Recently Answered Questions
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I suspect of having early nail clubbing. Please help.
Query: Hello doctor, Does this look like an early nail clubbing? I came across something on the internet and started looking at my nails. I did a Schamroth test and I have a very small window. I am a bit concerned. Read Full »
Answer: Hello, Welcome to icliniq.com. Nail clubbing is present if oxygen saturation is low or if there is an increase in reduced hemoglobin for a long time. All clinical tests like Schamroth have its own drawback. So do not rely on Schamroth. Clubbing can occur without any disease. You need to get one art... Read Full »
How to manage COVID-19 patients with pneumonia?
Query: Hello doctor, Can you examine the reports for pneumonia associated with COVID-19? Read Full »
Answer: Hi, Welcome to icliniq.com. According to your CT (Computed Tomography) chest report (attachment removed to protect the patient's identity), multiple areas of ground-glass opacities are seen in the lobes of both lungs, suggestive of a severe form of COVID-19 (Coronavirus disease - 2019) and pneumon... Read Full »
What to do if my mom's oxygen level is 70 % after treatment?
Query: Hello doctor, My mother is 63 years old. She is having severe cough from more than a year, and last year, she was admitted to the hospital. The doctors gave oxygen O2 therapy and bilevel positive airway pressure (BiPAP) for four months, and she was fine for few months. Again, the severe cough along ... Read Full »
Answer: Hi, Welcome to icliniq.com. I have seen all her reports (attachment removed to protect patient identity). Her diagnosis is COPD (chronic obstructive pulmonary disease) with cor pulmonale and PAH (pulmonary arterial hypertension). If her SpO2 is 70 % by a pulse oximeter, then she should be admitted ... Read Full »
My 13-month-old has fluctuations in her saturation levels. Why?
Query: Hi doctor, I am writing regarding my daughter, who is 13 months. She has failed to thrive and has a few other issues, including CLD (no oxygen requirement), and mild LPA stenosis. We still have a monitor at home that we want to keep until she turns one year. Recently I noticed that her saturation is... Read Full »
Answer: Hi, Welcome to icliniq.com. I have gone through your history in detail. Here are the points I would like to bring to your notice: 1. Any saturation of 85 % and above is acceptable, and you need not worry if the saturation drops to up to 87 % and stays there for not even a second and then comes ba... Read Full »
Does a reduction in SpO2 to 93% indicate affected lungs?
Query: Hello doctor, I was diagnosed with COVID-19 two days ago. I have a cough and fever between 37.5 degrees Fahrenheit to 38.5 degrees Fahrenheit. My oxygen saturation (SpO2) is 97 to 99 % when I am sitting or standing. However, it reduces to 93 to 95 % when I am lying down. Are my lungs affected? Shoul... Read Full »
Answer: Hello, Welcome to icliniq.com. Are you having any difficulty in breathing? I suggest you walk continuously for six minutes and then check the saturation at the end of six minutes. If it is less than 95% or you have difficulty breathing, consult a nearby doctor immediately. Cough and tiredness are e... Read Full »
My mom’s oxygen level fluctuates. Is it due to a cardiac cause?
Query: Hello doctor, I measured my mother's oxygen via a finger oximeter. It fluctuates from the high 80s to mid-90s though the shortness of breath is not readily evident. I will have a telephone consultation with the doctor next week, but I think her heart is weakening. The other issue I noticed this last... Read Full »
Answer: Hello, Welcome to icliniq.com. Low SpO2 (saturation of peripheral oxygen) without apparent shortness of breath suggests the possibility of OSA (obstructive sleep apnea) or hypoventilation rather than the cardiac cause. Such patients tend to have chronic hypoventilation and low SpO2, so they tolera... Read Full »
Why did my father’s doctor ask to use pulse oximetry on him?
Query: Hello doctor,My father is diabetic and was diagnosed with COVID-19. The doctor asked me to use a pulse oximeter to check his oxygen levels. Why does a COVID-19 patient need a pulse oximeter? What is the normal pulse oximeter range, and how should I use it? Read Full »
Answer: Hello, Welcome to icliniq.com. I can understand your concern. A pulse oximeter helps check blood oxygen levels. COVID-19 patients develop hypoxia when the infection is severe and damages the lungs. We need a pulse oximeter to check the patient's hypoxia or oxygen levels. The normal range of oxygen s... Read Full »
Below which percentage of oxygen saturation is oxygen support needed?
Query: Hello doctor, My mother was affected with COVID-19 around nine days ago. She experienced fever (only for a couple of days), cough is present still, and there is so much weakness. Today, her pulse oximeter dropped to 93%, and we had a CT Scan. She is currently on an oxygen bed under doctor care. Can ... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern. Do not worry. Oxygen saturation of 93% is acceptable. Oxygen is needed when the SpO2 drops less than 90%. Your mother will be fine. 1) Please ask your mother to do breathing exercises with a respirometer. 2) Do not do any strenuous work. ... Read Full »
Why does my father keep having unconcious episodes?
Query: Hi doctor, My father is 55 years old. He is good in terms of his health and weight. He recently had a large AVM (Arteriovenous Malformation) rupture and he was flown to the nearest hospital. He had a craniotomy to remove AVM and the ICH (Intracerebral brain hemorrhage) caused a large stroke. He was ... Read Full »
Dr. Hardik Nareshbhai Rajyaguru
Answer: Hi, Welcome to icliniq.com. When the cortical damage is widespread, the consciousness is impaired. Your father has come out from the deep unconsciousness, he is recovering now. During recovery, this sort of episodes are common and gradually the frequency of this episode would come down. Other factor... Read Full »
Can you go through the reports of my relative's daughter and suggest a treatment plan?
Query: Hello doctor, My relative's daughter, who is 16 years old, met with a car accident. She is admitted to the hospital. Please give your suggestions on her case. She is currently undergoing surgery. The below extract was of her case study. The doctors say that the body below her neck is not moving. Can... Read Full »
Dr. Hardik Nareshbhai Rajyaguru
Answer: Hi, Welcome to icliniq.com. I understand the case scenario. The reason behind her low blood pressure and inability to move all four limbs is actually the cervical spinal cord injury. Surgery is risky because of low blood pressure, but it is possible to operate if the anesthetic team is able to manag... Read Full »