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Wanting to sleep all the time with no energy and neutropenia

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Hello doctor , i want to sleep all the time with no energy and i have fatigue all the time ...my CBC result shows
Bas:0
Eos:2
Staff:0
Segment:34
Lymphocytes:56
Monocytes:8
HB:13.6
Thyroid fun test:0.47
Kidney&liver tests are ok
Remark:abolute neutropenia with relative lymphocytosis

Category: Hematologist

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Category: HIV- AIDS Specialist
 27 Doctors Online

Hello,

Thanks for your consult at DoctorSpring.com.

The report you have quoted here is missing the Total WBC count. Please update that as follow-up query. Also I would like to know other than fatigue, do you have any major symtoms? Do you have any significant past medical history. For how long you are having this symptoms. Answers to these will enable me to help you best.

Awaiting your reply.

Regards


Patient replied :

Thanks doctor for your reply, i drink diet pepsi ( 2 liters per day ) sometimes i suffer from attacks of high and low blood pressure ( under stress i feel a terrible headache i go to a pharmacy to measure it ) but i don't take any medications , i have a frequency in urination since a long time( 12 times-day)..2 weeks ago i felt that there was something wrong with my neurological system as parts of my body or my whole body shake for a second and than stop many times per day ( i don't have a history of epilepsy ) and now it has stopped , No diabetes , no smoking , no alchol ,i did a heart echo before and it was ok ..my hair and skin are not healthy and my skin is pale I have peresistant mucous in my throat (for 1 year ) it doesn't go away >>my voice has changed a little bit ..sometimes i hear a sneezing in my breath while sleeping..i have a cough attacks when i use toothpaste with a strong mint odour ..thats what i can remember :) ..i don't know if any of these is related to how i feel now ( i feel like a Zombie )and i'm depressed
T.L.C:4.8
M.C.H:32.3
MCHC:34.8
Hb:13.6
RBCs:4.21
platlets:326
MCV:92
Haematocrite:39.1
Random blood glucose test:98


With inputs from

Dr Prasad Eswaran , M.B.B.S., D.M.R.T. (Rad. Onc), M.D. (Rad. Onc), D.M.
Hematologist

Hello,

Your Blood investigations reports are within normal limits. Even though the total count is near the lower limit of normal, it is not a concern. So from a Haematology view point nothing seems abnormal.
So the best next course would be to make lifestyle and general health changes. The symptoms you have mentioned are non-specific. By non-specific I mean it does not point towards a single diagnosis.
I recommend cutting down diet soda. It can affect your bone health and may cause neurological manifestations at high concentration. (the artificial sweetener in high concentrations can be damaging to health) . Engage in aerobic exercise atleast 40 minutes per day. This can bring in a lot of change due to release of endorphins. If the ‘depressed feeling’ is troubling you or if it is frequent you should consider getting professional help.
Hope this helps
Please feel free to ask followup questions
Thank you


Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
Experience: 
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Resident Physician, in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

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