Recently Answered Questions
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Recently, my father had second heart attack and a stent is placed. Please suggest your opinion.
Query: Hi doctor, My father is 62 years old and he had a second heart attack recently. The first one was before seven years and a stent is placed. Now again a stent is placed in the left circumflex artery. His recent ECHO report shows diastolic dysfunction of grade 1, with mild mitral regurgitation and tr... Read Full »
Answer: Hi, Welcome to icliniq.com. I feel sorry to hear about your father's health condition. When a person gets a heart attack, then it is necessary to follow a lifestyle modification, and medications are needed to be taken. He should eat a healthy diet like a Mediterranean diet. It is low in cholesterol,... Read Full »
Is there any alternative treatment for intestinal stricture other than surgery?
Query: I want to ask someone about alternative treatment options for a high risk intestinal stricture for a patient with crohns disease. Crohns disease has been diagnosed for around 15 years (she is 31). She currently takes azathioprine. I am not sure the part of the bowel unfortunately. I believe it is si... Read Full »
Answer: Hello..I welcome you to icliniq. Well surgery is the last resort, and it may not end up in stoma formation. Most commonly a resection and anastomosis of the bowel is performed and the lumen is continued without stoma formation. however stoma formation is a possvlibity but not a rule. Biologics li... Read Full »
Is there a permanent cure for diabetes and angina in me?
Query: Hello doctor, I am 54 years old, and I feel pain in my chest, I have symptoms of angina pectoris, and I am a diabetes patient (type 2). Can I have sex or masturbate? I have been visiting my doctor no results; how can I cure this? Read Full »
Answer: Hi, Welcome to icliniq.com. If you can climb two flights of stairs and can walk three to four blocks without symptoms of chest pain or shortness of breath, you can do sex. But it would help if you had a workup for angina. If it occurs frequently, you should have angiography done. Read Full »
Why is there atrial fibrillation in a patient with stent?
Query: Hello doctor, My grandfather is experiencing atrial fibrillation. He got stents 20 years back. Read Full »
Answer: Hello, Welcome to icliniq.com. There is nothing to worry about it. It is common in elders and heart patients. There are two aspects of treatment, one is to control the heart, which is already controlled in ECG report (attachment removed to protect patient identity) and another is to have blood thi... Read Full »
I want Ayurvedic treatment for a 70 percent block. Please help.
Query: Hi doctor, I am suffering from diabetes and high blood pressure. A day back, I had an angiography due to diabetes and high blood pressure. One day before, l had angiography due to my two NYSE (healthcare index) having a block up to 70 percent. What should I do to cure it? My age is 37, and the docto... Read Full »
Dr. Mahmoud Ahmed Abdelrahman Abouibrahim
Answer: Hi, Welcome to icliniq.com. I understand your concern. The appropriate management of your ischemic heart disease includes: 1. Strict control of blood sugar level (HbA1c (glycated hemoglobin) below 7 percent). 2. Strict control of blood pressure (below 130/80 mm/Hg). 3. Regular medications for ... Read Full »
Can stopping Effient make you sweat more?
Query: Hello doctor, About four or five years ago, a stent was placed in my 90 % occluded left circumflex cardiac artery. For four or six months before that, I had drenching night sweats and had to change clothes twice a night. After the procedure, the doctor prescribed Effient so blood would not clot. A f... Read Full »
Answer: Hello Welcome to icliniq.com. I thoroughly read your query and understand your concern. Sweating may occur in clogged arteries but not in the pattern you are having. Twice at night, time is unlikely for clogged arteries to cause these. Sweating in heart patients may occur with a coronary syndrome,... Read Full »
Can a history of heart stunts cause frequent illness to the body?
Query: Hello doctor,I am usually getting a fever, and a couple of years back, I had three heart stents done. Read Full »
Answer: Hello, Welcome to icliniq.com. I can understand your concern. According to your statement, you have been suffering from a fever for few days, and you have a history of three heart stents. The duration of fever is important with associated features like cough, shortness of breath, abdominal pain, n... Read Full »
I have fever after kidney operation. Can I remove the stent now?
Query: Hello doctor, I had a kidney stone operation on the first of this month. I had fever (temperature 102 degrees Celcius) four days back. The doctor gave me an antibiotic on the same day when I reported to the hospital at night. Again I had a heavy temperature the next day, early morning and night. Tem... Read Full »
Dr. Samer Sameer Juma Ali Altawil
Answer: Hi, Welcome to icliniq.com. Thanks for writing in, and I understand your concern. As you have a fever, there may be a chance that you have an infection, and it is dangerous to be only on oral antibiotics. I suggest you get admitted and be on intravenous hydration with antibiotics. I also suggest t... Read Full »
Query: Hello doctor,I was 15 years old when I underwent surgery for stent placement. I am 25 years old now and I am still taking Enalapril 20 mg once a day. Recently I have noticed changes in my heartbeat for a while. Though I am in decent shape, I get winded by running up the staircase. I am doubtful if t... Read Full »
Answer: Hello, Welcome to icliniq.com. Your first query consult is on us! There could be multiple reasons for overwhelming heartbeats. A few of them are listed below. The reasons are atrial fibrillation leading to shortness of breath and stent failure or altered heart function. I suggest you to follow a f... Read Full »
Is there any need to change the prescription after six months of stent surgery?
Query: Hello doctor, My father had a heart stent operation six months ago. Doctor prescribed some medicines, and still, he is using them. Should he continue the same dosage of drugs or any changes in the prescription? Please suggest to me. Read Full »
Answer: Hello, Welcome to icliniq.com. I have seen the prescription (attachment removed to protect patient identity). The same medications are continued for one year, and afterward, the dose is reduced. So, I would advise my patients to continue with these for a total of one year if they do not have any s... Read Full »