Recently Answered Questions
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Does Hodgkin's lymphoma elevate CD3 and CD57 NK cells?
Query: Hello doctor, I recently tested positive for Lyme disease. I have a history of stage IIA lymphoma, 15 years ago, and I am in full remission ever since. My reports, that I have attached, show elevated CD3 and CD57 NK cells. The lab recommended that an oncologist looks at this for a possible Hodgkin'... Read Full »
Answer: Hello, Welcome to icliniq.com. I have seen your reports (attachment removed to protect patient identity). Lyme disease is usually associated with decreased CD57, especially in the chronic form. But, the lab findings reveal a high CD57. It also reveals high CD3 levels. Both high CD57 and CD3 ... Read Full »
What is the cause of fatigue, night sweats, chills, and appetite changes?
Query: Hi doctor,My illness started with fatigue and joint pain and then progressed to whole-body pain. Every day I feel like I have the flu. I had consistent night sweats, day sweats, and chills, loss of appetite at times, nausea on and off, and terrible fatigue. It includes 12 CBCs with differentials, me... Read Full »
Answer: Hi, Welcome to icliniq.com. Cancer is practically ruled out by doing all the scans. However, I am intrigued by the fear of cancer. Do you have a family history of cancer? Regarding joint pain, I will suggest you use hydroxychloroquine if routine painkillers are not working. Consult your doctor, disc... Read Full »
Is self-isolation needed to prevent coronavirus in immunocompromised patients?
Query: Hi doctor,I am 40 years old. Previously, I had glandular fever, shingles, and influenza. Now, I have Hashimoto's disease. I think that I may have a high chance to get infected with COVID-19 due to my weak immune system. Do I need self-isolation? Read Full »
Dr. Peter Bryant Rapsing Grutas
Answer: Hi, Welcome to icliniq.com. People above 60 years of age and people presenting with medical conditions such as hypertension, diabetes, and cardiovascular disease have higher chances to get infected with COVID-19 (severe acute respiratory syndrome coronavirus 2). People with thyroid disease and... Read Full »
I am suffering from rheumatoid arthritis. Kindly suggest treatment.
Query: I have rheumatoid arthritis and am concerned about its impact on my joints and the possibility of childlessness. Can you provide personalized insights into managing inflammation and arthropathy associated with rheumatoid arthritis, considering my specific health situation, and any considerations or ... Read Full »
Answer: Hello, Welcome to icliniq.com, I can understand your concern. It is an autoimmune disorder which continue attack on synovial leads inflammation and cause bone damage by friction. Rheumatoid arthritis is a chronic disorder for which there is no known cure. Fortunately in the last few years, a shift... Read Full »
I have poor blood circulation in my fingers. Please help.
Query: Hi doctor, I have poor blood circulation, and my hands are affected. My finger is swollen, and it hurts me a lot. I have tried using hot water over it, and it has not helped me. What can I do now? I am taking Daflon. But it has not helped me. I have attached my picture. Please see the images of the... Read Full »
Answer: Hi, Welcome to icliniq.com. I have gone through the attachment (attachment removed to protect patient identity). Please say about the duration of the swelling present in the finger. If the finger swelling is present for a few days, it can occur due to an infectious cause. If the finger swelling an... 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 »
Should I be concerned about my elevated monocyte count?
Query: Hello doctor, Here are my blood test results. Monocyte percentage (20.3%) has gradually increased during the last year. Monocytes: 1.09; creatinine: 1.59. Lymphocyte 1.09. Should I be concerned? I am currently on Losartan and Wellbutrin. Kindly help. Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and can understand your concern. Your monocyte cell count has increased over time. It indicates an ongoing chronic infection (bacterial, viral, or parasitic) or autoimmune condition. Could you please tell me if you are suffering from any other medical... Read Full »
I have fever, joint pain, and dry mouth. Please help.
Query: Hi doctor, I have had a fever for over a year now. I have joint pain in wrists and awaiting ultrasound guided steroid injections. I have three deformed fingers, premature ventricular contractions, shortness of breath, chest pain, upper back pain, neck stiffness, cracking and pain. I have dry mouth,... Read Full »
Answer: Hi doctor, Welcome to icliniq.com. Well, it does look like you are having an autoimmune problem. But, the type of rash, puffy fingers, rash over the knuckles, and fever does warrant that we should evaluate you further. Secondly dry eyes, dry mouth, and choking. That is a bit of concern as we ... Read Full »
I am diagnosed with scleroderma. Please help.
Query: Hi doctor, I traveled to a different country to get more in depth testing of multiple health problems. I was diagnosed with the start of scleroderma, because of my gastrointestinal symptoms, idiopathic angioedema, thickened skin, weird blood vessels (tiny red tree-like veins), family history of scle... Read Full »
Answer: Hi, Welcome to icliniq.com. Considering your symptoms, scleroderma (an autoimmune disorder characterized by skin hardening) could be a possibility. To assess further, it's essential to determine the pattern of sclerosis, which typically starts from the hands and spreads to the main trunk. Additiona... Read Full »
Are severe dry mouth, fatigue, memory problems autoimmune rections to antibiotics?
Query: Hello doctor,I have a problem with dry eyes, mouth, and vagina. I cannot cry because there is no tear production. I also have episcleritis in my right eye. Now I am afraid that I have Sjogren's syndrome. The other thing that is even worse is I cannot tolerate any antibiotics. I discovered that when ... Read Full »
Answer: Hello,Welcome to icliniq.com.Please do not panic. Yes, this can be an autoimmune disease. In fact, as there are dry mouth and dry eyes, the clinical diagnosis is Sjogren's disease as you mentioned which is an autoimmune disease. Sjogren's disease is basically of two types, primary where there is no ... Read Full »