Male | 4 months
Can HbA increase with age in thalassemia patients?
My nephew is 4 months old. 2 months ago he went I'll . we had to take him blood transfusion immediately because the HB was dropped to 4 only . now the things happen again at the age of 4 months . we had to take him again blood transfusion. we did his Electrophoresis Report. here are the results HbA 55% HbA2 2.0% HbF 43% we want to know if there's any thelesmia or not or if HbA can be increase with age
General Physician
Answered on 10th Dec '24
An elevated level of HbF was what was observed and this is a common thing found in babies. Such results would indicate that a defect might be present in the body like beta-thalassemia at the beginning. However, these could also be seen in healthy infants. Increasing HbA levels naturally may follow his growing up. The main symptoms of anemia can cause fatigue or weakness, but it’s very important to take your child to a doctor and test for other reasons.
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Questions & Answers on "Hematology" (193)
I am suffering from fever from the past four days. Yesterday, I got my blood test checked, which included CBC Report, CRP report, and dengue and malaria test. CBC report is normal Dengue and malaria test Both negative CRP 34.1 Very high Doctor prescribed me, some medicines Relating to fever and pain killer I am feeling night sweats.
Male | 28
You are experiencing a hard time caused by that fever and high CRP level. Night sweats are one way for your body to show that it is fighting an infection. A high CRP may be a sign of inflammation in your body. Your doctor prescribing you fever medicines and painkillers is the correct way. Do not forget to rest properly, drink plenty of fluids, and listen to your doctor's orders.
Answered on 16th Sept '24
Dr. Babita Goel
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 2nd Dec '24
Dr. Babita Goel
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
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 23rd May '24
Dr. Babita Goel
I am 20F. Since May, I started a new job in May (retail part time as a student). I've been having nosebleeds since then. During summer it was worse when i was working many many hrs, where it happened alongside dizziness and headaches. Its recently happening again on and off since May- sometimes due to stress and dehydration , dust, allergies and the flu (dont know exact cause). It always come from one nostril.
Female | 20
Nosebleeds happen, especially with stress, lack of fluids, or breathing in dust and allergens. One nostril bleeding is usually no biggie. Try drinking more water, avoiding dusty spaces, and using a humidifier. But if it won't quit, best to have a doctor check it.
Answered on 5th Sept '24
Dr. Babita Goel
I am suffering from enlarged spleen, splenic nodules, splenic focal lesion, ileal wall thickening, enlarged lymph nodes, pleural effusion. What is the disease
Female | 43
You may have a condition that is called lymphoma. Lymphoma is a cancer type that harms the lymphatic system, such as the spleen, lymph nodes, and other organs. Symptoms could involve enlarged spleen and lumps in the spleen, thickening of the ileal wall, and pleural effusion. Interestingly, the typical approach for lymphoma addresses therapy with radiation, chemotherapy, and sometimes surgery. It is essential to work with your doctor in order to fully investigate and then create a healthcare plan that is specifically developed for you in connection with the discovered condition.
Answered on 4th Nov '24
Dr. Babita Goel
Iam 25 years old male I have a simple blood clot in my chest .due to an boat accident The ct scan explain that no risk in my thorax . I want a suggestion for my prescription they wrote
Male | Kanimuthu
It's a relief to know that the CT scan of your chest shows no remarkable risk. Blood clots can root from different causes like immobility, injury, or some illnesses. A few of the frequently occurring symptoms can include chest pain or dyspnea; however, thanks to your statement, there is no such risk, which undoubtedly comes as a piece of good news. I suggest that you strictly follow the instructions of your doctor, do the exercises recommended to you in your physical therapy, and you may also apply proper hydration. Do not forget to always consult your physician if you have any issues.
Answered on 7th Dec '24
Dr. Babita Goel
I am 45 yrs I am asmathic patient recently having several attack I was hospitalized with the help of oxygen I recover but I undergo some blood test in which I found out that my blood platelets are high to 424 what should I do I need your medical guidance
Female | 45
In your situation, the fact that you have asthma and that recent attacks and being in the hospital may have caused this change is possible. High platelets can be associated with easy bruising, bleeding, and fatigue. So, ensure that your asthma is under control and that you see your doctor for further evaluation and advice on medication to lower your platelet count.
Answered on 9th Oct '24
Dr. Babita Goel
i just had my full body checkup and in the report my esr level is high which is 52 and the c reactive protein is 4.6 so what should i do or which medicine should i take for elevated esr?
Female | 33
High ESR (erythrocyte sedimentation rate) and CRP levels can indicate inflammation in your body. Common causes include infections, autoimmune diseases like lupus, and certain cancers. It’s important to work with a doctor to find the right solution and address the root cause. Treatment will depend on the underlying condition and may involve medications, lifestyle changes, or further testing.
Answered on 10th Oct '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
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
My uric acid test report 5.9 please tell me ok not ok
Male | 29
The uric acid level of 5.9 is already above normal. It might remain asymptomatic at first, yet if untreated, it may lead to gout, which is characterized by pain and swelling in the joints. Your uric acid level can be decreased by drinking more water, avoiding alcohol, and less red meat and seafood. Besides this method, exercising regularly may also be beneficial.
Answered on 20th Aug '24
Dr. Babita Goel
I have had 5 bosebleeds the last 24 hours, which is not like me at all. What should i do? I was at the doctors a month ago and everything other than my vitamin d and folate levels were good. I have been dizzy and very tired lately
Female | 16
Many factors can cause nosebleeds. Dry air and allergies may play a role. High blood pressure too. Yet, dizziness, and fatigue raise concerns. Underlying issues like anemia or blood clotting problems could exist. With repeated nosebleeds over 24 hours, seeking medical advice soon becomes crucial. Your doctor can evaluate properly.
Answered on 3rd Sept '24
Dr. Babita Goel
I done tested hiv duo combo on 30th day it's negative with value 0.13. Then I test hiv 1&2 Elisa (Antibody only) on 45th day it's also negative with value of 0.19. Am is safe? Is 45th day 3rd gen Elisa test is reliable?
Male | 21
According to your test results, it is very encouraging that both the HIV combo and Elisa tests were negative. The 3rd-generation Elisa test is reliable and fairly accurate in detecting HIV antibodies on the 45th day. Don't forget HIV symptoms can be different; however, the most common ones are flu-like symptoms, rash, and fatigue.
Answered on 7th Oct '24
Dr. Babita Goel
Tested HIV after 94 day , negative results bt am having the symptoms
Male | 29
You feel worried about having HIV even with a negative test. Our bodies sometimes show symptoms like HIV without actually having it. Stress, infections, or other health issues can cause these symptoms. If you're concerned, talking to a doctor is wise to understand what's happening in your body better.
Answered on 3rd Sept '24
Dr. Babita Goel
54 year old female patient suffering from pH+ ALL.
Female | 54
This condition can cause symptoms like fatigue, weakness, bruising easily, and frequent infections. The main cause is genetic alterations in the blood cells. The treatment is commonly chemotherapy, targeted therapy, and sometimes a stem cell transplant. The collaboration with an oncologist is vital for the best treatment.
Answered on 11th Sept '24
Dr. Babita Goel
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
Dr. Babita Goel
I am 46 years old . In annual health check up in urine protine is traced & pus cell count found 18-20 . In complete blood picture (CBP) ,Eosinophils count and Absolute Eosinophil count is zero . In Lipid Profile HDL Cholesterol result is 37 is it serious or needs to consult to doctor
Female | 46
Finding protein and pus cells in your urine could mean an infection or kidney problem. Zero Eosinophils? That might show you're not responding well to certain allergies. And low HDL cholesterol puts you at higher risk for heart disease. It's smart to talk to a doctor about these results. They can take a closer look and tell you what to do next.
Answered on 23rd May '24
Dr. Babita Goel
My cbc result was WBC 3.73 RBC 4.57 NEU 1.78
Female | 58
Your WBC count is slightly low at 3.73; RBC is normal at 4.57. NEU is also lower at 1.78. Low WBC suggests weaker immunity, making infections more likely. Have nutritious meals, ample sleep, stay hydrated. If unwell, see a doctor for examination and guidance.
Answered on 5th Aug '24
Dr. Babita Goel
Good day doc, I noticed some traces of blood in my mucur. What could be the possible cause and solution
Male | 29
When you find some blood in mucus, it can indicate several ailments. Possible reasons could be a nosebleed, irritation by dry air, or an infection such as sinusitis. If you are facing a runny nose, pain in your face, or a sore throat, that could be a sign of an infection. Drinking a lot of water, using a humidifier, and visiting a doctor if it persists are the ways to go.
Answered on 18th Sept '24
Dr. Babita Goel
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