Recently Answered Questions
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When I wake up, my heart is often racing. Why?
Query: Hello doctor, I am a 61 year old man and in reasonably good health apart from being overweight and diagnosed diabetic 10 years ago. The following has started after I lost a lot of weight. For the last 9 months, I have had to sleep sitting up in a chair and leaning to my left side. If I lie down to... Read Full »
Answer: Hi, Welcome to icliniq.com. My compliments for a detailed medical history of what you have been going through in the last nine months. I have gone through it and following are the points which are important to show the way to diagnosis: Heart rate increases on lying posture. No problems while ... Read Full »
Query: Hi doctor, Since the past four years, I am having a lot of stomach problems. It all started with loose motions at that time, and I used to take Ciplox-OZ or Norflox-OZ over-the-counter, and I used to feel better for two to three months. After a year, I started having acid reflux and burning sensat... Read Full »
Answer: Hi, Welcome to icliniq.com. After going through your concerns carefully, I feel your symptoms may be due to any one of the following. GERD (acid reflux). Small intestinal bacterial overgrowth. IBS (irritable bowel syndrome). I suggest you tablet Pantoprazole 40 mg and Zenflox-OZ (combination of Of... Read Full »
Taking Pantoprazole for high cholesterol. Can forearm tingling be signs of heart attack?
Query: Hello doctor, My husband has had high cholesterol for some time in the past week. He has mentioned that his forearms feel like they tingle after which clammy hands follow. It happens suddenly and stays for a while then goes away. It is not constant. He does seem to have had intestinal blo... Read Full »
Answer: Hello, Welcome to icliniq.com. Your husband's tingling is most likely due to the long time effect of Topzole (Pantoprazole) which causes hypomagnesemia which is reduced magnesium in the blood which in turn causes tingling and also increases the chance of a heart attack. There is nothing to worry fro... Read Full »
I often get a grumbling feeling in my stomach. What could it be?
Query: Hello doctor, From time to time, I get empty stomach or grumbling feeling below the sternum. No pain/ everything else is alright. My appetite is good, bowel movements are normal. The sensation can last several days, subside for days or weeks and then reappear. Ideas? Read Full »
Dr. Mahmoud Ahmed Abdelrahman Abouibrahim
Answer: Hello,Welcome to icliniq.com.I understand your concerns.From what you mentioned, most probably you have dyspepsia which is a problem due to abnormal gastric acid secretion. I suggest a trial of Pantoprazole 20 mg tablet once a day before breakfast for a month. Eat simple meals. Have Maalox (Magnesiu... Read Full »
I am having loose motion as a side effect of Pantocid HP? How to stop it?
Query: Hi doctor. I had Pantocid HP after doctor advice and had loose motion 4-5 times. For stopping loose motion what shall I do? For past six days I am taking Pantocid HP kit. No problem except loose motion of about 5-6 times and some weakness. I am taking Bifilac HP one tablet daily and a vitamin caps... Read Full »
Answer: Hi, Welcome to icliniq.com. I have seen your reports (attachment removed to protect patient identity). Pantocid HP kit contains Pantoprazole, Amoxicillin and Clarithromycin and is used in the treatment of gastritis by Helicobacter pylori bacteria. Pantoprazole reduces acid secretion while the other ... Read Full »
What is the cause of the pill-stuck sensation in my throat?
Query: Hi doctor, For about five days now, I have this sensation of a pill stuck in the throat right below Adam's apple. There is no pain at all. It is not there in the morning but will show up throughout the day. I can eat and swallow without any problem, and it seems to go away when I eat. It is not qui... Read Full »
Answer: Hi, Welcome to icliniq.com. The foreign body sensation in your throat is basically due to acid reflux. It is irritating the throat as acid raises high up to cause stickiness.Along with all the medicines you are taking, I would add few lifestyle measures. Avoid a sedentary lifestyle and at least move... Read Full »
What are the typical symptoms of asthma?
Query: Hello doctor, A couple of months ago, I started feeling tightness in chest, shortness of breath, and overall fatigue. I went to a walk-in clinic, they did an EKG, and everything was fine. They asked me to follow-up with a physician. The nurse conducted a complete blood test and a chest x-ray, and ev... Read Full »
Answer: Hello, Welcome to icliniq.com. My impression about your illness is gastritis and reflux disease, which is leading to reflux of acid into the lungs causing bronchoconstriction. This bronchoconstriction leads to shortness of breath and asthma-like pattern on the pulmonary function test (PFT). The pr... Read Full »
Are frequent bowel movements a symptom of a stomach bug?
Query: Hi doctor, For the past 10 days, I have been having frequent bowel movements. At first, it started with lots of pain, but the pain got subside after relieving my bowels. The stools were softer and of large quantity. No blood in stool, but a little bit of red color on my toilet paper. I have hemorrho... Read Full »
Answer: Hi, Welcome to icliniq.com. We are here to help you. Your history suggests two differential diagnosis:Irritable bowel syndrome. Colitis that is inflammatory bowel disease.Since your prior investigations were normal, irritable bowel syndrome is more likely.I need the following details in order to gui... Read Full »
I was diagnosed with IBS many years back. How to get rid of its symptoms?
Query: Hi doctor, I am a 42 year old male, who weighs 210 lbs, and I am 5.11 feet tall. I have been having severe digestive and related symptoms for quite some time. I was diagnosed with IBS many years ago, but I would like a second opinion. My symptoms include severe nausea, vomiting, diarrhea, fatigue,... Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through your reports (attachment removed to protect patient identity), they are fine except some neutrophilia, which is indicative of some inflammation or infection somewhere. Overall, it is fine. Do you have any fever or burning while urination?There is a ... Read Full »
Why did my doctor suggest gallbladder removal for right upper abdomen pain?
Query: Hi doctor, About a month ago, I experienced acute pain in my right upper abdomen and that radiated to my back. It happened after I had a high fat meal that night. The pain lasted for hours and continued as a dull ache for the next week. I made an appointment with a gastroenterologist and he advised ... Read Full »
Answer: Hi, Welcome to icliniq.com. We are here to help you. Such description of pain is usually seen in the gallbladder issues as well as acid reflux disease. There is no point in taking a second opinion from a gastroenterologist as he would suggest the same. Actually, his suggestion is right. ... Read Full »