Recently Answered Questions
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What is the possibility of a baby acquiring thalassemia?
Query: Hi doctor, My wife and I are both 29 years old. I have been diagnosed with hemoglobin E disease. My hemoglobin A is 68.7 g/dL, hemoglobin F is 9 g/dL, and hemoglobin E and A2 are 26 g/dL. And my wife has been diagnosed with a hemoglobin E trait. Her hemoglobin A is 9.1 g/dL and hemoglobin E and A2 a... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to icliniq.com. I have gone through your attached reports (attachment removed to protect patient identity) and history. 1. Hemoglobin E disease or trait is an autosomal recessive condition. You are hemoglobin E disease patient, which means you are homozygous, and your wife has hemoglob... Read Full »
Why is there low Hb and WBC in a MGUS patient?
Query: Hello doctor, I was diagnosed with MGUS earlier this year. My lab report states immunoglobulin M33, lambda free light chains 19.74, kappa or lambda light chain ratio 0.07. My doctor said there is a faint spike. Black bar on a grey background and to come back in a year. I have noticed that most of m... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. You have been diagnosed with MGUS problem (monoclonal gammopathy of undetermined significance). For that, no treatment has to be done except clinical monitoring. You are advised to investigate with serum urea, creatinine estimation, urine Bence Jones protein estimati... Read Full »
My vitamin D levels are low. Please help.
Query: Hello doctor, I have checked the vitamin D, blood sugar, and cholesterol. The results are as follows: 25 Hydroxyvitamin D2/D3: 20.9 ng/mL, glycemic index 1.07 * g/l, cholesterol total: 2.90 g/l, glycated hemoglobin: 5.3 %, and fasting blood sugar: 1.07 * g/l. What is your suggestion? Thank you. Read Full »
Answer: Hello, Welcome to icliniq.com. Thank you for writing and I understand your concern. There are few changes in blood values, you have vitamin D deficiency and it can lead to symptoms like pain in the hands and all, and medication can be given for that. Cholesterol level is slightly higher but it can ... Read Full »
Do my reports show thalassemia minor positive?
Query: Hi doctor, Could you please go through my reports and tell me if I have thalassemia minor? I have attached my electrophoresis test reports. Some of the values in the report are HbF - 0.8 %, Hb adult - 66.0 %, HbA2 - 30.8 % and other non-specific - 2.4 %. Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to icliniq.com. According to the report attached (attachment removed to protect patient identity), the Mentzer index is not below 13. Usually, in thalassemia, it is below 13. Hb A2 (hemoglobin A2) level is raised, which is seen in beta-thalassemia minor as well as in hemoglobin E hemo... Read Full »
When shall we engage in sex after abortion?
Query: Hello doctor, My wife is 25 years old. She was pregnant for 3 months. Last week, we lost the kid due to some troubles got aborted. D and C was not done but the fetus got out normally after medical treatment. My question is within what time we can engage in sex again? What all care should be given t... Read Full »
Answer: Hi, Welcome to icliniq.com. Very sorry to hear about the loss. You can start trying for a baby after one month as the uterus and hormones take that much time to come back to the proper state. But if it is only sex then two weeks is fine. There is no special care or medicines required for her. Ju... Read Full »
I had a sudden weight loss and hemoglobin decrease. Are these due to my low LDL?
Query: Hello doctor,I have been on Lipitor 40 mg and Trilipix 135 mg for nine months, and now my LDL is 42 dropped from 140 together with weight loss. Four months ago my hemoglobin decreased to 9.5 but had some recovery recently to 10.5. My weight at present seems to be stable at around 58 kg (height 1.62 ... Read Full »
Answer: Hello, Welcome to icliniq.com. I can understand your concern. Your LDL is reduced because of medication. Your anxiety is not due to medication. Similarly, this medication also does not affect hemoglobin. So these things are not associated with this lipid-lowering drug. I hope I have solved your qu... Read Full »
How to increase the hemoglobin level quickly?
Query: Hi doctor, My father is 62 years old. We need good medicine to increase his hemoglobin quickly. His CBC report has hemoglobin with 9.9 g/dL, WBC of 38000 WBC per microliter, and platelets of 1,90,000. Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to icliniq.com. I have gone through the attached report (attachment removed to protect patient identity). The hemoglobin level can be increased with Ferrous Ascorbate tablet along with good elemental iron. Take tablet Orofer (Ferrous Ascorbate with Folic Acid). Now moving on to the main ... Read Full »
My wife has low hemoglobin. Can she travel abroad?
Query: Hello doctor,My wife went for a master's health checkup. Her fitness certificate was put on hold due to low hemoglobin and other blood test parameters. Her hemoglobin was 8 g/dL, ESR was 25, hematocrit was 26.8, MCV was 62.3, MCH was 18.8, MCHC was 30.0, and RDW was 21.4 %. Can you please check thes... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. I have gone through the reports (attachment removed to protect patient identity). Your wife has microcytic hypochromic anemia. The common causes of microcytic hypochromic anemia are iron-deficiency anemia, sideroblastic anemia, thalassemia minor, and anemia of ch... Read Full »
I have attached the blood tests of my friend. Please check and provide the required consultation.
Query: Hello doctor, I am attaching the blood tests of my friend. Please check and provide the required consultation. Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through your query and reports, and she has a very low hemoglobin count. Please take iron injections and iron supplements, iron-rich diet and plenty of fruits and vegetables. However, if you have a doubt, then get back to me. Read Full »
What could be the reason for my low hemoglobin and hematocrit with high RDW-CV?
Query: Hi doctor, I am 33 years old single female. My hemoglobin is 10.5 gm/dL, RDW-CV is 18.3 %, MCHC 39.6 g/dL, hematocrit is 26.5 %. Any issues, let me know and what you prefer for me? Please let me know. Read Full »
Answer: Hi, Welcome to icliniq.com. I have gone through your case and can well understand your genuine health concern. As per the values mentioned by you, the hemoglobin level is low which indicates anemia. RDW-CV (red cell distribution width-coefficient of variation) is on the higher side (attachment rem... Read Full »