Questions & Answers

Q&A

Answered by Dr. Goswami Parth Rajendragiri

What is the treatment for essential thrombocythemia?

Hello, Welcome to icliniq.com. I understand your concern. Your father was prescribed Ecosprin and Hydroxyurea due to a very high platelet count. Now the platelet count is within the limit. So, no need to continue Hydroxyurea.

July 10, 2026

Is it safe to take chemotherapy with low WBC counts?

Hello, Welcome to icliniq.com. Your child has B-cell acute lymphoblastic leukemia. In that case, to induce remission, induction chemotherapy should be given to restore normal bone marrow. After induction, maintenance chemotherapy is also to be given. Your total count might be low because of chemotherapy, but your daughter was having 87% blasts, so chemotherapy should be given.

July 10, 2026

What causes purpura and nosebleeds during TB treatment?

Hello, Welcome to icliniq.com. According to your history, ITP (idiopathic thrombocytopenic purpura) might come under suspicion. But you do not have ITP, as bone marrow is normal, and megakaryocytes are not showing any sign of ITP. Check for hypersplenism by USG (ultrasound) abdomen investigation. Second, rule out dengue by IgM dengue testing (ELISA or card test).

July 9, 2026

Will steroid infusion work for platelet count at 5000?

Hello, Welcome to icliniq.com. I have seen the attached report (attachment removed to protect patient identity). The platelet count is very low. So he is having severe thrombocytopenia. The dengue is negative.

July 8, 2026

Is a family history of heart disease with low RBC a problem?

Hello, Welcome to icliniq.com. I can understand your concern. You have not provided the complete details of your complete blood count (CBC) and peripheral smear examination, particularly the hemoglobin (HB) value, which is crucial. For your information, an RBC (Red Blood Cell) count in adult females between 3.8 to 4.

July 8, 2026

Why am I continuously getting a blood clot in my left leg?

Hello, Welcome to icliniq.com. You have recurrent leg vein thrombosis (the formation of a blood clot inside the blood vessel). The cause is genetic, that is, a prothrombin gene mutation. So, the prothrombin thrombosis is the main problem. I suggest you try taking Rivaroxaban or other anticoagulant drugs as a prophylactic drug if recurrent thrombosis is the problem.

July 7, 2026

I have petechiae rash on limbs, easy bruising. Please help.

Hello,Welcome to icliniq.com.For the petechial rash, you need to investigate with a full CBC to check the platelet count. Low platelet count is one of the causes of such a rash. I suggest you investigate with SGPT and ultrasonography of the abdomen to check for liver disease.Your raised APTT is a surprising result and points towards some coagulation deficiency (attachment removed to protect patient identity).

July 7, 2026

What does CBC and RBC anisopoikilocytosis indicate?

Hello, Welcome to icliniq.com. Your report is suggestive of microcytic hypochromic anemia. Do not worry about that. It is a treatable condition. With the recovery of the hemoglobin level by tablet, your PS (peripheral smear) will revert to normal.

July 6, 2026

Does having intercourse while on warfarin cause hemorrhage?

Hello, Welcome to icliniq.com. I read your query and can understand your concern. Usually for thrombotic events, a warfarin-like anticoagulant drug is prescribed with INR monitoring. Duration of therapy can be up to six months (only if there is a high risk of thrombosis; then lifelong anticoagulant is given). So for these six months while on warfarin, you can delay intercourse if possible.

July 1, 2026

Why are viruses non-viable outside a host cell?

Hi, Welcome to icliniq.com. I understand your concern. Hosts have two types of immunity against all types of organisms: natural and acquired immunity. Natural immunity is the immunity present from birth, like NK (natural killer) cells, T cells, the complement system, etc. Acquired or adaptive immunity develops after antigen exposure of the host, like B-cell-mediated immunity.

June 30, 2026

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