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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does This Blood Test Report Indicate?

Hi Dr I'm 45 years old lady and few months back did blood test in that I had esr rate of 49and wbc was 11600 and rbc was low than normal what could be the reason? I'm having hypothyroidism and sinus issues also, is it due to that my result showing like this please advice me
Thanking you
Asha
Thu, 20 Oct 2016
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General & Family Physician,  's  Response
This might be due sinus issue. ESR and WBC are raised when there is inflammation and infection in the body such as sinusitis. You have written details of sinus issue. You can write it later on. Low RBC is due to anemia which is common in patients with hypothyroidism.
Advice
1.     Azithromycin 500 mg daily per oral for 5 days
2.     Continue medicines for hypothyroidism as suggested by your doctor
3.     Folic acid 5 mg per oral daily for 3 months
4.     Methylcobalamin 500 mcg once daily per oral for 3 months
5.     Ferrous Sulphate 150 mg daily per oral for 3 months
6.     Do gargle with slight warm salt water four times daily
7.     Do not eat heavily at a time. Eat smaller meals
8.     Do not lie down immediately after meal
9.     Avoid dust, smoking, alcohol, dry environment and spicy food
10.     Investigation – X – ray PNS, serum TSH
11.     Consult an ENT specialist for general examination of your nasal passage
I hope this information will help you. I will be happy if you ask another question
Thanks
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What Does This Blood Test Report Indicate?

This might be due sinus issue. ESR and WBC are raised when there is inflammation and infection in the body such as sinusitis. You have written details of sinus issue. You can write it later on. Low RBC is due to anemia which is common in patients with hypothyroidism. Advice 1. Azithromycin 500 mg daily per oral for 5 days 2. Continue medicines for hypothyroidism as suggested by your doctor 3. Folic acid 5 mg per oral daily for 3 months 4. Methylcobalamin 500 mcg once daily per oral for 3 months 5. Ferrous Sulphate 150 mg daily per oral for 3 months 6. Do gargle with slight warm salt water four times daily 7. Do not eat heavily at a time. Eat smaller meals 8. Do not lie down immediately after meal 9. Avoid dust, smoking, alcohol, dry environment and spicy food 10. Investigation – X – ray PNS, serum TSH 11. Consult an ENT specialist for general examination of your nasal passage I hope this information will help you. I will be happy if you ask another question Thanks