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So I’ve Been Feeling Really Weird And Sick. My Symptoms

Posted on Thu, 23 Jun 2022

Question: So I’ve been feeling really weird and sick. My symptoms are :
Fatigue
Unexplained bruising
Unexplained weight loss
Unsteady
Weak
Tiredness
Muscle weakness
No energy
Decreased platelets from 281 to 182 within less than a month
Prothrombin time is high at 13.9
Wbc has dropped from 7.4 to 4.8
I have vision changes

Answered by Dr. Shanthi E (1 hour later)

Brief Answer:
more investigations are needed

Detailed Answer:
Hello Mariecrawford,

I have read your query and understand your health concern. I have gone through your symptoms, and the labs you have mentioned.

In my suggestion, you need further investigations like hemoglobin, dengue antibodies IgG and IgM, sputum testing for AFB or rapid test for Tuberculosis (just to rule it out, due to Unexplained weight loss), Thyroid profile test.

Could you please upload your complete blood picture lab report? I would be able to draw more insights from it.

Awaiting your response.

Regards,
Dr Shanthi E

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Shanthi E (20 minutes later)

Yes I can and will be happy to share them with you.

Follow up: Dr. Shanthi E (42 minutes later)

My hemoglobin dropped as well, it was 13.5 and now it’s 12.5

Answered by Dr. Shanthi E (11 hours later)

Brief Answer:
Your symptoms are due to existing hypothyroidism

Detailed Answer:
Hello,

Thanks for uploading the reports, I have read them all.

Your symptoms are due to existing hypothyroidism, and nothing else. All your reports are normal.

The hemoglobin dropping from 13.5 to 12.5 is still normal. It has to be above 10.

I would suggest you to repeat your fasting thyroid profile test, and review with your treating doctor to make changes in your existing treatment.

Nothing more is required. When your thyroid hormones are at optimal levels, all your symptoms will be reversed.

Please let me know if you have any more concerns.

Regards,
Dr Shanthi E

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Shanthi E (5 hours later)

I don’t think that’s right. What about my platelets dropping?

Answered by Dr. Shanthi E (29 hours later)

Brief Answer:
Dengue could be one cause for platelets drop

Detailed Answer:
Hello,

Thanks for your follow up question.

Dengue could be one cause for platelets drop. That is why in my initial answer, I suggested you to get Dengue antibodies IgG and IgM done. If your symptoms are associated with acute fever, joints pain; it is likely to be Dengue.

Your other symptoms are most likely due to the existing Hypothyroidism. I would still suggest you to repeat your thyroid profile test, and get your thyroid medication reviewed by your treating doctor.

Hope this resolves your medical concern. Please do as I have suggested. You should be fine very soon.

Wishing you good health.

Regards,

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Shanthi E (54 minutes later)

I don’t think that’s it

Answered by Dr. Shanthi E (17 hours later)

Brief Answer:
Please do the tests as suggested

Detailed Answer:
Hello,

Please do the lab tests as I have suggested in my previous answer. At least, by doing so; we can rule out the suspected problems. Dengue and hypothyroidism are 2 differential diagnoses that I can think of, based on your symptoms and labs.

Please do the tests as suggested.

Regards,
Dr Shanthi E

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Shanthi E (10 hours later)

You didn’t get the other labs?

Answered by Dr. Shanthi E (10 hours later)

Brief Answer:
Sorry, I didn't get them

Detailed Answer:
Hi,

I am sorry; I didn't get your other labs. Please try uploading them again.

Regards,
Dr Shanthi E

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Shanthi E (5 hours later)

Okay I will upload them again

Answered by Dr. Shanthi E (19 minutes later)

Brief Answer:
sure, please upload it

Detailed Answer:
Hello,

Please upload the other lab reports. I shall wait for them.

Regards,
Dr Shanthi E

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Shanthi E (4 hours later)

Okay it says it’s uploaded

Answered by Dr. Shanthi E (8 hours later)

Brief Answer:
Sorry, I didn't get them

Detailed Answer:
Hello,

I am sorry; I didn't get them.

Please upload again.

Awaiting your response.

Regards,
Dr Shanthi E

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Shanthi E (27 minutes later)

It’s not letting me upload them

Answered by Dr. Shanthi E (3 hours later)

Brief Answer:
You may have to post a new query

Detailed Answer:
Hello,

I think you may have to post a new query with the reports alongside. Alternatively, you may contact the customer care at Healthcaremagic for further assistance on this.

Hope this helps.

Regards,
Dr Shanthi E

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Shanthi E (7 hours later)

Answered by Dr. Shanthi E (44 minutes later)

Brief Answer:
Thank you so much

Detailed Answer:
Hello,

Thank you so much.

Regards,
Dr Shanthi E

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Shanthi E (1 hour later)

Answered by Dr. Shanthi E (1 hour later)

Brief Answer:
ok

Detailed Answer:
ok

Regards,
Dr Shanthi E

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar