Recently Answered Questions
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Should I undergo further evaluation for polycythemia?
Query: Hello doctor, I am 27 years old male, 6 feet, and 180 lbs. I started a new job and the life insurance company wanted me to take a blood test. The results are attached. My blood test shows a low erythropoietin of 4.4 U/L (normal range 4.3 to 29) and high red blood cell count of 5.6x10^12/L (normal ra... Read Full »
Answer: Hello, Welcome to icliniq.com. Your hemogram and erythropoietinlevels are normal. I would not evaluate you any further. They should not have asked for a hematology consultation, but if it is mandatory, get it done. All the best and do well in your new job. Read Full »
Why is my platelet count dropping?
Query: Hi doctor, My hemoglobin level increased from 15 to 17, and platelet count decreased from 3.1 to 1.4*10^3 per microliter of blood in the last five months. The only symptom I have is occasional skin itching. Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to icliniq.com. As your platelet count decreased over four months duration, chronic infection, and drug history have to be ruled out first. If they are not causative then a detailed investigation plan should be decided according to the examinations as follows: ESR (erythrocyte... Read Full »
Will quitting alcohol and cigarettes improve my blood tests?
Query: Hello doctor, I am suffering from hypertension since few years, and I am currently on medication Telmisartan. I am an alcoholic and smoker, and I smoke approximately 15 cigarettes a day for the last five years. My current CBC report suggests high RBC, hemoglobin, and PCV. Though it reduced slightly ... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi,Welcome to icliniq.com.I have gone through your attached reports (attachment removed to protect patient identity).The diagnosis is polycythemia. Polycythemia can be secondary or primary. Secondary polycythemia occurs because of hypoxia, which activates the oxygen sensor and more erythropoietin is... Read Full »
Why are my hematocrit, RBC, Hb, and mean cell volume elevated?
Query: Hello doctor, I have been feeling unwell for a long time. These are my recent blood test results. My doctor said that the values of my hematocrit, RBC count, hemoglobin, and mean cell volume have been out of the normal range for at least 10 years as far as he could guess. I think it should be invest... Read Full »
Answer: Hello, Welcome to icliniq.com. We value the high level of confidence that you have in us. Your hemoglobin and hematocrit values are slightly high. Your RBC count is only marginally elevated since the upper limit of the normal range is 5.5 million/cu.mm. From these values, I have a suspicion that ... Read Full »
What does it mean when hemoglobin and hematocrit are high?
Query: Hello doctor,Last week I went to the doctor for several reasons like headache, weakness, tightness and pressure in the head, and body pain. He ordered some blood work and a chest X-ray. The doctor told me that the chest X-ray report is good and he just told me I have low vitamin B12 level and I have... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello,Welcome to icliniq.com.I have gone through your history and reports. (attachment removed to protect patient identity).You had a complaint of left-side abdominal pain with a headache. Hence gastritis can be a possibility and for that antibiotics and antacid courses are prescribed.Sometimes the ... Read Full »
Query: Hello doctor, I had a bacterial infection last week with throat pain and white gums. I took Clavomox 1 gram, Maxigesic PE, and Clarinase for three days as per the doctor's recommendation. My throat pain has relieved but my upper gums are still white. What could be the reason? Please help. Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and understand your concern. I went through all the files you sent (attachment removed to protect the patient's identity). First, in the blood report, your hemoglobin is abnormally high. You need to meet a hematologist for the same. Usually, for a... Read Full »
My sister with VSD is coughing black blood. Kindly help.
Query: Hello doctor, My sister has had a ventricular septal defect since birth. She is 23 years old now. There are not many symptoms being shown except tachypnea on working hard, walking to some distance, and going upstairs. In the last three months, her cough has shown some blackish blood, and her recent ... Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through your sister's reports (the attachments have been removed to protect the patient's identity). Unfortunately, her VSD (ventricular septal defect) is at a point where closure is not possible due to high pressures on the right side of the heart. The hig... Read Full »
My blood test results are abnormally high. Please help.
Query: Hello doctor, I recently got my blood work done because of my symptoms. I have been feeling tired and having bone pain, nausea, and headaches. However, when I got my blood work back on the hematology section, my RBC, hemoglobin, hematocrit, and MCHC all came back abnormally high. Is this something I... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. I read your query and can understand your concern. I have checked your report (attachment removed to protect the patient's identity). It also shows high levels of RBC (red blood cells), hematocrit and hemoglobin levels. So your diagnosis is polycythemia. But it can ... Read Full »
Will blood dilution help treat high Hb in newborn with jaundice?
Query: Hello doctor, My baby is 4 days old. He is diagnosed with jaundice. His Jaundice levels were 19.6 and post phototherapy they have come down to 13. The doctor has noticed that the baby has high Hb (22.3). The other vital parameters are like PCV- 63.7, RBC- 6.36, WBC- 11600 per microliter of blood, an... Read Full »
Answer: Hello, Welcome to icliniq.com. Your baby's bilirubin is now in safe range. But as his Hb (hemoglobin) is more this may lead to hemolysis, etc. Dilution of blood means they take out blood and replace with saline. This may lead to dilution. But I think in your case if the baby is active we can wait ... Read Full »
Can hemoglobin and hematocrit be elevated due to testosterone injections?
Query: Hello doctor, I am concerned about my complete blood count. Three years back, my hematocrit has usually been in 40 (upper range). Last year, my doctor gave me testosterone injections. Five months ago, we found out my hematocrit went to 52.3. I stopped taking the infusion, and four months back, I wen... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to the icliniq.com. I can understand your concern. Following is my opinion on your asked questions. Initially, four months ago, your hemoglobin and hematocrit are elevated due to testosterone injections. You had secondary polycythemia at that time. Testosterone induced polycythemia... Read Full »