Question 1

Respected Doctor, For the past 45 to 50 days, I have been experiencing symptoms that felt very different from before, so I consulted a doctor. I was diagnosed with bipolar disorder and started on medication. Since then, I have been feeling very sleepy, low on energy, and have increased hunger. These symptoms have continued for the last 7 days. Additionally, I noticed that when I wake up, my face appears swollen or enlarged, but it returns to normal after 3 to 4 hours. I informed my doctor about this, and some tests were done. The lab report shows that my TLC is very high. I am concerned because my energy keeps decreasing, my hunger is increasing, and I feel sleepy and moody most of the time. Could you please advise what I should do next? How can I manage or control the high TLC? I have also uploaded my prescription to help you understand my treatment better.

Question 2

After experiencing diarrhea, I often develop swelling in my knees and ankles, along with pain in my neck, elbows, and other joints. Since March, my condition has worsened to the point where I am bedridden, with extreme pain along my spinal cord and swelling in my left knee. My HLA B27 test result came back as weakly positive. What does this mean, and will I be able to recover and return to normal again?

Question 3

My father received the Covaxin vaccine on 3rd April. For the past 15 days, he has had a fever ranging from 99 to 101F, which is partially relieved with Crocin. COVID antigen and RTPCR tests were negative. He is also experiencing shortness of breath (28 breaths per minute). His recent blood reports show:
RBC: 2.1 million/microlitre
Hemoglobin: 9.2 g/dl
WBC: 14.4 by 10000/microlitre
CRP: 217
Serum creatinine: 3.21 mg/dl
Iron: 24 microgram/dl
Bilirubin direct: 0.6 mg/dl
Urine report is normal, with no pus or abnormalities, and he has no issues while passing urine.
Could his continuous fever, shortness of breath, and anemia be due to kidney problems? Please advise what could be causing these symptoms and the next steps for evaluation and treatment.

My CRP is 46. Is it too high? Am I in danger? I have fever, cold and body pain for 5 days and I am taking Abphylline tablet along with Montek LC. Fever is not going away. My ESR and CRP are high. Am I safe? Please check my report.

CRP 46 is high and indicates inflammation or infection. Fever, body ache, and cold for 5 days may mean a viral or bacterial infection. You are not in immediate danger but need proper medical review.

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