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10 Best Hematologists in Binaki

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Dr. Nishad Dhakate Hematologist

Dr. Nishad Dhakate

General Surgeon

15 years of experience

Available Today

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Questions & Answers on "Hematologist" (101)

Dear Doctor, Due to my father's high blood viscosity, suspicion of polycythemia arises, necessitating blood draws every 3 weeks to maintain appropriate levels. At 69 years old, he experiences symptoms such as skin itching, swelling, head numbness, and fatigue. Currently, his JAK2 V617F mutation showed 0.8 then 1.2%, with JAK2 exon 12 negative and EPO at 13.4. Abdominal CT and chest X-ray are normal. After a few months of phlebotomy, his levels normalized. Now, we await the bone marrow biopsy results, which do not confirm Polycythemia Vera: "Microscopic description: The bone marrow biopsy sample shows somewhat hypocellular hematopoietic parenchyma relative to age, which is terminally mature. Myeloid ratio is 2:1 with dominance of late precursors; no blast cells are noted. The number of megakaryocytes is normal with no clustering. There is no interstitial fibrosis or lymphoid infiltrate. Diagnosis: Mature, hypocellular hematopoietic parenchyma without myeloproliferative features. Cytogenetic analysis confirmed male karyotype; no clonal chromosomal abnormalities detected. Indication for examination D7510 Secondary polycythemia Note Submicroscopic rearrangements, small structural chromosomal aberrations, DNA-level differences cannot be ruled out with the method used." I am quite confused as JAK2 positivity typically suggests PV, yet the biopsy suggests otherwise, possibly indicating secondary polycythemia. Could you please clarify based on this information what you personally think is more likely, Polycythemia Vera or another secondary cause? Thank you very much for your help.

Male | 67

Your father's symptoms and test results do suggest some complexity. The presence of JAK2 mutation often points towards Polycythemia Vera (PV), but the bone marrow biopsy does not show typical myeloproliferative features, suggesting it might be secondary polycythemia instead. Consult a hematologist, specializing in blood disorders, and can provide a more accurate diagnosis and appropriate treatment plan.

 

Answered on 3rd July '24

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We have done test of asylum serum and it is increased in reports at 142. Is it something to worry about

Male | 44

You had a high result for asylum se­rum, at 142. This could signal an issue with your liver or bones. Fe­eling tired, losing weight, or be­lly pain, are possible symptoms. Causes: live­r problems, or bone troubles. It's wise­ to see a doctor to find out what's happening. The­y can determine the­ right treatment. 

Answered on 23rd July '24

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Sir blood 8.7 tha report m maine dava bi li h but Mera fever nhi utar rha 1month se jyada ho gya

Female | 26

At 8.7, having a low blood level can cause you to become tired and weak. Your body might not have enough iron, which is necessary for feeling better. To increase your blood level take iron supplements and eat foods such as spinach and beans that are rich in iron. Also if your fever does not go away it would be good to see a healthcare provider who will help establish what is causing the fever so that you can receive appropriate treatment. 

Answered on 23rd May '24

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I am very sick sir duwara duwara say bukhar aa raha hn and after that then urine mein blood bi aa raha hn and weekness bii What is my problem

Male | 44

Based on your explanation, you are familiar with fever and have also noticed blood in your urine. This could be a symptom of a urinary tract infection or a sign of kidney problems, both of which can also cause weakness. It would be best to consult a doctor within a few days to determine the cause and receive the appropriate care.

Answered on 23rd July '24

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