Recently Answered Questions
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For a BPH patient, what are the side effects of stopping Veltam plus?
Query: Hello doctor,My father, 74 years of age, has BPH. He had UTI four years ago and was diagnosed with BPH. PSA was 60 and last three years was on Urimax and past few months on Veltamplus. His PSA is 0.9 prostate size 45 cc and PVR is 70 ml. His symptoms have been the urinary frequency of every two hour... Read Full »
Answer: Hello,Welcome to icliniq.com.I would suggest you continue medicines as at present his flow (which is good) and postvoid (which is less, it should be less only) are because of medicines. I think if he stops the medicines then his urinary symptoms may get worse or postvoid may also increase. There is ... Read Full »
I feel dizzy and a fading consciousness. Please help.
Query: Hello doctor, I am a professor and I teach daily for six to seven hours in standing position. Two years ago suddenly I felt a loss of consciousness and restlessness. This increases when I speak on an elevated platform. I have a high fear to get down and there is an appearance of loss of control in ... Read Full »
Answer: Hello, Welcome to icliniq.com. I went through your post. Clinically, your symptoms are suggestive of a postural related drop in blood pressure. However, that will not respond to Paxidep (Paroxetine) which is an SSRI (selective serotonin reuptake inhibitor) and an antidepressant. I believe the sympt... Read Full »
What causes dizziness when you stand up from sitting?
Query: Hello doctor, This question is regarding my mother, who is 57 years old. She is getting episodes of dizziness from the last one and a half or two years. Most of the time, they are mild, and they occur for few seconds when she gets up or sits down. Sometimes, they stay long and are associated with na... Read Full »
Answer: Hello,Welcome to icliniq.com.No, it is not something to worry about. Her symptoms and response to Vertin (Betahistine), although incomplete, suggest that these are originating from the internal ear, which is the most common cause of dizziness in old age. This occurs due to age-related changes leadin... Read Full »
Why do I feel dizzy when I stand from my bed suddenly?
Query: Hi doctor, When I stand from my bed suddenly I feel dizzy for a minute. What causes this? My ECG and echo are normal. When walking, feel floating, and imbalance. Currently, I am taking Xynal, Avas 10 mg, Vertin OD, and Febuget 40 mg. Read Full »
Answer: Hello, Welcome to icliniq.com. So, this is suggestive of postural hypotension, meaning when you suddenly get blood supply to brain goes down and you get symptoms till body adjusts it. This is most of the time benign and not worrisome and goes away with lifestyle changes. However, we should r... Read Full »
Query: Hello doctor, I have been suffering from health problems for the last five months. I had a lot of discomfort in my stomach and around my teeth. My gynecologist thinks of endometriosis, and I suffered a root canal infection. However, it took a month of excruciating suffering for the infection to be d... Read Full »
Answer: Hello, Welcome to icliniq.com. Although it appears to be postural hypotension, it improves with electrolytes. Any laboratory can assess 9 A.M cortisol levels serum and 24 hour urine free cortisol levels. To identify iron deficiency anemia, I would also propose checking serum transferrin saturation... Read Full »
Based on the attached reports, is angiography the right course of action?
Query: Hi doctor, My mother-in-law's pulse had drastically fallen twelve years back, and she was admitted to a hospital. Subsequently, a pacemaker was inserted. It was replaced four years. Today we went for a routine checkup, as she complained of upper back pain and blackouts yesterday. The hospital had do... Read Full »
Answer: Hello, Welcome to icliniq.com. Please describe her symptoms in detail, including back pain and blackouts. Did she experience interruption while getting up from sleep or while sitting? Is she experiencing back pain recently or for a long time? Any worsening of pain from movements? Now her Echocard... Read Full »
I have giddiness while standing and walking. What can be the cause?
Query: Hi doctor, I am a 56-year-old male. I am on BP medicine Cresar 40 since a month. Prior to that, I was on Aten 50. Now, my BP is around 130/100 mmHg and before it was 160/106 mmHg. When I take my walk or I am standing I feel giddy, probably for less than a second. It is more prevalent when I turn my ... Read Full »
Answer: Hi, Welcome to icliniq.com. This is called postural hypotension. It is very common in hypertensive patients. I suggest you Telma H (Telmisartan and Hydrochlorothiazide) once daily. Consult your specialist doctor, discuss with him or her, and take the medicine with consent. Take normal salt in the ... Read Full »
Why do I feel dizzy when I get up suddenly?
Query: Hello doctor, Almost everytime I suddenly get up from sitting or laying, I feel very dizzy for about five to 10 seconds. I am better the longer I stand, it is just initially I am dizzy. I recently had a CBC, blood glucose, thyroid, and kidney function test that came back normal and during my physica... Read Full »
Answer: Hello, Welcome to icliniq.com. It is very common to feel this way when one suddenly changes his/her position from lying down to standing very abruptly. One should not abruptly stand up from lying position. It happens due to the sudden flow down extremities from above. So, due to a sudden change i... Read Full »
How do orthostatic hypotension and REM sleep disorder relate to Parkinson's disease?
Query: Hi doctor, What are orthostatic hypotension and REM sleep disorder, and how is it related to Parkinson's disease. How common do a combination of the two results in Parkinson's disease? I have afib. I also had an ablation a month ago. I have low blood pressure on standing and after running upstairs.... Read Full »
Answer: Hello,Welcome to icliniq.com.I understand your concern.Orthostatic hypotension is a common complication of the advanced stage of Parkinson's disease. The drop in blood pressure while standing up is suggestive of orthostatic hypotension.REM sleep disorder is another common complication of Parkinson'... Read Full »
My mom has been suffering from head spinning. Why?
Query: Hi doctor, My mom is suffering from sciatica pain. She is 45 years old. Her doctor suggested complete bed rest for two months. It has been a month for now. She is facing trouble to take breath properly (night times). She is having head spinning and a sensation of falling from bed. She is having hi... Read Full »
Answer: Hi, Welcome to icliniq.com. The possibilities for her head spinning are as follows. Probably, your mom is suffering from benign paroxysmal positional vertigo (BPPV). It can be controlled by a tablet like Vertin16 mg (Betahistine) or Stugeron (Cinnarizine) at bedtime or twice daily. The second po... Read Full »