Headache, acidity, apthous ulcers and test report - Online Doctor Chats
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Practicing since : 2004
Answered : 1777 Questions
Doctor : hi
Doctor :
how can i help you?
User : Hi
User :
hope u remember, we had a discussion abt mouth ulcer and headache day before yesterday
Doctor :
please proceed with your health query
Doctor :
ok
User :
you asked me to gone through some blood tests
User :
I got the reports now
Doctor :
ok
Doctor :
could you tell me the reports please?
Doctor :
did you get the dentist consultation also?
User :
no
User :
I have discussed with dentist long back
User :
Lymphocytes is high its... 46.40
User :
and absolute leukocyte counts: 3.09
Doctor :
ok
User :
should I explain u all the parameters?
User :
actually these two are above normal range
Doctor :
tell me the ESR and Hb levels
User :
HB is: 13.30
Doctor :
ok
User :
ESR 6 mm(1 hr) (0-15)
User :
Westergren
Doctor :
ok
User :
and Blood Picture is: User :
Normocytic normochrimic RBCs.
Doctor :
ok
User :
Hypochromic RBC(+)
Doctor :
ok
User :
There is mild Lymphocytosis
Doctor :
ok
User :
monocyte 0.43
Doctor :
ok
User :
eosinophil 0.25
User :
basophil 0.04
Doctor :
ok
User :
Packed Cell Volume 43.20
Doctor :
ok
User :
leukocyte count, total 6.70
User :
MCH 26.50
User :
MCHC 31.60
Doctor :
ok
User :
RDW 13.60
Doctor :
fine
User : its has lot more parameters, do I need to mention those also?
Doctor :
based on the discussion we had yester and the report u gave me uptil now
Doctor :
i can think of this possibility
Doctor :
u seem to have stress induced migraine, with stress ulcers (aphthous ulcers) and anemia
Doctor :
anemis is eveident from the report you gave me
Doctor :
Hb is a little low and RBC's are shown to be hypochromic which happens in anemia
Doctor :
you will need to continue the migraine treatment prescribed to you
Doctor :
practice stress management techniques
Doctor :
and take/continue nutritional suppliments
User : but report says normal range fo HB is: 13.00 to 17.00
User :
and mine is: 13.70
Doctor : it is on the lower range so it can be considered low
Doctor :
and also th enormal values vary from lab to lab
Doctor :
the standard is to have between 14-17 in adult men.
Doctor :
and the deficeincy is also evident as the report shows hypochromic RBC's which is a more reliable information
Doctor :
as the color or chromicity of RBC depend on iron/hemoglobin content in them
Doctor :
so if they are low, the RBC will be hypochromic or less in color
Doctor :
have you followed what i have said?
User :
u mean tried to observe instance when I got headache and make a note of routine
Doctor :
yes, have you done that anytime?
User :
yah that I am doing,
Doctor :
have you tried to figure out the cause/triggers that start the headache?
User :
now I am fine
Doctor :
ok
User :
yah but after that Its not triggered as of now
User :
in the nigth I took one nimuled
User :
that then it went away
Doctor :
make a note of these such that u can try and avoid such factors/situations in future
Doctor : ok
User : what u mean to say anemia
Doctor :
often taking a pain reliever at the start of headache helps a lot
User :
is it deficiency of Iron and blood
Doctor :
but i recommend yiu to take Tab Dolo 650 mg if headaches are severe
User :
ok
User :
ok
Doctor :
and not Nimulid, as Nimulid has got hepatotoxic effects
Doctor :
which means that it will slowly damage your liver
User :
ok
Doctor :
so avoid that
User :
what abt NICIP +
Doctor : Nicip again has mimsulide component, so again it is not to be used
User :
ok
Doctor :
just remember to turn over the tablet leaf and read the constituent medications
Doctor :
and if they contain "nimesulide" avoid taking that
Doctor :
have you followed what i have said?
User :
ok
User :
yes
Doctor :
Is there any thing else I can help you with?
User :
yes
User :
would u suggest any diet content
User :
which I need to take care
Doctor :
sure, i will help you with this
Doctor :
include green leafy vegetables,
User :
I take a lot alwayse
Doctor :
ok
User :
I take regular sprouted, salad, fruits, almonda, milk
User :
never take fast food or junk food
Doctor :
i will tell you a list of fruits and vegetables that contain iron in more amounts
User :
regularly doing yoga/exercise
Doctor :
you can take care that you use them more
User : ok
Doctor :
fruits include: oranges, kiwi, blackberries, strawberries, tomatoes, banananas, grapes
Doctor :
vegetables: Lima beans, peas, spinach, broccoli, carrots, corn, mushrooms
User :
ok
User :
I am surprised with the word anemia
User :
is that deficiency of Iron and HB?
User :
is it a severe thing
User :
?
Doctor : there are certain foods that you need to avoid for your migraine
Doctor :
it sis not very severe in your case, it is just borderline, with the diet and suppliments you will be normal
Doctor :
are you a vegetarian, semi veg, or a non vegetarian ?
User :
pure veg...
Doctor :
ok
User :
earlier I took egg but now again veg
Doctor :
avoid cheese, alcohol, vanilla flavoured things, Soy beans, Italian green beans, broad bean pods, Nuts (especially peanuts), Yeast (especially in homemade bread and sourdough), Sauerkraut (and other aged foods)
Doctor : never take stale or aged foods
Doctor :
try and always have freshly made foods
Doctor :
avoid tinned/pakaged foods
Doctor :
avoid coffee and all cocoa products
User :
ok
Doctor :
have you followed what i have said?
User :
yes
Doctor :
along with medicines there few foods that help to control/reduce headaches
Doctor :
Peppermint, Cayenne pepper, Ginger (more on ginger here), Foods rich in calcium (such as spinach, broccoli and kale), Foods rich in magnesium, such as spinach Oatmeal, Wheat, Garlic.
Doctor : these will help you to control and prevent the headache frequency
Doctor :
is there anything else i can help you with?
User : yes
User :
what abt that Lymphocytes
User :
that is high in my blood
Doctor :
increase in lymphocytes indicate that there is some ongoing infection
Doctor : which can be due to the apthous ulcers that you have
User :
ok
User :
should I go for culture test of mouth ulcers
User :
would that help me for long term
Doctor :
yes that wil be better to take a culture
User : ok
User :
what abt sprouts is that positive or negative food in my case
Doctor :
so that it will tell what organism is causing it
User :
ok
Doctor :
and also which drug the organism is sensitive to
Doctor :
sprouts are generally good
Doctor :
but in case they result in precipitating headaches, avoid them
User :
ok
User :
is there any chance that acidity is the reason of all these things
User :
few days back it was observed that I have acidity
Doctor :
acidity can result in all cases of stress
User :
in the morning I hve to go twice or thrice to get freshed
Doctor :
as the stomach is the first to sympathise with us for stress
Doctor :
and it does by producing acid in more quantities
Doctor :
and thereby causing the symptoms
Doctor : Take Syp Digene 20 ml two times a day before food
Doctor :
it will help to relieve acidity symptoms
Doctor :
also drink a glass of warm water at bedtime
User :
ok
Doctor :
this will help in having motions well in the morning
User :
I take warm glass of water in the moring
User :
*morning is that also helpfull ?
Doctor : i am not sure of that to help in motion problem, but it helps in acting as a detoxifier for the body
Doctor :
taking at nigh helps
User :
detoxifier?
User :
is it good or bad?
Doctor :
our body get toxified with the pollution, foods we take, condiments we use
Doctor :
so it is important that we detoxify it
Doctor :
and taking warm water at morning empty stomach helps to do that
User : ok
Doctor :
remember to take atleast 10-12 glasses of water per day
User :
yes that I do
Doctor :
that is really good, i really appreciate it as many people almost 80% of the population do not drink enough water.
User : I take regularly
User :
is acidity and gas are same thing or different
Doctor : both are interrelated
User :
can early morning tea can be reason for this
Doctor :
early morning tea in empty stomach is known to aggravate acidity
User :
ok
User :
eggravate?
User :
mean to increase acidity or gas?
Doctor : yes, aggravate means to increase
User :
ok thanks a lot
User :
do u have any special tips for me to improve...
Doctor : i gues at this juncture just follow the advise i have gib=ven
Doctor :
get back to me if any problems
User :
sure..
Doctor :
Please fill the feedback form say done when done.
User :
will get back to u after the culture tes
User :
t
Doctor : follow the advises given for a month
Doctor :
get back if face any problem in between
Doctor :
and get back to me after the culture test
User :
sure thanks
Doctor :
Thanks for consulting HealthcareMagic. Bye for now.Please chat with our doctors 24/7 for medical queries. Please refer your friends to our service.
User :
sure
Doctor : Bye.
Doctor :
Wish you a great day ahead
User : Bye
User :
wish u too
User :
:)
Doctor :
how can i help you?
User : Hi
User :
hope u remember, we had a discussion abt mouth ulcer and headache day before yesterday
Doctor :
please proceed with your health query
Doctor :
ok
User :
you asked me to gone through some blood tests
User :
I got the reports now
Doctor :
ok
Doctor :
could you tell me the reports please?
Doctor :
did you get the dentist consultation also?
User :
no
User :
I have discussed with dentist long back
User :
Lymphocytes is high its... 46.40
User :
and absolute leukocyte counts: 3.09
Doctor :
ok
User :
should I explain u all the parameters?
User :
actually these two are above normal range
Doctor :
tell me the ESR and Hb levels
User :
HB is: 13.30
Doctor :
ok
User :
ESR 6 mm(1 hr) (0-15)
User :
Westergren
Doctor :
ok
User :
and Blood Picture is: User :
Normocytic normochrimic RBCs.
Doctor :
ok
User :
Hypochromic RBC(+)
Doctor :
ok
User :
There is mild Lymphocytosis
Doctor :
ok
User :
monocyte 0.43
Doctor :
ok
User :
eosinophil 0.25
User :
basophil 0.04
Doctor :
ok
User :
Packed Cell Volume 43.20
Doctor :
ok
User :
leukocyte count, total 6.70
User :
MCH 26.50
User :
MCHC 31.60
Doctor :
ok
User :
RDW 13.60
Doctor :
fine
User : its has lot more parameters, do I need to mention those also?
Doctor :
based on the discussion we had yester and the report u gave me uptil now
Doctor :
i can think of this possibility
Doctor :
u seem to have stress induced migraine, with stress ulcers (aphthous ulcers) and anemia
Doctor :
anemis is eveident from the report you gave me
Doctor :
Hb is a little low and RBC's are shown to be hypochromic which happens in anemia
Doctor :
you will need to continue the migraine treatment prescribed to you
Doctor :
practice stress management techniques
Doctor :
and take/continue nutritional suppliments
User : but report says normal range fo HB is: 13.00 to 17.00
User :
and mine is: 13.70
Doctor : it is on the lower range so it can be considered low
Doctor :
and also th enormal values vary from lab to lab
Doctor :
the standard is to have between 14-17 in adult men.
Doctor :
and the deficeincy is also evident as the report shows hypochromic RBC's which is a more reliable information
Doctor :
as the color or chromicity of RBC depend on iron/hemoglobin content in them
Doctor :
so if they are low, the RBC will be hypochromic or less in color
Doctor :
have you followed what i have said?
User :
u mean tried to observe instance when I got headache and make a note of routine
Doctor :
yes, have you done that anytime?
User :
yah that I am doing,
Doctor :
have you tried to figure out the cause/triggers that start the headache?
User :
now I am fine
Doctor :
ok
User :
yah but after that Its not triggered as of now
User :
in the nigth I took one nimuled
User :
that then it went away
Doctor :
make a note of these such that u can try and avoid such factors/situations in future
Doctor : ok
User : what u mean to say anemia
Doctor :
often taking a pain reliever at the start of headache helps a lot
User :
is it deficiency of Iron and blood
Doctor :
but i recommend yiu to take Tab Dolo 650 mg if headaches are severe
User :
ok
User :
ok
Doctor :
and not Nimulid, as Nimulid has got hepatotoxic effects
Doctor :
which means that it will slowly damage your liver
User :
ok
Doctor :
so avoid that
User :
what abt NICIP +
Doctor : Nicip again has mimsulide component, so again it is not to be used
User :
ok
Doctor :
just remember to turn over the tablet leaf and read the constituent medications
Doctor :
and if they contain "nimesulide" avoid taking that
Doctor :
have you followed what i have said?
User :
ok
User :
yes
Doctor :
Is there any thing else I can help you with?
User :
yes
User :
would u suggest any diet content
User :
which I need to take care
Doctor :
sure, i will help you with this
Doctor :
include green leafy vegetables,
User :
I take a lot alwayse
Doctor :
ok
User :
I take regular sprouted, salad, fruits, almonda, milk
User :
never take fast food or junk food
Doctor :
i will tell you a list of fruits and vegetables that contain iron in more amounts
User :
regularly doing yoga/exercise
Doctor :
you can take care that you use them more
User : ok
Doctor :
fruits include: oranges, kiwi, blackberries, strawberries, tomatoes, banananas, grapes
Doctor :
vegetables: Lima beans, peas, spinach, broccoli, carrots, corn, mushrooms
User :
ok
User :
I am surprised with the word anemia
User :
is that deficiency of Iron and HB?
User :
is it a severe thing
User :
?
Doctor : there are certain foods that you need to avoid for your migraine
Doctor :
it sis not very severe in your case, it is just borderline, with the diet and suppliments you will be normal
Doctor :
are you a vegetarian, semi veg, or a non vegetarian ?
User :
pure veg...
Doctor :
ok
User :
earlier I took egg but now again veg
Doctor :
avoid cheese, alcohol, vanilla flavoured things, Soy beans, Italian green beans, broad bean pods, Nuts (especially peanuts), Yeast (especially in homemade bread and sourdough), Sauerkraut (and other aged foods)
Doctor : never take stale or aged foods
Doctor :
try and always have freshly made foods
Doctor :
avoid tinned/pakaged foods
Doctor :
avoid coffee and all cocoa products
User :
ok
Doctor :
have you followed what i have said?
User :
yes
Doctor :
along with medicines there few foods that help to control/reduce headaches
Doctor :
Peppermint, Cayenne pepper, Ginger (more on ginger here), Foods rich in calcium (such as spinach, broccoli and kale), Foods rich in magnesium, such as spinach Oatmeal, Wheat, Garlic.
Doctor : these will help you to control and prevent the headache frequency
Doctor :
is there anything else i can help you with?
User : yes
User :
what abt that Lymphocytes
User :
that is high in my blood
Doctor :
increase in lymphocytes indicate that there is some ongoing infection
Doctor : which can be due to the apthous ulcers that you have
User :
ok
User :
should I go for culture test of mouth ulcers
User :
would that help me for long term
Doctor :
yes that wil be better to take a culture
User : ok
User :
what abt sprouts is that positive or negative food in my case
Doctor :
so that it will tell what organism is causing it
User :
ok
Doctor :
and also which drug the organism is sensitive to
Doctor :
sprouts are generally good
Doctor :
but in case they result in precipitating headaches, avoid them
User :
ok
User :
is there any chance that acidity is the reason of all these things
User :
few days back it was observed that I have acidity
Doctor :
acidity can result in all cases of stress
User :
in the morning I hve to go twice or thrice to get freshed
Doctor :
as the stomach is the first to sympathise with us for stress
Doctor :
and it does by producing acid in more quantities
Doctor :
and thereby causing the symptoms
Doctor : Take Syp Digene 20 ml two times a day before food
Doctor :
it will help to relieve acidity symptoms
Doctor :
also drink a glass of warm water at bedtime
User :
ok
Doctor :
this will help in having motions well in the morning
User :
I take warm glass of water in the moring
User :
*morning is that also helpfull ?
Doctor : i am not sure of that to help in motion problem, but it helps in acting as a detoxifier for the body
Doctor :
taking at nigh helps
User :
detoxifier?
User :
is it good or bad?
Doctor :
our body get toxified with the pollution, foods we take, condiments we use
Doctor :
so it is important that we detoxify it
Doctor :
and taking warm water at morning empty stomach helps to do that
User : ok
Doctor :
remember to take atleast 10-12 glasses of water per day
User :
yes that I do
Doctor :
that is really good, i really appreciate it as many people almost 80% of the population do not drink enough water.
User : I take regularly
User :
is acidity and gas are same thing or different
Doctor : both are interrelated
User :
can early morning tea can be reason for this
Doctor :
early morning tea in empty stomach is known to aggravate acidity
User :
ok
User :
eggravate?
User :
mean to increase acidity or gas?
Doctor : yes, aggravate means to increase
User :
ok thanks a lot
User :
do u have any special tips for me to improve...
Doctor : i gues at this juncture just follow the advise i have gib=ven
Doctor :
get back to me if any problems
User :
sure..
Doctor :
Please fill the feedback form say done when done.
User :
will get back to u after the culture tes
User :
t
Doctor : follow the advises given for a month
Doctor :
get back if face any problem in between
Doctor :
and get back to me after the culture test
User :
sure thanks
Doctor :
Thanks for consulting HealthcareMagic. Bye for now.Please chat with our doctors 24/7 for medical queries. Please refer your friends to our service.
User :
sure
Doctor : Bye.
Doctor :
Wish you a great day ahead
User : Bye
User :
wish u too
User :
:)
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