I'm really worried about my 3.5-year-old son. He's got some swelling down there, and after getting it checked out, they said it's hydrocele. The doctor mentioned surgery, but I'm unsure if that's the right move. I came across information online that says this kind of hydrocele might go away on its own in kids. Should we wait a bit more, or is surgery the best option here? What do you think?

Dr Dr Khaleel Ur Rahim

General Practitioner

• MBBS
• 1+ Yrs

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Low Hemoglobin and Platelet Count

Persistent Low Hemoglobin

1. Severe anemia: A hemoglobin level of 7-7.4 gdL indicates severe anemia.
2. Underlying cause: The underlying cause of your anemia needs to be determined.

Increased Platelet Count

1. Thrombocytosis: A platelet count of 629 10^9L is elevated.
2. Possible causes: Thrombocytosis can be caused by various factors, including anemia, inflammation, or bone marrow disorders.

Next Steps

1. Consult a hematologist: Schedule an appointment with a hematologist to evaluate your anemia and thrombocytosis.
2. Repeat CBC and additional tests: Repeat your CBC and undergo additional tests, such as:
   • Iron studies (ferritin, iron, and transferrin saturation)
   • Vitamin B12 and folate levels
   • Reticulocyte count
   • Bone marrow biopsy (if necessary)
3. Address underlying causes: Once the underlying causes are identified, your hematologist can recommend appropriate treatments.

Answered 04/07/2025