Recently Answered Questions
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What is the difference between myocardial bridge and NSTEMI?
Query: Hi doctor,I have been suffering from chest pain on and off for quite some time now. The frequency of chest pains has been increasing over the last few months. I had chest pain twice last year before 7 and 14 months. I was hospitalized with chest pain and with mildly elevated troponin T. The discharg... Read Full »
Answer: Hello, Welcome to icliniq.com. I thoroughly read your query and understand your concern. Please tell me the following details so that I can help you with the concern: 1) Did NSTEMIs (non-ST segment elevation myocardial infarction) occur after exertion or at rest? 2) What were the symptoms during NST... Read Full »
Can sinus and turbinate problems cause breathing difficulties?
Query: Hi doctor, Operation for supraglottic collapse, laryngomalacia last year, increasing difficulty in breathing and swallowing for four years, supposed to have operation on maxillary sinus right ethmoid and CT scan of paranasal sinuses, was meant to have submucous diathermy of inferior turbinates, and... Read Full »
Dr. Bhadragiri Vageesh Padiyar
Answer: Hi, Welcome to icliniq.com. I personally feel you have been having chronic obstructive sleep apnea at different levels. However, the symptoms of difficulty in opening your mouth and yawning can be related to the temperomandibular joint. The other symptoms such as weakened chest moments causing disco... Read Full »
Why do I have excessive daytime sleepiness? How to treat it?
Query: Hi doctor, I am a 16-year-old female. My weight is 85 kilograms, and I have a height of 5 feet 3 inch. I have excessive daytime sleepiness for the past three years. It got started in me before three years, and my parents took me to the local GP immediately. They did blood tests and told that I have... Read Full »
Answer: Hi, Welcome to icliniq.com. You have obstructive sleep apnea. Please say about other symptoms whether you had snoring, interrupted sleep, unrefreshed sleep, and morning headaches. If you had these symptoms, it supports the diagnosis. It is a condition characterized by obstruction of upper airway esp... Read Full »
Why do I feel hard to sleep at night?
Query: Hi doctor, I am having trouble with sleeping at night. I feel exhausted all day. I do not understand the reason. Can you help me? Read Full »
Answer: Hi, Welcome to icliniq.com. I have gone through your query and can understand your health concern. Disturbed sleep at night can be due to many reasons. If you are having any kind of mental stress or anxiety, then it can cause disturbed sleep at night.Other causes are sleep disorders, obstructive sl... Read Full »
A male with muscle spasms is tired and sleepy throughout the day. What could this be?
Query: Hello doctor,This is regarding a male aged 48 with high blood pressure, diabetes, sleep apnea, and overweight. He has muscle spasms or shakes, drops things because of this, cannot stay awake during the day. It affects his driving and family life. He can nap for a few hours and when he gets up falls ... Read Full »
Dr. Mahmoud Ahmed Abdelrahman Abouibrahim
Answer: Hello,Welcome to icliniq.com.It is clear that he has obstructive sleep apnea which causes interrupted sleep during the night due to obstruction of the nasopharyngeal air flow. As a consequence, he becomes sleepy in the daytime. Confirmation of the diagnosis requires: Polysomnography. Over the night ... Read Full »
Is there a permanent cure for obstructive sleep apnea?
Query: Hello doctor, I was diagnosed with obstructive sleep apnea and secondary pulmonary hypertension two years back. I am using a CPAP but, not too regularly now. When sleeping, I often feel a blockage of my air passage, especially while exhaling, as if suddenly clogged by some tissues. This would repeat... Read Full »
Answer: Hello, Welcome to icliniq.com. We need to find your apnea score. You must have done polysomnography before using the CPAP (continuous positive airway pressure) machine. Kindly share the reports so that we can know your apnea score. OSA (obstructive sleep apnea) can be treated by the surgical re... Read Full »
Would you please interpret the sleep apnea test results?
Query: Hi doctor, I have difficulty breathing on the left side of my nose, and I also have difficulty breathing with a mask. I am unable to have a long night's sleep. I have high cholesterol levels, which doctors say is not related to food, but stress. I have done a sleep apnea test wearing a breather and... Read Full »
Answer: Hello, Welcome to icliniq.com. I can understand your concern. According to your statement, you have been suffering from difficulty breathing in the left side of the nose, difficulty breathing with the mask, and inability to have a long night's sleep. You have recently done a sleep apnea test. The ... Read Full »
Is there any test to diagnose chronic body pain associated with movement?
Query: Hello doctor, I am a 44-year-old man with undiagnosed chronic body pain associated with movement. Sed rate and CRP in normal range, uric acid level tested after a bout of kidney stones last year, but that was also in normal range. Is there any tests you could suggest to my attending? Please advi... Read Full »
Answer: Hello, Welcome to icliniq.com. The normal ESR and CRP essentially rules out inflammatory conditions. Uric acid levels, if high, can lead to joint pains, not body pains. Based on you height and weight, your body mass index is 37.3. This is considered morbid obesity. People with high BMIs can have... Read Full »
Can my mouth breathing habit lead to sleep apnea?
Query: Hello doctor, I am 19. I am partly a mouth breather since childhood. I mean, I breathe through my mouth only while sleeping. Is it harmful? Will I get sleep apnea? I am a thin guy with no snoring issues. Read Full »
Answer: Hello, Welcome to icliniq.com. I just read your query about mouth breathing. I would like to say that yes, eventually it causes enlarged tonsils as well as adenoids, and causes a nasal obstruction leading to obstructive sleep apnea. It can happen in any body type. If your nose is blocked because... Read Full »
I get violent diaphragm convulsion during sleep. Please help.
Query: Hi doctor, Last night during sleep, I was awoken by a violent diaphragm convulsion. I felt a sensation of being drawn down into a cold dark blackness. It was very much disturbing and I felt like I was going to die. I had benign arrhythmias with follow up Holter monitor and stress test revealed no si... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand that you have been investigated for arrhythmia - paroxysmal (attachment removed to protect patient identity), but my main concern here would be obstructive sleep apnea (OSA). There is a scoring system that we use to stratify your risk for OS... Read Full »