Recently Answered Questions
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Please suggest a diagnosis and treatment based on my blood reports.
Query: Hello doctor, I am 28 years old and here are my blood test results: HGB - 10.4 from 12.5 - 15.5; HTC 31.8 from 37-47; MCV 73.6 from 82-98; MCH 24.1 from >27; Iron Ferrozine FE-24.7 from 50-170; Ferritin- 3.29 from 5-1478; TSH 1.81 from 0.4-4; FT4 1.03 from 0.89-1.76; FT3 4.89 from 4-8.3; TGAb - ... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to the icliniq.com. I can understand your concern. You have not mentioned any complaint if present. In your report you can see low HB (hemoglobin), low MCV (mean corpuscular volume), low MCH (mean corpuscular hemoglobin), and low PCV (packed cell volume). This is suggestive of micr... Read Full »
Is it normal to feel sick even after three times of blood transfusion?
Query: Hello doctor, I recently had my third blood transfusion a week ago. However, it has been a week, and I still feel unwell. I have a history of severe anemia. Is this normal, or what should I do? I feel tired, weak, and have zero energy. Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. For severe anemia, you were given a blood transfusion. Clinical improvement depends upon the hemoglobin value. Usually, if your weakness is due to anemia, symptoms will improve with the normalization of hemoglobin levels. If there is no improvement, other causes for ... Read Full »
I have minor beta thalassemia. Why do I look pale?
Query: Hi doctor, I am a 22-year-old female and I have a minor beta thalassemia (heterozygous) which is supposed to be asymptomatic but I am very pale. This makes me extremely insecure especially when people keep pointing it out. Every day I get at least two people asking me what is wrong with me and why d... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. In thalassemia minor patient, Hb (hemoglobin) usually remains around 10 to 11 gm/dl. It is hemolytic anemia and so extramedullary erythropoiesis occurs in the bone marrow (attachment removed to protect patient identity). So, the mandible is also affected and become p... Read Full »
I have severe anemia. Is there any safe treatment?
Query: Hello doctor, I am a 49-year-old woman. I am suffering from severe anemia (iron and B12 deficiency). This might be the result of prolonged malnutrition over the past few years. The problem is that I have developed extreme sensitivity to most of the drugs, medication, treatment. In the past, there we... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. You are having iron injection allergy. Hence, it is better to avoid. But sometimes, we have to take decision according to benefit to risk ratio. In your case benefit could be more because severe anemia should be treated. (Your ferritin is also very low). So, blood tr... Read Full »
My mother-in-law has extreme fatigue and backache. Kindly help.
Query: Hello doctor, This is regarding my 64-year-old mother-in-law. She has backache and general malaise. She has also had pain in both the knees for a while now. When climbing stairs or walking on inclined roads, she requires support. She experiences extreme fatigue roughly in the evening between 5 PM ti... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. Anemia can lead to fatigue as well. Your mother's hemoglobin level is low and iron deficiency anemia could be suspected here. Further work up is needed in the form of serum TIBC (total iron binding capacity), serum ferritin, and transferrin saturation assay to confi... Read Full »
Why my hemoglobin is getting low and what should I do?
Query: Hello doctor, My hemoglobin is 6.2 and I feel very weak from inside my left chest. My reports are normal ECG, sugar, vitamin B12, X-ray, everything is normal. Why my blood is getting low and what should I do? I am a male aged 63 years. Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. You are having anemia and because of that weakness can be felt. You should get further investigated with peripheral smear examination, reticulocyte count, serum ferritin estimation, serum TIBC (total iron binding capacity) investigation, serum transferrin saturation ... 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. Goswami Parth Rajendragiri
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 »
How to manage microcytic hypochromic anemia with thrombocytopenia?
Query: Hi doctor,My partner was admitted to the hospital for a low platelet count, and she was asymptomatic. They did a blood transfusion and gave corticosteroids. There was no improvement in her platelet level. The doctor suggested me to consult a hematologist. On her recent reports, her platelet count wa... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to icliniq.com. I have gone through the attachment (attachment removed to protect patient identity). Her platelet count is low in the manual as well as on the cell counter. So infective etiology has to be ruled out first. If there is no sign of any infection, then ultrasonography abdom... Read Full »
I am a 35-year-old female suffering from weakness and anemia. Please help.
Query: Hi doctor, I am a 35-year-old female with a weight of 143 pounds and a height of 5 feet 4 inches. I need some help understanding the results of my blood exams. I had been experiencing symptoms of weakness in the past few weeks, but I work a lot, and it is summer, so I assumed there was nothing wron... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, I am glad you chose icliniq for your medical-related queries. I have reviewed the attached reports (attachment removed to protect the patient’s identity). Yes, you are experiencing mild anemia. This condition can lead to a decrease in the blood's oxygen-carrying capacity, resulting in wea... Read Full »
Do low RBC count and high IG count have any underlying pathology?
Query: Hi doctor, I am a 58-year-old male with a height of 6.3 feet and weight 315 lbs. I had a CBC test done this week. The RBC, HGB, and HCT results were below average. There was an IG, and it was 0.05, and the reference range is 0.00 to 0.003. The IG % was 0.90, and the reference range is 0.00 to 1.00. ... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to icliniq.com. Sorry for the delayed response. Following is my opinion on your asked question. The low hemoglobin and hematocrit were due to mild anemia. It could be due to any internal or intestinal bleeding or due to piles. RBC (red blood cells) count can come low due to low hemoglo... Read Full »