Name – Biman Das
Age – 28 years
Indian origin, stays in Bangalore, India.
9th July 2012 - hemoglobin electrophoresis suggestive of Homozygous Hemoglobin E disease
Complaint – Weakness since 1year.
Hi…. Below are the complete tests I have done two days back…..
Blood Urea Nitrogen – 11.00 mg/dl
Serum Creatinine – 1 mg/dl
Serum Glucose – 94 mg/dl
SERUM LIVER FUNCTION TEST
Billirubin Total – 1.30 mg/dl
Billirubin – direct – 0.30 mg/dl
SGOT/AST (P5P, IFCC) – 63.00 IU/ml
SGPT/ALT (P5P, IFCC) – 142.00 IU/ml
ALP – 74 IU/ml
Total protein – 7.80 g/dl
Serum Albumin – 4.90 g/dl
Serum Globulin – 2.90 g/dl
ALB/GLOB Ratio – 1.69 g/dl
SERUM TSH (ECLIA) – 6.240 IU/mL
COMPLETE BLOOD COUNT
WBC – 9300.00 /cu.mm
RBC – 6.15 million/cu.mm
Hemoglobin – 11.90 g/dl
Haemotocrit (PCV) – 37.00 %
MCV – 61.00 fL
MCH – 19.40 Pg
MCHC – 31.30 g/dl
Platelet count – 135000.00 /Cu.mm
DIFFERENTIAL COUNT
Neutrophils – 52 %
Lymphocytes – 43 %
Monocytes – 3.00 %
Eosinophils – 2.00 %
ESR – 4.00 /1st hour.
PERIPHERAL SMEAR EXAMINATION
RBC’s – Show moderate anisopoikilocytosis, are microcytic hypochromic with few eliptocytes, target cells.
WBC’s – Leucocytes are normal in total count and distribution
Plateletes – Plateletes are reduced. Macroplateletes noted.
Impression – Microcytic hypochromic blood picture with thrombocytopenia. (Kindly correlate with serum iron,TIBC, ferritin and Hb variant analysis [To rule out hemoglobinopathy])
OTHER TESTS –
Routine Urine analysis – All values are normal
ECG – Normal study
X-Ray of chest – PA View – Normal Study
MY HABBITS –
Non veg 3 days a week
Beer – 3 days a week( 700ml per day) drinking since 10 years.
Smoking – 12 cigarettes per day (Smoking since 10 years).
More Anxiety and less physical activities.
Last one year I am inside my house, just for half an hour I go outside in the morning.
MY HISTORY AND TESTS DONE EARLIER –
History of acidity, constipation and digestion.
9th July 2012 - Haemoglobin electrophoresis suggestive of Homozygous Haemoglobin E disease.
16th October 2012 - Ultrasound of liver – Fatty Liver
18th October 2012 – Liver function test – All values are normal
18th October 2012 – Pulmonary test – Normal spirometery
18th October 2012 – Complete Haemoglobin – Haemoglobin 12.5 gm/dl, WBC – normal in number and morphology, RBC – Anicocytosis with microcytic hypochromic erythrocytes, mild polychromasia, elliptocytes and taget cells, platelets- adequate
Please let me know is it very serious and also let me know some medicines and diet...
Regards
Biman Das
Doctor's Answer
Hi,
I am not sure,your doctor must have examined you so he can might be telling better,but i belive you should have complet liver tests including pt aptt and coagulation profile and billirubin levels and also repeat the tests you already have.
Although yellow eyes can also be due to mddy sclera,some people have muddy sclera.
Your tsh is also raised so he might be telling you for some test or may be you could be directly be put on medicines for this.
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Doctor's Answer
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Hi. I already asked a question before. I got reply for that and got expired. So i mentioned below my before question and reply:-
Hi. i feel my nerves are weak. i'm 25 yrs old. My hands shake when i do some activities like when i take a tea cup my hands shake. When i'm drinking it slowly my hands shake. I feel very shy and afraid infront of everyone. I cant hold the pen and write normally as others do. I hold my pen very tight with my fingers and write. Then when i go in a bike, when i go in some speed i'm ok. When i go in a dead slow my hands shake. I feel more nervous when i stand in front of everyone. I also feel mild nerves pains in my legs and hands all the time. I'm about to marry in a year or two. I dont know why i get this. Is this occur due to i masturbate often? Is it curable? Can i get my nerves strong and hands without shaking? I'm not able to tell this to my parents. I'm very much afraid of this sir. Pls help me..
Reply for this:-
Hi,
First of all would like to clarify that it is not due to masturbation , it depends upon the cause whether it is curable or not.
Do you feel any kind of numbness or any kind paresthesia in your hands or legs.
Since how long are you having this problem and also describe in detail whether you are facing any other symptom or not and whether it was all of a sudden or the symptoms you are facing devloped gradually.
Any problem in urine or dafecation ?
Any history of trauma and is this pain bilateral or unilateral ?
Any history of hypertension and diabetes ?
You can get serum electrolyte level and vitamin d3 levels chceked in blood right now and also give me the awnser to above queries i asked you and then will let you know whether any other investigation is required or not.
Would recomend you to have plenty of water and high protein diet and also one tablet of neurokind plus daily.
My reply:-
Yes i feel kind of parasthesia in my hands and legs. Actually i want to share a thing. I had laser surgery for my eyes before 2 years. That time doctor said my nerves are somewhat weak. May be its a family gene problem which could've occured for any others in your family. Anyway its not a problem for this surgery and they done it. I too okay with my eyes. As doctor said generally i feel nervous often. But last 6 months i feel kind of tickling or tingling in my hands and legs. I feel some like burning in my leg limbs. Others say all this occurs due to over masturbation. Help me..
Sir
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Doctor's Answer
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Doctor's Answer
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