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Hi Team, Could You Please Review This Report And Suggest
Question: Hi Team,
Could you please review this report and suggest any medication if required.
Thanks
Could you please review this report and suggest any medication if required.
Thanks
Brief Answer:
Seems megaloblastic anemia.
Detailed Answer:
Hello and welcome to Ask A Doctor service.
I have reviewed your query and here is my advice.
Vitamin D is low, Take Osteocalcium D3 syrup daily for 3 months. Keep checking for symptoms of calcium and vitamin D excess like muscle pain, constipation, etc.
Vitamin B12 is low, Take Tab Neurobion plus twice a day for 3 months. an continue thereafter.
Bilirubin slightly high, could be due to breaking down of RBC.
TSH is high. Is there any symptom of hypothyroidism like fatigue, weight gain, dry skin, hoarseness, muscle weakness, etc. Any throid supplements being taken? Thyroid supplements might be needed. Send me details including previous reports and body weight.
RBC anisocytocis, poikilocytosis, ovalocytes, microcytes, elliptocytes, megalocytes, suggestive of megaloblastic anemia die to vitamin B12 and folic acid deficiency. Take Spansule Fefol twice a day for 3 months.
Hope this helps. Let me know if I can assist you further.
Dr Vaishalee
Seems megaloblastic anemia.
Detailed Answer:
Hello and welcome to Ask A Doctor service.
I have reviewed your query and here is my advice.
Vitamin D is low, Take Osteocalcium D3 syrup daily for 3 months. Keep checking for symptoms of calcium and vitamin D excess like muscle pain, constipation, etc.
Vitamin B12 is low, Take Tab Neurobion plus twice a day for 3 months. an continue thereafter.
Bilirubin slightly high, could be due to breaking down of RBC.
TSH is high. Is there any symptom of hypothyroidism like fatigue, weight gain, dry skin, hoarseness, muscle weakness, etc. Any throid supplements being taken? Thyroid supplements might be needed. Send me details including previous reports and body weight.
RBC anisocytocis, poikilocytosis, ovalocytes, microcytes, elliptocytes, megalocytes, suggestive of megaloblastic anemia die to vitamin B12 and folic acid deficiency. Take Spansule Fefol twice a day for 3 months.
Hope this helps. Let me know if I can assist you further.
Dr Vaishalee
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
"TSH is high. Is there any symptom of hypothyroidism like fatigue, weight gain, dry skin, hoarseness, muscle weakness, etc. Any thyroid supplements being taken? Thyroid supplements might be needed. Send me details including previous reports and body weight."
Responding to your above query- Yes, she has gained weight in the last couple of years though she follows a good diet. I think it's related to the thyroid as you have rightly pointed out.
Responding to your above query- Yes, she has gained weight in the last couple of years though she follows a good diet. I think it's related to the thyroid as you have rightly pointed out.
Brief Answer:
She can start thyroid supplements
Detailed Answer:
Hi again
She can start thyroid supplement Tab Thyronorm 25 mcg once a day half hour before breakfast everyday. Recheck thyroid profile in 3 weeks. Then dose requirement will be adjusted according to her weight and thyroid profile.
All other abnormal laboratory parameters should be repeated after 3 months of continuous treatment.
Dr Vaishalee
She can start thyroid supplements
Detailed Answer:
Hi again
She can start thyroid supplement Tab Thyronorm 25 mcg once a day half hour before breakfast everyday. Recheck thyroid profile in 3 weeks. Then dose requirement will be adjusted according to her weight and thyroid profile.
All other abnormal laboratory parameters should be repeated after 3 months of continuous treatment.
Dr Vaishalee
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Hi Ma'am
Could you please give me a written prescription for Tab Thyronorm 25 mcg.
I cannot place order for that medicine without a valid prescription.
Could you please give me a written prescription for Tab Thyronorm 25 mcg.
I cannot place order for that medicine without a valid prescription.
Brief Answer:
Valid prescription is a written prescription by local doctor
Detailed Answer:
Hi
To get written prescription you will need to see a doctor. Online prescriptions are not valid and therefore not provided.
You can consult a local doctor and see if he agrees with my suggestion.
Dr Vaishalee
Valid prescription is a written prescription by local doctor
Detailed Answer:
Hi
To get written prescription you will need to see a doctor. Online prescriptions are not valid and therefore not provided.
You can consult a local doctor and see if he agrees with my suggestion.
Dr Vaishalee
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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