Doctor insights on:
Reason For High Rdw
I recently had a CBC test done and they found mcv-low, mch-low, rdw-high, and they found presence of nrbc's but i don't know how many. Reason for going in: headaches. What could it be?
NRBC: And the "indices" suggest a need for a heme consult. You didn't mention wbc, platelets or hematocrit/hemoglobin. Nrbc's are immature red cells, but it infers the bone marrow may be crowded out. Headaches doesn't help. The scenario can be serious. Leukemia and metastasis on the list, but you need moer information and I do too. ...Read moreSee 1 more doctor answer
Not a reliable test: You will find easier to follow your hemoglobin(Hgb) level instead of RBC numbers. Hgb is a more reliable test than RBC numbers. ...Read more
Good question: There has been a communication breakdown. Try to find out what is really going on. ...Read more
My body temperature rises very high for no apparent reason . I has only happened twice about 8 weeks apart?
High temp: Not sure what you mean by "high" but if over 101 f and it occurs again you need to be evaluated for a possible occult (hidden) infectious process. It is preferable to have blood tests (including possible blood cultures) at the time your fever is spiking, so if it happens again, be seen immediately (same day). ...Read more
May need slt in the future. 80% success rate doesn't seem that high to me. Any specific reason why it doesn't work 20% of time?
There's no guarantee: In any procedure, in medicine or in life! ...Read more
I have always had high pressure and I dont know why,any reason.Today was 162/113?what are main reasons for constant high pressure,
Second.Hypertention: At 25 years, you seem too young for usual causes of hypertension like hardening of arteries etc. Pl get yourself evaluated by your PCP for your kidney functions for conditions like renal artery disease or Pheochromocytoma etc. Pl see attached for further info. Hope you feel better, soon:) ...Read moreSee 1 more doctor answer
My pressure is high during early morning 140/105 , during the other part of the day it's normal, what could be the reason please advise?
Maybe a dosing issue: If your on BP meds you need an evening dose to protect you over night and thru the "golden hrs" where a great deal of pts have heartattacks and srokes. Your morning meds drop the daytime BP but by end of day and into next am your BP rebounds. Twice daily BP rx will fix this. ...Read more
I have diabetes since 2008.I use 28 unitslantus on 9pm per day.All was ok but i get up with high bloodsugar last 2months.What could be reason of it?
Not enough insulin: If you have true type 1 dm, you need rapid acting Insulin before each meal in addition to the nightly lantus (insulin glargine). If you have type 2 diabetes, which is more likely if you've significantly overweight, you need meal time Insulin and/or other medication -- in either case, you need to be following a diet and exercise regimen as well as monitoring, prevention, etc. ...Read more