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Suggest treatment for symptoms of vitamin B12 deficiency

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Posted on Fri, 8 Jul 2016
Question: I think from my symptoms that I have a cold - coughing, mucous from nose and throat - but my mucus is yellow/green and I have a coating on my tongue my ribs on my right side are very sore and I have no energy. I understand a cold usually takes about ten days and I am on my 5th with three days in bed and today looks about the same but I don't seem to have a fever today. I haven't bothered with a doctor because except for the coated tongue all my symptoms fit a cold virus but my family is urging me to go. I am in fairly good shape immune wise but I have no appetite. I have held them until Monday but would like you opinion.
Thank you so much. XXXXXXX XXXX
doctor
Answered by Dr. Kaushal Bhavsar (1 hour later)
Brief Answer:
Possibility of vitamin B12 deficiency is more.

Detailed Answer:
Thanks for your question on Healthcare Magic.
I can understand your concern.
Yes, you are right.
Your all other symptoms are due to cold and flu.
Coated tongue is commonly seen with vitamin B12 deficiency.
So better to get done vitamin B12 level and if deficiency then you will need supplements.
Drink plenty of fluids orally and keep your self hydrated.
Do warm water gargles 5-6 times a day.
Please let me know
1. Are you strict vegetarian?
Please reply me answer of above asked question, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar (17 minutes later)
I do take B12 sublingual lay. I am not a vegitarian
doctor
Answered by Dr. Kaushal Bhavsar (3 hours later)
Brief Answer:
Can you send me image of your tongue?

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
So vitamin B12 deficiency is unlikely in your case.
Can you send me image of your tongue?
This will be of more help in further advice.
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar (3 hours later)
.Images attached
doctor
Answered by Dr. Kaushal Bhavsar (3 hours later)
Brief Answer:
Do you have burning or pain while eating or drinking?

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
YI have gone through the image you have attached.
Your tongue looks inflamed.
Is it red from the starting?
Do you have pain or burning in tongue while eating and drinking?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar (7 hours later)
Not usually. If I eat a salad with balsamic vinegar my tongue will bother me after. Maybe tomatoes but not every time.
It doesn't bother my stomach though.
doctor
Answered by Dr. Kaushal Bhavsar (7 minutes later)
Brief Answer:
Is your tongue look similar before this episode?

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
So, you are not having pain or burning in tongue.
Please let me know
1. Is your tongue red like this from the beginning, before this episode?
Please reply me answer of above asked question, so that I can guide you better.
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar (9 minutes later)
No. But I haven't noticed the redness lately, just the coating. Is there something that causes an inflamed tongue? With this cold I haven't been eating much. Drinking water, nettle tea, sauerkraut juice, chicken soup.
doctor
Answered by Dr. Kaushal Bhavsar (3 minutes later)
Brief Answer:
Do you have abdominal pain?

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
Coated tongue is commonly seen with dehydration and typhoid fever.
So please let me know
1. Do you drink enough water to keep you hydrated?
2. Do you have abdominal pain?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar (17 minutes later)
No abdominal pain. Maybe I don't drink enough water.
doctor
Answered by Dr. Kaushal Bhavsar (17 minutes later)
Brief Answer:
Nothing to worry much. Drink plenty of fluids orally.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
No need to worry for major illness.
Drink plenty of fluids orally and keep your self hydrated.
Avoid hot and spicy food.
Don't worry, you will be alright.
Hope I have solved your query.
If you are not having further queries, then please close the conversation and rate my answer.
You can ask me directly on bit.ly/askdrkaushalbhavsar. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar (5 minutes later)
Thank you for your help.
doctor
Answered by Dr. Kaushal Bhavsar (3 minutes later)
Brief Answer:
Please close the conversation and rate my answer.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I am glad that my advice is helping you.
Hope I have solved your query.
If you areyou are not having further queries, then please close the conversation and rate my answer.
You can ask me directly on bit.ly/askdrkaushalbhavsar.
Wish you good health. Thanks
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Dr. Kaushal Bhavsar

Pulmonologist

Practicing since :2008

Answered : 14776 Questions

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Suggest treatment for symptoms of vitamin B12 deficiency

Brief Answer: Possibility of vitamin B12 deficiency is more. Detailed Answer: Thanks for your question on Healthcare Magic. I can understand your concern. Yes, you are right. Your all other symptoms are due to cold and flu. Coated tongue is commonly seen with vitamin B12 deficiency. So better to get done vitamin B12 level and if deficiency then you will need supplements. Drink plenty of fluids orally and keep your self hydrated. Do warm water gargles 5-6 times a day. Please let me know 1. Are you strict vegetarian? Please reply me answer of above asked question, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.