the treatment is individualized. What works for you may not be helpful for others. It requires a clos... Read Full »
I have been feeling sick and tired for the past six weeks. Kindly help.
Query: Hi doctor, I keep having these waves of feeling sick and tired with no energy for about six weeks now. Read Full »
Answer: Hello, Welcome to icliniq.com. Feeling tired or sick may have lots of causes. More information from you may help in giving a diagnosis. The causes could be: The most common cause is anemia. Do a complete blood picture to rule it out. Record your temperature to check for a fever or an infection... Read Full »