Recently Answered Questions
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Would medicines taken for MDR tuberculosis cause diarrhea?
Query: Hello doctor, My mother is 51 years old with DM and thyroid and is suffering from MDR tuberculosis. She is on medication for 15 months. Recently her medicine has been changed due to diarrhea. Her new medicine are Elox OZ, Rabifit DSR, Calvit 500 mg, Doxid 50 mg, Trixid-H, Petril MD, Rejunex CD3, Ati... Read Full »
Answer: Hi, Welcome to icliniq.com. This contains a big list of medicines including anti-TB medicines, antibiotics, antidepressants, anti-diarrhea medicines, etc. Few of them are the same compounds, especially antidepressants containing Clonazepam. Rabifit-DSR contains Domperidone, which can cause increa... Read Full »
What support should be given before onset of hypercapnia in a TB patient?
Query: Hello doctor,I have TB disease, type1 respiratory failure. Oxygen was given, oxygenation improves but falls to LVL on presentation. What support should be given before the onset of hypercapnia? I have dry cough for two weeks, blood in sputum, fever, sweating and weight loss. Read Full »
Dr. Amol Kumar Wasudeorao Diwan
Answer: Hello, Welcome to icliniq.com. As you said, the patient has TB, hypoxia is more common which leads to type 1 respiratory failure. So only supplemental oxygen is not enough. We should start noninvasive ventilation as early as possible before hypercarbia sets in. So the possible options for NIV are ... Read Full »
In chest x-ray, what is the meaning of bilateral apical inhomogeneities?
Query: Hi doctor, I have applied for a job in abroad. I was asked to get a complete medical checkup. In the chest x-ray report, it was mentioned as bilateral apical inhomogeneities. What does it mean? Read Full »
Dr. Amol Kumar Wasudeorao Diwan
Answer: Hello, Welcome to icliniq.com. A chest x-ray is a routine part of any pre-employment checkup. Your query regarding reporting of x-ray as bilateral inhomogeneous opacities suggests old or active infection most probably tuberculosis. So, it is advisable to do sputum AFB test (acid-fast bacilli) to r... Read Full »
Will I be in trouble if I hang out with a friend having TB?
Query: Hello doctor, My friend said he got a TB test a long time ago and it came out positive and he never went back and I had a positive test done also but I have taken pills for nine months because I caught it right away. That is why I was able to go on pills. They never gave me a shot so I will not get ... Read Full »
Answer: Hi, Welcome to icliniq.com. As a matter of fact, TB is a communicable disease and you first got it because of your friend. You have completed nine months course. But, after that, did you check for tuberculosis like whether it is actually cured or just treated? If not, you have to check it through... Read Full »
Will CNS tuberculosis spreads from one person to another one?
Query: Hi doctor, I am a 34 year old male, and I met my uncle in the ICU today, who is suffering from central nervous system tuberculosis. I met him for ten minutes, and I talked and shook hands. Now, I am worried about getting infected from him. Is CNS tuberculosis a communicable disease? What are the cha... Read Full »
Answer: Hi, Welcome to icliniq.com. Central nervous system tuberculosis as such cannot be transmitted to a healthy young male like you. Pulmonary tuberculosis is a communicable disease. It is very unlikely to get the disease. Do not worry. For further queries consult a general medicine physician o... Read Full »
I have two different colors of eyelashes and hair. Why?
Query: Hello doctor, I was born with two different color eyelashes. On my left eye is black and on my right eye is blonde. Also, I have blonde hair streaks on my right side and half of my eyebrow is blonde. What could be causing that? Read Full »
Answer: Hello, Welcome to icliniq.com. This condition is called poliosis. This may be due to: 1. Wardenburg syndrome. 2. Tuberculosis. 3. Piebaldism, etc. 4. Thyroid problems. 5. Vogt-Koyanagi-Harada disease. Until examination and investigation are done, it is difficult to treat what is the cause. U... Read Full »
Can hypertension cause dilated cardiomyopathy?
Query: Hello doctor,I have a medical question actually. There is a 30-year-old obese female with no known history who comes to the emergency room. She presents with a 2-month history of shortness of breath and pedal edema. When she comes to the emergency room she is found to be in a hypertensive emergency ... Read Full »
Answer: Hello, Welcome to icliniq.com. She is having HTN (hypertension) which may cause concentric LVH (left ventricular hypertrophy). EF (ejection fraction) 20 to 25 % with both pericardial and bilateral pleural effusion. You need to evaluate the cause of effusion both cardiac and pleural and need to exc... Read Full »
Is CT abdomen and chest suggestive of Tb?
Query: Hello doctor, This question is about my 36-year-old brother. He was having a fever on and off since one month and lower back ache since last three days. We did his NCCT KUB to rule out stone but the radiologist saw pleural effusion and did a contrast CT abdomen and chest. The radiologist said it is... Read Full »
Dr. Mahmoud Ahmed Abdelrahman Abouibrahim
Answer: Hi, Welcome to icliniq.com. Sorry to hear about your brother's symptoms. I have checked the attached reports thoroughly (attachment removed to protect patient identity), the pleural effusion and the enlarged lymph nodes could be due to many causes, although TB is the most likely diagnosis. In order ... Read Full »
Will my testicular infection spread to my partner through unprotected sex?
Query: Hi doctor,My left testicle is swollen, and it pains sometimes. Doctors say that there is some infection. I was prescribed with AKT-4. Three months back, my semen analysis report showed pus cells 2-4 hpf and RBC 2-4 hpf. My present report showed pus cells nil and RBC nil. Semen culture report showed... Read Full »
Answer: Hi, Welcome to icliniq.com. I read your query and understand your concerns. From the available description, it appears that you suffered from epididymo-orchitis due to tubercular infection. Although the urine culture and microscopy report showed all normal, it is advisable to use protection ... Read Full »
I have pain below ribs on the left. What is causing it?
Query: Hello doctor, I am a 31 year old male. Recently, I have been diagnosed with tubercular lymphadenitis and started the treatment three days back for TB. My USG whole abdomen reveals hemangioma of the liver. I have pain in left side below ribs which radiates to back and a couple of months back on CT sc... Read Full »
Answer: Hello, Welcome to icliniq.com. Rugae thickening by itself is not going to cause you stomach pain. Such thickening is usually normal or a result of hyperacidity, or rarely Menetrier disease. Now, first of all, you need an upper gastrointestinal endoscopy as well as a biopsy to rule our Helicobacte... Read Full »