Dr. Arbab Muhammad Kashif Khan
Medical Gastroenterology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hi doctor,
I am suffering from bloating since February and from March I am also experiencing severe constipation. I have tried all dietary change but none seem to be helping me here. For the past few days, I was also experiencing pain in the abdomen, sudden sensations in legs, and mild pain in testicles. So yesterday I went to see a local doctor and done the CBC test. All the parameters in reports were normal except platelets, which were 90K. Without any further tests to know the underlying cause of low platelets, the doctor wrote me some medication. I am really very worried about my health and want to know the root cause of all these problems. Please help.
Hello,
Welcome to icliniq.com.
Your previous symptoms are suggestive of irritable bowel syndrome constipation type (IBS-C) provided you have no weight loss, fever, blood in stools, and vomiting. It is not a worrying disease and you just have to follow some lifestyle modifications and simple treatment as given below.
Your low platelet count should be investigated. First of all, you should repeat it by manual microscopy as machines can sometimes give false readings. Second, as chronic malaria and dengue are common in your setup so it also needs to be investigated. Please share if you have any history of fever, jaundice, liver disease, spleen enlargement, or weight loss.
Investigations to be done
Probable diagnosis
Treatment plan
Preventive measures
Regarding follow up
Patient's Query
Thank you doctor,
I have had no history of fever, malaria, or jaundice. Do I still need to go through malaria and dengue diagnosis?
Hi,
Welcome back to icliniq.com.
I will advise to do peripheral smear (if the laboratory is nearby). If platelets are still low then will go for further work up.
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Medical Gastroenterology
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