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My Doctors Are Baffled And Have No Answers . Very
Question: my doctors are baffled and have no answers . Very symptomatic weakness,bloating, nausea,extreme fatigue,lightheadedness, headaches,This has been going on for months .Not sure if anyone here can give me answers but here goes blood tests results 3/2/2020 atypical lymphocytes 3 h Lymphocytes absolute 6530 h reference range 1000 to 3850 10e3/I'm Monocytes absolute 1270 h reference 30 to 850 10e3/y2k poikilocytosis 2 a wbc 14.8 h 3.5 10.5 k/ul albumin glob ulin ratio 3.0 h 1.0 2.5 ratio alt 56 h 7-65 ul reference range ebv capsid ab igm. 1.2 h 8.0 h <0 8 al 57 m 5ft 8 179 lbs non smoker non drinker no junk or processed food no coffee eat healthy was diagnosed 4 years ago with early cll hematologist told me in early stage watch and wait and that my symptoms at present aren't cll.
Brief Answer:
Please give details and post actual reports.
Detailed Answer:
Hi.
Thanks for your query.
Noted the history and understood the concerns.
Please give additional information for me to assist you better:
Your age please.
Please post actual reports if available and possible.
Details about DVT, treatment at the moment?
Any treatment for CLL?
Any second opinion of another Hematologist?
Have you been tested for Autoimmune disease?
Any investigations related to abdomen? You have nausea, bloating, fatigue and other symptoms as mentioned.
Any other details please?
Awaiting
Dr T Chandrakant.
Please give details and post actual reports.
Detailed Answer:
Hi.
Thanks for your query.
Noted the history and understood the concerns.
Please give additional information for me to assist you better:
Your age please.
Please post actual reports if available and possible.
Details about DVT, treatment at the moment?
Any treatment for CLL?
Any second opinion of another Hematologist?
Have you been tested for Autoimmune disease?
Any investigations related to abdomen? You have nausea, bloating, fatigue and other symptoms as mentioned.
Any other details please?
Awaiting
Dr T Chandrakant.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
57 male
Upper extremity dvt caused by pics line for Lyme disease.Was on eliquis for 3 weeks couldn't tolerate side effects same goes with xarrelto which one dose caused side effects rhat I couldn't tolerate.I am 11 weeks post dvt.
For abdominal issues I had a ct scan of abdomen and pelvis all ok except for enlarged prostrate..Also had a eus endoscopy all ok.
Recent blood work as mentioned shows these abnormalities . I did see another hematologist when dvt was diagnosed ..Mentuoned I have cll and told him previous hematologist stated I was in early stages watch and wait.
Upper extremity dvt caused by pics line for Lyme disease.Was on eliquis for 3 weeks couldn't tolerate side effects same goes with xarrelto which one dose caused side effects rhat I couldn't tolerate.I am 11 weeks post dvt.
For abdominal issues I had a ct scan of abdomen and pelvis all ok except for enlarged prostrate..Also had a eus endoscopy all ok.
Recent blood work as mentioned shows these abnormalities . I did see another hematologist when dvt was diagnosed ..Mentuoned I have cll and told him previous hematologist stated I was in early stages watch and wait.
Brief Answer:
As discussed
Detailed Answer:
Thanks for feedback saying normal CT scan of abdomen and pelvis except BEP, EUS Endo normal, seen the reports that you posted.
I have a feeling that the report are done on fasting levels. Fasting or dehydrated state may show some of the cell counts on a bit higher levels.
Please keep well hydrated before giving blood for followup blood work. This is indicated by hematocrit on a higher side in all tests; well this can be due to raised WBC due to CLL.
The possible causes of all the symptoms that you have mentioned can be due to the following reasons singularly or in combination:
CLL itself can cause such symptoms as weakness, heavy headedness, fatigue and so on.
The anxiety and stress of knowing that you have CLL can also be an additional factor.
Dehydration can itself be a reason for DVT. So start taking plenty of oral fluids. Due to the conditions you are going through one is known to drink less fluid. Please let me know if fluids are helping to improve some of the symptoms.
Sub-clinical intestinal infection; better to get stool tests for 3 consecutive days.
Watch for thyroid functions, levels of Vitamin D and cortisol.
Once any additional factors are found out and well treated may help to improve your symptoms.
Please discuss these points with your Doctors, get investigated accordingly and please give me feedback.
Dr T Chandrakant.
As discussed
Detailed Answer:
Thanks for feedback saying normal CT scan of abdomen and pelvis except BEP, EUS Endo normal, seen the reports that you posted.
I have a feeling that the report are done on fasting levels. Fasting or dehydrated state may show some of the cell counts on a bit higher levels.
Please keep well hydrated before giving blood for followup blood work. This is indicated by hematocrit on a higher side in all tests; well this can be due to raised WBC due to CLL.
The possible causes of all the symptoms that you have mentioned can be due to the following reasons singularly or in combination:
CLL itself can cause such symptoms as weakness, heavy headedness, fatigue and so on.
The anxiety and stress of knowing that you have CLL can also be an additional factor.
Dehydration can itself be a reason for DVT. So start taking plenty of oral fluids. Due to the conditions you are going through one is known to drink less fluid. Please let me know if fluids are helping to improve some of the symptoms.
Sub-clinical intestinal infection; better to get stool tests for 3 consecutive days.
Watch for thyroid functions, levels of Vitamin D and cortisol.
Once any additional factors are found out and well treated may help to improve your symptoms.
Please discuss these points with your Doctors, get investigated accordingly and please give me feedback.
Dr T Chandrakant.
Note: For further inquiries on surgery procedure and its risks or complications book an appointment now
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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