I've been having problems with sleep disorders and noticed my skin's looking pretty pale. My doctor suggested I get a CBC, and while my hemoglobin is usually around 11, it dropped to 7.4 this time. The doctor couldn't believe the CBC report and asked me to redo it. The next morning, it went down to 7 with platelets at 629. I also had an abdomen pelvis ultrasound, but everything came back normal. Now, doctors keep passing me off to someone else. What could be going on?
Balance Issues and Cognitive Concerns
_Balance Issues_
1. _Romberg's test_: Your symptoms are consistent with a positive Romberg's test, indicating a potential balance or proprioception (body awareness) issue.
2. _Vestibular system_: The vestibular system, responsible for balance, might be affected.
3. _Not necessarily a serious disorder_: Balance issues can be caused by various factors, including inner ear problems, neurological conditions, or even simple factors like poor eyesight or lack of practice.
_Cognitive Concerns_
1. _Mild cognitive impairment_: Your difficulties with concentration and memory recall might indicate mild cognitive impairment.
2. _Possible causes_: Various factors can contribute to cognitive decline, including stress, sleep deprivation, depression, or underlying medical conditions.
_Recommended Next Steps_
1. _Consult a neurologist_: Schedule an appointment with a neurologist to evaluate your balance issues and cognitive concerns.
2. _Comprehensive examination_: Undergo a comprehensive examination, including balance tests, cognitive assessments, and potentially, imaging studies (e.g., MRI).
3. _Address underlying causes_: Once the underlying causes are identified, your neurologist can recommend appropriate treatments or lifestyle modifications.