Question 1

Respected Doctor, I have been experiencing gas and indigestion for the past two months, sometimes accompanied by nausea. I also notice white mucus in my stool, along with brain fog and anxiety. My recent blood tests show
Hemoglobin is 11.9 (RBC count 4.31, previously 12.5 in October 2021 and 15 in August 2020
WBC count is 9800 (Neutrophils 59 percent, Lymphocytes 34 percent, Eosinophils 4 percent, Monocytes 3 percent)
RDW is 16.3
Liver function tests are SGPT 28.2, SGOT 28, Bilirubin Direct 0.12, Indirect 0.2, Alkaline Phosphatase 88
I also have hypertension and am taking CTD T 6.25/40 in the morning and Met XL 25 at night. Additionally, I have been taking Pan D capsule for the past year on an empty stomach in the morning. My hemoglobin is gradually decreasing. Could you please advise what might be causing these symptoms and the drop in hemoglobin, and what further tests or treatment I may need?

Question 2

My baby has been prescribed Enterogermina vials for 5 days because her stool report shows WBC 15 to 20/hpf, presence of mucus (+++), and reducing substances, even though she does not have diarrhea. She currently has no other symptoms but is feeding less than before, previously she drank about 90 mL of formula per feed, and now she only takes around 30 mL. Her weight has not increased in the last 3 weeks. Her birth weight was 2.188 kg, and she currently weighs 4.6 kg. How can I help her increase her weight and improve her milk intake?

Question 3

I have been having stomach ache for 1 to 2 years. My reports are normal. The pain is on the left side and is continuous.

My occult blood report is not detected, but there is blood in my stool in physical examination. Is it a cause of concern?

If visible blood is seen despite a negative occult test, further evaluation like sigmoidoscopy or colonoscopy is advised to find the source of piles, fissures, polyps.

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I have been having stomach ache for 1 to 2 years. My reports are normal. The pain is on the left side and is continuous.