Hemolysis is defined as the red blood cell destruction that may be due to various causes due to which hemoglobin is released into the bloodstream. The etiology behind hemolysis includes hemolytic anemia, artificial heart valves, bacterial infection, hemodialysis, HELPP syndrome, coronary bypass, overactive spleen, hereditary elliptocytosis and spherocytosis, malignant hypertension, thrombotic thrombocytopenic purpura, transfusion reaction, medications, Wiscott-Aldridge syndrome, etc.
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Query: Hi doctor, I am a 45 year old male. I have recently checked my blood test and my liver function test shows 1.6 total bilirubin, 0.6 direct bilirubin and 0.9 indirect bilirubin. What might be the problem? I have high blood pressure and fatty liver. My current medication includes Covance 25 mg, Conco... Read Full »
Answer: Hi, Welcome to icliniq.com. Considering your indirect bilirubin being high (attachment removed to protect patient identity), it is generally a sign of hemolysis (breakdown of red blood cells). Did you have a recent fever? You also have fatty liver, which may also cause this. I would suggest you ... Read Full »
Query: Hi doctor, I am a general practitioner. I would like to consult with you regarding my friend, who has a normochromic normocytic anemia. His hemoglobin is currently 7.5. His diagnosis is not clear. I have all his laboratory data and bone marrow biopsy as well as aspiration if you want. He used to tak... Read Full »
Answer: Hello, Welcome to icliniq.com. One thing for sure is that he is having periodic hemolysis with adequate bone marrow response and he has a severe vitamin B12 deficiency. His corrected RPI (reticulocyte production index) is 2.7%, which means that his bone marrow is responding to the anemia appr... Read Full »
Query: Hello doctor, I am a 29-year-old male, weigh 90 kg, height is 182, non-smoker, non-alcohol drinker. I do not have any symptoms or signs, normal eye, and skin color. I am taking Cipralex 15 mg for the past one year. Had a history of bladder stone and it required admission for one week until it passe... Read Full »
Answer: Hi, Welcome to icliniq.com. If Mmol means micron mol, then it is fine (attachment removed to protect patient identity). It looks like a normal variant of hyperbilirubinemia. Most common cause of the condition is hemolysis, Gilbert syndrome is also a common cause of such a situation. In both the co... Read Full »
Query: Hi doctor, A couple of weeks back, I took the attached tests due to a bacterial food infection. I am fine now after the course of antibiotics. I would like to know whether my liver is healthy. Please review my LFT and advise whether my liver is fine. Please prescribe medication to cleanse and stren... Read Full »
Answer: Hello, Welcome to icliniq.com. I saw the report you have attached (attachment removed to protect patient identity). Sorry for your discomfort. Your liver enzymes that is SGOT (aspartate transaminase), SGPT (alanine transaminase), alkaline phosphatase and GGT (gamma-glutayl transferase) are normal.... Read Full »
Query: Hello doctor, My hemoglobin level is low. My ferritin level is at high 959.7 mg/ml. My hemoglobin levels is same even after taking three units of blood in the last month. It is still 6 g/dl. Last month my is ESR 32 and now it is 110, platelet count 128000 last month and now it is 60000, WBC count 43... Read Full »
Answer: Hello, Welcome to icliniq.com. I have read your reports (attachment removed to protect patient identity), and following is my opinion for your asked question. In your attached report, reticulocyte count and bilirubin level are high. Ferritin is also high. Liver and spleen enlarged in USG (ultra... Read Full »
Query: Hello doctor, My wife's and mine blood groups are the same. Both of our blood group is B. Will there be any problem in our married life? Read Full »
Answer: Hi, Welcome to icliniq.com. There are two major blood group systems. ABO - According to this system, the blood group can be A, B, O, AB. Rh system - According to this system, the blood group can be Rh positive or negative. You have not mentioned th... Read Full »
Query: Hi doctor, My wife's iron and ferritin were low, so the doctor ordered CBC. CBC showed low WBC, high monocytes, and high RBC, which is what made us scared. She has schistocytes and elliptocytes among other RBC morphologies. We read about it and are very worried, and she had a C-section three years... Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through your wife's reports (attachment removed to protect patient identity). The report shows schistocytes, which are fragmented RBC (red blood cell), commonly seen in hemolytic anemia. So, to rule out hemolysis, serum LDH (lactate dehydrogenase), ret... Read Full »