Male | 38
Are High MCHC, Low Hematocrit & Vitamin D Concerning?
38 year old male blood test result: high mchc and lymphocytes, low hematocrit and neutrophils. Low vitamin d. Patients brother had aml. Are these test results concerning? Should we do further testing? The reason for the blood test was bone pain on different parts on the body. Lymphocyes 52% Mchc 37 Neutrophils 38% Hematocrit 38.9% Vit d 16
General Physician
Answered on 18th Sept '24
The increase of MCHC and lymphocytes along with the fall of hematocrit and neutrophils is a sign of some serious issues beneath. Bone pain can also be related to abnormal Vitamin D levels. Taking into consideration the family's background of AML, a decision for additional tests would be a good one to make the doubts clear.
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Questions & Answers on "Hematology" (169)
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
Dr. Babita Goel
I am having red mucus in colour, please consult a doctor
Female | 21
Red mucus is often a sign of bleeding in certain areas of your body, such as the nose, throat, or stomach. If it’s coming from your mouth, it could be related to a lung issue. This might be caused by an infection, irritation, or a more serious condition like pneumonia. It's important to see a doctor for an evaluation. They may run tests such as blood work, X-rays, or a bronchoscopy to identify the cause. Treatment for the bleeding will depend on its source, so it's best to get checked as soon as possible.
Answered on 16th Oct '24
Dr. Babita Goel
I am a 7 month old baby's breastfeeding mother. I had a c section delivery but even after 7 months my body weakness is not getting better. Sometime this weakness is fine and sometimes I feel very weak. Now since last 2 3 days I am feeling dizzy, having constipation, acidity and shortness of breath and my wrist and feet are also trembling sometimes. I thought this is anemic symptoms.
Female | 25
I think perhaps you’re showing signs of a lack of iron, which often occurs after having a baby. You might feel weak, lightheaded, out of breath or have trembling hands and feet. You could also get constipated, have heartburn or feel low. Eating red meat, spinach and lentils can help because they are high in this mineral. You might also need to take an iron supplement. But talk to your doctor to make sure that’s what it is and work out a plan for getting better.
Answered on 4th June '24
Dr. Babita Goel
38 year old male blood test result: high mchc and lymphocytes, low hematocrit and neutrophils. Low vitamin d. Patients brother had aml. Are these test results concerning? Should we do further testing? The reason for the blood test was bone pain on different parts on the body. Lymphocyes 52% Mchc 37 Neutrophils 38% Hematocrit 38.9% Vit d 16
Male | 38
The increase of MCHC and lymphocytes along with the fall of hematocrit and neutrophils is a sign of some serious issues beneath. Bone pain can also be related to abnormal Vitamin D levels. Taking into consideration the family's background of AML, a decision for additional tests would be a good one to make the doubts clear.
Answered on 18th Sept '24
Dr. Babita Goel
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
Dr. Babita Goel
I am a 26-year-old female. I have night sweats weight loss over 50 pounds hair thinning all lymph nodes have lumps and currently finding new ones. No pain in them. Double vision, headaches, constipation and diarrhea positive mono nucleus test but negative for mono, bruising and legs, bruising, and ribs, stomach and abdominal pain.
Female | 26
According to the symptoms, there may be an underlying serious illness. You should seek medical attention immediately for a correct diagnosis and treatment plan. They can mean different things such as infections, autoimmune diseases, and cancers. Do'nt wait any longer before visiting a doctor because these signs need urgent care. Your healthcare provider will do more tests to find out what is wrong with you and give you the right medication.
Answered on 28th May '24
Dr. Babita Goel
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
Dr. Babita Goel
I am 38 years and married. In October, last year I went to donate blood but was told one of the test is positive for HIV. I was asked to retest after months. I did and it is still same inconclusive result. What should I do?
Male | 38
The fact that your test was inconclusive implies that it's still not clear if you are HIV positive or not. Regarding the symptoms of HIV, they are similar to fever, tiredness, and weight loss. More likely, bringing about can be unsafe sex or sharing needles. Therefore, you must see a doctor
Answered on 23rd May '24
Dr. Babita Goel
Wbc-77280 per microlitre Eosinophils-63.8 per microlitre Haemoglobin-10.4 G/dL RBC-3.98 millions/cumm
Female | 51
Your blood test could indicate an issue. High WBC and Eosinophils levels, as well as low Haemoglobin and RBC counts, could mean there is an infection or inflammation present. Signs might consist of tiredness, feebleness, and generally feeling unwell. If necessary, it would be best to contact a doctor for more tests and treatment.
Answered on 6th June '24
Dr. Babita Goel
Is it possible that a person have Alpha thalassemia major and still not taking any blood transfusion in entire life and now 21 yo.....or the person have only minor one
Female | 21
Alpha thalassemia major can be present in a patient who does not require blood transfusions. This form of the disorder can result in severe anemia, although it affects people differently. Some individuals may not need a transfusion at all. Signs and symptoms of alpha thalassemia may include fatigue, weakness, or paleness of skin. Treatment may consist of symptom management such as taking supplements or drugs that stimulate the production of more red blood cells within the body. Please consult a doctor for individualized advice.
Answered on 25th June '24
Dr. Babita Goel
I have terrible hair fall and nose bleed followed by weight loss and weakness
Female | 16
There might be a few reasons for these issues. You could have a nutritional deficiency. Or it could be stress. Or maybe another health problem. To feel better, eat healthy foods. Reduce stress by resting more. But if this keeps happening, see a doctor soon.
Answered on 23rd May '24
Dr. Babita Goel
Anti hiv value 0.229 is good
Male | 19
It's great to know that your anti-HIV value is 0.229. This shows that you have a certain amount of HIV antibodies that your body has made but not many. It could mean you were infected recently or just exposed without getting sick. Keep an eye on it with frequent testing.
Answered on 10th June '24
Dr. Babita Goel
After delivery, I have anemia, low pressure, dizziness, weakness. It has been a year. I am taking iron and calcium tablets continuously. Nothing is happening. What to do now. Please advise.
Female | 22
You've been feeling exhausted, lightheaded, and nauseous after childbirth. These could be signs of anemia, which means your body doesn't have enough healthy red blood cells. Even though you are on iron and calcium tablets, they may not be enough. It's important to have a blood test to see if you need a different type of iron or if something else is causing your symptoms.
Answered on 9th Aug '24
Dr. Babita Goel
Sickle cell anemia report bare main janna hai
Female | 16
Sickle cell anemia is a health problem. People with it have red blood cells that are bent in a moon shape. The bent cells get stuck in tiny blood tubes. This causes much hurt and low energy. It also leads to getting sick easily. Sickle cell anemia happens because of a gene issue from parents. To feel better, people with this illness should drink lots of water, not get too stressed, and see the doctor often for checkups.
Answered on 23rd May '24
Dr. Babita Goel
Last 2 months ago mu ultrasound report spleen size is 10 cm normal.but this time my report spleen size 12.1 cm is this dangerous ?
Female | 22
Getting bigger spleen from 10 cm to 12.1 cm can be bad sign. It can mean infections, liver problems, or blood issues. You might feel pain in belly or feel full fast. More tests like blood work or scans may be needed to know why. It is important to see a doctor for the right care.
Answered on 23rd May '24
Dr. Babita Goel
Spited blood from mouth Very tired Less appetite
Male | 20
You seem to be spitting out blood from your mouth. You feel extremely tired. Your appetite has decreased. These symptoms could be caused by different reasons. Examples are gum problems, infections, or stomach issues. It's important to see a doctor. They will identify the cause and provide the appropriate treatment.
Answered on 26th July '24
Dr. Babita Goel
Hi, I did Antibody hiv 1& 2 Elisa test after 30 days of exposure. Then once again I did Insti antibody 1&2 screening tes after 45 days. In both test my result was negative. Should I do further test for my assurance...please kindly suggest me
Male | 39
The tests you took at 30 and 45 days are generally accurate, but for complete peace of mind, it's best to get tested again 3 months after being exposed. This is because it takes time for the immune system to make enough antibodies that can be detected by the test. In the meantime, if you start feeling unwell with symptoms such as fever, rash, sore throat or tiredness, please tell your doctor.
Answered on 7th June '24
Dr. Babita Goel
Hi There , I am a 32 year female old, I recently did a full blood count test and another test for my kidneys to check for any abnormalities and everything came back positive , however lately my hands feel kinda full and painful, they feel hard when i open and close them , they do look swollen but not too much, especially when i wake up every morning, when im sleeping i can feel the blood flowing to my hands
Female | 32
You might be having the symptoms of a condition known as carpal tunnel syndrome. This can be a result of the nerve in your wrist being compressed, which in turn, leads to pain, swelling, and numbness in your hands. To help with the symptoms, you can try wearing a wrist splint at night, doing hand exercises, and taking breaks from activities that may worsen the pain. If the symptoms carry on for some time, it's best to seek further help from a hematologist.
Answered on 23rd Oct '24
Dr. Babita Goel
posterior cervical lymphadenopathy is written on my file , i have lump on my neck , felt when pressed , i am on antibiotics from 5 days , still its there and not going away . what are chances that its cancerous ?
Female | 22
You lump your neck, and the term "posterior cervical lymphadenopathy" is in your file. It signifies the presence of a swollen lymph node. There can be many causes for this, and infections are the most common ones. But for our safety, we should explore every option including cancer. The doctor should do a thorough check-up because the lump doesn't go away even after antibiotics. They may recommend additional tests like a biopsy to identify the cause. Yet, remember, often it can still be because of non-cancerous reasons.
Answered on 30th Sept '24
Dr. Babita Goel
So my friend has her blood test done recently as she was having low fever, cough, shivers and vomitings. The report showed that she has 57.03 U/dl of CRP after the medication as well it continued to increase to 74.03 CRP although the symptoms such as fever, cough, shivers and vomitings have reduced just wanted to know if such levels of CRP are severe and life threatening or not cause we are worried
Female | 19
A high level of C-reactive protein (CRP) in the blood, even after medication, can be a sign of persistent inflammation or infection in the body. If not treated, this could become a danger. The good news, the symptoms have improved, but the increasing levels of CRP are a reason for concern, as they indicate that the problem needs to be investigated further by a doctor to determine the underlying cause and ensure appropriate treatment.
Answered on 18th Oct '24
Dr. Babita Goel
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