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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 worry.
- Megaloblastic anemia can occur secondarily due to vitamin B12 and folic acid deficiency.
- It is advisable to take multivitamins that are vitamin B12 and folic acid supplements. Improvement in counts will be gradual and may take up to two months.
- The reticulocyte count if increased within a period of 15 days can yield a good outcome. If there is no rise in the reticulocyte count, then vitamin B12 and folic acid serum assay will be necessary to rule out any malabsorption.
- The erythrocyte sedimentation rate (ESR) is normal and there are no abnormalities found in any of the cell lineages.
The Probable causes:
The probable causes are vitamin B12 and folic acid deficiency.Investigations to be done:
1. Reticulocyte count. It has to get repeated after 15 days to check if there is any rise in number.Probable diagnosis:
2. Vitamin B12 and folic acid assay.
Megaloblastic anemia.Preventive measures:
Improve your nutrition by having eggs, chicken, red meat, pulses and green leafy vegetables.Regarding follow up:
Revert back with the investigation reports.