Recently Answered Questions
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How is the prognosis of refractory T-all pulmonary Koch's disease?
Query: Hi doctor, My friend was diagnosed with refractory T cell ALL pulmonary Koch's with the organized pericardial collection. He was admitted to a hospital and now they discharged him and advised further treatment. Please give me valuable advice. What is the current condition? And how much is the percen... Read Full »
Answer: Hi, Welcome to icliniq.com. Based on your query and attached reports (attachment removed to protect patient identity), my opinion is as follows: Pulmonary tuberculosis is under control and continuation of therapy is necessary. However, the main problem is leukemia, which is not responding to tre... Read Full »
My father had a routine checkup. Please review.
Query: Hello doctor, I went to the hospital for my father's normal check-up. He is 61 years old. His report looks like this: WBC 43000, platelets 1,20,000 per microliter of blood, and lymphocytes 88 %. To get it cross-checked, we went to another laboratory the next day and here are the counts: WBC: 38000 (... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. Your father has absolute lymphocytosis. Repeat CBC (complete blood count) after one week along with complete peripheral smear examination to look for abnormal malignant cells like blasts. If the count does not come down, then investigate with flow cytometry examina... Read Full »
I have a headache, stomach ache, diarrhea, fatigue, etc. Why?
Query: Hello doctor,I have a headache, ringing in my ears sometimes for a while, stomach ache, cramps in muscles or bones, sore throat with discomfort, diarrhea, fatigue, paleness, dizziness sometimes, without any indication, nauseous for a minute, cold hands, often feeling cold with shivering even when it... Read Full »
Answer: Hello, Welcome to icliniq.com. Do not worry; I am here to take care of you. The symptoms you presented are features of immunosuppressive disease that affect the whole system, presenting bizarre symptoms that do not correlate with each other. I would suggest you kindly do an HIV (human immunodefici... Read Full »
Is it serious if my neutrophil and WBC count drop suddenly?
Query: Hi doctor,I am a 30-year-old woman. I have recently lost a pregnancy at 19 weeks due to membrane rupture. I had induced abortion with Misoprostol two weeks back and there is no complication since. I have had a CBC done almost every week from the starting of my pregnancy and they were all absolutely ... Read Full »
Answer: Hi, Welcome to icliniq.com. Based on your query, my opinion is as follows: The WBC count (white blood cell) varies on day-to-day and hourly basis and also depending on variable internal factors. Corticosteroids can affect WBC count, particularly neutrophils. At present, maybe due to stress, wh... Read Full »
I had a medical error in taking Cladribine. What can I expect?
Query: Hello doctor, I had a medical error in taking Cladribine infusion within 30 minutes for four days out of seven days. The treatment is supposed to be taken 24 hours a day. What is the procedure currently required and is there any danger in the short-term and long-term and whether the treatment was ta... Read Full »
Answer: Hello, Welcome to icliniq.com. Cladribine is an antineoplastic drug used mainly in hairy cell leukemia. It is also used in other hematolymphoid malignancies. Since you have not mentioned the condition you are receiving the drug for, I am assuming that it is for hairy cell leukemia. The main advers... Read Full »
Is Ibrutinib effective for treating my friend's stage 2 leukemia?
Query: Hello doctor, My 49-year-old friend was recently diagnosed with stage 2 chronic lymphocytic leukemia. The doctor mentioned that it is curable and prescribed her Imbruvica 140 mg. I wish her a good life; she is my best friend. Is this condition truly curable, and does the medication have any side ef... Read Full »
Answer: Hello, I appreciate that you have chosen icliniq.com for your medical needs. I am here to give you the best care possible. Chronic lymphocytic leukemia stage 2 is well manageable as a chronic disease. Patients can survive for more than 10 to 20 years. However, some types of this disease may becom... Read Full »
Does Hodgkin's lymphoma elevate CD3 and CD57 NK cells?
Query: Hello doctor, I recently tested positive for Lyme disease. I have a history of stage IIA lymphoma, 15 years ago, and I am in full remission ever since. My reports, that I have attached, show elevated CD3 and CD57 NK cells. The lab recommended that an oncologist looks at this for a possible Hodgkin'... Read Full »
Answer: Hello, Welcome to icliniq.com. I have seen your reports (attachment removed to protect patient identity). Lyme disease is usually associated with decreased CD57, especially in the chronic form. But, the lab findings reveal a high CD57. It also reveals high CD3 levels. Both high CD57 and CD3 levels... Read Full »
I underwent radiation due to I-131. Will I get cancer?
Query: Hello doctor, What are the long-term cancer implications of receiving 1500 to 2000+ mSv of radiation due to I-131 treatments and substantial diagnostic testing? Read Full »
Answer: Hi, Welcome to icliniq.com. The I-131 treatment aims to destroy the remnant thyroid cells in the body. Short-term side effects of RAI (radioactive iodine) treatment are as follows: Local tenderness and swelling. Nausea. Swelling and tender of the salivary glands and resultant dry mouth. Reduc... Read Full »
Does increase in lmphocyte count indicate leukemia or lymphoma?
Query: Hello doctor, I had a viral infection before two months with fever for five days and cough and increased mucus production for more than two weeks. On a follow-up visit with a PCP, I was given antibiotics for five days Azithromycin and antihistamine Levocetirizine to make sure there is no secondary i... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. I have seen your attached report. (attachment removed to protect patient identity). The lymphocytes are slightly elevated. The lymphocytosis seems most likely to be due to previous viral infection of the upper respiratory tract. The peripheral smear report not sho... Read Full »
What is the treatment for acute lymphoblastic leukemia?
Query: Hello doctor, A 39-year-old female patient is suffering from acute lymphoblastic leukemia. She is currently being treated at a hospital by an oncologist. I am attaching her reports. Please suggest a treatment. Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. I am sorry to hear about the patient's condition. I have gone through the reports (attachment removed to protect patient identity). Lymphoblast is an abnormal form and in leukemia, premature cells are seen in the blood in increased number. So, as the blast cells wer... Read Full »