Recently Answered Questions
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I have tiredness and headache with high Hb and hematocrit. Why?
Query: Hello doctor, I am having too many health issues for the last three weeks. I feel sleepy all the time even I sleep eight hours already. I am feeling weak, tiredness, dizziness, and headache on the right side of my head (pressure and dullness). My bowel habit changed to three to four times a day. I h... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to the icliniq.com. Hereby I am giving opinion regarding your case. First, let me know do you have any stress or anxiety issues? As severe stress can lead to hyperventilation and dizziness. Stress can change bowel habits as well and it can lead to headaches as well. If stress is pr... Read Full »
My hemoglobin levels are very low. Please suggest.
Query: Hello doctor, I did my blood test. The hemoglobin is astonishingly low at 4.1. I did ferritin test and B12 test and the results are attached. Blood transfusion was done - one bottle. The hemoglobin increase to 5.5, but again reduced to 5.1. I have a fever on and off. What problem do I have? I am fee... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. Your hemoglobin level is very low. In low hemoglobin state, the oxygen-carrying capacity of blood is affected and so weakness and other symptoms occur. You need to be given blood transfusion or iron injections. But, your ferritin level is high. So hemolytic anemia h... Read Full »
My husband has low hemoglobin levels. Please help.
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 »
My wife's low hemoglobin paused fitness certificate. Why?
Query: Hello doctor,My wife went for a master's health checkup. Her fitness certificate was put on hold due to low hemoglobin and other blood test parameters. Her hemoglobin was 8 g/dL, ESR was 25, hematocrit was 26.8, MCV was 62.3, MCH was 18.8, MCHC was 30.0, and RDW was 21.4 %. Can you please check thes... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. I have gone through the reports (attachment removed to protect patient identity). Your wife has microcytic hypochromic anemia. The common causes of microcytic hypochromic anemia are iron-deficiency anemia, sideroblastic anemia, thalassemia minor, and anemia of ch... Read Full »
Do my reports show thalassemia minor positive?
Query: Hi doctor, Could you please go through my reports and tell me if I have thalassemia minor? I have attached my electrophoresis test reports. Some of the values in the report are HbF - 0.8 %, Hb adult - 66.0 %, HbA2 - 30.8 % and other non-specific - 2.4 %. Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to icliniq.com. According to the report attached (attachment removed to protect patient identity), the Mentzer index is not below 13. Usually, in thalassemia, it is below 13. Hb A2 (hemoglobin A2) level is raised, which is seen in beta-thalassemia minor as well as in hemoglobin E hemo... 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 it safe to get pregnant with thalassemia minor?
Query: Hello doctor, I am a 30-year-old female. I have thalassemia minor. Is there any problem in the future relating to pregnancy and delivery? Or is it fine to be pregnant at this age with thalassemia minor? Please reply. I dont have any problem now. My hemoglobin level keeps between 10 to 11 g/dL. Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. Thalassemia minor female can get pregnant and can have a child with normal genome without thalassemia or there can be thalassemia minor in children. Thalassemia minor is not a major health disease and do not worry about that even though it is present in your future c... Read Full »
My platelet is high with 4 gm hemoglobin. What is my problem?
Query: Hello doctor, My platelet count was 974, hemoglobin was 4, sedimentation rate was >140, and iron was 7 with a saturation of 1%. I went to the doctor because I lost vision in one eye for about an hour. They have done and MRI, and EKG both normal. Two units of blood and iron transfusions started... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to the icliniq.com. Your transferrin saturation and Hb seems very low. If you provide full CBC (complete blood count) report then it can be clear whether it is iron deficiency anemia or hemolytic anemia. Platelet count here can be high as a result of reactive thrombocytosis. It is be... Read Full »
Query: Hello doctor, I had a blood test two weeks ago, and my ESR (erythrocyte sedimentation rate) was 1 mm/hr. My hemoglobin level was 17.1 g/dL, and my hematocrit was 51.2 percent. I checked on the internet that low ESR is related to polycythemia vera. As I got high hemoglobin and hematocrit, the chance... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. I can understand your concern. It is important to note that polycythemia is not diagnosed solely based on ESR. Dehydration can also lead to low ESR. According to the world health organization criteria for polycythemia, hemoglobin should be greater than 18.5 gm /dl. An... Read Full »
Why did my hemoglobin keep dropping all the time?
Query: Hello doctor,Please can you interpret my recent laboratory report? Why my hemoglobin is kept dropping all the time? Why my blood report is abnormal? Do you think I have blood cancer? Or any other cancer? Do you want me to go to an oncologist? Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello,Welcome to icliniq.com.Hereby, I am giving you my opinion regarding your reports (attachment removed to protect patient identity). Your CBC showing microcytic hypochromic anemia. Anemia means a low hemoglobin level oxygen-carrying capacity of blood gets affected. Your reticulocyte is high and ... Read Full »