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Low hb,, low Rbc , high lymphocytes
Can't wakeup in morning early feeling very weak and bone also feeling like paining . Very tired and backpain also there knee also paining while walking and lymphocytes high in the blood test , rbc is low and hb is 1% low than the normal value . Can't sleep in the night , something always disturb my sleep mind keep on running my life insidents always suffering with this for 3 months .
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We cannot evaluate this without knowing the proper sign and symptoms - so it is advised to consult with the doctor as soon as possible
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Report is suggestive of viral infection and mild anemia can be corrected by dietary modification.
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CbC is okay. Mild anaemia is present. Increase iron rich food in diet. Do consult with a physician with comprehensive check up
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Get esr, blood sugar, thyroid profile, vit d3, b12, calcium done and share results, to know the reason for fatigue.
Take healthy diet with more of fresh vegetables and fruits, curds, nuts, whole grains, drink more water, avoid fried, sugary food and heavy meals.
Depression and anxiety per se can also cause fatigue and weakness. Try to be relaxed mentally. Whatever has been done, cannot be undone. Look forward positively. Keep yourself mentally occupied, with reading good literature, writing, prayers, meditation, gardening, etc.
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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You need more assessment in view of Fatigue and sleep disturbances. Thyroid profile, Vitamins and other hormonal investigations are required.
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Avoid fried and spicy food
Water intake more
Do connect and consult
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Do consult
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Hello,
I am Dr. Romain Rajan, General Physician (Ex Govt Medical Officer at RML Hospital, New Delhi), and your case has been allotted to me.
Thank you for sharing your symptoms and reports. I understand how exhausting and distressing this must be for you.
Based on your description, your symptoms of weakness, body pain, disturbed sleep, and fatigue along with slightly low Hb and RBC suggest a combination of:
• Mild anemia
• Possible vitamin deficiencies (especially Vitamin D or B12)
• Stress and sleep disturbance contributing significantly
Mild rise in lymphocytes is often not serious and can be seen with minor infections or stress.
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What you should do now
• Ensure proper sleep routine and reduce screen time at night
• Take a balanced diet rich in iron, protein, and vitamins
• Stay well hydrated
• Start light physical activity like walking
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Investigations to consider
• Serum Vitamin D3
• Vitamin B12
• Serum ferritin
• Thyroid profile if not done
⸻
Treatment approach
• Iron and multivitamin supplementation if deficiency confirmed
• Vitamin D and B12 correction if low
• Stress management and sleep correction are equally important
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When to consult a doctor immediately
• If weakness worsens significantly
• If dizziness, palpitations, or severe fatigue occurs
• If symptoms persist beyond a few weeks
⸻
Important reassurance
This condition is very common and reversible once deficiencies and lifestyle factors are corrected. Your reports do not suggest anything dangerous at present.
⸻
For a complete evaluation, report review, and personalised treatment plan, you can reach out to me directly on
WhatsApp at 85271646 seven seven.
Wishing you a speedy recovery.
Dr. Romain Rajan
General Physician
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Dear Swetha,
Your CBC is not that bad as you think. There is just marginal up and down of your counts tho lymphocytes are more.
With your current symptoms, you need to get your S. Calcium/ S. Phosphate/ Vit D3 tests. You also need to take plenty of fluids like coconut water, lemon water, kanji etc to maintain your electrolytes. It is very much possible that you have a state of chronic stress which is precipitating into these symptoms. Do deep breath exercises in the morning and before you sleep, you can also do Left nostril breathing when you feel the stress or when you feel your mind is chaotic.
Would advice you to take up some form of meditation and yoga to beat this state as you are too young to have these Complaints.
Next Steps
Get the suggested tests and review the reports with me on Practo.
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Just Relax... No need to worry..
Your Hb is bit low but it is quite common in female to be around 11 hb...
May be you are in stress due any reason like work personal..
You just need some medications and life style changes..
Next Steps
Consult me or any procto Doctor for help
Health Tips
Drink plenty of water and add some iron rich food in diet
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Physical correlation is important in your case with symptoms. Please visit nearby hospital and consult with general physician. Most likely its viral infection.
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Dr. Annpurna Pai
Paediatrics
31 yrs exp
Mumbai
Your symptoms suggest you are under stress . You have to take measures to modify your lifestyle and diet . You can consult me one on one .
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Dr. Marini Vanitha
General Physician
12 yrs exp
Kakinada
Vitamin profile needed
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Sajid Ali
General Practitioner
4 yrs exp
Kanpur
Lifestyle modification
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