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Hi Team, I Had A Chat With Dr. Vaishalee Punj

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Posted on Sat, 13 Jul 2019
Question: Hi Team,

I had a chat with Dr. Vaishalee Punj and she had asked me to get few tests done for my parents. I would need her help to review my parent health check report.

Thanks
Abhishek
doctor
Answered by Dr. Vaishalee Punj (1 hour later)
Brief Answer: XXXXXXX hemoglobin is low

Detailed Answer:
Hi again

Thanks for reverting back with details.

I have gone through the reports.
Rajesh's hemoglobin is low and he seems to be the carrier for Thalassemia. I will suggest hemoglobin HPLC for him.
Regarding Shashi's reports, hemoglobin is normal but there is derangement in parameters like RDW and MCHC, so some doubt arises. I will suggest the hemoglobin HPLC for her too.

Dr Vaishalee
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Vaishalee Punj (3 minutes later)
Thanks a bunch for your prompt response and for your help as usual. May I request you to review their test report overall. Do you see any ambiguity?

I would surely ask them to get hemoglobin HPLC test done and would share their report with you.

Thanks
Abhishek
doctor
Answered by Dr. Vaishalee Punj (17 minutes later)
Brief Answer:
Report analysis

Detailed Answer:
Hello

The detailed analysis is below: XXXXXXX Gupta:
HBA1C is borderline and may suggest high blood sugar. Need to do fasting blood sugar level after 8 hrs fasting.
Eosinophil levels are high and suggest allergy or fungal or parasitic infection. She can take Tab Albendazole 400 mg single dose to fight any parasites. She must also drink cleaner water.
Vitamin D levels are low and its supplements can be taken for 3 months. Like Clacirol XXXXXXX 60000IU weekly for one month and then biweekly for 2 months. Re-test after 3 months.
XXXXXXX Gupta:
Eosinophil levels are high and suggest allergy or fungal or parasitic infection. He can take Tab Albendazole 400 mg single dose to fight any parasites. He must also drink cleaner water with low TDS.
Lymphocytes seem to be high and could suggest a recent infection.
Vitamin D levels are low and its supplements can be taken for 3 months. Like Clacirol XXXXXXX 60000IU weekly for one month and then biweekly for 2 months. Re-test after 3 months.
Re-test thyroid profile every 6 months for any thyroid issues. TSH is high.
Uric acid is high. It is commonly associated with Thalassemia. Does he have joint pains? He needs to avoid foods that are high in uric acids. Drink lots of water.

Didnt find anything worrisome.

Dr Vaishalee
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Vaishalee Punj

General & Family Physician

Practicing since :2003

Answered : 3280 Questions

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Hi Team, I Had A Chat With Dr. Vaishalee Punj

Brief Answer: XXXXXXX hemoglobin is low Detailed Answer: Hi again Thanks for reverting back with details. I have gone through the reports. Rajesh's hemoglobin is low and he seems to be the carrier for Thalassemia. I will suggest hemoglobin HPLC for him. Regarding Shashi's reports, hemoglobin is normal but there is derangement in parameters like RDW and MCHC, so some doubt arises. I will suggest the hemoglobin HPLC for her too. Dr Vaishalee