Hematology
200 questions answered by doctors & treatment decisions assisted by team clinicspots.
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Male | 27
Is my HIV ELISA test result at 42 days reliable?
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 …
Dr. Babita Goel
General Physician
Answered on 10th July '24
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.
Female | Srilekha
Is my test creatine level below 0.4 normal?
I have test creatine Its having less than 0.4 please suggest me anything required
Dr. Babita Goel
General Physician
Answered on 9th July '24
It's good that creatinine levels are below 0.4. Creatinine is a waste product that your kidneys filter out of your blood. If it's too high, it can mean your kidneys aren't working well. Low creatinine levels can happen if someone has less muscle mass or is malnourished. Make sure you have a balanced diet and avoid a diet high in protein, also, be careful so as not to get dehydrated.
Male | 20
Why is my groin lymph node swollen?
I'm a 20 year old male, with one swollen groin lymph node or so it feels that I've discovered about a month and a half ago, it was tender for about the first week but isn't anymore
Dr. Babita Goel
General Physician
Answered on 8th July '24
When you have infections, the lymph nodes in your groin tend to swell up. It could be that there is a simple infection or in some rare cases, something more serious. Since it is now more than a month and there is no pain, this shows positive progress. It would be wise however to see a doctor if they do not go away or you experience any other symptoms.
Female | 14
Why are my results showing low vitamins and hemoglobin?
I have lower abdominal pain for 5days. I have done my full boy test. But there is many problems like hemoglobin low, ESR high, creatinine low,bun low, vitamin d 25 hydroxy low. Now what should I do ?
Dr. Babita Goel
General Physician
Answered on 5th July '24
The pain in your lower abdomen, along with low hemoglobin and high ESR levels, along with decreased creatinine clearance and reduced UV-B irradiation exposure, can be associated with various health conditions. These signs may indicate issues like anemia of chronic disease, inflammation, kidney malfunction, or vitamin D deficiency. It’s important to consult a doctor for a thorough check-up and personalized treatment plan.
Male | 20
Can you prescribe HIV reducing drug?
Can you tell me the drug to reduce the value of HIV?
Dr. Babita Goel
General Physician
Answered on 5th July '24
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.
Female | 16
What to Do with B12 Level 61?
My vitami b12 level is 61 what should I do
Dr. Babita Goel
General Physician
Answered on 3rd July '24
Your vitamin B12 level is only 61. This is below the range it should be. Insufficient B12 can affect tiredness, weakness, and pain of nerves. The doctor may recommend that you take supplements to improve your levels of vitamin B12. Tell your doctor about your preferences and expected results. Then together you can come up with the best plan for you.
Male | 67
Am I Dealing with Polycythemia Vera or Secondary Cause?
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.
Dr. Babita Goel
General Physician
Answered on 3rd July '24
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.
Female | 23
Is Implanon safe with my HIV medication?
Hello doctor,I am 23 years old HIV positive women.I married and I want to use long term contraception.I like Implanton but I read tah there is interaction between hiv medication and implanton implant.so please help me with which one is best for me.My medicine is the following one: Dolutegravir, Lamivudine and Tenofovir Disoproxil Fumarate Tablets/Dolutegravir, Lamivudine et Fumarate de Tenofovir Disoproxil Comprimés 50 mg/300 mg/300 mg
Dr. Babita Goel
General Physician
Answered on 3rd July '24
You are consuming Dolutegravir, Lamivudine, and Tenofovir, note that these HIV drugs might have an interaction with Implanon to contemplate. This conflict is likely to affect the efficiency of both the HIV drug and the implant. One should tell the doctors to find a safe and useful option of contraceptives you prefer.
Female | 28
What Health Issues Am I Facing?
I am feeling weakness from last 1-2 month I also faced some UTI issue, mild fever body pain ,and suffering from anemia, also faced the problem of hair loss and weight loss , fatigue...what is my health issues and I am a working woman,so what advice you suggest for me?
Dr. Babita Goel
General Physician
Answered on 26th June '24
Looking at the symptoms you've given, you are likely going through a urinary tract infection (UTI) and anemia. If you have a UTI, you may experience mild fever and body pain. Anemia can cause muscle weakness, hair loss, weight loss, and fatigue. To resolve these problems, you should drink plenty of water, eat iron-rich foods like spinach and beans, and rest enough. Talk to a urologist about the correct diagnosis and treatment.
Female | 21
Can I Have Alpha Thalassemia Major Without Blood Transfusion?
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
Dr. Babita Goel
General Physician
Answered on 25th June '24
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.
Female | 23
Is Cancer Possible with Swollen Neck Lymph Node?
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????
Dr. Babita Goel
General Physician
Answered on 25th June '24
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.
Female | 20
Could Blood Infection Cause Joint Pains After Antibiotics?
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
Dr. Babita Goel
General Physician
Answered on 21st June '24
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.
Male | 49
Is my blood test lymphocytes percentage normal?
I have undertaken routine blood test today, and while all other aspects are fine, my lymphocytes percentage is 46.5. Is it ok
Dr. Babita Goel
General Physician
Answered on 21st June '24
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.
Female | 50
Why do I have 14×10 mm swollen lymph nodes in abdomen with Necrosis?
I have been diagnosed with swollen lymph nodes size 14×10 mm in abdomen / presence of Necrosis
Dr. Babita Goel
General Physician
Answered on 21st June '24
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.
Male | 55
Are my CEA test level 8.16 high?
I went to general check and blood test. I got CEA test level 8.16 I don't smoke or drink. Reason for it. Is it normal
Dr. Babita Goel
General Physician
Answered on 19th June '24
CEA stands for Carcinoembryonic Antigen, a protein produced in the body, and the levels of it in the body may be high because of different causes such as inflammation or infection. Usual symptoms are unusual with a slight increase in CEA levels, but further tests and monitoring are also often necessary. It’s important to visit your healthcare provider to find out the exact reasons for your condition and the best ways to fight it.
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