How to manage health issues due to deficiencies?

Question

Hello doctor,

I have been experiencing widespread body pain, pale skin, obstructed sweat glands, stomach pain, and nerve pain. Despite seeing multiple doctors, my test results, including radiology and lab tests, have all come back normal. However, I have noticed a few things that concern me: my hemoglobin levels have increased from 16 to 17, even though I am always feeling tired and experiencing hair loss. Additionally, my lymphocyte count is at 62 % and granulocytes at 32 %, which does not seem normal to me.

Can you help me understand what might be going on?

Please help.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

I have read your query and can understand your concern.

I saw your reports and your history. Your hemoglobin (Hb) is normal. High hemoglobin (Hb) can be seen in people who smoke cigarettes and who live at high altitudes like hill stations. It is also seen in cases of dehydration. So if you do not have any of them then it is normal.

Falling of hair and pale skin may be due to some other mineral deficiency which can be zinc or iron. Keep taking supplements of iron and zinc. These help to repair skin and hair.

Your lymphocyte count is high. Which can be due to some recent viral infections such as flu or fever.

What is your B12 status? Vitamin B12 is involved in nerve transmission and low levels of this vitamin may cause nerve issues. So taking B12 supplements may solve your issue.

I hope I have answered your query.

Let me know if I can assist you further.

Thank you.

Answer 2

Hello,

Welcome back to icliniq.com.

It is good that you are taking B12 and minerals. Zinc is a must and another thing is that your hematologist should look for the lymphocytes in the slide. Their morphology must be looked into for any malignancy.

Your whole body scans especially for the liver and spleen should be seen for malignancy. Tuberculosis work-up should be done if that is prevalent in your country. Any tuberculosis contact history is positive in the past. All systems should be looked into, that is what is necessary.

CT scans and ultrasound should be done for liver and spleen status. All chronic infections should be ruled out as these cause lymphocytosis.

Work up for these is important:

Keep taking iron and B12.
A thyroid workup is needed.
The spleen should be seen
Polycythemia work for erythropoietin levels is also helpful in high Hb cases.

I hope I have answered your query.

Let me know if I can assist you further.

Thank you.