Recently Answered Questions
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I suspect of having osteoarthritis. Please help.
Query: Hi doctor,I am a 24-year-old female. My BMI is normal. I am fairly active on my feet all day because of work and I used to walk instead of transport. I was a lot more active when I was younger. I used to dance for roughly 20 hours a week and swim five hours a week. Since I have got older and due to ... Read Full »
Answer: Hello, Welcome to icliniq.com. It does seem like osteoarthritis, but I would suggest ruling out rheumatological diseases as well and check vitamin D and repeat it. For your shoulder I would like to know how much is your range of motion. Thank you. Read Full »
I have chronic rashes for the past two months. What to do?
Query: Hello doctor, I have had a chronic rash for two months to date. It usually lasts anywhere from one hour to six hours. But it seems to go away mostly. It is worse at night. The rash tends to run mostly along both sides of my torso, my back up to my shoulders, thighs, occasionally arms and calves but... Read Full »
Answer: Hello, Welcome to icliniq.com. Based on your history and attached image (attachment removed to protect patient identity), it looks like chronic urticaria to me. Now I would like to know, 1. Does the rash disappear on its own? 2. Does it leave any mark? 3. Try to remember that in case any new m... Read Full »
Is there any pharmacological substitute for Duloxetine?
Query: Hello doctor, My mother is 53 years old, nondiabetic. She is hypertensive (150-100) and having all over body pain, fatigue and morning stiffness. We consulted a neurologist and she was diagnosed with fibromyalgia. She was going about daily activities by using painkiller every day (Innova-MR, Diclo... Read Full »
Answer: Hello, Welcome to icliniq.com. Regarding your concern, I would explain that morning stiffness is not a typical sign of fibromyalgia, but it could indicate a rheumatological disorder. Coming to this point, considering her slightly elevated erythrosedimentation, I would recommend performing other... Read Full »
What does a positive ANA test in a diabetic patient indicate?
Query: Hello doctor, My mother is 65 years old. She is a diabetic. For the past one month, she had fever, body pain, and joint pain. After a while, her leg started swelling, and slowly the blood platelet count came to 28000. She got admitted to the hospital and was on Xone antibiotics and Dolo 650 with tr... Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through your question and understood your concerns. Autoimmune attacks that lead to decreased platelet count (thrombocytopenia) are mostly associated with systemic lupus syndrome or can be associated with rheumatoid arthritis in case there is an associated... Read Full »
I get pain in my fingers while waking up in the morning. Please help.
Query: Hello doctor,I have pain in my fingers hands and feet in the morning when I wake up. After I do some exercise the pain reduces. What must I do? I am currently on T4 levothyroxine. Read Full »
Answer: Hi, Welcome to icliniq.com. I have gone through your reports (attachment removed to protect patient identity), it shows that you have a high ANA (antinuclear antibodies). These are antibodies related to arthritis. I suggest that the pain in your fingers and toes may be associated with the same. In... Read Full »
What does muscle soreness with positive ANA indicate?
Query: Hello doctor, I have had some muscular soreness for about one and a half years. I have no other symptoms. Normal hematology, CBC bloodwork always comes out fine. The only thing in the last bloodwork is I had ANA positive with 1:160 homogenous and the DNA (ds) ABS came out as 11 which said it was pos... Read Full »
Answer: Hi, Welcome to icliniq.com. You have mildly positive antinuclear antibody titer which suggests autoimmune disease and Anti-dsDNA (double-stranded DNA) which is slightly above the normal range suggests that you might have SLE (systemic lupus erythematosus) but there are 11 other criteria out of... Read Full »
I never had an injury. Why do I still have persistent back pain?
Query: Hello doctor,I am a 29-year-old female. I have been dealing with back pain for over seven years now. I have never been in any type of injury and had MRIs done of my brain, cervical, lumbar, and thoracic spine five years ago. They stated I had three bulging discs and an annular tear. My thoracic spin... Read Full »
Answer: Hello, Welcome to icliniq.com. I went through your post. You have not mentioned what you want to know and what your current problem is. You have degenerative disc disease involving both cervical and dorsal spines; however, there is no significant canal stenosis. I am sure you are not also symptoma... Read Full »
Does vasoconstriction occur due to an allergy to antihistamines?
Query: Hi doctor, I am having major vasoconstriction problems. I would like to know if my daily antihistamines intake is causing this problem. I am taking Loratadine and Fexofenadine hydrochloride daily for allergies. Read Full »
Answer: Hi, Welcome to icliniq.com. I would like to know in detail, what you mean by vasoconstriction problems? Is it affecting your hands or your feet or anywhere in the nasal bed? Do you experience any bluish discoloration of the nails or hands? Do you have any pain in the hands or feet? Do you have ul... 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 »
My ANA-positive daughter is negative now. Is pregnancy safe?
Query: Hello doctor,My daughter had a little girl four years ago. About three months postpartum, she fell down a flight of stairs injuring her back. At the same time, she had a very bad cold. When her back continued to give her pain after seeing the orthopedist, she went to a neurologist. Her blood work sh... Read Full »
Answer: Hello,Welcome to icliniq.com.Yes, there have been cases where ANA once positive becomes negative towards the later part. Initially, it may have been induced by pregnancy or any infection but over course of time, it becomes negative. As for your friend, I would suggest we do ENA (extractable nuclear ... Read Full »