Recently Answered Questions
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Do high amylase and lipase in SLE cause stomach discomfort?
Query: Hello doctor, I am 25-year-old suffering from SLE. The abdominal pain started three months ago. First, MRCP was done, and it revealed a stricture at the ampulla. Then, ERCP was done due to severe obstruction. At that time, the lipase level was 350 U/L, and amylase was 120 U/L. After three months, on... Read Full »
Answer: Hello, Welcome to icliniq.com. Thank you for your query. I reviewed your query. Your lipase level is normal now, but checking your liver function tests, especially alkaline phosphatase levels and blood tests, is essential. I have a few questions. Did they dilate that stricture or place a plastic ... Read Full »
I have persistent rashes and tested positive for ANA. Help.
Query: Hello doctor, I am a 20-year-old male. Over the last month or so, I have had this rash on my right cheek that has not gone away. I can also see a little bit of rash on my left cheek as well. I went to the hospital and came back with a positive ANA test 1:160 speckled. I thought it might be lupus, bu... Read Full »
Answer: Hi, Welcome to icliniq.com. Since you are ANA (antinuclear antibody) positive, we need to look at autoimmune diseases and must ensure that an appropriate diagnosis is made and treatment started. I need to know if it is also on the nose, as I cannot see from the image (the attachments are removed t... Read Full »
Why do I have persistent discomfort after undergoing ERCP?
Query: Hello doctor, I am 24 years old. I was diagnosed with SLE ten years ago. I have stomach pain now. The MRCP showed a stricture at the ampulla, so ERCP and partial stricture dilatation were done. Still, l have discomfort. Now amylase and lipase levels are normal. I am taking enzyme supplements. Read Full »
Answer: Hello, Welcome to icliniq. com. I have reviewed your case history and attached investigations (attachments removed to protect the patient's identity). There were features suggestive of chronic pancreatitis and ampullary stricture dilated during the surgery. It is great that your current amylase an... Read Full »
How long Keppra can be taken by SLE patient?
Query: Hi doctor, I am a-28-year old female diagnosed with systemic lupous erythematosus (SLE) six years ago. I was on medication for four years and I stopped the medication when there had been no flare-ups or any syndrome for a while. Three months back, I had a flare up for the first time in three years. ... Read Full »
Answer: Hello, Welcome to icliniq.com. I read carefully your question and would explain that this is the lowest therapeutic dose of Keppra. So the dose cannot be reduced further. Regarding the period of treatment, I would explain that it is necessary to take Keppra (Levetiracetam) at least three years afte... Read Full »
What can be the reason for lower leg swelling?
Query: Hi doctor, I am a healthy and active 17 year old female. I have swelling in my right calf or lower leg when sitting. There is no foot swelling. The swelling is present in the calf and it goes away within an hour if I move around. I do have night sweats. I get easily bruised, feel constantly cold and... Read Full »
Answer: Hi, Welcome to icliniq.com. The swelling can be attributed to either venous or lymphatic reasons. Assuming you've undergone a venous Doppler for deep vein thrombosis and the results were normal, the remaining consideration is a lymphatic cause. To further explore this, it's recommended to undergo l... Read Full »
Query: Hi doctor, I have rashes similar to the rash of SLE, swollen, painful and redness around the eyes, severe fatigue and muscle weakness. These symptoms occurred a few months back after I had an intestinal infection. The doctors suspected it to be dermatolysis too, thus having a skin biopsy done tomorr... Read Full »
Answer: Hi, Welcome to icliniq.com. Based on the reports, there is a possibility that you might be experiencing an autoimmune disease. To establish a precise diagnosis and avoid any uncertainties in the future, it is recommended to undergo an ANA (antinuclear antibody) global or ANA profile test, along wit... Read Full »
What causes painless swelling in the feet?
Query: Hi doctor, A couple of months ago, my mother had fever. She had medicines, which was prescribed by her doctor. After three days of fever, she developed rashes and was hospitalized. Then, her rashes started disappearing, but she has some burning sensation on the soles of her feet. Right now, she has ... Read Full »
Answer: Hi, Welcome to icliniq.com. After reviewing the reports, I noticed that the patient's ESR (erythrocyte sedimentation rate) and CRP (C-reactive protein) levels are elevated. Such high levels often indicate the presence of an autoimmune disease, wherein antibodies in the blood form complexes with ant... Read Full »
What is the cause for worsening muscle and joint pain for a longer period?
Query: Hello doctor, I am experiencing muscle pain and joint pain for ten years which consistently got worse. The recent diagnosis shows leukocytosis. My WBC is consistently high at around 13000 to 15000. I also suffer fibromyalgia, migraines, TIA, unknown source of seizures, peripheral neuropathy, left h... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. Your main presentation is chronic muscle pain and joint pain. For that specific cause rule out first like connective tissue disorder, muscle dystrophy, neuropathic pain, spinal problem, HIV, thyroid issue, etc. For connective tissue panel testing, CT scan, ser... Read Full »
What is the exact issue of my health?
Query: Hi doctor, I am an 18 year old female. I am suffering through a number of physical issues since two years. At first, it all started from sudden loose motion. I often got admitted in hospital for this reason. I visited many reputed doctors, but none of them was able to reach any conclusion. At last I... Read Full »
Answer: Hello, Welcome to icliniq.com. I'm sorry to hear that you have been going through such challenges. Based on the symptoms and information provided, it is possible that you have an autoimmune disease, most likely SLE (systemic lupus erythematosus), mixed connective tissue disorder, or myositis. It is... Read Full »
What are the signs and symptoms of lupus?
Query: Hello doctor,I am a 26-year-old male. I have been diagnosed with lupus. However, I am questioning the diagnosis. Initial presentation of ITP (platelet count under 10k) minor loss of kidney function. Underwent biopsy and reported to have glomerulonephritis prominent mesangial deposits. In addition, t... Read Full »
Answer: Hello,Welcome to icliniq.com.Is your concern that it is SLE or not SLE only? The treatment is more important. It is an autoimmune process that has affected different organ systems. According to me, the concern should be how to halt the progress of the illness, for which knowing if it is purely SLE o... Read Full »