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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Nose Bleed. Done Blood Test. Please Help

hi i am 40/F from kathmandu, Nepal. i started my nose bleeds 1 yr before & got nasal gauge pack and recovered. again after 5.5 months later started again & kept gauge & recovered. next after 3.5 months & again 2.25months later got same problem & same kept process of gauge & recovered. when i bleed my nose its the same left nostril & same point of wound seen inside it. I am too much worried about it. i have consulted 4 Ent doctors & they said every things are okay in my blood tests. Next i consulted hematologist & he suggested me to check von willbrand assay & platelet function analgra. but von willbrand assay lab is not available in my country & i need to go to my next country India for it. according to my test report. 1yr before 1st time bleed: platelet count: 2,20,000 BT : 2:15 min. CT : 12:30 min PT : 14 sec control : 14 sec Hemoglobin : 12.5 WBC : 8700 ESR : 26 in 1 hr. Netrophil : 70% Hymphocyte : 26% 2nd time bleeding after 5.5months. Hb-13.5, PCV-42.3, PT-13(12), APTT-28(27), RBS-7.3, U/Cr-4.4/55, Nal K-36/3.8 3rd time bleeding after 3.5months WBC-5000, ESR-19, Neutrophils-55, lymphocytes-33, Monocutes-x, Eosinophils-06, Basophils-x, Platelets-0000, BT-2 min, CT-8 min, PT-test-14, control-14sec., Hb-13.7 peripheral smear: Normochromic normocutic film, platelets-normal, abnormal cells- not seen. after one weak: APTT-29sec,control-30 sec, PT-12sec, control-13sec, INR-0.9, Bleeding Time-4min 30 sec. 4th time: Hb-12.2, BT-4min, TC-7700, CT-6 min 30sec, Aptt- 30 sec, platelet-0000, Rbs-5.1 Please help me sir. i am too much confused & worried now. eamil: YYYY@YYYY YYYY@YYYY Thanks!
Wed, 12 Feb 2014
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Pediatrician, Pulmonology 's  Response
Hi
Thanks for writing to healthcare magic.
Your reports seem normal
You need to do Von willibarand factor assay
WIshing you great health
Regards
DR ARUN
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Have Nose Bleed. Done Blood Test. Please Help

Hi Thanks for writing to healthcare magic. Your reports seem normal You need to do Von willibarand factor assay WIshing you great health Regards DR ARUN