Vitamin D is a fat-soluble vitamin that helps in the absorption of calcium in the body. The sources of vitamin D are sunlight, cord liver oil, cheese, egg yolks, fatty fish (tuna and salmon), etc. Insufficient vitamin D in the diet and less sun exposure can cause rickets.
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I have been diagnosed with benign multinodular goiter. How to manage it?
Query: Hi doctor, I have been recently diagnosed with multinodular goiter and have done FNAC, which turned to be benign. Is there any other way to get rid of the enlargement of the goiter and the nodules? My thyroid is full of them ranging from 0.5 to 0.9 mm. What should I do? I feel lost, and I have a con... Read Full »
Answer: Hi, Welcome to icliniq.com. Can I see the FNAC (fine needle aspiration), and ultrasound of the thyroid reports? Do you have a family history of thyroid illness? Read Full »
Is there any medicine, exercise or diet to help with chilblains during winter?
Query: Hello doctor, I am a 23-year-old male. I live in a cold environment. I get chilblains every winter on my fingers and toes (they become swollen red and itchy). I always keep myself warm wear gloves and socks all times but still get them. Is there any solution for this medicine, diet, and exercise? I... Read Full »
Answer: Hello, Welcome to icliniq.com. Chilblain is one of the inflammatory disorders due to prolonged exposure to cold temperatures. Usually in travelers and can be in families. Precautions play a very important role. I suggest you to follow a few instructions mentioned below. Regular care by soaking ... Read Full »
What are the causes of body pain and dry skin, other than thyroid?
Query: Hi doctor, Three years back, I had headache and head numbness for few days. I consulted a doctor and got a thyroid test done. That time my TSH was 3.7 and he prescribed me Thyronorm 25 mcg. He told me to discontinue it when my TSH level comes back to 1.5. Now, for around 11 months I am having body p... Read Full »
Answer: Hi, Welcome to icliniq.com. Your symptoms fit into thyroid disease but your thyroid report is absolutely fine. A normal thyroid report rules out thyroid disease, unless you are presently on Thyronorm. So, we need to find other cause for your symptoms. Body pain and numbness could be due to nerve p... Read Full »
Can low levels of vitamin D and testosterone cause forgetfulness?
Query: Hi doctor, I am 50 year old. My height is 5.8 feet and weight 187 lbs. Recently, I have tested for free testosterone and vitamin D. Both are on lower side. I am also taking Thyronorm 75 mg since last 7-8 years. I have attached my medical file of past health issues. After 7 PM, I feel very low and co... Read Full »
Answer: Hi, Welcome to icliniq.com. Well, for your low testosterone and low vitamin D you need to take supplements. For vitamin D, I recommend Cholecalciferol sachets or tablets 60000 units weekly once for three months. Also take Calcium supplements every night. For testosterone, you need to get Testostero... Read Full »
I am suffering from weakness six years after menopause. Please help.
Query: Hi doctor, I have been in menopause for 6 years now. Over three months I have been having bouts of weakness in shoulders, arms and sides of stomach. I feel very weak and strange. I do not feel dizzy. Sometimes it starts with a hot flash. Or else I will stay awake with this terrible feeling and will ... Read Full »
Answer: Hi, Welcome to icliniq.com. I have gone through the details provided by you. All investigations are normal (attachment removed to protect patient identity) such as hemoglobin levels, non-diabetic, with normal resting EKG. So, these are not issue in your case. However, the following are the possibili... Read Full »
What am I experiencing multiple symptoms?
Query: Hi doctor, I am a 25 year old female. In childhood, I had malaria and double typhoid. Everything was normal until few years back. Things started all over again since the last five to six years. I have been putting on weight continuously, suffering from weakness, horrible fatigue and body pain all th... Read Full »
Answer: Hi, Welcome to icliniq.com. You have what is called subclinical hypothyroidism. It is also a metabolic component of PCOD (polycystic ovarian disease). You are doing most things right. Remember there is no magic treatment. Exercise and diet are continuous events that need regular and consistent fol... Read Full »
Can I get a prescription for testosterone replacement therapy if I visit a specialist in person?
Query: Hello doctor,I am a 35 year old male. I have been suffering from erectile dysfunction and have tried PDE-5 inhibitors. They work, but they do not give results anymore. I quit smoking, a few years ago, when I was diagnosed with ED. My morning erection is also not as strong as it used to be. Many chec... Read Full »
Answer: Hello, Welcome to icliniq.com. Penile injections are tried in severe cases of erectile dysfunction (ED). Usually, it is prescribed by a urologist, since tests like penile doppler and others have to be done, to rule out any other issues. It is an option if nothing else works. But again, it is not... Read Full »
Is noisy breathing in newborn an alarming symptom?
Query: Hi doctor, My daughter is 50 days old now. Her birth weight is 6.3 pounds and her current weight is 9.2 pounds approximately. At the time of her birth it was noticed that, some type of snoring noise suddenly arose with her breathing. Child specialist suggested me that nothing to worry about as it wi... Read Full »
Answer: Hi, Welcome to icliniq.com. I have read your question and listened the recordings (attachment removed to protect patient identity) in detail. By listening to the audio, it seems to be laryngomalacia. In laryngomalacia, the muscles of larynx are weak and so the child makes this type of noisy sound... Read Full »
How is facet hypertrophy treated?
Query: Hi doctor, I am 28 years old and suffering from facet hypertrophy. I have continuous lower back pain. I cannot stand for more than five minutes. I am taking Nuroday daily. I would like to know the treatment. Read Full »
Answer: Hello, Welcome to icliniq.com. You have mentioned that you are 28 years of age and have continuous lower back pain which I think is not responding to the medications and conservative management. Normally at this age, conservative management in the form of anti-inflammatory medications, intens... Read Full »
What causes persistent chest congestion?
Query: Hello doctor, My son is 5 years old. He is dealing with continuous chest congestion and coughing with change in season. Doctor suggested Foracort 100 for two to three months with two shots in the morning and two at night after using nebulization Levolin 1.25 mg and Budecort 1 mg in the past for ches... Read Full »
Answer: Hi, Welcome to icliniq.com. First off all I would suggest you to carry out chest x-ray and complete blood count to rule out lung infection like bronchitis. Foracort is a combination of Budesonide, a corticosteroid and anti-inflammatory and Formoterol, a long-acting bronchodilator, used to ... Read Full »