Brief Answer:
A photo of yellowish hand and feet soles are requested

Detailed Answer:
Hi,

I understand your concern.

It's true that liver disease is the main reason for yellowish hand and feet soles. If ct-scan you got did not notice anything with your liver, then other reasons should get identified:
- smoking
- skin disorders

Can you please send a photo to me in order to analyze changes in the color of your hands and feet soles?
Thank you.
Dr.Albana

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Brief Answer:
Additional information required as following

Detailed Answer:
Hi back,

Thank you for providing the requested photos.

I was reviewing them carefully and did notice the yellowish color.

Now, as per your saying, as long as your liver is OK, then my thoughts go for possible:
- Anemia: you mention only about liver, what about your blood count?
- changes in your dietary habits ( eating mire foods high in beta carotene like carrots, potatoes, sweet potatoes, squash, oranges, etc.)
- exposure to dyeing substances especially if during your work

Looking forward to have the requested information in.
Dr.Albana

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Brief Answer:
Following answers to your queries

Detailed Answer:
Hi back,

1. The white dots on your stool are seeds if foods you've eaten ( perhaps dry seeds)

2. Your platelet count is really low. Do you take aspirin or any other blood thinning meds on regular basis?

3. Your hemoglobin and white blood cells count are at low range suggesting for possible viral infection.

However, I should have a look at the reference range of the lab you did the testing as different labs use different ranges

With regards to LDH level, it is within normal range.

Constipation can be managed through:
- diet changes(eat more fiber rich foods)
- increase water intake
- take fiber supplements
- gentle laxatives can be used but not as always

Hope this helps.
Dr.Albana

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Brief Answer:
Following additional tests

Detailed Answer:
Hi back,

If red blood cells are ok, then low hemoglobin and low white blood cells count are due to a possible viral infection you might have gone through recently.

However, what worries me and would ask for further tests is your platelet count. So, a complete liver function panel(LFP) together with abdominal ultrasound, urine Analysis and kidney function test, hemorrhage time and coagulation tests together with INR level and prothrombin time.

The low level could be due to virus, however, I want to make sure everything is OK.

Liver could be a possible explanation, however, I want to be sure.

Hope it answered your questions.
Dr.Albana

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Brief Answer:
Following answers to your questions

Detailed Answer:
Hi back,

Usually, seeds and raw nuts are not digested. That is normal. As long as you do not have any digestive disturbances like bloating or cramping after eating them, there is no contraindication why not to consume them.

If we were to digest seeds, nothing would be growing in the earth. Seeds will protect the new plant from bad weather conditions so it can grow when it's right time:)

If you'd have digestive disturbances, just quit eating them for a while and see the difference.

Hope it answered your questions.
Dr.Albana

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Brief Answer:
Our digestive tract cannot digest hard plant cellulose...

Detailed Answer:
Hi back,

Our digestive tract is designed to digest all type of foods except for the certain types of nutrients like plant cellulose found in the seeds and nuts.

I'd suggest to try to make them more digestible. For example, try to chew them up as much as you can.

Or grind them or roast/bake and keep chewing up well before swallowing.

Nuts and seeds are rich in essential nutrients that our body mostly needs. That's why should eat them.

Try this first and see the difference.
Dr.Albana

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