Hi, Welcome to icliniq.com. I went through all of your data. Although your results are out of reference ranges, they are not out of clinical ranges. Clinical range means all of your differential diagnoses seem normal. Neutrophils are increased in stress, acute infections, inflammations, steroid use, fever, leukemias, pregnancy, etc.
Hi, Welcome to icliniq.com. Vitamin B12 needs a high oral dose that has to be taken. Moreover, PPI (proton pump inhibitor), antibiotic therapy, intense gastritis, etc., further reduce its absorption. I suggest taking intravenous (IV) Vitamin B12.
Hello, Welcome to icliniq.com. The word ‘cancer’ means an uncontrollable proliferation of some types of cells. It is a whole package comprising of anemia, leukopenia or leukocytosis, high ESR (erythrocyte sedimentation rate), thrombocytopenia, unexplained fever, weight loss, arthralgias, and myalgias. These are diagnosed using FNAC (fine needle aspiration biopsy), bone marrow biopsy, immunohistochemistry, flow cytometry, radiological surveying. These are treated with chemotherapies selected according to the type of cells involved in lesions.
Hi, Welcome to icliniq.com. I understand your concern. The blood test is absolutely normal for the age of the kid. History of the disease suggests a viral verses bacterial infection and the treatment line is fine. Add an antihistamine to the medication and nebulize with a bronchodilator.
Hi, Welcome to icliniq.com. I understand your concern. Anemia is common in malabsorption diseases (cow milk intolerance in your case). Iron deficiency takes six months to develop in case of reduced intake, absorption, or loss via blood. They are probably doing endoscopy or colonoscopy because of milk intolerance to rule out irritable or inflammatory bowel diseases.
Hi, Welcome to icliniq.com. I understand your concern. I went through the investigation report (attachment removed to protect the patient's identity) that you sent. I found no clue about lymphoma. It seems reactive nodes to some local viral infection of the urogenital tract.
Hi, Welcome to icliniq.com. I hope you are fine and safe from the pandemic. The data you provided in quantitative and qualitative terms indicate mixed micronutrient deficiency, especially iron, vitamin B12, folic acid, and pyridoxine. Get it treated according to local guidelines. For gastritis, rule out Helicobacter pylori infection.
Hi, Welcome to icliniq.com. I went through your data (attachments removed to protect the patient's identity). Your hemoglobin is at borderline, but your hematocrit is clinically high. Elevated hemoglobin is seen in smokers, people living at high altitudes, congestive cardiac failure, and chronic obstructive pulmonary disease. Some erythropoietin secreting adenomas of kidneys very rarely could be a part of primary polycythemia.
Hi, Welcome to icliniq.com. I hope you are doing well. The signs and symptoms associated with neutrophilia are those of infections. Sore throat, skin infection, chest infection, and urogenital infections are common. Moreover, neutrophilia can occur due to stress, steroid use, or hormone therapy.
Hello, Welcome to icliniq.com. The mere presence of BCR-ABL does not confirm CML (chronic myelogenous leukemia). It has leukocytosis, splenomegaly, positive Philadelphia chromosome or other cytogenetic abnormality, BM hyperplasia, etc. A negative BCR-ABL by qRT-PCR excludes it without the signs mentioned above. Moreover, a high platelet count might be part of CML instead of the only feature of CML.
Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.