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I Need Help To Try To Figure Out What Is

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Posted on Fri, 14 Jun 2019
Question: I need help to try to figure out what is causing my general malaise, loss of appetite, sensitivity to certain foods(Some foods I usual like to eat now cause revulsion but no vomiting) Usually I am healthy and physically and mentally active. This has been going on since April 15th and has come on suddenly. I have no problem with constipation and go bathroom regularly. I have gone for three ekg, tests ,chest xrays and no doctor can come up with anything. I saw a cardiologist and he said I have a-fib and recommended Zarelto but I am not sure that he is correct.

I really need some type of suggestions for natural cures as medicines do not agree with me. The anti anxiety medicine I tried made my legs weak and I could not get up from sitting position without help. The Zarelto caused severe back pain.

Any suggestions would be appreciated.
doctor
Answered by Dr. salah saad shoman (5 hours later)
Brief Answer:
A number of possible causes

Detailed Answer:
Dear Ma’am, I have gone through your question and I understand your concerns but these symptoms could be due to a number of causes,

Hence, I would recommend that you get a CBC blood test to exclude anemia and a thyroid hormonal profile including T3,T4 and TSH to exclude hypothyroidism.

I hope you find this helpful.

Let me know if I can assist you further.

Regards


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. salah saad shoman (1 hour later)
Component     Your Value     Standard Range
WBC     14.7 10(9)/L     3.8 - 11.2 10(9)/L
RBC     4.21 10(12)/L     3.9 - 5.2 10(12)/L
Hemoglobin     11.6 g/dL     11.6 - 15.1 g/dL
Hematocrit     38.3 %     34.1 - 44.2 %
MCV     91.0 fL     80 - 100 fL
MCH     27.6 pg     27 - 33 pg
MCHC     30.3 g/dL     30 - 35 g/dL
RDW     14.1 %     11 - 15 %
Platelet Count     398 10(9)/L     150 - 450 10(9)/L
Diff Method     Auto      
Neutrophils     80.4 %     40 - 70 %
Lymphs     10.7 %     20 - 45 %
Monocytes     7.8 %     4 - 10 %
Eosinophils     0.1 %     0 - 6 %
Basophils     0.1 %     0 - 2 %
Immature Gran (IG)     0.9 %     0.0 - 0.7 %
Neutrophils, Absolute     11.83 10(9)/L     1.4 - 7.0 10(9)/L
Lymphs, Absolute     1.57 10(9)/L     0.7 - 4.5 10(9)/L
Monocytes, Absolute     1.15 10(9)/L     0.1 - 1.0 10(9)/L
Eosinophils, Absolute     0.02 10(9)/L     0 - 0.6 10(9)/L
Basophils, Absolute     0.02 10(9)/L     0 - 0.2 10(9)/L
Immature Gran,Absolute     0.13 10(9)/L     0.00 - 0.06 10(9)/L
Immature Gran Comment     See Note:      
Immature Granulocytes (IG) may include metamyelocytes, myelocytes and promyelocytes.
RBC Morphology     Normal      
Platelet Estimate     Adequate      
PLT Morphology     Normal      
General Information
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Follow up: Dr. salah saad shoman (2 minutes later)
LD (LDH)     1,151 U/L     94 - 250 U/L
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Follow up: Dr. salah saad shoman (0 minute later)
Is seems the LD is way out of line
Does this give you any other ideas?

Thanks
doctor
Answered by Dr. salah saad shoman (28 hours later)
Brief Answer:
Familial hypercholesterolemia must be excluded

Detailed Answer:
Dear Ma’am, hello again.. your ldl level is extremely elevated which might suggest a familial hypercholesterolemia case.. This is why I would recommend that you get a blood test for total cholesterol level and if high , then you should get an Ecg along with an echocardiogram to exclude atherosclerosis. In the meanwhile you need to exercise daily , decrease fat content in your diet and increase vegetables and fruits intake.. You should also refer to your doctor for a prescription of statins to help decrease the ldl level. I hope you find this helpful
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Kampana
doctor
Answered by
Dr.
Dr. salah saad shoman

Internal Medicine Specialist

Practicing since :2004

Answered : 3153 Questions

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I Need Help To Try To Figure Out What Is

Brief Answer: A number of possible causes Detailed Answer: Dear Ma’am, I have gone through your question and I understand your concerns but these symptoms could be due to a number of causes, Hence, I would recommend that you get a CBC blood test to exclude anemia and a thyroid hormonal profile including T3,T4 and TSH to exclude hypothyroidism. I hope you find this helpful. Let me know if I can assist you further. Regards