Recently Answered Questions
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I am suffering from fever and chills. Please review.
Query: Hi doctor, I recently got a fever with chills and feeling cold. I took Dolo 650 and fever is gone but still continue to feel chills in my legs and sometimes feel cold. I went to the doctor. He asked me to get CBC test and routine urine test. In my CBC test, my WBC count is 11900, rest all are in nor... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. Kindly let me know if any other symptoms you have like burning micturition, abdominal pain, dyspnea, etc. Your total WBC count not much raised, it is only slightly increased. In urine, 6 to 8 pus cells are not significant. So, it can be a viral infection and symptoma... Read Full »
What are the health implications due to raised ESR and SGPT?
Query: Hello doctor, My friend has a disc bulge and lipping osteophytes. She is using a belt now to support her back. She is now experiencing continuous pain, though not unbearable. When she had the blood reports, her erythrocyte sedimentation rate is 40 mm/hr and her SGPT is 38 U/L, both above the refere... Read Full »
Answer: Hello, Welcome to icliniq.com. I have studied your case with diligence. I have seen the reports also. (attachment removed to protect patient identity). Raised ESR (erythrocyte sedimentation rate) with raised SGPT (serum glutamic pyruvic transaminase) suggest the possibility of polyarthritis. You... Read Full »
I have high inflammatory markers. Please help.
Query: Hi doctor,I have a question about my blood results. I had blood taken for my second round of lipedema surgery, and I would like to know if these values are all right. I always have high inflammatory markers (high CRP, usually high WBC, and high ESR). I have lipedema, obesity, back pain, and constant... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. RBC (red blood cell), hemoglobin, and hematocrit are normal. WBC (white blood cells) are slightly raised. C-reactive protein is raised. It seems to be due to obesity and musculoskeletal inflammation. INR (International normalized ratio)and PT (... Read Full »
Can vitamin B12 deficiency cause breathlessness?
Query: Hello doctor, I had a blood test recently and my ESR was elevated to 22, while vitamin B12 was low. I have pain in the right armpit and also a pain in the neck. Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. Your B12 level is low, hence it should be treated with Folic acid tablets and Cyanocobalamin injections. 1. Cyanocobalamin 1000 mcg injections are given intramuscularly for six weeks. 2. ESR (erythrocyte sedimentation rate) can be high in any inflammatory condition.... Read Full »
In the case of AIH, will I have an increased ESR?
Query: Hello doctor, Thought to have likely acute AIH for the past eight months. Currently, being treated with Prednisolone 8 mg to go to 5 mg and Azathioprine 50 much. My ALT/AST are within normal range last two months coming down from almost 2000. ESR has been steadily rising since past five months, comm... Read Full »
Answer: Hi, Welcome to icliniq.com. In general, ESR (erythrocyte sedimentation rate) is a very non-specific marker. It has no significance in isolation. However, in countries where tuberculosis is predominant, we always consider it while a person is on immunosuppressive drugs. So you can ask your doctor f... Read Full »
Can a high platelet count cause a blood clot or stroke?
Query: Hello doctor, My mother has high WBC count of 15,000, platelet count of 5,40,000, and hemoglobin at 11.2. Her ESR is 86, and CRP is also similar. She has a fever, which rises in the evening to 101. Can you please tell me what this denotes? Also, will the high platelet count cause a danger for a bloo... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to icliniq.com. High platelet count will not lead to thrombosis in the body. Do not worry about that. High platelet is because of reactive thrombocytosis, and that can occur in bleeding, anemia, infection, inflammation, etc. You have an ulcer in the colon, and it seems to be ulcera... Read Full »
Are the symptoms indicate vasculitis?
Query: Hello doctor,I am a 51-year-old woman with an eight-month history of persistent fever, shortness of breath on exertion, suffocation feeling, barking cough, sometimes productive cough with yellow sputum, raised resting heart rate, and tachycardia and palpitations with mild exertion. I am status post ... Read Full »
Answer: Hello, Welcome to icliniq.com. The manifestations of vasculitis in general are: Weight loss of more than 10 % of body weight. Aches and pains, fever, and loss of appetite. Mononeuritis. Investigations will reveal high ESR (erythrocyte sedimentation rate), positive CRP (C-reactive protein), hig... Read Full »
What causes recurrent fever with raised ESR in a 10-month-old baby?
Query: Hello doctor, My baby boy is 10 months old. He weighs about 22.05 lbs and his height is 2.53 feet. His blood test shows: WBC 11.28. RBC 7.70. HGB 9.9. HCT 31,5 %. MCV 67 FL. MCH 21.1. MCHC 31.4. Platelets 402. Lymphocytes 68.2 %. Monocytes 4.1 %. Eosinophils % 2.9. Basophils% 0.4. Neutrophils%... Read Full »
Answer: Hello, Welcome to icliniq.com. You have not mentioned any symptoms. Please send details. Your CBC (complete blood count) report is showing some infection. It could be mostly viral. Read Full »
Can you please interpret my dengue test results?
Query: Hi doctor, I have a fever (100 to 103 F) from the last two days with chills and aches on the knees and hands. I went to a general physician. She prescribed me Mefkind forte and said that if the fever stays for more than a day, I should go for CBC and dengue antigen. But, I have done my CBC and dengu... Read Full »
Answer: Hello, Welcome to icliniq.com. Your dengue test (NS1) is positive, and the platelet count is normal. You also have mild anemia, most likely due to iron deficiency. Your fasting blood sugar is on the higher side. Please continue to drink plenty of water as it is the main treatment for dengue ... Read Full »
Query: Hello doctor, My 63-year-old mother was diagnosed with nephrotic syndrome two years ago. Her primary symptom at that time was generalized edema, which responded to diuretics. A kidney biopsy revealed monoclonal gammopathy of renal significance. Subsequent tests, including a CT scan, bone marrow bi... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and understand your concern. It appears that your mother has been diagnosed with nephrotic syndrome and monoclonal gammopathy of renal significance (MGRS). Please keep in mind that I cannot provide a definitive diagnosis or treatment plan, as he... Read Full »