Can iron deficiency cause tremors and fatigue?
Hi doctor,
I am just wondering if it is possible to have neurological symptoms with low ferritin levels. My hemoglobin is 13, but the last check on ferritin said it was 5.3. I am suffering severe internal tremors, fatigue, cold hands and feet and weak shaking legs. My symptoms improve while on a short course of iron, but the minute my period arrives, I am a mess again with my symptoms back to square one. Any advice would be appreciated.
30 Apr 2024 - 1 min read
Can HbE trait in my wife affect unborn child's health?
Hello doctor,
My wife is nine weeks pregnant with our first child. We got are hemoglobin results back today. My wife's test results were positive. EA, HbE trait with or without thalassemia. I would like to know if child's health could be a concern?
Please help. Her grandmother has diabetes. Got it at an old age.
29 Apr 2024 - 1 min read
What are the side effects of taking the drug Cladribine?
Hello doctor,
I had a medical error in taking Cladribine infusion within 30 minutes for four days out of seven days. The treatment is supposed to be taken 24 hours a day. What is the procedure currently required and is there any danger in the short-term and long-term and whether the treatment was taken correctly and what tests are required now? Any procedure I can do to correct this sick error? I received treatment with a dose of 0.25 oz mixed in 100 ml venous solution at 0.1 concentration and in half an hour for four consecutive days. Please help me rapidly.
18 Apr 2024 - 1 min read
How can I improve my lab values?
Hello doctor,
My current iron is 4.2 and saturation is 5%. Are there any medications that can help me correct my lab values?
18 Apr 2024 - 1 min read
What is the cause of my recurrent strokes and TIA?
Hello doctor,
I am a 65-year-old female with hypercoagulation. What is the root cause of hypercoagulation and can it be treated so the condition goes away? My fibrinogen, antithrombin III, and D Dimer are elevated and my TEG platelet mapping shows hypercoagulation. I am taking Coumadin 5 mg per day. I did some research and learned that elevated fibrinogen could be the result of chronic inflammation from atherosclerosis, which I have. Other causes might be cancer or arthritis, which I do not have. Can you think of anything else that might be causing it and have you any ideas on how to reverse it permanently? I do not want to take Coumadin for the rest of my life if I can help it.
Background: I have a history of a dozen lacunar strokes in different parts of my brain (sometimes in several places at once) and many TIAs over the past three years, for which I have received tPA, and after which the stroke symptoms resolved with minimal lasting deficits (left hip is still weak).
Recently, I went to a hematologist to see if I could find the cause of the strokes and TIAs. He did an extensive workup and told me my blood protein is all screwed up. I assumed he meant fibrinogen. He diagnosed me with hypercoagulation and put me on Lovenox shots for two weeks, then transitioned me to Coumadin six weeks ago. Since then, the strokes and TIAs have stopped.
My normal blood tests: Protein S, Protein C, Factor V Leiden, IGG/IGA/IGM, Anticardiolipin antibody, Thrombin time, Lupus Anticoagulant, DRVVT, Heparin Level, APPT, Protime-INR, PFA, Homocysteine, Cortisol, C Reactive Protein, Troponin I, Prothrombin DNA, PT, PTT. My atherosclerosis: CTA and MRA show there are no problems in the vessels of my heart or neck, but mild to severe stenosis in various vessels of my brain, notably the basilar artery (balloon angioplasty reduced it from 90 % to 50 %) and the right anterior cerebral artery is 90 % but they cannot do angioplasty because they say it is too difficult. I have small vessel disease in my white matter.
26 Feb 2024 - 1 min read
