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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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After having seen a Hematology/ Oncologist for the first time,

Answered by
Dr.
Dr. Monish De

Oncologist

Practicing since :2004

Answered : 2233 Questions

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Posted on Mon, 25 Mar 2019 in General Health
Question: After having seen a Hematology/Oncologist for the first time, a number of blood tests were ordered. Results will be provided. I need the results explained and what the expected next steps would be. Additional information on medications and past medical history can be provided upon request.
doctor
Answered by Dr. Monish De 2 hours later
Brief Answer:
I will interprete

Detailed Answer:
Hi

After the reports come come you can upload it here

I will interprete your results

Dont worry

Regards
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Monish De 2 hours later
Reports have been uploaded.
doctor
Answered by Dr. Monish De 10 hours later
Brief Answer:

Apart from anaemia your blood reports are normal

Detailed Answer:

Hi

I have gone through your uploaded reports

Apart from anaemia your blood reports are normal

You were recommended free light chain analysis diagnose and monitor plasma cell disorders such as multiple myeloma and primary amyloidosis but that is also normal

So i do not think you need to worry

Regards
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Monish De 19 minutes later
What are the next steps to discover the root cause of the anemia that has been continuing to worsen for six months and resolve it?
doctor
Answered by Dr. Monish De 40 minutes later
Brief Answer:

Blood for iron profile test

Detailed Answer:

Hi

In order to come to root cause of anaemia you need to do blood for iron profile test

It includes total iron binding capacity test (TIBC) which measures the amount of iron ready to bind with proteins in the blood, serum ferritin test which is used to evaluate the amount of iron stored in the body and transferrin saturation test which is the percentage of transferrin which is saturated with iron.

As colonoscopy was good an upper GI endoscopy also recommended

Regards
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Monish De 25 minutes later
Does the document IronStudyWithFerritin.pdf not provide this data?
doctor
Answered by Dr. Monish De 11 minutes later
Brief Answer:

Upper GI endoscopy and CT scan whole abdomen is required

Detailed Answer:

Hi

Yes it does

You have low iron saturation meaning you could have blood loss, inadequate dietary iron or anemia of chronic disease

That is why upper GI endoscopy and CT scan whole abdomen is required

You can take food such as chicken, fish, pasta, pumpkin seeds, beans, lentils, wholegrain, beans and lentils which are rich in iron.

Regards




Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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