Is Haemoglobin level and WBC count according to blood test the cause of viral fever?
Patient: Dear Doctor I am writing this from Dubai, UAE. This is for my Wife aged 29 years . One month back ( 19 october, 2010) she was affected with Viral fever and we consulted a Gynae Doctor ( as we were trying for a second baby) . The Lab results are as below : Haemoglobin – 12.8 G/DL ; WBC count – 10200 Cells/U; Neutrophils – 80%; Lymphocytes – 15%; Eosinophils – 02 %; Monocytes – 03 %; Basophils - -% ; ESR – 40MM. The Gynae Doctor prescribed her NEOMOL CF tablets and Finallerg 10 mg tablets . After taking this for one week her fever was cured but her ears got blocked . We again went to the Gynae Doctor and Doctor adviced her to do some exercise ( like close the nose and push air oustside from mouth) so that blocked ears will open and also to inhale vapour from a nebulizer) and prescribed her NEOCLAV1 g. Still after a week it was not cured and she was suffering with a Buzzing sound from her left ear. Then we consulted an ENT Doctor and the Doctor checked her ears and prescribed her BETASONE (corticosteroid), Clarinaise ( Loratadine 5 mg, Pseudoephedrine Sulphate 120 mg) tablets . After one week the buzzing sound was little bit cured but she was feeling heaviness on her ears ( like pressure coming inside to her left ear ) . As this was not getting well we consulted another ENT Specialist doctor and doctor checked her thoroughly after inserting some equipment in her both ears . The test results are : Left Ear: Peak YA 0.4 mmho ; GR (width) 100 dapa; TPP       -10; Vea(+200) 0.8cc Right Ear Peak YA 0.4 mmho ; GR (width) 95 dapa; TPP       -20; Vea(+200) 0.8cc Then Doctor referred for a Audio Test and mentioned that she cannot hear the minor sounds 50% in her left ear ( I will forward you the audio test after scanning if required) . Then the Doctor prescribed her the following medicines : BETASERC 16 mg 60’ S – 10days ( 1-0-1); FIXIT 300 mg CAPS 14’s – 7 Days ( 1-0-1) TRENTAL 400 mg TAB 20’- 14 days ( 1-0-1) , LOVIR 800 TAB 50’s – 7 days ( 1-1-1-1-1) GUPISONE 5 Mg TAB 20’s (4-4-4 for 4 days); (3-3-3 for 4 days); (2-2-2 for 4 days) ; (2-0-2 for 3 days) ; (1-1-1 for 3 days) ; ( 1-0-1 for 3 days ) ; ( 1-0-0 for 3 days) Now she is taking only Gupisone as the other medicines which were prescribed already finished the dosages. After one week she discontinued the TRENTAL tablets as she was infected in her left hand a reddish allergy and itchiness with pain . The doctors said that it may be bacuse of Trental . Still the buzzing sound and pressure in her ears and pain around the left ear persists. Our query is this curable after taking these medicines as we are afraid that she will put on more weight after taking these tablets . Also how long it will take to cure this type of disease and whether this tablets will affect her body to conceive a second baby . Are the medicines prescribed are correct ones and in your opinion should we travel to India so that a more cost effective treatment can be taken. Should you need any further details please email me or send me a sms and I will call back. Regards JOSHY VARGHESE YYYY@YYYY +0000 Doctor: Hi Joshy, It is not a blood related problem. Kindly post this question in ENT section. With regards, Dr. Girish Kamat