Patient's Query
Hello doctor,
My mother underwent a full-body checkup. Please review the report and provide guidance. The blood test results indicate deficiencies in her vitamin D, B12, and iron levels, which have raised concerns. She experiences weakness, body swelling during the summer, leg pain, and fatigue. She took vitamin B12 tablets two years ago.
Kindly help.
Thank you.
Hello,
Thank you for stopping by at icliniq.com.
I am here to provide expert opinions on your medical queries. I have reviewed the reports you have attached (attachment removed to protect the patient's identity). Her liver profile, kidney profiles, thyroid reports, iron profile reports, and hemoglobin levels are within normal range. Therefore, liver disease, renal disease, thyroid problems, and iron deficiency anemia can be ruled out as causes for her weakness.
The notable findings include a significantly low level of vitamin D and a slightly low level of vitamin B12. It is possible that the low vitamin D level may be the cause of her weakness. I suggest she take a sachet of 60,000 IU Cholecalciferol once a week for eight weeks. After completing the sachet, she can continue taking tablets containing Calcium carbonate and Cholecalciferol for a few more weeks. I also suggest she get sun exposure for ten minutes around nine to ten o'clock in the morning.
Additionally, I suggest she take a multivitamin tablet. I also suggest that she engage in light exercises in the morning. It is also important to check her blood pressure, which has not been mentioned in the provided information. If she experiences severe bone pain and swelling that extends beyond a specific area, I suggest she get an X-ray of that part. In cases when she develops swelling, I suggest that she take diuretic medication like Chlorthalidone.
Considering her age, I suggest that she undergo a 2D echocardiography for further investigation. I suggest that she consult a specialist, talk with them, and take the medications with their consent. I hope this has helped you. Kindly follow up if you have more doubts.
I hope I have answered your question.
Let me know if I can assist you further.
Thank you.
Patient's Query
Hello doctor,
Thank you for the reply,
My mother will follow the suggestions provided by you.
Please help.
Thank you.
Hello,
Welcome back to icliniq.com.
Kindly follow up if you have more doubts.
I hope I have answered your question.
Let me know if I can assist you further.
Thank you.
Patient's Query
Hello doctor,
Thank you for your reply.
I have one more question regarding the 60,000 IU Sachet of Cholecalciferol. Should she take it in powder form or as a tablet? Also, should she consume it with milk or water? Additionally, please suggest the strength of the medication containing Calcium Carbonate and Cholecalciferol.
Please help.
Thank you.
Hello,Welcome back to icliniq.com.
I read your query and understood your concern. The cholecalciferol sachet is available in either 50,000 IU or 60,000 IU strengths. It needs to be taken once a week after dissolving it in milk. Therefore, it should be consumed after dissolving it in milk. And she should take a tablet containing the combination of Calcium Carbonate (500 mg) and Cholecalciferol (250 IU). I hope this has helped you. Kindly follow up if you have more doubts.
Thank you.
Patient's Query
Hello doctor,
Thank you for your reply.
My 21-year-old sister, weighing 103.6 pounds and measuring five feet six inches in height, recently underwent a full-body checkup. In her report, the complete blood count result indicates an increase in total leukocytes beyond the upper range. Additionally, terms such as Lymphocytes, neutrophils, MCHC (Mean Corpuscular Hemoglobin Concentration), RDW-SD (Red Blood Cell Distribution Width - Standard Deviation), Platelet distribution width, MPV (Mean Platelet Volume), PLCR (Platelet Large Cell Ratio), and PCT are highlighted as they are either higher than the upper range or lower than the lower range. Therefore, I kindly request you to carefully examine her blood profile and provide us with guidance.
Furthermore, her vitamin D level is 10.79 Ng/ml, indicating a severe deficiency. Her iron level is 34.2 μmol/L, significantly below the lower range, indicating a severe deficiency as well. In addition, her SGOT level is higher than the upper range, her SGPT level is also higher than the upper range, and her serum globulin level is also higher than the upper range. Her total cholesterol level is very low, falling below the lower range, which has affected all cholesterol-related terms and caused them to be highlighted. I request you to carefully review this. She is experiencing weakness, tiredness, lethargy, bone pain, stomach ache, gas issues, and digestive issues, and has been coughing for the past seven days.
Kindly provide you insight.
Thank you.
Hello,
Welcome back to icliniq.com.
I read your query and understood your concern. I have reviewed the reports you attached (attachment removed to protect the patient's identity). She need not worry about the mild increase in SGOT (Serum Glutamic Oxaloacetic Transaminase), slight increase in globulin levels, and low cholesterol. SGOT elevation is considered significant only when it is raised two-fold higher than normal. An increase in globulin levels can be due to a mild infection. Your sister's neutrophil count is high, which could be a result of an infection in the upper respiratory tract or gastric region. For that, I suggest she undergo a chest evaluation by auscultation. Her Vitamin D level is low.
To address this, a Cholecalciferol Sachet containing Vitamin D can be prescribed. It should be taken once a week for eight weeks with milk. The iron level and transferrin saturation are slightly low, but as the hemoglobin is within the range, no further workup is needed. Thyroid values are within the normal range. To alleviate gas and digestion issues, I suggest she take a tablet of an antacid, Rabeprazole (proton pump inhibitor), for a week. I also suggest she take a syrup containing Simethicone (25 mg), Aluminium Hydroxide (200 mg), and Magnesium Hydroxide (200 mg) to improve her digestion. I suggest that she consult a specialist, talk to them, and take the medications with their consent. I hope this has helped you. Kindly follow up if you have more doubts.
I hope I have answered your question.
Let me know if I can assist you further.
Thank you.
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Answered byDr. Goswami Parth Rajendragiri
Medically reviewed byDr. Divya Banu M
Same symptoms don't mean you have the same problem. Consult a doctor now!
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