Recently Answered Questions
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I have had multiple concussions. Is it due to growth hormone deficiency?
Query: Hi doctor,I am a 28-year-old male, and I have been living with a lower quality of life for the past eight to nine years, starting around six to seven months after I had a pretty severe concussion. I had been diagnosed with post-concussion syndrome and saw several neurologists who ran numerous tests ... Read Full »
Answer: Hello, Welcome to icliniq.com. I just read your query, and from what you have mentioned, I feel that you could have osteoporosis or osteopenia rather than growth hormone deficiency. You can have your bone DEXA scan done and follow up with your orthopedician if it turns out to be either. Growth hor... Read Full »
How long can I take HRT, and will it cause any trouble when taken for a long time?
Query: Hello doctor, I have just received my blood results of thyroid and hormone blood test, and I require your help, please. I am 54 years old woman, who is 5.6 feet tall and weigh 183 lbs. I have suffered from ill health for many years and cannot remember the last time I felt well. I had a complete hyst... Read Full »
Answer: Hi, Welcome to icliniq.com. I am sorry you have had to go through a lot. I really appreciate your writing all your problems in such a detailed way, which makes me easy to understand all your symptoms fully. Most importantly it is high time you stop your hormone replacement therapy (HRT). HRT shou... Read Full »
I have had bone loss and underwent a bone density test. Should I go for tablets or injections?
Query: Hello doctor, I had done a bone density test, and my bone loss is worse this year than last. My doctor suggested me to take an injection or a pill for it. I took the tablet Fosamax last time and had a bone ache. I am also taking tablet Lipitor and a baby pill once a day. What is the best way to trea... Read Full »
Answer: Hello,Welcome to icliniq.com.I can understand your concern. I would suggest you to take calcium pills daily and a vitamin D3 loading dose once a week or an injection once a week with a daily dose of vitamin D3.Can you please send me reports of calcium, vitamin D3, and bone density tests? Please repl... Read Full »
My mother takes medication for high cholesterol and osteoporosis. Kindly review her blood reports.
Query: Hello doctor, I got my mom’s routine blood work done recently. Can you please take a look at her report and let me know if you have any comments or recommendations? She is 59 years old and does not have any illness. As per our family doctor’s prescription, she takes the following medications: 1.... Read Full »
Answer: Hello, Welcome to icliniq.com. Since when is she taking vitamin B12 and vitamin D supplements? What is the dose of cholesterol medicine, vitamin B12, and vitamin D supplements? Her reports (attachment removed to protect the patient's identity) are fine except for mild elevation of LDL (low-density... Read Full »
My mother suffers from long-standing osteoporosis. Why does she have pain in her knees also?
Query: Hello doctor, My mother has long-standing osteoporosis. Her knee pain has increased for the past few months. I am attaching her reports. How to interpret the results? Please help. Read Full »
Answer: Hello, Welcome to icliniq.com. I went through your query and understood your concern. I went through her reports (the attachments removed to protect the patient's identity). It seems she has osteoarthritis. Osteoarthritis is an age-related degenerative condition that affects the major joints like th... Read Full »
Why do I have trigger problems in the middle finger of both hands?
Query: Hi doctor, I am having trigger problem in the middle finger of my left hand over a year. But, the same finger of my right hand has now developed the same problem. They are especially bad in the morning and it is difficult to straighten them. I can feel a very heavy click when I do it. I had blood te... Read Full »
Answer: Hi, Welcome to icliniq.com. The most important information to know would be x-ray of your hands. There are different types of arthritis like autoimmune, osteoarthritis and gout. It could also become worse with your new medications as they can cause bone loss and pain. It may also occur if you... Read Full »
Why do I have muscle weakness even after increasing my daily intake of protein?
Query: Hello doctor, I have had muscular weakness for the last two to three years. Six months ago, I came to know that the protein intake has to be 1 to 1.2 grams per kg body weight. Therefore, I added 25 gms protein to my daily intake of 40 gms. However, there has been no improvement in my symptoms. Also... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern. Muscle weakness is common in osteopenia. As BMD (bone mineral density) improves, there will be an improvement in your strength as well. Your protein intake is fine. Do you have a history of hypertension, diabetes, or thyroid disease? I sug... Read Full »
How to manage a piece of bone that has protruded through the gums?
Query: Hi doctor, I had a tooth extraction after having Zoledronic infusions. A few weeks back, a small piece of bone protruded through my gums. It caused ulcers on my tongue. I took two courses of Amoxicillin. My dentist tried to pull the bone before realizing that it was fused with my bone. I was told... Read Full »
Answer: Hi,Welcome to icliniq.com.Please mention whether you have Paget's disease or osteoporosis. It is not a good sign to have bone exposure or protrusion. You did not mention the exact site. I assume that it is present on the lower tooth. Please mention whether the protruded bone came out through the soc... Read Full »
Is it advisable to take Etidronate disodium and Calcium Carbonate on the same day?
Query: Hi, Can Co Etidrocal- Etidronate disodium 14 days course & Calcium Carbonate 75 days after Etidisodium be taken on the same day, one in the morning and other in the evening? Read Full »
Answer: Hi, Welcome to icliniq.com.I assume, you are taking both these drugs for osteoporosis.I usually do not prefer to use Etidronate as it has to be taken daily.And there is nothing like 14 days course. We have better options, to be taken once a month only.However coming to your query, I do not find any ... Read Full »
Is it safe for a 60 year old to use Terifrac for osteoporosis?
Query: Hello doctor,My mother is 60 years old. She is being treated for osteoporosis currently for which we are already consulting a specialist. I am attaching few other reports towards which would request you to evaluate the same and let me know your interpretation and concerns and treatments if any. For ... Read Full »
Dr. Mahmoud Ahmed Abdelrahman Abouibrahim
Answer: Hello, Welcome to icliniq.com. I have checked the attached reports thoroughly (attachment removed to protect patient identity). Here is my comment: Fortunately, there are no autoimmune rheumatoid arthritis or SLE (systemic lupus erythematosus) as both ANA and anti-CCP are negative. Unfortunately, th... Read Full »