Blood Dyscrasias

Questions
Doctors

My mother is 75 yrs old and she regularly complains of pain in her joints for the the last 3-4 years.she has normal blood pressure and is not diabetic.kindly advise any blood tests and medications for her ?

Dear patient Your mother is suffering from post - menopausal senile osteoporosis. her bones have become weak due to deficiency of calcium and vitamin D. this usually occurs in old age and after menopause.get the following investigations done: dexa bone scan , vitamin D level , blood calcium , complete haemogram and blood urea.Consult a orthopaedic surgeon who will advise you medications according to your test reports. ...

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Need an monthly check up package for cholesterol. Doctors has mentioned that bcs of cholesterol and less exercise i got blood pressure. I am doing walking / exercise from last one year still i see the same with blood pressure. is there way to become normal ?

Hi, When you started having amalog (probably amlodipine),I suppose,and till now you have not shown any kind of improvement ,which means higher doses should also be started. This is very true that you have very high triglyceride levels,which can also lead you to have insulin resistance in future,which is not good for you and can also make it difficult to reduce your b.p,what your doctor also says. If your b.p is not reduced generally you will have to reduce your cholesterol levels also may be ...

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I just had blood drawn and now there is a blood bubble at the drawing site. Should I be concerned?

Hi, There can be a bubble while withdrawing blood at times, so don't worry. If it was air entering your vein it would have caused you severe pain,don't think it was significant. Feel free to ask more questions ...

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Male 19, just had two teeth out, one extraction has stitches, the other doesn't, the one without stitches has now got a huge blood clot hanging from the sit and is still bleeding, its been almost 24 hours since I had these two removed. How can I make this blood clot small / make the bleeding stop

Hi, It can bleed if stitches are given to you,though not heavy bleeding. It might bleed when you spit or may be otherwise but in drops. You should avoid eating anything hard spicy and also avoid eating from that side where teeth are removed and also don't try and gargle or spit continuously. You can have plenty of fluids directly orally,not by straw. You may also have ice cream and it should go away and you may continue with pain killers and antibiotics for now. You may also do warm rinse. It ...

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hi, I am 26 year old male.My heart pulse rate is 100 bpm at rest, blood pressure range from 120-136/80-90, when high blood pressure I have pain behind eye and headache. I also feel chest tightness sometime. when I walk or do physical activity I can feel slight breath. From recent blood work my chelostorel is 245. what could be the problem?

Hi, You should try to lower it right now with diet first for 3-4 months. If no effects are seen then you may go on with drugs for this(raised cholesterol). Your blood pressure is not high otherwise it is just a little raised for your age. As soon as your cholesterol comes down your b.p will also reduce. If you have chest tightness,it can also be due to allergy(asthma). If you want to go for further test there are many tests but for now probably ECG is enough for you. if that is normal you don ...

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Hi, I stared the HCG diet 10 days ago using the drops. I also am trying to have a baby so I had sex three times during the week of ovulation. Last period was on January 8. I have had pregnancy symptoms, five positive pregnancy tests, no period. I did have some spotting but it was brown which makes me think that I am pregnant. I am not sure if it is the HCG drops causing a false positive test. Last night I put some of the drops on a pregnancy test and it was a faint positive. My dr. recommended a blood test and then another 48 hours later. I have poor insurance coverage as I am a business owner, and I don't want to spend the money on the blood tests this early. I usually have a 28-31 day cycle. I am thinking of just waiting a couple of weeks, I live a healthy lifestyle. Advice, sorry to ramble on. Jaclyn

Hi Jaclyn!! your issues as to whether the test for pregnancy is actually positive or not are actually confirmed by the serum beta hcg which if doubles in 48 hours means a viable and growing pregnancy. please get the blood tests for the pregnancy done as told. Also ,i hope you had rhogam after in your 1st pregnancy and after the miscarriage. Also your previous pregnancy with history of incompetent os means that this condition is likely to happen again so go in for prophylactic encirclage of the ...

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My father had black stools (upon test it had occult blood), they did endoscopy and found an ulcer in lesser curvature. they did sclerotherapy. after couple of days the stools were normal in color. he got discharged. biopsy showed H.pylori and he was given h.pylori kit, orafer xt and cobadex since he had become anemic. after 2 days he fell unconscious, pissed in pants and later passed stools brown again. hospitalized him again. occult blood was present in stools from tests. they did endoscopy and found no bleeding from ulcer where sclerotherpy was done. everything normal in the stomoch and in both duodenum. he is still passing brown stools. donot know why ? please give your opinion.

Hi, Brown coloured usually may be even normal because of a little high billirubin content in stools. But there is also occult blood in stools so the blood must be coming from some place(intestines,stomach,duodenum) and it has been seen by a endoscopy that your oesophagus and stomach and duodenum are normal,now there can be blood from other sites, from lower gastro intestinal tract (colon,rectum). However if the occult blood is less or if it does not come again then you might not worry about it ...

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hello sir/madam,....I had unprotected sex with my partner few days back...after 2-3 days of the act I started having red patch wid a small round white lesion(like ulcer) on my frenulum of penis and inner part of the prepuce....plus from the next day I started having pain in my floor of the mouth plus having bleeding while brushing my teeth(after brushing when I spit I see blood but cannot find the origin of the bleed...I have not got any blood test done...I am very worried whether its an STD or something more serious like cancer or HIV.....plus the female with whom I had sex also suffered from infection wid burning sensation and pain while urinating the next day and she took third generation cephalosporin tablet and placentrex gel for 3 days which relieved her symptoms....please suggest me what should I do....thanks in advance....

I would recommend Medsop - it is a gentle antibacterial soap. I practice in Gurgaon but unfortunately I am not allowed to disclose my details here as per Healcon rules. However please feel free to google me and pursue an appointment from there. Regards. ...

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I have been on following medications since diagnosis of UC and IBS last year: From May 2012-Jun 2013 1.) Mesacol (200) (2 times a day) 2.) Folic Acid Supplement (1 time) By taking this I was seeing less mucous and blood in my stool but lately their frequency was increasing. Hence I was prescribed: 1.) Rifagut (200) (3 times a day) for one month Its been a week since I have been taking it but still I am seeing a little blood and mucous in stool. Hence wanted to get a second opinion on my condition.

UC is an autoimmune disease where our own body attacks against our own organs. This disease can be kept silent with medicines but cannot be cured (just like diabetes and blood pressure illnesses can be kept under control but never cured) As per your complaints, it seems that you have a recurrence of the disease. you will need a repeat colonoscopy to know the severity, site and extent of the disease affecting your large intestine. According to that then the dose and schedule of medicines can be ...

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Name â€“ Biman Das Age â€“ 28 years Indian origin, stays in Bangalore, India. 9th July 2012 - hemoglobin electrophoresis suggestive of Homozygous Hemoglobin E disease Complaint â€“ Weakness since 1year. Hiâ€¦. Below are the complete tests I have done two days backâ€¦.. Blood Urea Nitrogen â€“ 11.00 mg/dl Serum Creatinine â€“ 1 mg/dl Serum Glucose â€“ 94 mg/dl SERUM LIVER FUNCTION TEST Billirubin Total â€“ 1.30 mg/dl Billirubin â€“ direct â€“ 0.30 mg/dl SGOT/AST (P5P, IFCC) â€“ 63.00 IU/ml SGPT/ALT (P5P, IFCC) â€“ 142.00 IU/ml ALP â€“ 74 IU/ml Total protein â€“ 7.80 g/dl Serum Albumin â€“ 4.90 g/dl Serum Globulin â€“ 2.90 g/dl ALB/GLOB Ratio â€“ 1.69 g/dl SERUM TSH (ECLIA) â€“ 6.240 IU/mL COMPLETE BLOOD COUNT WBC â€“ 9300.00 /cu.mm RBC â€“ 6.15 million/cu.mm Hemoglobin â€“ 11.90 g/dl Haemotocrit (PCV) â€“ 37.00 % MCV â€“ 61.00 fL MCH â€“ 19.40 Pg MCHC â€“ 31.30 g/dl Platelet count â€“ 135000.00 /Cu.mm DIFFERENTIAL COUNT Neutrophils â€“ 52 % Lymphocytes â€“ 43 % Monocytes â€“ 3.00 % Eosinophils â€“ 2.00 % ESR â€“ 4.00 /1st hour. PERIPHERAL SMEAR EXAMINATION RBCâ€™s â€“ Show moderate anisopoikilocytosis, are microcytic hypochromic with few eliptocytes, target cells. WBCâ€™s â€“ Leucocytes are normal in total count and distribution Plateletes â€“ Plateletes are reduced. Macroplateletes noted. Impression â€“ Microcytic hypochromic blood picture with thrombocytopenia. (Kindly correlate with serum iron,TIBC, ferritin and Hb variant analysis [To rule out hemoglobinopathy]) OTHER TESTS â€“ Routine Urine analysis â€“ All values are normal ECG â€“ Normal study X-Ray of chest â€“ PA View â€“ Normal Study MY HABBITS â€“ Non veg 3 days a week Beer â€“ 3 days a week( 700ml per day) drinking since 10 years. Smoking â€“ 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 â€“ History of acidity, constipation and digestion. 9th July 2012 - Haemoglobin electrophoresis suggestive of Homozygous Haemoglobin E disease. 16th October 2012 - Ultrasound of liver â€“ Fatty Liver 18th October 2012 â€“ Liver function test â€“ All values are normal 18th October 2012 â€“ Pulmonary test â€“ Normal spirometery 18th October 2012 â€“ Complete Haemoglobin â€“ Haemoglobin 12.5 gm/dl, WBC â€“ normal in number and morphology, RBC â€“ 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

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. Time taken is different for diffirent person ...

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