Hello,Welcome to icliniq.com.Hemoglobin Constant Spring is non-deletional alpha thalassemia. This abnormal hemoglobin results from a point mutation at the stop codon of the α2-globin gene (TAA > CAA), which leads to the addition of 31 amino acids to a normal α-globin sequence.The heterozygote of Hb CS (hemoglobin constant spring) is clinically and hematologically normal with mild anemia in some cases, as it appears to be in this case. Heterozygous cases have a good prognosis and a fairly normal life expectancy.
Hello, Welcome to icliniq.com. Platelet count is reduced in leukemia because the cells in the bone marrow produce platelets known as megakaryocytes that are replaced by leukemic cells. If your father is receiving chemotherapy, then also all the blood counts, including platelets, will be reduced. Your oncologist will give platelet and packed cell transfusions when required. Platelets, unlike other blood cells, need not be crossmatched or typed.
Hello, Welcome to icliniq.com. We value the high level of confidence that you have in us. Your hemoglobin and hematocrit values are slightly high. Your RBC count is only marginally elevated since the upper limit of the normal range is 5.5 million/cu.
Hello,Welcome to icliniq.com.I have gone through your blood test results (attachment removed to protect patient identity).Your blood picture shows that the iron that is absorbed is not being utilized properly. Your transferrin saturation level of 56% is high but not more than 62%, which is indicative of homozygosity for the HFE (homeostatic iron regulator) gene. Moreover, genetic testing is confirmatory.
Hello, Welcome to icliniq.com. Increased vitamin B12 levels in the absence of supplementation can be seen in liver disease and myeloproliferative disorders like polycythemia vera. I suggest you have liver function tests and a hemogram done initially. If your liver function tests are normal and your hemogram shows elevated hemoglobin levels with an increase in the cell counts, you should go for a bone marrow biopsy and get tested for the JAK2 mutation. Thank you.
Hello,Welcome to icliniq.com.Lymphocytes are usually increased following a viral infection, some bacterial infections and also in conditions of stress. If you have a cold, it might be due to a viral infection. The percentage of increase in your lymphocytes is not very high.Continue taking medication that has been prescribed for GERD (gastroesophageal reflux disease).
Hello, Welcome to icliniq.com. BUN levels represent the balance between urea production (liver), urea breakdown, and urea elimination (kidneys). Therefore, BUN (blood urea nitrogen) indicates kidney and liver health. A high hematocrit could be due to many reasons and is not an indication of iron overload. Your hematocrit is not that high.
Hello, Welcome to icliniq.com. His total leukocyte count is increased, but the main reason for your doctor's suspicion of a hematolymphoid malignancy is the high basophil percentage. Leukemia is diagnosed by the presence of blasts more than 20 % in the blood and or bone marrow and more than 25 % in the case of lymphoblastic leukemia. It can only be confirmed by the examination of the blood and bone marrow. If the percentage of blasts is consistent with leukemia, further tests like flow cytometry and genetic testing will be required for treatment.
Hello,Welcome to icliniq.com.Low ferritin levels can cause fatigue and weakness.A full iron deficiency panel needs to be done. This includes:CBC (complete blood count)Differentials.Hemoglobin.
Hello, Welcome to icliniq.com. I have gone through your father's test reports (attachment removed to protect patient identity), and he has microcytic hypochromic anemia. The most common cause of this is iron deficiency. This could be due to bleeding from duodenal ulcers over a long period of time. I would advise that he take iron and folic acid tablets after food twice daily in addition to existing medications.
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