Please go through my wife's reports and advise on her health condition.

Hi,

Welcome to icliniq.com.

Based on your attached report (attachment removed to protect patient identity), my opinion is as follows:

1. The hemoglobin is mildly low and red blood cells look microcytic hypochromic. She has mild iron deficiency anemia.
2. Her WBC count is mildly high and increased neutrophils suggest bacterial infection, which correlates with fever.
3. Her platelet count is also mildly high, which may be due to infection or bleeding during menstrual cycles.
4. Low-grade fever could be due to persistent bacterial throat infection. As she is not having medication for her fever, antibiotics taken will reduce it.
5. I told her to take a protein diet along with salt water gargling. Ask her to avoid cold water or juices.

I suggest her Iron supplements, that is, Ferrous Fumarate tablets to treat anemia. Also, follow the dose of antibiotics prescribed already. Consult your doctor, discuss with him or her, and take the medicines with consent.

Hi,

Welcome back to icliniq.com.

Yes, I have gone through all your reports (attachment removed to protect patient identity). Based on your present query, my opinion is as follows:

1. The report taken before four months shows an increased neutrophil count. But, in the present condition, neutrophil count is within normal range.
2. Low grade infection could be the main cause. A few medications can cause allergic reaction and swelling of finger tips could be one of them.
3. I suggest Azithromycin, as continuing an antibiotic for 11 days is not advisable. Consult your doctor, discuss with him or her and then take the medicine with consent.
4. Usually, in these conditions, bad throat is secondary to cold with post nasal drip in which secretions from nose move to the throat causing throat inflammation. Cold needs to be cured immediately.
5. For cold, I hope she is following steam inhalation and Cetirizine twice daily.
6. I advice her protein-rich diet and hot and warm fluids or food items until cold is cured. Also, maintain good hydration with at least 25 to 33 cups of water per day.

I suggest a laboratory test known as throat or nasal swab for bacterial culture to be done.