Male | 26
Should I Extend PEP Duration for HIV Prophylaxis?
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
General Physician
Answered on 2nd Dec '24
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.
2 people found this helpful
Questions & Answers on "Hematology" (193)
I have sex with sex worker before 36 days and I have symptoms like testicular swelling and pain on 3rd day and back pain also and I have sore throat right now but tested with 4rth generation hiv rapid test at home with fingeprick blood and test got negative results can this result will be conclusive or not
Male | 22
A negative 36-day 4th generation test is a very good indication. Epididymitis, flu, irritable bowel syndrome, and herpes are only a few of the other possible causes of such symptoms. Nevertheless, if the symptoms persist you should consult a hemoatlogist for proper diagnosis and care.
Answered on 18th Nov '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
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
I am 16 years old I am suffering from sickle cell I currently have pain all over my body please help me
Female | 16
Sickle cell is a condition where your red blood cells are of the wrong shape that can easily block the blood flow of the blood and thus become painful. This phenomenon occurs in every part of the body. It can lead to fatigue as well. To heal, you are recommended to take warm baths, drink water, and rest. You should also talk to your doctor for more help.
Answered on 9th Sept '24
Dr. Babita Goel
I am coughing up blood Do I have Cancer?
Female | 21
Coughing up blood can be alarming, but it’s not always due to something serious like cancer. Common causes include lung infections, bronchitis, or excessive coughing. If you notice blood in your spit, it’s best to inform your doctor to help identify the cause. They may run some tests to find the underlying issue. See a doctor to make sure everything is okay.
Answered on 11th Nov '24
Dr. Babita Goel
hi Dr,I went for a blood test some time before and some of my tests came out high.such as lym p-lcr, mcv ,pdw,mpv ,rdw-cv are high and some are low mchc, platelet count,And I am facing many problems like anxiety, night fever, leg pain' losing weight day by day : Does this indicate any diseases
Male | 20
Your blood test results have come back as abnormal. Generally, high levels of lym p-lc, MCV, PDW, mpv, and rdw-cv, in the case of low MHC and platelet count, can indicate various conditions. Your symptoms of anxiety, night fever, leg pain, and weight loss are bothersome. These abnormal results and symptoms may be linked to health issues such as anemia, infections, or inflammatory conditions. A doctor's follow-up is necessary for detailed diagnosis and treatment of the problem.
Answered on 1st Aug '24
Dr. Babita Goel
I have undertaken routine blood test today, and while all other aspects are fine, my lymphocytes percentage is 46.5. Is it ok
Male | 49
In case a lymphocyte percentage of 46.5 is a bit more than the normal one, which can occur, for example, in the case of taking drugs or infections and stress. To maintain fewer cells, take care of your health, lessen your stress, and allow enough time to sleep and exercise well. You can also have a detailed conversation with your health professional.
Answered on 21st June '24
Dr. Babita Goel
I have been diagnosed with swollen lymph nodes size 14×10 mm in abdomen / presence of Necrosis
Female | 50
Growths of lymph nodes in the abdomen can be your body reacting to an infection. The lymph nodes sometimes blow up half their size, 14 x 10 millimeters, and have dead parts called necrosis. You may experience a feeling of pain or pressure in your abdomen. The doctor can treat you with antibiotics or other remedies according to the cause found as treatment.
Answered on 21st June '24
Dr. Babita Goel
I had an I pill last month and my blood tests today are High platelet counts Wbc count -7.95 Gran %-76.5 Platelets -141 PDW-SD-19.7 What does this mean
Female | 19
Your blood test shows some changes. A high platelet level might indicate swelling or infection. With a WBC count of 7.95, your body's defense system is active. The Gran% tells about certain white blood cells, which increase when there's an infection. Your platelet count of 141 is normal, but it’s good to keep an eye on it. It seems your body might be fighting off an illness, so it's wise to discuss these results with your doctor for further advice.
Answered on 26th Sept '24
Dr. Babita Goel
My blood report says Total cholesterol - 219 mg/dl LDL direct - 117 mg/dl Triglycerides - 389 mg/dl Trig/HDL ratio - 8.3 HDL/LDL ratio - 0.4 Non HDL cholesterol - 171.97 mg/dl VLDL - 77.82 mg/dl Albumin serum- 5.12 gm/dl Lymphocyte - 17% Monocytes - 1.7% Lymphocyte absolute count - 0.92 × 10³/uL Monocytes absolute count - 0.9 × 10³/uL Hematocrit(pcv) - 54.2 % MCV - 117.8 fL MCHC - 26 g/dL RDW-SD - 75 fL RDW-CV - 17.2 % Platelet count - 140 ×10³/uL My question is what is my condition of health according to this report and how i can cure my condition and what is the problem.
Male | 33
The blood test shows high levels of bad fat in the body. This fat can hurt the heart over time. To help the heart, eat good foods like fruits and veggies. Do exercise to stay fit. A hematologist may give medicine to lower the fat.
Answered on 23rd May '24
Dr. Babita Goel
who are the Haematologist oncologist at the Ruby call clinic who are expertise in treating Lymphoma NHL
Male | 70
Lymphoma is a cancer that involves the body system that fights infection, the lymphatic system. There are several possible symptoms of lymphoma such as swollen lymph nodes, fatigue, and unexplained weight loss. Ruby Call Clinic has Haematologist Oncology Specialists who are Lymphoma NHL treating Experts. These doctors will be able to give the patient the most effective treatment, such as chemotherapy or radiation therapy, that is customized for each patient.
Answered on 3rd Dec '24
Dr. Babita Goel
I have test today wbc is 12800 And neut 42, lymph 45
Male | Jay
A white blood cell count at 12,800 with neutrophils at 42% and lymphocytes at 45% indicates the possibility of an infection. The symptoms may be such as the fever, the fatigue, and body aches. The reasons can be a bacterial or viral infection. Stay home, drink fluids, and eat well. If the symptoms are getting worse or not disappearing, you have to see a doctor immediately.
Answered on 21st Oct '24
Dr. Babita Goel
i am a 53 years male person, for last one month i feel swelling in my nech ,can i infected with cancer
Male | 53
A swelling in your neck could come from different causes - not cancer alone. Infections or other issues might make it happen. Cancer wouldn't be the only reason for neck swelling. Along with a lump, fever, cough, and weight loss would occur if it were cancer. It's wise to let a doctor examine you thoroughly and pinpoint the trigger behind the swelling.
Answered on 8th Aug '24
Dr. Babita Goel
Today morning toilet time red blood coming which problem name what is solved sir/Medam
Male | 31
If you saw red blood when you went to the toilet this morning, it might be due to hemorrhoids. These are engorged blood veins in the rectum or anus. Such signs are as follows: bloody stool, pain around the anus, and itching. It is suggested to increase water intake, include fiber in your diet, and avoid lifting heavy things during bowel movements.. In case the bleeding still occurs or if you have extreme pain, it is necessary to make an appointment with a gastroenterologist to diagnose the causes and find the proper treatment.
Answered on 22nd July '24
Dr. Samrat Jankar
10:48 Investigation Observed Values HAEMATOLOGY Units Blological Ref. Interval Complete Blood Count Haemoglobin 12.2 Total Leucocyte Count (TLC) 14700 gm/dL cells/mm² 12-16.5 Differential % Leucocyte Counts: Granulocytes 71.6 % 40-75 Lymphocytes 23.1 % 20-45 Mid Cell 5.3 % 1-6 Platelet Count 2.07 Lac cells/mm² 150000-400000 LPCR 22.2 % 13.0-43.0 MPV 9.1 fl. 1.47-7.4 PDW 12.1 % 10.0-17.0 PCT 0.19 & 0.15-0.62 Total RBCs MCV (Mean Cell Volume) 4.17 Million cells/uL 4-4.5 72.7 fl. 80-100 MCH (Mean Corpus. Haemoglobin) 29.4 pg 27-32 MCHC (Mean Corpus. Hb Conc.) 40.4 g/dl 32-35 HCT (hematocrit) 30.3 RDWA RDWR 40.4 11 % fL 36-46 37.0-54.0 % 11.5-14.5
Female | 48
According to the blood test results you provided, the total white blood cell (TLC) count is above the norm, which may be indicative of an infection or inflammation in the body. High TLC may come with symptoms like fever, fatigue, and coolness of the body. To deal with this problem, it is necessary to find the primary cause of the increased TLC level by conducting more tests and getting a doctor's opinion for suitable treatment.
Answered on 8th Aug '24
Dr. Babita Goel
I have uric acid content high( 7)in my body will it cause any further problems
Male | 17
This may be followed by pain in your joints, swelling, and ruddiness of your skin. For this, foods rich in purines, obese individuals, and those who have certain medical conditions are factors that trigger its occurrence. Drinking a lot of water, eating a nutritious diet, and consulting a hematologist for medications are some of the things you can do to lower uric acid levels.
Answered on 26th Nov '24
Dr. Babita Goel
I had T cell lymphoblastic lymphoma in 2018 and all follow ups are now orderd. I' ve got side effects. I need to know what treatments and medical consultations I should get in future. PET scan(2019) *In PET scan(2019) of Cancer hospital they have suggested I have maxillary mucosal disease. No examinations. Ultra Sounds scan (2022) *Pseudo pancreatic cyst(2018 to 2022 examination) 4.4×2.1×3.2 cm *Possible right ovarian cyst (Not treated nor examines after 2022) 2021 Biopsy report and treating terminated *Cutaneous small vessel vasculitis.(No issues aftrr treatments are over) MRI brain(2018 and 2019) *Suggestive of celebral atrophy(Nor examinations or treatment and what to know in detail with relevancy to life expectancy) Manic Episode(2019) Bipolar affective disorder since 2019 *Under treatment of olanzapine 2.5 mg No depressive/manic episodes since 2020 *Keratoconus eye disorder in both eyes since 2019 I am 20 years old by now. To make my life analyzed in the upcoming years I want to know treatments I should get to recover, my life expectancy, seriousness I need to consider, how to response to work I do. I have high academic qualifications by niw no issues in learning but I get so tired with work, muscle pains, lasting headaches, heart beart rate irregulaties with stress in daily basis. What should I do to overcome by now. Please do concern.
Female | 20
It's important to address each of your conditions with a specialist to manage your health effectively. Please consult an ENT specialist and a gastroenterologist for the maxillary mucosal disease and pseudo pancreatic cyst. For your bipolar affective disorder and associated symptoms like fatigue and heart rate irregularities, continue following up with your psychiatrist.
Answered on 4th June '24
Dr. Babita Goel
I get attacks of thirst (dry mouth included), dizzy and unwell followed by feeling tired and a headache later in the day. This happens weekly (week n half most) used to be once a month or so. Previous bloods showed low folic, elevated bilirubin and b12 but no proper answers or directions.
Male | 38
You may be dehydrated, which can cause a dry mouth, dizziness, and tiredness. Low folic acid and high bilirubin levels might also be factors. Try drinking more water and eating leafy greens and citrus fruits for folic acid. If symptoms persist, see a doctor for proper evaluation and treatment.
Answered on 26th Sept '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
Doctor recommended me dexorange for anaemia how many times I should take it in a day and how
Female | 25
Dexorange treats anemia, a condition caused by a lack of red blood cells, leading to tiredness and weakness. It is often due to low iron levels. Take Dexorange once or twice daily after meals, as directed on the label. Regular use helps your body absorb iron and manage anemia effectively.
Answered on 11th Sept '24
Dr. Babita Goel
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