Topics Haemoglobin e disease
  Topics Haemoglobin e disease

Haemoglobin e disease

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My father is 78 years old and has been suffering from constipation for the last 2 years. He has also lost a lot of weight around 10 kgs in this time span. In the last couple of months he has been complaining that his abdominal muscles have torn due to bowel straining and now he says there is loss of muscle in his stomach area. Which is why when he lies down everything is fine but when he sits up and walks around he feels like he is carrying a weight in his stomach. After intake of food it becomes worse and he also gets bloating. We have done all possible tests - colonoscopy, CT scan, ultrasound sometime last year and everything was clear. The doctors gave a verdict of idiopathic constipation and left it at that. His blood work is fine, haemoglobin levels, cholestrol etc. He still suffers from constipation. His prostrate is enlarged but results are fine. What is the solution to his stomach muscle problem ? Is it lack of exercise, lack of protein ? He doesnt have a pot belly and has never had and had always been physically active and fairly slender.

Hi, History told by you favours irritable bowel syndrome ( IBS ). There are two alarming signs in your case : Firstly, loss of weight and that to10kg approx. Secondly, sensation of carrying a weight in stomach. Both of them do occurs in IBS. But to be on safer side,I would suggest you to go for colonoscopy again because it was done 1 yr back and symptoms have aggravated few months back. Treatments available for IBS - - Increase the level of physical activity. - Have regular meals and take t ...

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Looking for Lyme disease treatment expert.

Hi, Lymes disease is an infective disease,if tou want to consult about the disease u need to visit an internal medicine specialist For confirming the disease,still the tests are very controversial and no test can confirm you about the disease,the diagnosis would depend upon the presentation(symptoms and signs)and test result. Various tests included are serologic tests(pcr,western blot,elisa test)and some radiologic evidence on mri The treatment usually starts with an antibiotic,but depends ...

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I am 22 year old male recently diagnosed with celiac disease (gluten-sensitive). I would like to know which foods I should avoid.

Hi, Celiac Disease is an autoimmune disorder induced by ingestion of gluten, present in wheat, rye and barley. A lifelong exclusion of gluten from the diet is a must. Cereals permitted are rice, makka-ka-atta, chana-flour (besan), sago, bajra, jowar, soyabean, katoo-ka-atta, singhara-ka atta, arrowroot powder, gluten-free atta/biscuits. Cereals to be avoided are wheat flour, refined wheat flour, wheat semolina, rye, barley, dalia, wheat flakes, oats, breadcrumbs, seviyan (vermicelli) T ...

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I am suffering from rheumatoid arthritis from 8 months. I am having joint pain in my wrist,knee,feet,fingers. I am 45 years of age. My haemoglobin has dropped to 8.3 and R.A. factor reached to 60. Provide me some suggestions for the treatment.

Hi Hi and thanks for the query I am Dr. Alok, Rheumatologist and very pleased to be assisting you with your health questions today. It is very difficult to advise treatment, just on RA factor. you need to see a rheumatologist as soon as possible to prevent permanent joint damage. Now a days there are many very good medicine available Hope this helps and provides answers to your question. If you have any further queries, please don’t hesitate to ask me again I wish you good health, take ...

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i've done a test for microsomal (Tpo) antibody titre, serum by cmia & the observe value is 635.56 my tsh is also high and having node in the neck and in right axilla ( underarm ). What does this means ? What disease i am suffering from i need to no ? My family say nothing happen. They also say i am not having any problem. Pls answer me

Hi, Microsomal (tpo) levels are usually seen to look for autoimmune antibodies against your own thyroid. Yes your the test is positive and values are quite high which can have many causes out of which nodular goitre can have high probability because you are having thyroid problems as well. Now the thyroid nodules are usually slow growing nodules in which malignancy have to be ruled out first, and then next line is whether they are obstructing your airway or not. If not then it is just the med ...

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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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