Male | 25
Do I need to extend PEP after new exposure?
I am 25 years old male, I am taking PEP medication for 25 days and had another exposure today, do I have to extend my PEP?
General Physician
Answered on 16th Sept '24
If you're already on PEP medication and had another exposure, it's important to let your healthcare provider know. They will, however, determine whether you require additional PEP treatment. Sometimes symptoms of HIV can take a while to develop, therefore it is better to be safe than sorry. PEP treatment assists in reducing the chances of acquiring HIV, nevertheless, it is still preferable to consult with your doctor to ensure that you are following the correct plan.
2 people found this helpful
Questions & Answers on "Hematology" (169)
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
How long does a person who had Bone marrow transplant can get back to their normal routine after the procedure?
Generally the recovery time for a bone marrow transplant recipient is about three months to one year. But it may vary from patient to patient depending upon many factors like age of patient complications occurred during the treatment and others. Consult an oncologist, who will guide you through the treatment. Hope our answer helps you.
Answered on 23rd May '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
Can you tell me the drug to reduce the value of HIV?
Male | 20
HIV is a virus that weakens your immune system. It can cause symptoms such as fever, fatigue and weight loss. The primary method of treating HIV is by using antiretroviral drugs. Your immune system can be protected and the amount of virus in your body can be reduced by these medicines.
Answered on 5th July '24
Dr. Babita Goel
Is it normal to feel weak and loss of appetite after a week of getting treatment of Bilharzia.
Male | 34
After treatment for Bilharzia, feeling weak and losing appetite is common. Medicines used can cause these side effects. Weakness happens as the body fights infection. Drink lots of water and eat healthy foods, despite no appetite. If symptoms worsen or persist, inform your healthcare provider.
Answered on 19th July '24
Dr. Babita Goel
I have sickle cell. Feeling headache and stomach. I'm vomiting greensh yellow
Male | 6
You might have a sickle cell crisis happening. Sickle-shaped blood cells can clog vessels, blocking oxygen. Headaches, stomach pains, and vomiting signal this crisis. If vomit's green or yellow, it's bile from your stomach. Head to the hospital for treatment.
Answered on 25th July '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
Hello I’ve been taking 25 mg atenolol for the last few months for a fast heart rate. I currently have a hemorrhoid and I want to use preparation H to relieve it. Preparation H has 0.25% of phenyleprine in it I know that can raise blood pressure. Should I still take or is there an alternative I can try?
Female | 22
Phenylephrine can raise your blood pressure and it might be unsafe for the heart if one is on atenolol already. In case you have no idea, you can use other treatments for piles that lack this drug like say witch hazel pads alternatively try out nonprescription hydrocortisone creams too. With these substitutes in mind, there won’t be any need to worry about a thing because they will still help soothe them but without affecting or changing anything about how well the medicine works for your heart condition. Nevertheless, should there still be no relief from piles after using these methods then I would advise that you talk with a healthcare professional.
Answered on 26th Oct '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
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
Sir I have done Elisa for both antibody and antoge at 42 days which means 6 week … it is a protected sex for 5 min … I am anxious … my doctor told no need to worry .. it’s good result … I want ur opinion about that … that’s y I messeged you sir… actually that partner is also hiv negative at 22 days … but my anxiety said that she has hiv she had …
Male | 27
It is good that your ELISA test results at 42 days are negative, and your partner also tested negative at 22 days. Since you have protected sex, the risk of HIV transmission is very low. However, for your peace of mind, you should follow up with your doctor. Consulting a specialist in infectious diseases can help address your anxiety and provide further reassurance.
Answered on 10th July '24
Dr. Babita Goel
I have tested my iron deficiency today and it was low so can i take "Astyfer-Z hematinic with amino acids vitamins and zinc liquid syrup" Which my father bought from a medical store and asked to take 10ml per day , is it okey to take it
Male | 21
Iron deficiency can cause you to have low energy, feel weak, and may lead to malfunctioning of the human body. This is due to the insufficient intake of iron-rich foods and blood loss. Aspyfer-Z syrup boosts iron levels in your body and contains iron, amino acids, B-group vitamins, and zinc. It can be done under the supervision of your father but ensure you get a follow-up guide from a doctor.
Answered on 20th Aug '24
Dr. Babita Goel
L She got an ear infection and flu. She finished her Antibiotics and then didn’t eat for like 2 weeks and lost a bit of weight. Shes eating as normal again from 2 weeks ago. However, she catches colds frequently she’s missed preschool a lot! Additionally, for past months she says my leg hurts and points to her ankle but she’s never cried about it and it doesn’t stop her from playing and running about. Finally, yesterday she got blood in her poo it was watery and my other sister has norovirus currently so I don’t know if it’s from that. She didn’t have much water yesterday. I’m scared about acute lymphoblastic Leukemia bu
Female | 4
Kids often catch colds. Having blood in the stool is concerning. Many things can make this happen. Some causes are easy to fix. But others need medical care. One rare cause of sickness is leukemia. This cancer hurts blood cells. Signs are tiredness, bruises, and infections. But not all kids with leukemia have these signs. The best step is seeing an oncologist. They will check for what is making your child sick. If there is a sickness, they know how to treat it right.
Answered on 23rd May '24
Dr. Sridhar Susheela
I have 16 pea sized lymph nodes I am 57kg my height is 5ft 10 I’ve had them for almost 2 years and they haven’t got bigger or changed I’ve had blood tests previously and they all came back fine. I do have 2 under my jaw that’s a bit bigger than a pea though. Is it a concern? I have no symptoms except bad anxiety. I am highly afraid of cancers
Male | 17
Your lymph nodes not changing size or growing for two years is good. When it comes to cancer we tend to worry a lot due to anxiety. They might remain slightly enlarged sometimes. It’s usually benign but it would be prudent to get the larger ones checked by your doctor. Additionally, work on calming down your nerves because that can also be of help.
Answered on 26th Oct '24
Dr. Babita Goel
Fews days Back I got viral fever I was cure later according to blood test reports i find blood infection then I got joint pains on legs when stoped antibiotics gain join pains was getting
Female | 20
You might have been affected by an infection with a virus that has in turn caused a blood infection which in turn may cause joint pains in your legs. Antibiotics can disrupt the equilibrium of our body's good bacteria, causing joint pain. For relief of the joint pains, you can try gently exercising, using heat or ice treatment, and taking a break. Stay well-hydrated and eat fresh and good foods to provide adequate support to your body during the healing process.
Answered on 21st June '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
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
Dr. Babita Goel
Can it's completely cure by Ayurveda treatment thalassemia ??????
Male | 14
Thalassemia is a problem with the genes that makes red blood cells develop incorrectly. It impacts hemoglobin production, which carries oxygen in your blood. With thalassemia, you often feel constantly tired and weak, and your skin appears pale. Though Ayurveda won't cure thalassemia, some practices like herbal remedies and yoga could help you feel better overall. Still, your doctor needs to oversee managing this lifelong disorder properly.
Answered on 15th Oct '24
Dr. Babita Goel
Fever above 102 creatine 3.1 low platates
Male | 55
It is worrying when someone has a fever of more than 102, a creatinine level of 3.1 and low platelets. This might be due to the body fighting an ailment or possibly signifies a kidney problem. The signs may be having the feeling of nausea, fatigue together with bruises appearing on the skin. To confirm this, one needs to undergo tests done by a specialist who will recommend the appropriate treatment depending on what has brought about these complications.
Answered on 23rd May '24
Dr. Babita Goel
Hi! I’m 28 years old woman. After I lost a pregnancy at 6 weeks, last year in December, we decided to try again. Now, I’m pregnant again in 3 weeks and my doctor suggested a trombophilia test. The results came few minutes ago. Can you help with it? Thanks in advance! Mutation Factor 2 (G20210a, protrombina)->negative/negative Mutation Factor V Leiden (G1691A)->negative/negative Mutation MTHFR(C677T)->negative/negative Mutation MTHFR(A1298c)-> positive Homozigote/negative Detection gene PAI-1 (4g/5g) ->PAI-1 heterozigote 4g/5g / PAI-1 homozigote 5g/5g Mutation factor XIII -> positive heterozigote/negative
Female | 28
Factor 2 and Factor V Leiden tests were negative - that's good news. However, an MTHFR mutation was detected. This means your body may struggle to break down certain B vitamins. Additionally, the PAI-1 gene varies slightly, indicating potential differences in blood clotting.
Answered on 4th Sept '24
Dr. Babita Goel
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