Question 1

I'm a 32-year-old male, and during a comprehensive test I found out that my Vitamin B12 level is at 1892 pgml. For the past 7 years, I've been taking a combination of methylcobalamin 1500 mcg with pyridoxin and folic acid because my homocysteine levels were high at 15.55. Can you help me understand why my Vitamin B12 level is elevated? Is it okay for me to keep taking these tablets, or could there be any issues with high Vitamin B12 levels? Everything else in my reports looks good. Would love your advice on this.

Accepted Answer

Sorry to hear that your dad is experiencing gastric problems and body pains.

_Raja Khaini (Tobacco) Concerns:_

1. _Tobacco toxicity_: Raja Khaini contains tobacco, which can cause stomach problems, digestive issues, and other health concerns.
2. _Post-meal consumption_: Taking tobacco immediately after meals can exacerbate digestive issues.

_Recommended Steps:_

1. _Encourage your dad to quit tobacco_: Support him in quitting Raja Khaini to alleviate gastric problems.
2. _Consult a gastroenterologist_: Schedule an appointment with a specialist to rule out underlying conditions.
3. _Dietary changes_: Advise your dad to:
    - Eat smaller, frequent meals
    - Avoid spicy, fatty, or heavy foods
    - Incorporate fiber-rich foods and probiotics
4. _Alternative digestive aids_: Consider natural digestive aids like ginger, ajwain, or digestive enzymes.

_Persistent Symptoms:_

If your dad's symptoms persist or worsen, consult a doctor to rule out underlying conditions like:

1. _Gastroesophageal reflux disease (GERD)_
2. _Peptic ulcers_
3. _Irritable bowel syndrome (IBS)_

Encourage your dad to prioritize his health and seek medical attention if symptoms persist.

Question 2

I've just received my blood test results, and a few things seem off to me. My mean platelet volume is 12.9, platelet distribution width is 17.2, and my platelet to large cell ratio is 46. Also, my total RBC count is 5.81, the monocytes absolute count is 0.17, and basophils absolute count is 0.01. Plus, my Vitamin D3 level is 8.3, and HDL cholesterol is 31. I'm quite thin and trying to gain some weight, but I keep experiencing numbness in my legs and hands. Which specialist should I see about these issues, and are they treatable? I'm really looking for some guidance here.

Accepted Answer

Elevated MPV  indicate an increased production of platelets, which may be linked to various conditions like inflammation, bone marrow disorders, or iron deficiency anemia. Elevated PDW indicates variability in platelets similar to an elevated MPV.Elevated PLCR could be linked to increased platelet production or bone marrow disorders. It can also be associated with inflammatory conditions.A low vitamin D level like this can lead to weakness, and fatigue. It can also affect immune system functioning. Vitamin D deficiency may contribute to numbness in your hands and legs and may also be related to muscle weakness.Low HDL cholesterol is a risk factor for cardiovascular disease. HDL is the good cholesterol that helps clear LDL (bad cholesterol) from your arteries. A low level might be influenced by diet, lifestyle, or genetic factors.Based on the physicians assessment, you may be referred to a specialist such as an endocrinologist, hematologist, neurologist, or dietitian. nubness can be due to vit b12 and vit d deficiencies .

Question 3

I'm really worried about this lump I've got between my neck and jaw. It's been there for a while, and I've noticed that my weight has dropped to 67 kg. My recent blood test showed my WBC count is at 14,000, with low lymphocytes but high polymorphs. My hemoglobin's normal, though. I also feel like my body's really warm, and my pulse seems fast. Should I be concerned? Is there anything specific I should watch out for or ask my local doctor about?

Accepted Answer

"Based on your symptoms of weight loss, high WBC count, low lymphocyte count, high polymorph count, lump in between neck and jaw, warm body, and fast pulse rate, it sounds like you may be experiencing an infection or inflammation in your body. I would recommend taking antibiotics like Amoxicillin 500mg twice a day for 7-10 days to treat the infection. Additionally, you can take Ibuprofen 400mg three times a day for pain and inflammation. Make sure to stay hydrated and get plenty of rest. If your symptoms persist or worsen, please follow up with your healthcare provider for further evaluation and management."

I'm really concerned because I've been dealing with low platelet levels for about a year now, and I've noticed that every morning I wake up with a cough that brings up dark blood. On top of that, I've been having chronic cough and cold issues. What steps should I take to address these problems?

Ecg and sputum for AFB and microscopy is advised to the patient.

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