I have all the classic signs of hypothyroidism, fatigue, inability to lose weight, dependent edema, dry skin, constipation, always cold and difficulty focusing. I had lab work done doc says its normal(TSH 0.91; T4 6.32; T3 96.38; FT32.68; and FT4 1.05). Do you have any suggestions of where to go from here?
Hi, My amylase and lipase percentage has been 5 time the normal range high due to acute pancreatitis. While admitted in hospital, the WBC count was also abnormally high which has now been under control, however the lipase and amylase enzyme range is still alarmingly high. Please suggest medication to control the same and to help bring down the levels to the normal reference range of under 140 U/L
My father is 67 years old and has been suffering from diabetes since the past 25 years and it has now affected his kidneys.
In October 2016 his creatinine was 2.92 and we were informed that he is suffering from CKD. Later in December 2016 his creatinine was reported to be 3.0 . In January 2017 creatinine arose to 4.77 and he had lost his appetite and had become very inactive for which he had to be admitted to the hospital. On 25th of Jan creatinine was recorded to be at 6.7 and within two days on the 27th of Jan it was reported to be 7.7 with all medications in place as listed below.
His diabetes is between 130-200 between fasting and post lunch. We were informed that diabetes is within control. His BP is reported at an average of 137 to 140 everyday. ECG and 2Decho look good as informed. His potassium is currently 4.2, Haemoglobin is low at 8.
He is taking the following medicines, daily dosage recommendations is also mentioned below:
1]Ceftum 1-0-1
2]Crocin 1-1-1
3]Dytor 40 1-1-0
4]Nicardia 1-0-1
5]Prazopress xl2.5 0-0-1
6]Sobisis forte 1-1-1
7]Eido Fe 0-1-0
8]Gemcal 0-1-0
9]Rantac-D 1-0-1
10]Ecosprin75 0-1-0
11]Flavedon Mr 1-0-1
12]Trica 0.25 0-0-1
13]Rocartor 0.25 1-0-0
14]Neogadine2.5 1-0-1
15]Duphlac 1-0-1
Insulin (Novarapid) 10-10-4
Please let me know the foll as we want to avoid dialysis as far as possible. He is recently undergone AVF surgery as just a precautionary measure for dialysis:
1]Inspite of all this medication why is creatinine still on the rise.
2]If any of the above medicine is causing rise in creatinine.
3]Is there any other medication that can reduce creatinine. I had come across a post which mentioned that wysolone and Ketosteril can reduce creatinine effectively, please suggest if this could help us.
– Absence of recent suspect traumatic bone lesion visible from the segments
Examined.
– Irregularity and fragmentation of the nuclei of femoral heads more marked
On the right side suggesting a bilateral Legg-Perthes-Calvé disease
Two hips.
– Control.
31 male. No medication. I had a vasectomy 2 years ago and it took roughly 6 months of semen analysis saying 1 or rnms. My urologist had me bring a sample and said I’m sterile. He used a microscope. I wanted a clear lab result so at a year I went and received 2 clear samples!! After the lab spilled 2 of them in transit. I thought about the issues and had 1 more test done last month to make sure and the result was sperm present. So again my urologist had me bring a sample in and he said without a doubt I’m sterile. I asked why the lab said there were sperm and he said sometimes they don’t know what they are looking at. It was quest diagnostics. Now I’m unsure. Can a lab be wrong? Or trust my dr.
73 year old female had follow up ultra sound to check out polyp in gallbladder no change in polyp but doc saw what he called vague suggestion of sludge or possible change in mucosa he suggested ct scan but ct scan radiologist suggested repeat ultra sound but it not suggest time frame for follow should this be done roght away or in couple of months your comments please
I’m 68 female. Having trouble with blood and iron levels. Had to have 2 transfusions and 3 infusions. Was going up but now back down again. Last several days I’m getting a large red mark on my chin and half moons on my fingernails. What should be the next step My doctor in a local GP.
Hi..my name is (…) and I’m a female 49 years of age, due to facial pain, tingling numbness, along with ear pain and extreme buzzing and tinnitus, along with some fairly body wide complaints, most concerning is of fatigue, weakness and at times inability to move and use predominantly legs, but at times also arms. I also have some sensory deficits as well as issues with temperature regulation. I recently had a brain MRI that found several lesions that could be indicative of old ischemia along with leukoariosis. The brain mri report also discussed the finding of a type II loop in anterior inferior cerebellar artery. (…) I have been experiencing symtoms for years and progressively getting worse. Please advise?
My daughter just went for her 1 year well visit. When they tested her iron and hemoglobin her hemoglobin is low but her iron is high. The doctor put her on iron medicine. What can cause her hemoglobin to be low but her iron is high? Her iron was 4.5. The doctor thinks that the iron and hemoglobin are fighting each other
Causes for non-genetic hemochromatosis.
Can too much alcohol cause this condition? Will anything help me get better or is it permanent now for me? If so, will no longer drinking improve or treat the condition? I admitted to my doctor I have been drinking excessive amounts everyday because I’ve been unable to control extreme stress in my live. She sent me for blood tests, which revealed very high iron levels, but it used to always be low, or low side of normal range before the stress & drinking. I am a 52 yr old female of northern English parents.
My son is 8 years old and has been having abnormal blood work for 2 years now and I’m not sure what to ask the doctors to look into. Unfortunately if I am not a bit forward we don’t even get a call back about his blood work.
Vitamin D 12/29/16 24 ng/mL
MCHC 12/29/16 33.3 g/dL 7/27/16 34.2 g/dL 3/10/14 33.2
HGB 12/29/16 13.0 g/dL 7/27/16 17.1 g/dL 3/10/14 13.5
RBC 12/29/16 4.43 7/27/16 4.44 3/10/14 4.73
He has many headaches, fatigue, is not very active. I brought him to a pediatric neurologist with our native clinic who only asked questions and did no tests. It seems if I am not specific on what tests to run I really get nothing. I have asked for vitamin D for him to get the levels up. We live in Alaska, but at sea level and no one smokes. I’m concerned about the HGB levels and can’t think of any reason for them to be up to speak with a doctor about.
I’m a 37 year old female and got some blood tests done for rheumatoid arthritis and just got the results back online but I want to know what a .26 ana quarantine result means is that positive for ra? Or normal?
My problem can be easily described. I suffer from a continuous reduction of hemoglobin. Every day I have to take iron supplement to retain my hemoglobin levels in normal range.
I give you an example of my condition. Let’s say I take an iron supplement for a year, the blood analysis confirms hemoglobin level at 146 g / l. Subsequently I cease to take an iron supplement. Two months later hemoglobin level falls to 97 g / l. I could give you several similar examples during previous 6 years.
Then I always start to take iron supplement again and my hemoglobin levels come back to the normal. If I take iron every day, hemoglobin levels remain within normal limits. Basically, I must constantly take the iron supplements.
I believe that the absorption of iron by my guts should be fine though. Hematologist said that when my hemoglobin levels are increased after taking iron supplements, absorption should be fine. Also, when I took iron tablet at night on an empty stomach, my GP confirmed after the blood analysis that I had elevated levels of serum iron (that was also independently confirmed by another doctor a year later).
I do not suffer from celiac disease. I should not suffer from an increased destruction of red blood cells, bilirubin levels are normal. I am not a vegetarian. I have no intestinal parasites. The amount of vitamin B12 and other blood parameters are in normal ranges.
These problems started about 6 years ago, before that I did not need to constantly take iron supplements.
I would like to ask you few questions:
1. May I have some form of iron malabsorption considering the fact that my body is able to absorb sufficient amounts of iron from the supplements but not from normal diet?
Note .: My sibling eats almost the same food as I but his hemoglobin levels are absolutely all right, without need of taking iron supplements.
2. What various conditions or illnesses should I have?
3. What can cause so massive decreasing of hemoglobin levels? Where do I lose it, if I do not bleed?
I am a 33 y/o Caucasian female with no family medical history of thyroid issues or thyroid cancer (family medical history: my father has diabetes and bipolar disorder, my sister and I myself have bipolar disorder, and there are no other significant medical issues in the family). In May 2016, my GP suggested I get an ultrasound for a thyroid nodule on the right side of my thyroid that she discovered during a routine physical exam. I had the US in June. According to the US report, “The right thyroid lobe measures 5.1 x 2.1 x1.9 cm. The left thyroid lobe measures 3.3 x 1.1 x 1.6 cm. There is a 4 mm nodule in the right mid gland. There is a 2 cm nodule in the lower pole of the right thyroid lobe. Impression: A 2cm nodule in the lower pole of the right thyroid lobe. Ultrasound guided fine needle aspiration suggests an established diagnosis.”
I then had a fine-needle aspiration biopsy (FNA) in July. The results came back “atypical” (I don’t have them on hand right now, but I can send them to you). I then consulted with a thyroid specialist, who recommended a partial lobectomy to establish a diagnosis. I have been doing some research into the medical literature (via PubMed, etc) and it sounds like perhaps a core-needle biopsy (CNB) may provide a more definitive diagnosis and help me determine if I should go the surgical route or not (if the nodule turns out to be cancerous or precancerous, I will of course go with surgery, but since it’s atypical and it could turn out to be malignant or benign, I would like to exhaust any other options available in determining the diagnosis before electing to have surgery). I also had blood work done in May. TSH and (TPO) Ab and T4, Free (Direct) were in normal ranges (TSH was 1.420 and (TPO) Ab was 9 IU/mL and T4 was 1.36) and TgAb was a little high (2.1 IU/mL). Everything else (CBC w/diff, CMP, lipid panel) came back normal. Can you help, please? Happy to send you the US and FNA results. My question is: Would you recommend CNB or some other method to determine if the nodule is benign or malignant besides surgery? I just want to exhaust all my options if I can.
I am a 43 year old female with no medical history or medication.
I have been having regular nosebleeds for months now. My haemaglobin, RBC count and platelets are all normal however my WBC count is 4.2, lymphocytes 1.6, haematocrit 0.38 and neutrophils 2.0. Should I be concerned?
