Recently Answered Questions
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My father has a persistent fever after first chemotherapy session. Is it due to CLL?
Query: Hello doctor, I would like to enquire about my dad's health. He is 82 years old and has been having chronic lymphocytic leukemia for the past seven years. He had no symptoms other than the high blood cell count and was doing regular checkups every six months. Recently, his hemoglobin level dropped a... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to the icliniq.com. You have mentioned in the history that the patient is having chronic lymphocytic leukemia. And the total count is high, as per history. So, chronic lymphocytic leukemia seems to be in the aggressive stage. Blood culture and other scan reports are normal as per ... Read Full »
What is the treatment for focal segmental glomerulosclerosis in a 12-year-old?
Query: Hello doctor, My 12 year old son is suffering from nephrotic syndrome since the last seven years. Two years ago, when his biopsy was done, the result said FSGS. His creatinine levels at that time was 4. Now it is raised to 10.1. He is currently taking Calcium, Folic acid, Pantoprazole, Sodium bicar... Read Full »
Dr. Geetha Priyadarsini Kamminana
Answer: Hello,Welcome to icliniq.com.Please furnish the following medical information, so that I will be able to give you further advice.What is the cause of focal segmental glomerulosclerosis (FSGS)?Has dialysis been done? What is his urine output?What does his antinuclear antibody (ANA) profile say?Has he... Read Full »
My sister has swelling, cushingoid facies and proximal myopathy. Why?
Query: Hi doctor, My sister is 37 years old with previous 2 LSCS. She has symptoms such as swelling over whole body and face. Along with these complaints she has weakness, tiredness, cushingoid facies, proximal myopathy, palpitation, trembling of hands and amenorrhea or slight on and off spotting. She is s... Read Full »
Answer: Hello, Welcome to icliniq.com. I checked your sister's complete details (attachments removed to protect patient identity). She is suffering from relapsing nephrotic syndrome. Her cushingoid facies and proximal myopathy are steroid induced as you must be already knowing.Gradually replacing the steroi... Read Full »
Do all my symptoms occur due to lupus?
Query: Hi doctor, I am a 44 year old female, and I have been diagnosed with rheumatoid arthritis, systemic lupus, and Sjogren's syndrome, with symptoms dating back to as young as six years old. I have also been diagnosed with pulmonary hypertension, thyroiditis, Raynaud disease, right-sided heart enlargeme... Read Full »
Answer: Hi, Welcome to icliniq.com. The diagnosis of asthma is doubtful as pulmonary issues are seen in conditions you are already suffering from like SLE (systemic lupus erythematosus) and rheumatoid arthritis. Basically, the right term for you is MCTD (mixed connective tissue disease), which are assoc... Read Full »
I have a hard ball-like lesion on my skin. Please help.
Query: Hello doctor, For the last seven years, I have very hard round white balls type lesions on my skin. They spread and the area will not heal until the ball is extracted. It has ruined my face. I used to get regular acne whole of my life till about seven years ago. There used to be some cystic acne, bu... Read Full »
Answer: Hi, Welcome to icliniq.com. You seem to have a nodulocystic type of acne. Kindly provide more details of your treatment taken previously, especially of Accutane (Isotretinoin) and the duration. Revert back with the details to a dermatologist online -->https://www.icliniq.com/ask-a-doctor-online/... Read Full »
Query: Hi doctor, My mother has been suffering from vasculitis. She is facing difficulty in walking. She also has thyroid, diabetes and sarcoidosis. Currently, she is on Covance 50, Gabantin 100, Dilzem 30, Raricap, Sympta 20 and Modlip 10. For vasculitis, she was prescribed to have Wysolone 7.5 mg and Mmf... Read Full »
Answer: Hi, Welcome to icliniq.com. Well, there is a lot of treatment available for vasculitis (blood vessel inflammation). We do use injection Cyclophosphamide and Rituximab. But, it is very difficult to comment anything unless you tell us which vasculitis is she suffering from as the treatment will vary a... Read Full »
I am not clear with the diagnosis of my mother's condition. Please clarify.
Query: Hi doctor, Five years ago my mother was diagnosed with fibromyalgia. I think she also has rheumatoid arthritis. For the past five years, she was managing the pain with anti-inflammatory medicine, Lyrica, Mythycobal, Voltaren injections, herbal creams, etc. You can see the veins in her hands popping... Read Full »
Answer: Hi, Welcome to icliniq.com. First of all your mother does not have rheumatoid arthritis or fibromyalgia. From her reports (attachment removed to protect patient identity) I found that she has connective tissue disorder and the most possible diagnosis would be systemic lupus erythematosus (SLE). The ... Read Full »
Query: Hello doctor, Seven years ago, I was affected by ankylosing spondylitis (HLA-B27 positive) (RF negative). And then after a year, I was affected by pulmonary tuberculosis (TB lungs). Tuberculosis was controlled within months and I continued taking medication for ankylosing spondylitis. And then f... Read Full »
Answer: Hi, Welcome to icliniq.com. Following are the answers for your queries: Get an MRI LS spine done, to see for any disc prolapse as the pain you are describing along with tingling sensation is seen in disc prolapse only. A combination of Pregabalin and Methylcobalamine will help you in neuropathy pa... Read Full »
Is L-Glutamine safe for a rheumatoid arthritis patient?
Query: Hi doctor, My wife has been suffering from rheumatoid arthritis for more than 10 years. For the last two years, she has been taking infusions of Rituximab or Rituxan 2 g. Last infusion was six months ago. It is also confirmed that she has Leaky gut syndrome. Is it safe to take L-Glutamine (supplem... Read Full »
Answer: Hi, Welcome to icliniq.com. Leaky gut syndrome (leakage of undigested food or other substance due to damaged intestinal wall) is more of a hypothetical thing. A lot of researches are still going on and it is believed to trigger the autoimmune reactions in the body. But, yes, it is safe to take the ... Read Full »