I returned from abroad feeling run-down with gastrointestinal issues. I thought that I might have gotten a parasite. Stool tests were performed, but no parasite was found. I then developed flu-like symptoms that lasted several weeks and still feel run-down and tired all of the time. My eyes look a bit discolored as well.
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Thank you doctor,
Thank you for your recommendation. I have attached blood tests and additional stool sample. I am still trying to figure out what is going on. I am wondering whether low RBC distribution is the result of my parasitic infection. I am not sure why my glucose level is low. I vaccinated myself as a child. But I do not have antibodies for my vaccinations. So we cannot rule out things like other normal people having immunity. Please mention whether I have another direction or test to do.
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I have gone through your investigations (attachment removed to protect patient identity). All the parameters are grossly normal. Though your RBC (red blood cells) distribution width is low, your hemoglobin still remains within normal limits. So there is nothing to be worried about. Low glucose levels can occur due to prolonged fasting before doing the tests. Please mention whether you still have symptoms persistently. As you have pointed out, the antibody levels against the vaccinable type of infective hepatitis seem to be low or undetectable, then you consider having vaccination against Hepatitis A and B if you do international travel frequently.
In case, if we have ruled out the infective causes of your symptoms, then we can consider inflammatory causes or irritable bowel syndrome. I could not find the reports of the stool tests that you have done. A stool calprotectin test should be done to rule out any inflammation in the intestines. If it is an irritable bowel syndrome, you need to take symptomatic treatment according to the phase of bowels, whether you are constipated or having loose motions. Keep yourself hydrated. You can consider taking probiotic capsules or sachets thrice a day. Keep your food high in fiber content. This will definitely help with your symptoms. You can get back to me if any further queries. Take care.
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