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?

Answered by 1 Apollo Doctors

Dr Shaik Kalam

General Practitioner

MD (Physician)
3+ Yrs

Consult Now

Symptoms suggest possible gut dysbiosis or IBS. Consider stool test, B12, iron profile. Long term Pan D use may affect absorption.

Dr. Shaik Suggests...

Take a STOOL EXAMINATION, PH & REDUCING SUBSTANCES Test or Take a Vitamin B12 Test Test

Book STOOL EXAMINATION, PH & REDUCING SUBSTANCES Test Book Vitamin B12 Test Test

Answered 08/09/2025

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