My Hb has generally remained around 8–10 g/dL. I currently have severe tiredness/fatigue, dizziness, weakness and frequent body pains. I also have significant menstrual cramps. My periods usually last around 6 days, although the amount of bleeding varies. I had a sonography done because of the menstrual cramps, but it was normal.
Recent CBC: Hb 10.4 g/dL, HCT 33.5%, RBC 4.32 ×10⁶/µL, MCV 77.5 fL, MCH 24.2 pg, MCHC 31.1 g/dL, RDW-CV 15.2%, RDW-SD 41.7 fL, WBC 9.3 ×10³/µL, platelets 305 ×10³/µL.
Iron profile: Serum iron 28.3 µg/dL (ref 50–170), TIBC 410.5 µg/dL, transferrin saturation 6.89% (ref 15–45%), UIBC 382.2 µg/dL, and ferritin 4 µg/L.
Vitamin B12: 311; Vitamin D3: 33.29.
Given my recurrent low Hb and very low ferritin, I would like to know how significant my iron deficiency is, whether it could explain my symptoms, why my anemia keeps recurring, and what investigations I should undergo to identify the cause. Would oral iron or IV iron be appropriate in my case?
Feverish since Aug 30; first measured Aug 31 (~99.7°F). Fever is my only symptom—no cough/sneezing. Paracetamol (Dolo) controls it, 1–3/day. I delayed seeing a doctor ~2 weeks due to an exam.
Doctor prescribed Sumo (paracetamol), Bencifix-500 (cefuroxime 500 mg) and Proveito probiotic twice daily for 5 days, plus CBC, malaria and Widal. CBC/platelets were normal; malaria and Widal were negative. Reports are attached. After 5 days, fever persisted, though milder. It returns the next morning/afternoon and improves after paracetamol.
Today the same doctor prescribed Sumo + Proveito + azithromycin 500 mg + ofloxacin 200 mg, twice daily for 3 days, without further tests. I’m concerned about repeated antibiotics, side effects/interactions, and whether this azithromycin dose is appropriate.
Is repeated empiric antibiotic treatment reasonable when the cause is unknown? Should further tests (e.g. blood/urine cultures) be done first? Could these antibiotics affect blood-culture results?
Hi Doctor, I am 32 years old and currently recovering from dengue. Today is Day 10 of my illness. My fever stopped on Day 4, and I currently do not have fever, vomiting, abdominal pain, or any bleeding. I have only mild weakness.
I had a blood test today. My CBC is currently normal — platelet count 224,000/µL and WBC 6.63. However, my liver enzymes are elevated: ALT/SGPT 141 U/L, AST/SGOT 73 U/L and GGT 166 U/L. Bilirubin (0.42), ALP (98) and albumin (3.9) are normal.
Hello Doctor, I am experiencing severe weakness, sharp pain in my calf muscles, and lower back pain sometimes .My Hemoglobin, TSH, Blood Sugar, and Electrolytes are all completely normal. Could this be a Vitamin D3 or B12 deficiency, and which further tests or treatments do you recommend?"
Need some suggestions on these reports, I DON'T DRINK OR SMOKE , did I need to maintain diet or something