Recently Answered Questions
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My daughter has dermatomyositis. What's the time estimate?
Query: Hello doctor, My daughter has been suffering from dermatomyositis for one year, which was identified with the help of a blood test and creatinine phosphokinase test. The treatment started, and she was examined after a month, and this time her creatinine phosphokinase (CPK) level was 10413 units per ... Read Full »
Answer: Hello. Welcome to icliniq.com. From the reports attached (attachment removed to protect the patient's identity), I can see that her creatinine phosphokinase (CPK) level has improved and is almost normal. This is mainly due to high-dose Prednisone and IVIG (intravenous immune globulin). Her current... Read Full »
What are the causes of a rash on the nose bridge?
Query: Hello doctor, I have had a red/pink rash on the side of my nose for about a year and a half now. It is on the bridge of my nose. It gets better at times, but most of the time it is prominent. It also usually gets better when I am in a cool environment and worse when I am in a hot climate or in su... Read Full »
Answer: Hi, Welcome to icliniq.com. After carefully reading your history I came to a conclusion that there are two possibilities of your rash. Drug reaction: It can mimic like anything and can remain up to 3 to 5 months and then subside as the drug gets cleared from the body. Photoallergic derma... Read Full »
How to treat breathlessness in a metastatic breast cancer patient?
Query: Hi doctor, The patient is oxygen dependent because of pleurodesis for one month. She is suffering from breathlessness after talc pleurodesis. She has metastatic breast cancer with a distant spread to the lung and liver. There is residual pleural effusion along with bilateral lower lobe consolidation... Read Full »
Dr. Amol Kumar Wasudeorao Diwan
Answer: Hello, Welcome to icliniq.com. I have read all the reports (attachment removed to protect the patient's identity) including your CT (computed tomography) scan. It is very sad to be in such a situation with multiple problems. Metastatic breast cancer with underlying lung comorbidities is the caus... Read Full »
Can steroids for autoimmune hepatitis alter menstrual cycle?
Query: Hello doctor, I am 34 years old. I am concerned about my absence of menses. My last menses was on the 16th of previous month which was about a week earlier than the before periods. I was diagnosed with autoimmune hepatitis and under medication of steroid 10 mg (prescription attached). Now I am com... Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through your history and also saw the prescription you uploaded of your recent visit to your hepatologist/gastroenterologist. (attachment removed to protect patient identity). As I can see from the prescription he had asked you to continue the medicatio... Read Full »
What could be the reason for bowel pain and bowel wall thickening?
Query: Hello doctor, I have pain in my bowel. I have had an MRI and the doctor noted that I have bowel wall thickening in my distal colon. Before that, I did a stool test that was negative in Calprotectin and I had a CDSA it showed no inflammation negative for Lactoferrin. No bacterial infection. I also h... Read Full »
Answer: Hello, Welcome to icliniq.com. I can understand you must be very upset about your ill health. So the comprehensive stool analysis is well within normal limits-particularly calprotectin and lactoferrin which are inflammatory markers. Their absence theoretically excludes any inflammation within the... Read Full »
My rectal bleeding due to ulcerative colitis responds only to Prednisolone. Why?
Query: Hi doctor, I am a 27-year-old male. For the past five years I have ulcerative colitis. My main problem is bleeding form rectum. When I take Prednisolone, I am fine for maximum of three months and after that again it starts bleeding and also continues with Mesacol. I also took Azathioprine (Aazo... Read Full »
Dr. Arbab Muhammad Kashif Khan
Answer: Hello, Welcome to icliniq.com. Your history suggests that you have steroid-dependent ulcerative colitis. So you rightly started Azathioprine (immunosuppressant) and I think it should work if you are taking a proper dose (you have not shared dose of Azoran and your body weight). You can take tablet... Read Full »
Are inability to close the mouth and drooling of water from mouth signs of facial palsy?
Query: Hello doctor, Yesterday, in the evening I woke up and I had a feeling that something is not right in my face. And when I gurgle I cannot fully close my mouth and water keeps spitting. And yes, when I look at the mirror my right eyes, nose, mouth, and cheeks are different. I checked online and it ... Read Full »
Dr. Bhadragiri Vageesh Padiyar
Answer: Hi, Welcome to icliniq.com. With the symptoms you have mentioned, it definitely looks like you have developed a facial palsy on the right side, what we usually call as a Bells palsy. This usually happens due to the involvement of facial nerve supplying the muscles of your face and in a situation ... Read Full »
Is it advisable to use Prednisolone for long time after cataract surgery?
Query: Hello doctor, I am writing this to get your kind suggestion regarding my mother (Age: 56 years). Two years back, she had her cataract surgery for both eyes PCIOL. After having the surgery she was fine while she had these following drugs like Neopred, Xirom and Optimox. She was under these drops for... Read Full »
Answer: Hello, Welcome to icliniq.com. Your mother has post operative uveitis which happens in some patients after cataract surgery. The treatment includes, we try to find out any cause for recurrent inflammation. If there is no cause then we treat the inflammation. If there is some inciting factor presen... Read Full »
Do I have to terminate my pregnancy as I took steroids for herpes zoster infection?
Query: Hi doctor, I am being advised to terminate the desired pregnancy because of the medication I have been prescribed to tackle a virus that I got just after becoming pregnant. I am looking for a second medical opinion on whether termination is necessary. I would like to understand the risks to the fetu... Read Full »
Answer: Hello, Welcome to icliniq.com. The increased exposure to corticosteroids can cross the placental barrier and cause adrenal suppression in the fetus. This can lead to salt wasting, electrolyte imbalances, and even poor development of the fetus. The organs can also have improper development, and ano... Read Full »
Are Wysolone, HCQS, Saaz and Shelcal safe during pregnancy?
Query: Hello doctor,My wife is 26 years old and she is suffering from rheumatoid arthritis for the past year. Now, she is pregnant. Her tablet pattern is Wysolone 2.5 mg on alternative days, HCQS once at night, Saaz three times a day, and Shelcal once at night. The lab tests performed were ANA 1+, RA fact... Read Full »
Answer: Hi, Welcome to icliniq.com. HCQS (Hydroxychloroquine sulfate), Prednisolone (Wysolone), Shelcal (Calcium carbonate and Vitamin D3) are relatively safe in pregnancy and your doctor will stop Saaz (Sulfasalazine) and if possible, Wysolone too. Thank you. Read Full »