Question 1

I was diagnosed with CML (chronic phase) in February and started Veenat 400 from March 6th, with my WBC counts remaining stable at around 5000 and my 6 month BCR ABL result being 0.953 percent. However, since July, I have been experiencing persistent mouth sores that have not improved with different remedies. My question is, what is the best way to manage this? Should I stop Veenat for a week and restart, switch to a second-generation drug, or temporarily move to a second generation drug and later return to the first generation one? My main concern is whether taking a break from Veenat will negatively affect my long term treatment goals and the possibility of achieving deep molecular remission at one year.

Question 2

My mother is 57 years old and has been receiving treatment at AIIMS Hospital for the past 17 years. She was fine until a month ago, but since then, she has developed a dry cough. She has taken all the medicines prescribed by the AIIMS doctor, but there has been no improvement. Her blood report is normal. The cough is not continuous, but when it starts, it becomes unstoppable for a while. Because of the cough, she also feels pain in her throat. She is taking a cough syrup called Grilinctus.
Please suggest what we should do.

Question 3

One year ago, my periods started getting delayed to 35 or 38 days, but not more than that. I consulted a gynecologist who advised me to get a scan. After reviewing the scan report, I was diagnosed with PCOD. I experience pain on the right side when my period comes. The doctor did not prescribe any medication but told me to reduce my weight. I weighed 88 kg before and now I am 74 kg. My periods have become regular, coming every 30 or 31 days, but I am having heavy bleeding with large blood clots, feeling very weak, and experiencing pain on the right side. The heavy flow lasts for 4 to 5 days. Please help me understand what I should do about this problem. I am waiting for your reply.

Sir, this is my blood report and I am not having any fever, cough, swollen lymph nodes, night sweats, my KFT and LFT values are normal, I am not losing weight, but I am having itchy skin. I am very scared about lymphoma. Please give me an answer sir?

Based on what you have shared, there are no major warning signs of lymphoma. Itchy skin alone can be caused by many non serious conditions. Stay calm and consult a doctor if new symptoms appear.

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