Topics Haemoglobin
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Haemoglobin

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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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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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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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Last week my blood pressure is high like 90/150 continously and I had urine and blood test and haemoglobin is 12.8g/dl. Lymphocytes is 43%. Serum ceratinine is .83mg/dl Few epithelial cells are seen in urine test. Stray leucocytes are seen I want to ask what is the harm with this and my head always pain feeling very weak ,vomiting , ?

Hi, Your blood and urine tests are ok,the symptoms you are feling are quite a possibility that they are due to increased blood presure. Try reducing salt intake and cholesterol or fatty intake in your diet Go for a regular excercise schedule You can also try yoga if you have a stressful life Avoid stress Have plenty of fresh fruits and vegetable Monitor you bp,if it remains high then you will have to go for medicines. ...

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My Wife has lower back pain for the past 3 months. She is actually a working woman and she does all the work at home too. Her haemoglobin count is a little low than normal. Is it advisable to do exercises in the morning regularly? What can be done?

well, you need to consult a good orthopaedic surgeon to find out the cause of her back pain . she may be anaemic and need correction by simple drugs and nutrition. exercise is always good and needs proper guidance but simple aerobics like walking and swimming is always good for back. ...

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