Recently Answered Questions
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Can vigorous exercise result in low WBC count?
Query: Hello doctor, I recently had my complete blood test and said my WBC is low at 3.6, just below the reference range of 3.8. However all the other values of the WBC were in normal range. The RBC showed normal ranges too. Could this be due to increased exercise intensity everyday for the last two month... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to icliniq.com. I have read all three reports (attachment removed to protect patient identity). The total WBC (white blood cells) count is low only in the latest attached report. There are many causes for low WBC count, including viral infection to blood cancer. Your main fear is... Read Full »
Query: Hi doctor, My friend has seen just a pinch of blood while urinating. He immediately went to the doctor and they asked him to take some tests. I am attaching the reports. Please tell me if anything is serious. He does heavy gyming and running as well. Read Full »
Answer: Hi, Welcome to icliniq.com. I have seen your urine report. First of all do not panic. This is occasionally hematuria from the external urethral tract, not from kidney due to heavy exercise, mild trauma or ureteric stone. In the urine report, no blood is detected, it is completely normal. If he ha... Read Full »
I have started exercising vigorously, and now my iron levels have dropped. Please help.
Query: Hello doctor, I went for general blood work, CBC, and iron levels and all was normal three months back. I did another blood test recently and now my iron levels have dropped. Nothing has changed except that I have started exercising very vigorously. On the day of the test, I completed an exercise in... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and can understand your concern. I have gone through your reports (attachment removed to protect the patient's identity). Your hemoglobin level is well maintained. But as your iron stores are decreasing that means either there is some nutritional defi... Read Full »
Can I join the gym three years after varicocele surgery?
Query: Hi doctor, I had a type 2 varicocele three years ago. Later, I underwent through surgery and now, I have some mild pain over there but I also do yoga regularly without any stress or pain. Can I join gym as normal people do? Read Full »
Answer: Hi, Welcome to icliniq.com. Thank you for your query, I have gone through your query. Minimal pain post varicocelectomy can occur, if it is bothering you too much, you can examine to see if there is a recurrence. There are no limitations on physical activities with this surgery, especially since... Read Full »
I have dull pain in my chest, shoulders, and back. Why?
Query: Hi doctor, I have dull, tight chest pain near my sternum when breathing deeply or moving my shoulders and back (I get this sometimes and also have a bruise that runs along my sternum which appears from time to time). I did large amounts of strenuous physical activity yesterday. Is it normal? Read Full »
Answer: Hi, Welcome to icliniq.com. The symptoms you describe, such as dull, tight chest pain near your sternum when breathing deeply or moving your shoulders and back, as well as a bruise that appears on your sternum from time to time, could be related to a condition called costochondritis. This is a car... Read Full »
Is muscle twitching a predominant sign of motor neuron disease?
Query: Hello doctor, For about two weeks now, I have had a twitch in my left arm (triceps) that seems to be worse when I have my arm straight and down by the side of my body and less noticeable when I have my arm over my head and bent at the elbow. The twitch seems to be worse at times without any particu... Read Full »
Answer: Hi, Welcome to icliniq.com. This is acute onset localized twitches, started after strenuous activity. This seems to be physiological twitches that are occurring due to minor muscle or nerve injury. Just check for any weakness or loss of muscle mass in the region where you are developing twitches, ... Read Full »
Why do I have brown blood in my urine after an activity?
Query: Hello doctor, Two weeks ago, I observed brown blood in my urine after a 10-kilometer run. Also, I felt unwell and had stomach pain. However, a few hours after drinking, I did not notice any blood in my urine. A few days later, I visited a doctor who tested my urine and found blood and protein in my ... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern. It should be exercise-induced hematuria (blood in urine). It is a benign, self-limiting condition resulting in bleeding from kidney filters after exercise. I suggest you to consult a nephrologist for this. Also, adequate hydration during a... Read Full »
When shall I resume to normal workout and sports activities after fusion of T8-T10?
Query: Hi doctor, I had a spinal fusion done from T8-T10 about four months ago. The doctor says that I am pretty much healed and can assume regular activities. My questions are, since that area (T8-T10) is not that mobile, would I be able to run, jump, play tennis, etc, in a year's time compared to a fus... Read Full »
Answer: Hi, Welcome to icliniq.com. I can understand your concern. According to your statement, you had a spinal fusion surgery done from T8-T10 four months back and your query is about your abilities to perform strenuous activities after one year from the time of your operation. Actually, it will dep... Read Full »
Will heavy weightlifting result in elevated levels of ALT and AST?
Query: Hello doctor, My ALT - 53 (50 is the upper limit), and AST - 137 (35 is the upper limit). I recently had a full blood test done and the above figures were elevated. Doctor wants me to have an ultrasound. I have read online studies that suggest doing a heavy weightlifting workout can elevate the... Read Full »
Answer: Hello, Welcome to icliniq.com. Well, I completely agree with what you believe in-strenous exercise can cause this sorts of enzymes levels. An ultrasound may not provide important information, however, a complete set of liver profile can help to establish the cause of it. Namely, the other values i... Read Full »
I have rapid heart rate and dizziness after doing strenuous activity. Please help.
Query: Hello doctor, About a year ago, I had a long break from doing any type of fitness. About five months ago, I started doing more things again, mainly little things like going out to hang out with my horses, and going to a therapist for a bit. Then around two or three months ago, I decided to go to a ... Read Full »
Answer: Hi, Welcome to icliniq.com. As per your symptoms, you feel dizzy when you do strenuous work or when the temperature changes (I guess when it becomes hotter) and when it is humid. As you feel nauseated. And you said that all blood reports with thyroid reports are also normal. The chances are this is ... Read Full »