Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
HI, THIS IS XXXXXXX FLEMING AND I AM WRITING Again,
Question: hI,
THIS IS XXXXXXX FLEMING AND I AM WRITING Again, Yesterday i taken my daughter XXXXXXX to the hemotologist and she suffered a real sharp shock to the left side of her head and then she started to feel nausea and real tire. the doctor stated her blood cells , some were large and some were small. can you elaborate for me on this
THIS IS XXXXXXX FLEMING AND I AM WRITING Again, Yesterday i taken my daughter XXXXXXX to the hemotologist and she suffered a real sharp shock to the left side of her head and then she started to feel nausea and real tire. the doctor stated her blood cells , some were large and some were small. can you elaborate for me on this
what are they missing and what is the next step to do to really find out why my daughter stays so sick like this.
Brief Answer:
A possibility of severe microcytic anaemia due to iron deficiency worked up
Detailed Answer:
Hi! Welcome to Ask A doctor service.
Thanks for sharing your concerns with us. We will try to help you in the best way possible. First of all, it's sad to know what your daughter had been going through lately.
Based on the history you have shared, left-sided pain with the history of low blood counts needs to be worked under as severe anaemia can cause cardiac pain or flow murmur too due to decreased perfusion or increased cardiac load to compensate for the low haemoglobin.
The report as you said explained by haematologist suggests different sizes of blood cells and atypical cells may warrant further workups like with peripheral blood films and microscopy as well as if needed bone marrow aspiration too.
A strict follow up with haematologist, and replacement of blood if low and continuation of iron replacement may be needed. Any other evidence of blood loss or blood break down needs to be ruled out as well based on history or other work up.
Wishing her a speedy recovery.
Hope this has answered your query.
If you have any more questions please feel free to ask.
Regards
A possibility of severe microcytic anaemia due to iron deficiency worked up
Detailed Answer:
Hi! Welcome to Ask A doctor service.
Thanks for sharing your concerns with us. We will try to help you in the best way possible. First of all, it's sad to know what your daughter had been going through lately.
Based on the history you have shared, left-sided pain with the history of low blood counts needs to be worked under as severe anaemia can cause cardiac pain or flow murmur too due to decreased perfusion or increased cardiac load to compensate for the low haemoglobin.
The report as you said explained by haematologist suggests different sizes of blood cells and atypical cells may warrant further workups like with peripheral blood films and microscopy as well as if needed bone marrow aspiration too.
A strict follow up with haematologist, and replacement of blood if low and continuation of iron replacement may be needed. Any other evidence of blood loss or blood break down needs to be ruled out as well based on history or other work up.
Wishing her a speedy recovery.
Hope this has answered your query.
If you have any more questions please feel free to ask.
Regards
Note: Do you have more questions on diagnosis or treatment of blood disorders? Ask An Expert/ Specialist Now
Above answer was peer-reviewed by :
Dr. Raju A.T
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
