Recently Answered Questions
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What is the reason for the pain under my right rib?
Query: Hi doctor, I am an 18 year old male, and I weigh 90 kg and 178 cm tall. I have pain under my right rib, and it hurts while breathing. I hope it is not liver related from alcohol. I had two drinks in the last few days, but those are the only drinks I have ever had. Read Full »
Answer: Hello, Welcome to icliniq.com. It does not seem to be related to alcohol drinking as per your history, as two drinks do not make much of a change with the anatomy of the liver. It is probably suggestive of muscle related problem. It might be myalgia or cellulitis. I suggest you get a liver functio... Read Full »
What medicines can be taken to treat grade 3 fatty liver?
Query: Hello doctor,My mother's reports are as follows: She has a grade 3 fatty liver. SGPT and SGOT are also not normal. What should we do now? I need suggestions on what to eat and drink. Read Full »
Answer: Hello, Welcome to icliniq.com. Your mother is diagnosed with a grade 3 fatty liver and deranged liver enzymes. The first thing is to know the cause of her fatty liver. Viral markers like HBsAg and anti-HCV antibodies must be done. Lipid profile, thyroid profile, and random blood sugar should b... Read Full »
Can binge drinking cause derangement in my liver enzymes?
Query: Hello doctor,I just had blood work done. The tests for my liver came back deranged and I have to have another test next week. My LFTs have always been normal. The night before I had the test I drank a lot and got tipsy. There was a hangover the next day. Could this be the reason for my deranged leve... Read Full »
Answer: Hello, Welcome to icliniq.com. Yes, deranged in medical terms means abnormal, and likely, in your case, there must be elevated liver enzymes like SGOT (serum glutamic oxaloacetic transaminase) and SGPT (serum glutamic-pyruvic transaminase). Likely, the cause is alcohol only. It directly affects on... Read Full »
I am worried about my fiance's weight gain. Please help.
Query: Hello doctor, I am concerned about excessive weight gain by my fiance. He is a 29 year old male, whose height is approximately 6 feet, and he weighs 150 kg. Over the last two years, my fiance had lost around 40 kg using the Banting diet, common in our country. It is based on the principles of no ca... Read Full »
Answer: Hello, Welcome to icliniq.com. Based on your description, it is advisable to perform the following tests to rule out any pathological cause of the weight gain. Thyroid function tests. Liver function test. Kidney function tests. Random and basal cortisol levels to check for an evidence of Cushings'... Read Full »
Can lymph nodes swell due to an allergy to fried foods?
Query: Hi doctor,I am a 35-year-old male. I had a fever of 100.2 degrees Fahrenheit on the eighth of last month, which only lasted for a day. But the fever was followed by a few symptoms. After the fever, my lymph nodes at the back of my ear were swollen. I also had a sore throat and mouth ulcers. My body ... Read Full »
Answer: Hello, Welcome to icliniq.com. Are you still having enlarged lymph nodes? Are those painful to touch? Is the size still the same as when you observed first? Is there any change? Do you have any throat pain now? Was any throat swab test done? Any blood test? Any difficulty or pain while swall... Read Full »
Kindly suggest after going through my elevated test levels.
Query: Hello doctor, I am a 34 year old male. I have found elevated test results in my recent blood report (liver function test). Could you give a review regarding this? Read Full »
Answer: Hi, Welcome to icliniq.com. I've carefully reviewed the attached report (identity protected), indicating the presence of hepatitis. In order to establish an accurate diagnosis and recommend appropriate treatment, it's essential to gather additional information. Firstly, did you experience any recent... Read Full »
My wife's breath smell like alcohol after taking meds. Why?
Query: Hello doctor, My wife has taken Ambien 5 mg, once or twice a week to get to sleep after a difficult day at work. She used to take the 5 mg without any problems, for almost a year. A couple of months ago, she started a course of Accutane. At first, she took 20 mg per day, now it is down to 10 mg per... Read Full »
Dr. Saraswat Kumarshri Shriniwas
Answer: Hello, Welcome to icliniq.com. The symptoms are most likely due to an interaction between Accutane (Isotretinoin) and Ambien (Zolpidem). This could increase the levels of Ambien in the blood immediately after taking it. The symptoms are highly suggestive of an allergic reaction. She could either be ... Read Full »
What are the lesions on the back of my 65-year-old dad?
Query: Hello doctor, My dad is 65 years old and has lesions on his back. I have attached images for your reference. What could these be? He has a normal liver function test although his abdominal ultrasound shows fatty liver grade 2. He also has a normal lipid profile. Read Full »
Answer: Hello, Welcome to icliniq.com. I have viewed the images attached (attachment removed to protect patient identity). The dark spots are perhaps seborrheic keratosis which is a benign epidermal skin lesion. They are a part of aging and only of cosmetic concern. If desired, the seborrheic keratosis can ... Read Full »
Can cholestasis cause itching on stretch marks?
Query: Hi doctor, I am 35 weeks pregnant. By last week my stretch marks were started to itch. So, my OG advised applying Calamine lotion (which does not contain antihistamine). It seemed to soothe the itching, but slowly the itching started spreading to my upper arms and thighs. Then she prescribed Avil ta... Read Full »
Answer: Hi, Welcome to icliniq.com. I have gone through your reports (attachment removed to protect patient identity). Let me start by putting you at ease by saying that you are normal and your doctor has been doing a great job. As you are near delivery, the skin stretches to its maximum and the tissue und... Read Full »
When does a hepatitis antigen be considered positive?
Query: Hello doctor, Recently, a friend said he was hepatitis antigen reactive, whose titer was 37.46/34.29. His doctor suggested a confirmatory test. At what level would the antigen be assumed to be positive? Read Full »
Answer: Hello, Welcome to icliniq.com. Your friend is tested to be positive for hepatitis B in the pre-employment screening. It is very common to see an HBsAg (hepatitis B surface antigen) positive result in a screening. Hepatitis B infection remains asymptomatic for decades, silently causing damage to th... Read Full »