Recently Answered Questions
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Query: Hi doctor,I am a 66-year-old female. I am suffering from hypertension and diabetes for 20 years. I have got an implemented stent a month ago. I am taking medicines for the all above I have mentioned. In my recent blood count, my WBC is 70000. Why? Read Full »
Answer: Hi, Welcome to icliniq.com. Based on your query, my opinion is as follows. The white blood cell - WBC count is very high and so there is a need to look into the complete report, particularly the differential count. If neutrophils are high, possibly an infection. However, if the patient's physic... Read Full »
My three months old baby's spleen is 0.78 inches larger than the required size. Is it harmful?
Query: Hello doctor, My baby is three months old. His spleen is 3.14 inches and the required size said by doctors is 2.36 inches. I want to ask if it is harmful to him or if any serious medication is required. Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com Your child's spleen is mildly enlarged. For that, his CBC (complete blood count) and peripheral smear examination report can be done, which will rule out any hemolytic anemia disease if present. If peripheral smear examination is suspicious of hemolysis then serum LDH... Read Full »
I have pain in my penis with a scar. What is the cause?
Query: Hi doctor, After testing positive for celiac disease, I had an EGD and biopsy three weeks ago. The pathology report stated that I had marked acute and chronic inflammation with severe reactive epithelial changes including villus blunting and gastric metaplasia. I was negative for H. pylori as I was ... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to icliniq.com. Here according to your history, you were positive for gluten disease. So, you might have done tissue transglutaminase antibody testing. It is very sensitive for that and then, a biopsy for confirmation. In histopathology report, villous blunting present but intr... Read Full »
Elliptocytes and ovalocytes are present in blood smear. Why?
Query: Hello doctor,This is for my mother who I been concerned about. Would her reports seem acceptable for a smear slide examination? Anisocytosis 1+, ellliptocytes present, ovalocytes present. She developed memory and confusion issues within a month and has a heart valve issue with an ECG that was record... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. Anisocytosis, eliptocytes all can be seen in anemia case. In iron deficiency anemia also it can be seen. So, you should check her hemoglobin level and HCT level. Do not worry about that. With the treatment of anemia, usually, it disappears. Read Full »
Why am I getting bruises on my legs often?
Query: Hi doctor, I keep getting bruises on both of my legs and they are in different colors. I have not banged recently and I do not know the reason. What can it be? I am regularly using an inhaler for asthma. Read Full »
Answer: Hi, Welcome to icliniq.com. Easy bruisability is not an uncommon complaint and has multiple causes for it.As a baseline, you would need to undergo a panel of investigations to know regarding the status of your bleeding and clotting profile.Reasons can vary from simple normal skin tendency to vitamin... Read Full »
There is a drastic decrease in my platelet count in the last five months. Why?
Query: Hi doctor, My hemoglobin level increased from 15 to 17, and platelet count decreased from 3.1 to 1.4 lakhs in the last five months. The only symptom I have is occasional skin itching. Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to icliniq.com. As your platelet count decreased over four months duration, chronic infection and drug history have to be ruled out first. If they are not causative then a detailed investigation plan should be decided according to the examinations as follows: ESR (erythrocyte sedimen... Read Full »
Can you please explain my father's test results?
Query: Hi doctor, My father is 78 years old. He generally maintains good health except being diabetic for the last two years. However, since last once month his WBC, urea and creatinine values are abnormally high indicating kidney malfunctioning. He has lost 4 to 6 kg in the last three months and his appe... Read Full »
Answer: Hi, Welcome to icliniq.com. Based on your query and attached reports (attachment removed to protect patient identity), my opinion is as follows: Diabetes appears to be in good control. However, due to renal disease, blood pressure must be high. He is on multiple medications for blood pressure for no... Read Full »
What Is The Reason For High Monocyte and Eosinophil?
Query: Hi doctor, My blood reports show high monocytes and eosinophils for over two years of span. I feel there is no energy, muscle spasms, splenomegaly, muscle pain, and malaise. I am seropositive RA. But, my CRP and ESR are normal most of the time. Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to icliniq.com. Rheumatoid arthritis is one of the causes for high monocyte count and multisystemic involvement. Hence, treatment for that is nonsteroidal anti-inflammatory drugs and disease modifying drugs like Leflunomide, etc. The high eosinophil count causes include allergy, para... Read Full »
The reports of bone marrow aspiration and biopsy differ. How?
Query: Hi doctor,Bone marrow aspiration twice showed hypercellular bone marrow with overgrowth of WBC and megakaryocytes with all stages of maturing including micromegakaryocytes. But at the same time, the second BMA during bone marrow biopsy showed normocellular bone marrow. Is something like that possibl... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to icliniq.com. You have not mentioned the age of the patient, peripheral smear, and CBC (complete blood count) findings. You have mentioned that bone marrow was showing overgrowth of the WBC (white blood cells) and micromegakaryocytes. So, it is a myeloproliferative condition. ... Read Full »
Please review my LFT, and let me know if my liver is healthy.
Query: Hi doctor, A couple of weeks back, I took the a few blood tests that I have attached due to a bacterial food infection. I am fine now after the course of antibiotics. I would like to know whether my liver is healthy. Please review my LFT and advise whether my liver is fine. Please prescribe medicati... Read Full »
Answer: Hello, Welcome to icliniq.com. I saw the report you have attached (attachment removed to protect patient identity). Sorry for your discomfort. Your liver enzymes that is SGOT (aspartate transaminase), SGPT (alanine transaminase), alkaline phosphatase and GGT (gamma-glutayl transferase) are normal.... Read Full »