Question 1

Hi, I am experiencing numbness in the last two fingers of my right hand, mostly in the mornings when I wake up. I am not diabetic (post meal sugar: 133). Previously, I had significant drooping of my right eyelid, which was evaluated by neurologists and an ophthalmologist, and nerve tests were normal, only vitamin deficiencies were found. After taking vitamins, my eyelid improved. However, now this intermittent numbness in my fingers every alternate morning is worrying me. Could this indicate a serious condition that I need to be alert about? Please advise. Thank you in advance.

Question 2

My father has been a chain smoker for many years. Recently, I have noticed that he has become very lethargic, has lost interest in daily activities, and is also showing signs of forgetfulness. Although he has reduced his smoking, he has not quit completely. I am concerned whether these symptoms could be a result of long-term smoking. Kindly advise.

Question 3

Hi, my blood report includes the remark ALERT, Predominantly normocytic normochromic with macrocytes and ovalocytes. I would like to understand what this means. My report shows, Hemoglobin is 12.8 g/dL, MCV is 109.9 fL, MCH is 33.2 pg, MCHC is 30.3 g/dL, RDWSD is 59.3 fL, RDWCV is 14.4 percent. Could you please explain the significance of these findings?

Predominantly macrocytic normochromic with macroovalocytes. I have uploaded my report here. Please help me understand the diagnosis?

Macrocytic normochromic anemia with macroovalocytes usually points to Vitamin B12 or folate deficiency. Check your B12, folate, and reticulocyte count. Symptoms may include fatigue or tingling.

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