The body's defense mechanism to protect you from the harmful effects of infection, injury, or disease is called inflammation. Without an inflammatory response, the damaged tissue will not be able to heal. The symptoms of inflammation are pain, redness, immobility, heat, and swelling.
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Query: Hi doctor, One year ago, I was diagnosed with RA. I believe that there is more going on. I am currently taking Methotrexate 20 mg once a week, Folic acid 1 mg daily, Hydrochlorothiazide 25 mg daily and Cyclobenzaprine 10 mg twice a day. Also, I just began taking Celecoxib 200 mg for pain. I saw the ... 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: The C-reactive protein level is highly elevated indicating ongoing high level of damage in the tissues of the body.Now, the immediate need is to reduce infl... Read Full »
Why are WBC and neutrophils chronically high even if no infection is present?
Query: Hello doctor, My reports show chronically high WBC above 15 and neutrophils above 10 recent CRP of 8.8. No infection can be found, but I was treated with two rounds of antibiotics- Amoxicillin and Clarithromycin. I repeated CBC, and the numbers were higher. My doctor said maybe this was going to be ... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and understand your concern. Your elevated WBC count and increased percentage of neutrophils are suggestive of an acute bacterial infection or some other acute inflammatory process. Your history of abdominal pain, nausea, and unintended weight los... Read Full »
What does high WBC and neutrophil with immature granulocytes and low lymphocytes indicate?
Query: Hi doctor, I just received my blood test WBC is 22000, neutrophils are 8700, high absolute immature granulocytes and low lymphocytes. I have noticed that for three years my blood tests have been on the high levels for WBC. Should I be concerned? I have been in and out and they never call me for a ... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. Following is my opinion for your asked question. Your total WBC count and neutrophils are high. Mild increase of immature granulocytes and high count with neutrophilia could be due to infection or inflammation in the body. Your detailed physical examination and investi... Read Full »
My blood report shows ESR count 34 and Hb 10.9. Is there any problem?
Query: Hi doctor,Two months back blood report shows ESR count is 34. And Hb 10.9. I also have fever fluctuating and have lost weight drastically around 4 kg in a few months. Can you please help and tell me what is the problem? Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. For low hemoglobin further workup needed in form of peripheral smear examination, serum ferritin estimation, and serum TIBC (total iron binding capacity) estimation to classify your anemia. ESR (erythrocyte sedimentation rate) can be high because of any non-specific in... Read Full »
Can being on your menstrual period raise the platelet count?
Query: Hello doctor, I am 40 years old. I recently had a full panel of laboratory tests done and my platelet count was elevated as was my hs-CRP. All other reports were in optimal or normal range. My ferritin was on the lower end and my HbA1c was on the higher end of normal. I am currently being treated wi... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. In the provided report (attachment removed to protect patient identity), the serum ferritin and hemoglobin are within the limit. A slightly elevated platelet and high CRP (C-reactive protein) can be from a temporary inflammation, in which the platelet is raised becaus... Read Full »
My biopsy report shows low grade squamous intraepithelial lesion. Please help.
Query: Hello doctor,My doctor did a biopsy and the result showed a low grade squamous intraepithelial lesion (LSIL). Acute inflammation and associated reactive change are also noted. Kindly advise. Read Full »
Answer: Hello, Welcome to icliniq.com. In your report (attachment removed to protect patient identity), they have found inflammatory changes at the cervix and a low-grade intraepithelial neoplasia as well. For that, you need a colposcopy. Conservative treatment by ablation or excision of a transformational ... Read Full »
How to treat my front tooth that is loose and crooked?
Query: Hi doctor, My front tooth is going to fall out. It is very crooked and loose for about four to five years. Then, I started to have anxiety, and I am grinding my teeth bad. It got looser and looser for the past couple of years. Now, I have deep, sharp pains in my gums on that side. It hurts me a lot... Read Full »
Answer: Hi, Welcome to icliniq.com. I have gone through the attachment (attachment removed to protect patient identity). You have mild inflammation in the gums. Your front teeth are not organized in the arch. Please send a front view of your anterior teeth. You need a clinical examination followed by a dent... Read Full »
Can pink eye spread through sex?
Query: Hi doctor, I have pink eye. Can I have sex with my wife as we are trying for pregnancy? Please suggest. Read Full »
Answer: Hello, Welcome to icliniq.com. Probably you have conjunctivitis and that is a communicable disease. So, I would not advise you get intimate with your wife for next 2-3 days till you get better. For further queries consult an internal medicine physician online --> https://www.icliniq.com... Read Full »
What is the best remedy for back pain?
Query: Hi doctor, I have been battling with back pain since a year. I associated this pain with a kidney stone which I had for a couple of years. I had a ureteroscopy, crushing and removal of the stone a month ago, but however the back pain still persists. An x-ray done today is attached. I had some back... Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through the investigation reports (attachment removed to protect patient identity). Your blood investigation appears to be fine apart from high CRP (C-reactive protein), which could either be a manifestation of any inflammation or infection somewhere in the... Read Full »
My CT abdomen is suggestive of colitis. Would you explain the symptoms?
Query: Hi doctor, I am a 54 year old male. My weight is 84 kg, and weight is 175 cm. I have done a CT scan before three months, and it showed mild thickening of the sigmoid colon suggestive colitis. I do not have any symptoms of colitis, diarrhea or blood in the stool. I have done stool occult blood test... Read Full »
Answer: Hi, Welcome to icliniq.com. The word colitis means an inflammatory reaction in the colon, often autoimmune or infectious. Most of the patients present with the pain in abdomen, diarrhea, and vomiting. The first issue is to try to determine whether you had ulcerative colitis or Crohn's disease... Read Full »