Recently Answered Questions
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Can gluten allergy cause eczema in the whole body?
Query: Hello doctor, I am 52 years old. I have had an issue with topical dermatitis\eczema for about a year and a half. I have been using steroid creams and anti-itch cream but it kept coming back on and off. Three weeks ago I started getting hives and before two weeks, they covered most of my body from m... Read Full »
Answer: Hello, Welcome to icliniq.com. I have seen the attachments. (attachment removed to protect patient identity). It must be difficult for you with the itch and the rashes. Can you upload the report of your allergy testing? Why do not you go ahead and get the flute testing? It is a blood test and ... Read Full »
Query: Hi doctor, My nephew has been unwell since few days. Since two weeks, he has small blood patches on thigh, calves and ankles. Petechial rash and bruising are also present. The doctors have diagnosed him with ITP (idiopathic thrombocytopenic purpura). I am writing to you to get a second opinion. He ... Read Full »
Dr. Geetha Priyadarsini Kamminana
Answer: Hi,Welcome to icliniq.com. Isolated low platelet count with normal hemoglobin and CBC (complete blood count) usually is the key laboratory finding for ITP (idiopathic thrombocytopenic purpura) as there in this case. It is the diagnosis of exclusion however. I need few more details about his medica... Read Full »
Is inflammatory myopathy curable?
Query: Hello doctor, I am suffering from inflammatory myopathy confirmed by EMG, NCS and biopsy with CPK 2300 range and SGOT, SGPT also were little higher. I have already taken five days 1 g Prednisone steroid injections and later was on oral steroid tablets Omnicortil for 1 to 1.5 months reducing doses g... Read Full »
Answer: Hi, Welcome to icliniq.com. To be very honest myopathy inflammatory in origin needs lifetime treatment. We just have steriods and other immunosuppressive therapy to control the disease progression. Definitely, Prednisolone works magically but since it has lots of side effects, we taper and reduce it... Read Full »
What can be done for swollen turbinates due to rebound congestion?
Query: Hello doctor, I am on rebound congestion because of misuse of the nasal spray. I have used it seven days not knowing that will cause me rebound effect. My ENT doctor says to continue my spray due to my dry nasal congestion I think. Now I went back to him saying that, I had rebound congestion and m... Read Full »
Answer: Hello, Welcome to icliniq.com. Why do you feel the turbinates are not getting reduced? Is it because you see those big in the mirror? Is there any symptomatic improvement in nose block after the use of Mometasone? Turbinates usually increase and decrease in their size a few times a day. Additional... Read Full »
Query: Hello doctor, My mother is 43 years old and received 250 mg Methylprednisolone daily for five days, seven months back, because of COVID. What are the long-term severe side effects that I should watch out for? Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and can understand your concern. Usually, steroids, when taken for a longer duration, like two to three months or more, cause chronic long-term side effects like diabetes, hypertension, osteoporosis, skin changes, and mood swings. So since she took... Read Full »
What medicines can be taken for vomiting after having had IV Methylprednisolone?
Query: Hello doctor, My wife is a neuro patient and a week ago she was given five days treatment of Methylprednisolone intravenous. After her discharge, she has been vomiting every now and then. The vomiting usually occurs whenever she tries to move about and travel in cars to see her neurologist. Although... Read Full »
Answer: Hello,Welcome to icliniq.com. Considering the nature of the disease, steroids and the Rituximab, you have to take care of few things: Chances of gastritis and gastric ulcers. Never keep the stomach empty. Have short frequent feeds. Abstain from spicy, fried foods. Abstain from carbonated drinks. Reg... Read Full »
I had a sudden outbreak of hives. Are my medications appropriate?
Query: Hello doctor, This is regards to my urticaria problem. I had a chronic urticaria three years back, for which I underwent a course of Loratidine and Xyzal-M for close to one and a half years and was keeping well. All of a sudden, I had a severe outbreak of hives last week and was put on Dazit-M, Alle... Read Full »
Answer: Hello, Welcome to icliniq.com. At the moment, you are having acute exacerbation precipitated by one of the exaggerating factors like artificial flavoring agents, any drugs or some chemical agents. You have already been prescribed steroid which is Methylprednisolone for three days and some other a... Read Full »
Will long time steroid use for RA prevent me from having children?
Query: Hello doctor, I am a 28 year old male. I have been diagnosed with RA. And another rheumatologist told me I do not have enough symptoms for RA. However, I have been using Methylprednisolone 4 mg for almost four years every day. And this helps me completely get rid of any problems. If I do not take it... Read Full »
Answer: Hello, Welcome to icliniq.com. Well, it is a tough spot you are on. It will be difficult for a new rheumatologist to diagnose if you are already on steroids and the symptoms get masked. But I will try to simplify it for you here. Could you let me know the results of rheumatoid factor, anti-CCP an... Read Full »
Why is there loss of smell and taste in chronic rhinitis even after medication?
Query: Hello doctor, I am diagnosed with chronic rhinitis by an ENT doctor. I cannot sleep at night and barely eat anymore because I cannot taste or smell anything. My nose is always stuffy. I tried Neti pot, sinus irrigator, herbs, and steam inhalation. I cannot seem to find anything that helps except... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your problem. It can be a bothersome problem in your case. Chronic rhinitis should be evaluated, and any condition causing it should be addressed specifically. If you could show me the findings of the nasal endoscopy it will be useful for me to make a de... Read Full »
What medicines can be taken for severe itching and rash throughout the body?
Query: Hello doctor, I have itching and rash on my arms and legs for one week now. There was no itching before. I went to a dermatologist and got some medicines. However, the rash keeps spreading and since the last Thursday, I have fever constantly of 101 degrees. The rash has spread all over my arms and l... Read Full »
Answer: Hello, Welcome to icliniq.com. I went through the attachments (attachment removed to protect patient identity). You seem to have acute urticaria or acute dermatitis. I suggest you continue with tablet Mod Pan (Pantoprazole Sodium Sesquihydrate) 40 mg empty stomach. However, I would like to add... Read Full »