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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

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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I need your advice on how to clear mangu skin disease which has appeared on nose.

Hi, I think you are speaking of melasma over you nose,kindly attach your photos for me getting confirmed because i have other wise never heard of this terminology. ...

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I have developed what look like skin tags on my lingual frenulum. They don't hurt and are skin colored. Just extra skin. Is this cause for concern? What could the issue be?

Hi.. Give details about your age and gender.. Since how long are they present and is there any change in size. Nothing to worry but better get it visually checked once by a dentist ...

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It is my contention that rheumatoid arthritis is either caused by a potassium deficiency or is greatly enabled by one (Potassium in the etiology of rheumatoid arthritis and heart infarction. 1974 Journal of Applied Nutrition. 26; p40. ) (Potassium deficiency as a cause of rheumatoid arthritis. 2000 Townsend Letter for Doctors and Patients. 208; 74-76. ) ( http://charles_w.tripod.com/arthritis.html ). Dr. Reza Rastmanesh has performed a clinical trial that establishes this (Rastmanesh R. 2008 A pilot study of potassium supplementation in treatment of hypokalemic patients with rheumatoid arthritis: A randomized, double-blinded placebo controlled trial. The Journal of Pain. 9, issue 8; 722-731. ). Potassium should be automatically prescribed for rheumatoid arthritis because getting potassium up to normal from the low values in all RA patients (LaCelle PL et al 1964 An investigation of total body potassium in patients with rheumatoid arthritis. Proceedings Ann. Meeting of the Rheumatism Association, Arthritis & Rheumatism 7; 321 ) (Sambrook PN, Ansell BM, Foster S, Gumpel JM, Hesp R, Reeve J, Zanelli JM 1985 Bone turnover in early rheumatoid arthritis. 1. Biochemical and kinetic indexes. Ann Rheum Dis. Sep;44(9):575-9. ) is slow, even with a high unprocessed vegetable diet. There are tasty foods that are especially rich in potassium ( http://www.rheumatoidarthritisprogram.com/potassium-and-ra/ ). However it is important that thiamin (vitamin B-1) be adequate when supplementing with potassium because heart disease can not materialize when both are deficient, but will show up if only one of those is deficient (http://charles_w.tripod.com/kandthiamin.html ). This is probably the primary reason why heart disease is a main cause of death in rheumatoid arthritis patients. In view of the fact that this is not considered by current rheumatologists, it would be very valuable for you to bring it into your future research. It is not only that potassium is not considered by physicians in regard to RA, most of them do not even believe that a potassium deficiency is likely. This even though many of them prescribe what are actually supplements, but prescribed under euphemistic terms such as salt substitutes, sodium free baking powder, ORT salts (oral rehydration therapy for diarrhea), polarizing solutions, GIK (glucose, insulin, potassium) salts, vegetables, or glucosamine. A deficiency is further defined out of existence by defining the blood serum content normal as 4.2 when the actual figure is 4.8. Sincerely, Charles Weber 828 692 5816 PS You may find interesting an article that presents the history of arthritis research in http://charles_w.tripod.com/arthritis2.html

hi there is no RCT that food can affect Rheumatoid arthritis. ...

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