Recently Answered Questions
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How do I titer my oxygen level to combat Co2 retention?
Query: Hello doctor, I feel that I am a complicated case and I am trying to figure out the best way to titrate my oxygen treatment. I have late-stage cystic fibrosis, and I am experiencing a few months of exacerbation that has led to me needing oxygen full time. A few weeks ago I began, for the first time,... Read Full »
Answer: Hello, Welcome to icliniq.com. Well, that was a wonderful and well-detailed query. I will answer your query in parts. Regarding your insensitivity to low oxygen (O2) saturation: Well, this is an expected development in long-standing lung problems. Continuous exposure to low oxygen levels over lon... Read Full »
Below which percentage of oxygen saturation is oxygen support needed?
Query: Hello doctor, My mother was affected with COVID-19 around nine days ago. She experienced fever (only for a couple of days), cough is present still, and there is so much weakness. Today, her pulse oximeter dropped to 93%, and we had a CT Scan. She is currently on an oxygen bed under doctor care. Can ... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern. Do not worry. Oxygen saturation of 93% is acceptable. Oxygen is needed when the SpO2 drops less than 90%. Your mother will be fine. 1) Please ask your mother to do breathing exercises with a respirometer. 2) Do not do any strenuous work. ... Read Full »
Is it safe to stop feeding and start oxygen support in my baby who had breathing difficulty?
Query: Hello doctor,My baby is a preterm boy. His actual age is 7.5 months and corrected age is 4.5 months. Birth weight was 34.29 oz and his current weight is 12.35 lbs, drinking man-pro around 3.33 oz, 5 to 6 times a day. Since the last 10 days, he has also started on semisolid food. He had breathing dif... Read Full »
Dr. Bhaisara Baraturam Bhagrati
Answer: Hi, Welcome to icliniq.com. I understand your concern. Your concern is whether oxygen was necessary. Whenever the baby is having wheezing and respiratory distress, giving Oxygen is necessary to avoid impending ventilation-perfusion mismatch. It is considered as supportive therapy even though the m... Read Full »
Does a negative RT-PCR report mean no COVID-19 infection?
Query: Hi doctor, These are the treatment details of a 54-year-old severe pneumonia patient with a height of 5 feet 4 inches and weight of 154.32 Ibs each day from testing COVID-19 positive of a patient. On the first day of the symptom, her blood sugar levels and fever were high. So COVID-19 kit was given ... Read Full »
Answer: Hi, Welcome to icliniq.com. Thanks for the query. I can understand your concern. According to your statement, your patient has been suffering from severe COVID-19 (coronavirus disease 2019) pneumonia. Though your patient has become COVID-19 negative, she is now in the ICU (intensive care unit) an... Read Full »
Why does my father keep having unconcious episodes?
Query: Hi doctor, My father is 55 years old. He is good in terms of his health and weight. He recently had a large AVM (Arteriovenous Malformation) rupture and he was flown to the nearest hospital. He had a craniotomy to remove AVM and the ICH (Intracerebral brain hemorrhage) caused a large stroke. He was ... Read Full »
Dr. Hardik Nareshbhai Rajyaguru
Answer: Hi, Welcome to icliniq.com. When the cortical damage is widespread, the consciousness is impaired. Your father has come out from the deep unconsciousness, he is recovering now. During recovery, this sort of episodes are common and gradually the frequency of this episode would come down. Other factor... Read Full »
Query: Hello doctor, My baby boy is not maintaining oxygen. He is on medical oxygen. He was delivered two months ago.Doctors diagnosed a swelling on his brain and said blood may be present. Yesterday I received his CT scan (computed tomography) of my baby and the report findings are given below: 1. Blood ... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and understand your concern.I want to know the following details:1. Was the delivery a normal delivery? or is he a pre-term or post-term baby? Was he delivered by using forceps? or did the doctors perform a cesarean section?2. Did the baby have any se... Read Full »
What is meconium aspiration syndrome?
Query: Hi doctor, My daughter born seven days back is suffering from meconium aspiration syndrome (MAS). I would like to know, how we measure her growth of lung capacity. Read Full »
Answer: Hi, Welcome to icliniq.com. In newborns measurement of lung capacity is not as useful as in adults. Important clinical signs of respiratory effort, respiratory rate and the X-rays that had showed the meconium aspiration syndrome (MAS) and also the general condition of baby. These are the importan... Read Full »
I am a hospitalist and gave 100 % oxygen to a COPD patient. Is it fine?
Query: Hello doctor, I need help with a question. I was working as a hospitalist. A 67-year-old man had been admitted over the weekend for confusion and a high ammonia level. He had also fallen down five to six times before admission. He had a history of chronic obstructive pulmonary disease (COPD) with pe... Read Full »
Answer: Hello, Welcome to icliniq.com. Patients with long-standing COPD (chronic obstructive pulmonary disease) controlled oxygen therapy should be given to avoid suppression of hypoxic respiratory drive. So unless they are on BIPAP(bilevel positive airway pressure) or invasive ventilatory support, oxygen ... Read Full »
Why is my mother having breathing difficulties while walking and doing daily chores?
Query: Hi doctor, I am consulting for my mother. She had brain aneurysm surgery, almost six to seven years back. She also has some lung problem. She used to have asthma earlier, but recently she has problem in breathing while walking and doing daily chores. She has headache and her whole body aches. She is... Read Full »
Answer: Hi, Welcome to icliniq.com. I can understand your concern. I have gone through the reports you have attached (attachments removed to protect the patient's identity). She might be having tuberculosis in the past, because her CT (computed tomography) scan is suggestive of a fibrotic lung. This means ... Read Full »
What is the treatment for inhaling drywall dust?
Query: Hello doctor, I have a question in regards to pulmonology and exposure to crystalline silica. I have done a ton of research on the internet regarding this subject and probably know as much as anyone can know based solely on internet information. So I am hoping someone with a more advanced knowledge ... Read Full »
Dr. Amol Kumar Wasudeorao Diwan
Answer: Hello, Welcome to icliniq.com. I have surfed your links and understood your problem in detail. (attachments removed to protect patient identity) After silica exposure you are suffering from what is called as acute silicosis. Acute silicosis results from short term exposure to very large amo... Read Full »