- Male
- 80 Years
- 07/02/2025
I'm 80 and recently started having chest pain, so I went to the hospital. The doctor had me take a blood test, and it turns out I have polycythemia vera. They've been taking my blood twice a week to keep it thin, but now I'm feeling really exhausted, and it's hard to manage. Can you suggest what I should do?
Answered by 1 Apollo Doctors
u continue test
Dr. Mubarak Suggests...
Consult a Haematologist
Answered 04/07/2025
0
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View allI've been noticing some random bruising on my left leg and other areas of my body, and there's no pain or any injury that I can think of. They just show up without any warning. I'm also experiencing delayed periods and was wondering if these might be related in some way? On top of that, I've been diagnosed with vertigo. Could there be any connection between these symptoms? It's all starting to worry me a bit.
Burning Sole, Chronic Fatigue, and Associated Symptoms _Possible Underlying Conditions_ 1. _Vitamin deficiencies_: Vitamin B12, iron, or magnesium deficiencies can cause burning sensations, fatigue, and neurological symptoms. 2. _Diabetes or prediabetes_: Nerve damage (neuropathy) can cause burning sensations in the feet. 3. _Thyroid disorders_: Hypothyroidism (underactive thyroid) can cause fatigue, hair loss, and cognitive impairment. 4. _Anemia_: Iron-deficiency anemia can cause fatigue, hair loss, and cognitive impairment. 5. _Neurological conditions_: Conditions like peripheral neuropathy, multiple sclerosis, or fibromyalgia can cause burning sensations, fatigue, and cognitive impairment. _Recommended Tests_ 1. _Complete Blood Count (CBC)_: To check for anemia, vitamin deficiencies, and infection. 2. _Blood glucose and HbA1c_: To check for diabetes or prediabetes. 3. _Thyroid Function Tests (TFTs)_: To check for thyroid disorders. 4. _Vitamin B12 and iron levels_: To check for deficiencies. 5. _Nerve conduction studies (NCS) and electromyography (EMG)_: To check for nerve damage. _Treatment and Management_ 1. _Address underlying conditions_: Treat any underlying conditions, such as vitamin deficiencies or thyroid disorders. 2. _Pain management_: Use pain-relieving medications or alternative therapies like acupuncture or physical therapy. 3. _Lifestyle modifications_: Maintain a healthy diet, exercise regularly, and manage stress. _Consult a Specialist_ 1. _Neurologist_: For evaluation and management of neurological symptoms. 2. _Endocrinologist_: For evaluation and management of thyroid disorders or diabetes. 3. _Primary care physician_: For ongoing monitoring and management of your condition.
Answered by 1 Apollo Doctors
What foods to avoid if you are anemic?
Tea ,coffee,milk and some dairy products, whole-grain cereals,foods that contain tannins, foods rich in gluten, , rye, or oats, brown rice , whole-grain wheat products, peanuts, parsley, and chocolate
Answered by 1 Apollo Doctors
I'm a 37-year-old guy weighing around 60 kg and I've been on enalapril 5 and met xl 12.5 tablets for my hypertension for the last six months. Recently, during a pre-employment medical checkup, I noticed that the RBC count and size in my blood report were highlighted as concerning by the doctor, but they didn't suggest any treatment. My family doctor is back in Kolkata while I'm currently in Oman. What should I do about this? Should I keep taking my meds as usual, or do I need to consider any other treatment or actions?
It's important to address the abnormal RBC count and size in your blood report. Since your family physician is not readily available, I recommend consulting with a local physician in Oman to further investigate the cause of the abnormal RBC findings. It's important to determine the underlying reason for this abnormality before making any changes to your current medication regimen. However, in the meantime, you can continue taking enalapril 5 and met xl 12.5 as prescribed for your hypertension. These medications help in managing high blood pressure effectively. Make sure to follow the dosage instructions provided by your healthcare provider.
Answered by 1 Apollo Doctors
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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.