Recently Answered Questions
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There is severe burning sensation in head with forgetfulness. Why?
Query: Hi doctor, My mom is always complaining of a severe burning sensation in her head. She is 67 years old. She has some problems detected by MRI with a white matter like minute clogs. She started forgetting short term events. She is on medicine but the burning never goes away. Do you have a solution? ... Read Full »
Answer: Hi, Welcome to icliniq.com. What medications she is on currently? Do you have the MRI report so I could have a look at it? Based on the MRI, we can treat her. Does she have any cardiac issues? Has she tried Clonotril? Read Full »
My MIBI scan shows ischemia, whereas the angio scan is normal. Please explain.
Query: Hello doctor, I am a 42-year-old female. Last year my GP recommended me for the MIBI (myocardial perfusion imaging) cardiac scan, and it can out that I have mild anterior wall ischemia (10% total ischaemic burden). He then recommended me for the angio scan, and the result came normal. He advised me... Read Full »
Answer: Hello, Welcome to icliniq.com. I have seen the reports (attachment removed to protect patient identity). Myocardial perfusion imaging showed mild ischemia involving 10% of the myocardium, not a large area. Coronary angiography came out normal means all major vessels are normal. There are two possi... Read Full »
A child has cerebral palsy. Is she considered disabled?
Query: Hello doctor, I am attaching details of a girl. Her left side of the body is not working properly. She cannot hold or pick things from her left hand. She cannot move her left thumb. She walks on her left toes. She cannot stand straight without support on her legs. Attached are the MRI findings. Ple... Read Full »
Answer: Hello, Welcome to icliniq.com. This looks like an old ischemic insult to the brain, which has led to cerebral palsy with hemiparesis. Unfortunately, this is an incurable condition, but some changes and improvements can be seen with proper and long-term physiotherapy. Read Full »
I have inducible ischemia, why is a coronary angiography advised?
Query: Hello doctor, I am a 34-year-old male. I have recently done a master health check-up. One of the key observations of the checkup was TMT (stress test) is borderline positive for inducible ischemia. Upon consulting cardiologist and post-screening echo, he has suggested doing a coronary angiogram. Cou... Read Full »
Answer: Hello, Welcome to icliniq.com. Although you do not have any symptoms, but your ECG (electrocardiogram) and TMT (treadmill test) shows changes. Your echo is also normal. But we cannot neglect your ECG changes which are striking. So it is better to undergo angiography and get it clarified. Also, som... Read Full »
I have constant squeezing chest pain for past three weeks. Why?
Query: Hello doctor, I have been using Adderall for about three years now. About one year ago, I started experiencing chest pains that would quickly go away after awhile. Then, there were a few occasions where I abused my medication and took too much. Since the last time that this happened (about six month... Read Full »
Answer: Hello, Welcome to icliniq.com. Likely, this is gastritis and reflux disease. Pain occurs due to acid reflux and esophageal spasm. You should avoid fatty, oily and spicy diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular... Read Full »
I have both discoloration and numbness in the glans penis. Why?
Query: Hello doctor, I am 31 years old with 5.9 inches height and weight 150 pounds. I have both discoloration and numbness but only on the glans penis and not the shaft. I have gotten consultations, and no one can find the problem. I have photos to show before and after. I have had this problem for about ... Read Full »
Dr. Samer Sameer Juma Ali Altawil
Answer: Hi, Welcome to icliniq.com. Thanks very much for consulting us. Discoloration of the glans and penis can have many causes like inflammation, bruises, or ischemia, and numbness can be mainly due to penis or nerve injury. The picture will help with the diagnosis if you send me. Gonococcal infection ... Read Full »
I have neurological problems. Please review my MRI reports.
Query: Hello doctor, I am diabetic and hypertensive and have neuro problems. Please look at my MRIs (Magnetic Resonance Imaging) reports and advise me accordingly. I have attached the reports. Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through the attachments (attachments removed to protect patient identity). The MRI (magnetic resonance imaging) report says chronic ischemic changes suggestive of small vessel ischemia. These changes are usually seen in people with underlying diabetes and h... Read Full »
My brother is suffering from OCD. Please help.
Query: Hi doctor, My brother, who is 32 years old, is undergoing treatment for obsessive compulsive disorder (OCD) for the last 15 years without much improvement. In fact, his condition has only worsened since the start of the treatment. For the last several days, he has been complaining of erectile dysfun... Read Full »
Answer: Hi, Welcome to icliniq.com. First of all what you mentioned over in the magnetic resonance imaging (MRI) report could be coincidental finding, and there is less to do with these changes if OCD (obsessive-compulsive disorder) is considered provided there is no family history of obsessive compulsive ... Read Full »
Why is there a twitch or spasm in the upper left chest?
Query: Hi doctor, I have an unusual strange feeling system. There is a twitch or spasm in the upper left chest where the heart is. It has been twitching constantly on and off all day. I have not been sleeping well for the last 3 to 4 days and I am on Adderall 20 mg XR and 2 x 30 mg IR daily. I am sure the... Read Full »
Answer: Hello, Welcome to icliniq.com. I passed carefully through your concern and would explain that your symptoms do not seem to be related to cardiac ischemia. These muscle twitching may be caused by possible water and electrolytes imbalances. This, in turn, is favored also by Adderall (Amphetamine) in... Read Full »
How to control constant high blood pressure?
Query: Hello doctor, My father has developed a hypertension crisis, BP not less than 180/120 mmHg, for a month. He has weakness on the left side and slurred speech. He also cannot control his emotions, such as crying and smiling. There is no total paralysis as he can still walk on assistance. MRI shows sm... Read Full »
Answer: Hello, Welcome to icliniq.com What is the RFT of the patient? We need to give Arkamin to the patient, and this will help. The main problem is we need to rule out a stroke. Please get an NCCT (non-contrast computerized tomography) head done and let us know and start Arkamin 0.1 mg thrice daily. Read Full »