Recently Answered Questions
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Can a child's height be increased with protein powder?
Query: Hi doctor, I have a son and a daughter. My height is 5 feet 7 inches and wife is 5 feet 1 inch. I am extremely worried about my children height as we are short. My daughter is now 3 years 10 months old and of 31.9 pounds in weight and 38 inches tall. She had seizure thrice and taking some sodium liq... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern. I will try to sort it out for you. As you told me father's height 5 feet 7 inches that is 170 cm and mother's height is 5 feet1 inch that is 155 cm. According to both of your heights, which is an average height of most of the people, the ta... Read Full »
Is bleeding during pregnancy a side effect of Epilim?
Query: Hi doctor, I am 13 weeks pregnant. I am on 800 mg Epilim per day that is 400 mg in the morning and 400 mg at night. I have had threatened miscarriage and more spotting. Can Epilim cause bleeding in pregnancy? Read Full »
Answer: Hi, Welcome to icliniq.com. Epilim - Sodium valproate, although have many side effects, bleeding during pregnancy is not a known side effect. I mean to say that Epilim causing bleeding during pregnancy is just a remote possibility if any. I take this opportunity to inform you that Epilim shou... Read Full »
My son has social withdrawal and isolation. Yet, he refuses treatment. Please help.
Query: Hello doctor, The problem started in 2010. Social withdrawal, isolation, inability to continue at a job, negative talk, jealousy, lack of initiative, low self-esteem and fickle minded behavior. What could these point to? The prescriptions are lost in transit. No medicines are being taken. Read Full »
Answer: Hello, Welcome to icliniq.com. I can understand your concern. The symptoms of withdrawal from society, loneliness, difficulty in continuing the job, negative thoughts, lack of motivation, indecisiveness, etc could be due to some severe underlying mood disturbance. Since the symptoms are persistent a... Read Full »
Is it necessary to be on epilepsy medication when it is ruining one's life?
Query: Hi doctor, My partner was diagnosed with epilepsy seven years ago. Since then, she has had three convulsive seizures but has not had any in the past five years. She is 21 and currently on 100 mg of Epilim day and night. She had an EEG three months ago which resulted in abnormal brain activity but no... Read Full »
Dr. J. Mariano Anto Bruno Mascarenhas
Answer: Hello, Welcome to icliniq.com. I have gone through your query with diligence and would like you to know that I am here to help you. Regarding your question, is there really a need for her to be on the medication anymore as it is ruining her life, we need to do MRI Brain (plain and contrast) with ... Read Full »
Is Valprol safe for a 6-year-old ADHD kid?
Query: Hello doctor, My nephew is 6-year-old, and weight is 20 kg, had been detected with ADHD from three years. We had started his medication and behavior therapy around 40 days back under the consultation of pediatrics and psychologist. After 10 days, we consulted a neuro-psychiatrist who recommended us... Read Full »
Answer: Hello, Welcome to icliniq.com. I have read your concern and seen the reports (attachment removed to protect patient identity). It seems like there is a discrepancy. It would be wise taking to account both results are true positives. It is warranted to that you go to your child neurologist to confi... Read Full »
The doctor changed my wife's seizure medications. Is it safe?
Query: Hello doctor, My wife aged 43 years had fits (seizures) five years back. At that time, the blood reports, MRI, and EEG were normal and the doctor advised Epilex Chrono 300 mg twice a day. She used it for three years and then there was no episode of seizures during the last three years. So, on doctor... Read Full »
Answer: Hello, Welcome to icliniq.com. She had a recurrence of seizures after stopping the medications. Usually, it is continued for five years after the second episode. If the previous MRI was normal and if it was a 3T MRI, then there is no need for any further investigations. If it was a 1.5T (Tesl... Read Full »
Query: Hi doctor, I am a 53 years old working man. Three years back, I had my first seizure attack while in my office and discussing a meeting. It was a powerful attack, and I got injured, mostly in my face. A few months later, when I was packing my luggage for travel, I lost consciousness for about two ho... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern. Since tablet Brivajoy (Brivaracetam) is challenging to find, it is fine to continue with tablet Valparin Chrono (Sodium Valproate and Valproic Acid) 500 mg three times daily and tablet Levera (Levetiracetam) 500 mg twice daily. This is a g... Read Full »
My mom was treated for trigeminal neuralgia, with no relief. What to do?
Query: Hello doctor, My 58 year old mother has a history of trigeminal neuralgia from the past four years. She was initially treated with Carbamazepine, but she had a severe allergic reaction, due to which it was stopped. Oxcarbazepine was tried, and it caused allergy too. Pregabalin, phenytoin, and sod... Read Full »
Answer: Hello, Welcome to icliniq.com. You seem to have tried all the possible treatments. I would suggest trying a medicine known as Tapentadol at doses of 50 mg twice daily, along with Gabapentin 600 mg per day. Consider radiofrequency ablation or alcohol injection into the nerve again, if no r... Read Full »
What could cause epilepsy and arachnoid cyst in a 30-year-old?
Query: Hello doctor,My 30 year old brother has an arachnoid cyst displacing his hypoglossal nerve. He has no tongue problems, but he has epilepsy since the last 10 years. If I send over his MRI report, can you tell me what causes his epilepsy? Thank you in advance for your time. Due to his new medicine Epi... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and reviewed the attached MRI report. As per the available MRI report, it appears that your brother suffered some ischemic (blood circulation related) damage during his early part of life, especially around his birth. It is possible that the same dam... Read Full »
Do I need liver supplements while taking Depakote?
Query: Hello doctor, Are there any liver supplements that I can take while on Risperdal and Depakote? Read Full »
Answer: Hi, Welcome to icliniq.com. The side effects of Depakote (Sodium valproate) on the liver are quite common and well known. It does cause an increase in liver enzymes level and symptoms like weakness, lethargy, jaundice (yellowing of skin and sclera), loss of appetite - all due to its effect on the ... Read Full »