Recently Answered Questions
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How long should I take rest for hemorrhagic patches on vocal cords?
Query: Hi doctor,I had some vocal fatigue for a while and I have been resting my voice for pretty much one month now. I was not so sure if I should start speaking again or not. I am a bit afraid that it is going to affect my singing voice. Either way, the first time I consult an ENT they said I had hemorrh... Read Full »
Answer: Hello, Welcome to icliniq.com. I assume that these videos are one month prior to today's condition. (attachment removed to protect patient identity). I see some amount of inter arytenoid pachydermia (suggestive of acid reflux and associated changes in the posterior part of the vocal apparatus) a... Read Full »
Can I experience side effects after taking 20 mg of Omeprazole?
Query: Hello doctor,I have been suffering from symptoms of gastritis now for over a week. However, I took a capsule of Omeprazole 20 mg, and there seems to be a considerable relief, and I feel a lot better. Is it possible that one capsule can do this? Also, I have read online that Omeprazole can be associ... Read Full »
Answer: Hello, Welcome to icliniq.com. Omeprazole is a proton pump inhibitor. It will decrease the acid production in the stomach and relieve the symptoms rapidly. The worries like pneumonia or so are very very less. It is usually a safe drug. For more information consult a general medicine phys... Read Full »
Are bloating sensation, indigestion, and frequent use of toilet linked to prolonged PPI use?
Query: Hello doctor, I have taken tablets of Pantoprazole 20 mg for the last ten years to control GERD. Now, I am suffering from a frequent toilet, bloating sensation, gas, indigestion, and headaches. In addition, there seems to be a low level of stomach acid, creating issues due to the prolonged use of PP... Read Full »
Answer: Hi, Welcome to icliniq.com. Dear, about your health condition, chronic intake of proton pump inhibitors (PPIs) leads to decreased acid in the stomach, leading to subacute intestinal bacterial overgrowth (SIBO). This may lead to bloating and indigestion. So avoid processed sugars and bakery product... Read Full »
Query: Hello doctor, I have multiple problems with my stomach, it all began two years ago after taking pills which I was allergic to. My stomach became inflamed with a lot of acids, chronic antrum gastritis, and acid reflux. My stool was too soft, and I did not take any pill because my doctor did not give... Read Full »
Answer: Hi, Welcome to icliniq.com. All the problems can be explained by dyspepsia. Although there are certain issues like normal endoscopy and absence of inflammation. And on endoscopy reports (attachment removed to protect patient identity), there is no obvious granulation tissue seen. There may be s... Read Full »
What does a bitter taste in the mouth during the morning indicate?
Query: Hello doctor, My father is 54 years old. He had a gallbladder surgery for gallstone removal 14 years ago. He takes medicines for BP and for hypothyroidism. His SGPT is 56, SGOT is 46 and ALP is 278. Earlier, for triglycerides, he used to take Fenofibrate. His HDL and LDL were not very high, rather... Read Full »
Answer: Hello, Welcome to icliniq.com. I went through your post. A bitter taste in the early morning hours is seen in people with acid regurgitation or gastroesophageal reflux disease (GERD) and in smokers.I would suggest a course of PPI (proton pump inhibitors) with Levosulpride like capsule Sampraz L (a c... Read Full »
Tests for stomach pain revealed a high eosinophil count. What to do?
Query: Hi doctor, I have a stomach ache from the last two months. It got worsened last week and I was admitted to a hospital. A lot of tests were done. The CBC revealed eosinophilia. The gastroscopy revealed an edematous duodenum. A duodenal biopsy was taken. I have attached my biopsy report. I want to u... Read Full »
Answer: Hello, Welcome to icliniq.com. I reviewed your biopsy report (attachment removed to protect patient identity), and the findings were normal. There is nothing to be worried about. You will need to use PPI's (proton pump inhibitors) to improve your symptoms. Regarding your eosinophilia, it ... Read Full »
After stopping Gabapentin, I have chills, vomiting, and anxiety. Why?
Query: Hi doctor, I have been taking Celexa 10 mg for two years. Recently, I was prescribed Gabapentin 100 mg twice daily, which I took for about a month, but started having stomach issues. So, I titrated it down to 100 mg a day for a week by myself and then stopped it. It has been almost three weeks and ... Read Full »
Answer: Hello, Welcome to icliniq.com. Withdrawal symptoms seem to be unlikely after three weeks of stopping Gabapentin. Check if you have a fever. If not I would suggest you try taking PPI (proton pump inhibitor) for vomiting and Benzodiazepines for anxiety and insomnia. Skip Celexa for a couple of d... Read Full »
How to treat a swollen and sore throat?
Query: Hello doctor, For six weeks, my throat has felt swollen, constricted, and I have an odd kind of soreness on the right side of my throat and sometimes the upper right side of my sternum. I feel the constriction all the time, but the soreness only when I swallow. The soreness begins at the top of my ... Read Full »
Answer: Hello, Welcome to icliniq.com. I think that it is the effect of reflux. I advise you to stop Famotidine and start Omeprazole 40 mg, which is a proton pump inhibitor. It is more effective than Famotidine, especially in severe persistent cases like your case. You can start with two tablets before b... Read Full »
I underwent GERD surgery. Should I have to take PPI life-long?
Query: Hi doctor, I am concerned about my husband's health. He is taking PPI medication for ten years now called Omeprazole. We think he has to quit the medication. Could you please recommend to us what to do? How to start? I am also extremely worried about his liver. I know about the damage PPI may cause... Read Full »
Answer: Hello, Welcome to icliniq.com. Well, there are very few indications of lifelong PPI (proton pump inhibitors). 1. Patient has GERD with Barrett's esophagus and premalignant findings such as dysplasia 2. Post fundoplication (GERD surgery) if the patient on follow-up has Barrett's esophagus or evid... Read Full »
Can halitosis be caused due to gastritis?
Query: Hello doctor, I want to ask about halitosis. I already went to the dentist and the dentist said that the problem is not in the mouth and it could be in my stomach so here I am. I hope you can help me because I am at my wit's end right now. How do I know if it is in the stomach? What should I do? I ... Read Full »
Answer: Hi, Welcome to icliniq.com. Halitosis or bad breath usually originates from oral or nasal passages. The cause of it is bacterial decay of residual food and debris. Most common causes of halitosis are periodontal diseases, dental caries, oral cavity infection, and coated or uncleaned tongue or decr... Read Full »