Dr. Mubashir Razzaq Khan
Hematology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
Answered by
Medically reviewed by
Patient's Query
Hello doctor,
I have been having crazy, unexplained symptoms for over a year, such as weakness and tightness in my left arm, side of neck, and face choking gagging sensation, and feeling like my body is crashing from not eating. But the difficulty in swallowing is the worst one. I have been through numerous tests including, chest X-rays, CTs, brain and neck MRI, echocardiogram, EKG, PFT, and multiple blood tests. The only thing that has remained abnormal is my monocyte percentage. It is always high, but my absolute monocyte is normal. Any idea what this could indicate or what direction I should head in next? Please help.
Thank you.
Hi,
Welcome to icliniq.com.
I went through your records and history (attachment removed to protect the patient's identity). Your pain symptoms seem related to gastric issues or neuromuscular involvement due to vitamin B12 deficiency. It might be related to myelosuppression due to compromised nutritional status. Relative monocytosis in the absence of absolute leukocytosis is not a worrisome sign.
I hope this helps.
Thank you.
Patient's Query
Thank you, doctor.
After looking over some of my other results, I noticed I had other abnormalities in my blood work. Is this still not a concern? My vitamin B12 levels were tested last year, and they were normal.
Hi,
Welcome back to icliniq.com.
Good to see you again. I hope you are doing well. One abnormality I found is transient lymphopenia (decreased concentration of lymphocytes in the blood). It is seen in viral infections and vaccinations, especially related to COVID-19. Rest of the things have no clinical value. Vitamin B12 needs to be restored, better though injectable route for good levels. It should be maintained around 1000 pg/mL.
Was this conversation helpful?
Same symptoms don't mean you have the same problem. Consult a doctor now!
Hematology
Related Questions
Is my shoulder pain a disc problem or nerve pain?
Does erythematous gastritis result in stomach cancer issues in future?
My mom is unable to walk on her own. What could be the reason?
What can be done to treat severe nerve pain between left bum and leg?
My acute gastritis pain recur after stopping the medicine. Why?
I have burning sensation in my waist. Why?
Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.
This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy
