Recently Answered Questions
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My mother-in-law has extreme fatigue and backache. Kindly help.
Query: Hello doctor, This is regarding my 64-year-old mother-in-law. She has backache and general malaise. She has also had pain in both the knees for a while now. When climbing stairs or walking on inclined roads, she requires support. She experiences extreme fatigue roughly in the evening between 5 PM ti... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. Anemia can lead to fatigue as well. Your mother's hemoglobin level is low and iron deficiency anemia could be suspected here. Further work up is needed in the form of serum TIBC (total iron binding capacity), serum ferritin, and transferrin saturation assay to confi... Read Full »
I have difficulty burping and feel throat pressure. Why?
Query: Hello doctor, I have been suffering from severe health issues for six months. My main problems include difficulty to burp, fatigue, pressure feeling in the bottom of my throat, for which I have done gastroscopy, which yielded no results. Also, I have done an MRI and barium swallow test. The barium s... Read Full »
Answer: Hello, Welcome to icliniq.com. I have read your query and saw the pictures attached (attachments removed to protect patient identity). It does not appear to be related to your thyroid. It seems more like esophageal atresia. Since your symptoms also point out in the direction of an esophageal defor... Read Full »
Will I remain COVID-19 positive for the rest of my life?
Query: Hi doctor,I just got a cover pos result. I was fatigued for two weeks with a productive cough-breath. X-ray and fever are normal. I need to be quarantined for one week after that. What should I do? Retest after three weeks? Will I be positive for the rest of my life? Read Full »
Answer: Hi, Welcome to icliniq.com. Thank you for writing, and I understand your concern. What do you mean by cover pos? Did you mean COVID-19 positive? Can you please send me your reports? I will check and let you know. No, you will not be positive for the entire life. Please tell me what symptoms do you... Read Full »
I have reactivated Epstein-Barr for a year. Please help.
Query: Hi doctor, I have had reactivated Epstein-Barr for a year. I recently got a blood test, which said, faint monoclonal band detected in the gamma region, repeat blood test in six months. There is no immunoparesis, and my levels have risen in the last four months, but still in the normal range. What do... Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through your query, and I can understand your concerns. The brief history you have described suggest a possibility of past infection with EBV (Ebstein-Barr virus). Probably you had an episode of IMN( infectious mononucleosis) in the childhood, which is ... Read Full »
I have severe low back pain with fatigue and leg pain. Why?
Query: Hello doctor,I have been dealing with severe lower back pain, hip pain, butt and leg pain, fatigue, insomnia, hot and sweaty, pain in my wrist and fingers, and foot pain (on my left foot my toes are curved down and one is curved to the left). I do not know if this has anything to do with arthritis b... Read Full »
Dr. Peter Bryant Rapsing Grutas
Answer: Hello, Welcome to icliniq.com. I am sorry you are having these symptoms. Have you had any laboratory workups done before? How about imaging studies? There are many causes of your current symptoms and this makes it more complicated since you have Arnold-Chiari malformation. This includes autoim... Read Full »
I have multinodular goiter. Please help.
Query: Hi doctor, I would like some help with my blood test results as my doctor has not been able to help. I have a multinodular goiter with six nodules, the largest is 1.9 inch x 0.7 inch. I am particularly concerned about the high FT4 (while FT3 is below optimal level), high PTH, low vitamin D, high CRP... Read Full »
Answer: Hello, Welcome to icliniq.com. I just read your query and the results that you have attached. (attachment removed to protect patient identity). It does not seem you have any thyroid disease as of now since your TSH (thyroid-stimulating hormone) is normal and your T3 and T4 are at acceptable leve... Read Full »
I feel fatigue and numb with peripheral neuropathy. Why?
Query: Hi doctor,One laboratory report says that I am positive for Lyme disease and another lab report says it is negative. Both used serum and western blot. I was in tick-borne Lyme areas overseas but do not recall a bite specifically. I have a positive ANA test (speckled pattern 1:80), anti-ds-DNA 8 iU/m... Read Full »
Answer: Hi, Welcome to icliniq.com. Your ANA (antinuclear antibody) report is not much significant. Lyme disease test IgG positivity reflects its chronic presence. Many of your neurological symptoms could be attributed to it. However, few symptoms need further evaluation by a rheumatologist, because a physi... Read Full »
I have been experiencing overwhelming fatigue. Please help.
Query: Hello doctor, I am a 28-year-old male. I have not been feeling well for the past three days, and I am getting more and more worried. I have been experiencing overwhelming fatigue and aches all over my body, and I just cannot shake it off. I also have a persistent cough and a high fever that just do ... Read Full »
Answer: Hello, Welcome to icliniq.com. I can understand your concern. Based on your symptoms, it sounds like you may have flu or another viral infection. Unfortunately, viruses cannot be treated with antibiotics, as antibiotics only work against bacterial infections. However, there are some things you ca... Read Full »
I am constantly tired despite being healthy. Why?
Query: Hello doctor, I am a 47-year-old male. I have chronic fatigue being on healthy diet. I am not on any medication. There is also low libido. In the blood test report, the levels of UIBC, DHEA, estradiol, vitamin D, progesterone, phosphorus, and platelets were low from the normal level and high B1... Read Full »
Answer: Hello, Welcome to icliniq.com. Your chronic fatigue can be explained by low levels of vitamin D, low phosphorus, and low DHEA (dehydroepiandrosterone). I will explain why do you have these low levels. There are many causes of vitamin D deficiency, but most common is inadequate exposure to sunlight... Read Full »
Why do I feel extreme fatigue despite normal blood reports?
Query: Hi doctor, I am suffering from low-grade fever, hair loss, and extreme tiredness. There is pain and burning sensation in my stomach along with loss of appetite and weight gain. I got my ANA test done and it came positive. My ESR level has increased. All my other test results found to be negative. Pl... Read Full »
Answer: Hi, Welcome to icliniq.com. I went through your reports (attachment removed to protect patient's identity) and observed that there is no autoimmune disease present. Since you have been suffering from multiple joint pains for the past one year, you should have tested for rheumatoid arthritis (RA) f... Read Full »