My blood report show:
Low platelet count (150).
TSH - 0.03.
Occasionally teardrop cell present and pencil cell seen.
I am feeling feverish, tired, reduced weight, and headache all the time. I have thyroid for the last eight to nine years and I am currently taking Thyronorm 100 mg. I consulted a general physician she asked me to take an opinion from a hematologist. Please assist.
Welcome to icliniq.com.
I have read your concern and following is my opinion for your asked question. In the attached reports (attachment removed to protect patient identity) hemoglobin level is low and eosinophils are raised. Low hemoglobin along with low PCV (pack cell volume) suggestive of anemia.
For anemia following investigations are suggested.
1. Serum iron.
2. Serum ferritin.
3. Serum TIBC (total iron binding capacity).
4. Serum B12 level.
Treatment of anemia given according to the cause of anemia. Revert back with the above reports once done.
Your eosinophils are high. So it could be due to either parasite infestation, or allergic upper respiratory tract infection, or asthma or some skin disease. If any of the above allergy history present then mention it.
For high eosinophils, you can be prescribed Montelukast tablet for 7-10 days. Your TSH (thyroid-stimulating hormone) is within range in one report. It should be maintained between 2-5 by regularly taking thyroid medication. So you can continue Thyronorm for your hypothyroidism.
You can visit a nearby physician or Hematologist and discuss all these.
Thank you doctor,
Yes, I do have an allergic upper respiratory tract infection for the past few years. Do I need to take some supplements to treat anemia at the moment? I hope my blood reports are not indicating something serious.
Welcome back to icliniq.com.
In the attached CBC and peripheral smear report, abnormal cells are not present (attachment removed to protect patient identity). So no need to worry just now.
For anemia, ferrous ascorbate can be started which should be taken with orange juice. But before starting iron supplement, I suggest you investigate as above with stool examination report as well. Revert back with all those reports once done. After submitting a sample for the above report, an iron tablet can be started.
For allergic inflammation, you can consult a pulmonologist or allergic specialist for allergy testing to find a causative allergen. You can take Montelukast can be given for 7 to 10 days. Send me repeat CBC after your iron supplement is finished for 1-2 months.
I hope this helps.
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