Recently Answered Questions
All the answers published in this website are written by verified medical doctors, therapists and health experts. The Content has been moderated by iCliniq medical review team before publication. Post your medical clarifications on iCliniq by choosing the right specialty and get them answered. Your medical queries will be answered 24/7 by top doctors from iCliniq.
Is blood disorder the reason for not having periods and exterme fatigue?
Query: Hello doctor, I am a 19-year-old female. I am always fatigued. I have not got my periods for around eight months now. I went to my gynecologist and done a lot of blood tests. She also gave me Provera to trigger my period but still, I did not get it. Several blood test results were abnormal. I have ... Read Full »
Answer: Hello, Welcome to icliniq.com. I have seen your reports. (attachment removed to protect patient identity). You are not having four different blood disorders as shown in your reports but they come under thrombocheck panel where there is a defect in coagulation of blood. It is an autoimmune disord... Read Full »
Is it safe to take Spironolactone, as I have a history of pulmonary embolism ten years back?
Query: Hello doctor, I had a pulmonary embolism as a teenager 10 years ago after taking Yasmin (Ethinyl Estradiol and Drospirenone combination) for acne. I was wondering if Spironolactone would be safe to use or could it cause me another embolism? I have a mild form of PCOS (polycystic ovary syndrome). Acc... Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through all your details and appreciate your concern. Spironolactone does not increase the risk of thrombosis. You can take it but you need to monitor your potassium levels. Spironolactone increase your potassium levels. Avoid eating food items that are r... Read Full »
How common is it to develop a blood clot or PE with no underlying disorder?
Query: Hello doctor, How common is it to develop a blood clot or PE with no underlying clotting disorder, surgery, and not on birth control? Like can a PE happen out of nowhere? Or is there always a culprit? Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. Usually, there is always an underlying risk factor for the development of deep vein thrombosis. Advanced age, genetic conditions, smoking, obesity, trauma, surgery, etc., are some of the risk factors. Genetic disease includes protein C deficiency, protein S deficienc... Read Full »
What is the management for pulmonary embolism?
Query: Hi doctor, Around 45 days ago, I noticed blood in sputum. I consulted a doctor. He advised me to do a computed tomography (CT) scan. The report suggested the pulmonary embolism. In the treatment, they gave me blood thinner injection and tablets. They examined me and found out that there are no blood... Read Full »
Answer: Hi, Welcome to icliniq.com. There are a lot of causes for pulmonary embolism. The common reason being the clots in the leg called as deep venous thrombosis. It can be due to long-term immobility, and prolonged surgery. When there are no clots in the body, we have to check for any deficiency in bloo... Read Full »
Can you explain cardiac dysfunction in a patient with deep vein thrombosis?
Query: Hello doctor,I need to know about cardiac dysfunction. I was told it was found on venous Doppler looking at DVT. What all information can you tell me about the blood vessels having a pulse and it being a cardiac dysfunction? That is all I was left with until the cardiologist consult. Read Full »
Answer: Hello, Welcome to icliniq.com. DVT or deep vein thrombosis is a condition where blood clot accumulates in lower limb veins due to prolonged bedridden state, reduced physical activity, after a major surgery or fracture of bones. These blood clots can often dislodge and go through the right heart to b... Read Full »
I am COVID positive, and my resting heart rate is 100. Shall I take tablet Xarelto now?
Query: Hello doctor, I am a 35-year-old male. My height is 5.7 feet, and my weight is 163 lbs. I am tested positive for COVID-19 today. My resting heart rate is 100, and I am fine without any scaring symptoms. My father died unexpectedly from a pulmonary embolism at the age of 33, and my three siblings h... Read Full »
Answer: Hi, Welcome to icliniq.com. Your heart rate seems to be linked to the anxiety of being tested positive for COVID-19 (Coronavirus disease-2019). Only a small number of patients get severe problems with this disease. And after vaccination, the complications become further smaller. Vaccinated people ... Read Full »
Is it possible to have a pulmonary embolism with a negative D-dimer test?
Query: Hi doctor, My pain started behind knee, but now is causing recurrent chest pains and shortness of breath. I could not do much physical activity. There is no previous history of such event. I am currently on Aspirin. I had an EKG, lung x-ray and D-dimer blood test. Is it possible to have a pulmonary ... Read Full »
Answer: Hello, Welcome to icliniq.com. D-dimer is a very desirable indicator of clot formation. It may be positive even if you do not have a pulmonary embolism. But, if D-dimer is normal, then a pulmonary embolism is unlikely the cause of your symptoms. The symptoms of PEcan be quite severe and may include ... Read Full »
How to prevent blood clot formation post COVID-19 recovery?
Query: Hello doctor, I have been self-isolating for three weeks due to Coronavirus symptoms and spent two nights in the hospital where I was given oxygen and a chest X-ray showed typical COVID-19 changes. I was discharged a week ago and told some COVID-19 patients have been coming back with DVT and or PE. ... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. Kindly answer the following questions to guide you further. Do you have any risk factors for thrombosis like family history, smoking history, prolonged bedridden, or excess weight? Does your doctor recommend to take heparin? Have you confirmed your COVID-19 by RT PC... Read Full »
Will taking Aspirin before long travel help in preventing blood clot formation?
Query: Hello doctor, I was wondering if I need to be concerned, or what is the probability if any, would I have at developing a blood clot if I have no blood clotting genetic issues (factor V, etc), not on any hormones (was on birth control pills for 12 years but been off for almost four years), no recent ... Read Full »
Answer: Hi, Welcome to icliniq.com. I can understand your concern. Before I can answer your question, you mentioned that you are taking prenatal vitamins. Just curious if you are pregnant or plan to do so? Do you have previous unplanned or accidental abortions? Please let me know. Read Full »
Can anxiety cause high D-dimer levels?
Query: Hello doctor, I have been having some shortness of breath. I am really bad with panic attacks. Routine blood work shows D-dimmer still elevated after eight months. Last year, the results were in a normal range under 230 in the hospital. A few months later after I had a stillbirth, it was elevated to... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. 1. D-dimer test is used to exclude deep vein thrombosis like thrombotic disorder. 2. Your D-dimer value (fibrin degradation product) is slightly high. 3. If clinically and from other investigations, thrombosis is not present then other causes for high false positiv... Read Full »