Question 1

I have been suffering from Chikungunya for the past 2 weeks. During this period, I experienced upper thigh and knee joint pain for 2 days, which is now under control with medication. My blood report shows increased WBC, and my doctor mentioned a possible viral and bacterial infection. I have also been having loose motions (liquid stools) for the past 3 days and a fever above 102F for several days. My medical history includes urinary tract infections, and my kidneys are shrunk.

Question 2

Dear doctor, recently I fell sick and had fever and body pain. In fact, all my family members fell sick. My mother was diagnosed as dengue and typhoid positive. My daughters completely recovered. Their blood test results were negative for dengue, malaria, and typhoid. I was the last one to get sick. My test results for typhoid and malaria turned negative. On 02 Dec, Dengue IgM was negative (1.39 units) and IgG was equivocal (20.06 units) with platelets 1.40 lakhs/cmm. On 04 Dec, I again took a retest without my doctor knowledge. The results this time were: Dengue IgM 3.20 units (negative), IgG 52.46 units (positive), platelets 1.38 lakhs/cmm. Is there anything to be worried about, doctor? I would be glad if someone can explain why the IgG values have doubled? Thanks.

Question 3

My 3.6 year old daughter developed a fever with cough and cold. We consulted a child specialist who prescribed medications including Lanzopraz, Bestozym, Atoz, Tixylix, Calpol, Refzol, and Pacimol, which initially helped reduce the fever. However, she developed a high fever of 103. The doctor then prescribed Moxclav antibiotic and Pacimol. Although the fever decreases after medication, it returns every 4 to 5 hours. We are concerned and unsure about the situation. I have attached all prescriptions and her blood report. Kindly advise on what should be done next?

What is the normal range for red cell distribution width (RDW)?

A normal range of red blood cells that are similar in size are generally, a normal RDW is from 12% to 15%, but this number may vary from one lab to the other.

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