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10 Best Chelation Therapy doctors in Dwarka Sector 4

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Questions & Answers on "Chelation Therapy" (275)

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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My daughter suffering with this disease Sickle cell anemia. Please suggest where I need to consult for free treatment?

Bone marrow transplant also called as stem cell transplant, is potential cure for sickle cell anemia. Treatment options are:

  1. Medications to reduce pain and prevent complications.
  2. Vaccinations to prevent infections.
  3. And blood transfusions.
  4. Life style changes are also of help, such as:
  • Taking folic acid supplements daily.
  • Having a healthy diet.
  • Drinking plenty of water.
  • Avoid temperature extremities.

Also, there are some hospitals where concession on medical treatments are available though cards like Ayushman bharat, CHGS, etc. Some government hospitals are:

  1. Tata Memorial Hospital, Mumbai
  2. All India Institute of Medical Sciences, New Delhi
  3. Christian Medical College (CMC) and Hospital, Vellore.

Consult a hematologist - Hematologists in Delhi. Hope this helps you, and let the team know if your preferred location is different.

Answered on 23rd May '24

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My platelet count is 5.5 lakh so it is normal or not

Male | 17

A platele­t count of 5.5 lakh is normal. These tiny cells he­lp blood clot properly. Low platelets me­an bruising easily, bleeding too much, and cuts won't stop ble­eding. High platele­ts might signal infection, inflammation, or medical issues. So, re­gular check-ups with your doctor monitor those platele­t levels. Your number looks good now. But de­finitely double-check with a doctor.

Answered on 21st Aug '24

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Answered on 29th July '24

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How to know effect hiv in starting months

Male | 22

During the initial stages of HIV, some individuals might not display any symptoms at all while others may have flu-like symptoms such as fever, sore throat, and body aches. This happens because the virus has already started to weaken their immune system. It is important to test if you suspect that you might have been exposed to HIV. Early treatment onset after diagnosis is necessary for effective management of the virus.

Answered on 9th Jan '26

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