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Dimorphic Anemia - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   i am having breathlessness, headache, chest pain & cough. Please assist what it could be.
Doctor :   Hi
Doctor :  
Ok Proceed with your query
User :   hi
User :   Actually one & half month bk
Doctor :  
Ok
User :   I got sudden breathlessness and I was completely unable to breath.
Doctor :   Ok
Doctor :  
Was it only at that time?
User :   let me complete first.
Doctor :   Ok

User :   so I visited the doctor right ahead and they asked me to get blood sample particularly Hemogram, iron, B-12 & urin test.
User :   doen
User :   *done.
User :   The doctor suspected me for iron defeciency.
Doctor :   Ok

User :   The test confirmed me for Dimorphic Anemia.
Doctor :  
Ok
User :   So doctor started treating me for it and asked me to admit for faster recovery.
Doctor :   Ok

User :   I got admitted and treated for 5 days and before discharge the doctor had also taken chest Xray.
Doctor :   Ok

User :   Xray was all OK and I finally been discharged but the breathlessness was the same.
User :   there was no change in breathlessness. Doctor said that my Hemo level is low & I would be all well after few weeks after taking medicines at home.
User :   But since then there is no healing yet. Now my hemoglo. is 12.6 but still I feel breathlessness.
User :   I also visited to another doctor in some other but all told me that there is nothing wrong with me. Its just anxiety thats causing me breathlessness.
Doctor :   Ok

User :   So finally I thought of visiting to chest spl to verify if my lungs are all well.
User :   I went to chest spl and he asked me get PFT test done.
User :   The te technician who had performed the PFT told me that my test was OK and lungs were all well.
Doctor :   Ok

Doctor :   Thats fine

User :   I went to doctor for follow-up to show him the reports and hesaid that test was not performed correctly either I didn't performed it correctly or the technician didn't instructed me correctly.
Doctor :   Meaning?

User :   I mean he looked at the PFT reports(Graphs & report) and told me that test was not performed correctly. Either I did it incorrectly or the technicial instructed me incorrectly so in trun I did it incorrectly.
User :   I hope you got it this time.
Doctor :   Ok
Doctor :  
I got it
User :   and prescribed me one nasal spary. As I told the doctor that I visited one ENT doctor and ENT told me that I have deviated saptum problem & that is obstracting my airways.
User :   and hence I am feeling breathlessness.
Doctor :  
Ok
User :   The chest spl asked me to come for follow-up after 15 days.
Doctor :   Ok

User :   In the mean while when I was using nasal spary I thought of verifying diagnosis of the ENT I visited earlier.
Doctor :   Ok

User :   I went to another ENT and he asked me to get sinus nasal Xray done. The report of the same verified that I don't have any significant nasal saptum.
Doctor :   Ok

User :   sinus nasal Xray, I mean by the Xray of the head.
Doctor :  
I know
User :   I hope the technical jargan is correct. I am not used.
User :   actually.
Doctor :  
No problem, it is correct
User :   This ENT told me that if I feel to much breathlessness they can operate me but he was not sure whether it may correct my breathlessness.
Doctor :  
yes, that is right
User :   So finally after losing all hope from allopathy I went to Aurvedaic doctor and they diagnosed me for upper respiratory sys infection.
Doctor :   Ok

User :   The 15 days time frame of chest spl has passed and I have to go for another follow-up. I am continuously taken Aurvedic medicine and I feel my cough is producing comparatively very less.
Doctor :   Ok

User :   But the headache and chest pain are continuous.
Doctor :  
Ok
User :   Breathing I can't say much as I am still feeling breathlessness but it is bit relaxed I feel.
Doctor :   Ok

User :   I mean
User :   sometimes I feel literally breathlessness but when ever I feel breathlessness I have sudden headache.
Doctor :   Ok
Doctor :  
Now I shall explain you
User :   add to here I always feel drozzyness and I haev very poor concentration now.
User :   and any sudden light or noise could frighten me now.
Doctor :  
Going by your explanation what I could figure out is that this is psychologically related rather than anything physical
User :   Ok
User :   Add to ehre
User :   *here
User :   In the morning usually I cough out much...
Doctor :   Ok
User :   and cough is black in color some times.
Doctor :  
Ok
User :   I am done now.
Doctor :  
First of all I want to know if you have got an ECG done
Doctor :   when you were in the hospital

User :   nope.
Doctor :   Ok

User :   Is it the test for heart
Doctor :   Yes
Doctor :  
I would like you to rule out cardiac cause first
User :   OK then in last september when I had applied for a Life Insurance policy during their medicle test they had done it.
Doctor :   Ok

Doctor :  
I suppose you did not have this symptom at that time
User :   All was OK and they had issued me the policy.
User :   OK
User :   which symptom you are concerned.
Doctor :   breathlessness

User :   Not to that extent but I use to feel tired very early after doing little physical work.
Doctor :   Ok

Doctor :  
Get that done once
User :   OK
Doctor :  
and you can also compare it with your previous report, if you have
User :   OK
Doctor :  
and the next thing would be a Thyroid profile
User :   OK
Doctor :   These 2 should be fine

Doctor :  
Take your medications for Dimorphic anemia
Doctor :  
Ayurveda, I am really not the right person to tell you
User :   OK
User :   OK
Doctor :  
I do not have idea about it
Doctor :  
Next you will need to check your Hb levels again
Doctor :  
along with a PS
User :   not an issue but they are treating me for upper respiratory sys infection.
Doctor :   Ok

User :   PS???
Doctor :  
But I donno what they are giving
Doctor :   Peripheral Smear
User :   ok
Doctor :  

The problem is that the drugs which they give do not have any authenticated trials and research done
Doctor :   So we cannot comment on it

User :   hummmmmmmm....
Doctor :   With the above tests coming fine

Doctor :  
this symptom is more likely to be of a psychological cause
User :   OK
User :   Could you plz brief me on this tests.
User :   when they are done and for which.
Doctor :   Hb, peripheral smear for anemia

Doctor :  
Thyroid is also a blood test to see the levels of thyroid hormones
User :   k
Doctor :  
ECG, you might be aware
User :   yup
Doctor :  
Any other clarification regarding it?
User :   Is HB test also required or PS is suffice.
Doctor :  
Both are required
User :   OK
User :   lets say if the tests come -ve then that would mean????
Doctor :   I told you right, it would lead to a psychological cause

User :   I mean if +ve
Doctor :  
Hb and PS is a follow up
User :   right
Doctor :  
Thyroid problems do result is such symptoms
Doctor :  
and would be treated accordingly
Doctor :   and ECG is also the same case, to detect cardiac problem if any

Doctor :  
and treat accordingly
User :   Ok
User :   so finally I would be visiting to my Physician who treated me for Anemia
Doctor :   Ok

User :   who else should I visit to get all these tests done.
Doctor :  
A cardiologist for ECG opinion
User :   k
Doctor :  
These tests can be done in the lab
Doctor :  
And other reports you can come back to us
Doctor :  
We shall guide you
User :   You mean no doctor prescription is required.
User :   ok
Doctor :  
For tests, it is not required
User :   ok
User :   so any pathology lab should work for me.
User :   right???
Doctor :   Yes

User :   Ok perfect.
Doctor :  
Is there any thing else I can help you with?
User :   yp
User :   I forgot to mention that I used to smoke.
Doctor :   Ok
User :   and I smoked for almost 6 yrs.
Doctor :  
That is a concern for your heart mainly
User :   ok
Doctor :  
and also your BP, it comes under heart only
User :   and finally I quitted it and haven't smoked since last one month.
Doctor :  
That is good
Doctor :  
Continue the same
Doctor :   Could this be a withdrawal response as well?
User :   Now I don't smoke and don't even do passive smoking and any second hand smoke.
Doctor :  
Can you correlate the same
User :   might be. I read about that withdrawal symptoms but I couldn't correlate those.
Doctor :  
Ok
User :   As I used to feel bit headache and drozineess after having very first cigaratte of the day.
Doctor :  
Ok
User :   Do you think that might it be withdrawal symptoms.
Doctor :   That is a possibility

User :   Ok. Any idea how long do these symptoms last.
Doctor :  
That cannot be commented in a universal manner
Doctor :  
It is purely subjective
User :   OK you mean vary person to person.
Doctor :   Yes, behavioural disorders are like that

Doctor :  
It is not uniform
Doctor :  
But we shall look in that direction after getting the test report
User :   k
User :   My main concern is my headache. As due to this most of the times have to fight alot to concentrate and remembering the things.
Doctor :   Ok

Doctor :  
But it also favours with the cause in mind
User :   ok
User :   Add to here I have never ever felt any kind of headache before.
Doctor :   Ok

User :   hardly since the time I am being treated for Anemia I am having this problem.
Doctor :   Ok

Doctor :  
Headache could also be due to a psychological cause which includes withdrawal symptom as well
User :   hummmmm.
User :   Should I visit the Chest spl again. what say???
Doctor :   Not required at this stage

User :   ok
User :   Since last two days I couldn't sleep
Doctor :   Ok
Doctor :  
Try to relax well with a walk for 20 mins
User :   might it be related to same.
Doctor :  
That will help
User :   ok
Doctor :  
With the reports coming normal, you will need a Psychiatrist's help
User :   OK
User :   Is there any thing wrong with my Lungs...
Doctor :   No, I dont think in that direction

Doctor :  
Report back with your reports, that should be fine for now
User :   ok so I need to follow-up to my doctor and get all those tests done i.e. HB, PS, ECG and Thyroid Profile.
User :   Thats what you suggest me for the time being.
Doctor :   Yes, that would be fine

User :   Once I am done with it wht I need to do.
Doctor :   I have mentioned that previously

Doctor :  
You can go through the chat in your leisure
User :   Psychiatrist'
Doctor :  
It would be saved in your chat history
User :   One last thing, I am worried on.
Doctor :   Ok
User :   Is there any point or time when I need to seek the help of chest spl again.
Doctor :   Right now, there is no indication for that

User :   Could you plz breif me the symptoms
Doctor :  
that is what I meant while telling you that it is less likely at this stage
Doctor :   What symptoms?

User :   Symptoms when I need to seek for chest spl.
Doctor :   That is not a possibility

User :   ok
Doctor :  
Please report back with your test
User :   MY chest sounds crunching when I twist it.
Doctor :   We have a long queue of patients waiting to get medical advice. Please restrict your medical queries

Doctor :   You can login back after sometime
Doctor :  
and we can proceed
User :   OK no issues. It was my last query actually.
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.

User :   suer.
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