Recently Answered Questions
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What are the side effects of taking Adderall?
Query: Hi doctor, I have a 29 year old boyfriend, who weighs 190 lbs and 6 feet tall, he is a former athlete in college. He was diagnosed with idiopathic hypersomnia through the spinal tab, five years ago. He is now taking Adderall 60 mg a day total, spread over six times, and is using Flumazenil cream, wh... Read Full »
Answer: Hi, Welcome to icliniq.com. Idiopathic hypersomnia is a sleep disorder even less common than narcolepsy, a rare sleep disease. The biggest distinguishing characteristics include differences in REM (rapid eye movement) sleep, the absence of cataplexy (a sudden weakness in the muscles while fully co... Read Full »
Why is BP still high after taking Telma and Cilacar?
Query: Hello doctor, My dad is having a persistent BP of 150/95 mmHg even after taking Telma 40 in the morning and Cilacar 20 in the evening. What should be done and how much risky is this BP? Read Full »
Answer: Hi, Welcome to icliniq.com. Telma is Telmisartan and your dad is taking 40 mg once a day. If he has been on it for over two weeks and the kidney function is stable, then it can be increased to 80 mg in one dose or divided dosage, that is either 80 mg in the morning or 40 mg morning and 40 mg eveni... Read Full »
I had vertigo while having high cholesterol and BP. Please help.
Query: Hi doctor, I am a 26 year old male, and I work as an engineer for a consultancy firm. A few weeks back, I noticed that my blood pressure is slightly on the higher side. I checked my BP every day at night for about 2 to 3 weeks and found that 90 % of the time, it is in the range of 135 to 150/80 to 1... Read Full »
Answer: Hi, Welcome to icliniq.com. I have seen your reports (attachment removed to protect the patient's identity). Your BP (blood pressure) is on the higher side as per current international guideline. It may be due to persistent anxiety. Cardiac pain is mostly seen as central chest pain and increas... Read Full »
Why is the platelet count increasing in a high blood pressure patient?
Query: Hi doctor, I am 26 years old, female. I have high blood pressure problem from the last one month (silent BP) and my kidneys are damaging beacuse of this and my platelet count is 12 lakhs. These are continuously increasing from the last eight months, that is 6 lakhs, 8 lakhs, 11 lakhs and now 12 lak... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. The hypertension is multi-systemic disease and can affect many organs in our body including kidney as well. So hypertension need to be controlled with medication. Kindly attach your kidney reports so that I can look how much damages have occured. Your platelet count ... Read Full »
My father has been facing issues with sleep cycle. Please help.
Query: Hi doctor, This query is for my father, who is 86 years old. He is currently bedridden and suffering from the following conditions: 1. Parkinsonism. 2. Primary hyperparathyroidism. 3. Chronic kidney disease. 4. Hypertension. 5. Rheumatoid arthritis He takes the following medications daily, with chem... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. I hope his medical conditions listed above are under control with the listed medications he is taking. Lack of sleep and not cooperating with caregivers is very common in old age, too, with Parkinson's. Waxing and waning of symptoms despite medi... Read Full »
I am suffering from high blood pressure. Kindly help.
Query: Hello doctor, I am a 61-year-old male, nonsmoker, and vegetarian with very high blood pressure and aortic insufficiency. I have changed the medication from Atenolol 100 mg to Losartan 100 mg twice daily as prescribed. I have had blood tests for thyroid levels, and the reports were normal. I am conce... Read Full »
Answer: Hello, Welcome to icliniq.com. I can understand your concern. An increase in blood pressure can be due to many reasons, and aortic insufficiency can add to them. Please follow the below-mentioned instructions. Medication Review: Since you have been switched from Tablet Atenolol to Tablet Losart... Read Full »
Should a sedentary 55-year-old worker be concerned about fatigue?
Query: Hello doctor, My 55-year-old father, a sedentary worker with a mixed diet, is consistently experiencing fatigue. He is not diabetic but has borderline high blood pressure. Additionally, he is currently taking medication for eczema. Could you provide insights or recommendations regarding his persist... Read Full »
Answer: Hello, Welcome to icliniq.com. I can understand your concern. Considering his symptoms, I suspect a progressive hypertensive heart disease. Can you provide his current blood pressure readings? Additionally, does he experience any cough, shortness of breath, chest pain, or leg swelling? It is impo... Read Full »
I am unable to achieve an erection during intercourse. Why?
Query: Hi doctor,I am a 27-year-old male of 5 '5 feet and 165.3 pounds, and my problem is I was not able to get an erection during intercourse, and during exercise, I got a shrinkage of my penis. I desperately need an expert to resolve my problem.Kindly help. Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. Did you have masturbation habits in the past or excessive sexual activities in the past? Are you taking any medicines for diabetes, hypertension, or thyroid? Do you have any Doppler studies of the penis or hormone assay reports? Me... Read Full »
My BP readings have been high for a year. Please help.
Query: Hi doctor, Sometimes I experience headaches and right shoulder pain. My blood pressure readings for the past years have been normal and show 82/125. However, last year, a medical checkup conducted by the company revealed that my blood pressure had reached the level of 102/155, with a heart rate of 6... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern. You are doing a great job by eating well and exercising regularly. However, you need to monitor your blood pressure every day, two to three times at random, for a month to get your average blood pressure. Medication will be prescribed if th... Read Full »
Kindly interpret my test results for pheochromocytoma.
Query: Hello doctor, I had a random urine test for pheochromocytoma and I think my PCP is reading wrong. I went to the laboratory and gave an ambiguous report confusing people. She did say fourfold elevation normetanephrine and four-fold elevation u-metanephrine. I do have episodic severe hypertension atta... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your results showed raised urinary metanephrines but the other metabolites were within normal range. This could still indicate pheochromocytoma. I must say that your symptoms are quite suggestive of pheochromocytoma although not exclusively in favor of it. I ... Read Full »