Recently Answered Questions
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My father-in-law's WBC count has declined. Why?
Query: Hi doctor, My father-in-law is 58 years old. He had a stroke a year back and has been diagnosed with non-critical CAD. Within a period of two months, his WBC count has reduced from a range of 7.5 to 2.8. But, there is no sign of infection. The overall count of ANC is more than 1000 and platelets are... Read Full »
Answer: Hi, Welcome to icliniq.com. Based on your query, my findings are as follows. Your dad is suffering from macrocytic anemia along with leukopenia (low-level WBC) and pancytopenia (deficiency of RBC, WBC, and platelet). There is only a slight decrease in the number of platelets, so you need not ... Read Full »
Please tell me the abnormality in my routine blood test.
Query: Hi doctor, I found some abnormality in a routine blood test. I want your advice on that. Presently, I do not have any problem and I had a routine checkup. I am currently on Olmezest 20 and Feburic 40. Read Full »
Answer: Hi, Welcome to icliniq.com. Based on your query and reports (attachment removed to protect patient identity), my opinion is as follows: The hematologic values are a bit low, and looking at MCV probably points towards megaloblastic anemia. Vitamin B12, Folic acid supplements, and a diet rich in ... Read Full »
My blood reports show a low blood cell count. Why?
Query: Hi doctor,I have some red and purple dots on my stomach and hand. I have been sick for a long time and I lost my weight. My immune system is really bad. I had my blood test done and the result shows that the white blood cells are low at 3.9 and the red blood cells are 3.7. Also, my absolute monocyte... Read Full »
Answer: Hi, Welcome to icliniq.com. Based on your query, my opinion is as follows: Looking at the various counts, WBC (white blood cells) count is just around normal. While the RBC - red blood cells seems to be affected and based on the symptoms, it appears platelets could be affected. As the platelet c... Read Full »
ALT and AST are out of range. What does it mean?
Query: Hi doctor,I had a blood work on my liver. The results came back saying that my ALT and AST are very high and out of range. So, I would like to know what that exactly means. When I received my laboratory test report they said that I should seek medical advice. My AST is 75 and my ALT is 35. My MCV 11... Read Full »
Answer: Hi, Welcome to icliniq.com. Based on your query, my opinion is as follows: Alcohol-induced liver damage has caused increased enzyme levels. Possibly early stages, as no jaundice is seen. MCV high (mean corpuscular volume) is due to associated vitamin B12 and folic acid deficiency. Malnutrition... Read Full »
What causes recurrent fever and body pain in a 13-year-old?
Query: Hi doctor, My son is 13 years old and his weight is 101 lbs. His WBC is 6000, lymphocyte is around 50% (checked thrice in the last two years), Hb is 11 g% and HbE trait. His overall health is fine, but he is getting recurrent fever attack of around four to five times in a year with severe body pain.... Read Full »
Answer: Hi, Welcome to icliniq.com. Based on your query, my opinion is as follows: HbE trait with 11 g% hemoglobin is good and well maintained. His white blood cell count is normal and lymphocytes are mildly increased. There is nothing to suggest any particular cause. The recurrent infection could be du... Read Full »
What is the recommended diet for beta major thalassemia?
Query: Hi doctor,My daughter, who is 2.5 years old, is suffering from beta major thalassemia. From her three months of age, blood has been transfused either once in 30 or 45 days after checking the blood level. I would request you to kindly advise a good and healthy food diet. Is there any important daily ... Read Full »
Answer: Hi,Welcome to icliniq.com.Based on your query, my opinion is as follows:Thalassemia is a disease due to reduced globin production in the hemoglobin part of RBC (red blood cells). It is not due to nutritional deficiency, but due to inherited mutation abnormalities.Yes, nutrition requires improvement.... Read Full »
Query: Hi doctor,I have been suffering from bleeding hemorrhoids. My hemoglobin is very low at 5.6. I feel very weak and had a severe headache for two days. What to do? Please advise. Read Full »
Answer: Hi, Welcome to icliniq.com. Based on your query, my opinion is as follows: Hemoglobin of 5.6 g% is really low. With this amount of hemoglobin, we put you into the group of severe anemia. Due to low oxygenation, you could be having severe headaches. Painkiller like Ibuprofen or Paracetamol can b... Read Full »
Can low hemoglobin cause shortness of breath?
Query: Hello doctor, I am 19 years old. For the past one year, I have been experiencing body weakness. I feel tired all the time. And for the past five months, I have been experiencing fast heartbeats and shortness of breath. I mostly experience the shortness of breath in dusty and stuffy environments, but... Read Full »
Answer: Hi, Welcome to icliniq.com. The hemoglobin levels and other abnormalities do not explain the severity of the symptoms that you are experiencing. Iron, Vitamin B12 and folic acid supplements along with dietary improvement to improve hemoglobin to 12 to 13 g% is necessary. However, after improvement... Read Full »
What causes cold hands and feet along with fatigue?
Query: Hi doctor,I am having cold hands and feet. I also have a little bit of fatigue. Two years ago, I lost 90 pounds with diet and exercise. I had high blood pressure and anemia when I was pregnant with twins three years ago. Now, I have taken a complete blood count. I am attaching the reports for your r... Read Full »
Answer: Hi, Welcome to icliniq.com. Based on your query and attached report (attachment removed to protect patient identity), my opinion is as follows: There is a mild reduction in leukocyte count and hemoglobin. Also, red cell distribution width (RDW) is increased. The cause for reduced hemoglobin ap... Read Full »
What could be the reason for fatigue and disinterest in activities?
Query: Hello doctor, My husband has been feeling fatigued for the last six months with disinterest in activities. Got his blood tested recently and got some abnormal values. Could you please shed some light? I am attaching his blood test results. Please check those and let me know what is the problem ... Read Full »
Answer: Hi, Welcome to icliniq.com. I have seen the reports. (attachment removed to protect patient ability). Based on your query, my opinion is as follows. Blood smear appears macrocytic with ovalocytes suggesting vitamin B12 and folic acid deficiency. Few macro platelets are also noted, which is in l... Read Full »