High lymphocytes chronic anemia

2025-04-23 07:40:06
My lymphocytes count is high and got anemia...basophil is also high plus esr is 42...taken test for tb and autoimmunity disease all are normal...what should I do next.getting chills and bone pain.. arthritis test is also normal...
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Hi, You need a proper evaluation to understand what is happening. Information in bits and pieces will not help. I would suggest either of the two 1. Visit a physician with all your reports and get a consult 2. Connect with me with all your reports . It will.be a long call as I would ideally try and get as much information from you regarding your symptoms. Do connect after 8 pm tonight. Thank you

Answered2025-04-25 06:42:15

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Could be due to undergoing bone marrow pathology ..consult with your physician
Next Steps
CBC with peripheral smear .. lft/kft ,uric acid viral serology markers ..

Answered2025-04-24 05:47:31

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Can help you with the next course of action and treatment plan. Kindly consult via whatsapp at nine zero two nine six zero zero four seven zero.

Answered2025-04-24 04:26:59

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Get another complete blood count, if parameters still abnormal,   I would suggest a clinical examination to look for any lymph node enlargement and x-ray chest.

Answered2025-04-24 04:12:18

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Micro nutrition supplements and analgesics

Answered2025-04-23 13:26:30

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Your symptoms and test results suggest there may be an underlying chronic inflammatory or viral condition, even though TB and autoimmune disorders are ruled out. Here’s a simple breakdown and what you can consider next: 🔍 Current Findings: High lymphocytes: May suggest a viral infection or chronic inflammation. High basophils & ESR: Points toward ongoing inflammation. Anemia: Could be due to chronic disease, nutritional deficiency, or bone marrow suppression. Chills + bone pain: Need evaluation for viral illness, early hematological issues, or inflammatory conditions. ✅ Next Steps: Consult a hematologist for: Peripheral smear review. Serum ferritin, iron studies, B12, folate. Bone marrow test if symptoms persist or worsen. Repeat CBC & ESR in 1–2 weeks to see trend. Viral panels like EBV, CMV, or Parvovirus B19 may be advised. If bone pain persists, consider Vitamin D3, calcium levels, and imaging if needed. Consider a second opinion if current evaluations are inconclusive.

Answered2025-04-23 12:11:16

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Avoid fried food and spicy food Water intake more than Green leafy vegetables and fruits Do connect and consult

Answered2025-04-23 10:06:16

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Esr high chronic  inflammation which u mention  all. Tab augmenting duo625 three times a day after food for ten. Tab zerodol sp three times a day after food for five ton7 days. Livogen z one  cap at night after dinner for 2 months  for  hb. Stool color will change times brown or other. Don't. Worry.

Answered2025-04-23 09:45:02

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Can be some chronic infection. Connect and consult

Answered2025-04-23 09:44:36

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Kindly connect Need few more details.

Answered2025-04-23 09:34:25

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Start antibiotics course hopefully it will be correct otherwise connect me 9818seven27667

Answered2025-04-23 09:07:13

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Hi, there are multiple reasons ESR, lymphocytes and basophils can be elevated. We need more detailed history to narrow down the diagnosis. Its easy to prescribe another list of investigations but unless we narrow down to the cause through more detailed history we would running around in circles. Kindly contact for a detailed consultation.
Next Steps
Peripheral smear, iron studies, renal function tests
Health Tips
Kindly do not take pain medications without assessing renal status.

Answered2025-04-23 08:58:12

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High lymphocyte count, ESR suggests infection. Kindly take an instant consultation and share all symptoms or contact me at 9999x104x408 for prompt diagnosis and full treatment.

Answered2025-04-23 08:17:05

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Connect

Answered2025-04-23 07:52:55

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Needs further evaluation
Next Steps
Consult hematologist

Answered2025-04-24 22:03:34

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Can help you, kindly consult and provide detailed history for proper diagnosis and further management

Answered2025-04-23 14:04:07

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need more information kindly consult

Answered2025-04-23 13:26:41

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More suggestive of viral infections and more evaluation required for high basophil and ESR. Tuberculin test can be suggestive

Answered2025-04-23 13:07:17

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Need few more details. Kindly consult

Answered2025-04-23 11:46:22

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Needs to be evaluated. Do consult.

Answered2025-04-23 10:03:06

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Please consult

Answered2025-04-23 09:57:47

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A detailed history and examination is required before suggesting more tests. You can consult an internal medicine doctor for it.

Answered2025-04-23 09:29:52

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Need few more details Kindly consult

Answered2025-04-23 08:51:18

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If you require assistance or have any health concerns, feel free to reach out for a consultation. Your well-being is my priority, and i'm here to support you on your health journey.

Answered2025-04-23 08:49:42

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Do tsh and hba1c

Answered2025-04-23 08:48:38

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Tb can't be rule out on the basis of investigations only , patient history is very important in such scenario,  Anemia should  be treated on priority  basis and it is very important to treat any underlying cause if present.

Answered2025-04-23 08:19:36

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