Brief Answer:
interpretation & management

Detailed Answer:
Dear
Thanks for contacting with your health concern and following is/are my observations:

1. Looking/going through the Hematology report it can be deduced:

. Serum Calcium is slightly low ( are there features of any peri oral numbness or tingling sensation?

. MCH is low, MCHC is diminished and MCV is less too, while all other parameters are normal thus few possibilities which have to be excluded are:

. Could be a case of microcytic hypochromic anemia probably iron deficiency anemia (IDA)
. As the patient is female thus one has to rule out common causes of IDA: Nutritional deficiency, chronic blood loss ( worms, piles,ulcer, menorrhagia, uterine fibroid)??
PS. Do let me know of any of the possibility

2. Check with a Hematologist/Pathologist for in depth analysis.

3. Go for other tests like: size and shape of RBC, ferrokinetics, vitamin B12 and folic acid deficiency, liver function test, thyroid function test
ultrasonography,gynecological opinion

4. Till further investigation, and clinical examination:

Take: old brown rice, green gram, white gourd, spinach, carrot, methi, banana, garlic, amla,dried ginger, rice gruel,turmeric,honey.

Avoid: black gram, sour food/fruit, sesame,asafoetida,alcohol,fish, excess water drinking, dag time sleeping, anger/grief.

5. Medicines work best when a clinical diagnosis is established, thus do revert back at earliest.

Dr. Munish Sood
Consultant & Physician
Naimittika

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Brief Answer:
please do the needful

Detailed Answer:
Dear
Thanks for reverting back

1. You can act as follow:

i. Consult and examine her at your hometown with a gynecologist (who will be in better position with face to face interaction) and then forward the reports on this platform.

ii. You can then search for gynecologist under HCM Doctor Speciality and then consult with the female doctor regarding
further management or if everything is normal in examination and reports you may directly click on my link: bit.ly/drmunishsood for further line of treatment.

Dr. Munish Sood
Consultant & Physician
Naimittika

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Brief Answer:
doctor patient relationship has to be established

Detailed Answer:
Dear
Thanks for reverting back

1. On your dashboard click on Doctors from where you will be directed towards "Doctor Home" page then scroll down to bottom where you will find Ask Specialist Heading from where you can select 'Ask an OBGYN' and then select doctor of your choice and depending upon reviews.

2. Since even she has to ask questions which only you or your wife will be in better position to answer thus your opinion and her observation will matter the most.

3. I cannot do the needful myself since questions will be related with female anatomy which only females can answer and understand

Dr. Munish
Naimittika

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Brief Answer:
will wait

Detailed Answer:
Dear
Thanks for reverting back

1. If everything comes out to be normal during gynecological checkup, investigation and consultation then do let me know directly on: bit.ly/drmunishsood link so that I can furnish medicines on the basis of XXXXXXX (Iron deficiency anemia)

Dr. Munish
Naimittika

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