Aapki reports mein iron-deficiency anemia clearly present hai — Hb 11.2 g/dL ke saath
ferritin 8.84, serum iron 23.2 aur transferrin saturation 6.15% hain. MCV bhi low hai, jo iron deficiency ko support karta hai. Is wajah se fatigue, reduced exercise tolerance aur heart rate increase ho sakta hai.
Eosinophil count (AEC 2268 cells/µL) bhi significantly elevated hai. Parasitic infection iska ek possible cause hai, especially agar recurrent abdominal symptoms hain, lekin allergy, certain medicines aur other inflammatory/eosinophilic conditions bhi causes ho sakte hain. Isliye sirf deworming karke cause assume karna appropriate nahi hoga.
Aapke case mein physician evaluation ke saath repeat CBC with differential/peripheral smear, stool examination for ova & parasites (often more than one sample), aur exposure/travel history ke according further testing useful ho sakti hai. Persistent AEC elevation mein cause ko properly establish karna important hai.
Iron deficiency ka treatment bhi zaroori hai, lekin Orofer-XT ko bina current formulation, elemental iron dose aur previous tolerance dekhe blindly restart karna advisable nahi hoga. Menstrual blood loss, dietary intake aur GI blood loss/malabsorption jaise causes bhi assess karne chahiye.
Aapki
B12 (263 pg/mL) aur
Vitamin D (18.5 ng/mL) bhi lower side par hain, jinko overall nutritional assessment mein consider kiya ja sakta hai.
Aap chahein to online consultation mein apni complete history, menstrual pattern, diet, deworming history, allergies/skin symptoms, medications aur previous reports share kar sakti hain. In details ke basis par investigations aur treatment ko systematically plan kiya ja sakta hai.