Recently Answered Questions
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I would like to get a proper diagnosis regarding my high hs-CRP.
Query: Hi doctor,I am suffering from iron depletion. My iron is low, but ferritin and hemoglobin are normal. My folic acid was 4 about a year ago. I took Folic acid tablets for two months and it is normal now. My vitamin D has improved after taking tablets. My vitamin B12 is also on the lower side. I am ma... Read Full »
Answer: Hi,Welcome to icliniq.com.Based on your query and after going through your reports (attachments removed to protect patient identity), my opinion is as follows:C-reactive protein (CRP) levels are a bit high indicating mild inflammation. This value is suggestive of high cardiac risk.Your cholesterol, ... Read Full »
What are the ways to get rid of high cholesterol?
Query: Hi sir, I am a 30-year-old male. I am working in an insurance company. No habit of smoking or drinking. My height is 5 feet 10 inches, and weight is 185 lbs. I have been getting left-sided chest pain for two years. I also have left-sided shoulder pain that radiates into the upper back and left hand ... Read Full »
Answer: Hi, Welcome to icliniq.com. From your query I understood your concern. Epigastric pain radiating to back and shoulders should be evaluated for gastric discomforts like gastritis and cholecystitis which is very common in deranged lipid profile. I believe this is due to hyperlipidemia. Your lipid p... Read Full »
Why do my total cholesterol and triglycerides level keep fluctuating?
Query: Hello doctor, My recent lipid profile showed borderline cholesterol and triglycerides. My total cholesterol is 207 and triglycerides are 324. From the past seven years, my cholesterol is fluctuating. The cholesterol keeps fluctuating around 200 and triglycerides between 180 to 300. My echocardiogram... Read Full »
Answer: Hello, Welcome to icliniq.com. You should continue taking Rosuvastatin. I suggest adding Fenofibrate 160 mg daily. It will help in improving the lipid profile. Consult your specialist doctor, discuss with him or her and start taking the medicine after their consent. I hope this helps... Read Full »
Are Paxil and Crestor safe when taken together?
Query: Hello doctor, I have been taking Ativan 0.5 mg for some time now but my nurse practitioner wants me off. So, she prescribed Paxil 20 mg once daily. I am also on Crestor 10 mg. Are all of these safe together? Read Full »
Answer: Hello, Welcome to icliniq.com. It is always a good idea to be sure. Paxil (Paroxetine) is a respected and very effective SSRI (selective serotonin reuptake inhibitor) and commonly used to treat major depressive disorder, generalized anxiety disorder, panic disorder, etc. Unlike Ativan (Lorazepam)... Read Full »
By looking at my HDL level, what will you suggest? Diet or exercise.
Query: Hello doctor, My father is 77 years old. Just had quad bypass surgery. Too clogged for a stent. Not overweight (ever). Smoked 2 or 3 cheap cigars a day for 15 to 20 years. No regular exercise, but stayed busy in the yard, walked the dogs, etc. Generally ate what he wanted, including both a lot of g... Read Full »
Answer: Hi, Welcome to icliniq.com. There are three things you are asking, statin, diet, exercise, right? 1. Statin: Scientific evidence shows elevated lipid especially LDL is a major risk factor for coronary artery disease, peripheral vascular disease, and stroke. And guidelines tell us that everyone aged ... Read Full »
Which is a good medicine to prevent heart diseases in a diabetic patient?
Query: Hello doctor, I am 45 years old. I am a diabetic patient for the last one year. I used Ayurvedic medicines. Normally, the BP varies between 130/80 to 137/90. For the last 10 days, I am feeling uncomfortable in the chest. Recent test report: Fasting 110. PPBS 185. TC 213. Triglycerides 146. VLDL 29.... Read Full »
Answer: Hello, Welcome to icliniq.com. Diabetes is a strong risk factor for coronary artery disease. You had chest discomfort and one episode of heart attack like symptoms and your ECG was normal at that time. But, a normal ECG does not rule out a heart attack. I think you should undergo further evaluati... Read Full »
My angiogram showed triple vessel heart disease. Is it life threatening?
Query: Hello doctor, I am a 42-year-old male. Because my half brother had a heart attack at 21 and died. I paid for an angiogram and exercise stress test. I had a good exercise outcome, but the angiogram showed triple vessel heart disease. The cardiologist said it was very mild and probably due to smoki... Read Full »
Answer: Hello, Welcome to icliniq.com. Thanks for providing a detail note (attachment removed to protect patient identity). I understand your concerns, but no need to be worried you will be fine. The study only shows minimal evidence of coronary heart disease, which is reversible as of this moment. In cas... Read Full »
My calcium score test result was 0.4. Do I have any risk?
Query: Hi doctor,I am a 47-year-old male, who is hypertensive for the past seven years. I take daily medicine to control my blood pressure. I do not have any other problem. I went to my cardiologist last week, for the yearly medical checkup. My LDL is 170, HDL is 41, ECG is normal, and blood test came back... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern. A calcium score of 0 means no identifiable disease, while 1 to 99 indicates mild disease. And score between 0 to 1 indicates minimal disease. It is near normal; there is no significant risk associated. I think you should take statins bec... Read Full »
Is my back pain due to a heart problem?
Query: Hello doctor,I am a 43 year male. I experienced chest congestion in the first week of last month. I have consulted a cardiologist at a hospital. I have undergone TMT, 2D echo, and ECG. The doctor prescribed Modlip ASG 75. I am diabetic for past 12 years with good control (HbA1c is below 6 for past 8... Read Full »
Answer: Hi, Welcome to icliniq.com. I have gone through your reports (attachment removed to protect patient identity). Echo and TMT (Treadmill test) are normal. Your backache is not due to a heart problem. You can stop Aspirin and continue Statin. I suggest doing periodical Echo and treadmill test once a... Read Full »
My LDL cholesterol is high. What do I do about this?
Query: Hello doctor, My LDL cholesterol is high. My primary doctor said I had a slight leak in one of my heart valves, but I did not consult any doctors. I am wondering if I should do something about it? Would you please give me your advice on this? Regards. Read Full »
Answer: Hello, Welcome to icliniq.com. Thanks for writing in, and I understand your concern. Firstly I need to have a look at your echocardiogram report. So I guess, most probably, this is an insignificant abnormality on echocardiogram and may not require any assessment or treatment. However, trivial ... Read Full »