Doctor insights on:
Anema Of Sope
Drinking 20oz of magnesium citrate for a colonoscopy prep. What are chances of magnesium overdose?
Compared to what? Ca: Cancer? Any procedure or test comes with risk, so if it isn't needed, then best not to do it. However, whoever ordered the Barium enema did so for a reason & the risk-vs-benefit calculation was done based on symptoms, history, & a preliminary diagnosis. All-in-all, barium is safer than colonoscopy using Mag citrate or other laxatives that cause electrolyte problems & require sedation. Enema is OK. ...Read more
Cbc and iron levels now normal 4 weeks after iron infusion. Colonoscopy saw small ulcers in the terminal ileum of the small bowel can this be crohn's?
Could be: Small ulcers in the terminal ileim is usually crohn's disease. They also can occasionally come from NSAID (ibuprofen) use or certain infections like tb. Talk with your doctor to see what the biopsies show. The biopsies should help distinguish the cause. It's also helpful to have imaging of the small bowel by MRI or ct or barium small bowel follow through to determine the extent of involvement. ...Read more
I know that iron pills in SCD are useless because of rapid RBC death but what about the trait? Is iron helpful in iron def. anemia with SCT?
Production,destructi: Think of a 2 part system; one side produces something and one side destroys same thing. In SC disease the person has a hemoglobin which has enough iron but the RBC is not flexible enough so it is destroyed more readily by the body. It is not a problem with too little being made (iron deficiency) but a problem with excess destruction. ...Read more
23F. Strong family history of colon cancer. Syncope, h/h 7.4/27.7. Fe studies showed anemia, hematologist referred to GI. Chances of cancer?
Low: What is the earliest age which you family members had colon cancer? If you are ten or more years younger than the lowest age of the cancer patient, your risk is very low. Your anemia is more likely due to blood loss in menstrual bleeding. You are doing the right thing by seeking care. Follow your doctors' instructions. ...Read more
As of 4/30 ferritin is 6.1ng took ferrous sulfate 310mg 3x day re took lab test as of 5/13 ferritin is 18ng is the rate of increase really slow?
Short of breath elevated d dimer. emerge is sending me home with a shot of heparin and ct in the am. isn't a clot in lungs life threatening? scared
Blood clots: It sounds like you have a complex set of issues and have already had some evaluation. For personal attention to a medical concern, consider a 2nd opinion "inbox consult" with a doctor on HealthTap; it allows you to message back/forth like email when a lot of information needs to be exchanged (like prior test reports, lab results.) Blood clots are indeed serious and easy to miss. ...Read more
Can D&C be done to check abnormal bleeding in 46YO instead of endometrial biopsy? I'm deathly afraid of pain I'll experience w/ biopsy & no anesthesia
D & C versus biopsy: The D & C will require more pain unless it is done under local anesthetic block in the office or ambulatory center with general anesthesia. (more expensive) Endometrial biopsies can be done with aspiration silastic (flexible plastic) devices that rarely produce pain/ discomfort. Talk to your MD about this issue and then conjointly select one that works for both of you. ...Read more
What is used calcium and glucose in case of faintness state (with tachycardia, respiratory insufficiency, pallor, poor view and hearing) for?
Suspected low sugar: in the short term, low blood sugar is more dangerous than high level and so rapidly giving sugar for suspected symptom is a safer bet. I doubt that u had low calcium--as u likely would have experienced muscle spasm etc...but giving u some MAY reduce the risk of cardiac rhythm trouble. I would recommend checking with doc to see why u had trouble breathing...?asthma? Good luck ...Read moreSee 1 more doctor answer
Dad 70 yrs old has macrocytic anemia. All else normal. Bone marrow biopsy showed no cancer or MDS, but failure of production of enough rbc. Why?
MDS & Macro Anemia: Causes of macrocytic anemia, other than MDS: vitamin B deficiencies, folate (folic acid) deficiency, certain drugs like zidovudine or hydroxyurea, acute leukemia, LGL leukemia, alcohol abuse, liver disease, hypothyroidism, and lab error. Additional labs include: reticulocyte count, RDW, bilirubin, and others. MDS is difficult to diagnosis and may require next generation DNA sequencing to confirm diagnosis. ...Read moreSee 1 more doctor answer
My brother (51) is in the final stages of multiple myeloma and was told he will die of kidney failure. Blood tranfusions weekly. Timeline estimate?
Get extra support: Agree with prior answer that difficult to say. If not already involved ask for a palliative medicine specialist to work with your hematology-oncology team. They might be able to provide additional prognostication opinions as they monitor his progress and also provide additional support for the time that he has. ...Read moreSee 1 more doctor answer
I accidentally took 2 tablespoons of magnesium citrate(over 1000mg) instead of recommended dose of 2 tsp. is this dangerous?
Could sudden cessation of daily dose milk of magnesia (magnesium hydroxide) result in acute hypomagnesemia? In an elderly man with some history of kidney disease?
What are the risks of having a hemoglobin level of 7.5? I have low iron anemia, easy bruising, chest pains, and loss of appetite.
Im iron deficient with a platlet count of 425 im receiving iron infusion but scared with all the things I've read about spontaious blood clots, stroke?
A friend is an Asian 54yrs,224 lbs,diabetic under oral meds.Albumin 34,cretanine 1.2 & blood urea 27.Are the figures any indication of kidney disease.
Labs only part of it: Given that your relative is 224 pounds, I'm suspicious that he is overweight. The creatinine value -Cr depends on muscle mass, so it would be helpful to get an estimation of that. There are calculations that can be done using Cr & body weight that will give an estimate of kidney function. I think your relatives numbers are OK but recc lose weight, make sure blood pressure is OK & follow up with MD ...Read more
is there any risk of dementing process in cutaneus amyloidosis? The risk of having amyloud bodies in CNS? Im 49 with a 20 years hx of macular amyloidosis and now worried about dementia. Thanks
Not necessarily: We are comparing apples and oranges. The deposition of amyloid in the central nervous system involves cholesterol transporting systems, and the soluble amyloid may well be far more toxic. Furthermore, the greater issue is the effect of neurofibrillary tangles on the neuron, which may or may not be a downstream effect. So, do not worry, your risk is likely similar to those with no amyloid hx. ...Read more
Dilution: The increase in blood vessel fluid leads to a decreased concentration of blood cells. Also, iron deficiency is common and iron is the main component of hemoglobin, the oxygen-carrying component of the blood cells. Be certain to have your iron levels checked. ...Read moreSee 1 more doctor answer
Sickled RBC's: The spleen not only helps in processing antigens to help wbc's fight infection, it also acts as a "stress test" for rbc's, weeding out the weaker and older ones for recycling. As rbc's "sickle", they cause clumps in the vessels, this is what causes the pain in the joints/chest and also what causes the spleen to swell. If happens in the coronary arteries, can weaken the heart and enlarge it. ...Read more