Anaemia refers to the condition in which there is decreased oxygen-carrying capacity of the red blood cells leading to symptoms such as fatigue, paleness of skin and dizziness.
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What should I do for my extreme anemia, enlarged spleen, and IBS?
Query: Hello doctor,I am a severely anemic patient. I have been on iron and B12 shots for three decades, but still, there is no improvement. I have got enlarged spleen, IBS, and also no absorption from the gut. I had undergone so many tests but nobody seems to have answers. I stay exhausted, dizzy, and pal... Read Full »
Answer: Hi, Welcome to icliniq.com. As you are on iron and vitamin B12 shots, I would assume that it could be nutritional. It is obvious that no absorption from the gut and also IBS will complicate it. An enlarged spleen could be due to increased destruction in the spleen or the production of cells in t... Read Full »
Is it possible for a fungal infection to cause low-grade fever?
Query: Hi doctor, For around nine weeks now, I have had a low grade fever and that persists. Also, I feel a little upper throat fullness and mild sinus congestion. I have been in and out of primary care clinics many times looking for help. I had two chest x-rays and they were clear. I also had blood test... Read Full »
Answer: Hi, Welcome to icliniq.com. This is a chronic fever, which is called as pyrexia of unknown origin when we are unable to ascertain a cause. As your blood tests and x-ray are normal, lung infection is ruled out. Conditions causing chronic fever are numerous. Also, certain infections like tuberculosi... Read Full »
Is the fact menorrhagia leads to anemia true?
Query: Hi doctor, Person who suffers from menorrhagia (heavy bleeding during period) is at higher risk of anemia. Is this true? Is there any basis to this claim? What if you are already anemic and suffering from menorrhagia? What complications are associated with the same? What precautions should on... Read Full »
Answer: Hi, Welcome to icliniq.com. It is common for a woman to experience blood loss of 60-80 ml per menstrual cycle. In cases of menorrhagia the blood loss is heavier and in the form of clots or in terms of using more than 6-7 sanitary napkins daily during menses. Menorrhagia easily leads to anemia ove... Read Full »
Can nutcracker syndrome damage your heart?
Query: Hello doctor, I am a 21 year old student. I recently found that I have nutcracker syndrome. I fear that it will affect my mitral valve prolapse or cause some damage to the heart, leading to stress and depression. Read Full »
Answer: Hello, Welcome to icliniq.com. Nutcracker syndrome is a condition in which the left renal vein gets compressed between two large vessels, superior mesenteric artery and the aorta. The compression will result in renal venous hypertension, and rupture of thin-walled veins. Hence, there is resul... Read Full »
Can reactive thrombocytosis cause stroke?
Query: Hello doctor, I donated plasma through plasmapheresis. When the IV was initially inserted, my blood did not flow through the machine. The technician came by and wiggled the IV, but the blood still did not flow. The technician then switched the IV to my other arm. It began to flow after about five mi... Read Full »
Answer: Hello, Welcome to icliniq.com. It is very rare for reactive thrombocytosis to cause a stroke. It may happen if you have other risk factors for stroke like hypertension and high cholesterol. However, I am hoping that they have ruled out other causes of thrombocytosis (increased platelet co... Read Full »
Why is my daughter's hemoglobin level low?
Query: Hi doctor, My 3 years old daughter is diabetic since 1.5 years of age and she is also anemic. Sugar is not much a concern. Recently, we got her blood test done and her hemoglobin is 10 and serum ferritin is 1.71. I have given her Iron supplement for over eight months now. Since then, this is her thi... Read Full »
Answer: Hi, Welcome to icliniq.com. Anemia can have many causes. Iron deficiency is one of them and very common. There can be other causes, which require some other investigations like peripheral smear and vitamin B12 levels. But, low ferritin points towards low iron as the cause. If she ever req... Read Full »
Can you please confirm my friend's diagnosis?
Query: Hi doctor, I am a general practitioner. I would like to consult with you regarding my friend, who has a normochromic normocytic anemia. His hemoglobin is currently 7.5. His diagnosis is not clear. I have all his laboratory data and bone marrow biopsy as well as aspiration if you want. He used to tak... Read Full »
Answer: Hello, Welcome to icliniq.com. One thing for sure is that he is having periodic hemolysis with adequate bone marrow response and he has a severe vitamin B12 deficiency. His corrected RPI (reticulocyte production index) is 2.7%, which means that his bone marrow is responding to the anemia ... Read Full »
Please suggest a treatment plan based on my father's blood report.
Query: Hi doctor, I would like to get a consultation regarding my father. His blood report showed hemoglobin (optical/impedance) 12.4 g%, platelet count (optical/impedance) 93 10^3/cubic mm, WBC count (optical/impedance) 3.6 10^3/cubic mm, packed cell volume (calculated) 36%, serum vitamin B 12 472 ng/L. ... Read Full »
Answer: Hi, Welcome to icliniq.com. Based on your query, my opinion is as follows. There are mild anemia, low white blood cell count, and low platelet count. All counts are considered adequate clinically, as they are near normal. It could be early features of megaloblastic anemia. As vitamin B12 levels ar... Read Full »
How to diagnose the cause of shortness of breath and extreme fatigue?
Query: Hi doctor, My mom, who is 76 years old, has a transferrin saturation level of 17. She has been scheduled for iron infusion therapy. She feels extremely tired, short of breath, and has arthritic pain. She cannot tolerate oral iron. She has had iron infusions before but does not last long. What to do... Read Full »
Answer: Hello, Welcome to icliniq.com. I am trying to understand whether she has iron deficiency anemia or anemia of chronic disease, or myelodysplastic syndrome. Did she ever get a bone marrow biopsy or hemoglobin electrophoresis? Can you share her latest complete blood count (CBC) before and after ... Read Full »
My mother's hemoglobin is 5. Her feet and face are swollen. What do I do?
Query: Hello doctor, My mother's hemoglobin is 5 g/dL. Her feet and face are swollen, what do I do? Read Full »
Answer: Hi,Welcome to icliniq.com. Hemoglobin of 5 g% is very low and an indication for blood transfusion. As you are saying her face is swollen, she might be landing into a heart failure. There are multiple causes of severe anemia. She requires admission and evaluation. Consult a general medi... Read Full »