Recently Answered Questions
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I am suffering from increasing bruises in my legs. Please help.
Query: Hello doctor, I am a 25-year-old female, with height of 5'3" and weight of 149 pounds. I have been getting bruising on my legs over the past two weeks for no apparent reason. My veins have become very visible and prominent and have also started bruising. In this time I have noticed roughly a dozen b... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. You need to rule out the underlying cause for peripheral neuropathy like diabetes, peripheral vascular disease, thyroid issue, calcium deficiency, B12 deficiency, etc. For that color doppler leg, random blood sugar estimation, serum TSH estimation, serum B12 estimati... Read Full »
I have anemia and low ferritin levels. Please help.
Query: Hello doctor, My age is 27 years and I am a female. I have anemia with a very low ferritin level 2.1 and HB is 6.5. Can it be cleared by taking diet and iron supplements? Which is a good time to take Zincofer syrup, how much ml? Please advice. Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. Your symptoms are suggestive of iron deficiency anemia. I want to check your full CBC report. The investigations that are suggested in your case is peripheral smear examination, transferrin saturation, and serum TIBC (total iron binding capacity) also. You need to be... Read Full »
I have severe anemia. Is there any safe treatment?
Query: Hello doctor, I am a 49-year-old woman. I am suffering from severe anemia (iron and B12 deficiency). This might be the result of prolonged malnutrition over the past few years. The problem is that I have developed extreme sensitivity to most of the drugs, medication, treatment. In the past, there we... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. You are having iron injection allergy. Hence, it is better to avoid. But sometimes, we have to take decision according to benefit to risk ratio. In your case benefit could be more because severe anemia should be treated. (Your ferritin is also very low). So, blood tr... Read Full »
Why am I having black stools after taking iron tablets?
Query: Hi doctor, I have been diagnosed with iron deficiency anemia before three months. On my latest check-up, I have seen that my iron level has reduced (5.74 g/dL to 5.72 g/dL) while my serum iron level has got higher (36 mcg/dL to 39 mcg/dL). My RBC level is normal. But my hemoglobin level got higher (... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to icliniq.com. The black stool is because of iron intake. You can have a burning sensation while passing stool because of proctitis like inflammation or due to piles. For that local rectal and proctoscopy examination is needed. Anal water sitz bath is beneficial, and if piles is prese... Read Full »
What causes a low transferrin and iron level, but normal hemoglobin?
Query: Hello doctor, I have psoriasis for a long time for which I have been taking Methotrexate. Last week I got my iron studies and blood test done. My transferrin saturation, and total iron levels are low but hemoglobin is fine. Kindly advice. Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. Your transferrin saturation and iron level are mildly decreased, and your hemoglobin level is normal. So you do not have iron deficiency anemia, but it can be an early sign of iron deficiency. You need to investigate with serum ferritin level because that indicates i... Read Full »
What to do if my CBC is showing an iron deficiency?
Query: Hello doctor, I had an iron deficiency in the past. So, my doctor ordered a CBC. My CBC came, and it really worried me. The reports showed that I also had low B12 and Vitamin D. I have attached those reports. I lose a lot of blood during menstruation. I am nervous until my next CBC. Right now, my p... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. I have gone through your reports (attachment removed to protect patient identity). You have an iron deficiency anemia as microcytic hypochromic blood picture. For 7.6 hemoglobin level, I would suggest iron tablets. It has to be taken without interruption for at lea... Read Full »
Can ITP cause low hemoglobin and iron levels in my daughter?
Query: Hello doctor,My 21-year-old daughter suffered from ITP, two years back. Her hemoglobin and iron are low again, so she started taking Orofer. Her hemoglobin is 10.3 g/dL and her iron is 25. The platelet count is fine. Please help. Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to icliniq.com. According to the history provided, it is a case of anemia. Here hemoglobin level is low and serum iron level is also low. Hence, it is suggestive of iron-deficiency anemia. But for proper workup, I need to know peripheral smear examination report with CBC (complete blo... Read Full »
What does hemoglobin level of 8.9 in a 13-month-old kid indicate?
Query: Hello doctor, My 13-month-old baby has neutrophils 23, lymphocytes 73, WBC 6100, and hemoglobin level is 8.9. Is there any worry? Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to the icliniq.com. Following is my opinion for your asked question regarding CBC (complete blood count) of your child. The lymphocyte count are usually high in children. So you may need not to worry about lymphocytes count. But the hemoglobin level of your child is definitely low sug... Read Full »
Can I take iron injections to rebound my iron levels?
Query: Hello doctor,I have had low iron for quite a while. I also have polycythemia from testosterone supplementation, and at one point, my hematocrit got high enough that I was told to make bi-weekly blood donations. While the hematocrit has been controlled, my iron never rebounded, and I have struggled w... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. I read your query and can understand your concern. Your report (attachments removed to protect the patient's identity) suggests polycythemia means high red blood cell count, hematocrit, and hemoglobin. Your ferritin level is a little low. If you take iron supplement... Read Full »
Will iron supplement taken for low iron further increase my RBC levels?
Query: Hello doctor, A couple of months ago, I started having weakness and trouble breathing. On getting blood tests done, I had a hemoglobin of 12.9, so I was told it is likely not anemia. I was taking supplements for vitamin B 12 and vitamin D. The symptoms seemed to improve. However, the breathing pro... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to icliniq.com. You can complete the course of Orofer XT (Ferrous ascorbate and Folic acid). Orofer might increase your RBC count slightly. However, do not worry about that. Your RBC count are borderline high for which there is no need for much worry. MCH (mean corpuscular hemoglob... Read Full »