Recently Answered Questions
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I have pituitary gland growth issues. Please help.
Query: Hello doctor, I am suffering from abnormal growth of pituitary gland. The doctors were saying that my prolactin and growth hormone level is quite high. They suggested me for surgery. I was afraid for surgery. Then they said to take medicine Cabergolin 0.5 mg two tablets twice a week for three months... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your detailed query and gone through your reports (attachment removed to protect patient identity) and from what you have mentioned, it appears that you have hyperprolactinemia and raised IGF -1 which are being treated with Cabergoline. I would advise you to c... Read Full »
My husband has back pain after taking hydrocortisone. Why?
Query: Hello doctor, My husband underwent a surgery for pituitary macroadenoma. He is under medication. He is taking Histone tablet and the dosage is 10-5-5 (mg). He is advised to continue this for three months. But, he has gained a weight of 22.05 lb in the last month. Also, he complains that he has sever... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern. The weight gain could be related to a hormonal imbalance. For this reason, I would recommend checking his pituitary gland hormones again: 1. ACTH (adrenocortical tropic hormone). 2. TSH (thyroid-stimulating hormone). 3. FSH (follicle-stimula... Read Full »
What does the MRI show post pituitary macroadenoma surgery?
Query: Hello doctor, This query is regarding my husband's health. Three months back, my husband underwent surgery for pituitary macroadenoma. He was advised Hisone steroid tablet for three months. But he has a headache on and off. He has gained 19.8 lbs in three months, though he eats very little. Yesterda... Read Full »
Answer: Hello, Welcome to icliniq.com. The MRI (attachment removed to protect patient identity) does not show a residual or recurrent tumor as per what you have written as part of the MRI report. Hisone (Hydrocortisone) is a steroid supplement for hormonal imbalances, which may occur after pituitary surgery... Read Full »
Can the mass around pituitary in a pregnant woman be cancer?
Query: Hi doctor, I am 36 years old and pregnant. I have been experiencing more headaches in the last several weeks. I had an magnetic resonance imaging (MRI) (non-contrast) yesterday and it stated that I have a mass around the pituitary. I am very scared. The doctor today said I can have no further tests ... Read Full »
Answer: Hello, Welcome to icliniq.com. Yes, there is pituitary mass known as a pituitary adenoma (attachment removed to protect patient identity), there are hormonal studies you can go for: S. growth hormone level, S. IGF, S. prolactin, S.TSH, FT3, FT4, S. ACTH, S. cortisol. But the values of these hormone... Read Full »
What does my MRI for abnormal prolactin level indicate?
Query: Hello doctor, I had abnormal prolactin level and I did MRI. They found enlarged heterogeneous pituitary gland with two areas of heterogeneity. One measuring 5 mm on the left and one on the right measuring almost 8 mm. They are indeterminate but certainly could represent the microadenomas given clini... Read Full »
Dr. Khan Binish Iram Zaki Ahmed Khan
Answer: Hello, Welcome to icliniq.com. Indeed you are having a pituitary microadenoma as the size is less than 10 mm. And recurrence rate is 10 to 50 percent after surgical removal. So, medical therapy is preferred such as Dopamine agonist Bromocriptine. The patients resistant to Bromocriptine are given Cab... Read Full »
I am a 27-year-old female, and I have not been able to orgasm for a year. Please help.
Query: Hi doctor,I am a 27-year-old female. I have been suffering from a lack of pleasure in sex, orgasm, or bathing. I find this incredibly frustrating and distressing. I have not been able to orgasm in a year, and I feel this is unfair. Please help. Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. It can also be due to stress and anxiety if you take any medicine, oral contraceptive, or nutritional supplements. And also some deficiencies in the blood. You must do the following blood tests: PP (postprandial) glucose level. TSH (thyro... Read Full »
Can I continue with my suggested medicines for headaches, aura, and dizziness?
Query: Hi doctor,I have epilepsy for ten years and have not had any seizures for the past three years. But I have not been feeling good for the last three months. I have some aura and my back of the head until my shoulders feel throbbing, pinching, and blood rush feeling. I also have a weird feeling when I... Read Full »
Answer: Hi, Welcome to icliniq.com. I think there is some issue with Prolactin (hormone) and your report mentions pituitary microadenoma (attachments removed to protect the patient's identity). This headache seems to be a migraine headache. You may have to start anti-migraine medications. The medicati... Read Full »