Recently Answered Questions
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How can my low reticulocyte and hemoglobin count be increased?
Query: Hello doctor, My report says reticulocyte count is 0.2 %, hemoglobin is 4.2 g/dl, and RBC shows cytopenia with a dimorphic picture showing moderate microcytic hypochromic with mild microcytosis. What should be the line of treatment? Please suggest. Thank you. Read Full »
Answer: Hi, Glad to have you at icliniq.com. I am here to extend a helping hand to you. Based on your query and attached report (attachment removed to protect the patient's identity), my opinion is as follows: Low reticulocyte count percentage and reduced hemoglobin indicate ongoing deficient productio... Read Full »
What is the reason behind my muscle weakness?
Query: Hello doctor, My age is 25 years. My height is 5'10" and I weight 78 kg. I am suffering from muscle twitches and extreme muscle weakness and muscle pain from last one month. I went to a neurologist and he says reflexes are normal and asked me not to worry and he put me on tablet Remylin-D. I am curr... Read Full »
Answer: Hi, Welcome to icliniq.com. Based on your query, my opinion is as follows:Muscle twitches, muscle weakness and muscle pain since one month could be due to calcium deficiency. Has serum calcium level been evaluated?Associated dehydration along with anemia requires evaluation.At least 6-8 liters of wa... 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 »
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 »
What should I do for my extreme anemia, enlarged spleen, and IBS?
Query: Hello doctor,I am a severely anemic patient. I have been on iron and B12 shots for three decades, but still, there is no improvement. I have got enlarged spleen, IBS, and also no absorption from the gut. I had undergone so many tests but nobody seems to have answers. I stay exhausted, dizzy, and pal... Read Full »
Answer: Hi, Welcome to icliniq.com. As you are on iron and vitamin B12 shots, I would assume that it could be nutritional. It is obvious that no absorption from the gut and also IBS will complicate it. An enlarged spleen could be due to increased destruction in the spleen or the production of cells in t... Read Full »
Please suggest a diet chart for thalassemia patient.
Query: Hi doctor, My brother is a thalassemia major subject. His age is 18 years and height is 5'4''. His hemoglobin is always maintained between 9 and 10 units. His weight is 38 now and drastically reducing. Nowadays he has been having headache and fever now and then. Sometimes he feels that his heartbeat... Read Full »
Answer: Hi, Welcome to icliniq.com. Based on your query regarding thalassemia, my opinion is as follows:1. Looking at a regular hemoglobin level of 9-10%, I would suggest you increase the levels. Maintaining at this level increases further erythropoiesis (production of red blood cells). Close to 12-13 g% ma... Read Full »