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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?

1 Answer

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" (137)

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

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

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

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

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

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

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 28th May '24

Dr. Babita Goel

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

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

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

Dr. Babita Goel

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 30th May '24

Dr. Babita Goel

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

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

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

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

Dr. Babita Goel

I am having swollen lymph nodes in my neck since two years I have done fnac and biopsy both comes with result reactive lyphadenopathy....is it Cancer????

Female | 23

Reactive lymphadenopathy means the lymph nodes are responding to something which is not necessarily cancer. This can be caused by infections such as colds. Skin conditions can also cause them. Your doctor might want to keep an eye on them for a while or do more tests to be sure. Changes are always best recorded and communicated with a healthcare provider. 

Answered on 25th June '24

Dr. Babita Goel

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

Dr. Babita Goel

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