Anaemia

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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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 »


Dr. Prakash H. Muddegowda

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 »


Dr. Sadaf Mustafa

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 »

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 »


Dr. Sadaf Mustafa

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 appr...  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 »


Dr. Anshul Varshney

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 »

I am feeling dizzy and have heart palpitations. Kindly help.

Query: Hi doctor, I am feeling tired, dizzy, and having heart palpitations. I previously had anemia, and I take ferrous sulfate tablets. I have attached the blood test reports. Should I see a Hematologist?  Read Full »


Dr. Goswami Parth Rajendragiri

Answer: Hello, Welcome to icliniq.com. I have seen your attachments (attachment removed to protect the patient's identity). Following is my opinion for your asked question. You had a history of anemia, after which you were put on a ferrous sulfate tablet. In anemia, the bone marrow produces fewer red blood...  Read Full »

Are these symptoms connected with Brainstem Lesions?

Query: Hi Doctor, Around eight months back, I had a numb feeling in my nose. I ignored it because I had three abscessed teeth on my left side, and I thought the numbness was due to that. It gradually went away, and I forgot about it. Last month, my daughter fell sick, and I was going through some extreme ...  Read Full »


Dr. J. Mariano Anto Bruno Mascarenhas

Answer: Hi, Welcome to icliniq.com. I have read your question with care and understand your problems. All your symptoms can occur in brainstem lesions. Routine MRI sequences may not identify many lesions in the early stages. You have to do the following tests: MRI (magnetic resonance imaging) - Diffu...  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 »


Dr. Sumit Srivastava

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 resultant he...  Read Full »

What is the reason behind my muscle weakness?

Query: Hello doctor, My age is 25 years. My height is 5'10" and I weight 78 kg. I am suffering from muscle twitches and extreme muscle weakness and muscle pain from last one month. I went to a neurologist and he says reflexes are normal and asked me not to worry and he put me on tablet Remylin-D. I am curr...  Read Full »


Dr. Prakash H. Muddegowda

Answer: Hi, Welcome to icliniq.com. Based on your query, my opinion is as follows:Muscle twitches, muscle weakness and muscle pain since one month could be due to calcium deficiency. Has serum calcium level been evaluated? Associated dehydration along with anemia requires evaluation. At least 6-8 liters of ...  Read Full »

Should my 15-year-old brother visit the doctor for palpitations and shortness of breath?

Query: Hi doctor, My brother is 15 years old. His height is 5'3" and weight is 115 lbs. For the past one week, he has had occasional heart palpations and shortness of breath about once a day. Originally it started with a headache complaint. We are concerned whether it will just pass or there are remedies...  Read Full »


Dr. Prathap

Answer: Hi, Welcome to icliniq.com. Please make sure that the cold medicines you use have any of the following agents like Theophylline or Salbutamol or any beta agonists in them. One of the adverse effects of the medications above is palpitations. If the medicine you used has none of the above things,...  Read Full »

I am worried about my blood reports. Kindly suggest.

Query: Hi doctor, Recently, I had a blood test. The report shows, TSH is 14.2, cardiac risk factor 7.1, high cholesterol and low iron and hemoglobin. At the same time, I have periods for the last 20 days. So, I had Destrogen twice a day. Now, I am taking Iron, Calcium and cholesterol tablets after dinner. ...  Read Full »


Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to icliniq.com. First, do not worry as everything is very well treatable. Regarding your thyroid, were you a known hypothyroid or just now detected? If you are a known case and on 100 ug since long, then dose needs to be increased to 112.5 as TSH (thyroid-stimulating hormone) is more ...  Read Full »

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