Anemia

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Why do I get swelling in feet and ankle after Entocort intake?

Query: Hello doctor, I am a 62-year-old female. I was diagnosed with collagenous colitis following colonoscopy biopsies. I started on Entocort, three days later I have severe swelling in feet and ankles. I am fatigued the next day. On the seventh day, I had swelling of lips and a strange feeling in the th...  Read Full »


Dr. Srinivas Morampudi

Internal Medicine Physician

Answer: Hi, Welcome to icliniq.com. Entocort (Budesonide) is a corticosteroid. It is very unlikely to cause anemia, especially to the extent that you had. What was your hemoglobin prior to the colonoscopy? If it was near normal and then dropped to 3.6, that would be a huge drop. If you had gastrointestin...  Read Full »

What is the best way to titre my oxygen level to combat Co2 retention?

Query: Hello doctor, I feel that I am a complicated case and I am trying to figure out the best way to titrate my oxygen treatment. I have late-stage cystic fibrosis, and I am experiencing a few months of exacerbation that has led to me needing oxygen full time. A few weeks ago I began, for the first time...  Read Full »


Dr. Divakara P

Diabetologist, Endocrinologist, General Medicine Physician, Internal Medicine Physician, Pain Medicine Physician, Pulmonologist

Answer: Hello, Welcome to icliniq.com. Well, that was a wonderful and well-detailed query. I will answer your query in parts. Regarding your insensitivity to low O2 saturation: Well, this is an expected development in long-standing lung problems. Continuous exposure to low oxygen levels over long time ...  Read Full »

Is there a chance of passing of hemoglobin D trait from parent to children?

Query: Hello doctor, I have haemoglobin D traits. What can I do, so that my child does not have that problem? I have done abnormal stuudies of HPCL.  Read Full »


Dr. Parth R Goswami

Family Physician, General Practitioner, Hematologist, Pathologist

Answer: Hello, Welcome to the icliniq.com. I have checked the attached report. (attachment removed to protect patient identity). It is suggestive of Hb D (hemoglobin D) trait. It can get transmitted in your future child if you have that problem. You cannot prevent trait transmission. In fact HB D trait ...  Read Full »

What could be the reason for pain in legs, lower back and stomach of a 12-year-old girl?

Query: Hello doctor, My 12-year-old daughter is complaining of pain in her legs, lower back, and stomach. Please suggest.  Read Full »


Dr. Babu Lal Meena

Child Health Specialist, Family Physician, General Practitioner, Medical Gastroenterologist, Paediatrician

Answer: Hello, Welcome to icliniq.com. Information given by you is quite deficient. Still I will try to explain you. Some of the children in this age group has this pain. It has variable etiology. Most common cause is related to anemia (deficiency of hemoglobin in blood) and deficiency of vitamin D. Rest ...  Read Full »

Can low blood pressure and symptoms of anemia be related to dengue?

Query: Hi doctor, Female, 34 years old, 164 cm height, and 74 kg weight. Last month I suffered from dengue fever DHF NS1 antigen positive right lung pneumonia right lung pleval effusion, ascites, and type 1 respiratory failure, anemia and PV bleeding. Now after recovery, I consulted doctor, he carried out...  Read Full »


Dr. Parth R Goswami

Family Physician, General Practitioner, Hematologist, Pathologist

Answer: Hello, Welcome to icliniq.com. The positive direct coombs test is suggestive of some form of hemolytic anemia in which antibody bind to red blood cells. The DCT could be positive because of immune hemolytic anemia. Dengue infection is form of viral infection and it can cause immune hemolytic anemi...  Read Full »

What could be the reason for non stop bleeding since giving birth?

Query: Hello doctor, I had a baby last February, and since then, I have not stopped bleeding. I have done ultrasounds (internal and external), blood tests, and they still do not know what is wrong, and I cannot afford to see a specialist. Now, when I stand after sitting, leaning, or laying down, I am dizzy...  Read Full »


Dr. Sameer Kumar

Family Physician, Obstetrician And Gynaecologist, Infertility Specialist

Answer: Hello, Welcome to icliniq.com. You must have become anemic now as you have been bleeding for so long. I suggest if there was no cause found on ultrasound and the uterus is well involuted and clean, then the likely cause is progesterone imbalance. If you are not planning for another child for the n...  Read Full »

Are eating slate pencils and raw rice normal?

Query: Hello doctor,My sister eats slate pencils of two boxes a day and she also eats raw rice too much. So can you give some medicines which taste like a slate pencil?  Read Full »


Dr. Kiran Anaparthi

Family Physician, HIV AIDS Specialist

Answer: Hi, Welcome to icliniq.com. First, child eating slate pencils and rice is an indication of severe anemia. Tell your parents to get tested for hemoglobin and start on the iron supplement which increases iron levels and blood levels and reduces craving for these rice and slate pencils. Second, the ...  Read Full »

My wife's hemoglobin is 8. What is the cause?

Query: Hello doctor,My wife's hemoglobin is 8. The reports of various tests do not seem to show the reason. What could it be?  Read Full »


Dr. C Elanchezhian

General Medicine Physician, Internal Medicine Physician

Answer: Hello, Welcome to icliniq.com. Yes, your wife is in severe anemia. Hb (hemoglobin) level is low at 8.1 g/dl. RBC count is low at 2.86 million/cu.mm. The reticulocyte count is 7.0 increased-that means bone marrow production increased to face the demand. LFT is normal. There is no hemolysis. Now...  Read Full »

Elliptocytes and ovalocytes are present in blood smear. Why?

Query: Hello doctor,This is for my mother who I been concerned about. Would her reports seem acceptable for a smear slide examination? Anisocytosis 1+, ellliptocytes present, ovalocytes present. She developed memory and confusion issues within a month and has a heart valve issue with an ECG that was record...  Read Full »


Dr. Parth R Goswami

Family Physician, General Practitioner, Hematologist, Pathologist

Answer: Hello, Welcome to icliniq.com. Anisocytosis, eliptocytes all can be seen in anemia case. In iron deficiency anemia also it can be seen. So, you should check her hemoglobin level and HCT level. Do not worry about that. With the treatment of anemia, usually, it disappears.  Read Full »

I have attached the blood tests of my friend. Please check and provide the required consultation.

Query: Hello doctor, I am attaching the blood tests of my friend. Please check and provide the required consultation.  Read Full »


Dr. Neha Singh Rathod

Obstetrician And Gynaecologist

Answer: Hello, Welcome to icliniq.com. I have gone through your query and reports, and she has a very low hemoglobin count. Please take iron injections and iron supplements, iron-rich diet and plenty of fruits and vegetables. However, if you have a doubt, then get back to me.  Read Full »

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