I've been having problems with sleep disorders and noticed my skin's looking pretty pale. My doctor suggested I get a CBC, and while my hemoglobin is usually around 11, it dropped to 7.4 this time. The doctor couldn't believe the CBC report and asked me to redo it. The next morning, it went down to 7 with platelets at 629. I also had an abdomen pelvis ultrasound, but everything came back normal. Now, doctors keep passing me off to someone else. What could be going on?

Answered by 1 Apollo Doctors

Dr Anshul Maheshwari

General Practitioner

MBBS
5+ Yrs

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Balance Issues and Cognitive Concerns

Balance Issues

Romberg's test: Your symptoms are consistent with a positive Romberg's test, indicating a potential balance or proprioception (body awareness) issue.

Vestibular system: The vestibular system, responsible for balance, might be affected.

Not necessarily a serious disorder: Balance issues can be caused by various factors, including inner ear problems, neurological conditions, or even simple factors like poor eyesight or lack of practice.

Cognitive Concerns

Mild cognitive impairment: Your difficulties with concentration and memory recall might indicate mild cognitive impairment.

Possible causes: Various factors can contribute to cognitive decline, including stress, sleep deprivation, depression, or underlying medical conditions.

Recommended Next Steps

Consult a neurologist: Schedule an appointment with a neurologist to evaluate your balance issues and cognitive concerns.

Comprehensive examination: Undergo a comprehensive examination, including balance tests, cognitive assessments, and potentially, imaging studies (e.g., MRI).

Address underlying causes: Once the underlying causes are identified, your neurologist can recommend appropriate treatments or lifestyle modifications.

Dr. Anshul Suggests...

Consult a Haematologist

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Answered 04/07/2025

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I'm a bit concerned after getting my blood test results. My hemoglobin level showed up at 17.7, which I've read could mean I have polycythemia. Do you think I should see a specialist about this? And if so, what kind of specialist would be the right one to get in touch with? I'm also curious about what might be causing this condition.

A hemoglobin level of 17.7 is indeed high and may indicate polycythemia, a condition that requires medical attention; it's essential to consult a specialist, specifically a hematologist (blood disorder specialist), to confirm the diagnosis, rule out underlying causes such as chronic hypoxia, sleep apnea, or kidney tumors, and develop a treatment plan to prevent potential complications like blood clots and strokes.

Answered by 1 Apollo Doctors

I've just found out that my absolute basophils and basophils count are at 0.0, and I'm a bit worried because I found that the normal range for absolute basophils is around 20 to 100 cmm. Should I be concerned about this? How can I work on increasing these levels?

its normal

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I'm really worried about my wife. She's been having a fever every week and then we just saw in her blood report that her hemoglobin is pretty low, like 7.7. Could you help me understand what's going on with her?

Recurrent fever and low hemoglobin (7.7%) in your wife's blood report suggest an underlying condition that requires medical attention; possible causes include iron deficiency anemia, chronic infections, autoimmune disorders, or malignancies; consult a general physician to conduct further investigations, such as iron studies, vitamin B12 and folate levels, and imaging tests, to determine the underlying cause and develop an appropriate treatment plan.

Answered by 1 Apollo Doctors