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Questions & Answers on "Anemia Treatment" (264)
Dear Doctor, Due to my father's high blood viscosity, suspicion of polycythemia arises, necessitating blood draws every 3 weeks to maintain appropriate levels. At 69 years old, he experiences symptoms such as skin itching, swelling, head numbness, and fatigue. Currently, his JAK2 V617F mutation showed 0.8 then 1.2%, with JAK2 exon 12 negative and EPO at 13.4. Abdominal CT and chest X-ray are normal. After a few months of phlebotomy, his levels normalized. Now, we await the bone marrow biopsy results, which do not confirm Polycythemia Vera: "Microscopic description: The bone marrow biopsy sample shows somewhat hypocellular hematopoietic parenchyma relative to age, which is terminally mature. Myeloid ratio is 2:1 with dominance of late precursors; no blast cells are noted. The number of megakaryocytes is normal with no clustering. There is no interstitial fibrosis or lymphoid infiltrate. Diagnosis: Mature, hypocellular hematopoietic parenchyma without myeloproliferative features. Cytogenetic analysis confirmed male karyotype; no clonal chromosomal abnormalities detected. Indication for examination D7510 Secondary polycythemia Note Submicroscopic rearrangements, small structural chromosomal aberrations, DNA-level differences cannot be ruled out with the method used." I am quite confused as JAK2 positivity typically suggests PV, yet the biopsy suggests otherwise, possibly indicating secondary polycythemia. Could you please clarify based on this information what you personally think is more likely, Polycythemia Vera or another secondary cause? Thank you very much for your help.
Male | 67
Your father's symptoms and test results do suggest some complexity. The presence of JAK2 mutation often points towards Polycythemia Vera (PV), but the bone marrow biopsy does not show typical myeloproliferative features, suggesting it might be secondary polycythemia instead. Consult a hematologist, specializing in blood disorders, and can provide a more accurate diagnosis and appropriate treatment plan.
Answered on 3rd July '24
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Dec 2 = anal exposure condom brocken no pep Dec 16 = flu hedadache ,gas ,muscle pain freequent urination ,penis itching, sore throat, etc Jan 5 = cbc show wbc=3200 Neutriphil=23% Lymphocyte=59% Eosinophil=10% Rdw cv=14.5 Jan 12 = cbc show wbc=7800 Neutrophil=67% Lymphocyte=23% Eosinophil=3% Rdw sv=13.4 Feb24 cbc show wbc=7300 Lymphocyte=30% Neutrophil=57% Eosinophil=7% Rdw cv=13.4. after 3 month of exposure small grade fever come and go, lotof dandruff hair and beard, white toung, Diarrhoea and small abdomen pain. What is this mean? Is hiv, what is my chance of hiv from your previous medical experience
Male | 29
Your symptoms, including fever, fatigue, and stomach discomfort, could result from various causes and not necessarily indicate HIV. The blood tests show fluctuations in white blood cell counts, which can occur due to various factors, including infections or stress. To assess your HIV risk accurately, testing is essential. I recommend seeking a physician for a thorough evaluation and appropriate testing. They can help determine the cause of your symptoms and provide the necessary support.
Answered on 25th Mar '25
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Last year I did CBC. My lymphocyte was 16%. Is 16% too low? Does 16% lymphocytes means I have HIV infection? How much lymphocytes hiv infected person shows? At what level of lymphocytes Doctor advise HIV test? Please reply
Male | 41
An Lymphocyte percentage of 16% might fall into the reference range depending further on several factors still. This value alone does not mean that one has an HIV infection as the person with HIV infection can differ in their lymphocytes percentages. The most frequent warning signs of HIV are long-lasting fatigue, unintentional weight loss, and frequent infections. In case people are bothered by health issues, they should approach a doctor first for further advice and even a possible test. The doctor will explain the results to you and decide if further investigation is necessary, thus ensuring that you get the required support and care.
Answered on 6th Jan '25
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Low rbc count and low hemoglobin.
Female | 23
A low red blood cell count and insufficient hemoglobin can lead to symptoms like fatigue, weakness, and pale skin. These conditions may arise from various factors, including nutritional deficiencies, chronic diseases, or bone marrow issues. It's essential to address underlying causes, which may involve improving your diet, supplementing iron or vitamins, or other treatments. I recommend scheduling a consultation with your physician for a complete evaluation and personalized care plan. They can offer guidance tailored to your specific situation and ensure you receive the support you need for better health.
Answered on 6th Mar '25
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Am 16 and I am severely underweight and really low iorn like it's 74.4 and my hemoglobin droped from 14 to 10 and too i feel dizzy many times
Female | 16
It sounds like you're experiencing symptoms due to low iron levels and decreased hemoglobin. This can lead to feelings of dizziness and fatigue, as your body isn’t getting enough oxygen. Underweight issues might also contribute to poor nutrition. To improve your situation, focus on a balanced diet rich in iron sources like leafy greens, beans, lean meats, and fortified cereals. Alongside dietary changes, consider foods high in vitamin C to enhance iron absorption. It’s essential to speak with a healthcare professional who can evaluate your condition and possibly recommend supplements or further tests for personalized care.
Answered on 21st Jan '25
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