Vitamin B12, also called cobalamin, is a crucial vitamin that is needed for maintaining brain function, nerve tissue, and the production of red blood cells. The foods rich in vitamin B12 are beef, pork, ham, lamb, fish, eggs, and dairy products. Vitamin B12 deficiency can cause psychosis, mania, and dementia.
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What causes cold hands and feet along with fatigue?
Query: Hi doctor,I am having cold hands and feet. I also have a little bit of fatigue. Two years ago, I lost 90 pounds with diet and exercise. I had high blood pressure and anemia when I was pregnant with twins three years ago. Now, I have taken a complete blood count. I am attaching the reports for your r... Read Full »
Answer: Hi, Welcome to icliniq.com. Based on your query and attached report (attachment removed to protect patient identity), my opinion is as follows: There is a mild reduction in leukocyte count and hemoglobin. Also, red cell distribution width (RDW) is increased. The cause for reduced hemoglobin ap... Read Full »
I would like to get a proper diagnosis regarding my high hs-CRP.
Query: Hi doctor,I am suffering from iron depletion. My iron is low, but ferritin and hemoglobin are normal. My folic acid was 4 about a year ago. I took Folic acid tablets for two months and it is normal now. My vitamin D has improved after taking tablets. My vitamin B12 is also on the lower side. I am ma... Read Full »
Answer: Hi,Welcome to icliniq.com.Based on your query and after going through your reports (attachments removed to protect patient identity), my opinion is as follows:C-reactive protein (CRP) levels are a bit high indicating mild inflammation. This value is suggestive of high cardiac risk.Your cholesterol, ... Read Full »
My laboratory test report suggests an increase in vitamin B12 levels, and I also experience blurry vision, sour mouth, and backbone pain. Why?
Query: Hello doctor, I recently got my laboratory test done for vitamin B12. The levels are increased. My LFT tests were normal. I also have blurry vision, a sour mouth, and backbone pain. What is your first advice? What additional tests are needed? Please help. Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. I went through your query and understood your concern. Usually, myeloproliferative neoplasms, kidney diseases, and liver diseases are some of the causes of high vitamin B12 (cobalamin) levels. If you have taken supplements containing vitamin B12, then your B12 can be h... Read Full »
Why am I still suffering from depression and anxiety even after taking medicines for four years?
Query: Hi doctor, I have been on depression and anxiety medications for four years. I found out that I had depression because I stopped eating and landed in the hospital for being malnourished. I was exhausted with antidepressant and anxiety medicine. Now I am not sure whether it is the feeling of my body ... Read Full »
Answer: Hello, Welcome to icliniq.com. Depression and anxiety treatment should be given for long duration for best results. Even with medicine, your symptoms are persistent, so this is not the time to stop the medicines. But, the prescription should be evaluated. Do not think of reducing the doses by own ... Read Full »
Why is there numbness with tingling sensation in my right hand ring finger?
Query: Hi doctor, Before a month, I carried heavy grocery bags and after that my right-hand ring finger got numb with a tingling sensation. It is persistent for the past one month. Read Full »
Answer: Hi, Welcome to icliniq.com. Carrying heavy grocery bags just once will not cause any numbness in ring finger with a tingling sensation. Do you work for long hours on a computer using the keyboard? Your symptoms indicate nerve entrapment like carpal tunnel syndrome. Even, if your nerve is injured whi... Read Full »
My WBC counts are falling down. What is the reason?
Query: Hi doctor, I am concerned about my low and falling WBC count recently. I do not have any chronic diseases. My doctor says, it is vitamin B12 deficiency and the doctor has prescribed Vitamin B12 to take 1000 mg per day. My mother had MDS, diagnosed two years back and expired from it. My WBC counts r... Read Full »
Answer: Hi, Welcome to icliniq.com. I can understand your worries. First, it is of utmost importance to have a glass slide reviewed by a hematologist to check for the morphologic abnormalities, that is the dysplastic features of the cells. Not only it depends on the count, but also on the appearance of th... Read Full »
Does a positive Romberg test indicate MS?
Query: Hello doctor,My GP referred me to a neurology due to positive Romberg, equivocal Babinski and an intention tremor, which is getting worse. I have been having severe tingling in my legs for months. Recently, the pain in my legs is terrible at night, and my right eye goes blurry with heat. Are you aw... Read Full »
Answer: Hi, Welcome to icliniq.com. Positive Romberg test suggests a possibility of sensory ataxia and associated with tingling in legs. It can be due to peripheral nerves or spinal cord (posterior column). I would like to know if there is a family history of a similar problem in your blood relat... Read Full »
Query: Hello doctor, I am a 26 year old male. My height is 190 cm and weight is 85 kg. I do exercise with weights regularly. I have noticed that I have reduced feeling in the skin on my shaft. I cannot feel normal touch, but I can feel the pain if I pinch it with my nails. To best describe it; it feels li... Read Full »
Answer: Hi, Welcome to icliniq.com. This is a localized numbness that we are bothered with. Disease starting from this region without any other associated symptoms is quite rare and without them we may not think of a systemic pathology right away. Have you tried nerve tonics? I suggest back strengthenin... Read Full »
Query: Hello Doctor, I am a 39 year old male. My height is 6 feet and I weigh 81 kg. Right side of my left foot is having numbness though it is not 100% numb. The left side of the foot has little pain. I get a feeling that there is some blockage in the blood flow though it might not be the case. I am a reg... Read Full »
Answer: Hello, Welcome to icliniq.com. You have mentioned numbness in the inner part of the left foot as your main symptom. Most commonly numbness is a manifestation of a nerve involvement, it can be compression of the nerve at an anatomical site like in back or anywhere along the course of the nerve or it ... Read Full »
I have attached my blood test reports. Kindly advice on it.
Query: Hello doctor,I did the blood test a few days ago, and the reports state that,1) Monocytes 0.19.2) Red cell distribution width 46.7.3) Platelet distribution width 21.4) Mean platelet volume 13.4.5) Platelet to large cell ratio 50.5.Kindly advice. Read Full »
Answer: Hello, Welcome to icliniq.com. The test is not specific. You need to specify why it was done and what your symptoms are. The test indicates macrocytosis larger platelet than usual, red cell distribution width is higher than normal (11.5 to 14.5). This indicates that your bone marrow which produces... Read Full »