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Megaloblastic Anemia Questions

Asked for male, 43 years old from Kolkata
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My mom is not well from last 1 month or so. She is under medication and yesterday as per doctor advice we have do a bone marrow test. Need your help in understanding the report and the treatment if any to cure her. Bone marrow report details are peripheral blood smears: total leukocytes count is within normal limits. Differential leukocytes count shows neutrophilia predominance. Platelet count is markedly diminished. Erythrocytes are normoochromin normocytic. Anisocytosis present. Comments: bone marrow smears reveal megaloblastic and dysplastic changes, and increased storage iron. Please exclude systemic disease, and deficiency of vitamin b12 and folate, and follow up. In absence of above condition, the possibility of myelodysplastic syndrome should be considered, if cytopenia persists. Report on bone marrow: clinical history: bicytopenia with low grade fever. Cellularity: cellular marrow bits and cell trails seen. erythropoietin: a significant number of erythroblasts show megaloblastic and dysplastic changes. Myelopoiesis: myeloid maturation is mildly left shifted. Giant myeloid precursors and a few dysplastic myeloid cells seen. Myeloid-erythroid ratio: 2: 1 megakaryocytes: megakaryocytes are adequate in number. A fair number of meagkaryocytes are hyperlobulated. Plasma cells, lymphoid cells & blast cells: within normal limits haemoparasite: none seen perl's stain: stainable storage iron is increased. No ring sideroblast seen. Need your guidance and opinion.

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MBBS

General Physician•Hyderabad
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Firstly, it has been recommended to check for vitamin b12 defficiency and other diseases if she has already. For this vitamin b12 level should be tested in blood. If these two points are okay, then she will be diagnosed as having myelodysplastic syndrome. Mds are conditions that occur when the blood forming cells in the bone marrow are abnormal. It is considered as a type of cancer. So better not to delay and start the treatment. The treatment plan consists of supportive care, drug therapy and c...more
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MD - Homeopathy, BHMS

Homeopath•Vadodara
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Hi Harish...
All the problems are occurring because of your altered body system... And anemia, cracks, or any other problems are just an expression of it...
If you will treat the external things then it may go but there will be a new problem...
So my suggestion is to take Homoeopathic treatment to treat the central cause and the peripheral effects will go by it self...
You can consult me through lybrate..
280 people found this helpful
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DHMS (Hons.)

Homeopathy Doctor•Patna
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Hi, lybrate user,
Your son might experience low hb% owing to various factores , underlying :
1. inadequete food , low in protiene and iron.
2. Diet be easily digestible on time.
3. Lack of physical exercise.
4. Inadequate sleep in the night .
Give her the underlying homoeo medicines :
@Five phos 3 x 2 tabs X 3.
•Avoid , junkfood, pizza and burger and Maggie .
•Tke care.
174 people found this helpful
Asked for male, 90 years old from Shimoga
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DHMS (Hons.)

Homeopathy Doctor•Patna
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Hi, lybrate user,
•Aging factor indicates various serious health problems, causing fall in RBC counts and hb %, needs further interrogation, locally.
•However , You may give him underlying homoeopathic medication till he gets medically, exained, futher:
@ AlfalfaQ -10 drops , thrice with 2tsfl of normal water, orally.
@ Zincum met 30ch -5 drops, thrice, simultaneously.
•Avoid , junk food, alcohol and nicotine.
•Tke, care.
58 people found this helpful
Asked for female, 24 years old from Bangalore
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BAMS

Ayurvedic Doctor•Delhi
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"Dear Lybrate user
Thanks for sending across your query ."
No , Orofer xt fulfils your iron insufficiency and A to Z is a multi vitamin .
67 people found this helpful
Asked for female, 34 years old from Mumbai
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DHMS (Diploma in Homeopathic Medicine an...read more

Homeopathy Doctor•Hyderabad
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Your low hemoglobin .there could some underlying reason which needs to be treated. Homeopathy has very effective and reliable treatment for your problem. No side effects. Please take homeopathic medicine, preliminary dose, arsenic album 200-once daily in the evening for 3 days. Book online appointment/consultation with me -(commencing from text consult rs 149, audio/ phone-rs 300) for further more comprehensive prescription and treatment.
132 people found this helpful
Asked for female, 31 years old from Ambikapur
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DHMS (Diploma in Homeopathic Medicine an...read more

Homeopathy Doctor•Hyderabad
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Your low hemoglobin. There could some underlying reason for your anemia which needs to be treated. Homeopathy has very effective and reliable treatment for your problem. No side effects. Please take homeopathic medicine, preliminary dose, arsenic album 200-once daily in the evening for 3 days. Book online appointment/consultation with me -(commencing from text consult rs 149, audio/ phone-rs 300) for further more comprehensive prescription and treatment.
31 people found this helpful
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DHMS (Diploma in Homeopathic Medicine an...read more

Homeopathy Doctor•Hyderabad
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Homeopathy has very effective and reliable treatment for your problem. No side effects. Please take homeopathic medicine, preliminary dose, rhus tox 200-once daily in the evening for 3 days. Book online appointment/consultation with me -(commencing from text consult rs 149, audio/ phone-rs 300) for further more comprehensive prescription and treatment.
82 people found this helpful
Asked for male, 34 years old from Kolkata
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MBBS, MS

General Physician•Patiala
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Normo normo itself telling that its normal. Do not worry Mr. Dasgupta, it simply means your hemoglobin per rbc cell is normal and size of each rbc cell is normal.
Asked for male, 44 years old from new delhi
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DNB (General Medicine)

General Physician•Ghaziabad
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Respected sir, vitamin d deficiency causes bone weakness and vitamin b12 deficiency causes muscle weakness predominantly. Take supplements for both.
Thankyou.
164 people found this helpful
Asked for male, 44 years old from new delhi
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General Physician•Moga
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Hey good evening the answer is no these deficiency can not cause skin rashes however decreased vitamin b3 can be a cause for this.
124 people found this helpful
Asked for male, 27 years old from Ernakulam
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MBBS

General Physician•Vadodara
They will not harm any patients. Normal value given in report in bracket as values change according to instrument used. So compare. Lymphocytes raised in cold allergy.
23 people found this helpful
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