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What Does My Blood Test Report Indicate?

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Posted on Tue, 3 Oct 2017
Question: Hello doctor...I'm speaking on behalf of my partner who is feeling very ill at the moment. He has had a full blood count done on the 21st August and I can summarise here.
RBC 5.63
MCV 79
MCH 27
MCHC 345
B9 24
B12 320 serum
Eosinophil 5

Blood test taken on 27th XXXXXXX .Results
B9 1.9
Vit D 19
B12 1400
Commenced flate and iron infusions.
In late May blood results were
B12 89...received injections

Neurologist testing
No planter reflex
Romberg positve
Nerve test on life side shows mild weakness
EDS
Stillnwss and weakness
extreme fatigue
Brain fog
Sleep apnoea
Restless leg

Medication
On a Bipap machine
Modafinil
Gabapentin
Baclofen
Folate
adalat

Cardiologist report
Heart good
lungs good
Kidneys good
Liver fatty (non alcoholic) plus 3,5 benign tumour
BP 150
HBA1c in XXXXXXX 41 on 21st August 48




doctor
Answered by Dr. Shafi Ullah Khan (51 minutes later)
Brief Answer:
Supportive care

Detailed Answer:
Thank you for asking

I read your question and i understand your concerns. Most of your partner's illness is manageable and not treatable and most of his symptoms are due to this mixed connective tissue disorder, treatment of which is mostly supportive which he is already on, modafinil, baclofen, adalat and folates are helping with that. The medications have side effect of reducing the blood counts and vitamin levels which can be easily managed with supplementing with multivitamins, so far so good, no lab parameter is too low to be worried about.
Fatty liver needs losing weight, modifying diet lifestyle, continue use of statins and see if it helps. Blood pressure of 150 is high and stage 1 hypertension and modifying diet lifestyle and compliant use of antihypertensives and reducing salt intake will help. Also his HBA1c levels are in prediabetes levels to almost diabetes and needs to keep an eye on his glycemic status and again this taking care of metabolic syndrome of fatty liver and losing weight and exercising regularly will help. I can understand the discomfort and agony it has, but supportive care is all your healthcare provider can offer.

I hope it helps. Take good care of your partner and of yourself and dont forget to close the discussion please.
Regards
Khana
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Shafi Ullah Khan

General & Family Physician

Practicing since :2012

Answered : 3613 Questions

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What Does My Blood Test Report Indicate?

Brief Answer: Supportive care Detailed Answer: Thank you for asking I read your question and i understand your concerns. Most of your partner's illness is manageable and not treatable and most of his symptoms are due to this mixed connective tissue disorder, treatment of which is mostly supportive which he is already on, modafinil, baclofen, adalat and folates are helping with that. The medications have side effect of reducing the blood counts and vitamin levels which can be easily managed with supplementing with multivitamins, so far so good, no lab parameter is too low to be worried about. Fatty liver needs losing weight, modifying diet lifestyle, continue use of statins and see if it helps. Blood pressure of 150 is high and stage 1 hypertension and modifying diet lifestyle and compliant use of antihypertensives and reducing salt intake will help. Also his HBA1c levels are in prediabetes levels to almost diabetes and needs to keep an eye on his glycemic status and again this taking care of metabolic syndrome of fatty liver and losing weight and exercising regularly will help. I can understand the discomfort and agony it has, but supportive care is all your healthcare provider can offer. I hope it helps. Take good care of your partner and of yourself and dont forget to close the discussion please. Regards Khana