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What could be causing spleen enlargement, on-and-off fever, and blood deficiency?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I have spleen enlargement, on-and-off fever, and blood deficiency. I felt weak and irritated, and started eating unusual things like dust on the windows.

Thank you.
Answered by Dr. Mubashir Razzaq Khan

Education:

MBBS

Professional Bio:

Dr.Mubashir Razzaq Khan is working as a clinical Hematologist for the past 19 years. After completing his MBBS at Punjab Medical College Faisalabad, he did MPhil, Ph.D., and MCPS at Postgraduate Medical Institute Lahore. He treated thousands of patients with Anemia, Thrombocytopenia, Leukemias, Thalassemia, Hemophilia, Thrombosis, Aplastic anemia, Fanconi anemia, and Hereditary disorders. Currently, he is working at Chughtai Medical Center, Faisalabad, Punjab, Pakistan.

This doctor is not available for online consultations on the platform anymore.

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Hi,

Welcome to icliniq.com.

I reviewed your query.

Features suggest micronutrient deficiency. You need to get some laboratory investigation done. Get CBC (complete blood count), LDH (Lactate dehydrogenase ), ferritin, ALT (alanine transaminase), and creatinine levels done.

Build up your vitamin B12, folic acid, pyridoxine, vitamin D, and iron levels. Get a course to deworm yourself.

Thank you.

Patient's Query

Hi doctor,

Thank you for the reply.

I am attaching the report here.

Thank you.

Answered by Dr. Mubashir Razzaq Khan

Education:

MBBS

Professional Bio:

Dr.Mubashir Razzaq Khan is working as a clinical Hematologist for the past 19 years. After completing his MBBS at Punjab Medical College Faisalabad, he did MPhil, Ph.D., and MCPS at Postgraduate Medical Institute Lahore. He treated thousands of patients with Anemia, Thrombocytopenia, Leukemias, Thalassemia, Hemophilia, Thrombosis, Aplastic anemia, Fanconi anemia, and Hereditary disorders. Currently, he is working at Chughtai Medical Center, Faisalabad, Punjab, Pakistan.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hi,

Welcome back to icliniq.com.

I reviewed your reports (attachments removed to protect the patient's identity). You are severely anemic. Build up your vitamin B12, folic acid, pyridoxine, vitamin D, and iron levels. Get a course to deworm yourself.

Some things still need to be done. Get ferritin, ALT (alanine transaminase), and creatinine levels done.

I hope this helps you.

Thank you.

Medically reviewed by iCliniq medical review team
Published At October 26, 2023
Reviewed At December 17, 2025

Education:

MBBS

Professional Bio:

Dr.Mubashir Razzaq Khan is working as a clinical Hematologist for the past 19 years. After completing his MBBS at Punjab Medical College Faisalabad, he did MPhil, Ph.D., and MCPS at Postgraduate Medical Institute Lahore. He treated thousands of patients with Anemia, Thrombocytopenia, Leukemias, Thalassemia, Hemophilia, Thrombosis, Aplastic anemia, Fanconi anemia, and Hereditary disorders. Currently, he is working at Chughtai Medical Center, Faisalabad, Punjab, Pakistan.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Mubashir Razzaq Khan
Dr. Mubashir Razzaq Khan

Hematology

Education:

MBBS

Professional Bio:

Dr.Mubashir Razzaq Khan is working as a clinical Hematologist for the past 19 years. After completing his MBBS at Punjab Medical College Faisalabad, he did MPhil, Ph.D., and MCPS at Postgraduate Medical Institute Lahore. He treated thousands of patients with Anemia, Thrombocytopenia, Leukemias, Thalassemia, Hemophilia, Thrombosis, Aplastic anemia, Fanconi anemia, and Hereditary disorders. Currently, he is working at Chughtai Medical Center, Faisalabad, Punjab, Pakistan.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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