apollo
  • Male
  • 28 Years
  • 22/01/2025

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?

Doctor 1

Answered by 1 Apollo Doctors

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

Dr. Dhankecha Suggests...

Consult a Haematologist

Answered 04/07/2025

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I'm dealing with a pretty low vitamin B12 level, around 72Pgml, and I've been having some back and shoulder pains. Sometimes I even feel a bit dizzy. Could this be linked to the low B12? What can I do to get it back to normal?

To address a low vitamin B12 level of 72 pgmL, consider the following steps: consult your doctor about starting vitamin B12 supplements, either orally or through injections, aiming for a daily dose of 2.4-2.6 mcg; increase dietary intake of B12-rich foods, such as fish, meat, poultry, eggs, dairy products, and fortified plant-based milk; and address potential underlying causes of deficiency, such as gastrointestinal disorders or medication interactions; regarding symptoms, yes, low B12 levels can cause back and shoulder pain, dizziness, fatigue, and numbness or tingling sensations, so correcting the deficiency may help alleviate these symptoms.

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I'm looking at my CBC report and I'm not sure what to make of it. The PCV value is 35, which I understand might be low? Also, the neutrophil count is at 74, TC is 9000, and lymphocytes are at 21. Could you help clarify these numbers for me? I'm a bit concerned about the low PCV.

Low PCV (35%) suggests mild anemia, which could be caused by nutritional deficiencies or other health issues. High neutrophil count (74%) points to an active infection or inflammation in your body, most likely bacterial. Your total WBC count is normal, and your lymphocyte count is not alarmingly low.

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What drink is high in iron?

Beetroot juice, spinach and mint juice, prune juice are some of the drinks with good iron source. Other iron rich foods are jaggery with groundnuts, legumes, paneer, soya, quinoa, pumpkin seeds. You may include vitamin C such as lemons, oranges in diet to increase iron absorption.

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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.