Recently Answered Questions
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Query: Hi doctor,I have been suffering from bleeding hemorrhoids. My hemoglobin is very low at 5.6. I feel very weak and had a severe headache for two days. What to do? Please advise. Read Full »
Answer: Hi, Welcome to icliniq.com. Based on your query, my opinion is as follows: Hemoglobin of 5.6 g% is really low. With this amount of hemoglobin, we put you into the group of severe anemia. Due to low oxygenation, you could be having severe headaches. Painkiller like Ibuprofen or Paracetamol can b... Read Full »
Why do my reports show low hemoglobin and high platelet count?
Query: Hi doctor,My platelet count is going higher and my hemoglobin is getting low. I feel sick. My report showed a platelet count of 5,85,000 and Hb of 10.6. What could be the reason? Read Full »
Answer: Hi, Welcome to icliniq.com. Based on your query, my opinion is as follows: Mild bleeding or ongoing inflammation could be a cause. Any blood in stools or tarry stools or if there is any fever, then it requires evaluation. You need to check ESR (erythrocyte sedimentation rate) and C-reactive prot... Read Full »
My 60-year-old father has anemia with low HB and platelet levels. How should we proceed?
Query: Hi doctor,My father has been suffering from low Hb levels. When he met with an accident, my brother and I gave blood to him for an operation. At that time, his HB level was normal. After that, his blood went down again, then he consulted with a hematologist's doctor, he prescribed some medicines for... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to icliniq.com. I have reviewed your query and here is my advise. For low hemoglobin levels that is anemia underlying cause should be searched for. Usually iron tablet or syrup can be prescribed for anemia. But you are having low platelet count as well. So you need to investigate fu... Read Full »
What does the gradual increase in my mother's MCV and MCH indicate?
Query: Hi doctor, My mother, who is 60 years old, is currently under treatment for hypothyroidism, hypertension and stage 2 osteoarthritis of knee joints. She is currently on the following medicines: Eltroxin 50 mcg, Olmezest 20 mg, Gemcal D3 and E-cod Plus. I have attached a copy of her recent kidney, thy... Read Full »
Answer: Hi, Welcome to icliniq.com. Based on your query, my opinion is as follows: Yes, vitamin B12, folic acid, and iron levels are normal at present. The present macro ovalocytes and macro platelets are indicative of deficiency. Maybe for a short period due to infection or stress, there was deficiency... Read Full »
I have reduced Hb levels with H. pylori infection. Kindly help.
Query: Hello doctor, My Hb level is 6.2 g/dl, and I consulted a hematologist. A bone marrow examination was done, and took a sample for a FISH test, and the result will be available after a few days. Meanwhile, I was advised to take Livogen and Danazol twice daily. A few days later, I had severe stomach pa... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. As per the mentioned history, you have a Helicobacter pylori infection and an ulcer in the stomach. Helicobacter pylori eradication treatment should be done with a triple-drug regimen of H. pylori kit containing Amoxicillin, Clarithromycin, Omeprazole, or Lansoprazole... Read Full »
I feel tired in the evenings. Do I need any supplements?
Query: Hi doctor, I feel very tired in the evenings. So, I got a medical checkup done, and I need to understand if everything is fine. Do I need to take any supplements? If yes, kindly tell me the names of the medicines. I am attaching my reports, and I am currently taking tablet Losar H and Stamlo for hy... Read Full »
Answer: Hi, Welcome to icliniq.com. I have gone through your history, general condition, and your investigation reports (attachment removed to protect patient identity). I will need few additional information like, since when do you have your symptoms? When did you start taking the hypertension medicines? D... Read Full »
How common is anemia during pregnancy?
Query: Hello doctor, I am a 30 year old woman. I am 22 weeks pregnant. I have had blood work done today, which came out normal except for the following values. Hemoglobin 10.8 (11.7 to 15.5), RBC 3.79 (3.8 to 5), hematocrit 32% (35 to 45) and reticulocyte production index 0.72. My serum iron is normal at 5... Read Full »
Answer: Hi, Welcome to icliniq.com. Based on your query, my opinion is as follows: The hemoglobin levels do fall during pregnancy. Due to increased fluids in the body, hemodilution will occur and overall hemoglobin levels will fall. This is one of the protective responses to reduce too much loss of blo... Read Full »
How to improve my hemoglobin level?
Query: Hi doctor,Recently, I had RARP surgery for prostate cancer. My Hb level post-surgery fell to 10.8 and I was advised to stay on the iron supplement Dexorange syrup one teaspoon thrice daily after meals. In view of ongoing treatment for erosive gastritis, which is now under control, the Iron supplemen... Read Full »
Answer: Hi, Welcome to icliniq.com. Based on your query and reports (attachment removed to protect patient identity), my opinion is as follows: The hemoglobin level is improving. However, it has not improved to the levels that we will be satisfied to stop supplements. I am also not in favor of continuin... Read Full »
What conditions can result in low levels of serum iron?
Query: Hi doctor, I had my hemoglobin, CBC, and iron test. The result indicates that I have low hemoglobin. However, my iron level is normal. I am confused about taking the next step. I have been eating spinach, beans, and red meat. Also, I am taking iron supplements. What to do further? Would you please ... Read Full »
Dr. Veerendra Channabasappa Patil
Answer: Hello, Welcome to icliniq.com. It is evident that you have low hemoglobin with low MCV (attachment removed to protect patient identity). Low MCV (mean corpuscular volume) means that your red blood cells (RBC) are small in size, which is more commonly seen in iron deficiency anemia. There are other c... Read Full »
Please help me understand my blood results.
Query: Hi doctor,I was diagnosed with anemia due to heavy periods. I was told to double up on my iron supplements. My iron is already high and my ferritin is low. My binding is not even registering. My results are as follows. Ferritin 8.0 ng/mL, iron 333 ug/dL, iron-binding capacity and transferrin saturat... Read Full »
Answer: Hi, Welcome to icliniq.com. Based on your query my opinion is as follows: The values are very rare. However, I will try to help you to the best of my knowledge. Ferritin is the storage form of iron. Serum iron is high, as you are on iron supplements. The body will take a longer period of time, u... Read Full »