Recently Answered Questions
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Query: Hello doctor, My wife aged 36 with low hemoglobin got her hemoglobin and platelet increased. But after two months, she had vomiting and developed jaundice, and the hemoglobin got reduced again. The doctors advised two bottles of blood transfusion, but after 75 % of the blood was transfused, she got ... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. I read your query and can understand your concern. I have noted that your wife's hemoglobin level is not increasing with iron treatment and decreasing for two months according to the history provided. Moreover, she had suffered from jaundice as well. So, I suggest you ... Read Full »
Query: Hello doctor, My 8-year-old son has been suffering from congenital dyserythropoietic anemia (CDA) since birth. He takes blood transfusions every month. His ferritin is 3205 micrograms per liter, bilirubin 4.4 mg/dL, SGPT 387 U/L, SGOT 470 U/L, and alkaline phosphatase 687 IU/L. Please suggest to me ... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. I have read your query and understand your concern. Your son has elevated liver enzymes with high bilirubin and high serum ferritin. Elevated ferritin levels may be due to increased iron storage because of repeated blood transfusions. Heptral (Ademetionine) can be c... Read Full »
Please suggest treatment for arm fracture and rib injury.
Query: Hi doctor, My friend is a 40-year-old female. She met with an accident before 10 days. Her arms and shoulders got fractured. Her ribs too got injured. She is having chest pain, breathing problem and clot in blood vein. I have attached all her CT scan and X-ray reports with this. Please advise what... Read Full »
Answer: Hi,Welcome to icliniq.com.As per the reports (attachment removed to protect patient's identity) submitted, I understand that it was a major accident. She has multiple injuries to various parts. Usually, with such injuries, it is difficult to isolate each problem and provide a solution without seeing... Read Full »
Are elevated bilirubin and blood in urine complications of hereditary spherocytosis?
Query: Hi doctor, I have hereditary spherocytosis with snapping scapula and spermatocele. Before few weeks, I took some blood tests. I had elevated levels of bilirubin and low WBC levels. Yesterday, I took a urine sample and found a large amount of blood in my urine. Is this serious? Can I have a blood di... Read Full »
Answer: Hi, Welcome to icliniq.com. Yes, it is a disorder that may cause an unstable RBC (red blood cells) membrane leading to produce spherical-shaped RBC. After passing through the spleen, it causes hemolysis. The common complications are anemia, jaundice, gall stones, folic acid deficiency, and aplasti... Read Full »
Can beta-thalassemia minor be treated?
Query: Hi doctor, One of my daughters has got beta thalassemia major and G6PD deficiency. Is there any treatment for her? Please advice. Read Full »
Dr. Geetha Priyadarsini Kamminana
Answer: Hello, Welcome to icliniq.com. Beta thalassemia major includes a hereditary disorder and is due to genetic deficiency of beta globin chains of hemoglobin. It is transfusion dependent anemia. Management of beta thalassemia major includes Chronic transfusion to maintain hemoglobin at the range of... Read Full »
Query: Hi doctor, I am 33 years old, 6 feet and 3 inches tall, and my weight is 100 kg. My hemoglobin level is 5.4 g/dL, and platelet level is 1.38 lakh/mcL. I have attached the reports. Please help. Read Full »
Answer: Hi, Welcome to icliniq.com. I went through your post and the investigations (attachment removed to protect patient identity).You have severe iron deficiency anemia, and your hemoglobin is less than six, which makes you a candidate to get admitted to the hospital. First, receive blood followed by eva... Read Full »
Hemoglobin, RBC, and WBC are going down rapidly. What can be the reason?
Query: Hello doctor, My husband's hemoglobin is 3.7 g/dL, but the hemoglobin level was 5 g/dL when we checked it two days back. His RBC and WBC are also going down. What can be the reason? Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to icliniq.com. Your husband's hemoglobin and WBC count are going down very fast, it is not normal. For such low hemoglobin levels, blood transfusion is needed immediately. A peripheral smear examination should be done, to look for schistocytes like fragmented RBC and normoblast count... Read Full »
I have thalassemia minor. How to increase hemoglobin and decrease ferritin levels?
Query: Hi doctor, I am a 76 year old male, who is 170 cm tall and weigh 68 kg. Presently I have anemia, and my hemoglobin is 9.6 g/dL. I also have high serum ferritin level of 1900 ng/mL. I have this problem for some time. Many years ago, I was diagnosed with thalassemia minor. I was feeling tired, and I h... Read Full »
Answer: Hi, Welcome to icliniq.com. I have seen all your reports (attachment removed to protect patient identity). Thalassemia is an inherited blood disorder characterized by abnormal hemoglobin production. I do not have to explain you much about thalassemia as your doctor might have told you the details... Read Full »
For thalassemia major, when would my son require his first blood transfusion?
Query: Hello doctor, My son is 15 months old and has been diagnosed with thalassemia major. My only question is when he would require his first blood transfusion? Because typically people feel strong symptoms of anemia and need medical help when Hb goes below 6. But, my child has Hb of 3.7 probably for ove... Read Full »
Answer: Hi, Welcome to icliniq.com. I can understand your concerns. The definite management of thalassemia is bone marrow transplant. For this HLA - human leukocyte antigen) matching is done and if possible this is the best treatment available right now. The second one is a regular blood transfusion... Read Full »
Which is the best diet for someone with thalassemia major?
Query: Hi doctor, I am a patient of thalassemia major. My first blood transfusion was four months ago. There was no need for blood transfusion before that. I have no idea about my disease and now my blood transfusion has reached a count of eight times, meaning eight units in the last three months. I checke... Read Full »
Answer: Hello, Welcome to icliniq.com. In thalassemia major, there is a defect in the production of normal hemoglobin. This affects the oxygen-carrying capacity of the hemoglobin since it is defective. Regular blood transfusions and iron chelation therapy to prevent iron overload is the main treatment. Yo... Read Full »