Question 1

Hello doctor, I had ankle swelling and pain, as well as finger pain. I consulted an orthopedic doctor, who tested me and found high uric acid, low ESR, low vitamin B12, and low hemoglobin. The doctor prescribed some medicines. I would like a second opinion. Are these tablets safe, and do they contain steroids? I have attached my report and medicine prescription.

Question 2

My wife has been experiencing burning sensations in her feet. On investigation, we found that her Vitamin B12 and Vitamin D levels are low. She is a pure vegetarian and does not consume eggs. Could these vitamin deficiencies be the cause of her problem? I am attaching the report for your review.

Question 3

Sir, I have been experiencing daily chest pain for the past 2 months, mainly between 5 to 8 a.m. My recent investigations are as follows:
Chest Xray report:
Heart size: Normal
Lung fields: Clear
Costophrenic angles: Free
Blood report:
RBC: 4.35 million/microlitre
Total WBC: 10,400 cells/microlitre
Neutrophils: 73 percent
Lymphocytes: 22 percent
Monocytes: 3 percent
Platelets: 1.7 lakh/microlitre
MCV: 106 fL
MCH: 36 pg
MCHC: 34 g/dL
RDWCV: 14.5 percent
ESR: 1st hr 20 mm, 2nd hr 35 mm

Hi, My father blood report shows predominantly normocytic normochromic with macrocytes and ovalocytes. Could you please explain what this means and advise what steps or further tests we should consider?

This pattern often points to early B12 or folate deficiency, especially if fatigue or numbness are present. Macrocytes and ovalocytes mean red cells are growing abnormally. Begin supplementation only after checking levels.

More COMPLETE BLOOD COUNT (CBC) Health Queries

My wife has been experiencing burning sensations in her feet. On investigation, we found that her Vitamin B12 and Vitamin D levels are low. She is a pure vegetarian and does not consume eggs. Could these vitamin deficiencies be the cause of her problem? I am attaching the report for your review.