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Best Hematology Hospitals in Mysuru

Questions & Answers on "Hematology" (271)

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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I am very sick sir duwara duwara say bukhar aa raha hn and after that then urine mein blood bi aa raha hn and weekness bii What is my problem

Male | 44

Based on your explanation, you are familiar with fever and have also noticed blood in your urine. This could be a symptom of a urinary tract infection or a sign of kidney problems, both of which can also cause weakness. It would be best to consult a doctor within a few days to determine the cause and receive the appropriate care.

Answered on 23rd July '24

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Hi.. I'm always struggling with being very skinny and I can't gain weight and my iron level always drops, I did blood analysis and everything was good except iron level. I reached many doctors and they gave up because the diagnosis still dim ????. Thanks in advance doctor .

Female | 24

The typical symptoms of iron defusion consist of fatigue, weakness, and trouble gaining weight. The most prevalent cause of low iron is that you don't get enough of it in your diet. Iron-rich foods such as red meat, beans, and green leaves can do a good help. Besides consuming iron supplements, which should be prescribed by a doctor, one will also be able to improve one's iron levels. Don't forget to see your doctor to get more directions. 

Answered on 9th Sept '24

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Hi good day I'm a male 36 years from Philippines I have a question regarding of my HIV symptoms My first encounter is last February 17 and I check a rapid test kit It was negative. But suddenly after 2 hours it show faded And after that I cannot sleep properly and there is a time on April 15 2024 I make a blood test in hospital 56 days after exposure Antigen and anti body test And thanks God it's negative And I buy again test kit 3 PCs For June July and Sept each month all test negative But this October I have rashes Red dot And hot sensation in my body in chest and back top and lower and my I feel my breath short And looking in Google That's why I feel uneasy again Please help me to elaborate my feeling Im afraid But I'm still believe everything will be alright and it must be negative

Male | 36

The symptoms you mention - rashes, red dots, hot sensation, and shortness of breath - may be caused by various reasons other than HIV. For instance, stress and anxiety are also potential causes of these symptoms. To be sure, you can ask a doctor.

Answered on 8th Oct '24

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My alkaline phos level is 269.1 Is it dangerous

Male | 16

Your alkaline­ phosphatase level of 269.1 is high. This e­nzyme level signals pote­ntial issues with your liver or bones. Fe­eling tired or abdominal pain could be symptoms. Live­r disease, bone disorde­rs, or certain medications raise alkaline­ phosphatase levels. To find the­ root cause and get the right tre­atment, follow up with your doctor. 

Answered on 26th July '24

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My mother was a cml(chronic myeloid leukemia) patient from 5-6 years she take imatinib starting 2 year but Due to the situation at home, she had to leave the medicine for 1 year. But Then his health worsened and his blood count became high, after which the doctor administered blood transfusion.and say to continue imatinib . But now some time sometimes there is pain in hands and legs.abb mujhe kya karna chahiye ???

Female | 36

Undoubtedly, discomfort in the limbs (hands and legs) can be a typical occurrence amongst patients with persistent myeloid leukemia, a fact which must be acknowledged. Such pain, however, might also be there due to the medication or the disease itself. These signs of your disease, you should always tell your doctor about them, as they might need to adjust the treatment or give other means to relieve the pain. Communication is thus successful if your healthcare provider gets access to the symptoms and describes the best way he or she can help.

Answered on 3rd Dec '24

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I had a blood transfusion due to which the body has become inflamed

Female | 21

Having inflammation after a blood transfusion is one possibility, as your body might reject the new blood. Some of the symptoms are swelling, redness, or warmth. The reaction to the allergy or the mild side effect could be a reason. It is vital to watch over your symptoms closely. The best things to do are drinking plenty of liquids and resting. Yet, if inflammation continues or gets worse, you might want to notify your healthcare provider, who can give you your own advice and treatment. 

Answered on 3rd Jan '25

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I'm an 18 year old female who thinks she may have Raynaud's? These are my symptoms. ### Raynaud’s Phenomenon: - **Fingers and Hands**: - Frequent color changes in response to cold, stress, or pressure: fingers turning white/yellow, blue/purple, and red during rewarming. - Numbness, pain, and stiffness, especially in cold water or when exposed to cold air. - Fingernails occasionally turn blue, particularly when nervous. - Fingers often go white under light pressure, but color returns after. - Red, painful, and numb fingers, especially when handling cold objects or after cold exposure. - Hands sometimes go pale/white in cold water, with visible blue veins. When they warm up it can feel tingly and intense heat and sometimes burning and uncomfortableness. - Ridges and a light white color underneath fingernails. - A small cut on your hand is taking longer than usual to heal. But cuts in general too. - **Feet and Toes**: - Feet often turn purple or blue when sitting still for long periods, especially without socks. - Numbness and coldness in feet, particularly when standing still or exposed to cold. - Toes sometimes appear weirdly purple/light blue/gray after cold exposure. - Difficulty standing and walking due to numbness and pain in feet, particularly in cold environments. - **General Cold Sensitivity**: - Need to wear multiple layers and use hot water bottles/heat packs to stay warm, especially at night or when sitting still. - Lips sometimes turn blue or darken when cold, especially during Raynaud’s attacks. - Occasional episodes of feeling cold despite being in a warm environment. - **Pain and Discomfort**: - Discomfort in hands and feet during cold exposure, sometimes making it difficult to perform tasks or move. ### Recent Observations: - **Improvement**: - Hands have been warmer than usual recently, with fewer Raynaud’s attacks. - **Persistent Issues**: - A cut on your hand that is slow to heal, potentially due to reduced blood circulation. - Ongoing need to protect hands and feet from cold to prevent Raynaud’s attacks.

Female | 18

It appears like you have Raynaud's Phenomenon. The condition makes your fingers and toes to change color, cause the cold and numb feeling, particularly, when you are exposed to cold or stress. This is due to blood vessels in your extremities overreacting to these triggers, thus, decreasing blood flow. The best way to do this is to wear warm clothes, gloves, and socks, and also avoid the cold that triggers such episodes. 

Answered on 5th June '25

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In blood test number of platter is 145 . Is it a problem?

Female | 17

A platelet count of 145 is slightly below the normal range, which typically starts around 150. This might not indicate a serious issue, but low platelet counts can sometimes lead to symptoms like easy bruising or prolonged bleeding. Many factors can cause this, including infections, certain medications, or underlying health conditions. It’s essential to discuss your results with a healthcare professional who can evaluate your overall health and recommend any necessary follow-up tests or treatments. Maintaining a balanced diet and regular check-ups is beneficial. 

Answered on 30th Jan '25

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Hello doctor j have been on medication of malaria but no change J have headec and fever all the body and macle pain j do what now

Male | 24

If you still have a headache, fever, and muscle aches after taking medicine, you might have malaria. The malaria parasite can sometimes resist certain drugs. You should see a doctor immediately so that they can change your treatment and make you feel better. Don't delay—get checked out as soon as possible. 

Answered on 7th June '24

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I have lower abdominal pain for 5days. I have done my full boy test. But there is many problems like hemoglobin low, ESR high, creatinine low,bun low, vitamin d 25 hydroxy low. Now what should I do ?

Female | 14

The pain in your lower abdomen, along with low hemoglobin and high ESR levels, along with decreased creatinine clearance and reduced UV-B irradiation exposure, can be associated with various health conditions. These signs may indicate issues like anemia of chronic disease, inflammation, kidney malfunction, or vitamin D deficiency. It’s important to consult a doctor for a thorough check-up and personalized treatment plan.

Answered on 5th July '24

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I'm 18 years old girl I'm experiencing panic attacks daily with severe breathing issues doctor diagnosed mild aniemia, iron defficiency in me like hb level is 11.8 or serum ferritin level is 10.6 I got these tests 2 months ago I also have IBS I take medicines for iron defficiency but I can't tolerate them I am feeling very weakness in my body now ho should I do now?

Female | 18

These conditions make one feel weak and tired. Apart from that, it is recommended that you protect your physical health as well it can help you to reduce the severity of your panic attacks and also improve your entire well-being. Be hydrated and eat iron-rich foods like spinach, beans, and red meat.

Answered on 27th Nov '24

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I'm a 20 year old male, with one swollen groin lymph node or so it feels that I've discovered about a month and a half ago, it was tender for about the first week but isn't anymore

Male | 20

When you have infections, the lymph nodes in your groin tend to swell up. It could be that there is a simple infection or in some rare cases, something more serious. Since it is now more than a month and there is no pain, this shows positive progress. It would be wise however to see a doctor if they do not go away or you experience any other symptoms.

Answered on 8th July '24

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Dear Doctor, today my son under went routine blood and urine test. Most of the parameters are normal except RDW-CV which shows 14.3 %. Normal range as shown i the report is 11.6 - 14.0. Is it serious ? What precautions can be take ?

Male | 30

RDW-CV is a measure of the variation in the size of red blood cells. An increase in RDW-CV can be a sign of anemia or nutritional deficiencies. Fatigue, weakness, and paleness may be among the symptoms. To tackle this, ensure a balanced diet that is rich in iron and nutrients. Further assessment by a doctor may be helpful. 

Answered on 26th Aug '24

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My grandmother did a test and I want to know if you can read the results and tell me if it's cancerous

Female | 64

Understanding test results can be challenging; however, only a healthcare professional can provide an accurate interpretation. Symptoms of cancer can include unexplained weight loss, persistent pain, or changes in health patterns. Causes vary widely, ranging from genetic factors to environmental exposures. For peace of mind, I recommend discussing the results with her doctor, who can offer a clear assessment and potential next steps. Early detection and treatment can significantly improve outcomes. 

Answered on 17th Jan '25

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Hello doctor I have a very challenging question here for you to help me with. Do you have to extend the duration of PEP for HIV prophylaxis to more days if the patient got another exposure on the 6th day while taking the regular 28 days dosage regimen. He had so far reached the 6th day of taking his PEP and got anothet exposure. So should we add more 6 days on top of the remaining 22 days. Thanks Laurence

Male | 26

If a person on HIV PEP experiences another exposure to the virus on the sixth day of treatment, it is of the utmost importance to consult a doctor. They will consider the situation at hand very carefully and consequently decide this case. Quite sometimes, they might find it adequate to prolong the treatment duration according to personal circumstances for optimal safety. Never forget that open and honest communication with your healthcare team is the crucial component of the best possible care.

Answered on 16th Jan '25

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