Recently Answered Questions
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My husband has low hemoglobin levels. Please help.
Query: Hello doctor, My husband's hemoglobin is 3.7 g/dL, but the hemoglobin level was 5 g/dL when we checked it two days back. His RBC and WBC are also going down. What can be the reason? Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to icliniq.com. Your husband's hemoglobin and WBC count are going down very fast, it is not normal. For such low hemoglobin levels, blood transfusion is needed immediately. A peripheral smear examination should be done, to look for schistocytes like fragmented RBC and normoblast count... Read Full »
I have a genetic mutation. How to lower my high B12 levels?
Query: Hello doctor, I have genetic mutation MTHFR. I am on thyroid for hypothyroidism. My B12 level is 1476, the normal range is between 138 to 652 pmol/L. How can I lower my B12 level? Is this level a cause for concern? All the other blood levels are normal other than WBC which is at 3.4 and neutrophils ... Read Full »
Answer: Hello, Welcome to icliniq.com. It is essential to know the primary reason for vitamin B12 testing. Was it done due to any complaints that could be related to anemia like fatigue, malaise, or any other symptoms that could be related to thrombotic complications possibly due to the inherited MT... Read Full »
My father-in-law's WBC count has declined. Why?
Query: Hi doctor, My father-in-law is 58 years old. He had a stroke a year back and has been diagnosed with non-critical CAD. Within a period of two months, his WBC count has reduced from a range of 7.5 to 2.8. But, there is no sign of infection. The overall count of ANC is more than 1000 and platelets are... Read Full »
Answer: Hi, Welcome to icliniq.com. Based on your query, my findings are as follows. Your dad is suffering from macrocytic anemia along with leukopenia (low-level WBC) and pancytopenia (deficiency of RBC, WBC, and platelet). There is only a slight decrease in the number of platelets, so you need not ... Read Full »
What causes fever and vomiting in my 8-year-old son?
Query: Hi doctor, This is regarding the treatment given to my son for viral fever. He is 8 years 3 months old. When we observed my son's fever, I gave him one teaspoon of P250 for three days. On the fourth day, I visited hospital due to continuous fever. As the blood report confirmed it as viral fever, he ... Read Full »
Answer: Hi,Welcome to icliniq.com.I went through your child's history as you have provided and also saw the blood test reports (attachment removed to protect patient identity).According to the details provided, your child's illness fits into a viral illness spectrum. I believe you are concerned about fallin... Read Full »
I have a low WBC count. Please review my attached reports.
Query: Hello doctor, I was diagnosed with duodenal follicular lymphoma and have low WBC count. Please review my attached reports. Kindly help. Read Full »
Answer: Hello, Welcome back to icliniq.com. I understand your concern. Actually the tests you have done are fine but there is slightly changes in values as you mentioned above. These changes occurs due to free radiation present in environment. All these radiation comes from drugs, environment, and all. Your... Read Full »
Why is there low Hb and WBC in a MGUS patient?
Query: Hello doctor, I was diagnosed with MGUS earlier this year. My lab report states immunoglobulin M33, lambda free light chains 19.74, kappa or lambda light chain ratio 0.07. My doctor said there is a faint spike. Black bar on a grey background and to come back in a year. I have noticed that most of m... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. You have been diagnosed with MGUS problem (monoclonal gammopathy of undetermined significance). For that, no treatment has to be done except clinical monitoring. You are advised to investigate with serum urea, creatinine estimation, urine Bence Jones protein estimati... Read Full »
Please suggest a treatment plan based on my father's blood report.
Query: Hi doctor, I would like to get a consultation regarding my father. His blood report showed hemoglobin (optical/impedance) 12.4 g%, platelet count (optical/impedance) 93 10^3/cubic mm, WBC count (optical/impedance) 3.6 10^3/cubic mm, packed cell volume (calculated) 36%, serum vitamin B 12 472 ng/L. ... Read Full »
Answer: Hi, Welcome to icliniq.com. Based on your query, my opinion is as follows. There are mild anemia, low white blood cell count, and low platelet count. All counts are considered adequate clinically, as they are near normal. It could be early features of megaloblastic anemia. As vitamin B12 levels ar... Read Full »
Please review my blood reports.
Query: Hello doctor, I am worried about my recent blood test results. WBC count is 4.4 cells per microliter. Neutrophils - 2.0 cells per microliter (45%). Lymphocytes - 1.8 cells per microliter (42%). Monocytes - 0.4 cells per microliter (9%). Eosinophils - 0.2 cells per microliter (4%). Basophil - 0 cells... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. I read your query and can understand your concern. Following is my opinion regarding your asked questions. The attached report (attachments removed to protect the patient's identity) shows mild lymphocytosis means lymphocyte count elevation. You need not worry abou... Read Full »
How to get relief from cough present with wheezing?
Query: Hi doctor, My mother is 78 years old now. Before 12 days back, she had a cough and high fever. She had a wheezing problem along with a cough. She was given Azithromycin and Cratex expectorant. Her temperature got subsided after five days. But the coughing problem has not stopped. Her X-Ray finding s... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to icliniq.com. She has chronic obstructive pulmonary disease. Her lymphocytes are elevated. She seems to have viral bronchitis. Her total WBC count is decreased. It can occur due to bone marrow suppression by a viral infection. For wheezing, she can take Ipratropium bromide inhalation... Read Full »
Can you please confirm my friend's diagnosis?
Query: Hi doctor, I am a general practitioner. I would like to consult with you regarding my friend, who has a normochromic normocytic anemia. His hemoglobin is currently 7.5. His diagnosis is not clear. I have all his laboratory data and bone marrow biopsy as well as aspiration if you want. He used to tak... Read Full »
Answer: Hello, Based on the available information, it is evident that the patient is experiencing periodic hemolysis alongside severe vitamin B12 deficiency. The corrected RPI indicates an appropriate bone marrow response to the anemia. The potential causes for the condition include medication-induced fact... Read Full »