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My daughter have dengue fever for four days. Kindly help.
Query: Hello doctor,My daughter has been suffering from dengue fever for the last four days, but despite taking medicines (Paracetamol and Emeset), her status has not improved. Her fever is still high, and she is also having nausea and vomiting. This is worrying me. Kindly help. Read Full »
Answer: Hello, Welcome to icliniq.com. It appears that your daughter's infection is unremitting. I would suggest the following tests that need to be done. 1. Blood- CBC (complete blood profile), erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), liver function test (LFT), renal function test... Read Full »
I am a thalassemia carrier. I have a high RBC count and a low platelet count. Is it serious?
Query: Hello doctor, I just came to know that I am a thalassemia carrier. I have never had any problems in the past. My RBC count is higher than usual and my platelets count is low. Is it serious? Kindly help. Read Full »
Answer: Hello, I appreciate you signing up on icliniq.com You now have exclusive access to expert medical opinion. Being a thalassemia carrier, the main risk is of transferrin thalassemia to the next generation, if your spouse is a thalassemia trait. So genetic testing of your partner is essential. In th... Read Full »
Please suggest a treatment plan based on my father's blood report.
Query: Hi doctor, I would like to get a consultation regarding my father. His blood report showed hemoglobin (optical/impedance) 12.4 g%, platelet count (optical/impedance) 93 10^3/cubic mm, WBC count (optical/impedance) 3.6 10^3/cubic mm, packed cell volume (calculated) 36%, serum vitamin B 12 472 ng/L. ... Read Full »
Answer: Hi, Welcome to icliniq.com. Based on your query, my opinion is as follows. There are mild anemia, low white blood cell count, and low platelet count. All counts are considered adequate clinically, as they are near normal. It could be early features of megaloblastic anemia. As vitamin B12 levels ar... Read Full »
My mother has dengue and a low platelet. Is it critical?
Query: Hello doctor, My mother is suffering from dengue fever. The platelet has reduced to 35*10^3 per microliter of blood. Is it critical? Her reports show sudden reduction in platelets from 100*10^3 per microliter of blood to 60*10^3 per microliter of blood then to 35*10^3 per microliter of blood. Please... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. You have been diagnosed with dengue fever. Dengue fever's first phase is a febrile phase in which fever last for five to seven days and then a critical phase occurs in which plasma is expelled from circulation which lasts for one to two days. So, platelet decline in... Read Full »
Is fever and low WBC count in my child due to dengue fever?
Query: Hello doctor,My 3 years and 6 months old daughter has been suffering from a fever of about 100 to 102 for the past three days. She had rashes throughout her whole body. We had blood tests performed, and the results were negative for dengue. But, the WBC and the platelet count reduced gradually in th... Read Full »
Answer: Hello, Welcome to icliniq.com. This can happen in a viral fever also. But it is always better to repeat the test after 48 hours to make sure about the WBC (white blood cell) count and the platelet count status. There are other dengue-like viruses where dengue test comes negative but the behavi... Read Full »
My brother has low platelets despite transfusion. Why?
Query: Hello doctor,My brother has dengue fever. His platelet counts were dropping and once they reached 18,000 he was given one unit of platelet transfusion. But, his counts did not increase when checked after four hours and was at 17,000. So, the doctor went for a second infusion. There are no other sy... Read Full »
Answer: Hello, Welcome to icliniq.com. Firstly, do not panic. Dengue is a self-recovering condition. His platelet counts will gradually rise. Platelet transfusion is fine. Normally, random donor platelets (RDP) increases the platelet count by 5000 only while single donor platelets (SDP) increases it by a... Read Full »
What causes fever and vomiting in my 8-year-old son?
Query: Hi doctor, This is regarding the treatment given to my son for viral fever. He is 8 years 3 months old. When we observed my son's fever, I gave him one teaspoon of P250 for three days. On the fourth day, I visited hospital due to continuous fever. As the blood report confirmed it as viral fever, he ... Read Full »
Answer: Hi,Welcome to icliniq.com.I went through your child's history as you have provided and also saw the blood test reports (attachment removed to protect patient identity).According to the details provided, your child's illness fits into a viral illness spectrum. I believe you are concerned about fallin... Read Full »
I have dengue for three days. When should I go to hospital?
Query: Hi doctor, I have dengue from the last three days. The platelets have dropped from 197 to 129 today. I have the following questions: My fever fluctuates between 101 to 104 despite having Paracetamol. Is that normal? Also, when should I get admitted to the hospital? When does the body start producing... Read Full »
Answer: Hello, Welcome to icliniq.com. Fever can prevail from three to seven days and after that, there is no fever and that no-fever period is more important and can be critical. You need to keep a follow-up with your treating physician until it is all over and you recover fully. The fluctuating fever is... Read Full »
What can be the cause of my generalized body pain, fever, and headache?
Query: Hi doctor, I am having a fever, headache, and generalized body pain since yesterday. I consulted a physician. He prescribed me medicines and advised me of a blood test. My blood test report is attached here for your reference. Still, headache and fever are high sometimes. Kindly give your opinion. Read Full »
Answer: Hello, Welcome to icliniq.com. I have checked your blood reports (attachments removed to protect patient identity). This is a dengue season. Though the fever and headache with body aches can often and most commonly indicate a viral etiology but a decreased platelet count of 1.39 is to indicate th... Read Full »
How to manage my mother's fever and constipation?
Query: Hi doctor, My mother aged 70 years has been suffering from sore throat and fever for the last three days. The fever is not very high and it is around 100.5 degree Fahrenheit. She is taking Crocin for the same. She had slightly low platelet count around 1.38*10^3/microliter of blood as of yesterday ... Read Full »
Answer: Hello, Welcome to icliniq.com. Since you are giving a history of your father suffering from same complaints with low platelet, generally this could be a viral infection probably dengue. I would suggest you to look for any bleeding tendency or rashes over the body. Get her platelets checked on al... Read Full »