Medical Advice on "Hematology"

My husband feels fatigue with disinterest in activities. Why?

Hi, Welcome to icliniq.com. I have seen the reports. (attachment removed to protect patient ability). Based on your query, my opinion is as follows. Blood smear appears macrocytic with ovalocytes suggesting vitamin B12 and folic acid deficiency....  View thread »

Answered by Dr. Prakash H Muddegowda

Will losing weight help in treating stage 4 liver fibrosis?

Hi, Welcome to icliniq.com. You have investigated by fibroscan report (attachment removed to protect patient identity). The 19 kpa is suggestive of grade 4 fibrosis in liver. The fibrosis can from due to chronic inflammation. The NASH is form of he...  View thread »

Answered by Dr. Parth R Goswami

What could be the reason for enlarged spleen based on blood report?

Hello, welcome to icliniq.com. I have reviewed your query and below is my opinion. The various causes for enlarged spleen include infection like malaria, Gaucher disease like storage disorder, hemolytic anemia, leukemia, lymphoma, infections, live...  View thread »

Answered by Dr. Parth R Goswami

Can emboli form as a result of chemotherapy?

Hi, Welcome to icliniq.com. Based on your query, my opinion is as follows: Yes, it appears to be secondary to chemotherapy induced thrombosis. It is usually secondary to development of venous thrombi usually in deeper veins of the legs. Pro...  View thread »

Answered by Dr. Prakash H Muddegowda

Is my platelet count acceptable to go ahead for surgery?

Hi, Welcome to icliniq.com. Based on your query, my opinion is as follows: Yes, this platelet count is acceptable for all major procedures, except involving the central nervous system. No problem should occur during surgery with this platelet count. ...  View thread »

Answered by Dr. Prakash H Muddegowda

My 3.5 year old baby has thalassemia major with 3000 ng/ml ferritin. Please suggest food advise.

Hello, Welcome to icliniq.com. Based on your query, my opinion is as follows: Iron intake should be reduced. Vegetarian diet will be better as iron content is low. The diet that can be followed include: 1. Importantly avoid vitamin C or citrus fo...  View thread »

Answered by Dr. Prakash H Muddegowda

Experiencing muscle and joint pain for 10 years and is getting worse. What to do?

Hello, Welcome to icliniq.com. Your main presentation is chronic muscle pain and joint pain. For that specific cause rule out first like connective tissue disorder, muscle dystrophy, neuropathic pain, spinal problem, HIV, thyroid issue, etc. ...  View thread »

Answered by Dr. Parth R Goswami

My 1.5 year old baby has low neutrophils and high lymphocytes. Why?

Hi, Welcome to icliniq.com. As per report provided, the lymphocyte count is slightly high. In the case of a child with age 1 to 3, the lymphocyte count can be up to 70%. Lymphocytosis is considered in the child of 1.5 years when the absolute...  View thread »

Answered by Dr. Parth R Goswami

My 2.5 year old daughter is diagnosed with ITP. What to do?

Hello, Welcome to icliniq.com. I read her reports. (attachment removed to protect patient identity). The latest report shows the normal platelet Count. So no need to worry regarding any bleeding. The total WBC (white blood corpuscles) count is hig...  View thread »

Answered by Dr. Parth R Goswami

Is it possible to have low blood pressure and symptoms of anemia after dengue?

Hello, Welcome to icliniq.com. The positive direct coombs test is suggestive of some form of hemolytic anemia in which antibody bind to red blood cells. The DCT could be positive because of immune hemolytic anemia. Dengue infection is form of viral...  View thread »

Answered by Dr. Parth R Goswami