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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Bleeding Gums, Breathlessness, Cloudy Vision, Night Sweats, Diarrhea. Ct Scan Showed Hepatomegaly

Hi there.I have had symptoms of fatigue , lack of appetite, bloddy/dark stools/ diahorrea, night sweats ( excessive), itching, brusing, headaches, weight loss , bleeding of the gums for about 6 mtns. Yesterday for the first time: cloudy vision ( if that makes sense) and trouble breathing. Also back and chest pains have come on recently. I had a CT scan done on Monday and they detected hepatomegaly with diffuse fatty infusion. In terms of my blood count, my neutrophil count is 1.42 (low), MCV 99.1 fl, AST- NORMAL. Basophil count -0.02 low ,calcium is low. What could this all suggest? It terms of leukemia, does it have to be reflected by extremely normal blood tests? I ve heard that its the symptoms as opposed to the statistics that matter.Is that a myth? My Mum died of stomach cancer at 36, I am 28. Had an endescopy done last week . All clear. Have had helicobacter pylori in the past twice.Awaiting a colonoscopy. I m worried about leukemia.I am changing my GP as she is useless.Says that its nothing and cannot be leukemia and refuses to let me get a bone marrow test to make sure?? Best, Marie
Fri, 2 Jun 2023
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General Surgeon 's  Response
Hi,

Your symptoms description have an array of potential diagnosis which is difficult for this platform. However you should consider a hematologist advise and also get your coagulation profile checked. Given the history of gum bleed itching and bruising, could point towards any potential causes from liver to bone marrow.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Anant Paul, General Surgeon
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Bleeding Gums, Breathlessness, Cloudy Vision, Night Sweats, Diarrhea. Ct Scan Showed Hepatomegaly

Hi, Your symptoms description have an array of potential diagnosis which is difficult for this platform. However you should consider a hematologist advise and also get your coagulation profile checked. Given the history of gum bleed itching and bruising, could point towards any potential causes from liver to bone marrow. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Anant Paul, General Surgeon